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HomeMy WebLinkAbout199 LISA DR APPLICATION FOR ELECTRICAL PERMIT DEPARTMENT DECISION TOWN OF SOUTH WINDSOR pEFAW# Application is hereby: BUILDING DEPARTMENT AP O . 1540 SULLIVAN AVENUE r•U-i O 644-2511.ext. 230 Bldg,Permit# Date Building InspmjG Application must be printed or typed FEE SCHEDULE Location of Job: $041,000—.$15.00 5et Over$1,000= Street 14o. Street Lot No. $15.00 per$1,000 or any fraction thereof Tenant Designation Apt No. APPLICANT Pe,,h arc ti— L It-C_g r i ck APPLICANT ADDRESS (44d C�4 GC ST- APPLICANT'S PHONE 4 0 SOW N 8 OWNER rc^T ti e-eti . _ OWNER ADDRESS /1 G OWNER PHONE r?l op Q. ESTIMATED COST$ G o r' IS THIS A CONTRACT COST? CA-Yes No FEE ENCLOSED$. I S TYPE OF JOB: SOR•COS New Installation Alteration/Addition/Repair �,2ot�a� Revised 03/05/.0 APPLICATION FOR ELECTRICAL PERNUT(Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION? ❑ YES ❑ NO Q�xESIDENTIAL CURRENT USEAND 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, me SIZE OF SERVICE SIZE OF MAIN CONDUCMRS. NUMBERS OF METERS NUMBERS OF DISCONNECTS AND RATINGS NUMBERS OF PANELS NUMBERS OF DISCONNECTS REQUIRED? 0 YES 0 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 t!'r}J `C rCvi f5 .[^of e �'rr� E} i r' Cc'`1cJQc� 5C� off- 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 APPLICANTaa� DATE DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT PERMIT# Application is hereby: TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT ��' °O a y APPRDV 1540 SULLIVAN AVENUE 1 644-2511 EXT.230 �Bldg. (Date (Building Inspector) Application must be printed or typed FEE SCHEDULE �}� � Location of Job: $0-$1,000=$15.00 Street No. J Street Lot No. Over$1,000- $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT 6`2 �)M t> \ L� �►J C-� S L �"� APPLICANT ADDRESS �Z\ � C-1— 0&7 2- � L, APPLICANT PHONE# \ - It— OWNER '� �/\� ��� 0 N S C q< OWNER ADDRESS 19C\ 0 F OWNER PHONE �� Z C ESTIMATED COST $ ��� • IS THIS A CONTRACT C4T 'YES NO FEE ENCLOSED$ TYPE OF JOB: ' 2 I g dSOR•Cod _New Installation Alteration/Addition Repair � 7bl Sd010`. 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? YES ❑ NO O BUSINESS �l t O ASSEMBLY CURRENT USE AND OCCUPANCY O MERCANTILE 0 EDUCATIONAL FUTURE USE AND OCCUPANCY O FACTORY O STORAGE ENGINEER'S NAME PHONE O GARAGE 13 MIXED USE ADDRESS (Other please specify) CITY STATE ZIP TYPE OF INSTALLATION / SIZE OF MAIN DRAIN -\n NO. OF TOILETS STYLE \ k v 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 IYES 7*TkNO 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 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 � C SIGNATURE OF APPLICANT ` C% �2� DATE APPLICATION FOR ELECTRICAL PERMIT DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT IS6obSs. APP o D 1540 SULLIVAN AVENUE Bldg.Permit# ` 5- 644-2511 ext. 230 I U o 5 3 Date Building Inspector Application must be printed or typed FEE SCHEDULE L9- q T Location of Job: $0-$1,000=$15.00 Over$1,000= No. Street Lot No. $15.00 per$1,000 or any fraction thereof Designation Apt.No. APPLICANT LI) % I- )C,r t APPLICANT ADDRESS APPLICANT'S PHONE# `3 OWNER �QW N SFq` OWNER ADDRESS C/j OWNER PHONE C ESTIMATED COST$ C ►1 C� IS THIS A CONTRACT COST? Yes No FEE ENCLOSED$ — 1� TYPE OF JOB: ZS �SOR•CON New Installation Alteration/Addition/Repair - ' 2o1S vol.aZ 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—j— 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 c.tJ, � �- F►�1� 5"1Pc� 1�: 5.'�hen� �: 5 ,�� rr�l t J G��7�t iJt, � �4�I i j THE UNDERSIGNED NEARBY 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 r APPLICATION FOR HVAC PERMIT DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT In oo l(.ems . AP p O 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 Date Building Application mast be printed or typed FEE SCHEDULE Firmdl `Location of Job: $0-$1,000=$15.00 Over$1.�= Street Lot No. $15.00 per$1,000 or any fraction thereof nation Apt,No. APPLICANT APPLICANT ADDRESS p�g D`{. C . Z . APPLICANT'S PHONE# 0 , OWNER It OWN 8�q� OWNER ADDRESS OWNER PHONE C ESTDAATED COST$ 8 b Ob C � V IS THIS A CONTRACT COST? Yes No FEE ENCLOSED$ 1. {� TYPE OF JOB: I .I 5ORC O New Installation Alteration/Addition/Repair J-0► Gw�Cv Revised 03/05/10 . APPLICATION FOR HVAC PERNUT(Continued from reverse side) TYPE OF SYSTEM: TYPE OF 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 °F INSIDE OF DIFFERENCE "F TOTAL HEAT LOSS(BTUH) OF(HEAT LOSS SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL HEATING EQUIPMENT(INCLUDgiG MAKE&MODEL NO.) � S S GROSS HEATING CAPACITY{INPUTRTUB �3_�U�T 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 °F TOTAL HEAT GAIN(BTUH) (HEAT GAIN SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL COOLING EQUIPMENT(INCLUDING MAKE&MODEL NO.) TONNAGE COOLING CAPACITY(BTUH) VENTILATION DESCRIBE A.LL'AIR HANDLING EQUIPMENT(INCLUDING KITCHEN EXHAUST EQUIPMENT) TOTAL SIZE OF SYSTEM(CFM) FRESH AIR INTAKE(CFM) (PLANS MUST ACCOMPANY APPLICATION) . FURTHER 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. E ST SIGNATURE OF APPLIC l DATE S/N 12140 RIGHT-J SHORT FORM 3/2 0/16 Filename: Mane south w Job#: Htg Clg For: Outside db 4 90 Inside db 70 72 South Windsor Design TD 66 18 Daily Range - M Inside Humid. - 50 By: Grains Water - 29 Method Simplified Const.glty Average Fireplaces 0 HEATING EQUIPMENT COOLING EQUIPMENT Make Make Model Model Type Type Efficiency/HSPF 0.00 COP/EER/SEER 0.00 Heating Input 0 Btuh Sensible Cooling 0 Btuh Heating Output 0 Btuh Latent Cooling 0 Btuh Heating Temp Rise 0 Deg F Total Cooling 0 Btuh Actual Heating Fan 1303 CFM Actual Cooling Fan 1303 CFM Htg Air Flow Factor 0.000 CFM/Btuh Clg Air Flow Factor 0.048 CFM/Btuh Space Thermostat Load Sensible Heat Ratio 83 ROOM NAME AREA HTG CLG HTG CLG SQ.FT. BTUH BTUH CFM CFM Living rm 278 0 4510 0 216 Family rm 279 0 3725 0 178 Breakfast/kitchn 290 0 5390 0 258 Laundry/bath 104 0 964 0 46 Dining rm 169 0 2442 0 117 Foyer 72 0 252 0 12 Master bed rm 279 0 3450 0 165 Master bath/clot 127 0 553 0 26 bed #2 176 0 2240 0 107 hallbath 55 0 240 0 11 bed #3 176 0 1952 0 93 bed #4 130 0 1512 0 72 Entire House d 2134 0 27230 0 1303 Ventilation Air 0 0 Equip.@ 0.95 RSM 25869 Latent Cooling 5468 TOTALS 2134 0 31336 0 1303 MANUAL J:7th Ed. RIGHT-J:V3.0.13 h APPLICATION FOR HVAC PERMIT DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT APp O 1540 SULLIVAN AVENUE t SOU r6# U� 644-2511 ext. 230 Bldg. Permit# Daie Building Inspector Application must be printed or typed FEE SCHEDULE F;Tenant Location of Job: Over$1,000= Street Lot No. $15.00 per$1,000 or any fraction thereof ignation Apt.No. APPLICANT ' ��� � P�vYY e.cC►��t LG APPLICANT ADDRESS Je--,e- 2� APPLICANT'S PHONE# W N 3 F OWNER 74"' q< OWNER ADDRESS OWNER PHONE ESTIMATED COST$ 7 IS THIS A CONTRACT COST? Yes No FEE ENCLOSED$ �C7 TYPE OF JOB: dSOR,COS New Installation Alteration/Addition/Repair ZOi50U102 Revised 03/05/10 APPLICATION FOR HVAC PERMIT(Continued from reverse side) ! TYPE OF SYSTEM: TYPE O BUILDING: .HEATING ` RESIDENTIAL ❑ A/C ❑ COMMERCIAL ❑ VENTILATION ❑ INDUSTRIAL HEATING ❑ STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LMT LBS. HYDRONIC ❑ WARM AIR ❑ UNIT RADIANT.HEATER EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION DESIGN TEMP.OUTSIDE OF INSIDE OF DIFFERENCE °F TOTAL HEAT LOSS(BTUH) °F(HEAT LOSS SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL HEATING EQUIPMENT(INCLUDING MAKE&MODEL NO.) M cN 1 bo,boc) _-b6 i�_pn_ GROSS HEATING CAPACITY(INPUT-BTUH)Mo& NET RATING(OUTPUT BTUH)T TYPE OF FUEL .13k OIL-GPM OIL TANK LOCATION: ❑ INSIDE ❑ OUTSIDE CAPACITY GAS-INPUT (CQa)0L.PG TANK CAPACITY ELECTRIC-KW AIR CONDITIONING DESIGN TEMP: OUTSIDE OF INSIDE °F 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 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. 7 CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT / DATE 36( S/antl :n. TC chronic Ex �rer � p Job Name:Heckman Customer: Engineer: Salesman:Mark Rossignol Address: City:South Windsor State:CT Zip: Phone: Indoor Design TemperatuM.0 Outdoor Design TemperattDtfl F Altitude(Elevation): 0 HEAT LOSS CALCULATIONS 1st Floor Office/Family Unfinished St Bathroom Floor Totals Job Totals Room Height(ft) 7.00 7.00 7.00 Room Length(ft) 45.50 11.00 12.00 Room Width(ft) 15.00 12.00 5.50 Doors&Glass(sq ft) 20.00 Door&Glass Factor 0.6500 0.6500 0.6500 Exposed Wall Length(ft) 75.50 23.00 12.00 Exposed Wall Factor 0.0700 0.0700 0.0700 Cold Partition Length(ft) 15.00 Cold Partition Factor 0.0800 0.0800 0.0800 Ceiling Factor Floor Factor 0.6900 0.6900 0.6900 Infiltration Factor 0.0360 0.0360 0.0180 Indoor Temperature(F) 70.00 70.00 70.00 Heat Loss(BTU/HR) 19,744 4,228 1,731 26,703 25,703 BASEBOARD SELECTIONS 1st Floor Fine/Line 15(Iin.ft.) 36.0 8.0 3.5 47.5 47.5 selected Fine/Line 30(lin.ft.) 34.0 7.5 3.0 44.5 44.5 selected Multi/Pak 80(lin.ft.) 27.0 6.0 2.5 35.5 35.5 selected -1- Copyright(C)2000 Slant/Fin Corporation 100 Forest Drive Greenvale, NY 11548 (516)484-2600 www.slantfin.com REINO E. HYYPPA a ASSOCIATESNO , CIVIL ENGINEERS 9 LAND SURVEYORS ' . { dr, ` �' ' GLASTONBURY, CONPL zr '' -, 1 '4 ; ? 342 to 94's, an ` 4 LISA . DR1vE .+ z . SM�a FS S4N • 2 a � � S w � 4' t5t ���µ°• P I�O P NOU SE i 344.0 (D(o7 �� �.• �9 rt 3 338 F Q t a r In o O frs. •r`. � I ' ' 000 �.F AREA= ZO, � �� N ;. 0, , z i N 88' 0�) 08' LOT LIN£5 FRDM w14F-*j G"tLE TITLED, 'OaEw SFAra- SuBDWIS+oN b-30 ZONE / P SEjj(> 3 MouNTAt;NVIEW ' PLOT LAN J 340 •By Paz �4 ESTATES SOUTH iNt�.IL".l�K, O vPP,A t AS IAl ES SCALE RE,NO E. Hy, SOC 1"=40 DaTe:B Z3-85Mnf>!J�-;g�•e�, IL SHEET 'J of 9 5"EI:TS Rcv_ 2-Zi a{ PREPARED FOR DART HILL REALTY INC CERTIFIED I,�065TAAMALL1 CORRECT SOUTH WINDSOR, CONN. SCALE C-40' DATE 3-It-97 58-85-(108 A P P ROVED • TOWN 07- Snt rt+ ``"NnSOR DATE: REINO E. HYYPPA 8 ASSOCIATES vw CIVIL ENWNEERS 8 LAND SURVEYORSx GLASTONBURY CONK. � 'r s° y�i t Y e:a .� ram,✓ - v r .�F:mSe 1 r a O _ 100.00' + � x a. a S Z 34> ) � Pl*OP 110uSE s T Ft=-b44.0 +-: -54 0 77 rj o n� to C O AREA= zo 00o s.F _ 100.00 LOT LINES FROm WAG ON FtLE IM-ED, I 'OPEm Sa>rcE SUW141510N A-30 ZOO (03 PLOT PLAN SECTIo�.I-S MOUNTAINVIEW I �4Z /4 3Q� ESTATES SOUTH wJIND`,�R, '�►lN•"BY i RetNo E. H ffpm 0 AsSmwF-S SCALE 1"-40 DATE b-n-M VAP Nn SHEET 3 OF 9 SHEETS REv. Z-ZI gCo PREPARED FOR DART HILL REALTY INC CERTIFIED `UBSTANTIALLl CORRECT SOUTH WINDSOR, CONN. SCALE , 1"-40' PATE: 3-It•87 58-95-G8 AN REINO E. 14YYPPA a ASSOCIATES +� ; ' CIVIL ENGINEERS a LAND SURVEYORS : GLASTONBURY, CONK R 7 G yt -�` � • - Lnl R 1 S• \ — - S YIN z 8" c fir., IN.Ft ,. \00.00 _ a w co � f; F Z a S w r r y. Y L� NI Q OM d 67 0 !n ! O rj •_ 0 100.00 3 fi f $t t � .7�./ )Iwf .� w s.,, `r � 013 w17, LOT OWES FiZOM MAP OJ FILE TITLED, PLOT PLAN SEC-TIdJ 3 MOl)IJTWNViEW v R 4� k " 4 G0� � r � k. � ». E.STATEs 5oknH Wimos R,�D►IA1• BY �.',; �aZO _� + v 3 FZCINO E. Hr,fpm 6 Assoc wES SCALE 1"=40 �ATE.a'Z3.85MaF NA.ISO 83 IL > i SHEET 3 of Si+EtiTs 'REV. R��`F4 yet - PREPARED FOR Lor-N TEo An. S,{ow►a vift zc►,-,►ac� v,o� .,z,o.s �,�� =g T DART HILL REALTY ING �%f�EL'T 'T• b u��MJU LOtAT►OU .� CERTIFIED eSTANTIALL`I CIJRRECT SOUTH WINDSOR, CONN. SCALE , 1"-40' OATSt+ 7 58-05-G8 A P P R VED `�"� TOIA!N 0- 3r..! 'Tc 1 MIJINIl)SOR DATE: 7— S)G.: �� APPLICATION FOR HVAC PERNUT TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 (PHONE)860-644-2511 EXT. 230 DEPARTMENT DECISION PERMTT NUMBER. APPLICATION IS HEREBY: APPRO BLDG.PERMIT NUMBER: DATE INSPECTO LocATION OF WORK: \\` APPLICANT: OWNER: TYPE OF STRUCTURE: (� 1 �( o NEW BUILDING ME NA : 1�, 4 NAME: �UL4 ��1 ` T��1 1 ❑ADDITION PHONE NUMBER %L,- �/ PHONE NUMBER STING BUILDING ADDRESS1 Z I &I lo(> �cp- ADDRESS: l.i U i n TYPE OF USE: IDENTIAL o COMMERCIAL HVAC INFORMATION: FURTHER DESCRIPTION OF WORK. TYPE OF SYSTEM: ❑HEATING o A/C HEATING: `` TOTAL HEAT LOSS(BTUH)1\ -F (HEAT LOSS SHEET REQUIRED) DESCRIBE ALL HEATING EQUIPMENT(INCLUDE MAKE AND MODEL NO.): ESTIMATED COST:S AIR CONDITIONING: ^ DESIGN TEMP:OUTSIDE 'F INSIDE °F DIFFERENCE 1° FEE ENCLOSED:S TOTAL HEAT GAIN(BTUH)-(HEAT GAIN SHEET REQUIRED) DESCRIBE ALL COOLING EQ UPMENT(INCLUDE MAKE AND MODEL NO.): FEE SCHEDULE:SIB PER SlJW OF THE ESTIMATED COST. ROUND UP TO THE NEXT THOUSAND ONCE THE PROJECT IS S1A9 OVER. (.26 CENT EDUCATIONAL FEE JIVC1.UDED AS PART OF THE PERMIT FEE) 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 PERFOMANCE OF SUCH WORK CONTRACTORS LICENSE NO.: t( 5' TYPE: J- STATE: SIGNATURE OF APPLICANT: DATE: Electric # APPLICATION FOR BUILDING PERMIT Plumbing# HVAC# I19 1'' e— Date: Sprinkler# 1SUL)CIS 3 Estimated Cost $ 0 .Do FINAL APPROVALS Permit Fee $ zq0 Building COMPLETE RED BOXED AREAS Engineering Occupancy Fee $ Affidavit TYPE OR PRINT ONLY Eng. Insp. Fee $ Appr.forCO. SIGN ON REVERSE SIDE t Total Fee $ 2So TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ The undersigned hereby applies to do work according to the following: Applicant _Locution of Work Lot No. Applicant's Address 22 7 41/O)Ev 6 6 Z• 7_ W' Tel # Town S(, . to i /I Cl!�—,- Zip C71 Lic.# Owner 31&7q- 4i0-J5=-P_n Architect Owner's Address Sc: 17ff. Architect's Address SLR . C���i`CISUi Zip O&CO / Zip. Sq.Ft. New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area,/ Purpose of this permit s, S/. /b�Q.s e v�f�.L��/✓C 4�a �dlZ /3 aAK City Waterd Well _7 Septic System J Sewer 2 p1�p p I o� Ins: HO SP Cert. Area Basement Garage Approved b Date i 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 this building and its 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 02/25/21 Printed by Middleton, Morgan 14 56 19 INSPECTION: 74042 FRAMING (ROUGH) PERMIT: STATUS APPLICATION: 201500102 LOC: 199 LISA DRIVE SOUTH WINDSOR PROPERTY ID: 54000199 OWNER: SHIN SEUNG H & SUNG M CONTRACTOR: REQUEST BY: PROJ DESC: FINISH BASEMENT FOR FAMILY ROOM AREA AND ADD BATH. WORK ORDER: INSPECTOR: ROSE RESULT: PASS REQUESTED: 03/06/15 PRIORITY: SCHEDULED: 03/06/15 AM COMPLETED: 03/06/15 UNPAID FEES 00 Date Time MILEAGE: 00 TIME: TRAVEL ONSITE COMMENTS: RANDY ® 860-402-8673 ALL INSPECTIONS: INSPECTED INSPECTOR RESULT INSP DESCRIPTION O1/07/16 ROSE N/A B001 FOOTING O1/07/16 ROSE N/A B002 FOUNDATION 07/24/15 DOUG PASS B004 INSULATION RANDY ® 860-402-8673 O1/07/16 ROSE N/A B005 FIREPLACE / CHIMNEY O1/07/16 ROSE N/A B006 WOOD / GAS STOVE 07/24/15 DOUG PASS BO10 FINAL O1/07/16 ROSE N/A E001 ELECTRIC SERVICE O1/07/16 ROSE N/A E002 ELECTRIC UNDERGROUND 03/06/15 ROSE PASS E003 ELECTRIC ROUGH TO FIRESTOP OPENINGS TO TOP PLATES O1/07/16 ROSE N/A P001 WATER HEATER REPLACEMENT O1/07/16 ROSE N/A P002 PLUMBING UNDERGROUND 03/06/15 ROSE PENDING P003 PLUMBING ROUGH TO TEST WATER PIPES O1/07/16 ROSE N/A P004 PLUMBING GAS TEST 201600016 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER CERTIFICATE OF OCCUPANCY DATE: 01/07/2016 GIS ID:54000199 FEE: 10.00 MUNIS APPLICATION# 201500102 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: RANDY HECKMAN CONSTRUCTION ADDRESS: 199 LISA DRIVE ADDRESS: 727 AVERY STREET ` OWNER: SHIN SEUNG H&SUNG M SOUTH WINDSOR,CT.06074 199 LISA DRIVE SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: FINISH BASEMENT FOR FAMILY ROOM AREA AND ADD BATH. 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: UILDIN OFFICIAL In12016 1:17 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 201600016 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER CERTIFICATE OF OCCUPANCY DATE: 01/07/2016 GIS ID: 54000199 FEE: 10.00 MUNIS APPLICATION# 201500102 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: RANDY HECKMAN CONSTRUCTION ADDRESS: 199 LISA DRIVE ADDRESS: 727 AVERY STREET OWNER: SHIN SEUNG H&SUNG M SOUTH WINDSOR,CT 06074 199 LISA DRIVE SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: FINISH BASEMENT FOR FAMILY ROOM AREA AND ADD BATH. 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 1/7/2016 1:17 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1900200 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER HVAC PERMIT DATE: 04/24/2019 GIS ID: 54000199 FEE: 72.00 MUNIS APPLICATION# 201900553 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: BRAINARD MECHANICAL ADDRESS: 199 LISA DRIVE ADDRESS: 121 GILEAD ROAD OWNER: HEIKEN HEATHER A&BRETT R 199 LISA DRIVE ANDOVER,CT 06232 DESCRIPTION OF WORK: REPLACE GAS BOILER SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY ;iF TMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING IbFFICIAL 4/24/2019 8:43 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1500053 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER BUILDING PERMIT DATE: 02/24/2015 GIS ID:54000199 FEE: 240.00 MUNIS APPLICATION# 201500102 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: RANDY HECKMAN CONSTRUCTION ADDRESS: 199 LISA DRIVE ADDRESS: 727 AVERY STREET OWNER: SHIN SEUNG H&SUNG M SOUTH WINDSOR,CT 06074 199 LISA DRIVE SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: FINISH BASEMENT FOR FAMILY ROOM AREA AND ADD BATH. 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 2/24/2015 10:38 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1700276 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER BUILDING PERMIT DATE: 06/16/2017 GIS 1D:54000199 FEE: 315.00 MUNIS APPLICATION# 201700737 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: SOUTHERN NEW ENGLAND WINDOWS ADDRESS: 199 LISA DRIVE ADDRESS: 26 ALBION ROAD OWNER: HEIKEN HEATHER A&BRETT R LINCOLN,RI 02865 199 LISA DRIVE SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: INSTALL 5 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 6/16/2017 1:32 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1500083 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER HVAC PERMIT DATE: 03/12/2015 GIS ID: 54000199 FEE: 45.00 MUNIS APPLICATION# 201500102 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: BRAINARD PLUMBING AND MECHANICAL ADDRESS: 199 LISA DRIVE ADDRESS: P.O.BOX 464 OWNER: SHIN SEUNG H&SUNG M HEBRON,CT 06248 199 LISA DRIVE SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: ADDING HEATING TO BASEMENT. 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 3/12/2015 11:38 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1600240 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER ELECTRICAL PERMIT DATE: 05/19/2016 GIS ID:54000199 FEE: 15.00 MUNIS APPLICATION# 201600450 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: DAN DURRENBURGER `° ADDRESS: 199 LISA DRIVE ADDRESS: 490 OAK STREET '.- ; ; OWNER: HEIKEN HEATHER A&BRETT R EAST HARTFORD,CT 06118'-. 199 LISA DRIVE SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: ADD CIRCUITS FOR CENTRAL AIR,CONDENSOR,AIR HANDLER,ATTIC LIGHT AND SERVICE PLUG. 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 5/19/2016 3:46 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1500055 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER ELECTRICAL PERMIT DATE: 03/12/2015 GIS ID: 54000199 FEE: 45.00 MUNIS APPLICATION# 201500102 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: DAN DURRENBURGER ADDRESS: 199 LISA DRIVE ADDRESS: 490 OAK STREET OWNER: SHIN SEUNG H&SUNG M EAST HARTFORD, CT 06118 199 LISA DRIVE SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: WIRE FINISHED BASEMENT AS NEEDED--OUTLETS,LIGHTS,AND ADD MINIMUM OF 3 CIRCUITS. 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 3/12/2015 11:40 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1500084 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER PLUMBING PERMIT DATE: 03/12/2015 GIS ID:54000199 FEE: 45.00 MUNIS APPLICATION# 201500102 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: BRAINARD PLUMBING AND MECHANICAL ADDRESS: 199 LISA DRIVE ADDRESS: P.O.BOX 464 OWNER: SHIN SEUNG H&SUNG M HEBRON,CT 06248 199 LISA DRIVE SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: ADDING BATHROOM IN BASEMENT. 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 3/12/2015 11:39 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE