HomeMy WebLinkAbout24 GLENWOOD RD APPLICATION FOR PLUMBING PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
BUILDING PERMIT APPLICATION? El YES aNO
.RESIDENTIAL L
❑BUSINESS CURRENT USE AND OCCUPANCY Inez,'� T �-
❑ASSEMBLY
❑MERCANTILE FUTURE USE AND OCCUPANCY -5 A c-
❑EDUCATIONAL
❑INSTITUTIONAL
❑ FACTORY E 'S NAME ro �ICePHONELl
❑GARA EE ADDRESS If o2Q S c��N7L� f 3! U -
❑MIXED USE I-- -
CITY S, w ✓L �✓ STATE L ZIP
(Other please specify)
TYPE OF INSTALLATION Tytjk L,=-/we., VV44,MZE OF MAIN DRAIN
,,,,7r,.de
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 ❑YES ❑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
II DESCRIPTION OF WORK
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TO / A 7 6
THE UNDERSIGNED HERENY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBM AND IS TO
COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
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CONTRACTORS LICENSE NO. TYPE � STATE
SIGNA URE OF APPLICANT DATE
16'-� 2- c
DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT
Application is hereby: TOWN OF SOUTH WINDSOR PERMIT#3�J
BUILDING DEPARTMENT
APPRO ED V 1540 SULLIVAN AVENUE Bldg.Permit#
644-2511 ext. 230
Date Building Inspect
Application must be printed or typed
FEE SCHEDULE Location of Job:
F
$0-$1,000=$15.00 Street Lot No.
Over$1,000=$15.00 per$1,000or any fraction thereof gnation Apt.No.
APPLICANT
APPLICANT ADDRESS _ -j o h,3 I3�v
C✓,v p-
APPLICANT PHONE# 0 0 co faZ3 3
�0 N S Fq OWNER
OWNER ADDRESS
( b OWNER PHONE_
C ESTIMATED COST$ /(D(9 0
.� IS THIS A CONTRACT COST _Yes _No
FEE ENCLOSED$_ _
rfI'�SO. CO�yS� TYPE O7New
R• Installation
Alteration/Addition/Repair
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Propane Gas Servilue
HIFAILNG,P1PW4G&COOLING UALMED COM ACTOR
EDMONTTD FREA7E'ITE jR
3 GAY LORD ST
VG IND.SOR,CT 06095
i!"C. PEG NO
ETTG_039F9d9 G] 0%/0I/22 08/31/2DIO
t designate (name of authorized person)
as my authorized agent.
This work is to be performed in (name of town)
This work is to be performed at (street address)
Our anticipated start date is (expected start date)
am the licensed contractor.
My license number is l-1 TU 039 9�L4 (type) (a 1
This request is pursuant to Connecticut General Statue, Sec. 20-338b.
This is printed in color do
Signature of licensed contractor Not accept black & white copy
09/242
420 John Fitch Blvd., P.0_ Box 239,South'*ndsw, CT 06074-0239 (860)289-0267 Fax(8W)289- 8
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BUILDING(S) LOCATED AS i Z t:
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MORTGAGE SURVEY
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z NEREer cERrifr rn_Ei _ ' �.N i 7-L
THAT TN/t mAP is jussrANTIALLY C R CT
AND ZONING REGULATIONS ARE NOT VIOLArEA
SCALE: f lm=40FT. DATE f i
m /rm
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F;,'OPLETTY OF
ES
G L E vi 0.C,D N;A D
Ce i fi,-. Lot "o . 6 1� -5 or, map entitled "I'lan. ot' OPCIII.AlT. Av r,
Stre --t - I
o tj t h '�-Iinclsor , Connttcll- icut Scafe 0 o
Havulen L . Criswold C . E. Sheet I oF
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:PROPE^TY CAR t3�l, tkyLY:r '
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NC . 2¢ GLz\W00D ROAD SO11TH ,;'i ND-SO R , C0NN' ,
Being Lot No . 65 on map. entitled "Plan of CRCHARD HEIGHTS Avery
Street - South �dindsor, Connecticut Scale : 1 " — 40' .May 2C, 106'
Hayden L. GriswoId 0. E . Sheet i of 3
Sca 1 e 1 „ 40 . >r .
HAYDEN L. GR1S;VOLD C .E . ,
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E{%0PERTY OF FOR 4. ."
BUILDING
PURPOSES ONLY
NO . GLENW'OOD !T,AO SOUTH WINDS-OR, CONN.
tieing Lot No . 65 on map entitled "Plan of ORCHARD HEIGHTS Avery
Street - South Windsor, Connecticut Scafe : J " = 40' May 'C , 1065
Hayden L. Griswold C. E. Sheet 1 of 3"
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Scale I " = 4C ' ,h�
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10 THE BUMAZ i,-,
This ciiFtffled that this piatt*n4
Loples of the proposal yujio g t.• to
erected at
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MAR 2 3 2009
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R CERTIFICATION OF ZE"NG COMPLIANCE 3tJILpING DEPARTMENT
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.
Dates
'7�,Ar.Nk —
Zoning Enforcement Officer
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SUILDING(S) LOCATED AS ! ►�z'
SHOWN
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"ORTGAGE SURVEY
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o t o P.L E S 3A
S NEREor cERT/fr ro F_-i ! 'i_ A`� (\l
THAT TN/S IIAP /S SUBSrANT/ALLY coom-le
AND ZONING RE641LAT/ONS ARE NO>' V/OLArEa
SCALE: //K= AFT. DATE t f ..r1
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APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side)
TYPE OF BUILD- IS THIS APPLICATION ASSOCIATED WITH
ING BUILDING PERMIT APPLIIC9CAwwTION? ❑ Y S El NO
RESIDENTIAL CURRENT USE AND OCCUPANCY
❑BUSINESS
❑ASSEMBLY FUTURE USE AND OCCUPANCY
❑ MERCANTILE
❑ 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
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 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
/7*,w 49aWSk"h .
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.,
/-0
a - / CPT
CONTRACTORS LICENSE NO. TYPE STATE xx
SIGNATURE OF APPLICANT DATE / ��V
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
TOWN OF SOUTH WINDSOR n PERMIT#
Application is her_e1Z� `�'GbaarQ
�.�►PP Eby BUILDING DEPARTMENT
1540 SULLIVAN AVENUE
Bldg.Permit#
644-2511 ext. 230
Date Nitding Inspector
Application must be printed or typed
FEE SCHEDULE �f �T L'°c�Qn of Job:
$0-$1,000=$15.00 Fnan
!/ Street Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof gnation Apt.No.
APPLICANTww—A—Ao—t--�Gam'
APPLICANT ADDRESS -5 94 S I •
_ Pr ot
APPLICANT PH O # ' �o
�W
N S OWNER
� fq
OWNER ADDRESS •
CT,
OWNER PHONE
C ESTIMATED COST$
IS THIS A CONTRACT COST? _Yes _No
�r� o .• • , ,r--�'`��4� FEE ENCLOSED$ _
TYPE OF JOB:
�SOR•C0� _.e<ew Installation
Alteration/Addition/Repair
Revised 4/0 V/2002
.. .................
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 locate a proper distance from all street lines,side yard lines,and required
distances from all other zones and is located in whit is b ding andZius allowSign
I hereby apply for a Certificate of Occu y f r the work descr i pplication for the permit.
Signe
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
Electric # APPLIdCATION FOR BUILDING PERMIT
Plumbing# 24 Glenwoo Roa
g 8 900059 Date: '-z9`1
HVAC # —
Sprinkler#
FINAL P Q --— - —_ - - ---- _----- Estimated Cost $ 1104
oL ---- - - --- ---
Buildin i COMPLETE RED BOXED AREAS Permit Fee $Occupancy Fee
Affidavit
En o n TYPE OR PRINT ONLY Eng. Insp. Fee $
it Appr. for CO SIGN ON REVERSE SIDE
�- o ,.
- - -------- ------ _ Total Fee
� $
TO THE B ILD G DEPARTMENT,'1'ONVN OF SOUTH WINDSOR, CT (Additional Cost) $
The undersigned hereby applies to do work according to the following:
Applicant D&�,ja __Location of Work _ Lot No.
Applicant's Address 4!� s,5A,-,6,4,g.V 1.A&j _ Tel.#%0
Town ld .� L E _-- _ _ Zip 0 mac, ys Lic.# hic: 05-3;�!;,�s<z,
Owner�Ad_,UZ 'a,�� —Tn __--Architect
Owner's Addresses L.,'La� .i4//F Architect's Address
Zip v` Zip—
Sq. Ft. New Area: 1st FI. _ 2nd FI.. _3rd FI. Total New Area
Purpose of this permit ( �l 171�A
City Waterb__" Wellij Septic System❑ Sewer
Ins: HO Cert. ea Basement Garage
Approved by Date Use Grou Construction Type
Revised 6102
�0�04 00�y
Electric # APPLICATION FOR BUILDING PERMIT
Plumbing# :2H G) 2(lvJc, ��
HVAC# Date: JZ—/
Sprinkler# (-7
FINAL APPROVALS Estimated Cost $ 1
Permit Fee $
Building COMPLETE RED BOXED AREAS Occupancy Fee $
Engineering TYPE OR PRINT ONLY Eng. Insp. Fee $
Affidavit
ApprJorCO. 10- 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 �►^ Location of Work Lot No.
Applicant's Address el'i e h-4 liter Tel
Town 4f I LAJx- S !^- Zip/2/D-7 t Lic.# 4 O
Owner i j I w XL- Architect
Owner's Address 2- y 6i/ap-rQ Architect's Address
�. t4)I, d 1 7 - � Zip Ot'i 47 c-"K Zip
Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area
Purpose of this permit
City Water J Well J Septic System J Sewer J v�►1 al
Ins: HO �P ert. Area Basement Garage
Approved by ��' M Date - 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
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 to ed the proper dis nce from all street lines,side yard lines,and required
distances from all other zones and is located in whi this ilding s e is allowed
Signed 14
1 hereby apply for a Certificate of upancy for the work described in this application for the permit.
Signed
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
INSPECTION FIELD SHEET 05/05/23
Printed by Middleton, Morgan 08 26 23
INSPECTION: 100877 FINAL PERMIT:
STATUS:
APPLICATION: 201701804
LOC: 24 GLENWOOD ROAD
SOUTH WINDSOR
PROPERTY ID: 35700024
OWNER: PRIMECARE INC
CONTRACTOR:
REQUEST BY:
PROJ DESC: ROOFING, GUTTERS AND REPAIR CHIMNEY.
WORK ORDER:
INSPECTOR: WS-B RESULT: PASS
REQUESTED: PRIORITY:
SCHEDULED: COMPLETED: 04/17/23
UNPAID FEES 00 Date Time
MILEAGE: 00 TIME: TRAVEL ONSITE
COMMENTS
FINAL INSPECTION PERFORMED BY ADAM CHROSTOWSKI TO CLOSE OUT OLD PERMIT
APPLICATION
1700697 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER BUILDING PERMIT
DATE: 12/27/2017
GIS ID:35700024 FEE: 360.00
MUNIS APPLICATION# 201701804 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: DON CHILDREE GENERAL CONTRACTOR ADDRESS: 24 GLENWOOD ROAD
ADDRESS: 89 COMMERCE WAY , OWNER: PRIMECARE INC
SOUTH WINDSOR,CT 06074 P O BOX 3247
WATERBURY,CT 06705
DESCRIPTION OF WORK: ROOFING,GUTTERS AND REPAIR CHIMNEY.
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
12/27/2017 10:36 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE