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Home My WebLink About17 HUNTER DR UNIT 24 Electric* APPLICATION FOR BUILD NG PERMIT Plumbing# 17 Hunter Drive / HVAC# Date: Sprinkler# 900432 Estimated Cost $ 3040• (�+- FINA PPR VALS Permit Fee $ i S -- Building COMPLETE RED BOXED AREAS Occupancy Fee $ to — Engineering TYPE OF PRINT ONLY Eng. Insp. Fee $ Affidavit _ ► SIGN ON REVERSE SIDE t Appr.forC Total Fee $ S it- TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ 4775 The undersigned hereby applies to do work according to the following: Applicant Oxew-l-Ar Location of Work ITI Y . i Lot No. Applicant's Address 7 Tel # W-179 Town z &)V AdSO✓ Zip �Id7y Lic.# Owner same Architect Owner's Address Architect's Address Zip Zip Sq.Ft. New Area: 1 st FI. 2nd Fl. 3rd FI. Total New Area �(nnRp of this permit F//)bh City Wate6i Well 0 Septic System 0 Sewer Ins: HO S rl _ Area Basement N ' Garage Approved by Date-!1 ,11 09 Use Group Construction Type Revised 1108 1A 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 �innwwhich this building and its use is allowed. 04 Signed I hereby apply for a Certificate of Occu a�nc�for the wort d6scri d this appo�capp��n for the pe it. Y Signe DO NOT W BELOW THIS LINE INSPECTION COMMENTS CA:..e..W ASS R&� ��RC.►'Yl t-�'�. CMU 14% IrVy, ILAI. &W11 CAS I 7 1 J F :31 L � 4;;p � CAD .y\,py�'� �s.tl,� C.i.� A"��C�%<.S i�� /`,,a i•b-Car7'S �'G � � 5,�—d�� j3� t < PTrY�e>' : ->" A.4O } 1o. DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT PERMIT# Application is hereby: TOWN OF SOUTH WINDSOR Olab3�3 BUILDING DEPARTMENT APPROVE 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 - o 0 400y3� Date Building Inspector' Application must be printed or typed FEE SCHEDULE �� Location of Job: $0-$1,000=$15.00 FTena7ntDesignation Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof Apt.No. APPLICANTS APPLICANT ADDRESS `` Z i(/„ „L rZ,:4 z APPLICANT PHONE# O W N 3 f OWNER ,q OWNER ADDRESS Z, -,y At OWNER PHONEG'l�s,Z� 1�7� C = ESTIMATED COST$ ►x IS THIS A CONTRACT CGS T? �,Ires —No FEE ENCLOSED$ �O n TYPE OF JOB: it OR C -Z"ge-w Installation Alteration/Addition/Repair APPLICATION FOR PLUMBING PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A RESIDENTIAL BUILDING PERMIT APPLICATION? ❑ YES ❑ NO ❑BUSINESS CURRENT USE AND OCCUPANCY ❑ASSEMBLY ❑MERCANTILE❑EDUCATIONAL FUTURE USE AND OCCUPANCY ❑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 z NO.OF LAVATORIES / NO.OF CONDUCTORS SIZE NO.OF STACKS / — SIZE,F!f — 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 ❑YES ❑NO SIZE OF WINDOW IF NONE C.F.M.OF VENTILATOR k� SIZE OF DUCTS ` SEWER OR-S•EPTle TANKIle SIZE OF WATER MAIN SIZE OF WATER PIPING&RISER l / WATER HEATER: TYPE MANUFACTURER f7 /f DESCRIPTION OF WORK /sp-�� C��.oc f-f�� T.✓ ,,1��!�,orsc� ,�• % ��/e�sr�tc-��--L�^ttT�tcL ITE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCM9r5—Ar57rr?T— COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. CONTIIiAACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT DATE DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT PERMIT# Applicatio a y: TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT 9C) 7(e AP :OVED 1540 SULLIVAN AVENUE 644-2511 ext. 230 Bldg. Pc# Date ing Inspector Application must be printed or typed FEE SCHEDULE Location of Job: F:Te!na:nt ��ec`$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 8 QObO �v�k l,..C.�Vt()-- APPLICANT PHONE# rg-)bo - (Oct 8 - 9 a 8 o O W N $F,q OWNER I`c l ' \C" h G OWNER ADDRESS � 0 A e,C Q5 Or OWNER PHONE slop - J44 " L-I(Dy--) C ESTIMATED COST$ ?->OGd +r IS THIS A CONTRACT COST? _Yes _t�CNo FEE ENCLOSED$ TYPE OF JOB: R.C New Installation teration/Addition/Repair Revised 4/01//2002 APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side) TYPE OF BUILD- IS THIS APPLICATION ASSOCIATED WITH A ING BUILDING PERMIT APPLICATION? ❑YES ❑NO RESIDENTIAL CURRENT USE AND OCCUPANCY ❑ BUSINESS ❑ASSEMBLY FUTURE USE AND OCCUPANCY ❑ MERCANTILE ❑ EDUCATIONAL ❑INSTITUTIONAL ENGINEER'S NAME PHONE ❑ FACTORY ❑ STORAGE ADDRESS ❑GARAGE ❑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 O 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. DESCRIPT`I.ON 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 NC TYPE STATE SIGNATURE OF APPLICANT DATE 1 INSPECTION FIELD SHEET O1/15/10 Printed by Peart, Dayshell 15 14 35 INSPECTION: 26096 FOOTING PERMIT: STATUS: APPLICATION: 200901063 LOCATION: 17 HUNTER DRIVE SOUTH WINDSOR PROPERTY ID: 45250017 OWNER: MAHLAND MARGARET A CONTRACTOR: DESCRIPTION: FINISH BASEMENT. WORK ORDER: INSPECTOR: ROSE RESULT: N/A REQUESTED: SCHEDULED: COMPLETED: 01/15/10 UNPAID FEES 00 Date Time TIME TRAVEL ONSITE COMMENTS ALL INSPECTIONS: INSPECTED INSPECTOR RESULT INSP DESCRIPTION O1/15/10 ROSE N/A B002 FOUNDATION O1/15/10 DOUG N/A B003 FRAMING (ROUGH) 12/10/09 DOUG PASS B004 INSULATION O1/15/10 ROSE N/A B005 FIREPLACE / CHIMNEY O1/15/10 ROSE N/A B006 WOOD / GAS STOVE O1/15/10 ROSE N/A B009 OTHER O1/15/10 DOUG PASS BO10 FINAL 11/24/09 ROSE PASS E003 ELECTRIC ROUGH O1/15/10 DOUG N/A E003 ELECTRIC ROUGH 12/10/09 DOUG PASS P003 PLUMBING ROUGH BUILDING PERMIT. STATE OF CONNECTICUT WORKERS'COMPENSATION COMMISSION Building Permit Affidavit for Property Owners or Sole Proprietors (Conn.Gen.Stat. §31-286b) Property located at e 1/ �irl ►/G In the town of—so of— soug IAIMISO (- Name of building permit applicant: c1e- � Please check one: 1. X I am the owner of the above property. 2.VI am the sole proprietor of a business. 2A.Name of business 2B.Federal Employer Identification Number(FEIN) ..............*§-3-1,-,2, ..................................................................................................... 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 yob 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.ZI 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 accept coverage. Signature of applicant Subscribed and sworn to before me this day of ,200 . (Notary Public!Commissioner of the Superior Court)