HomeMy WebLinkAbout24 CLINTON DR APPLICATION FOR PLUMBING PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
RESIDENTIAL BUILDING PERMIT APPLICATION? ❑ YES ❑ NO
O BuslNEss
O ASSEMBLY CURRENT USE AND OCCUPANCY
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
0 1C3s
\o-t —
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.
2 c� 3 S°�8" P - \ c-V
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT DATE �-
7--
DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT PERMIT#
Application is hereby: TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
APP O 1540 SULLIVAN AVENUE
Bldg.Permit#
644-2511 EXT.230
(Date) (Building I pecto
Application must be printed or typed
FEE SCHEDULE Location of Job:
2L1 Cl !r, Sic
$0-$1,000=$15.00 Fienant
Street Lot No.
Over$1,000-
$15.00 per$1,000
or any fraction thereof nation Apt.No.
APPLICANT 1:Z nrs1 s ►c,-\
APPLICANT ADDRESS
S W
APPLICANT PHONE#
MIN SF OWNER F(cA Gcc +sec
'ot 4� OWNER ADDRESS
` SW
OWNER PHONE �
o 0
ESTIMATED COST $ 1 0 0 0
IS THIS A CONTRACT COPT? O YES NO
FEE ENCLOSED$ g
��1�v TYPE OF JOB:
OR-CO V New Installation
Alteration/Addition Repair
Revised 12/22/11
t, l• SS
PROFEVrY OF
24 CLI14TUI: DRIVE
►t. ` '� SOUTH WINDSOR CONliECTI CU`r
' SCALE; 1" - 40' March 31, 1.969
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APR 2 6 1996
South Windsor
BUILDING DEPARTMENT
TO THE BUILDING DEPT. TOWN Of SOUTH WINUSUF
This certified that this plan and specifications are trw
�`P'es of the proposed building or alterations to be
erected at
a yCL/�v`roir/ 4Qe
then w�tn Street
tog
'm:-ndments stated in
riled with plan and 1 agree to comply with application
zonio r
wltli:,g nd laws and such orders as shall b,
CERTIFICATION OF ZONING COMPLIANCE ==rr tl :,Y the`uuilding Department i'
, iris ppllcdtion and final issuance Ofgapbu�di Q
Proposed building(s), use(s) andjor structure(s) permit
,s shown on this plan appear(s) to be in Signed
.informance with current South Windsc 'his plan is apprl, d subJect to the
orders and ordinances condition that
.:gulations. Variances and special exceptions r-ampfwd, w;tn, regulating building shall w
nay apply. / conditionally Appro"d
riled wltq
?ate /d9 QC
dl nspector —��
1�1r
Z g E f cement Officer
,e Survoy for Hartford Federal Saving 3
FitOLE TY OF F'
24 CI.IM'01. DRIVE
SOUTH wiNiJ:3'uR COELECTICUT
SCAM-: 1 - 401 Varch 31 , 1969
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1800171 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER PLUMBING PERMIT
DATE: 04/12/2018
GIS ID:21300024 FEE: 18.00
MUNIS APPLICATION# 201800418 BUILDING DESCRIPTION:
APPLICANT _ LOCATION
NAME: IMPERIAL PLUMBING CO.,INC. ADDRESS: 24 CLINTON DRIVE
ADDRESS: 648 SULLIVAN AVENUE OWNER: GERBER FREDERICK E III&CHERYL A
P.O. BOX 875 24 CLINTON DRIVE
SOUTH WINDSOR,CT 06074 SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: GAS PIPING FOR OWNER SUPPLIED GAS LOGS--FROM TANK TO GAS
FIREPLACE.
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
4/12/2018 1:39 PM T14E FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE