HomeMy WebLinkAbout189 MILLER RD DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT
TOWN OF SOUTH WINDSOR PERMIT#
Application is hereby: pSL�o
BUILDING DEPARTMENT
APPRO D 1540 SULLIVAN AVENUE Bldg.Permit#
644-2511 ext. 230
0 OLI��
Date Building lffgpector
Application must be printed or typed
FEE SCHEDULE Location of Job:
� Sc\ AAA \\ec 4
$0-$1,000=$15.00 Street No. Street Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT C
APPLICANT ADDRESS LAI C—
S \,-� Q:7\
APPLICANT PHONE#
pW N S fq OWNER o � u c
OWNER ADDRESS S IV\\\\r, C\1
OWNER PHONE l A
C ESTIMATED COST$_ p?, p (3 o�
.� IS THIS A CONTRACT COS T? v Yes _No
�(d FEE ENCLOSED$ C) O V
TYPE OF JOB: 18i
SCR CO _New Installation
Alteration/Addition/Repair
Revised 4/01 H2002
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❑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 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 SIZE OF WATER PIPING&RISER
WATER HEATER: TYPE MANUFACTURER
n c DESCRIPTION OF WORK
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IrrT--
C C• ter o�2� Cc,,�—�� � �0.(1 � — Q �vS P�,�rc��- ..T V._�C�'t2 C �\US��
COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
-�- t � G '
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT tl'` ���e DATE Z 1 Z
APPLICATION FOR ELECTRICAL PERMIT
DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT#
Application is hereby: BUILDING DEPARTMENT
APP O D
1540 SULLIVAN AVENUE -�"�`�` -------
644-2511 ext. 230 Bldg. Permit#
Date Building Inspector
Application must be printed or typed
FEE SCHEDULE
Location of Job:
$041,000=$15.00 6F ce �d
Over$1,000= Street No. Street Lot No.
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt. No.
APPLICANT ;741(/L--647 ✓
APPLICANT ADDRESS ?7�'
0616
APPLICANT'S PHON #
OWNER Cr/,-1�� i/-���✓ ��a✓TF!�
�pW N SFq< OWNER ADDRESS _l 111/Llf�f -2-4
OWNER PHONE
ESTIMATED COST$ _ �L-)Uy
C �
U IS THIS A CONTRACT COST? Yes No
FEE ENCLOSED $ 76
TYPE OF JOB: -71
�dS ) CO New Installation
Alteration/Addition/Repair
Revised 03/05/10
APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED H A
BUILDING PERMIT APPLICATION? YES ❑ NO
Id RESIDENTIAL CURRENT USE AND OCCUPANCY
❑ BUSINESS _
❑ ASSEMBLY FUTURE USE AND OCCUPANCY
❑ EDUCATIONAL
❑ INSTITUTIONAL ENGINEER'S NAME PHONE
❑ FACTORY
❑ STORAGE ADDRESS
❑ GARAGE
❑ MIXED USE CITY STATE ZIP
(Other please specify)
TYPE OF INSTALLATION/WIRING METHOD �' �%��� ��2�Jff�i�i/w/ �f4��✓Ai/cv
SIZE OF SERVICE �oJ/qs SIZE OF MAIN CONDUCTORS
NUMBERS OF METERS NUMBERS OF DISCONNECTS AND RATINGSGJ�
NUMBERS OF PANELS NUMBERS OF DISCONNECTS REQUIRED? ❑ YES ❑ NO
NUMBERS OF LIGHT CIRCUITS .3 NUMBER OF POWER CIRCUITS
NUMBER OF SWITCHES /2- NUMBER OF OUTLETS
NUMBER OF LIGHT FIXTURES 3 NUMBER OF HEAT CIRCUITS
NUMBER OF A/C CIRCUITS
SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED.
DESCRIPTION OF WORK
THE UNDERSIGNED HEARBY 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 PERFOR-
MANCE OF SUCH WORK
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT - L/ DATE 112211 e
APPLICATION FOR HVAC PERMIT
DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT#
Application is hereby: BUILDING DEPARTMENT
�U D o30
APP OV 1540 SULLIVAN AVENUE 1
Bldg. Permit#
1 2a 2 644-2511 ext. 230
I),D b D DDq
Date Building Inspector
Application must be printed or typed
FEE SCHEDULE p Location of Job:
$0-$1,000=$15.00 1 0 � n �—L — k-�, C�
Over$1,000= Street No. Street Lot No.
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT `-a� Cl\ Q C O
APPLICANT ADDRESS
APPLICANT'S PHONE# C y w6
OWNER
q OW N S fq< OWNER ADDRESS
OWNER PHONE
ESTIMATED COSTA,
IS THIS A CONTRACT COST? Yes No
AWN N FEE ENCLOSED$ S
TYPE OF JOB: --w I$319
R•CO� New Installation
�",Alteration/Addition/Repair
-� �dia00035
Revised 03/05/10
APPLICATION FOR HVAC PERMIT(Continued from reverse side)
TYPE OF SYSTEM: TYPE F BUILDING:
❑ HEATING RESIDENTIAL
❑ 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 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
GAS-INPUT LPG TANK CAPA I Y 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=ti 2 fA \crN (-,A
c �\at
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 �, 2 `ts
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT �i_,,�,,� DATE �--
APPLICATION FOR HVAC PERMIT
DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT#
Application is hereby: BUILDING DEPARTMENT 1o20 O 6 3q,
APP O D 1540 SULLIVAN AVENUE Bldg. Permit#
. 644-2511 ext. 230 /,ZOO o 022
Date Building Inspect
Application must be printed or typed
FEE SCHEDULE G� Location of Job:
$0-$1,000=$15.00 D
Over$1,000= I Street No. Street Lot No.
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT -= f�e c uc A CO
APPLICANT ADDRESS 6y!Z :�"1\\\ vb.n �►• e_ _-_ _____ __ _
APPLICANT'S PHONE#
OWNER
q�W N 3F,4` OWNER ADDRESS \ Sc� veep
S �
OWNER PHONE
O f t = ESTIMATED COST$ \ U o
C IS THIS A CONTRACT COS ? ✓Yes No
FEE ENCLOSED$
TYPE OF JOB: I `63 2 3
SOR•Co New Installation
Alteration/Addition/Repair
Revised 03/05/10
APPLICATION FOR HVAC PERMIT(Continued from reverse side)
TYPE. SYSTEM: TYPE OF BUILDING:
HEATING RESIDENTIAL
❑ A/C t 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 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
❑ 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)
FURT"I ER DESCRIPTION OF W RK 1\�)_-
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 STATE
SIGNATURE OF APPLICANT , r��r> _ DATE \ 2-S �\ Z
Electric # APPLICATION FOR BUILDING PERMIT
Plumbing# 189 Miller Road Date: / /�
HVAC # -71
Sprinkler#
FINAL RQ — _ 35-3- - - - Estimated Cost $ c� g�
Building Ia `' ' - - — -- -- -- - Permit Fee $
F COMPLETE RED BOXED AREAS Occupancy Fee $
Engines n TYPE OR PRINT ONLY Eng. Insp. Fee $
A pdafor CO. SIGN ON REVERSE SIDE , Total Fee $ 7 S,
TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $
The undersigned hereby applies to do work according to the following:
Applicant /77,OZE,v Zo r,n ti Cv - Jr,c . Location of Work 1) Mille it rI,,,/ Lot No.
Applicant's Address `7t1 /Zu nn r<< S T, Tel.# (/L (U
Town- t(',- Zip /)b/o r Lic.# SD 19 R/
Owner ,n Architect
Owner's Address AL) /", /lert /2 Architect's Address
Ae.- C Zip-62�--Q-21/ Zip
Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area
Purpose of this permit /a4s,r AWA,a/f f�4,,�,lit 7. 7vj,�► lee
City Water❑ Well❑ Septic System❑ Sewero
Ins: HO Area Basement Garage
Approved by / Date 12- /0 ° Use Group___--iCionstruction TyFe--�
Revfssd 6102
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 boated the prop.Wdistance fll str es,side yard lines,and required
distances from all other zones and is located in which this bui ' s/�yse
Slgne / �
I hereby apply for a Certificate of cupancy for the work described in this application for the permit.
Signed
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
-------------------------------------------------------------------------------
•+-31353-B 4,896
B10 FINAL 04/12/07 JFF A
PX Wi laws LLc Phone:(860) 628-1173
E-Mail:p",indowsl(uaol.con,
` Paul K O'Doher(p_Vmter Carpenter Website:www.pkwindows.com
952 Savage Street
Southington, CT. 06489
H.1.C.#612970
Re: AGENT LETTER FOR BUILDING PERMIT
Date of Agent Letter:
Please be advised that this letter gives permission to the below listed agents of
PK Windows, LLC to sign any and all necessary paperwork in order to apply for
and obtain a Permit for replacement windows on the following property:
Municipality of:
Street Address:
Property Owner:
Description of Job: Replacement Windows- All windows same size as originals.
Start Date of Job: Name of Licensed Contractor: Paul K. O'Doherty
Name of Licensed Contractors Agents: Karen Kundra and/or Sally Gaski
License# of Contractor to be involved in the work: #0612970 Expires: 11/30/2010
If any further information is needed please do not hesitate to call Karen Kundra at
860-628-1173.
�Orig al Signature
Paulo herty,
PK Windows. LLC
Complete Line of H'indow-v
State of Connecticut N ,
Workers' Compensation Commission 7C
Owl �.
Please TYPE or PRINT IN INK
Proof of Workers' Compensation Coverage when Applying
for a Building Permit for the General Contractor-or Principal
Employer who has chosen to be EXCLUDED from Coverage
APPLICANT FOR BUILDING PERMIT
Name of Applicant for Building Permit
Property located at
in the City/Town of
ATTEST
If you are the General Contractor or Principal Employer of a business doing work on the site of the construction project at the above-named property and you
have properly excluded yourself from workers'compensation coverage by filing one of the appropriate forms listed below with the Workers'Compensation
Commission,complete this form and,If applicable,sign the Affidavit below In the presence of a Notary Public or a Commissioner of the Superior Court
FIRST—CHECK ONE(1)BOX:
I am: ❑ an Officer of a Corporation a Manager or Member of an LLC ❑ a Partner in a Business
THEN—CHECK ONE(1)BOX,provide the appropriate information,and sign the Affidavit below:
I have filed the following certificate with the Workers'Compensation Commission:
Form 6B(for an Officer of a Corporation;a Manager of an LLC,or a Member of a Multiple-Member LLC)
❑ Form 6B-1(for a Partner in a Business)
AFFIDAVIT
I hereby swear and attest that I will require proof of workers'compensation Insurance for every contractor,
subcontractor,or other worker before he or she does work o9AVwsiteeLthe construction project at the
above-named property In 1- of the WorkersVompensation Act
Signature of GENERAL CONTRACTOR or PRINCIPAL ( �1 2
Name of Business—isppicabb I V \Q 6 U3 S
Federal Employer ID#(FEINT--w.—
Subscribed and swom to before me this d ay of , 200 /tf�LAM .
NOTARY PUBLIC I
STATE OF CONNECTICL-
AAY ISSION EXPIRES J228?^' of the Superior court
PK Windows LLC
952 Savage Street
Southington, CT o6489
Phone# 86o 628-1173
HIC# 612970
Submitted To: proposal
Jonathan Hunter Date: 3/26/2010
189 Miller Rd
South Windsor,CT 06074 Estimate#: 10075
Phone: 860-644-8313
We hereby propose to furnish all the materials and perform all the labor necessary for the completion
of the following by (Date):
Qty Description Cost Total
This proposal is for Vinyl New Construction Windows with Low-F/Argon. 0.00
The following windows qualify for the Federal Energy Tax Credit. 0.00 0.00
1 CertainTeed Bryn Mawr III Bay Window with Double Hung Flankers 2,800.00 2,800.00
2 CertainTeed Bryn Mawr III Twin Double Hung Windows 638.00 1,276.00
1 CertainTeed Bryn Mawr III Triple Double Hung Window 915.00 915.00
2 CertainTeed Bryn Mawr III Double Slider Windows 399.00 798.00
6 Special Discount -100.00 -600.00
6 Caulk 5.00 30.00
1 Misc Materials 1,500.00 1,500.00
1 Labor-Bay Window 3,200.00 3,200.00
2 Labor-Twin Double Hung 1,200.00 2,400.00
1 Labor-Triple Double Hung 1,600.00 1,600.00
2 Labor-Double Slider 800.00 1,600.00
1 Disposal 100.00 100.00
1 Permit-Town of South Windsor 290.00 290.00
Payments To Be Made As Follows:$7,954.00 UPON SIGNING. 0.00
$7,955.00 UPON COMPLETION. 0.00
The work shall include removal and dis disposal of
proper p Subtotal $15 909.00
your old window sashes.
All material is guaranteed to be as specified and Sales Tax (6.0%) $0.00
completed in a substantial workmanlike manner. Total
Any alteration of deviation from above specifications $15,909.00
involving extra costs, will be executed only upon written orders, and will become an extra charge
over and above the estimate. All agreements contingent upon accidents or delays beyond our
control. 2q0
ACCEPTANCE OF PROPOSAL
The above prices, specifications and conditions are satisfactory and are hereby accepted.
You are authorized o do the work as specified. Payment will be made as outlined above.
Signature Date �-�;—,2 Z ZjQ
Acceptance of this proposal can be withdrawn within4hr a days aft r si Wing.
\ Home Improvement Contractor Signature:T ,�
PK Windows LLC
952 Savage Street
Southington, CT o6489
Phone# 86o 628-1173
HIC# 612970
Submitted To: proposal
Jonathan Hunter Date: 3/26/2010
189 Miller Rd
South Windsor, CT 06074 Estimate#: 10073
Phone: 860-644-8313
We hereby propose to furnish all the materials and perform all the labor necessary for the completion
of the following by (Date):
Qty Description Cost Total
This proposal is for Vinyl Replacement Windows with Low-E/Argon. 0.00
The following windows qualify for the Federal Energy Tax Credit. 0.00 0.00
18 CertainTeed Bryn Mawr III Double Hung Windows 369.00 6,642.00
2 CertainTeed Bryn Mawr III Picture Windows 485.00 970.00
20 Special Discount -100.00 -2,000.00
20 Caulk 5.00 100.00
18 Labor-Double Hung 125.00 2,250.00
2 Labor-Picture 210.00 420.00
1 Disposal 100.00 100.00
1 Permit-Town of South Windsor 185.00 185.00
ssss*ssssssssssss*sssssssss*ss:ssss 0.00
Payments To Be Made As Follows: 0.00
$4,333.00 UPON SIGNING OF THIS PROPOSAL. 0.00
$4,334.00 UPON COMPLETION OF THE JOB. 0.00
The work shall include removal and proper disposal of Subtotal $8,667.00
your old window sashes.
All material is guaranteed to be as specified and Sales Tax (6.0%) $0.00
completed in a substantial workmanlike manner. Total -d
Any alteration of deviation from above specifications $8,667.00
involving extra costs, will be executed only upon written orders, and will become an extra charge
over and above the estimate. All agreements contingent upon accidents or delays beyond our
control. 13S.
ACCEPTANCE OF PROPOSAL
The above prices, specifications and conditions are satisfactory and are hereby accepted.
You are authorized to do the work as specified. Payment will be made as outlined above.
Signature Date ,-? A0
Acceptan of this proposal can be withdrawn within three day fter signing.� � _
Home Improvement Contractor Signature: ��' _
CP"2 Rev 09/03
STATE OF CONNECTICUT 187931
DEPARTMENT OF CONSUMER PROTECTION
165 Capitol Avenue ♦ Hartford Connecticut 06106
Attached is your Home Improvement Contractor Registration. This registration is not transferable.
For questions,contact the Trade Practices Division at(86o)713-6110 or email trade.practicces(&ct.g_ov.
Visit our web site to verify registrations and download applications at www.et.gov/dep
7711711
STATE OF CONNECTICUT
OF i
HOME IMPROVEMENT CONTRACTOR
PS WINDOWS LLC
952 SAVAGE ST
SOUTHINGTON,CT 06489
PAUL K O'DOHERTY
952 SAVAGE ST LIC./REG NO. F IVE EXPIRES
SOUTHINGTON,CT 06489 HIC.0612970 12/01/2009 11/30/2010
SIGNED
STATE OF CONNECTICUT ♦ DEPARTMENT OF CONSUMER PROTECTION
Be it known that
PK WINDOWS LLC
952 SAVAGE ST
SOUTHINGTO' N,-CT 06489 i
- - I
is certified by the Depart erit q Qtts ifner Fx0tection.as a registered
HOME IMPRO)T IV N �+ONTRACTOR
` s
Re` �_ s 0
TRANSTv<iT
- i
i I1
Effective: 12/01/2009 I
Expiration: 11/30/2010 - I
- Jerry Farre9 Jr.,Commissioner_
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PERMIT CLOSED
-niectric # PER: PA 17-176 APPLICATION FOR BUILDING PERMIT
Plumbing# AND 189 Miller Road
HVAC# Date:
Sprinkler# 'G$
FINAL APPROVALS Estimated Cost $ 7
Permit Fee $ 13 --
Building COMPLETE RED BOXED AREAS
Occupancy Fee $ 10
Engineering TYPE OR PRINT ONLY Eng. Insp. Fee $
Affidavit
Appr.for CO. SIGN ON REVERSE SIDE 4 Total Fee $ 146
TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $
The undersigned hereby applies to do work according to the following:
Applicant , Location of Work_ %gq— yj\i___ ; Lot No.
Applicant's Address 6V�7 5 PPJ44CTe. S-F— - -_Tel # U0 gl fj��{�
Town i NG tb nJ '� r•- - - - Zip D Ar,Lts 5 Lic.# 0
Owner JONjd`thAnJ AuNts o- Architect __ ✓� -_
Owner's Address Q6 M► li k S E Z- QC..( Architect's Address )
Zip - --- - - - - --Zip- —
Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd Fl. __ _- Total New Are -
Purpose of this permit tN�S �>��( � $_ ���t/ yva i�EG(M o
City Water J Well J Septic System J Sewer J a.Cia100d
Ins: HO SPII I rt. Area Basement Garage
Approved by Up!1Z 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 b d the proper distance from all street lines,side yard lines,and required
distances from all other zones and is located i hich this b Iding and its use is allowed.
Signe l �f
I hereby apply for a Certificate of Oc pa for the work described in this application for the permit.
Signed
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
INSPECTION FIELD SHEET 04/13/22
Printed by Middleton, Morgan 16 15 02
INSPECTION: 45555 FRAMING (ROUGH) PERMIT:
STATUS
APPLICATION: 201200035
LOC: 189 MILLER ROAD
SOUTH WINDSOR
PROPERTY ID: 59700189
OWNER: HUNTER JONATHAN
CONTRACTOR:
REQUEST BY: PERMIT CLOSED
PROJ DESC: FINISHED BASEMENT. PER: PA 17-176
WORK ORDER:
AND
CGS 29-393
INSPECTOR: ROSE RESULT: PASS
REQUESTED: 01/30/12 PRIORITY:
SCHEDULED: 01/30/12 AM COMPLETED: 01/30/12
UNPAID FEES: .00 Date Time
MILEAGE: .00 TIME: TRAVEL ONSITE
COMMENTS:
ED ® 860-291-0115
ALL INSPECTIONS:
INSPECTED INSPECTOR RESULT INSP DESCRIPTION
B001 FOOTING
B002 FOUNDATION
B004 INSULATION
B005 FIREPLACE / CHIMNEY
B006 WOOD / GAS STOVE
B010 FINAL
02/25/13 ROSE PASS E001 ELECTRIC SERVICE
JAMES ® 1-203-395-5566//ok to release
E002 ELECTRIC UNDERGROUND
E003 ELECTRIC ROUGH
P001 WATER HEATER REPLACEMENT
P002 PLUMBING UNDERGROUND
01/30/12 ROSE PENDING P003 PLUMBING ROUGH
VENT FOR SINK/WET VENT LAV WTH TOILET?
P004 PLUMBING GAS TEST
PERMITLL SED
Electric # DE �76 APPLICATION FOR BUILDING PERMIT
Plumbing# PA
HVAC# SAND 189 Miller Road Date: Z O
Sprinkler# 1000166 Estimated Cost a a 5l C700
FINAL APPROVALS Permit F $ 3jS.
Building COMPLETE RED BOXED AREAS
Engineering TYPE OF PRINT ONLY Oc�; Fee $ �(�
Affidavit Eng. Insp. Fee $
Appr.for CO. SIGN ON REVERSE SIDE t Yp
Total Fee a.Vy $
TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $
The undersigned hereby applies to do work according to the following: Q60— -S 00
Applicant s h (Z S ,I_L",C_Location of Work L,t{,< C jp Lot No.
Applicant's Address Tel # 8'ba- &zR—in3
Town SOy:kA t- n C -rz-n CT Zip
Owner )&u Y)1��' Q,` Architect_
Owner's Address 1Tirq mt L"tz- Architect's Address
SD. %ly, 1L1 Zip O<P0714 Zip
Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area
Purpose of this permit le pD-14 � „Al,�- .J, 1 cl���
City Water❑ Well ❑ Septic System ❑ Sewer O
Ins: HO P Cert. V Y-2
Area Basement Garage
Approved by Date -K� Use Group—Construction Type
0�10Mcf.Ti 1 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 alterati n in the plans pr specifications of the Building for which this
permit is asked,and agree that this building is to be located th proper di tanc from all street lines,side yard lines,and required
distances from all other zones and is located in which is ilding and s u is allowed.
Signed lc�
I hereby apply for a Certificate of cupanc for work desc ed this application for the permit.
Signed
D OT WRITE BEL THIS LINE
INSPECTION COMMENTS
12000029 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER BUILDING PERMIT
DATE: 01/20/12
GIS ID:59700189 FEE: 135.00
MUNIS APPLICATION# 201200035 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: PK WINDOWS,LLC ADDRESS: 189 MILLER ROAD
ADDRESS: 952 SAVAGE STREET OWNER: HUNTER JONATHAN
SOUTHINGTON,CT 06489 189 MILLER ROAD
SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: FINISHED BASEMENT.
NO BEDROOM.
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
1/20/2012 9:16 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE
1000166 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER BUILDING PERMIT
DATE: 04/27/10 "
GIS ID:59700189 FEE: 375.00
MUNIS APPLICATION# 201000454 BUILDING DESCRIPTION:
.;a p
APPLICANT;h.r,, �+ ;LOCATION
NAME: PK WINDOWS,LLC >. Via, ADDRESS: �189 MILLER ROAD
ADDRESS: 952 SAVAGE STREET OWNER: HUNTER MARY G
SOUTHINGTON,CT 064$9 t.,, 189 MILLER ROAD
SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: 26 REPLACEMENT WINDOWS
SPECIAL CONDITIONS: a.
ti
ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION V AND PLANS APPROVED BY THE BUILDING DEPARTMENT.
CONSTRUCTION TYPE:
OCCUPANCY GROUP: BUILDING OFFICIAL
4/27/2010 9:32 AM THE FEE ABOVE INCLUDES A$0.22 PER THOUSAND CT STATE EDUCATION SURCHARGE
1200030 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER HVAC PERMIT
DATE: 01/25/12
GIS ID:59700189 FEE: 15.00
MUNIS APPLICATION# 201200035 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: IMPERIAL PLUMBING CO.-,"INC. ADDRESS: 189 MILLER ROAD
ADDRESS: 648 SULLIVAN AVENUE `" OWNER: HUNTER JONATHAN
P.O.BOX 875 189 MILLER ROAD
SOUTH WINDSOR,CT 06074 SOUTH WINDSOR,CT 06074
k "
B
DESCRIPTION OF WORK: FINISHED BASEMENT.
NO BEDROOM.
INSTALL 275,GALLON OIL TANK IN BASEMENT_(REPLACEMENT).
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 12:46 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE
1200037 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER HVAC PERMIT 2
DATE: 01/30/12
GIS ID:59700189 FEE: 30.00
MUNIS APPLICATION# 201200035 BUILDING DESCRIPTION:
APPLICANT `. LOCATION
NAME: IMPERIAL PLUMBING CO.;'INC. ADDRESS: 189 MILLER ROAD
ADDRESS: 648 SULLIVAN AVENUE OWNER: HUNTER JONATHAN
P.O.BOX 875 " v A89 MILLER ROAD
SOUTH WINDSOR,CT 06074 "' SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: FINISHED BASEMENT.
NO BEDROOM.
RE-PIPE BASEMENT INTO TWO ZONES. ADD INTAKE AIR TO BOILER,ADD
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
1/30/2012 12:24 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE
30 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER ELECTRICAL PERMIT
DATE: 01/25/12
GIS ID:59700189 FEE: 75.00
MUNIS APPLICATION# 201200035 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: JAKIELA ELECTRIC LLC, ADDRESS: 189 MILLER ROAD
ADDRESS: 279 TRIANGLE BLVD.' .. OWNER: HUNTER JONATHAN
MIDDLEBURY,CT 06762 _..189 MILLER ROAD
SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: FINISHED BASEMENT.
NO BEDROOM.,,
M J.
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 1 1:27 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE
1200036 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER PLUMBING PERMIT
DATE: 01/30/12
GIS ID: 59700189 FEE: 30.00
MUNIS APPLICATION# 201200035 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: IMPERIAL PLUMBING CO.,'INC. ADDRESS: 189 MILLER ROAD
ADDRESS: 648 SULLIVAN AVENUE OWNER: HUNTER JONATHAN
P.O.BOX 875 189 MILLER ROAD
SOUTH WINDSOR,CT 66074 SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: FINISHED BASEMENT.
NO BEDROOM.
RE-INSTALL SINK AND WASHER CONNECTION IN BASEMENT REMODEL. ADD WATER
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
1/30/2012 12:24 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE