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HomeMy WebLinkAbout195 HILTON DR Electric # APPLICATION FOR BUILDING PERMIT Plumbing# 195 Hilton Hrive HVAC# lgpnni d4 10,11c: -- Sprinkler# Estimated Cost $ -2- 7 co FINAL APP V S Permit Fee $ Building COMPLETE RED BOXED AREAS Occupancy Fee $ Engineering TYPE OR PRINT ONLY Eng. Insp. Fee $ Affidavit ► SIGN ON REVERSE SIDE Appr.for CO. Total Fee $ .3(2. e'er 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 Lot No Applicant's Address -9 5�-f l/2:i J DR Tel # - Town _S l it WU -DW- 9 ['? Zip Qr=& -Lic.# Owner TI}AN H yA/y P{� Architect Owner's Address I9 5 ttt --EQN DR Architect's Address Zip Zip Sq.Ft.New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area Purpose of this permit 9AV_404W to— "t !e n Olr np , e p p P-A,U -i e- -1 600 51a . F+ City Water L.] Well ❑ Septic System ❑ Sewer❑ /�6036s Ins: HO SP ea Basement Garage Approved by 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 be Iocatdd 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 ap 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 12/31/14 , • Printed by Peart, Dayshell 13 04 21 INSPECTION: 66241 ;F=: sFINAL,, $ ( PERMIT: STATUS APPLICATION: 201400305 LOC: 195 HILTON DRIVE SOUTH WINDSOR PROPERTY ID: 44100195 OWNER: PHAM THANH VAN CONTRACTOR: REQUEST BY: PROJ DESC: REMOVE AND REPLACE ROOF WORK ORDER: INSPECTOR-'" DOUG ? RESULT: PASS REQUESTED: --04/24/14 PRIORITY: _..-• SCHEDULED: 04/24/14 AM COMPLETED: T 04/24/14 UNPAID FEES 00 r " -Date Time MILEAGE: 00 TIME TRAVEL ONSITE COMMENTS DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT TOWN OF SOUTH WINDSOR PERMIT# Applicatio eb : / BUILDING DEPARTMENT C, WO (4�P-RO 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 Date Building 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$1,000 or any fraction thereof Tenant Designation :AXpt.No. APPLICANT APPLICANT ADDRESS 3 (� CC✓e_ .!'f- APPLICANT PHONE# C.(j- "Z (C D r' 10 W N S£q OWNER fiR tA &) OWNER ADDRESS �f *( t-Iro/U " Q S - w. C, -- U) + # F OWNER PHONE ;Ho— SS4'0 2 C ESTIMATED COST$ / 2_0 0 x IS THIS A CONTRACT COST? --*Yes _No FEE ENCLOSED$ �- r�d S - O�� TYPE OF JOB: R C New Installation "'-Alteration/Addition/Repair Revised 4/01//2002 I APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A 01 SEDENTIAL BUILDING PERMIT APPLICATION? O YES 01 TKO U BUSINESS CURRENT USE AND OCCUPANCY A ❑ASSEMBLY ❑MERCANTILE 0 EDUCATIONAL FUTURE USE AND OCCUPANCY ❑INSTITUTIONAL O FACTORY ENGINEER'S NAME PHONE U STORAGE ❑GARAGE ADDRESS ❑MIXED USE (Other please specify) CITY STATE ZIP TYPE OF INSTALLATION/WHU NG METHOD ZO D A- SIZE OF SERVICE ZOC7 /4 &yq SIZE OF MAIN CONDUCTORS_ cl,4 NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS NUMBER OF PANELS REMOTE DISCONNECT REQUIRED? O 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. IR 09 6 L= I c-7- CONTRACTORS LICENSE NO. STATE SIGNATURE OF APPLICANT DATE 0 1 LShirley Wilhelm-CRS Approval Confirmation: Request No.464086 Page 1 From: <clpsvc@nu.com> To: <WILHEL@SOUTHWINDSOR.ORG> Date: 9/21/05 9:19AM Subject: CRS Approval Confirmation: Request No.464086 Your approval of the following CRS Request has been successfully processed. CRS Work Request M 464086 House No: 195 Lot No: Street Name: HILTON DR Town Name: SOUTH WINDSOR, CT Inspector: CHRISTOPHER DOUGAN Approval Date: Sep 21,2005 This e-mail, including any files or attachments transmitted with it, is confidential and intended for a specific purpose and for use only by the individual or entity to whom it is addressed. Any disclosure, copying or distribution of this e-mail or the taking of any action based on its contents, other than for its intended purpose, is strictly prohibited. If you have received this e-mail in error, please notify the sender immediately and delete it from your system. Any views or opinions expressed in this e-mail are not necessarily those of Northeast Utilities, its subsidiaries and affiliates(NU). E-mail transmission cannot be guaranteed to be error-free or secure or free from viruses, and NU disclaims all liability for any resulting damage, errors, or omissions. I Electric# APPLICATION FOR BUILDING PERMIT Plumbing# 195 Hilton Drive Date: 1 _ HVAC # Sprinkler# 31948 Estimated Cost Z, C2D n FINAL COMPLETE RED BOXED AREAS Permit Fee $�^ Buildm�/ 1s Occupancy Fee $ Enginee n TYPE OR PRINT ONLY En Ins •Fee $ Affidavit Affid for co. ► SIGN ON REVERSE SIDE g dU 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 :11JAnf ff- V ft Pj+A `Location of Work!9 '`� Rj J=N 0 PC- Lot No. Applicant's Address 425 4jVTON 6R, Tel.# IS )) 99-209,9 Town Sotx W i N DS O R= r'�' Zip-o 6 0'Z _Lic.# Owner `rRmsli± V:l-N PhAAA Architect Owner's Address -1 0 i 1 j`To AI n Architect's Address Sdu7'I-f t.;i ,hSr�1Z C/ Zip LKo?� zip- -Sq. Ft. New Area: 1st FI. 2nd FI. 3rd FI. Total New Area --Purpose of this permit �/i N� Y,T/5it>i NET ;7-F�) City Watero Wello Septic System❑ Sewer❑ Ins: HO SP Cert. Area Basement Garage Approved by Date Use Group ruction Type�— R"sed 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 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. Signed1ttlrl, lat�'l 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 14000144 'T O N OF SOUTH WINDSOR, PERMIT NUMBER BUILDING PERMIT DATE: 04/15/2014 GIS ID:44100195 FEE: 30.00 MUNIS APPLICATION# 201400305 BUILDING DESCRIPTION: .I APPLICANT °^ LOCATION NAME: PHAM THANH VAN,k '+'�.._ ADDRESS: 195 HILTON DRIVE ADDRESS: 195 HILTON DR .. ?-K, OWNER: PHAM:THANH VAN SOUTH WINDSOR,CT,06074 21 195 HILTON DR SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: REMOVE AND REPLACE ROOF. 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 4/15/2014 3:07 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE