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HomeMy WebLinkAbout2321 ELLINGTON RD APPLICATION FOR HVAC PERMIT DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT AppR 1540 SULLIVAN AVENUE -s r 644-2511 ext. 230 Bldg.Permit Date Building Inspector Application must be printed or typed FEE SCHEDULE ovation $041,000=$15.00 C( t -r !Moad Over$1,000= Street No. Street Lot No. $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT o okff 4 APPLICANT APDRESS n APPLICANT'S PHQNII# OWNER oW N 3 Fq< OWNER ADD SS ° OWNER PHONE - Ca ESTIMATED COST$ IS THIS A CONTRACT COST? Yes No FEE ENCLOSED$ 3 TYPE OF JOB: �*'5 H �SOR•CO New Installation —:L/Alteration/Addition/Repair Revised 03/05/10 APPLICATION FOR HVAC PERMIT(Continued from ieverse side) TYPE OF SYSTEM: TYPE OF BUILDING: GYHEATING Lj 'kESIDENTIAL ❑ A/C ❑ COMMERCIAL ❑ VENTILATION ❑ INDUSTRIAL HEATING ❑ STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS. a'HYDRONIC ❑ WARM AIR ❑ UNIT RADIANT.HEATER EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION DESIGN TEMP.OUTSIDE OF INSIDE OF DIFFERENCE OF TOTAL HEAT LOSS(BTUH) OF(HEAT LOSS SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL BEATING EQUIPMENT(INCLUDING MAKE&MODEL NO.) GROSS BEATING CAPACITY(INPUT-BTUH) NET RATING(OUTPUT-BTUH)T TYPE OF FUEL 11 OIL-GPM OIL TANK LOCATION: ❑' INSIDE ❑ OUTSIDE CAPACITY ❑ GAS-INPUT LPG TANK CAPACITY ELECTRIC-KW AIR CONDITIONING DESIGN TEMP: OUTSIDE OF INSIDE OF DIFFERENCE OF TOTAL HEAT GAIN(BTUH) (HEAT GAIN SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL COOLING EQUIPMENT(INCLUDING MAKE&MODEL NO.) TONNAGE COOLING CAPACITY(BTUH) VENTILATION DESCRIBE ALI:AIR HANDLING EQUIPMENT(INCLUDING KITCHEN EXHAUST EQUIPMENT) TOTAL SIZE OF SYSTEM(CFM) FRESH AIR INTAKE(CFM) (PLANS MUST ACCOMPANY APPLICATION) . FURTHER DESCRIPTION OF WORK .SB l 51 a 6 o5 card I nt aseni i-- 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. �7z � CONTRACTORS LICENSE NO. E STATE / SIGNATURE OF APPLICANT 'Gf/ DATE �Q'�� 0 c �� APPLICATION FOR ELECTRICAL PERMIT DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT APPROVED 1540 SULLIVAN AVENUE 644-2511 ext. 230 Bldg:Permit# Date , Building Inspector , �(060 2F_3 Application must be printed or typed FEE SCHEDULE LocationA J b: $0-$1,0.00=$15.00 Over$1,000= Street No. gtreet Lot No. NJ $15.00 per$1,000 or any fraction thereof Tenant Designation Apt No. APPLICANT _ APPLICANT ADDRESS a 39L APPLICANT'S PH O # li_6 0 OW N SF OWNER t OWNER ADDRESS 3 •� cc) OWNER PHONE _ 6 �'O 61 C. ESTIMATED COST "'1 IS THIS A CONTRACT COST? Yes No FEE ENCLOSED- TYPE OF JOB: 2LQ l �SO R•co New Installation Alteration/Addition/Repair 1Sa Ll3 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 ❑ NO ❑ RESIDENTIAL CURRENT USE AND OCCUPANCY ❑ BUSINESS 0. 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 SIZE OF SERVICE SIZE OF MAIN CONDUCTORS NUMBERS OF METERS NUMBERS OF DISCONNECTS AND RATINGS NUMBERS OF PANELS NUMBERS OF DISCONNECTS REQUIRED? OYES ONO NUMBERS OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS NUMBER OF'S WITCHES. 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 NEARBY 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 CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT DATE___61L_2// ,6 APPLICATION FOR.:ELECTRICAL-PERMIT DEPARTMENT DECISION TOWN OF SOUM WIlVDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT ��4U 2S a APP o . 1:540 SULLIVAN AVENUE Bldg:.Permit# 644-251 i-ext. 230 t lopO2��J Date Building nspecto Application must be printed or typed FEE SCHEDULE Location of Job: $041,000=.$15.00 4 KO ale(- Over$1,000= Street No. Street Lot No. $15.00.per$1,000 . or any fraction thereof Tenant Designation Apt:No. APPLICANT APPLICANT ADDRESS ` r APPLICANT'S PHONE# K,� OWNER � - pW N SFq< OWNER ADDRESS - C C F OWNER PHONE �/� C. ESTIMATED COST$ a G� IS THIS A CONTRACT COST? es No FEE ENCLOSED$. 96 ° TYPE OF JOB: r/ �SOR•COS New Installation alteration/Addition/Repair C;2o) adC,31 Revised 03/05/10 APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side) TYPE©F BUILDING IS THIS APPLICATION ASSOCIATED WrfH A BUILDING PERMIT APPLICATION? 91TS ❑ NO RESIDENTIAL CURRENT USE AND OCCUPANCY ❑ BUSINESS ❑. ASSEMBLE' FUTURE USE AND OCCUPANCY ❑ EDUCATIONAL ❑ INSTITUTIONAL ENGINEER'S NAME PHONE ❑ FACTORY ❑- STORAGE ADDRESS ❑ GARAGE . ❑ MIXED USE CTTy STATE ZIP (Other please specify) TYPE OF INSTALLATION/WHMG METHOD SF Ri remit SIZE OF SERVICE SIZE OF MAIN CONDUCTORS_ SrU NUMBERS OF METERS _ NUMBERS.OF DISCONNECTS AND RATINGS NUMBERS OF PANELS NUMBERS OF DISCONNECTS REQUIRED? ❑ YES ❑ NO NUMBERS'OF LIGHT CIRCUITS_ NUMBER OF POWER CIRCUITS NUMBER OF$WITCHES. 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 AC-C / 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 6 - CONTRACTORS LICENSE NO. E + STATE SIGNATURE OF APPLICANT .�� DATE BUILDITIG PERMIT, 1&0 d 2526 ` STATE OF CONNECT = WORKERS'COMPENSAT[OR COMMISSION Building Permit Affidavit for Property Owners or Sole Proprietors (Conn..Gen.Stat.§31.286b) Property located at In the town of Ya-f•Ig Name of building permit applicant: r-] Please check one: 1. I am the owner of the above property. 2. the sole..proprietor of a,business. 2A..Name of business e., 2B.Federal Employer Identification Number(F� .................................................!. ........................................ ......:.:........::..... Pursuant to§31286b,"a-property owner or sole proprietor[who]intends to act as a general contractor or prineiAl employer"may provide either a certificate of workers'compensation insurance or.a"sworn notarized aiidaviL..stating that he will require proof of workers' compensation insurance for all th)ge employed on tho job site in accordance with this chapter." Please che:7do 1. not intend to act as a general contractor or principal employer. [sign and stop here] Si&&m of applicant 2._I intend to act as-a general.contractor or principal employer.Applicant must either provide a certificate of Wrodc W compensation insurance or sign the affidavit b6low. ........................................................................:.................................... :....:. Affidavit I hereby swear and attest that i will require proof of workers'compensation insurance for every contractor,subconVactor,or other worker before he/she engages in work on the above property in aw"dance with thdWorkere Compensation Act(Chaptei%8). I understand that pursuant to g 31-275 C O.S.,offrcers of a corporation and partners in a partnership may elect to be cxcluded fr6m coverage by filing a waiver with the appropriate District Office and that a sole proprietor ota,business is not required to have coverage unless he Ales his intent to accept coverage. Signature of applicant Subscribed and sworn to before me this day of ,200 . (Notary Public/Commissioner of the Superior Court) 0 � I OD O O ro i Town of South Windsor Connecticut General Map N ROAD NAMES WATERCOURSES Date Printed: September 23,2004 0 PARCELS 0 80 Feet Text Final annotation.dxf Property boundaries are derived from the Town of South Windsor Tax Assessor maps,digitized at a scale of 1 Inch-100 feet,and Include the same data limitations and disclaimer as the Assessors ma s. ' All other data portrayed is representation only and,due to Inherent mapping limitations,should be used as a guide only. The intent of this map Is to present a graphical representation of property bound as and selected data,and the map is subject to change as more accurate surveys may disclose. Property boundaries mapped as of June 4,2001. South Windsor BUILDING DEPARTMENT 10 Tiii >... ►.;., q! vY s6tr:r 1►?.iry`h this eert,h ; tr t this plan ♦n0 sYa:rfi,i►t:c,w<an.trW cop.-s u! the proposed buiidtng or aiterstloro to be erected at 1 1 t-_� Street ingather —0 a • O--ntS stated in application arr. lihd with pl•n aaA i p'r U comply with all Loning. Bonding nn9 ;r t s a••A vch orders as Shall be issurd by the 3ui1A••rt -;n:•nl d,•ring pandency of tr:is appi;catttan :,td Nnzl issua t a building permit. ligneA This pizn I. p,rr, 'd subi Alt in thr condition that orA--rs and .:rui:.�rnce; n•R attn.; b-lding shall be Cam ii•.•J b, Cond,trin•ily Ai.proved These filed with Ff udC� g .,•;p,ctor Clerl, No. 310L-/ CERTIFICATION OF ZONING COMPLIANCE Proposed building(s), use(s) and/or structure(s) as shown on this plan appaar(r,) to be in conformance with current South Windsor regulations. Variances and special exceptions may apply. Date 4 Sao a (iivrihg ffiifidircement Officer Electric# APPLICATION FOR BUILDING PERMIT Plumbiit# 2321 Ellington Road HVAC # 28035 Date: e7. G� lei Sprinkler# NO' FINAL R Estimated Cost $ /� ,�d-) Buildings/, .1 - COMPLETE RED BOXED AREAS Permit Fee $ End r TYPE OR PRINT ONLY Occupancy Fee $ Affidavit SIGN ON REVERSE SIDE 6v Appr.for CO. Total Fee $ IS TO BUILDING DEPARTMENT,TOWN OF SOUTH WNDSOR,CT (Additional Cost) $ The undersigned hereby applies to do work according to the following specifications: Job Location [FC64 h4 4 Lot No. Side of Street Zone Applicant 0 ': Tel#117 Address 4 7 (1 <2. 4 Zip.0i,u`'i Lic.# Owner Address ('1_740AVe- Architect Address Sq. Ft.New Area: 1st FL 2nd FL 3rd FL Total New Area #Rooms #Lavatories #Bathrooms #Garages Purpose of this permit: - r City Water ❑ Well ❑ Septic System ❑ Sewer ❑ Ins. H.O. S.P. Cert. Area Basement Garage Approved by _VLZ _ Date `7 % U Use Group Construction Type_ Rav'sod 1197 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 Ue local the proper di Vance from all street lines,side yard lines,and required distances from all other zones and is located in which t uil and use is all Signed I hereby apply for a Certificate of Occupancy for the work descri i this application for the permit. Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS Inspection / Approval Date By Appl Code Description Due Whom Code Comment ------------------------------------------------------------------------------- **-28035-B 1,000 B10 FINAL 08/07/03 JFF A B10 FINAL 08/07/03 JFF A CLOSEOUT Electric# APPLICATION FOR BUILDING PERMIT HVAC Plumbing# # 2321 Ellington Road Date: c�" Z " `�,y S rinkler# pFINAL R --_ 29078 — -- Estimated Cost $ Building3i �� E,.10' SIGN Permit Fee $ .3c).PLETE RED BOXED AREAS Occupancy Fee $ A. En love TYPE OR PRINT ONLY Eng. Insp. Fee $ AffidavitAppr. for CO. ON REVERSE SIDE — --- - — -- - -- —__ Total Fee $ U TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ The undersigned hereby applies to do work according to the following: Applicant s— �� Location of Work 3 f l �.�' -n :� Lot No.�_ Applicant's Addres it f'C �� Tel.# f cam(, Town Cc •-� l L� Zip d cl�' Lic.# 5LG14 f Owner en;­re�e- t--,Lt::e44 Architect Owner's Addre s Architect's Address �. ��� ' , t:� d� c, Zip Zip Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area Purpose of this permit City Water❑ Well❑ Septic System❑ Sewer❑ Ins: HO SP_1/Cert. Area Basement Garage Approved by Date 2 V Use Group��_ Construction Type'2_CL Revised W02 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 distan from all street lines,side yard lines,and required distances from all other zones a7sigr ted in which thising all iss t /7" ed 'CZ I 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 / Approval Date By Appl Code Description Due Whom Code Comment -------------------------------------------------------------=----------------- •+-29078-B 2,000 B10 FINAL O8/07/03 JFF A B10 FINAL 08/07/03 JFF A CLOSEOUT 1 � C&ur cue L 4-4- 3EU— P/ wf A-f—Iq f' lP 2 CZ �Tvt S7 l ii a c • 6� 1 w oL5r A 4 � i� WALL, z2 J -'� I►,�b—���D�IJ J� -k5 V rrzj 41 ThisCp/tI(Wd Shot t+(e plru; vr,4 si►ei4watWr40%tE*b w1bies at She, Vropaxtd tuiltind: ar atterallYMt tI M artttq at lagatj- wltk awNO+nwals JAilAid N oMfto~ A-ft Mad W40 Otsa aural 'I .owee lw m-,S tf-4%A*0511111ify QuilatV* AKIO slate 4nws.aft 30+110+ WIHWi s?f OhPW a ttAuad by " Yulttltr® 'E4~ye'*Aftk*,.. *t V45.vpP14M[ap ar.ui tjnaii �ptvi:.usec�- . hSYfelln4 iwp wMrw Sys aWe.teg4 s"jvW too the ap';040m that' 4j0,tr4k,and*or.ypan�¢ei rpiF9fSjt"ij trA4Vf(Sjj,. yhelll tnr Tfits*=M949 with 6OMAMMs KpF"iNr (3UMP o.to __. Net. 1 DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT TOWN OF SOUTH WINDSOR , PERMIT# Application is h BUILDING DEPARTMENT vE 1540 SULLIVAN AVENUE JAN1 0 644-2511 ext. 230 Bldg.Permit# _ _ N Date Building In r A plication must be printed or typed FEE SCHEDULE Location of Job: Z16,1 111:2 k", /y,, $0-$1,000=$15.00 Street No. Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT A'�C APPLICANT ADDRESS /Z- c�-i Day APPLICANT PHONE# O W N S 4. OWNER C_57 OWNER DRESS Qlid OWNER PHONE C ESTIMATED COST$ xr IS THIS A CONTRACT COST? —Yes "o, FEE ENCLOSED$ /V TYPE OF JOB: �SOR•C O� 4'1�e_w Installation Alteration/Addition/Repair Revised 4/0 i//2002 APPLICATION FOR HVAC PERMIT (Continued from reverse side) TYPE OF SYSTEM: TYPE OF BUILDING: W--HEATING ❑RESIDENTIAL ❑A/C ❑COMMERCIAL 0 VENTILATION ❑INDUSTRIAL HEATING O STEA�MM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS. 04IYDRONIC ❑WARM AIR 0 UNIT RADIANT HEATER EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION DESIGN TEMP. OUTSIDE OF INSIDE OF DIFFERENCE OF TOTAL HEAT LOSS(BTUH) °F(HEAT LOSS SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL HEATING EQUIPMENT� (INCL G MAKE&MODEL NO.)Vrl,c-i•✓� .3 5c-� �-rc+�7 �m �tn l�� �C�c•/�i ��� /!?C�G� GROSS HEATING CAPACITY(INPUT—BTUH) T NET RATING(OUTPUT—BTUH) TYPE OF FUEL Q'61Lr-GPM 1.6'lI OIL TANK LOCATION:0 INSIDER OUTSIDE CAPACITY ❑GAS—INPUT LPG TANK CAPACITY ELECTRIC—KW AIR CONDITIONING DESIGN TEMP.OUTSIDE OF INSIDE OF DIFFERENCE OF TOTAL HEAT GAIN(BTUH) (HEAT GAIN SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL COOLING EQUIPMENT(INCLUDING MAKE&MODEL NO.) TONNAGE COOLING CAPACITY(BTUH) VENTILATION DESCRIBE ALL AIR HANDLING EQUIPMENT(INCLUDING KITCHEN EXHAUST EQUIPMENT) TOTAL SIZE OF SYSTEM(CFM) FRESH AIR INTAKE(CFM) (PLANS MUST ACCOMPANY APPLICATION)) / FURTHER DESCRIPTION OF WORK lAl/r' ✓✓Gi'/ 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. 3-2 CONTRACTORS LICENSE NO. TYPE / STATE SIGNATURE OF APPLICANT �: DATE ! L` v Eiectnic# APPLICATION FOR BUILDING PERMIT 2lumbing# 2321 Ellington Road Date: I. 23 a HVAC # Sprinkler FINAL P 310 4 5 Estimated Cost $ Buildin vG. v►��» Permit Fee $ n` COMPLETE RED BOXED AREAS OccupancyFee $ Engine TYPE OR PRINT ONLY Eng. Ins Fee $ Affidavi Appr. for c o- c SIGN ON REVERSE SIDE I`�a —-- --- - - --- --- - Total Fee $ TO THE ING DEPARTMENT,TOWN OF SOUTH WINDSOR,CT (Additional Cost) $ The undersigned hereby applies to do work according to the following: Applicant Location of Work n (,/A/67v Lot No. Applicant's Address 2 U - Tel.# 9 4 I - 06 Town • GJl.,-)CSo c,4 Zip 06J7 9 Lic.# 5"bLIS4 j( Owner Architect — Owner's Address 2 rchitect's Address Zip Zip Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area Purpose of this permit 3_D t°I sA A� 6 City Water&e*� Well❑ Septic System Sewero Ins: HO SP Cert. I Area Basement Garage Approved by - Date `� d Use Group Construction Type \� Revised GM2 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 kxxt the proper distance from all street lines,side yard lines,and required distances from all other zones and is located in which this it nd a use is allowed Signed I hereby apply for a Certificate of Occupanc or/ desc in this application for the permit Signed ` DO NOT WRIf E B L THIS LINE INSPECTION COMMENTS Inspection / Approval Date By Appl Code Description Due Whom Code Comment ------------------------------------------------------------------------------- **-31045-B 2,000 B01 FOOTING 09/27/04 PJP A DECK NOT DESIGNED FOR HOT TUB, T 0 ADD 2 PIERS B09 OTHER 03/29/05 JFF NO PROGRESS PIERS ONLY IN PLACE NO EXTRA 2 2PIERS B10 FINAL 02/02/06 JFF A 21IN ABOVE GRADE NO HOT TUB SCRE EMING NORTH SIDE Electric # APPLICATION FOR BUILDING PERMIT Plumbing# h HVAC# ,�o� t{1 /�?/ /�015 Sprinkler# 0 L 27Y.3 Estimated Cost $ �D CO,� FINAL APPROVALSPermit Fee $ i S Building COMPLETE RED BOXED AREAS Occupancy Fee $ In — Engineering TYPE OR PRINT ONLY Eng. Insp. Fee $ Affidavit ► SIGN ON REVERSE SIDE t Appr.forCO. Total Fee $ 26- TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ The undersigned hereby applies to do work according to the following: Applicant 1 Location of Work Lot No. Applicant's Address 3 f t 1 I ,^s i" 1 A - Tel # P6 O'►U O� Town -S- t „,- Zip Ob o l `1 Lic.# Owner l�� T,-�c c, Architect Owner's Address a -S J 1 4 f Architect's Address S .cScy- Zip n.L,D -1 `1 Zip Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd FI, Total New Area Purpose of this permit t S 1, 6 LQ J!CC- go o a1 + City Water Well _.l Septic System .7 Sewer-lzid �0 I SON 3 Ins: HO SP Area Basement Garage Approved by ate - - Use Group Construction Type - I FRevised 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,side yard lines,and required distances from all other zones and is located in w t is ing and its use is allowed. Signed I hereby apply for a Certificate of O upan fo e work described in this application for the permit. Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS INSPECTION FIELD SHEET 04/06/22 Printed by Middleton, Morgan 14 18 05 INSPECTION: 86939 FINAL PERMIT: STATUS APPLICATION: 201501143 LOC: 2321 ELLINGTON ROAD SOUTH WINDSOR PROPERTY ID: 30302321 OWNER: TOMEO TIFFANY CONTRACTOR: TIFFANY TOMEO REQUEST BY: PROJ DESC: FINISH BASEMENT TO REC ROOM AND WORK/OFFICE SPACE. WORK ORDER: INSPECTOR: ROSE RESULT: PASS REQUESTED: 07/06/16 PRIORITY: SCHEDULED: 07/06/16 02 15 COMPLETED: 07/06/16 UNPAID FEES: 00 Date Time MILEAGE: 00 TIME: TRAVEL ONSITE COMMENTS TIFFANY @ 860-801-0181//RECHECK SMOKE & CO DETECTORS ALL INSPECTIONS: INSPECTED INSPECTOR RESULT INSP DESCRIPTION 05/25/16 ROSE N/A B001 FOOTING 05/25/16 ROSE N/A B002 FOUNDATION 05/26/16 ROSE PASS B003 FRAMING (ROUGH) TIFFANY// WORK IN PROGRESS 06/16/16 ROSE N/A B004 INSULATION 05/25/16 ROSE N/A B005 FIREPLACE / CHIMNEY 05/25/16 ROSE N/A B006 WOOD / GAS STOVE 11/16/15 ROSE PASS B009 OTHER EXISTING FRAMING /CAVITY NEED DRAFTSTOPPING 07/01/16 ROSE PENDING BO10 FINAL TIFFANY ® 860-801-0181 (RECHECK)// MISSING SMOKE DETECTORS IN BEDROOMS 06/17/16 ROSE PENDING B010 FINAL TIFFANY ® 1-860-801-0181//see checklist TO REPLACE COVER TO OUTLETS. MISSING ONE SIDE STAIR HANDRAIL. SMOKE AND CO DETECTORS TO BE INSTALLED. HEAT PIPING TO BE COMPLETED LATE FALL AS PER OWNER. 05/25/16 ROSE N/A E001 ELECTRIC SERVICE 05/25/16 ROSE N/A E002 ELECTRIC UNDERGROUND INSPECTION FIELD SHEET 04/06/22 Printed by Middleton, Morgan 14 18 05 06/16/16 ROSE N/A E003 ELECTRIC ROUGH 07/01/16 ROSE PASS H010 HVAC FINAL BASEBOARD HEAT. 06/16/16 ROSE N/A P001 WATER HEATER REPLACEMENT 06/16/16 ROSE N/A P002 PLUMBING UNDERGROUND 06/16/16 ROSE N/A P003 PLUMBING ROUGH 06/16/16 ROSE N/A P004 PLUMBING GAS TEST t 0•NM SEq ZONING COMPLIANCE FOR SMALL STRUCTURES (Sheds and detached decks 200 sq. ft. and smaller) OR Address of Proposed Structure: Zone: Name of Owner:T-f-�-- n, , n'e n GIS PIN: 3 o3o Q3ai Phone Number: c4G O 01 . n ;� { Application #: 02 0 ( r 1 1. Name of Applicant: 6��� LRECEIVEDAddress: a 3 a E1 1 Phone Number: A6 0 8 0 1 2. Structure cannot exceed 200 square feet. TYPE OF STRUCTURE: +/ SHED DECK (not to exceed 30"from grade) DIMENSIONS OF PROPOSED STRUCTURE: 3. A Class D survey must be submitted with the application showing the property lines, all other buildings and the location of the proposed structure. 4. Is the property served by a septic system? Yes V No If yes, the applicant must complete and submit a B100a Application to the Health Department for review and approval. The undersigned hereby permits Town staff to enter onto and inspect this property during reasonable hours for the purpose of reviewing this application and to determine final compliance once construction is completed. I, the undersigned, acknowledge that the above information is true to the best of my knowledge and that the above requirements arp understood. Applicant Signature: Date: it A-ql i Owner Signature: Date: it l ***************************************************************** Reviewed and approved by: �c � ���:;,. Date: 1711 Zoning Enforcement Officer Reviewed and approved by: Date: Environmental Health Officer cc: Assessor Building File SGANNEf) p s�t ..�i±.- r •r �F .-1 `Yti•' .C, .. f/ f' ''�., _ • i 1 ! � I _ `ram �` ,;4 � ,�,� �,.,� �& t � �' �1 1,/'i'- .ii/ :'�,„ , `�• 4 � ' ��'' '� .�-+"!_J y is •- r�''.'� �r 4i�: • • � ���i `� •fir. �{;fir . , - - ! }} �} ,, � y, AI 1,7 �.. y--1 '` •• I f ' ;> ,. 4* � may,^ E.'`4� �•-• C ,,, _� ^-' ., -- .l; -- � �,�'., tray 'T,••7'' � ti�"dtil� r"� !�� 1 1 40, lop �41 IF r � � ` _ � r v�:,... .. ..+ ti;t � ti•+.4. »•, l".'r�.s '�a• J .�_ �Y.2'�t. .sv� '� ;:rb fit- \'`�,'�' � ;,. �- � � �t1 $ �,�'-•,� � I r t� 1 •.� •. � ,,*. t•�.,r.t •.t ti-. 1. ^t 1:• .N - � , �` ,ice - � -' .. •l�'' 4t KA N 1,' ii t"i- (1�7 7r--- �d tu 1 2-y 1:2 sW 1600283 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER BUILDING PERMIT DATE: 05/11/2016 GIS ID:30302321 FEE: 15.00 MUNIS APPLICATION# 201501143 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: TIFFANY TOMEO ADDRESS: 2321 ELLINGTON ROAD ADDRESS: 2321 ELLINGTON ROAD OWNER: TOMEO TIFFANY SOUTH WINDSOR,CT 06074 2321 ELLINGTON ROAD SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: FINISH BASEMENT TO REC ROOM AND WORK/OFFICE SPACE. STUDS AND SOME WALLS ALREADY EXISTING. 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 5/11/2016 3:17 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1600273 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER HVAC PERMIT DATE: 06/30/2016 GIS ID:30302321 FEE: 30.00 MUNIS APPLICATION# 201501143 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: ROBERT BURCKARDT ADDRESS: 2321 ELLINGTON ROAD ADDRESS: 67 CHAMBERS STREET OWNER: TOMEO TIFFANY MANCHESTER,CT,06042 2321 ELLINGTON ROAD SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: INSTALL BASEBOARD 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 6/30/2016 11:06 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1600250 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER ELECTRICAL PERMIT DATE: 05/26/2016 GIS ID:30302321 FEE: 30.00 MUNIS APPLICATION# 201600639 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: JAMES F. RANSOM ADDRESS: 2321 ELLINGTON ROAD ADDRESS: 19 STACY LANE OWNER: TOMEO TIFFANY TOLLAND,CT 06084 2321 ELLINGTON ROAD SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: A COMPLETE 200 AMP OVERHEAD SERVICE CHANGE WITH NEW METER SOCKET AND MAIN BREAKER PANEL. 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 5/26/2016 2:32 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1600302 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER ELECTRICAL PERMIT DATE: 06/21/2016 GIS ID:30302321 FEE: 15.00 MUNIS APPLICATION# 201501143 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: TIFFANY TOMEO ADDRESS: 2321 ELLINGTON ROAD ADDRESS: 2321 ELLINGTON ROAD OWNER: TOMEO TIFFANY SOUTH WINDSOR,CT 66074 2321 ELLINGTON ROAD SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: RECESSED LIGHTS IN CEILING AND OUTLETS. n SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WITII THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING OFFICIAL 6/21/2016 4:23 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE