HomeMy WebLinkAbout1049 John Fitch Boulevard Electric# APPLICATION FOR BUILDING PERMIT
Plumbing# 1049 JOHN F I TCH BLVD
Date:
HVAC # No. 25557
Sprinkler#
FINAL APPROVALS Estimated Cost $ Wd ,
Building 111fu v��--- COMPLETE RED BOXED AREAS Permit Fee $
Engineering TYPE OR PRINT ONLY Occupancy Fee $
Affidavit SIGN ON REVERSE SIDE
Appr.for CO. Total Fee $
TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR,CT (Additional Cost) $
The undersigned hereby applies to do work accnrrlinn r tq he following specifications:
)ob Location ��L f--KI_t V t No. Side of Street Zone
Applicant ' (/!il0a 1� e ; C, _ Tel # S'o -P—COa
Addr ss 10 �� S— lit/! .t / Zipo y lic. #
Owner 7 ddress /0 F t v f)
Architect Address
Sq. Ft. New Area: 1st A. 2nd A. 3rd Fl. Total New Area
#Rooms # Lavatories ` #Bathrooms #Garages
Purpose of this permit: O T (� (i iS dSP p "i /
20f
City Water C Well 0 Septic System 0 Sewer 0
Use Group Construction Type Area / Basement Garage
Approved by Date
Revved 6/95
I hereby agree to conform to all the requirements of the Laws of th 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 a zon hich this building and its use is allow d.
Signed -
I hereby apply for a Certificate of Occupancy for the work I' d this application for the permit
Signed
-- DO NOT WRITE BELOW THIS LINE --
INSPECTION COMMENTS
DEPARTMENT DECISION PERNUT#
APPLICATION FOR SPRINKLER PERMIT
Application is hereby TOWN of SOUTH WINDSOR
BUILDING DEPARTMENT Bld P #
APP&bg Permit
VED 1540 SULLIVAN AVENUE
IbJX Nk 644-2511 ext.230
Date Building Inspector
OMMENNESUMENEREN� Application must be printed or typed
Location of job
/041 J—L 9 L Y
Street No. Street Lot No.
FEE SCHEDULE
$0 - $1,000 - $12.00 Floor Apt.No.
Over S 1,000
$12.00 per S 1,000
Street
I--r
rso F
or OWNER
or any fraction thereof
ADDRESSWc/ :17 IQ i k I
OWNERS P 0 #11,01
APPLICANT '` �
01 k7W
A OW 14 4 ADDRESS
ESTIMATED COSTS
0
IS THIS A CONTRACT COST?
NO
FEE ENCLOSED $ L/va
ORO CQ TYPE OF JOB:
Original Installation
Alteration/Addition/Repair
Revised 10/96
APPLICATION FOR SPRINKLER PERMIT(Continued from reverse side)
FTYPE OF BUILDING TYPE OF CONSTRUCTION USE GROUP NO. OF STORIES
RESIDENTIAL IS'�S APPLICATION ASSOCIATED WITH A
BUILDING PERMIT APPLICATION YES NO
BUSINESS
ASSEMBLY CURRENT USE AND OCCUPANCY (I l= -
MERCANTILE
EDUCATIONAL FUTURE USE AND OCCUPANCY "�,,•�
INSTITUTIONAL
FACTORY ENGINEER'S NAME PHONE
STORAGE
GARAGE ADDRESS
MIXED USE
CITY STATE ZIP
(Other please specify) KIND OF INSTALLATION
DRY WET COMBINATION CHEMICAL
`7 Q
SIZE OF MAIN DRAIN
WATER PRESSURE AT STREET(PSI) '
--2-.�
ARE SPRINKLER HEADS ALTERED Y/N
IF YES CHECK ALL THAT APPLY ADDED DELETED ALTERED
IF MORE THAN 3 HEADS ARE ADDED HYDRAULIC CALCULATIONS ARE PROVIDED BY
(CHECK ONE) P.E. INSURANCE
O.
WATER FLOW WATER PRESSURE AT SPRINKLER HEADS(PSI)
ARE PUMPS REQUIRED YIN IF YES CHECK ALL THAT APPLY
FIRE BOOSTER OTHER
ARE STAND PIPES PROVIDED Y/N IS A SPRINKLER SYSTEM PROVIDED YIN
SPRINKLER SYSTEM MAIN WATER SUPPLY RATING GPM
TOTAL DYNAMIC HEAD(TDH)OF FIRE PUMP PSI
DESCRIPTION OF WORK
� Lim
Clip
00
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THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DE DES D THE AND IS
TO COMPLY WITH ALL LOCAL ORDINANCES O STATE OF COM.SUCH WORK. BUII.
PERFORMANCE
I NA PLICANT
AME STATE LICENSE NO. TYPE
DATE
PH ONE NO. �-- r��