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HomeMy WebLinkAbout160 LAUREL ST Electric # APPLICATION FOR BUILDING PERMIT Plumbing# 160 Laurel Street Date: / ?v c :) HVAC # Sprinkler# 32352 . FINAL P - - - — Estimated Cost $ Z Od•00 Buildind( vG ' /GL COMPLETE RED BOXED AREAS Permit Fee $ Enginee g TYPE OR PRINT ONLY Occupancy Fee $ Affidavit Eng. Insp. Fee $ Ar. pp . for CO. ► SIGN ON REVERSE SIDE Total Fee $ 4 TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ The undersigned hereby applies to do work according to the following: Applicant _I, Zre t I'.( Location of Work / c9 t- Lot No. Applicant's Address 1 k C Lc�,r-e- ( 7" Tel.# l yy 3�s—& Town ,n ,qa Zip Lic.# Owners ( Architect Owner's Address I 0 Lire S r Architect's Address L ,h Jj,9k Zip C % Zip i'6o�y Sq. Ft. New Area: 1st FI. 2nd FI. 3rd FI. Total New Area Purpose of this permit Pe o2L,e Sk'.�, City Water❑ Well❑ Septic System❑ Sewer❑ Ins: HO SP Cert. Area Basement Garage Approved b Dat -1CL,— Use Group—Construction Type,"­�, Revised el02 1 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 loyated th roper dd nce from all street lines,side yard lines,and required distances from all other zones and is located in vVhiCh this ding d se is allowed. Si I hereby apply for a CeRific a 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 ------------------------------------------------------------------------------- ++-32352-B 1,200 B10 FINAL 11/08/06 JFF A DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT Application' e� TOWN OF SOUTH WINDSOR PERMIT# �/� — BUILDING DEPARTMENT 1540 SULLIVAN AVENUE Bldg. Permit# 644-2511 ext. 230 Date u� Inspector Application must be printed or typed FEE SCHEDULE Location of Job: $0-$1,000=$15.00 Street No. Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT f( -21-.//G C�/�cr}l � L L C APPLICANT ADDRESS 6 �' n �—'� CL1/O APPLICANT PHONE# F(c)- Y 2 (/o f- �OW N St OWNER OWNER ADDRESS OWNER PHONE 2 Z -,(6 ' C ESTIMATED COST$ 2 U0 -- xIS THIS A CONTRACT COST? Yes FEE ENCLOSED$ /�— r��sO •CO�� TYPE OF JOB: R New Installation Alteration/Addition/Repair APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A� RESIDENTIAL BUILDING PERMIT APPLICATION? ❑YES I�IQO ❑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/WIRING METHOD 2004 SIZE OF SERVICE ZO 0 SIZE OF MAIN CONDUCTORS q/ T e.w 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 HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED. 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 PERFORMANCE OF SUCH WORK. CONTRACTORS LICENSE NO. O/ E STATE SIGNATURE OF APPLICANT �� DATE DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: 136 O 35-2- BUILDING DEPARTMENT APPRnVE-Lj 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 k D e Building Inspector Application must be printed or typed FEE SCHEDULE Location of Job: l too ,��.1rel �sf ----- - $0-$1,000=$15.00 Street No. Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT Kam-L le$ PLUMBING 4 Hirlt"G LL e- APPLICANT ADDRESS 383 S LA teic 5'OU-tFJ W INDSoe- , C-r 0607q — APPLICANT PHONE# 96 D- 43 6 -6 Ca q SOW N St OWNER �i�e n t OWNER ADDRESS I --- Soti-rVA �)iU�so . C'i- Dion y co� r . F OWNER PHONE (•Qj -��{D- 3�o� 0 C ESTIMATED COST$ ►� IS THIS A CONTRACT COST? �(Yes _No l� ICJ FEE ENCLOSED$ r�lip, SO. O�� TYPE OF JOB: 1(p I R C _New Installation I Alteration/Addition/Repair col 3bt� S Revised 4/01//2002 APPLICATION FOR HVAC PERMIT (Continued from reverse side) TYPE OF SYSTEM: TYPE OF BUILDING: O HEATING )4 RESIDENTIAL Cl A/C ❑COMMERCIAL U VENTILATION ❑INDUSTRIAL HEATING ❑STEAM LOW PRESSURE LMT LBS. HIGH PRESSURE LIMIT LBS. 0 HYDRONIC :WARM AIR ❑UNIT RADIANT HEATER EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION DESIGN TEMP. OUTSIDE_��°F INSIDE effl _°F DIFFERENCE 9 e- F M TOTAL HEAT LOSS(BTUH) °F(HEAT LOSS SHEET UST ACCOMPANY APPLICATION) DESCRIBE ALL HEATING EQUIPMENT(INCLUDING MAKE&MODEL NO.) G e MAIJ Cp A4 ifi r4 "T7a7a v Sm 1'1! — �Q0 eu , p',ae obw t �Q TA�1C�Ess . GROSS HEATING CAPACITY(INPUT—BTuH) -1&,0#0 NET RATING(OUTPUT BTUH) 60 O TYPE OF FUEL 0 OIL--GPM OIL TANK LOCATION:❑ INSIDE❑OUTSIDE CAPACITY X GAS—INPUT LPG TANK CAPACITY ELECTRIC—KW AIR CONDITIONING DESIGN TEMP.OUTSIDE q, °F INSIDE °F DIFFERENCE ZD °F TOTAL HEAT GAIN(BTTJII) (HEAT GAIN SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL COOLING EQUIPMENT(INCLUDING MAKE&MODEL NO.) TONNAGE .L COOLING CAPACITY(BTUH) A gQQD VENTILATION DESCRIBE ALL AIR HANDLING EQUIPMENT(INCLUDING KITCHEN EXHAUST EQUIPMENT) • �oY L. TOTAL SIZE OF SYSTEM(CFM) FRESH AIR INTAKE(CFM) (PLANS MUST ACCOMPANY APPLICATION) FURTHER 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 PERFORMANCE OF SUCH WORK. 039 77 9 -Z S-� C�►' CONTRACTORS LICENSE NO. ll ,yy I TYPE STATE SIGNATURE OF APPLICANT �W 1 DATE 3 3 L t-. :I r--0 PROPLmr-i-Y OF 1 TR� 50j,.-H rjlsc WIRV. .0 L.Lj 5.1 1, Being Lot Eo, 45 on map entitled "!*-'ap of 1,C)ODLAND ACRES. Avery Street,, South 1'.'.indsor, C0on.-A- Property of Amelia Z.Blozies Developer William Peck, Scale 19 H'n.vden "' .Grisvold C. E. " Sheet 1 of seple 11K 501 /rl Hayden L.Griswold C.E& zs I. thn P— Cj sLine C'%:.' 1%z') JUN 1 5 2001 South Windsor BUILDING DEPARTMENT ro ti+� 01l11,�cTown san++ w,,iosot rtei +nat a-es uls� ..na sr:.:.;r•c :,.. r. �. This eem s.-a o,nw:ng .,r a�ter�tc .,s t' u• Copies ;f the pK P" erected a Str ��'�— „l.; .:+•t,d m !pull[-Uon tog=tom,.• Herr actl'{.,..rir t co-'Ply '.,,lh nll zuninC filed •:h .. d ,rdcrs as <.,n n Issu d t i:y :�= ll.i.�'• 8 f..P.rin,rnt of P•-a D,rirdins final issuance of Penn i'. u the dltian that reguls 6 Du idirg shall Da � with A roved These filed Condinonaly PP Girt• CEVt i 1-=i Proposed buildingts), use(s) andf or structurc:,;' as shown on this plan appear(s) to bo �n ,conformance with current South Y ;"J' .f egulatiens. Variances and special exceptions may appl . to ^^= s Zoning Enforcement 0tfi0w- �c Fu,- Y, 4-1 cl AID PROPERTY OF LhUIRE! STRZZT 50U'.-:?. tdfl.*NID`'OR, CONTO Bei4-&Q- Lot ire. 4.5 on map entitled "Ilap of 1-i"00DLAND AURES, A v--ry Street, South IVIna-,00r, Conn, Property .of.. Amelia .1-3.Blozie, Developer 1,;J4.11 Peck, Scale .1" 501 , Apr*2:8,1959, Hayden L.Griswold C.E. " Sheet 1 of 2 scale 11 50' I-ayderi L.Griswold C.E. il- L A 1. I 3:,dlines ate I�c.*I as L.Ns ij same other than _A1 16 ADIMT10t4 PROPF11r.1-Y OF 5 -:*7 T Being Lot Igo, 45 on map tntitlea "*,fp of w 011"4.1iD ACFILES, Avery Street, South 1-.'Iridsor. Conn. Property off Amelia E.Blozie, Developer William Peck, Scale 111 501 , Anr.18,19519, Hayden 1O.GrIsvold C. E. " Sheet I o` I I,- C'---' ScFtle .1 , 50, Hayden L.Griswold C.E. CE-fif; V:L! 7,7,tS ncs C as Li-.,I S (his Ej szIn -:r P-E.V. THIS MAP FOR MORTW W=Wit i 25,oc) o 2 0 �° 1 z 5.b0 ��° �S.f16 i✓Yfir 1.7s �/ao<:/frs.vsa� "0,�F uC CA PROPEhTY OF 536 \� LAUREL STR:� SOUTH WINDSOR, Corm. Being Lot No. 45 on map entitled "Map of WOODLAND ACRES, Avery Street, South ,dindsor, Conn. Property of Amelia E.Blozle, Developer William Peck, Scale 14 • 501 , A-,,r.18,1959, Hayden L.Griswold C.E. " Sheet I of 2 Scale 1 " • 50, Hayden L. �"ia;,rold C.E.' . , <,. m asvraments and lines _ie or ;rri;dirts e f,"'a"ion of said s affecting t"- tx sane other than t z r I �9 Til yED ' o 19 \ Ei 3 ei 2.Y i 25.c© La UQ.E L STZEET i i I I �4 3�C "p jAa v i iI I i ��-- BUILDING PERMIT Z`3j 2— STATE OF CONNECTICUT WORKERS'COMPENSATION COMMISSION Building Permit Affidavit for Property Owners or Sole Proprietors (Conn.Gen.Stat. §31-286b) Property located at /6/0 4 1-e 1 S7r In the town of &bll Name of building permit applicant: Please checkyne: 1._✓ I am the owner of the above property. 2._I am the sole proprietor of a business. 2A.Name of business 2B.Federal Employer Identification Number(FEIN) .................................................................................................................... Pursuant to §31-286b,"a properly owner or sole proprietor[who]intends to act as a general contractor or principal employer"may provide either a certificate of workers'compensation insurance or a"sworn notarized affidavit... stating that he will require proof of workers' compensation insurance for all those employed on the job site in accordance with this chapter." Please check one: 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 general contractor or principal employer.Applicant must either provide a certificate of workers'compensation insurance or sign the affidavit below. .................................................................................................................... Affidavit I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before he/she engages in work on the above property in accordance with the Workers'Compensation Act(Chapter 568). I understand that pursuant to§31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sol rietor of a business is not required to have coverage unless he files his intent to ac t cov ge Signa re of applicant Subscribed and sworn to before me this day of ,200 . (Notary Public/Commissioner of the Superior Court) BUILDING PERMIT STATE OF CONNECTICUT WORKERS'COMPENSATION COMNUSSION Building Permit Affidavit for Property Owners or Sole Proprietors (Conn.Gen.Stat. §31-286b) Property located at 160 r In the town of S' CA9 ►�f c�/ Name of building permit applicant: Please check one: 1._I am the owner of the above property. 2. o,jam the sole proprietor of a business. 2A.Name of business 213.Federal Employer Identification Number(FEIN) .................................................................................................................... Pursuant to§31-286b,"a property owner or sole proprietor(who]intends to act as a general contractor or principal employe:"may provide either a certificate of workers'compensation insurance or a"sworn notarized affidavit... stating-that he will require proof of workers' compensation insurance for all those employed on the job site in accordance with this chapter." Please check one: 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 general contractor or principal employer.Applicant must either provide a certificate of workers'compensation insurance or sign the affidavit below. .................................................................................................................... Affidavit I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before he/she engages in work on the above property in accordance with the Workers'Compensation Act(Chapter 568). I understand that pursuant to§31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprie or of a business is not required to have coverage unless he files his intent to a7rR/:4/ Signature of applicant Subscribed and sworn to before me this day of ,200 . (Notary Public/Commissioner of the Superior Court) 1300352 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER HVAC PERMIT DATE: 08/22/2013 GIS ID: 52500160 _ FEE: 45.00 MUNIS APPLICATION# 201301154 BUILDING DESCRIPTION: APPLICANTTA' .y - LOCATION NAME: KELLNER PLUMBING'&HEATING ADDRESS: 160 LAUREL STREET ADDRESS: 389 SLATER STREETS `j f`^`,`;, ,OWNER,"' /w.RICKARD BENJAMIN&KATE SOUTH WINDSOR,CT 06074 ,ems_.� 160 LAUREL STREET `t SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: INSTAWQUIETSIDE TANKLESS WATER HEATER... n SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE-WITH THE APPLICATION-AND PLANS APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: `' Y OCCUPANCY GROUP: BUILDING OFFICIAL 8/22/2013 11:23 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE