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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