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HomeMy WebLinkAbout129 Ident Road (2) 6091 14 ELECTRICAL APPLICATION Application No.. 6400 M on the side of Ident Road Street Street No. 13 Owner Dennis Brown Electrician Gartner Electric Go FILED IN OFFICE OF The Building Inspector Sept. 23 ig 76 INSPECTION. A*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 fire ,tops (if of wood) are installed, without a special permit from the office of the Building Inspector. APPLICATION FOR PERMIT TO DO ELECTRICAI. WORM. J No. ......kiilx.E k.0.0 Permit No. .......6 0.9.1................... TO THE BUILDING INSPECTOR of the TOWN OF SOUTH W INDSOR, CONN. ................ hereby make application tq perform Electr cal Work according to detailed description below. All provisions of the Rules for Electrical Installation, Section 48, Building By-Laws, shall be complied with whether specified herein or not. ;6, 1 South Windsor, Conn., ...1-2.6........ .............. .............. 19.16 Sign here... . .. . .... . ... Address . ........... .. Location3.1........`..�....F............................... .� .............................................. Side of ................................................................................................................................ Nature of Buildin ........&.J .................................. How many stories ................1Z..............................................................._........ gNew or old Building ..... ......... ... . ......................... .... ................ How many families .................1......................_.........._............................_........... Kindof Installation ....... . .......... .............. ..... How many Stores ...................................................._............................................ Owner ................... ....... ....... .. .,................... .../.../.. !�".vl........__............... Address ...........'A. ............. . ....._........... _..__..W..._......._........___-_.... Architect ....................................................................... .... ......................................... Address ........................................................................................__.__........._......_.... Builder ................... ............................. . ....... ............................ .. Address ........................__._... ....... 2 Zo Electrician ............iS .................. .. Address . .......... .......................................... .. j D of Main Wires ............. .. ............................. No. of Light Loops ...................... ..... ....... No. of Heat Loops .................. .. No. of Power Loops .......................__._..._.... No. of Light Outlets ................ .............. No. of Heat Outlets ....... ........ No. of Power Outlets ............................ NoP of Light Circuits ............ .. ............... No. of Heat Circuits ..... ... . ........... No. of Power Circuits ................................ No. of Sockets .............................. ....... ...... .. No. of Heat Receptacles ... . ... .. .. ... No. of Motors ...................................................... No. of Panels .................................................. .. Size of Heat Circuit ... ... ...... . . ........... No. of Power Receptacles ....................... No. of Switches .......................... ........ .. Total Wattage .................................................... Size of Power Circuit .................. .. Total Horsepower ........... ..... ........ .......... No. of Straight Electric Fixtures ... . . ........ ........................ ........ No. of Combination Fixtures .................... ..................... ............... No. of Receptacles ............................................................................ ............. No. of Cord Drops ................................................................................................ Remarks: For other kind of Installation ...... ............................................... ......................... ............................................................................................................. ..................... /Vf...�f.. ..................................... ............................ ..............._............... ........................ .......................................................................... .............. ........................................................................................................................................................................................................................................................................................................................ Boa Estimated Cost ... ... .... ...................I.................. FINAL _eP oN Building APPLICATION FOR BUILDING PERMIT � Plumbi HVAC Date: Sprinkler 12% IDENT ROAD Electric Estimated Costs v 000 Zonin Permit Fee$ a y Affidavit NO. 21740 VOccupancy Fee $ 3 Eng. Dept. COMPLETE RED BOXED AREAS. ��1 00 Fire D pt. TYPE OR PRINT ONLY Total Fee $ Health Dept. SIGN ON REVERSE SIDE. Approved for CO: (Additional Cost) $ TO BUILDI ARTMENT, TOWN OF SOUTH WINDSOR, CT The undersigned, hereby applies to do work according to the following specifications: Job Location Lot No. Side of Street Zone Applicant c�v�uc.� 4� Tel. # �70^�Yyy Address P,O 00K loa.� S 4 I' Zip 046P-7 Lic.# STREET CITY STATE Owner All ad yl o X 07-HE?-S Address 2`ti EA..*.r 4 S OO- Architect� ��'o Address ��' �� wee &A,+-6 "" L / " 2 Size New Area: Ft.Front Overall._A{1c Ft.Deep Overall 2 y'�6 Total Area �7 #Garages Lavatories Size of Lot Dist. from Street Line —Bathrooms—Rooms 1st 2nd__L3rd --s Purpose of this Permit �.� Z Cam' a/rl l✓ Nd< o N F '� �Ct/' � r-1 City Water 13 Well e$l—, Septic Sewer 0 Use Group 114 Construction Type 82 Approved by Date ZL BD1A 11/88 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' located in a zone in which this building and its use is allowed. Signed I hereby apply for a Certificate of Occupancy for the work described in this p io Signed —DO NOT WRITE BEIDW THIS LINE— INSPECTION RECORD Footing Framing Foundation Fireplace/Chimney Insulation Plumbing Permit# Inspections: HVAC Permit# Inspections: Electrical Permit# ��., Inspections: Sprinkler Permit# Inspections: Inspection / Approval Date By Appl Code Description Due Whom Code Comment ------------------------------------------------------------------------------- 94-21740-B 40,000 B01 FOOTING 08/29/94 JFH D NOT READY B01 FOOTING 08/29/94 JFF A B03 FRAMING (ROUGH) 10/03/94 JFH A E01 SERVICE 10/03/94 JFH A RELEASE ISSUED E03 ROUGH 10/07/94 JFF A KITCHEN B04 INSULATION 10/12/94 JFF A E03 ROUGH 10/12/94 JFF A GARAGE B10 FINAL 11/10/94 JFH A 94-13202-E 1,800 Total Est Value 41 ,800 RESIDENTIAL PROPERTY �;.;. - ._. SUMMARY CARD STREET C MAP PARCEL. DEV.LOT CODE 129 131 Ident Road O b AMOUNT No. 7 & �-,e v,tt _ ". x'r;. LOT r MAILING ADDRESSACRES 31 31DWLG RECORD OF TRANSFER DATE -VOL PG SALES PRICE REMARKS: �y OUTBL Sp0 OUBLDG. 'au�00 Br Dennis R. & Ja e i A. r 8- -76 21 ' 21 34,900 CONDO s - • , r bur TOTAL S�¢000 �Sienkiewicz Michael Walter & Maxie Nadeau Sury 4-15-86 431 a 2 C LOT 1 . Gothers, David M. & Brenda Be (Surv) 8-26-87 495 421 170,000 W ACRES 3 DWLG. 3 01 OUBLDG. 4 CONDO S TOTAL LOT 1 ACRES 2 y v a)i)L rz n N s -? -S°� DWLG. 3 OUBLDG. 4 CONDO S ;5 Po y d 7 SAiq C 44 N1 LOT DIMENSIONS: 263.74 150 x 266.38 x 150 TOTAL INTERIOR INSPECTED: X y C I l+ Dc LOT 1 w DATE: D - Z 7• �'�� ACRES 2 ACREAGE COMPUTATIONS DWLG. 3 I I LAND TYPE f OF ACRES PRICE TOTAL ADJ. VALUE FACT. ASSESSMENT OUBLDG. 4 BLDG LOT 3S00 O 33400 &,3 w Q CONDO 5 FRONT TOTAL LOT 1 REAR ACRES 2 i DWLG. 3 WASTE OUBLDG. 4 { CONDO S i TOTAL TOTAL SITE INFORMATION RENTAL INFORMATION LOT 1 ZONE _ p WATER UNIT 1 2 3 4 by Date f HILLY SEWER MONTHLY RENT Maas i- 10-z 7 s ACRES 2 } DWLG. 3 ROUGH WELL (INCLUDES) LLgI /� rl HIGH SEPTIC WATER p 01 OUBLDG. 4 LOW COMM.WELL HEAT Review CONDO 5 SWAMPY' GAS ELEC. TOTAL LEVEL GAS SOUTH WINDSOR.CONNECTICUT `� FOUNoATION FINISH BASEMENT PLUMBING PRICING , cone.Walk Total Sq Ft. Bath Room Z Ban �q Cone.Blk.Wells Fin.Bsmt.Living Area St.Shower Bath Fin.Bsmt.Rea Room Bsmt. ' Cone.Slab Quollh A 0 F St.Shower Eat. X T�ir/J/C F,y//e C OiV I� Wells , Brick walla Bsmt.Gar. Toilet Room Roof • Stone wells INTERIOR FINISH Two Flat.Bath Floors . Pion 1 2 3 Lavatory Extra Bsmt. F Plaster Sink Insul. Attie •f- 1 ` r % r/s Knotty Pine Water Cie.Extra . EXTERIOR WALLS Plywood Water Only Dormer Double Siding Shoetrock No Plumbing esmt.Fin. '. Single Siding Ink Fin. ry ' Shingles FINISH ATTIC r; Cone.Bik. 6 F P Total Sq.Ft, Host Face Brk.On Int.Layout 7 ✓ Fin.AtMc living Area Auto Ht.Unit Veneer Int.Cond. ✓ Semi.Fin.AIti'Lhdng Area Fireplace Cam.Brk.On HEATING Quality A G F � Plumbing Solid Com.Brk. Hot Air Dormers Ln.Fl. 412 Air Coed Steam ✓ f IYL-�Qy Blanket Ins. Solar Hot Water Roof Ins. Air Cond. Total Heat Pump ROOFING COMPUTATIONS ,y Asph.Shingle Pipeless Furn. S.F. 73s 9 •r7.�, d•P Wood Shingle No Hut X 7 yR AsM.Shingle Oil Burner A1,A S.F. Slate Solar 3 G S.F. Tile- Gas ROOF TYPE Electric 8 AlS.F. NO. DATE COST OUTBUILDINGS Gable Flat Zone 1 2 3 a Q 8' S.F. BLDG.PERMIT 1 2 3 4 5 Hip Vr Mansard FIREPLACES/STOVES S.F. Found Gambrel Fireplace Stack Siding $ L FLOORS Fireplace CERT OCCUP. Fl00r C ' Cone. Stove Stack Roof $ Earth SfOVe OWNER Pine ROOMS APPLICANT Plumbin Hardwood I/ Bsmt. Q . r� g CLASSIFICATION Asph.Tile 1sf Schedule Total 8 Q W.W. 2nd / Market Adjustment 3rd Adjusted Total OCCUPANCY CONSTRUCTION SIZE AREA YR BLUT REMOD.YR EFpF.AGE COND REP.VAL. Phy.Dep. PHYS. VALUE Funct.Dep. ACTUAL VAL. Eo FACT ASSESSMENT i DWLG. .2f7 j)fl .� r�1 a1 /� J k— �y /91 O 13 0 OD OO 70 o rJ o v 2 3 4 6 6 7 9 10 3ur0O TOTAL �`OwN •t, 1540 SULLIVAN AVENUE SOUTH WINDSOR. CONN. 06074 R•C AREA CODE 203/644-2511 AREA October 12 , 1993 C E R T I F I E .0 M A.__L-L Mr . and Mrs . David Gothers 129 Ident Road South Windsor , CT 06074 RE: ZBA Application #2159-93: David & Brenda Gothers 129/131 Ident Road Dear Mr . and Mrs . Gothers : At the meeting of the Zoning Board of Appeals held on October 7, 1993, your request for a 30 ft . variance to Section 10. 2 of the zoning regulations to the rear yard for a screen-in porch to be 20 ft. from property line (50 ft. required) and 5 ft . variance to the side yard to allow a 2-car garage 15 ft . from property line (20 ft . required) at 129 and 131 Ident Road, A-40 Zone, was approved. The Board noted the hardship with this appeal to be that the house was constructed in 1914, prior to adoption of the Zoning Regulations , on a then different road than it presently fronts . This action is effective October 7, 1993 and upon your filing of the enclosed form in the Town Clerk's office at your own expense. Very truly yours, Robert W. Warren, Chairman Zoning Board of Appeals RWW/asb Enclosure PERMIT N DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT Application is hereby : TOWN OF SOUTH WINDSOR BUILDING INSPECTION DEPT. APPROVED DISAPPROVED 1540 SULLIVAN AVENUE 644-2511 Ext . 230 ate lding Inspector Application must be printed or typed 1 . LOCATION OF JOB lew �A 6W Ve FEE SCHEDULE _ No . Street $ 0 - $10000 - $10.00 Floor Apt . No. Over $1,000 - $10.00 2 . OWNER C 7L /, per $1 ,000 or fraction thereof 4 . APPLICANT S . ADDRESS 69 Old Farm Road 84s.1508 6, ESTIMATED COST $ 7 . IS THIS A CONTRACT COST Yee o 8 . FEE ENCLOSED $ �•�0 9 . TYPE OF BUILDING: ;t ;`7400 'l/RESIDENTIAL COMMERCIAL 10. TYPE OF JOB : Original Installation iteration/Addition/Repair An 3A 11/88 APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side) 11 . LOCATION OF JOB 129 fL--l',fi ra, ) NO. STREET APT. NO , 12 . TYPE OF INSTALLATION Ian oavt ,,) 2coo 13 . SIZE OF MAIN FEEDER -lb 14 . NO . OF LIGHT LOOPS 15 . NO. OF HEAT LOOPS 16 . NO . OF POWER LOOPS 17 . NO . OF LIGHT OUTLETS 18 . NO . OF HEAT CIRCUITS 19 . NO. OF POWER OUTLETS 20 . NO. OF CONVENIENCE OUTLETS 21. NO. OF HEAT CIRCUITS 22 . NO , OF POWER CIRCUITS 23 . NO. OF LIGHT CIRCUITS 24. SIZE OF HEAT CIRCUITS 25 . NO. OF MOTORS 26 . NO . OF PANELS 27 . TOTAL WATTAGE 28 . NO . OF POWER FEEDERS 29 . NO. OF SWITCHES 30 . A/C LOAD 31. SIZE OF POWER FEEDERS 32 . NO . OF FIXTURES 33. TOTAL HORSEPOWER 34 . NAME OF SUBCONTRACTORS AND THEIR TRADES 35 . REMARKS AND FURTHER DETAILS : 41, O u / e a ofIt 011 LICENSE NO. SIGNATURE OF APPLICANT DATE PHONE NUMBER: (-zl1 TIME DATE INSPECTOR- .CATION _ L 1 INSPECTION: CODE: E S�(D/A) ; BUILDING: ELECTRICAL: c/e AI 1 a' PLUMBING: HVAC: v� OTHER: i . Electric'# IY15 APPLICATION FOR BUILDING PERMIT Plumbing# 129 I DENT ROAD HVAC # 23747 Date: 1 d i iJ 6 Sprinkler# No.- -T FINAL APPROV Estimated Cost $ 4"c;�-� Building -/ 7-2 COMPLETE RED BOXED AREAS Permit Fee $ 90 Engineer' TYPE OR PRINT ONLY Occupancy Fee $ Affid SIGN N REVERSE SIDE Appr.for CO. I t� 7 Total Fee $ TO BUIL EPARTMENT, TOWN OF SOUTH WINDSOR,CT (Additional Cost1 $ The undersigned hereby applies to do work according to the following specifications: Job Location J 29 :Icje 2. f-- d _. Lot No. Side of Street Zone Applicant�y�!IC`_�.. _ ,--f'h�I� Tel. # s RB-7-77 3 Address 129 ZiP06207i Lic.# Own r l,tt + tire., . )p hP Address t 2� elCli— K4. S • w- Architect.-Tko, Address Sq. Ft. New Area: 1st Fl. 2nd Fl. 3rd Fl. Total New Area #Rooms #Lavatories #Bathrooms #Garages �t / Purpose of this permit: 4 sZ bg e-t r-6LA. -F-b C oa ., V-4V - p City Water C' Well 0 Septic System ❑ Sewer Use Group C4 Construction Type Sid Area / Bas m nt Garage Approved by Date fc fr l 6 Revised 6/95 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 a zone in which this building and its use is allowed. Signed - -- - 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 / Approval Date By Appl Code Description Due Whom Code Comment ------------------------------------------------------------------------------- 96-23747-B 4,000 B03 FRAMING (ROUGH) 11/06/96 JFF A E03 ROUGH 11/06/96 JFF A P03 ROUGH 11/06/96 JFF A B04 INSULATION O1/15/97 JFH A B10 FINAL 03/20/97 JFH A 96-14132-E 850 Total Est Value 4,850 PERMIT DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT q'� Application is hereby : TOWN OF SOUTH WINDSOR BUILDING INSPECTION DEPT. APPROVED DISAPPROVED 1540 SULLIVAN AVENUE 644-2511 Ext. 230 b dA a e g Inspector Application must be printed or typed LOCATION OF JOB � K FEE SCHEDULE No . Street $ 0 — $19000 — $10.00 Floor Apt . No. Over $1,000 — $10.00 2 . OWNER per $1 ,000 or ` --- fraction thereof 3. ADDRESS CLa ' 4. APPLICANT Old Farm Road S . ADDRESS SOUTH DSOR CONNECTICUT 06074 6. ESTIMATED COST $ O Q 7 . IS THIS A CONTRACT COST 1,� Y44(,;;? No 8 . FEE ENCLOSED $ V• �� L-�5 �� 9 . TYPE OF BUILDING: /RESIDENTIAL COMMERCIAL 10. TYPE OF JOB : Original Installation alteration/Addition/Repair RD 3A 11/88 APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side) 11 . LOCATION OF JOBa'jpnL , N0. STREET APT. NO , 12 . TYPE OF INSTALLATION 13 . SIZE OF MAIN FEEDER 14 . NO . OF LIGHT LOOPS 15 . N0. OF HEAT LOOPS 16 . NO . OF POWER LOOPS 17 . NO. OF LIGHT OUTLETS 18 . NO . OF HEAT CIRCUITS 19 . NO. OF POWER OUTLETS 20. NO. OF CONVENIENCE OUTLETS 21. NO. OF HEAT CIRCUITS 22 . NO, OF POWER CIRCUITS 23 . NO. OF LIGHT CIRCUITS 24. SIZE OF HEAT CIRCUITS 25 . NO. OF MOTORS 26 . NO . OF PANELS 27 . TOTAL WATTAGE 28 . NO . OF POWER FEEDERS 29 . NO. OF SWITCHES 30. A/C LOAD 31. SIZE OF POWER FEEDERS 32 . NO . OF FIXTURES 33. TOTAL HORSEPOWER 34 . NAME OF SUBCONTRACTORS AND THEIR TRADES 35 . REMARKS AND FURTHER DETAILS : Z,cj or a 7 �� LICENSE NO. SIGNATURE OF APPLICANT DATE PHONE NUMBER: � � DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT PERMIT# Application is hereby: TOWN OF SOUTH WINDSOR a Doe BUILDING DEPARTMENT PROVE 1540 SULLIVAN AVENUE Bldg.Permit# Z e. 644-2511 ext. 230 Building Inspector Application must be printed or typed Location of Job: FEE SCHEDULE $0-$1,000=$13.00 Street No. 1 Street Lot No. Over$1,000= $13.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT APPLICANT ADDRESS �t APPLICANT PHONE# N S OWNER O eq< OWNER ADDRESS d ?t OWNER PHONE ESTIMATED COST$ 6 6 .� IS THIS A CONTRACT COST? es O No FEE ENCLOSED$ /.3. TYPE OF JOB: �SOR.Cps O New ation Alteration/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 l KGB 'e- w{ �,�t-� � � 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 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 -DEPARTMENT DECISION .APPLICATION FOR PLUMBING PERMIT PERMIT# Application is hereby: TOWN OF SOUTH WINDSOR /a BUILDING DEPARTMENT APPROVED 1540 SULLIVAN AVENUE Bldg.Permit# O (19 Di t f Ag- 644-2511 ext. 230 ate Building Inspector Application must be printed or typed Location of Job: FEE SCHEDULE ��� + / i 1CC..� $0-$1,000=$13.00 Street No. �s•�- Street Lot No. Over$1,000= $13.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT APPeLfICANT ADDRESS^ IZOO^-) APPLICANT PHONE#/ 9CP o OWNER /1 f'e N �J�'z o : .74- 00001, �C©W N S F-4 OWNER ADDRESS OWNER PHONE C ESTIMATED COST$ SAS^ 'U IS THIS A CONTRACT COST? )KYes 0 No �CJ FEE ENCLOSED$ C- TYPE OF JOB: SOR.CO O New Installation Alteration/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 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 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 S Zeq SIGNATURE OF APPLICANT --� DATE gz—