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Home My WebLink About1383 Sullivan AvenueApplication No. ....283.b. Permit No. .........25.7.6............... TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. hereby make application for a permit to (erect (rnel- & ' - to) a building according to the following detailed statement of the specifications and plans herewith submitted. (Draw a line through word "erect" or words "make alteration to" as the case may require.) All provisions of the Building By-Laws (Sections 2 to 32 inclusive) shall be complied with in the execu- tion of this work whether specified herein or not. South Windsor, Conn., ..........................19..........b t/4 02 3 -3 3 y G%Sign here .. .............................................Q.... .. ........ ............................... Address ..................................................................................................................... Location? ...................................................................................................................side of? ......................................................................................................................... Nearestcross street? ........................................................................................Street No. ..................................................... Lot No. ................................... Owner of land is? VJAI.T I?........,/. ll,F. kcA.......................Address ..J.11AkIVAd........AIR.................................. ...................... Ownerof building is? ...................................................................................Address ... ................................................................................................................. Architectis? .............................................................................................................Address ....................................................................................................................... Builder is? .. '. ..... .1''/..c., .................. .................................Address 1.'.,3...... '.. AY.1& .....A.P.....,../t1,T P t, c NAI 3 Fe flMAI 1,0AFS5 04.o• 43ox /8ary --kffo., i t4c Nd a Dimensions g ................. .......... et front? ................................. Feet rear? ................. ........... Feet deep? ............ ............. Extreme height to highest point of roof? ..................................... .......................... No. of stories in height?...................................... Purposeof building is? ...................................................................................No. of stores? ........................................................................................................ Howmany families? ........................................................................................No. of rooms? .... ................................................................................................... I Distance from street line is? ...................................................................from building line is? ...................................................................................... ADDITIONS AND ALTERATIONS I . Give Brief Description)1 t...............'(!-...... .............. .... ..... 4' 1... 1 Map No. .............................. CPS - &# If of steel frame, what is exterior construction? ............ .. - Whatkind of columns used? ..................................................................Size of columns used? . ...................................................... ............ Whatlength of columns used? ............. ......................... ................How protected? .... .. ............................................................... ................... What kind of beams or girders? ........................... . ................ Size of beams or girders? ......................................................................... Longestspan of beams or girders? .............................................. These rest on? ..................... ........................................................................... Roofconstruction is? .......................................................................................Roof covering is? . .. .................................................................................... The floors are of ................................................. ... construction and are calculated to carry a safe load of....... .......................... lbs. per square foot. See Section 14, Building By-Laws.) BRICK CONSTRUCTION. Ofwhat material will walls be constructed? . ....... ....... ........ . ............................................................................................................ ................. Compositionof mortar? ........................................................................................................................................................................................................................... Height and Thickness of Walls Height Stories Front Walls Side Walls Rear Walls Partition Walls Basement, 1st Story 2nd " I..................................................................................................................................................................................... 3rd " I................ ................................................... 4th " I................................... 5th do a........................... ................................................... 6th 46 7th 49 8th cc 9th id 10........th........it.................................................. . ............................................................... .......................... .............................................................................. I I I I I Materialof Front? ... .................. ... ................................ ... ...... ....If stone, what kind? . Thickness of Ashlar? .. . . ....... ......... ................ .....................Thickness of Backing? ... .... ....... . ..... ........ ...................... Backed up with what? Arches or lintels over openings? WOOD CONSTRUCTION. Give Size, Longest Span and Distance Between Centres, of Joists, Girders and Columns JOISTS GIBDI M COLUM M FIoors Size Longest Span Centres Brldging Size Longest Span Centres Size Leng b Centres 1st Floor pia.....«.... 3rd.....`.... .............. ...... I........................... 4 ....„..... ............. .................................. ................... Size of outside studs? .......................................... Distance on centres? ................................................ Size of sill? ............................................... Size of rafters? ......................................... Distance on centres?................................................... Size of plate? ...................................................... Size of ledgers or girts? ...............................................................................Size of deck rafters? ..................................................................... ............... Distance on centres. Size of studs in bearing artiti ns. MISCELLANEOUS Style of roof, flat, pitch, Mansard, or hipped? ...................... Fireplaces? Material of roof covering? ........................................................................Material of Cornice? ....................................................................................... Howis building eate ..........................................................................Lining of flues? ... .............................................................................................. Thickness of shell ofRues? ........................................................................Any elevators or lifts? ............................................................ ...................... Whatkind? .............. .................................. How many? ................... .................................. Any hoistways? ........................................................... How protected? ................ .......................................................... ................Total Value of Building Q..A. .." ...................................... When will work be commenced? .......scl -....................... .................................................................................... The applicant warrants that the lot for residential purposes, shown on a plot plan accompanying this appli- cation, has 20,000 square feet, or more, and at least 100 foot frontage on a Town road shown on a map of South Windsor showing Town Roads dated December 1949, or on any other roads officially accepted by the Town of South Windsor since 1949. Applicant 2576- BUILDING APPLICATION Application No. ?.:6............................................................. onthe ................................................................................. side of S-u-1-11var....-Ave............................... Street. StreetNO., ...................... ............................................................. Owner ..W.a.l.t..e.r...... 1....1..er...... .................................................. Applicant ......... 1.) e r T' Sn, it h CLASSIFICATION 1-61-x--31--,......... ..................... I..........................................................I.........I.......... Permit issued on above Application. Date, ...........Q91..-P......17.s........ 19........ TOWN OF SOUTH WINDSOR BUILDING PERMIT Date Oct- 17 s 19 58 Fee Paid $$..11,PO Est. Value $ZQQ.,00 Permit 1\ 9 2576 on the side of Sullivan Ave, Street Street No. 3 g. Owner Walter lK i1 ler Applicant Walter E. Smith CERTIFICATE OF OCCUPANCY ISSUED: Date No. Fee Paid $$ CLASSIFICATION Swimming Fool 161x341 BUILDING PERMIT 2576 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn.Oct* 17 19 58 T4'is is to Tertiff1j, That Walter Es 1 t is hereby granted permission to Swl=i na Pool 16#X341 at estimai ed value of $ 2200 o 00 on the side of Sul li-re'n Ave• Street on land owned by Walter Filler! Said 9 ork to be as described in Application No. 28,36---and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issued Oct• 17 a 19 58 Building Inspector. Streets and sidewalks, obstructed by excavations or building materials, must be guarded by barriers dur- ing 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 costs and damages which it shall sustain, or be compelled to reason therefor." N 1 10 SCE AL f E + 0IZS'0Iq x-- km o V h vSte,6 h I I , z r V4do Q i 47W vE oo r E Q 1 hereby, certify this trf10 t6 66ubstantia!lycorrectandinaccordancewithclass.Q_„y,of Code of.Connecticut Technical5CounciL T PLOT PLAN PRO P ERT Y O F LAND Sv L ES TER GRANT I HEREBY CERTIF!' THAT THIS MAP IX JUBSTANT/ALLY CORRECT AND ZONING sour jl WINDSOR, C O NN.REGULATIONS ARE NOT VIOLATED. SC 4 E: I IN. = 40 FT.DA T E: NOW,, 1910 Application No. 7734 Permit No.7434 TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. hereby make application for a permit to (erect ( a building according to the following detailed statement of the specifications and plans herewith submitted. (Draw a line through word "erect" or words "make alteration to" as the case may require.) All provisions of the Building By-Laws (Sections 2 to 32 inclusive) shall be complied with in the execu- tion of this work whether specified herein or not. South Windsor, Conn., 19.A. Sign here .. ................................ ..... .............,...................... .-........ Address Location? . side of? ................................................. Nearest cross street? ... .&V00Y. 07....... `. ............Street No. Lot No. .. .. .. z Owner of land is? Address /.&jP:9 ..t,r Owner of building is? . "A................... ..........''`.... .............Address Architectis? . .......... ...P.......................................':.`.....................Address ................... ...'k......................... w Builderis? . .... ................. OOL..................................................... e s n f Dimensions of building?/K A'.Z V. 000'. Feet front? Feet rear? s......... Feet deep? .. . w Extreme height to highest point of roof? ...... . . No. of stories in height?. Purpose of building is? ... t.........................No. of stores? .... ............... ................................... ............. . ............. Howmany families? . .........................V No. of rooms? .... . ....... .............. ............ ............ ..... .. ... ........ Distance from street line is? . .. ... ... ....................................from building line is? ....... ....... ADDITIONS AND ALTERATIONS Give Brief Description) Map No. . . ....... T _ If of steel frame, what is exterior construction? What kind of columns used? ..... . . . Size of columns used? What length of columns used? . How protected? What kind of beams or girders? Size of beams or girders? . Longest span of beams or girders? These rest on? Roof construction is? ...... ... .. Roof covering is? The floors are of .... . ....... construction and are calculated to carry a safe load of lbs. per square foot. See Section 14, Building By-Laws.) BRICK CONSTRUCTION. Of what material will walls be constructed? . Composition of mortar? . .......... Height and Thickness of Walls He*ht Stories Front Walls Side Walls Rear Walls Partition Walls Basement, 1st Story 2nd " 3rd " I........................................... .. ....... ....................... .... 4th " r.......................................... ........ ...................................... ....................................................................... .... .................... 5th " 6th " 7th " 8th As 9th lOth... . Material.of Front? If stone, what kind? Thickness of Ashlar? Thickness of Backing? Backed up with what? Arches or lintels over openings? WOOD CONSTRUCTION. Give Size, Longest Span and Distance Between Centres, of Joists, Girders and Columns JOISTS GIRDERS COLUMNS Floors Size Longest Span Contras Bridging Size Longest Span Contras Sim Length Contras 1st Floor 2nd............. ................... ..... .... . ........... I................. ................ . .............................................................................. ............... ...................................... 3rd F 11.................. Size of outside studs? Distance on centres. ........ Size of sill? ...............Z.A.14......... ALSizeofrafters? Distance on centres?....... ....Z.49' ........ Size of plate? ............. Size of ledgers or guts? Size of deck rafters? ... ...... ..................... .............................. ............... Distance on centres? ............. ................ .. .............................................Size of studs in bearing partitions? .................................................. MISCELLANEOUS Style of roof, flat, pitch, Mansard, or hipped i.71e:.,Ire Fireplaces? ................................................... Material of roof covering? Material of Cornice? ......... .4. ..!P ... ..................................... ... How is building heated? . . ........... ........................................Lining of flues? ................................... ................ ......... . ............. Thickness of shell of Hues? . . .... ...... .................... ... ..........Any elevators or lifts? ..................... ........ ................... ..................... What kind?, . .... ...... - ..How many? Any hoi3tways? . ..... ... . . ........ ........... How protected? ... .... ... . . .. ...... ........... ..... ......... ....Total Value of Building .. ?elva.5-0...0.......7 40--im- 1 11 When will work be commenced? The applicant warrants that the lot for residential purposes, shown on a plot plan accompanying this application, conforms to the zoning regulations of the Town of South Windsor. Town of South Windsor since 1949. C;0 Applicant Y 7434 BUILDING APPLICATION ApplicationNo. ... . 7734.............................................................. West on the ....................... ........ .......side of Sullivan Ave. Street. Street No, .1.383 Owner Leste.r.. Grant ... ...... .. Applicant Same CLASSIFICATION Garage 161x24' Permit issued on above Application. Date, xa Y012V x .. 19 . . .8 '18-71 v TOWN OF SOUTH WINDSOR BUILDING PERMIT Date Aug.18, 3, 1971 Fee Paid $. .12.00 Est. Va1ue $. .1500.00 Permit N° 7434 on the West side of Sullivan Ave. Street Street No. 1383 Owner Lester Grant Applicant Same CERTIFICATE OF OCCUPANCY ISSUED: Date No. Fee Paid $ CLASSIFICATION Garage 161x24' A BUILDING PERMIT N° 7434 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. Aug as 18, 1971 t t t C erft , That Lester Grant is hereby granted permission to Garage 161 X24 1 at estimated value of $ r 0 on the went side of 1383 Sullivan Ave. Street on land owned by Le star Grant Said work to be as described in Application No. and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issue , Buildi 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 costs and damages which it shall sustain, or be compelled to reason therefor." 5096 ELECTRICAL APPLICATION ApplicationNo.,r...497...................................................................... s outho..n..d..w....................................................................aide of 8uffiian Kva ............... ... Street 1383StreetNo. Owner KNexo.(Iran .. .......... ........ ....... ......... ... X)MU 108"t Electrician . 15 59MMA P.ffRep- ri 0.......... . FILED IN OFFICE OF The Building Inspector 9722-7.2 —................... . . . . . .. . INSPBMION. I.......................... MrNo 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 stops (if of wood) are installed, without a special permit from the office of the Building Inspector. J APPLICATION FOR PERMIT TO DO ELECTRICAI. WORK. 540 7No. ................. ... ............ Permit No. ...... 0.%............... . TO THE BUILDING INSPECTOR of the TOWN OF SOUTH W INDSOR, CONN. I hereby make application M perform Electr cal Work according to detailed descri I on below. All provisions of the Rules for Electrical Installation, Section 48, Building By-Laws, hall complied with whether specified herein or t. South Windsor, Conn., 1d Sign here -- Address ................ .......... ... Location ......./....,. ....................... G '.... . Side of ................................................................... Natureof Building .. ..... . ............................................. . How many stories ................................................................................................. Newor old Building ............................................................................................. How many families ................................................................................................ Kind of Installatio How many Stores ..................... ............................................................................. Owner Address /..3.... .3 G:``..-'......... IArchitect .............. .................................................... ................................... .... Address .................................. ................................ .............................. Builder ............... ....... ......................... Address J j Electrician Address Size 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 .................. ............... No. 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: Fo other ki.nd of Installation .. .. ...................................... . .............................. f................................................................................. ................ C9 D.0......../ ......................................................................................... ... . ............ ..... . Estimated Cost ... 2&, 3 PERMIT # Appli ation For DEPARTMENT DECISION c Heating PermitOO APPLICATION IS HEREBY: 04) DEPARTMENT OF LICENSES AND INSPECTIONS N APPROVED DISAPPROVED TOWN OF SOUTH WINDSOR O cd 00 O DATE CHIEF INSPECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BELOWO 1. LOCATION OF JOB C O O NO• STREET C v d LOT NO. FLOOR APT. NO. 0 ON 4 O A 2. OWNERce 0 0 S. ADDRESS u L 1 y f,ybo 4.PHONE ca S. APPLICANT G`y C+ s v1 cd' 0 B. ADDRESS r` cd s4 ° 7.PHONE0 a B. LICENSE NO. o .., 9. EXPIRATION DATE OF LICENSE U 10. ESTIMATED COST i aq bro 11. IS THIS A CONTRACT COST?YES I NO 12. FEE ENCLOSED i k 13. TYPE OF BUILDING: C bo 10 RESIDENTIAL COMMERCIAL crs 3 14. TYPE OF JOB: INDUSTRIAL ram-, ORIGINAL ALTERATION INSTALLATION ADDITION REPAIR rr APPLICATION FOR HEATING PERMIT (Continued from Rey roe Side) 1. LOCATION OF JOB/ i'", NO. STREET FLOOR AFT.NO. 12. TYPE OF INSTALLATION: OIL BURNER ELECTRIC VENTILATION SPRINKLER GAS BURNER STACK INCINERATOR MISCELLANEOUS IDENTIFY JSIZEr!' LOCATION O V_r4!,,,•1 i.+.C.` L-~ SIZE FILL , a SIZE VENT I13. OF TANK Q 0 Via"'4 OF TANK 14. B.T.U. EQUIP. AT REGISTER FURNACE MAKE AND NO. AT BONNET FIRING RATE BOILER OR FURNACE MAKE AND NO. B.T.U. OR SQ. FT. NET B. U. OR SQ. FT. GROSS FIRING RATE FLOORS TO BE HEATED NEW OR OLD BUILDING INSULATED — YES OR NO TYPE OF WALL INSULATION ROOF OR CEI ING INSULATION AVG. SYSTEM WATER TEMP. B.T.U./SQ. FT./HR. EMISSION INDOOR-OUTDOOR TEMPERATURE DIFFERENCE FAHRENHEIT MAKE OF RADIATION: BASEBOARD, COPPER CONVECTORS, OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ. FT. OR B.T.U. DESCRIPTION OF WORK p 1s. TO BE DONE: Q:zaa 67 09 16. HEAT LOSS SCHEDULE. PTO BE INCLUDED FOR ALL JOBS): RO M SIZE WINDOWS AREA - SQUARE FEET e.T.U. B.T.U.DISTRIBUTION INSTALLED AND DOORS VOLUME TOTAL TOTAL 1`J LL NO• < GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED J 3 RAD. REGISTER ROOM L W N AND W GROSS TEMP. TO <i TYPE AND SIZE OR LEADER SIZE t WALL t0 INFILT.) DIFF. F F m u0i 8Q. FT. FREE AREA TOTALS A. HEAT LOSS FROM BUILDING B.T.U./HR. B. DOMESTIC HOT WATER DEMAND B.T.U./HR. C. PIPING. OTHER THAN NORMAL B.T.U./HR. ALLOWANCE FOR HEAT VALVE OF FUEL (A B C) FACTOR 17. ELECTRICAL WORK BY: NAME ADDRESS SUBCONTRACTORS AND 1 e. THEIR TRADES ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY THE (OWNER) OR (AGENT) OF THIS PROPERTY AND WILL BE DONE IN STRICT ACCORDANCE WITH THE BUILDING CODE. 10h APPLICATION TO BE COMPLETELY FILLED IN. 9—A -7/_ DATE SIGNATURE OF APPLICANT Sectric# APPLICATION FOR BUILDING PERMIT Plumbing# V 1383 SULLIVAN AVENUE DatHVAC Sprinkler# 5 517 F1M O Estimated Cost $ 100. Buildi fi y. COMPLETE RED BOXED AREAS Permit Fee tZ TYPE OR PRINT ONLY Occupancy Fee $ Affidavit SIGN ON REVERSE SIDE Appr.for CO.Total Fee Z TO BALDING DEPARTMEW,TOWN OF SOUTH WMSOR,CT tional Cost) $ The undersigned hereby applies to do work according to the following specifications: Jo6 Location /3 8 3 S v l l aK. V 1k Lot No. Side of Street Zone Applicant TL'aIls Y A C L C Tel# I C o Y Address 3;0 S 11 v e L A Zip O o( Lic.# S1 3033 C o Ctvvner h m a-v) +eL,a rho aAddress,U15 r,S'oo- ®fC b l U m b VS 0 k i o Architect Address Sq.Ft.New Area: 1st FI. 2nd FL 3rd FL Total New Area Rooms Lavatories Bathrooms Garages Purpose of this permit: Pv4 C, A 15,91- G l a 1 !k 0. 'P 1%t r n f a2 p`L City Water Well Septic System 0 Sewer Ins. H.O. S.P. Cert. Area Basement Garage Approved by Date l Use Group — Construction Type RevhW 1/97 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 y alteration in the plans or specifications of the Building for which this permit is asked,and agree that this building is to^I the proper distancyMpm all street lines,side yard lines,and required distances from all other zones and is located in ri hi b 'd' g and it use lowed. Signed v V I hereby apply for a Certificate of Occ pancy for the work de ribed in this application for the permit. Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS Electric# APPLICATION FOR BUILDING PERMIT Plumbing# Y 1383 SULLIVAN AVENUE HVAC #25518 Date: 1 Sprinkler# oCo FIM O Estimated Cost $ 106 Bind* 9s COMPLETE RED BOXED AREAS Permit Fee WO TYPE OR PRINT ONLY Occupancy Fee Affidavit SIGN ON REVERSE SIDE Appr.for CO.Total Fee t 2— TO BLALDING DEPARTMENT,TOWN OF SOUTH WIN SOR,CT Additional Cost) $ The undersigned hereby applies to do work according to the following specifications: Jo6 Location 3 9 3 S V u -lVaw, Lot No. Side of Street Zone Applicant '75—tn k .6kR c-, 0 S Tel# Aso(, 4 V3-j,Z/3 Addr ss 39 W c-f—`! e1,e(/ Inatc h,rsfnr C.-f— Zip Goy lic.# op 6;q3Q 5/ Owner C 4*-s t I lr Pt Aa ftt A 1"Eft ag Address .'?Y?Saver Or C o(y mt b w S Of,r"o Architect Address Sq.Ft.New Area: 1st FI. 2nd FI. 3rd FL Total New Area Rooms Lavatories Bathrooms Garages Purpose of this permit: I a k O 0+ A 16D O 9 C D/Tw -rD L r- d o v f'G City Water Well Septic System Sewer Ins. KO. S.P. Cent. Area Basement Garage Approved by Date &I(I q' Use Group --- Construction Type RevhW 1197 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 thi ing 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 DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT PERMIT# 0 90 P Application is hereby: TOWN of SOUTH WINDSOR BUILDING DEPARTMENT Bld P rmit# APPROVED 1540 SULLIVAN AVENUE J644-2511 ext. 230 Date wilding Inspector Application must be printed or typed Location ofjob Street No. Street Lot No. FEE SCHEDULE Floor Apt.No. 0 - $1,000 - $12.00 Over $1,000 Mona 12.00 per$1,000 OWNER Q or any fraction thereof 2ADDRESS13 9,3 OWNERS PHONE# '9(oO 6 4 7• K APPLICANT t tA M C— v OW N $ ADDRESS CIO ESTIMATED COST$ 3 IS THIS A CONTRACT COST? YES NO FEE ENCLOSED $ /v• TYPE OF JOB:S R•C Original Installation Alteration/Addition/Repair Revised 10/96 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 OCCUPANCYASSEMBLY MERCANTILE FUTURE USE AND OCCUPANCYEDUCATIONAL INSTITUTION FACTORY ENGINEER'S NAME PHONE STORAGE GARAGE ADDRESS MIXED USE CITY STATE ZIP Other please specify) TYPE OF INSTALLATION SIZE OF MAIN DRAIN NO. OF TOILETS STYLE NO. OF 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 MANUFACTURE TANKS SAFETY DEVICES TEMPERATURE CAPACITY RELIEF VALVE TEST PRESSURE WORKING PRESSURE PRESSURE RELIEF VALVE 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 CONN.BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. NAME STATE LICENSE NO. TYPE SIGNATURE PLICANT PHONE NO. DATE G