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Home My WebLink About132 Lisa Drive b�- 0 T BUILDING INSPECMR 6 �5 of 11:6 APPLICATION FOR PLAN EXAMINATION AND TOWN OF SOUTHWIHDSOR.CONK PLAN PERMIT z IMPORTANT — Applicant to complete all items in sections: 1, It, Ill, IV, and IX. 0 ` ZONING • AT (LOCATION) DISTRICT 3d LOCATION IN STREET) OF BETWEEN xze�� AND BUILDING (CROSS STREET) (CROSS sTC7ag19,S y ®oS SUBDIVISION LOT�_BLOCK SIIZE o�l�Or 1� ��• - II. TYPE AND COST OF BUILDING All applicants complete Parts A — D � A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use M 1 PETNew building Reside tia) Nonresidential 2 E] Addition(1/residential, enter number 12 FOne family 19❑ Amusement, recreational o/new housing units added, i/any, Two or more family — Enter in Part D, l3) 13❑ T E 19 Church, other religious❑ ❑ number o/units—— — —--b- 20 E] Industrial3❑ Alteration (See 2 above) 14 Transient hotel,mote T i h l l 21 ❑ Parking garage 4❑ Repair, replacement or dormitory — Enter number 5❑ Wrecking (1/multi/amity residential, o/units ——————— —i ❑ Service station, repair gang enter number o/units in building in 15❑ Garage 23❑ Hospital, Institutional Part D, 13) 16 ❑ Carport 24❑ Office, bank, professional 6❑ Moving (relocation) 25❑ Public utility 17❑ Other — SpeciJy 7 ❑ Foundation only 26❑ School, library, other educational S. OWNERSHIP 27❑ Stores, mercantile 9 Private (individual, corporation, 28❑ Tanks, towers nonpr fit institution, etc.) 29❑ Other — Speci/y 9 ❑ Public(Federal, State, or local government) C. COST (Omit cents) Nonresidential — Describe in detail proposed use of buildings,e.g., 1 ad C. processing plant, machine shop, laundry building at hospital,elementary 10. Cost of improvement................ SIAJ and school, secondary,school, college, parochial school, parking garog for, department store, rental-,office building, office building at Industrial plant. To be installed but not included If use of existing building is being changed,enter proposed use. in the above cost a. Electrical....................... b. Plumbing ...................... c.Heating, air conditioning......... d. Other(elevator, etc.)............ 11. TOTAL COST OF IMPROVEMENT $ 0 1. 0 od III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L; for wrecking, complete only Part J, for all others skip to IV. E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS 30❑Masonry(wall bearing) 40 Public or private company 48• Number of stories................ 31 p Wo d from• 41 ❑ Private (septic tank, etc.) 49• Total square feet of floor area, all floors, based on exterior 32❑ Structural steel dimensions ..................... 33❑ Reinforced concrete H. TYPE OF WATER SUPPLY 34❑ Other — Speci/y 42 Public or private company 50. Total land area, sq. It. ........... 43❑ Private(well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed ....................... CP- 35 Gas Will there be central air 52. Outdo rs........................ 36❑ Oil conditi ning? L. RESIDENTIAL BUILDINGS ONLY 37❑ Electricity 44❑ Yes 4S rTrN 53. Number of bedro ms.............. 313 ❑ C el 39❑ Oth r— SpeciJy Will th to b an at vat ri Full.......... , 54. Number of 46❑ Yes 47 VN bathrooms Pertlol........ L. IV. IDENTIFICATION — To b c rnpl t d by all applicants Nam Mailing address — Number, street, city, and State ZIP code Tel. No. Owner or Dart Hill RealtyInc. 658 Ellington goacl O Lessee South Windsor.n 2. Same same Contractor 3. Architect or Engineer The own r of this building and the undersigned agree to conform to all applicable laws of this jurisdiction. Signature of applicant Address —7Applic ti n to DO NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plan Review Date Plans Date Plans Plans Review Required Check Fee Started By Approved By Notes BUILDING $ PLUMBING $ MECHANICAL $ ELECTRICAL $ OTHER is VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approval Check Obtate ained ned Number By Permit or Approval Check Ob ate Da ned Number By BOILER PLUMBING CURB OR SIDEWALK CUT ROOFING ELEVATOR SEWER ELECTRICAL SIGN OR BILLBOARD FURNACE STREET GRADES GRADING USE OF PUBLIC AREAS OIL BURNER WRECKING OTHER OTHER VII. VALIDATION Building P rmit number CIO Bui Iding P rmit issued zp,5 19 Building Permit Fee $ 13e OC> C r C) r (� ��, cad Ap 1 TOWN OF SOUTH WINDSOR BUILDING PERMIT Date ju1.=--2 5 , 19 86 10 THE SJllMd, JErT. EsiTAh certified that this plan end sr. �,�c � � re true Fee Paid �$.6 4.2.0 0 �, Value 10 7.,0 0 0 oOpies of the proposed building or ,i.-, s to be Mew at 26 jisa 'J( - - - Street together with airendr +t - ' `r+ and Permit N•O 15298 filed with plan and I -gr . t ^ing, Building and st t� I as =-d , it be issued by the Cuilding D,p rt q p r leney 31' this applieatiun and final i--u.nce of ? )A,ding peftl'1it. on the aide of Signed -- --- 13 8 this plan Is �ppr,vgd subject t•, th- rI Lion that Lot la ,^ 8 Lisa Drive Save orders and roi ii nces rt guluting b ddaig, small pg complied I;. -:onditlon fly Approved These filed witA Street No. Building Insp,,ctor Cleft (Amer Dart Hill Realty Inc._ Ao Applicant Mur le 1 Jacque s CERTIFICATE OF OCCUPANCY ISSUED: Date No. 7691 Fee Paid $3 •0 0 CLASSIFICATION Dwe l leg BUILDING PERMrr M 15298 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South, Windsor, Conn. -l_ 26 1%6 94a is to Certify, That Dart Hill Real" ;no is hereby granted permission to 11-4 n90 at estimated value of on the side of *^� �X j a om- n D ;� Street on land owned by Dart gill Malty TnC, Said Work to be as described in Application No.155211 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issued Jn1y 25 19,860 Building Inspector. Streets and sidewalks, obstructed by excavations or building materials, must be guarded by barriers during the day and by both barriers and colored lights by night. SECTION 1343, GENERAL STATUTES OF CONNECTICUT: `When any person shall p1m or keep building materials, or any obstacle in any highway (or any sidewalk) either with or without a license therefor from the city or borough in which such highway may be situated, he shall pay said city, town or borough all costs and damages which it shall sustain, or be compelled to reason therefor." Dwelling - Lot #88 Mtn vw. 3 7/25/86 Dart Hill Realty 1,3.2 Lisa Drive Permit #15298 Electrician Richard Barrett # 9406 Heating Contr. So .Windsor P/H # 6612 Plumbing it So.Windsor P/H # 7165 Oil Burner # Certificate of Occupancy #7691 Sewer Permit Plot pla apprd. peF pngr. M , M � r ; Permit No. `` i TOWN OF SOUTH WINDSOR SOUTH WINDSOR, CONN. ; N r r _ Permit W 9 7691 i i Certificate of Occupancy THIS TO CERT Y thate --' at No. F - the jiwn of South Windsor, Connecticut, has been erected and completed in accordance with e B ' irg Code and Zoning Regulations of the To"'of of South Windsor, and is hereby appro ed or occupa 112 �r (� Building Inspector Owner, Builidot Fee Paid�':)'� Date 19 y a4. A I 11111110i 4 1A, &&VIIIIIIIIIIIII, oLqMYORS (wouft 40� GLAST "btf t N op t 2-4 sob no /F 3zA OTHER LAND OF DART HILL REALTY INC. "to'r "NES f#ChA MAP C*J FILE T111AD, 15PAce 5uwp 5K>m Jt-50 7_01A '.FUG. ,KAN SIMT104-?_ MCONTAIMPEW MAP No, . - ►� cp� ex"s , RILM Z_ZA-1 8<0 PPZPAF4ED FOR DART HILL REALTY IN JUWANTIALLY CMIM-17 SOUTH WINDSOR, CONN. SCALE-. 1 *40' o ov,be '�L TO THE BUIDHi : ?. ,)Si* This certifi^d that t i-� A true copies of the prcpos-u 1 ,n to be erected at i3 a CSC � � --- street together w th r,,, and }lied with plan i ,inq, Building and .t t I s II be Issued by the �,,1ldir,7 ency of this application and fv; I ding permit. Signed _ This plan Is r r v j hat orders and r. a 51,, be Complied . t i Condition-ay N,)pr vad 1i�d w.th Building Inspector C,erk Date No, I �s C; l 9406 ELECTRICAL APPLICATION Application No. 10 918 on the Side of Lot #8 8 Lisa Drive Street Street No. 13 2 Owner Dart Hill Realty Electrician Richard Barrett FILED IN OFFICE OF The Building Inspector O r-t 1 19$4S._ INSPECTION. ter No Electrical Work shall be started until a Per- mit is granted by the Building Inspector. In New Buildings no wiring shall be started until the plumbing and heating pipes, and the ere stops (if of wood) are installed, without a special permit from the office of the Building Inspector. Electrical Permi N . t ..._f1..�C............... _._ Master License No. ..... TOWN OF SOUTH WINDSOR Building Permit o. .1�. . ...................... . / BUILDING DEPARTMENT Date Filed ..........L. .... �_........�(�'........................... APPLICATION FOR ELECTRICAL WORK Date Final Approval .........................................._..... Electrical Inspector JOB LOCATION: , ( � .........`--�...................�� ........ ............_...... JOB OWN_ ER. `. �.r..`...`..►........��... ...:.`....la.........�:r%............__.......... �.:Ct Side of .. .. .. .�.`....4�.... . ...... Between ....... �` .�...`...��'.<<_.............. and - ........................... Name of BuildingOwner .. ( . ...............r �1 .......CL-••n�� l ............ .. ... .......... Address L�.r.l.. If work is for Lessee--Give name ... Address Building now occupied as (unless new) ............... ................... No. of family units now ...... �� • c ��i�'\-C ....................... Building to be occupied as ........ ......... ... . .4� ......... ...... ......... Number of family units to be ...... .�....................... Is this work included in a Building Permit? Permit Fee ............. <— (If no Buildi Permit) Permittee ,.��.�'��5�.\ + . . - � (�-�? Business Address ...r_�C . ... L�,.U, ��.�............ Telephon ........ ..... COST OF INSTALLATION: .''1�...C-o............... TO BE FILLED OUT BY PERMITTEE TO BE WIRES) EXISTING APPLIANCES Number of light outlets to be installed Number of convenience outlets to be installed �.�� Number of present Appliance Circuits ................................................. Number of switches to be installed �..' **- Do these include Range ❑ Water Heater ❑ Number of appliances to be installed .................. (as listed below) Dryer ❑ Air Conditioner ❑ Oil Burner ❑ TYPE RATING NO. Dish Washer ❑ Gas Burner ❑ Range Well Pump ❑ Elec. Heaters ❑ Range Top Oven . . . . . . . . REMARKS: Water Heater Clothes Washer . . . Clothes Dryer . . . . J � Dish Washer . . . . . . Air Conditioning Motor . Oil Burner Motor . Gas Burner . . . . . . Circulator Motor . . . . Attic or Large Fan , , , Well Pump . . . . . . Electric Heat . . . . . Other . . . . . . . . Number of new Lighting Circuits '. .......... Number of new Appliance Circuits ..�_...._...._..... Number of Heating Circuits ................. Number of Motor Circuits . . . . . . . _�._ ..._ Size of present service ............... . ... ....................... ... Size of service to be ..............; Ala .._ _ 7165 PLUMBING APPLICATION Appiicatm No. 6835 on the ......_...._...___ -side of dot_#88 Lisa Drive Stect Street fin ......-- __ 132 Owner Dart Bill Realty Plumber So. Windsor P/H Filed in Office of The Building Lrpecoor 11/5/ 19 No person shall contract, add to or alter sy portion of the drainagr system of mf bw (a=pt to repair 66) uncoil a Pkrmrt is guested by the Building Inspeetor. APPLICATION FOR PLUMBING PERMIT (Continued from Reverse Side) TOWN OF SOUTH WINDSOR, CONN. 83 Lisa Drive 11. LOCATION OF JOB NO. STREET FLOOR APT.NO GENERAL PLUMBING it Residential_ 12. KIND OF INSTALLATION 13. SIZE OF MAIN DRAIN 4 r�� 14. NO. OF TOILETS STYLE Tan-. 15. NO. OF URINALS STYLE 16. NO.OF BATHTUBS 1 17.NO.OF LAVATORIES 3 18. NO.OF SINKS 1 19. NO. OF WASHTUBS 0 20. NO.OF CONDUCTORS SIZE 21. NO. OF STACKS._�SIZE 2!' 22. AREA OF ROOF 23.NO. OF CATCH BASINS 24. NO. OF FLOOR DRAINS 25. NO. OF OTHER FIXTURES 1 KIND 26. ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW? seS 27 SIZE OF WINDOW 28. IF NO WINDOW, WHAT KIND OF VENTILATION IS THERE? L ectric Veit: Fan �� 29. SIZE OF DUCTS 3 30. ARE SEWAGE AND WATER FACILITIES AVAILABLE? Yes SIGNATURE DDRESS 524 Burnham St. So. Windsor ,Ct . 06074 205066 LICENSE NO. ESTIMATED COST J ryo. C' � TELEPHONE 5"'- 13 Dare Hill Realtcy , Inc. 658 Elli irrt:on Rd. So. Winds or ,C-L�:. 06074 OWNER ADDRESS WATER HEATER Gas Fired A. O. Smith 31. TYPE 32. MANUFACTURER TANK SAFETY DEVICES 33. CAPACITY 40 Gallons 37. TEMPERATURE RELIEF VALVE 21 O 34. TEST PRESSURE 150 �38. MANUFACTURER_ ylat LS 35. WORKING PRESSURE 80 39. PRESSURE RELIEF VALVE 150 36. TYPE Glass Miied 40. MANUFACTURER atts ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY THE OWNER OF THIS PROPERTY AND WILL BE DONE IN STRICT ACCORDANCE WITH THE BUILDING CODE. le- CD962 DATE SIG OF AP ANT 1 PERMIT # Application For1.4 to 6 410 6 612 DEPARTMENT DECISION Heating Permit FA 3 APPLICATION IS HEREBY: DEPARTMENT OF LICENSES AND INSPECTIONS C 7 APPROVED DISAPPROVED TOWN OF SOUTH WINDSOR a 11/5/86 Thomas P. D' Auria 00 nl DATE CHIEF INSPECTOR AP►LICATION$ MUST •[ PRINTED OR TTP[O. BE IN WITH NUMBER ONE •tL • O d1 4-1 aD � .� 1. LOCATION OF JOB n Lisa Drive o 132 Lr 00. STRICT a3 C it88. LOT NO. FLOOR APT. NO. Dart hill Realty, Inc. :. OWNER ° S. ADDRESS 6 5 8 E l 1 in;ton Rd' . boo �°q F. _ So. Windsor ,Ct. 06074 4.rHOME 528-4413 � a South Windsor Plumbing •. APPLICANT a s. ADDRESS 524 Burham St. So. Windsor , Ct . -7.PHONE 528-4413 o ,c ,g 307190 R. LICENSE NO. 4j *. EXPIRATION DATE OF LICENSE 10-1-$7 v 5r 10. ESTIMATED COST � 8 Er" 11. IS THIS A CONTRACT COS" ® YES O No 00 12. FEE ENCLOSED S Pp-rm i fi 1 S 2 A R K t� t>f. TYPE OF BUILDING: an b.l RESIDENTIAL ❑ COMMERCIAL O y 14. TYPE OF JOB: ❑ INDUSTRIAL cc 3 RIGIMAL ❑ ALTERATION INSTALLATION ADDITION REPAIR . 1 TO THE BUILDING INSPECTOR of Id6 APPLICATION FOR TOWN OF SOMH CAM PLAN EXAMINATION AND WVADSM BUILDING PERMIT z IMPORTANT— Applicant to complete all items in sections: 1, 11, 111, IV, and IX. ZNING 1• AT (LOCATION) /Zc:2 // DISTRICT LOCATION . I"a•)BETWEEN (STREET) OF Te�;s I F—• AND �+ je� ��- BUILDING ��-► ,�/` (cmoss STREET) (CROSS STREET) SUBDIVISION!''��/V/( 'i/`�V(�" `-"�' cam LOT-0-BLOCK SIZE 10 N 11. TYPE AND COST OF BUILDING — All applicants complete Parts A — D A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking••most recent use "'�"� 1 i{d+nq.�/l/yl�/✓�r'160 41- Residential Nonresidential 2❑ Addition(1/residential, enter number 121RrOne family 18❑ Amusement,rocreati nal o/new bousine units added, i/any, 13❑Two or more family - Enter 19❑ Church,other religious • in Part D. 13) uanbsr o/anus-----►._�� - - - 3 C] Alteration (See 2 above) m 20❑ Industrial 14❑ Transient hotel,motel, 21 ❑ Parking garage 4❑ Repair,replacement or dormitory - Enter nwnber 5❑ Wrecking(I/multifamily residential, o/units------- -- 22❑ Service station, repair gw" enter nunber o/units in building in 15❑ Geroge 23❑ Hospital, institutl nal Part D, 13) 160 Cast 24❑ Office,bank, professional 6❑ Moving (relocation) tT�h ther -specify .25 C:] Public utility 7❑ Foundation only ��'\ t;�dp�l�.J �C] School, library,other educational Be OWNERSHIP 27❑ Stores,morcontile ❑ , BPNvato(indivtdwl,corporation, Tanks towers etion, ` d�� Other - nonprofit institution,eta.) Specify ❑ 9 ❑ Pubii (Federal,State,or local government) C. COST (Omit manes) Nonresidential - Describe in dotal proposed use of buildings, .g..food processing plant,machine shop, laundry building at hospital,elementary 10. C st f improvement..........•••.. CDC school,secondary school,college,parochial school, parking gerag f r. department stem,rental office building,office building at industrial plant. To be installed but not included If use of existing building is being changed,enter proposed use. in the above cost J�0.11 b.Plumbing........a..*........ c.Meeting,air conditioning......... d.Other(elevator,etc.).......►..... 11. TOTAL COST OF iMPROV MENT III.SELECTED CHARACTERISTICS OF WILDING —For new buildings and additions, complete Parts E'— L; • for wrecking, complete only Part J, for all others skip t 1V. E. PRINCIPAL TYPE OF-FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS 30❑Masonry(well bearing) - 46 Pubile or private company �• Number of stories................. 31❑Wood frame 41�Private(septic tank,etc.) 49• Total squem feet of floor area, . all floors,based on exterior 7 32 iruetural steel dimensions ..a.*.*.............. T 33 Reinforced concrete It.TYPE OF WATER SUPPLY ubl)e or private Company 30• Total lend are@, sq.ft............ 34 other - Sped/y , 43❑ Private(well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL st• Enelosad....................... 35❑ Gas Will therm be control air SZ. Outdears........................ 96❑Oil conditioning? L.RESIDENTIAL BUILDINGS ONLY 37❑ Electricity 44❑Yes _._ 45 33. Number of bodroems....:......... 35❑ Coal - 38❑Other-Speei/y WIII there be an lovetor? full.......... - - _. SC Number of _ 46 Q-Y a 47❑No bathrooms IV. IDENTIFICATION — To 6 c mpl t d by all applicants Nam Meiling eddr ss — Number, street, city, and State ZIP cod T I. N Own r or Lessee 2. ContractorQ�Ga_� �J r A•rchiteet or ��• Engineer Th wn r of this building and the undersigned agree to conform to all applicable laws of this jurisdiction. Signatu lica Address _ Application date 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Required Check Plan Review Date Plans By Date Plans By Notes Fee Started Approved BUILDING $ PLUMBING $ MECHANICAL $ ELECTRICAL $ OTHER $ V1. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approval Check Date Number B Permit or Approval Chock Date Number By pp Obtained y pPr Obtained BOILER PLUMBING CURB OR SIDEWALK CUT ROOFING ELEVATOR SEWER ELECTRICAL SIGN OR BILLBOARD FURNACE STREET GRADES GRADING USE OF PUBLIC AREAS OIL BURNER WRECKING OTHER OTHER r 11. VALIDATION Building P rmit number Building Permit i s su d - — Building P rmit Fe $ y A rove y: _ c � TITLE i TOWN OF SOUTH WINDSOR BUILDING PERMIT Date tme A#_, 19 S7 Fee Paid $.84;ap Est. Value $. 13;875.00 Permit N° 15995 on the side of Street Street No. Owner Amdvwter, Applicant —Game-etg 3; ,:p__j CERTIFICATE OF OCCUPANCY ISSUED: Date No. Fee Paid $ CLASSIFICATION ukaround Poop BUn DING PERNO T N° 15995 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. June 18 1987 94is is to Crrti fg, That Dal P Pnnl c is hereby granted permission to build at estimated value of $ 1g9g7§100 on the side of 132 Lisa Drive Street an land owned by Andrew Colletta Said work to be as described in Application No. 16284 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. s �r inc� 1987 Building Inspector. Streets and sidewalks, obstructed by excavations or building materials, must be guarded by barriers during the day and by both barriers and colored lights by night. SECTION 1343, GENERAL STATUTES OF CONNECTICUT: `When any person shall place or keep building materials, or any obstacle in any highway (or any sidewalk) either with or without a license therefor from the city or borough in which such highway may be situated, he shall pay said city, town or borough all cats and damages which it shall sustain, or be compelled to reason therefor." �4f- s 7:5-oil ss ISPECTION REPORT Permit # s Jobs 1 Footing � �� 10 2 Foundation 3 Framing 4 Wiring... ,/ - Y►L1 � R1�Er1S HA1r� �/ 7 5 Plumbing 6 Heating 7 Lathing 8 C.O. Permit NO. 9762 ELECTRICAL APPLICATION Application No. 11268 on the I;&of Sttret Street No. 132 T.i� Dri vP Owner Andrew Colptta Electrician David Birkenshaw , FILED IN OFFICE OF The Building Itdpccta July 1 19 87 INBPWr[ON. aw No Electrical Work shall be started until a Per- mit is granted by the Building Inspector. In New Buildings no wiring shall be started until the plumbing and heating pipes, and the Are stops (it of wood) are installed. without a special permit from the oAice of the Building Inspector. Electrical Permit No. Master License 1; TOWN OF SOUTH WINDSOR Building Permit ... BUILDING DEPARTMENT Date Filed ................ o. ...... .........- Date Final Approval ............................................ APPLICATION FOR ELECTRICAL WORK Electrical Inspector OB LOCATION: /..?z.... .....G.S1. ...............az�-,-,................. JOB OWNER: .......... .......... ...... Side of ............................................................ ... ....... Between ................................................................................ and Nameof Building Owner .... ...........4�. .... ...................... Address ........................................................................................................ Ifwork is for Lessee- .Give name ................................................................................................ Address .............. Building now occupied as (unless new) .......................................................................................................- No. of family units now ................................. Building to be occupied as ................................................................................................................... Number of family units to be .................. Is this work included in a Building Permit? . ................ Permit Fee ........... /9 N (If no Building Permit) Permittee . ......Ij 1i2Ae.<.,.�54(-6 czj............ Business Address Telephone COST OF INSTALLATION: .............j�s.- ........................................................ TO BE FILLED OUT BY PERMrffEE TO BE WIRED EXISTING APPLIANCES Number of light outlets to be installed . . ............................ Number of convenience outlets to be installed .... ......... Number of present Appliance Circuits ................................................. Number of switches to be installed . . . ....... ......... Do these include Range ❑ Water Heater [3 Number of appliances to be installed . . . .............................. (as listed below) Dryer [3 Air Conditioner ❑ Oil Burner 0 TYPE RATING NO. Dish Washer ❑ Gas Burner ❑ Range . . . . . . . . Well Pump ❑ Mee. Heaters [3 Range Top . . . . . . Oven . . . . . . . . R Water Heater Clothes Washer . . . . Clothes Dryer . . . . . "07 Dish Washer . . . . . . Air Conditioning Motor C,C,111-7- W Burner Motor . . . . Gas Burner . . . . . . Circulator M for . . . . Attic or Large Fan . . . Well Pump . . . . . . Electric Heat . . . * - - Other . . . . . . . . Number of new Lighting Circuits ...... Number of new Appliance Circuits Number f Heating Circuits ...... Number of Mot r Circuits . . . . . . . Size of present service ........................... Size of service to be ............. ...... LDke RTMENT DECISION APPLICATION FOR PLUMBING PERMIT PERMIT# lication is hereby: TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT =APPR6-YED1540 SULLIVAN AVENUE Bldg.Permit# ((/X.- at644-2511 ext. 230 Building Inspector Application must be printed or typed Location of Job: FEE SCHEDULE :3 a L.tSA D(:z w IF $0-$1,000=$13.00 Street No. Street Lot No. Over$1,000= $13.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. Ail Plumbing Re ar, ► APPLICANT I"I c A49AN4.41u" f P.O. Box 81'3 APPLICANT ADDRESS All Plumbing Repair, Inc. Tolland, CT 06064 k P.O. Box 853 Tolland, CT Ot,'C34-085:3 APPLICANT PHONE# g 740 -,3 a 5 NS 01100,111,11111111,1111111111111 OWNER Q A A N H 3 ti C Pq G v a OW � � OWNER ADDRESS L I SA CK Iv u OWNER PHONE g 3 0 1 C ESTIMATED COST$ '1-7 a 'U IS THIS A CONTRACT COST? )I Yes 13 No F. FEE ENCLOSED$ r 3 � TYPE OF JOB: sOR�C� O New Installation IgAlteration/Addition/Repair Revised 8/99 APPLICATION FOR PLUMBING PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION? ❑YES ❑NO RESIDENTIAL ❑BUSINESS CURRENT USE AND OCCUPANCY ❑ASSEMBLY ❑MERCANTILE FUTURE USE AND OCCUPANCY ❑EDUCATIONAL ❑INSTITUTIONAL ENGINEER'S NAME PHONE ❑FACTORY ❑ STORAGE ADDRESS ❑ GARAGE ❑MIXED USE CITY STATE ZIP TYPE OF INSTALLATION W At-o-, �J &A f r e- 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 f✓./f VA f A-S MANUFACTURER S �°- DESCRIPTION OF WORK � cP IJ4(- - ex Is I/V S� %Ai -A JAA Gas 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. 2vy,R ,5gg p - r ci CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT DATE 3 " •Z