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
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` � G (1��.' a... Nr.e4li •. W— ls�,!•_�..1•r'MYl- 1.14/T:� H�:..i.{l�•VM.r
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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
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��
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