HomeMy WebLinkAbout2063 JOHN FITCH BLVD 1700343 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER BUILDING PERMIT
DATE: 07/14/2017
GIS ID:47702063 FEE: 15.00
MUNIS APPLICATION# 201700849 BUILDING DESCRIPTION:
APPLICANT'*, LOCATION
NAME: TELLIER PAUL R&JUDITH M ADDRESS: 2063 JOHN FITCH BLVD
ADDRESS: 2063 JOHN FITCH BLV, OWNER: TELLIER PAUL R&JUDITH M
SOUTH WINDSOR,CT 060744 2063 JOHN FITCH BLV
SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: DEMOLITION OF BARN.
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
7/142017 2:55 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
Application is hereby:
TOWN OF SOUTH WINDSOR PERMIT#
BUILDING DEPARTMENT q0to —
APPR E 1540 SULLIVAN AVENUE
Bldg. Permit#
v �
644-2511 ext. 230
8-
ate Building Ins or
Application must be printed or typed
FEE SCHEDULE Location of Job:
b63 Sd r, Itti k- L►6
$0-$1,000=$15.00 Street No. Street Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT L jl f ki►'cog �24 y�cpJ I C.
APPLICANT ADDRESS PO ?)oX Li OC>S
Or C
APPLICANT PHONE# 6 y3-/%o
�0W N SFq OWNER '861 7eme'2
OWNER ADDRESS ,206 3 F Ic ti
1�.ti► sent C—[ 060 71
Or. OWNER PHONE ,.. 8— C2,XS
C ESTIMATED COST$ �C
4r
IS THIS A CONTRACT COST? 4 ✓Yes _No
n �(� FEE ENCLOSED$
l��s - O�� TYPE OF JOB:
�R C _New Installation
_ZAlteration/Addition/Repair
Revised 4/01//2002 /
APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
RESIDENTIAL
BUILDING PERMIT APPLICATION? ❑ YES gCNO
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/W UNG METHOD
SIZE OF SERVICE 2dD0 2!2p SIZE OF MAIN CONDUCTORS_
NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS
NUMBER OF PANELS REMOTE DISCONNECT REQUIRED? ❑YES 1(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
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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.
/86 //8 e/ CT
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLIC DATE
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DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT
Application is hereby: TOWN OF SOUTH WINDSOR PERMIT#
?/3M
BUILDING DEPARTMENT
APPROV 1540 SULLIVAN AVENUE Bldg.Permit#
Z)1
644-2511 ext. 230
Date Building I spector
Application must be printed or typed
FEE SCHEDULE Location of Job:
ao(e 3 gtock
$0-$1,000=$15.00 Street No. Street Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT ►-�^k wZc �K�bi�y n
APPLICANT ADDRESS Ll 3 C. ��n S( '"O QJtc-
Pis -,-,,0,C CT C>,O 10
APPLICANT PHONE# W S79�S--'R q D
OWN S� OWNER y` 7,e.t1 �4✓ - --
q� OWNER ADDRESS 3 Z�6\•r1
OWNER PHONE 5RR— d q 5 0
C ESTIMATED COST$
IS THIS A CONTRACT COST? Yes _No
FEE ENCLOSED$ ,Oo
401, �sOR.CO�� TYPE OF JOB:
New Installation ��
�Alteration/Addition/Repair
Revised 4/01//2002
APPLICATION FOR PLUMBING PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
BUILDING PERMIT APPLICATION? ❑ YES ❑NO
❑RESIDENTIAL
❑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 R��I4k 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 ❑YES ❑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 GCL5 MANUFACTURER AvAte, c o-,n
DESCRIPTION OF WORK
C%-L ^<A e k,_ C�4s �C-- gf
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO
COMPLY' bN ITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
3k7?-? S/(J P-( CT-
CONTRACTORS LICENSE NO. TYPE STAT
SIGNATURE OF APPLICANT
DATE 9
Electric APPLICATION FOR BUILDING PERMIT
Plmabing#
HVAC# 3 n Af
—Tohr, ' X Date: -�
Sprinkler# 1-700 313
FINAL APPROVALS $
Building COMPLETE RED BOXED AREAS Permit Fee $Occupancy Fee $
Engineering TYPE OR PRINT ONLY Eng. Insp. Fee $
Affidavit ► SIGN ON REVERSE SIDE t
Appr.forCO. 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 .2 3 ,4 ✓ Lot No.
Applicant's Address-2e67 Tel # -a f/S�
Town 57,")T Wi r�sd�_� - Zip D6G>7 K Lic.#
Owner_ _ &04 2!241, 4,0� Architect
Owner's Addressayh"? TrY�/i�i Lf/ LVd� Architect's Address
Zip Zip
Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area
Purrvnca of this permit 6ICA/
City Water J Well ❑ Septic System J Sewer❑
Ins: HO SP Cert. Area Basemen Garage
Approved by Date G- Use Group construction Type
Revised 11DO
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
Location oP663 :7�61^) T
Permit # 110o y�)
DEMOLITION PERMIT REQUIREMENTS
• Hazardous material survey:
Asbe tos
Lead paint
• Letters/confirmation of utility disconnect:
Electricity
Gas
Water : public "Use /01///— abaaddoa
Well reuse if/ , abandon*
Sewer: public "=0 4114,y/
Drain layer permit# (if abandoneo
Septic reuse a,X<�abandon*
*These require procedures approved by Health Department
• Historic District/commission Approval
Certificate
• Demolition License Day, Uw,vr_"fi 1/0
(Single family house exempted if owner is
present for demolition, and assumes all
liability. CGS 29-402(c)
Removal of Service EVERS=URCE
Building Demolition or Construction
As the owner of this property,I am requesting the removal of the existing Eversource electrld service and mater(s)
to allow for the demolitlon/construction of the building In accordance with all applicable Connecticut General
Statutes. I certify that the building Is vacant
I CERTIFY THAT THE BUILDING IS VACANT AND SERVICE CAN BE REMOVED AS OF TRACKING NUMBER
(DATE OF REMOVAL)
STREETADORESS YYHERE ELECTRIC SERVICE IS TO BE REMOVED NEAREST CROSS STREET
TOWN STATES ZIP CODE• SERVICE POLE NUMBER
ACCOUNT NUMBER(S)
a y�Fs
METER NUMSER(S) ? 7 METER LOCATION
/ ❑INSIDE OUTSIDE
THE REASON FOR TMIS REQUEST?
DEMOLITION SPECUIL INSTRUCTIONS
❑CONSTRUCTION
TYPE OF SERVICE
❑COMMERCIAL ❑OVERHEAD
RESIDENTIAL ®UNDERGROUND
REMOVAL OF STREET,FLOOD,Xj0M0KTiNG I UNttlefERED EQUIPMENT REWIRED?
❑YES ®NO IP YES,TYPE OF EQUIPMENT ACCOUNT NLNdBER
PROPERTY OWNER NAME PRINT NAME r APPL IONAry
Ate— t/� � •��' v?r
MALWGADDRESS n
TOWN, STATE ZIP CODE
TELEPHONE NUMBER OF PR ERTY OWNER FAX NUMBER EMNL NOTPICA ION AD$ES
ItK
NOTARYPUBLIC OATR N4iA111iPD_..__ -- -------
Not required for single-family,owner-occupied dweBings,
•EVERSOURCE INtUWAL USE ONLY-
il 1 1
Date service removed: _ IZ^ ^ ` ,this=firms the removal of Eversaires elecLic service
for the address Indicated above.
PRINT NAME OF tVIERBOURCE RARE ATI, a OF EVER30U M REPRESENTATIVE DATE
?o Avo/d Delays Please Camp[ All Inf6rmatlon On This Forth
U.S.Postal: Ovemight Express:
Mail To: Eversource Clearing Desk Mall To: Eversource Clearing Desk
Eversource Eversource
P.O.Box 2985 107 Selden Street
Hartford,CT 08104-2985 Berlin,CT OQ037
Fax: 1,877-289.4448 Cleadna Desk Phone: 14884W4dtl2a
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