HomeMy WebLinkAbout20 POND LN APPLICATION FOR ELECTRICAL PERMIT
DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PgRMIT#
Application is hereby: BUILDING DEPARTMENT
APPR 7 1540 SULLIVAN AVENUE
n-1 i 644-2511 ext. 230 sldg:Permit#
ate Building Instil '.
Application must be printed or typed
FEE SCHEDULE / Location of Job:
$041,000 $15.00 G1 PGh� (U 1,
Over$1,000— Street No. Street Lot No.
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt:No.
APPLICANT ' >�
APPLICANT ADDRESS 4 /-'o�•zvy'f /'i T �f�p�/5 ,1a1 CJ-
APPLICANT'S PHONE# 'O
OWNER 1 14tlh
'�DW N S�q< OWNER ADDRESS �O
C OWNER PHONE M) 0
ESTIMATED COST$
r"1 IS THIS A CONTRACT COST? X Yes No
FEE ENCLOSED-$ 3o
TYPE OF JOB: C.C4 9"
OR-Cod New Installation
Alteration/Addition/Repair
Revised 03/05/10
APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH
BUILDING PERMIT APPLICATION? ❑ YES �NO
k RESIDENTIAL CURRENT USE AND OCCUPANCY 40'?,e
❑ BUSINESS
❑ ASSEMBLY FUTURE USE AND OCCUPANCY ice
❑ EDUCATIONAL
❑ INSTITUTIONAL ENGINEER'S NAME PHONE:
❑ FACTORY
❑ STORAGE ADDRESS
❑ GARAGE
❑ MDMD USE CITY STATE ZIP
(Other pk4w specify)
TYPE OF INSTALLATION/WIRING METHOD
SIZE OF SERVICEnil SIZE OF MAIN CONDUCTORS .:
NUMBERS OF METERS 1 NUMBERS.OF DISCONNECTS AND RATINGS_
NUMBERS OF PANELS NUMBERS OF DISCONNECTS REQUIRED? ❑ YES ❑ NO
NUMBERS OF LIGHT CIRCUITS
�_ NUMBER OF POWER CIRCUITS
NUMBER OF SWITCBES. NUMBER OF OUTLETS
NUMBER OF LIGHT FIXTURES _ NUMBER OF HEAT CIRCUITS
NUMBER'OF A/C CIRCUITS J
SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED.
DESCRIPTION OF WORK
'M��� l00
T�UNDERSIGNED HEARBYAPPLIES 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 C� DATE
BUILDIJiG PBWT 1-7002-6
STATE OF CONNlIC1IQTI'
WORKERS'cobel3miloR COMMON
Building Permit AWidsvlt for Property Owners or Sole Proprietors
(Com..Gen.Stet.§31-2866)
Pmpaip located at
In the town of f/J(��� �/�/� YS l�/ •
Name of bw'!dip6Pmmit applicant j-etiij rC�f^ryl IYY
Phoo dmick one:
1.i I am the owner of the above property.
Z.�I am the sole-proprietor of a business.
2A..Name ofbusiness(0tyiuYr f%e, i cl / l`,PJ^YdM9�• L-L�
2B.Federal Bmplgyw Idedfficatim Nmber(l�
»..............................................................................................................»..
PUMUNd to 31-28*4&pgaty WWM or sob praprietnr Wj i dM&to ad ss a general
` oop6adw or principal employer°'nW p wide either a oadificsbe of worloe V oompemstian
iosoiancx or.a' wont nobriaed ...stating that Im wiU rcgWre praaf of wadoacst'
compensation io once for all thole employed on the jpb site in acomime wi&dds duptar.'
Please ch
1. I do not Wand to ad as a general contractor or principal employer.
and shop here]
Signature of appu=.d
2.—IhftW to act as-a geaelal-cont adoc or principal empl y+ar.Applicant meat Dither
poo"a certificate of irodoars'compem ation insuuanoe or sign the affidavit
bblow.
..................................................................................................................:.
I hereby swow,and_atoat drat I wM re*&D p udofwiarbad oornireraZaotiapn ioursuce for every
ooaaatr or, a otharwouft before hdsbe a*qw in wade a4 the above pmpwty is
-s000rdaooe witfi the`Wog64 G 1 . I- i R Act aWpU0564
I*odarilMd that porsr�at to i k 75 C.G.S. +obi, of a oorporsliaa aod.pwam is a
eieotbbe�oiodedflos - awa[ierwaiA�thea�ti�apdide
-- - — - District Offices asd tit a sob proPsieior a aatsegdc�sdtb'ira�s oocssgp miss:he
. afapp8o�■t � •
Subscti'bod and swam to before me this day of
(Notary Pablid Commissioner of the Sbpaior Court)
DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT
PERMIT#
Applicati '
TOWN OF SOUTH WINDSOR
--, BUILDING DEPARTMENT
OVED 1540 SULLIVAN AVENUE
Bldg.Permit#
644-2511 ext. 230
Date Idin for
Application must be printed or typed
FEE SCHEDULE 1314 Lon of Job:
dc lio
$0-$1,000=$15.00 Street No. Street Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT
APPLICANT AD RESS F6'� Gt.L
�Qi r
APPLICANT PHO #
W N S OWNER �G/ Owl d
1 O F4� OWNER ADDRESS
rt OWNER PHONE
C ESTIMATED COST$
w
IS THIS A CONTRACT COST? _6-1es _No
c c ` FEE ENCLOSED$
f TYPE OF JOB:
��SOR•C��� New Installation
Alteration/Addition/Repair
Revised 4/01//2002
APPLICATION FOR HVAC PERMIT (Continued from reverse side)
TYPE OF YSTEM: TYPE OF DING:
REHEATING 09alESIDENTIAL
O A/C ❑COMMERCIAL
U VENTILATION 0 INDUSTRIAL
HEATING
❑STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS.
WHYDRONIC ❑WARM AIR ❑UNIT RADIANT HEATER
EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION
DESIGN TEMP. OUTSIDE —�1� INSIDE OF DIFFERENCE °F
TOTAL HEAT LOSS(BTUH)��°F(HEAT LOSS S MUST ACCOMPANY
APPLICATION)
DEC ALtI,(,�MATING E��j MENT(�rCL� G MAKE&MODEL NO.)
GROSS HEATING CAPACITY(INPUT—BTUH)���NET RATING(OUTPUT—BTUH)�U
TYPE OF FUEL
AAffi--GPM OIL TANK LOCATION:O INSIDEO OUTSIDE CAPACITY
❑GAS—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)
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 PLICATI N)
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.
30 2. -2 7 Y
CONTRACTORS LICENSE NO. TYPE STATE
I
SIGNATURE OF APPLICANTS DATE A47lsS=p�
y>
C
APPLICATION FOR ELECTRICAL PERMIT
TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT
1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074(PHONE) 860-644-2511 EXT. 230
DEPARTMENT DECISION PERMIT NUMBER:
APPLICATION IS HEREBY:
APPROVED: BLDG.PERMIT NUMBER:
i t
DAtE INSPECTOR
LOCATION OF WORK:
APPLICANT: OWNER: TYPE OF STRUCTURE:
/ ` 1 � oyr � `G ❑NEW BUILDING
NAME' 1.\ J� NAME: I 1 ❑ADDITION
PHONE NUMB ` �J\Q PHONE NUMBER: &STING BUILDING
ADDRESS: ` ) ADDRES - �
TYPE OF USE:
1c ► ) ITT" ►v\I �JJ�J VRESIDENTlAL ❑CONOAaCIAL
ELECTRICAL INFORMATION: FURTHER DESCRIPTION
(O�F,WORK:
y
TYPE OF INSTALLATION: I I S `(�I�IC� v� l l
SIZE OF SERVICE:
SIZE OF MAIN SERVICE:
NUMBER OF METERS: ( ��
NUMBER OF PANELS:
NUMBER OF LIGHT CIRCUITS: ESTIMATED COST:S
NUMBER OF SWITCHES:
NUMBER OF LIGHT FIXTURES: FEE ENCLOSE S
NUMBER OF A/C CIRCUITS: �/
FEE SCHEDULE:SIS PER SI,000 OF THE ESTIMATED COST.
NUMBER OF POWER CIRCUITS: ROUND UP TO THE NEXT THOUSAND ONCE 1 HE PROJECT
1S$1.00 OVER (16 CENT EDUCATIONAL FEE INCLUDED AS
NUMBER OF OUTLETS: 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.: 1 2LqbYq TYPE: ' STATE:
SIGNATURE OF APPLICANT: DATE:
Electric eED 20 Pond Lan
HVAC# PER PA 17_176 ate:eAPPLICATION FOR BUILDING PERMIT
n,D 12000100 D Ot yZ - ZO►Z
HVAC -
Sprinkler#
FINAL AP Estimated Cost $ /000 cL'
Building S -393 COMPLETE RED BOXED AREAS Permit Fee $ 'S
Occupancy Fee $
Engineering TYPE OR PRINT ONLY Eng. Insp. Fee $
Affidavit /S
Appr.forCO. SIGN ON REVERSE SIDE / 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 Location of Work AdND LAMr _ Lot No.
Applicant's Address 26 Paiute L,9;r _ Tel #
Town S- (,urnjd Sor< LT Zip 66 0 y-�(
Owner 5AMc 4.5 4/iorC. Architect
Owner's Address Architect's Address
Zip_ Zip
Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area
Purpose of this permit /T N u L Aric , t' QIZV &j q// o f cc»15c Je- w a//s _
�JCf3 2»�-2.h't Z
City Water❑ Well J Septic System J Sewer LJ
Ins: HO SP Cert. Area Basement Garage
Approved by Date Use Group Construction 'Type
Revised 1106
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 Day�_-
I hereby apply for a Certificate of O cupancy for the work described in this application for the permit.
Signed Daac-
DO OT WRITE BELOW THIS LINE
INSPECTION COMMENTS
PERMIT CLOSE ,
Electric # PER, IA 17.1��. 2 o Pond Lane APPLICATION FOR BUILDING PERMIT
Plumbing#
HVAC# AND 12000044 FDate: 62-- (31 -Wilz
Sprinkler# CGS 29-393
FINAL APPROVALS Estimated Cost $ ySoa• ao
Permit Fee $
Building COMPLETE RED BOXED AREAS
Occupancy Fee $ /y
Engineering TYPE OR PRINT ONLY Eng. Insp. Fee $
Affidavit
Appr.for CO. SIGN ON REVERSE SIDE / Total Fee $ 5
TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $
The undersigned hereby applies to do work according to the following:
Applicant A L.A Location of Work 26_A5 4 Lot No.
Applicant's Address 26 PONQ 4,4 N e. Tel # 8G0- 2 SU-416to
Town S- w,�jdsoa _Zip 01,d_7T$K_Lic.#
Owner t7U,_,V_ _ _Architect
Owner's Address 26 PonJ,. �aNe_ Architect's Address
Zip_ Zip—
Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area
Purpose of this permit _TNstALA Tints 0r Wddd A tACC 8Ajr_ n,,_,nJ
City Water❑ Well ❑ Septic System 'J Sewer J / D
Ins: HO SP ert. Area Basement Garage
Approved by Dated-1- !L 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 O u ncy for the work described in this application for the permit.
Signed L GZe
D NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
1800555 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER BUILDING PERMIT
DATE: 10/05/2018
GIS ID:73500020 FEE: 126.00
MUNIS APPLICATION# 201801884 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: TRINITY SOLAR ADDRESS: 20 POND LANE
ADDRESS: 7 MCKEE PLACE OWNER: DULAC MARTIN G&COUTURE JULIE
20 POND LANE
CHESHIRE,CT 06410
DESCRIPTION OF WORK: INSTALLATION OF 18 ROOM MOUNTED SOLAR PANELS
5.31KW
SPECIAL CONDITIONS:
ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY T)4f j3UIL I ' E ARTMENT.
.'[
CONSTRUCTION TYPE:
OCCUPANCY GROUP: BUILDING OFFICIAL
10/5/2018 1 1:10 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE
12000044 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER BUILDING PERMIT
DATE: 02/02/12
GIS ID:73500020 FEE: 75.00
MUNIS APPLICATION# 201200094 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: DULAC MARTIN ADDRESS: 20 POND LANE
ADDRESS: 20 POND LANE OWNER: DULAC MARTIN G&
SOUTH WINDSOR,CT 06074 20 POND LANE
SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: INSTALLATION OF WOOD STOVE 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
2/2/2012 12:00 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE
12000100 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER BUILDING PERMIT
DATE: 03/14/12
GIS ID: 73500020 FEE: 15.00
MUNIS APPLICATION# 201200095 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: DULAC MARTIN ADDRESS: 20 POND LANE
ADDRESS: 20 POND LANE OWNER: DULAC MARTIN G&
SOUTH WINDSOR,CT 06074 20 POND LANE
SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: INSULATION AND DRY WALL OF OUTSIDE WALLS.
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
3/14/2012 11:09 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE
1800387 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER ELECTRICAL PERMIT
DATE: 10/05/2018
GIS ID:73500020 FEE: 270.00
MUNIS APPLICATION# 201801884 'BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: TRINITY SOLAR ADDRESS: 20 POND LANE
ADDRESS: 7 MCKEE PLACE OWNER: DULAC MARTIN G&COUTURE JULIE
20 POND LANE
CHESHIRE,CT 06410
DESCRIPTION OF WORK: INSTALLATION OF 18 ROOM MOUNTED SOLAR PANELS
5.31KW,
SPECIAL CONDITIONS: J'
ALL WORK TO BE DONE IN ACCORDANCE-WITH,THE APPLICATION AND PLANS APP D BY B ILDINGDEPARTMENT.
CONSTRUCTION TYPE:
OCCUPANCY GROUP: BUILDING OFFICIAL
10/9/2018 11:13 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE
1700203 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER ELECTRICAL PERMIT
DATE: 07/13/2017
GIS ID:73500020 FEE: 30.00
MUNIS APPLICATION# 201700877 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: CORMIER ELECTRICAL SERVICE LLC. ADDRESS: 20 POND LANE
ADDRESS: 53 FOREST DRIVE i '' OWNER: DULAC MARTIN G&COUTURE JULIE
WETHERSFIELD,CT.06109 20 POND LANE
R SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: UPGRADE EXISTING 100 AMP SERVICE TO 200 AMPS.
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
7/13/2017 3:20 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE