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Home My WebLink About187 BENEDICT DR W DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT Application is hereby: TOWN OF SOUTH WINDSOR PERMIT# BUILDING DEPARTMENT APPR VEIP"� 1540 SULLIVAN AVENUE Bldg. Permit# 644-2511 ext. 230 Date Building Ins dor 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$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT \ Q� APPLICANT ADDRESS nfy APPLICANT PHONE# � _a5EE \ �0* N Se OWNER OWNER ADDRESS U OWNER PHONE ESTIMATED COST$ 8 .� IS THIS A CONTRACT COST? ✓ Yes _No o ( � FEE ENCLOSED$ TYPE OF JOB: s�R•C _New Installation 4 S Alteration/Addition/Repair Revised 4/01//2002 APPLICATION FOR HVAC PERMIT (Continued from reverse side) TYPE OF SYSTEM: TYPE OF BUILDING: WHEATING OV ESIDENTIAL ❑A/C ❑COMMERCIAL ❑VENTILATION ❑INDUSTRIAL HEATING ❑STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS. fioiYDRONIC ❑WARM 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.) GROSS HEATING CAPACITY(INPUT-BTUH) NET RATING(OUTPUT-BTUH) TYPE OF FUEL OIL--GPM OIL TANK LOCATION:INSIDE❑OUTSIDE CAPACITY ELL( Q� ❑GAS-INPUT LPG TANK CAPACITY ELECTRIC-KW U 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 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. �� (:-�_c,.) _ �c c>K- CONTRACTORS LICEN5ENQ. Typp STATE SIGNATURE OF APPLEC DATE DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: � l BUILDING DEPARTMENT — APPRCT E 1540 SULLIVAN AVENUE Bldg.Permit# 9. 644-2511 ext. 230 Date Building Inspector _ Application must be printed or typed Tic on of Job: FEE SCHEDULE , �3 P A� $0-$1,000=$15.00 Street No. Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. - I APPLICANT 161e C U APPLICANT ADDRESS ZILp RZC, APPLICANT PHONE# 9 J " C SOWN S�q OWNER r9r I i- OWNER ADDRE§S-) Q OWNER PHONE p C ESTIMATED COST$ 7 * IS THIS A CONTRACT COST? es _No FEE ENCLOSED$ sO. O�� TYPE OF JOB: R'C New Ins tio'n teration/Addition/Repair Revised 4/01H2002 APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A RESIDENTIAL BUILDING PERMIT APPLICATION? ElYES ❑NO ❑BUSINESS CURRENT USE AND OCCUPANCY ❑ASSEMBLY ❑MERCANTILE FUTURE USE AND OCCUPANCY ❑ EDUCATIONAL ❑INSTITUTIONAL ❑FACTORY ENGINEER'S NAME PHONE ❑ STORAGE ❑GARAGE ADDRESS ❑MDtED USE CITY STATE ZIP (Other please specify) TYPE OF INSTALLATION/WIRING METHOD /� SIZE OF SERVICE C 3 SIZE OF MAIN CONDUCTORS 10/ /9",, 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 /� 1 I-AS��' v 6t S � V lot it 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. E STATE � fSIGNATURE OF APPLIC LDATE 6 _ — nV i IScDP-/s—�3(y � Electric # APPLICATION FOR BUILDING PERMIT u lmbing# Q HVAC# 97 C)t'Y1Pd1 d- Dive_ Date: / io Sprinkler# /500?�23 Estimated Cost $ v FINAL APPROVALS Permit Fee $ I S5 Building COMPLETE RED BOXED AREAS Occupancy Fee $ Engineering TYPE OR PRINT ONLY Affidavit Eng. Insp. Fee $ Appr.forCO. SIGN ON REVERSE SIDE Total Fee $ 13`� TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ 9ty The undersigned hereby applies to do work according to the following: Applicant / LocationofWork ,`N " LotNo. Applicant's Address U ar�ST/%R S Tel # F Town n/Z cry Zip Lic.# 6 �aZ �31 Owner �A 4 Db Architect Owner's.Address /3-7 A �N 1r% 0/G �/Z.Architect's Address L L Zip d, l)7 L-1 Zip Sq. Ft.New Area: 1 st FI. 2nd FI. // 3rd A. Total New Area Purpose of this permit �" / K �°�- !L i9 �L ft k v < 5 ,� 19 D City Water J Well J Septic System J Sewer J `� Ins: HO S e Area Basement Garage Approved by !! Date 7�, 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 i which this building S�u;se,is Zallowed.Signe I hereby apply for a Certificate o ccupancy for the work described in this application for the permit. Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS INSPECTION FIELD SHEET 03/28/23 • Printed by Middleton, Morgan 16 04 12 INSPECTION: 81152 FINAL PERMIT: STATUS: APPLICATION: 201501629 LOC: 187 BENEDICT DRIVE SOUTH WINDSOR PROPERTY ID: 09600187 OWNER: KIDD MIRIAM 8606442070 CONTRACTOR: REQUEST BY: PROD DESC: TEAR OFF 2 LAYERS. APPLY ICE AND WATER SHIELD, 6FT. MINIMUM WORK ORDER: INSPECTOR: WS-B RESULT: PASS REQUESTED: PRIORITY: SCHEDULED: COMPLETED: 03/28/23 UNPAID FEES 00 Date Time MILEAGE: .00 TIME: TRAVEL ONSITE COMMENTS: INSPECTED BY ADAM CHROSTOWSKI - INSPECTED TO CLOSE OUT OLD PERMIT 1500723 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER BUILDING PERMIT DATE: 11/20/2015 GIS ID:09600187 FEE: 135.00 MUNIS APPLICATION# 201501629 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: JULIEN QUIRION ADDRESS: 187 BENEDICT DRIVE ADDRESS: 453 FOSTER STREET OWNER: KIDD MIRIAM SOUTH WINDSOR,CT 06074 187 BENEDICT DRIVE SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: TEAR OFF 2 LAYERS. APPLY ICE AND WATER SHIELD,6FT. MINIMUM APPLY SYNTHETIC PAPER,DRIP AND RAKE,RIDGE VENT,ROOF WITH LIFETIME TIMBERLINE SHINGLES. 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 11/20/2015 9:50 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE