HomeMy WebLinkAbout200 KELLY RD DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT
PERMIT#
Application is hereby: TOWN OF SOUTH WINDSOR 1 a0 01'�q
BUILDING DEPARTMENT
APPRO ED 1540 SULLIVAN AVENUE
Bldg.Permit#
644-2511 ext. 230
Date '� Building Inspector.
Application must be printed or typed
FEE SCHEDULE E
Lo ion of Jo isor
$0-$1,000=$15.00 Street Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof gnation Apt.No.
APPLICANT r V 1
APPL C ADDRESS 6 l?-(� �
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APPLICANT PHONE# O(Q O U D' `5—t I
O W N S F,q OWNER
OWNER ADDRESS p� C7o
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OWNER PHONE
C ESTIMATED COST$ a D O
.� IS THIS A CONTRACT COSTS _Yes _No
FEE ENCLOSED$ j
l� TYPE OF JOB:
�SO R C0N New Installation
Alteration/Addition/Repair co
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
❑ASSEMBLY
❑MERCANTILE❑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 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 WORK
o O GA
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.
C�
CONTRACTORS LICENSE NO. T STATE
SIGNATURE OF APPLICANT VW DATE 3 O ' a�
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NO ZONING VIOLATIONS. 'JOHN J. MOZZOCHI, ENamem
GLASTONBURY9 CONN.
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CER i 1Fi(.;Af10N OF LOfVI G WivIPLIANCE
Proposed building(s), users) andjor structures)
as shown on this pLn a,,-;pel,-(s) to ba in
conformance with cui r ent South Windsar
regulations. Variances and special exceptions
may apply.
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NO ZONING VIOLATIONS. JOHN J. MOZZOCHI, ENGINEER
GLASTONBURY, CONN.
'CERTIFIED SU'QSTANTIALLY CORRECT. SCALE— / '60' DATE— -4 - 6 6
1200291 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER PLUMBING PERMIT
DATE: 07/31/12
GIS ID:49500200 FEE: 15.00
MUNIS APPLICATION# 201200982 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: MDK MECHANICAL LLC. ADDRESS: 200 KELLY ROAD
ADDRESS: 160 RIVERSIDE DRIVE OWNER: ROSSLEY THOMAS J&ELLEN F
BALTIC,CT 06330 200'KELLY ROAD
SOUTH WINDSOR,CT 06074
t
DESCRIPTION OF WORK: REMOVE EXISTING GAS METER BAR AND REPLACE WITH NEW METER BAR
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
7/31/2012 3:44 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE