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Home My WebLink About165 HIGH ST DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: � 1 BUILDING DEPARTMENT APPROVED 1540 SULLIVAN AVENUE + 1 Bldg.Permit# 644-251 I ext. 230 oy ' ate Bui ng 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$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT 4 77j-�>/, _ APPLICANT ADDRESS l C9 S- / G1 APPLICANT PHONE# O w N S F,q OWNER -- — OWNER ADDRESS VA a OWNER PHONE C = ESTIMATED COST$ 30O b �.lt IS THIS A CONTRACT COST? ST? Yes _No FEE ENCLOSED$ r��sO •C O�� TYPE OF JOB: R New Installation _Alteration/Addition/Repair Revised 4/01//2002 APPLICATION FOR HVAC PERMIT (Continued from reverse side) TYPE OF SYSTEM: TYPE OF�B�DING: SATING -WrRESIDENTIAL, ❑A/C ❑COMMERCIAL ❑VENTILATION ❑INDUSTRIAL HEATING ❑ STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS. ❑HYDRONIC ❑WARM AIR ❑UNIT RADIANT HEATER EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION DESIGN TEMP. OUTSIDE OF INSIDE OF DIFFERENCE OF TOTAL HEAT LOSS(BTUH) °F(HEAT LOSS SHEET MUST ACCOMPANY APPLICATION) DESCRIBE L HEA rTING EQUIPMENT(INCLUDINGrAKE&NjqDEL NO.) V, 3c cco. GROSS HEATING CAPACITY(INPUT—BTUH) NET RATING(OUTPUT—BTUH) TYPE OF FUEL ❑OIL--GPM OIL TANK LOCATION :❑ INSIDE❑OUTSIDE CAPACITY Z�rGAS—INPUT LPG TANK CAPACITY ELECTRIC—KW AIR CONDITIONING DESIGN TEMP.OUTSIDE OF INSIDE OF DIFFERENCE OF 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 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 PERFO ANCE OF SUCH WORK. t/ D2t�U L✓,,tlzyz CONTRACTORS LICENSE NO. STATE SIGNATURE OF APPLICANT DATE O CA; es-J DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT Applicat' ereby: TOWN OF SOUTH WINDSOR PERMIT# �BUILDING DEPARTMENT 7(,--ye APPRO 1540 SULLIVAN AVENUE Bldg. Permit# 644-2511 ext. 230 Date flhfilling Inspector Application must be printed or typed FEE SCHEDULE cation of Job: $0-$1,000=$15.00 Street No. Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT APPLICANT ADDRESS AfSN,),j C-T O�06 6 APPLICANT PHONE# Y( y 0 7a 0 W N S Fq OWNER 11 Z/Q dCt"q OWNER ADDRESS TNIN G� Ste. W Ncgso CT 0607Y OWNER PHONE C ESTIMATED COST$�dy. ov /* IS THIS A CONTRACT COST? Y- Yes No LG j ` 4C� FEE ENCLOSED$�C�, S ' TYPE OF JOB: R.CO�� 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 *RESIDENTIAL I BUILDING PERMIT APPLICATION? ❑YES ta NO ❑BUSINESS CURRENT USE AND OCCUPANCY ❑ASSEMBLY ❑MERCANTILE FUTURE USE AND OCCUPANCY ❑ EDUCATIONAL ❑ INSTITUTIONAL ❑FACTORY ENGINEER'S NAME PHONE ❑ STORAGE ❑GARAGE ADDRESS ❑MIXED USE (Other please specify) CITY STATE ZIP TYPE OF INSTALLATION/WIRING METHOD S Cj r:,�tt:e SIZE OF SERVICE 7o U SIZE OF MAIN CONDUCTORS_ y�2, AL 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 C 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. CT CONTRACTORS LICENSE NO. E STATE SIGNATURE OF APPLICANT DATE S�-a (.V P s 1 V4 S 83��d •i 9 -C`-+ � a X .T 7 RI s3 �t n .� \ i ie TP flyz/9S.Sr2S p� J p r o•►. v c ,M7 'Wet' C64�roawe .�'v'83"-�G i9"tom/•- d 9D'-DD -p�D ,c • ,�9.27 a ' V� N VIOLATIONS IF HOUSE ER S SHOWN AND STAKED. ° t14 I HEREBY CERTIFY THIS MAP TO BE SUBSTANTIALLY PROPERTY OF CORRECT AND IN ACCORDANCE WITH CLASS A- OF CODE Of CONNECTICUT TECHNICAL COUNCIL. M M�fCl/ A2: i ! P A l i A� h�13�0 .rO2163 oG �� A.L.P'ORD AS80CIAT�B 0 CIVIL ENGINEERS ~♦'�, * RE° aJ WINDSOR•CONNECTICUT nQin :fGr i2 - S.t�Yr�fL./ - S'av�HL✓f siO�o�' Ca�✓ti/, SCALE: i IN. = led FT. DATE:/9~ /9, 199S Shirley Wilhelm-CRS Approval Confirmation: Request No. 433198 Page 1 From: <clpsvc@nu.com> To: <WILHEL@SOUTHWINDSOR.ORG> Date: 6/6/05 12:47PM Subject: CRS Approval Confirmation: Request No.433198 Your approval of the following CRS Request has been successfully processed. CRS Work Request M 433198 House No: 165 Lot No: Street Name: HIGH ST Town Name: SOUTH WINDSOR, CT Inspector: CHRISTOPHER DOUGAN Approval Date: Jun 06, 2005 This e-mail, including any files or attachments transmitted with it, is confidential and intended for a specific purpose and for use only by the individual or entity to whom it is addressed. Any disclosure, copying or distribution of this e-mail or the taking of any action based on its contents, other than for its intended purpose, is strictly prohibited. If you have received this e-mail in error, please notify the sender immediately and delete it from your system. Any views or opinions expressed in this e-mail are not necessarily those of Northeast Utilities, its subsidiaries and affiliates(NU). E-mail transmission cannot be guaranteed to be error-free or secure or free from viruses, and NU disclaims all liability for any resulting damage, errors, or omissions. rr++++++r+rrrr+++++++r+r+++++++++rrr+r+rr++++++++++rrrrrr++++++++rr++r l A� J// 1 0 �i 7 A- �y► 7'(- h — O Ears>i,✓r, CG✓fot/.E' � i 1 r NO ZONING VIOLATIONS IF HOUSE hl ERECTED AS SHOWN AND STAKED. i HEREBY CERTIFY THIS MAP TO BE SUBSTANTIALLY PROPERTY OF CORRECT AND IN ACCORDANCE WITH CLASS A- ? OE C0it OF CODE OF CONNECTICUT TECHNICAL COUNCIL. `� M L'1rC I(A' GJ CU TE' t1 � o ALF'URL? .ASSpCZA.TES s Iro. 2163 � CIVIL ENG NEERS �+'°� *fels,E ° �4 WiNDSOR•CONNECTICUT i �6Y i - :.c�y�/fL✓ - $o�/�i�L✓i,✓OSa•c' c'o�✓✓. SCALE: i IN. = 7Xa FT. DATE yvP i9, r9TS �rS � '7 -. DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT TOWN OF SOUTH WINDSOR PERMIT# Application* her BUILDING DEPARTMENT 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 3;z 7#3 Date ilding 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$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT P L L F �-J 1 el APPLICANT ADDRESS I L.e s. LJ . C7 APPLICANT PHONE# O W N S OWNER �r�-, q OWNER ADDRESS a ,r OWNER PHONE �- 0 C = ESTIMATED COST$ Pd o o d a IS THIS A CONTRACT COST? —Yes _No FEE ENCLOSED$ 23 :•/f� TYPE OF JOB:SOR•CON� � . _New Installation i _Alteration/Addition/Repair i I I APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION? DYES ❑NO U RESIDENTIAL ❑ BUSINESS CURRENT USE AND OCCUPANCY U ASSEMBLY ❑MERCANTILE FUTURE USE AND OCCUPANCY ❑EDUCATIONAL U INSTITUTIONAL ❑ FACTORY ENGINEER'S NAME PHONE ❑ STORAGE ❑GARAGE ADDRESS ❑MIXED USE CITY STATE ZIP (Other please specify) 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 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. C- -) --TYPE STATE SIGNATURE OF APPLICANT DATE -,;7 -2 �' Town Of South Windsor Building Department Location (Of- �=0 s?r� Building Permit# z , SWIMMNG POOL REQUIREMENTS: This list is not all inclusive;please refer to pool packet. -A 48"barrier will be provided to protect the pool access. Including a temporary fence for inground pools prior to filling. -Access gates will be self closing and self latching(if less than 54"high they shall be on the pool side and be protected within 18"of release mechanism). -Doors providing direct access to the pool shall either have an alarm,a self closing self latching device 54"above the floor,or a safety cover over the pool. -No receptacles within 10' of pool.(locking type receptacle for pool equipment must be at least 5' from pool and GFCI protected). -All metal parts of pool structure,fixed metal parts within 5'of pool,pump motors etc., shall be bonded with a minimum#8 solid copper wire. -Convenience GFCI receptacle shall be provided between 10'and 20' from pool. -Trench depth for 20 amp.circuit to pool equipment shall be 12"minimum. -A surface pool alarm shall be installed pursuant to Public Act 99-140. -All swimming pool pumps must be equipped with a time clock. -Heated pools require a pool cover unless over 20%of the heating energy is from non-depletable sources. REQUIRED SWIMMING POOL INSPECTIONS: The following is a list of inspections that need to be performed prior to the continuation of work. Requests for in- spections can be made by calling the Building Department at 644-2511 ext.230. -TRENCH AND BONDING-Electrical trench depth verification and bonding of pool and metal appurtenances including metal reinforcing for gunite pools. -FINAL ELECTRICAL-Location of equipment and GFCI protection. Convenience outlet provided. -FINAL-Swimming pool access protection must be provided before pool can be used. Each swimming pool installation requires a Building and an Electrical permit. Additional permits and inspections are required for pool decks. I have read and understand the requ' m is listed abov Applicant Signature Date Z( Homeowner Signature Date Z( 77 Pw ✓ , t• !' . , �f`f n,T' "fi w*' ,fir 4xti�+1''...,.. y�'�•Jr/� •�- � � 1r tiy� ' !r�. _-..S^".".`;4dAF9 Y r ,•+7 ,�r�A�, g �I l. *VV A. N.,I I V- AJ 00 AL �r. x •. ��` ft! � ^.gyp �� f •/ 7 r �, � l,i .:+i 1, - ♦ + « 1 " � � 1) ' tJJ1� T v f•" a i 40 _ ' f� 44 f. Pr ) tf A� V + _ r t �t oa7 N, (`1 — O EXrs>i•✓l airv�%ti �� VIOLATIONS IF HOUSE aS SHOWN AND STAKED. ;" ., .�,r - ., •, ,,.,• -. _ _.} +rawaro_7ert•so W. � •¢- �••R r HEREBY F.FiT:iY T#-itsi--�4AF-TG,Air SUBSTANTIALLY:,- PROPERTY C? F CORRECT AND IN At� RLZAh.Cc t.:a.s: G.ASS A-2 ` t OF cOnl :�r uyr; cTtC:,T �;*._ ",'CAL C06�hclL. CONpF�r/ a T.� T 1 CIVIL ENGINEERS D EC EE vE JUL ! 1 M15 South Windsor BUILDING DEPARTMENT I..' 'ME 8:.ILA4( y&r. T4GIN :,F $QufH WINDoi.:. 1 n.s..e rtiri d that this plan and speatfieations are tn:- eo„Ia of the proposed Yullding or alterations Uo in erected at / �,r JI S,;; _ Weal 10gafher with ar dments stated in application and lilt with plan and 1 agree to comply with all zoning. Heil IIng and state Iawz and such orders as shay be Isseed by the building Departmen dency ,1 or tnls application and final uance of a bull - it n /J �d i / 1 ;-{� �.-s�cl% „�.1/ <•�y U�t,Gr�C. t. �,C�.r.� •�LAxti�c ..aJ� ..C�,[ I� V � v x permit.s:gnee rhos p an i approved subject to the condition that �: rs and ordinances regulating building shall be c :Ir••d r.ah. Canoaiunany Approved These filed with inspoctor L cleri, CERTIFICATION OF ZONING COMPLIANCE Proposed building(s), use(s) and/or structure(s) as shown on this plan appear(s) to be in conformance with current South Windsor reguiu_Ions. Variances and special exceptions ma, spy ly. Date L/Mnin-4Zkorcernent Officer DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT racy Application is hereby: TOWN of SOUTH WINDSOR BUILDING DEPARTMENT Bldg Permit# APPRQVE 1540 SULLIVANVENUE -t� 6� -2511 511 ex e.�ct. 230 Date Building Inspector Application must be printed or typed Location of job Street No. Sweet Lot No. FEE SCHEDULE Floor Apt. No. $0 - $1,000 - $12.00 Over $1.000 $12.00 per$1,000 OWNER L� r or any fraction thereof _ ADDRESS 1 �C� f 0� OWNERS PHONE# APPLICANT Ow N Sf ADDRESS �1 ,L Y 0 ESTIMATED COST $ C = IS THIS A CONTRACT COST? t� YES NO FEE ENCLOSED $ OSO R.C 0 TYPE OF JOB: 1SSS 3 3 .OD Original Installation Alteration/Addition/Repair Revised 11/95 APPLICATION FOR HVAC PERMIT (Continued from reverse side) TYPE OF SYSTEM r TYPE OF BUILDING / HEATING �/ RESIDENTIAL 1� A/C COMMERCIAL VENTILATION INDUSTRIAL HEATING STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS. HYDRONIC WARM AIR UNIT RADIANT HEATER EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION DESIGN TEMP. OUTSIDE F INSIDE F DIFFERENCE F TOTAL HEAT LOSS(BTUH) (HEAT LOSS SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL HEATING EQUIPMENT (INCLUDING MAKE&MODEL NO.) GROSS HEATING CAPACITY (INPUT-BTUH) NET RATING (OUTPUT-BTUH) TYPE OF FUEL OIL-GPM GAS-INPUT ELECTRIC-KW OIL TANK SIZE&LOCATION INSIDE OUTSIDE CAPACITY LPG TANK CAPACITY 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 ` e X' (� r� C� i� `j fN �W � THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONN. BU G CODES IN THE PERFORMANCE OF SUCH WORK. _. STATE LICENSE-NO. NAME&TYPE SIGNA E ICANT PHONE NO. 6 Lt G I DATE APPLICATION FOR BUILDING PERMIT Electric# { Plumbing# r� HVAC # 169 High StPPt Date: Sprinkler# - ----327.43 - - - — -— - - - FINAL APPROVALS Estimated Cost $F0001- SIG Permit Fee $ ta°BuildingPLETE RED BOXED AREAS Occupancy Fee $ lex Engineeringffi YPE OR PRINT ONLYEng. Insp. FeeAdait CO. N ON REVERSE SIDE 1 j pp Total Fee $ 'd, TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR,CT (Additional Cost) The undersigned hereby applies to do work according to the following: Applicant A I f _ Location of Work (o 1&1-d j Lot No. Applicant's Address f &� /(d S7= Tel.# '�6 D- (� - (o s Town S00 L-J1 AID- O,X Zip_6(¢07t/—Lic.# Owner1IL"/ R Architect Owner's Address T/-, ST'. Architect's Address Zip Zip Sq. Ft. New Area: 1st FI. 2nd FI. 3rd FI. Tot Ara Purpose of this permit rA 1?R3 City Watery Well❑ Septic System❑ Sewerg" Ins: HO SP Cert. Area Basemen Garage Approved b Date i �_ Use Grou Construction Type 67-� Revised W02 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 specificarions of the Building for which this permit is asked,and agree that this building is to be locate the pro ante from eet lines,side yard lines,and required distances from all other zones and is located in whic uil and its�isowed Signe I hereby apply for a Certificate of Occupant _She wo . i e nn ii pplic.Aion for the permit. i Sign DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS b 9� Electric # APPLICATION FOR BUILDING PERMIT Plumbing /) HVAC# # v0 FDa-Date: q 1-1 1 f g Sprinkler# Estimated Cost $ FINAL APPROVALS .��-�Permit Fee $ - Building COMPLETE RED BOXED AREAS yS�,t�D Engineering Occupancy Fee $ Affidavit TYPE OR PRINT ONLY Eng. Insp. Fee $ Appr.for CO. ► SIGN ON REVERSE SIDE Total Fee $ S - J TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ The undersigned hereby applies to do work according to the following: S f Applicant _Location of work Lot No. Applicant's Address BCD 5 j- ll' Ve e f Tel # Town Zip Owner itect Owner's Address f Architect's Address aW . Zip CU"7_!�) Zip-- Sq.Ft. New Area: I st Fl. 2nd Fl. 3rd Fl. Total New Area Purpose of this permit City Water J Well J Septic System ] Sewer J Ins: HO SP Area Basement Garage Approved by J Dateg Use Group -moo Construction strujtion Type Revised 1108 d 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. --p-1-1, Signed I hereby apply for a Certificate of Occy cy for the work described in this application for the permit Signedt— DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS i INSPECTION FIELD SHEET 04/11/22 Printed by Middleton, Morgan 09 14 06 INSPECTION: 108874 FINAL PERMIT: STATUS APPLICATION: 201801720 LOC: 165 HIGH STREET SOUTH WINDSOR PROPERTY ID: 42000165 OWNER: BELAND ALLEN R & LESLEY A CONTRACTOR: REQUEST BY: PROJ DESC: ADDING SUPPORTS TO AN EXISTING FRONT BALCONY WORK ORDER: INSPECTOR: ROSE RESULT: PASS REQUESTED: 10/01/18 PRIORITY: SCHEDULED: 10/01/18 COMPLETED: 10/01/18 UNPAID FEES: 00 Date Time MILEAGE: 00 TIME: TRAVEL ONSITE COMMENTS: SUPPORT TO EXISTING BALCONY ALL INSPECTIONS: INSPECTED INSPECTOR RESULT INSP DESCRIPTION 09/20/18 ROSE PASS B001 FOOTING BALCONY PIERS B002 FOUNDATION B003 FRAMING (ROUGH) B004 INSULATION B005 FIREPLACE / CHIMNEY B006 WOOD / GAS STOVE B009 OTHER bw- Electric # APPLICATION FOR BUILDING PERMIT Plumbing# HVAC# Date: D S o 9 a3p�FINAL APP,�OVALS Estimated Cost $ v v Permit Fee Building COMPLETE RED BOXED AREAS Occupancy Fee $ Engineering TYPE OR PRINT ONLY Eng. Insp. Fee $ Affidavit Pool SIGNON REVERSE SIDE t Appr.for CO. Total Fee $ 0 • '�— TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ The undersigned hereby applies to do work according to the following: CK- Ciq Applicant 1•v ► a N Location of Work 5 Lot No. Applicant's Address ��,�� U 7�i✓1 y Tel # 86 b Town a.,i•il/ S U ��• Zip U�U Z Lic.# G Sa 4 Owner L E Architect Owner's Address G - k. (oEi i t Architect's Address 5. �w,� .�D 5 01'2 c �• Zip UGb`z Zip Sq. Ft. New Area: 1 st FI. ./ 2nd FI. 3rd FI. Total New Area _ Purpose of this permit / f� O JC RsI,x d A✓ /3,Rc k d `- s !�- 4 f • City Water J Well J Septic System J Sewer J Ins: HO SP Cert. p Q Area Basement Garage Approved by Date 0 '/ Use Group, Construction Type .---- J o a -1 3 Revised „oe I hereby agree to cons jrm 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 a located the proper distance from all street lines,side yard lines,and required distances from all other zones and is located in ch this building a s use is allowed Signed A, I hereby apply for a Certificate o UOc, ncy for the work described in this application for the permit. Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS i ,w► INSPECTION FIELD SHEET 03/08/23 , Printed by Middleton, Morgan 13 34 16 INSPECTION: 107555 FINAL PERMIT: STATUS APPLICATION: 201801436 LOC: 165 HIGH STREET SOUTH WINDSOR PROPERTY ID: 42000165 OWNER: BELAND ALLEN R & LESLEY A CONTRACTOR: REQUEST BY: PROJ DESC: TEAR OFF ROOF ON BACK OF HOUSE ONLY APPLY 6 FEET ON ICE WORK ORDER: INSPECTOR: WS-B RESULT: PASS REQUESTED: PRIORITY: SCHEDULED: COMPLETED: 03/08/23 UNPAID FEES 00 Date Time MILEAGE: 00 TIME: TRAVEL ONSITE COMMENTS: INSPECTED BY VALERIE MUSZYNSKI 1800453 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER BUILDING PERMIT DATE: 08/30/2018 GIS ID:42000165 FEE: 72.00 MUNIS APPLICATION# 201801436 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: JULIEN QUIRION ADDRESS: 165 HIGH STREET ADDRESS: 453 FOSTER STREET OWNER: BELAND ALLEN R&LESLEY A 165 HIGH STREET SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: TEAR OFF ROOF ON BACK OF HOUSE ONLY APPLY 6 FEET ON ICE WATER SYNTHETIC PAPER AND TIMBELINE SHINGLES SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROV D BY THE DING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUIL15ING OFFICIAL 8/30/2018 1:55 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1800511 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER BUILDING PERMIT DATE: 09/24/2018 G1S ID:42000165 FEE: 54.00 MUNIS APPLICATION# 201801720 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: BELAND ALLEN R&LESLEY A ADDRESS: 165 HIGH STREET ADDRESS: 165 HIGH STREET OWNER: BELAND ALLEN R&LESLEY A 165 HIGH STREET SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: ADDING SUPPORTS TO AN EXISTING FRONT BALCONY SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: / OCCUPANCY GROUP: ICIAL 9/24/2018 12:26 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCH GE