HomeMy WebLinkAbout27 STEVENS RD 1000431 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER PLUMBING PERMIT
DATE: 11/19/10
GIS ID: 85900027 FEE: 15.00
MUNIS APPLICATION# 201001560 "' 'BUILDING DESCRIPTION:
APPLICANT' 4"a "
�i�;.. �' �'•a,�., LOCATION
NAME: MR.ROOTER ,P, ADDRESS: 27 STEVENS RD
ADDRESS: 12 COMMERCIAL STREET } r`" ,OWNER:' ;._FANG XINGHAO&HUANG ANNI
BRANFORD,CT 06405 0' �." f' 27 STEVENS ROAD
`SOUTH WINDSOR,CT 06074
a
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DESCRIPTION OF WORK: REPLACF k GAL HOT WATER HEATER
SPECIAL CONDITIONS:
ALL WORK TO BE DONE IN ACCORDXNCE,WITH THE APPLICATION AND PLANS>APPROVED BY THE BUILDING DEPARTMENT.
CONSTRUCTION TYPE:
OCCUPANCY GROUP: BUILDING OFFICIAL
11/19/2010 2:04 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE
Electric# Ae 6 � APPLICATION FOR BUILDING PERMIT
27 Stevens Road
uA�# .�� Date: a_�y - Q�•-
Sprinkler# r 26755
FINAL O Estimated Cost $
Bu�lding9 COMPLETE RED BOXED AREAS Permit Fee "3
Engi TYPE OR PRINT ONLY Occupancy Fee 3 r;
Affi SIGN ON REVERSE SIDE
Appr.f Total Fee $ l
TO BLUM TMElNIT,T OF SOUTH WINOSOR,CT lAdditional Cost) E
The undersigned eby applies to do work according to the following specifications:
Job Location S4rC* f Lot No. —3S Side of Street 5 Zone
Applicant C �.3 Pt S damn Tel. # $4Q-f qY—/'73/
Address Zip 0&17qLic. #
Owner S Avl� Address
Architect - Address
Sq. Ft.New Area: 1st FI. 2nd FI. 3rd Fl. Total New Area
#Rooms #Lavatories #Bathrooms #Garages
Purpose of this permit:
City Water ❑ Well ❑ Septic System ❑ Sewer ❑
Ins. H.O. Cert. Area i Basement Garage
Approved by Bate i L ; Group '-i Construction Type
Rw,6@d l/97
r I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town of
South Windsor and to notify the Building Inspector of any alteration in the plans or specifications of the Building for which this
permit is asked,and agree that this building is to be located the proper distance from all street lines,side yard lines,and required
distances from all other zones and is located in which this buildin and use is allowed.
SignedX �Atavl&
1 hereby apply for a Certificate of Occu y for the ark de ibed in this application for the permit.
Signe —
DO NO RIT ELO THIS LINE
INSPECTION COMMENTS
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
-------------------------------------------------------------------------------
•+-26755-B 1,000
B03 FRAMING (ROUGH) 03/20/00 JFF A COMPUTER ROOM ONLY WITH OWNER
E03 ROUGH 03/20/00 JFF A COMPUTER ROOM ONLY WITH OWNER
B04 INSULATION 03/27/00 DCJ A
B10 FINAL 11/03/06 JFF D N/A DOOR TAG ALSO PHONE CALL
B10 FINAL 03/27/08 JFF A WITH OWNER COMPLETED OK FOR COFO
r J
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RECEIVED
qp Zoning InvestigatioqEPpgMFst
SOUTH WINDSOR PLANNING DEPT.
'b
Date ,/ Inspector CA7
Peanut # aloes I-t 60
r
Address �� 7 ✓ �J
Zoning Issue Z_4o ry
/� & ti05-
Action Taken 630in inc� (f UaA
);n bCA r-e co, -.r -
Date of Resolution
Zoning official
Zoning Investigation Request
Date Inspector
Permit ## &0 d6,z,nl.-r-
Address
zoning Issue �A I410 sr— -/-n
Action Taken
Date of Resolution
Zoning Official
Y r "Ol
TV/�L? LEGEND
;y^ 1. PARCEL ZONED RESIDENTIAL A-30. O IRON PIN TO BE SET
2. FOM GRADRQ NOT COMPLETE.
a VAXAE GRAMM ON NOV. 4, t995 BY THE SOUTH 1MNDSOR ZONING MONUMENT TO BE SET
NC
BOARD,OF APPEALS YO MEOW ALL LOTS TO HAVE A 40' FRONT YARD SETBACK. _ _300 _ EXISTING C ON TOU R
J UTMJTY LOCATIONS AND INVERT ELEVATKMNS TAKEN FROM AN INSPECTION REPORT `f
.•'"� "• PROMOED BY THE CONCTRACTOR.
.x S. ALL IMa DEPICTED ON THIS PLAN HAVE BEEN VERIFIED IN THE FIELD AS TO
LOCATION. ELEVATION AND COMPLETENESS. y� 4
a. LOCATION DONE AT TIME 04 N APPRECIABLE SNOW COVOR EXISTS. '
t:
•,. ���"� • ! 39 20' STREET TREE EASMNT TO THE
T04104 OF SOUTH IUNDSOR VIDE
10' CLAP. EASEMENT
3" . • , S 08'47'45- W
236.45'
15' S.Y
r�
r �� r,�• Yi r. 0 1, - I .
BTT. ORIIK ro
:y c s �, m Z �, 342-3x 342.3 S2 2 • r50 O
.i•r .1. 0 CD
: .. `• 1 Cr1�' I 38 F.E. ONL 491. .,7 Z
{' .30,410 sq. ft.
, 0.69 OC. trA
10
• ` :.�-_ .w. '.: .f: \r• ' F.F.-344.46 1 O T LATE AL
'
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sii• r � � .. t,. % � 15' S.Y.
4 ,�. r' *4 231.39' 34o.3x
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S 08'47'45- W
x BOUNDARY AND TOPOORAPMC WFORMATKRN ARE TAKEN FROM PLANS /
DITITUm,`t'DPOCRAPMIC PLAN-PARTRIDGE MEEADOM Ir SECTION 3 3 4,
SOUTH WNDSOR CT PREPARED FOR JMJ CONSTRUCTION. BY DESIGN laA�nN I
PROFESSIONALS. INC. DATED 6-4-M REV. TO 6-11-99. � r
etMS SURVEY AND MAP HAS BEEN PREPARED 'IN ACCORDANCE MATH SECTIONS 20-300b-1 THRU 20-300b-20
OF:THE REGULATIONS OF CONNECTICUT STATE AGENCIES - -MINIMUM STANDARDS FOR SURVEYS AND MAPS IN
THL.-STATE OF CONNECTICUT" AS ENDORSED BY THE CONNECTICUT ASSOCIATION OF LAND SURVEYORS, INC.
< ,
�•_r,,t AND CdNFOI'jY$ TO HORIZONTAL ACCURACY CLASS A-2.
TO THE BEST .OF MY KNO E AND BELIEF, THIS MAP IS SUBSTANTIALLY CORRECT AS NOTED HEREON.
w . . �.
N DART HILL REAL TY, INC.
658 ELLINGTOW ROAD
12882
RfCHARO P,'MARTEL LC. No. S01'17H WNDSOR, CT 06074
. TEL. 282—0162B
,�,+.• RECORD ASBUILT
: t.V�Ad1101s1E�in Irlam ' REM90M � ceeo> 291-mb PRrtrr'dge �laadow II ®�T SHEET
161�TM AS W16w Am SAM 4" GRAPHIC SCALE
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• 16M11IW 4#OR m OON.I.YC.Ok.
.: �m 10 6E 1�N M rm rofessionais inc.
OF
r. i` M/;A t tYC 61s1YLVO 4lN,>e Lot Na .7d - 27 Ste tray Road .� AN ,TM.AKL ,1�t7-- f
! S'+ �ui 1a.n x %
somessor Am 1 inch = 40 feet MI engineers - planners - surveyors Asr r-n-ao
•NMF11 p 0=
`• on DATE O TNaN Br 155 south satstlite rood, south rdndsor. Connecticut OW74 SOUTH WIND" OOWKCTICIR
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APR 4
South Windsor
BUILDING DEPARTMENT
TO THE INJUNG VM. TOWN Of SOUTH WU4DSOR
This certified that this pion sod apeclflcatloni are true
copies of the proposed building or Alterstlons to bs
erected at t:�l `f>r''1.1•A111, - strer,
10gethe► with amendments stated in application a.n,
tiled with plan and 1 agr..w to comply with all zonlnf.
lauildinp and state laws and such orders as shall b
issued by the Building Department during pendency
of this application and final Issuance of a bulldlnc
permit.
Signed _
This pia le Ap o ed eu le t to the candltlon that
orders on ordi ces r g ating building shall be
complied with.
Conditionally Approved These filed with
Building Inspector G,Clark
Date_.. we 2(c 0 7�v
CER1S(,-ATION OF ZONING COMPLIANCE
Proposed building(s), use(s) and/or structure(s;
is shown on this plan appears) to be in
.)nformance with current South Winds.
gulations. Variances and special exception_.
.;ay apply.
ate -
_ t ILLL
g E Or ement Officer
MATES. rofp-« ,. i+ . iy.� .ad K° r ¢ ',T
LEGEND }' -
1. PARCEL ZONED RESIDENTIAL A-30. MO*
" t} _�1" 'a �'#► ha.y '' r s *' '•
2. FINAL GRADING MOT COMPLETE. ,' "' y O IRON PIN TO BE SET c ;',. `F �h• `<? g r;' 'At :A , -
3 VARIANCE GRANTED ON NOV. 4, 1995 BY THE SOUTH WINDSOR zDN04c ; . ` ' MONUMENT TO BE SET
BOARD OF APPEALS TO ALLOW ALL LOTS TO HAVE A 40' FRONT YARD SETBACK
EXISTING CONTOUR
_ '� a ''tit a •►r.:'!" ri x
4. UTILITY LOCATIONS AND INVERT ELEVATIONS TAKEN FROM AN INSPECTION REPORT „<
PROVIDED BY THE CONCTRACTOR. p '.fi ' a •. : ¥ < �� r � uN.
5 '
3. ALL ITEMS DEPICTED ON THIS PLAN HAVE BEEN vERIFtED IN THE FIELD AS TO °• .k� a `r., --,� �
LOCATION, ELEVATION AND COMPLETENESS. ;- r u 5 r„�
6. LOCATION DONE AT TIME WHEN APPRECIABLE SNOW COVOR EXISTS.
t.i
a �„ v .. p - a I 1 ;.•
pp x
71
'F.
y Y
rt ;"T R e I 39 20' STREET TREE NY TO THE .
',. TOM OF SOUTH WNDSOR f ''
d
4' v r, I`
�• 1 1 10' VIDE C L AP EASEMENT
A.. ?
.. a A. r
1 ` S 08'47'45" W e' r
236.45' I hti
�T pR1� Y 334
Aljp� rY O o..
s y
VA
r. k • 1y m 3423X 342.3 y? 342. °'j I �0 O h.
71 11- '14 -1,1 , , "' (-4 1 308 1 F G ARk, 49 7'
" a4 ;fir s a LA
30,410 sq. ft.
' .,
0.69 oc. Weir
y m• iw r 'y`� rF °>E ;s ,'- 'r (� - 341.9 ^ 4P '
LATE
1.O.0-343.41
'P.L �•F"-'"rtl� r '1 �, 8 t J _ _ ri ,'D
341 39.3' r ^ '
7 F
231-39' 3403x ��
BOUNDARY AND TOPOGRAPHIC INFORMATION ARE TAKEN FROM PLANS S 08'47 45� W
ENTITLED "TOPOGRAPHIC PLAN-PARTRIDGE MEEADOW 11" SECTION 3 & 4,
SOUTH WINDSOR. CT. PREPARED FOR JMJ CONSTRUCTION. BY DESIGN --- L a'�;N�• pf(L 1 ��
PROFESSKW" WG, DATED 6-0-98. REV. TO 6-11-99. 2.P-M• f J �`�
THIS SURVEY AND MAP HAS BEEN PREPARED IN ACCORDANCE NITH SECTIONS 20-300b-1 THRU 20-300b-20 f
OF THE REGULATIONS OF CONNECTICUT STATE AGENCIES — "MINIMUM STANDARDS FOR SURVEYS AND MAPS IN
THE STATE OF CONNECTICUT' AS ENDORSED BY THE CONNECTICUT ASSOCIATION OF LAND SURVEYORS, INC. ,7 ,
AND CONFORMS TO HORIZONTAL ACCURACY CLASS A-2.
Sz
TO THE BEST OF MY KNO GE AND BELIEF THI$ MAP IS SUBSTANTIALLY CORRECT AS NOT
HEREON
s y 1
m.1Ks., 7y ,.
- DART N/L REALTY /NC. 4
— f -^ ,
play ,
�.$ . 12882t'a ;,; 658 £LL/NGTON ROAD ._
,Y� F �M''',y"y�.' .'1 _ _ .y Y 7,n,XMy .4.., �1V _m N -fi: Y prlly a3'•-,lT,.. �. , _
: i SOU NOSGIR C T OI6074 a r ,x r• ,,
RiCHARO P. MARTEL Y LK— No. n �r,• TH iN � ° +K 4Y 4 ' }w.
`W � ,d ,' ws �" * V x '_ �_- �` 7 _. L. 282—O61B , -, ,
TF . t F F
RLCORD ASBUILT
ufers owcwu=maim Ems"m utuTv REVISIONS
,Au,tNas AS 1Hom Nt SAM am GRAPHIC SCALE 166D> 291—ei5, PsrtYidge Alewdow II SHOT
.>�1mIt11efw0w1 ALL O Toc unums 40 o zo .0 esign U)CATM
:�%Uarti a L#Aw SAS ow TO n°D rofessionais, inc. Lot
�T �p y p
3 Mc t4.Ar s W%QA UNILM ri BEAM uE i� No. 38 ` 27 Stevem S6� ere Flu+ A7Y An. RTtf)-.fir �..
er�WersN of
ruI►No alsorll to�A 1 inch = 40 feCl civil engineers • planners • surveyors
OF TN E MlpiifROMK NO. DATE DE90WW N 61 165 south satellite rood, south rindsor, connecticut 06074 SOUTH WINDSOR COMNfCTICUT sr rxiv OA f£• r_y��p
South Windsor
BUILDING DEPARTMENT
D l�
bout" i
II�G DEPARTi: E'�,!�.
1q y14 10J1iDING DEPT. TOWN OF SOUTH WiNDSOi
Thf;asAIfIN thft this plan and specifications ere tru.
copiel Of }I•U Df o"Od building or alterations to ba
erecteq $1
sitar
mrasw .,
fO�ia�F r!�{ 11M1t aliAa�d if sr
filietl*44 0*oe.* as s«iin,
9u"01"g 494 QAI& %WA #04 11040 WOW as a&&* s
issVed try ull, gw;Auo". Kg0,4oi "t dlaifft gm dh w,
Cl this appllcaLipa, ar, elf 4K10m NO& at a
permit,
S' Sigped _
rhis plan is at�tpdt st+ltirt qa> �
oMeri an0 orqlragpes; 00
#w*,ft%,IYlk** a vaw
:ufnplted with.
conditionally, To ter I
r
Bu{fa1� g f� cow
1
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I. rt* PNb Wr 91&L 1W Low �, MD MU-0fli " LEGEND
OIi E ;
mTm STRAW PRIOR TO 69j*ez OF cv (r Ttr SCAf,AON PoLtS r 3 > rg
Ngr PM"T 5EffN0, TIN TFE LOT ntJIST DE sTABLuMp W" O IRON PIN TO BE SET
1'
STRAW OR ERPSION CONTROL NETTM6 TO PRt� WN IF A V __ o MONUMENT TO BE SET ,
SPRING �64CN Y tJSTALI ID EROS{ON APD SfP+I�It -
300
canrTRaL � � N PLA(,f TO AIJY E��ION Aw , " . f �, ; _ - _ _ EXISTING CONTOUR
5Y9&ITATION PROCU3 S Tlr OLA_Pm;OWNFR Is RE ON SOLE
� ,M PROPOSED CON TOUR
FOR AU- STACILIZATION REQ ORADME 1r5 >a
�M
287.3 PROPOSED SPOT GRADE
1 ROOF LEAPURS TO DE PlSGIVR6♦P ON 5PLA5r1 PADS SILT FENCE
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3'.
C't,
io }�
D. All. ROADWAY UTLITES ARE TO DE N6TA11P N GLhPL1AWt.E "'r ,; �r s �; X..-
g:,N-
AP Tt wITT1 ,E RtOVEp 'YARTRp6[ MEADOW II 51�OIVI��ION PLeMIf.
'<•'?r`l, -0,:,;„y +. .. .� � .- "�, �?
;',�,�
�,,,,., .h. -ate
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F 51'IALL ALLOW A 5 NGTi ,- ..: s - .� , .,- . , .-� z: .,, ..;z, <"@. , az,. 'r' .: •
r. 4 NISt� 6RADRJC7 ARGI.ID T1f 11GV5E _�-.�.: ,:.. .. � .. �ti. .�.. ,..� ,. ..... ,-• ,. -=--r. -� .1. 'ro� ..,"'.�'� -���'d »i �� ':�{.
,y.. .. +: ,�_ .., k/>.v`'.. * •a- s .��.. Y-�,. ,»,t,fir:^-. r' ;x.. ;,i,
= DROP N GRADE AT A D15TANG T E GF i F� FROM TTf FOIMATION
AS SPELFED M Ttf STATE OF fON[GTiWT Ah`�iG DI�DtJC� G t
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gg
1 r A
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5 PAPCtl W RI1 �" N T1
hw
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=�is. .,..r. AN
L VARWzZ 6RAFdTU ON NOV 4, 1995 DY T1'>E SOURt WNDSGR ZaNr4b
-
y e
''t ! b~ 01 AcIPEX6 TO A!-ON ALL LOTS TO t1AVE A 40 rRONT YARD 5CTEbA(A '' +� t m ;« y
'^
$ 7 DAGICWATER PREVENTION VALVE IS rO DE NSTAILLEP ON f O,WATION DRMI r3.
. , •� -:: � ,�.;--' � � - { 7 20' STiiCEt TREE E.AlkMENT TO THE 4iv
M »�r*' ? u, . c° r TOWN OF SOUTH 104DSOR
f
i
J 39
tD' WADE EASEMENT ,.
1. SE T POSTS AND 2. STAPLE THE MIRE C.l kP t•v�'`♦ ,r
S'LIPSLOPErs EXCAVATE A 6"1,6" TMIt£ MESH FENCING TO ;�y �- ""'�r a "„ -• •47.4 » w
€ POST UPSLOPE FROM POSTS, FENCING THE END OF THE POST
- FOR STABIUTY 236.45
AND SELF- - 3G ,,�m -.:�Z Is j �..
,may ANTI-TRACK APR ON
j CLEANING. _•,», y -
95• 'F i -". ' 15 S.Y. _ 6 -2' STONE OVER
72' MIN. FILTER FABRIC,
319.7
f
6.
m Z 341.0 u' CC
1.0Q CID
,(
Ft, 3. ATTACH FLIER FABRIC TO 4. 8ACKFlU. THE - A',> » ".:. 'Assn ''..
FILTER - TME NOW FENCING AND EXTEND TRENCH AND COMPACT ` s;`- - a aV W C.+ I -34CA0 43
3 8 F F GAR
FABRIC '�T TO THE TRENCH T4E EXCAVATM SOIL a V .Az� �Z N O a
" D U 30,410 s ft '
COMPACTED � '�' cr g
� - BACKFILL ' ,fr 4-�' • d 4 DO 0.69 cc.
I I ( � I
f 4 F.F.-343.50 t
T
t 4
�s "?.' `_ r -0.Y1-347.50 250
CONSTRUCTION OF SYNTHETIC FILTER BARRIER n.rA ; ' \ ° — —�— / . .7,
'F°' `� 15• S.Y. �� �� �� �� �� nj a _ . e �.
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s` 231,3
REFERENCE NOTE: Mat. ., 9C c r F
S 08'47 45 w �
BOUNDARY AND TOPOGRAPMC INFORMATION ARE TAKEN FROM PLANS tnr s � � 3, tih, {
-PARTRIDGE MEEADOW III SECTION 4-
4- ENTITLED ENTITLED 'TOPOGRAPHIC PLAN 3 & 4
v `: SOUTH WINOSOR, CT PREPARED FOR JMJ CONSTRUCTION, BY DESIGN rz r -
w..
PROFESSIONALS, INC. DATED 6-8-98. REV. TO 6-11
•� �, ,trr�a� �a �0 'tK` •i.'�- �., /���' { '.s� „t, r ,y:d,.wr // I /� � �$���, A'.
THIS MAP AND SURVEY WERE PREPARED IN ACCORDANCE TO A-2
. :` STANDARDS OF HORIZONTAL ACCURACY AS DEFINED IN THEn
'RECOMMENDED STANDARDS
OF CONNECTI F r PREPARED AND ADOPTED BY OR SURVEYS AND S STATE IN THE THE CONN CTICUT
ASSOCIATION OF LAND SURVEYORS. INC., SEPTEMBER 24. 1992. AR,
4
� r
TO THE BEST OF MY KNOWLEDGE AND BELIEF THIS MAP I$
SUBSTANTIALLY CORRECT AS N HEREON. DART HILL REALTY /NCI
658 RLINGTON ROAD
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12882_ saITH wwsoo;, CT 06074 - �•F
MC11ARD P LIC No. 7EL. 782-06a8
I UwrU 0"M00 WM.EM-WQ uAurY W%ASa.s
LOGArI M GRAPHIC SCALE � % 791- Partridge Meadow II �11oV�dT SHEET
AM 1♦Q AW MRD ON KXT
AVALAd"MFAYATION ALL EMMK UTIUMSHE 4O O ?D 40 • to LOCATM NAP
%""E MD%Vbn D NNW r0 00MSIIMKTXM. 1
Z ALL MOIES AM TO K STMED Of T MD otesslonals, Inc. OF
By A L>I.NIM LAND sun[TOM PIRM M ? 10/27/"REWSE PER TOM* COMMENTS R L14 ** � �f �+ p
ago , ill WW"UNLESS iT EARS TIE I 10 2/49 UPDATE STREET ADDRESS I3H Lot No. 38 " 27 Stevem Rmd MM Ir
•IFllaIlON slot AAu al•aNa 7rWAROWARS n T ,nCh = 40 (QC: civA •n9:nel,.rs • P{anns=s • s.a�Yors
OF THE P&MV290NAL 0KWd3M/9AhInW. NO. DATE arse PTION BY 65 south sotNF{ts rood, south +indsor, conrNsct;cut 06074 SOUTH WMWSOII CONNICTTCUT sr Iw, DAW OCT 4 1"
oci
r South Windsor
BUILDING DEPARTMENT
a..vai
TO THE SURDING DEFT. TOWN OF SOUTH WINDSOI,
This certified that this plan and specifleaflons are tru•
Copies of the p*oposed building or• alterations to be
erected at
z s�Pv�h s Z L�3 g
Street �
together with amendments stated in application and
sled with plan and 1 agree to comply with all zoning,
Building and state laws and such orders as shall be
Issued by the Building Department during pendency
Of this appilcasion and final Issuance of a building
permit.
Signed
This plan is approved subject to tape Condition that
- orders and ordinances reguiatfng building shall be
cOmpfied with.
Conditionally APWnueO These filed wiry
InSwclor
.'. "y ✓ .„ ,e..>u - �' i« .vow.�..e s ...�-.,. _ Yt _ .to '
A -
ay Al-
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^✓. .,. '�.. -iY.i:.' q' A+IF ytv ,!�' e. S' ' '.^f gin♦ .. .. :"t �. 'r K.+. Nv�. �m`�
DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT
PERMIT#
Application is hereby: TOWN OF SOUTH WINDSOR ,dOo4
BUILDING DEPARTMENT
APPROVED 1540 SULLIVAN AVENUE
Bldg.Permit#
644-2511 ext. 230
Dstd Building nspector
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$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANTS
APPLICANT ADDRESS
�a f)a Ob 4/or
APPLICANT PHONE# 903 Ll&1 3�
0 W N S Fq OWNER 1 a O
OWNER ADDRESS
G(06),--i
Or # OWNER PHONE
C ESTIMATED COST$ U
a� IS THIS A CONTRACT COST? Yes _No
FEE ENCLOSED$
TYPE OF JOB:
OR•co New Installation
Alteration/Addition/Repair
" Do i��
APPLICATION FOR PLUMBING PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
PRESIDENTIAL BUILDING PERMIT APPLICATION? ❑ YES ElNO
❑BUSINESS CURRENT USE AND OCCUPANCY
❑ASSEMBLY
❑MERCANTILE❑EDUCATIONAL FUTURE USE AND OCCUPANCY
❑INSTITUTIONAL
❑FACTORY ENGINEER'S NAME PHONE
❑STORAGE
❑GARAGE ADDRESS
❑MIXED USE
(Other please specify) CITY STATE ZIP
TYPE OF INSTALLATION-} ,j ty ez kpc.-xr/ 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 ram—
DESCRIPTION OF WORK
k4
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE MRK DESCRIBED AND IS T7—
COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
_QaQ-&-O � I C-T
CONTRACTORS LICENSE NO. TYPE STATE
SIGNAT F APPL / DATE
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