HomeMy WebLinkAbout165 VALLEY VIEW DR Revised 4/01//2002
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
TOWN OF SOUTH WINDSOR 2 PERMIT#
Application is hereby: BUILDING DEPARTMENT
APO OVED (� U 1540 SULLIVAN AVENUE JUN Bldg.Permit#
0 D
1 I� h1 644-2511 ext. 230 1 6 2008
11 Date Inspector JUN +l L0 8 South Winosor
BUILDING DEPARTMENT
SOULI, vvuiasor
BUILDING DEPARTMENT Application must be printed or typed
FEE SCHEDULE FtTenant
/ � ` Loc tion of J�l�
V `� `J
$0-$1,000=$15.00 Street Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof gnation Apt.No.
APPLICANT
APPLICANT ADDRESS 21 Mwk Tvfvk BW
Mind ater,Cr MW
APPLICANT PHONE# 6 T S— b q DO
SOW N SFq OWNER rn P- -f wq— 1nAR 4A/ttdU-,fk J / p6o7
OWNER ADDRESS V A t tr^�✓ Ci
OWNER PHONE Ll 3 Z-- :g— c-f
C ESTIMATED COST$ �d 0 0 •a�
IS THIS A CONTRACT COST? _Yes No
FEE ENCLOSED$ D
r1V�s O�� TYPE OF JOB: �lp
OR'C New Installation
Alteration/Addition/Repair
APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
SIDENTIAL BUILDING PERMIT APPLICATION? YES ElNO
0 BUSINESS CURRENT USE AND OCCUPANCY
0 ASSEMBLY
0 MERCANTILE FUTURE USE AND OCCUPANCY
O EDUCATIONAL
❑INSTITUTIONAL
0 FACTORY ENGINEER'S NAME PHONE
El STORAGE
❑GARAGE ADDRESS
❑MIXED USE
CITY STATE ZIP
(Other please specify)
TYPE OF INSTALLATION/WMING METHOD
SIZE OF SERVICE SIZE OF MAIN CONDUCTORS
NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS
NUMBER OF PANELS REMOTE DISCONNECT REQUIRED? O 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
gk (.0 11e l Al C of 'C le c- k a-c 1 e—AJ L/
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. TYPE STATE
SIGNATURE OF APPLICANT DATE f (�
Electric # - 165 valley APPLICATION FOR BUILDING PERMIT
Plumbing#
HVAC# 11000338 Date: 7
Sprinkler# Estimated Cost $ 9000
FINAL APPROVALS
Building COMPLETE RED BOXED AREAS Permit Fee $
Engineering TYPE OF PRINT ONLY Occupancy Fee $ I3S
Ens;. Insp. Fee $
Affidavit ► SIGN ON REVERSE SIDE /
Appr.forCO. Total Fee $
TO THE BUILDING E OARWTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $
The undersigned hereby applies to do work according to the following:
Applicant ! Home- MIF Location of work /65 Va tl/ I C bt/ Lot No.
Applicant's Address 1.2 i-/,f , Tel # F60 ?U 4'/40
Town of-leoy Zip 66029 Lic.# .6 7 S/ 243
Owner Architect
Owner's Address Architect's Address
Zip Zip
Sq. Ft.New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area
Purpose of this permit &gjC re Aot 0 VC C.X!S'4!N9 l O O 7r
City Water J Well J Septic System ❑ Sewer J ?
odd l�Ud7
Ins: HO SP a Area Basement Garage
Approved by ct Date (� 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 which this building and its use is allowed.
Signed_ ezewrJ x5
1 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 O1/12/12
PYinted by Peart, Dayshell 09:20 52
j
INSPECTION: 41447 FINAL PERMIT:
STATUS:
APPLICATION: 201100793
LOCATION: 165 VALLEY VIEW DRIVE
SOUTH WINDSOR
PROPERTY ID: 91200165
OWNER: BASSETT JENNIFER M &
CONTRACTOR:
REQUEST BY:
DESCRIPTION: REMOVE EXISTING ROOF AND INSTALL NEW.
WORK ORDER:
INSPECTOR: ROSE RESULT: PASS
REQUESTED: 01/09/12 PRIORITY:
SCHEDULED: 01/09/12 PM COMPLETED: 01/09/12
UNPAID FEES 00 Date Time
TIME: TRAVEL ONSITE
COMMENTS
N
z3,7
/ I �
0 / of
i I
I
NOTES SOUTH WINDSOR POLLUTION CONTROL
NOT TO ccAtE LOCATION JALL6%j Vl�*W )'-'�AFIMC
OWNER an 4
TYPE OF WORK S r w Azc A rr vrr
DATE PERMIT 1—4-0 PIPE 4
INSTALLER D e-,
INSPECTOR ME DRAWN BY M E
,: -• s:. •lip
N
z3.7
/ i I
I
M/ en 1 I II
I I
t�l
30 I
NOTES SOUTH WINDSOR POLLUTION CONTROL
NoT -ro ccALE LOCATION/6 E a E
OWNER A 6Ls N A a n v
TYPE OF WORK SE i .vc A"Arjcw
DATE oe o4 PERMIT I I—40 PIPE 4"10.13
INSTALLER D Ntw
q-3A gge,)
INSPECTOR E DRAWN BY 9
DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT
TOWN OF SOUTH WINDSOR PERMIT#
A cation is BUILDING DEPARTMENT
APPROVED 1540 SULLIVAN AVENUE
J
Bldg.Permit#
644-2511 ext. 230
Date u' in Inspector
Application must be printed or typed
FEE SCHEDULE Location of Job:
� �05 �LLe� Vet _
$0-$1,000=$15.00 Street No. Street Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT K�\ " Oh O L
APPLICANT ADDRESS V LV 2\
W2..5 3 bad s C O L, l
APPLICANT PHONE# 25(o10 3 p 5
OW N Se- OWNER Inn V ►ynfc.5 'NN v:,r2S 4}✓� ILUw S�C
OWNER ADDRESS g lf�Y�
0 1y, OWNER PHONE
C ESTIMATED COST$
IS THIS A CONTRACT COST. Yes _No
FEE ENCLOSED$
SCR CO
TYPE OF JOB: I
_New Installation
Alteration/Addition/Repair
Revised 4/01//2002
i
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 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 O 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
DESCRIPTION OF WORK
aA QV N7 /V E_L�,j 0 Q P 1,J + Avcj ci o ► ry ct i .y iv ry �G 2►�J
THE UNDE S FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND 17T=
COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
a03� `� �j
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT DATE
00
I A
FOR BUILDING,PURPOSES ONLY
•
All_
0 �F e ;F 7- '>r 0/7-
&o
1 411 71.
710vy- A
lip ne
,
ON ".
4 gc-)
APR 9 1996 APR ; U 1996
Win
South WindB,UILD NGhDEPARTr
BUILDING DEPARTMENT MENT
CERTIFICATION OF ZONING COMPLIANCE
Proposed building(s), use(s) and/or structure(s)
ns shown on this plan appear(s) to be In
informance with current South Windsc.r
..gulations. Variances and special exceptions A 1
.,nay a4/ ing
Jate6 oZ P
nforcement Officer
Io THE
This eertiffed test a is
iOiVN �r �Ot FH AND
copies of the P3 11 i Sid
Ft,n and specific tiona am t�
Vactetl at building or alterations
together with amendment
filed wflh Man and 1 agree to�� ed in aPPlication a+
issrnsdnR and state lava ar.d a=reh Ply with III zoaias,;
Y the
era as shaN 6.
Of this aPPi^tat Zoo ldmg �Partm<•nt during endea
permrj. and #Mal issuance P
of a end"q.
*
Signed
This
orticrs ,nrb rK± Rcr to the condition th .t
con:pllrp o. rh $Nki ling Duil�in8 shall
oe
Conditional
hY 'htyrpvere
These filed wit,
Fsuildiry, r..,.
tiU1LL1Nli Yr,Ki"111'
STATE OF CONNECTICUT
WORKERS'COMPENSATION COMMISSION
Building Permit Affidavit for Property Owners or Sole Proprietors
'' //(Conn.Gen.S/tat 31-
t.. § %b,
Property located at Mr Vt 6L!r_k (//iL�✓ LAZ
In the town of Sol/ 7-;�, W/
Name of building permit applicant: �✓/ �� `71��J'�/ALI�G�.(� ,
Please check one:
1. !�the owner of the above property.
2._I am 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 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:
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 proprietor of a business is not required to have coverage unless he
files his intent to ac ve e.
Signature of ap licant
Subscribed and sworn to before me this day of ,200 .
(Notary Public/Commissioner of the Superior Court)
Electric# APPLICATION FOR BUILDING PERMIT
Plumbing# 165 Valley View Drive Date:
HVAC #
Sprinkler# _ 32744 - - ------ Estimated Cost
FINAL APPROVALS _— _ —-------- -- - Permit Fee $
Building COMPLETE RED BOXED AREAS Occupancy Fee $ /d
Engineering TYPE OR PRINT ONLY Eng. Insp. Fee $
Avit
PP pr. for CO. SIGN ON REVERSE SIDE / To a Fee $ �J
TO THE BUILDING DEPART - - - --- --- _WIN_ - DSO
- _ ---MENT,TOWN OF SOUTH R, CT (Additionalos $
The undersigned hereby applies to do work according to the following:
Applican E� , � ocation of Work 16 GLZY Lot No. y/
Applicant's Address Tel.# BTU" B"a¢9tl
Town So✓�y �"%.v J 1d2 Cam' Zip 060 7¢- Lic.#
Owner o6Z2% , Architect
Owner's Address Architect's Address
Zip Zip
Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area
Purpose of this permit s;o �cc: ���c. ✓a �1'e /�fc �� ,Q/✓ `✓��� �/,P yi�2�
ta-
City Waterfid— Well❑ Septic System❑ Sewed
Ins: HO Cert. ea Baseme Garage
Approve by Date Use Group Construction Type
Revised 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 I d the proper lance fr mall street lines,side yard lines,and required
distances from all other zones and is located in w i h bull us/illow
Signe 7"'
I hereby apply for a Certificate of up cy for t�scribed in this app ication for the permit.
Sign
DO NOT WRITE BEL THIS LINE
INSPECTION COMMENTS
I
I
i
r;
t
FOR BUILDING PURPOSES ONLY
41
I �
a '
-- �/ �,1 / ram'/„f.�.t.� 'r� �s/r/ .�`I'?� I-�..� . f'"',l�'"sr �� �-�"�!/�! � /'��./ /. �•-" _i r.
i•
�. 4,ic
Electric # APPLICATION FOR BUILDING PERMIT
Plumbing# / Date: '
HVAC # l
Sprinkler#
FINAL APPROVALS --_ -- __ Estimated Cost $
Building '3 b COMPLETE RED BOXED AREAS Permit Fee $
Engineering TYPE OR PRINT ONLY I Eng.Occupancy sp. Fee $ /
Affidavit - - SIGN ON REVERSE SIDE
- ----- - - —- -- - - —'
Appr. for CO. , �' Total Fee
- a
TO THE BUI DING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $
The undersigned hereby applies to do work according to the following:
Applicant Location of Work \QW nr Lot No.
Applica is AddNss Tel.# o�
Town Zip Qc Lic.#
Owner Architect
Owner's Address Architect's Address
Zip Zip
Sq. Ft. New Area: 1 st F. 2nd FI. 3rd FI. Total New Area
Purpose of this permit �� "^o P _
City Watero Well❑ Septic Systemo Sewero
Ile-
Ins: HO Cert. Area Basement Garage
Approved by Date vl Use Group Construction Type
ewsed W
i
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 t tie Ipcated the proper dist nce from all street lines,side yard lines,and required
distances from all other zones and is located in this Puilding and i u e' allowed.
Signed
I hereby apply for a Certificate of Occu ncy for the wo des ji
this application for the permit.
Signed -
DO NOT WRITE BEL THIS LINE
INSPECTION COMMENTS
i
�z
�X�
\i,
T 1J •' �.
�� _ �� �•Z �VK
FOR BUILDING YURPOSES ONLY
Lo
j
--'/. l_GJ.. :C� .... . /.�I�+i'=P..� � ..�f�•. �'V' f:`�'�'�;{ ��l�r ~_Y.�J,�/ �. . /r � ���i tr� � �i�:.J� 1 '
.Fx -�r'I'r,
4*1 %y r
1/ w
c _•
D r C E � V E
JUL 2 01uuo
South Windsor
BUILDING DEPARTMENT
ivr,it .t ikuiH WINli
.: tnat this plan and spedffoatlons aw tru.
,t the proposed bulldtng or alWatharss W Ya
tad at
(a 5 y ,4:�, 1� ,
4tither with amendmopks stated In appiloatlsn and
pled with plan and I agree to comply with all ronIng.
gilding and state laws and such orders as shall be
,sued by the ®uilding Department during pendenoy
11 this applic and final arwe of A 4uUding
v zrmit-
/� :fgned
his plan Is approved 114b
ject to the kp4f.
the'.,
,rdere and ordinances tegulating building shell be
mplied with.
onditionally Approved wsasr fled WWI
'uilding inspector J 06-11/yr
CERTIFICATION OF ZONING COMPLIANCE
Proposed building(s), use(s) and/or structure(s)
as shown on this plan appear(s) to be in
conformpnce with current South Windsor
regulations. Variances and special exceptions
may apply. /
Date
Zoning Enkmmim Oftw
J U N 4 1996
South Windsor
BUILDING DEPARTMENT
r
CEh j it iL;A i ION OF ZONING COMPLIANCE
Propo'Sed building(s), use(s) andjor structure(s)
,s shcwn on this plan apPear(s) to be in
.onformance with current So.oth Widsc
;,gulations. Variances and special exception".
nay aPPIY•
,)ate ,f��t
Z of rc r/ment Officer
f0 THE BUILDING DEPT. TOWN Of SOUTH WINDSOf
Ihis certified that this plan and specifications are trot
copies of the proposed building or alterations to br
-erect
teed`at 1 //
/(YJ V�L(/ V�*--fA?. stree,
together with amendments stated in application any
fled with plan and 1 agree to comply with ail zoning
:uiloing and state laws and such orders as shall b
,ssi,d Wapprove
tment during pendent
d Loissuance of a bu�ildin.
permit. J�--
Signed
I his pto the, condition tlt 1.
orders and ordinances regulating building shall bt
-plmd with.
Conditionally Approved These filed with
B ing inspect rClar►
Dot•
A
04 M• 1 • of H.r+
0 NSE TREES
f� 2.6 X 1 e -btsCie_
L 1�
J ��t11D1 TH'a
_ S
�1 165
f
fR• '3ZT.s s s
l
3797=
11000338 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER BUILDING PERMIT
DATE: 07/25/11
GIS ID:91200165 FEE: 135.00
MUNIS APPLICATION# 201100793 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: TITAN HOME RENOVATIONS LLC ADDRESS: 165 VALLEY VIEW DRIVE
ADDRESS: 22 HATHEWAY ROAD OWNER: BASSETT JENNIFER M&
ELLINGTON,CT 06029 165 VALLEY VIEW DR
SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: REMOVE EXISTING ROOF AND INSTALL NEW.
SPECIAL CONDITIONS:
ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED B THE BUIL EPARTMENT.
a..
i
CONSTRUCTION TYPE: �
OCCUPANCY GROUP: BUILDINJ OFFICIAL
7/25/2011 3:07 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE