HomeMy WebLinkAbout15 HUNTER DR UNIT 23 0
0
o
0
DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT
Application' TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
APP O 1540 SULLIVAN AVENUE B ,permit#
644-2511 ext. 230
Date ing Inspector
Application must be printed or typed
FEE SCHEDtILE Location of Job:
..: $o-sl,000 a$1s.00 SI � N�
Stna Lot No.
Over$11000
trw
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No,
o APPLICANT U M
a APPLICANT ADDRESS O . e ,(-
,a
m
N APPLICANT PHONE#
to* N s%4 OWNER
OWNER ADDRESS
OWNER PHONE —
0
�, C ►'7 ESTIMATED COST$ 0
� � V
o •� �'� IS THIS A CONTRACT COST? Yes No
FEE ENCLOSED$ ,
TYPE OF JOB:
N OR'CD _New Imtallation
Alteration/Addition/Repair
0
08/11/2009 TUB 10:56 FAX 210 349 2464 ERCC OFFICE IA0011001
APPLICATION FOR PLUMBING-PERMIT(Continued from reverse side)
>. .
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITVNIO
� SID BUILDING PERMIT APPLICATION? :(.YES
0 BUSINESS I CURRENT USE AND OCCUPANCY
O ASSEMBLY
❑MERCANTILE 0 EDUCATIONAL FUTURE USE AND OCCUPANCY
O INSTITUTIONAL
❑FACTORY ENGINEER'S NAME PHONE
O STORAGE
O GARAGE ADDRESS
C3 MIXED USE
(Other please specify) CITY STATE ZIP
TYPE OF INSTALLATION SUE 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 O 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: TYPF,n AGC fx/ MANUFACTURER GC
DESCRIPTION OF WORK
1
TO UNDERSIGNED T=Y APPLIES FOR
A PERMIT TO PEUORK WORK DESMED AND IS TO
COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE
PERFORMANCE OF SUCH WO
CONTRACTORS LICEN913 NO. TSE STATE
SIGNATURE APPLIqANT DATE//