HomeMy WebLinkAbout0 CINNAMON SPGS BLDG #9 DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT PERMIT#
Application is hereby: TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT Z
APP OVE 1540 SI LLIVAN AVENUE
1 �
644-2511 EXT.230 Bldg.Perri t#
(Date) (Building I or)
Application must be printed or typed
FEE SCHEDULE G"s Location of Job:
$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
APPLICANT ADDRESS
APPLICANT PHONE#
?
oW N sF OWNER `�•�
OWNER ADDRESS
S�(, C)60
OWNER PHONE O
ESTIMATED COST $ 1600, dC)
IS THIS A CONTRACT COST? YES NO
FEE ENCLOSED$ �d
0 0
TYPE OF JOB: T-t= Z-S
�SOR•Cod _New Installation
'�=Alteration/Addition Repair
-�-2p1(Pao9S3 �',
Revised 12/22/I1
APPLICATION FOR PLUMBING PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
—RESIDENTIAL BUILDING PERMIT APPLICATION? ❑ YES ❑ NO
O BUSINESS CURRENT USE AND OCCUPANCY
O ASSEMBLY
O MERCANTILE
O EDUCATIONAL FUTURE USE AND OCCUPANCY
O FACTORY
O STORAGE ENGINEER'S NAME PHONE
O GARAGE
O MIXED USE ADDRESS
(Other please specify) 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 0 YES 0 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.
C4
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT �c���l DATE j�
DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT PERMIT#
Application' TOWN OF SOUTH WINDSOR i 7H
_ BUILDING DEPARTMENT
P OVED-- SULLIVAN1540 AVENUE
644-2511 ext. 230 Bldg.Permit#
Date Buil g Inspector
Application must be printed or typed
FEE SCHEDULE Location of Job:
5 c_ NNa r�oN �p,0
$0-$1,000=$15.00 Street No. Street Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT
All Plumbing Re;:ulr, Inc. APPLICANT ADDRESS All Plumbing Repair, Inc.
P.O. Box 653
Tolland, CT 06084-0353 Tolland, CT 06084-026
APPLICANT PHONE# g
OWN S£q OWNER K ai slt^' TA
OWNER ADDRESS `I 5 GWNA M4^' �=1'`'g S
Oa. OWNER PHONE
C ►�- ESTIMATED COST$ -
xIS THIS A CONTRACT COST? Yes _No
FEE ENCLOSED$ �—
j/�� TYPE OF JOB:
SO R-C o 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
RESIDENTIAL BUILDING PERMIT APPLICATION? ❑ YES ElNO
❑BUSINESS CURRENT USE AND OCCUPANCY
❑ASSEMBLY
❑MERCANTILE FUTURE USE AND OCCUPANCY
❑EDUCATIONAL
❑INSTITUTIONAL
❑FACTORY ENGINEER'S NAME PHONE
❑STORAGE
❑GARAGE ADDRESS
❑MIXED USE
(Other please specify) 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 l cc w L MANUFACTURER 51,4 e
DESCRIPTION OF WORK
�COO 1r CI C ( c� iti� s� �����/ {j . ,TA« C%.i�►�c.� �c+�c Q
I HE UNDERSIUNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCR ED AND IS T7—
COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
0o \?(� S' p
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT /� ��` DATE
Electric # APPLICATION FOR BUILDING PERMIT
Plumbing# _
HVAC# L i n n a,�N1 L 5I 'I �j�-l03 Date: __
Sprinkler# �ti0 G�o Estimated Cost $ O ,Oli
FINAL APPROVALS Permit Fee $_ bS
Building COMPLETE RED BOXED AREAS
Engineering Occupancy Fee $
Affidavit TYPE OR PRINT ONLY Eng. Insp. Fee $
Appr.for CO. ► SIGN ON REVERSE SIDE A
Total Fee $ os-
TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $
The undersigned hereby applies to do work according to the following:
Applicant r.091t.3 Location of Work i Cr Lot No. as
Applican's Ad ress / Tel ( p V/-'
Town Zip4i4di-_ Lic.# ez� 44f.GKOWE ore
Owner r w L 3ti- Architect
Owner's AZZ"
Architect's Address
/✓ /* Zip Zip
Sq. Ft. New Area: 1 st FI. 2nd F. 3r FI. Total New Area
Purpose this permit
G '
City Water J Well J Septic System J Sewer ] , ,v S
Ins: HO SP Cert. Area Basement Garage
Approved by Date ,0,/r-' Use Group' /K-- Construction Type
Revised 1108
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 roper distancIWIm a reet lines,side yard lines and requi-d
distances from all other zones and is located in which t ilding and it a is ed.
Signe�
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
J
INSPECTION FIELD SHEET 03/15/23
Printed by Middleton, Morgan 13 12 12
INSPECTION: 78054 FINAL PERMIT:
STATUS:
APPLICATION: 201500945
LOC: CINNAMON SPRINGS
SOUTH WINDSOR
PROPERTY ID: 20100000
OWNER: CINNAMON SPRINGS
CONTRACTOR:
REQUEST BY:
PROJ DESC: REMOVE ASPHALT SHINGLES TO WOOD DECK. INSTALL 6 FT. ICE AND
WORK ORDER:
INSPECTOR: WS-B RESULT: PASS
REQUESTED: PRIORITY:
SCHEDULED: COMPLETED: 03/15/23
UNPAID FEES 00 Date Time
MILEAGE: 00 TIME: TRAVEL ONSITE
COMMENTS:
INSPECTED BY ADAM CHROSTOWSKI
J
Electric # APPLICATION FOR BUILDING PERMIT
Plumbing# 1102 Cinnamon Springs Date:
HVAC #
Sprinkler# 29091
FINAL PR - - - Estimated Cost $ ?�'n ,CC,
Building] !( ,ti� J COMPLETE RED BOXED AREAS Permit Fee $�
Enginee n � Occupancy Fee $
Affidavit TYPE OR PRINT ONLY Eng. Insp. Fee $
Appr. for CO. SIGN ON REVERSE SIDE 41 Total Fee $
TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $
The undersigned hereby applies to do work according to the following:
Applicant z �C Location of Work //Da C,nWjn Lot No. id
a
Applicant's Address 3s)cu c_)A U c i n �� 'PO R�,r 4N`t T I.# 3�y ys 9- 9 9�l
Town`7o �
��,a Qtzti, 1 01 T Zip a��go Lic.# Raoi
Owner ec n./unria� jzz /2J Ctmt�r&n ri ; �mkchitect
Owner's Address SQL, Architect's Address
Zip Zip
Sq. Ft. New Area: 1st FI. 2nd FI. 3rd FI. Total New Area
Purpose of this permit
City Water❑ Well❑ Septic System❑ Sewer❑
Ins: HO SP Cert. Area Basement Garage
Approved by ` Date Use Group - Construction Type
Revised 6/02
I hereby agree to conform to all the requirements of the Laws of the S of Connecticut and the Ordinances of the Town of
South Windsor and to notify the Building Inspector of any afterat plans or specifications of the Building for which this
permit is asked,and agree that this building is to be ed the distance from all street lines,side yard lines,and required
distances from all other zones and is located in is . ing 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