HomeMy WebLinkAbout132 Quail Runi;IN
Building
SP CTIO,I S:
2 APPLI TION FOR BUILDING PERMIT
Plumbing i/t""14L
HVAC Date: June 4 , 1 992
Sprinkler 132- W QUAIL RUN
Electric 8'~
oft
Estimated Cost 6 5 , 0 0 0. 0 0
Zoning Permit Fee$6 5 0. 0 0
X Affidavit NO. 19 9 9 5 Occupancy Fee $ 3 . 00
Eng. Dept. COMPLETE RED BOXED AREAS.
Fire Dept. TYPE OR PRINT ONLY Total Fee $653 . 00
Health Dept.
A
SIGN ON REVERSE SIDE. ov
CO:Approved for Additional Cost) $ yL
TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT
The undersign4 hereby applies to do work according to the following specifications:
Job Locatio71 Lot No. Side of Street L Zone A-3
Applicant DART HILL REALTY INC Tel. # 644-81 37
Address 658 ELLINGTON RD SO .WINDSOR CT Zip 06074 Lic.# 500356
STREET CITY STATE
Owner J .M.J . CONST. CO. INC Address SAME
Architect WALTFR KRUDYSZ Address 32 FOLLY BROOK BLVD APT#3 WETH
Size New Area: Ft. Front Overall 39 Ft. Deep Overall 3 9. 5 Total Area 9 3 5 #Garages 2
31 , 7 4 9 S. f 56 Lavatories
Size of Lot Dist. from Street Line Bathrooms Rooms 1st 4 2nd 4 3rd
Purpose of this Permit CONSTRUCTION OF A SINGLE FAMILY DWELLING
City Water Well Septic Sewer
Use Group Construction Type
Approved by S Date GI BD1A 11/88
I h r by agree to conform to all the requirem nts 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 DART HILL REALTY INC BY :
I hereby apply for a Certificate of Occupancy for the work described in this application for permit.
Signed DART HILL REALTY INC BY :
ZD NOT WRITE BELOW THIS LINE—
Gy 4 2 INSPECTION RECORD
Footing ( ! Framing
Foundation G'iJ, -42 X4- Fireplace/Chimney 7n Insulation
Plumbing Permit# r Inspections: U--
HVAC Permit# Z5 ` Z
x
Inspections:
fi RR PLA f-c. T-$4"A-ri Z t q 1- G I G
7 '1 - s t:. ,vcElectricalPermit# o Inspections:
Sprinkler Permit# Inspections:
Location of job AFFIDAVIT Additional Fee .....$2 6.O . 0 0
State of Connecticut
ss SO• !N dS O
County of Hartford
I .4-1 C.41t M '.. . . k Q G . . .. . .. ... .. ... . .. .ofDR Rt H I It.Ke.A IN T for building erected undergctor
Permit No. .1.9 9.9 5.issued by the Dept of Building of the lbwn of South Windsor being duly sworn,make oath
and say that the actual cost of the completed work authorized under said permit did not exceed the most current accepted BOCA
value of$9.7,6 4b..0 0. . . . . . . . . . . . . . .
Signed . .G+!. . . .. . . . . . .. . .. . . .. .
Subscribed and sworn to before me this . .. . . . . f 6fi . . . . . . . da A.D.19
Estimate Cost:$ 71, 8 0 0 .00
Difference: s25 , 846 .00 ota ubli
Inspection / Approval Date By Appl
Code D scription Due Whom Code Comment
92-19995-B 65,000
B01 FOOTING 06/09/92 003 A
B02 FOUNDATION 06/12/92 003 A FOUNDATION COA-ING
P03 ROUGH 06/16/92 003 A UNDERGROUND
E01 SERVICE 07/07/92 003 A RELEASE NO ISSUED NO PERMIT/RELEASE OK7/14/92
B05 FIREPLACE/CHIMNEY 07/14/92 004 A THROAT FOR FIREPLACE OK
E03 ROUGH 07/20/92 004 A
P03 ROUGH 07/20/92 004 A UNDERGROUND
B03 FRAMING (ROUGH) 07/21/92 004 A
B04 INSULATION 07/21/92 004 A
92-9047-P 1,900
92-12260-E 3,000 O
Total Est Value 69,900
66
O J
Dwelling 1,935 71,943.30
Basement 886 8,815.70
Garage 462 5,428.50
Smoke Det 3 225.00
BOCA Value 97,646. 12
Difference 27,746. 12
Qop.00 ` 4 ' bo
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
92-19995-B 65,000
BO1 FOOTING 06/09/92 003 A
B02 FOUNDATION 06/12/92 003 A FOUNDATION COATING
PO3 ROUGH 06/16/92 003 A UNDERGROUND
E01 SERVICE 07/07/92 003 A RELEASE NO ISSUED NO PERMIT/RELEASE OK7/14/92
B05 FIREPLACE/CHIMNEY 07/14/92 004 A THROAT FOR FIREPLACE OK
E03 ROUGH 07/20/92 004 A
P03 ROUGH O7/20/92 004 A UNDERGROUND
B03 FRAMING (ROUGH) 07/21/92 004 A
804 INSULATION 07/21/92 004 A
B1O FINAL 08/27/92 003 A APPROVED FOR CO/CLOSEOUT WHEN ENG APPROVED
92-9047-P 1,900
92-12260-E 3,000
92-8519-H 1,900
Total Est Value 71,800
CERTIFICATE OF OCCUPANCYANCY CHECK LIST
g
Certificate of Occupancy q g
A licant Dart T^ 11 RP
pp Bldg. Permit No.
Address Date Reviewe,,,
Lot No. 3 4 (1312 ua i 1 R Reviewed By
Project Pa tdrid8-27-
ae 92 Appro /
Date Submit
in
l be
e ulations, no certificate-of Occupancy thelTown
As required in the zoning g approved y
until grading plans have been complied with and a p
issued
Engineer. The minimum requirements shall inc
Approved Denied N=
1 . Approved building permit plan.
2 . Finish grading per approved
building permit plan.
3 . Site work;i .e . trees , shrubs ,
requireddumpsters , Parking,
4 . Utility location
a . Sanitary sewer
b. foundation drain
C . electrical & telephone
d. water
e. other
e 5 . Sewer connection charge paid.
6 . Appropriate certification
7 . Bonding
g . Planning & Zoning
Sewer Permit No. a
Pavement Excavation No.
COMMENTS:
N
RECEIVED
y .. 7 1992 g
BUILDING PERMIT CHECK LIST
icant Building Permit No. 100®/'Q*1w
ss 69R F incri^Rd.TS . W Date Submitted 6/04/92 . m. )
No. 14 JEC n„a i i R„n Zl?S Reviewed by
roject Partridge Meadow c„bdj uj &i0Rate
In accordance with the Subdivision Regulations, prior to the buil ing of
any structure on a lot, a Topographic Plot Plan shall be submitted for
approval. The minimum requirements shall include :
Approved Denied N/A
1. Name, address & phone number of owner/
applicant.
2. Name, address & phone number of plan preparer.
3. Zoning information - i.e. zone, open space,
fl oodway, etc.
4 . Plot plan at 1" = 40 ' scale.
a. Subdivision reference, abutting
properties, etc.
4/ b. Easements of record.
r/ c. Lot description, bearings, distances,
building lines, area, etc.
d. Contours, existing & proposed, 1 or 2 ft.
interval where appropriate.
e. Building location with dimensions.
Elevations of proposed finish floor,
garage floor & center line of road at
driveway.
Vol f. Elevations of gravity drainage systems,
sanitary & foundation drain at the
house and the street.
g. Tentative utility location gas, electric,
water, etc.
h. Title block with name and address of
preparer, date appropriate certification,
6 live seal and signature.
Sedimentation and erosion control.bx- V s 6'0A-'W 0,% f(C." , C k Cd -s-V"-ZI .
UAA 6. Special Planning & Zoning, Inland/Wetlands
considerations. (Plans on file w/Town Clerk)
BUILDING DEPT.
PZC
IWA/CC
WPCA
OTHERS
COMMENTS:
i L
BUILDING PERMIT CHECK-JwIST
Applicant par+- u; ii Realty,.—zne ,Building Permit No.
Address 99R F11 ;ngton Rr1,.Ts . w. Date Submitted 6/04/92 m. )
Lot No. Reviewed by tn
Project iopate
9LA-a- R-o&**-j -- P
In accordance with the Subdivision Regulations, prior to the building of
any structure on a lot, a Topographic Plot Plan shall be submitted for
approval. The minimum requirements shall include :
Approved Denied N/A
1. Name, address & phone number of owner/
applicant.
2. Name, address & phone number of plan preparer.
3. Zoning information - i.e. zone, open space,
floodway, etc.
4 . Plot plan at 1" = 40 ' scale.
a. Subdivision reference, abutting
properties , etc.
b. Easements of record.
r/ c. Lot description, bearings, distances,
building lines, area, etc.
d. Contours, existing & proposed, 1 or 2 ft.
interval where appropriate.
r/ e. Building location with dimensions.
Elevations of proposed finish floor,
garage floor & center line of road at
driveway.
r/ f. Elevations of gravity drainage systems,
sanitary & foundation drain at the
house and the street.
g. Tentative utility location gas, electric,
water, etc.
h. Title block with name and address of
preparer, date appropriate certification,
6 live seal and signature.
Sedimentation and erosion control.
ntiod,W o-% f 1c.,% , C (!c j -'-•M•ZI .
6. Special Planning & Zoning, Inland/Wetlands
11M__l1\ ^^.'_ /y r+- f r 1 ^^ /\.1 I ^ AfT1 r,T?•* 1 Y
PERMIT #
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
f
Application is hereby :
TOWN OF SOUTH WINDSOR
APPROVED DISAPPROVED BUILDING INSPECTION DEPT.
Q.
644-2511 Ext . 230
V Application must be printed or typed .
Date Building' Inspector
1 . LOCATION OF JOB
Z-_v i .3 y CCU vd
FEE SCHEDULE No . Street
0 - $19000 -10. 00 Floor Apt . No .
Over $19000 -10 .00
2 . OWNER elL L 7 tper $1 , 000 or T L 2f9
fraction thereof
4. APPLICANTl/
5 . ADDRESS Z y
6. ESTIMATED COST $
7 . IS THIS A CONTRACT COST
Yes No
8 . FEE ENCLOSED $
9 . TYPE 0 BUILD NG:
ESIDENTIAL COMMERCIAL
10. TYPE JOB :
Original Installation
Alteration/Addition/Repair
BD 3A 11/88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11 . LOCATION OF JOB L6 ka 0 j Ll AVIV\
NO . TREET APT. NO
12 . TYPE OF INSTALLATION _ y`) E.5 i L Nei A c,
13 . SIZE OF MAIN FEEDER 0o(: -
14 . NO. OF LIGHT LOOPS 15 . NO. OF HEAT LOOPS -
16. NO. OF POWER LOOPS 17 . NO . OF LIGHT OUTLETS j
18 . NO . OF HEAT CIRCUITS 19 . NO . OF POWER OUTLETS
20. NO. OF CONVENIENCE OUTLETS 21. NO. OF HEAT CIRCUITS l
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 o/),
28 . NO. OF POWER FEEDERS 29 . NO. OF SWITCHES I y
30. A/C LOAD 31. SIZE OF POWER FEEDERS* CAP L'
32 . NO. OF FIXTURES 33 . TOTAL HORSEPOWER
34 . NAME OF SUBCONTRACTORS AND THEIR TRADES
35 . REMARKS AND FURTHER DETAILS :
21-lz /t,, 6a-
LICENSE NO.SIGNATURE OF APPLICANT DATE
PHONE NUMBER:
r T- -,•--•- --:r - se---a.r_ -- •- a__ ram.- r,... g T—•-,..• _-.--ter,-^,r t._.n- i^-,u •.,-.-..7 -
Lot No.
Building Permit
Temporary Service
Permanent Service
Pursuant to Permit No, - L'
This Certifies that the Electrical Work for which the above named Permit was granted
has been duly inspected and is hereby approved.
Owner " r l E l i Electrician C'IC
Street N
19 2-
Building Inspector
PERMIT NO.
9697
DEPARTMENT DECISION A P P L I C A T I O N F 0 R
Application is hereby: PLUMBING PERMIT
TOWM OF SOUTH WINDSORAPPROVEDISAPPROVEDBUILDINGINSPECTIONDEPT.
12 644-2511 Ext. 230
Da a Building Inspector Application must be printed or typed.
1. LOCATION OF JOB: oL- 13uAl
FEE SCHEDULE 2. OWNER:
0 - $1 ,0 0 0 -10. 0 0 3. ADDRES S- /ai
Over $1,000 -10.00
per $1 ,000 or 4. APPLICANT:fraction thereof
5. ADDRESS: 2,/eO
f
6. EST. COST: $ f 2 Q 0
7. IS THIS A CONTRACT COST? YES O
d U
8. FEE ENCLOSED:
9. TYPE OF BUILDI
t RESIDENTIAL COMMERCIAL
10. TYPE OF JOB:
4---6RIGINAL ALTERATION
INSTALLATION ADDITION
REPAID.
BD 2A 11/88
APPLICATION FOR PLUMBING PERMIT (Cont. from Reverse Side)
11. LOCATION OF JOB:
GENERAL PLUMBING
12. KIND OF INSTALLATION: 13. SIZE OF MAIlg• DRAIN
14. NO. OF TOILETS STYLE 15. NO. OF URINALS STYLE
16. NO. OF BATHTUBS__ 16A. NO. OF SHOWERS 17. NO. OF LAVATORIES -3
18. NO. OF SINKS f 19. DISPOSAL 19A. DISWASHER l/
20. NO. OF CONDUCTORS SIZE 21. NO. OF STACK SIZE 3
22. AREA OF ROOF 23. NO. OF CATCH BASINS 24. NO. OF FLOOR DRAINS
25. NO. OF OTHER FIXTURES KIND W• &2
26. ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW? V-e4
27. SIZE OF WINDOW 3)( y 6/
28. IF NO WINDOW, WHAT KIND OF VENTILATION IS THERE?
29. SIZE OF DUCTS 30. SEWER OR SEPTIC TANK?
31. SIZE OF WATER MAIN / 31A. SIZES OF WATER PIPING & RISERS 3 7
32. REMARKS AND FURTHER DETAILS
WATER HEATER
33. TYPE 34. MANUFACTURER
TANKS SAFETY DEVICES
TRIPERATURE
35. CAPACITY 39. RELIEF VALVE
36. TEST PRESSURE LBS. 40. MANUFACTURER
37. WORKING PRESSURE LBS. 41. PRESSURE RELIEF VALVE
38. TYPE 42. MANUFACTURER
LICENSE NO. DATE SIGNATURE OF APPLICANT
PHONE NO.
FOR OFFIC
O••
Y. USE ONLY APPLICATION FOR HVAC PERMIT DATE;
TOWN OF SOUTH WINDSOR EST.COST:
BLDG. PERMIT N0. qcp 1540 SULLIVAN AVENUE FEE lcz/SOUTH WINDSOR, CT 06074 FEES:
644-2511 - Ext. 230 0 - $19000 - $10.00
1000 or fraction
LOCATION OF BUILDING 3 thereof - $10.00
r
OWNIV, ADDR SS TOWN PHONE NO.
sue , 4F,
HVAC ON CTOR JODRESS TOWN PHONE NO.
TYPE OF SYSTEM: HEATING TYPE OF BUILDING: RESIDENTIAL
A/C COMMERCIAL
VENTILATION BUSINESS
INDUSTRIAL
IF HEATING: STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS.
HYDRONIC ,. WARM AIR
UNIT RADIANT HEATER (INCLUDING WOOD COAL BURNING STOVE)
TYPE OF FUEL: OIL-GPM GAS IN-PUT ELECTRIC KW
WOOD COAL
r
OIL TANK - SIZE & LOCATION: INSIDE OUTSIDE CAPACITY
LPG TANK - CAPACITY
EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION
DESIGN TEMP. OUTSIDE OF INSIDE OF DIFFERENCE OF
TOTAL HEAT LOSS (BTUH) 4
HEAT LOSS SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL HEATING EQUIPMENT (INCLUD NG MAKE & MODEL NO.):
c
GROSS H TING CAPACITY (INPUT-BTUH) NET RATING (OUTPUT-BTUH)
IF AIR CONDITIONING: DESIGN TEMP. OUTSIDE j 4_°F INSIDE 3jQ_°F DIFFERENCE Zo OF
TOTAL HEAT GAIN (BTUH)
HEAT GAIN SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL COOLING EQUIPMENT (INCLUDING MAKE & MODEL NO.):
TONNAGE COOLING CAPACITY (BTUH)
IF VENTILATION: DESCRIBE ALL AIR-HANDLING EQUIPMENT (INCLUDING KITCHEN EXHAUSE EQUIPMENT):
TOTAL SIZE OF SYSTEM (CFM) FRESH AIR INTAKE (CFM)
PLAN MUST ACCOMPANY APPLICATION)
The undersigned hereby applies for a permit to perform the following work and is to comply
with all local ordinances and State of Conn. Building Codes in the performance of such work.
FURTHER DESCRIPTION OF WORK:
2 r
STATE LICENSE - NAME & TYPE # Kj-DATIE SIGNATURE OF APPLICANT
APPROVED DATE
BD 4A 11/88
I = B >a R CALCULATION SHEET 1503 (Modern Method) Copyright 1977 by Th.Hydrop4qs Institute
OWNER ADDRESS DESIGN TEMPERATURE DIFFERENCE F. DATE
G
COL.A COL.S COL.C COL.D COL.E COL.F COL.G
i ROOM tL T
O H L W H L W H L W H L W H L W Design Water Temp.
2 ROOM DIMENSIONS, FT.G'U BTUH per foot of S
3 LENGTH EXPOSED WALLS,FT. Q Radiation Selected
4 INDOW AND OUTSIDE DOOR AREA U.W
BTUH BTUH STUN BTUH STUN
5 WALL CONSTRUCTION
Table 9,Line 3 x H) A- a o-v Cj 7 TOTALS
LIN.FT.OF
f--RADIATION
6 TYPE OF GLASS FROM LINE 12 SELECTED
i^
iBottom f table used for Line 5) la Q d u-0
7 CEILING CONSTRUCTION C Z2
Table 9, L x W) 10 6
B FLOOR CONSTRUCTIONr
Table 9, L x W or Lin Ft) E
9 COLD PARTITION CONSTRUCTION F
Table 9,L x H)
10 1 Well(With Openings) A/'0 G U H
c; 2 Wells(With Openings) D X3J 1
3 Wells(With Openings) or Ent.Hall O-
11 TOTAL BTUH AT 70F TEMP DIFFERENCE'
12 TOTAL BTUH AT DESIGN TEMP DIFFERENCE o d tTt
K
L
COL.A — —` --_ _-- COL.B COL.H COL.1 COL.J COL.K COL.L TOTAL BTUH TOTAL
OF BUILDING RADIATION1ROOMti2AKa2ATSELECTED
p H L W H L W H L W H L W H L W DESIGN TEMP.°
DIFFERENCE
2 ROOM DIMENSIONS. FT f
U Z ZVI
3 LENGTH EXPOSED WALLS, FT Q
a WINDOW AND OUTSIDE DOOR AREA LL
STUN BTUH BTUH BTUH BTUH
5 WALL CONSTRUCTION IINCREASE
T
BATHROOMHOOM
TOTAL(Table 9,LIns 3 x H) o Q v Q
6 TYPE OF GLASS
Bottom f table used for Line 5) b
tFOR CONCRETE FLOOR ON7CEILINGCONSTRUCTIONAT
Table 9, L x W) a()-- 6-0 GROUND FILL
v VV GRADE LEVEL.USE LINEAR
B FLOOR CONSTRUCTIONt FEET OF EXPOSED EDGE
ITable 9, L x W r Lin Ft 1
9 COLD PARTITION CONSTRUCTION
Table 9, L x H)
Ar-
10 1 Wa11(With Openings)
2 Walls(With Openings) O X O- -
J
3 Walls(With Openings) or Ent.Hall
11 TOTAL BTUH AT 70F TEMP DIFFERENCE' S 3/0 0
12 TOTAL BTUH AT DESIGN TEMP DIFFERENCE
FORM 1503
This form Is availebis from The Hydronics Institute,35 Russo Place,Berkeley Heights,N J 07922
APPLICATION FOR BUILDING PERMITElectric#
Plumbing# 132 QUAIL RUN qC GHVAC # Dafie:
Sprinkler# No. 23440
FINAL APPROVALS Estimated Cost $ Od C)
Building COMPLETE RED BOXED AREAS Permit Fee 6
Engineering TYPE OR PRINT ONLY Occupancy Fee $
Affidavit SIGN ON REVERSE SIDE
Appr.for CO. Total Fee 6
TO BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR,CT Additional Cost) $
Th undersigned hereby applies to do work according to the following specifications:
Job Location 132. UAI L- RVA/ S0• WIAILot No. 37 Side of StreetZone
Applicant LTr + KR .5 R Dys Z Tel.#7b 7—3SON
Address 32. OLMIL RUN SO. W 1ND50 Zip 06079 Lic.#
Owner&TEr, f aRysyV4 K9 . ddress 132 G?UPI L RUN. Sn, w W OR .eT D 079
Architect Address
Sq. Ft. New Area: 1st FI. 2nd FI. 3rd FI. Total New Area
Rooms Lavatories Bathrooms Garages
Purpose of this permit: Dw-C If l /I,
City Water ^ Well [] Septic System Sewer J
Use Group Construction Type Area Basem nt Garage
Approved by Date
Reused 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 zon in wh h this budding and its us i 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
96-23440-B 1,000
BO1 FOOTING 09/05/96 JFF A
B10 FINAL 04/07/97 JFH A APPROVED FOR CLOSEOUT
I
DEPAR DECISION APPLICATION FOR ELECTRICAL PERMIT PERMIT#
Application is hereby:
TOWN OF SOUTH WINDSOR
I-]CIO
BUILDING DEPARTMENT
APPROVED 1540 SULLIVAN AVENUE Bldg.Permit#
Ste_
644-2511 ext. 230 C1
bW Building Inspector
Application must be printed or typed
Fo
EE SCHEDULE
Loca ' o ob• f
1,000=$13.00 Street No. Street Lot No.
Over$1,000=
13.00 per$1,000
ny fraction thereof Tenant Designation Apt.No.
APPLICANT
APPLICANT ADDRESS /32- V I L KW
SnoTN -KIDS® C-7-
APPLICANT PHONE# A-260
N 8 OWNER
OWNER ADDRESS
x.:
OWNER PHONE
C ESTIMATED COST$
V
r IS THIS A CONTRACT COST? Yes No
FEE ENCLOSED$3
1CO TYPE OF JOB:Sp
New Installation
11 Alteration/Addition/Repair Revised 5101
APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
BUILDING PERMIT APPLICATION? YES NO
RESIDENTIAL
QVT//-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/WIRING METHOD
SIZE OF SERVICE 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
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.
vim&d u-
CONTRACTORS LICENSE NO. T E STAT
SIGNATURE OF APPLICANT DATE
FDISION
APPLICATION FOR PLUMBING PERMIT
TOWN OF SOUTH WINDSOR
PERIVIIT#
by: l BUILDING DEPARTMENT
1540 SULLIVAN AVENUE Bldg.Permit#
644-2511 ext. 230
c;
4-7
Date B ding Inspector
Application must be printed or typed
FEE SCHEDULE Location of Job:
tt.,,gjZ- SUN
0-$1,000=$15.00 Street No. Street Lot No.
Over$1,000=
15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT "V F-S ?
APPLICANT ADDRESS 2
APPLICANT PHONE#.
10 W N s OWNER CI)I--LrT OER
Fq< OWNER ADDRESS 1 3 2— L
OWNER PHONE0
C ESTIMATED COST$
IS THIS A CONTRACT COST? Yes No
FEE ENCLOSED$
1 TYPE OF JOB:
OR C New Installation
Alteration/Addition/Repair
Revised 4/01//2002
APPLICATION FOR PLUMBING PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
BUILDING PERMIT APPLICATION? AYES NO
rRESIDENTIAL fL03BUSINESSCURRENTUSEANDOCCUPANCY
ASSEMBLY
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 A/E 4J SIZE OF MAIN DRAIN
NO.OF TOILETS_STYLE 120 NO.URINALS STYLE
NO.OF BATHTUBS NO.OF SHOWERS NO.OF LAVATORIES
NO.OF CONDUCTORS SIZE NO.OF STACKS l SIZE z—
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
rO C, a AA E Z-4,,g d:$-/— /Z- 6 1 eZ c- v 'A-Z LS-,9
o S Z S C3 u, L 7- 7-0 s 7`-G
Y E' L,)' J- 2 G o s. f S o 5 7`,L, --- L A- U.
THE UNDERSIUNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND is TU'
COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
22Gz C/ Z
CONTRACTORS LICENSE NO. TYPE STATE
2SIGNATUREOFAPPLICANT DATE ZI W Al 9 do —