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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 00LX Uvw gCio%9ntovrt75'J6 Nfi+d 1331i IAirv/aetutira:r4lYKion 3TEeaotruhd6r 4Wt1>iyoameetaaeetelaandelbmsYwe b, Fm 00T p MNX. 364 ) 54AZ j j' jy)}y}' y{, Mwiu AYNOWYeY YI'IOInIM a f.1'LL a `1• M I I h Of^YYK ri a-.O .UC.All"In PlRRYEO.Key mark wag ar4 yiwMrlF Mr M.rs'}I/w+M IMt.Vw ylift ow"dYY.e1MId..,4*0'ti laNa. Yr'wlwdhF.rid M91/N•1'dMry14MMEe•s,Nr yY •anyp,yry. 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 r p5 y yy Gf A 0 40144 feet I Property Information too sc. Property ID Location Q y-4 l WRI" if 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)