HomeMy WebLinkAbout26 LAKEWOOD (PINTAIL CIR) DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT
PERMIT#
Application is hereby: TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
APPRO D 1540 SULLIVAN AVENUE
Bldg.Permit#
644-2511 ext. 230
Date Building Inspector
Application must be printed or typed
FEE SCHEDULE Location of Job:
F
c,t 1 C e$0-$1,000=$15.00 Street Lot No.
Over$1,000=
$15.00 per$1,000 OOMor any fraction thereof gnatton Apt. No.
APPLICANT d S d
APPLICANT ADDRESS -P I ecL.sFcJ1` " best C ` 00 Z
APPLICANT PHONE#
�OVW N SFq OWNER
OWNER ADDRESS
Vo
Sod��\
b OWNER PHONE
0
C ESTIMATED COST$ 7:CO ,O0
.� IS THIS A CONTRACT COST? _Yes _No
FEE ENCLOSED$
1��s o � TYPE OF JOB:
R C _New Installation
Alteration/Addition/Repair ZIP()05a7
Revised 4/01//2002
• APPLICATION FOR PLUMBING PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
BUILDING PERMIT APPLICATION? O YES ■NO
■ RESIDENTIAL
❑BUSINESS CURRENT USE AND OCCUPANCY
❑ASSEMBLY
❑MERCANTILE FUTURE USE AND OCCUPANCY
❑EDUCATIONAL
❑INSTITUTIONAL
❑FACTORY ENGINEER'S NAME PHONE
❑ STORAGE
❑GARAGE ADDRESS
❑ MIXED USE
CITY STATE ZIP
(Other please specify)
TYPE OF INSTALLATION Kcr C0. 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 qO Q4jjoA/(a_q_5 MANUFACTURER
/� DESCRIPTION OF WORK
�-' c ' L(I�% pcqas .
- 30.SetMen�
THE UNDERSIGNED HEREBY APPLIES FOR
A
PERMIT TO PERFORM THE WORK DESCRIUM=7975—
COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK. 1
-PLOA•CzoZ1�04-)
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT DATE aC O
JOHN J. RISPOLI
9 PLEASANT STREET
WA L L I N G F O RD, CT 06492 -- 12 Commercial Street
Branford,CT 06405
To Whom It May Concern:
The undersigned is hereby authorized as my agent to pull Plumbing Permits. '
Municipality of Sn,,A�
Job Name: C-0
Scope of Work: as &c-,kee- Lti &xSeMekt
Work of Commence:
Licensed Contractor:
Contractor's Agent: le __R C',vp
Signature of Agent:
License Number:202804
Respectfully Submitted,
John J. "spol'
NO RIZED: d 'Q
Signe before me this 3—day of 20 1 ,
STATEOF CONNECTICUT
SUSAN F. FISHER PLUMBING.&PIPING.UiftAT,'EDCONTRACTOR
NOTARY PUBLIC
MY COMMISSION EXPIPFS MAR.31,2013 j014N-,I.RISP0Ll
WALLiNGF0k6,CT 06492
UQ REG NO, — _ .4trf E IVE.t EXPIR S
IPLM.0202804-P1 1� j.d�/0 r20k�,t��' ' 10/31/2012
'SIGNED(.� �'
APPLICATION FOR HVAC PERMIT
TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT
1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074 (PHONE) 860-644-2511 EXT.230
PERMIT NUMBER:
DEPARTMENT DECISION
APPLICATION IS HEREBY:
APPROVED: BLDG.PERMIT NUMBER:
DATE INSPE TOR
LOCATION OF WORK:
APPLICANT: OWNER: TYPE OF STRUCTURE:
y� ❑NEW BUILDING
NAME: 'Li Iv�Ll iU[3 NAME: 1�t4v,.s Y.C+w' � INp ❑ADDITION
PHONE NUMBER �L`� ' G_Z! G Z9 S PHONE NUMBER EXISTING BUILDING
ADDRESS: ! ?S S t NL I ADDRESS: Z� P�N PJ�. (,L-.
TYPE OF USE:
RESIDENTIAL ❑COMMERCIAL
HVAC IN RMATION: FURTHER DESCRIPTION OF WORK:
TYPE OF SYSTEM: ❑HEATING A/C S l CA^
HEATING: N-�j J Sy S^i
TOTAL HEAT LOSS(BTUH) °F (HEAT LOSS SHEET REQUIRED)
DESCRIBE 9LLIMLATM EQUIPMENT(INCLUDE MAKE AND MODEL NO.):
EST[MATETi COST:S Z)J `�
AIR CONDITIONING:
DESIGN TEMP:OUTSIDE °F INSIDE °F DIFFERENCE F° FEE ENCLOSED:S
TOTAL HEAT GAIN(BTLTM (HEAT GAIN SHEET REQUIRED) C 1
DESCRIBE COOLING�EQUPN ENT CLUDE MAKE AND MODEL NO.):
FEE SCHEDULE:$18 PER$1,000 OF THE ESTIMATED COST.
ROUND UP TO THE NEXT THOUSAND ONCE THE PROJECT IS
$1.00 OVER. (Z6 CENT EDUCATIONAL FEE INCLUDED AS PART
OF THE PERMIT FEE)
THE UNDERSIGNED HEARBY 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 PERFOMANCE OF SUCH WORK.
CONTRACTORS LICENSE NO.: y'A 00Q 0 U TYPE: S^ I STATE: GT.
SIGNATURE OF APPLICANT: C/ _ DATE: S C
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CERTIFICATE OF OCCUPANCY CHECK LIST
Applicant :' Certificate of Occupancy
Address _Pwc G%��Lw� Bldg. Permit No.
Lot No. 3 3 Date Submitted
Project 'w�(� Reviewed By
Date
As required in the Zoning Regulations, no certificate-of-occupk3ncy
shall be issued until grading plans have been complied with and
approved by the Town Engineer. The minimum requirements shall
inlcude:
Approved Denied N/A
v 1 . Approved building permit plan.
v 2 . Finish grading per approved
/ building permit plan.
v 3 . Site work; i.e. trees , shrubs, dumpsters
required parking
4 . Utility location
a. sanitary sewer
b. foundation drain
C . electrical & telephone
d. water
/ e. other
5 . Appropriate certification
6 . Bonding
Sewer Permit No.
Pavement Excay . No .
COMMENTS :
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South Windsor
BUILDING DEPARTMENT
TO THE WILDING DEPT. TOWN Of SO;iLi
This certified that this plan and specifications:.ra t-,.
copies of the proposed building or alterations to to
erected at
P;�4 A G stree
together with amendm,rts stated in application r_
tiled with plan and I ailree to cnrnply with all zonir.!;
Building and state laws and such orders as shill 1•
issued by the Building Department during pende^
of this appil n and flR leau!PCT of a
permit. j
'` Signed .
This plan approved suwlect to the condition th'•.
orders an ordinances rKutating building shall be
complied with.
Conditionally Approved These filed with
Building Inspector z Clerk
',ate
;,L�RTIFICATION OF. ZONING COMPLiANG
Proposed building(s)a use(s) and/or structure(s)
3 f x1�f as shown on this plan appear(s) to be in
:;onformance with current South Windsor
is' k ►K r-guiations. Variances and special exceptions
may apply.
Date
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Applicant 12-. Certificate of Occupancy
Address 7/1-i[_ (f Bldg. Permit No. 4 y.
Lot No. Date Submitted 7 4 -p 7
Project Reviewed By 4-2
Date 6 - 07
As required in the Zoning Regulations, no certificate-of-occupancy
shall be issued until grading plans have been complied with and
approved by the Town Engineer. The minimum requirements shall
inlcude:
Approved Denied N/A
r/ 1. Approved building permit plan.
2 . Finish grading per approved
building permit plan.
r/ 3 . Site work; i.e. trees, shrubs, dumpsters ,
required parking
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a. sanitary sewer
b. foundation drain
C. electrical & telephone
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6 . Bonding
Sewer Permit No.
Pavement Excay . No.
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