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161 NORTON LN
APPLICATION FOR HVAC PERMIT DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT Igoo os(P APP7L"L, 1540 SULLIVAN AVENUE 644-2511 ext. 230 Bldg.Permit# Date Building Inspector Application must be printed or typed FEE SCHEDULE Location of Job: $0-$I,000=56jr.00 1194wv,� FTw= Over$1,000= Street Lot No. $15.00 per$1,000 or any fraction thereof signation Apt,No. APPLICANT del( U�'�J ' 0. G 7CIrT ADDRESS4dc,`-) C"4 �J6 07 APPLICANT'S PHONE# OWNER !�44 1l f✓ �t//t- OW OYftjER APDRESS OWNER PHONE 17 3 CESTIMATED COST$ IS THIS A CONTRACT COST? Yes 1/14o FEE ENCLOSED$ /;G.O �f ° �` TYPE OF JOB-Zew 2`� ReCO�� Installation Alteration/Addition/Repair I�bC) t Revised 03/05/10 . APPLICATION FOR HVAC PERNIIT(Continued from reverse side) TYPE OF YYTEM: TYPE OF BUILDING: HEATING RESIDENTIAL ❑ A/C ❑ COMMERCIAL ❑ VENTILATION ❑ INDUSTRIAL HEATING (3 S LOW PRESSURE LIMIT LBS. HIGH PRESSURE LINff LBS. QPflYDRMONIC ❑ WARM AIR ❑ UNIT RADIANT BEAM EXISTING RADIATION ADDITIONAL RADIATION `'TOTAL RADIATION DESIGN TEMP.OUTSIDE OF INSIDE °F DIFFERENCE IF TOTAL HEAT LOSS(BTUH) °F(HEAT LOSS SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL HEATING EQUIPMENT(INCL 'PING MAKE&MODEL NO.) �oT- y GROSS HEATING CAPACM(INPUT-BTUH) NET RATING(OUTPUT-BTUH) TYPE OF FUEL Q�OIL-GPM 1 OIL TANK LOCATION: ❑ INSIDE ❑ OUTSIDE CAPACITY ❑ GAS-INPUT LPG TANK CAPACITY ELECTRIC-KW AIR CONDITIONING DESIGN TEMP: OUTSIDE °F INSIDE °F DIFFERENCE °F TOTAL HEAT GAIN(BTUH) (HEAT GAIN SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL COOLING EQUIPMENT(INCLUDING MAKE&MODEL NO.) TONNAGE COOLING CAPACITY(BTUH) VENTILATION DESCRIBE ALL AIR HANDLING EQUIPMENT(INCLUDING KITCHEN EXHAUST EQUIPMENT) TOTAL SIZE OF SYSTEM(CFM) FRESH AIR INTAKE(CFM) (PLANS MUST ACCOMPANY APPLICATION) " FURTHER DESCRIPTION OF WORK l��1 "` A, 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. l CONTRACTORS LICENSE NO. E STATE SIGNATURE OF APPLICANT DATE /z/ E� Q� /1 a 44 rti q " \ N rN Y.i k St �t 1R i ' k,. s VY I ` •T � r. 94 40 `R /J 5 63 S�V 1•�� '��, � ,fir I NINNY CINTIFII THAT THIS WUNDATION IS LOCATID AS SHOWN AND IS IN COW 4QRAAANC! WITH ZON:N6 LATIONS ell �.l dam'` �',!/i�/I/ •,, ' .. 1"_ ©' .S/Y,FET 2'OF 41 6-/GS-/77aC .�`E/'/1"tr.0 9-/�-Jes -- — —'- a .�•Y/1'T. «1�f/TO!/.e �J•,E'O� ,�".�"/�V„�"T.F/it/ �rf'aC/i5'7FS' -- � ..�'.C�� c's�Tov� OIt °ONH I HEREBY CERTIFY THIi .LAN MYRON FEINSTEIN ASSOCIATES 4. ON F�atc% TO RE SUR1{TANTIALLY CORRECT ; LAND SURVEYING • LAND 'CANNING ENGINEERING Na ow MIEN HARTFORD CONNECTICUT SCALE DATE REVISED COW. NO. su v.s d4r .rd1M�"1'.'�I�' /l�Z.��r►.1'rJ.�M; CI�t/�t/ ��° Y 4�u - r f�,• • �':''' � i�', it'v��+t �+��� .� p� � P, y tit14 ,r • _ tR R ; 'i a ►, 44 ,f , 1 #Wlgf COMY THAT TM }OMIDA710N k'r It WCATID " NIOWM ANO It IN COW HNIWANCI WITH AON:MO 1<f011i �(i Y ,wo►.1�i�* .E�.e"�FE�'1�"s/C.E"t Y ' f/!/Tim I1'.�"si/1�►.�r .t�', G14W4/' pe rr;'�.'� .L�'N//.rC�,+'T/iC C��A�1!st�i�R'�L"�,�• `< ��r`�' ' � � .`: Ap ��'/l�" ,�.►,G�+y,4WAt E, Y• c- ,, 'r!"W►/" MtRRRY csRTi ory TMN KrAN MYRON FEINS'TON ASl�Q TO 89 SUMAMTIALLY OORR[CT ; NANO SURVIVING w LAW ftAIN! r i f tJ q. f 1 AP P _OVIED TOWN OF SOUTH WINDSOR ENGI EERING DEPAR eME�; DATE: J �i _ SIG.: - �1q�� t A r • .�. 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'� I.'-'a� _ E-�'��""T_ �`!F!!. .yr .ylf,i ,� JrfivrT�-/�v .11 p� °NN I HERESY CERTIFY THIS PLAN MYRON FEINSTEIN ASSOCIATES TO BE SUBSTANTIALLY CORRECT ; LAND SURVEYING & LAND PLANNING ENGINEERING WEST HARTFORD CONNECTICUT No. SS47 f" QFI-sTE�'° f SCALE DATE REVISED COMM NO "its �!% " �297 1 , r•- j fi 19 ,y1. - - �� �iYvrT�.v .�-.E dP�isEl� lf�yp UT Fv.P .•�.5i" .Pt�"/�E.f�.�/�"E-: _ 9G'T/5%' /'y%it�!>fJ,E'J G'Oif/it/. J-/< ,T /•�>J'! =7i1/ f�.�i%Y'�J'L�//t� �j'1"�!`O�";/.fi�TES _" _ ,t.: --i" ��®/fi'T.71/.P HERESY CERTIFY THIS PLAN MYRON FEINSTEIN ASSOCIATES �y t TO BE SUBSTANTIALLY CORRECT oN s LAND SURVEYING 9 LAND PLANNING ENGINEERING WEST HARTFORD CONNECTICUT No. S3{7 PFLijiST[ SCALE DATE REVISED COPY NO Oho o d w••uiu i I i i \ k y 3 1 Y V fv • � !e '" G^ ,c<, s �} {. t �,.. '+'}'" _. ram 'Y. 4q,aei . ;4?t'�'h MY '°+�M�er,i+. � '� 1} i h: ��y t,�'t a ✓n e� " s � ,�.�a` � s a.; T ' � �r �k iA _ 11 Y' 3 y ti V� 'k j1Y .t � ,3�g \ \ � •ra r $ � ,#a r �_y�IM �J' rop`�:•,� .,,` s! +�,X s r� ,t, SF. q6 ' 4 'I• Y X. 'S+f a+,�Q,�•,F,�yS'.rGW.� in,Dv.• ...L»'r.11�:i:' 0.3� _. a.,.'sStn*356:45s��f.e1s.'.ass',.ter,.�'�k.:.cx':'3:.,w,ai"YrB .�[i.#;'a ,�.tra�:w'1�xe+afat�L.,:.w'hb>w:�d:+a +h �. I r i, REG _ yED ,vrvn .,t wulh �� i d OF,this plan and s'etfieations ere c• s of the DroPosed buildin8 or alwretbna to ted at �rOY Stree en. South Windsor 1 lication nartment ,pmendmrntr at' with all zoninE BIJltd inQ DL'1' ynr n and .,;r•e to a^r'Dly p, ,J, rl 1 orders as shall S si to I�w. "'']rt not durinH a psndenc; of �i •h issuance bulidinli •,��; Minn are] tin,�l iOn Is� suhicet to bulidrnH itshallthbe Ga_RT;:!CATIOIJ OF Z014ING COM IPLIANCE These filed With Prcp,c�d bu;Ec'.r�(s). usc(s) and/or structure(s) as roved showrt oil this plan appears)to be in conformance with current•. South Wir.:cor regu!ctions. Variances Cleo and sp,2!cis' � options may apply. oatc I �a1�s Zoning Enforcement Officer re Y Electric # APPLICATION FOR BUILDING PERMIT Plumbing# HVAC# LCkXt a Date: U) Sprinkler# (P C Estimated Cost $ FINAL APPROVALS Permit Fee $ Building COMPLETE RED BOXED AREAS Occupancy Fee $ /U Engineering TYPE OR PRINT ONLY Eng. Insp. Fee $ Affidavit SIGN ON REVERSE SIDE Appr.forCO '' 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 Tel # Town Zip _YLic.# Owner Architect Owner's Address Architect's Address Zip— - - Zip__ Sq. Ft. New Area: 1 st Fl. _ -_ _ - 2nd FI. 3rd Fl. Total New Area Purpose of this permit _ �j��, � ,c n.C�iv �s � b�, City Water J Well J Septic System J Sewer _] �„•I G Ins: HO SP _Area Basement Garage Approved by ` : Date 111 L Js 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 I ated the proper distance from all street lines,side yard lines,and required distances from all other zones and is located in whic t is buildin and its use is allowed. Signed I hereby apply for a Certificate o ccupan y r t�,e ork described in this application for the permit. Signed DO NOT RITE B LOW THIS LINE INSPECTION COMMENTS 04 e �I BUILDING PERMIT rG276 STATE OF CONNEMICUT WORKERS'COMPENSAn N COMMISSION Building Permit Affidavit for Property Owners or Sole Proprietors (Conn.Gen.Stat.§31-286b) Property looted at In the town of ' I Name of building permit applicant: Please check one: 1._I am the owner of the above property. 2.41 am the sole proprietor of a business. ZA.Name of business �, x v s n'� 2B.Federal Employer Identification Number(F� ........... ..................................................................................... ......... :..... P.ursuant to§31286b,"aproperty 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 tboge 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 p here] Signature 14 ' t 2._I intend to act as-a general contractor or principal employer.Applicant must either *vide a certificate of workers'compensation insurance or sign the affidavit Wow. ........................................................................:.................................... :.»... Affidavit I hereby swear and attest that I will require proof of workers"compensation insurance for every contractor,subs ontiactor,or other worker before he/she engages in work on the above property in accordance with thewozi=e Compensation Act(Chapter 568). I understand that.pursuant to§31-275 G.O.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 proprietor of a business is not required to have coverage unless he files his intent to accept coverage. Signature of applicant Subscribed and sworn to before me this day of ,200 . (Notary Public/Commissioner of the Superior Court) • INSPECTION FIELD SHEET 12/28/15 ^ Printed by Peart, Dayshell 14 56 02 INSPECTION: 80868 FOOTING PERMIT: STATUS: APPLICATION: 201501570 LOC: 161 NORTON LANE SOUTH WINDSOR PROPERTY ID: 64800161 OWNER: DUBECKY ANATOLI J CONTRACTOR: REQUEST BY: PROJ DESC: REMOVE EXISTING DECK NEW FOOTINGS BUILD 9 X 9 DECK. WORK ORDER: INSPECTOR: ROSE RESULT: PASS REQUESTED: 11/13/15 PRIORITY: SCHEDULED: 11/17/15 AM COMPLETED: 11/17/15 UNPAID FEES 00 Date Time MILEAGE: 00 TIME: TRAVEL ONSITE COMMENTS TOM ® 860-895-3998 ALL INSPECTIONS: INSPECTED INSPECTOR RESULT INSP DESCRIPTION 12/18/15 ROSE N/A B002 FOUNDATION 12/18/15 ROSE N/A B003 FRAMING (ROUGH) 12/18/15 .- . ROSE-,a•;• N/A• E003 ELECTRIC ROUGH 12/22/15 DOUG•__ .,_PASS•-•• BO10 FINAL-" ---`-TOM'@-860-895-3998 201500214 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER CERTIFICATE OF OCCUPANCY DATE: 12/28/2015 GIS ID: 64800161 FEE: 10.00 MUNIS APPLICATION# 201501570 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: THOMAS SOLUTIONS HOME ADDRESS: 161 NORTON LANE ADDRESS: 29 HIGGINS AVENUE OWNER: DUBECKY ANATOLI J PLAINVILLE,CT 06062 161 NORTON LANE SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: REMOVE EXISTING DECK NEW FOOTINGS. BUILD 9 X 9 DECK. 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 12/28/2015 2:57 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1500684 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER BUILDING PERMIT DATE: 11/03/2015 GIS ID: 64800161 FEE: 75.00 MUNIS APPLICATION# 201501570 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: THOMAS SOLUTIONS HOME ADDRESS: 161 NORTON LANE ADDRESS: 29 HIGGINS AVENUE OWNER: DUBECKY ANATOLI J PLAINVILLE,CT 06062 161 NORTON LANE SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: REMOVE EXISTING DECK NEW FOOTINGS. BUILD 9 X 9 DECK. 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 H/3/2015 3:43 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1800056 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER HVAC PERMIT DATE: 01/29/2018 GIS ID:64800161 FEE: 126.00 MUNIS APPLICATION# 201800091 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: ANDREWS OIL CO. ADDRESS: I 6 I NORTON LANE ADDRESS: 136 RYE STREET OWNER: DUBECKY ANATOLI J SOUTH WINDSOR,CT 06074 161 NORTON LANE SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: REPLACING LEAKING BOILER. 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 1/29/2018 10:17 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE