Loading...
HomeMy WebLinkAboutSeptic New 438 Strong Road Page 1 of 1 Devito, Robert From: Devito, Robert Sent: Friday, February 20, 2009 7:50 AM To: Kehoe, Alice Subject: RE: 438 STRONG ROAD Alice, I would like to help close this file but I am in a bit of a position. This residence has had several permits since 2004 that have an impact on the Public Health Code. There aren't any plans/specifications that 1 can review to determine if the requirements of the Public Health Code have been or can be met. Without this information, I feel uncomfortable checking off the health site inspection. Please let me know if there is any information I may be missing or if there is something I may not be understanding. Thank you From: Kehoe, Alice Sent: Thursday, February 19, 2009 3:44 PM To: DeVto, Robert Subject: 438 STRONG ROAD Hi Bob , A healthsite inspection is still open on this permit. I cannot close it until it is checked off by your dept. Thanks, Alice MALICE KEHOE AMINISTRATIVE SECRETARY BUILDING DEPARTMENT TOWN OF SOUTH WINDSOR (860)644-251 1 EXT. 230 2f 1 1 2/20/2009 Town of • • • DepartmentHealth Me o To: File From: Robert De Vito, Environmental Health Officer Date: 2/19/2009 Re: 438 Strong Road Please let this memorandum serve as a formal notice that the Building Dept has requested a C.O.from this dept for a sunroom constructed in 2006. A review of the building file has revealed the following activities: 2004 Hot tub permit 2004 Inground pool permit 2005 Finished Basement permit(shower toilet and vanity) 2005 Ejector Pump and wet bar permit 2006 Sunroom construction 2006 bathroom permit 2007 HVAC permit for sunroom 2007 electrical permit for sunroom All of the above has been constructed without addressing Public Health Code concerns.The approval request cannot granted. 1 �+ s 1540 SULLIVAN AVENUE• SOUTH WINDSOR, CT 06074 ,�OSOR•co TELEPHONE(860)644-2511 April 29, 2005 Mr. Jennifer Cosgrove 438 Strong Road South Windsor, CT 06074 Dear Mr. Cosgrove:------ ---- --- —------- ------------ ------- Pool season is almost here. I would like to remind-you that the Building Permit##30845 for your pool is still open. .State Building Codes require the issuance.of a Certificate of Use prior to using.yI ur pool. Please contact our office for a final:inspection after.set up, but before use of the pool. All permits should be closed by May 31, 2005. Should you Have any,problem'meeting this.date please send our office a letter stating the reasons. (The pool still can't be- = opened):, If the pool is opened without the benefit of a Certificate of Use, a caveat may be placed in the land records stating Building Code Violations exist on-your property., Please call Shirley at 644-25.11 ext. 23.0-should you have any questions regarding this letter or to schedule the necessary-inspections-specified on-the-poolchecklist-.-Our office- - - - hours are 8a.m. to 4:30p.m. Very truly yours, Christopher Dougan Chief Building Official DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT PERMIT# ZApp; eTOWN OF SOUTH WINDSOR ��� BUILDING DEPARTMENT} 1540 SULLIVAN AVENUEBldg.Permit# 644-2511 ext.230 Date Kilding Inspect Application must be`printed or typed FEE SCHEDULE Location of Job: 4138 s1P-.o -z cl $0-$1,000=$15.00 Street No. Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof Tenant Designation Apt No. APPLICANT APPLICANT ADDRESS yy o L/cr n 11 APPLICANT PHONE# 9/3 OWN S'E4 OWNER ZGl S 74N. o S Q r 0 y C_ . OWNER ADDRESS J� S7' ek-, ,K OWNER PHONE 17'Y Y-3 C ►� ESTIMATED COST$ 0cp r 0 d IS THIS A CONTRACT COST? X Yes No Itl' w CJ FEE ENCLOSED$ 7e, ©G�7� TYPE OF JOB: SCR CO _New Installation Alteration/Addition/Repair ,�ra ry i�i Revised 4/01//2002 DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT Applicatio ereby, TOWN OF SOUTH WINDSOR PERMIT# BUILDING DEPARTMENT APPR 1540 SULLIVAN AVENUE Bldg.Permit# All r� Y. 644-2511 ext. 230 Date o - �—�--�— Application must be printed or typed FEE SCHEDULE Location of Job: $0-$1,000=$15.00 S- i-dn 140 Street No. Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANTr2LG_-- APPLICANT APDRESS 3 s APPLICANT PHONE W N S F,q OWNER < OWNER ADDRESS [� OWNER PHONE C ESTIMATED COST$- IS THIS A CONTRACT COST? _Yes _No lye ICJ FEE ENCLOSED$ /S. o e OR.COS TYPE OF JOB: ,�ew Installation Alteration/Addition/Repair Revised 4/01//2002 DEPARTMENT DECISION APPLICATION FOR ELECTRICAL P RMIT TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT 1 '1 APPROVED 1540 SULLIVAN AVENUE 644-2511 ext. 230 Bldg.Permit# Date Building Inspector Ap cation must be printed or typed FEE SCHEDULE Location of Job: $0-$1,000=$15.00 Over$1,000 Street No. Street Lot No. = . $15.00 per$1,000 or any fraction thereof Tenant Designation.. Apt.No. APPLICANT 411 z,, (SOS rrr.� APPLICANT ADDRESS Glri APPLICANT PHONE# — �O W N Sp OWNER ,Q�l7i ✓ P,S < OWNER ADDRESS y3 OWNER PHONE C ESTIMATED COST$ IS THIS A CONTRACT COST? —Yes 'No G FEE ENCLOSED$ a.j57 OR CO TYPE OF JOB: w Installation _Alteration/Addition/Repair Revised 4/01//2002 DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT Application is hereby: TOWN OF SOUTH V;1 DSOR PERMIT# BUILDING DEPARTMENT APPROVED 1540 SULLIVAN AVENUE Bld .Permit 644-25 i 1 ext. 230 1 Date Building Inspector Application must be printed or typed FEE SCHEDULE . cation of Job: $0-$1,000=$15.00 Street No. Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT dl�`OCl�S CsOSoirL � APPLICANT ADDRESS APPLICANT PHONE# O W N S F4 Al OWNER C c/-tiii vs .2�G OWNER ADDRESS r2 OWNER PHONE — (— C ESTIMATED COST$ D-" /000 •� U IS THIS A CONTRACT COST? _Yes /'No �l �G FEE ENCLOSED$ SOR CO�y� TYPE OF JOB: w Installation —Alteration/Addition/Repair Revised 4/01//2002 L'G it �C"'1� INC' o o .32 �, / j -' '`_moo- i • - _ OOHI XECnLLau t r $ lu EL4LI Nflloo ok kv e c ulbrlVWCE Au e Z4 H 0 U". se SIC 7PE fN 7 ? . 1 3R M a. 73t S,F N Zs �Qo a.J . r is 'Sop' �. -rip, � 1 la � Lo:T DEPARTMENT DEcislorr APPLICATION FOR PLUMBING PE ' ;Applicati 's TOWN OF SOUTH WINDSOR PERMIT# BUILDING DEPARTMENT CA"4V.1ED,-�) 1540 SULLIVAN AVENUE Bldg.P rmit# �� 644-2511 ext.230 Date Bull g Inspector Application must be printed or typed FEE SCHEDULE ( Location of Job: $ , $ 5.00 Street No. Street Lot No. Over$1000= $15.00 per$1,000 or an fraction thereof Y Tenant Designation, Apt.No. APPLICANT APPLICANT ADDRESS , APPLICANT PHONE# '01 O OW N SF OWNER As & K N fir q� OWNER ADDRESS ' k u w►1 IrLQj�( C?�7 Q . ,. OWNER PHONE L C ESTIMATED COST$ �T �U IS THIS A CONTRACT COST? _Yes —No FEE ENCLOSED$ 10 O� TYPE.OF JOB: �R C New Installation Alteration/Addition/Repair RevisW 4/01//2002 �i 3p VLS LZN"GCaw s S Al AP . :3 CIO �6 _ _ ip w:w( Ole `Tom S W-1,A (61j DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT Application is hereby: TOWN OF SOUTH WINDSOR ERMIT BUILDING DEPARTMENT APPROXTE 154Q SULLIVAN AVENUE Bldg.Permit# .v 644-2511 ext. 230 Date ! Building 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$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT hot- Ai `F APPLICANT ADDRESS J APPLICANT PHONE# Ow N SF OWNER C- � " /K U 1 fP— let 'q.<" OWNER ADDRESSc -- OWNER PHONE ^-� 0 C. ESTIMATED COST$ - U IS THIS A CONTRACT COST? _Yes No FEE ENCLOSED$ TYPE'OF JOB:� OR-Co _Legew Installation Alteration/Addition/Repair i A.T. `recision Plumbing& Heating,LLC Estimate 74 Anderson Rd. East Hartland, CT 06027 DATE ESTIMATE NO, (860)653-5400 5/15/2007 2086 NAME/ADDRESS Hemnani Ramesh 439 Strom Rd. South Windsor,CT PROJECT DESCRIPTION TOTAL Scope of work: 846.34 We will install a new heating zone in the s=room. We will use owner supplied baseboard. The heat loss calls for 38 feet. The homeowner has informed me that there was 101 feet of baseboard in the existing house and we are adding at least 38 feet. There is a total of 139 feet with 580 BTU per feet for a total of 80,62013TU. The boiler has ati out put of 103,000 BTU. We will use a Two zone valve and a ball valve on the feed and return for zone insolation. We will also use a 1 x 318 tee on tie feed and return, We will loop the piping back in the baseboard to stay out of the cold area. We axe not supplying a thermostat. The homeowner can get whichever unit he would like at Home Depot. Price estimate: Labor=$500.00 Matmial=$328.34 Permit=$18.00 CT Sales Talc 0.00 TOTAL $846.34 r.a � vcroorcraoo au , awn . � un c , na � i •H LIN or• cA , a.a�_ . -s-. n r DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT Application is hereby: TOWN OF SOUTH WIl'TDSOR PERMIT# BUILDING DEPARTMENT APPRO 1540 SULLIVAN AVENUE Bldg.Permit# 46� d 644-2511 ext.230 3�7 Date Building Inspectar Application must be printed 6r typed FEE SCHEDULE Location of Job: g $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. APPLICANT APPLICANT ADDRESS $ fl APPLICANT PHONE# z, •— 2.V — 0 W N s Fq OWNER 4-- < OWNER ADDRESS mac. ('07 mm OWNER PHONE o I —o ESTIMATED COST$ Itoo U0 �'aw IS THIS A CONTRACT COST? _Yes _No FEE ENCLOSED$ 'aQ' 0 C110 TYPE OF JOB: , _New Installation ' —Alteration/Addition/Repair Revised 4/01//2002 PERMITS/INSP PAYMENT RECPT#: 20193803 TOWN OF SOUTH WINDSOR 1540 SULLIVAN AVENUE SOUTH WINDSOR CT 06074 DATE: 07/11/07 TIME: 08:53 CLERK: akehoe DEPT: CUSTOMER#: 0 PARCEL: CHG: BLDPRM BUILDING PERMIT 30.00 AMOUNT PAID: 30.00 PAID BY: HEMNANI RAMESH PAYMENT METH: CHECK 1338 REFERENCE: A AMT TENDERED: 30.00 AMT APPLIED: 30.00 CHANGE: .00 Electric# �aQ �a� APPLICATION FOR BUILDING PERMIT Plumbing# HVAC # l / 438 Strong Road EE�� Sprinkler# ►'' 30554 FINAL O Estimated Cost w ODO Buildin o COMPLETE RED BOXED AREAS Permit Fee $ Enginee n Occupancy Fee Affidavi TYPE OR PRINT ONLY Eng. Insp.Fee $ Appr. for C /► SIGN ON REVERSE SIDE ® csa Total Fee $ TO THE U fiTG DEPARTMENT,TOWN OF SOUTH WINDSOR,CT (Additional Cost) $ The undersigned hereby applies to do work according to the following: Applicant os '6ocation of Work �T3� vr� /L� Lot No. Applicant's Address �113 # Town illolw Zip Lic.# Owner ErJnr Cis rvtc— Architects�rtJ.� � �.v, eS Own is Address 2 Architect's Address . u��•3�sr,,•- G� Zip ._Zip q. Ft. New Area: 1st FI. 2nd Ff. 3rd FI. Total New Area Purpose of this permity City Water❑ Well❑ Septic System❑ Sewer❑ Ins: HO S 4--Basement _`Gara Approved byUse Group �Construction ge Typ�� Revised 6/02 r - - ------------ ---------------- Electric# lgc)L(5 . APPLICATION FOR BUILDING PERMIT Plumbing# 438 Strong Road Date: 7-4- 04/ HVAC # Sprinkler# No. 30845 FINAL RO Estimated Cost $ 17,000 Building// t o - COMPLETE RED BOXED AREAS Permit Fee $ Engine n TYPE OR PRINT ONLY Occupancy Fee $ [O Affidavit SIGN ON REVERSE SIDE Appr.for C01< < 0 Total Fee $ las TO BUILDIN TMENT,TOWN OF SOUTH WMSOP CT (Additional Cost) $ The undersi ned hereb a lies to do work accordin o he Job Location q39' 57TO,,G' A!P Lot No. Side of Street Zone Applicant P001-/` 411-' 1"19,04-3 Tel# G 2 7 9 773 Address /yy frZ %RX/ 7 11-/&e-- /?0 ��wiN�lS�� Zip O6'o piz Lic.# Owner t2Y_/' - CO 5;6n 'b'Vr Address Y 3 r .971�o/ZG 109 kz�/4'0S o"? C Architect "' . 4 Address /1�0 Sq.Ft.New Area: 1st Fl. -'^ 2nd Fl. 3rd Fl. Total New Area #Rooms #Lavatories_ �-- #Bathrooms #Garages ----� Purpose,of this permit: 11- /N Lf- City Water Well ❑ Septic System ); Sewer❑ Ins. H.O. S.P. Cert. Area Basement Garage Approved b �'` Date I 4 t Group Construction Type Revised 9/01 Electric# w- APPLICATION FOR BUILDING PERMIT Plumbing# Date: -`7 I HVAC # 438 Strong Road Sprinkler#WPR v 32736 FINAL Estimated Cost $BuildingCt 1 COMPLETE RED BOXED AREASJ-4 Permit Fee $ <� Occupancy Fee $ 6. �-" Engineer' 6�7� TYPE OR PRINT ONLY p y � En Ins Fee $ Affidavit.for CoMILD SIGN ON REVERSE SIDETotal Fee. v TO THE BG DEPARTMENT,TOWN OF SOUTH WINDSOR,CT (Additional Cost) $je�11 The undersigned hereby applies to do work according to the following: Applicant R�G 1W K(,r N_ Location of Work I-}3g S `�Vl-q Lot No. Applicant's Address g 1� ,co Tel.# Town Zip —Lie.# A6 ar? Ll Owner G—5 It ^ At N Aj)f Architect 1 Owner's Address Architect's Address Zip Zip Sq. Ft. New Area: 1 st FI._ 2nd FI. 3rd FI. Total New Area Purpose of this permit./( wow City WaterNrx Well❑ Septic SystemV, Sewero Ins: HO _ Cert. Area Basement Garage Approved by Date — �' p� Use Groin Construction Type Revised 6/02 1 Electric# Sr`� APPLICATION FOR BUILDING PERMIT Plumbing# / lak 7 . ' 438 Strong Road Date: __5A_ 3' 167�;_ HVAC # n" Sprinkler# `` '`� pFINAL O �' 31696 Esinated Cost $ � Buildings/ v� COMPLETE RED BOXED AREAS Pei&it Fee $ .3 u Enginee n TYPE OR PRINT ONLY Occupancy Fee $ l�3 Affidavit Eng. Insp.Fee $ A r. for CO ! m7 SIGN ON REVERSE SIDE pp Total Fee $ TO THE B IL NG DEPARTMENT,TOWN OF SOUTH WINDSOR,CT (Additional Cost) $ The undersigned hereby applies to do work according to the following: Applicant Location of Work T -_.J -sl row _Lot No. Applicant's Address J Tel.# �'"l U—L/3L�— �iyt✓3 Town LOi <o Zip ©loU:7, Lic.# Owner `l9n/ ✓ as Architect Owner's Address Architect's Address 4, 2.141sar z— Zip Off&/ Zip Sq. Ft. New Area: 1st Fl. 2nd Fl. 3rd Fl. Total New Area 6dO Purpose of this permit 7-2�,n,s �S Se".ter City Watepa' Well❑ Septic System❑ Sewer❑ Ins: HO SP Cert. Area Basemens, Garage Approved by 7 Date Use Group _ Construction Type Revised 6/02 Y Electric# _ APPLICATION FOR BUILDING PERMIT Plumbing# Z HVAC # 438 Strong Road Date:;"]�431� Sprinkler# FINAL R Estimated Cost $`AS Building?`/6 �7 COMPLETE RED BOXED AREAS Permit Fee $ 5M f Engine TYPE OR PRINT ONLY Occupancy Fee $_46, Affidavi Eng. Insp.Fee $ Appr.for C o SIGN ON REVERSE SIDE i Total Fee $ .S + TO THE VUfLD&G DEPARTMENT,TOWN OF SOUTH WINDSOR,CT (Additional Cost) $17 �' .The undersigned hereby applies to do work according to the following: Applicant KNJKP H RE NtAf i Location of Wor _ - � _Lot No. Applicant's Address 3� 1�.4 Tel # Town u �dl ! Zip B 6aE7 `l Lic.# Owner Ama_ Architect Owner's Address 1,� � ►^-g Architect's Address Zip Zip Sq. Ft.New Area: 1st FI. 2nd FI. 3rd FI. Total New Area Purpose of this permit City Waterer Well❑ Septic System&— Sewer❑ Ins: HO SP Cert. Area Basement Garage Approved by Date-6 4 Use Groupf,-4EL Construction Type Revised 6102 Town Of South Windsor Building Department Location Building Permit# ���� SWIMMING POOL REQUIREMENTS: This list is not all inclusive;please refer to pool packet. 1400�MWV VAA "48 barrier will be provided to protect the pool access. Including a temporary fence Y � CN G, for inground pools prior to filling. ,.,c,� r > Access gates will be self closing and self latching(if less than 54"high they shall be on Y �V4�t� ('41/C) the pool side and be protected within 18"of release mechanism). } Doors providing direct access to the pool shall either have an alarm,a self closing self (/V 1C) latching device 54"above the floor,or a safety cover over the pool. Plo receptacles within 10' of pool.(locking type receptacle for pool equipment must be '6 y y" at least 5' from pool and_GFCI protected). PrMl metal parts of pool structure,fixed metal parts within 5'of pool,pump motors etc., (� /%-G '`— shall be bonded with a minimum#8 solid copper wire. y, F-Convenience GFCI receptacle shall be provided between 10' and 20' from pool. y r, L r�/ gTrench depth for 20 amp.circuit to pool equipment shall be 12"minimum. 6 y / L rC r VA surface pool alarm shall be installed pursuant to Public Act 99-140, ---- '6X 1prAll swimming pool pumps must be equipped with a time clock. /�Y_ tr C b'Heated pools require a pool cover unless over 20%of the heating energy is from non-depletable sources. 'V REM MTIRED SWIMMING POOL IN PE,CTIQNS: The following is a list of inspections that need to be performed prior to the continuation of work. Requests for inspections can be made by calling the Building Department at 644-2511 ext. 230. 61,cf 1. TRENCH AND BONDING-Electrical trench depth verification and bonding of pool and metal appurtenanceincluding metal reinforcing fbr gunite pools. 2. FINAL ELECTRICAL-Location of equipment and GFCI protection. Convenience outlet provided. 3. FINAL-Swimming pool access protection must be provided before pool.can be used. Each swimming pool installation requires a Building and an Electrical permit. Additional permits and inspections are required for pool decks. I have read and understand the requirements listed above. �7—tO/V Applicant Signature Date 1 Homeowner Signature Date7— "' tSUlLUllVli Y.Catl"11'1' STATE OF CONNECTICUT - . WORKERS'COMPENSATION COMMISSION Building Permit Affidavit for Property Owners or Sole Proprietors (Conn.Gen.Stat. §31-286b) Property located at Ae�� In the town of 909 -� t-3 Name of building permit applicant: R Pr&X G fi q lc' M IV AW r Please check one: 1.ZI arn the owner of the above property. 2._I am the sole proprietor of a business. 2A.Name of business 2B.Federal Employer Identification Number(FEIN) ...................................................................................................:................ Pursuant to§31-286b,"a property owner or sole proprietor(who)intends to act as a general contractor or principal employer"may provide either a certificate of workers'compensation insurance or a"sworn notarized affidavit...stating that he will require proof of workers' compensation insurance for all those employed on the job site in accordance with this chapter." Please check one: 1. I do not intend to act as a general contractor or principal employer. [Sign and stop here] Signature of applicant 2._ intend to act as a general contractor or principal employer.Applicant must either provide a certificate of workers'compensation insurance or sign the affidavit below. ...................................................................................................................... Affidavit I hereby swear and attest that I will require proof of workers'compensation insurance for every, contractor,subcontractor,or other worker before he/she engages in work on the above property in accordance with-the Workers'Compensation Act(Chapter 568). I unded that pursuant to§31-275 C.G.S.,officers of a corporation and partners in a partne ip may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. Signature of applicant Subscribed and sworn to before me this day of ,200_. (Notary Public/Commissioner of the Superior Court) TOWN OF SOUTH WINDSOR HEALTH DEPARTMENT Application for permit to install a new/repair subsurface sewage disposal system. To the Health Department, Town of South Windsor. Fee Paid Date Permit Number As a subsurface sewage , disppsal ystem installer licensed in the State of Connecticut, 1� Name, Address, Telephone Number, License NuMber hereb apply for a p r it to construct/repair a subsurface sewage disposal s stem located at It, and owned by��/'eo 912 o UJ' Street, Address, Lot Nu r Name LIaS WI Address Information to be supplied by Applicant: Type of dwelling Vtiv bloux"E If non-residential, estimated daily flow Residents I,Commercial,Etc. Number of bedrooms Size of lot a,pC Ac( Number of fixtures above basement Tubs,Sinks,Toilets,Etc. Number of fixtures in basement, if any Pumped or gravity flow, Type of water supply CITy If private, type of well Public-Private Information to be supplied by Health Department: Soil type at various levels .S'jo--'D Percolation rate �PF, /td� . Square feet of effective leaching area required I Size of septic tank /DSO Type of system Trenches,Drywells,Etc. Number of dry wells, trenches, etc. t?oW5 Distance between individual leaching units. Distance from well on same property ? S on adjoining property e- Curtain drain required (SE S Yes,No Height of system above ground water 111A maximum groundwater ledge , impervious soil layer :d01 If automatic closing is required,description A PLOT PLAN INDICATING LOCATION OF PROPOSED STRUCTURE, WATER SUPPLY, SEPTIC SYSTEM, EM• BANKMENTS, WATERCOURSES, PROPERTY LINES AND ALSO INDICATING EXISTING AND PROPOSED FINISHED GRADES MUST BE SUBMITTED BEFORE THIS PERMIT CAN BE ISSUED. THIS PERMIT IS NOT TRANSFERRABLE FROM PERSON TO PERSON OR FROM PLACE TO PLACE. NO PART OF THE SYSTEM SHALL BE BACKFILLED UNTIL IT HAS BEEN INSPECTED AND APPROVED BY THE SANITARIAN. SPECIFICATION AND REQUIREMENTS AS STATED IN THIS PERMIT MUST BE MET AND ANY CHANGES MUST BE APPROVED BY THE TOWN SANITARIAN BEFORE FINAL APPROVAL WILL BE GIVEN. THIS PERMIT SHALL NOT BE CONSTRUED AS PERMISSION TO CREATE A NUISANCE CONDITION NOR IS THIS SYSTEM GUARANTEED BY THE HEALT EPARTMENT. l Permit Received by Date Z 06 igna ure of Applicant&Li nse Numb r For Office Use Only Permit issued by /Q Date System installed by Final Inspection Approval Date