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Home My WebLink About28 BIRCH RD APPLICATION FOR ELECTRICAL PERMIT DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT 13�3sd AP 1540 SULLIVAN AVENUE Bldg.Permit# TyD. 644-2511 ext. 230 Date Building InSp c or Application must be printed or typed FEE SCHEDULE Location of Job: $0-$1,000=$15.00 t +f,(ANOver$1,000= Street Lot No. $15.00 per$1,000 or any fraction thereof ignation Apt.No. APPLICANT aa.•�1 >`,_ �,r►`�k i ; Fa r �x r c� EI c�'f APPLICANT ADDRESS A 7 r' o NL'yt S Z APPLICANT'S PHONE# ft 0 CJ17,03011 OWNER Jeff It N 3F4< OWNER ADDRESS ?S 13 GO) OWNER PHONE ESTIMATED COST$ 150 O C � � IS THIS A CONTRACT COST? Yes �/ No FEE ENCLOSED$ 3U �f TYPE OF JOB:v �DSOR•C07 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 [A 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 SIZE OF SERVICE ,L).A 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 f J-Z ��YIL� 'ZUU - 2y(jb r Q 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 DATE `. DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: 9X)l I (L BUILDING DEPARTMENT l APPROVED 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 � Dati BuildiAk Inspector,. Application must be printed or typed FEE SCHEDULE FTenant \ Location of Job: A$0-$1,000=$15.00 Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof gnation Apt.No. APPLICANTh�; -- APPLICANT ADDRESSS�— \--')'�YIA S oY 1,0-r k-S CI-- 7,, APPLICANT PHONE# — t D O W N St OWNER c,. c OWNER ADD SS — ) OWNER PHONE C = ESTIMATED COST$ IS THIS A CONTRACT COST? Yes _No o FEE ENCLOSED$ rN. s OR-Co TYPE OF JOB: New Installation Alteration/Addition/Repair Revised 4/01//2002 I APPLICATION FOR HVAC PERMIT (Continued from reverse side) TYPE OF SYSTEM: TYPE OF BUILDING: .HEATING --3 RESIDENTIAL ❑A/C ❑COMMERCIAL ❑VENTILATION ❑INDUSTRIAL HEATING ❑STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS. ❑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 HEATING EQUIPMENT(INCLUDING MAKE&MODEL NO.) 1 GROSS HEATING CAPACITY(INPUT-BTUH) NET RATING(OUTPUT-BTUH) TYPE OF FUEL ❑OIIr-GPM OIL TANK LOCATION :0 INSIDEO 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 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. V\ c OjOlo11 - 6 / _ 01 CT CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT ,-71, N DATE10) --A0 APPLICATION FOR BUILDING PERMIT Electric # Plumbing# 28 Birch Road Date: d Z d HVAC # I Sprinkler# 8 0 0 5 8 2 FINAL APPROVALS -- -_ -- -- -----_--- - _ Estimated Cost $ - — — -- --- Permit Fee $ j5- Building COMPLETE RED BOXED AREAS Occupancy [J Engineering TYPE OR PRINT ONLY Eng.I sp. Fee $ ` Affidavit , ! SIGN ON REVERSE SIDE J Appr. for CO. jlfpbI - — - _ -- 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 Qx �n:��— Location of Work o� - Lot No. Applicant's Address Tel.# 1 �U Town c Zip��c� Owner c. Architect Ow 's Address _Architect's Address Y+ S L Zip V Zip_ Sq. Ft. New Area: 1 st F 2nd FI. 3rd FI. Tota w Area Purpose of this permit qcs r City Water❑ Well[:] Septic System❑ Sewer❑ Ins: HO ---AS P ert. Area Basement Garage Approved by I Date yam. ail Use Group Construction Type Revised 6102 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 PLICATION FOR BUILDI G PERMIT Electric# 1,28 Birch Rd. Plumbing# 800062 Date: HVAC # U U I 1-LJ. 167 Sprinkler# p FINAL `;'PROVALS - - -- —_ - -- - - - Estimated Cost $ l Building -��- ---- --- -- - Permit Fee $ � g COMPLETE RED BOXED AREAS Engineering Occupancy Fee $ TYPE OR PRINT ONLY Eng. Insp. Fee $ Affidpp bt ► SIGN ON REVERSE SIDE vit i Al ) A rafor CO. -- - -- --- - , - -- -- I 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 Gv'9 tArt Location of Work ► Lot No. Applicant's Addrq ss Tel.# 4,7 5 O Town S0, ry/i� s a r Zip 06 o Z, Lic.# Owner 5-Rri e— Architect Owner's Address 5'/I/n Architect's Address Zip Zip Sq. Ft. New Area: 1st FI. 2nd FI. 3rd FI. Total New rea Purpose of this permit a ► e F r ✓e-r tom.S•�, Rap LA e r City Water❑ Well❑ Septic System❑ Sewer❑ Ins: HO Cert. Area Basement Garage Approved by Date Use Group Construction Type Revised 8/02 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 distiknce from all street lines,side yard lines,and requirr.a . distances from all other zones and is located in whit uildin d iKAe is allowed. Signe ' I hereby apply for a Certifica of Occupancy for the work described in this application for the permit. Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS BUILDING PERMIT gbba(02 1 ` STATE OF CONNECTICUT WORKERS'COMPENSATION COMMISSION Building Permit Affidavit for Property Owners or Sole Proprietors (Conn.Gen. Stat. §31-286b) Property located at e 4 Rail In the town of �' LV/ Name of building permit applicant: Please check opt: 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"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 one: 1._I do not intend to act as a general contractor or principal employer. [Sign and stop here] /Signature of applicant 2. V 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 acre very ature of applicant Subscribed and sworn to before me this day of ,200_. (Notary Public/Commissioner of the Superior Court) INSPECTION FIELD SHEET 03/30/09 Printed by Peart, Dayshell 09 40 27 INSPECTION: 12077 FINAL PERMIT: STATUS: APPLICATION: 200800166 LOCATION: 28 BIRCH ROAD SOUTH WINDSOR PROPERTY ID: 11100028 OWNER: GRAHAM JEFFREY S & DARCY E CONTRACTOR: DESCRIPTION: REROOFING OVER EXISTING ROOF. 22 SQ. FT. WORK ORDER: INSPECTOR: ROSE RESULT: PASS REQUESTED: 12/15/08 SCHEDULED: 12/16/08 AM COMPLETED: 12/16/08 UNPAID FEES 00 Date Time TIME: TRAVEL ONSITE COMMENTS 12/15/2008 10 30 (TOWN OF SOUTH WINDSOR IPG dayshelllpeart INSPECTION ENTRY piinsr Location Type Dept Scheduled Performed By Result ------------------------------------------- ------------------------------ ----- ---------- ---------- ---- ---------------------------- 28 BIRCH ROAD WOOD / GAS STOVE 1440 11/06/2008 ROSE PASS 28 BIRCH HILL DRIVE HVAC UNDERGROUND 1440 12/11/2008 DOUG N/A 28 BIRCH HILL DRIVE HVAC ROUGH 1440 12/11/2008 DOUG N/A 28 BIRCH HILL DRIVE HVAC OTHER 1440 12/11/2008 DOUG N/A 28 BIRCH HILL DRIVE PLUMBING GAS TEST 1440 11/04/2008 11/04/2008 ROSE PASS ** END OF REPORT - Generated by Peart, Dayshell ** i 1900071 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER BUILDING PERMIT DATE: 02/05/2019 GIS ID: 11100028 FEE: 60.00 MUNIS APPLICATION# 201900223 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: DAVE'S CHIMNEY SERVICE ADDRESS: 28 BIRCH ROAD ADDRESS: 41 HOFFMAN ROAD OWNER: BALLING MARC F& 28 BIRCH ROAD ELLINGTON,CT 06029,_ 4 DESCRIPTION OF WORK: REPLACE STAINLESS STEEL LINER SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY T UI G DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDINC OFFICIAL 2/5/2019 1:39 PM TIIE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1300350 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER ELECTRICAL PERMIT DATE: 08/07/2013 d , {"'� GIS ID: 11100028 �`'ti w `" �` �'°'ram FEE: 30.00 MUNIS APPLICATION# 201301092 " s "` `"� � " �., ' °BUILDING DESCRIPTION: Ji APPLICANT, ,, '' ` , LOCATION NAME: FORWARD ELECTRI �' ADDRESS: 28 BIRCH ROAD ADDRESS: 1875 SOUTH STREET OWNER: ' GRAHAM JEFFREY S&DARCY E ' y � COVENTRY,CT 06238r�k �,, �`.. .,28 a BIRCH ROAD SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: UPGRADE: OQ AMP SERVICE: F � � `m'Jy� `'.,,C'�"S"w'a*maotnr Y ^. :.yn.,x!o ' , �•`:A� �,,,.q ,�,{ SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE,WITHIj}IG,APPLICATION ANDrPLANS APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: .. OCCUPANCY GROUP: BUILDING OFFICIAL 8n12013 11:59 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE