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HomeMy WebLinkAbout23 HIGH ST APPLICATION FOR ELECTRICAL PERMIT DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT 00 d 0145' APP Ou 1540 SULLIVAN AVENUE �t l 644-2511 ext. 230 Bldg. Permit# Date Building Inspector Application must be printed or typed FEE SCHEDULE Location of Job: $0-$1,000=$15.00 Over$1,000= I Street No. Street Lot No. $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT ��Tt �vSzz.a APPLICANT ADDRESS �.� SJ►Y�Y �� 0(Z- Sou7Lf L-J o(t, C_-r o6U7c-( APPLICANT'S PHONE# $6 O - S S 0 59 0 C-1 OWNER R-C)P C=(z-r TefLSA j�cu< .(0W N S Fq< OWNER ADDRESS as , kl Gn S> ( r - OWNER PHONE (RVQ — 96S —O46S ce�� O * lot = ESTIMATED COST$ �O C IS THIS A CONTRACT COST? Yes }` No FEE ENCLOSED$ TYPE OF JOB: SOR•CO � X New Installation cp-z O 11 Alteration/Addition/Repair 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 3 NO RESIDENTIAL CURRENT USE AND OCCUPANCY ❑ BUSINESS ❑ ASSEMBLY FUTURE USE AND OCCUPANCY ❑ EDUCATIONAL ❑ INSTITUTIONAL ENGINEER'S NAME PHONE ❑ FACTORY ❑ STORAGE ADDRESS ❑ GARAGE ❑ MIXED USE CITY STATE ZIP (Other please specify) TYPE OF INSTALLATION/WIRING METHOD lr-�OY-L SIZE OF SERVICE (y 0 ,A 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/C CIRCUITS SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED. DESCRIPTION OF WORK Z(-rC-4tLJC-1< 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 C-r c.1 - i, -� v - I C7" CONTRACTORS LICENSE NO. {� TYPE STATE SIGNATURE OF APPLICANT DATE G ` f APPLICATION FOR BUILDING PERMIT Electric# Plumbing# 23 High Street HVAC # Date: y 13>1 O� Sprinkler# —-- , Estimated Cost $ FINAjPP*Re - -- —--- -— — Permit FeeBuildingCOMPLETE RED BOXED AREAS iOccupancy FeeEngineeV TYPE OR PRINT ONLY I Eng. Insp. Fee ffi $ Adavit SIGN ON REVERSE SIDE Appr. for CO. _ _ Total Fee $ TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR,CI' (Additional Cost) $ The undersigned hereby applies to do work according to the following: Applicant /rrlf icy f ocation of Work 23 ffc& S`r%ZfE1- Lot No. t Applicant's Address Tel.# Town Zip ©Kyv Lic.# 5:t/ 5-7Y Owner &6 Architect Owner's Address 2 3 Architect's Address 501/71Y 6elz 1o�IiL G �' Zip 0& Zip ' Sq. Ft. New Area: 1st FI. 2nd Fl. 3rd FI. Total New Area Purpose of this permit Nam. �Ceof Syi�G— lye*&V / C/ — �f C t✓ 1 t'c' .� c n�! 4 i� d 16 /, f S y,�aZ v' J City ater❑ Well❑ Septic System❑ Sewer❑ Ins: HO St Cert. Area Basement Garage Approved by Date Use Group Construction Type Revised 6/02 <do?7 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 othe,zones and is located in which this building and its use is allowed. Signed - c_ 1 hereby a;?ply for a Certificate of Occupancy for the ork described in this application for the permit. Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS gap pa AIL 4F JAN 13 1993 South Windsor BUILDING DEPARTMENT TO THE KADWG DEPT TOWN OF SOUTH W!KLiOl+ This certified that this plan and specifications are true Copies of the proposed building or alterations to be erected at 223 A6/� rz� street together with amendments stated in application an, filed with plan and I agree to comply with all zoning. Building and state laws and such orders as shall b. issued by the Building Department during pendenc, of this application and final issuance of a buiidma Permit.Signed Y o �, ' (� l� ;� a This plan Is apkf6ved subject to the condition that orders and ordinances regulating building shall be compiled with. Conditionally Approved These filed with Building Inspector �prh ('posed building(s), uses) and!or struci�_�; s shown on this plan appear(s) to be i lormarice with current South Wind;:. ,gulations. Variances and spccial exceptio ; -dy apply. to 3, 3 i� Zoning Enforcement Ofil9pr VA rz 16 10 Ij 14 'JUL 2 3 IN � South Windsor BUILDING DEPARTMENT TO THE BUILDING DEFT, TOvv;; rhlrt Certified that this Plan .i COPles of P and sPecific ticn� erected at r the DropoSe� building or alterations t.., , together with a F'f' meodmants stated in n0p,11 filed with plan and 1 agree to cotnPly with Hutlding and state we and Such orders as sj re411ed by tha 8ulldint of tnl De Darttnent during pem7 s aDPI oatlop >•nd final bawnce of a bur'c:.--,. t>aNalt. lliinefq This Odlloy� S4AJeet ho <n condition ,odeM and o►Ninanflgr *aCulatin witnp�.,,,�_ K Du Adrng shay ��e (base filed w;tn �T'lt�`r� iifi�Wletfsi 41�rN G=RTIFICATION OF ZONING COMPLIANCE 5 �roposed bullding(s), us@(s) and/or structure(s) �Zor K23 :�s shown on this plan appear(s) to be in "onformance with current South Windsor , (�eazew�•/` gulations. Variances and special exceptions (Iu zo :gay apply, Nate c ning Enforcement Officer tlj� f Z Act— k6 13 47, 5ftr Ij r)7 IP 14 i +'� j j11 - --- i j Z. 9 199p South Winds UILDING DEPARTME 'f*'ft'r»third that this plan and spe•eifleitions are true { `y 09 the proposed bufldlog or alterations to be sYtitje�/� /1 i4N ITT Street tart-they with amendments stated In appgcatlon ;. I illCd with plan and I agree to comply with all znm. €011!fing and state laws and such orders as sh-i. (steed by the Buildlug Department during pendr—, l this application and final Issuance of a buhd,.,y permit. Signed Tall Walt ispMisd 0u41e9t to the condition that -r:: ar.d orainaness regulating bulldhng shall to with, L dttio,i;tly Approved These filed wtth Building lnspector / Cirk "ate No "ERTIFICATION OF ZONING COMPLIANCE Proposed building(s), use(s) and/or structure(s) as shown on this plan appear(s) to be In conformance with current South Windsor regulations. Variances and special exceptions may apply. Date /� �° v 11� Zoning Enforcement Officer ti I _ i ti - lv � 7 Y r 1 1 f I f 1 I ; I o \ N.\ ! Iitl �y� 1 � CA I 4pMp Ifs C 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: /%bo�& :�- APPROVED- BLDG.PERMIT NUMBER: 4� �� DA 47�INSPECTOR LOCATION OF WORK: 2-3 N/r a S�rt��rr APPLICANT: OWNER: TYPE OF STRUCTURE: ❑NEW BUILDING K NAME: J��/�L� NAME: c6,-:-E-'-r ❑ADDITION PHONE NUMBER: PHONE NUMBER: �XISTING BUILDING ADDRESS: ADDRESS: 23 N/c-h/ S�2ar��7 TYPE OF USE: ESIDENTIAL ❑COMMERCIAL ELECTRICAL INFORMATION: FURTHER DESCRIPTION OF WORK: TYPE OF INSTALLATION: T ✓/�rf� SIZE OF SERVICE: SIZE OF MAIN SERVICE: C /e,-Ce: &Z C+9,4-IS NUMBER OF METERS: NUMBER OF PANELS: NUMBER OF LIGHT CIRCUITS: ESTIMATED COST:S �O CIO NUMBER OF SWITCHES: NUMBER OF LIGHT FIXTURES: FEE ENCLOSED:S NUMBER OF A/C CIRCUITS: FEE SCHEDULE:SIS PER$1,000 TED COST. NUMBER OF POWER CIRCUITS: ROUND UP TO THE NEXT THOUSAND ONCE THE PROJECT IS$1.00 OVER (.26 CENT EDUCATIONAL FEE INCLUDED AS NUMBER OF OUTLETS: 2= PART OF THE PERMUU FEE) THE UNDERSIGNED HEARBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFOMANCE OF SUCH WORK. CONTRACTORS LICENSE NO.: TYPE: STATE: SIGNATURE OF APPLICANT: DATE: C�-g6` l APPLICATION FOR PLUMBING PERMIT TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074(PHONE) 860-644-2511 EXT. 230 DEPARTMENT DECISION PEFJvff NUMBER: APPLICATION IS HEREBY: aa)// 17- APPROVED• BLD Q.,PERMIT 1` R: �_s , I L U DA INSPECTOR LOCATION OF WORK: Z APPLICANT: OWNER: TYPE OF STRUCTURE: C�j� O NEW BUILDING ME NA : �J PT �\ ((� NAME: ❑ADDITION PHONE NUMBER: PHONE NUMBER: &00 CDT b O' EXISTING BUILDING ADDRESS: ADDRESS: Z 3 /Y/Gfr S7�FFT TYPE OF USE: Sc✓TF! �J�,UDS�` �T d RESIDENTIAL o COMMERCIAL PLUMBING INFORMATION: FURTHER DESCRIPTION OF WORK: /J TYPE OF INSTALLATION: ��S-74C-,t— w�J2_ %OTC ¢ -r/QJ NO.OF TOILETS: / STYLE: NO.OF BATHTUBS: NO.OF SHOWERS: NO.OF LAVATORIES: NO.OF CATCH BASINS: NO.OF FLOOR DRAINS: ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY WINDOW? oYES oNO ESTIMATED COST: S 14 966 SIZE OF WINDOW: SIZE OF DUCTS: SEWER OR SEPTIC TANK: FEE ENCLOSED:$ SIZE OF WATER PIPING AND RISER: WATER HEATER: TYPE MANUFACTURER FEE SCHEDULE:$19 PER$1,000 OF THE ESTIMATED COST. ROUND UP TO THE NEXT THOUSAND ONCE THE PROJECT IS $1.00 OVER. (.26 CENT EDUCATIONAL FEE INCLL AS PART 11 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: Q SIGNATURE OF APPLICANT: ~�� DATE: C i Electric # APPLICATIO FOR BUILDING PERMIT Plumbing# HVAC# �'v Date: Sprinkler# Rio FINAL APPROVALS Estimated Cost $ Building COMPLETE RED BOXED AREAS Permit Fee $Occupancy Fee $ 3c� Engineering TYPE OR PRINT ONLY Eng. Insp. Fee $ Affidavit Appr.for CO. ► SIGN ON REVERSE SIDE Total Fee $ 40 , TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR. CT (Additional Cost) $ The undersigned hereby applies to do work according to the following: 4&fA Applicant l `` (( Location of Work Lot No. Applicant's Address a-J T1yd k S-vTra 9; Tel # COO (eZE B) o R Town )X N (l")iv1A islb2 l . ► Zip otoo`T 4 -Lic.# Owner 9L&M P Architect Owner's Address Architect's Address 14 Zip Zip- Sq. Ft. New Area: 1 st FI. SQ 2nd FI. 3rd FI. Total New Area Purpose of this permit Ne t 1< AJ J�2T�M i V�,�.�C'kJ�/�6ZEDR�rw IAV;V n', - Ci y ater)l Well 7 Septic System J Sewer Xl Ins: HO SP Area Basement Garage Approved by Date-->1 I Use Group 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 S 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 is allowed. Signed I hereby apply for a Certificate of Occupancy yffor rtthe work described in this pplication for the permit. Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS INSPECTION FIELD SHEET 04/11/22 Printed by Middleton, Morgan 09 03 40 INSPECTION: 114235 FINAL PERMIT: STATUS: APPLICATION: 201900334 LOC: 23 HIGH STREET SOUTH WINDSOR PROPERTY ID: 42000023 OWNER: TERSAVICH ROBER K & LINDA L CONTRACTOR: REQUEST BY: PROJ DESC: CONVERT BEDROOM INTO MASTER BATH WORK ORDER: INSPECTOR: ROSE RESULT: PASS REQUESTED: 05/02/19 PRIORITY: SCHEDULED: 05/02/19 PM COMPLETED: 05/02/19 UNPAID FEES: 00 Date Time MILEAGE: 00 TIME: TRAVEL ONSITE COMMENTS: ALL INSPECTIONS: INSPECTED INSPECTOR RESULT INSP DESCRIPTION B001 FOOTING B002 FOUNDATION 03/18/19 ROSE PASS B003 FRAMING (ROUGH) B004 INSULATION B005 FIREPLACE / CHIMNEY B006 WOOD / GAS STOVE E001 ELECTRIC SERVICE E002 ELECTRIC UNDERGROUND 03/18/19 ROSE PENDING E003 ELECTRIC ROUGH QUERY FIXTURES P001 WATER HEATER REPLACEMENT P002 PLUMBING UNDERGROUND 03/18/19 ROSE FAIL P003 PLUMBING ROUGH INCORRECT VENTING TO PRESENT & EXISTING PLBG. NEED TO TEST RG. PLBG WV. 03/27/19 ROSE PENDING P003 PLUMBING ROUGH RE-CHECK MISSING VENT FOR SHOWER TRAP. CHANGE HORIZONTAL DRY VENT TO WASTE PIPE. P004 PLUMBING GAS TEST 1900104 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER BUILDING PERMIT DATE: 03/01/2019 GIS ID:42000023 FEE: 60.00 MUNIS APPLICATION# 201900334 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: TERSAVICH ROBER K&LINDA L ADDRESS: 23 HIGH STREET ADDRESS: 23 HIGH STREET OWNER: TERSAVICH ROBER K&LINDA L 23 HIGH STREET SOUTH WINDSOR;CT 06074 DESCRIPTION OF WORK: CONVERT BEDROOM INTO MASTER BATH SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY T { BUILDING DEPARTMENT. t CONSTRUCTION TYPE: 4 OCCUPANCY GROUP: BUILDfJU OFFICIAL 3/1/2019 11:33 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1900087 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER ELECTRICAL PERMIT DATE: 03/01/2019 GIS ID:42000023 FEE: 18.00 MUNIS APPLICATION# 201900334 BUILDING DESCRIPTION: APPLICANT, LOCATION NAME: TERSAVICH ROBER K&LINDA L ADDRESS: 23 HIGH STREET ADDRESS: 23 HIGH STREET OWNER: TERSAVICH ROBER K&LINDA L 23 HIGH STREET SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: CONVERT BEDROOM INTO MASTER BATH SPECIAL CONDITIONS: REPLACE OUTLET W/GFI EXHAUSR FAN RECESSE ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT. d-4 CONSTRUCTION TYPE: OCCUPANCY GROUP: BUIL G OFFICIAL 3/12019 11:40 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1200045 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER ELECTRICAL PERMIT DATE: 02/09/12 GIS ID:42000023 FEE: 15.00 MUNIS APPLICATION# 201200119 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: SUMMIT ELECTRIC LLC., ADDRESS: 23 HIGH STREET ADDRESS: 28 SUMMIT DRIVE OWNER: TERSAVICH ROBER K&LINDA L SOUTH WINDSOR,CT 06674 23 HIGH STREET SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: INSTALL,GENERATOR INLET,WIRING,AND MAIN BREAKER INTERLOCK KIT TO FACILITATE HOME GENERATOR SYSTEM. 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 2/9/2012 2:41 PM THE FEE ABOVE INCLUDES A SO.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1900117 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER PLUMBING PERMIT DATE: 03/01/2019 GIS ID:42000023 FEE: 36.00 MUNIS APPLICATION# 201900334 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: TERSAVICH ROBER K& LINDA L ADDRESS: 23 HIGH STREET ADDRESS: 23 HIGH STREET OWNER: TERSAVICH ROBER K&LINDA L 23 HIGH STREET SOUTH WINDSOR;CT 06074 DESCRIPTION OF WORK: CONVERT BEDROOM INTO MASTER BATH SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THEABINGDEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING OPFICIAL 3/1/2019 11:35 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE