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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