HomeMy WebLinkAbout200 LAUREL ST 2 2 7.6 j
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Being Lot No, 49 on m.�p entitled 6111ap ofW00D"11)
AVC.r)r Stre►:t I South Andcor, "on:;, Pro)erty of Axellu. E.
s31o'.ie. Jevelo,-,cr Willi>m Peck. bemle 1" equ.-Is 6C' . April
18, 1959. Hayden L. Griswold
S c.tl e 10 e quell,s 50 '• ' �, !�v;'
liayaen L. 3riswolL: C.�.
DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT PERMIT#
Application is hereby: TOWN OF SOUTH WINDSOR f 4 4
BUILDING DEPARTMENT
APP v 1540 SULLIVAN AVENUE
644-2511 EXT.230 Bldg.Pemut#
(Date) (Building Inspector)
Application must be printed or typed
FEE SCHEDULE a Location of oo I cA.\,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 LA � `�n � � (Z
APPLICANT ADDRESS 7` C )a n e
APPLICANT PHONE# L�l9 0 5 �( S
OW N $F OWNER 5C J 1 C O�—�40
OWNER ADDRESS C 1^rl S jg✓1 14 e , �c=/). ✓1 fi
Ov OWNER PHONE o " a -5
C f ESTIMATED COST $ j0 C,. J a- /
IS THIS A CONTRACT COST? V YES NO
FEE ENCLOSED S S
�Gr 0 4'G TYPE OF JOB: 523
•CO _New Installation
v Alteration/Addition Repair
c?61Loo?(6-
Revised 12/22/11
APPLICATION FOR PLUMBING PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
Ct 'RESIDENTIAL BUILDING PERMIT APPLICATION? ❑ YES D' NO
O BUSINESS CURRENT USE AND OCCUPANCY
O ASSEMBLY
O MERCANTILE FUTURE USE AND OCCUPANCY
O EDUCATIONAL
O FACTORY
O 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 HEATER: TYPE MANUFACTURER
DESCRIPTION OF WORK
QPIc.�C �v � �n � c�l �! S �� k oFF VC,I tie
S �
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.
CONTRACTORS LICENSE NO. TYPE STATE) I SIGNATURE OF APPLICANT_ - PLC/V r�'�/ DATE �0 ( O / / l.�
I
I �!A W4, , 1.1
PLUMING&PIPM-G �;.{''T DCONK-ACIOIt
• ��? 3,.
SGT COt7TAN'=I'
!
i •s e-
11 DIPRINS ffl i D
"ARLBOV @'•
M- 7-1451
FE_FECTJVE `-, EXPIRES
• PI:1VL02776S8= yt�A3/ 31/2014
Q `T
'7'SIENED
Licensed Confractor entAuthoriza Form
COnnecticut General Statutes
Sec2-338b. BuiIdingperniitsapplications. tlThoma si
y gn? AnyLicensed contractor,
as defined in section 20-330,who seeks to.obt_aip a permit from a building official, i
may sign the p ermit application p ersonajly,or such licensed contractor may delegate
the signing of the bundingpermit application to an employee,subcontractor or other
'agent ifthe agents submits to the building official a dated letter on the licensed I
contractor's letterhead,signed by licensed contractor,stating that the bearer of the I
letter is authorized to sign the copy or a facsimile,but:shall be an-original letter
bearing the original signature of the licensed contractor. The letter shalI also
include: (1)the name of the muhicipalitywhere the work is to performed(2)the job
name or description of the job (3)the starting date of the-job (4) the name of the
licensed contractor(5)the name of the licensed contractor's agent;and(6)the
license number ofAll contractors who shall be involved in the work.
Rota-Rooter Services Company '
7 576 Christian Lane
Berlin,CT 66037,
Date: _r L) (860) 356-2545
Y,Scott Coutantauthorize: nn
(agent)
To sign the buildingpermit application as MY agent to p a e '
g dorm work at.
address: Z "
rP
ob name or description;
I' tnrfing Date: 6— .—� L License type and number P-10277688
;ent signature:
tensed Contractor Signature: ���,
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
PERMIT# i
Application is hereby: TOWN OF SOUTH WINDSOR Q
BUILDING DEPARTMENT ALIQ
APPRO ED 1540 SULLIVAN AVENUE
io _
644-2511 ext. 230 Bldg. Permit#
Date Building Inspector
Application must be printed or typed
FEE SCHEDULE �,,� Location of Job:
�?D O --- Z��f1�1�L _57z-P e T-
$0-$1,000=$15.00 Street No. Street Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT �C/� /� G 1 C 7!?t G
APPLICANT ADDRESS / FOW/AI
SO G,JsH f C 7- O r04 7`Y
APPLICANT PHONE# E� 2��- 7 y�/�/ �(04- �8.�-5E,1l>to
�0 N g f,q OWNER .(3,4-kAAAA G D
< OWNER ADDRESS ,( S i-a 7—
G.JrncS0' iZ Ci D a0r7 �/
C w , OWNER PHONE �6D - `ILI - y Z
ESTIMATED COST$ /500,06,
* IS THIS A CONTRACT COST? Yes _No
It �G FEE ENCLOSED$
40, �� TYPE OF JOB:
SOR.CD _ Installation
Alteration/Addition/Repair
Revised 4/01//2002
APPLICATION FOR ELECTRICAL PERMIT (continued from reverse side)
TYPEYOF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
RESIDENTIAL BUILDING PERMIT APPLICATION? ElYES ❑NO
❑BUSINESS CURRENT USE AND OCCUPANCY
❑ASSEMBLY
❑MERCANTILE FUTURE USE AND OCCUPANCY S%¢/�'J/
El EDUCATIONAL
❑INSTITUTIONAL
❑FACTORY ENGINEER'S NAME PHONE
❑ STORAGE
❑GARAGE ADDRESS
❑MIXED USE
CITY STATE ZIP
(Other please specify)
TYPE OF INSTALLATION/WIRING METHOD ���'—/�(//C/= l' �/l r /:'MG ZoW, 74-
,
SIZE OF SERVICE /O d SIZE OF MAIN CONDUCTORS tV' lu 14
NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS
NUMBER OF PANELS j REMOTE DISCONNECT REQUIRED? ❑YES NO
NUMBER OF LIGHT CIRCUITS�_NUMBER OF POWER CIRCUITS
NUMBER OF SWITCHES ;-3 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.
DESCRIPTION OF WORK
4-EG7916lfL SF1?//1GI� efhWAI4;
f&A/c/s Ta / /31-earlee r
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.
l ?;. ?'S3 r c 7-
CONTRACTORS LICENSE
/NO. TYPE STATE
SIGNATURE OF APPLICANT /f'V DATE 2
1400268 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER PLUMBING PERMIT
DATE: 06/30/2014
GIS ID: 52500200 FEE: 15.00
MUNIS APPLICATION# 201400788 BUILDING DESCRIPTION:
APPLICAN M LOCATION
NAME: ROTO ROOTER ADDRESS: 200 L REL STREET
ADDRESS: 576 CHRISTIAN LA `'" OWNER: ZICKO AMILY LIVING TRUST
BERLIN,CT 06037 200 �► REL STREET
` SOUTH NDSOR,CT 06074
DESCRIPTION OF WORK: RE LAaB HOT AND COLD SHUT OFF VALVES IN KITCHEN SINK.
SPECIAL CONDITIONS:
ALL WORK TO BE DONE IN ACCOR ANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT.
CONSTRUCTION TYPE:
� �
OCCUPANCY GROUP: BUILDING OFFICIAL
6/302014 l 1:27 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE