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
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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