HomeMy WebLinkAbout134 HEATHERWOOD DR DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT
TOWN OF SOUTH WINDSOR PERMIT#
Application is hereby: 512
BUILDING DEPARTMENT
1540 SULLIVAN AVENUE Bldg.Permit#
644-2511 ext. 230
e Buildi Inspector
Application must be printed or typed
FEE SCHEDULE Location of Job:
F:Ten:ant
WP-A4 �ifoa �_A
$0-$1,000=$15.00 Street Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof gnation Apt.No.
APPLICANT ,M l k C t1 A AU P 14/"W 1 R e,r�1 k I U.,L
APPLICANT ADDRESS F d 'T 5'3
7_, 11, ,j C-t o � o s 1
APPLICANT PHONE# g ' re7 v — S
W N S F OWNER Z�A M c c•.i ^ PP, rAJ
q� OWNER ADDRESS 3 `1 N e.e ik ae w • y -
ScV �1 LJ �Nj -a(� CI ��a 4 f 7
0 OWNER PHONE G 4 - -2Z-3 G'
C ESTIMATED COST$ 7 a�
IS THIS A CONTRACT CO ST? Yes _No
�� FEE ENCLOSED$ G
TYPE OF JOB:
��sOR• � New Installation
-y'Alteration/Addition/Repair
Revised 4/01//2002
APPLICATION FOR PLUMBING PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
BUILDING PERMIT APPLICATION? ❑YES ❑NO
J RESIDENTIAL
❑BUSINESS CURRENT USE AND OCCUPANCY
❑ASSEMBLY
❑MERCANTILE FUTURE USE AND OCCUPANCY
❑EDUCATIONAL
❑INSTITUTIONAL
❑FACTORY ENGINEER'S NAME PHONE
❑ STORAGE
❑GARAGE ADDRESS
❑MIXED USE
CITY STATE ZIP
(Other please specify)
TYPE OF INSTALLATION ��fi c� sR 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 CA 3 MANUFACTURER SiA t
DESCRIPTION OF WORK
6L jAe-C. e n t b fi�.� r �' �,•�! 4� '� (�,.�tNC (., e"icp
THE UNDERSIUNED HE MT TO PERFORM P ME WORK DESCRIBED AND IS Tn—
COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
CONTRACTORS LICENSE NO. �A TYPE STATE
SIGNATURE OF APPLICANT��'`��-c DATE 2 '
sr"
' fl Ft_ 3(AA — `•
ry
P '
-14
a NOTE t
s This record drawing has been prepared
In part on the basis of a limited in- I •' q �` u� i' ��•
vestigation of subsurface conditions.
The surveyor will not be responsible for
any errors or omissions pertaining to ^p•
subsurface conditions incorporated into
this document. Absolutely no Quaint / nu 4
should take place without first accurate-
ly locating all facilities
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South Uindsor . CT 06074 I It FL FLA1V__ZAt_
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I hereby declare that this map Is substantially correct. REINO E. HYYPPA 8: 'Af SOCIATES
This boundary survey was prepared in accordance with the CIVIL ENGINEERS 9 LAND SURVEYORS
standards o/ a Class A-2 survey as defined in the "Pecos
mended Standards for Survey* and Maps In the State of 124 HEBRON AVENUE
' 7 < Connecticut" as prepared and adopted by the Co ecticut GLASTONBURY, CONN 06033
s
Association of Land Surveyors In , on Sept or 13, 1964. (203) 633 -b216
Vi 1 I Y: I,.S. No. 11622
SCALE !'I= 40' DATE -1 -�O-Q1(o MAP No 3•��j-1�jA
- ..
I� iHF #Lf"IHG DEPT. TOWN L* SGL'
his certified that thisTH VriNU.:;;
copies of the plan and
pro speciflcat(on u tr
erected at posed Duildine or alterations rto t.
AO together witA amen StreP
U �`VI) / + Nted with plan and I Ogre atafetl in application
uilding andssued sLte laws and osocn MY with
lt
DY tAe orders ass hall b•
of a t oo Building Depart s tluMhg pPndenc�
South Windsor tAla ppl�a d /Thal issuance of a buJltlina
tx'nttit.
BUILDING DEPARTMENT
Signed
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I hereby declare that this sap is substantially Correct.
Thte boundary survey was prepared in accordance with the• REINO E. HYYPPA 8 ASSOCIATES
standards of a Class A-2 survey as defined In the "A Coo � � CIVIL ENGINEERS S LAND SURVEYORS
•ended Standards for Surveys and Maps in the State et 124 HEBRON AVENUE
Gonneetfcut` as prepared and adopted by the Connecticut ' " a
Association at land Surveyor* Inc.. an epteaber LS, 1964..' `�' GLASTONBURY, CONN. 06033
' (203) 633 -5219
villia• kiosk. L.S. L.f.Ns, 2 SCALE 1 40' DATE Q -30-910 MAP No. 73•a9-"Ig
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THIS PROPERTY Ix, BE SUB,lE1.'Y I 11
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PAGE �3UbDIV1510N -fL 2 ZOr•iE �y `
DAfLT N 1 L L DTATE PIZCP4 fz ED " � ! L O T 7 5
F'O12 PA,2-T HILL REA LTY, I� +; ..sIq pq
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12Kr-41eEca Tu2U o1-4-"I2. 5WEE7 >Gj
of IS 9bW9e_-TS S 0 U T H WINDSOR , C ON N
PE I
t hereby declare that this map is substantially correct. REINO E. HYYPPA a ASSOCIATES
AMA
This boundary Survey was prepared in accordance with the CIVIL ENGINEERS 9 LAND SURVEYORS
standards of a Class A-2 survey as dettnad in the "Recoa-
mended Standards tar Surveys and Maps in the Stste of 124 HEBRON AVENUE
Connecticut" as prepared and adopted by e
the onneoticut GLASTONBURY CONN. 06033
Association of Land Surveyor*, on Sep abar 13, 1904. r
11laa Klock, L.S. L.S.No.116 2 SCALE 1":: 40' DATE 4-30-940 MAP No 75-59-Is
j
d W ; "!AY b 1996
South Windsor
ndsor
V <y BUILDING DEPARTMENT ;
s
rO ?K WILDING DEPT. TOWN OF SOWN WINDSOR
Phlr oertifled that this plan and specifications are trus
ooples of the proposed building or alterations to be
created at dilo Y
LOr"1 HCCLA4- k.V0)( )C T Sire.,
tagethe► with amendments stated in application anc
filed with plan and i agree to comply with all zoning,
9YINIia1R and stste liws and such orders as shell be
Hear-d by tM Building P-pr-nmenl during pendency
of P Vs appftatlaa and final issuance of a buildins
psra,lt. n
sad V� "�l C�-�r
VA% so%* to appr-vac. The a asdilba that
se+M«. .w r,.dw.a.oK taattiag dref Me
celaeb.ea vv^.
� r e
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