HomeMy WebLinkAbout171 Beelzebub Road (5) PERMIT NO.
/l
DEPARTMENT DECISION �FaR APPLICATION FOR PLUMBING PERMIT
Application is hereby;
TOWN OF SOUTH WINDSOR
APPROVE DISAPPROVED BUILDING INSPECTION DEPT.
1540 SULLIVAN AVENUE
644-2511 Ext. 230
Date Building Inspector Applications must be printed or typed
1. LOCATION OF JOB:
/?l &Z/Zr,b11�
FEE SCHEDULE 2. OWNER: e6t, T L oac)
$ 0 - $1 ,000 - $�.OT� .`n' 3. ADDRESS:
Over $1 ,000 - $10.00 L'11i'Vgf°ti C�
per $1 ,000 or 4. APPLICANT: IlarnzSrAr4D fvLf TNc .
fraction thereof /
5. ADDRESS: 100 W t s r Z
6. EST. COST: $
7. IS THIS A CONTRACT COST? YES NO
8. FEE ENCLOSED: $ .
9. TYPE OF BUILDING;
RESIDENTIAL COMMERCIAL
10. TYPE OF JOB:
ORIGINAL ALTERATION
INSTALLATION ADDITION
REPAIR
BD 2A 11/88
APPLICATION FOR PLUMBING PERMIT (Cont. from Reverse Side)
11. LOCATION OF JOB: J r7/ &G ht,b 4)
GENERAL PLUMBING
12. KIND OF INSTALLATION: /✓ w 11/emu 13. SIZE OF MAIN DRAIN
14. NO. OF TOILETS 3 STYLE 15. NO. OF URINALS STYLE
16. NO. OF BATHTUBS 16A. NO. OF SHOWERS / 17. NO. OF LAVATORIES
18. NO. OF SINKS 19. DISPOSAL 19A. DISWASHER
20. NO. OF CONDUCTORS SIZE 21. NO. OF STACKS _SIZE
22. AREA OF ROOF 23. NO. OF CATCH BASINS 24. NO. OF FLOOR DRAINS
25. NO. OF OTHER FIXTURES KIND
26. ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW?
27. SIZE OF WINDOW
28. IF NO WINDOW, WHAT KIND OF VENTILATION IS THERE?
29. SIZE OF DUCTS 30. SEWER OR SEPTIC TANK?
31. SIZE OF WATER MAIN 31A. SIZES OF WATER PIPING & RISERS
32. REMARKS AND FURTHER DETAILS
sty
WATER HEATER
33. TYPE 34. MANUFACTURER
TANKS SAFETY DEVICES
_ TEMPERATURE
35. CAPACITY 39. RELIEF VALVE
36. TEST PRESSURE LBS. 40. MANUFACTURER
37. WORKING PRESSURE LBS. 41. PRESSURE RELIEF VALVE
38. TYPE 42. MANUFACTURER
LICENSE NO. DATE /S"A E OF APPLICANT
PHONE NO. 70