HomeMy WebLinkAbout1286 ELLINGTON RD DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT
PERMIT#
Application is hereby: TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT p;bb32d
APPRO ED 1540 SULLIVAN AVENUE Bldg.Permit#
�4Da
S 644-2511 EXT.230
(Building Inspector)
Application must be printed or typed
FEE SCHEDULE 1
0
�a,on of��ob``:
Fi7enant
�p 1111$0-$1,000=$15.00 Street Lot No.
Over$1,000-
$15.00 per$1,000
or any fraction thereof nation Apt.No.
APPLICANT ►VN 0 V-YZ I Y d r
APPLICANT ADDRESS -�/
6,
APPLICANT PHONE# O (I `]
�oW N SFq OWNER Lo ( L-L-t oV�L 4-0
ES `
OWNER ADDRESS
0 * OWNER PHONE 'SRO Zg`� �(a-2 -7
C ESTIMATED COST $
IS THIS A CONTRACT COST? _YES NO
FEE ENCLOSED$ I
o o
0��1� TYPE OF JOB: 22 d 1
0R•C New Installation
Alteration/Addition Repair
2�jl
Revised 12/22/1I
APPLICATION FOR PLUMBING PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
O RESIDENTIAL BUILDING PERMIT APPLICATION? ❑ YES ❑ NO
0 BUSINESS CURRENT USE AND OCCUPANCY
O ASSEMBLY
O MERCANTILE FUTURE USE AND OCCUPANCY
O EDUCATIONAL
O FACTORY
O STORAGE ENGINEER'S NAME PHONE
0 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 D 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
Cl e. -t c
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.
2cs3SC1 �, V - 1
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT DATE
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South Windsor
BUILDING DEPARTMENT
T THE gi'iD17�G C TOVt'N Of S0,61H
O WIt iJr
pt
an and g w°ciflcatlons are trc.
Tills certified that this
building or alterattc no to b<
coVlrs of the proposed
nreeted..,t n
v`a V r 1�,[ 51'
_ J----- l '—'—
to8ether with amend men atpd in apptleatioc
({led with plan and ! adrre tc ec rn PlY with ali
9 ur!din& and
orders as st.
he Yui!d yip D.PJrtmcnt d,trfng p.:n
iss.fed tY ante of a t'
t{ tion and final
>t ticis V �
permit.
iteneA et to the condition r.
'his Pi i jpPro, subl buitdtn8 shaf!
•rd=rs an
o rdinan Ce6 re Hula tin8
tnp: ith. The$* ill" with
Gondrtionapy Approved
(.IKM
Boil ng Ins'
Date
CEO t tf tCAI ION O>= ZONING COMPLIANCE
)roposed building(s), use(s) andlor structure;,,'
rho�°'n on this plan app :Jr(s) to be
with cos rent South Wind.
., nations. Variances and specd exceptio,,
a"✓ aPPiY•
ate4Enfo
a ent Officer
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
PERMIT#
Application is hereby: TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT -
APPROV 1540 SULLIVAN AVENUE
644-2511 ext. 230 Bldg. Permit#
D to Building Inspecto -- --
Application must be printed or typed
FEE SCHEDULE Location of Job:
FIfe—nantDesignation
�$0-$1,000=$15.00 Street Lot No.Over$1,000$15.00 per$1,000
or any fraction thereof Apt. No.
APPLICANT Poyr.-
APPLICANT ADDRESS &otoa S j2d
S�7001-rS ,CT NO Z 6
APPLICANT PHONE # F-i`E Sc)-37
O W N S OWNER ;3(/IV 4-Av 1 e*m ahl b
Q� OWNER ADDRESS
Tel 2 - --- ---
OWNER PHONE
C = ESTIMATED COST$ 9od•
4 t IS THIS A CONTRACT COST? Yes No
� 4
FEE ENCLOSED$ 15
TYPE OF JOB: [AsA I 0
SOR•CO New Installation
k,/Alteration/Addition/Repair
Revised 4/01//2002
APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side)
TYPE OF BUILD- IS THIS APPLICATION ASSOCIATED WITH A�
ING BUILDING PERMIT APPLICATION? 0 YES �' O
561ESIDENTIAL CURRENT USE AND OCCUPANCY
❑ BUSINESS
U ASSEMBLY FUTURE USE AND OCCUPANCY
0 MERCANTILE
0 EDUCATIONAL
❑INSTITUTIONAL ENGINEER'S NAME PHONE
U FACTORY
❑ STORAGE ADDRESS
❑GARAGE
U MIXED USE CITY STATE ZIP
(Other please specify)
TYPE OF INSTALLATION/WIRING METHOD SFU Sl' Vf f f
SIZE OF SERVICE IOd ,4' SIZE OF MAIN CONDUCTORS -0"Z 41,
NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS
NUMBER OF PANELS l 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.
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT y DATE 3207 ��4 7
L�A
\ � e
1 ,
"I A-7 \�
\�\ /VA,/,
� b
N /F. 'vl1L}-4E!MINA \ \
N /F I�AYM0Nn A. �G��
AREt,
�a
• � yI
+ b
i
r T , GRISWOLD & FUSS , INC .
_j CONSULTING ENGINEERS AND SURVEYORS
L MANCHESTER, CONNECTICUT
PROPERTY MAPPED FOR
REVISIONS GERALD a MARINE DUPREY
ELLINGTON ROAD SOUTH WINDSOR , CONN .
BY J C S . SCALE JOB NO. DATE SHEET NO.
E. H. 1 = 40' 74 - 38 -C 2 -- 15 - 74 1 of
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1500328 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER PLUMBING PERMIT
DATE: 08/14/2015
GIS ID:30301286 FEE: 15.00
MUNIS APPLICATION# 201501080 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: IMPERIAL PLUMBING CO., INC. ADDRESS: 1286 ELLINGTON ROAD
ADDRESS: 648 SULLIVAN AVENUE OWNER: VEDOVATO WILLIAM E&
P.O. BOX 875 1286 ELLINGTON ROAD
SOUTH WINDSOR,CT 06074 SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: INSTALL GAS PIPING FOR GAS LOG SET FROM RENTAL PROPANE TANK.
SPECIAL CONDITIONS:
ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT.
CONSTRUCTION TYPE:
OCCUPANCY GROUP: BUILDING OFFICIAL
8/14/2015 3:09 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE