HomeMy WebLinkAbout1750 ELLINGTON RD Electric # APPLICATION FOR BUILDING PERMIT
Plumbing# �^
HVAC# 1 � �� t Date:
Sprinkler#
FINAL.APPROVALS 170 O o F 3 Estimated Cost $ 60 0
Building - _ COMPLETE RED BOXED AREAS Permit Fee $ •00
Occupancy Fee $ i(1•(�(/
Engineerin TYPE OR PRINT ONLY Eng. Insp. Fee $
Affidavit
Appr.forCO. SIGN ON REVERSE SIDE t
Total Fee $
TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ (-0531
The undersigned hereby applies to do work according to the following:
Applicant ``LocationofWork st G Lot No.
Applicant's Address �1h� IZ dcy n G\ eke— Tel #Jz
Town Zip Lic.# C 6i acjL 9C7
Owner Architect
Owner's Address Architect's Address
Zip Zip
Q
Sq. Ft. New Area: 1 st A. 66 2nd FI. 3rd FI. Total New Area
Purpose of this permit �Q�IL1n 6.
- �'ST 50 y� {JIGlt .
City Water :3 Well 'J Septic System J Sewer J 'o 6/7 a017 3
Ins: HO SP Cert. ��`/ rea Base nt Garage
Approved by Date Use Group Construction Type �—
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 do4&4K
I hereby apply for a C,,ertrtificate of Occu ancy for the w rk described in this application for the permit.
I`Signed
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
6.
Dougan, Christopher
From: Amanda[amandafortier89@yahoo.com]
Serit: Tuesday, March 07, 2017 1:00 PM
To: Dougan, Christopher
Subject: 1750 Ellington road
Due to circumstances,I am choosing to have another contractor and plumber to complete to work for attitudes Salon at 1750 Ellington
road. Kurt boehm from K&B plumbing is no longer working at the location.
Amanda Fortier
Sent from my iPhone
MAR 0 7 Z017
idnDatBug e rment
1
INSPECTION FIELD SHEET 03/27/17
Printed by Foreshaw, Dayshell 09 41:27
INSPECTION: 93339 FOOTING PERMIT:
STATUS
APPLICATION: 201700193
LOC: 1750 ELLINGTON ROAD
SOUTH WINDSOR
PROPERTY ID: 30301750
OWNER: KELLEY RICHARD S
CONTRACTOR:
REQUEST BY:
PROJ DESC: PATCH WALLS, SAND, PAIN AND BOX IN PIPES IN BATHROOM.
WORK ORDER:
INSPECTOR: ROSE RESULT: N/A
REQUESTED: PRIORITY:
SCHEDULED: COMPLETED: 03/15/17
UNPAID FEES 00 Date Time
MILEAGE: 00 TIME: TRAVEL ONSITE
COMMENTS:
ALL INSPECTIONS:
INSPECTED INSPECTOR RESULT INSP DESCRIPTION
03/15/17 ROSE N/A B002 FOUNDATION
03/15/17 ROSE N/A B003 FRAMING (ROUGH)
03/15/17 ROSE N/A B004 INSULATION
03/15/17 ROSE N/A B005 FIREPLACE / CHIMNEY
03/15/17 ROSE N/A B006 WOOD / GAS STOVE
03/15/17 ROSE N/A E001 ELECTRIC SERVICE
03/15/17 ROSE N/A E002 ELECTRIC UNDERGROUND
03/15/17 ROSE N/A E003 ELECTRIC ROUGH
03/15/17 ROSE N/A P001 WATER HEATER REPLACEMENT
03/15/17 ROSE N/A P002 PLUMBING UNDERGROUND
03/15/17 ROSE N/A P003 PLUMBING ROUGH
03/15/17 ROSE N/A P004 PLUMBING GAS TEST
03/16/17` DOUG PASS B010_ FINAL_
'---AMANDA @ 860-986-3692 "
DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT PERMIT#
Application is hereby: TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT I 0 6121
AlOVE 1540 SULLIVAN AVENUE
644-2511 EXT.230 Bldg.Permit#
(Date) (Building Inspect
Application must be printed or typed
FEE SCHEDULE bon of Job:
7 s �1�,�� o�- iQ C Q
$041,000=$15.00 Street No. Street Lot No.
Over$1,000-
$15.00 per$1,000 ✓1
or any fraction thereof Tenant Designation Apt.No.
APPLICANT I ✓ ` Co✓ < < q-<- V's e,--Z 7 el
APPLICANT ADDRESS �2-3 i6 iJ176V40 -LGi/yt"0/ GI ,2-
i!/d Vw ct io Grf�,
APPLICANT PHONE# ()s
SOW N SF� OWNER
OWNER ADDRESS
Oy 0 OWNER PHONE
C 1 ,7 ESTIMATED COST $ %S•0 6 C7
IS THIS A CONTRACT COST? AYES NO
a. FEE ENCLOSED$ U
TYPE OF JOB: CQ S Y\
SO R•C .4 New Installation
j Alteration/Addition Repair
?Z1 -)p6k t3
Revised 12/22/11
APPLICATION FOR PLUMBING PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
O RESIDENTIAL BUILDING PERMIT APPLICATION? OYES ❑ NO
O BUSINESS CURRENT USE AND OCCUPANCY
O ASSEMBLY
O MERCANTIL$
O EDUCATIONAL FUTURE USE AND OCCUPANCY }�{.7 ✓ c ! !�
O FACTORY
13 STORAGE ENGINEER'S NAME PHONE
O GARAGE
0 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 MANUFACTURER
DESCRIPTION OF WORK
�1✓► rs `� / /� r�-r�J �n� / L �v Sime�
�rIQ j/2 a//f
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.
a03 (0 ��- r c4
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT ��j DATE 7
DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT PERMIT#
Application is hereby: TOWN OF SOUTH WINDSOR t-7p O o
BUILDING DEPARTMENT Z
APPR 1540 SULLIVAN AVENUE
_ 644-2511 EXT.230 Bldg.Permit#
7 s
(Date) (Building Inspe or)
Application must be printed or typed
FEE SCHEDULE Location of Job:
$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 c-4kt"d- Al ,/�-
APPLICANT ADDRESS 1,113 //r...�« r�vc ��•/� cf nE.o��'
APPLICANT PHONE#
�oviN S£'4 OWNER
OWNER ADDRESS �,? /:,1 c �� „�'r..�,w- U�% crC
O * F OWNER PHONE
C ' ' ESTIMATED COST $
'� NNW V IS THIS A CONTRACT COST? YES NO
a. FEE ENCLOSED$ J�C
o o
TYPE OF JOB: C
SO R•CD New Installation
Alteration/Addition Repair
Zo j7Umt16
Revised 12/22/11
APPLICATION FOR PLUMBING PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
O RESIDENTIAL BUILDING PERMIT APPLICATION? q YES ❑ NO
'r3jBUSINESS 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 r'�„Nj� 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 MANUFACTURER
DESCRIPTION OF WORK
i
Rr .r• ,. fi � fig.-
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�,ZCY71-/7 C`
CONTRACTORS LICENSE NO. J TYPE STATE
SIGNATURE OF APPLICANT E /�G2_ DATE
APPLICATION FOR.:ELECMCAL PERMIT
DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT#
Application is hereby: BUILDING DEPARTMENT
APPR 1540 SULLIVAN AVENUE. .
Bldg:.Permit#
1 ) 644-251 I.ext. 230
Date Building Inspec ,
Application must be printed or typed
FEE SCHEDULE Location of Job:
$0—$1,000=$15.00 J1. � �1i► ( �, n,EApt.
r ��
Over$1,000= Street No. Street Lot No.
$15.00 per$1,000
or any fraction thereof Tenant Designation No.
APPLICANT
APPLICANT ADDRESS ''}c%
v0
APPLICANT'S PHONE 1#
OWN SF OWNERvv �r;�;�
'% '4< OWNER ADDRESS
Cn OWNER PHONE QW,..
ESTIMATED COST
IS THIS A CONTRACT COST? ,; Yes No
FEE ENCLOSED$ . ;a—
o
TYPE OF JOB: C Ct
dsOR•C0� New Installation
Alteration/Addition/Repair
kl WOLA6
Revised 03/05/10
APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side)
TYPE of BUILDING IS THIS APPLICATION ASSOCIATED WITH A
BUILDING PERMIT APPLICATION? ❑ YES ❑ NO
❑ RESIDENTIAL CUNT USE AND OCCUPANCY
❑ BUSINESS
❑ ASSEMBLY FUTURE USE AND OCCUPANCY
❑ EDUCATIONAL
❑ INSTITUTIONAL ENGINEER'S NAME PHONE.
❑ FACTORY
❑. STORAGE ADDRESS
❑ GARAGE .
O MIXED USE CITY STATE ZIP
(Other please specify)
TYPE OF INSTALLATION/WIRING METHOD.
SIZE OF SERVICE SIZE OF MAIN CONDUCTORS ..
NUMBERS OF METERS NUMBERS OF DISCONNECTS AND RATINGS
NUMBERS OF PANELS NUMBERS OF DISCONNECTS REQUIRED? ❑ YES ❑ NO
NUMBERS OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS
NUMBER OF SWITCHES. NUMBER OF OUTLETS
NUMBER OF LIGHT FDffURES NUMBER OF HEAT CIRCUIT'S
NUMBEROF A/C CIRCUIT'S
SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST-BE SUBMITTED.
DESCRIPTION OF WORK
THE UNDERSIGNED HEARBYAPFLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO
COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFOR-
MANCE OF SUCH WORK
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT �J"�` w�l DATE
eorOffieW uK 0*
DCnC—On-Premises App Rev,1/11 j
STATE OF CONNECTICUT
DEPARTMENT OF CONSUMER PROTECTION SEW
Liquor Control Division
Telephone:(860)713-6210 ow
Email:liquor.control@ct.gov "'''*
Web Site:www.ct.gov/do
APPLICATION FOR ON-PREMISES LIQUOR PERMIT
Please print clearly or type the Information entered on this application. An'application and perinit_fee,is required.Please
see fee-chart for required fee: Checks and/or money orders should be made to"Treasurer, State of Connecticut"and
must accompany this application.The application fee is non-refundable. Return your completed application,documentation
and appropriate fee to:
Department of Consumer Protection,License Services Division, 165 Capitol Avenue, Hartford, CT 06106
Section A:BUSINESS INFORMATION
ADDRESS AT WHICH BUSINESS WILL BE CONDUCTED
1.Type of Liquor Permit Applying for. 2.Are you requesting a Provisional Permit?
S —} L,` ��o K ❑YES MNO
3.Trade Name(DBA Name)
L-c— Ca-,� 'Az�(—,eA—, :7�—
4.Business Address City (( r , State Zip Code
.-1�u El t t 4-,a , M ': CG,tis � W• fj��2 O (�Cl'l Y
Business Telephone Number 6.Business Fax Number 7.Business Email Address
8.Is there currently a liquor permit at the If yes,current permit number 9.Patio?pf yvs,complete attached patio request form)
proposed premises? RYES ❑NO LJZ.(,J.v vd b847 DYES ®NO
10.Type of Live Entertainment: YES O (If yes,please check(�all that apply below)
❑Acoustics- ❑Disc Jockeys ❑Live Bands ❑Comedians ❑Exotic Dancers
(Not Amplified)
❑Concerts ❑Karaoke ❑Plays/Shows ❑Sporting Event(s) ❑Magicians
Section B: APPROVAL/CERTIFICATION OF LOCAL OFFICIALS
11.Zoning Authority Approval:I certify that I am familiar with the zoning ordinances and bylaws of the city/town identified in item
#4 of this application and they do not prohibit the sale of alcoholic beverages under the type of liquor permit/establishment identified in
this application and/or entertainment listed in#10.
Signature of Zoning Official X 22W!a& a c Print Namedc,m d r A O t o u s-
Title of Official F �r(.. Date 1 / 7 /
12.Fire Marshal's Approval:I certify thatAhe premises identified in items#3 of this application is physically constructed in a
manner that is safe for the type of b In will be operated there.
Signature of Fire Marshal X Print Name
Title of Official !�24 '`�'� Date
13.Certification of Town Clerk:The town in which the business identified in item#4 of this application is to be operated,has no
ordinance restricting the hours of sale of alcoholic liquors beyond those set forth in State law except as indicated in the box below.
(If none,please enter"NONE")
Additional Restrictions: n0 V'e—
Signature of Town Clerk X Date
I
TOWN OF SOUTH WINDSOR
DECEIVED
STAFF SITE CHANGE
FOR SITE & SUBDIVISION AUG Z 6 2009
GENERAL: /
CHANGE ORDER CONTACT PERSON iU✓�.�i_/
6A'4-0 45 PhonNUfi O(*,3q)"6 "Aw/,Z-
Address r�4 •` Soy.. W' ` � CT O(oO
Site Name, P&Z No. C
Owner t Q w Phone No.1a(e- &Lh-D WPI
Contractor
Signature of Owner G�� Bea �: lb�� z�9
Signature of Design r. Date:
CHANGE: (Describe location and nature of change. Include
Four (4) copies of plan/profil of Change. )
"Wt��- if-^- 4��' Oor_ 0 1-111j�C,06
6 6C.-
Reason for Change: (Why is change required)
I
APPROVALS: (As Required) /
A51Dir. Of Plannin
" g Dater d
Town Engineer Date: 41/Z1iU
Dir. of M
lic o s Date:
other: Date: Jn
STAFF COMMENTS:
/ Ldl m , [� �-
OWL 6--
White - Town Engineer Yellow - Applicant
Pink - Director of Planning Goldenrod - Engineering Department
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AUG 0 6 1"J
South Windsor
BUILDING DEPARTMENT
To TW "Xly.
This cerUfled that ttus ylan ana s;. c:bc
COpiss of the proposed building or atteralhwns to ue
Mooted tat F
T_ S0 `_- . -11-�Itreel
together with anteadment tated in application an.;
filed with plan and I agree to comply with ail zoning.
Building and state laws and such orders as shall be
issued by the Bullding Department during pendency
of this appll n and nal Issuance of a building
Pena1R
sree.d hl
T%k platy is approved subject to the eondklon that
Yrdera *" ordinances regulating building shall be
agneowd wiH.
eel pop IN Those tiled with
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Clark
CERTIFICATION OF ZONING C01V1i _iAi•,,,
Proposed building(s), use(s) and/or structures,
as shown on this plan appear(s) to be in
►'lei'} conformance with current South Windsc:
regulations. Variances and special exceptions
may apply..
Date M 3
o ing Enforcement Officer
TOWN OF SOUTH WINDSOR
STAFF SITE CHANGE
FOR SITE & SUBDIVISION
GENERAL:
CHANGE ORDER CONTACT PERSON Phone No.
Address
Site Name P&Z No.
Owner Phone No.
Contractor
Signature of Owner Date:
Signature of Design Engr. Date:
CHANGE: (Describe location and nature of change. Include
Four (4 ) copies of plan/profile of Change. )
Reason for Change: (Why is change required)
APPROVALS : (As Required)
/)S` Dir.. Of Planning Date:
/
rl
Town Engineer Date:
Dir. of Public Works Date:
Other: !.}-i� _. /�^ r r-�- t/rT- Date:
STAFF COMMENTS:
White - Town Engineer Yellow - Applicant
Pink - Director of Planning Goldenrod - Engineering Department
1 � 5.2=5 c➢ `
� wv•90$1'Ue'� �
I N�F
SHIRLEY V. � HENRY
WAYNER
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STATE OF CONNECTICUT
DEPARTMENT OF CONSUMER PROTECTION
Liquor Control Division
Telephone:(860)713-6210
Email: liauor.control@ctjov
Web Site:www.ct,eov/dcv
APPLICATION FOR ON-PREMISES LIQUOR PERMIT
Please print dearly or type the infDrmatlon entered on this application. A-$100.00 appikadon 01i 10
rj* l `h .4dditlofif lq;#W k l W.'ptl0M1t4s4. Chedcs and/or money orders should be made to:
"Treasurer, Sure of Connwticue" and must accompany this application. The application fee is non-
refundable.+Rehrm your eompiew#Wcabon,doa oft ion and a vmvitls in In:
Deparbu"of Consumer P►vbetlon,Lkemw Sorvkes Dfvlslo% 166 CawpW Avenue,Hirttbn:&CT 061o6-1&V
M � M , M � = �. A:BUSINESS INFORMATION
Type of Permit Applying for: I ADDRESS AT WHICH BUSINESS WILL BE CONDUCTED
Restaurant — Beer & Wine (for an mailings elated to this permit If left blank,mail will be seat to business address)
1. Trade Name(Name of Business)
La Casa Bella, Inc.
3.Address: City State Zip Code
1750 Ellington Road South Windsor CT 06074
4.Telephone: S.Fax: 6.Is there currently a liquor permit Ifyes,current permit 7.Patio?
(413)525-6727 (413)967-3467 at F"2UAses? number:
YES Q NO ❑ LRWO004387 YES ❑NO
8.Type of Live Entertainment: Lj YES ONO (If yes,please select front the following below)
❑Acoustics Disc Jockeys Live Bands ❑Plays/Shows
❑Comedians H Exotic Dancers Performers ❑Sporting Event(s)
❑Concerts ❑Karaoke Movie Screenings ❑Other.
Section B:APPROVAL OF LOCAL OFFICIALS
9.Zoning Authority Approval:I certify that I am familiar with the zoning ordinances and bylaws of the city/town
identified in item#3 of this application and they do not prohibit the sale of alcoholic beverages under the type of liquor
permit/establishment identified in this application,or regarding outside service of alcohol.
Signatum of Zoning Offrcial:X
Title of Official: O Dste: 7
10.Cerdf a don of Town Cleric:The town in which the business identified in item#3 of this application is to be operated,
has no ordinance restricting the hours of sale of alcoholic liquors beyond those sal forth in State law except as indicated in
the box below: f none please enter"NONE
Additional Restrictions:
Zs rt�
Signature of Town Clerk1 D
Dste:oj /d a / aoa 9
11.Fin Marshal's Approval:I certify that the premises identified in items# 1,2&3 of this application is physically
constructed in a manner that is safe f the of business that will be operated there.
Signature of Fire Marshal:X
rttle of OfFcial: �� Ir✓6l�a Daft: 0 7
' Section C:PERMTITEE APPLICANT INFORMATION
12.Permittee Name(First,Middle,Last) 13.Date of Birth 14.Art you applying for a Provisional
Permit?
Michael Connors 9/28/82 YES X❑NO ❑
15.Residence Street Address 16.City State Zip Code
7 Jennifer Lane East
Longmeadow MA 01028
17.Telephone Number 18.Fax Number 19. E-mail:
( 413 )525 - 6727 ( 413 ) 967 - 3467 mconnors0l@yahoo.com
PREFERRED MAILING ADDRESS(for all mailings related to this permit-If left blank,mail will be sent to
business address
20.Business/Individual Name: 21.Street Address&Number.
Michael Connors 7 Jennifer Lane
22.City: State: Zip Code:
East Longmeadow MA 01028
Section D: BACKER INFORMATION
* Each backer must also complete the"Personal History Form"that accompanies this application
23.Business Structure:Please select the box that best describes how your businesslorganization is structured:
Sole Limited Limited Unincorporated
Proprietorship Partnership Corporation Liability Liability Association
Company Partnership
24.Name of backer individual or business entity: 25.Street address dt number.
La Casa Bella, Inc. 11750 Ellington Road
26.City: State: Zip Code: 27.Telephone: Fax:
South Windsor CT 06074 ( 413 ) 525 -6727 (413 )967 - 3467
28.Backers:List individuals associated with ownership of backer businesslorganization(i.e.sole owner/corporate
officers/partners/LLP members)
a.Name:(First, Middle,Last) Title: %of ownership or#of
Michael Connors resident/Director shams: 50
b.Name:(First,Middle,Last) Title: %of ownership or#of
Mario Ferrentino ice President/ shares: 50
irector
c. Name:(First, Middle,Last) Title: %of ownership or#of
Gina M. Connors SecretaryTreasures/ shy: 0
d.Name:(First,Middle,Last) Title: %of ownership or#of
shares:
e.Name(First,Middle, Last) Title.. %of ownership or#of
shares:
f.Name:(First,Middle,Last) Title: %of ownership or#of
shares:
Section E•CURRENT LIOUOR PERMITS WITH WHICH PERMITTEE,BACKER OR IMMEDIATE
FAMLY ARE ASSOCIATED
This section applies to the permittee applicant,and to each backer who is a sole proprietor,partner or a member of
a partnership organization,corporations, members of a limited liability organization or unincorporated
associations.In the case of package store permits,it also applies to ownership by members of the permittee
applicant's or backer's immediate family.Immediate family includes parents,children and spouse—
Attach a separate sheet If needed.
29a.T of other liquor permit
ype q pe Liquor permit number. Name of business:
held:(i.e.cafe)
N/A
Name of backer or permittee or immediate family associated Are you a backer or permittee of other business?
with other permit:
Backer❑ Permittee❑
29b.Type of liquor permit held: Liquor permit number. Name of business:
(i.e.cafe)
Name of backer or permittee or immediate family associated Are you a backer or permittee of other business?
with other permit:
Backer❑ Permittee❑
30.Have any of the previous permits listed above been Ifyes,attach a statement detailing the enforcement
revoked,suspended or denied in CT or any other state? action(s)taken including violations,dates,and the
YES❑ NO Cl I circumstances involved.
Section F: PREVIOUS LIQUOR PERMITS WITH WHICH PERMTTTEE OR BACKER WERE
_TED
This section applies to the permittee applicant,and to each backer who is a sole proprietor,partner or a member of
a partnership organization,corporation, limited liability organization or unincorporated association.
List all liquor permits p usly held in CT or any other state-Attach a separate sheet if needed.
31a.Type of liquor permit Liquor permit State in which Name of business:
held: (i.e.cafe) number. issued:
N/A
Name of backer or permittee associated with Were you a backer or permittee of previous business?
previous permit:
Backer❑ Permittee❑
31 b.Type of liquor permit Liquor permit State in which Name of business:
held:(i.e.cafe) number. issued:
Name of backer or permittee associated with Were you a backer or permittee of previous business?
previous permit:
Backer❑ Permittee❑
32.Have any of the previous permits listed above If ve been s•attach a statement detailing the enforcement
revoked,suspended or denied in CT or any other state? action(s)taken including violations,dates,and the
YES❑ NO❑ circumstances involved.
Section G: CERTIFICATION OF PERMr ME APPLICANT AND BACKER OR
+ AUTHORIZED REPRESENTATIVE OF BACKER
33.Permittee Certification: ( o be Signed by Permittee Applicant: Date:
. iSd bypernnittee applicant.
identified in "Section A"of this 7/ j /09
ication I certify that the
information provided in this
application is true to the best of my %Aiz
`�--
knowledge. ichael Connors
34.Backer Certification: (To be
Date:
i b -backeru Signed by Backer or Authorized Representative of Backer.
nay or the atlwriz�cd
sentative of the backer)I Certify La Casa Bella, Inc. 7/ ! /09
that the information provided in this ����G
application is true to the best of my
knowledge and that the permittee Michael Connors
applicant identified in"Section A"of 34.Print name of Backer or Representative: 35.Title of Backer or
this application is designated as my Representative:
principal representative on the
premises for which this application is Michael Connors President
being submitted.
For offxw lM 0*
STATE OF CONNECTICUT
DEPARTMENT OF CONSUMER PROTECTION
LIQUOR CONTROL DIVISION
Telephone:(860)713-6210
Emad:liquor.control@ct.gov
ctgov
Website:www.cf.gov/dco
Provisional Permit Request
I, Michael Connors . have submitted an application for a liquor permit to the
Department of Consumer Protection and hereby request a Provisional Permit pursuant to Sec. 30-35b,
Connecticut General Statutes. In the event my request is granted, I understand there will be an additional
fee of$500 associated with the issuance of such provisional permit.
La Casa Be , Inc.
7/ 1 /09
Date )CPPP1canb43Wker Michael Connors, President
Sec.30 35b.Nlnety-day provisional permk.
A ninety-day provisional permit shall allow the retail sale of alcoholic liquor by any applicant and his backer, if any,
who has made application for a liquor permit pursuant to section 30-39 and may be issued at the discretion of the
Liquor Control Commission.If said applicant or his backer, if any,causes any delay in the investigation conducted by
the Department of Consumer Protection puustant to said section, the ninety-day provisional permit shall cease
immediately.Only one such permit shall be issued to arty applicant and his backer,if any,for each location of the club
or place of business which is to be operated under such permit and such permit shall be nonrenewable but may be
extended due to delays not caused by the applicant.The fee for such ninety-day permit shall be five hundred dollars.
Credit Waiver
I, Michael Connors , hereby request approval by the Department of
Consumer Protection allowing wholesalers to extend credit while I am operating under a provisional liquor
permit, pursuant to Section 30-6-A36(b)of the Regulations of Connecticut State Agencies.
La Casa Bel a, I C.
7/ 1 /09
Date Applicant/Backer Michael Connors, President
Sec.30-6436 ft Period of cref
No wholesaler shall provide credit to a permittee while under a provisional
permit,unless otherwise approved by the department.
C
0 INv,90 81'CIa-� r
1 N/F'
SHIRLEY V. HENRY
N- Ins I I
7
I �
lu 1�(E) 12 I \
-� TF.4a.ao
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ill
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g, W4aL 3I51 !S�
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�J R O A D c,�z = 7 L/
N G T I �o ��'
et I/VG-oIv �� a SANITA V SEWErz MH IN
L..I rll r�;i •i.
Proposed buildin
D � j a(Ic,.-1r as shown on this ss�' use(s) and/or structure(s;�
�;/ Zits plan a
conformance with pPe.ar(s) to be i ri
regulations. Variances current South Windsa �
MAY 17 1993 Deek a`` maY app►y, and special exceptions
SSW"' Date
South Windsor
BUILDING DEPARTMENT
Wing Enforcerrtentfc�,r
10 THE
this certified that this plan and speclih, tlons
copies of the proposed building erected at or alterations/to L.i:15o r—LLW--C1pW_ gam
together with amendments stated in nft,,;
filed with plan and 1 applic11 zo ac.
agree to comply with all zonin,
Building and state laws and such orders as issued by the Bu shall 1.
of this a log Department during pendency
pplica and final Issuance of
permit. a building
Signed
This plan is approved su ject to the condition that
orders and ordinances regulating building
complied with. shall be
Clslditlonally Approved These filed with
0ltilding Inspect._►
Clark
IDat� �I '•,
1 4C o � y f iG
TOO eb
r �• � � IWs11.a1 , " � .
Mlv 421r' 13 /. jt, 4 • r
one •q4.o►• . . 102.9� , ,\
AA
LP
FFL
' CTyp� PC
5104go
rlcrat —.t
►2- WATEit MAItJ
L i NG7 ROAD
� 9. , .. 1 wE _ \ MH.
.y� .
Ng NofsvC - g�4G� ct�u
KRV W lJ* . 04
I �71MIf�1G hRtK 'P� � .- 'PTV, VyCL'D
PTP
Lo HON5 T&Y L8r Aft• _ 1�tD
,scue=:KuL4M ,
� x G
M q r.+cl'6ri✓ts> .-
dPR 1 0 1995
South Windsor
BUILDING DEPARTMENT
TO THE BUILDING DEPT. TOWN OF SGUTH WiNOSOF
This certified that this plan and specifications are true
o pi
of the proposed building or alterations to be
erected at�)
p.J— L.1/(l,-6f r - R C Street
together with amendments stated in application on,
filed with plan and I agree to comply with all zoning.
Building and state laws and such orders as shall bt
is$uad by the Building Department during pendency
of this epp,
Ica tIon and final Issuance of a building
permit.
CERTIFICATION OF ZONING COMPLIANCE
Signed
Proposed building(s), use(s) and/or structure(s) This plan Is approved subject to the condition that
orders and ordinances regulating building shall be
as shown on this plan appear(s) to be in compiled with.
conformance with current South Windsor Conditionally Approved These filed with
regulations. Variances and special exceptions
may apply. .uudittill Inspector Cleric
Date Q OaN 116111.
Zoning Enforcement Officer
i
All
FIRE EQUIPMENT Pre-Enqineered System Inspection Report
FIRE PROTECTION SPECIALIST Date of Service: �%' o V Time: S �' AM PM
P.O.Box 9262 D BRISTOL,CT 06011-9262
OFFICE(860)585-8885 a FAx(860)589-2225
www.allstatefire.biz Annual/Semi-Annual/Recharge/New System/Renovation (circle one)
Customer/Location System Information
Name: C A L- A M A R L P IF 0 U D Make: k35. L
Address: 175O [ LL 1 AJ 6rUN Model: R t v 2_
City, ST, Zip:�S0 • (.J 1 IV[Z� CS Size: L .
Phone: _ Control Head:
Owner/Manager: _ Location of system:
Yes No N/A Yes No N/A
1 System interlocked with building fire alarm. 14 Checked operation of manual release.
2 All tamper seals intact.No evidence of tampering. I 15)Checked operation of microswitch.
3 All appliances properly covered w/correct nozzles. 16 Checked operation of gas valve. (MECH.I ELEC.)
4 Duct(s)&plenum properly covered w/correct nozzles. 17 Piping/conduit securely bracketed.
5 Hood/duct penetrations properly sealed. 18 Nozzles cleaned.
6 Grease accumulation: _excessive _heavy _Znormal 19 Proper nozzle caps/covers in place. Oty.
7 Pressure gauge in acceptable range. 20 Exhaust fan in operating condition.
8 Checked cartridge weight. 21 System operational&armed.
9 Cylinder within hydrotest date. Due: _ - ✓ 22 Fan warning sign on hood.
10 Inspected cylinder&mount. 23 K-Class fire extinguisher in cooking area.
11 Checked operation of detection line. 24 Personnel instructed on manual operation of system.
12 #of Fusible links: 360° -(o-450° _500` _other(—') 25 Filters compliant with NFPA96
13 Replaced fusible links. 26 System meets U.L.300 standards.
Cooking Appliances (left to right): •'Z Pig YFR S V t ti r 1i pQ R=L -2 �.f1►J Ci CS0 9 UN� �j
r7.R.��gf t J
Safety Notice: Non-compliant systems may fail to extinguish/supress a fire. Below are non compliant conditions which require immediate attention. All State
Fire Equipment assumes no responsibility for system performance if these conditions are not corrected and/or verified by an authorized agent of All State Fire
Equipment.
Comments/Non-Compliance: Mt rt c,%u +t C�� M.��� �� �a h.n r° C � J � r
Shu OLJ S V? ft1e 4 PirC t OM
All State Fire Equipment Agent: Date: /O -.2 -b to
Customer's Authorized Agent:- t a�R Date:
y y�FiiE E��
FZ
CT LIC.#F30042 MA-CR.1097 �
N FPQ Customer Acknowledgement and UL-300 Safety Alert on reverse —Rev.02-12-2005 „®
This report may be forwarded to the local authority having jurisdiction.
I
ALL STATE FIRE EQUIPMENT
P-0, Box 920-1 - ,*,;-,1 Church Ave
Bristol.C'Dioiol 1-9262
585-MS�, -Fax: (860)WY2225
CT1AA:3(W)4-'1 MACR 1097
CUSTOMER ACKNOWLEDCrEMEW
The ciitoiner acknowledges that any inspection of a customer's fire equipment by All State Fire
F'.quipment (ASFE) is limited to identification ot'deficiencies 11hat may impede or hamper the intended
function of the equipment and that ASFE is riot responsible for. nor capable of. identifying by inspection,
every defect that may ,i(lver,,clv affect the systeni's performance. particularly those defects of a latent
111,11tirc. defects or omissions related to the manufaCtUl'Cl"N dcsl,,,ii and instructions or defects which exist in
areas of the system. whether or not such defect's existence could have been determined by
inspection had the area been accesslhle at the time of inspection. The customer furiher acknowledges
that It i,, beyond ASVE's ability to determine with anv degree ofccrtaintN whether any fire equipment is
capable ofextiti-tiishing, any fire as intended by the manufacturer of the equipment, even it.'such
equipment Is in perfect ect working order- and properly installed in accordance kvith the manufacturer's listed
installation and design manual. The cu5tonrc:r I'L11111CF Lick now lcd-es that ASFE is not an insurer and that
tile customer assumes all risk ot'property damage. and for loss of life to the cl.1140111CCS C111plOyCeS,
patrons, Que,,i s. �endor.,,, and/or any other Individuals on the customers premises where the fire
protection CqUIPITIC111 is installed and that ASFE neither bears nor aSSUnics any responsibility whatsoever
f 0
r any loss OF damage resulting froin any causes beyond ASFE's reasonable control, including, WlthOLlt
limitation, if the fire suppression equipment: falls to function as intended or expected, is outdated, has
been tampered with. altered or has been improperly Used. repaired or maintained, or if the ha/.ard
protected by the fire suppression equipment has been altered or changed. Regardless of all else. ASFE's
liability on any claim for loss arising out of or connected with the fire suppression equipment listed on the
face horeof,shall he 111111ted to two times the cost of the inspection and in no case,, shall ASF11' he liable for
special, incidental or consequential darnages.
UL-300 SAFETY ALERT
LJI-,-3(X) is a design-testin- standard for manufacturers of fire suppression systems for commercial
C C,
cookino ha/.;lrds. which took, effect in November of 1994. The previous testing standard was
P1-01111.111'ate,d at a tllllC WhC11 the use of animal based cooking fats and oils dominated the commercial
cooklng itidUstry and at a time when cooking appliances were designed with less thermal efficiency. As a
1-CS1,111. the j)1'0,31'C1Ns10n to vegetable based cooking oil,, created hotter bUrnim-, fires in appliances that held
their heat much lomLer and in effect, systems designed prior to the LT-300 standard are inadequate to
protect a modeni commercial cooking, hazard. As a result of these changes, if your fire suppression
SV,SlClll Was designed prior to the latest design testing standard for kitchen fire suppression systems.
i-idem-'ritei's Laboratories Standard UL-300, in effect since November of 1994, it is unlikely that your
sVstclll is caimble of providing adequate protection from fire, even though that equipment. when initially:
installed, i7rry have compiled with the then applicable code and design standards. ASFE strongly, urges
owners of pre-UL-3)00 Systems to upgrade their sV,-.,tenis to the newest standard as soon as possible and in
no case shall ASH have any, liability of any kind relating to the performance, or lack thereof. of pre-
LIL-300 sVACIA
Department of Public Safety
Division of Fire,Emergency&Building Services
Office of State Fire Marshal
STATE OF CONNECTICUT
On 6-15-06,the South Windsor Office of the Fire Marshal conducted an inspection of
Calamari's Seafood Grill located at 1750 Ellington Rd.in the City/Town of South
Windsor to determine the degree of compliance with the fire safety requirements of
Connecticut General Statutes Chapter 541 as authorized by Section 29-305 of the
statutes. This facility was evaluated as a existing Assembly as classified by the
CONNECTICUT FIRE SAFETY CODE. As a result of this inspection,the following
conditions were found:
❑ I. At the time of inspection, no code violations were identified, Certificate of
approval recommended.
NIL At the time of inspection, conditions were discovered to be contrary to the
minimum requirements of these codes. An acceptable plan of correction was
submitted. (See attached information) Certificate of approval recommended.
❑ III. At the time of inspection,conditions were discovered to be contrary to
minimum requirements of these codes. No approved plan of correction was
submitted. (See attached information) Certificate of approval NOT
recommended.
❑ IV. Based on the extreme hazard to public safety discovered at the time of
inspection,this office is currently seeking an injunction from the court through
our Town/City Attorney for the purpose of closing or restricting usage of this
facility by the public. (See attached information) Certificate of approval NOT
recommended.
June 15,2006
alter ummers, Fire Marshal Date
City or Town: South Windsor
APPLICATION FOR PERMANENT SIGN PERMIT
Zorting pp A roval: )(� J 1750 Ellington Road
Est. Cost: $ I— 1000
Ref.
Final Inspection . No. 3 2 0 7 2 Permit Fee: $ � rJ
Building Approv :
Zoning 11 Z 0 Elea
Applicant/Business Name
Address Z 1 \\.macI Phone 6l1.q — S k5 t
Location of Sign or—) Zone
TYPE of SIGN: all or❑ Free-standing New or❑ Replacement Illuminated? 0 Yes �RfNo
Proposed Sign Size(square feet)_L Sign Height c;2� No. of Existing signs on site Free-standing 3 Wall
Description of sign materials and lighting:
ATTACH
DIAGRAM OF
SIGN
INCLUDING
I have read, understaqOand agree to abide b the South Windsor Zoning Regulations, Signs. DIMENSIONS
�1= �P.pplica:,f Date ? /Oj-""
Property Owner Date
ter,•_ ambisecreations
iWIN
i
-- ��
RESUME
L � rkt
SERVICES
985-5180
Cary Prague. Author
NUT
IF
42
Q
.qI III. ! 1,. .
10/26/2005
Electric# W 5 13 APPLICATION FOR BUILDING PERMIT
Plumbing# 1750 ELLINGTON ROAD Date:
HVAC #
Sprinkler# No. 24649
FINAL APPROVALS Estimated Cost $ �fo0
Building L j'C COMPLETE RED BOXED AREAS Permit Fee S 4
Engineering TYPE OR PRINT ONLY Occupancy Fee
Affidavit SIGN ON REVERSE SIDE
Appr.for CO. I Total Fee $
TO BIALDNG DEPARTMENT,TOWN OF SOUTH WI DSOR,CT (Additional Cost) $
The undersigned hereby applies to do work according to the following specifications:
Job Location 1150 F L L('NC,7 0 D4 J2 Lot No. Side of Street Zone
Applicant C 'q C W hA R i L L C- Tel # (.14 W• & U
Address 9 A M i Zip Lic.#
Owner'lEGMRR W01,F It i4 2 FO/P0 Address 4> I'9 �rac�, w 197
Architect J F_R.R/N Address
Sq. Ft.New Area: 1st FL 2nd FL 3rd FL Total New Area
#Rooms #Lava ones #Bathrooms #Garages
-�( Purpose of this permit:
71514 oVC— R -16- T y
City Water C Well 0 Septic System 0
Ins. H.O. S.P. Cert. Area Basement L
Garage _
Approved by Date l f 4 7 Use Croup uction Type
Rw:.d 1197
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 local proper distance from all street lines,side yard lines,and required
distances from all other zones and is located in whic t ildirt�and its u 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
_V. - -
. D 1 WAY ER
d �
.4o AI'CIa•� r
r
•���cls� NIF"
SHIRLEY V. HENRY
WAYNER
i
I
� / I
1Nv 42.
� c
I � �
II \��\•R 000 y c tc .
TF=9C..67'.
IMv=93.77(E pA c
I \��� IWV=4377Cw) s \
C )
III / \CP.
TF,94.R O I]
c8 INv:g2.&% /
1 INV+42VCe $ 13�
ce•) RcP FF_ ect_c
/ c
ul -'u T
I I
>i
h� os>, g W WARREN M.
t=t== lot. ' NEWBERRY
TF,44•I t' �3 wCLL ti .«r
.15. INv=93.51 c •�•SA►tMIAC 0 M
Crp 0 TF.100.1.5 •v
m FF iwrq
s
P
.7d to
Z (D
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1 t
BCLC
Fj
In Z♦ — — \ '� f� I�
LI •r I— l`�-J�
%9
� r
rsG
-- °
� I 12" WATER MAIN ',
ROAD �°f��
8• 5AXilTA Y EVVE2 MH \ ('�
,
r
t,
South Windsor
BUILDING DEPARTMENT
10 THE SUfLDIN6 DEPT. TU:fiJ CF SJJTti
This certified that this plan and specifications at! `
copies of the proposed building or attaratlons n
erected et t '
together with
am
endmcr,}s in Pphr•— '
Sue tlin8 and Plan and I agr,_e t� codply wah alit ion r,d
state IaWs
and such Zen,
Issued by the Quildin ord,r p rt rt r s as shall
il this aPPllcation t d',rin5
Permit. a d Onal Issuanc_ F1, den.
Of a bulld"'
Signed
,h.s Plan is approved Subject f,
'trd,rs and ordinance the cnnd,tion th tt
„m plrr•d s rogulatutg betidutg Shall t e
GGr{ 1'If • o tdu,on lly APProved
1 I t�A 1 EUw r,F These fie with
PrOPosed buildin (s 10NING —
g(s)r COMPL)ArIC& r erl.t,n.. InsP(etor
as shown Use(s) and/or Clark
conformance 17 this pr2n app ,r r structures)
?SUS � ' gUlations. Varia;; . � t�-nt „ •
S 1;'th '�lindsor
;naY apply c�� a,�d sPS �l exce
Date �iS , Ptions
Zcni,-!C
Q_
E.-If
'�t off:"
a
i al F , 1 0
MarifS6). .
od �r�ll
1750 -
all
T
D I'
1D
Ap
South Windsor
BUILDING DEPARTMENT
ro tit:
SOUTH
YAie Cc r7•I. ���
��Dles of L'ie s Plan aed sD'eific
e raped al .•'P' Duildrng o� aft alt job t
ter_
Loge/h!t With sl`ht.et
tiled with p"n ,,,�I'�' �.•.; -Intl in aDPlication antl
®ulitling and sttr 1,w t" COmPIY with ali zoning,
issued s ^nd seeh orders DY the 7 ::ina prP;�r..a ant as shall be
of tnls apP4c,t, tluring Penden
rnd ftinal issuanC cy
Permit of a Duildia�
Signed
This Me4fs ,,
�dend �, o the Condition -
Cornr4. -s r,,slulahng buildin that
g shall be
Co.ul W.�..lr 1PPtoveO
These filed wluy
tsuu J—� ensP+clot
CIW4
JULIf
1 8 2001
South Windsor
BUILDING DEPARTMENT
0�kl-o,
t0 THE WADING DENT. TOWN Of S*MN WINDSOt
This certified that this plan and specifications are tru-
/ copies of
the proposed building of *iterations to be
erected at
��// �� Stree•
together with amendmen s s ,d in application
tiled with plan and 1 agre comply with all win.
Building and state laws and such Ord s as ahalf I
issued by th Building Department u Ina pond*nc
of this pp i tion and fin& 1 suan /of a ►uildin,
Xper mI
r
r
Sign
This is appro d su ec to ne dartdition an.
orders and nrdm cs regulating Yuildlna shall b•
J % / Complied with.
Conditionally Approved Tnsu filed with
OF ZONING COMPLIANCE Bulldina lnsPecUw
lroposed bui!ding(s), use(s) and/or structure(s)
s shown on this plan appear(s) to be in
informance with current S:)Lth Wind:•:
.gulations. Variances and special exception
gay apply.
.ate `7 J� CS
Enf r ment 0��
APPLICATION FOR PERMANENT SIGN PERMIT
Zoning Approval: 1750 Ellington Road
Ref. t�� .S.S Est. Cost: $ v�
Final Inspep s: No. 31339 Permit Fee: $
Buildi A ve
Zoni11(71
Applicant/Business Name &-, Lam. s1MQ,- S Pci n C cx_C'e
Address 1 ei r �c� Phone U jo -.21� - 3 bq a
Location of Sign 51 C+e_ d'�bim Zone G (L
TYPE of SIGN: Wall or❑ Free-standing ❑ New or❑ Replacement Illuminated?❑ Yes No
Proposed Sign Size(square feet) �2 Sign Height No. of Existing signs on site___L_ Free-standing Wal
Description of sign materials and lighting: ill - LITE, Z V N w (; / f�r
ATTACH
\ DIAGRAM OF
SIGN
INCLUDING
I have read, understand and agree to a ' e by the South Windsor Zoning Regulations, Signs. DIMENSIONS
Applicant Date
/7) j
Property Owner_ ' �i •� Date3�Uz/
-- -----• ---- -
�l
�1
1 !I
acials
a Body
iiii
li
i• ,• ,tl, ji ;:j: ji! 1;
'� •j i ttt:j,i: E� IiE•�i i{ i
jil
it j i # i I1 j I i,l I EII;II Il Ilin
:1 j:
.S • 18 SPA ES
so
25 B ILDING LINE
z
z
C 11 SPA
0 UILDI G LIN
O
PROPOSED 104.00'
OFFICE
•
LT. BUILDING LT.
60 S-F
LOT AREA
30,426 S.F. ,O
w
0
a. EXISTING N/F H. MILLS NEWBERRY JR. I
GARAGE in
CID
BUILDING
TO BE 65' LINE toi
REMOVED 0
VICTORIAN LIGHT POSTOO'HIE
EQUAL TO THOSE MANUFACTUF
(L BY WELSBACH LIGHTING CO.
EXISTING NEW HAVEN CONN
BUILDING
PROPOSED
I OFFICE
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SIGN PIT
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�Y9� HYp r19 1 -
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LLING7G
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—40 —20 0
agv�m
MAY 19 2004
South Windsor
BUILDING DEPARTMENT
`his certified that this plan end speciflc,jjor.;j.c rrut
-spies of the Proposed bial I dirig or alterations to be
�,recteo at
6treef
tt—r kl,ith a-ne—!,,rrrt, st ttrd in jp,)jlctl0n a,
:lied IWI Pi n -nd 1 Znnlns*
Lj Pendency
Is of a building
(nit.
'ed
pl,n iF. .,c— to t c,,)Jrtjon that
rs and gL,,( 1-11c-lg shall be
oditionjily Approved These filed with
Clerlf
CERTIFICATION OF ZONING COMPLIANCE
Proposed 90witel i wwor structure(s)
as shown an IS-PIM S"aqs) to be in
conformance with cum Windsor
regulations. Variances and special exceptions
may apply.
Date— -1-// flD-I
22JLQ -I-
Zoning Es if A sment Oftw
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
TOWN OF SOUTH WINDSOR PERMIT#
Applicati l`�007�
BUILDING DEPARTMENT
PRO 1540 SULLIVAN AVENUE Bldg.Permit#
�I L 4 + 644-2511 ext. 230 ,
Date n r
Application must be printed or typed
FEE SCHEDULE Location of Job:
$0-$1,000=$15.00 Street No. Street Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT -S CD LJ 1�—S t'✓/
APPLICANT ADDRESS / `
APPLICANT PHONE# S ABC 6LG y --
O W N S F,q OWNER
OWNER ADDRESS
OWNER PHONE
PC
C ESTIMATED COST$
IS THIS A CONTRACT COST? _Yes _No
FEE ENCLOSED$
S O TYPE OF JOB:
R C New Installation
--e-,4teration/Addition/Repair
Revised 4/01//2002
APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
❑RESIDENTIAL
BUILDING PERMIT APPLICATION? ❑ YES ElNO
BUSINESS CURRENT USE AND OCCUPANCY
❑ASSEMBLY
❑MERCANTILE FUTURE USE AND OCCUPANCY
❑EDUCATIONAL
❑INSTITUTIONAL
❑FACTORY ENGINEER'S NAME PHONE
❑ STORAGE
❑GARAGE ADDRESS
❑MIXED USE
(Other please specify) CITY STATE ZIP
TYPE OF INSTALLATIONIWIRING METHOD
SIZE OF SERVICE 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
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
T
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.
l�/T
CONTRACTORS LICENSE NO. TYPE STA yE
SIGNATURE OF APPLICANT DATE 6
DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT
TOWN OF SOUTH WINDSOR PERMIT#
Application is hereby: BUILDING DEPARTMENT /
D 1540 SULLIVAN AVENUE Bldg.Permit#
644-2511 ext. 230
Dice Idilding Inspector
Application must be printed or typed
FEE SCHEDULE Location of Job:
$0-$1,000=$15.00 Street No. Street fpt.
No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof Tenant Designation
APPLICANT IMPERIAL PLUMBING & OIL CO, IIrC►
APPLICANT ADDRESS 981 SULLIVAN
644-2538
APPLICANT PHONE
OWN S F,q OWNER G rrcl CU
OWNER ADDRESS \ 5 0
S �
o OWNER PHONE C\ \
C
3
C ESTIMATED COST$
.� IS THIS A CONTRACT COST? Ves _No
FEE ENCLOSED$ \ U
TYPE OF JOB:
�SO R COS New Installation
�Alteration/Addition/Repair
Revised 4/01//')00?
APPLICATION FOR HVAC PERMIT (Continued from reverse side)
TYPE O SYSTEM: TYPE OF BUILDING:
HEATING ❑RESIDENTIAL
13 A/C COMMERCIAL
❑VENTILATION U INDUSTRIAL
HEATING
❑ STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS.
❑HYDRONIC ❑WARM AIR ❑UNIT RADIANT HEATER
EXISTING RADIATION 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 HEATING EQUIPMENT(INCLUDING MAKE&MODEL NO.)
GROSS HEATING CAPACITY(INPUT—BTUH) NET RATING(OUTPUT—BTUH)
TYPE OF FUEL
❑OIL--GPM OIL TANK LOCATION:❑INSIDE❑OUTSIDE CAPACITY
❑GAS—INPUT LPG TANK CAPACITY 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
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,) C)<�, Z---� 5�— S'
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT l »Rs�� oQ ,.��y� DATE
I
DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT
Application is hereby: TOWN OF SOUTH WINDSOR PERMIT#
BUILDING DEPARTMENT
APPROVED 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 Street No. Street Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
IN l5 APPLICANT _A I l S A,4,APPLICANT ADDRESS 71 G 1 ,A,� ✓, . �.'L y G 1_ 04 0 l
SFP l 7 NO
South Windsor APPLICANT PHONE# 96N $ 8 S - SAA
Bull ; 11, NT
�0 W N $F,q OWNER Al'"O c[
OWNER ADDRESS -71 `An 1
'k p� OWNER PHONE (9 4a) S
C ESTIMATED COST$ 2 O- 00
.� IS THIS A CONTRACT COST? As _No
LL o 4G FEE ENCLOSED$ e.1
S • sOi✓/�� TYPE OF JOB:
R•C ,/New Installation
_Alteration/Addition/Repair
'1&4�v L61C9 Revised4/01//2002
t
APPLICATION FOR PLUMBING PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
❑RESIDENTIAL BUILDING PERMIT APPLICATION? ElYES ElNO
❑BUSINESS CURRENT USE AND OCCUPANCY
❑ASSEMBLY
❑MERCANTILE FUTURE USE AND OCCUPANCY
❑ EDUCATIONAL
❑ INSTITUTIONAL
❑FACTORY ENGINEER'S NAME PHONE
❑ STORAGE
❑GARAGE ADDRESS
❑MIXED USE
(Other please specify) CITY STATE ZIP
TYPE OF INSTALLATION SIZE OF k ON 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 ❑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 MANUFACTURER
DESCRIPTION OF WORK-T�5 �4/ly � �.� S� 5) e- s. fc 00I
THE UNDERSIGNEDA PER IT 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.
3Do Y, Z— /' G
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT �� /; C A,)e.+ DATE `1/ Z 7 ��'G
I ' FIRE EQUIPMENT
FIRE PROTECTION SPECIALIST
P.O. Box 9262 a BRISTOL, CT 06011-9262 A OFFICE(860)585-8885 A FAX(860)589-2225
www.allstatefire.biz
Public Act No. 91-95:An act concerning the requirement that licensed contractors as defined in Section 20-330 of
the General Statutes must personally sign each building permit application. E C R � U' (;
Date: 1 I Z H
6 /06 tN is D
SFP 2 7 Z006
ATTN: Building Official South Windsor
BUILDING DEPARTMENT
{re- 5-II71e S ; "011
To Whom It May Concern,
In Accordance with Public Act 91-95, this letter Authorizes the below named agent to sign the
above reference permit application.
1. Project Name:
2. Location: 17 50 t ll, ,,t b,n Rd
3. Starting Date: /a/2 /0 4
4. Licensed Contractor's Name: Michael Gagnier
5. Licensed Contractor's Trade License No.: F30042
6. Name of Agent: ,1 o� , C
Sincerel
• 1 1
Signature of C ny Offic' FIRE PROTECTION LIMITED coN-RACTOR
F3
MICHAEL J GAGNIER
208 TRUMBULL AVE
Signature of License actor PLAINvJLLE,CT 06062
_!C. REG NO. EFFECTIVE EXPIRES
30042 11/01/200; ! 10/31/2006
SIGNED _ _ - - - - - -
Application_For Permit.doc
0-a9-
CT Llc. #F30042 - MA-CR. 1097
MEMBER —Pwv W�
ANAL» Install Date: TBD All State Fire Equipment
Calamari`s Seafood Grill PO Box 9262 - 71 Church Ave
1750 Ellington Rd Bristol, CT 06011
South Windsor, CT 06074 Micheal Gagnier
860-585-8885
info@allstatefire.biz
F30042
U
SF . D P 2 7 LUUb
South Windsor
BUDDING DEPARTME 4T
xl.5.;TTa",nk&
Manual Pull, no wire rope x1
Gas valve x1
3.0 Tank& 1 Tank Enclosure
Regulated Release
Install Date: TBD All State Fire Equipment
Calamari`s Seafood Grill PO Box 9262 - 71 Church Ave
1750 Ellington Rd Bristol, CT 06011
South Windsor, CT 06074 Micheal Gagnier
860-585-8885
info@allstatefire.biz
F30042
18x 16 im
192 x24h
f
1 I( z' "i°°e palm
'•' ' �� 24x24h
� aO
4'Be 9
kL
Chw biaik%=.ace
96x24h
(no h-ad)
Table
(mom
1 Hy vat,14 x 19 In
1 Fry vat,14 x 19 in
Flow Summary:
Coverage i Overall Dimensions Nozzle Flows i Nozzle Location
Hood:Single Bank 192 x 54 in. 1 N x2 2 0-4 in.from filter face,center of height dimension,aimed down filter length
Dud:Square 18 x 16 in. 2W 2 2-8 in.into center of dud opening,aimed up
Fryer.1 vat 16 x 24 in. 3N 3 21 in.-34 in.,(34 in.diagonal dist.to hazard center)alongMrithin perimeter,aimed at center
Fryer.1 vat 16 x 24 in. 3N 3 21 in.-34 in.,(34 in.diagonal dist.to hazard center)along/within perimeter,aimed at center
Char Broiler 36 x 30 in. 1 N 1 15 in.-40 in.,alongtwithin perimeter,aimed at center
Range:6 burners 36 x 30 in. 1 F x3 3 40 in.-48 in.,front edge of burner,nozzle flats parallel with burner front-to See Note 2
Griddle 24 x 30 in. 1 N 1 35 in.-40 in.,0-2 in.inside perimeter,aimed at center
Total Flow Points 15
1.
v� Install Date: TBD All State Fire Equipment
Calamari`s Seafood Grill PO Box 9262 - 71 Church Ave
1750 Ellington Rd Bristol, CT 06011
South Windsor, CT 06074 Micheal Gagnier
860-585-8885
info@allstatefire.biz
F30042
Notes
Project Notes: Microswitches are provided for electrician to make applicable connection (including make-up air fan shut-down,
electric appliance shut-down, &alarm tie-in).
All Hood penetrations will have UL-listed (UL#21_09) grease seals.
Manual Pull Station to be located in the path of egress 48" from floor.
All fuel sources (natural gas, LP, or electric) will shut-down upon system activation.
Fusible Links:
_> To determine actual fusible link ratings, temperature readings must be taken during peak cooking time.
Note 1 => Range: 6 burners:Additional nozzle combinations are possible for this range. Please refer to the manual.
Note 2 => Nozzle: 1 F x3: (Range: 6 burners) nozzle position: 40 in.-48 in., front edge of bumer, nozzle flats parallel with burner
front-to-rear centerline, aimed at center
t
lQ
APPLICATION FOR BUILDING PERMIT
Electric #
Plumbing#
HVAC # t 1750 Ellington Road Date: -3-
Sprinkler# 31146
FINAL APPROVALS -F0000"' SIGN
- - Estimated Cost :5: ?,G1�
Building /-3-0 a - — -- - Permit Fee $
1PLETE RED BOXED AREAS Occupancy Fee $
Engineering TYPE OR PRINT ONLY j Eng. Insp. Fee $
Affidavit ON REVERSE SIDEAppr. for CO. Total Fee $ C�
TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $
The undersigned hereby applies to do work according to the following:
Applicant ? ,E ,440W1A.Y /ZR4,!� -TW6 location of Work 173O Azc �A,) Lot No.
Applicant's Address Z 72 415lAS-IAW &-vb Tel.# 6 --�?�S
Town Zip #
Owner Ae-- A6 GVJ5 4,4 Architect
Owner's Addresses 1go-ay Pal._ 5a. Architect's Address
Zip Zip
Sq. Ft. New Area: 1st FI. 2nd FI. 3rd FI. Total New Area
urpose of this.permit ,t&F-Kdeg r sTic>6
City Water❑ Well❑ Septic System❑ Sewer❑
Ins: HO vat. t Area Basement Garage
Approved by e Use Group eonstruction Type
Revised 6IO2
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 wh buildin and it use is allowed
Signed v'-
I hereby apply for a Certificate Acupancy for the work described in this application for the permit.
Signed
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
-------------------------------------------------------------------------------
**-31146-B 5,700
Electric # APPLICATION FOR BUIL ING PERMIT
Plumbing# 1750 Ellington Road Date:
HVAC#
S rinkler#
p 900375 Estimated Cost $ rJOO
FINAL APPROVALS
Permit Fee $
Building COMPLETE RED BOXED AREAS /f
Occupancy Fee $
Engineering TYPE OF PRINT ONLY Eng. Insp. Fee $
Affidavit ► SIGN ON REVERSE SIDE t
Appr.for CO. Total Fe $
TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $
The undersigned hereby applies to do work according to the following:
Applicant cation of Work , Lot No.
Applicant's Address n U ` , � Tel # -•)" �y V-
Town �, IZip 0607 Lic.#
Owner ^ C S Arebitcat -LAIC e4 a CoS
O ef's Address 7 • e,,� Architect's Address �-� - d �Q_1082
Zp oI00
Zip
Sq. Ft.N rea: 1 st FI. 2nd FI. /3rd FI. Tota
Pu se of this permit / &a. - l00,
S 6
City Water 0 Well ❑ Septic System ❑ Sewer❑ 9-3
Ins: HO SP V Cert. Q Area Base' nt Garage
Approved by Date 7'�^J Use Group (— Construction Type
evised 1708
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 w isbuildingand its use is allowed.
Sig —
I hereby apply for a Certificate of Occupancy for the vyork described in this application for the permit.
Signed
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
201700090 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER CERTIFICATE OF OCCUPANCY
DATE: 03/27/2017
GIS ID: 30301750 FEE: 10.00
MUNIS APPLICATION# 201700193 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: KNIGHTS&SONS CONSTRUCTION ADDRESS: 1750 ELLINGTON ROAD
ADDRESS: 361 RIVER ROAD RTE.32 OWNER: KELLEY RICHARD S
WILLINGTON,CT 06279 1744 ELLINGTON RD
SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: PATCH WALLS,SAND,PAIN AND BOX IN PIPES IN BATHROOM.
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
3/27/2017 9:42 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE
1700054 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER BUILDING PERMIT
DATE: 02/15/2017
GIS ID:30301750 FEE: 30.00
MUNIS APPLICATION# 201700040 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: KB ROOTER PLUMBING LLC. ADDRESS: 1750 ELLINGTON ROAD
ADDRESS: 33 RTE 87 OWNER: KELLEY RICHARD S
ANDOVER,CT 06232 1744 ELLINGTON RD
SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: TO REMOVE 2 WALLS AND ADD 2 WALLS AT HAIR SALON.
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
2/15/2017 2:27 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE
1700083 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER BUILDING PERMIT
DATE: 03/09/2017
GIS ID:30301750 FEE: 15.00
MUNIS APPLICATION# 201700193 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: KNIGHTS&SONS CONSTRUCTION ADDRESS: 1750 ELLINGTON ROAD
ADDRESS: 361 RIVER ROAD RTE.32 OWNER: KELLEY RICHARD S
WILLINGTON,CT 06279 .1744 ELLINGTON RD
SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: PATCH WALLS,SAND, PAIN AND BOX IN PIPES.IN BATHROOM.
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
3/9/2017 1 1:15 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE
1700042 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER ELECTRICAL PERMIT
DATE: 02/15/2017
GIS ID: 30301750 FEE: 30.00
MUNIS APPLICATION# 201700040 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: TREVOR REILLY ADDRESS: 1750 ELLINGTON ROAD
ADDRESS: 90B MAIN STREET OWNER: KELLEY RICHARD S
SOUTH WINDSOR,CT 06074 1744 ELLINGTON RD
SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: INSTALL 7 NEW RECESSED CAN LIGHTS IN SUSPENDED CEILING. REPLACE A FEW
PLUGS AND SWITCHES TO NEW WHITE ONES. DEMO ELECTRICAL ON TWO WALLS.
RUN TO NEW WALL.
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
2/15/2017 2:30 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE
1700121 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER PLUMBING PERMIT
DATE: 03/27/2017
GIS ID:30301750 FEE: 30.00
MUNIS APPLICATION# 201700193 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: CARMICHAEL PLUMBING&HEATING ADDRESS: 1750 ELLINGTON ROAD
ADDRESS: 235 HARTFORD TURNPIKE OWNER: KELLEY RICHARD S
TOLLAND,CT 06084 1744 ELLINGTON RD
SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: FINISH PLUMBING-A LAV SINK, 1 PEDICURE CHAIR,2 HAIR WASH STATIONS AND
1 HOT WATER HEATER.
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
3/27/2017 9:27 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE
1700067 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER PLUMBING PERMIT
DATE: 02/15/2017
GIS ID: 30301750 FEE: 30.00
MUNIS APPLICATION# 201700040 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: ERNEST KOCH ADDRESS: 1750 ELLINGTON ROAD
ADDRESS: 69B VERNON AVENUE OWNER: KELLEY RICHARD S
VERNON ROCKVILLE,CT 06066 1744 ELLINGTON RD
SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: RUNNING DRAIN LINE AND WATER LINES FOR 2-3 HAIR SINKS AND WATER LINE
TIE INTO EXISTING MAIN.RUN HOT AND COLD VENT WITH MECHANICAL VENTS
RUNNING 2IN.LINE.
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
2/15/2017 2:28 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE