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HomeMy WebLinkAbout1001 DUCK CV DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: 3Q<i BUILDING DEPARTMENT APPROVED 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 Date Building Inspector Application must be printed or typed FEE SCHEDULE Location of Job: 1 c $0-$1,000=$15.00 Street No. Street Lot 14. Over$1,000= $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT t APPLICANT ADDRESS UNn W 1 q �C: ,T C3 roG-74 -- APPLICANT PHONE# C3�,q I -C3 uS O W N Se OWNER Cney, ��I OU P x q� OWNER ADDRESS 6 �•s 1 O b �, OWNER PHONE C=Aa C ESTIMATED COST$ 'A j O O e IS THIS A CONTRACT COST'? X Yes _No (� o �� FEE ENCLOSED$ V r�OS �� TYPE OF JOB: O R CO New Installation _Alteration/Addition/Repair Revised 4/01//2002 t0o" APPLICATION FOR PLUMBING PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A if RESIDENTIAL BUILDING PERMIT APPLICATION? ❑ YES O(NO O BUSINESS CURRENT USE AND OCCUPANCY ❑ASSEMBLY ❑MERCANTILE FUTURE USE AND OCCUPANCY O EDUCATIONAL 0 INSTITUTIONAL 0 FACTORY ENGINEER'S NAME PHONE ❑STORAGE 0 GARAGE ADDRESS ❑MIXED USE CITY STATE ZIP (Other please specify) TYPE OF INSTALLATION � 1 SIZE OF MAIN DRAIN Z4 NO.OF TOILETS a STYLE NO.URINALS STYLE NO.OF BATHTUBS NO.OF SHOWERS I NO.OF LAVATORIES NO.OF CONDUCTORS SIZE_ NO.OF STACKS I 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 O NO SIZE OF WINDOW IF NONE C.F.M.OF VENTILATOR SIZE OF DUCTS SEWER OR SEPTIC TANK 51-Lo-e—r SIZE OF WATER MAIN I SIZE OF WATER PIPING&RISER WATER HEATER: TYPE C7Ck5 MANUFACTURER Q DESCRIPTION OF WORK )XQIYG r 1 nS+-alloko n COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. 91035q(�) CONTRACTORS LICENSE NO. TYPE 2 STATE SIGNATURE OF APPLICANT ����`Q ��\ ��,�p DATE DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT IT Application is hereby: TOWN OF SOUTH WINDSOR Ra /"] � BUILDING DEPARTMENT APPROU D 1540 SULLIVAN AVENUE 644-2511 ext. 230 Bldg.Permit# to , Buildi Application must be printed or typed FEE SCHEDULE Location of Job: $0-$1,000=$15.00 Street No. Stre t Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT —:j . S , ( S 1�4 APPLICANT ADDRESS \ ` a 7 W tr-rt en r-- V fir"✓� o H __ APPLICANT PHONE# R 7 2 U 3 Co _ O W N St OWNER C _ OWNER ADDRESS 0 8 __ /4,157 13 q IV Ca ry N OWNER PHONE /—g G o — o? a 12 9606 C ;D ESTIMATED COST$ 02 g o - 0 0 IS THIS A CONTRACT COST? Yes _No FEE ENCLOSED$ 'Y,S`,, o O 1��5 O�� TYPE OF JOB: O R C New Installation Alteration/Addition/Repair APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION? 0 YES 0 NO ❑RESIDENTIAL ❑BUSINESS CURRENT USE AND OCCUPANCY ❑ASSEMBLY ❑MERCANTILE FUTURE USE AND OCCUPANCY ❑EDUCATIONAL ❑INSTITUTIONAL ❑FACTORY ENGINEER'S NAME PHONE ❑STORAGE ❑GARAGE ADDRESS ❑MIXED USE CITY STATE ZIP (Other please specify) TYPE OF INSTALLATION/WIRING METHOD A-) \z r- h a SIZE OF SERVICE O SIZE OF MAIN CONDUCTORS ` / NUMBER OF METERS y NUMBER OF DISCONNECTS AND RATINGS_sae o NUMBER OF PANELS -7' 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. x /0 3.S?d 25- / a r/PI CONTRACTORS LICENSE NO. 4 TYPE STATE 0 SIGNATURE OF APPLICANT DATE ,0 APPLICATION FOR ELECTRICAL PERMIT DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT# Ap rPh� BUILDING DEPARTMENT ®1,0 Ap 1540 SULLIVAN AVENUE % 644-2511 ext. 230 t Bldg.Permit Date Vding Inspector Application must be printed or typed FEE SCHEDULE Location of Job: $0-$1,000=$15.00 /00/ 4216� !!iJ/�,� Over$1,000= Street No. Street I of No. $15.00 per$1,000 _ or any fraction thereof Tenant Designation Apt.No. APPLICANTG APPLICANT ADDRESS 2�- E/�c4/.ELIG�G►D rD.��dcr APPLICANT'S PHONE# OWNER J- 1O 0— //eGOJ1to—j' LL G SOW N SFq< OWNER ADDRESS /p80 G—itSi Y7W &0) OWNER PHONE ESTIMATED COST$ C ,.� #► (� IS THIS A CONTRACT COST? 1/ Yes No 1. FEE ENCLOSED$ TYPE OF JOB: 1033 �S ✓New Installation Alteration/Addition/Repair 1 U142� Revised 03/05/10 APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATERWITH A BUILDING PERMIT APPLICATION? Lff YES ❑ NO ad/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 SIZE OF SERVICE 2e0 A,,Wllo 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 !1�/.�L' /�LtK� �i �Yt00 C//i/�T �•e /�<I�!/G`t' L 77' I z/1, u/i45 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 S-2 2- CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT i4?_,0ee�� DATE s DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT APPR VE 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 Date Building Inspecfor Application must be printed or typed FEE SCHEDULE Location of Job: $0-$1,000=$15.00 Street No. Street Lot No. Over$1,000= $15.00 per$1,000 ' . or any fraction thereof Tenant Designation Apt.No. APPLICANT O S S' M C4 e APPLICANT ADDjSS �21 o � � P s•T rP, �' l lz/�<<o APPLICANT PHONE# Ow N SF OWNER o r q� OWNER ADDRESS Y Q rt OWNER PHONE C ESTIMATED COST$ 0� ►•� d U .� IS THIS A CONTRACT C ST? _Yes _No FEE ENCLOSED$ C7 rI sCO TYPE OF J . OR C New Installation Alteration/Addition/Repair Revised 4/01//2002 APPLICATION FOR PLUMBING PERMIT (Continued from revue 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 ❑FACTORY ENGINEER'S NAME PHONE ❑STORAGE ❑GARAGE ADDRESS ❑MIXED USE CITY STATE ZIP (Other please specify) TYPE OF INSTALLATION P (Z G 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 ff 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 Cc !. f N I V THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND 17M— COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. elm a.2o3G � 7 c / CONTRACTORS LICENSE NO. TYPE S ATE SIGNATURE OF APPLICANT �� DATE APPLICATION FOR PLUMBING PERMIT TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074(PHONE) 860-644-2511 EXT.230 PERMTT NUMBER: DEPARTMENT DECISION /�� c APPLICATION IS HEREBY: ' 'I bO S a ) APPROVED: BLDG.PERMIT NUMBER: &',c 1 "V,-,-y DATE INSPECTOR LOCATION OF WORK: ' OCA -D 2ew\ w a APPLICANT: OWNER: TYPE OF STRUCTURE: 1 ❑NEW BUILDING NAME: \QG� e V, �j NAME I[ t C�G' l� ❑ADDITION PHONE NumBER apd�-q2 PHONENUMBER:S(pQ 43a polo7 761ISTINGBUILDING ADDRESS:`� )c �4' ADDRESS:JCS r1 L4�y TYPE OF USE: cr IDENTIAL o COMvlERCL4L PLUMBING INFORMATION: FURTHER DESCCRIPTION OF WORK: TYPE OF INSTALLATION: �/✓)Gd Cl e�<<-I vf O LGL C1? e&x' NO.OF TOILETS: STYLE: NO.OF BATHTUBS: (`,i�o lIJYl Il(.I_-t.�TL'.t- S NO.OF SHOWERS: NO.OF LAVATORIES: W NO.OF CATCH BASINS:_.__ NO.OF FLOOR DRAINS: ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY WINDOW? OYES oNO ESTIMATED COST! $ L ___ SIZE OF WINDOW: SIZE OF DUCTS: OL� F' SEWER OR SEPTIC TANK: FEE ENCLOSED:S �� C SIZE OF WATER PIPING AND RISER: WATER HEATER: TYPE'kV GIA CW6 MANUFACTURER6QLC2My,J,� FEE SCHEDULE:$18 PER$1,000 OF THE ESTIMATED COST. ROUND UP TO THE NEXT THOUSAND ONCE THE PROJECT IS S1.00 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.: Q;�O A2D TYPE: STATE: C-T SIGNATURE OF APPLIC�C.� DATE: Q I a , 19 aoisoi7,,5/ ;r'.lectnc # APPLICATION FOR BUILDING PERMIT Plumbing# 1001 Dzen Way Date: Xa,2— 2&-o Lt HVAC # Sprinkler# FINAL APPROVALS - 3 0 6 0 5 Estimated Cost $ 1J d Building COMPLETE RED BOXED AREAS Permit Fee $ Engineering TYPE OR PRINT ONLY Occupancy Fee $ /6 . Affidavit l SIGN ON REVERSE SIDE Eng. Insp. Fee $ -- A r. for CO. 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 LT _bt az-1cjLv„,e j ( : -a Location of Work i c-e i Lot No. Applicant's Address Town tag 6, Zip v Lic.# Owner Su�/,� o✓.� f/v..�, Architect �_ �l' /. �//�✓�,f %�� r Owner's Address 5:�,.�� ,�� 46�+�� Architect's Address '�/ / 4, Zip /h,,/ ,� �'�" Zip 474 y 5 i Sq. Ft. New Area: 1 st FI. /i0 3 2nd FI. 3rd FI. Total New Area /iy Purpose of this permit - City Waterls Wello Septic System❑ Sewer► Ins: HO SP Cert. Area Basement Garage Approved by Date Use Group Construction Type Revised 8IO2 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 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 Electric # 1lQol Dzen A13PLICATION FOR BUILDING PERMIT Plumbing# 11000628 at H VAC# Date: //—A 51—</ Sprinkler# Estimated Cost $_501 oc x, FINAL APPROVALS Permit Fee $ gCk� Building COMPLETE RED BOXED AREAS Occupancy Fee $ �a Engineering TYPE OF PRINT ONLY Eng. Insp. Fee $ Affidavit ► SIGN ON REVERSE SIDE t Appr.forCO. 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:S A Lea cetrt" COAT L.d- L Location of Work /O O/ ICI 2 eA/ LtJar,, LotNo. Applicant's Address el Q Tel # 53(,0 -6-,S'9 86?e Town&,TK LU 1 nj-%.2 G _ Zip O 6 O7 Y Lic.#N 1fC©O (!,L$!38 Owner Q Q T tlotet,MS Architect Owner's Address Architect's Address Zip — —Zip Sq. Ft.New Area: 1 st FI. / gis 6 2nd FI. 3rd FI. Total New Area Purpose of this permit ©f— 1is%i.o�2 City Water Well 0 Septic System 0 Sewer J Ins: HO SP Cert. Area Basement Garage Approved bye � Date L-2-K' Use Group a 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 the proper distance from all street lines,side yard lines,and required distances from all other zones and is located in whic7hbuilding 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 Zz DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS