HomeMy WebLinkAbout10 BEELZEBUB RDDEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
TOWN OF SOUTH WINDSOR
PERMIT#
Application is hereby:Q
BUILDING DEPARTMENT
APPRO 1540 SULLIVAN AVENUE Bldg. Permit#T4P 644-2511 ext. 230
Di Building Inspector
Application must be printed or typed
F;Yenant
cation of Job:FEESCHEDULE$
0-$1,000=$15.00 Street Lot No.
Over$1,000$
15.00 per$1,000
or any fraction thereof gnation Apt.No.
APPLICANT 10,'Pal
APPLICANT ADDRESS
APPLICANT PHONE# 6 y11lyJ-r'(o
O W N S F,q
OWNER
OWNER ADDRESS
C.4)
OWNER PHONE JC
C ESTIMATED COST$ b
IS THIS A CONTRACT COST? _Yes _No
FEE ENCLOSED$ S
1 TYPE OF JOB:dS R•C New Installation
Alteration/Addition/Repair
Revised 4/01//2002
APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED V;JTH A
U4SIDENTIAL
BUILDING PERMIT APPLICATION? WYES U NO
El BUSINESS
ASSEMBLY CURRENT USE AND OCCUPANCY
U MERCANTILE
FUTURE USE AND OCCUPANCYEDUCATIONAL
INSTITUTIONAL
FACTORY ENGINEER'S NAME PHONE
STORAGE
GARAGE ADDRESS
MIXED USE
CITY STATE ZIP
Other please specify)
TYPE OF INSTALLATION/WIRING METHOD
SIZE OF SERVICE !DD A 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
k PLfIC- ,Itf Z Oc.474- z1140417 //V /Ki7 Z C>
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.
CONTWACTORS,LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT DATE
DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT
7TSULLIVANAVENUE
OF SOUTH WINDSOR
PERMIT#
Application is hereby:M
DING DEPARTMENT U E 0APPRvEAUG222008AUG222008 Bldg.Permit#
South VVuIuSor
644-2511 ext. 230
usor
Date Buildin In to
South VV
ART8 BUILDING DEPARTMENT BUILDING DEPARTMENT
Application must be printed or typed
FEE SCHEDULE Location of Job:
v bee,zg v
0-$1,000=$15.00 Street No. Street Lot No.
Over$1,000=
15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT 1 r
APPLICANT ADDRESS Di LW tl' PY
CGIUVY16, 19 CT j
APPLICANT PHONE#
O W N S F,q
OWNER
OWNER ADDRESS
4
c' L,,
OWNER PHONE CMG ' 7 C?Ci G Fi L/3
C ESTIMATED COST$ I a)—
b
IS THIS A CONTRACT COST? W Yes _No
FEE ENCLOSED$ —30
TYPE OF JOB: g 1
SCR CO New Installation
Zh,Alteration/Addition/Repair
J
APPLICATION FOR PLUMBING PERMIT (continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
SIDENTIAL
BUILDING PERMIT APPLICATION? YES NO
BUSINESS CURRENT USE AND OCCUPANCYASSEMBLY
MERCANTILE
FUTURE USE AND OCCUPANCYEDUCATIONAL
INSTITUTIONAL
FACTORY ENGINEER'S NAME PHONE
STORAGE
GARAGE ADDRESS
MIXED USE
Other please specify)
CITY STATE ZIP
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
f oc,4T 7-" f E47'
lHE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCR EDANDIST7—
COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
3 6 s7 C7
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APP/Lk-DATE
10 BowebubM 9-22-U
South VYmdsor,CL 12.94M
r R 0 $ E 8 U R G Ros&wZ 2577 t of t
V_Y16 16%
t CRFj T4 3E trL E14> WTS:
Member[Data 10 TZUA(R KO'7
description:Member Type Beam Appitrkffon:Fbor
Lateral Bracing:Continuous Top
Standard Load: Moisture Conditlon pry Bu1ld o Code:$BC
Dead toad: 10 PLF Defection Criteria; 1J360 Gve,U240 total
We Load: 40 PLF Dock Connection:Naiad Member Weight: U PLF
Rename:2577
Other Loads
Type Trib. ow Outer
00=riPt3or>) Begin End VYKM Start End Start End Category
Re acomentUnNorm(FLFj 0' 0.00,1z 9,26, 300 360 Snow
3RG tea
O g°COL, a a o t CAL.
129a
Bearings and P&aoiom
Loevew Type IrtpotLargth bin Required GravityReadbn GtavilyUpftt11.8_9w wan 8,000" 1.wr 4" pF Co
tf 2_9W Wits 9.000' 1.e2r 42578
Nimmun UM Case RmwUom
uw aw.wi+s t4 A
Dead srxr&
1 mar neon
2 7s7er 23W
Design vas o.
V tiSw#&Aarq v Cow T 6.760'(e4f=a rCE a5 G
Product Z.OPjOdlart UL 14M x9.5 2 plyCamp-WA mteptb4r0ee p bw Pae4td1Tw4*Chadw.—
a-Vn wwwaw aortia—kWaitbmkg Borg the by chord.
Allowable Stress Design
Actual Allowabk Capacky Lncallon LoadingPoskveMoment7129.10 15065 M 475E 8,4E Even$tans D+SNegWivoMwnert975,1 150M.Y1 6% 1,71' Total iced D+BNa9ativeLtnbrrd975,0 14590.V 6% 1,71' Cants Only D+3Sheer2708-0 7Z65.0 37% 2.19 A ljeeenr 1 C+5
WL Reedlon 4379.E 21000.E 20% 1.71, A*MA 1 D+8Tt,Celkwm O.Z2w 0,4 W 1.49E 6.46 Even Spann DabLLDdlerVon0.1319' 0.3167' L"4 0.46 Even spans STLDe4.LL 0.127W AM() Q Even Spans D-$LL DdL.LL 010759- 21." Cr even Spans STLDeft,RI. 0.117W 2LI316 12.77 Even Sens 0+3RC0.Ot 94' 2LIS40 12.77' Even Spa no S
Ccntot TL Ds/clbn
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i .d Sic oN wdt soot o d3s
Electric#lo A
I t
A CATION FOR BUILDING PERMIT
APlumbing# W Date: d
HVAC # _ u
Sprinkler#AUI DIND.DEPARTMENT_________, Estimated CostFINALPO
F SI GN
Permit FeeEnildnegogPLETEREDBOXEDAREASIIOccupancyFee $g TYPE OR PRINT ONLY Eng. Insp. Fee $Affidavit ON REVERSE SIDEAppr. for CO. Total Fee S-#
TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT Additional Cost) $
The undersigned hereby applies to do work according to the following:
Applicant o I'celllj Location of Work/D eGVZe aA Lot No.
Applicant' Address Tel.# f2h&i
Town O, ,' Zip O&Q?V—Lic.#
Owner v e- Architect
Owner's Address 65 azure_ as cc by u ej Architect's Address
Zip Zip
Sq. Ft. New Area: 1 st FI.2nd FI. 3rd FI. Total New Area
Purpose of this permit C6' E
Ci Water WellV Septic System Sewer
Ins: HO SP Cert. ea Basement Garage
Approved by Date Use Group_,---construction Type
Revised W02
3i
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 wti' IN building an its e i Ilowed.
Signed l/f
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
O1/07/2009 12 53 (TOWN OF SOUTH WINDSOR PG
dayshelllpeart INSPECTION ENTRY piinsg
Location Type Dept Scheduled Performed By Result
10 BEELZEBUB ROAD FINAL 1440 12/16/2008 FLAN PASS
END OF REPORT - Generated by Peart, Dayshell **
Electric#
APPLICATION FOR BUILDING PERMIT
Plumbing# 10 Beelzebub Road Date:
HVAC #
Sprinkler# 800437_____
FINAL APPROVALS Estimated Cost 0
j ----Permit FeeBuildingCOMPLETEREDBOXEDAREASOccupancy Fee $ a
Engineering TYPE OR PRINT ONLY i Eng. Insp. Fee $Affidavit
Appr. for CO._
o rY
SIGN ON REVERSE SIDE
k Total Fee
I
TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT Additional Cost) $
The undersigned hereby applies to do work according to the following:
Applicant,L' ?C'c&114 Location of Work /n t3 F_ 1'LZ Lot No.
Applicant's Address f 17 i 1'x c: ";s''a 0 Tel.# 377- 3 S6 O
Town C Zip Lic.# C/A
Owner I_o92 r'ZV1V6- P_5o Tj-1 LC-C LC Architect
Owner's Address gc e4!9 _y43 Architect's Address
Zip Zip
Sq. Ft. New Area: 1st FI. I yDd 2nd FI. 3rd FI. Total New Area
Purpose of this permit ;7CP0g C ;M t%1VT pV jA11Qny_5 Ne l X 1 rc P 6Yy, Av L__7Ly 12!,-,e 3 o D2
Fttw-001- /Z 17 ARE14 CN IT tE r z,yl" -3 Zr /Al/' MINI/) G -
City Water Wets Septic Systemo Sewell_
Ins: HO SP t. Area Basement Garage
Approved by Date t Use Group Construction Type
Revised W02
ta!S, .
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 an its use is allowed
Signed y 1
i
I hereby apply for a Certificate of Occupanncccy for the wor escribed in this a placation for the permit.
Signed A/& 5
DO NOT WRITE BELOW THIS LII
INSPECTION COMMENTS
I
i
South Windsor Online Property Viewer 8/14/2008
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A
0 40144
feet
I
Property Information too sc.
Property ID
Location
Q y-4
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r•
MAP FOR REFERENCE ONLY
NOT A LEGAL DOCUMENT
This data set/map is for planning purposes only and should
not be used for larger scale analysis.The Town of South
i I Windsor shall not be held liable for any use of the data or
LJI images shown on this map,nor is any warranty of accuracyVexpressed.All uses of this data seUmap are subject to field
verification.
CERTIFICATION OF 7^, NII SG COMPLIANCE
Proposed bu'$-''- and/or structure(s)
as shc..__ - appear(s) to h 'I
oonf rrent South V.r
and special exc_• ;
ma/
Oate
Zo Wins Ergft—D ilmd Ofoer
BUILDING PERMIT 960e
STATE OF CONNECTICUT
WORKERS'COMPENSATION COMMISSION
Building Permit Affidavit for Property Owners or Sole Proprietors
Conn.Gen.Stat. §31-286b)
Property located at 10
In the town of S, ZAJ IND!54 Of
Name of building permit applicant: Cj ?ja(- 1776z L,A D y
Please check one:
1. dC I am the owner ofthe above property.
2._I am the sole proprietor ofa 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 thejob 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 ofa business is not required to have coverage unless he
files his intent to accept coverage.
Signature of applicant
Subscribed and sworn to before me this day of 200 .
Notary Public/Commissioner of the Superior Court)