HomeMy WebLinkAbout166 CLINTON DR Electric f APPLICATION FOR BUILDING PERMIT
Plumbing# 166 Clinton Drive Date: 3 D
HVAC #
Sprinkler# 1117 30424
FINAL MR - - _- - - — --_ _ -— _ Estimated Cost /
Buildingl 15 0 r ' - COMPLETE RED BOXED AREAS Permit Fee $
En tnee n TYPE OR PRINT ONLY Occupancy Fee $
g Eng. Insp. Fee $
Affidavi
Appr. for CO. SIGN ON REVERSE SIDE Total Fee a ss.
TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $
The undersigned hereby applies to do work according to the following:
Applicant W 'location of Work ✓1 Lot No.
Applicant's A=��
D 0 wt='S I /�n 'Tel.# S 7 -0010 7
Town El l l Zip 0&0499 -Lic.# 5Z56 75
Owner c Architect
Owner's Ad ress l(o a C h nim Der- Architect's Address
50t +7 , WI&ASet,% }� Zip Zip
Sq. Ft. New Area: 1st FI. 2nd FI. 3rd Ff. Total New Area
Purpose of this permit i
City Watero Well❑ Septic System❑ Sewero
Ins: HO t. Area Basement Garage
Approved by-4 Date Use Grouper 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 looted 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 / Approval Date By Appl
Code Description Due Whom Code Comment
-------------------------------------------------------------------------------
•+-30424-B 16,328
B10 FINAL 01/19/05 JFF A
B10 FINAL O1/19/OS JFF A CLOSEOUT
Lp T 39 LOT 40
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PROPERTY OF !�`", '�:,,,;,u�ri���`'M
fort BUILUING PURPUSES ONLY
NO . CLINTON DRIVE SOUTH WINDSOR, CONN .
Being Lot No. 29 on map entitled "Map of OAK RIDGE ESTATES
Foster St . South Windsor, Conn. Scale : I " - 40' Sept. S, 1965
Hayden L. Griswold C. E . Sheet I "
Scale I " 4C'
HAYDEN L. GRISWOLD C. E .
r'
S�
33
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
TOWN OF SOUTH WINDSOR PERMIT#
Application is he �
BUILDING DEPARTMENT
P 1540 SULLIVAN AVENUE
2)0644-2511 ext. 230 Bldg.P rn it#
Date Wui dmg s
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$1,000 _
or any fraction thereof Tenant Designation Apt.No.
Z APPLICANT
APPLICANT ADDRE S tU
APPLICANT PH # q
S OW N St OWNER Y
OWNER ADDRESS I l�L!' cA V y�,Y
dx-
CO) a OWNER PHONE
C ESTIMATED COST$ S�
.� IS THIS A CONTRACT OST? X Yes _ No
FEE ENCLOSED$ ;3D
r�Os 0 TYPE OF JOB:
OR O C _New Installation
�eration/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? 0 YES�NO
SIDENTIAL
BUSINESS CURRENT USE AND OCCUPANCY Sl
0 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
SIZE OF SERVICE c�C) SIZE OF MAIN CONDUCTORS_ t
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
V
C& gj-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
10--7, CS � C E -I- C`-
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT C DATE 5 "Q
Electric # APPLICATION FOR BUILDING PERMIT
Plumbing# 1w mrxok Drive Date: \uy e- 361 2Ztf6'
HVAC #
Sprinkler# JUN 3 u 200830 36 �'�►��
FINAL R ------- --M----iT-
- Estimated Cost $,Building`? P °� C 'P ' XED AREASPermit Fee $
Enginee I BUILDIN ONLY Occupancy
ccuI a cyFee $
Affidavit g' p'
Appr. for CO. SIGN ON REVERSE SIDE - 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 -t ltil J �(�*�vc L-Iy� Rio✓ePrW!Location of Work l64( C i I1�7'c t) D11 ,
ivc Lot No.
Applicant's Address w - l 1 S e S 7�" Tel. n 3
Town e.7 nG'G, p Q 6 Ya Lic.#10 67
Owner ti 03 e h 1 LL 11 e L c,=L f Architect
Owner's Address / C L , n/ c R P t j Architect's Address
Zip 0 66 e 7 V Zip-
Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd F_l. Total Nevy Area
Purpose of this permit tic,e*" el /3 e o?c t! 'i1 5'It i
City Water❑ Well❑ Septic System❑ Sewer❑
Ins: HO SP Area Basement Garage
Approved by Use Group Construction Type
Revised GM2
a979
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 ich this buildin and its use is allowed.
Signe ,. r►trEs�
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
1 GWN Sf9
f 7
ZONING COMPLIANCE FOR SMALL STRUCTURES = '
(Sheds and detached decks 200 sq. ft. and smaller)
Address of Proposed Structure: 16 6 C /-n to;, O r- Zone:.A4-&6
Name of Owner: /4FC-44&- 1 S l V'4 GIS PIN: a- 13 O O („
Phone Number: Application #: -0 t�j d 13&
1. Name of Applicant: sz (Ue'-
Address: 166 C/h -)�&►
1
Phone Number: go'o - 66 57 3
i
2. Structure cannot exceed 200 square feet.
TYPE OF STRUCTURE: V SHED DECK (not to exceed 30"from grade)--- —
DIMENSIONS OF PROPOSED STRUCTURE: �0 I- I o-
3. A Class D survey must be submitted with the application showing the property lines, all other
buildings and the location of the proposed structure.
4. Is the property Yserved by a septic system? Yes v No If es the applicant must
complete and submit a B100a Application to the Health Department for review and approval.
The undersigned hereby permits Town staff to enter onto and inspect this property during
reasonable hours for the purpose of reviewing this application and to determine final compliance
once construction is completed.
I, the undersigned, acknowledge that the above information is true to the best of my knowledge
and that the above requirements ar erstood
Applicant Signature. Date: 10- 17
Owner Signature: - Date. a�� l
*****************************************************************
Reviewed and approved by: Date: U,a-0-6)-7
ni Enforcement Officer
Reviewed and approved by: Date:
Environmental Health Officer
cc: Assessor
Building File SCANNED
04/15/14
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PROPERTY OF 1 i
f;;;., .,:.,;t;,;r:,��
W BUILUING PURPUSES ONLY
NO. CLINTON DRIVE SOUTH WINDSOR, CONN.
Being Lot No. 29 on map entitled "Map of OAK RIDGE ESTATES
Foster St. South Windsor, Conn. Scale : I" - 40' Sept. 5, 1965
Hayden L. Griswold C.E. Sheet I"
Scale 1" 40' 7- /d,
HAYDEN L. 'GRISWOLD C.E.
a
_ •� 0.�i :2` L
� iAti �: "�' s kt" L r- %Y�'c.' #,7 f,. - .t' ,g- - a •� ':Ca ,ar ,.�..h.�. - :i.�'w bPa�,i"st
RECEI ED
OCT 02 2017
South Windsor
Building Department
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APPLICATION FOR HVAC PERMIT
DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT#
Application is hereby: BUILDING DEPARTMENT
APPROVED 1540 SULLIVAN AVENUE Bldg.Permit#
644-2511 ext. 230
Date Building Inspector
Application must be printed or typed
FEE SCHEDULE Location of Job:
$0-$1,000=$15.00 / C ��h 7Un /D r
Over$1,000- Street No. Street Lot No.
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt,No.
APPLICANT / ' C Act 2
APPLIC ADDRESS� C h Jcn
APPLICANT'S PHONE# �6O - 3 6
OWNER /4", C 4 h /
OWN 8E4 OWNER ADDRESSr-
r AZ-, 1, );-a4 C i 0CC7 -7(
OWNER PHONES C> >C`
C ESTIMATED COST$ oc-0
(� IS THIS A CONTRACT COST? Yes L--No
FEE ENCLOSED$ �U
TYPE OF JOB: =1''I-j 1 '
�sOR•COS New Installation
Alteration/Addition/Repair
2bc4o���6�
Revised 03/05/10
APPLICATION FOR HVAC PERNIIT(Continued from reverse side)
TYPE OF SYSTEM: TYPE OF UL91 DING:
Q HEATING Q-RESIDENTIAL
❑ A/C ❑ COMMERCIAL
❑ VENTILATION ❑ INDUSTRIAL
HEATING
❑ STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS.
❑ HYDRONIC ❑ WARM AIR ❑ UNIT RADIANT BEATER
EXISTING RADIATION ADDITIONAL RADIATION `'TOTAL RADIATION
DESIGN TEMP.OUTSIDE OF INSIDE OF DIFFERENCE OF
TOTAL HEAT LOSS(BTUH) OF(HEAT LOSS SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL HEATING EQUIPMENT(INCLUDING MAKE&MODEL NO.)
GROSS HEATING CAPACITY(INPUT-BTUH) NET RATING(OUTPUT-BTUH)T-
TYPE OF FUEL
ff OIL-GPM OIL TANK LOCATION: Q INSIDE ❑ OUTSIDE CAPACITY
❑ GAS-INPUT LPG TANK CAPACITY ELECTRIC-KW
AIR CONDITIONING
DESIGN TEMP: OUTSIDE OF INSIDE OF DIFFERENCE OF
TOTAL HEAT GAIN(BTUH) (BEAT 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
PERFORMANCE OF SUCH WORK.
CONTRACTORS LICENSE NO. j TYP STATE
r J
SIGNATURE OF APPLICANT DATE / 0
1