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Home My WebLink About108 CLIFFWOOD DR ' APPLICATION FOR BUILDING PERMIT Electric# Plumbing# 108 Cliffwood Drive Date: 1 1 llb (4b6 HVAC # Sprinkler# --3-0 62— - - --- -- - ----, Estimated Cost o FINAL OV — Permit Fee $ h6 Buildings COMPLETE RED BOXED AREAS Occupancy Fee $ Enginee g TYPE OR PRINT ONLY j Eng. Insp. Fee $ Affidavit c 110- SIGN ON REVERSE SIDE PP `/ - - - - - - - - - - --I' Total Fee $ . TO THE B I ING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ The undersigned hereby applies to do work according to the following: Applicant ' n t tz) __Location of Work o ��l Lot No. Applicant's Address �U b C .\, Dr- Tel.# bl-414-a 1 i Town- -,'--,o-,� h W, Aok%Pr Zip b 60_I`{ Lic.# Owner L-2o cn UP rc_4-�v Architect 1j A Owner's Address See ucm Architect's Address hJ r\ Zip s ,u A Zip &vA Sq. Ft. New Area: 1 st FI. 2nd FI. — 3rd FI. — Total New Area — Purpose of this permit %o x k to S'nerx Gmc 6 ,:nrA. City Watero Well❑ Septic Systemo Sewero Ins: HO SP Cert. Area Basement Garage Approved by Date Use Group Construction Type Revised 6102 r � 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;ts use is allowed. Signed I hereby apply for a Certificate of Occupancy for the work described in thig api;,lication for the permit Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS Inspection / Approval Date By Appl Code Description Due Whom Code Comment " ------------------------------------------------------------------------------- ++-30162-B 3,500 B10 FINAL 03/24/09 JFF A w AAL ��'tONSElvATdS t 1dRAM1AGG �. GRAPHIC SCALE JI ----------------IN MT �� b, 40 ft. /.9 DRA/Nd6E elmyr OF I.; 1 LEGEND �p 1 ' N / — — Us Dorm cmmm \ I I � ', & �' .t�sx♦ \ \� • wow vMs sT s swrARr LATEML t ws WER ROOF LE DMIFWFMG MW HOUSE LOCATED AS SmoWN Lgom& SET 1 1 F 1 APR%L 24, 1998 T/NE Tp/EL, =/TV c: 337..0 rva: J3S.9 Ma eF ate.r /� ZONE A-30 i z�• WE ( —' OWNER / APPLICANT T Mi 3�Dx/ CS ST AP!'ER OSTR6�T YPANY INC. „T. 99 BA / oRhrt ,,o,,,,, n � YANCSRSM CT 06040 `"''P , �� — I -- —dap TEL. (860) 643-9551 124. 55' S-196m .E 3io L F F W 0❑D D R I V NOTE: ELEVATIONS REFER TO THE N.G.V.D. OF 1927 •' - - - BEARINGS REFER TO M.D.C. QATUM TEL-670-&M M- J C Sommers HEREBY CERTIFY THAT THIS MAP AND SURVEY WERE PREPARED IN s.o.son OW04 SRO�f at.�So- Ion C . ACCORDANCE WITH THE STANDARDS OF A Q SS A-2 SURVEY AS MAP REFERENCES '* "' a-ftwmamme cowu .mbe mftm . v smomm•,• &.Bows DEFINED IN THE CODE OF PRACTICE FOR STANDARDS OF ACCURACY OF SURVEYS AND MAPSADOPTEO DECEMBER 10.1975 AS AMENDED w or m �■e.+w �, , BY THE CONNECTICUT ASSOCIATION OF LAND SURVEYORS,INC. BEING LOT NO. 3 ON MAP ENTITLED: AS BUILT CLIFFWOOD ESTATES SUBDIVISION LAW'RENCE ROAD, PREPARED FOR TOPOGRAPHIC FEATURES v' SHOWN HERE WERE PREPARED IN SOUTH WINDSOR. CONN. DATE: AN. 1995 REVISED: ACCORDANCE WITH - , AUG.1995 SCALE: 1' - 40' PREPARED BY: JC SOMMERS ASSOCIATES, INC. VERNON, CONNECTICUT U ac R CONSTRUCTION CO. INC. LOTA Os sczmwoo0 Dens WOUTS WnCDSM CT. JAMES C. SOMMERS L.S. 9678 o•—aas•—• .a�M a- ♦0. taas—• o C��II�I APR 2 t, ly9b South Windsor BUILDING DEPARTMENT This certill^d that this r'nn : 1 sCr—,r tru, copies of the proposed t .. �r Z. t erected at together with ar n :rota vd in en^li- ti_, filed with plin and 1 :r t my L th II zcni 3uilding and st t. i s ra �s sn ill 3 ssu..d by the ,4.r,d,ng ; rr rink dn nC . f this appl:c-.tern and final rssu:,nce of a bulldu+. Jermrt- "r'ned 11 ;I+n is ap•.:r v d subject to the condition the, rs rr gul.tmg building shall be oitrc,r.11r A;proved These tiled with Burld,nd Insp..ctor Clark rats ♦ro� r TF 33 W N Q��.OS 3O'GOT ro LOT pRwAma6 F4SEMENT ItJH 331.1 ` w 3'v \ V �I �1. — CoNSE2VAT1o1J I:DRAINAGE GRAPHIC SCALE 1 �,XM61ST 11 �\ ' %y.' — _ �� (AS N �o o io �o �o pro I 30172 so.PT ,� IN FEET 6 1 inch >a 40 ft I I 1 I /.3 DRAIAIAG6 R/GHT OF NSA\ 3,14 \ 1 I O 2 LEGEND I � I \^ I i is'sq -� • RON PM SET 40 M3Y4 \ 1 a L; s swrWtr LATERAL R/F ROOF LE D8VFn07W DI W 1 II 4pa F�/ST/A[Gt�DLJSE `r 1 HOUSE LOCATED AS .9HOWA1 S sEr 1� I F.F: 3370 1 AP2IL 24, 1998 T� lEl,/EJECf/IV 335.9 a �toa eF 329.7 ZONE A-30 ` I r i m.azz2 _ 13 OWNER / APPUCANT we MA I `-1 - U do R CONSTRUCTION COMPANY INC. sYs 61T. 99 EAST CENTER STREET LAWN INLET ` I DRIvF- u..3 a T�� ws YANCBSSTER. CT 06040 s -33Z M (860) 643-9551 40 a2s „ — 124.25' I 1 S-19'08'47'' 1_ ./eE; ": —� - =- ---- -- —_ ---- ------------- --------- C L I F F W 0 0 D _ DRIVE _ NOTE: ELEVATIONS REFER TO THE N.G.V.D. OF 1927 BEARINGS REFER TO M.D.C. DATUM TM-872-V03 J C 1r� 1/i1�M >o.. Sommers masl !L Associates Iric . I HEREBY CERTIFY THAT THIS MAP AND SURVEY WERE PREPARED IN a000 r.o.sox 404 v�s.l,. cr. 00004-04oa ACCORDANCE WITH THE STANDARDS OF A CIARR A-9 SURVEY AS MAP REFERENCES mv -'" DEFINED IN THE CODE OF PRACTICE FOR STANDARDS OF ACCURACY COW ` �` ' '�'�`�� _'�` ��'� OF SURVEYS AND MAPSADOrP(ED DFCEMBER 10.1975 AS AMENDED w1804 AS BUILT BY THE CONNECTICUT ASSG`�'N710H1 C'F LAND SURVEYORS.INC. BEING LOT NO. 3 ON MAP ENTITLED: , .� ;s T CUFFW00D ESTATES suBDItnSION LAWRENCE ROAD. TOPOGRAPHIC FEATURES. S4001 HEREONy WERE PREPARED IN SOUTH WINDSOR. CONN. DATE: JAN. 1995 REVISED: PREPARED FOR ACCORDANCE WITH AUG.1995 SCALE: 1" = 40' PREPARED BY: JC U & R CONSTRUCTION CO. INC. SOMMERS ASSOCIATES. INC. VERNON. CONNECTICUT pOT 43 CLMPFWOOD D=iv! NODTB WMDBOi. CZ'. JAMES C. SOMMERS L.S. 9678 - »osomm s1� .a.><s CIA" •s—sass—• Arst.a••• t' 40• spa•-- D �il MAY 4 6 1998 South Windsor BUILDING DEPARTMENT TO THE LUILDING DEPT. TOWN Of SOUTH WINOSdR� This certilicd that this plan and specifications are trlH copies of the proposed building or alterations to be erected at '�>UrerY eng,ther with amendments slated in application and i tiled with pl,n and 1 agrce to comply with all zoning. 6aNding and state laws and such orders as sha!1 b. ( ` n lssued by the Building oepartm—t Mq during pendrncy at tnis application and final issuance of a bu"Mg perwttt. V s0IJ �6 1998 finned ft..s plln is approved subject to the conditioe that ff q� P) •V NG rs a^d .rdin neca regulaunc building shall be t..n iu�d •:ith. /\ CMditionaily Approved These tiled with \ r 6uMdtwg :ns,><cror Cle.r Oets r',p REVISED µ � � a � I As N/F No o) N 0 ROBERT G. RECKENDORF o 127.65. PROP. YARD DRAIN As CONSERVATION & GRAPHIC SCALE SHOWN ON SUBD.PLANS -DRAINAGE ESMNT. — C.� - --- p ------- I tf0 TF-337.5 INV.324.0 - , �0 0 p i — — -----J IN FEET MAP REFERENCES i inch 0 , fL 15' DRAIN.R.O.W. BEING LOT NO. 3 ON MAP ENTITLED: 30.172 SO.FT. CLIFFWOOD ESTATES SUBDMSION LAWRENCE ROAD. ® SOUTH WINDSOR. CONN. DATE: JAN. 1995 REVISED: W AUG.1995 SCALE: 1" = 40' PREPARED BY: JC N SOMMERS ASSOCIATES. INC. VERNON, CONNECTICUT LEGEND ID N to V _ N N y s Sze >w 2 U `; PURPOSE do VALIDITY • AM FW (TO sty PROPOSED 332 'i THIS MAP IS ONLY INTENDED tO DEPICT THE PROPOSED LOCATION Sow SWTAW IATEM TREE LINE �/ ..�A rn OF A SINGLE FAMILY DWELLING WITH ITS UTILITY CONNECTIONS FOR WS WA70 SEWYCE REVIEW AND APPROVAL BY THE TOWN OF SOUTH WINDSOR STAFF 1 IN THE ISSUANCE OF PERMITS FOR CONSTRUCTION ON THIS LOT. Rn` MW LEAM/FOOTMIG oRAlq s PROP SE THIS MAP IS NOT VALID WITHOUT THE NAMED SURVEYOR'S AND F.F. 33E.0 ENGINEER'S LIVE SIGNATURES AND RAISED EMBOSSED SEALS. ZONE A-30 a G.F. 33i0 "` T j OWNER / APPLICANT U do R CONSTRUCTION COMPANY INC. SILT FENCE (TYP) f 53' 1 99 EAST CENTER STREET i CONST. ENTRANCE PAD pp„�ApMNNMOOy�Nyy'' ]IANCHESTER, CT 06040 i ppppp(�/.of p ONI�FC��b,,g� TEL (860) 643-9551 124.25' o l,-o .�"o �g AS ' �G y e.a ! S � S 19'08 47' E Q �o �� 04, EXIST CB - --� -------- ° --— �`, z TF=325.61 --- ; = NOTE: ELEVATIONS REFER TO THE N.G.V.D. OF 1927 INv=321.28 ----„ �-1---- ----�.F =-7+00 "`.'. -- - CLIFFW00 EE:. BEARINGS REFER TO A.D.C. DATUM - - - - - - - - - - =�°o: NO. 0169 EXIST SMH r. TF=329.01 `'�.¢y�Fp'•......�'Etv » e: J�: INN=315.76 9a AICTiCE(7� n a.,:= ....c..,.« '�aaapara/MppptlbmAvn# S o=a=a Q r s I HEREBY CERTIFY THAT THIS MAP AND SU RE NAKED IN ^� - asses - LlAssacleLtes Iac. ACCORDANCE WITH THE STANDARDS OF A - SURVEY AS - C: � ss r.n... a��. . ra�4wm. cr. o•o••-n4ao DEFINED IN THE CODE OF PRACTICE FOR ST OF ACCURACY n see -,... e•uL-..."ma C.-u 'MA 04LM,C-M7 =assm••" L--ql � OF SURVEYS AND MAPSADOPTED DECEMBER 10. ED my w °A wmw,10N PLOT PLAN BY THE CONNECTICUT ASSOCIATION OF :.AND SU TOPOGRAPHIC FEA SHOWN HERE(. WERE PREPARED IN PREPARED FOR ACCORDANCE r/ '� (a • r 1 U 8c R CONSTRUCTION CO. INC. �.t.J OvL� P.E.9069 � 0 3 TEL 872-2703 JAMES C. SOMMERS L.S. 9678 ROBERT A. WARD. JR. cun►wooa sar�rsa aovzs wirrDsoa. cr. m/�_/� ''T'/L 4 7 r14.0- a..1 a- 4 c.a/ ee-iaie-e >t[naecs.iota�s i" � ao• saie-a V,7116.11 1 Ir 7 South Viindsolr BUILDING DEPARTMENT Ti This czrtifl d th,t this Plan and snccjf3r,t:ons are troo C'Pi"s of the proposed building or alterations to be erected at o ;ogcther w:th ts -t,d in zipnlic-t' Stree- in fllcd with Plan and I c_Piy with _'ll zzr4,, Bullding "d rn ,r,l,,rs as h-11 Issued by tjje , t;,- nT :I:rirg p?r Of this ZPPI,CaAl-n .,d fin-1 Iss—nce of a b..j., permit. Signcd This plan i9 Ip",v-d sut,, rat t, th, Orders and vraj-s,--fZL%I r'-g b-11 Cc".qi,ed v..th Conditionally Approved These rail jBuilding [n5Pcc!cr MAR 10 1997 Dato 7. Sm WSM D&WE L A* 050 30•/-Or-I—Or p,eA/NA46 --ASENWr iMtEy j \ �Z7 65. IV \ C COOSE2VAMOPJ t:DR/U1J"GE GRAPHIC SCALE • i2G. W �,� 40 0 30 40 N 100 \ J 1 �017Z 5o.FT __ ----------.� \ t i __. 40 fL � I , 1 `Y 33 i 3D QAIAeAGE RKaHr OF A\\ ; L LEGEND to EoPm cow" Vf I ;x� \ U U K� p MlON PIMS,SET S SAWAIK LATERAL a '�- ! _ _ I a.i 1 / 1 \ • MS 1rAlER SERNfS: R/F' ROOF LEADER/FDDfl+c OttAl1 r` Ex/ST/NG M�E s Housa LOCA-MD AS S►owN • Noom SET I i F.F_: 3370 t APRIL 24,1998 T/E /?V 7.4W 335.9 1 ZONE A-30 1 1 a+,i «\ — 3st OWNER / APPLICANT 'NYC Mo 5r.sl MA T t U & R CONSTRUCTION COMPANY INC. I o4IVR 99 EAST CENTER STREET MANC$ESTER. CT 08040 J3� TEL. '(880)'_843=9551-r ^�- ,� 124.25' S-1 W08'4T E -_ ——----330 --------------' --- -- «.... C L I F F W O O D DRIVE »s NOTE: ELEVATIONS REFER•,TO THE N.G.V.D. OF 1927 BEARINGS REFER TO M.D.C. DATUM >• TEL-872-2703 mass I HEREBY CERTIFY THAT THIS MAP AND SURVEY WERE PREPARED IN n . • "aSommers >�N•.6...� Associates Ira c. assoar >r.o.son a" v.rs.e. CT. 00000-0004 ACCORDANCE WITH THE STANDARDS OF A Cl ASS A-9 SURVEY AS MAP REFERENCES DEFINED IN THE CODE OF PRACTICE FOR STANDARDS OF ACCURACY 026um - oMa a.. ..04...s a 400MMMO �.. ....,.... OF SURVEYS AND MAPS.ADOPTED DECEMBER 10.1975 AS AMENDED BY THE CONNECTICUT ASSOCIATION Or LAND SURVEYORS.INC. BEING LOT NO. 3 ON WP ENTITLED: AS BUILT CUFFWOOD ESTATES SUBDIVISION LAWRENCE ROAD. TOPOGRAPHIC FEATU SHOWN HERE . WERE PREPARED IN SOUTH WINDSOR, CONN. DATE: JAN. 1995 REVISED: PREPARED FOR ACCORDANCE WRH AUG.1995 SCALE: 1` = 40' PREPARED BY: JC SOMMERS ASSOCIATES. INC. VERNON, CONNECTICUT U 8c R CONSTRUCTION CO. INC. JAMES C. SOMMERS L.S. 9678 No.s 8 C><arMOOD Dsa<vs sou .RINDso11L CT. ss—iat•—• w>rat.a�� i- :. gyp• Lass—s n'�1 -I 6 f-sUd South Windsor BUILDING DEPARTMENT io 1HE V120'. D`T. TOVA Cf WUTH W.7WSu, This cerWi?d teat Ibis plan and spEeif ieetions:•e tru• copies of the proposed building or alterations to be erected at �O�andrnpnts Stree- t cgcrtated in application arc tried v ith plan and 1 agree to comply with all zoning d,^.g and bt,te rjws and such orders as shill issued oy tive Building Ocp3rtment during pender,� of t`Is eppixation and final iss ante of a •� Permit. S.kned Th�a plan is ppravad subject to the condition thet ore: rs ,r u ..rotr.ances regulating balding shall be c.,r-.I,.-i -14:1 Co:iajtlrm.1:y ;'•Cproved These filed with Building I,;pcctor /f/1 Clerk D•t• No.�ti �.f� CERTIFICATION OF ZONING COMPLIANCE pr - 7,-!" iing(s), use(s) and/cr stru- �t-) n this plan appear(s) t; n with current Sou ll f r n J. Variances and special c;:; Enfo cement O:ficer 10Yl I. k ,F d N p8•�.0� .90'nor 70 4.0r v eauvs+6,65 ,ZesEafvr C ---CONSEevA„CM �DRJ►ulAGc - GRAPHIC SCALE tAffW-74C"r G4,S .o o m .o auo t.9 — --- -----------------� 1 \ ; 1 Inch = 40 fL 1 \ 1 1 1 1 /3 ORA/NiIGE R ao yr OF AMA\ 3 1 �a 1 \ ' Vf LEGEND •- 1 �` �to� Ste WNW caff" I I k \1i \ MS WATER S'RM �tJ - IR/� Mw L6A ovmalw OMN 1 (1 C'"' Fxr�T RrG a1�GlSE s j HOUSE. LCKArED As SHOWN • Um MT 1 1 f�: 337.0 I AM%L Z4, 1998 TA �� my rs'w: 335.9 1 v 7&.7 af: 328.7 ZONE A-30 ` 1 c izt vr�ss.v I tag' _33iK OWNER / APPUCANT '; ~s .� % l-1 9e osrReg�arY INC. wT/ stsl L/hYN INLET pRWL _ µ e ws MANC CT 06040 s 725'1 —J32 TEL (860) 649-9651 am 124 ( 4 S-19'08'4T E —�——-- 1- -fir-- ----------- �=--�---- C L I F F W❑❑D _�F DRIVE " _ NOTE: ELEVATIONS REFER TO THE N.G.V.D. OF 1927 �:'•�_ - �; BEARINGS REFER TO M.D.C. DATUM off —ASL— JC Sommers 'r A" a '"' Associates I ac . I HEREBY CERTIFY THAT THIS MAP AND SURVEY WERE PREPARED IN V.o.soz a" T.e..mo cap. o•o••—o•oa ACCORDANCE WITH THE STANDARDS OF A CLASS A-2 SURVEY AS MAP REFERENCES .DEFINED IN THE CODE OF PRACTICE FOR STANDARDS OF ACCURACY �"'�'"_` ' �` � '�`�� OF SURVEYS AND MAPSADOPTW DFCEMBER 10.1975 AS AMENDED w w IN4 BY THE CONNECTICUT ASSCCIAlM OF LAND SURVEYORSJNC. BEING LOT NO. 3 ON MAP ENTITLED: Jr Ke AS BUILT CLIFFWOOD ESTATES SUBDIVISION LAWRENCE ROAD. TOPOGRAPHIC FEATURES. SHOWN HEREON,-WERE PREPARED IN SOUTH WINDSOR, CONN. DATE: N. 1995 REVISED: PREPARED FOR AN. ACCORDANCE WITH CLA T-2 AUG.1995 SCALE: 1' - 40' PREPARED BY: JC U do R CONSTRUCTION CO. INC. SOMMERS ASSOCIATES. INC. VERNON. CONNECTICUT 6—1 LOT "scz"wwom =ME soya waNDsos. CT. FAMES C. SOMMERS L.S. 9678 nhaas .o&ts I ave r N—lalh• 3S1.1000 1" m .60 1a1M• F(9127�m JUL 2 R 2001 South Windsor BUILDING DEPARTMENT .. ie rnr• g111lVtti� �` n aed sVrcrtrc.,n t{o'te ip ♦� 14 ti nit ied that iteiz Gl Odin% or alters ,1 nl the proposed copwe ytfeK erected et�t n a J Ica ` �J is slated �^ aPFh aN =onlns. to Other withaa d A asr d So.r,pordersnQs��ae With planla.,rs a^ en, duct Owe tiled and stater ins U"?a guildrnB the gui.d inat ue^ issued by of tnls application on permit. dttw^ tnat J t° the cdn chaff � d 7' subleet pwil6in� gig^e is approe tesutetlns ,his Plan ordinances "led M" °rdersandTrM'a� edm p;ted with. roved ronddiona1171 AGp Gib 1 sV�'ctOr t3 ne Nd. i IJ c�sl r prop°oti,�;� yes attd as shc�arce�aY\��t� GOn{O °nS• e o ,\a,�� \ r�'�r•2C ray aP� \J e o e, aye_ ors°g ESE°Cp-�� o SD DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT PERMIT#i Application is hereby: TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT APPROVED 1540 SULLIVAN AVENUE Bldg. Pernut 0644-2511 ext. 230 Date Building Inspector Application must be printed or typed FEE SCHEDULE Location of Job: 1 og C oa d � C _ $0-$1,000=$15.00 FTen-a—ntDesilgnation Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof Apt.No. APPLICANT Q�� APPLICANT ADDRESS Sw � APPLICANT PHONE# 2—G\\y \\S O W N S E�,q OWNER —A\-c� OWNER ADDRESS U R C\l v \c,c,(4 c OCO) OWNER PHONE �\,A — O13 C ESTIMATED COST$ t \, 0 o n J x IS THIS A CONTRACT COST? 4 L-Yes _No c _ � FEE ENCLOSED$ VS. SO .CO TYPE OF JOB: t(04ef R _New Installation �Alteration/Addition/Repair I �� Revised 4/01//2002 1 APPLICATION FOR PLUMBING PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMTI'APPLICATION? ❑YES)q NO ENT ❑RESID IAL BUSINESS CURRENT USE AND OCCUPANCY ❑ASSEMBLY ❑MERCANTILE❑EDUCATIONAL FUTURE USE AND OCCUPANCY ❑ INSTITUTIONAL ❑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.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 MANUFACTURER 1 1 DESCRIPTION OF WORK THE UNDER IGNED HEREBY APPLIES FOR A PERMIT TO PER ORM THE WORK DESCRIBED AND IN TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT DATE -1 S /U C{