HomeMy WebLinkAbout192 ROBERT DR Electric # APPLICATION FOR BUILDING PERMIT
Plumbing# 192 1jj EE�2grive
HVAC# [Date:
Sprinkler#
FINAL APPROVALS Estimated Cost $�—�c�crr�o--�1q
Building COMPLETE RED BOXED AREAS Permit Fee $ 135
Occupancy Fee $
Engineering TYPE OR PRINT ONLY Eng. Insp. Fee $
Affidavit
A r.forCO. ► SIGN ON REVERSE SIDE
pp Total Fee $
TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ J�_23(o0
The undersigned hereby applies to do work according to the following: F �o So{cr-ocuCS
Applicant k)%r 6w Drt,.vav E Location of Work_ LotNo.
Applicant's Address I R6dT C^ � Tel # _*0 -Z-Yy—J33/
Town J . (,)t Nr.S u ` Zip _ _Lic.#
Owner �, pM& Architect
Owner's Address Architect's Address
Zip Zip—
Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area
Purpose of this permit 2er,^L Exzy72NG y6Ci< 1,jx 3o
City Water 4 Well J Septic System _J Sewer�d o261 36/
Ins: HO SP Cert. Area Basement Garage
Approve y 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 ,- _
I hereby apply for a Certificate of Occupancy for the work de(Jed in this application for the permit.
Signed f
DO NOT WRITE BELOW T LINE
INSPECTION COMMENTS
INSPECTION FIELD SHEET 04/20/22
Printed by Middleton, Morgan 11 21 38
INSPECTION: 60089 FINAL PERMIT:
STATUS:
APPLICATION: 201301041
LOC: 192 ROBERT DRIVE
SOUTH WINDSOR
PROPERTY ID: 76500192
OWNER: DRAGONE KAREN
CONTRACTOR:
REQUEST BY:
PROJ DESC: REPLACE EXISTING 14 X 30 DECK.
WORK ORDER:
INSPECTOR: DOUG RESULT: N/A
REQUESTED: 08/08/13 PRIORITY:
SCHEDULED: 08/09/13 AM COMPLETED: 08/09/13
UNPAID FEES: 00 Date Time
MILEAGE: 00 TIME: TRAVEL ONSITE
COMMENTS:
KAREN ® 860-644-1331
t
s
L
C
+R
67ccr .. .-
or
cry
irk �' Jll, ,
{
t�
44 . 0 W
. ,
� 1
-
4 +
s � �
= ROBERT DR
�}.vG Kew
Q 1 inch - 20 feet MAPPING PROVIDED BY SBC UNDER CONTRACT.
192 Robert Dr DATA MANAGED BY THE SOUTH WINDSOR
ENGINEERING DEPARTMENT AND IT TECHNOLOGY
s� :� DEPARTMENT.
D
JUL 01 23113
South Windsor
BUILDING DEPARTMENT to THE BUIIDIRG DEPr• 1OWN OF SQUTH WINDSU/
nis certified that this Plan arN spedfiaatlons are tru•
uplee Of the proposed INUIpg Q VteratbA to be
vected at
Streettngethsr with amendmiants stated In app11
ano
riled with plan and I glrAin agree to Comply all zoning,
�tuldlnai and state laws and such orders as shall bs
-sued Dy the Building Oepartment during pendency
If this application and final Issuance of a buntline
Permit.
Signed
his planrd suDiect to the condition that
uticrs an66.s regulating
•mpiled With, building shall be
2011drtlonally Approved These tiled with
Building Inspector
Cl—
oat. NO,
3
CERTIFICATION OF ZONING COMPU ANCE
Propos«i buAdi M*), uses)andlor st►ucture(s)a$
shown on this plan aPpear(s)to be in conformance
with current South Windsor regufabons. variances r t l-c 1I^S
and special exceptions may apply. P
Date 3 plx C-�C
Zoning Enforcement Officer
APPLICATION FOR PLUMBING PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
RESIDENTIAL BUILDING PERMIT APPLICATION? ❑ YES ❑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 r►W/ 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 �CC l MANUFACTURER G
DF,6)RIPTTON OF WORK
C,�-C,�
THE UNDERSIGNED HEREBY APPLILT FOR A PERMIT TO PERFORM THE WORK 13ESCRIBED AND IS T7—
COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT DATE
DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT
TOWN OF SOUTH WINDSOR PERMIT#
Application is her
BUILDING DEPARTMENT —
AP O 1540 SULLIVAN AVENUE
644-2511 ext. 230 Bldg.Permit#
Date B dmg Inspector
Application must be printed or typed
FEE SCHEDULE cation of Job:
$0-$1,000=$15.00 Street No. Street Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT �1 r
APPLICANT ADDRESS
�r, z�tcri 0U y os
APPLICANT PHO,NE#CLL-4) �
O W N S F,q OWNER
OWNER ADDRESS 1�
U) d OWNER PHONE%Q0 (-0 y q- 1331
� I
C ESTIMATED COST$
.� IS THIS A CONTRACT COST? X Yes _No
FEE ENCLOSED$
f�4DS o�� TYPE OF JOB: �3�
R.C New Installatibh
--)4Alteration/Addition/Repair
13000423 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER BUILDING PERMIT
DATE: 08/14/2013
GIS ID:76500192 FEE: 135.00
MUNIS APPLICATION# 201301041 BUILDING DESCRIPTION:
APPLICANTS � f �4 w m � LOCATION
NAME: DRAGONE KAREN E f .q� ADDRESS: Ii 2 ROBERT DRIVE
ADDRESS: 192 ROBERT DR *4 t OWNER:' s--DRAGONE KAREN
S WINDSOR,CT 06074=1545 a`',• --. 10 ROBERT DR
SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: REPLACE EXISTING 14 X 30 DECK.
SPECIAL CONDITIONS: ,
ALL WORK TO BE DONE IN ACCORDANCE"WITH THE APPLICATION"AND PLANS4 APPROVED BY THE BUILDING DEPARTMENT.
4 y
CONSTRUCTION TYPE: f-=
OCCUPANCY GROUP: , BUILDING OFFICIAL
8/14/2013 12:48 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE
1100019. 11 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER PLUMBING PERMIT
'l1( .'1
DATE: 01/18/11
GIS ID:76500192, FEE: 15.00
MUNIS APPLICATION# 201100048 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: MR ROOTER ADDRESS: 192 ROBERT DRIVE
ADDRESS::,) .12 COMMERCIAL STREET OWNER: DRAGONE KAREN
BRANFORD,CT 06405 192 ROBERT DR
SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK:' REPLACE 40 GAL GAS HOT WATER HEATER
SPECIAL'CONDITIONS:
ALL'•WORK_TO'BB'DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT.
CONSTRUCTION TYPE:
OCCUPANCY GROUP: BUILDING OFFICIAL
1/18/20 1 Q O`7AM�T.: THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE