HomeMy WebLinkAbout16 Brookhaven Lane (5)PERMIT N1
DEPARTMENT DECISION
APP ATION IS HEREBY: A P P L I C A T I O N -F 0 R
APPROVED DI APPROVED
PLUMBING PERMIT
TOWN OF SOUTH WINDSOR
BUILDING INSPECTION DEPT.
DATE g P71ING INSPECTOR 6 4 4 -2511 Ext. 23,0
Application must be prin1*4,)6r tvped.
1. LOCATION O JOB:
rg ! 1 00K ep r-) A
FEE SCHEDULE
2. OWNER: LaCAVA CONST.
1,000 - $10.00
185 Silas Deane wy.
0 3. ADDRESS: Wethersfield,Conn.06109
IOverS1,000 - $10.00 Iper $1,000 or
Fraction Thereof 4. APPLICANT: D.BARTONE PLB. & HEATING;
955 Hopewell .
5. ADDRESS: So.Glastonbury, Conn.06073
6. EST. COST:
7. IS THIS A CONTRACT COST? DES NO
8. FEE ENCLOSED: 76 89
9. TYPE OF BttIWING:
L RESIDENTIAL COMQIERCIAL
10. TYPE OF JOB:
u4RIGINAL ALTERATION
INSTALLATION ADDITION
REPAIR
APPLi(:A1iUN fUK YLL,-tBiNU ?tn lil ,011C. rronl &evr_ c;ic o,de)
1-AWE
LOCATION OF JOB:lb f00 7 511. L CA Gz. / v
GENERAL PLUr11B ING
12. KIND OF INSTALLATION: 0J,4j 13. SIZE OF MAIN DRAIN
14. NO. OF TOILETS 3 STYLE 15. NO. OF URINALS STYLE
16. NO OF BATHTUBS_17. NO. OF LAVATORIES_18. NO. OF SINKS__1 ,_19. DISPOSAL I
16A. NO. OF SHOWERS 19A.DISHWASHER I
20. NO. OF CONDUCTORS SIZE 21. NO. OF STACKS__J _SIZE 3"
22. AREA OF ROOF 23. NO. OF CATCH BASINS 24. NO. OF FLOOR DRAINS
25. NO.OF OTHER FIXTURES KIND
26. ARE TOILET COMPAFMZNTS VENTILATED TO OUTER AIR BY A WINDOW? IC 5
27. SIZE OF WINDOW X Z
28. IF NO WINDOW, WHAT KIND OF VENTILATION IS THERE?
29. SIZE OF DUCTS 30. SEWER OR SEPTIC TANK? S
31. SIZE OF WATER MAIN 31A. SIZES OF WATER PIPING & RISERS Z 4 3 -IH
32. REMARKS AND FURTHER DETAILS
WATER HEATER
33. TYPE N&+- tQ/J 34. MANUFACTURER ` O
TANKS SAFETY DEVICES
TEMPERATURE
35. CAPACITY 39. RELIEF VALVE l/
36. TEST PRESSURE 300 LBS. 40. MANUFACTURER 0 j
37. WORKING PRESSURE LBS. 41. PRESSURE RELIEF VALVE l
38. TYPE C&aj42. MANUFACTURER
CZ
LICENSE NO. DATE SIGNATURE OF APPLICANT
PHONE NO.