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HomeMy WebLinkAbout209 WINDSORVILLE RD APPLICATION FOR ELECTRICAL PERMIT DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT i o b Ubs- APP O D 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 Date Building Inspecto Application must be printed or typed FEE SCHEDULE Location of Job: $0-$1,000=$15.00 Over$1,000= Street No. Street Lot No. $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT �N'J,9�U ��PcTI� c— APPLICANT ADDRESS (,j(/Ii GIB( /PJ cl- APPLICANT'S PHONE# W N S f OWNER :5 T O q< OWNER ADDRESS ;;L(f)0 /�-✓1 l/� Y- OWNER PHONE 9-4�5,0 ESTIMATED COST$ gc c> U IS THIS A CONTRACT COST? 4-Yes No FEE ENCLOSED$ ° 4, TYPE OF JOB: 2 , 3 r' < f� SOR•CO�� L-`gew Installation Alteration/Addition/Repair I)b130b2�b 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 U-NO ❑ RESIDENTIAL CURRENT USE AND OCCUPANCY ❑ BUSINESS ❑ ASSEMBLY FUTURE USE AND OCCUPANCY ❑ EDUCATIONAL ❑ INSTITUTIONAL ENGINEER'S NAME PHONE ❑ FACTORY O STORAGE ADDRESS Cl GARAGE ❑ MIXED USE CITY STATE ZIP (Other please specify) TYPE OF INSTALLATION/WIRING METHOD SIZE OF SERVICE a �l�� SIZE OF MAIN CONDUCTORS NUMBERS OF METERS J NUMBERS OF DISCONNECTS AND RATINGS NUMBERS OF PANELS I NUMBERS OF DISCONNECTS REQUIRED? ❑ YES ❑ 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 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 / e? 3 3 cod 4!:� CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT DATE APPLICATION FOR HVAC PERMIT DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT 130 U NTDI AP P Ov 1540 SULLIVAN AVENUE Bldg. Permit# 644-2511 ext. 230 1o©�F53 Date Building Inspector Application must be printed or typed FEE SCHEDULE Location of Job: $041,000=$15.00 WI 0 D 5d kV 1 LL� IIQ `I Ro J3 Over$1,000= Street No. Street Lot No. $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT /V t e-/,� Q v 12 K 4: APPLICANT ADDRESS L17 ele-A-&j-D APPLICANT'S PHONE# OWNER Al c K 6 v 2 kr .`OWN SFq< OWNER ADDRESS !{'7 se-A-iN 4) (2.0 OWNER PHONE CESTIMATED COST$ IS THIS A CONTRACT COST? Yes No f% FEE ENCLOSED$ TYPE OF JOB: 6W R C0 New Installation Alteration/Addition/Repair +°gw360zq10 r Revised 03/05/10 r' APPLICATION FOR HVAC PERMIT(Continued from reverse side) TYPE OF SYSTEM: TYPE OF BUILDING: 9 HEATING ❑ RESIDENTIAL ❑ A/C ❑ COMMERCIAL ❑ VENTILATION ❑ INDUSTRIAL HEATING ❑ STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS. ❑ HYDRONIC b WARM AIR ❑ UNIT RADIANT HEATER EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION DESIGN TEMP.OUTSIDE� OF INSIDE '7o OF DIFFERENCE�°F TOTAL HEAT LOSS(BTUH) Boob �(HEAT LOSS SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL HEATING EQUIPMENT(INCLUDING MAKE&MO EL f�'O.) a4 U)�� O�_ �dC E( e s s GROSS HEATING CAPACITY(INPUT-BTUH) S00 t NET RATING(OUTPUT-BTUH) S 0 O o TYPE OF FUEL ❑ OIL-GPM OIL TANK LOCATION: ❑ INSIDE ❑ OUTSIDE CAPACITY ❑ GAS-INPUTG0,000 LPG TANK CAPACITY � ELECTRIC-KW AIR CONDITIONING DESIGN TEMP: OUTSIDE A �Q / i 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) /t tTGNt ��KAtiS'C /S?� c F,t. l.Jood'/ 610"1�15 Sro-v r TOTAL SIZE OF SYSTEM(CFM) /006 FRESH AIR INTAKE(CFM) (PLANS MUST ACCOMPANY APPLICATION) /� FURTHER DESCRIPTION OF WORK eogp E1V 3 1 o4 FL,e�Uo ce- PV ClF/Q GH"S tT 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 PERFO ANCE OF SUCH WORK. Owry 7r Co&TRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT 'OB 1 N� SO4V) L'C SHEET NO. ' OF So d T-q w N 05 0 2 CALCULATED BY DATE CHECKED BY DATE leU 1 L A Io�J�j pc72K( I S060 SCALE t i Sv p Pt-y P(-L—T1 U M E�crfs►vsJ 3 S� c FM t ii 2 ¢ � � 1 a:L � rr � :� 1 o � o j4 V � � � i f a i o � i i � t ,w Q� s — r V-1��rt i f /000 CFi-I A j K JOB n _n O lA� tp D 5 0 �-v 1 t�L � o�- 3 2 � SHEET N0. of 7 fjo d.-�-.( UJ O S Q CALCULATED BY DATE CHECKED BY DATE SCALE NTS E I rr f�f i i� c1 kL O � Ir T Lout n�C {a a rat ac � Kt RTt-t �Darn 1 aoCFM G �d Gold XI Furnace - Furnaces - Freedom® 90 High Efficiency Si... at Home Special Offers Warranty+Registration For Dealers For Builders r9km?,"Slbpodwd Entef a pmductr model number or keyword PRODUCTS HOME COMFORT BREATHE EASIER SAVE ON ENERGY COSTS WHY AMERICAN STANDARD SERVICE+SUPPORT Gold XI Furnace Quiet affordable heating for your horne with a step O up in efficiency. zip crude Efficiency #x### Comfort Price • ecoPA&ate i7501,1p to in Manchester,CT !`I T YOI'R Pf:ET CP And relax n a home thaCs expvkncirg a higher standard of comfat FYd out which of our products and systems can ka4mve the comrat of yoar home. team more l;RF.%1"li OF FRFSII,till You don't have to have allergies to appreciate clean indoor air.Find out which of our products and systems fight the atergens and odors that sneak into your home. team more Overview specifications Why a matched system? fA1:7! Manuals+Warranties Part of our Gold Series Products SPECIFICATIONS upflow/Norisawbl Model TONNAGE Capacity AFUE H" W. D" Shipping Weight(Ib) AUH18040A91-121A 2 38,000 95 40 17.5 28 139 AUH19060A9H31A 3 57,000 95 40 17.5 28 Z10 AUHIBOBOA9H31A 3 76,000 95 40 17.5 28 AUH1C100A9H41A 3.5 92,150 95 40 21 28 171 AUHID120A91-151A 5 104,500 95 40 24.5 28 205 Dotilr11111flow/Horkental Model TONNAGE Capacity AFUE H" W" D" shipping Weight(lb) ADH18040A91-121A 2 38,000 95 40 17.5 28 145 ADH1B065A91-131A 3 57,000 95 40 17.5 28 158 ADHIC08SA9H41A 4 76,000 95 40 21 28 171 http://www.americanstandardair.com/products/pages/productdeta... 4/16/2013 APPLICATION FOR ELECTRICAL PERMIT DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT 13001111 APP OV D 1540 SULLIVAN AVENUE 644-2511 ext. 230 Blldg.dg. Permit# Date Building Inspector Application must be printed or typed FEE SCHEDULE + Location of Job: $0-$1,000=$15.00 L✓, 42 Over$1,000= I Street No. Street Lot No. $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT ,, APPLICANT ADDRESS V ti;t p, R d dGoce-3 APPLICANT'S PHONE# C� C � ��- OWNER k,,vn S let N S fq< OWNER ADDRESS �-JU �j y . OWNER PHONE (,U O r * ESTIMATED COST$ Uv IS THIS A CONTRACT COST? Yes No /* FEE ENCLOSED$ S t u n•r • mY% G TYPE OF JOB: 1�5 1-7 y ��$ R.Co -„New Installation Alteration/Addition/Repair 50 3UOZ2 Revised 03/05/10 s APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION? ❑ YES A NO ❑ RESIDENTIAL CURRENT USE AND OCCUPANCY Nur1Q ❑ BUSINESS ❑ ASSEMBLY FUTURE USE AND OCCUPANCY ef S �, ❑ 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 c[14 SIZE OF MAIN CONDUCTORS NUMBERS OF METERS NUMBERS OF DISCONNECTS AND RATINGS ( 30 NUMBERS OF PANELS NUMBERS OF DISCONNECTS REQUIRED? ❑ YES ❑ 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 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 /- NO 0�_Cc l CT CONTRACTORS LICENSE NO / ,� TYPE STATE �r SIGNATURE OF APPLICANT 4/ DATE Y &Z.�- BUILDI[1G PBRMI�. 13D D 11 ' STAIROF CONNECTICUT WORKERS'COMPENSATICW COMMISSION Bailding Permit Affidavit for Property Owners or Sole Proprietors (Conn.Gen.Stat.§31286b) Property located at In the town of Name of building permit applicant: Please check one: 1.,I am the owner of the above property. 2.Aj am the sole..proprietor of a business. 2A.Name of business C l /� �. I Set(u'(Lc�,c «( 28..Federal Employer Identification Number(FF.IN) ..............................................................................:......• .................... Pursuant to§31286b,"a-property owner,or sole proprietor[who]intends to act as a general •• Contractor or principal employs ' ,provide either a catificate of worked compensation insurance or.a"&worn notarized affidavit...stating that he will require proof of wo kele compensation msuamoe for all d"D employers on the job site in accordance with this chapter.A Please chick Que: l._I do not intend to act as a general eontractm or principal employer. [Sign rind stop here] Signature of applicant 2. I intend to ad as-a gengal contractor or principal employer.Applicant must either ptovi&a certificate of*orkere compensation insurance or sign the affidavit below ..... ...............................................................::....................................:...... Affidavit .I hereby swear and attest that I will require proo ricers'compensation insurance for every contractor,subconttador,or other worker before hdshe engages in work on the above property in aeeocdaace witfi theWoiicers'Compensafioa Act(Chaptet568). I understand that.pursuant to§31-275 C.G.S,officers of a corporation and partners in a Partnership may clot to be excluded from coverage by filing a waiver with the appropriate District Office;and that.a sole proprietor of a business is not rcquired to have coverage unless he files his intent to accept coverage. Signature applicant Subscribed and sworn to before me this-_day of rNIa—VC ,200 3 (Notary Publict Commissioner of the Superior Court) Electric # ?gLjCagION FOR BUILDING PERMIT Plumbing# 209 Windsorvi a oa HVAC# 13000083 Date: I 3 Sprinkler# Estimated Cost $ 3�v o FINAL APPROVALSs- Building COMPLETE RED BOXED AREAS Permit Fee $ Engineering TYPE OR PRINT ONLY Occupancy Fee $ �p Affidavit Eng. Insp. Fee $ Appr.forCO. ► SIGN ON REVERSE SIDE / S� Total Fee $ TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ i The undersigned hereby applies to do work according to the following: Applicant IV G uS r Location of Work Lot No. Applicant's Address aD`t w�n c�S�r y���It Tel # We.) y/3—y )1-V1 Town_ . Zip 0�,Q2Y Lic.# Owner L(A 5hejUal'?-- Architect Owner's Address ma to 5� Architect's Address .,µ NJ•.1 c Zip Zip Sq.Ft.New Area: 1 st FI. 1 2nd FI. 3rd FI. Total New Area Purpose of this permit fnre t LZoc vr�7 S/►51�,�lult:cY] c�F fist r�a«n '�- ��t4 — City Water❑ Well LJ Septic System J Sewer❑ �0 Ins: HO SP Cert. Area Basement Garage Approved by Date 3/u 3 Use Group Con ction Typ&--------� )0 Zw h�> 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 bEylorated the proper distance from all street lines.side yard lines.and required distances from all other zones and is locatedXwch and its use is allowed. Signed I hereby apply for a Certificate of Occup nc Fort e work described in this application for the permit. Signed � J DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS INSPECTION FIELD SHEET 12/03/15 Printed by Peart, Dayshell 10:40 54 EXPOSED WIRE ABOVE FURNACE. MISSING SECTION OF FLOOR NEAR FURNACE. CONDENSATE TO TERMINATE IN AN APPROVED MANNER. SCREEN OPENINGS TO SPACE BELOW FLOOR. ;05/28/14 DOUG PASS BO10 FINAL i NICK @ 860-913-4749 12/31/13 DOUG PASS E001 ELECTRIC SERVICE PHIL @ 860-209-7446 06/17/13 DOUG PASS E001 ELECTRIC SERVICE NICK @ 860-913-4749 06/17/13 DOUG PASS E003 ELECTRIC ROUGH 04/15/14 DOUG PASS P004 PLUMBING GAS TEST CRAIG @ 860-817-8118 INSPECTION FIELD SHEET 12/03/15 Printed by Peart, Dayshell 10:40 54 INSPECTION: 56189 FOOTING PERMIT: STATUS APPLICATION: 201300246 LOC: R013 WINDSORVILLE ROAD SOUTH WINDSOR PROPERTY ID: 9570R013 OWNER: J E SHEPARD CO CONTRACTOR: REQUEST BY: PROJ DESC: SHEET ROCK AND INSTALLATION OF QUONSET HUT ALSO FLOOR. WORK ORDER: INSPECTOR: ROSE RESULT: N/A REQUESTED: PRIORITY: SCHEDULED: COMPLETED: 12/31/14 UNPAID FEES 00 Date Time MILEAGE: 00 TIME: TRAVEL ONSITE COMMENTS ALL INSPECTIONS: INSPECTED INSPECTOR RESULT INSP DESCRIPTION 12/31/14 ROSE N/A B002 FOUNDATION 03/22/13 ROSE FAIL B003 FRAMING (ROUGH) NICK @ 860-913-4749//location unclear/no house number 03/26/13 ROSE PENDING B003 FRAMING (ROUGH) remove member/to address smoke odor/discuss smoke detectors 12/31/14 DOUG N/A B004 INSULATION NICK @ 860-913-4749 09/09/13 ROSE PASS B004 INSULATION NICK @ 860-913-4749 12/31/14 ROSE N/A B005 FIREPLACE / CHIMNEY 12/31/14 ROSE N/A B006 WOOD / GAS STOVE 12/31/14 ROSE N/A B009 OTHER 05/23/14 ROSE FAIL B010 FINAL JEFF @ 860-913-4749//see text CLEARANCE TO COMBUSTIBLE OF SINGLE WALL VENT TO WALL. IMPROPER TERMINATION OF VENT PIPE JOINTS (WRONG DIRECTION) INCORRECT WOODSTOVE CLEARANCES (FRONT, SIDE & REAR) ONE GFCI ADJACENT TO KICTHEN SINK NOT FUNCTIONING. UNEVEN RISER TO DECK. MISSING THRESHOLD BETWEEN SECTION OF FLOOR. COVER EXPOSED KRAFT PAPER ABOVE FURNACE.