HomeMy WebLinkAbout15 JEAN LN DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT PERMIT#
Application is hereby: TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT I
APPR VE 1540 SULLIVAN AVENUE Bldg.Permit#
7rk644-2511 EXT.230
(Date) (Building Inspector
Application must be printed or typed
FEE SCHEDULE. Location of Job:
$041,000=$15.00 F;Tienant
Street Lot No.
Over$1,000-
$15.00 per$1,000
or any fraction thereof ation Apt.No.
APPLICANT Q\ C 0
APPLICANT ADDRESS 6�� �, ��..sr,
S -�
APPLICANT PHONE# 2 Ck\— S
�oW N SFq OWNER
OWNER ADDRESS
1 �C-A r\, \0.nt—
S W
O * OWNER PHONE - -- 6U 'Zg 2� g 3 O
C ] ESTIMATED COST $
IS THIS A CONTRACT COS o o ✓ YES NO
o o FEE ENCLOSED$ S
TYPE OF JOB: I q 3
OR-COS New Installation
✓Alteration/Addition Repair
�I (oo �3b�
Revised 12/22/11
APPLICATION FOR PLUMBING PERMIT (Continued from reverse side)
TYPE OF BUHDING IS THIS APPLICATION ASSOCIATED WITH A
RESIDENTIAL BUILDING PERMIT APPLICATION? ❑ YES �NO
BUSINESS
❑ ASSEMBLY CURRENT USE AND OCCUPANCY
❑ MERCANTILE FUTURE USE AND OCCUPANCY
❑ EDUCATIONAL
❑ FACTORY
❑ STORAGE ENGINEER'S NAME PHONE
❑ GARAGE
❑ 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 ❑ 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 CZ7,C, MANUFACTURER "1"�
DESCRIPTION OF WORK
;E-\v 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.
2 (317�s --, ( 1 'R V— 1 C
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT �C.����,� �o.c�a DATE /0-
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YMi Lot lines from map on file in
?wm Clerks Office entitled,, "Plot Plan
3-C tion -I Pleasant Valley Homes
mth Windsor., Conn.,'
'alm 1"- h0l Data 9-C'0-157- A-20 ?-Owr--
tP No, 220-78-%T Rev, — by Reino E.
--yppa d" Associates Glastonbury, CT...
PREPARED FC-1Z
hnreby certiti that this.'"P and survey'were pre;'t'red It.! PLEASi%N7 VA.LLEY WOMES
-rdance with the sta-.6ards of a Class A-2-survey.as defined
-ee existing Code of Prar!fice for Standard of Acc6racy of 50 UTq WINDSOSZ, C:Dw INJ
eeys *-4 Maps, adopted by U-;e ConnectictA Azm .Iitiri6'&
45CALF- OA-ra --.--L?-83
4-3-`�-139
OCT lyy�
South Windsor
BUILDING DEPARTMENT
CERTIFICATION OF ZONING COMPLIANCE.
Proposed building(s), uses) and/or structure, I
,s shown on this plan, appear(s) to b
.enformance with Current S , ;_h -i
-gulations. Variances aad sp xi,.,i exceptiL, ,—
,ay apply.
ate
ng of rcement Officer.
dog'
TO Tfif stsl.othu
This certified that this plan and specific,tl. a«
eoples of the proposed building or alterations to t.
reeted at
(W_ St,
G.grther t amendments stated in application
hied with plan and I igr+e to comply with .,fl zo,
Building and state laws and such orders as shag;
t—t-d by the Building Department during pena.
.t' tnis application and final issuance of a bur.
Permit. �)
signed �Jcct
IYts planappr"v�.�duo the condition th,it
orders and ordinances regulating building shall be
cOmplied with.
Conditionally Approved These filed with
Building Inspectof Clark
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.own G'I erki s Office entitled, "Plot Plan
:ec tion -I Pleasant Valley Homes
:out Windsor, Cann."
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!AP No. 220 78-IT Rare. — b7 Re1no E.
yyppa A Associates Glastonbury, CT.
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1 FL :cby ce 'ity�Lit ttL+i map and-survey.were,Pf iced In PLEASANT VALLEY uO M ES
x rdance with the"stai^;dards-of-a,�lass A-2 jsurvey.,s-je f 1ped,-, e-"
the existing Code of Prartice'tor Stindartts of1X66uracy at SOUTH WtND50Q, CoutJ.
rveys 0^04 Maps, adoolad try ttie Coni?ecti t';f." sso%: itk i of
f- �9-139
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APR 0 6 1993
South Windsor
BUILDING DEPARTMENT
TO iE OWDi MR. TO" A Soittt
Tfys axtillyd that this plan and specifications sir Iru
copies of the proposed building or alteratlons to bt
erected at
/,S . OZ76A) gNe< atree.
tooah" with amendments stated In application alt
fUed with plan and 1 1Rree to comply with all SPnln,
Building and state laws and such orders as shAl b
issued by the Building Department during p6tldvnc
of this application and final issuance of a bu►ldin.
pe rrnit. //r
Signed
This Wan Is approved subject to the condition iho
orders and ordinances regulating building ►hall be
conlplwd »tth.
Conditionally Approved These tiled With
eft"ig lws/eesal Cass«
t1CAMN OF TUNING '111 p%4
I y'x !6 ` roposed bullding(s), use(s) and/or structureW
S Ss shown on this plan appears) to be Iti
Conformance with current South Winds..=
regulations. Variances and special exceptlon;
may apply.
Date
O� -
Enforoement Offer[
1�
l&dm B. HY A ssociater
Civil Engineers
Glastonbury, Connecticut
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?own Clerk'a Office entitled, "Plot Plan
Section -1 Pleasant Valley Hawes
South Wirsdeor, Cam."
Scale 1"- 40' Date A,-20 'LONE
Map No. 220-7e-1 T ROV. — by R e i no E.
Hyyppa & Associates Glastonbury, CT.
PPF PAi2 E O FOR I! hereby rertiy thit this mat) and survey were prepMed ir, PLEASANT VALLEY/A LEY WO V ES
accordance with the standards of a Class A-2 survey as defined
In the existing Code of Pra-tire for Standards of Accuracy of 50 UTW W I W DSO R, `OW N.
Sw wys and Maps, adopted by ttw Connecticut Association of
law swveyom kv- 1
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ENGINEERING D,;PA:2r:17 NT
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Civil Erginaen
Glastonbury, Connecticut
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a10'!S>t Lot lines from map on file in
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3eetion -I Pleasant Valley Homes
South Windsor, Conn."
Scale 10- LOl Dab e- A-20 7ONE
Map No, 220-76-;T Ree• — by Reino E.
Hyyppa i Associates Glastonbury, CT.
PQEPAR E O FO 2 CC
I hereby certify thit this mao and survey were prepared Iii PLEASANT VALLEY uOC V ES
accordance with the standards of a Class A-2 survey as defined
in the existing Code of Pra^lice for Standards of Accuracy of 50UTN WINDSOR, `OWN
lurveys and Maps, adopted by the Connecticut Association of
Lrs W Surveyors, int. 1 ��atE ,..��. DATe
a' e ` 43-Icc -13
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Reino Z' Hyyppa k Associates
Civil Engineer
Glastonbury, Connecticut
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?own Clerk's Office entitled, "Plot Plan
Section -I Pleasant Valley Homes
South Windsor, Conn."
Scale 1"� b0l Date 6-co-$'L A-20 SANE
Map No, 220-?8-1 T Rev. — by R e 1 no E.
Hyyppa i Associates Glastonbury, CT.
PQEPAREO FOR
I htreby certify th-it this map and survey were prepared In PLEASANT VA L LEY WO M ES
ante with the standards of a Class A-2 survey as defined
the existing Code of Prantice for Standards of Accuracy of 50UTN WINDSOQ, GOWN
and Maps, adopted by the Connecticut Association of
��� Inc.
1".4.0' 1]ATE• 3-2Z-83
SCANNED
43--iq-1-59
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. " Remo R. Hyyppa & Associates
Civil Engineers
Glastonbury, Connecticut
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OTE: Lot lines from map on file in
?own Clerk9s Office entitled, KPlat Plan
Section 1 Pleasant Valley Homes
South Windsor, Conn."
Scale 1"� 40l Date 0-co-157- 4-20 -LOWE
Map No. 220-78-IT Rene — by Retno E.
Hyyppa Ii Associates Glastonbury, CT.
PREPARED FOR
I htreby certify th-it this map and survey were prepared in PLEASANT VA L LEY WO M E5
nce with the standards of a Class A•2 survey as defined
the existing Code of Pra,7tice for Standards of Accuracy of 5OUTN WINDSOQ, COWN.
and Maps, adopted by the Connecticut Associatkm of
��� k1C. SC.AI.E 1"•�' D ATe•
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YMt Lot lines from sap on file in
nra Clerk's Office entitled, "Plot Plan
Ie tiara 't Plemmmt Valley Herres
m h Windsor, Conn."
;aim 1"- hot Data 9-co-az A-ZO mowE
1p Na. 220-78-1T Rev. — by Reino E.
.yppa a Associates Glastonbury. CT.. ,
PPEPaRF-o FG 2
h-!,eby certify that Ulis"map and survey were prepared In PLEASANT VALLEY WOME5
xdance with the standards of a Class A•2•survey.aA defined. ,
-Pe existing Code of Practice for Standards of Accuracy of 50 U?'M W 1 NDSOR, Cow m-
mys a^A Maps. adopted by tfie ConnecticL: Am;.Ii666 6f
D Er-% 1 c; 2002
South Windsor
BUILDING DEPARTMENT
Q IRE B'il...:_. -`'l Juwlq v: .L,'ri WINUwt
hig.:ertifkd that this plaw and specNlcat,ons are ;ram•
.npjes of the proposed building or alt-atlonw to Oa
racier! At
A0-- 1ir�� str«r
„/:Asher with amendments stated in application am
ned with plan and I agree to comply with an zoning
auilding and state laws and such orders as shall o-
%sued by the Building Department during pendent'
,t this applleation and final issuance of a buildm.
. Mlt.
�11:aoned
hta pion is approved subject to the condition the,
.rders and ordinances regulating building shall b4
"Implied with
-
%ondit►enally Approvod Thee filed with
Building InaDaetor /� CWN
.�N to J_1 3
CL►�111 ,. ,.► ,..iv �i . , PLIANCE
Proposed building(s), use(s) a idlor structure(s)
ae shown on this plan appaa.l ) to be in
:onformance with cu r- i h Wine,
egulatlons. Variances a .r1 ,p_ ....i exceptions,
nay apply.
Date `�L —
Zonir� E^fcr�. _:�. "fficer
Electric# T �1 APPLICATION FOR BUILDING PERMIT
Plumbing# /1716 15 Jean Lane Date: I
HVAC # 171 Z Rc�
Sprinkler# 293 59
FINAL APPROVALS ------ - --- -- - Estimated Cost $ c
Building COMPLETE RED BOXED AREAS Permit Fee $ 31 S
Engineering TYPE OR PRINT ONLY Occupancy Fee $ l y
Affidavit Eng. Insp. Fee $
A r. for CO. SIGN ON REVERSE SIDE
PP ''I° ------ — ----- ------ - Total Fee $ )8s-
TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $
The undersigned hereby applies to do work according to the following:
Applicant )U,1_2A &f U e<'S Location of Work 15 L 1A Lot No.
Applicant's Address '� 412,kj ktec S r2•-!SA Tel.#_ &y -4 ?, 3
Town—a:�LZQ, Zip L"',h C 7 U_Lic.# S 2- Z U Z
Owner- �� I�l l I el— Architect
Owner's Address_ lS ,, e_A i Lac Architect's Address
Zip Zip
Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area
Purpose of this permit Nz)rl 2 �,6, t yl�0,0 N10PC 2Cl knz 2 dN
3 Fc
City Water[Y"_' Well❑ Septic System❑ Seweru;i�
Ins: HO SP -Cert. Area Basement Garage
Approved by AKR_ Date l.2, Iti Use Group E- Construction Type
Revised 6/02
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�ocated the proper distance from all street lines,side yard lines,and required
distances from all other zones and is located in Qchthis building and R*Ose is allowed.
Signed
I hereby apply for a Certificate of for tft•work desc in this application for the permit.
Signed
DO WRITE BELOW THIS LINE
INSPECTION COMMENTS
_ J
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
-------------------------------------------------------------------------------
**-29359-B 25,000
BO1 FOOTING 12/19/02 CJD A
B03 FRAMING (ROUGH) 04/14/03 CJD A W/JIM-HAS SPECS
E03 ROUGH 04/14/03 CJD A
B04 INSULATION 04/16/03 CJD A
B10 FINAL 03/15/07 JFF D WITH OWNER GRIP RAIL TO CELLAR DOOR CLOSER
LOCATE GFI RESET CALLED JIM PUIDA
B10 FINAL 05/22/07 MR A RECHECK ON ITEMS AS PER JFF
**-11716-H 3,000
**-11712-H 11,350
**-18192-E 3,000
E01 SERVICE 04/01/03 CJD A W/TIM
1600117 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER PLUMBING PERMIT
DATE: 04/04/2016
GIS ID:47100015 FEE: 15.00
MUNIS APPLICATION# 201600306 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: IMPERIAL PLUMBING CO., INC. ADDRESS: 15 JEAN LANE
ADDRESS: 648 SULLIVAN AVENUE OWNER: MILLER MICHAEL&JULIA ANN
P.O. BOX 875 15 JEAN LANE
SOUTH WINDSOR,CT 06074 SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: 40 GALLON GAS WATER HEATER REPLACEMENT.
SPECIAL CONDITIONS:
ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY JI BUILD PARTMENT.
CONSTRUCTION TYPE:
OCCUPANCY GROUP: BUILDIN OFFICIAL
4/4/2016 3:18 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE