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Home My WebLink About21 LAUREL ST a APPLICATION FOR HVAC PERMIT TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074 (PHONE) 860-644-2511 EXT. 230 DEPARTMENT DECISION PERMIT NUMBER: APPLICATI j 760q(p j BLDG.PERMIT NUMBER: DATE SPECTOR LOCATION OF WORK: G-I/Y Q / j / c (b ,;�i APPLICANT: OWNER: TYPE OF STRUCTURE: / ❑NEW BUILDING NAME:�� 0 C�r NAME: 4�orefts T o ADDITION PHONE NUMBER: o q/ PHONE NUMBERIf60 20 p EMSTING BUILDING ADDRESS: I ADDRESS: LN2I TYPE OF USE: � Pr ✓ IJ� )n �fnt IDENTIAL ❑COMMERCIAL OGa7Y HVAC INFORMATION: FURTHER DESCRIPTION OF WORK: ] TYPE OF SYSTEM: ❑HEATING o A/C ^_� ` G O h HEATING: 1 TOTAL HEAT LOSS(BTUH) "F (HEAT LOSS SHEET REQUIRED) DESCRIBE ALL HEATING EQUIPMENT(INCLUDE MAKE AND MODEL NO.): ESTIMATED COST: AIR CONDITIONING: DESIGN TEMP:OUTSIDE °F INSIDE "F DIFFERENCE P FEE ENCLOSED: TOTAL HEAT GAIN(BTUH) (HEAT GAIN SHEET REQUIRED) -7 DESCRIBE ALL COOLING EQUPMENT(INCLUDE MAKE AND MODEL NO.): FEE SCHEDULE:S18 PER$1,000 OF THE ESTIMATED COST. ROUND UP TO THE NEXT THOUSAND ONCE THE PROJECT 1S SI.00 OVER. (16 CENT EDUCATIONAL FEE INCLUDED AS PART OF THE PERMIT FEE) THE UNDERSIGNED NEARBY APPLES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFOMANCE OF SUCH WORK. CONTRACTORS LICENSE NO.: 4�57J O TY STATE: CQ� SIGNATURE OF APPLICANT: DATE: State of Connecticut g Workers'Compensation Commission C4 7A Please TYPE or PRINT IN INK oc /'•Urpk// Proof of Workers' Compensation Coverage when Applying for a*Building Permit for the Sole Proprietor or Property Owner who WILL NOT act as General Contractor or Principal Employer APPLICANT FOR BUILDING PERMIT Name of Applicant for Building Permit �i ✓1 1 7 n v�1 ►!g Property located at �� a„�P� _ V / IntheCity/Townof ATTEST If you are the owner of the above-named property or the sole proprietor of a business doing work on the site of the construction project at the above-named property and you WILL NOT act as the general contractor or principal employer.you are not required to have workers'compensallon Insurance coverage. CHECK ONE(1)BOX ONLY and complete the following: ❑ I am the OWNER of the above-named property.I WILL NOT act as the general contractor or principal employer. Signature of OWNER Applicant I am the SOLE PROPRIETOR of a business doing work at the stave-named property I WILL NOT ed as the general contractor or principal employer. i Name of Business Federal Employer ID8(FEIN) "' 0 Signature of SOLE PROPRIETOR Applicant �I f ; c rl N jF F< < < 4 Y u l 1 ��S lajno� I� � Y 4 APPLICATION FOR ELECTRICAL PERMIT TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074 (PHONE) 860-644-2511 EXT. 230 DEPARTMENT DECISION PERMIT NUMBER: APPLICATION IS HEREBY: �O APPROVED: BLDG.PERMIT NUMBER: ri6 •l DATE INSPECTOR ` LOCATION OF WORK: APPLICANT: OWNER: TYPE OF STRUCTURE: ❑NEW BUILDING NAME: poy% ( 5 1 NAME: �Dre C ►� El ADDITION PHONE NUMBER: q 0- Y I PHONE NUMBER:_Q O "30 6- y�/� KXGSTING BUILDING ADDRESS: /,Z y Z-4�6192 1 �� ADDRESS:: ''ZI/�t""..f �'1 Qf C r TYPE OF USE: FSIDENTIAL ❑COMMERCIAL ELECTRICAL IN-FORMATION: FURTHER DESCRIPTION OF WORK: TYPE OF INSTALLATION: SIZE OF SERVICE: SIZE OF MAIN SERVICE: NUMBER OF METERS: NUMBER OF PANELS: NUMBER OF LIGHT CIRCUITS: ESTIMATED COST:S O o NUMBER OF SWITCHES: NUMBER OF LIGHT FIXTURES: FEE ENCLOSED:S NUMBER OF A/C CIRCUITS: FEE SCHEDULE:S18 PER S1,000 OF THE ESTIMATED COST. NUMBER OF POWER CIRCUITS: ROUND UP TO THE NEXT THOUSAND ONCE THE PROJECT IS SI.00 OVER. (26 CENT EDUCATIONAL FEE INCLUDED AS NUMBER OF OUTLETS: PART OF THE PERMIT FEE) 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 PERFOMANCE OF SUCH WORK. CONTRACTORS LICENSE NO.: TYPE: STATE: / C�T- SIGNATURE OF APPLICANT: -' DATE: V. APPLICATION FOR PLUMBING PERNUT TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074(PHONE)860-644-2511 EXT.230 DEPARTMENT DECISION PERMIT NUMBER: APPLICATION IS HEREBY: g bcC0a9 APPROVED: BLDG.PERMIT NUMBER: tVTE INSPECTOR" LOCATION OF WORK: �t f ✓�txi'� �� '�?h /► (J�� I APPLICANT: OWNER: TYPE OF STRUCTURE: O NEW BUILDING NAME: V' 1 M+l Sf NAME: "`� �'��t � o ADDITION PHONE NUMBER: PHONE NUMBER: mtQSTING BUILDING ADDRESS: 4, k 5�►' v `.^� ADDRESS:'Z k L uJ rU S �h S� (32r\.� �. ( O(p p 2} �1� �.�,,�„•,� C ( 0 46.� L?R TYPE OF USE: ESIDENTIAL n COIAMFRLCIA? I I PLUMBING INFORMATION: FURTHER DESCRIPTION OF WORK:,. TYPE OF INSTALLATION: NO.OF TOILETS: / STYLE: NO.OF BATHTUBS: ( V U uy NO.OF SHOWERS: NO.OF LAVATORIES: NO.OF CATCH BASINS: NO.OF FLOOR DRAINS: ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY WINDOW? OYES oNO ESTIMATED COST: S -CR SIZE OF WINDOW: SIZE OF DUCTS: SEWER OR SEPTIC TANK: FEE ENCLOSED:S SIZE OF WATER PIPING AND RISER: WATER HEATER: TYPE MANUFACTURER FEE SCHEDULE:$18 PER SLM OF THE ESTEHATED COST. ROUND UP TO THE NEXT THOUSAND ONCE THE PROJECT IS $1.00 OVER (.26 CENT EDUCATIONAL FEE INCLUDED AS PART OF THE PERMTT FEE) THE UNDERSIGNED HEARBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILD ,,IN G((CODES IN THE PERFOMANCE OF SUCH WORK. CONTRACTORS LICENSE NO.: �� /' "! TYPE: STATE: C _ SIGNATURE OF APPLICANT:' ��i4 /Y!/x - _ DATE: O dol go a � 1900538 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER ELECTRICAL PERMIT DATE: 12/09/2019 GIS ID:52500021 FEE: 36.00 MUNIS APPLICATION# 201902781 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: DAVID STEINER ADDRESS: 21 LAUREL STREET ADDRESS: 124 LEDGE ROAD OWNER: CYR LORETTA J 21 LAUREL STREET EAST BERLIN,CT 06023 DESCRIPTION OF WORK: RENOVATE BATHROOM TO MAKE IT LARGER/SAME FLOOR SPECIAL CONDITIONS: RELOCATION OF BATHROOM ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING OFFICIAL 12/9/2019 I0:21 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1900915 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER BUILDING PERMIT DATE: 12/09/2019 GIS ID:52500021 FEE: 180.00 MUNIS APPLICATION# 201902781 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: TIM LARSEN ADDRESS: 21 LAUREL STREET ADDRESS: 552 DEMING ROAD OWNER: CYR LORETTA J 21 LAUREL STREET BERLIN,CT 06037 DESCRIPTION OF WORK: RENOVATE BATHROOM TO MAKE IT LARGERISAME FLOOR 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 12/9/2019 11:16 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1700469 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER HVAC PERMIT DATE: 10/04/2017 GIS ID:52500021 FEE: 54.00 MUNIS APPLICATION# 201701320 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: E-Z OIL CO INC ADDRESS: 21 LAUREL STREET ADDRESS: P O BOX 1992 OWNER: CYR LORETTA J MANCHESTER,CT 06045 21 LAUREL STREET SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: INSTALL NEW 275 GALLON OIL TANK IN BASEMENT. 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 10/4/2017 4:05 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 2000009 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER PLUMBING PERMIT DATE: 01/17/2020 GIS ID: 52500021 FEE: 18.00 MUNIS APPLICATION# 201902781 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: WILLIAM WASS G ADDRESS: 21 LAUREL STREET ADDRESS: 68 CHESTNUT LANE OWNER: CYR LORETTA J 21 LAUREL STREET EAST BERLIN,CT 06023 DESCRIPTION OF WORK: RENOVATE BATHROOM TO MAKE IT LARGER/SAME FLOOR SPECIAL CONDITIONS: RELOCATING BATHROOM TO OTHER SIDE OF HOU ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING OFFICIAL 1/17/2020 2:13 PM THE FEE ABOVE INCLUDES A$0.26 PER TIIOUSAND CT STATE EDUCATION SURCHARGE