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HomeMy WebLinkAbout177 LAUREL ST APPLICATION FOR HVAC PERMIT DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT noSloIr APP40 D 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 F �{ ���r L.Over$1,000= Street Lot No. $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT d APPLICANT ADDRESS l� S� APPLICANT'S PHONE# C)kl5l OWNER 797,r-_v S OW N 8'r OWNER ADDRESS OWNER PHONE .y ESTIMATED COST$ C ..aj V IS THIS A CONTRACT COST? Yes No A. FEE ENCLOSED$ I�� TYPE OF JOB: 14-V 2q 7`1 SO R•COS New Installation Y-Alteration/Addition/Repair Revised 03/05/10 APPLICATION FOR HVAC PERMIT(Continued from reverse side) TYPE OF SYSTEM: TYPE OF BUILDING: ❑ HEATING PRESIDENTIAL I-A/C ❑ COMMERCIAL ❑ VENTILATION ❑ INDUSTRIAL HEATING ❑ STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS. ❑ HYDRONIC ❑ WARM AIR ❑ UNIT RADIANT HEATER EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION DESIGN TEMP.OUTSIDE OF INSIDE OF DIFFERENCE °F 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 ❑ OIL-GPM OIL TANK LOCATION: ❑ INSIDE ❑ OUTSIDE CAPACITY ❑ GAS-INPUT LPG TANK CAPACITY ELECTRIC-KW AIR CONDITIONING ' r DESIGN TEMP: OUTSIDE_ )0 OF INSIDE '7;,?--°F DIFFERENCE OF TOTAL HEAT GAIN(BTUH�_ 44IEAT GAIN SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL COOLING EQUIPMENT(INCLUDING MAKE&MODEL NO.) c. .—T TONNAGE 0�1 COOLING CAPACITY(BTUH)c Ott C�) T 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- lJt,_ Cy 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. YPE STATE SIGNATURE OFAPPLIC DATE Program Conditions Quick References JOB NUMBE llgr" (1/.12.20) Date Entered 12/19/16 Estimator Customer Name Perry Smutney Home Ph Address 177 Laurel St. Work Ph WO-6 -3163 City,State,Zip uth Windsor CT 607411 Design Conditions Winter • Program registered to: IlHighpoint Heating&Cooling Inc. Outside Temperatur 7 T.D. 001090 Inside Temperatur 70 63 Zone or Area Served Entire House Design Conditions Summer Ventilation Latent Load Grains 40 Boston,MA - Outside Temperatur N T.D. Daily Temperature Range High(Above 25 Degrees) • Inside Temperaturl 72 16 J1 Select Roof Color Darts Colored Roof • Select:Walls-Collings-Floors Enter Data Below Select Ceiling Height 9 Feet • Fiberglass 6'Wall • Running Ft Exterior Wall 17 Induced Ventilation Cooling FORCED VENTILATION CFM • WALLS SHEATHING OR SIDING • Running Ft Exterior Wall Induced Ventilation Heating FORCED VENTILATION CFM • WALLS CONCRETE BLOCK • Running Ft.Exterior Wall Fluoresent Lighting SELECT FLUORESCENT FDRUR• WALLS BELOW GRADE • Running Ft Exterior Wall Ceiling Recessed Liahting SELECT CEILING CAN FD(TURE- KNEE/GARAGE WALLS • Running Ft.Interior Wall Infiltration Heat Raised Home • R-30Insulation 10" • Square feet Ceiling 1, Infiltration Cool Raised Home • FLAT ROOF/EXPOSED BEAMS • Square feet Ceiling Duct Gain/L DUCT EXPOSURE • Hardwood Floor+No Insulation • Square Feet Floor 1, Fireplaces FIREPLACE TYPE • FLOORS OVER OPEN SPACE • Square Feet Floor Appliances SELECT AVERAGE WATTAGE • FLOORS CONCRETE SLAB • Square Feet Floor People 4 WINDOW TYPES&DIRECTION FACING NORTH SOUTH EAST&WEST N.EAST&N.WE_8_T S.EAS_T&S.WEST WINDOW TYPE • WINDOW TYPE • WINDOW TYPE • Double Pane Double Pane • - -- WINDOW CONDITIONS • WINDOW CONDITIONS • WINDOW CONDITIONS • Clear No shading • Clear No shading • S .Ft. 0 S .Ft. 0 .F 112 1 S .Ft. 168 FIXED GLASS , SLIDINLi LiLASS DOORS& FKENCH DOOR 1331-Abb DIKLCTION FACING NORTH SOUTH EAST&WEST WEAST&N.WE-ST S.EAST&S.WEST WINDOW TYPE • WINDOW TYPE • WINDOW TYPE •I WINDOW TYPE • WINDOW TYPE • WINDOW CONDITIONS • WINDOW CONDITIONS • WINDOW CONDITIONS • WINDOW CONDRIONS • WINDOW CONDITIONS • S .Ft. Sq.Eg 0 1 S .Ft. .Ftj 0 Sq.Ft EXTERIOR DOOR TYPES SKYLIGHT STORM WINDOWS Hollow Core • METAL DOORS • TYPE SKYLIGHT • STORM WINDOW USED'• S .Ft. .Ft. 0 N.F HEATLOAD COMPONENT SUMMARY Heat Gain BTUH Heat Loss BTUH Net Exterior Walls L1,096 5,951 Windows&Glass Doors 16,856 11,928 Doors 479 2,117 Ceilings 1,804 3,772 Floors 0 JF 17.876 Fastcalc is protected under U.S. Skylights 0 �0 Copyright laws,2001 Fireplaces 0 �0 Appliances&Lighting 0 �0 Fastcalc computations and formula People 1,200 �0 constants are sourced from industry standardized heat transfer Infiltration 4,417 15,374 coefficients which have changed little Duct Gain/Loss 0 since 1966. Induced Ventilation 0 0 COOLING HEATING Total B.T.0 25,852 (�, R s-P�- / s R9 7k DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT /"O a 3'f APPROVED 1540 SULLIVAN AVENUE Bldg.Permit# . � FV 644-2511 ext. 230 Date Building Inspector Application must be printed or typed FEE SCHEDULE Location of Job: FTenantDesignation $0-$1,000=$15.00 Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof Apt.No. APPLICANT C50-t-i+l O I O►'x-64,0 &je-r— ?';C.- L 4-C, APPLICANT ADDRESS -363 6J5 `V► S t 6n—;e,l cl, C7' Ob O8 a ---- APPLICANT PHONE# d'bD--7'f 9-, `f' 4- O W N S OWNER je- OWNER ADDRESS l7 1-CiN,t-e s�' C�' � Sow'r'�► I�l�� soP a OWNER PHONE YIo D-04- 31 40 C ESTIMATED COST$ oZ�s. fJ O x IS THIS A CONTRACT COST? _eYes _No l� o (' �G FEE ENCLOSED$ L9 y SO• .COi/�� TYPE OF JOB: i o23 �� R New Installation ,L/Alteration/Addition/Repair ,2o i oq- O o6 t,4 Revised aro un002 APPLICATION FOR ELECTRICAL PERMIT (continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A ,RESIDENTIAL BUILDING PERMIT APPLICATION? ❑ YES bf 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/WIRING METHOD SIZE OF SERVICE SIZE OF MAIN CONDUCTORS 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 /► }.�►��C'C' �yk'It>�C'c�-rZ�C�c.,�? 'Cc� .�+ �t���z-4� c� .aCU���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. /038a1 i�--f - t-,e_ . I C i CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT DATE //C/j 1 DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT Application is hereby: TOWN OF SOUTH WINDSOR PER MT'r u G O�j� BUILDING DEPARTMENT - ja -- - APPROVED 1540 SULLIVAN AVENUE Bldg.Permit# y 644-2511 ext. 230 D e Buildi g Inspector Application must be printed or typed FEE SCHEDULE Location of Job: $0-$1,000=$15.00 FTenant Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof gnation Apt. No. APPLICANT ��u APPLICANT ADDRESS Z G S • Wind set . Ci ddo7y APPLICANT PHONE -# A a — 4 Yy 19 7 SOWN S£q OWNER Tetf'u 5Mi'J., J, - ---- --- -- OWNER ADDRESS 1 1 :2:2 C.c,u C-r S� 5 . � 1n Id t n✓ � .� �, �, OWNER PHONE b C = ESTIMATED COST$ Sz O , IS THIS A CONTRACT COST? _,�--a'es _No FEE ENCLOSED$ 1S rob TYPE OF JOB: 37� S�R C _New Installation �teration/Addition/Repair Revised 4/01//2002 APPLICATION FOR PLUMBING PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION? O YES ❑NO ❑RESIDENTIAL O BUSINESS CURRENT USE AND OCCUPANCY 0 ASSEMBLY ❑MERCANTILE FUTURE USE AND OCCUPANCY ❑EDUCATIONAL U INSTITUTIONAL ❑FACTORY ENGINEER'S NAME PHONE U 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 0 YES 0 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 6_ 45i , CA-2 vtrr4 THE UNMRSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TT__ COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. Pt Zo yi 31' CONTRACTORS LICENSE NO. E STATE -2 SIGNATURE OF APPLICANT DATE -p ; 1 , PR01':•.ItTY OF I ,JOHN C. F SHIRLEY 11. SWIFT I177 LAUREL STREET i SOUTH WINDSOR CONNECTICUT SCALE: l" = 40 ' JANUARY 26, 1976 -LOT 7C, NIr= ANTHONY C.- LOU I S E. T. SCIA.NNA. Rov1 oQ FENcs.-905T `'�' � �L•e• -•�E�1GE --�e►.ica �oST W �l �6 Aje LOT Ir IL j�- Wyk �. ..' )' }� j{f�jly��.,,,}}}.yyy iF,��V�y�� ,e '.• � .t.S ', a ..�• -�. •� •wif`i,.:. fw' its- '..4;.,� •t•. a `: `:. * •VO .. L ^�y l� K i aye, f :f.:.: O•t� ;�yJ ?rrit ¢JC'!.t �EPiN�►AG''R; :� ,:`. d - P�A�l�toNO P. ,r ` � G (1��.' a... Nr.e4li •. W— ls�,!•_�..1•r'MYl- 1.14/T:� H�:..i.{l�•VM.r T. J v t'LS - LA U R E I- S-i" R E S T Hartford Federal S•avinos I hereby certify to and Loan Association i"r,o'NN-.,�, & John C. Swift, et al . O�`,. •"'---f that this map, which shows physical conditions , ��•Pf�� PN-. ��;G: existing at this date, is substantially correct, and that zoning regulations are not violated =�1`0 '4' unless otherwise noted hereon. } �No.4142 0 �� CLOSE, JENSEN & MILLER Civil Engineers & Surveyors r•�r 4 e 10 ` 1 hl• rect`l ,d•rs 'g odencY to it ` J�r1aR DpdddlOE %11cd rssudn�e °I a �1 t t ^ that rm't d\t1° r to the Ci S sha11 Th s \ „ i thaaa tiled Wlth otd<rs ton.,,tip .wed VOndltwm`y C,%*0 On6 tnsD` No pate t,wil-lay OF JOHN C. & SHIRLEY IV. SWIFT 177 LAUREL STREET SOUTH WINDSOR CONNECTICUT SCALE: I" = 40 ' JANUARY 26, 1976 LOT 7C, W/—r- ANTHONY C—-' LOU 15 a T. c 1 A.sj r�A. ILOihl AP r-r'-V4 r-S. POST F F-Si C--F- LOT 411 0,040 P. br 9, A 4 0-4L SW7ov-Lf P&&".U446 46 C, sn AV* N L. tA LA R E F-7 Hartford Federal Savings C. I hereby certify to and Loan Association & John C. Swift , et al ot I C.El N N that this map, which shows physical conditions ,j�4, "jA A.1 % o�-� existing at this date, is substantially correct, 4 D, and that zoning regulations are not violated unless otherwise noted hereon. X No.4142 01. CLOSE, JENSEN & MILLER e Civil Engineers & Surveyors 5 U ......... 13Y TO T;iE J SMA ',,TI)S0F fhls eertlll d that this plan and specific.tlons=re trut+ .ogles of the proposed building or alteratl,ns to by rected at _ Street together w'a a, -•,t t.t^d in annliz'tic' an( tiled pith pl n a: •Fr It r rly it z-ning. aulidtnv anc st I..rs and s ..h Sri rs II b, issued iy t'te i1,g O p rtr, nt d u Is p "iene) jf t,is zppl.cotj.n and final Issucnce of a bAidlny permit. Signed -- — fhis plan it t, v d sub; -t t' t't r,•�d ti,rl that trders t d rr, t dUtna s't111 be 7ornplt A l Jond.tion_uy Alvroved Thvse fled with Building Insp-ctor Clergy Date No. LT 1 i j f, ��,; >. 1 -, �� ,_ , 1 i 4� 4 i I �- \ , � �, ., _ �, i /� � �•.j { � � � i ''i. _. , ...�� U _ .. ..� � .. �. 'ice � :� ..__......., �� DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT PERMIT# Applicati i hereby; TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT OVED 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 Date ilding Inspector Application must be printed or typed FEE SCHEDULE Location of Job: u r Al -34- _ $0-$1,000=$15.00 Street No. Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof Tenant Designation Apt. No APPLICANT reAAr —qa,,,.Alr f- APPL ADDRESS L-&A - , kjj - s a y 0 10o APPLICANT PHONE# 0 S- '( — k9 t O O S O W N 3 f q OWNER & 1 _ �e;,j LA `Va OWNER ADDRESS S Or OWNER PHONE g l7 ' t_Y q — �o C ESTIMATED COST$ xIS THIS A CONTRACT COST? _Yes No FEE ENCLOSED$ 1S' j�OsO- .C ON� TYPE OF JOB: R New Installation teration/Addition/Repair Revised 4/01//2002 APPLICATION FOR ELECTRICAL PERMIT (Contim ied From reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION? ❑YES ❑NO RESIDENTIAL ❑BUSINESS CURRENT USE AND OCCUPANCY ❑ASSEMBLY 0 MERCANTILE FUTURE USE AND OCCUPANCY ❑EDUCATIONAL ❑INSTITUTIONAL ❑FACTORY ENGINEER'S NAME PHONE El STORAGE 0 GARAGE ADDRESS 0 MIXED USE CITY STATE ZIP (Other please specify) TYPE OF INSTALLATION/WIRING METHOD SIZE OF SERVICE ( d U A SIZE OF MAIN CONDUCTORS_ 4 Lj (/c NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS NUMBER OF PANELS REMOTE DISCONNECT REQUIRED? 0 YES O NO NUMBER OF LIGHT CIRCUITS NUNBER 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. DESCRIPTIQN OF W 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 LICENS&N TYPE STATE SIGNATURE OF APPLICANT DATE IC —(G — DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT P 2RMIT Appiica ' by: TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT LAf RO 1540 SULLIVAN AVENUE 644-2511 ext. 230 Bldg.Permit# Date ing 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$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT APPLICANT ADDRESS i SLAJKC(s� 0GC) APPLICANT PHONE# ��olS - `1 Y- / 9 7f' O W N S F,q OWNER OWNER ADDRESS 122 Lut<<t, S t. 0 OWNER PHONE C ESTIMATED COST$ 0-0 .f; IS THIS A CONTRACT COST? _Yes _No ICJ FEE ENCLOSED$ S sOR CO�� TYPE OF JOB: JtO C�• New Installation __49§lteration/Addition/Repair Revised 4/01//2002 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 �. wt Oa�1 SIZE OF MAIN DRAIN Z � 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 SIZE OF WATER PIPING&RISER WATER HEATER: TYPE MANUFACTURER DESCRIPTION OF WORK QQ ®vc_ c,Jks 'a 5f d'�ovr THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRI EDANDITT6-- COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. Z-0Yr3P P/ e- ( CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT , DATE ��///0? L 4iL. ATION FOR BUILDING PERMIT Electric # _ Q Plumbing# 177 La ek4t4j uj LJ Date: HVAC # Sprinkler# ,Vends Q$b� ------ 8 40 FINAL APPROV - Estimated Cost $ Engineering >, f _ - - -- _. -- -- -- --- - Permit Fee $ Building � � COMPLETE RED BOXED AREAS TYPE OR PRINT ONLY Occupancy Fee $ Affidavit `J Eng. Insp. Fee $ Appr. for CO. �� SIGN ON REVERSE SIDE Total Fee $ �� Du, i , TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR,CT (Additional Cost) $ i:t Z The undersigned hereby applies to do work according to the following: Applicant t id '"A-1 Location of Work 171 `3 V Lot No. Applicant's Address���G 5� /(fie Oel&6 lee-( - Tel.# !W66 61(V-/ 7 Town . � V I Zip Dhd �_ Lic.# LS-0 O Owner Q f-G- S MO TN-e- 9 Architect Owner's Address 4AItt-i L S —( Architect' Address C215® _ �n SD Zip 06e ? Zip- -Sq. Ft. New Area: 1 st A. 2nd FI. 3rd FI. Total New Area Purpose of this,perrrtit Lc) / ,awl�D�t/S City Wa r❑ Well❑ Septic System❑ Sewer❑ Ins: HO SP Cert. �/ ea Basement Garage Approved by Date (( � Use Group onstruction Typer' /)6V�QD 773 Revised e/0 7e 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 s� a yard the proper distance from lines, required distances from all other zones and is located in w Ch this building a se is Sign � za;�� 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 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 /7 7 In the town of Name of building permit applicant: 00q Please check one: 1. I am the owner of the above property. 2.K I am the sole proprietor of a business. ZA.Name of business / �l� � �-✓~�ff� —�J 2B.Federal Employer Identification Number(FEN) ............................"............................................................................... ....... 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§31-27S 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*d--th t a sole proprietor of a busin .•not ave coverage unless he files his inter to cce t cove S' ature of applicant Subscribed and sworn to before me this day of ,200 . (Notary Public/Commissioner of the Superior Court) 720837 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER ELECTRICAL PERMIT DATE: 06/12/07 GIS ID: 52500177 FEE: 15.00 MUNIS APPLICATION# 200700773 .. �� r xy x l ins t DESCRIPTION: iXw APPLICANT` LOCATION NAME: PETER SANDERS 3 Y7tE f AU RIwL STREET ADDRESS: 2 NORTH MAIN ST H bWN Y';,JERRY J&DONNA C ti EAST WINDSOR,CT 6W a AU SL STREET VISOR,CT 06074 DESCRIPTION OF WORK: REMQ16V VVlSKYLIGHI PARTITIONS r SPECIAL CONDITIONS: A. ALL WORK TO BE DONE IN ACCORD `, yApPiCAT(ON AN ,/liSw>AP,PROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: �n OCCUPANCY GROUP: BUILDY OFFICIAL 6/12/2007 10:46 AM THE FEE ABOVE INCLUDES A$0.16 PER THOUSAND CT STATE EDUCATION SURCHARGE Electric# APPLICATION FOR BUILDING PERMIT Phimbing# 177 Laurel Street Date: HVAC # Sprinkler# 29586 FINAL APPROVALS Estimated Cost $ /,Z Building COMPLETE RED BOXED AREAS Permit Fee $ Occupancy Fee $ Engineering TYPE OR PRINT ONLY Affidavit � Eng. Insp. Fee $ 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 I location of Work Lot No. VApplic dd a-c��t� Tel.# fT -3/6 3 Town Zip Lic.# Owner Architect Owner's Address , Architect's Address Zip Zip Sq. Ft. New Area: 1 st Fl. 2nd Fl. 3rd Fl. Total New Area Purpose of this permit , City Water❑ Well❑ Septic System❑ Sewer❑ Ins: HO SP Cert. Area Basement Garage--,- Approved by J Date Use Group Construction Type Rsvfssd 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 ted the proper distance from all street lines,side yard lines,and required distances from all other zones and is located in this building a i s 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 Electric # APPLICATION FOR BUILDING PERMIT Plumbing# HVAC# � (.40r-tl S�, ate: g 14 Sprinkler# Estimated Cost $ 747 FINAL APPROVALS Permit Fee $ Building COMPLETE RED BOXED AREAS Occupancy Fee $ Engineering TYPE OR PRINT ONLY Eng. Insp. Fee $ Affidavit Appr.forCO. SIGN ON REVERSE SIDE -4 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 57, tJew tG60(ollt wi r0ou s Location of Work 177 LLtLAMI + — _Lot No._ Applicant's Address jD ReSkaryoir` M Tel # (401)'{+}7_7172 Town ---,ffif4hGzU. AS Zip 02917 Lic.#_00 Owner Serry n1JA SMu4TjCj Architect Owner's Address of L,aurlrl Sf Architect's Address Souk wie0sor, C-T Zip 0607+ Zip Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area Purpose of this permit Msiall(5) reoli2cer>,,,,en+ juirljotas r yo s+rnl&c+>,LraI c kanages City Water J Well J Septic System J Sewer J Ins: HO SP_ Area Basement Garage Approved by ate Use Group Construction Type 1019 w L(W 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 _ 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 02/24/21 Printed by Middleton, Morgan 15 25 37 INSPECTION: 107769 FINAL PERMIT: STATUS APPLICATION: 201801488 LOC: 177 LAUREL STREET SOUTH WINDSOR PROPERTY ID: 52500177 OWNER: SMUTNEY JERRY J & DONNA C CONTRACTOR: REQUEST BY: PROJ DESC: INSTALL 5 REPLACEMENT WINDOWS WORK ORDER: INSPECTOR: DOUG RESULT: PASS REQUESTED: 10/11/18 PRIORITY: SCHEDULED: 10/11/18 COMPLETED: 10/11/18 UNPAID FEES: 00 Date Time MILEAGE: 00 TIME: TRAVEL ONSITE COMMENTS ALL INSPECTIONS: INSPECTED INSPECTOR RESULT INSP DESCRIPTION B001 FOOTING B002 FOUNDATION B003 FRAMING (ROUGH) B004 INSULATION B005 FIREPLACE / CHIMNEY B006 WOOD / GAS STOVE B009 OTHER 1800462 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER BUILDING PERMIT DATE: 09/05/2018 GIS ID: 52500177 FEE: 144.00 MUNIS APPLICATION# 201801488 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: SOUTHERN NEW ENGLAND WINDOWS ADDRESS: 177 LAUREL STREET ADDRESS: 10 RESERVOIR ROAD, OWNER: SMUTNEY JERRY J&DONNA C 177 LAUREL STREET SMITHFIELD,RI 02917. , - DESCRIPTION OF WORK: INSTALL 5 REPLACEMENT WINDOWS NO STRUCTUAL CHANGES SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY HE BUILDING DEPARTMENT. 1 CONSTRUCTION TYPE: LFL OCCUPANCY GROUP: BUILDING OFFICIAL 9/5/2018 11:14 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1600568 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER HVAC PERMIT DATE: 12/27/2016 GIS ID: 52500177 FEE: 120.00 MUNIS APPLICATION# 201601871 BUILDING DESCRIPTION: APPLICANT, LOCATION NAME: HIPOINT HEATING&COOLING,INC. ADDRESS: 177 LAUREL STREET ADDRESS: 71 EDWIN ROAD v „ OWNER: SMUTNEY JERRY J&DONNA C SOUTH WINDSOR,CT 06074 177 LAUREL STREET SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: REPLACE EXISTING 2.5 TON A/C EQUIPMENT WITH CARRIER 2.5 TON 16 SEER EQUIPMENT. 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 12/27/2016 9:44 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1200034 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER ELECTRICAL PERMIT DATE: 01/25/12 GIS ID: 52500177 FEE: 180.00 MUNIS APPLICATION# 201200064 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: BARTHOLOMEW ELECTRIC LLC ADDRESS: 177 LAUREL STREET ADDRESS: 363 ELM STREET OWNER: SMUTNEY JERRY J&DONNA C ENFIELD,CT 06082 l _ 177 LAUREL STREET p SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: INSTALL 14 KW STANDBY GENERATOR SYSTEM WITH TRANSFER SWITCH. UPGRADE SERVICE FROM 100 AMP TO 200 AMP.CRS# 1858978. 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 1/25/2012 12:48 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1200057 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER PLUMBING PERMIT DATE: 02/10/12 GIS ID:52500177 FEE: 15.00 MUNIS APPLICATION# 201200064 BUILDING DESCRIPTION: APPLICANT : "' - LOCATION NAME: GIROUARD PLUMBING " '' ADDRESS: 177 LAUREL STREET ADDRESS: 662 GRAHAM ROAD .° OWNER: SMUTNEY JERRY J&DONNA C SOUTH WINDSOR,CT 06074 -177 LAUREL STREET SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: INSTALL"14 KW STANDBY GENERATOR SYSTEM WITH TRANSFER SWITCH. UPGRADE SERVICE FROM 100 AMP TO 200 AMP.CRS NO. 1858978. GAS PIPING FOR 14 KW GENERATOR. SPECIAL CONDITIONS: r ALL WORK TO BE DONE IN ACCORDANCE-WITH THE"APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING OFFICIAL 2/10/2012 11:01 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE