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Home My WebLink About178 KELLY RD DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT PERMIT# Application is hereby: TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT APPRO D 1540 SULLIVAN AVENUE Bldg.Permit# j 644-2511 ext. 230 Dite Building Inspector Application must be printed or typed FEE SCHEDULE 4- � �� r I Loca n of Job:8 Q Iva (l/l V $0-$1,000=$15.00 Street No. Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT � L APPLICANT ADDRESS I Lo 0 VC IL�p✓A 0j;- ) APPLICANT PHONE# S5 (p a l O W N S F OWNER ( �— 4� OWNER ADDRESS OWNER PHONE Le q I �Ll C ESTIMATED COST$ 00 b IS THIS A CONTRACT COST? Yes _No FEE ENCLOSED$ ( S O TYPE OF JOB: OR�C _New Installation Z2 Alteration/Addition/Repair Revised 4/01//2002 APPLICATION FOR PLUMBING PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION? ❑ YES ❑NO SIDENTIAL BUSINESS CURRENT USE AND OCCUPANCY ( CJ� ❑ASSEMBLY ❑MERCANTILE El EDUCATIONAL FUTURE USE AND OCCUPANCY � �►�/` ❑ INSTITUTIONAL ❑FACTORY ENGINEER'S NAME PHONE ❑ STORAGE ❑GARAGE ADDRESS ❑MIXED USE CITY STATE ZIP (Other please specify) TYPE OF INSTALLATION t 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 ❑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 WO ketho q,0— f'k V( CA co)-k MJQ-�V LCA V THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF ONNECTICUT BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. S ,�(� ,2g& ( (Doi CONTRACTORS LICENSE NO. T E STATE SIGNATURE OF APPLICANT DATE '•.7s7�:��sr� • ^y: i 7S7 4et i, or /Q Lor /S F 40T 9 L O r a ►''� L O r /Q 41 -`. ,O ht `a • EL S _ , Ira - , •� �s / t � li�i "- ••� K 4 .4 r A P AUILQING(S) LOCArfo AS ' �,�►� M41 cs_ { moR rGAGE SURVEY PROPERtr OR u RRA NCIS R 8 MA fig G,A R E T E. RICKEY r NgRI�Y cE�vrrfr To �Pl�s��pt�lF� �� ' t7V r rNr mAp Is lUdsi �i S O u rh► WINO SOP C ONN AMPZONIN4 RISVIAPONs diPE.,tVPr 0161AM �. lee .,...w.., scA c f: i jet =Qo Fr, W t•,ruc YO r 9?r t 7R �y� 4 L-o.rl 15 /00.00' LOT - 9 i -Lor a o flo zF fro 0 1749 1010 Re r 4 .4 Y -ROA OU14DING(S) LOCATED AS a • MORrGAGE SURY -Y 41 E PROPEpry OR FRA NCIS P., 9 MA R GA RET E. RICKEY r wlrk ce-9 risy ro m4r rms"mAp,Is, 5 0 U rp WljVgSq lP CONK. ANVZOYINC RMLArIMYS z1ol Y, 1977 . .......I- -.. SCA 4 E: 7 IAC,=40 fr. Do�' , JUL .ram. - XMrL;. Proposed :i or struct as shcv n �., �r(s) to ccnforrna.ice mouth V:: regulation,. vr_.... ... _. . ,cial MAY 14 1993 may apply. Sout Date Windsor 07 1 BUILDING h DEPARTMENT Zoning Enfe-cem-ent Officer 10 fill b ., This ceniffed that this ul.ln copies of the proposetl building erected at ur allr,;r together with Sk— filed amendm�n s stated in with plan and I aPPlic:tf,n Buildinga ee to Comply with all ZO,_ and state laws and such issued by the Buildin orders as ah.lf b, It this a 8 Department during pendency PDllcatb and final issu Permit. ce of • bWlrin Signed This pfag 1• �Opeoved orders subject to a condition at •nd ordinances regulatin buildin [, ComPlied with. B than be Rondltbnally Approvaq These filed with @Wldlhg Ineps"a Clarll pat, o b 10 Revised 4/01//2002 DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT PERMIT# Application is hereby: TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT APPROVED 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 Date Building Inspector Application must be printed or typed FEE SCHEDULE Locatio of J b. $0-$1,000=$15.00 Street No. Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT n APPLICANT ADDRESS APPLICANT PHONE# u C O W N S F,q OWNER —7 OWNER ADDRESS ( / d CIO) OWNER PHONE N [ t C _ ESTIMATED COST$ 5 xIS THIS A CONTRACT COST? _ es _No co FEE ENCLOSED$ �•/�� TYPE OF JOB: SO R.C o w Installatio:;� n Alteration/Addition/Repair APPLICATION FOR PLUMBING PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A RESIDENTIAL BUILDING PERMIT APPLICATION? ElYES ❑ NO ❑BUSINESS CURRENT USE AND OCCUPANCY ❑ASSEMBLY ❑MERCANTILE❑ EDUCATIONAL FUTURE USE AND OCCUPANCY ❑INSTITUTIONAL ❑FACTORY ENGINEER'S NAME PHONE ❑ STORAGE ❑GARAGE ADDRESS ❑MIXED USE (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 ❑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 C? MANUFACTURER I 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. CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANTibr� & DATE a " 1200311 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER PLUMBING PERMIT DATE: 08/15/12 GIS ID:49500178 FEE: 15.00 MUNIS APPLICATION# 201200981 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: MDK MECHANICAL LLC. ADDRESS: 178 KELLY ROAD ADDRESS: 160 RIVERSIDE DRIVE OWNER: ELHAGE YASSINE BALTIC,CT 06330 _„ 178 KELLY ROAD SOUTH.WINDSOR,CT 06074 DESCRIPTION OF WORK: REMOVE EXISTING GAS METER BAR AND INSTALL NEW METER. RECONNECT AND SOAP FITTINGS AT,RISER. 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 8/15/2012 12:06 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE