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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 �, /00 tr A �p0 h""rD �t/i c/"�7 0-) 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 _�-- ------ -- c 1 h� J tr: M � 8 r Z i T �< .+i+N 9�c suul r .Z O�c 3 V O�-i'^,/ /C�/TG.�-�/ �.:. ✓J ��'�,. .. ,c"�I ._�.��t��. �.�„ f;���/,.• �'c r. ,- 1F .._ c /dl 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 wce��xtv.�ta