HomeMy WebLinkAbout273 LEFOLL BLVD 1648 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER CERTIFICATE OF OCCUPANCY
DATE: 12/02/10
GIS ID:53100273 FEE: 10.00
MUNIS APPLICATION# 201000792 'BUILDING DESCRIPTION:
APPLICANT :" LOCATION
NAME: PROUIX&LAROCHE BUILDERS INC• ADDRESS: 273 LEFOLL BLVD
ADDRESS: 41 CONVERSE STREET,. OWNER: BEDNARZ MICHAEL J&BARBARA L
STAFFORD SPRINGS,'CT 06076 ;273 LEFOLLBLVD
SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: 9X24 ADDITION OVER GARAGE 2ND FLOOR
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
12/2/2010 12:01 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE
1649 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER CERTIFICATE OF USE
DATE: 12/02/10
GIS ID:53100273 FEE: 10.00
MUNIS APPLICATION# 201001410 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: BEDNARZ MICHAEL J OR,- ADDRESS: 273 LEFOLL BLVD
ADDRESS: 273 LEFOLL BLVD �,- 1 OWNER: BEDNARZ MICHAEL J&BARBARA L
S WINDSOR,CT 06074-4270 `-'273 LEFOLL BLVD
SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: INSTALL'.WOOD STOVE WITH LINER IN 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
12/2/2010 12:11 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE
1000414 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER BUILDING PERMIT
DATE: 08/30/10
GIS ID:53100273 FEE: 30.00
MUNIS APPLICATION# 201001133 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: SIDING&WINDOWS OF CT ADDRESS: 273 LEFOLL BLVD
ADDRESS: 400 CHAPEL ROAD OWNER: BEDNARZ MICHAEL J&BARBARA L
SOUTH WINDSOR,CT 06074 273 LEFOLL BLVD
SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: TEAR DOWN 3 COARSES AND REBUILD 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
8/30/2010 8:33 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE
1000414 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER BUILDING PERMIT
DATE: 08/30/10
GIS ID:53100273 FEE: 30.00
MUNIS APPLICATION# 201001133 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: MARK SMITH ADDRESS: 273 LEFOLL BLVD
ADDRESS: 1040 BOSTON TURNPIKE OWNER: BEDNARZ MICHAEL J&BARBARA L
BOLTON,CT 06043 9 273 LEFOLL BLVD
SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: TEAR DOWN 3 COARSES AND REBUILD 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
9nn010 4:01 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE
1000307 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER BUILDING PERMIT
DATE: 06/30/10
GIS ID:53100273 FEE: 766.00
MUNIS APPLICATION# 201000792 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: PROULX&LAROCHE BUILDERS INC ADDRESS: 273 LEFOLL BLVD
ADDRESS: 41 CONVERSE STREET OWNER: BEDNARZ MICHAEL J&BARBARA L
STAFFORD SPRINGS,CT 06076-1303 273 LEFOLL BLVD
SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: 9X24 ADDITION OVER GARAGE 2ND FLOOR
s
1
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
6/30/20(0 9:54 AM THE FEE ABOVE INCLUDES A$0.22 PER THOUSAND CT STATE EDUCATION SURCHARGE
1000530 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER BUILDING PERMIT
DATE: 10/18/10
GIS ID:53100273 FEE: 60.00
MUNIS APPLICATION# 201001410 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: BEDNARZ MICHAEI;J OR ADDRESS: 273 LEFOLL BLVD
ADDRESS: 273 LEFOLL BLVD , OWNER: BEDNARZ MICHAEL J&BARBARA L
S WINDSOR,CT 06074 4270 273 LEFOLL BLVD
` SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: INSTALL WOOD STOVE WITH LINER IN 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
10/18/2010 2:56 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE
1800234 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER HVAC PERMIT
DATE: 05/17/2018
GIS ID: 53100273 FEE: 198.00
MUNIS APPLICATION# 201800691 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: CUSTOM VENTILATION LLC. ADDRESS: 273 LEFOLL BLVD
ADDRESS: 76 LUSTIG ROAD OWNER: BEDNARZ MICHAEL J&BARBARA L
WILLINGTON,CT 06279 273 LEFOLL BLVD
SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: INSTALL NEW A/C SYSTEM IN EXISITNG HOME.
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
5/17/2018 1:32 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE
1800169 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER ELECTRICAL PERMIT
DATE: 06/11/2018
GIS ID: 53100273 FEE: 54.00
MUNIS APPLICATION# 201800886 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: SEAN WARDWELL' ADDRESS: 273 LEFOLL BLVD
ADDRESS: 265 SKYVIEW DRIVE OWNER: BEDNARZ MICHAEL J&BARBARA L
COVENTRY,CT 06238�-- 2731EFOLL BLVD
SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: 200 AMP SERVICE UPGRADE WIRING OF CENTRAL AIR
SPECIAL CONDITIONS:
ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY BUILDI ' ARTMENT.
CONSTRUCTION TYPE:
OCCUPANCY GROUP: BUILDING fJFFICIAL
6/11/2018 11:24 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE
1000173 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER ELECTRICAL PERMIT
DATE: 07/12/10
GIS ID:53100273 FEE: 30.00
MUNIS APPLICATION# 201000792 BUILDING DESCRIPTION:
APPLICANT', ` " LOCATION
NAME: MILES ELECTRIC LLCr e ADDRESS: 273 LEFOLL BLVD
ADDRESS: 3 PIONEER HEIGHTS ROAD,' ;" OWNER BEDNARZ MICHAEL J&BARBARA L
SOMERS CT 06071 d _ 273 LEFOLL BLVD
SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: 9X24`ADDITION OVER GARAGE 2ND FLOOR
SPECIAL CONDITIONS:
M,
r,
ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT.
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~i
CONSTRUCTION TYPE: ,
OCCUPANCY GROUP: BUILDING OFFICIAL
7/12/2010 11:27 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE
1000249 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER PLUMBING PERMIT
DATE: 07/12/10
GIS ID:53100273 FEE: 75.00
MUNIS APPLICATION# 201000792 BUILDING DESCRIPTION:
APPLICANT, ;.; LOCATION
NAME: GREG LANZ PLUMBING&HEATING_ CO. ADDRESS: 273 LEFOLL BLVD
ADDRESS: 27 LAKEVIEW TERRACE" ,r r"`- OWNER: a BEDNARZ MICHAEL J&BARBARA L
STAFFORD SPRINGS;CT 06076-1303 - 273, LEFOLL BLVD
SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: 9X24'ADDITION OVER GARAGE 2ND FLOOR,.,
SPECIAL CONDITIONS:
i
ALL WORK TO BE DONE IN ACCORDANCE-WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT.
CONSTRUCTION TYPE:
OCCUPANCY GROUP: BUILDING OFFICIAL
7/12/2010 l 1:24 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE
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Section -i Pleasant Valley Homes
South Windsor, Conn."
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Map No, 220-78-iT Rev. — by Reino E.
Hyyppa b Associates Glastonbury, CT.
PPEPAR E D FO R
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APPLICATION FOR ELECTRICAL PERMIT
DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT#
Application is hereby: BUILDING DEPARTMENT
ApP v 1540 SULLIVAN AVENUE � . 234
644-2511 ext. 230 Bldg. Permit#
Date Building Inspector
Application must be printed or typed
4L=
FEESCHEDULE ob:
$0-$1,000=$15.00 Z?,
Over$1,000= Street No. Street Lot No.
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT �7Z,der
APPLICANT ADD SS 3
C.r Al 073I
APPLICANT'S PHONE# r
OWNER �!^ s
.`D W N 8 f 4< OWNER ADDRESS 3
OWNER PHONE
ESTIMATED COST$
IS THIS A CONTRACT COST? es No
� FEE ENCLOSED$
f 4 ,' TYPE OF JOB: Aar I l 0
SO -co New Installation
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 -�FNO
PRESIDENTIAL 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
SIZE OF SERVICE NI) SIZE OF MAIN CONDUCTORS
NUMBERS OF METERS C 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
Gt �e o�DDAp
r Ar
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 �^ /
G
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT DATE
wood stoves
D
I F E A
A 23-718 27" EPA Certified Yes Yes
B 27-518" 29-314" 'OptimumEflicien(y.- 83.9% 83.6%
8(short legs) 22-5/8- 24-3/8" - --
Emissions(grarrism!) 1 3,9 4.1
IIIIC 22-118" 25-1/2* MaxtmunnBTU[* 38,800 45,500
D 25-1/8" 26" i Ffypi,Tl S4.Ft Heated 400-1,000 BDO-2,000
B E 21- Log size Maximum L fir
i H F 16" WIX 1
Firebox Size 1.34 cu.ft. 1.71 cu.ft.
7 e- r- --v
_up 11�hrl. up to 8 hrs.
d �6 6—��: --1 -1-------
H 28-314" 30-1/r
6 1 H(short legs) 23-3/4- Shipp rg Weigh! 417 lb 1 4741 b
17 •- length Of burn time and BTU range depend on type otwood,climate
1 C -J
25-718* 27-114- 1 conditions and Installation.
J*(shw4) 21" 1 12-11
to center line If rear vented.
E-
�Di H300 FiesklentialInstafiation"17 Vent
157_ 15" 13" 30' 15 IV
to- 9�
C 9
learaW 15
C Residential Closei 9 28 to IV
A' Mobile Home aose aearance 10"
.TE 15"
H200 Residential!rstjllaioion"C Vent _I 11" 13" 19-718*
a O ' 15�4 10---
0. 9" IS-718-
ResidemnaaFoearwe
- - - - - - - McybilleHomecloseaearance 1 15" 10, 27- 1 12-1/8'
Note In Canada floor protection must extend 18"to the front and 8'to the sides and back.INA side load door floor
protection most extend 18-to the We.in US same as Above except flOW Protection Werich 6-to sides and back.
'Minimum clearance with side load door is 18*to side wall.Refer to dimension(B)for clearance without side load door.
wood inserts
C
A 27-114' 30" 1 34-9/16" I 1 EpA Cermfliled Yes Yes
Optmuirn Efficiency
21-112' 21 V2--- 77.7% 770%
39-13/16" 42-112" Emissions(grams/hour) 3.0 3.8
A 38-5116 40" 48-1/8' Max 55,000 75,000
E 6-3/8' 111-318" 11-3/8' 1,000-2,000
B 15-1/16" 1-7--IN Ii 1/4- LoqSLe 18-
:G 9-5/8' 11-1/8 11-1/8* Firebox Size 1.4 ft 2.3 cu.ft.
G(offset adaptod 14-1/8' ues¢e -cu.- ----
-1-1,--J. - I.
H 21-1/4* 23-1/4' 23-11 j 45hippngWeight _Bum time(typkal), tupt,0081r. I UP to 8 hrs.
is;c
437 lb.
Length of burn time and BTU range depend on type ofwDod,climate
conditions and Installation.
G WKfth((mitt) 2 3* 25"
Hetg
ht 1 19-5/8' 21-1Z
LDepth(YW sta st�s 5 -le pt�) 15 jW/_offsqflue aclaptor)
H
F
T
BI cT-
I Adjacent Side Wall j Mantel Top Facing Side Facing(to Min.Hearth Min.Hearth Min Hearth Side
• 0 (to side) (to top) (to top)*** side Extersion* I Elevation*
j L Extension"'
D I E I F H12 N-00 15' -14' 7-3/8" fCA/ilFUS -11f ___8-C_AN US
H1300 20- - f2----7-- F---8u---- - -- —----
18*CA/IVU—S 0.7 8"
'Note IT the hearth extension is flush with the flxo,(Item I'll ri must extend IS S m.In front of the b-D-dy-f*a—(e 1—item-E).-'
=;7, Note Hearth extension width Q is measured from edge of fuel door to side of hearth
F up To 1-112-thick 13
Hampton° Wood Products
A
Non-catalytic Technology
Hampton stoves use non-catalytic technology.This means that the airflow in the firebox is directed to
reburn smoke,creating greater efficiency,a spectacularfire and cleaner emissions.
Cooktop Surface
No power,no problem with this
convenient cooktop.
Exhaust Cast Iron Construction
Heavy duty cast iron with rich,
porcelain,enamel finish.
Heat Reflective Baffle
Stainless steel withstands Heat Output
very high temperatures Warm air that is directed into
and increases efficiency. your room by the blower.
Airwash System
Firebox Air that keeps the glass clean.To
Designed to burn wood clean carbon deposits off glass,
completely,delivering clean just allow to burn at maximum for
burning,high efficiency 30 minutes.
heat.
Ceramic Glass
Blower Withstands very high tempera-
Directs warm air back tures and allows the heat to radiate
into your room. through the glass.
Positive Seal Door Latch
Secondary Air Provides easier opening and clos-
Air that is preheated to ignite ing and complete seal.
unburned gases in the fire-
box.
Primary Air Removable Sealed Ash Pan
Controllable airflow for optimum heat For easy clean up.
output and fire size. Rope Gasket
The Hampton Wood Stove uses up to 70 feet of rope
gasket on all components to ensure a long term guar-
antee of a tight firebox seal and optimum burn times,
superior to cement that cracks over time.
.4 r'�<
burning wood - a green choice
' Renewable Resource
A' 4 Wood is a renewable natural resource-well-managed All Hampton Wood Stoves and Fireplace Inserts have
{<" forests are a renewable, sustainable source of energy been tested and certified to the strictest clean air Stan-
A that helps us reduce greenhouse gas emissions and be dards as set bythe Environmental Protection Agency.
A less dependent on oil&gas.
e' r
One Hampton=One Tree t4-O '
{ ° X Wood is Carbon Neutral At Hampton Fireplaces,we are committed to protecting
As trees grow they absorb carbon dioxide from the at- our environment.For every Hampton sold,we will plant
' mosphere.When trees die and are left to decompose in a tree.Working with American Forests,the trees planted
the forest or burn in forest fires the carbon stored in the across North America will offset carbon emissions and
trees is released in the atmosphere as carbon dioxide. take one more step to restore nature's balance.
Burning firewood produces the same amount of car-
bon dioxide as the tree has absorbed during its life cycle
making wood burning carbon neutral.
.2'73 464ll 81uel
��00�30
Shirley Wilhelm-CRS Approval Confirmation: Request No.475768 Page 1
From: <clpsvc@nu.com>
To: <WILHEL@SOUTHWINDSOR.ORG>
Date: 11/1/05 2:10PM
Subject: CRS Approval Confirmation: Request No.475768
Your approval of the following CRS Request has been successfully
processed.
CRS Work Request M 475768
House No: 273 +
Lot No:
Street Name: LEFOLL BLVD {
Town Name: SOUTH WINDSOR, CT
Inspector: CHRISTOPHER DOUGAN
Approval Date: Nov 01, 2005
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Northeast Utilities, its subsidiaries and affiliates(NU). E-mail
transmission cannot be guaranteed to be error-free or secure or free
from viruses, and NU disclaims all liability for any resulting damage,
errors, or omissions.
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
Application is hereby: TOWN OF SOUTH WINDSOR PERMIT#
/9 S
BUILDING DEPARTMENT
AIsPR 1540 SULLIVAN AVENUE Bldg.Permit#
644-2511 ext. 230
Date Building I for
Application must be printed or typed
FEE SCHEDULE Location of Job:
G�Fo« A/,�;o
$0-$1,000=$15.00 FTenant
Street Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof gnation Apt.No.
APPLICANT ,k,6T
APPLICANT ADDRESS l 4
4,�/w SCgZ C'7' — emloq
APPLICANT PHONE#
,oW (� SF�4 OWNER DealN/a/e Z
OWNER ADDRESS �)Z Z-&i o C-& �c
'56- 10 /wL> Sow 7 "
a: OWNER PHONE h/07
C ESTIMATED COST$ 3��
IS THIS A CONTRACT COST? _ es _No
Ly �G FEE ENCLOSED$ /5 c
`SO co TYPE OF JOB:
R New Installation
L-"Alteration/Addition/Repair
Revised 4/01//2002
APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
C��'RE/SIDENTIAL BUILDING PERMIT APPLICATION? ❑ YES U-N6-
❑BUSINESS CURRENT USE AND OCCUPANCY �
❑ASSEMBLY
❑MERCANTILE O EDUCATIONAL FUTURE USE AND OCCUPANCY
❑INSTITUTIONAL
O FACTORY ENGINEER'S NAME PHONE
❑ STORAGE
❑GARAGE ADDRESS
❑MIXED USE
(Other please specify) CITY STATE ZIP
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 O 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
j5-ti571-lL t,,0 `n-�Te - qo cab 7--
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.
9--/ /6 3 y' e �1-_ / (::!- T-
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT ( DATE I
DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT
PERMIT#
Applicat'
TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
AlPROV 1540 SULLIVAN AVENUE
Bldg.Permit#
644-2511 ext. 230 �
Date ding Inspector
Application must be printed or typed
FEE SCHEDULE Location of Job:
Fena-ntDe
$0-$1,000=$15.00 Street Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof gnation Apt.No.
APPLICANT cot AV42
APPLICANT ADDRESS 27 cdkw /e�/ '
Sd�,,{�Fora( G! Duo 76
APPLICANT PHONE#
SOW N St OWNER Q&r�� i3a,'74r!j
OWNER ADDRESS
O .o. OWNER PHONE g60 a 9/ - 8/0 7
C ESTIMATED COST$ I A-1 700,
* IS THIS A CONTRACT COST? K Yes _No
FEE ENCLOSED$ %
1��5 O�� TYPE OF JOB: �1�/1 7 q
OR•C _New Installation vo /
XA]teration/Addition/Repair
APPLICATION FOR PLUMBING PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
El RESIDENTIAL BUILDING PERMIT APPLICATION?,gYES ❑NO
❑BUSINESS CURRENT USE AND OCCUPANCY
❑ASSEMBLY
❑ MERCANTILE FUTURE USE AND OCCUPANCY
❑ EDUCATIONAL
❑ INSTITUTIONAL
❑FACTORY ENGINEER'S NAME PHONE
❑ STORAGE
❑GARAGE ADDRESS
❑MIXED USE
(Other please specify) CITY STATE ZIP
TYPE OF INSTALLATION Re rncsUt-, SIZE OF MAIN DRAIN 311
NO. OF TOILETS Z 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
DESCCRIPTION OF WORK
6,�1I /
sinTHE 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_a o y 59- � P1 P--! G
CO CTQRS CENSE NO. YPE 7 / / STATE
SIGN AT OF APP ICANT DATE
APPLICATION FOR ELECTRICAL PERMIT
DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT#
Applic ' s hereb : BUILDING DEPARTMENT M6
PRO 1540 SULLIVAN AVENUE
7j 644-2511 ext. 230 Bldg.Permit#
Bldg.
Date B it ing Inspector
Application must be printed or typed
FEE SCHEDULE Location of Job:
$041,000=$15.00 ��� ���) &Iva -
Over$1,000= Street No. Street Lot No.
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT
APPLICANT ADDRESS 'WEI ah Ts .e
'Su e k S GT
APPLICANT'S PHONE# oO
OWNER Il/c%Ae(
OWNER ADDRESS _ 2 73 /,4Foee
OWNER PHONE -.29/ —S'/o
O ESTIMATED COST$ �cOO
U IS THIS A CONTRACT COST? L-4d-- No
FEE ENCLOSED$ so
° ° C.) TYPE OF JOB:
, r
UR,co New Installation
Iteration/Addition/Repairer Zy a
Revised 03/05/10
APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
BUILDING PERMIT APPLICATION? I9 YES ❑ 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 QN1(�L
SIZE OF SERVICE 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
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
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT zzzz DATE 7-7c
-1d
Eiji,
TOWN OF SOUTH WINDSOR
AFFIDAVIT OF ACTUAL COSTS
PERMIT NO: DATE mount, 3o , vt61 o
The undersigned,being a duty authorized representative of,
do by this statement, certify that the actual costs shown below, of the project referenced by the Permit
Number shown above,are true and accurate.
This statement is being made pursuant to the Town of South Windsor Ordinance,Article il, Section 14-31,
(a)thru(e),(see attached).
1 understand that verification for accuracy of actual costs may be made at any time by the Building Official
al
through an appraisal of the work at the expense of the property owner.
I hereby certify that the-actual cost of the work performed under this permit is:
Signature of Permit Holder.
Name(Please Print)
-Date:
■■aaarrraraarwas aaaaaaraaararaaaaaaraaarrrrrraaraaaaratarrraaaaraaraaa�aRusso mass
State-of Connecticut]
County of Hartford] ] ss South Windsor Date:
Personally appeared . as aforesaid,
Signer and sealer of the foregoing instrument and acknowledged"the same to be
his/her free act and deed, before me.
Notary Public
Commissioner of the Superior Court
My commission expires on
O O
' FC H
Submitted By:
I M N
E Y S Mark S. Smith
Chimneys, Etc. Lic. #552726, Insured
E T C 1040 Boston Turnpike, Bolton, CT 06043
860-649-2784.
WORK PROPOSAL August 24, 2010
Submitted To:
Name Michael Bednarz Home Phone:
Street: 273 Lafoll Blvd. Work Phone: 860-684-6965
City, State, Zip: South Windsor„ Ct. 06074 Job Location:273 Lafoll Blvd.S,windsorCt.
Job Description:
Tear down three coarses and rebuild back up nine feet new wall ties every one foot and new 12x12 flue tiles
and new 8x12 flue tiles for furnace side new cement crown,and new lead flashing,and water and ice under
lead flashing.
Terms of Proposal:
Amount$1,800.00 Proposal Good For 30 Days
All material is guaranteed to be as specified.
All work to be completed in a substantial
Terms of Payment:$900.00 Down and balance upon completion Workmanlike manner according to
of job specifications submitted per standard
practices. Any alleviation or deviation from
above specifications involving extra costs
PLEASE MAKE CHECKS PAYABLE TO MARK S. SMITH will be executed only upon written orders,
�� and will become an extra charge over and
Authorized Signature: `/'V1,Q-A?� _ above the estimate.
Acceptance of Proposal:
The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to
do the work as specified. Payment wil be made as outlined above.
Signature: If' Date of Acceptance:
1 aD O L414
Electric# IDDD I h5 APPLICATION FOR BUILDING PERMIT
Plumbing# V 0 341 273 Lefoll Blvd. Date: O.LSI ZOIo
HVAC #
Sprinkler# 10 0 03 0 7
_ --- -- -� Estimated Cost $ y
FINAL APPROVALS
Building
Permit Fee $---J��
g COMPLETE RED BOXED AREAS
Occupancy Fee $ /
Affidavit - j TYPE OR PRINT ONLY Eng. Insp. Fee $e,
A SIGN ON REVERSE SIDE
PPr. for CO. - -- -- - — � Total Feg� $�
TO THE BUILDING D ,� - - -- --- - -- ------ — --- _ - -
TMENT,TOWN OF SOUTH WINDSOR, CT (Additional�os) $
The undersigned hereby applies to do work according to the following:
Applicant 401k c/AAc c ,A'4d" Location of Work -ZT.3 GeAl/ ,By&- Lot No.
Applicant's Address 4t Cora✓.yu S- Tel.#--CA 0)cry-G4r.3
Town_ -S-1af4a4 Zip oc o c. Lic.# JV1 IN-7
Owner NicA4cf i. .a 291,&M AfeMeet les',.uac < 3'is Se•ric,.s
Owner's Address .17-7 Lefna Architect's Address If k Lu �L
Isibrtl< W«+R.aw- es- Zip yc07Y .� sarueta ex' Zip 0c07(.
Sq. Ft. New Area: 1st FI. 2nd A. Z. I f. 66Fi- 3rd FI. Total New Area Z/( s4 i r
Purpose of this permit C o^ s A q °Y Zy` FLE12A Y3yY" �-T 0�-rr eX;v�...
To C.anS, s} of A keAlk•MAJ C losr_T And Acne- c�FF,�t /Z�r►,o�Lc l o� - Z" �'lo,- (�} i
RC-do r �vt�.-;..cj -T'kev _r,..T 2.4`4 'Floo(k
City Water% Well❑ Septic System❑ SeweX
Ins: HO S Basement Garage
Approved by 4!E� ' Date Group Construction Type
j ) \ Revised 6/02
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 a/lllowed.
Signed��� ,�✓1r*-✓� '/
1 hereby apply for a Certificate of Occupancy for the wor described in this application for the permit.
Signeda,AILJ-
I
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
INSPECTION FIELD SHEET 12/02/10
Printed by Kehoe, Alice 12 07 57
INSPECTION: 32790 FOOTING PERMIT:
STATUS:
APPLICATION: 201000792
LOCATION: 273 LEFOLL BLVD
SOUTH WINDSOR
PROPERTY ID: 53100273
OWNER: BEDNARZ MICHAEL J & BARBARA L
CONTRACTOR:
REQUEST BY:
DESCRIPTION: 9X24 ADDITION OVER GARAGE 2ND FLOOR
WORK ORDER:
INSPECTOR: DOUG RESULT: N/A
REQUESTED: PRIORITY:
SCHEDULED: COMPLETED: 12/02/10
UNPAID FEES 00 Date Time
TIME: TRAVEL ONSITE
COMMENTS
ALL INSPECTIONS
INSPECTED INSPECTOR RESULT INSP DESCRIPTION
O8/24/10 DOUG PASS B002 FOUNDATION
12/02/10 DOUG N/A B003 FRAMING (ROUGH)
08/25/10 ROSE PASS B004 INSULATION
12/02/10 DOUG N/A B005 FIREPLACE / CHIMNEY
12/02/10 DOUG N/A B006 WOOD / GAS STOVE
11/04/10 ROSE PENDING BO10 FINAL
11/29/10 ROSE PASS BO10 FINAL
12/02/10 DOUG N/A E001 ELECTRIC SERVICE
12/02/10 DOUG N/A E002 ELECTRIC UNDERGROUND
12/02/10 DOUG N/A E003 ELECTRIC ROUGH
12/02/10 DOUG N/A P001 WATER HEATER REPLACEMENT
12/02/10 DOUG N/A P002 PLUMBING UNDERGROUND
12/02/10 DOUG N/A P003 PLUMBING ROUGH
12/02/10 DOUG N/A P004 PLUMBING GAS TEST
c�
Electric # APPLICATION FOR BUILDING PERMIT
Plumbing# 273 Lefoll Blvd. Date:
HVAC#
Sp rinkler# 1000414 Estimated Cost $
FINAL APPROVALS Permit Fee $ _
Building COMPLETE RED BOXED AREAS Occupancy Fee $
Engineering TYPE OF PRINT ONLY Eng. Insp. Fee $
Affidavit 0-1
Appr.forCO. SIGN ON REVERSE SIDE A 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/YI A le Jl; 5 S t T Location of Work Lot No.
Applicant's Address J d Lt p 93A S 7-0 j!) TU R A IF k a Ci a (0 0 1-en6S
Town (�O 7"p n Zip 24(Ly 3 Lic.#�5� 2
Owner -e,QL)�`Z Architect
Owner's Address M I t- Y L— J6C D 12jl( z,Architect's Address
? 3 3 LaireLL al V 0 Zip 6 L D7 Zip
Sq.Ft.New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area
Purpose of this permit
LL*4 Lie M I& k17 L ikOkoiri
City Water D Well Ll Septic System Ll Sewer❑
Ins: HO SP Cert. Area Basement Garage
Approved by Q,4 Date r'L? o Use Groui�2� Construction Type
a000 Il33ROV'sed 1108
1
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 , _ ej 4 J—&'
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
BUILDING PERMIT
STATE OF CONNECTICUT
WORKERS'COMPENSATION CONMSSION
Building Permit Affidavit for Property Owners or Sole Proprietors
(Conn. Gen.Stat. § 31-286b)
Property located at 2- -7 3 L A }n / L L V n
L
In the town of _ n tc T
Name of building permit applicant:_ � iQ K ,S 46
Please check one:
I._I am the owner of the above property.
2. , fam 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"sworn 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 o-°e.
1. /1 do not intend to act as a general contractor or principal employer.
[Sign and stop here]
Signature of applicant
2._1 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.
iad 4A J 2nj.4-�
Signature of applicant
Subscribed and sworn to before me this day of ,200 .
(Notary Public/Commissioner of the Superior Court)
Electric # FOR BUILDING PERMIT
Plumbing# •
HVAC# I FDate: 101151)L)
Sprinkler# South Windsor
FINAL APPROVALS Estimated Cost $ 'S
ENT Permit Fee $
Building COMPLETE RE Occupancy Fee $ �(� —
Engineering TYPE OF PRINT ONLY Eng. Insp. Fee $
Affidavit ► SIGN ON REVERSE SIDE
Appr.forCO. Total Fee $ ID
TO THE BUILDING tl ARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ og
The undersigned hereby applies to do work according to the following:
Applicant t ct2 4✓'1- Location of Work 'I LotNo.
Applicant's Address �� � I( �w�_ _ _ _ _Tel # 5 kd> 241 ?54 0-1
Town SOyl" 4)tt-A n Zip CXPC)"1+ Lic.#
Owner 5q VVA'Q Architect
Owner's Address Sq&e _ Architect's Address
_ Zip Zip
Sq. Ft. New Area: 1 st FI. 2nd Fl. 3rd FI. Total New Area
Purpose of this permit . In g}G I l ���� 5�r�r-e tvt SQir �.J Il rn,� h C141 VA!► tg�
City Water 0 Well ❑ Septic System ❑ Sewer❑
Ins: HO SPI e Area Basement_ Garage Lull4/
Approved by Hp� Date 18 1&It 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 buildin d it use is allowed.
Signed `
I hereby apply for a Certificate of Occilpanc for e wo scribed in this a t3F[ e permit.
Oi9 ned
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
•
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:
APPLICAFQN IS HEREBY: 1 JoQ/(L sp
fAPPRggC�� BLDG.PERMIT NUMBER:
DATE 4ECTOR
LOCATION OF WORK:
APPLICANT: OWNER: TYPE OF STRUCTURE:
�r n ❑NEW BUILDING
S NAME: C�� (,�y W m k" kt_ NAME: �)C ��p I�P�<ZZ- ❑ADDITION
PHONE NUMBER: �' � PHONE NUMBER: PQl STING BUILDING
ADDRESS: 2[e S ADDRESS: 2-77 3
c0 JI~N-r,44 CZ of,73 g S O-Yf4 W k—LJ S Z::l C_ TYPE OF USE:
IL- L- r IDENTIAL ❑COMAIEItCIAL
ELECTRICAL INFORMATION: FURTHER DESCRIPTION OF WORK:
TYPE OF INSTALLATION: 200 A 5 E2J k C e U P C�a-A-,b E
SIZE OF SERVICE:
SIZE OF MAIN SERVICE:
NUMBER OF METERS: `
NUMBER OF PANELS:
NUMBER OF LIGHT CIRCUITS: ESTIMATED COST:S
NUMBER OF SWITCHES: y
NUMBER OF LIGHT FIXTURES: FEE ENCLOSED:S
NUMBER OF A/C CIRCUITS:
FEE SCHEDULE:$18 PER$1,000 OF THE ESTIMATED COST.
NUMBER OF POWER CIRCUITS: ROUND UP TO THE NEXT THOUSAND ONCE THE PROJECT
NUMBER OF OUTLETS: IS SLOG OVER (.26 CENT EDUCATIONAL FEE INCLUDED AS
PART OF THE PERMIT FEE)
THE UNDERSIGNED HEARBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL
ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFOMANCE OF SUCH WORK.
CONTRACTORS LICENSE NO.: B 2 0 6 7(0 1 TYPE: STATE: c T �y
SIGNATURE OF APPLICANT: DATE: b
wrt-,;
APPLICATION FOR HVAC PERMIT
TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT
1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074(PHONE)860-644-2511 EXT.230
PERMIT NUMBER:
DEPAECISION
APPLICATION IENT S HEREBY: 966 2 3
APPROVED:: BLDG.PERMIT NUMBER:
DATE INSPECTOR
LOCATION OF WORK: 62 -1`22
APPLICANT: OWNER: TYPE OF STRUCTURE:
�/�� ,J ❑NEW BUILDING
NAME:(o,()S-4� �J O �/ NAME:JJ Q� I�Lu Z ❑ADDITION
PHONE NUMBER Oqq(��� PHONE NUMBER: EXISTING BUILDING
ADDRESS:? b.A S 7Z A ADDRESS:a 73 ��1 O�I P d
ji n Q� C � 0� TYPE OF USE:
(XJ A �?� �tItESIDENTIAL o COMMERCIAL
HVAC INFORMATION: FURTHER DESCRIPTION OF WORK: 1
TYPE OF SYSTEM: o HEATING f&C �AA/�e7 ( tu-) Ame r,-r Age
HEATING: A 1. ��LT_P/)') [`.,� Y.(L -n A D/�?
TOTAL HEAT LOSS(BTUH) °F (HEAT LOSS SHEET REQUIRED)
DESCRIBE ALL HEATING EQUIPMENT(INCLUDE MAKE AND MODEL NO.):
ESTIMATED COST:S IO o<
AIR CONDITIONING:
DESIGN TEMP:OUTSIDE_ -Z-F INSIDE ?$°F DIFFERENCE 17— FEE ENCLOSED:S 1617
TOTAL HEAT GAIN(BTUf0&3_4_t(HEAT GAIN SHEET REQUIRED) S 3
DESCRIBE ALL COOLING EQUPMENT(INCLUDE MAKE AND MODEL NO.):
FEE SCHEDULE:$18 PER$1,000 OF THE ESTIMATED COST.
I Q 6y A Can&A3.2, -- ROUND UP TO THE NEXT THOUSAND ONCE THE PROJECT IS
S1.00 OVER. (16 CENT EDUCATIONAL FEE INCLUDED AS PART
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. _j_
CONTRACTORS LICENSE Ndfo I/J V .06 A,597� TYPE: SM _ STATE: c
SIGNATURE OF APPLICANT: IL
� \A- - DATE: 5 2-T