HomeMy WebLinkAbout217 TUMBLEBROOK DR DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
PERMIT#
Application is hereby: TOWN OF SOUTH WINDSOR /o` 3 7d
BUILDING DEPARTMENT
APPRO 1540 SULLIVAN AVENUE
Bldg.Permit#
. - 644-2511 ext. 230 Q 7
ate Building Inspector
Application must be printed or typed
FEE SCHEDULE Fi
jcation�f io$0-$1,000=$15.00 Street Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof gnation Apt.No.
APPLICANT ` L",
APPLICANT ADDRESS .52'�-e
APPLICANT PHONE#
O W N S F,q OWNER --
< OWNER.ADDRESS
U b , OWNER PHONE
C ESTIMATED COST$ 45V
IS THIS A CONTRACT COST? _Yes '�No
FEE ENCLOSED$
1� TYPE OF JOB:
DSO R.C o New Installation
Alteration/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 ❑NO
❑BUSINESS CURRENT USE AND OCCUPANCY
❑ASSEMBLY
❑MERCANTILE❑EDUCATIONAL FUTURE USE AND OCCUPANCY
❑INSTITUTIONAL
❑FACTORY ENGINEER'S NAME PHONE
❑ STORAGE
❑GARAGE ADDRESS
❑MIXED USE
(Other please specify) CITY STATE ZIP
TYPE OF INSTALLATION/WIRING METHOD
SIZE OF SERVICE �0� 2'�Jc' SIZE OF MAIN CONDUCTORS
NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS
NUMBER OF PANELS REMOTE DISCONNECT REQUIRED? ❑YES ❑NO
NUMBER OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS
NUMBER OF SWITCHES 2 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 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.
til SPy C cJn er'
CONTRACTORS LICENSE NO TYPE STATE
/ c
SIGNATURE OF APPLICANT DATE �`�rl,!23
GARDNER Et PETERSON ASSOCIATES 576 OLD POST ROAD TOLLAND, CONNECTICUT 06084
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PERMIT PLAN `oF II°N;74
0,,��'o
/'rft�.�� eC key:O LAND OF U. & R. HOUSING CORP. 0it
LOT #10, TIMBER RIDGE SECTION III _ ,,,
TOWN OF SOUTH WINDSOR, CONNECTICUT i
SCALE: 1 - 40' No. 4395 I
�`J =R`�fSTER`�o "o 40
Certified substantially correct.
�PoeanananMOfs�
r
August 15, 1979 L.S. # 4395
Elev. base M.D. C. datum
PROFESSIONAL ENGINEERS
LAND SURVEYORS �
.tS' �. � �� ',6
�a�
GARDNER If PETERSON ASSOCIATES 576 OLD POST ROAD'- -TOLLAND, CONNECTICUT 06084
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MORTGAGE SURVEY
LOT 10 TIMBER RIDGE SECTION III
TOWN OF SOUTH WINDSOR, CONNECTICUT
SCALE: 1" = 40'
I hereby certify to Connecticut Bank & Trust Co. that
the location of the building as shown is substantially
correct and that there are no zoning violations of the
same,
� J 1 �4c.) L.S. #10839
July 22, 1980
I
1
PROFESSIONAL ENGINEERS LAND SURVEYORS
. , J
ram
A P P R 0 V E 6
TOWN OF SOUTH WIND-SO
ENGINEERING DEPARTMENT
DATE:
SIG.:
GARDNER & PETERSON ASSOCIATES 576 OLD POST ROAD TOLLAND, CONNECTICUT 06084
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3az $ 4 117 l phS 1�a4
j�t•,Gg !2�P ------------
PERMIT PLAN `jepnurr��
J`Ja `j� CON�eA'
LAND OF U. & R. HOUSING CORP.
LOT #10, TIMBER RIDGE SECTION III
TOWN OF SOUTH WINDSOR, CONNECTICUT
SCALE: 1 " = 40'
` No. 4395 �
Certified substantially correct. �,`Rec'S;E�E°,' •'��'
qNU SIJRVEVOt�
August 15, 1979 L.S. # 4395
Elev. base M.D. C. datum r"
ti
1. -ram''.:
PROFESSIONAL ENGINEERS LAND SURVEYORS"'"" - _ _
�� - 6
NAME �' DATE
ADDRESS PHONE
APARTMENT DATE PROMISED
MAKE MODEL NO. SERIAL NO. DATE OF ORIGINAL INSTALLATION
NATURE OF SERVICE ❑ ESTIMATE ❑CASH
❑ WARRANTY ❑ CHARGE
❑ CONTRACT ❑ C.O.D.
QTY. DESCRIPTION PRICE AMOUNT
II
Wit. i I
COMMENTS
TOTAL MATERIALS
TECHNICAL ❑SHOP ❑HOME
SERVICE TIME
❑ PICK UP OR ❑ SERVICE CALL
DELIVERY CHARGE
TECHNICIAN
Signature below constitutes acceptance of above service DATE COMPLETED
performed as being satisfactory—and that the equipment TAX T [+
has been left in good condition.
TOTAL
8 PRnro irT Aq+
DEPARTMENT
to b.
t
These I:it,J .,Wl
Suoding ln5p2ctor Cleric
pate Ho. LDOLle--a
2700a ACC Wood Insert /4 4 ' UUIgDRA- IRE
ConFatufations
and Welcome to the Quadra-Fire Family!
Hearth&Home Technologies welcomes you to our tradition of our stoves, inserts and fireplaces. And yet we are old-
of excellence! In choosing a Quadra-Fire appliance, you fashioned when it comes to craftsmanship. Each unit is
have our assurance of commitment to quality,durability,and meticulously fabricated and gold and nickel surfaces are
performance. hand-finished for lasting beauty and enjoyment. Our pledge
This commitment begins with our research of the market, to quality is completed as each model undergoes a quality
Including Voice of the Customer' contacts, ensuring we control inspection.
make products that will satisfy your needs. Our Research We wish you and your family many years of enjoyment in
and Development facility then employs the wand's most the warmth and comfort of your hearth appliance. Thank
advanced technology to achieve the optimum operation you for choosing Quadra-Fire.
NOTE: Clearances may only be reduced by means
approved by the regulatory authority having jurisdiction
SAMPLE OF SERIAL NUMBER/ SAFETY LABEL
LOCATION: UNDER INSERT RIGHT SIDE PANEL -SWIVEL OUT TO VIEW
HOT WHILE IN OPERATION CAUTION: CHILDREN AND CLOTHING WA NOT TOUCH,KEE Q
CONTACT MAY CAUSE SKIN BURNS. KEEP FURNISHINGS AND OTHEP
COMBUSTIBLE MATERIAL FAR AWAY FROM THE APPLIANCE. SEE
NAMEPLATE AND INSTRUCTIONS.
Serial No I Numero De Serie
. w " DOM_P9�RE 007013 serial Number
�> l06T-S-7s-�e-a.
T .
Model: X?W4 ACC
7.w
1462 ULC S628-93 Wow T
OO HEATER,SOLID FUEL For Use with Solid Wood Fuel Only.`
se in oboe Home. PREVENT ROUSE FIRES Model Name
Ie only accordance wdh manufacturer's s installation.venting and utshtlttioris.
CUR L BUILDING OR FIRE OFFICIALS ABOUT RESTR AND INSTALLATION INSPECTION
AfaClu s;r - r precailiats chimney through a §de Test Lab& Report
Number
-- imum Clearances To Combustible Material
Maximum Mantel Depth•10 lures(254mm) Masonry,Heat Circulating&Zero Clearance
h(s�itel i
to Clesrancee on reverse silt for Canada
USA ONLY
" ry A Sid"to Stove 1944 in.
b / p Fascia or Trim
B Martel f0 Stove 21-1R In
C Top Trim to Stove 14 in.
Trim to Stove 13 in.
C i E Hearth Extension from Glass
D Floc i 0�m to 3-12 b.below men base 18 I.
Flow begN greater ttm 3, m.below§rAd base 16 in.
—f—� F HeaU Extern from Side of insert 8 in.
F
Hearth Extension No Thermal Floc Protection Required in USA i
Ember Floor Protection Required on All Imtalatlons
lit DO NOT REMOVE THIS LABEL
Manufactured by Made In U.S.A.
1445 Al.Hphway,CoMAa,WA 99114
www.cuedrakre.com
U.S.ENVIRONMENTAL PROTECTION AGENCY-Certified to with July 1990 plirkulaile emissionsfar&rd
2010 2011 2012 J■ F■ Mar. Apr■ May■ June July■ Aug■ Sep■t Oct■ Nov. Dec■ Mfg Date
7 53
Page 2 7046-137C December 15, 2009
UUMP94-IRE 2700-1 ACC Wood Insert
B. Clearances to Combustibles, United States and Canada (UL and ULC)
Minimum Clearances to Combustible Material
Inches and Millimeters
Maximum Mantel Depth-10 inch(254mm)
USA and Canada
A e c Mantel
Masonry,Heat Exchanger&Zero 19.75 in. 21.5 in 14.0 in. 13.0 in.
Clearance (381) (584). (508) (330)
B, j // Fascia or Trim
21.5 in. 14.0 in.
MANTEL CLEARANCES
n/a (584) (508) rVa
FLOOR PROTECTION USA Canada N �ji i/' *
Floor height 0 in.to 3.5 in. E F E F ,-
(0 to 89mm)below Insert Base 18 in. 1 8 in. 118 in(457)12 in.(305 /i j!% ' Insert,,,- **AT—_
Floor height greater thant 3.5 in. i/ i i 01
F ��C
(89mm)below Insert Base 16 in. 6 in. 18 in.(457)12 in.(305 / / ^` l �
F E
EMBER PROTECTION: Required on all installation for USA&Canada
Hearth Extension
THERMAL PROTECTION Canada Only
Floor Height 0 in.to 3.5 in. Ism r,,,B 5z.,f.p�ue 52 ' Maximum 3/4 inch(19mm)trim depth
(0 to 89mm)below Insert Base 1 114 inch.R value=0.13 +'Maximum 3-1/2 inch (89mm)trim depth
See rise 52.3
on page 32
Floor height greater than 3.5 In. No Thermal Prolecton required only Ember
l,89mm)below Insert Base Pfot"ction In Canada a full length 6 inch (152mm) diameter S635
flue liner required as per ULC S628.
*See Alternative Floor Protection Worksheet on page 33. In USA a minimum 5 foot length, 6 inch diameter flue
liner is required as per UL 1482.
A WARNING
Mantel
Fire Risk.
• Comply with all minimum clearances to
combustibles as specified.
• Failure to comply may cause house fire.
21-1/2 In.
(559mm)
Minimum
NOTE: Clearances may only be reduced by means
approved by the regulatory authority having juris-
diction
Figure 31.1 -Mantel Clearance
December 15, 2009 7046-137C Page 31
Electric # APPLICATION FOR BUILDING PERMIT
Plumbing# 217 Tumble Broek W ve
HVAC# FDate:
Sprinkler#
Estimated Cost
FINAL APPROVALS $ ✓7,,
Building COMPLETE RED BOXED AREAS Permit Fee $ 00,
Occupancy Fee $ 10,
Engineering TYPE OF PRINT ONLY Eng. Insp. Fee $
Affidavit Appr.forCO. No- SIGN ON REVERSE SIDE t
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 LocationofWork 117 7a ep-t !l LotNo.
Applicant's Address Tel #
Town -5� "= S��.r Zip (J Lic.#
Owner �� ~ Architect
Owner's Address � Architect's Address
Zip Zip
Sq.Ft. New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area
Purpose of this permit rl 7/e Jer In4<!-rt
City Water J Well J Septic System ❑ Sewer❑
Ins: HO SP rt. Area Basement Garage
Approved by Date )I' 3 1y Use Group Construction Type
amegU00
',41 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 proper distance from all street lines,sioe yard lines,and required
distances from all other zones and is located in which
^this buil ng and its use is allowed.
Signed
I hereby apply for a Certificate of x
panc th ork describgd in this application for the permit.
Signed
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
202000678 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER CERTIFICATE OF USE
b
DATE: 01/20/2021 sa FEE:
GIS ID: 90600217 ZONE: RESIDENTIAL AA-30
MUNIS APPLICATION# 201001471
THIS IS TO CERTIFY THAT 1 217,TUMBLE BROOK DRIVE UNDER APPLICATION NUMBER 201001471
CONFORMS SUBSTANTIALLY TO T4E REQUIREMENTS OF.THE CONNECTICUT BASIC BUILDING CODE AND THE
ZONING REGULATIONS OF THE;TOWN OF SOUTH WINDS AND IS HEREBY APPROVED OF OCCUPANCY AS
INDICATED BELOW:
APPROVED FOR OCCUPANCY v `FIREPLACE INSERT
SPECIAL CONDITIONS
NOTICE: IF THIS CERTIFICATE IS LOST OR DESTROYED,A DUPLICATE SHOULD BE OBTAINED IMMEDIATELY FROM
THE BUILDING DEPARTMENT.
CONSTRUCTION TYPE:
OCCUPANCY GROUP: BUILDING OFFICIAL
1/20/2021 9:04 AM ANY CHANGE OR EXTENSION OF THE USE HEREIN APPROVED REQUIRES ANEW CERTIFICATE OF OCCUPANCY
INSPECTION FIELD SHEET 01/20/21
Printed by Middleton, Morgan 09 03 13
INSPECTION: 49828 FINAL PERMIT:
STATUS:
APPLICATION: 201001471
LOC: 217 TUMBLE BROOK DRIVE
SOUTH WINDSOR
PROPERTY ID: 90600217
OWNER: SESSIONS OLIN T & THERESA
CONTRACTOR:
REQUEST BY:
PROJ DESC: FIREPLACE INSERT
WORK ORDER:
INSPECTOR: ROSE RESULT: PASS
REQUESTED: 06/26/12 PRIORITY:
SCHEDULED: 06/26/12 AM COMPLETED: 06/27/12
UNPAID FEES 00 Date Time
MILEAGE: 00 TIME: TRAVEL ONSITE
COMMENTS:
HEARTH CLEARANCE/SEE MANUF CLEARANCE FOR MODEL27001 ON FILE
ALL INSPECTIONS:
INSPECTED INSPECTOR RESULT INSP DESCRIPTION
B006 WOOD / GAS STOVE
06/25/12 ROSE PENDING BO10 FINAL
-644-5892// TO CONFIRM CLEARANCE TO COMBUSTIBLE/MISSING MAN
Electric # /Y 3 70 APPLICATION FOR BUILDING PERMIT
Plumbing# 217 Tumblebrook Drive Date:
HVAC #
Sprinkler# _ 29799
Building FINAL APPROVALS ---- - - - - - - Permit Fee Cost $—J —
COMPLETE RED BOXED AREAS Occupancy Fee $
Engineering TYPE OR PRINT ONLY Eng. Insp. Fee $
Affidavit - - - - J
A r. for CO. SIGN ON REVERSE SIDE / 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 7�� - ofs s/C',''S 'location of Work 2('7 u m e vro r Lot No.
Applicant' Add Tel.# P60 `�� S1P 72
Town-- 0 �, !, Zip C�' Lic.#
Owner Architect
Owners Address Architect's Address
Zip Zip
Sq. Ft. New Area: 1st FI. 3rd FI. Total New Area
Pu se of this permit
City Water❑ Well❑ Septic System❑ Sewer❑
Ins: HO SP Cert. Area—Basement Garage
Approved by ` - Date (7 3 Use Group —� Construction Type
Revised 6102
I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordniances of the Town of
South Windsor and to notify the Building Inspector of any afteration in the plans or specifications of the Building for which this
permit is asked,and agree that this building is to be located the pr distance from all street lines,side yard lines,and required
distances from all other zones and is located in thinjlding its use is allowed.
Signed i �✓'
I hereby apply for a Certificate of EOripy fSPt�e described in thisapplication for ;he permit.
- Signed1 `
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
5/21/2021
40�N �f1
r
Town of South Windsor Building Department
4�Los°e C
Building Permit: BLDP-21-306
APPLICANT
NAME: David Karnuk
EMAIL ADDRESS: info@silverlinerestorationinc.com
ADDRESS: 751 New Britain Ave.
Farmington , Ct. 06032
LOCATION
ADDRESS: 217 TUMBLEBROOK DR
South Windsor CT6074
OWNER: SESSIONS OLIN T&THERESA
217 TUMBLEBROOK DR
SOUTH WINDSOR CT 6074
DESCRIPTION OF WORK:
Strip existing 23 square roofing, ice and water 6ft. up from eaves and in valleys,synthetic paper, tape all decking seams, drip edge to entire
perimeter, GAF Timberline shingles, ridge vent and ridge cap.
0/00
April 28, 2021
BUILDING OFFICIAL DATE SIGNED
"`ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT-
-PERMIT ONLY VALID IF SIGNED BY BUILDING OFFICIAL—