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HomeMy WebLinkAbout26 KRAWSKI DR Revised 4/01//2002 DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT TOWN OF SOUTH WINDSOR PERMIT# Applicatiogis hereby: I G00�l2 BUILDING DEPARTMENT APPRO 1540 SULLIVAN AVENUE Bldg.Permit dq 644-2511 ext. 230 # Date B ilding Inspector Application must be printed or typed FEE SCHEDULE Location of Job: $0-$1,000=$15.00 Street No. Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT 0 , APPLICANT ADDRESS APPLICANT PHONE# 1�0 W N St-4 t-4 OWNER �✓ �� •�h �/D N c h y t: OWNER ADDRESS .24 /� ,-G.,✓5�c i r,'vt- r. OWNER PHONE % 1l 0 C ;D ESTIMATED COST$ 16 do t IS THIS A CONTRACT COST? _Yes �Io FEE ENCLOSED$ UJ fI� TYPE OF JOB: �S p R-C 0 �New Installation _Alteration/Addition/Repair APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION? 0 YES 0 NO P4ESIDENTIAL U BUSINESS CURRENT USE AND OCCUPANCY ❑ASSEMBLY Cl MERCANTILE FUTURE USE AND OCCUPANCY ❑EDUCATIONAL O INSTITUTIONAL 0 FACTORY ENGINEER'S NAME PHONE ❑ STORAGE 0 GARAGE ADDRESS 0 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 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. /a spy S CONTRACTORS LICENSE YPE rSTATE �i SIGNATURE OF APPLICANT DATEL—f—v r INSPECTION FIELD SHEET 08/24/16 Printed by Peart, Dayshell 12 03 35 INSPECTION: 87850 PERMIT: STATUS: APPLICATION: 201601112 LOC: 26 KRAWSKI DRIVE SOUTH WINDSOR PROPERTY ID: 50700026 OWNER: DONAHUE DAVID W & JEANNE M CONTRACTOR: REQUEST BY: PROJ DESC: REMOVE EXISTING ROOFING. INSTALL 6FT. ICE AND WATER SHIELD, WORK ORDER: INSPECTOR: CBiMM& RESULT: ARABS=. REQUESTED: 08/18/16 PRIORITY: SCHEDULED: 08/22/16 PM COMPLETED: y'r'26—* UNPAID FEES 00 Date Time MILEAGE: 00 TIME: TRAVEL ONSITE COMMENTS GARDNER & PETERSON ASSOCIATES'-"-'I749 NMTFORD TU%FPE TOLLAND, CONNECTICUT MW N)F- LA CAVA C.0tAST9,UCT%C1" 210 /27Z ,274 cz i / r;• irj N .� � N i �s•. i 2�e / r. Z zs T.V•/. 2Sv.o� � t4= / G F Z-Zq.o O / o I/ So IL i zia� t } _J `. 2Z�Rz 2z5.00 2 °° CZ '6b pz 8�-'la S 2a7 23'-O6'W c 6a +- C .r-.Irsm C , � d ' c;; J U 2�4 PERMIT PLAN taa — LOT #29 - RIDGEFIEID � o � PREPARED FOR U & R aMMUCTION CO..9 INC. U) TOWN OF SOUTH WINDSOR, CONNECTICUT a o SCALE: 1" = 40' I hereby declare that this map and survey were prepared in accordance with the standards of a Class A-2 survey as defined in the Code of Practice For Standards of Accuracy of Surveys and Maps, adopted December 10, 1975 as amended by the Connecticut Association of Land Surveyors, Inc. a '"' zQbqo DATE: October 20, 1987 L.S. #10839 REFERENCE: Subdivision Plan Ridgefield Property of LaCava Construction Company Felt Road South Windsor, Connecticut Close, Jensen & Miller Wethersfield, Connecticut Scale 1" = 40' Date July 20, 1984 Revisions 8-10-8 J ti�: PROFESSIONAL ENGINEERS LAND SURVEYORS aZZ9- Z51 Q p 0 v E D an !" G; ;'^i ►'t".' ! �. ._. .FOR r-.ATE: !���~o'7 _ Ccc.:- /� Electric # APPLICATION FOR BUILDING PERMIT Plurrbing# I HVAC# It Knll Mkt 4�Y►V� Date: —41901" Sprinkler# 1 (000511 Estimated Cost $ FINAL APPROVALS Permit Fee $ , Building COMPLETE RED BOXED AREAS Occupancy Fee $ Engineering — - TYPE OR PRINT ONLY Eng. Insp. Fee $ Affidavit Appr.forCO. — I ► SIGN ON REVERSE SIDE Total Fee $ TO THE BUILDING D ARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ The undersigned hereby applies to do work according to the following: Applicant VAA90ww., Lis � R.r �.� C* -r Location of Work LotNo— Applicant's Address C 5 (11A1?�ST Tel Town C-t-A S Zip Er AD3 Z Lic.# Owner r Architect Owner's Address a?C.V [LA"4w- ' DM Architect's Address Zip Zip- Sq. Ft. New Area: 1st Fl..� 2nd FI. 3rd FI. Total New Area Purpose of this permit 1�: -,—C e'X►=AC. .e�5�►��� �. 1.< f- 1Cc-/-,6 i.fqm 415' F T Pr yvxp ">, Esat..s ''Zrz r City Water J Well J Septic System J Sewer J Ins: HO SP Area Basement Garage Approved by I Date 9 ► t 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 described in this application for the permit. Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS APPLICATION FOR PLUMBING PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A (A RESIDENTIAL BUILDING PERMIT APPLICATION? ❑ YES 0 NO ❑BUSINESS CURRENT USE AND OCCUPANCY ❑ASSEMBLY ❑MERCANTILE FUTURE USE AND OCCUPANCY ❑EDUCATIONAL ❑INSTITUTIONAL ❑FACTORY ENGINEER'S NAME PHONE ❑ STORAGE ❑GARAGE ADDRESS ❑MIXED USE CITY STATE ZIP (Other please specify) TYPE OF INSTALLATION_( 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 ❑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 WORK o THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS T7-- COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. h7l,-c 975Yi 6-1 CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT � ` '? _ DATE 5-11 VIP,� DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: oo 1. BUILDING DEPARTMENT APPRO D 1540 SULLIVAN AVENUE Bldg.Permit# �< 644-2511 ext. 230 Date Building Inspector Application must be printed or typed FEE SCHEDULE ,,// Location of Job: $0-$1,000=$I5.00 Street No. kt c to sk i nA Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT EDCZ4,S APPLICANT ADDRESS _t F o Z31 APPLICANT PHONE# �LnC� " o?�S - 6 7 SOW N St-4 OWNER [�-t'�r < pwiC'.- v e OWNER ADDRESS 2 1c rc�CyS D J2 -QQ ,l T (107 OWNER PHONE C ESTIMATED COST$ ys'& •� ,� U •�; IS THIS A CONTRACT COST? _Yes �No �G FEE ENCLOSED$�S' Oly� TYPE OF JOB: 91 - OR-CO New Installation Alteration/Addition/Repair Revised 4/01//2002 I Ike jam_;7 Cr S.6 ij i 1 - ._ ACORD,N, CERTIFICATE OF LIABILITY INSURANCE 11/1/2009 DA 11/11/2008 YY) PRODUCER Lockton Companies,LLC-1 Kansas City THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 444 W.47th Street,Suite 900 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Kansas City MO 64112-1906 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR (816)960-9000 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC# INSURED INERGY,LP INSURER A: ACE AMERICAN INS CO NAIC#02257 1059799 2 BRUSH CREEK BLVD. INSURER e: AEGIS AM BEST 85055 SIUTE#200 INSURER C: KANSAS CITY,MO 64112 INSURER D: INSURER E . COVERAGES INERGOI YA THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER 3,AUTHORED RE►RESENTATNE OR PRODUCER AND THE CERTIFICATE HOLDER. THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADM POLICY EFFECTIVE POLICY EXPIRATION LTR INSRt TYPE OF INSURANCE POLICY NUMBER DATE(MMIDDIM DATE MM/D LIMITS GENERAL LIABILITY EACH OCCURRENCE 1,500,000 TED A X COMMERCIAL GENERAL LIABILITY XSLG23743528 11/1/2008 11/1/2009 PREMSET Ea�oecurence s 100,000 CWMS MADE r-'OCCUR MED EXP(Any one person) S X)0=XX X (500K SIR) PERSONAL A ADV INJURY s 1,500,000 GENERAL AGGREGATE S 2,000,000 GENL AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG S 2,000,000 X POLICY JECT n LOC AUTOMOBILE LIABILITY , COMBINED SINGLE LIMIT S 2,000,000 A X ANYAUTO ISAH08249015 11/1/2008 11/1/2009 (Ea ardent) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per p—) X HIRED AUTOS BODILY INJURY S X)O XXXX X NON-OWNED AUTOS (Per accident) X MCS 90 INCLUDED PROPERTY DAMAGE (Per accident) S XXX XXKX GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S XXX)DCCK - RANY AUTO NOT APPLICABLE OTHER THAN EA ACC S )DODO= AUTO ONLY: AGG S )Q{XXXXX EXCESSAIMBRELLA LIABILITY EACH OCCURRENCE S 4000,000 B OCCUR ❑X CLAIMSMADE X2045AIA08 11/1/2008 11/1/2009 AGGREGATE s 4000.000 UMBRELLA S XXX)O'(XX DEDUCTIBLE 0 FORM S XXXXXXX RETENTION S S )OCXXXXX WORKERS COMPENSATION AND X WC STATU- OTH- A WLRC44356090(AOS) 11/1/2008 11/1/2009 TORv LIMITS ER A ANY PROPRIETORIPARTNER/EXECUTNE EMPLOYERS LI RY SCFC44356132(WI) 11/1/2008 11/1/2009 EL EACH ACCIDENT S 1,000,000 RJP A OFFICER/MEMBER EXCLUDED? NO NEW YORK INCLUDED IN 3A EJ_DISEASE-EA EMPLO S 1,000,000 If describe under SPECIAL PROVISIONS below EJ-DISEASE-POLICY LIMB I s 1,000,000 OTHER A CARGO ISAH08249015 11/1/2008 11/1/2009 $100,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION 3959865 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHOR RESENTATIVE ACORD 25(2001/08) Faroe amWd w cunc.%k b.NsWinV.W.&.r..aan.eo...w p--re,.dwilille6ft iWItraw. CACORD CORPORATION 1988 i I REMOVALTankworks February 12, 2001 Ms. Jeanne Donahue 26 Krawski Drive South Windsor, CT 06074 Re: Removal and Disposal of(1)- 1000 gallon underground heating oil tank& Installation of(1)-330 gallon interior heating oil tank At: 26 Krawski Drive,South Windsor,Connecticut 06074 Dear Ms. Donahue : Thank you for the opportunity to service the removal and replacement of the buried oil tank at the above referenced address. The work was performed in accordance with E.P.A.Regulations and N.F.P.A.30 and 30A Requirements. William Lanning,the Fire Marshal for the Town of South Windsor,was on site at the time of the removal and inspected the tank and the tank grave. The soil in the grave showed no signs of contamination and was backfilled. The inspection records remain at the Town of South Windsor, should you need to reference them. Before backfillin 1 g one( )final confirmation soil sample was collected and tested at an independent lab for Total Petroleum Hydrocarbons(TPH)by IR(Method 418,1). The sample result for the bottom of the tank grave indicated that any trace of TPH was Below Detection Limit(BDL). This result is within the limit set forth by The Connecticut Department of Environmental Protection. The TPH limit in a GA Groundwater classification is 500 parts per million(ppm). This letter, along with the attached soil sample result, should be stored safely with all legal documents pertaining to this property. This information,along with your Tankworks invoice and cancelled check(s), will serve as verification for future reference. Please feel free to call us if you have any further questions. It has been a pleasure working with you. We hope that you are pleased with our services and that you will recommend us to others. Very truly yours, TANKWORKS REMOVAL& REPLACEMENT LLC �iiw�LLa� �f C (OPYRosemary Viola Rainville Owner cc: William Lanning,Fire Marshal,Town of South Windsor OFFICES IN MANCHESTER - M A D I S O N - WILTON v:wadPtrta,sa%ff'Us Office 360 East Center St. Manchester CT 0604 a •,---; � ''�f 1 a � e ��� ��� •� EmMmmentcd Labomtories.ht 587 East Midde Tumpike. P.O Box 418.Mwichesier.CT 06040 Tel.(880)645.1102 Fax(860)845-=3 Analysis Report FOR: Attn:Mr.Tim Lynch Tankworks,Inc. October 27,2000 360 East Center Street Manchester CT 06040 Sample Information Custody Information Date Time Matrix: SOLID Collected by: TL 10/23/00 10:00 Location Code: TANKWKS Received by: SW 10/24/00 15:00 Project Code: RUSH# Analyzed by: see below P.O.#: Laboratory Data Client ID: 26 KRAWSKI DR S WINDSOR BOTTOM Phoenix I.D. AC96720 Parameter Result RL Units Date by Reference Percent Solid 90 % 10/24/00 B/D E160.3 Tot.Petroleum HC BDL 22 mg/Kg 10/25/00 GD E418.1 Comments: ND--Not detected BDL=Below Detection Limit RL=Reporting Limit If there are any questions regarding this data,please call Phoenix Client Services at extension 200. I Phydler,Laboratory Director October 27,2000 1600511 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER BUILDING PERMIT DATE: 08/17/2016 GIS ID: 50700026 FEE: 120.00 MUNIS APPLICATION# 201601112 BUILDING DESCRIPTION: APPLICANT' LOCATION NAME: HARMONY HOME IMPROVEMENT, ADDRESS:' 26 KRAWSKI DRIVE ADDRESS: 2389 MAIN STREET„ OWNER: DONAHUE DAVID W&JEANNE M GLASTONBURY,CT 06033 -- 26 KRAWSKI DR SOUTH;WINDSOR,CT 06074 DESCRIPTION OF WORK: REMOVE EXISTING ROOFING.INSTALL 6FT.ICE AND WATER SHIELD, 15LB. FELT PAPER,F5 DRIP EDGE,STARTER STRIPS,GAF TIMBERLINE HD SHINGLES, RIDGE VENT AND RIDGE CAP SHINGLES. 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 8/17/2016 3:03 PM TILE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE