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SCAL E' I IN 4-0 FT.
A P P R O V E D
TOWS( OF SOUTH W(NpSOR
ENGINEERING DEPARTMENT
DATE; —'#4 _ C
�16s +
DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT PERMIT#
Application is hereby: TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT 1460153
APP OV 1540 SULLIVAN AVENUE
644-2511 EXT.230 Bldg.Pertnit#
(Date) (Building Inspector)
Application must be printed or typed
FEE SCHEDULE Location 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 �_ C
APPLICANT ADDRESS
APPLICANT PHONE#
O W N S Fq OWNER z-,
OWNER ADDRESS
OWNER PHONE �—
C = ESTIMATED COST $ 1, C\ n 6
IS THIS A CONTRACT COST? '�YES NO
'' C.) FEE ENCLOSED$
TYPE OF JOB: t 9?j3L7
S R•CO New Installation
_),,Alteration/Addition Repair
c�o140v3y3
Revised 12/22/11
APPLICATION FOR PLUMBING PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
RESIDENTIAL BUILDING PERMIT APPLICATION? ❑ YES NO
BUSINESS
O ASSEMBLY CURRENT USE AND OCCUPANCY
O MERCANTILE
D EDUCATIONAL FUTURE USE AND OCCUPANCY
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
�1U
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\ g \ C\
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT ,Z��Qa�-�� ya,3QJA DATE `a � �
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I HEREBY CERTIFY
THAT THIS A/AP IS SUBSTANTIALLY CORRECT
AND ZONING REGULATIONS ARE NOT VIOLATED.
SCAL £. I /N. _ FT DATE' •rve_
1600659 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER BUILDING PERMIT
DATE: 10/13/2016
GIS ID:93300023 FEE: 45.00
MUNIS APPLICATION# 201601453 BUILDING DESCRIPTION:
APPLICANT . LOCATION
NAME: BYRON'S CABINETRY&HOME ADDRESS: '23,WENTWORTH DRIVE
ADDRESS: 178 WOODHENGE DRIVE OWNER: UDE BENNETH&CORLET C
TOLLAND,CT 06084 -' 23_WENTWORTH DRIVE
SOUTH.WINDSOR,CT 06074
DESCRIPTION OF WORK: ADD A DECK TO EXISTING DECK 5 X 8.
%I � i 2
a
SPECIAL CONDITIONS:
ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT.
Y
CONSTRUCTION TYPE:
OCCUPANCY GROUP: BUILDING OFFICIAL
10/13/2016 4:00 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE
1400153 TOWN OF SOUTH , L
PERMIT NUMBER PLUMBING PERMIT
DATE: 04/14/2014
GIS ID:93300023 FEE: 15.00
MUNIS APPLICATION# 201400343 BUILDING DESCRIPTION:
.r
w.. s
APPLICANT; LOCATION
NAME: IMPERIAL PLUMBING CO.;INC. ADDRESS: 23,WENTWORTH DRIVE
ADDRESS: 648 SULLIVAN AVENUE OWNER: UDE BENNETH&CORLET C
P.O.BOX 875 r cx: Q 23 WENTWORTH DRIVE
SOUTH WINDSOR,'CT.06074 SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: 40 GAI:L'ON'GAS WATER HEATER REPLACEMENT.
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
4/14/2014 11:45 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE