HomeMy WebLinkAboutCANDLEWOOD DR BLDG 1 UNITS 1-12APPLICATION FOR ELECTRICAL PERMIT
DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT#
Application is hereby:BUILDING DEPARTMENT Oy3(o
APPRO . D 1540 SULLIVAN AVENUE
j . 644-2511.ext. 230 Bldg.Permit#
Date Building Inspector
Application must be printed or typed
FEE SCHEDULE 2 ation of Job:
0-$I,000=$15.00 v\ C
Over$1,000= Street No. Street Lot No,
15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT
APPLIC ADD SS 0-,AC v1 ,4 it V9
APPLICANT'S PHONE# 3 Yv i111 n
OWNER
Ow N S
OWNER ADDRESS
OWNER PHONE
C ESTIMATED COST$ Ct O D -CO
U IS THIS A CONTRACT COST? Yes No
FEE ENCLOSED-$
o o TYPE OF JOB: a
OR-CO New Installation
Alteration/Addition/Repair
01 cro os'1
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 NO
6-RESIDENTIAL CURRENT USE AND OCCUPANCY
O BUSINESS
ASSEMBLY FUT[JRE USE AND OCCUPANCY
EDUCATIONAL
INSTITUTIONAL ENGINEER'S NAME PHONE
FACTORY
STORAGE ADDRESS
GARAGE
MIXED USE CITY STATE ZIP
Other p1me`specify)
TYPE OF INSTALLATION/WIRING METHOD,
SIZE OF SERVICE SIZE OF MAIN CONDUCTORS
NUMBERS OF METERS NUMBERS OF DISCONNECTS AND RATINGS
NUMBERS OF PANELS NUMBERS OF DISCONNECTS REQUIRED? YES ONO
NUMBERS OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS
NUMBER OF SWITCHES, NUMBER OF OUTLETS
NUMBER OPLIGHT FIXTURES NUMBER OF.HEAT CIRCUITS
NUMBER`OF A/C CIRCUITS
SEPARATE HEAT LOSS AND A/C CALCULATIONS MUSTBE SUBmTrrED.
DESCRIPTION OF WORK
C v dv\
THE UNDERSIGNED NEARBY 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
C71.
CONTRACTORS LICENSE N TYPE STATE
SIGNATURE OF APPLICANT—DATE Z'
BUILDI14G PERMIT
STATE OF CONNECIICUT
WORKERS'CONPENSATId1T COIvIIVIISSION
Building Permit Affidavit for Property Owners or Sole Proprietors
Conn..Gen.Stat.§31-286b)
Property looted at0 V )
In the town of LU IL
Name ofbuilding Permit applicant: O 4) 0 t T TJ d rQ C
Please check one:
1. I am the owner ofthe above property.
2.lam the sole-proprietor ofa business.
2A..Name ofbusiness
2B.Federal Employer Identification Number TMN
Pursuant to$31.286b,'&prope ty owner or sole proprietor[who]intends to act as a general
contractor orprincipalemployer"mayprovideovide eithera catificate ofworlcas'compensation
insurance or.a"xvwrrt notaiiwd affidavit...stating that he will require proofofwaters'
compensation insurance for all*OqO employe]on tho job site in accarda=with this chapter."
Please check One:
I.—do intend to so as a general contractor or principal employer.
igu dstop here]
Signature ofapplicant
2._I intend to act as-a genept contractor or principal employer.Applicant must either
pirov'do acertificate ofWake&compensation insurance or sign the affidavit
lielow:
Affidavit
I hereby swear and ablest that I will require proofofwacker 'compensation insuramce for every
contractor subcoutbactnr,or other wodmr before he/she aigagas in work on the above peopaty in
accoriw oe with awodoew Comp"sx ion Act(ChWei"568).
I understand that phummnt tb j 31-275 CO.S.,offon ofa corporation and partners in a
partnership mgy elect to be=cloded fom oaverag.by_filiag a waiver with tha
and that asole proprietorova business is notrequiredto'have coverage unless he
files his intent o-aCCW coverage.
Signature ofapplicant
Subscribed and sworn to before me this day of 200 .
Notary Public/Commissioner ofthe Superior Court)
DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT
T#
Application is hereby:TOWN OF SOUTH WINDSOR PERMIT
BUILDING DEPARTMENT
APPROVE 1540 SULLIVAN AVENUE
Bldg.Permit#644-2511 ext. 230
Date juiJcli slfector
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$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT d/'t w S O" ( rG
APPLICANT ADDRESS /3 6 llt,, vv
jj,Cn 7- 06 C -7
APPLICANT PHONE# 5-Z e — 0-7 6
O W N SC. OWNER i,¢,vC t
OWNER ADDRESS c O . /Sd X C yL, /A
o6C 3
0) +OWNER PHONE
C ESTIMATED COST
V
IS THIS A CONTRACT COST? _Yes vNo
FEE ENCLOSED$
f
sOO TYPE OF JOB:
R C New Installation aI
Alteration/Addition/Repair
Revised 4/01//2002
APPLICATION FOR HVAC PERMIT (Continued from reverse side)
TYPE OF SYSTEM: TYPE OF BUILDING:
O HEATING RESIDENTIAL
3-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.)
GROSS HEATING CAPACITY(INPUT—BTUH) NET RATING(OUTPUT—BTUH)
TYPE OF r:'EL
OIL—GPM OIL TANK LOCATION : INSIDE 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.)
Pt/e'-il-eGy7—
TONNAGE COOLING CAPACITY(BTUH) t'10 ,Vvv
VENTILATION
DESCRIBE ALL AIR HANDLINg EQUIPMENT(INCLUDING KITCHEN EXHAUST EQUIPMENT)
d e r 4— GCS
TOTAL SIZE OF SYSTEM(CFM) `lU FRESH AIR INTAKE(CFM)
PLANS MUST ACCOMPANY APPLICATION)
FURTHER DESCRIPTION OF WORK 7 /1 < off+ c!{.r f c i .a..f a
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.
30 3?g z
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT DATE z S'— (/ '7
10 • +
t
1Z '
1 'L
1 'L • Y
1L
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Cc
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Permit No.7a4rTOWN OF SOUTH WINDSOR
SOUTH WINDSOR, CONN.
Permit No 7976
Certificate of Occupancy
TH IS TOQCER FY thah 9atNo. 90 p in the Town ndsor, Connecticut, hasbeenerectedandcompletedinaccordancewiththeBuildingCodeandonin
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the Town of South Windsor, and is hereby appro ed f r occupancy.
q Regulations of
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APPLICATION FOR HVAC PERMIT
DEPARTMENT DECISION TOWN OF SOUTH WENDSOR PERMIT#
Application is hereby:BUILDING DEPARTMENT
APPR 1540 SULLIVAN AVENUE
c TT i-644-2511 ext. 230 Bldg.Pit#
Date Building Inspector
Application must be printed or typed
FEE SCHEDULE Location of Job:
0 $1,000=$15.00 FOver$1,000= street Lot No.
15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT Fo e r -ti . ,i
t Ste- t s. I
APPLICANT ADDRESS 0 e; S'C q./7:t, c T2-
APPLICANT'S PHONE# 0
OWNER — a,.. e
tpW N SFq< OWNER ADDRESS
OWNER PHONE
O ESTIMATED COST$
U IS THIS A CONTRACT COST? Yes No
FEE ENCLOSED$
TYPE OF JOB:
SOR•CO New Installation
Alteration/Addition/Repair
Revised 03/05/10
APPLICATIONFORHVACPERMIT(Continuedfrom-reverseside)
TYPEOFSYSTEM: TYPEOFBUILDING:
ULHEATINGj8RESIDENTIAL
WABCCOMMERCIAL.'
VENTILATIONINDUSTRIAL
HEATING
STEAMLOWPRESSURELB41TLBS. HIGHPRESSURELIMITLBS.
HYDRONICWARMAIRUNITRADIANT.HEATER
EXISTINGRADIATIONADDITIONALRADIATIONTOTALRADIATION
DESIGNTEMP.OUTSIDEOFINSIDEOFDUTERENCEOF
TOTALHEATLOSS(BTUH) F(HEATLOSSSHEETMUSTACCOMPANYAPPLICATION)
DESCRIBEALLHEATINGEQUIPMENT(INCLUDINGMAKE&MODELNO.)
lcsy1YlzLFCAIZV ) W-IZLE
Z-nT
GROSSHEATINGINGCAPACITY(INPUTBTUH) NETRATING(OUTPUT-BTUH)
TYPEOFFUEL
OIIrGPMOILTANKLOCATION: •INSIDE OUTSIDECAPACITY
GAS-INPUTLPGTANKCAPACITYELECTRIC-KW
AIRCONDITIONING
DESIGNTEMP: OUTSIDEOFINSIDEOFDIFFERENCEOF
TOTALHEATGAIN(BTUH) HEATGAINSHEETMUSTACCOMPANYAPPLICATION)
DESCRIBEALLCOOLINGEQUIPMENT(INCLUDINGMAKE&MODELNO.)
TONNAGECOOLINGCAPACITY(BTUH) 003
VENTILATION
DESCRIBEALLAIRHANDLINGEQUIPMENT(INCLUDINGKITCHENEXHAUSTEQUIPMENT)
TOTALSIZEOFSYSTEM(CFM) FRESHAIRINTAKE(CFM)
PLANSMUSTACCOMPANYAPPLICATION)
FURTHERDESCRIPTIONOFWORK
THEUNDERSIGNEDHEREBYAPPLIESFORAPERMITTOPERFORMTHEWORKDESCRIBEDANDISTO
COMPLYWITHALLLOCALORDINANCESANDSTATEOFCONNECTICUTBUILDINGCODESINTHE
PERFORMANCEOFSUCHWORK.
Paz
CONTRACTORSLICENSENO. TYPESTATE
SIGNATUREOFAPPLICANT
DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT PERMIT#
Application is hereby: TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT I S O bs3a`
APPROVE 1540 SULLIVAN AVENUE
644-2511 EXT.230 15p
Bldg.Permit#
Q 3
Date) Building Insp et
Application must be printed or typed
FEE SCHEDULE Location of Job:
C
0-$1,000=$15.00 Street No. Street Lot No.
Over$1,000-
15.00 per$1,000 IJA JA
or any fraction thereof Tenant Designation Apt.No.
APPLICANT CrR1=Cr 1 -hTS
APPLICANT ADDRESS 6-0-Q T;^
APPLICANT PHONE# b O —`b`7 LF Of
O W N SR.
OWNER C3 f -G RP gelr,TS
OWNER ADDRESS 0 (P 6T
O y ' OWNER PHONE Sb4' q91z''t'7
pi.. E..
ESTIMATED COST $ Z o
IS THIS A CONTRACT COST? YES NO
o
FEE ENCLOSED$ b —
TYPE OF JOB: 5 3 b
R C New Insta In
Alteration/Addition Repair
Revised 12/22/11
APPLICATION FOR PLUMBING PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
RESIDENTIAL BUILDING PERMIT APPLICATION? g YES NO
O BUSINESS CURRENT USE AND OCCUPANCYOASSEMBLY
O MERCANTILE
O EDUCATIONAL FUTURE USE AND OCCUPANCY
O FACTORY
O STORAGE ENGINEER'S NAME PHONE
O GARAGE
O MIXED USE ADDRESS
Other please specify) CITY STATE ZIP
TYPE OF INSTALLATION IIIo'^'„"' "`" SIZE OF MAIN DRAIN
rt
NO. OF TOILETS STYLE NO.URINALS STYLE
NO.OF BATHTUBS NO. OF SHOWERS I NO.OF LAVATORIES
NO.OF CONDUCTORS SIZE NO.OF STACKS I 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 O YES ,II 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
l70 36 t2"t 0 L t ME ' oR W A,7 N-CR i J -kG4(Z
0 J oT Ou%N A. C.44tJ61 "6- OUT j3A1-4R200m P-1y,v tJoT' rkl o yl 1=*J6,
aNY CT-WV PLO M g?dC7-
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 DATE rL\Cw I t
ka n,)-iy- 0
a
a
APPLICATION FOR HVAC PERMIT
TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT
1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074 (PHONE)860-644-2511 EXT. 230
DEPARTMENT DECISION
PERMIT NUMBER:
APPLICATION IS HEREBY: Do
APPROVED: BLDG.PERMIT NUMBER
DATE INSPECTOR
LOCATION OF WORK: -/ (iaNLl/l1 l ly
t i/'C
APPLICANT: OWNER:TYPE OF STRUCTURE:
l p I
NEWBUILDING
C'4 Of 1 e N Wf NAME:f#l i SS A 0- /ic-i ADDITIONNAME: S'S'
PHONE NUMBER 86- <28-USG(PHONE NUMBER.Ke- s 0- ? g STING BUII DING
ADDRESS: /36 %LY{ S 0 9'1 ADD SS:q G c-A"d Do'
TYPE OF USE:
PRESIDENTIAL o COMMERCIAL
4
HVAC INFORMATION:
j
FURTHER DESCRIPTION OF WORK:
TYPE OF SYSTEM: .4ATING V S N G e fs c
HEATING:
TOTAL HEAT LOSS(BTUH) T (HEAT LOSS SHEET REQUIRED)
DESCRIBE ALL HEATING EQUIPMENT(INCLUDE MAKE AND MODEL NO.):
Jra j r1 S u 0(4",Wz e v e. A,1 /,-ten/--*'*7
QTQu18LX6277i2ESTIMATEDCOST:S / 9/ . 00
u
AIR CONDITIONING:
n /JDESIGNTEMP:OUTSIDE 'F INSIDE T DIFFERENCE F' FEE ENCLOSED:S /O a `'
TOTAL HEAT GAIN(BTUH) HEAT GAIN SHEET REQUIRED)
DESCRIBE ALL COOLING EQUPMENT(INCLUDE MAKE AND MODEL NO.):
FEE SCHEDULE:$18 PER S1,000 OF THE ESTIMATED COST.
ROUND UP TO THE NEXT THOUSAND ONCE THE PROJECT IS
S1.00 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 WITHALL LOCAL ORDINANCES AND
STATE OF CONNECTICUT BUILDING CODES IN THE PERFOMANCE OF SUCH WORK.
CONTRACTORS LICENSE NO.: 6 3 2 9 Z TYPE: STATE: '
SIGNATURE OF APPLICANT: DATE:
6Z D P-/9- Y/-
Electric # APPLICATION FOR BUILDING PERMIT
Plumbing#
HVAC# S/ Date: S I l I lg
Sprinkler# 0 Q . Estimated Cost $ Y), t s6FINALAPPROVALSPermitFeeBuildingCOMPLETEREDBOXEDAREASOccupancyFee $Engineering TYPE OR PRINT ONLY Eng. Insp. Fee $Affidavit
0- SIGN ON REVERSE SIDEAppr.forCO. Total Fee
TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $
The undersigned hereby applies to do work according
iN
to the followin ' L_ 3Q0 O 1
Applicant e , vMe r Location of Work(1dr>r4. 1 Cwndlttuoodl. pave LotNo.
Applicant's Address Q.O. o c Ida- ' un'}S - ' t Tel M C$60) S-yy'cIgl Q
Town C;0W1C. V"e- C4- Zip 06HllS Lic.# 5690i76k-
OwnerMT f2'JGr Me*J4Ws Gon ,K-vr*i ASSh, Architect NIA
Owner's Address ('i,,n,I-1Q,bJov, Oc.s/Q,- Architect's Address IV IA
Sdy VAA Lo, h CL40 t , Cf( Zip 0 6 07 y Zip
Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd FI.Total New Area
Purpose of this permit Rt r o o F a..n J- Gv1rke rS o n o1, OOW A S 00,04 S
City Water J Well J Septic System ] Sewer
Ins: HO SP Area Basement Garage
Approved by Date C., te-) .1 Use Group C,o'nstru on
JOe ( `
l l evised 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 2
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
INSPECTION FIELD SHEET 04/10/23
Printed by Middleton, Morgan 12 31 27
INSPECTION: 117988 FINAL PERMIT:
STATUS:
APPLICATION: 201901124
LOC: CANDLEWOOD DRIVE
SOUTH WINDSOR
PROPERTY ID: 16500000
OWNER: MILL RIVER MEADOW ASSOC
CONTRACTOR:
REQUEST BY:
PROJ DESC: STRIP & RE-ROOF BLD#1 UNITS 1-12
WORK ORDER:
INSPECTOR: WS-B RESULT: PASS
REQUESTED: PRIORITY:
SCHEDULED: COMPLETED: 04/10/23
UNPAID FEES: 00 Date Time
MILEAGE: 00 TIME: TRAVEL ONSITE
COMMENTS:
INSPECTED BY VALERIE MUSZYNSKI TO CLOSE OUT OLD PERMIT RECORD