HomeMy WebLinkAbout15 HIGH ST DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT PERMIT#
Application is hereby: TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT � '3001 ay
APPROVE 1540 SULLIVAN AVENUE
644-2511 EXT.230 Bldg.Permit#
(Date) (Building Inspector)
Application must be printed or typed
FEE SCHEDULE Location of Job:
V�.CN% 5-C"
$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 e
APPLICANT ADDRESS r"
APPLICANT PHONE#
OWN 3F OWNER
'" OWNER ADDRESS
Q ry n
O . .. OWNER PHONE C� 6
C ESTIMATED COST $ l U
IS THIS A CONTRACT COST? YES NO
t ., FEE ENCLOSED$
TYPE OF JOB:
R•Cod _New Installation
-xAlteration/Addition Repair
r-2136o3'71
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 ��CL MANUFACTURER
DESCRIPTION OF WORK
�T S
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.
o Elk
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT ��� � —�-\ � DATE 3,/-6Z \ 3
1
r
73
i
C7)1
t
3
j
` 1Z
i 3 ! 3
•rY^ ;�� '•�yr �%IL(, 7Q SL TJ (iLo7 P-14-9
S7 � TF.j � I/��p.T02. C:�I•.t N
\' !. •.�..� ,+ro . ���:•t:�i � :t�,' '�• �l:f.:�e�� i�t�ii, .SC�1L` � r_ �C1, QC j /� l�L�1
MAR J t�IGJ,
South Windsor
BUILDING DEPARTMENT
TO THE EURDING DEPT. TOWN Of SOUTH WINDSOR
this certified that this plan and specifications are true
-pies of the proposed building or alterations to be
rected as
Street
tner with art t menu stated in applic orlon ane
-d with plan and I agree to comply with all zoning.
vting and state laws and such orders as shalt be
�d by the Building Departm_eot during pendency
;nis application and final issuance of a building
:m i t.
,is plan is approved subject to the condition that
rders and ordinances regulating building shall be
.•mphcd with.
.:ondttlonaliy Approved These filed with
Building Inspsaor c/Gllllrb
oats IIW a I
CERTIFICATION Or ZONING COMPLIANCE
?,oposed building's), use(s) andlor structure's)
-s shown on this plan appear(s) to be in
.)nformance with South Winds::-
.gulations. `variances and special exceptions ;
:.ay apply.
.)ate U°
Zo i nfor .ient Officer
JSh/ i L-"�
1 � f�f l/ y' �D `•i � t� � �1 �•,j 77 •.I'.�� �•_t, u ��._l• i l t• ..
Zjcs rJ Mi GS j
I _ �. J�.�aft i S'�j � �. .I S '`,'+J -. R . �•' 'i.,, S�'
do
i
i
of
C�l
f
, �
r
DEPARTMENT DECISION APPLICATION FOR ELECTRI71T5
Application is hereby: PERMIT#
TOWN OF SOUTH WINDSO
BUILDING DEPARTMENT 900: o
APPROVED 1540 SULLIVAN AVENUE Sou < <�o 08 Bldg.Permit#
CiQ' w644-251 I ext. 230 South Windsor
-�- O�- BUILDING DEPARTMENT
Day to Building Inspecror
Application must be printed or typed
FEE SCHEDULE Location of Job:
AA S4
$0-$1,000=$15.00 Street No. u Street Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT C
APPLICANT ADDRESS ___ Q G✓ !�/ / (�
So ram/ a cis o �' c T o 6G -1
APPLICANT PHONE# Q 6 D dZ riZ — 7 2 V CJ 9e2- i 6 o 6 cell
O W INS F,q OWNER 'n d N! a q / i
OWNER ADDRESS !,/ 9 h S T
CIO) OWNER PHONE
C ESTIMATED COST$ 0
.� IS THIS A CONTRACT COST? YYes _No
FEE ENCLOSED$ -
�r� TYPE OF JOB:
I�SOR•CON _ Installation
Alteration/Addition/Repair I 4-7
Revised 4/0I//2002
APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED lb
RESIDENTIAL WIT!�'NO
BUILDING PERMIT APPLICATION? ❑YES
❑ BUSINESS CURRENT USE AND OCCUPANCY /fie s1 pr"/r C -�yl
❑ASSEMBLY
❑MERCANTILE FUTURE USE AND OCCUPANCY S �
❑ EDUCATIONAL
❑ INSTITUTIONAL
❑FACTORY ENGINEER'S NAME PHONE
❑ STORAGE
❑GARAGE ADDRESS
❑MIXED USE
CITY STATE ZIP
(Other please specify)
TYPE OF INSTALLATION/WIRING METHOD_}��/G �/!Gt'ele� N✓f
SIZE OF SERVICE IO 0 SIZE OF MAIN CONDUCTORS_
NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS
NUMBER OF PANELS REMOTE DISCONNECT REQUIRED? ❑YES ❑NO
NUMBER OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS S
NUMBER OF SWITCHES _ NUMBER OF OUTLETS 3e
NUMBER OF LIGHT FIXTURES 10 NUMBER OF HEAT CIRCUITS /
NUMBER OF A/C CIRCUITS /
SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED.
DESCRIPTION OF WORK
To too /mot Q
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 DATE J—,Z-O - a
0125 P� /1 ? F61,,;, 7
CL&P Customer Request System (CRS) Contractor Work Sheet
.0 T6#Free Telephone: 1-888-LIGHTCO (1-888-544-4826)
Internet: www.cl-p.com
CS6361 Rev.5-99 For your convenience,both communication options are available 24 hours a day, 7 days a week-
...................
ERM
--------------
'N' 1011
0 M%
_wu yt 11 NO-NO.aq,A
FIRST NAME T NWE ELECTRICAL COITYRACTOR LIC.NO. TYPE STATE
MI� /1�1 172-9Y,3 Ljill E9 C
SUSINES G TELEPHONE NO.
07-g 7—
ADDRESS(NO. STREET) CITY/TOWN _T!FC_0DE
5 14(,0711
"........... E
IM,
M Ev
10
MN'
FIRST MI LASTIJAME EXISTING METER NO.
k2afq do V� 5 3
BUSINESS NAME TELEPHONE NO. I/C/_
ADDRESS(NO.&STREET) CITYrrow
I ZIP CODE
L 5- 7' d Wrn 6) 607
F14'lyONLY IF AQQRES I$DI T9MERADDRE S-
g, N,
% T
11.1% 1 1
ADDRESS(NO.&STREET) CITY/TOWN STATE ZIP CODE
ko
= -� w %
BUILDING NO. STREET CROSS TF�ET
—1 ofl
LOT NO. T, M I%M'
CITY/TOWN ZIP CODE POUE/PADIH.H.
So WrIf aCa7 z I
... .......... .......
..........."
.11....... .....
DESCRIPTION OF WORK: C p.4 BUILDING SIZE (SQUARE FEET)
CONDUCTOI SIZE
13 Alf---7
SER)KCE TYPE PHAS7 W�111E I VOLTAGE
LadRANGE ONE [:]TEMPORARY [:]OTHER I
TYPE OF BUILDING PRIMARY HV
❑NEW EXISTING [:IADDXON [:]OIL [jGAS [:]ELECTRIC DOTHER
TYPE OF USE
[:]COMMERCIAL [:]INDUSTRIAL Eik/ESIDENTIAL EISUBDIVISION
METERS REC. EXIS�IING SERVICE
V []UNDERGROUND
SWITCH SIZE(AMPS) E OR PROPOSED SERVICE
VERHEAD
LOAD BREAKDOWN KW CONNECTED Your Job Information:
Li htin r MUNICIPAUSTATE PERMIT NO.
-Motors(Except AC)
Air Conditioning I I
Electric Heat CLAP CIRS NO.
Electric Heat Pump
Largest Motor F / /
Solar Heat CUP REPRESENTATIVE/DISTRICT
-Range
Electric WH-Controlled by
Electric WH-Uncontrolled DATE SUBMITTED
Solar WH-Electric Supp.
Dryer
E L
Other 390
TOTAL:
USE REVERSE SIDE OF FORM FOR JOB NOTES&SKETCH-
014 PS
Electric # 15 High AkFW�ATION FOR BUILDING PERMIT
Plumbing#
HVAC# 14000106 1) ll�: 31IJ'�(Y
Sprinkler# Estimated Cost $ L 7CZ
FINAL APPROVALS Permit Fee $ Ind_
Building COMPLETE RED BOXED AREAS Occupancy Fee $
Engineering TYPE OR PRINT ONLY Eng. Insp. Fee $
Affidavit
Appr.forCO. SIGN ON REVERSE SIDE A Total Fee $ 'be!�
TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ (0-7 '&S
The undersigned hereby applies to do work according to the following:
Applicant ,e 5,-8 tit•- ^ Location of Work 1 ti5 t Lot No.
Applicant's Address 103 5jw.'A )`A. Tel # 201 —166 j
Town Zip 06 C 1 Lic.# f✓ t0i S
Owner rz - jkme erw Architect
Owner's Address S-f Architect's Address
s.y Zip OL4 I L4 Zip
Sq.Ft.New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area
Purpose of this permit T2t l ,ZF� 1 j4,,,sI �s7�.�(� S�, ^c/lf• �+�>+4/I r 1 le f w. +tom A 41A.
City Water Well ❑ Septic System _J Sewer —1 s
Ins: HO SP Cert. Area Base ent Garage
Approved by Date Use Grouj� Construction TypeAl -��—
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 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
INSPECTION FIELD SHEET 04/11/22
Printed by Middleton, Morgan 09 00 53
INSPECTION: 66011 FINAL PERMIT:
STATUS:
APPLICATION: 201400255
LOC: 15 HIGH STREET
SOUTH WINDSOR
PROPERTY ID: 42000015
OWNER: BOGLI DONALD F MARY J
CONTRACTOR:
REQUEST BY:
PROJ DESC: TEAR OFF 2 LAYERS ASPHALT SHINGLES. INSTALL ICE AND WATER
WORK ORDER:
INSPECTOR: ROSE RESULT: PASS
REQUESTED: 04/10/14 PRIORITY:
SCHEDULED: 04/10/14 PM COMPLETED: 04/10/14
UNPAID FEES: 00 Date Time
MILEAGE: 00 TIME: TRAVEL ONSITE
COMMENTS:
14000106 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER BUILDING PERMIT
DATE: 03/21/2014
GIS ID:42000015 FEE: 105.00
MUNIS APPLICATION# 201400255 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: DZEN RESIDENTIA1.ROOFING ADDRESS: 15 HIGH STREET
ADDRESS: 105 EDWIN ROAD , 4) j OWNER: . BOGLI DONALD F MARY J
130 ,
SOUTH WINDSOR, 't`0 C6074 , '' 15 HIGH STREET
SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: TEAR OFF 2 LAYERS ASPHALT SHINGLES. INSTALL ICE AND WATER
SHIELD, FELT PAPER,RIDGE VENT,AND RESHINGLE.
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
3/21/2014 12:48 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE
1300124 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER PLUMBING PERMIT
DATE: 04/08/2013
GIS ID:42000015
FEE: 15.00
MUNIS APPLICATION# 201300371 BUILDING DESCRIPTION:
APPLICANTS LOCATION
NAME: IMPERIAL PLUMBING CO.,INC. ADDRESS: 15 HIGH STREET
ADDRESS: 648 SULLIVAN AVENUES OWNER:--t—BOGLI DONALD F MARY J
A
P.O.BOX 875 A HIGH STREET
' e44�, f%
SOUTH WINDSOR,CT,U074 SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: 40 GALLQN'GAS WATER HEATER REPLACEMENT.,Ir
EQUAL BTb"§`AND GALLONS.,,- 4"
SPECIAL CONDITIONS:
Y
ALL WORK TO BE DONE IN ACCORDANCE-WITH,THE APPLfCATIOWANDPCANS.-APPROVED BY THE BUILDING DEPARTMENT.
CONSTRUCTION TYPE:
OCCUPANCY GROUP: BUILDING OFFICIAL
4/8/2013 3:22 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE