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Home My WebLink About0 ST MARC CIR BLDG 25 DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT PERMIT# Application is hereby: TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT APP V 1540 SULLIVAN AVENUE I 1 1 644-2511 EXT.230 Bldg.Permit# (Date) (Building Inspector) Application must be printed or typed FEE SCHEDULE Location of Job: ST A B C C\<-c Ve._ $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 Z C-6 APPLICANT ADDRESS -S C'T APPLICANT PHONE# '� 2 C\ U \\, 0 W N S F OWNER G,c-,t ej C.1 e <-4 -4� OWNER ADDRESS ST• C`6`c\A< C C\,c(—t e. O n OWNER PHONE O C = ESTIMATED COST $ b O b IS THIS A CONTRACT COST? YES NO } � FEE ENCLOSED$ 0 0 40*�� TYPE OF JOB: h�P2 SOR.00 New Installation 41teration/Addition Repair Li Revised 12/22/11 APPLICATION FOR PLUMBING PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A RESIDENTIAL BUILDING PERMIT APPLICATION? ❑ YES NO 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 O YES O 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 C ck, C'_C,,�tt t GCc lJ , �Z C...• 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. Zo = SCkk CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT DATE \ — / 7—r Elec,u is # APPLICATION FOR BUILDING PERMIT Plumbing# St Marc Circle Bldg R Date: 3 ,,2 , 03 HVAC # Sprinkler# 29466 FINAL Ol — Estimated Cost i — -- - Buildingll 0 COMPLETE- Permit Fee $ RED BOXED AREAS Enginee n v TYPE OR PRINT ONLY Occupancy Fee $ Affidavit Eng. Insp. Fee $ Appr. for CO. POP- SIGN ON REVERSE SIDE / 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 Location of Workarc Lot No. Applicant's A ness Tel.# Town Zip 06=b Lic.# _S Owner + Architect Owner's Address 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 =� S °� Date 3 Use Group Construction Type Rsvissd AW 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 Iocat h isIi T t Ilowed. %%A& . 13 r 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 ------------------------------------------------------------------------------- **-29466-B 3,000 B10 FINAL 11/24/04 JFF A B10 FINAL 11/24/04 JFF A CLOSEOUT APPLICATION FOR ELECTRICAL PERMIT DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT PPRO 1540 SULLIVAN AVENUE% f 3y nB� 644-2511 ext. 230 Bldg. Permit# Dat u i I drgns ector Application must be printed or typed FEE SCHEDULE Location of Job:, $0-$1,000=$15.00 _1Z 13,. i� �� , �, i� 7��' <�.r rc c Li/L, Over$1,000= Street No. Street Lot No $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT ,¢A/�-,. APPLICANT ADDRESS 5 41ej APPLICANT'S PHONE # 0 OW N gF OWNER ( q< OWNER ADDRESS s'T o OWNER PHONE ESTIMATED COST$ %-ice, C � IS THIS A CONTRACT COST? Yes No FEE ENCLOSED$ �5 TYPE OF JOB: i�y�' �SpR.00 New Installation Alteration/Addition/Repair Revised 03/05/10 APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION? ❑ YES a,NO RESIDENTIAL CURRENT USE AND OCCUPANCY ❑ BUSINESS ❑ ASSEMBLY FUTURE USE AND OCCUPANCY ❑ EDUCATIONAL ❑ INSTITUTIONAL ENGINEER'S NAME PHONE ❑ FACTORY ❑ STORAGE ADDRESS ❑ GARAGE ❑ MIXED USE CITY STATE ZIP (Other please specify) TYPE OF INSTALLATION/WIRING METHOD 'D<Y SIZE OF SERVICE SIZE OF MAIN CONDUCTORS NUMBERS OF METERS NUMBERS OF DISCONNECTS AND RATINGS NUMBERS OF PANELS NUMBERS OF DISCONNECTS REQUIRED? ❑ YES ❑ NO NUMBERS 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 NEARBY 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 PERFOR- MANCE OF SUCH WORK CONTRACTORS LICENSE NO. J TYPE STATE SIGNATURE OF APPLICANT DATE -�2-' `;'�• �� 0 APPLICATION FOR PLUMBING PERMIT . TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074(PHONE) 860-644-2511 EXT. 230 PEYJIT DEPARTMENT DECISION APPLICATION IS HEREBY: �s APPROVED: BLDG.PERMIT NUMBER !O ! •l u DATE INSPECTOR LOCATION OF WORK: Ma it a c U o,T �U V"�h W IC1Cj SDY C� APPLICANT: OWNER: TYPE OF STRUCTURE: ❑NEW BUILDING NAME: 0S�XVjCCINAME: 1 ' 1 I O ADDITION PHONE NUMBER: PHONE NUMBER ` 1�-(Q�}"�-l�(��U STING BUILDING ADDRESS: ADDRESS: a r C e 1 f ) cy LLO(c-, Cu TYPE OF USE: IDENTIAL o COMMERCIAL Gb oDA,, PLUMBING INFORMATION: FURTHER DESCRIPTION OF WORK:I TYPE OF INSTALLATION:� Q.�- �- O S M Q NO.OF TOILETS: STYLE: NO.OF BATHTUBS: NO.OF SHOWERS: NO.OF LAVATORIES: rneko[no-u- 1[Yl c r hm�cr S NO.OF CATCH BASINS: NO.OF FLOOR DRAINS: ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY WINDOW? Q oYES ONO ESTIMATED COST: S SIZE OF WINDOW: SIZE OF DUCTS: SEWER OR SEPTIC TANK �� //�� /1 FEE ENCLOSED:S D n SIZE OF WATER PIPING AND RISER: L40 1Vin WATER HEATER: TYPE _ MANUFACTURER`S ]ICJ 1 FEE SCHEDULE:$18 PER S1,000 OF THE ESTIMATED C ROUND UP TO THE NEXT THOUSAND ONCE THE PROJECT IS $1.00 OVER (.26 CENT EDUCATIONAL FEE INCLUDED AS PART OF THE PERMIT FEE) THE UNDERSIGNED HEARBY 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 PERFOMANCE OF SUCH WORK. CONTRACTORS LICENSE NO.: nnnn TYPE:? STATE: SIGNATURE OF APPLICANT: DATE: 1