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HomeMy WebLinkAbout17 LAKEWOOD (HERON NEST) i Electric # APPLICATION FOR BUILDING PERMIT Piumbing# HVAC# 17 �k�w���� — fie-mn ti�cSk— Date: 16 / Zo/6 Sprinkler# f(Q 06 75 y Estimated Cost $ /G?,C'' FINAL APPROVALS Permit Fee $ 15-0 Building COMPLETE RED BOXED AREAS Occupancy Fee $ 10 Engineering TYPE OR PRINT ONLY Eng. Insp. Fee $ Affidavit Appr.forCO. SIGN ON REVERSE SIDE t Total Fee TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ 1218 The undersigned hereby applies to do work according to the following: Applicant ZQ1,64.111 Location of Work i 7 Lot No. Applicant's Address k 96, c 7 06) Tel # Q_SS 'F? _S 7 6 ; Town !'?E �_�!_�_��/ , Zip Lic.# C . 06?�i'S`e�Z Owner Architect Owner's Address /7 ei-*c Architect's Address, Zip Zip Sq. Ft. New Area: 1 st FI. /6 O 2nd FI. 3rd FI. Total New Area Purpose of this permit T� o%r.,,,a. o-.� o✓ �;,�/A/ « /R�,.t� d��� City Water J Well J Septic System J Sewer J 2a f Saks Ins: HO SP Cert. rea Basement Garage Approved by _ 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. ------s Signed I hereby apply for a Certificate of ccupancy for the work described in this application for the permit. YSigned O NOT WRITE BELOW THIS LINE INSPECTION COMMENTS P.O. Box 1343 - Farmington. CT 06034 ===MAW= SOMAK Phone/Fax 860-259-1046 P ROP E R T Y MAN AQEW I Twww.SOMAKManagement.com • • a•e • August 03,2013 Lorna Mutty 17 Heron Nest South Windsor, CT06074 Sent via: Email Attachment RE: Deck Replacement Approval Dear Ms. Mutty, This letter is to inform you that your request to replace your deck has been approved by the ARC and Board of Directors at Lakewood of South Windsor, Inc. The approval is subject to your details and application as faxed on July 21, 2016. Please be sure to obtain all necessary permits from The Town of South Windsor prior to installation as well as subsequent inspections. Please let us know if you have any questions or concerns. Than) u, v' Mike Carrier Manager—Lakewood of South Windsor, Inc. hfA MEMBER OF • • ' 4 INSPECTION FIELD SHEET 12/29/16 Printed by Foreshaw, Dayshell 08 08:43 INSPECTION: 90403 FOOTING PERMIT: STATUS: APPLICATION: 201601536 LOC: 17 LAKEWOOD SOUTH WINDSOR PROPERTY ID: 51900017 OWNER: MUTTY LORNA MCKELVIE CONTRACTOR: REQUEST BY: PROJ DESC: DEMO AND BUILD LARGER DECK. WORK ORDER: INSPECTOR: ROSE RESULT: PASS REQUESTED: 11/14/16 PRIORITY: SCHEDULED: 11/15/16 PM COMPLETED: 11/15/16 UNPAID FEES 00 Date Time MILEAGE: 00 TIME: TRAVEL ONSITE COMMENTS: DECK PIERS ALL INSPECTIONS INSPECTED INSPECTOR RESULT INSP DESCRIPTION 12/09/16 ROSE N/A B002 FOUNDATION 12/09/16 ROSE N/A B003 FRAMING (ROUGH) 12/09/16- ROSE N/A E003 ELECTRIC ROUGH S12/16/16"'-ROSE PASS---PT B010-"-FINAL-'-- t ZACH'@-860-558-5763 n� I � � � 14 ' ��' a6• ' \ oV-N� ^ o" -r„ `� zs•9o, E , R ECEIVED 2016 indsor epartment —,tm.tl that tnis Plan and specifieati ..;pies of the proposed building or alterati� rected at _ 1 -7 together with amendments stated In applicati sled with plan and I agree to comply with all z �ilding and state laws and such orders as sl. .used by the Building Departnwnt during pen t this application and final Issuanee of a buio.. 's Xaarmlt. `Signed ___ 'his plan approve sublect to the condition that ,rdera ordinances regulating building shall be -mplled with. :onditlonally Approved Thew filed with "t uilding Inspector Cl (ara No. [ bC,"l5 j 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 regulations. Variances and special exceptions may apply. Date /0 -/d' -azu)L If iz ing E�Officer IoX/� Electric # APPLICATION FOR BUILDING PERMIT Plumbing# 17 Lakewood Circle Date: HVAC # Sprinkler# 1000481 0 o O V FINAL APPROVALS ! __-_ _ --_ - .__ __.__ ___ - ______ _ � Estimated Cost $ `I Building COMPLETE RED BOXED AREAS Permit Fee $ En ineerin TYPE OR PRINT ONLY Occupancy Fee $ g g i i Eng. Insp. Fee $ Affidavit for CO. 1I !, SIGN ON REVERSE SIDE S t --_— Total Fe� $� TO THE BUILDING DE RTMENT,TOWN OF SOUTH WINDSOR,CT (Additional Cost) $ The undersigned hereby applies to do work according to the following: Applicant Lb it-i o ao-I oar-,a c. Location of Work /7 E2-,-i �s 1AW Lot No. Applicant's Address33 l .oa�,.5 �� �2. - AEAc.o..i Fg-.-s e— o(o go3 Tel.#903 --7 a3 -eoS(9 a Town 4��",-) FA LI- s Zip Q& g Lic.# S�M,,o qP Owner Le ri,.)A ,q L)-r y Architect Owner's Address /-7 h�E�-� AW A)F sT Architect's Address Zip Zip_ Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area Purpose of this permit - — r-P -I- - iq X.E s .,A/ ..-�G/2i/4 I J T�L°/6 LA /L.K /241-//1-1-1 .T/ f la S A 1,;4. City Watery Well❑ Septic Systemo Sewero Ins: HO SP Cert. Area Basement Garage Approved 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 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 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 FIELD SHEET O1/12/12 Printed� by Peart, Dayshell 09 05 57 INSPECTION: 35020 FINAL PERMIT: STATUS: APPLICATION: 201001252 LOCATION: 17 LAKEWOOD SOUTH WINDSOR PROPERTY ID: 51900017 OWNER: MUTTY LORNA MCKELVIE CONTRACTOR: REQUEST BY: DESCRIPTION: REROOF WORK ORDER: INSPECTOR: ROSE RESULT: PASS REQUESTED: 12/02/11 PRIORITY: SCHEDULED: 12/02/11 AM COMPLETED: 12/02/11 UNPAID FEES .00 Date Time TIME: TRAVEL ONSITE COMMENTS: APPLICATION FOR BUILDING PERMIT Electric# D Plumbing# ate: 17 Lakewood/ Heron Nest 6/28/2007 HVAC # Sprinkler# 7 3 0 9 35 FINAL APPROVALS - -_ _ I i Estimated Cost $ 'yJI --- _- -_ - - — Permit Fee $ t S� Building COMPLETE RED BOXED AREAS Affidavit Engineering TYPE OR PRINT ONLY I Eng.Occupancy Insp. $ o� pp 10. SIGN ON REVERSE SIDE A r. for CO. J Total FeeS," $_ _ TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ The undersigned hereby applies to do work according to the following: Applicant k C Kr- M. M v+b--I Location of Work Al Ir 4 Lot No. Applicant'q Address IL)9 r'SA Alt UJ- Tel.# 5_­14- L 3�) Town Vl -r- . "d i✓ Zip Lic.# Owner ^A., M M yH Architect Owner's Address /:7 4r/&A1 $)r 0-t- Architect's Address Zip Zip- .-Sq. Ft. New Area: 1 st Fl. 2nd FI. 3rd FI. Total New Area Purpose of this permit + City Water❑ Well❑ Septic System❑ Sewer❑ Ins: HO P Area Basement Garage Approved by Date �� a� Use Group Construction Type 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 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 whi h this building and its use is allowed. Signed /( I hereby apply for a Certificate of Occupancy for the work Ueribed in this application for the permit. Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS J.C. Tonnotti Window Co. Inc. t, 205 Bristol St. Southington CT. 06489 860-621-1642 CT. Reg# 564728 lead WINDOW COMPANY - "A Name You Can Rely On" "A Name You Can Rely On' www.jctonnotti.com This contract made this day of , �v c-. 20�by and between J.C.Tonnotti (herein after referred to as J.C.Tonnotti or Contractor)aria ! f c:tc Name/i�f i, 'c c. .t . ",�'u �1/rcr7 . ,Phone; `i WOTk Address ! ? r < ,mils. ?" City i�� �.:��r 4 ST % Zip Job Address t".,! { < ; t-- L/it 1.J.C.Tonnotti will remove /,`> 4 ! f' -t windows and storms 2.J.C.Tonnotti will install fS q.. '. 3 7 t /b.: r' : fusion welded windows lMil',V �� nt li tis< . r I 0C1J'ICt,I�6ID 3.J.C.Tonnotti Window styles will be l l..? ., I b r51. (F}'t r'i C-&)-r. / 7 r= (>:' .st' Grids(Yes'No 4.All J.C.Tonnotti windows are FUSION WELDED FRAME AND SASH and of ,�r E%rf.- t��>//7 f- virgin vinyl 5.All J.C.Tonnotti windows have Patented Inverted Refrigerator Gasket }Yes No 6.All J.C.Tonnotti windows have complete exterior window treatment in "1 r N L 0 C5 E_y) PVC/Smooth 7.Fiberglass insulation wrapped around applicable windows Vf screens yes no 8.Any debris caused by J.C.Tonnotti installers plus old windows will be hauled away Nei`, No Other-Describe Total Cash o IKI r.I L C,, /I kI � :� r � �k l(I1-01:i; �.c.; � � -,rC 1;�tifr_> Price ��``/ � i,r,laT'I r Ll UAJI At rl �. ir..) r, i�7/s : Down payment rG' C� on, -,ill ,i, <. Upon Call /)S J-T ' Upon Measure .7 2 Upon Comp. ly -7 Approximate Start Date: ?,_5 !' M A_4 C a c �J�! Cash Approximate Completion time: !_ ram,„� Finance Contractor does not do painting or staining Owner warrants that he is the owner of the property on which the work is to be performed or that he is otherwise authorized on behalf of the owners to enter into this agreement. This agreement is for the benefit of,and shall be binding upon,the parties and their respective heirs,successors and assigns. Where applicable herein,all references to masculine shall include feminine and singular shall include plural. Any holder of this consumer contract is subject to all claims and defenses which the debtor could assert against the contractor of goods of services obtained pursuant here to or with the proceeds hereof. Recovery hereunder by the debtor shall not exceed amounts paid by the debtor hereunder. Pursuant to Paragraph 2 hereol Buyer agrees to accept delivery of materials after notice from contractor of the installation date. However,Contractor shall not be liable for any delays caused by war,riots,strikes,ads of God,delays due to manufacturing of products or other causes beyond it's control. If defaulted by the debtor for any reason other than stated above the debtor will be required by law to pay this contractor 30%of the total of the original agreement. IN WITNESSES WHEREOF,the parties have hereunto signed their names on /_Z_/20 C' 1 j ' 3� � •:..T Signed �= ! i> r` {" Signed",�` s, :r- �- Representative of J.C.Tonnotti Owner Sign6d Signed Subject to office approval Owner Notice of Cancellation Date <i i YOU MAY CANCEL THIS TRANSACTION.WITHOUT ANY PENALTY OR OBLIGATION. WITHIN THRRR Submit by Email I I Print Form I Digiorgi Roofing & Siding a 33 Lancaster Drive Building Permit Request Form I Beacon Falls, CT 06403 Date of Request:9-18-10 203-723-6880 Phone Date Needed:9-25-10 203-723-7480 Fax Project Start Date: Type of Work to Be Performed:Roofing Total Cost of Job: $9,000.00 Signed ContractAttoched: Yes 0 No ❑ I The submission of this Permit Request Form In any manner including but not limited to facsimile,electronically or by postal service,does hereby authorize GOI'OIt swi'vices.Inc,and its employees and arcnts,lu atppiv fur and procure this permlr on your company's behalf. Your submission of this Permit Request Form further means thol you under.,Lind and agree that you arc liable to reimburse us any.municipal cost involved in the procurement of this Permit,together with our Permit Service FAx:.In thr.event that you notify GOFOR Services that you wish to Cancel this Permit Request form,you agree to reimburse and pay GOFOR Services for any and all cost;incurred by GOFOR perLaining to the processing and procurement of this Permit Request;along wtth_siCencellatlon Fee of ten dollars(S1D). No Cancellation Fee will be applied it your CBncellullon reque::t Is rn;ceNPd within thu first(orty:slght hours:r(terorlgln;rlrcceipt of this Permit Request.. Contractor lob#: Residential: ❑Commerclal:❑ Customer Name: Lorna Mut[y MUld-Famlly:2 3[] 40 Customer Add 17 Heron Nes L G k tP wiad Address of Work: (if different than above) South Windsor C7 860-528-2309 City: ST Zip - Telephone: ROOFING (please complete fully) SIDING pplease complere fully) WINDOWS (please complete fully) Basic Info Basic Info Basic Info Tear off Strip Manufacturer Manufacturer Nail Over Tear Off Model No.of Layers 1 Squares Typ'e.of Windows squares 19.1 Siding Model No. Area of E mss Manufacturer Certainteed Type of Insulation U-Factor. Shingle Model Insulation Thickness R-Valve 15 lb Felt Type of Fastener i Ridge Vent AlI the way to th Size of Roof Pitch of Roof Staged Material Under Roof Replace Sheathing ❑Yes [:]No Size of Nail Additional Info and Misc Comments- Strlp roof: Remove existing roofing on all. Apply new roofing shingles,Landmark Woodscape,Max Def, Premium Lifetime. Printed Name:Christina Morgan Signature Date: 9-18-10 1 900/100 *d ES9Z E21 E02(X8j) 13 H1(lOS d0 088ng 9831 EVEI (18S)O102-81-d3S t Showron mc Localad In floa=Ids, vww.digiorgiinc.com d at 71DeG�baoH wemmrl c r�0n1aD 18i ' •ourrampy,yarmimrolrF moys1mo10= Corporate Headquarters: P.O.Box 1213.33 Lancaster Drive,Beacon Falls,CT 05403•Tol:203-723t880.600-428-M8•Fax:203 723-7d80 OWNER: WORKTO BE PERFORMED AT Narris Le,R ty/1 street Street city estate 41P Citya1:rlr,�LZipr salasperaon 69'n E Ur Data 2)E S 5! £ M'T Work'lbl: Coll Tel:Ro D ROOFING JOB DESCRIPTION strlp Roof:remove existing roofing down to wood dock,wood slat,,wood shinglos. pelf lfUi rj Ru•1300f:Remove tiny curled or disfigured roof shingles and dfscrrrd. S ocif yreas: Fiat Roorinq:Apply Bnro Shoot to hat Roof Surfaco i []Apply Modiliad Bitumen Roofing. 1 s ocll areas; - A I 112' CJ5181COX plywood,horcoleathcr over wood_sit ln les, t Rprilmn any darns cd sne3thing at on additional costof 3 Go per4'Xd'sheeL -LP9-Al)ply Ice and water barrior at coves,valleys,around s lltea chirrineya and pitch ehan aR. Addlilonr.il Icn rind walcr barrier Instructions: Ar.per Connecticut's HI h Wind Building Cocio-Shin los ero to be appUod with six nails. -Ani3lv now aluminum premium edging to com lele perimeter of roof areas Aprily Fibarolass roinlorced roofing select underta ment it Apply SO#roil In vallayn and shirt le with a closed Valjpy�- ALiply new vent pipFi boals. Apply new rooting shingles- ./n!U/11 -Stmciry manufacturer,of lu and cofur. !t O- A/ Mc m�i2 SC Wit_r/n e Apoly now couriv-r1loshing around chi nov s load o ar afeemen!- ail' gl A 1 Alrvent-Shln lovent 11•rid cvo to rid aa:-S ccl a 1-' of-' - - - Inriall tl x 1fi 4 x 16 6 x 1 undernrivn vrnIR nl nttvP.A� _❑A I Loma+ co#750 louvers on roof. Sea areas: _CI Remove pgv9 rZArmi rll your TV Satellite Distkat responsible forpropar racy lion all nmont_ '0-Clem tl doll and rrmam all ob related debris Ira, cam Isle.ro the rcasanabb sells/ecllon,QLLWltare aornr I lean All notillng dabds from ulters When coni lele. jjV.I Per Certatnteed's Certification far aotoct shlnpla roofers Includes Sure Start Plus Extended Warranty-Five Star �Overage Of Y610 years-100%Covt:rant:-InrJudlatg Labor ,U cludea D101wo'e Everiast Warlananahip Warranty �A111tanal Instruction- - I fl rL� inl AL/t<L-. ��°L�.o7pc'T�!,� NOT ON LAI r is u1�lu�,�r�l. i Color Shlnnle9/V /,P o3",ele Madlllud ` Ldpina Gctlinated Start Date: _ J11bayond led Completion Date:Thn rontreclor shall not he(iablo tar Rny delirice caused by an act of Cod,strike.Inclemanl weather,unavailability of m3lerlols or any och its control.-reasoriawy The total contract price shall be the sum offor the parlor mance of work dascrlbed In the procoding caclions,payabto tie follows: OT STATE LICENSE If: 520048 MA STATE LICENSE r;1 S122o A. Deposll upon tho algning of this contract: t►�� . csco4.uTS D. $ Uuu upon completion of work. i Paq I,nL-i t t i at f�L111. 14p whim-OIAce--Yellow Cusramor•Vlnk_Fit.. Page 1 of 2 900/200 'd ESU UL E02(XH3) n Him .30 addnq 3831 EVEI (18S)O102-91-d3S Company Is net rosponsiblo for any debrL^^In Mr.or milyardiing dams ps due b vltxtlltoae. h VP ,n/p !.� AJ.II n Wu urn not reepormlblo Wniy damage caused by the tlumpetarir � � 4 r(` f ti Toli>I talWng Includes all Wee and permit leas. ?� Contractor stroll be responsible for Securing the necessary permits and licensee at Ito own cost and expense. cr,91) (A Customer Is reaponzlbte for removal of sit Items,nick narks,etc.that may break during Installation. Company Is not responsible for any damage to cicOrIcal(Waras that may break during removal or installation. Tills 3rlreemont shall cant;lllule the entire agreement between the pailles and any prior under-.tanding or representation of any X Al LP° kind prrceding the d3le of this agreement shall nol be binding upon oilhdr party except to the extent Incorporated In this agreement Any modlllcation or this 3grooricrd ur addttlonal obligation assumed by either pony In connection with Ilits agreement zhali bf! bindlnq only it evidence in wriling nIgnod by each parry or authorized representative of tech party. i II is aUIced that this agreement shall be governed by,construed and enfarcod In accordance with Iota laws of the State of Connecticut. The faitu!u a1 either party to tnls egrccmcnt to Inilst upon Utc penonnance of any terms and condition of this agrcamt:nt or wplvar nr any I,reseh of any of the terns or cendlllona of this agreement shall not be construed as thereatler waiving any such terns nnrl conditions,but„urn terms and condltionu snail continue and remain In full torts and effect as If no cuch lonlcafaneL earlier hod occurred. In the cveiti owner falls to maltC any of the agreed payments,the undersigned cgrccz to pay conuaclaec costa In collecting any outstanding payments due.Includlnp,but not llmllnd Ia.coets of lit1gatiion and nllamey's fees. Ownoralso agrees la be n9. Nzrd Interest at the r.+te or 12%per annum°nr any aulstanding balance more than thirty days overdue. Owner represents IhOt contractor ordlly Informed nwner nt the lima of signing of this contract of owner's right to cancol. THE OWNER MAY CANCCLTHIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY 1 AFTER THE DATE OF THIS TRANSACTION. SEE NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT.WHICH IS SET FORTH BELOW. , DiGIORGI ROOFING F.SIDING.,INC. I BY: PC," WI LfM/�'` DATE Holy AtghorL:cd f0 Ip D E Owner TYPEOFJOB R S W Ca LG SVC RM DATE ,'Owner 7 NOTICE OF CANCELLATION Dula of Cuntract: Property Addruss: YOU MAY CANCEL THIS TRANSACTION,WITHOUT ANY PENALTY OR OBLIGATION,WITHIN THREE BUSINESS DAYS FROM THG ABOVE DATE. IF YOU CANCEL.ANY PROPERTY TRADED IN,ANY PAYMENTS MADE BY YOU UNDER THE CONTRACT OR SALE,AND ANY NEGOTIABLE INSTRUMENT EXECUTED BY YOU WILL BE RETURNED WITHIN TEN BUSINESS DAYS FOLLOWING RECEIPT BY THE CONTRACTOR OF YOUR CANCELLATION l NOTICE,AND ANY SECURITY INTEREST ARISING OUT OF THE TRANSACTION WILL BE CANCELLED. I IF YOU CANCEL,YOU MUST MAKE AVAILABLE TO THE CONTRACTOR AT YOUR RESIDENCE,IN ' SUBSTANTIALLY AS GOOD CONDITION AS WHEN RECEIVED,ANY GOODS DELIVERED TO YOU UNDER THIS CONTRACT OR SALE;OR YOU MAY,IF YOU WISH.COMPLY WITH THE INSTRUCTION OF THE CONTRACTOR REGARDING THE RETURN SHIPMENT OF THE GOODS AT THE CONTRACTOR'S EXPENSE AND RISK. IF YOU-DO MAKE THE GOODS AVAILABLE TO THE CONTRACTOR AND THE CONTRACTOR DOES NOT PICK THEM UP WITHIN TWENTY DAYS OF THE DATE OF CANCELLATION.YOU MAY RETAIN OR DISPOSE OF THE GOODS WITHOUT ANY FURTHER OBLIGATION. IF YOU FAIL TO MAKE THE GOODS AVAILABLE TO THE CONTRACTOR,OR IF YOU AGREE TO RETURN THE GOODS TO THE CONTRACTOR AND FAIL TO DO SO,THEN YOU REMAIN LIABLE FOR PERFORMANCE OF ALL OBLIGATIONS UNDER THE CONTRACT. TO CANCEL THIS TRANSACTION,Mt11L OR DELIVER A SIGNED AND DATED COPY OF THIS CANCELLATION NOTICE OR ANY OTHER WRITTEN NOTICE,OR SEND A TELE13RAM OR FAX(203)723-7480 TO THE CONTRACTOR AT P.O.Box 129.Beacon Falls,CT 00403,NO LATER THAN MIDNIGHT OF 1 HEREBY CANCEL THIS TRANSACTION. I I DATE .OWNER DATE ,OWNER Wnits-Dlfiee•Yellow-Customer Pilge 2 of t 900/E00 'd ESU M E02(X8.3) 13 Him 30 OdUA9 3831 EO El (18S)0IO2-9i-d3S DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: 00 yp 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: y $0-$1,000=$15.00 Fi ` Street Lot No. Over$1,000= �( $15.00 per$1,000 or any fraction thereof ion Apt.No. � ��.x,����� APPLICANT ADDRESS APPLICANT PHONE# �0)0 N Se-4 e-4 OWNER OWNER ADDRESS �� czc��•c�V `� 4 OWNER PHONE C ESTIMATED COST$ .� IS THIS A CONTRACT COST Yes _No FEE ENCLOSED$� 400, �� ��/�� TYPE OF JOB: R New Installation Alteration/Addition/Repair Revised 4/01H2002 APPLICATION FOR PLUMBING PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A ❑RESIDENTIAL BUILDING PERMIT APPLICATION? ❑ YES-qNO ❑BUSINESS CURRENT USE AND OCCUPANCY `�` ��N cl ❑ASSEMBLY ❑MERCANTILE❑EDUCATIONAL FUTURE USE AND OCCUPANCY ❑INSTITUTIONAL ❑FACTORY ENGINEER'S NAME PHONE ❑ STORAGE ❑GARAGE ADDRESS ❑MIXED USE (Other please specify) CITY STATE ZIP 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 ❑YES O 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 C76„��irQ� MANUFACTURER \�T DESCRIPTION OF WORK THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCIZMTTF"=-T917— COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. aOa�E� cogrkAcTORS LTMSE NO. TYPE STATE SIGNATURE OF APPLICANT �\ —_ DATE c APPLICATION FOR HVAC PERMIT DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT 1506 37,,1- APPR v 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 Date Building Inspector Application must be printed or typed FEE SCHEDULE Location of Job: $041,000=$15.00 1-1 t iT�Ntnv Over$1,000= I Street No. Street Lot No. $15.00 per$1,000 k-e- W O o or any fraction thereof Tenant Designation Apt.No. APPLICANT } APPLICANT ADDRESS ::ko N QeMAr SAt �. z. aww- o�a� APPLICANT'S PHONE# Cj- (oaf-tCiG OWNER Fehr-. �- k-ump- Jt 1 O00, W N S Fq< OWNER ADDRESS YJz��- 0 6 011-1 OWNER PHONE A - 5a-Y —a--,�Pc1 ESTIMATED COST$ 10 710 C � IS THIS A CONTRACT COST? No FEE ENCLOSED$ TYPE OF JOB: �Vi9t' SOR•COS New Installation ✓ Alteration/Addition/Repair Revised 03/05/10 APPLICATION FOR HVAC PERNIIT(Continued from reverse side) TYPE OF SYSTEM: TYPE OF BUILDING: Q HEATING RESIDENTIAL Q-IA/C ❑ COMMERCIAL ❑ VENTILATION ❑ INDUSTRIAL HEATING ❑ STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS. ❑ HYDRONIC 8'�VARM AIR ❑ UNIT RADIANT HEATER 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.) g,em �'arngce_ R q6, hoW-©70 GROSS HEATING CAPACITY(INPUT BTUH)''O�OD o NET RATING(OUTPUT-BTUH) ��O TYPE OF FUEL ❑ OIL-GPM OIL TANK LOCATION: ❑ INSIDE ❑ OUTSIDE CAPACITY E rGAS-INPUT , 7 PG 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.) lRli�c�-rr C , C F'-_3G/7-r TONNAGE o2�_ COOLING CAPACITY(BTUH)30, 0O6 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 ���. -�Q��� c J 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. 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