HomeMy WebLinkAbout135 EDGEWOOD DR Electric # APPLICATION FOR BUILDING PERMIT
Plumbing# _ 2
HVAC# �2W[,UL 1 Jk1y_P Date:
Sprinkler# Up Estimated Cost $ 6010
FINAL APPROVALS Permit Fee $ R&. —
Building COMPLETE RED BOXED AREAS Occupancy Fee $ fo.
Engineerin TYPE OR PRINT ONLY Eng. Insp. Fee $
Affidavit
Appr.forCO. — ► SIGN ON REVERSE SIDE / Total Fee
TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ ��
The undersigned hereby applies to do work according to the following:
Applicant Location of Work GJDu Lot No.
Applicant's Address W 12 S Tel #-Vyc)- q7 A
Town Zip 06��y Lic.#
Owner.. Architect
Owner's Address Architect's Address
Zip Zip
Sq. Ft. New Area: 1 st Fl. r 2nd FI. 3rd FI. Total New Area
Purpose of this permit /VP,") dT O I/Pr� on I N Sl n G� t fs-14
IL
City Water Well J Septic System'�o Sewer D
61
Ins: HO V SP Cert. Area Base ent Garage
Approved by Date l Use Group Construction Type —
Revised 1108
I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town of
South Windsor and to notify the Building Inspector of any alteration in the plans or specifications of the Building for which this
permit is asked,and agree that this building is to be located the proper distance from all street lines,side yard lines,and required
distances from all other Zones and is located in whi this viding and its use is allowed.
Signed —�
I hereby apply for a Certificate of Occupancy for the work described in this application for the permit.
Signed
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
INSPECTION FIELD SHEET O1/06/17
Printed by Foreshaw, Dayshell 09 31 06
INSPECTION: 90315 JFINALL PERMIT:
STATUS
APPLICATION: 201601523
LOC: 135 EDGEWOOD DRIVE
SOUTH WINDSOR
PROPERTY ID: 29400135
OWNER: SECRETARY OF HOUSING AND URBAN DEV
CONTRACTOR:
REQUEST BY:
PROJ DESC: NEW ROOF OVERLAY (ONLY SINGLE LAYER NOW) SIDE HOUSE AND
WORK ORDER:
INSPECTOR: tDOUG='a RESULT: tPASSL
REQUESTED: 12/27/16 PRIORITY:
SCHEDULED: 12/29/16 AM COMPLETED: 12'/29J16%
UNPAID FEES 00 Date Time
MILEAGE: 00 TIME: TRAVEL ONSITE
COMMENTS
5/3/22,8:22 AM
V—0 7
4
Town of South Windsor Planning
Department
1540 Sullivan Ave.
South Windsor, CT 06074
Accessory structure-sheds,decks(small-under 200 sf
135 EDGEWOOD DR
South Windsor,CT 6074
�y receiving this permit,the recipi n gives consent to searches and inspections as required and shall operate in accordance with
the regulations of the South Windsor Zoning l?eg I i n .
G . o/Li.6
May 3, 2022
Pamela Oliva,Zoning Enforcement Officer DATE SIGNED
***PERMIT ONLY VALID IF SIGNED BY ZONING OFFICIAL***
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APPLICATION FOR ELECTRICAL PERMIT
DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT#
Application is hereby: BUILDING DEPARTMENT 1 cp 4 U y-?(P
AP P O D 1540 SULLIVAN AVENUE
H� 644-2511 ext. 230 Bldg:Permit#
Date Building Inspector .
Application must be printed or typed
FEE SCHEDULE Location of Job:
$0-$1,000=$15.00 /1.5 ���..��,. p r .
Over$1,000= Street No. Street Lot No.
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT
APPLICANT ADDRESS _1-7 A YVI:,�(` _
APPLICANT'S PHONE 9Y�0 6:L7 -6Rq'L.
N
OWNER 5 6CAn h o+•� Gy�l►� .
'SOW S�4< OWNER ADDRESS
O OWNER PHONE 9:',(C) `1 Z 811009
C ESTIMATED COST$ 00
U IS THIS A CONTRACT COST? Yes No
FEE ENCLOSED$. Rb
TYPE OF JOB: 3 f l 41
OR-CD New Installation
t _Alteration/Addition/Repair
' 201��IS0(P
Revised 03/05/10
APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side)
TYPE OF BUrLDING IS THIS APPLICATION ASSOCIATED WITH A
BUILDING PERMTTAPPLICATION? ❑ YES ❑ NO
❑ RESIDENTIAL CURRENT USE AND OCCUPANCY
❑ BUSINESS
❑. ASSEMBLY FUTURE USE AND OCCUPANCY
❑ EDUCATIONAL
❑ INSTT=OVAL ENGINEER'S NAME PHONE.
❑ FACTORY
❑ STORAGE ADDRESS
❑ GARAGE .
❑ MIXED USE CITY STATE ZIP
(Other please specify)
TYPE OF INSTALLATION/WIRING METHOD.
SIZE OF SERVICE J40 SIZE OF MAIN CONDUCTORS
'NUMBERS OF METERS NUMBERS.OF DISCONNECTS AND RATINGS
NUMBERS OF PANELS NUMBERS OF DISCONNECTS REQUIRED? ❑ YES ❑ NO
NUMBERS OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS
NUMBER OF SWITCHES. NUMBER OF OUTLETS
NUMBED OFLIGHT FIXTURES NUMBER OF HEAT CIRCUITS
NUMBER OF A/C CIRCUITS
SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED.
DESCRIPTION OF WORK
THE UNDERSIGNED HEARBYAPPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO
COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFOR-
MANCE OF SUCH WORK
Z-x OVr —� C4
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT C L1 .C.�- ... GQ � DATE ZI /��
BUILDIFG PERMIT 0 4
STATE OF CONNEMICUT
WORKERS'COMPENSATION COMMISSION
Building Permit Affidavit for Property Owners or Sole Proprietors
(Conn.Gen.Stat.§312M)
Property looted at 13 S l �p,,
C
In the town of - .5,e.,-K& W
Name of building permit applicant: C3-� -
PIease check one:
1._I am the owner of the above progat}r.
2._V I am the sole-proprietor of a business.
2A..Name of business
2B.Federal Employer Identification Number
....................................................................................................
:........::»...
Pursuant to§31-286b,"a property owner or sole proprietor[who]intends to act as a general
contractor or princW employe"may provide either a ca ficate of worLo s'compensation
insurance or.a"swam notarized aMavit...stating that he will require proof of workers'
compensation insurance for all thoke employed on the job site in accordance with this chapter."
Please check ne:
1. I do not intend to act as a general contractor or principal employer.
[sign and stop here]
Signature of applicant
2._I intend to act as-a genital contractor or principal employer.Applicant must either
F ovida a certificate of t3rodces'compensation insurance or sign the affidavit
below.
............................................................:................................................:.».:.
Affidavit
I hereby swear andpea that I will require proof of wodwre compensation insurance for evay
cont actor,'subcamtiactar,or other worker.before he/she engages in work ou the above propety in
accordance with th6Vorkes'Cempeasation Ad(Chaptei%8).
I understand that pursuant t o.§31-275 C.G.S.,officers of a corporation and partners in a
partnership m4yand_clod to be oulo6d from coverage by filing a waiver with the appropriate_
District Office; that a sole proprietor of a business is not required t6 have coverage unless he
-Ales his intent to accept coverage.--------
k Aj _
Signature of applicant
Subscii'bed and sworn to before me this �2 day of(Notary Public/Commissioner of the Superior Court)
DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT PERMIT#
Application is hereby: TOWN OF SOUTH WINDSOR p U�t2
BUILDING DEPARTMENT
APP OVB 1540 SULLIVAN AVENUE Bldg.Permit#
644-2511 EXT.230
(Date) Muilding Inspector)
Application must be printed or typed
FEE SCHEDULE �,� �,�/� �catio o Jp)►:
$0-$1,000=$15.00 Street No. 0treet Lot ]No.
Over$1,000-
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt
APPLICANT s` 11 n :Cl r�SZ
APPLICANT ADDRESS
APPLICANT PHONE# " �+ / D
W N St OWNER .5J j^, 4�7L'� _C�T�AV
OWNER ADDRESS 5j r
f/J # OWNER PHONE
, ESTIMATED COST $ CJ -
t IS THIS A CONTRACT COST? YES VNO
FEE ENCLOSED$ r S
1� TYPE OF JOB: -i�
�SO R•COS _New'Installatioi i r /
Alteration/Addition Repair
�014o iszy
Revised 12/22/11
APPLICATION FOR PLUMBING PERMIT (Continued from reverse side)
TYPE OF BUR,DING IS THIS APPLICATION ASSOCIATED WITH A
O RESIDENTIAL BUILDING PERMIT APPLICATION? ❑ YES ❑ NO
O BUSINESS CURRENT USE AND OCCUPANCY
O ASSEMBLY
O MERCANTILE
O EDUCATIONAL FUTURE USE AND OCCUPANCY
O FACTORY
O STORAGE ENGINEER'S NAME PHONE
O GARAGE
O MIXED USE ADDRESS
(Other please specify) CITY STATE ZIP
TYPE OF INSTALLATION SIZE OF MAIN DRAIN q
NO. OF TOILETS STYLE NO.URINALS STYLE
NO. OF BATHTUBS NO.OF SHOWERS NO.OF LAVATORIES
NO.OF CONDUCTORS SIZE NO.OF STACKS SIZE
AREA OF ROOF NO.OF CATCH BASINS NO.OF FLOOR DRAINS
NO.OF OTHER FIXTURES KIND
ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW O YES O NO
SIZE OF WINDOW IF NONE C.F.M.OF VENTILATOR
SIZE OF DUCTS SEWER OR SEPTIC TANK
SIZE OF WATER MAIN SIZE OF WATER PIPING&RISER
WATER HEATER: TYPE MANUFACTURER
D DESCRIPTION OF WORK
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS
TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE
PER= CE OF SUCH WORK.
ONTRACTORS LICENSE NO./ TYPE STATE
SIGNATURE OF APPLICANT L�J DATE ���
Electric # APPLICATION FOR BUILDING PERMIT
Plumbing# Date:
HVAC # 135 Edgewood Drive
Sprinkler# __32435
-__--_-------- - —_--- Estimated Cost $
FINAL APPROVALS _ _ __ _ ________—
Building COMPLETE RED BOXED AREAS Permit Fee $_�7
Engineering TYPE OR PRINT ONLY Occupancy Fee $
Affidavit Eng. Insp. Fee $
Appr. for CO. 111111. SIGN ON REVERSE SIDE Total Fee $
TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $
The undersigned hereby applies to do work according to the following:
Applicant Location of Work Lot No.
Applicant's Address IL C/9xL- Tel.#
Town 1�yti Zip�,U� Lic.# �'
Owner Architect
Owner's Address i Architect's Address
Zip Zip
Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area
Purpose pf this permit �-
c}
City Water❑ Well❑ Septic System❑ Sewer❑
Ins: HO SP Cert. Area Basement Garage
Approved b Date C, Use Group Construction Type
Rs sod 6/02
I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town of
South Windsor and to notify the Building Inspector of any alteration in the plans or specifications of the Building for which this
permit is asked,and agree that this building is to be located the proper distance from all street lines,side yard lines,and required
distances from all other zones and is located in which this building and its use is allowed.
Signed
I hereby apply for a Certificate of Occupancy for the work described in this application for the permit.
Signed
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
-------------------------------------------------------------------------------
**-32435-B 5,000
B10 FINAL 03/25/08 MR D PROVIDE GRASPABLE HANDRAIL ON ONE SIDE OF STA
IR- IMPROPER ATTACHMENT OF STRINGER (LEFT)
B10 FINAL 04/03/08 MR A RECHECK CORRECTIONS
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FOR BUILDING PURPOSES ONLY
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FOR BUILDING PURPOSES ONLY
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Lot No . 35" or; map e.,t , t I ^ci
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S�,ANNEQ
201700003 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER CERTIFICATE OF COMPLETION
DATE: 01/06/2017
GIS ID:29400135 FEE: 10.00
MUNIS APPLICATION# 201601523 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: SHANNON GAGNE ADDRESS: 135 EDGEWOOD DRIVE
ADDRESS: 135 EDGEWOOD DRIVE OWNER: SECRETARY OF HOUSING AND URBAN
SOUTH WINDSOR,CT 06074 4400 WILL ROGERS PKWY#300
OKLAHOMA CITY,OK 73108
"4
DESCRIPTION OF WORK: NEW ROOF OVERLAY(ONLY SINGLE LAYER NOW). SIDE HOUSE AND
REPLACEMENT WINDOWS.
SPECIAL CONDITIONS:
ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT.
CONSTRUCTION TYPE:
OCCUPANCY GROUP: BUILDING OFFICIAL
1/6/2017 9:36 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE
1600661 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER BUILDING PERMIT
DATE: 10/14/2016
GIS ID:29400135 FEE: 210.00
MUNIS APPLICATION# 201601523 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: SHANNON GAGNE ADDRESS: 135 EDGEWOOD DRIVE
ADDRESS: 135 EDGEWOOD DRIVE OWNER: SECRETARY OF HOUSING AND URBAN
SOUTH WINDSOR,CT 06074 4400 WILL ROGERS PKWY 9300
OKLAHOMA CITY,OK 73108
DESCRIPTION OF WORK: NEW ROOF OVERLAY(ONLY SINGLE LAYER NOW). SIDE HOUSE AND
REPLACEMENT WINDOWS.
SPECIAL CONDITIONS:
ALL WORK TO BE DONE ►N ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT.
CONSTRUCTION TYPE:
OCCUPANCY GROUP: BUILDING OFFICIAL
10/14/2016 1:57 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE
1600476 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER ELECTRICAL PERMIT
DATE: 10/13/2016
GIS ID:29400135 FEE: 30.00
MUNIS APPLICATION# 201601506 BUILDING DESCRIPTION:
APPLICANT- LOCATION
NAME: BROWN ELECTRIC ADDRESS:' 135 EDGEWOOD DRIVE
ADDRESS: 17-A MAPLE AVE. OWNER:_ SECRETARY OF HOUSING AND URBAN
BROAD BROOK,CT 06016 4400 WILL ROGERS PKWY#300
OKLAHOMA CITY,OK 73108
DESCRIPTION OF WORK: 200 AMP OVERHEAD SERVICE.
CRS NO.2809180
SPECIAL CONDITIONS:
ALL WORK TO BE DONE IN ACCORDANCE WITH TILE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT.
CONSTRUCTION TYPE:
OCCUPANCY GROUP: BUILDING OFFICIAL
10/13/2016 3:59 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE
1600429 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER PLUMBING PERMIT
DATE: 10/14/2016
GIS ID:29400135 FEE: 15.00
MUNIS APPLICATION# 201601524 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: SHANNON GAGNE ADDRESS: 13iEDGEWOOD DRIVE
ADDRESS: 135 EDGEWOOD DRIVE OWNER: SECRETARY OF HOUSING AND URBAN
SOUTH WINDSOR,CT 06074 4400 WILL ROGERS PKWY#300
OKLAHOMA CITY,OK 73108
DESCRIPTION OF WORK: ADD BATHTUB TO 1/2 BATH.
SPECIAL CONDITIONS:
ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT.
CONSTRUCTION TYPE:
OCCUPANCY GROUP: BUILDING OFFICIAL
10/14/2016 1:57 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE