HomeMy WebLinkAbout21 EDGEWOOD DR APPLICATION FOR ELECTRICAL PERMIT
DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT#
Application is hereby: BUILDING DEPARTMENT 1506--)137,
APP 1540 SULLIVAN AVENUE
s 1i 644-2511 ext. 230-71 Bldg.Permit#
Date Building Inspec r
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$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT
APPLICANT ADDRESS /Lf
APPLICANT'S PHONE# ?4 O G iY 06 70
OWNER �4/'/`y 7'
SOW N S£q< OWNER ADDRESS / cveo,0 arr
( OWNER PHONE /860
C ESTIMATED COST
U IS THIS A CONTRACT COST? Yes ✓No
x FEE ENCLOSED$ . --
o o
TYPE OF JOB: `
OR-Co New Installation
✓ Alteration/Ate/Repair
�bcsoas�
Revised 03/05/10
1 •
APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
91RESIDENTIALBUILDING PERMIT APPLICATION? ❑ YES C�i'NO
CURREN USE AND OCCUPANCY keS:01,64 ee-
❑ BUSINESS
❑ ASSEMBLY FUTURE USE AND OCCUPANCY
Cl EDUCATIONAL
❑ INSTITUTIONAL ENGINEER'S NAME PHONE
Cl 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 NUMBER OF POWER CIRCUITS
NUMBER OF SWITCHES NUMBER OF OUTLETS
NUMBER OF LIGHT FIXTURES NUMBER OF HEAT CIRCUITS
NUMBER OF A IC CIRCUITS
SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED.
// DESCRIPTION OF WORK
/27A'G ryiGe Irt Are.F -Tb c r- u�1, S do
cftc'fo✓S c4upg 41yl e jdzynt-e uD ,-4r
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
0l9Fc1(-
CONTRACTORS LICENSE NO. T E STATE
SIGNATURE OF APPLICANT DATE 9
STATBOF CONNBCTIM
WORKERS.dOMPBNSATIdN COM MUSION
Bnildft Permit Affidavit for Property Owen or Sole Propr#etors
(Conn Gen..Stet:§31 Z86b)
Property located-at 2i
lntbetownof Seuf�i a✓:no�so/ , C-� � .
. Name of building puma applicant: .�An
Please check one: .
1. I am the oawna of the above property.
2.✓am the solapooprietor of-AL busiaeas.
2A.Name of business NpAex C 4. f C
2B.Fodwd mployerl ' Number(FMN
.........................N..............1.N..1..........N............N....j.....1....................1..4--
P to§31-286k'S�:propotty offer oc iola proptieboa�[who]iateuda to act as a general
ap I anPlloya"Mq FwvidG eidws oatwo*of worbw pompensa on ,
• insivaM of s'itriard nogiriaod of idiv�it... that he will raNfti PW of w=b&
' compeasadoa m;�r.Qoa foc aU �g .
tbo�e employ�i oa tb��b sibein aocecdaace with Ibis cbspba.A
Please Aick
1. " i do.wt inand to act as a of employex.
ofapplicaat
2-•_I iatw to act ar&gfta*coaftc tw or p&cipai employer.Applicant must affia
• pocovid'b a cmtkiioate if*Odmw empaasation imamme or sign the affidavit
bbfow.
................N..N...N..........N..1.....N...N N.......N........N.....N..............................NN..
• � AtBdavit
• :Ihaobyswearandattest dal Iwilliegaimpwofo IVIDI as*wmpeasationImu mceforevay
',�,or o8i�waicaR befeeia Wsbe apgea in*0&oa the a"proparty in
aagardonco wi m ampeas i Act(t3;aptefi5 '
• I � tb�31-275.G(3:S,�'ictxs.ofaoaporatioaandpart,�aesiaa '
Pip SLY t to bo�oochded f�mi oovpage by.fRmg a�iiiv�.with tbo.appro�iato
Di Offi and that a sole j c rift,ofa business is trot rKphW to'have caveor unless he
.Wes his idmi to iccoopt oo�rorago. -
- Sim oofapplicant .
&ksmi"'bod and swora to befom me this day of ;200 .
(Notary Public/(;osrmissiorier of the Supwior Court)
DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT PERMIT#
Application is hereby: TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT ( U g Z
ROVED 1540 SULLIVAN AVENUE
�
644-2511 EXT.230 Bldg.Permit#( So oa i�
(Date) Aluilding Inspector)
Application must be printed or typed
FEE SCHEDULE i lion of Job:
Edue- iNiod"c 1)Y.
$041,000=$15.00 Street No. Street Lot No.
Over$1,000-
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT M Ci y C Tu VA e 0 0
APPLICANT ADDRESS I M 6 y e a u
�,nit� oin� e MA 01010 ,E ran
1
APPLICANT PHONE# 4 ?j, D D W q LJ`1
�0 N S tq OWNER Y
OWNER ADDRESS 121 E d g e w o o c Dr.
S 0 U� h VU n ct s 6K 1 0-,fi
0 OWNER PHONE 8 U 0 J - D "i n q 1-J`2.
#. E.
C - ESTIMATED COST $ U
"j U IS THIS A CONTRACT COST? YES NO
�G
FEE ENCLOSED$
1� TYPE OF JOB:
�SOR•Co New Installation
Alteration/Addition Repair
Revised 12/22/11
APPLICATION FOR PLUMBING PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
RESIDENTIAL BUILDING PERMIT APPLICATION? ❑ YES NO
O BUSINESS CURRENT USE AND OCCUPANCY
O ASSEMBLY
O MERCANTILE
O EDUCATIONAL FUTURE USE AND OCCUPANCY
O FACTORY
O STORAGE ENGINEER'S NAME PHONE
O GARAGE
O MIXED USE ADDRESS
(Other please specify) CITY STATE ZIP
TYPE OF INSTALLATION 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 O YES O 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 MANUFACTURER
DESCRIPTION OF WORK
Final Ouriilww of )i ►'1 k
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.
M - 6118UO�) - API Pio N n �T
CONTRACTORS LICENSE NO. YPE U
iSTATE
SIGNATURE OF APPLICANT DATE i g� S
r
Marc N Turgeon
Marc's Plumbing and Heating
61 Moreau Dr
Chicopee, MA 01020
CT License# PLM.0278003-P1
413-883-6989
I, Marc N. Turgeon, Marc's Plumbing and Heating, authorize Steven Senter of Senterline
Construction Co., LLC to sign any necessary permit applications as my authorized
agent.
Signed:
Marc N. Turgeon
Signed:
Steven Senter
Electric # APPLICATION FOR BUILDING PERMIT
Plumbing# 21 Ed ewood Driv
g Date:
HVAC# —
Sprinkler#
F Estimated Cost $
FINAL APPROVALS
Building COMPLETE RED BOXED AREAS Permit Fee $ /y
Occupancy Fee $ !10
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) $ ( 1
The undersigned hereb applies o do work according to the following:
Applicant AEFDwLocation of Work_ LotNo.
Applicant's Ad ess e. Tel # E -4,34-94U
Town Zip 04n7. Lic.#
Owner IAMVW Architect
Owne r's,Address Architect's Address
Zip Zip�QZ�— _
Sq. Ft.New Area: 1 st FI. 2nd FI. ____3rd FI. _ _ Total New irea
Purpose of this permit -butl ALg I Joym
City Water 'J Well ❑ Septic System J Sewer❑ 13,6p0 12&q
Ins: HO P Cert. Area Bas�nt Garage
Approved by Date Use Groin 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 prop r distance from a street lines,side yard lines,and required
distances from all other zones and is located in w ch this it ing a, d i se is allow
Signed
I hereby apply for a Certificate of Occ pancy for o d ribed in thi plication for the permit.
Signed _.
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
PERMIT r-11 nern
PER: PA 17-176
- - AND
- -- - CGS 2
Electric # APPLICATION FOR BUILDING PERMIT
Plumbin # iSDi)I S�
HVAC#g �� ecc�yeu�°cr� Date:
Sprinkler# 15 oc�)_l.;k_
FINAL APPROVALS Estimated Cos $ f S —
Building _ COMPLETE RED BOXED AREAS Permit Fee $ / -*—
Engineering Occupancy Fee $
Affidavit TYPE OR PRINT ONLY Eng. Insp. Fee $
Appr.forCO. SIGN ON REVERSE SIDE 4
Total Fee $ l5—
TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $
The undersigned hereby applies to do work according to the following:
Applicant r v i A/ 0®a6166 Work _LotNo. _
Applicant's Address 20 Z7 Ldt Tel # 5�(GD -G
Town 6�_J114-/a seii- L a C_��T �7 Zip 0 0'9 Lic.# 04 L/7
Owner � k a I& Architect
Owner's Address c Architect's Address
�J� ,)/AV( %V L Zip b Z-0 Zip
Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area
/
Purpose of this permit t (� c {ra (4-j/a Ke
City Water .J Well J Septic System J Sewer J aU t S O Qycj 3
Ins: HO SP Cert. Area Basement Garage
Approved by Date S -I ) Use Grou Construction Type
Revised 1108
r
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 s allowed.
Signed Air., r n
1 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 06/25/21
Printed by Middleton, Morgan 11 39 12
INSPECTION: 79343 PLUMBING FINAL PERMIT:
STATUS:
APPLICATION: 201500483
LOC: 21 EDGEWOOD DRIVE
SOUTH WINDSOR
PROPERTY ID: 29400021
OWNER: HOLCOMB HAROLD & JULIE
CONTRACTOR: SENTERLINE CONSTRUCTION
860-683-8909
REQUEST BY:
PROJ DESC: INSTALL VENT FOR MICROWAVE.
WORK ORDER:
INSPECTOR: ROSE RESULT: PASS
REQUESTED: 09/09/15 PRIORITY:
SCHEDULED: 09/09/15 AM COMPLETED: 09/09/15
UNPAID FEES .00 Date Time
MILEAGE: 00 TIME: TRAVEL ONSITE
COMMENTS
ALL INSPECTIONS
INSPECTED INSPECTOR RESULT INSP DESCRIPTION
B001 FOOTING
B002 FOUNDATION
B003 FRAMING (ROUGH)
B004 INSULATION
B005 FIREPLACE / CHIMNEY
B006 WOOD / GAS STOVE
B009 OTHER
09/09/15 ROSE PENDING BO10 FINAL
SARAH @ 860-683-8909//UOTLET NEAR SINK TO BE GFCI
•
s
7
r
�z Q
,
-. a
169
L 4�
74. Q
® s
wu
O ®I4�F
1 - , -
1e-jell, VIIN,
4 r
VAL
A
l Y:
O
i
. ,
}jj \
,
,
t
f/
s ,
CENTERLINES TOWN LINE
�* p.
PARCELS
?o ��� BROOKS, RIVERS, ETC.
F —� WATERBODIES
O CONTOUR LINES `
V CENTERLINES
TOWN LINE
a.
.; • � _ i PARCELS
ti
BROOKS, RIVERS, ETC.11
ATE WF
R
RBODIES
nynQ Planinmetric data provided by SBC tinder contract and is based
21 E d g ewo o d Dr. on an aerial flight performed in spring of 2005. Continuous
updates completed with As-built information and CRCOG aerial
O ° flight performed in spring of 2009.This nmap is a graphical
representation of property information and is subject to change.
COR cpc^v The Town of South Windsor and SBC assume no legal responsibility
for information depicted on this map and is to be used for planning
purposes only.
SEP L 7 'ixl r
Sown vvmasor
BUILDING DEPARTMENT
80 THE $U:L'✓NG DEp7, *_v_v:v fu c�,.
This certified thit ��� 1'r`I'ai3SUe
e this pinn and specificaticns are tru,
erected at of the proposed bu Wdfng or alterations to be
a(
tcgethef with a Street
dments stated in appa^0ton anc
tiled with pl;n and I agree
Butldi to comply with ail zoning.
ng and state laws and such orders as shall be
issued by the Building Qe�
of this a aarim,ent Burin pendency
Pp catfo d f' al 'ssuanee o
Permit. a building
SiEned
this plan is n--_,d sable,.: ... .
orders and ordinances regulatinV ,~ coadition that
cumphcd with. g building shall be
Conditionally Approved
These filed with
80ilding inspector
Cl.ri,
c?rc. - X-Z
--- No.
CER-nF/Cq77ON
2sed building(.)OF SON►NG CO
►S.own on this Plan a'
uses)and/or MPL►AIVCe
and this South PPear(s)to be in Structure(s) as
and ecial exce w�ma°r to
ance
Dateptions
` i apply. Variances
° ' nfor
nt Officer
1500212 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER BUILDING PERMIT
DATE: 05/29/2015
GIS ID:29400021 FEE: 15.00
MUNIS APPLICATION# 201500483 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: SENTERLINE CONSTRUCTION ADDRESS: 21 EDGEWOOD DRIVE
ADDRESS: 20 OLD COUNTRY ROAD OWNER: HOLCOMB HAROLD&JULIE
WINDSOR LOCKS,CT 06096 21 EDGEWOOD DRIVE
SOUTH WINDSOR,CT 06074
I
DESCRIPTION OF WORK: INSTALL VENT FOR MICROWAVE.
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
5/29/2015 1:33 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE
12000591 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER BUILDING PERMIT
DATE: 10/17/12
GIS ID:29400021 FEE: 15.00
MUNIS APPLICATION# 201201269 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: HOLCOMB HAROLD L ADDRESS: 21 EDGEWOOD DRIVE
ADDRESS: 21 EDGEWOOD DR OWNER: HOLCOMB HAROLD&JULIE
S WINDSOR,CT 06074-3406 21 EDGEWOOD DRIVE
SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: MOVE PRE-BUILT METAL 10 X 12 SHED ONTO PROPERTY.
SPECIAL CONDITIONS: x'
ALL WORK TO BE DONE IN ACCORDANCE-WITH,THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT.
CONSTRUCTION TYPE:
OCCUPANCY GROUP: BUILDING OFFICIAL
10/17/2012 3:04 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE
1500138 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER ELECTRICAL PERMIT
DATE: 05/29/2015
GIS ID:29400021 FEE: 60.00
MUNIS APPLICATION# 201500553 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: MODERACKI ELECTRIC ADDRESS: 21 EDGEWOOD DRIVE
ADDRESS: 143 MERCIER AVENUE OWNER: HOLCOMB HAROLD&JULIE
BRISTOL,CT 06010 21 EDGEWOOD DRIVE
SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: UPGRADE SERVICE FROM FUSES TO CIRCUIT BREAKERS, 100 AMP.
INSTALL'SMOKE/CO DETECTORS,CHANGE LIGHT,FIXTURES,AND
UPDATES.
SPECIAL CONDITIONS:
ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY TIIE BUILDING DEPARTMENT.
CONSTRUCTION TYPE:
OCCUPANCY GROUP: BUILDING OFFICIAL
5/29/2015 10:55 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE
1500182 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER PLUMBING PERMIT
DATE: 05/29/2015
GIS ID:29400021 FEE: 15.00
MUNIS APPLICATION# 201500483 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: MARC'S PLUMBING AND HEATING ADDRESS: 21 EDGEWOOD DRIVE
ADDRESS: 61 MOREAU DRIVE OWNER: HOLCOMB HAROLD&JULIE
CHICOPEE,MA 01020 21 EDGEWOOD DRIVE
SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: FINAL PLUMBING FOR SINK.
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
5/29/2015 1:33 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE