HomeMy WebLinkAbout155 VALLEY VIEW DR DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
Application is hereby:
TOWN OF SOUTH WINDSOR PERMIT#
BUILDING DEPARTMENT _moo
1540 SULLIVAN AVENUE
644-2511 ext. 230 Bldg.Permit#
D B ' ing Inspector
Application must be printed or typed
FEE SCHEDULE Location of Job:
-- V0L q Vl ecU
$0-$1,000=$15.00 Street No. btreet Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT ( I
APPLICANT ADDRESS
G,
APPLICANT P NE# ' Q(00-(_p O'--7- 1141
41
O w N S F OWNER
q� OWNER ADDRESS
O A. OWNER PHONE
CA ESTIMATED COST$
x IS THIS A CONTRACT COST? YYes _No
�C FEE ENCLOSED$ eX Z-Z 7O
SO
O�� TYPE OF JOB:
OR•C
_New Installation
Alteration/Addition/Repair
Revised 4/01//2002
APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
BUILDING PERMIT APPLICATION? ❑YES ❑NO
RESIDENTIAL
❑BUSINESS CURRENT USE AND OCCUPANCY
❑ASSEMBLY
❑MERCANTILE FUTURE USE AND OCCUPANCY
❑EDUCATIONAL
❑INSTTTUTIONAL
❑FACTORY ENGINEER'S NAME PHONE
❑ STORAGE
❑GARAGE ADDRESS
❑MIXED USE
(Other please specify) CITY STATE ZIP
TYPE OF INSTALLATION/WIRING METHOD
SIZE OF SERVICE SIZE OF MAIN CONDUCTORS
NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS
NUMBER OF PANELS REMOTE DISCONNECT REQUIRED? ❑YES ❑NO
NUMBER OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS
NUMBER OF SWITCHES NUMBER OF OUTLETS
NUMBER OF LlGH"1'r-IXTURES NUMBER OF HEAT CIRCUITS
NUMBER OF A/C CIRCUITS
SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMMED.
DESCRIPTION OF WORK
12myAd �eC(jna i'- Ioo r &Lbronno ° aac�ed
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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
PERFORMANCE OF SUCH WORK.
CONTRACTORS LICENSE NO TYPE STA E
SIGNATURE OF APPLIC DATE
FOR Rlll
i���,r, p11RPOSPS ONLY `
E
If
:i3
f o
b O Cat C)U
PROPERTY OF
N,% VALLEY VIEW DRIV! SOUTH kINDSOR, CONN .
fse rid Lot 50 on reap e•itit led "'1ap of VALLEY VIEW FARMS Ellington
"or.,d -+outh i , 3 �or , i �:;: ? ropur•ty if Enina Palmer to Kenneth Palmer
3riswold
DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT
A li is her TOWN OF SOUTH WINDSOR PERMIT#
pp BUILDING DEPARTMENT Z Z
1540 SULLIVAN AVENUE Bldg. Permit#
644-2511 ext. 230
Date B ing Inspector
Application must be printed or typed
FEE SCHEDULE Location of Job:
$0-$1,000=$15.00 Street No. Sitreet Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT L ry tv
4 4 1
APPLICANT ADDRESS l G (�
APPLICANT PHONE# S
O F,q OWNER
OWNER ADDRESS VQ IkI4 V(etV
OWNER PHONE
0 _
C ESTIMATED COST$
C�
IS THIS A CONTRACT COST? '�Yes _No
FEE ENCLOSED$
SO CO�� TYPE OF JOB:
R _New Installation
iteration/Addition/Repair
Revised 4/01//2002
APPLICATION FOR PLUMBING PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
BUILDING PERMIT APPLICATION? ❑YES ❑NO
❑RESIDENTIAL
❑BUSINESS CURRENT USE AND OCCUPANCY
❑ASSEMBLY
❑MERCANTILE FUTURE USE AND OCCUPANCY
❑EDUCATIONAL
❑INSTITUTIONAL
❑FACTORY ENGINEER'S NAME PHONE
❑ STORAGE
❑ GARAGE ADDRESS
❑ MIXED USE
CITY STATE ZIP
(Other please specify)
TYPE OF INSTALLATION Al A-7<- '69/44e— SIZE OF MAIN DRAIN
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 ❑YES ❑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
LDESCRIPTION OF WORK
7t4l �e
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED
COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
CONTRACTORS LICENSE NO. TYPE STATE
1
SIGNATURE OF APPLICANT DATE �J
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
TOWN OF SOUTH WINDSOR PERMIT#
A�p1i is ere y:
\--A; ^_ BUILDING DEPARTMENT _
PR�Vn� 1540 SULLIVAN AVENUE
6
644-2511 ext. 230 Bldg.Permit#
Date Bui ing Inspector
Application must be printed or typed
FEE SCHEDULE FiFe—nant
L of Job:
Uit.enwDrIU�,$0-$1,000=$15.00 Street LotNo.
Over$1,000$15.00 per$1,000
or any fraction thereof ation Apt.No.
APPLICANT /1.1 e uj i qq-fcn & -clr C CU .
APPLICANT ADDRESS 3 CO WO I I a-nct �r
APPLICANT PHONE# K CoCQ-7 Iq q
O W N $t OWNER Laura �(crf -r-e(d -
OWNER ADDRESS /5S �a( (-a y Ui e uu ter
CT-CIO
OWNER PHONE 2b 2 - 2S 6
C ESTIMATED COST
V
�". IS THIS A CONTRACT COST? _Yes o
�l �G FEE ENCLOSED$ c X4!f
SOR CO�yS� TYPE OF JOB:
_New Installation
_Alteration/Addition/Repair
Revised 4/01//2002
APPLICATION FOR ELECTRICAL PERNIIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
N6 S BUILDING PERMIT APPLICATION? El YES El NO
IDENTIAL
BUSINESS CURRENT USE AND OCCUPANCY
❑ASSEMBLY
❑MERCANTILE FUTURE USE AND OCCUPANCY
❑EDUCATIONAL
❑INSTITUTIONAL
❑FACTORY ENGINEER'S NAME PHONE
U STORAGE
J GARAGE ADDRESS
❑MIXED USE
(Other please specify) CITY STATE ZIP
TYPE OF INSTALLATION/WIRING METHOD
SIZE OF SERVICE SIZE OF MAIN CONDUCTORS
NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS
NUMBER OF PANELS REMOTE DISCONNECT REQUIRED? ❑YES ❑NO
NUMBER OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS
NUMBER OF SWITCHES NUMBER OF OUTLETS
NUMBER OF LIGHT FIXTURES NUMBER OF HEAT CIRCUITS
NUMBER OF A/C CIRCUITS
SEPARATE BEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED.
DESCRIPTION OF WORK
`�ISCcx�ileC-F iS�In tuUCkSC(-nQ- CO3b4r\.A-E- -kA0u-E Lx+ , k nS4tco<< t
we r-Z_ fuY4e , kn%-kacl s w t Y e aL C� 1
IK*0-e—X 1 s7ti nos Yf.(\A- CL ktkn
�n.
THE UNDERSIGNED HEREBY APPLIES FOR A PERMTT TO PERFORM THE WORK DESCRIBED AND IS TO
COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
1035R--o E l cr-
CONTRACTORS LICENSE N,4, STATE
SIGNATURE OF APPLIC DATE LQ k Oxo
Electric # 155 Val APN TM OR BUILDING PERMIT
Plumbing#
HVAC# 14000577 Date: IoNfiy
Sprinkler# Estimated Cost $
FINA4 APPROVALS
Buildin� ) trA 3 31 COMPLETE RED BOXED AREAS Permit Fee $
Occupancy Fee $
Engineering TYPE OR PRINT ONLY Eng. Insp. Fee $
Affidavit Appr.forCO. 0- SIGN ON REVERSE SIDE
Total Fee $ !-zo•
TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ 2
The undersigned hereby applies to do work according to the following:
Applicant z, �5 can Location of Work �SS Ua lcy 0'e-1 Lot No.
Applicant's Address 10s TO # 2ki-/663
Town Scj Zip Lic.# 6tlo-S
Owner Cos Architect
Owner's Address ISS V,(fc.y U:e ,,j %)' Architect's Address
S l.✓ Zip 064 7 `! Zip
Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area
Purpose of this permit ��/ e /1- , 1- (�.yc � ntitilf S�, ,��1• Ir << Fwu �
City Water ] Well _1 Septic System J Sewer J
Ins: HO SP Cert. 01 rea ConstBasement Garage
Approved by Date �'� 'l Use GroupCZ� ruction 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 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 FIELD SHEET 04/11/23
Printed by Middleton, Morgan 10 59 53
INSPECTION: 71387 FINAL PERMIT:
STATUS
APPLICATION: 201401493
LOC: 155 VALLEY VIEW DRIVE
SOUTH WINDSOR
PROPERTY ID: 91200155
OWNER: COSMAN GERALD A & SHIRLEY M
CONTRACTOR:
REQUEST BY:
PROJ DESC: TEAR OFF EXISTING TWO LAYERS ASPHALT SHINGLES INSTALL ICE
WORK ORDER:
INSPECTOR: WS-B RESULT: PASS
REQUESTED: PRIORITY:
SCHEDULED: COMPLETED: 03/31/23
UNPAID FEES: 00 Date Time
MILEAGE: 00 TIME: TRAVEL ONSITE
COMMENTS:
INSPECTED BY VALERIE MUSZYNSKI TO CLOSE OUT OLD PERMIT
14000576 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER BUILDING PERMIT
DATE: 10/29/2014
GIS ID:91200155 FEE: 120.00
MUNIS APPLICATION# 201401493 BUILDING DESCRIPTION:
APPLICANT ;} LOCATION
NAME: DZEN RESIDENTIAL ROOFING ADDRESS: 155_VALLEY VIEW DRIVE
ADDRESS: 105 EDWIN ROAD ' i' OWNER: COSMAN GERALD A&SHIRLEY M
SOUTH WINDSOR,CT 06074 155 VALLEY VIEW DRIVE
`t SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: TEAR OFF EXISTING TWO LAYERS ASPHALT SH- INGLES. INSTALL ICE
AND WATERSHIELD,FELT PAPER,RIDGE VENT,AND RESHINGLE.
SPECIAL CONDITIONS: = ~ r
ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT.
CONSTRUCTION TYPE:
OCCUPANCY GROUP: BUILDING OFFICIAL
10/29/2014 10:59 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE