HomeMy WebLinkAbout18 MOUNTAIN VIEW RD DEPARTMENT DECISION �"jWN
N FOR ELECTRICAL PERMIT
PERMIT#
Application is hereby: � D lll���JJJ OF SOUTH WINDSOR
UILDING DEPARTMENTAPPROVED So J V 20081540 SULLIVAN AVENUE p�
South Windsor Bldg.Permit#
644-2511 ext. 230
Date NOV `.i U
it 3 bk' EPARTMENT D �
Building Inspector
BUILDING D t: 2000
Application must be pA&RWfytpe&TMENT
FEE SCHEDULE p Location of Job:
t o �6J/l"�v� V A C r✓
$0-$1,000=$15.00 Street No. Street Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT Lem 1-en C" v-c G. Lt-C
APPLICANT ADDRESS O
6 ---
APPLICANT PHONE# 1 -
DYWN Sj , OWNER VA) tI,�K QJ K Ile y
OWNER ADDRESS M 'F- U i G�
OWNER PHONE
C a ESTIMATED COST$ O !J
x IS THIS A CONTRACT COST? _Yes
FEE ENCLOSED$
SO. O�S� TYPE OF JOB:
R•C New Installation
Alteration/Addition/Repair
Revised 4/01//2002
APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
BUILDING PERMIT APPLICATION? D YES O NO
'RESIDENTIAL 0 BUSINESS CURRENT USE AND OCCUPANCY kr S
❑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
SIZE OF SERVICE SIZE OF MAIN CONDUCTORS
NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS
NUMBER OF PANELS REMOTE DISCONNECT REQUIRED? ❑YES O 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.
c� 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.
_3
CONTRACTORS LICENSE _ E S/TA
SIGNATURE OF APPLICANT DATE 7
DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT
PERMIT#
Application is hereby: TOWN OF SOUTH WINDSOR 2�143?
BUILDING DEPARTMENT D
APPROV D 1540 SULLIVAN AVENUE
644-2511 ext. 230 0� Bldg.Permit#
t�OR' OCT 2 g 20Q eV -6C
Date Building Inspector South vvinu—,
BUILDING DEPARTMEN f
Application must be printed or typed
FEE SCHEDULE Location of Job:
F:Tenant
$0-$1,000=$15.00 No. Street Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof Designation Apt.No.
APPLICANT K ELL.&, ,&f2 F)1 L)M t61 AJ6- I H&H-r i-ye— LL,C
APPLICANT ADDRESS 31-1 G,g; 4 i,,�� SLJ
APPLICANT PHONE# o?SG '/ D 6 ' ,. 6-6 8 2 L(
OW N SF,q OWNER W A � 4 BL1 l K �-ey
OWNER ADDRESS f u('t +� , e w S LI)
&07 OWNER PHONE
C ESTIMATED COST$ DOD
V IS THIS A CONTRACT COST? S Yes _No
FEE ENCLOSED$
�OSOR CO TYPE OF JOB: ` Lk
New Installation
Alteration/Addition/Repair
Revised 4/01//2002
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 98S
❑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 /? YLI O0t_ SIZE OF MAIN DRAIN K
NO.OF TOILETS_ STYLE fiQ v%V- NO.URINALS STYLE
NO.OF BATHTUBS�_ NO.OF SHOWERS I NO. OF LAVATORIES Z
NO.OF CONDUCTORS SIZE NO.OF STACKS L-- 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 PF YES ❑NO
SIZE OF WINDOW IF NONE C.F.M.OF VENTILATOR
SIZE OF DUCTS SEWER OR SEPTIC TANK S T7[_
SIZE OF WATER MAIN SIZE OF WATER PIPING&RISER 2—
WATER HEATER: TYPE MANUFACTURER
DESCRIPTION OF WORK 15t 4 YeeOneJ y^/GUr bG74 ✓uowrS n, KLel4 C'L
�Ltu✓` sctVy', r 1 OCe4i" 0yx -
THE UNDERSIGNED HEREBY APPLIES FOR A PERMI F 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. �C
G 7y Q45—
avy7a► 10) �f
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT kj w DATE
Electric#
AQ d G A�PkICATION FOR BUILDING PERMIT
Plumbing# 1 Mbuntal, ew
HVAC # %0L,60 8 — Date: 1 O
Sprinkler# dsor Yono
FINAL APPROVALS Estimated Cost $
Buildingr - Permit Fee
LETE RED BOXED AREAS Occupancy Fee $ (�
Engineering TYPE OR PRINT ONLY Eng. Insp. Fee $
Affidavit ► SIGN ON REVERSE SIDE
Appr. for CO. � _ __.______ _ Total Fee $ � 3U
- -----
TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ C)(-) �S
The undersigned hereby applies to do work according to the following:
Applicant K E LI_N�=iR 1010M&MG Location of Work I Ptov A-V i r- Lot No.
Applicant's Address 3 Gq,l L4 ,7 i Tel.# 134 —6 F.21
Town DSO y tti W i►1 Jae Zip Pc.# D 6 7 y R b.S
Owner W\a 6L;1 y-1 f-y Architect
Owner's Address IF M t- V 14W Architect's Address r'
Zip Zip-
-Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd Fl. vrr&ew Area
Purpose of this permit Ce~.,ole j�l4-te- 4-3
�dPd. �►J r .fro�►-s r�dl��� fah -�s�o�r•-
o S ue C
City Water Well❑ Septic System � Sewer❑
Ins: HO S1V Ce . Area Basement Garage
Approved by Date 10 •- • D Use Group Construction Type
Revised 6102
1i�93
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 1)
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS