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HomeMy WebLinkAbout175 PINE TREE LN DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT Application ' TOWN OF SOUTH WINDSOR PERMIT# BUILDING DEPARTMENT �— OVED 1540 SULLIVAN AVENUE ti Bldg.Permit# 644-2511 ext. 230 i Date B ding 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$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT D A-- C N ( ` C APPLICANT ADDRESS Q 1 / �S O 1 APPLICANT PHONE# O Yd N S i , OWNER C OWNER ADDRESS Z-HIC o, A. OWNER PHONE C ESTIMATED COST$ b x � �IS THIS A CONTRACT COST? (%Yes _No D� o � '''' °� ��� FEE ENCLOSED$ f��s O�� TYPE OF JOB: �R C _New Installation teration/Addition/Repair Revised 4/01//2002 APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse Side) TYPE BUILDING IS THIS APPLICATION ASSOCIATED WITit RESIDENTIAL BUILDING PERMIT APPLICATION? ❑ YES ❑BUSINESS CURRENT USE AND OCCUPANCY Ars eIVAARC ❑ASSEMBLY ❑MERCANTILE FUTURE USE AND OCCUPANCY ❑ EDUCATIONAL ❑ INSTITUTIONAL 4 g'— Q ❑FACTORY ENGINEER'S NAME — PHONE ❑ STORAGE ❑ GARAGE ADDRESS ❑MIXED USE (Other please specify) CITY STATE ZIP TYPE OF INSTALLATION/WIRING METHOD O SIZE OF SERVICE )!mil SIZE OF MAIN CONDUCTORS O NUMBER OF METERS / NUMBER OF DISCONNECTS AND RATINGS���- ollo NUMBER OF PANELS REMOTE DISCONNECT REQUIRED? ❑YES 0.3141-- 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 /,4 r eol ex—)/A 0 .4o4 o-i oC-4-�s I' a- N�_w (� / S co— C S E 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 O. �D STATE �f SIGNATURE OF APPLICANT / DATE 4 1 8 7* 3 - L %)l cO 187. N x r . 15 M U-) co X. Town of South Windsor 175 Pine Tree N Connecticut PARCELS ROAD NAMES ' Date Printed: July 24,2006 BORDER 0 60 Feet ROADS Property boundaries are derived from the Town of South Windsor Tax Assessor maps,digitized at a scale of 1 inch=100 feet,and include the same data limitations and disclaimer as the Assessors maps. All other data portrayed is representation only and,due to inherent mapping limitations,should be used as a guide onty. The intent of this map is to present a graphical representation of property boundarie and selected data,and the map is subject to change as more accurate surveys may disclose. Property boundaries mapped as of June 4,2001. ,L,JI.i h1Nr: a.rorr to r. O -- 'Pltcat,r. NOV J 7 2008 w;.r South Windsor BUILDING DEPARTMENT Ja °' a id`•V,.., (nnsa flied with c _,.......1ROy "�— cia. CERTIFICATION OF ZONING COMPLIANCE Proposed building(s), use(s) and/or structure(s) as shown on this plan appear(s) to be in CQWrmance with current South WAMW moons. Variances and special exqmom may alply. Date If--1 �v3 Zoning �nforc=ement Officer 'i w g E r F c W 'A e w [� k n - g� r -_•. ab vow 4 x 4 ° e ° Shirley Wilhelm-CRS Approval Confirmation: Request No. 386542 Page 1 From: <clpsvc@nu.com> To: <WILHEL@SOUTHWINDSOR.ORG> Date: 11/10/04 10:11 AM Subject: CRS Approval Confirmation: Request No. 386542 Your approval of the following CRS Request has been successfully processed. CRS Work Request#: 386542 House No: 175 Lot No: Street Name: PINE TREE LN Town Name: SOUTH WINDSOR, CT Inspector: CHRISTOPHER DOUGAN Approval Date: Nov 10, 2004 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. ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ LO C14 , , 1 `7*3 U0 � 16 2� cfl 187, 7 x � N � 15 X ! o/ ,. 00 86.6 a -- - 18 17 Town of South Windsor 175 Pine Tree N Connecticut PARCELS ROAD NAMES 611AD-.2- Date Printed: July 24,2oos BORDER 0 60 Feet ROADS Property boundaries are derived from the Town of South Windsor Tax Assessor maps,digitized at a scale of 1 inch=100 feet,and Include the same data limitations and disclaimer as the Assessors maps. AD other data portrayed is representation only and,due to inherent mapping limitations,should be used as a guide only. The Intent of this map is to present a graphical representation of property boundarie and selected data,and the map Is subject to change as more accurate surveys may disclose. Property boundaries mapped as of June 4,2001. JUL 2 4 ZUUe South Windsor BUILDING DEPARTMENT ,U jt,c fhis certriicd ihzt tnis pl.;n and sy,�ii ror U.tn� .re�;,, `-Pit's of the proposed ►utlding or .iterations to b., ,,ected at !� 1 �15 T" (VtQ ct ee, tagether with amendments stated in a :'fled Anc with plan and I a fee pPllcn1 zoning. ng. B to comply with all zoning. -'•!.ilding and state laws and such orders as shay N Issurd by the Ulilding Department during pendency �I this APtiction and final issuance of a building Dermit. 1 I'his p s approved subject to a eo dltlon th t ,rder% and ordinances regulating building shall i\ 1 :antplwd w� ith. �i.. V --onditionally Approved 11Ie20 flied with Building Inspector Clerk CERTIFICATION OF ZONINr- ""APLIANCE Prrr�. ar 'Xs) in � r� � .;or Dade Tv_. Zo ing,Enforcement Offices v�, l� lEs VAK !1.40 Bey e) .o Ym. ._._-.. SkttJct.�,s 4l�iLX Igo° Data. �►. - ,Sim L►—M JALOLrPS ..WIWDOW r/bt►PIS ' 'tExNt� , aESNaWN WrTH F IZo t l-' S 1J9A2V wlWVOWS and erTv, VoURL.E t7OOFts t2 ,� ��rz-F SLING sHltiGi„Eg � �� � k111 cvx t�.Ytuoon !! ►t r,00r SH IBA-TH lNG Z Awm. mir CAP GUSSET 1�-t sloes �--�XN� t-1i Ir3.kSA and t1 402 W I t VS.$c 5TU175 O t(ouo.G, 5; P�.'tWoop+I li�`Vf►riY 2l!X INN I 1 to z p 5*U P c t 7 • DLO�R � i 5C-�' 'G� t&"o.G � ,,••of coNN .;•,,, �iSRUCE�lL^ �111 �l :t l �Ll �ll+l ill Vl 7T__ l tvl C� £; ye • � •,,,EKED ARC;',.•°�, ,.. _ S" - . [ORAGE 5LOGr. bwc N°• Dc. ]R T (660) S'71 - 104 5 Cr \J Quality is the foundation on which we build. - p (660) 8-71- 111-7 21G wEEST- 120. ELLIRGToN, C:T. CG Z5 WEE, WWW.14LO'TERFARM5.COM 1� bulLU1NU STATE OF CONNECTICUT WORKERS' COMPENSATION COMMISSION Building Permit Affidavit for Property Owners or Sole Proprietors (Conn.Gen.Stat. §31-286b) Property located at U { , D ��(�9__,� In the town of 1�lC6(1�(- Name of building permit applicant: Please ch kne: 1. 7�I am 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: 1._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 t accept coverage. no U I Y-)�K4 ignature of applicant Subscribed and sworn to before me this --)ay of ,200_. (Notary Public/Commissioner of the Superior Court) DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT PERMIT# Application is hereby: TOWN OF SOUTH WINDSOR 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 FTenant Street ]No. Over$1,000= $15.00 per$1,000 or any fraction thereof gnation Apt.No. APPLICANT APPLICANT ADDRESS APPLICANT PHONE# O W N St,q OWNER OWNER ADDRESS U) .a OWNER PHONE �Ja'� OJZS�-it 0 C ESTIMATED COST$ V 7�;� d!� V - IS THIS A CONTRACT COST? -/ Yes _No FEE ENCLOSED$ s o TYPE OF JOB: R C _New Installation �- lteration/Addition/Repair Revised 4/01//2002 i APPLICATION FOR HVAC PERMIT (Continued from reverse side) TYPE OF Sj;STEM: TYPE OF BYILDING: Ql4lEATING DRESIDENTIAL ❑A/C ❑COMMERCIAL ❑VENTILATION ❑INDUSTRIAL HEATING ❑ STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS. MYDRONIC ❑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 ALL HEATING EQUIPMENT(INCLUDING MAKE&MODEL NO.) GROSS HEATING CAPACITY(INPUT—BTUH) 1� 6 c�pn NET RATING(OUTPUT—BTUH) ,1�'a►• TYPE OF FUEL U-dIL--GPM OIL TANK LOCATION :"SIDE❑OUTSIDE CAPACITY ❑GAS—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 Rc�A,"n, � 2,ar,e. O`� \r" 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. 3�tD,55 CONTRACTORS LICENSE NO. YPE STATE SIGNATURE OF APPLICANT DATE 5-Z� LlG�.-GaS�I Slantl ;n. lif dronirBILL red Job Name:175 PINE TREE CustGERS Engineer: Salesman:ED TAYLOR Address: City: State• Zip: Phone: Indoor Design Temperatu7&.0 Outdoor Design Temperattft(D F Altitude(Elevation): 0 HEAT LOSS CALCULATIONS 1st Floor BEDROOM MSTR CLST BATH _Floor Totals Job Totals_ -t Room Height(ft) 12.00 8.00 8.00 L Room Length(ft) 15.00 13.00 10.00 Room Width(ft) 13.00 6.00 10.00 Doors&Glass(sq ft) 24.00 6.00 6.00 T 1 Door&Glass Factor 0.6500 0.6500 0.6500 Exposed Wall Length(ft) 28.00 19.00 20.00 Exposed Wall Factor 0.0700i 0.0700' 0.0700 Cold Partition Length(ft) J �- -r Cold Partition Factor __ Ceiling Factor 0.050 0.0500 0.0500 Floor Factor 0.0300 0.0300 0.03001 1 Infiltration Factor 0.0180, 0.0180 0.0180 } r Indoor Temperature(F) 70.00 70.00 70.00' Heat Loss(BTU/HR) 6,661 2,211 2,8551 11,727 11,727 BASEBOARD SELECTIONS 1st Floor Fine/Line 15(lin.ft.) 12.51 4.01 5.5i 22.0,-- 22.0� selected r L Fine/Line 30(lin.ft.) 11.5� 401 5.0 20.5' 20.5 selected + Multi/Pak 80(lin.ft.) 9.5� 3.0 4.0 16.5 16.5 selected --- -1- Copyright(C)2000 Slant/Fin Corporation 100 Forest Drive Greenvale, NY 11548 (516)484-2600 www.slantfin.com �, ..�.„ ,.F.�.......,�.-,..,,,.may f S/antlF. 9-C chronic Ex : re Job Name:175 PINE TREE Customer: BILL ROGERS Engineer: Salesman:ED TAYLOR Address: City: State: Zip: Phone: Indoor Design Temperatu70.0 Outdoor Design TemperattDf2 F Altitude(Elevation): 0 HEAT LOSS CALCULATIONS 1st Floor BEDROOM MSTR CLST BATH Floor Totals �- Job Totals Room Height(ft) 12.00 8.00 8.00 -- -- Room Length(ft) 15.001_ 13.00' 10.001 Room Width(ft) 13.001 6.00 10.00, T Doors&Glass(sq ft) 24.00 6.001 6.001 Door&Glass Factor 0.6500� 0.6500; 0.6500 Exposed Wall Length(ft) 28.001 19.001 20.00' Exposed Wall Factor 0.07001 0.0700r 0.07001 Cold Partition Length(ft) Cold Partition Factor r Ceiling Factor 0.0500 0.05001 0.0500, Floor Factor 0.0300� 0.0300 0.0300r Infiltration Factor 0.0180 0.0180 0.0180' j Indoor Temperature(F) 70.00 0 70.00� Heat Loss(BTU/HR) 6,661t 2,211 2,855 11,7271 11,727 BASEBOARD SELECTIONS 1st Floor Fine/Line 15(lin.ft.) 12.5 4.0 5.51 22.0 22.01 selected Fine/Line 30(lin.ft.) 11.5 4.015.0 20.5 20.5 selected Multi/Pak 80(lin.ft.) 9.5 3.01 4.0 16.51 16.5 selected -1- Copyright(C)2000 Slant/Fin Corporation 100 Forest Drive Greenvale, NY 11548 (516)484-2600 www.slantfin.com DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT ERMIT# Application is hereby: TOWN OF SOUTH WINDSOR M�Clio DEPARTMENT APPR07VED 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 Date Buildin Inspdcton 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$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT APPLICANT ADDRESS APPLICANT PHONE# � O w N 3 F,q OWNER OWNER ADDRESS OWNER PHONE I'vo 7 .-- C ESTIMATED COST$ IS THIS A CONTRACT COST? vYes _No FEE ENCLOSED$ r�OSOR-CO CO� TYPE OF JOB: 3t// New Installation rU './Alteration/Addition/Repair Revised 4/01//2002 APPLICATION FOR PLUMBING PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATE--DIIW����ITH A R/ESIDENTIAL BUILDING PERMIT APPLICATION? l�'YES ❑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�c� �Y� t�Z.>J ��•a � 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 ❑NO SIZE OF WINDOW IF NONE C.F.M. OF VENTILATOR SIZE OF DUCTS SEWER OR SEPTIC TANK SIZE OF WATER MAIN V�`� SIZE OF WATER PIPING&RISER 3[�t, WATER HEATER: TYPE MANUFACTURER 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. : 0(Dk4�n 1 �t 7k, CONTRACTORS LICENSE tNO. TYPE STATE SIGNATURE OF APPLICANT DATE DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERNHT PERMIT# Applioati TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT PRO 1540 SULLIVAN AVENUE Bldg.Permit# Zd 644-2511 ext. 230 Date Bu'di sp,, Application must be printed or typed FEE SCHEDULE Location of Job: 7S' leiv15� lrc� $0-$1,000=$15.00 Street No. Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof ,Tenant Designation Apt.No. APPLICANT i.<J �rt APPLICANT ADDRESS C' L..c n F C-T cxa'�L-?C? APPLICANT PHONE# 6 7 Co OW N 3� OWNER Y� I�'1 �Y � % q< OWNER ADDRESS OWNER PHONE ESTIMATED COST$ _307J� a _ IS THIS A CONTRACT COST? Yes L— S �G FEE ENCLOSED$ yr.6T) s � TYPE OF JOB: -' OR C New Installation �tion/Addition/Repair Revisod 4/01/=02 APPLICATION FOR ELECTRICAL 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 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 /2y rrr e SIZE OF SERVICE Q SIZE OF MAIN CONDUCTORS NUMBER OF METERS / NUMBER OF DISCONNECTS AND RATINGS NUMBER OF PANELS ` REMOTE DISCONNECT REQUIRED? ❑YES E31I0 NUMBER OF LIGHT CIRCUITS .. NUMBER OF POWER CIRCUITS NUMBER OF SWITCHES 5� 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 -, � bad/✓rr� ✓��� � �.� ���',-� 17�ur sm�.� �% ,-,�,5 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. TYPE cSTATE SIGNATURE OF APPLICANT �' 'Iry % �?�'/ DATE J " / E—RI ()q Electr c # 175 P A ePffl�eT19,N FOR AN f IT Plumbing# 900039 Kav . HVAC # IF�jr�p 1 "7nnQ Sprinkler# FINAL APPROVALS -- - — _ - Esrimated w i Building COMPLETE RED BOXED AREAS Perml �LG DEP Engineering TYPE OR PRINT ONLY Occupancy ee $ Affidavit ' ' Eng. Insp. Fee $ J ---- -..._� ' A r. for co. f ► SIGN ON REVERSE SIDE PP Total Fee ($----�� TO THE BUILDING DE ARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost)y The undersigned hereby applies to do work according to the following: Applicano/ "49/�/ CIIIII iv.I.-G-A%cw Location of Work/25 /��N�' '/.� Z!it/ J, No. Applicants AdAess3-k) ?1,4--v f;e- /j'�/1/l l����irz62�i--0/ a,6704,�� Tel.# J 3- Town ,t1NZ'f/ ��� C° Zip 15-;� � Lic.#�1,C• G�v3�`�y Owner Architect Owner's Ad ess /7S %�f/���F/£ ���, Architect's Address S . G-✓i:�//JS�=� Zip Zip Sq. Ft. New Area: 1st FI. 2nd FI.t 3rd FI. Total New Area ,3,;20 Purpose of this permit 441 ,��i.�.�-,121 ,q .�"2) :sue �i��S Ci;o�r l yt f!r�.reL UG✓�� ��'-K-S City WaterW Well❑ Septic System❑ Sewero Ins: HO SP Cert. Area Basement Garage Approved by 4 ate 3 T,6 -(,-(1 Use Group Construction Type Revised W02 I hereby agree to conform to all the requirements of the Laws of the State of Connecticut:ind 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 � l� L__j/ / -}�� `J I hereby apply for a Certificate of Occupancy for the work described in this alp lication r thepermit. Signed ZZLZ -_ �� DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS �rZ t[� i INSPECTION FIELD SHEET 10/13/09 Printed by Kehoe, Alice 16 07:48 INSPECTION: 26853 FINAL PERMIT: STATUS: APPLICATION: 200900088 LOCATION: 175 PINE TREE LANE SOUTH WINDSOR PROPERTY ID: 72300175 OWNER: MURPHY JASON E & LENNORE F CONTRACTOR: HANDYMAN CONNECTION 860-533-3225 DESCRIPTION: AN ADDITION OF BEDROOM OVER GARAGE WORK ORDER: INSPECTOR: ROSE RESULT: PASS REQUESTED: 10/13/09 SCHEDULED: 10/13/09 AM COMPLETED: 10/13/09 UNPAID FEES 00 Date Time TIME: TRAVEL ONSITE COMMENTS: CONTR AWAITING WINDOW ON ORDER (NEAR JACUZZI) ALL INSPECTIONS INSPECTED INSPECTOR RESULT INSP DESCRIPTION B001 FOOTING B002 FOUNDATION 04/21/09 ROSE PENDING B003 FRAMING (ROUGH) 06/24/09 DOUG PASS B003 FRAMING (ROUGH) 06/30/09 ROSE PASS B004 INSULATION 06/04/09 ROSE PASS B004 INSULATION B005 FIREPLACE / CHIMNEY B006 WOOD / GAS STOVE 10/13/09 ROSE PENDING BO10 FINAL 05/19/09 DOUG FAIL BO10 FINAL E001 ELECTRIC SERVICE E002 ELECTRIC UNDERGROUND 05/28/09 ROSE PASS E003 ELECTRIC ROUGH 06/24/09 DOUG PASS E003 ELECTRIC ROUGH P001 WATER HEATER REPLACEMENT P002 PLUMBING UNDERGROUND P003 PLUMBING ROUGH P004 PLUMBING GAS TEST Revised 4/01//2002 DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT PERMIT# Application is hereby: TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT D APPR!Builig 1540 SULLIVAN AVENUEBldg.Permit# 644-2511 ext. 230 Date 41,,p , Application must be printed or typed FEE SCHEDULE Location of Job: --I S $0-$1,000=$15.00 F=Tenant Street ]—No. Over$1,000= $15.00 per$1,000 or any fraction thereof gnation A APPLICANT rc�,„o,_,�. Q � .•, C® _. APPLICANT ADDRESS APPLICANT PHONE# O W N 8 F,q OWNER OWNER ADDRESS Ob OWNER PHONE 614 g D 0 CA QS C ESTIMATED COST$ 3 n n C� IS THIS A CONTRACT COST? —Yes _No FEE ENCLOSED$ y�,� o r��sJJ�� TYPE OF JOB: r7 ZO I d 0 1 L�1? O R•C O New Installation `T J v IVAlteration/Addition/Repair APPLICATION FOR HVAC PERMIT (Continued from reverse side) TYPE OF SYSTEM: TYPE OF UILDING: ❑ HEATING JARESIDENTIAL ❑A/C ❑ COMMERCIAL ❑VENTILATION ❑ INDUSTRIAL HEATING ❑ TEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS. HYDRONIC ❑WARM AIR ❑ UNIT RADIANT HEATER E ISTING 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.) V.1 Q mL C—oc� C\cK .c" y��—C GROSS HEATING CAPACITY(INPUT—BTUH) NET RATING(OUTPUT-111�)JH) C� TYPE OF FUEL ❑OIL—GPM OIL TANK LOCATION :❑ INSIDE❑ OUTSIDE CAPACITY ❑GAS—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 C N() nc�N n6 n rt o ( 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- -.?- v S,' - -Z� CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT ����scr r��- � �� � DATE OT \ U Electric# APPLICATION FOR BUILDING PERMIT Plumbing# 175 Pine Tree Lane Date: HVAC # Sprinkler# 32742 Ua FINAL APPROVALS f—F1�10- �SIGN -- ; Estimated CostBuilding IPLETE RED BOXED AREAS Permit Fee Fe Engineering TYPE OR PRINT ONLYEncuIns cyFee $ g pAffidavit ON REVERSE SIDE Appr. for CO. — --- - - - - -- ' Total 1-ee TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ 6'e�G�> The undersigned hereby applies to do work according to the following: Applicant C—PmDf, n2f=LjLocation of Work _/� -q-aLNo. Applicant's Address I—! - _ Tel.# Town CSCU. k C\y )C a7-)(— 2 Zip - Lic.# Owner SC -'(Y)C _ _Architect Owner's Address 5�';�_ Yl{_'. Architect's Address Zip Zip Sq. Ft, New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area Purpose of this permit 1 ( (U Qtl Lf .� City Water❑ Well❑ Septic System❑ Sewer❑ Ins: HO SP Cert. Area Basement Garage Approved b Datez VA1 Use Grou a , 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 Inspecto o any alteration in the plans or spec tications of the Building for which this permit is asked,and agree that this building is to e I sled the proper distance from all street lines,side yard lines,and required distances from all other zones and is located in this building and its use allowec+. SignY—f ed I hereby apply for a Certificate of ncy for the work described this applicaZi for the permit. I Signed DO N&WRITE BELOW THIS LINE INSPECTION COMMENTS 1000380 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER HVAC PERMIT DATE: 10/18/10 GIS ID:72300175 FEE: 45.00 MUNIS APPLICATION# 201001412 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: IMPERIAL PLUMBING CO.,INC. ADDRESS: 175 PINE TREE LANE ADDRESS: 648 SULLIVAN AVENUE OWNER: MURPHY JASON E&LENNORE F P.O.BOX 875 175 PINE TREE LANE SOUTH WINDSOR,CT 06074 SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: CHANGING BOILER UNDER WARRANTY. SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING OFFICIAL 10/18/2010 4:03 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE