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HomeMy WebLinkAbout13 PEACHBROOKE DR LOT 13 Ah* S 4 A d r F W 0 0 In 1 0 r_ N tp 1 0 , 160 t) 0 A` T, r p O , '. 'loll^ Z rb T 0, 4 j q fo� ILI kA CDe 494 041, %A .441 %sl 's H(D > -D L C, If- J IV .! _kv IE!�Av I A I.- e_� t ICJ CAI CONN GRID NORTH 4.1" VJ re> .NOTES: 74t con fle�- 1. REFERENCE IS MADE TO THE FOLLOWING MAPS: S A,8 PEACHBROOKE, ZONE DISTRICT DRZ, APPLICANT BROM BUILDERS, INC., 207 WEST TOWN ST., NORWICH, CONNECTICUT, (TELEPHONE: (203) 889-7106) PROPERTY OF NORMAN P. PRIEST, SULLIVAN ANVENUE - CONN. -ROUTE 194, SOUTH WINDSOR, CONNECTICUT, DATE- vz 0 Qz :-zz z MARCH 13, 1091, REVISED THRU 3110112-, SCALE: (AS SHOWN). SHEETS 1 THRU 15 OF li. 0 PREPARED BY DAVID L STEIN, LS., CERTIFIED BY DAVID L STEIN, LS AND THOMAS 71 STEVENS, PE & I.S. L.S. .0 1,?203 N'll r1l," I HEREBY DECLARE THAT THI'S'Mi'049 SUBSTANTIALLY REVISED PLOT PLAN LEGEND CORRECT. THIS MAP AND SURVEY WERE PREPARED IN ACCORDANCE WITH THE STANDARDS OF A CLASS A-2 LOT # I3 ---- PROP. CONTOUR SURVEY AS DEFINED IN THE "RECOMMENDED-.STANDARDS' EXIST. CONTOUR FOR SURVEYS AND MAPS IN THE STAn OF CONNECTICUT" PROP. ELEVATION ARED AND ADOPTED BY T`H`�',tONNECTICUT,'AS,,9OC PEACHBROOKE 00-00.0 EXIST. ELEVATIO;.4 0 LAND UR I C., ON.SIPYEMBER 13 198 C —S— 6" SANITARY PREPARED FOR --,W— WATER LINE V --F-- 4" FOOTING DRAIN STEIN, L. ST , LS 15946I BROM BUILDERS INC. DAVID L. STEIN, LAND 207 West Town St. Norwich CT 9.-, 889-7106 P.O. BOX 1097, WESTBROOK, Ct V7-=�20' DATE: $4AV_,--H Ze- V07`7 Z�SOUTH WINDSOR, CT SCALE: WIN APR 1 1992 5i:uL1.1 w;iudsor JUILDING DEPARTMENT i it W%i lu4o UE ZUNING GUMeL41',4'r- ,)roposed building(s), use(s) and/or structure;: as shown on this plan appear(s) to be k. conformance with current South Windzs� regulations. Variances and special exceptio: may aPpiY• fie i - tLtj-L D ate 2 Enforcement Officer ther with „min Jn- ot^ •c:re ,%•ih p'.nn 3r-:, <• tr ram^':4th o lalld;n1 D�F.:rtm�t and fi. ve, suop+ct totinc" re,,.,.7. _nditionally Approved rhos, fit-*,l Inspector YO UNIT LANDSCAPING PLAN PEACHBROOKE I CA 13 � 4 � iL Q 4y G LOT # (3 HOME STYLE:'PP-JAJ�E710J J <jZ,EVWse--) PLANT LIST OTY CODE BOTANICAL NAME COMMON NAME HGT. CAL. MATURE A ACER PLANTANOIDES NORWAY MAPLE 10' 2" 80-90' B FRAXINUS P. MARSHALL'S SEEDLESS ASH 10" 2" 50-60' C GLEDITSIA T. SHADEMASTER HONEY LOCUST 10' 2" 80-90' D BETULA PAPYRIFERA CLUMP PAPER BIRCH 6' 1.5" 30-40' E CORNUS FLORIDA FLWRG. DOGWOOD 6' 1.5" 15-20' F SOPHORA JAPONICA PAGODA TREE 6' 1.5" s30-40' G JUNIPERUS VIRGINIANA RED CEDER S. 25-30' H PICEA ABIES EXCELSA NORWAY SPRUCE 5' 50-60' J PINUS STROBUS WHITE PINE 5' 75.100' K THUJA O. NIGRA OK AMER ARBORVITAE 5' 20-25' L AZALEA DEL. VAL. WHT. WHITE AZALEA 18-24"' 3-4' M JUNIPERUS WILTONII BLUE RUG JUNIPER 15-18" 6-8" N RHODO. NOVA ZEMBLA RED RHODODENDRON 18-24" 5-6' P TAXUS HICKSII HICKS YEY 18-24" 4-5' O THUFA O. WOODWARDII GLOBE ARBORVITAE 18-24" 5-6' APR 1 1992 South Windsor DUILDING DEPARTMENT I „ r�i it ItvN 1 iVl'i U� LU►IItvU LUMeLllk _- Proposed building(s), use(s) andjor structure(:,, as shown on this plan appear(s) to be in conformance with current South Windso. regulations. Variances and special exceptions r •- may aPpIY• Date 3 � Ith amen•), c t ated plan and 3gr 1d,�8 and s az. law4 ,, Zoning Enforcement 0fficer ,, hY the Baild,ng _ :nis appllc on and final unit. oo ,ved ubiect to ;ers and ordlnanc regulating building .,plied with. 'these Head '°'`•'. ,ndttlonally APPMVGd .auilding inspector tio. UNIT LANDSCAPING PLAN PEACHBROOKE �i V i3 a Q4�k p � 4y LOT # HOME STYLE:'PJ?J�I(�TO(� PLANT LIST OTY CODE BOTANICAL NAME COMMON NAME HGT. CAL. MATURE A ACER PLANTANOIDES NORWAY MAPLE 10' 2" 80-90' B FRAXINUS P. MARSHALL'S SEEDLESS ASH 10" 2" 50-60' C GLEDITSIA T. SHADEMASTER HONEY LOCUST 10' 2" 80-90' D BETULA PAPYRIFERA CLUMP PAPER BIRCH 6' 1.5" 30-40' E CORNUS FLORIDA FLWRG. DOGWOOD 6' 1.5" 15-20' F SOPHORA JAPONICA PAGODA TREE 6' 1.5" 30-40' G JUNIPERUS VIRGINIANA RED CEDER 5' 25-30' H PICEA ABIES EXCELSA NORWAY SPRUCE 5' 50-60' J PINUS STROBUS WHITE PINE S. 75-tool K THUJA O. NIGRA OK AMER ARBORVITAE S. 20-25' L AZALEA DEL. VAL. WHT. WHITE AZALEA 18-24" 3-4' M JUNIPERUS WILTONII BLUE RUG JUNIPER - 15-18" 6-8" N RHODO. NOVA ZEMBLA RED RHODODENDRON 18-24" 5-6. P TAXUS HICKSII HICKS YEY 18-24" 4-5' O THUFA O. WOODWARDII GLOBE ARBORVITAE 18-24" 5-6' i µ�Y ai APR 1 1992 South Windsor C3UILDING DEPARTMENT U1= ZONING C0i%t'I_11'-6;r-:,. ,Jroposed building(s), use(s) andfor structure: )� µ as shown on this plan appears) to be conformance with current South Wind regulations. Variances and special excepti011:. may apply. P, Date Zoning Enforcement Officer I S rr� 4 ` / -.fir 1-4 w ` �i 1 / Zoe /` (il • I� ,-. w o i i Not U) o 11 n I �.p� 43.)&,1) 0 / / 160 • = / v i bb' 411 z h� / ^19 � n <•� ���� = o oY ol �5.AV i J J � r � � L 4:�)e -iw4-PIAI_ W Z (AT' T H VIA CONN GRID NORTH m 4m'Oz7' 4-1" V-I (A G tit zV Bpi ACE T.�ti.ILal✓P I T id NOTES: ```"������`1 Th11✓4� Nv �g) 1. REFERENCE IS MADE TO THE FOLLOWING MAPS: ?`�rPS A. PEACHBROOKE, ZONE DISTRICT DRZ, APPLICANT BROM BUILDERS, INC., 207 WEST TOWN C-") ST., NORWICH, CONNECTICUT, (TELEPHONE: (203) 889-7106) PROPERTY OF NORMAN P. PRIEST, SULLIVAN ANVENUE - CONN. -ROUTE 194, SOUTH WINDSOR, CONNECTICUT, DATE: O MARCH 13, 1991, REVISED THRU 3/10192 SCALE: (AS SHOWN), SHEETS 1 THRU 15 OF 15, --- PREPARED BY DAVID L. STEIN, LS., CERTIFIED BY DAVID L. STEIN, LS AND THOMAS EVEN `. .,' -�i 03 STEVENS, PE do I. t isj ^r h '+ �' 4 ' «••4v0.aw. . I HEREBY DECLARE THAT THIS MAP IS SUBSTANTIALLY REVISED PLOT PLAN LEGEND CORRECT. THIS MAP AND SURVEY WERE PREPARED IN ACCORDANCE WITH THE STANDARDS OF A CLASS A-2 PROP. CONTOUR LOT 7l I3 ---� SURVEY AS DEFINED IN THE -RECOMMENDF�p,:STANDARDS EXIST. CONTOUR FOR SURVEYS AND MAPS IN THE STATE P0 006RECTdCdT", QQ PROP. ELEVATIO EPARED AND ADOPTED BY THE fCTICUT ASSOC,, 00.0 EXIST. ELEVATI N OF LA NC., ON SEPI;� 13 998 PEACHBROOKE —S— 6" SANITARY 30 ` 4. PREPARED FOR .---.W— WATER LINE --F-- 4" FOOTING DRAIN AVID L. ST 1N, LS -WI - -B BROM BUILDERS INC. •..��E�„.,: Q 207 West Town St. Norwich CT DAVID L. STEIN, LAND SURVEYb •,.,,.,,. �p`��. 889-7106 P.O. BOX 1097, WESTBROOK, Ct -3 �`��U n�E ti�ti SOUTH WINDSOR, CT SCALE: 1" = 20' DATE: MA'T-GH ZLo `1107 C:1Z . :• r7W.F' +...-. ...'C�.Mlhlawe/MJlMka.. .-yt�.:.:...: . .... 4.:_..._.__ ,ld,...__._ _>> •-_ -� Y'4sR..1lk}.'.s. �ff N � �- tVi. ,, 8 �~69 Co � r .,• 2 -j Cn 3' APR 1 1992 South Windsor 31JILDING DEPARTMENT i lr�t, i iU`: Ur 7-UNli4G roposed building(s), uses) andjor structure;:.; as shown on this plan appears) to be in ry�:�d tr,t conformance with current south Winds , ct the y regulations. Variances and special except one is may apply• e(�a - 1`�`1 ;ethc-r with am�n.t� ' ; with plan and -,Date nK tyr b r ning Enforce officer ;t. 3ned „vrJ su`-•;ect W the c.,n nlers artd erdlnanee r�tfulatlnd .• ied with. Thesa .onditlunally Approved lira•: �—' auildlne inspector Qj Nd: te DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT TOWN OF SOUTH WINDSOR PERMIT# Applicatio ereby: �BUILDING DEPARTMENT �( 7 v PROVED 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 , Date Building Inspector Application must be printed or typed FEE SCHEDULE Location of Job: $0-$1,000=$15.00 F Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof gnation Apt.No. APPLICANT AP 1 \r✓ 11I `_Y_(\� "��C\/1 Q� APPLICANT ADDRESS ! W 1:n>dn A/P APPLICANT PHONE# /�D``y8 ((C q R OW N S�� OWNER LA j xuA � L:kn 1 OWNER ADDRESS -4p & () 7(-1 s pc OWNER PHONE O = ESTIMATED COST$ 1 IS THIS A CONTRACT COST? I Yes —No FEE ENCLOSED$ IS TYPE OF JOB: SOR-COS New Installation Alteration/Addition/Repair / //2002 Revised 401 APPLICATION FOR HVAC PERMIT (Continued from reverse side) TYPE QF YSTEM: TYPE OF BUILDING: EATING 1>4LESIDENTIAL ❑A/C ❑COMMERCIAL ❑VENTILATION ❑INDUSTRIAL HEATING ❑ STEAM LOW P SURE LIMIT LBS. HIGH PRESSURE LIMIT LBS. ❑HYDRONIC WARM AIR ❑UNIT RADIANT HEATER EXISTING RADIATIOTr ADDITIONAL RADIATION TOTAL RADIATION DESIGN TEMP. OUTSIDE OF INSIDE OF DIFFERENCE OF TOTAL HEAT LOSS(BTUH) °F(HEAT LOSS SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL HEATJNG EQUIPMENT(INCLUDING MAKE&MODEL NO. Z- r �] GROSS HEATING CAPACITY(INPUT-BTUH) � NET RATING(OUTPUT-BTUH) TYPE OF L IL-GPM OIL TANK LOCATION : SIDE❑ OUTSIDE CAPACITY ❑GAS-INPUT LPG TANK CAPA ITY ELECTRIC-KW AIR CONDITIONING DESIGN TEMP.OUTSIDE OF INSIDE OF DIFFERENCE OF TOTAL HEAT GAIN(BTUH) (HEAT GAIN SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL COOLING EQUIPMENT(INCLUDING MAKE&MODEL NO.) TONNAGE COOLING CAPACITY(BTUH) VENTILATION DESCRIBE ALL AIR HANDLING EQUIPMENT(INCLUDING KITCHEN EXHAUST EQUIPMENT) TOTAL SIZE OF SYSTEM(CFM) FRESH AIR INTAKE(CFM) (PLANS MUST ACCOMPANY APPLICATION) FURTHER DESCRIPTION OF WORK r :R2 c naoe 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 : I, DATE /29-0Y i Page 1 1/28/2004 Residential Heat Loss and Heat Gain Calculation In accordance with ACCA Manual J Registered To: Aiello Plumbing Heating and Air Conditioning For: Janik Edward 13 Peachbrook Dr. South Windsor, Ct 06074 Design Conditions: Windsor Locks,Bradley Field Indoor: Outdoor: Summer temperature: 72 Summer temperature: 95 Winter temperature: 70 Winter temperature: -5 Relative humidity: 50 Summer grains of moisture: 93 Daily temperature rangeMedium Building Component Sensible Latent Total Total Gain Gain Heat Gain Heat Loss (BTUH) (BTUH) (BTUH) (BTUH) Whole House 1,712 sq.ft. 20,073 2,112 22,185 42,353 (2tons) First Floor _ 9,668 1,190 10,858 20,617 All Rooms 700 sq.ft. 9,668 _ 1,190 10,858 20,617 Second Floor _ ___8,847 _ ____879 9,726 16,819 All Rooms _ 660_sq.ft. 8,847 879 _____9,726 16,819 Basement 1,558 43 1,601 4,917 All Rooms 352 sq.ft. 1,558 43 1,601 4,917 Whole House 1,712 sq.ft. 20,073 2,112 22,185 42,353 (2tons) HVAC-Calc Residential 4.0 by HVAC Computer Systems Ltd. 888 736-1101 Load calculations are estimates only,actual loads may vary due to weather and construction differences. c /� AIELL6 CORPORATE OFFICE P.O. BOX 200 - WINDSOR, CT 06095 HOME SERVICES Plumbing,Electrical,Heating&Cooling Contractors January 7, 2004 To Whom This May Concern: Aiello Plumbing, Heating & A/C authorizes Peter Butler to pull permits under license numbers S1303032 and P1203350 for our company in regards to plumbing, heating and air conditioning installations. If you have any questions you are requested to contact our office at 688-4881 Sincerely, Michael Jezouit Owner/President Windsor Manchester Enfield Avon New Britain Glastonbury Middletown (860)688-4881 (860)648-2397 (860)745-1783 (860)673-7377 (860)225-5523 (860)633-3108 (860)346-8144 FAX(860)244-2820-TOLL FREE 1-888-956-4455 - CT Lic. P1-203350-S1-303032 F1-1 R74R5 �O �l�Ju`Olu`OIu�01u�01u�0Iu�Olu�OJu�01►�OIu�01u�O1u�01u�01u�01u�OJu`Olu Olu Olu Ol 1111 u +e s < < k - lu�Oh► h►�O1u�01u�s1u�slu�01 oSTATE OF • CONSUMER PROTECTION Be it known that MICHAEL ' JEZOUITi •• BOX 200 has been certified by the Department of Consumer Protection licensed LIMITED SHEET METAL CONTRACTOR 1 • 1 1 1 �• • OVI Jam6s T.�Fle ing. commissioner D� STATE OF al�l►►(�1►►(®1►►(�1►►(Al►►(a1►►(al►►(�1►►(�1►►(�1►►(�1►►(�1►►(01�►(�1►► �► •u Q (�l (�1 (�U►(01►►(�1►►(�1►►(�1►►(41�►(�1�►(©111(al►►(�1►►(®1►►(�1►►(111R ��tiJo`flu`�lu��/u`�Ju�Olu`�Iu�01u�01uwlu��llu�01u�01i► Olu v/u 01u s � . < < _ `OIu�0/u`OJu�OIu`01u�01u`Olu`OIu�01u�O1u�01u`Olu`01� • OF • PROTECTION Be it known that MICHAEL ' JEZOUITi PO BOX 10 has been certified by the Department Of Consumer Protection as a licensed COOLING TED CONTRACTOR TYPE: License 303032 �. 1 ' 1 11 • 1:20014 1 Fie ing. commissioner - �- P all►►��1►►t"I"t 111(7h"t©11►4 Irt 11► 11 1► u u u u u (©1 (©1 (ill►(011►(�1►►(ill►(�1►►(���►(�1►►(ill►(01►►(01►►��1►►(�1►►�a11,�� th �!s a�. / ` 5' ono N C se (too No _00- o 160 IS oAr oil - Ilk 4 a � D A. i ya 8., db AV .� 17 Tr rD D - m �y �{ D L ,<4 .ems tiL7-t' IF -ifAn I A I— v, Q v I r� U) Z (AT SOU-rF f uiA5.`r CONN GRID NORTH m " q. z-71 4.1 V_j l4I.I. e—u'-VET ,e.s~E -rA1._Ie 0-W-r NOTES: '1'd T H t✓1-I 5 >c L-V 8 S� 1. REFERENCE IS MADE TO THE FOLLOWING MAPS. PEACHBROOKE, ZONE DISTRICT DRZ, APPLICANT BROM BUILDERS, INC., 207 WEST TOWN ST.. NORWICH, CONNECTICUT, (TELEPHONE: (203) 880-7106) PROPERTY OF NORMAN P. PRIEST, SULLIVAN ANVENUE - CONN. ROUTE 194, SOUTH WINDSOR, CONNECTICUT, DATE: MARCH 13. 1991. REVISED THRU SCALE: (AS SHOWN), SHEETS 1 THRU 15 OF 15. PREPARED BY DAVID L. STEIN, LS., CERTIFIED BY DAVID L. STEIN, LS AND THOMAS STEVENS, PE 6 I.S. PLOT PLAN LEGEND I HEREBY DECLARE THAT THIS MAP IS SUBSTANTIALLY REVISED CORRECT. THIS MAP AND SURVEY WERE PREPARED IN 8 ACCORDANCE WITH THE STANDARDS OF A CLASS A•2 &A-*T>Utl.:T) LOT # ` _ PROP. CONTOUR SURVEY AS DEFINED IN THE "RECOMMENDED STANDARDS EXIST. CONTOUR FOR SURVEYS AND MAPS IN THE STATE OF CONNECTICUT" ® PROP. ELEVATION REPARED AND ADOPTED BY THE CONNECTICUT ASSOC. PEACHBROOKE 00.0 EXIST. ELEVATIO OF L ID SU RS, C.. ON SEPTEM13ER 13 198 PREPARED FOR —S— 6" SANITARY --�W— WATER LINE BROM BUILDERS INC. -F-- 4" FOOTING DRAIN ~ 1) L. SPFI , 1.S 15461 D TE 207 West Town St. Norwich CT DAVID 1,. STE?IN, LAND SURVEYOR 889-7106 P.0. 110X 1097, WESTBROOti CI - 399-5269 SOUTH WINDSOR, CT SCALE: 1" = 20' DATE: MAX-GN Zlv� 1`7�z r my JUN - 9 1992 # South Windsor 13UILDING DEPARTMENT b z f l,i�a ru i r--i S n:ct: it l., tt:,. „ t 0, c t-n .,,,u nn.I j—t,,.nca or 'n r�rit '� •ppr vcJ s t„ct to tl:; C)nd::7- t:uildmg .,twr,Alf Approved ltk� Inspector c i,,:rK No. fil N 0 it b �� / a I �4L 4 W' m ' I104 NO Oo (13B 040>4 I 93.1&' -','' �- ---------------- �i�`• N 1� t"Cr44 t4'4� y ,b �`r ,0 �, k • Nor � `��' �� I ems, 400, Oil Sq. 00 0 MONO t 0 o ti t! rN ��� 4 ,� �� m D � D mnmLi m o � 'tip D f\ 0 /p, p v 1, ,emu o tiTp t- (' m .6 om IV ZE lfA-P I A I_ -t v A-V-- I e, I CONN GRID NORTH (ALA. Gu•�VE4 A'>~E TAUCaE1J'1- NOTES: -1-� T H 1✓1--(5�1<t-V B S) 1. REFERENCE IS MADE TO THE FOLLOWING MAPS: PEACHBROOKE, ZONE DISTRICT ORZ, APPLICANT BROM BUILDERS, INC., 207 WEST TOWN ST., NORWICH, CONNECTICUT, (TELEPHONE: (203) 889-7106) PROPERTY OF NORMAH P. PRIEST, SULLIVAN ANVENUE - CONN. ROUTE 194. SOUTII WINDSOR, CONNECTICUT. DATE: MARCH 13. 1991, REVISED THRU 3110112., SCALE: (AS SHOWN), SHEETS 1 THRU 15 OF 15, PREPARED BY DAVID L. STEIN, LS., CERTIFIED BY DAVID L. STEIN, LS AND THOMAS STEVENS, PE ✓1, I.S. PLOT PLAN LEGEND I HEREBY DECLARE THAT THIS MAP IS SUBSTANTIALLY REVISED CORRECT. TIIIS MAP AND SURVEY WERE PREPARED IN 8 ACCORDANCE WITH THE STANDARDS OF A CLASS A•2 &A-0p-&Utt-:r)LOT # PROP. CONTOUR SURVEY AS DEFINED IN THE "RECOMMENDED STANDARDS EXIST. CONTOUR FOR SURVEYS AND MAPS IN THE STATE OF CONNECTICUT" ® PROP. ELEVATION PARED AND ADOPTED BY THE CONNECTICUT ASSOC. P EA C H B R OO K E 00.0 EXIST. ELEVATION F LAN SURV IN ., ON SEPTEMBER 13, 984. 6" SANITARY PREPARED FOR `—S-- 1 --"W-- WATER LINE - ~� BROM BUILDERS INC. --F-- 4" FOOTING DRAIN 1) L. STEIN, I.S 154611 DA 207 West Town St. Norwich CT DAVID 1,. STEIN, LAND SURVEYOR 889-7106 P.O. BOX 1097, WFSTIIHOOK, CI -'399-5269 SOUTH WINDSOR, CT SCALE: 1" _ 20' DATE: $-IA7-4-H z.6-, k-)-7z D IIwilm JUN . 91992 South Windsor BUILDING DEPARTMENT TO Tl:c C­.', This Crrtl'l'—' or r. ILI r Approved Th 1:,rk 1,,,in3 lnsp�ctcr -7- G�J CoDLo c�88�S 4 APPLICATION FOR PLUMBING PERMIT TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074(PHONE) 860-644-2511 EXT. 230 PERMIT NUMBER: DEPARTMENT DECISION ^�h APPLICATION IS HEREBY: A00 Iy, APPROVED: BLDG.PERMIT NUMBER: DATE INSPECTOR LOCATION OF WORK: APPLICANT: OWNER: TYPE OF STRUCTURE: `A \ /� ❑NEW BUILDING NAME:�'('� �1"`2 'M�• �/� Z� NAME:V e c2M,Ike 290uX(� ❑ADDITION PHONE NUMBER 2-9 Z- 2.-,oD PHONE NUMBER:nC Q �J 2-w ' XI STING BUILDING ADDRESS:PD Q)DX 54 5 ADDRESS:13 T eQ C-h b('r-y3lce 10 `` ,,v ,,� S U J 4-In��rLd�sor d(DD?y ,/ TYPE OF USE: i 1Y1 u S Vc LoC�� Ct I/lRl/ AESIDENTIAL ❑COMMERCIAL PLUMBING INFORMATION: FURTHER DESCRIPTION OF WORK: TYPE OF INSTALLATION: -Re Okato meld P�y{ jpf cj a nGy �e/�p la co m e�/1},� NO.OF TOILETS: STYLE: NO.OF BATHTUBS: n L[ � � ri !�L CG +-rI C NO.OF SHOWERS: NO.OF LAVATORIES: NO.OF CATCH BASINS: NO.OF FLOOR DRAINS: ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY WINDOW? ^YFS cN0 S'.(IM.iTEDCOST: f3 O SIZE OF WINDOW: SIZE OF DUCTS: ff 00 SEWER OR SEPTIC TANK: FEE ENCLOSED:$ 3lO SIZE OF WATER PIPING AND RISER: WATER HEATER: TYPE () C-LC MANUFACTURER& l FEE SCHEDULE:$18 PER$1,000 OF THE ESTIMATED COST. ROUND UP TO THE NEXT THOUSAND ONCE THE PROJECT IS $1.00 OVER. (.26 CENT EDUCATIONAL FEE INCLUDED AS PART IL 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.: b335?� TYPE: _ STATE: GT SIGNATURE OF APPLICANT. o I`, DATE: N -1'7 ' oaaooy-7S