Loading...
HomeMy WebLinkAbout100 Bidwell Road (39) p � DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT PERMIT# Application is hereby: TOWN of SOUTH WINDSOR BUILDING DEPARTMENT Bldg Permit# APPROVED 1540 SULLIVAN AVENUE -:27/q -7 1L11 d� �� 644-2511 ext. 230 Date Building Inspector Application must be printed or typed Location of job Street No. Street Lot No. FEE SCHEDULE Floor Apt.No. $0 - $1,000 - $12.00 Over $1,000 $12.00 per$1,000 OWNER ZiJTcAZt4.¢T10A1,,¢L AzUi!-:L. CC—LC,f or any fraction thereof ADDRESS 1967 aD j/r= l®RS !6ir��i�/�4 Y %5Ov7-,q Wi�1!J�B�2 � • 0G O 7¢ OWNERS PHONE# $ 0 —"7 Q 7 - 02 153"z APPLICANT AIC- ' &t44+¢^1P M6-CA� 4^11CAC. lZlrl�1, ..-� . OWN �` ADDRESS Ile ESTIMATED COST$ ©©C� IS THIS A CONTRACT COST? YES NO � All, 6-0 r C► FEE ENCLOSED $ � �3�• OR C0� TYPE OF JOB: Original Installation ✓Alteration/Addition/Repair Revised 10/96 APPLICATION FOR PLUMBING PERMIT(Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION YES / NO RESIDENTIAL BUSINESS CURRENT USE AND OCCUPANCY ASSEMBLY MERCANTILE FUTURE USE AND OCCUPANCY e7 FF t L6 -<p EDUCATIONAL INSTITUTION FACTORY ENGINEER'S NAME Pp,t1i¢I/,&✓/�i�4l"lxor,E/T M( ONF,PI�O STORAGE GARAGE ADDRESS L,40 6— MIXED USE CITY /41lD/� STATE 15 _ ZIP D O t (Other please specify) X TYPE OF INSTALLATION el,GrM o9tA SIZE OF MAIN DRAIN NO. OF TOILETS 16� STYLE`✓ NO. OF URINALS�_STYLE FV NO.OF BATHTUBS o 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�L NO. OF OTHER FIXTURES 4 KIND 5jq W oo �21 SS ARE TOILET COMPARTMENTS VENTILATE6 TO OUTER AIR B A WINDOW YES/NO SIZE OF WINDOW IF NONE C.F.M. OF VENTILATOR SIZE OF DUCTS SEWER OR SEPTIC TANK Talc � SIZE OF WATER MAIN SIZE OF WATER PIPING&RISER WATER HEATER aAf TYPE tLE,6-774 L MANUFACTURE , -0. 5"l rH TANKS SAFETY DEVICES 1,00 4,Q L. TEMPERATURE/Plz-r,-5 S Ott& CAPACITY 46 6,.44— RELIEF VALVE TEST PRESSURE WORKING PRESSURE PRESSURE RELIEF VALVE TYPE MANUFACTURER DESCRIPTION OF WORK THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONN. BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. o��a o4"" 3L NAME STATE LI NSE 140. TYPE SIGNATURE OF APPLICA PHONE NO. Sloo.,9-11-1 I I ( DATE JJ LY RoOV