HomeMy WebLinkAbout19 WILDLIFE TRL LOT 16 DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT PERMIT#
Application is hereby: TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT 030 3
1540 SULLIVAN AVENUE
j 644-2511 EXT.230 I Bldg.30 O_3tg S
(Date) lding Inspector) ,
Application must be printed or typed
FEE SCHEDULE 1 q � � � ��f 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 M P-.V 1y mu
APPLICANT ADDRESS lq IA&LD 1.t1le4L�IU►��. , %ou-d latk14►02
APPLICANT PHONE# 103 OnZb
�W N SF OWNER W ?%v1R�m
�
OWNER ADDRESS A _�„t 77%Akt,
O *. OWNER PHONE
C ESTIMATED COST $ ?o00
* IS THIS A CONTRACT COST? YES NO
., FEE ENCLOSED$
1 0 � TYPE OF JOB: �tr 3 2-0
��`SOR•CO�� New Installation
Alteration/Addition Repair
��13d1o7�
Revised 12/22/11
APPLICATION FOR PLUMBING PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
0 RESIDENTIAL BUILDING PERMIT APPLICATION? ❑ YES ❑ NO
0 BUSINESS CURRENT USE AND OCCUPANCY
0 ASSEMBLY
0 MERCANTILE
O EDUCATIONAL FUTURE USE AND OCCUPANCY
0 FACTORY
O STORAGE ENGINEER'S NAME PHONE
0 GARAGE
0 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 OF WORK
hSS4y` 3b C,&%. t`� �t�i.0 �►
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 N STATE
SIGNATURE OF APPLICANT DATE Z �3
APPLICATION FOR ELECTRICAL PERMIT
DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT#
Apploientieq,is hereby: BUILDING DEPARTMENT
Ov 1540 SULLIVAN AVENUE
Bldg.Permit#
p 3 644-2511 ext. 230
Date ilding Inspector
Application must be printed or typed
FEE SCHEDULE Location of Job:
$0-$1,000= $15.00 1q ZRAtt..
Over$1,000= I Street No. Street Lot No.
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt. No.
APPLICANT _E-pw4to yPN tr.,q m:Q
APPLICANT ADDRESS M uji.o kft 7MAAL
So�1'i th
APPLICANT'S PHONE # ?a'3 . 233 -992?,
OWNER fioww"o Q,,4%V0ITR
�W N SF
( q4 OWNER ADDRESS tg b1�ti,p L�i�c,-n1At�
L.. OWNER PHONE 201 • 23
ESTIMATED COST$ ► o0
(� IS THIS A CONTRACT COST? Yes No
FEE ENCLOSED$ ,gip
�f i� TYPE OF JOB: -47�7�U
�4USOR•CO%" New Installation
Alteration/Addition/Repair
40261.30 10 7(.e
Revised 03/05/10
APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
BUILDING PERMIT APPLICATION? W 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
CZ£1r1�R.�L CF.II-�tl�ts �.�c,t�i FkxT . -itt'^o%tt0*. Mytfic
4• CA.-UoT fka2 v4-o-0
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 N TYPE STATE
SIGNATURE OF APPLICANT DATE 7[24/i3
—r-7
RECEIVED
SITE COMPLIANCE CHECKLIST JUL 2 5 2006
TOWN of SOUTH WINDSOR, CONNECTICUT
19 WILDLIFE TRAIL LOT_#�� Reviewed By b HW!(�Engineering)
WILMAR CONSTRUCTION Date Reviewed r v d/Denied
878 STRONG ROAD,SOUTH WINDSOR,CT Reviewed By (Planning)
BP # 32572 Ph_# 860-528-3564 Date Reviewed/ wt_10;. Approv /Denied
Date Submitted 00/00/00 ***** FOR t ot O **
As required in the Zoning and/or Subdivison Regulations, no Certificate of
Occupancy shall be issued until grading plans have been complied with and
approved by the Town Engineer. The minimum requirements shall include:
Approved Denied N/A
1. Approved building permit plan
2. Finish grading per approved
building permit plan
3. Site work; i.e. trees, shrubs,
dumpsters, required parking
_ 4. Utility location;
a. sanitary sewer/septic system
b. foundation drain
C. electrical & telephone
d. water
e. other-�jr4s
5. Sewer connection charge paid
6. Appropriate certification
7. Bonding
8. Planning & Zoning/
Inland Wetlands Considerations
A. Lighting
B. Signage
Freestanding Wall
C. Fee in lieu of Open Space
Sewer Permit No. Pav Exc #
COMMENTS: R �,f /!S-iS.�.�� 3{�.w f••l.�► D�•1+ Status:
Roof Ce4 �w� $t� L.ls� �s+a�S To �Pr ��� �.� Sad L_
8 tog"
Cwf.P..�,l Ca�_�w►Sc.�� eD ��ozJ 9�..�
Electric # Zo3 APPLICATION FOR BUILDING PERMIT
Plumbing# Date:
HVAC # /"T3 1�4 ta;1.a 1i f.—rp e a —I,nt 1 h
Sprinkler# 3 2 5 7 2
pFINAL APPROVALS -- -" - - _-- - ; Estimated Cost $/ o 000
BuildinCOMPLETE — -- ---- -- Permit Fee
g � RED BOXED AREAS Engineering Occupancy Fee
gi g TYPE OR PRINT ONLY Affidavit Eng. Insp. Fee $
► SIGN ON REVERSE SIDE
Appr. for CO. i '� 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 r%LLocation of Work Lot No.
Applicant's Address Tel.#
Town Sv c/7 A, c T Zip O G�7c Lic.#
Owner C Architect l2 G r 0/9«y o.y
Owner's Address Sic . .,�v ,S/�L ,o Architect's Address —?30 lZo dg.?-Ts
1 Zip c� , l 7 3� 7- �>'.5+,�rf�R'-i� c� Zip
Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area
Purpose of this permit 4�
City Watery Well❑ Septic Systemo Sewez,�-'
Ins: HO SP Cert. Area Basemer
Garage
Approved b Date —�V-_ Use Group Construction Type
Revised 6/02
V
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 it is allowed.
17
Signed��
I hereby apply for a Certificate of Occupancy for the work des in this application for the permit.
Signed
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
BUILDING INSPECTION DEPARTMENT
TOWN of SOUTH WINDSOR, CONNECTICUT
C E R T I F I O F 0 C',T1,�P A N C Y
tf4 C
ZONE:
� � July 31 2006
This is to certify that_oo19 WILDLIFE TRALL tnf TRD under' Sermit
No. 32572 conforms .substaritially to the requirements of the Connecticut
Basic Building code and the zoning regulations of the Town of
South Windsor and 'is hereby approved for occupancy as indicated below
Approved for Occupancy - SINGLE FAMILY CONDO NEW ,J. 4 ,.M3
a SEE PERMIT # 32572
Use Group: R4
Constr. Type: 5H
' ;.
• t, Building Official
Notice: If this cer�C,iioate`;is lost or destroyed, a duplicate should
be obtained iinede ly fram.the Building Department.
Any change or extensi 'nroo he Cri4e,proved requires
a new certify-&t*-t"f°"occupancy.
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
PERMIT#
TOWN OF SOUTH WINDSOR
Applica � reby: c
BUILDING DEPARTMENT
6APPROYN�)- 1540 SULLIVAN AVENUE
644-2511 ext. 230 Bldg.Permit#
Date Enginspector
Application must be printed or typed
FEE SCHEDULE Location of Job:
l 5 W i c.,v c jee 7��
$0-$1,000=$15.00 Street No. Street Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT 30d'
APPLICANT ADDRESS
APPLICANT PHONE#
O W N S F,q OWNER
OWNER ADDRESS
U) r OWNER PHONE
C = ESTIMATED COST$
IS THIS A CONTRACT COST? _Yes _No
FEE ENCLOSED$
f��sO CO�� TYPE OF JOB:
R' New Installation
Alteration/Addition/Repair
APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
BUILDING PERMIT APPLICATION? ❑ YES ❑NO
❑RESIDENTIAL
Ll BUSINESS CURRENT USE AND OCCUPANCY
U ASSEMBLY
U MERCANTILE FUTURE USE AND OCCUPANCY
❑EDUCATIONAL
U INSTITUTIONAL
❑FACTORY ENGINEER'S NAME PHONE
O STORAGE
0 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
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 DATE 7-11-e
SITE COMPLIANCE CHECKLIST
TOWN of SOUTH WINDSOR, CONNECTICUT
19 WILDLIFE TRAIL LOT_#1 Reviewed By ab (Engineering)
WILMAR CONSTRUCTION Date Reviewed zilt- t /Denied
878 STRONG ROAD,SOUTH WINDSOR„CT Reviewed By Planning)
BP_#_31848_ Ph_# (860)528-3564 Date Reviewed ,ti R Approve benied
Date Submitted 07/21/05 ***** FOR B I DING PER ***
In accordance with the Zoning and/or Subdivision Regulations, prior to the
building of any structure on a lot, a Topographic Plot Plan shall be submitted
for approval. The minimum requirements shall include
Approve Denied N/A
1 Name, address & phone number of owner/applicant
2 Name, address & phone number of plan preparer
V 3 Zoning Information - i.e zone, open space,
floodway, street address
4. Plot Plan at 1" = 40' scale
a. Subdivision reference, abutting properties, etc
✓ b. Easements of record
c. Lot description, bearings, building lines,
/ distances, area, etc.
✓ d. Contours, existing & proposed, 1 or 2 ft
interval where appropriate
az
e. Building location with dimensions.
Elevations of proposed finish floor, garage
loor & centerline of road at driveway
f. Elevations of gravity drainage systems, sanitary
& foundation drain at the house and the street
g. Tentative utility location (gas, water,
electric, septic system, etc )
h. Title block with name and address of preparer,
date, appropriate certification, live seal and live
signature consistent with the Board of Registration
requirements (P.E & L.S )
5. Sedimentation and erosion control
6 Special Planning & Zoning, Inland/Wetlands
considerations (Plans on file w/Town Clerk)
COMMENTS:
DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT
TOWN OF SOUTH WINDSOR PERMIT#
Applicat' ereb
BUILDING DEPARTMENT
P 1540 SULLIVAN AVENUE Bldg.Permit#
644-2511 ext. 230
Date B 1AlTnspector
Application must be printed or typed
FEE SCHEDULE Location of Job:kueffloAlk
$0-$1,000=$15.00 Street No. Street Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT
APPLICANT ADDRESS
so &jfti Ste, C+
APPLICANT PHONE# /
O W N g F,q OWNER Co ax>eo- A?e.4bo k)
< OWNER ADDRESS
OWNER PHONE
C ESTIMATED COST$
x IS THIS A CONTRACT COST? Yes _No
FEE ENCLOSED$
1��5 O�� TYPE OF JOB:
O R-C V"New Installation
_Alteration/Addition/Repair
Revised 4/01//2002
APPLICATION FOR PLUMBING PERMIT (Continued from reverse Side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED�TH A
f�
/RESIDENTIAL BUILDING PERMIT APPLICATION? B YES ElNO
❑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 ezu SIZE OF MAIN DRAIN
y.,
NO.OF TOILETS STYLE 7A.yX NO.URINALS STYLE
NO.OF BATHTUBS 2— NO.OF SHOWERS NO.OF LAVATORIES
NO.OF CONDUCTORS SIZE NO.OF STACKS l SIZE
AREA OF ROOF NO.OF CATCH BASINS NO.OF FLOOR DRAINS
NO.OF OTHER FIXTURES C KIND 1<T J e til
ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW ❑YES V 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 3/ �� r I A it
WATER HEATER: TYPE SO JAI 4AS MANUFACTURER 5-4p4e
DESCRIPTION OF WORK
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND is
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 DATE
DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT
PERMIT#
A lic TOWN OF SOUTH WINDSOR
PP BUILDING DEPARTMENT
APP 1540 SULLIVAN AVENUE Bldg.Permit#
!�-fl-6 6 644-2511 ext. 230
Date B ' g Inspector
Application must be printed or typed
FEE SCHEDULEXo � /� Location of Job:
$0-$1,000=$13.00 Street No. Street Lot No.
Over$1,000=
i veitwq Ik L"-r
$13.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT /;/, ;/ `iG// 000g�e e- l ez, //��
APPLICANT ADDRESS /a?O f Si/�jl/�'9.V W06—
sa, �;tia3a,�, cf
APPLICANT PHONE# 1� V4f' s4/
OWN S Fq OWNER C._.4 4d.,e lu, 1,bFeoi o"2 r1-16
OWNER ADDRESS O OWNER PHONE
C ;D ESTIMATED COST$ sG o
�l U
IS THIS A CONTRACT COST? i o es 0 No
�CJ FEE ENCLOSED$lab
�� `C��� TYPE OOF/JOB:
R- gNew Installation
0 Alteration/Addition/Repair Revised 8/99
APPLICATION FOR HVAC PERMIT (Continued from reverse side
TYPE OSTEM: TYPE OFtU I DING:
�.,H TING RESIDENTIAL
�Y' 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) °F(HEAT LOSS SHEET MUST ACCOMPANY
APPLICATION)
DESCRIBE ALL HEATING EQUIPMENT(INCLUDING MAKE&MODEL NO.)
/buy UBRAo76Y& 6s
GROSS HEATING CAPACITY(INPUT—BTUH) NET RATING(OUTPUT—BTUH) D bed
TYPE OF FUEL
❑91L—GPM OIL TANK LOCATION:❑INSIDE❑OUTSIDE CAPACITY
&fGAS—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)
A14
DESCRIBE ALL COOLING EQUIPMENT(INCLUDING MAKE&MODEL NO.)
��K3 a412 �AZ
TONNAGE �r Z COOLING CAPACITY(BTUH)Y���
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 /l��Gt/ f�y�)' ✓ /S�C/V�
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.
3e�>z. (.(4� 5�- 1
CONTRACTORS LICENSE N . TYPE STATE
SIGNATURE OF APPLICANT DATE sh t A I.
1005 6: 16PM Plimpton I Hills Corp 8602407566 No. 6631 P. 7
` RIGNT4 SHORT FORM
UNIT# 16
Your Company Name
ow Comorer Addram,Yvr Ody,Sr 99M Rww 92&65&1212 Fw 909. 2121
Project Informatioii
For JOHNS PROJECT
SOUTH WINDSOR,
f
Mflllrathm
Outside db('F) 0 go Med od 8'mp6fied
lIne�n 70 75 CorietruCtion quaky Aver
70 15 Fireplaces
M
Wide humidly{96) 19
M o*U1 dNfwm=(grAb)
HEATING EQUIPMENT COOLING EQUIPMENT
Make Make
Trade Trade
Efftc� 80.0 AFUE Efficiency 0.0 EER
Hea&V input 0 f3tuh Seralble cooky 0 Btuh
0 Stuh Lawlit 0 Btuh
0 Btuh
��petfaadure rya 1988 cfm A n8 10w dm/st uh
Ha&V air flew factor 0.031 cknGbih Cooling air flaw fa= 0.
Space ftmostat Load sensible hat ratio 91 %
ROOM NAME Ame
Htg imd i�k� HtS)VF C�jVF
(BwUNIT 16 1600 45022 27141 141 S 1451
UNIT 16 LL. 1480 1T466 9W5 550 517
UNIT*16 n p 3280 WA88 3NN1968 1968
Ventilertion air 0 0
Equip. @ 0.95 RSM 9W 3
Latent aoolirp
TOTALS 3280 624M 38574 1888 19W
aWdit*wWaM AM*Ark!mWANNr
Pri WL9 m fwd by ACCA to meet al r84UW wrfs Of Msf'JW J 7M Ed.
icy&Sufi tdldnkw*'&0.66 R�7 M05 A W22 1S3C38
WI'7 paw 5
ACM C:1W DwjwmwoFm PRoxr.T.Wffm NM01111M-
Electric # i 603;�f lcu, APPLICAA'�ION FOR BUILDING PERMIT
Plumbing#/" 03�'�S 19 Wild Life Trai
HVAC# 11h 1301103 R S Date:
Sprinkler# 0 1-
FINAL Estimated Cost $ �eoo •
Building �G COMPLETE RED BOXED AREAS Permit Fee $ 75 —
Occupancy Fee $ in —
Engineering .-C-, TYPE OR PRINT ONLY Eng. Insp. Fee $
Affidavit
Appr.for CO. ► SIGN ON REVERSE SIDE A Total Fee $
TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ 32
The undersigned hereby applies to do work according to the following:
Applicant 0�41161ti0 Ptyt0.oT�o LocationofWork lq I4%W laf 7WA%%.. Lot No.
Applicant's Address 19 WAD ldft-'jMIL, Tel # Sol,•21%-�21
Town Sion" VMSJ1 L Zip 40"14 Lic.#
Owner *1.AA&O Ply lRONM) Architect ftA%^0 *P"&A"WO
Owner's Address %I %A%LO UN&L 7 —IM1m Architect's Address
-+ Zip Zip
Sq. Ft. New Area:jetlp. l�S• 2nd FI. 3rd FI. Total New Area
Purpose of this permit a 11.11n1(! (b
N o j room_�7 f in h'3 CF
City Water`.] Well iJ Septic System !1 Sewer 7
aO1-i�blo
Ins: HO SP Cert. Area Basement Garage
Approved y !ZZ�' Date 2"3a Use Group Construction Type
Revised 1108
r
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 alter in the plans or specifications of the Building for which this
permit is asked,and agree that this building is to be located th prop distance from all street lines,side yard lines,and required
distances from all other zones and is local dtflvh .h 1 build g and i. use is lowed.
Slgre
I hereby apply for a Certificate of Occupancy for the work described is application for the permit.
Signed
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
INSPECTION FIELD SHEET 04/25/22
Printed by Middleton, Morgan 10 23 43
INSPECTION: 60242 INSULATION PERMIT:
STATUS:
APPLICATION: 201301076
LOC: 19 WILDLIFE TRAIL
SOUTH WINDSOR
PROPERTY ID: 94400019
OWNER: PIVIROTTO EDWARD W JR &
CONTRACTOR:
REQUEST BY:
PROJ DESC: FINISH A PORTION OF THE BASEMENT FOR A HOBBY AND EXERCISE
WORK ORDER:
INSPECTOR: ROSE RESULT: PASS
REQUESTED: 08/27/13 PRIORITY:
SCHEDULED: 08/28/13 AM COMPLETED: 08/28/13
UNPAID FEES 00 Date Time
MILEAGE: 00 TIME: TRAVEL ONSITE
COMMENTS:
MR. PIVIROTTO 1-203-233-9928//draftstopping -ok
ALL INSPECTIONS
INSPECTED INSPECTOR RESULT INSP DESCRIPTION
B001 FOOTING
B002 FOUNDATION
08/08/13 ROSE PENDING B003 FRAMING (ROUGH)
PIVIROTTO 1-203-233-9928 /NEED TO DRAFTSTOP EXT WALLCAVITY
B005 FIREPLACE / CHIMNEY
B006 WOOD / GAS STOVE
BO10 FINAL
E001 ELECTRIC SERVICE
E002 ELECTRIC UNDERGROUND
08/20/13 ROSE PENDING E003 ELECTRIC ROUGH
MR. PIVIROTTO 1-203-233-9928/NAIL PLATE PROTECTION
P001 WATER HEATER REPLACEMENT
P002 PLUMBING UNDERGROUND
08/20/13 ROSE PASS P003 PLUMBING ROUGH
P004 PLUMBING GAS TEST