HomeMy WebLinkAbout18 DOWER RD "146
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DEPARTMENT DECISION APPLICATION FOR PLUMBING PE ZMT PERMIT#
Application is hereby: TOWN OF SOUTH WINDSOR 170U�3d
BUILDING DEPARTMENT
APPROVED1540 SULLIVAN AVENUE
3 -
644-2511 EXT.230 Bldg.Permit#
(Date) (Building Inspector)
Application must be printed or typed
FEE SCHEDULE Location of Job:
n6hlec �7d
$041,000=$15.00 Fi7enant
Street Lot No.
Over$1,000-
$15.00 per$1,000
or any fraction thereof ation Apt.No.
APPLICANT Z Q 1 CO
APPLICANT ADDRESS (Aj
APPLICANT PHONE#
OW N 3F,q OWNER Goy... \� c
OWNER ADDRESS
OOWNER PHONE 8 01— �--
C ESTIMATED COST $ �T o o
IS THIS A CONTRACT COST? YES NO
G FEE ENCLOSED$ A C.30
o c
TYPE OF JOB: 2 2 S 3 '
0 •C0 New Installation
✓Alteration/Addition Repair
I-701Z:F(e
Revised 12/22/11
APPLICATION FOR PLUMBING PERMIT(Continued from reverse side)
TYPE OFBUH.DING IS THIS APPLICATION ASSOCIATED WITH A
RESIDENTIAL BUILDING PERMIT APPLICATION? ❑ YES NO
BUSINESS CURRENT USE AND OCCUPANCY
C3 ASSEMBLY
O MERCANTILE FUTURE USE AND OCCUPANCY
0 EDUCATIONAL
O FACTORY
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 BEATER: TYPE Nt ON"UPACTURER
DESCRIPTION OF WORK
vS
S�2 e—
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.
2G a. ,SG S�
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT ��a� J. . t DATE / 1 l
I
-- - dj
Lot numbers refer to map entitled,
"Subdivision Map, Farnham Estates,
Property of I. it. Stich Associates,
Inc. , Rye Street, South Windsor, Conn. ,
Scale 1" - 401 , Sept. 19, 1957, Sheet 3,
Certified Substantially Correct,
Morton S. Fine, C.E. is
f
OF C�J NNE ;
A t PROPOSED LAYOUT
�! ,r G ' FARNHAM ESTATES
I hereby certify that this DOWER ROAD
map is substantially cor- SOUTH WINDSOR CONNDCTICUT
rect and no zoning regula- "io. 2931 �o
tins have been violated . �; ��`� SOCALE 1 40' JULY 14, 1958
} EgfGun� 17GRTOIJ S . rl�JE, --.E. -L. S .
HA?T FO RT•, C 0 A:N.
Electric # APPLICATION FOR BUILDING PERMIT
Plumbing# 18 Dower Road FDate:
HVAC#
Sprinkler# 900215 Estimated Cost $ ay ov
FINAL APPROVALS Permit Fee $
Building COMPLETE RED BOXED AREAS Occupancy Fee $
Engineering TYPE OR PRINT ONLY Eng. Insp. Fee $
Affidavit ► SIGN ON REVERSE SIDE
Appr.forCO. Total FeA $
TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $
The undersigned hereby applies to do work according to the following:
Applicant L v► S Location of Work w L t Lot No.
Applicant's Address _ c�a t y Tel # gO'6�J�' �7>!D
Town Co Zip G 7-6 Q I S'rtic.# If I c O 5-6 616 0
Owner PC,s 4 r— +c mow.- Architect
Owner's A Z/O' S—
//ddress g 11 c ok4 14.t 1 b Architect's Address
(_Oyr-Afkt yr C1— Zip OC.L3Ft F Zip
Sq.Ft. New Area: 1 st FI. 2nd FI. 3rd FI. ay a
Purpose of this permit (� L S �i�•
6
City Water) Well J Septic System 0 Sewer ❑
Ins: HO SP Cert. Area Basement 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 us is allowed.
Signed
I hereby apply for a Certificate of Occupancy for the work describe in this application for the permit.
Signed
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
1700430 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER PLUMBING PERMIT
DATE: 09/25/2017
GIS ID:29100018 FEE: 18.00
MUNIS APPLICATION# 201701286 BUILDING DESCRIPTION:
APPLICANT ., , LOCATION
NAME: IMPERIAL PLUMBING CO.,INC. ADDRESS: 18 DOWER ROAD
ADDRESS: 648 SULLIVAN AVENUE OWNER: MILLER GARY J&CAROLYN M
P.O.BOX 875 18 DOWER ROAD
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 THE BUILDING DEPARTMENT.
CONSTRUCTION TYPE:
OCCUPANCY GROUP: BUILDING OFFICIAL
9/25/2017 3:51 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE