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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