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Home My WebLink About19 BIRCH RD DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT PERMIT# Application is hereby: TOWN OF SOUTH WINDSOR S� BUILDING DEPARTMENT / APPRO}(ED, 1540 SULLIVAN AVENUE ��`'�/ 644-2511 EXT.230 1 Soo Bldg.Permit# (Date) (Building Inspector) Application must be printed or typed FEE SCHEDULE on oo : w� ti f Jbr,!> r $041,000=$15.00 Street iko. Street Lot No. Over$1,000- $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT c APPLICANT ADDRESS tr APPLICANT PHONE# `'L ✓ EMI N S£� OWNER _ 5;: L e OWNER ADDRESS & ;r OWNER PHONE D 4 ESTIMATED COST $ �. d IS THIS A CONTRACT COST? YES NO FEE ENCLOSED$ 3 o TYPE OF JOB: 2 I `S0 •Co New Installation _Alteration/Addition Repair VC7)b Revised 12/22/11 ,� APPLICATION FOR PLUMBING PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A O RESIDENTIAL BUILDING PERMIT APPLICATION?A YES ❑ NO O BUSINESS CURRENT USE AND OCCUPANCY O ASSEMBLY O MERCANTILE O EDUCATIONAL FUTURE USE AND OCCUPANCY O FACTORY O STORAGE ENGINEER'S NAME PHONE O GARAGE O MIXED USE ADDRESS (Other please specify) CITY STATE ZIP 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 O YES O 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 O WORK to / r cs Cb 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. 69 IV y _ CONTRACTORS LICENSE N TYP 7jATIE SIGNATURE OF APPLICANT DATE ` APPLICATION FOR ELECTRICAL PERMIT DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT 1 50t�U APPR VE 1540 SULLIVAN AVENUE `3, 7 �, 644-2511 ext. 230 Bldg.Permit# Date Building Inspector Application must be printed or typed FEE SCHEDULE C� l L ation of Job: $0-$1,000 $15.00 / L1 �'�-'� P(�- Over$1,000= Street No. Street Lot No. $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. r i APPLICANT 6 APPLICANT ADDRESS APPLICANT'S PHONE# OWNER �/, ,D 0W N OWNER ADDRESS �'r,► _ •,fir O R PHONE OWNER -/ F ESTIMATED COST$ U IS THIS A CONTRACT COST? Yes FEE ENCLOSED$ Jy 0 �4; TYPE OF JOB: �SOR•C0 New Ins Lion Alteration/Addition/Repair Revised 03/05/10 APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION? YES ❑ NO ❑ 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 SIZE OF SERVICE SIZE OF MAIN CONDUCTORS NUMBERS OF METERS NUMBERS OF DISCONNECTS AND RATINGS NUMBERS OF PANELS NUMBERS OF DISCONNECTS REQUIRED? ❑ YES ❑ NO NUMBERS 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 n 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- d CONTRACTORS LICENSE TYP STA E SIGNATURE OF APPLICANT DAT Z U Lo a � / � Electric# APPLICATION FOR BUILDING PERMIT Plumbing# 19 Birch Road Date: HVAC # Sprinkler# _ FINAL 2 �� Estimated Cost $ �3 Building COMPLETE RED BOXED AREAS APPRO � Permit Fee $ Occupancy Fee $ Engineering TYPE OR PRINT ONLY Eng. Insp. Fee $ Affidavit SIGN ON REVERSE SIDE Appr. for CO. _ Total Fee $ TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $�� The undersigned hereby app es to do work according to the following: Applicant �-- �� K� 1 Location of Work G-C Lot No. Applicant's Address v cl Tel. Town Ytd 1114144ier Zip Lic.# Owner .1;v5 Architect Owner's Address t Architect's Address Zip Zip Sq. Ft. New Area: 1 st FI. 2nd Fl. 3rd FI. Total New Aread Purpose of this permit o 0 s �-�• City Water❑ Well❑ Septic System❑ Sewer❑ Ins: HO 1P Cert. ea Basement Garage Approved by Date 1 Use Group 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 Inspector of any alteration the plans or specifications of the Building for which this permit is asked,and agree that this building is to be located t oper tlista�ce fro II street lines,side yard lines,and required distances from all other zones and is located in whit his and its use is all ed. 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 # 15b0p3 APPLICATION FOR BUILDING PERMIT Plumbing# I S61)r)S'f HVAC# I� `2 Date: 3J2i1s Sprinkler# f 50C)G S� FINAL APPROVALS � Estimated Cost $ z�ra Permit Fee $ Building COMPLETE RED BOXED AREAS ONLY Occupancy Fee $ jn Affidavit_ TYPE OR PRINT Eng. Insp. Fee $ Appr.forCO. TIE ►r� SIGN ON REVERSE SIDE / Total Fee $ 5S TO THE BUILDING ARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ The undersigned hereby.a plies to do work according to the following: Applicant v . C ffc__ _ Location of Work 61 LotNo. Applicant's Addres _��'` 'l - � - Tel # Q' '�/at Town l N,o Zip Lic.#t ---__-- Owner Architect_ Owner's Address S L Architect's Address Zip Zip Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd W Total New rea Purpose of this permit "-_ City Water J Well Septic System .3 Sewer J +�6 O Ins: HO P Cert. Area Basement Garage Approved by Date 3 3' /S 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 in whi this b din a its flowed. i Signed I hereby apply for a Certificate of Oc up;nfthe rk E p des bed in this lication for the permit. Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS INSPECTION FIELD SHEET 10/19/15 Printed by Peart, Dayshell 13 50 13 INSPECTION: 74370 FOOTING PERMIT: STATUS: APPLICATION: 201500150 LOC: 19 BIRCH ROAD SOUTH WINDSOR PROPERTY ID: 11100019 OWNER: DICKINSON ROBERT L CONTRACTOR: REQUEST BY: PROJ DESC: KITCHEN REMODEL--REPLACE CABINETS AND PATCH SHEETROCK. WORK ORDER: INSPECTOR: ROSE RESULT: N/A REQUESTED: PRIORITY: SCHEDULED: COMPLETED: 10/19/15 UNPAID FEES 00 Date Time MILEAGE: 00 TIME: TRAVEL ONSITE COMMENTS: ALL INSPECTIONS: INSPECTED INSPECTOR RESULT INSP DESCRIPTION 10/19/15 ROSE N/A B002 FOUNDATION 10/19/15 ROSE N/A B003 FRAMING (ROUGH) 10/19/15 ROSE N/A B004 INSULATION 10/19/15 ROSE N/A B005 FIREPLACE / CHIMNEY 10/19/15 ROSE N/A B006 WOOD / GAS STOVE 07/06/15 ROSE PENDING B010 FINAL NOT COMPLETE 07/08/15 ROSE PENDING B010 FINAL KITCHEN TO CORRECT OPEN GROUND & GFCI PROTECT 3 RECEPTACLE OUTLETS ,PTO_CALL-FOR-REINSPECTION:----^°—, -- --- ----------- - 10/02/15 ROSE PASS _ __ __B010 FINAL _.1 " ROBERT-@ 860-644=1986//RECHECK RECEPTACLE OULETS 10/19/15 ROSE N/A E001 ELECTRIC SERVICE 10/19/15 ROSE N/A E002 ELECTRIC UNDERGROUND 06/23/15 ROSE PASS E003 ELECTRIC ROUGH ROBERT @ 860-644-1986 10/19/15 ROSE N/A P001 WATER HEATER REPLACEMENT 10/19/15 ROSE N/A P002 PLUMBING UNDERGROUND 06/23/15 ROSE PASS P003 PLUMBING ROUGH 10/19/15 ROSE N/A P004 PLUMBING GAS TEST Electric # APPLICATION FOR BUILDING PERMIT Plumbing# 19 $ir 13000035d HVAC# Date: Sprinkler# Q FINAL APPROVALS Estimated Cost $ � Building COMPLETE RED BOXED AREAS Permit Fee $ Occupancy Fee $ Engineering TYPE OR PRINT ONLY Eng. Insp. Fee $ Affidavit Appr.forCO. - ► SIGN ON REVERSE SIDE A /3 Q Total Fee $ TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ �o The undersigned hereby applies to do work according to the following: Applicant r Location of Work Lot No. Applicant's Address Tel # -t � , Town �'d"'� Zip Lic.# Owner oS Architect Owner's Address r Architect's Address Zip Zip Sq. Ft. New Area: 1 st Fl. 2nd FI. 3rd FI. Total New Area Purpose of this permit City Water J Well J Septic System J Sewer J ,�013doo7 Ins: HO SP Area Basement Garage Approved by F_TDate 1• 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 in which nd.i se�allod. 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 PER- 12A 37 3:s- 11-1/0 AND CUS 29-393 Electric # APPLICATION FOR BUILDING PERMIT Plumbing# 19 Birch Road HVAC# 12000701 Date: Sprinkler# Estimated Cost $ 60a FINAL APPROVALS Permit Fee $ Building COMPLETE RED BOXED AREAS Occupancy Fee $ Engineering TYPE OR PRINT ONLY Eng. Insp. Fee $ Affidavit Appr.for CO. SIGN ON REVERSE SIDE 4 Total Fee $ yS TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ y The undersigned hereby applies to do work according to the following: Applicant aM N B+G Location of Work v Lot No. Applican' Address Tel # Town S r Zip lPb Lic.# Owner ! fi L r s Architect Owner's Address 1 Architect's Address Zip Zip Sq. Ft. New Area: 1 st FI. _2nd FI. 3r I. Total New Area Purpose of this permit V0� t V, O eSg City Wateyk) Well ❑ Septic System ❑ Sew" a01 j L,3 Ins: HO SPE Area Basement Garage Approved by ate 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 loca d the proper distance from all street lines,side yard lines,and required distances from all other zones and is located in hich t s u g aLdAz use is all ed. Signed al'44 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 PERMIT CLOSED PER: PA 7-176 AND CGS 29-393 81RCH ROAD E 67° 5/'00"F_ 170.26' �O BV/LIVID mil{(:'� 7 W L p O O o a 99• ` o �, U O V G0ik� � 4r Luc O No. 37N 00' SUMt h 4 RFv. 5-I8 -'7o r/ri-E Au/) Al?opF rx ;c.x 41AIFS C/Pl M-) 70 COMPLY W/rN DE-F13 P6MPD&.*) W V0: .93,/'GGC 2C Or Sou rk w/w/;Sc,C Lau? RFCoRo';. IT •rI c i;f�'J� ,� trl :' ::_"r RORFRT � . DIC"!C/NSOti' QN� DOROTAV Y U. 0/CK/NS0N 1:1 FOUN!!AT/ON /r AS i NO ZONING VIOLATIONS. JOHN J. MOZZOCHI, ENGINEER GLASTONBURY, CONN. CERTIFIED SUBSTANTIALLY CORRECT. SCALE- - DATE - - t �a � f- 70-28 201500156 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER CERTIFICATE OF OCCUPANCY DATE: 10/19/2015 GIS ID: 11100019 FEE: 10.00 MUNIS APPLICATION# 201500150 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: DICKINSON ROBERT L ADDRESS: 19 BIRCH ROAD ADDRESS: 19 BIRCH ROAD ;A OWNER: DICKINSON ROBERT L SOUTH WINDSOR,CT 06074 45 19 BIRCH ROAD r SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: KITCHEN REMODEL--REPLACE CABINETS AND PATCH SHEETROCK. 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 10/19/2015 1:51 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1500056 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER BUILDING PERMIT DATE: 03/04/2015 GIS ID: 11100019 FEE: 45.00 MUNIS APPLICATION# 201500150 BUILDING DESCRIPTION: APPLICANT I., LOCATION NAME: DICKINSON ROBERT L ADDRESS: 19 BIRCH ROAD ADDRESS: 19 BIRCH ROAD OWNER: DICKINSON ROBERT L SOUTH WINDSOR,CT 06074 45 19 BIRCH ROAD SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: KITCHEN REMODEL--REPLACE CABINETS AND PATCH SHEETROCK. 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 3/4/20 1 5 2:55 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 12000701 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER BUILDING PERMIT DATE: 12/07/12 GIS ID: 11100019 FEE: 45.00 MUNIS APPLICATION# 201201634 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: DICKINSON ROBERT L ADDRESS: 19 BIRCH ROAD ADDRESS: 19 BIRCH ROAD v. OWNER: DICKINSON ROBERT L SOUTH WINDSOR,CT 06074 45 19 BIRCH ROAD SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: REPLACEMENT WINDOWS. 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 12/7/2012 2:53 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 13000035 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER BUILDING PERMIT DATE: 01/25/2013 GIS ID: 11100019 FEE: 135.00 MUNIS APPLICATION# 201300076 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: DICKINSON ROBERT L ADDRESS: 19 BIRCH ROAD ADDRESS: 19 BIRCH ROAD OWNER: DICKINSON ROBERT L SOUTH WINDSOR,CT 06074 45 19 BIRCH ROAD SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: REPLACEMENT WINDOWS. NO STRUCTURAL CHANGES. 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 I/25/20I3 9:I9 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1500038 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER ELECTRICAL PERMIT DATE: 03/04/2015 GIS ID: 11100019 FEE: 30.00 MUNIS APPLICATION# 201500150 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: DICKINSON ROBERT L ADDRESS: 19 BIRCH ROAD ADDRESS: 19 BIRCH ROAD OWNER: DICKINSON ROBERT L SOUTH WINDSOR,CT 06674 45 19:BIRCH ROAD SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: UPDATE OUTLETS AND MOVE RANGE OUTLETS. 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 3/4/2015 2:56 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1500054 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER PLUMBING PERMIT DATE: 03/04/2015 GIS ID: 11100019 FEE: 30.00 MUNIS APPLICATION# 201500150 BUILDING DESCRIPTION: APPLICANT ,< LOCATION NAME: DICKINSON ROBERT L ADDRESS: 19 BIRCH ROAD ADDRESS: 19 BIRCH ROAD ,`.; OWNER: DICKINSON ROBERT L SOUTH WINDSOR,CT 06074 45 19 BIRCH ROAD SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: MOVE TDRAINS AND WATER SUPPLY IN KITCHEN.,-., 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 3/4/2015 2:56 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE