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HomeMy WebLinkAbout25 HEARTHSTONE DR r Electric # APPLICATION FOR BUILDING PERMIT Plumbing# 25 Hearthstone Drive HVAC# In n n n i n FDate: Sprinkler# FINAL APPROVALS Estimated Cost $//van Building COMPLETE RED BOXED AREAS Permit Fee $/0,, — Occupancy Fee $ /o r Engineering TYPE OR PRINT ONLY Eng. Insp. Fee $ Affidavit Appr.for C ► SIGN ON REVERSE SIDE / Total Fee $ %rS TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ �� 3 The undersigned hereby applies to do work according to the following: Applicant A! i,aa !? -4 g S-cZj LocationofWork 42o ,ibc,r t-�� �r..�.�y� LotNo. Applicant's Address 2 5 den gkAA&.ve Del At Tel # _ Town Zip d A.V-1 if Lic.# o 6 0.7 !, 2 OwnerA1XzP4-- a .,.rram rncr!o Owner's Address 2 S /,lets dg�� Acck> eGt's Address S • 1./ Zip-13 6b' $r+.�� •^�� 'o_ C' Zips ySt9 Sq. Ft.New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area Purpose of this permit _Der-, — �e S�.t l� i$•y/s! City Water D Well ❑ Septic System ❑ Sewer❑ �014U0°`�`fi Ins: HO V SP Cert. Area Basement Garage Approved by Date '/ Use Group.-I(L— 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 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 for the work described in this application for the permit. —6igned DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS i i INSPECTION FIELD SHEET 10/06/14 'Printed by Peart, Dayshell 11 01 38 INSPECTION: 64533 FOUNDATION PERMIT: STATUS APPLICATION: 201400054 LOC: 25 HEARTHSTONE DRIVE SOUTH WINDSOR PROPERTY ID: 41100025 OWNER: KAUSCH ALFRED R & DONNA B CONTRACTOR: REQUEST BY: PROJ DESC: 18 X 14 DECK INSTALL. WORK ORDER: INSPECTOR: ROSE RESULT: N/A REQUESTED: PRIORITY: SCHEDULED: COMPLETED: 10/06/14 UNPAID FEES: 00 Date Time MILEAGE: 00 TIME: TRAVEL ONSITE COMMENTS ALL INSPECTIONS: INSPECTED INSPECTOR RESULT INSP DESCRIPTION 04/01/14 ROSE PASS B001 FOOTING 10/06/14Y-^ROSE.-_,N/A B003 FRAMING _(ROUGH) C-09/10/14, DOUG PASS'------' B010 FINAL tom.---AL"@"860=644-1288-°,• >».-_-.------_..,._ ._. ...�,.,, _...r . 10/06/14 ROSE N/A E003 ELECTRIC ROUGH ss� r2 y 30 ;QR�✓ ..z—Q H�A'4Ty �5'7+RNE P. V. C 1 S_� ?S 2714 - LOT 3 - /NFQ o?1W,4T/O/V TifffZN I ROM - 276 MAP ENT/TEED, A AA-3 O OPEN SPACE- SUBD/V/S'/ON, woo t TOPOGRAPfi'/C PL.9N & 01-/2 ! DATCD 7-/5 -8.5. Ni , R 2 2 7e° zvi / DDT/.c/G .IAA/n/S F-4•=26' . " 13?S .. f co O q,�• �OSti,¢� .b� 0� N � O �� A 1.�� �sc�, - St let\0'sl- t\018l- • /� L cV 3v A4 acA N . / -6 (oc,4 S 1� asA=24 O�Oi` 4 49 �✓ ole ! •Z1 �/ `„pdumnrnnmru� yswvsirv.�'° E+ i �0,�• �EQIi1T��� `�4. � AL I HEREBY CERTIFY THAT THIS MAP AND SURVEY RE PREPARED IN ,ACCORDANCE Nf1TN THE STANDARDS OF A CLASS .�4-2 SURVEY AS F ED IN THEiF "C OF" PRACTICE FOR STANDARDS V ACCURACY OF SURVE DY CONNECTICUT ASSOCIATION OF LAND SURVEYORS INC. • 'AG E PC ENGINEERING 1750 ELLINGTON ROAD INC. SOUTH WINDSOR CT 0607 203 644-4691 r-�s oert/fbd Mat this 0 ,ieill of tfta ftro0d+sd Wadina ui •. &actedjM pp a6 H of- t, char all salewftial stated In al I, ttt L om dfr No I agree to Comply with-1, ?LI.-��C ' e e �a else. l.w .wd >ve. ord.rs a, :.. ,::i2't'�s0A-Ti ION OF ZONING CO?� r� V d ter tea eafedktg oepsrttil dill ptf.; roposcd build:ng(s}, use(s) and/or structures) as I' a�"r a" t'"a' bs"snss of a °i1" 10-01n on this plan appear(s)to be in conformance ulations. Variances th current South Windsor reg iCl spacial )(c ptions may apply. T rl" Is appswd amble" to tta aondklon th• v ata0 drdlesaoaa riarlil q p"Ildtne than h. d annr c ..�60*m1y Meeoll �e ftl.a "'its r Zcning Enforcemer�!OGi�cT Pn I�r CUCL I n rpsab► Clow C Ln D I I`I JVLP Jh�d 2 - 7(1�� L S 5c�:tn �;ndsor BUILDING NT BUILDING DDPhP.Tf.'.ENT \\ APPLICATION FOR PLUMBING PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION? O S O NO RESIDENTIAL / ❑BUSINESS CURRENT USE AND OCCUPANCY ❑ASSEMBLY Ll MERCANTILE FUTURE USE AND OCCUPANCY ❑EDUCATIONAL ❑INSTITUTIONAL ❑FACTORY ENGINEER'S NAME PHO C — ❑ STORAGE ,�/ J Z ❑GARAGE ADDRESS S �P�/ l `j S T-=PI � I 0 MIXED USE -l C CITY �,/)� Gr/I�C!Ste✓ STATE �� ZIP <57 � (Other please specify) TYPE OF INSTALLATION An 7Z SIZE OF MAIN DRAIN 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 El 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 DESCRIPTION OF WOORRK�,��// 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. o C NTRACTORS LICENSE NO. r TYPE STATE SIGNATURE OF APPLICANT DATE DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT PERMIT# Application is hereby: TOWN OF SOUTH WINDSOR 1�6�0�0� t�' II z�, BUILDING DEPARTMENT —W-"� APPROVE 1540 SULLIVAN AVENUE 644-2511 ext. 230 Bldg.Permit# � � •tom Date Building Inspec Application must be printed or typed FEE SCHEDULE FTenant Location of Job: $0-$1,000=$15.00 Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof gnation Apt.No. APPLICANT' APPLICANT ADDRESS,,�Y �i¢,t �o,✓C� 7� APPLICANT PHONE# 60- OWNER OWN SF i q� OWNER ADDRESS OWNER PHONE C ESTIMATED COST$ Soo> IS THIS A CONTRACT COST? Yes _No FEE ENCLOSED$ 1��s 07 TYPE OF JOB: �R C New Installation Alteration/Addition/Repair Electric# APPLICATION FOR BUILDING PERMIT Plumbing# 25 Hearthstone Drive HVAC # Sprinkler# 73 1027 � ao _ _ --- -- -- -_ -- —- _ ----- Estimated Cost FINAL $ oa Building'( ° COMPLETE RED BOXED AREAS Permit Fee $ Enginee n Occupancy Fee $ TYPE OR PRINT ONLY Eng. Insp. Fee $ Ap aviLr. for. C SIGN ON REVERSE SIDE I� � Total Fee $_ A---20 _ TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional osx $ The undersigned hereby applies to do work according to the following: Applicant C Location of Work 2.S Lot No. Applicant's Address 2 j r Tel.# S xz- 6 4.14f /.Z yj Town�Sr— ,A/ $E,� Zip 46a Lic.# Owner A I'"1 &Q Architect Owner's Address Architect's Address — r SgN/- C 1 Zip �6 7 _. Sq. Ft. New Area: 1 st FI. - — 2nd FI. 3rd Fl. Total New Area Purpose of this permit � aTl 6S td wi, _� City Water® Well❑ Septic System❑ Sewers? Ins: HO HP—Ce Area Basement Garage Approved by R Date Use Group Construction Type Revised 6/02 1A 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 which this building and its use is allowed. Signed AeL4u 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 �� ?y3o y�cAi4 r# .S V. C ZS 1 ! _ 5 � - 27y -LOT 3- /N c-0,-? IAT/O/V TXAZI f-i40M • 276 MAP ENT/TLED, A AA -3 O OPEN SPACE SUBDIVISION 70,0061PAP11/C PZXN & 017/2, D47CD 7-/3-8Z a zz: •,� '� N I W fFG 278 �� � Q�I\ �TF.• /�DpT/�/(, 1,�jq/NS' F.4•=269.' 54-1 O CO I wio0.g� Q 14 Cl.µt an 3a M Iq&9 0 0 ;„ 2 `7 N 2� OA=24,DVO i l� o ion. Z z� l .L 1 ✓ .„p„mnrrmnn \a - '``` .fit .; •C%� j e o�fssfONAI ECG` .� SQR`��+, I HERESY CERTIFY THAT THIS MAP AND SURVEY RE PREPARED IN ,ACCORDANCE WITH THE STANDARDS OF A CLASS .4-z SURVEY AS F ED IN THE EX G .. OF PRACTICE FOR S`A?VDARDS QF ACCURACY OF SURVE D BY 7CONNECT,CUT ASSOC1A riON OF LAND SURVEYORS INC. • 'AG E PC ENGINEERING 1750 ELLINGTON ROAD INC. SCUT- 4 UW SQQ.,CT 06074 2(M 64 l 9:l Q r l r AUG t 7003 South Windsor BUILDING DEPARTMENT to THE BUIICINU Ui ,:- This certiticd that this pir.n and sp �• � ' Copies of the proposed building or 01:e"�� i ereCted at Sir, together with amendments stated in applieati.,n a filed with plan and I agroe to comply with alt xonin• Building and state laws and such orders r ntspende�'- issued by the Building DepaRment of this application and final issuance of a build1n, permit. signe� Ition tl' This plan ie appr v subject to the co building shall u• orders and ordinances re6 W sting complicd with. These tiled with Conditionally Approved Cierl 8u1101ng InsPe trot �\J� Date ------ -- `� .� 1v C,u;; �LIANCE LLt�i it 1vt11 iLl� U( Proposed building(s;, USe(s) and�or sttOc��e!s! P this plan apP arts) as shown on conformance with current elexcepli_ regulations. Variances and special may aPPIY• 6D D ate 7 Enfor ent Officer Shy >Z SAN7 st s-52!25 1 / 27q - LOT 3 /NFD/P1V,471O/V ;rAAZN 1"ROM • 276 MAR ENT/TLED, A AA -3 O OREN SAACC SUBD/V/S/O/V i 1 TOA061FARi11 C PLAN to 01-/2, ! DATE'D 7-/-S- 8S. a zz' rf /.75 � ^ JNOTc�.' /�QOT.�/G l�A n/S .4.-269.2 iz zs o 00 CO Qr to O O � gar k0.el � /\ �214 Cc.-c 1.,( o.n 3v ,M.7 �3 ,4-2 p�C S ,� --2 0 1 " i o / 6 L 2� ! •�1 V ``a��Mmnnrmnnyyii 4k, * � ,o Na ESS�QNAL Eta �46 8t I HERESY CERTIFY THAT THIS MAP AND SURVEY RE PREPARED IN ACCORDA`:CE WITH THE STANDARDS OF A CLASS SURVEY AS i` ED IN THEiF "C OF' PRACTICE FOR STANDARDS QIF ACCURACY OF SURVE D Y CONNECTlCUT ASSOCIATION OF LAND SURVEYORS INC. • PCi GE ENGINEERING 1750 ELLINGTON ROAD INC. SOUTH WINDSOR CT 06074 203 644-4691 2 '� � $� `o��S\ � � `l �'R � O ,���©50 � �� U�cG� 'D��eoP�� .tp�iGt�=o�f�(p, U A�✓'' SSG.: ss�F>z y o ,o��✓ -z--� HEARTH S �N� P. V. C SAiy/7N _ s�?52=25 � 27y -LOT 3- I //1.,c-0.,fMAT/O/V TA/fE/V FROM 276 MAP ENT/TLED, A AA-3 D OPEN 9A4C6- SUBDI VISION, TOPOG1?AP111 C PLAN e 0F/2, DATCD 7-/S= 8.5- o zz: . /6.5'8.66 r-r 27 � '� OI'` �voT�.• foQ7-�N(, L�.4�ivS F.L._269.2 MC«.W.I 72 /Zzs' 00 co 214 Q) \•' O � No � �OS- 4�� �2�0 � OA�24��— i .000, _2 � , 2 5"w p p 2��1. 1D 2t�° L "``�pgmr'nrnrur J C jrJtL M. PCGrh ' y.�vvsiras P .� :9N r, It ESs1QNAL • ,ystl I HEREBY CERTIFY THAT THIS MAP AND SURVEY RE PREPARED* IN .ACCORDANCE WMH THE STANDARDS OF A CLASS _ SURVEY AS F ED IN THE EX G "C OF' PRACTICE FOR STANDARDS OF ACCURACY OF SURVE D BY CONNECTICUT ASSOCIATION OF LAND SURVEYORS INC. • PC ?AGE ENGINEERING 1750 ELLINGTON ROAD INC. SOUTH WINDSOR CT 06074 203 644-4691 1' i DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT T PERMIT# OWN OF SOUTH WINDSOR Applicati re BUILDING DEPARTMENT APP 1540 SULLIVAN AVENUE Bldg. Permit# 644-2511 ext. 230 Z -cs Dat uilding Inspector Application must be printed or typed FEE SCHEDULE Location of Job: 2 's \-� E!C k \, -)%, e , O � $0-$1,000=$15.00 Street No. Street Lot No. Over$1,000= $15.00 per$1,000 or any&action thereof Tenant Designation Apt.No. APPLICANT APPLICANT ADDRESS APPLICANT PHONE# OWN St OWNER OWNER ADDRESS b1 O OWNER PHONE C = ESTIMATED COST$ _ (� U 0 U y xIS THIS A CONTRACT COST? w"Yes _No FEE ENCLOSED$ TYPE OF JOB: / OSOR-Cod New Installation VAlteration/Addition/Repair Revised 4/01//2002 APPLICATION FOR HVAC PERMIT (Continued from reverse side) TYPE OF SYSTEM: TYPE OF BUILDING: ❑HEATING ❑RESIDENTIAL 0 A/C ❑COMMERCIAL ❑VENTILATION 0 INDUSTRIAL HEATING ❑STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS. 0 HYDRONIC O WARM AIR O 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(INCLUDING MAKE&MODEL NO —= � _;;,) a>a t�� cl\ \ �'n GROSS HEATING CAPACITY(INPUT—BTUH) NET RATING(OUTPUT—BTUH) TYPE OF FUEL V OIL—GPM OIL TANK LOCATION:WINSIDED OUTSIDE CAPACITY /LlIGAS—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 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. CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT .� ci , 9 ��rt�,_Q� DATE $Z 1 U / 6 b BUILDING PERMIT STATE OF CONNECTICUT WORKERS'COMPENSATION COMMISSION Building Permit Affidavit for Property Owners or Sole Proprietors (Conn.Gen.Stat. §31-286b) Property located at 2.-,� r7c°de_--�f In the town of��a m 4 L ds 6. r-- Name of building permit applicant: Please check o 1._I am the owner of the above property. 2._I am the sole proprietor of a business. 2A.Name of business 2B.Federal Employer Identification Number(FEIN) .................................................................................................................... Pursuant to§31-286b,"a property owner or sole proprietor[who]intends to act as a general contractor or principal employer"may provide either a certificate of workers'compensation insurance or a"swom notarized affidavit... stating that he will require proof of workers' compensation insurance for all those employed on the job site in accordance with this chapter." Please check one: 1._✓I do not intend to act as a general contractor or principal employer. [Sign and stop here] Signature of applicant 2._I intend to act as a general contractor or principal employer.Applicant must either provide a certificate of workers'compensation insurance or sign the affidavit below. .................. ........ ............................................................................... Affidavit I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before he/she engages in work on the above property in accordance with the Workers'Compensation Act(Chapter 568). I understand that pursuant to§31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. Signature of p licant Subscribed and sworn to before me this day of ~ L) 200_ (Notary Public/Commissioner of the Superior Court) Electric # APPLICATION FOR L9II� Pt IT Plumbing# 25 Hearthstone rive HVAC 1000563 FDate Spn " Estimated to vv 7D0. FINA Permi8ftDING DE&,Rf GE IT4a — Building 7-176 COMPLETE RED BOXED AREAS Occupancy Fee $ ji Engineering AND TYPE OF PRINT ONLY Eng. Insp. Fee $ Affidavit Appr.forCO. ► SIGN ON REVERSE SIDE t Total Fee $ 6 TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ ', y The undersigned hereby applies to do work according to the following: Applicant TT n n v,a IQ K,2—CCA Location of Work Lot No. Applicant's Address .2 JqerarAMag: Di Tel # FrIO-64-1,V Town K&-a GJ;dpae __ _ Zip 4Q60?5( Lic.# WA - 03 % 1(p'If Owner •3n ~" 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 �1r7 e- CG �n Sasr �y OF City Water 0 Well 0 Septic System❑ Sewer 0 Ins: HO SP a Area Basement Garage uIOCA45q Approved by w Date ;I•mil>D 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 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 for the work de ribed in this application for the permit. Signed - DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS E►�16R hh ttAPPLICATION FOR BUILDING PERMIT Plumbmwj 25 Heart 0 ve Drive H VAC Date: Sprinkler# AND Estimated Cost $ Gk::) °` Building PS COMPLETE RED BOXED AREAS Permit Fee $ Occupancy Fee $ Engineering TYPE OF PRINT ONLY Eng. Insp. Fee $ Affidavit ► SIGN ON REVERSE SIDE '_,�} i Appr.forCO. Total Fe da````�� �� $ TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ The undersigned hereby applies to do work according to the following: Applicant D `Tvl c <Z S i wi �R ocation o ork CS✓ G✓I Lot No. Applicant's Address v� v/5,,✓ Tel #8C� ors 7 O ZCS Town,5-,AA 4 Zip d el 7 Y Owner__tle,/I o, e,vS y Architect Owner's ddress 25, #^4T4 S 7)zt4 o Arc ect's Address seiv c,�, c T zip �2� 7 (/ zip Sq. Ft. New Area: 1 st FI. 2nd FI. 1 3rd FI Total New Area Purpose of this permit��P/ -,�O /��� �.. ► ✓)�1 City Water 0 Well Septic System ❑ Sew Ins: HO SP Area Basement Garage Approved by �- Date11,11'�• IQ Use Group Construction Type XI00 flail 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, side yard lines,and required distances from all other zones and is located in whic is building and its use is allowed. Signe -- 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 - - J Sf4 V t / ZONING COMPLIANCE FOR SMALL STRUCTURES (Sheds and detached decks 200 sq. ft. and smaller) Address of Proposed Structure: ? v c Zone: 3o a S Name of Owner: GIS PIN: `1 i 1 000,2s- Phone Number: L- Application #: o20 I D / 903 1. Name of Applicant: _ CE�VEp RE Address: 2 -� `" f� Phone Number: DEC 'L7 'r?O11 SO�TM WINDS Vt*NG DEFT. 2. Structure cannot exceed 200 square feet. TYPE OF STRUCTURE: SHED DECK (not to exceed 30"from grade) DIMENSIONS OF PROPOSED STRUCTURE: Fz 4 2-- 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 -----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 m knowledge 9 � 9 Y 9 and that the above requirements are understood. Applicant Signature: Date: 2- Owner Signature: Date: 12— ***************************************************************** Reviewed and approved by: fJ ov �� Date: �a a Zoning Enforcement Officer Reviewed and approved by: Date: Environmental Health Officer cc: Assessor Building FileSCANNED 15/14 • shy z y3O DRI�Z—Q S��S2 274 - __�� LOT 3 /rt/Fo,?N,4T/ON EN FROM 276 MAP ENT/TLED, A AA•3 O O OCN SPACE SUED/VISION 1 70Po(FIfAR111 C PL.9N & 0f/2, Z247ED 7-/.5 a I . �s.5'g66 '� aC83• fFG a76 27e.e Tcc. FOOTING bOQAIA/S o. -z269.. cj O p �r 00 `'�w s 4 DSO 's �21D 3 �� / bla fry�•��Jti1 M. �. I N& .t Alp '�EQIiTE1��G�'l►''� �,Q Al- i HEREBY CERTIFY THAT THIS MAP AND SURVEY RE PREPARED' IN ACCORDANICE WITH THE S7ANDANGS OF A .CLASS _ SURVEY AS F ED IN THE EX G •'C OF' PRACTICE 15�FOR STANDARDS QF ACCURACY OF SURVE D BY CONNECTICUT ASSOCIATION OF LAND SURVEYORS INC. • PC ? GE ENGINEERING 1750 ELUNGTON ROAD INC. �� , a CT 06074 RECEIVED DEC 2 7 2017 South Windsor Building Department �v �� � 1000574 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER BUILDING PERMIT DATE: 11/10/10 GIS ID:41100025 FEE: 15.00 MUNIS APPLICATION# 201001494 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: PROPANE GAS SERVICES INC ADDRESS: 25 HEARTHSTONE DRIVE ADDRESS: 420 JOHN FITCH BLVD. OWNER: KAUSCH ALFRED R&DONNA B S WINDSOR,CT 060744015 25 HEARTHSTONE DRIV SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: SET 1-50 GALLON LP TANK SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WfPH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING OFFICIAL 11/10/2010 12:29 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 201400217 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER CERTIFICATE OF OCCUPANCY DATE: 10/06/2014 GIS ID:41100025 FEE: 10.00 MUNIS APPLICATION# 201400054 BUILDING DESCRIPTION: APPLICANT �.pi ,;; :;„ LOCATION NAME: KAUSCH ALFRED R&DONNA B ADDRESS: 25 HEARTHSTONE DRIVE ADDRESS: 25 HEARTHSTONE DRIV, OWNER: ,..KAUSCH ALFRED R&DONNA B SOUTH WINDSOR,CT060745- 3 25;„HEARTHSTONE DRIV � =3 T SOUTH}WINDSOR,CT 06074 DESCRIPTION OF WORK: 18 X 14 DECK INSTALL. SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE-WITH THE' APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT. K l CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING OFFICIAL 10/6/2014 11:02 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1000563 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER BUILDING PERMIT DATE: 11/03/10 GIS ID:41100025 FEE: 60.00 MUNIS APPLICATION# 201001459 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: KAUSCH DONNA B ADDRESS: 25 HEARTHSTONE DRIVE ADDRESS: 25 HEARTHSTONE DR OWNER: KAUSCH ALFRED R&DONNA B S WINDSOR,CT 06074-1638 25 HEARTHSTONE DRIV SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: PROPANE FIREPLACE INSERT. 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 11/3/2010 3:20 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 14000030 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER BUILDING PERMIT DATE: 01/23/2014 GIS ID:41100025 FEE: 165.00 MUNIS APPLICATION# 201400054 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: KAUSCH ALFRED R& DONNA B ADDRESS: 25 HEARTHSTONE DRIVE ADDRESS: 25 HEARTHSTONE DRIV OWNER: _ KAUSCH ALFRED R&DONNA B SOUTH WINDSOR,CT 060745 3 .r ;�` 25 HEARTHSTONE DRIV SOUTH WINDSOR,CT 06074 cr DESCRIPTION OF WORK: 18 X 14 DECK INSTALL., -awl 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 1/23/2014 3:13 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1000413 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER PLUMBING PERMIT DATE: 11/10/10 GIS ID:41100025 FEE: 15.00 MUNIS APPLICATION# 201001494 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: PROPANE GAS SERVICE ADDRESS: 25 HEARTHSTONE DRIVE ADDRESS: P.O.BOX 880 OWNER: KAUSCH ALFRED R&DONNA B SOUTH WINDSOR,CT 06074 ;'` , 25 HEARTHSTONE DRIV ." SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: SET 1-50 GALLON LP TANK 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 11/10/2010 12:32 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE