HomeMy WebLinkAbout152 DEBBIE DR DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT
PERMIT#
Application is hereby: TOWN OF SOUTH WINDSOR
- ,--) BUILDING DEPARTMENT
APPROVED= 1540 SULLIVAN AVENUE Bldg.Permit#
f � � 644-2511 ext. 230
Date By'ding Inspector
Application must be printed or typed
Location of Job:
FEE SCHEDULE F:Tenant
oZ ����`�
$0-$1,000=$15.00 :No. Street Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof gnation Apt. No.
APPLICANT 11f1(Q, c JUC�4 Ck►
APPLICANT ADDRESS _1a Co f nrfte(I c Q I S71-
QC[A(��reQ 1 OlP�O S
APPLICANT PHONE# J934M
SF OWNER J06 111,6
OWNER ADDRESS 15a
VA
Or OWNER PHONE__An- yay )s I-4
C ESTIMATED COST$ 1W,b0
x IS THIS A CONTRACT COST? _Yes _No
o �G FEE ENCLOSED$__ ;' J
TYPE OF JOB:
New Installation
<7Alteration/Addition/Repair
Revised 4/01//2002
APPLICATION FOR PLUMBING PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
IWRESIDENTIAL BUILDING PERMIT APPLICATION? ❑ YES ❑NO
❑BUSINESS CURRENT USE AND OCCUPANCY
❑ASSEMBLY
❑MERCANTILE FUTURE USE AND OCCUPANCY
❑EDUCATIONAL
❑INSTITUTIONAL
❑FACTORY ENGINEER'S NAME PHONE
❑ STORAGE
❑GARAGE ADDRESS
❑ MIXED USE
(Other please specify) CITY STATE ZIP
TYPE OF INSTALLATION 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 MANUFACTURER
DESCRIPTION OF WORK
I a� N
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS T7--
COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
0dod30q P Cr
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT DATE �((A<
JOHN"J. RISPOLI •
PLEA§
ANT STREEri.
f wALLINCkPORD,
To'Whom It h Concern:.
4c
7•he imderdped:is hereby-authorized as niy agent to,pun: P ing--Permits
_ tobrrdr,Ie: 150,
scope ofwo4r_ _.. S. -
wo*to cm===:
�Uemsed Coz =tar. -
1
C, s Agent: u
�.
Sigaatum ofAgent
T;=se Numba
" 202804 -
SPY Sam=ed,
L
Toha J Rispoyi
before me this doe o 'r _
• � ,
i ,
- a
pI,j7MBING&PIPING i7 CONTRACTOR
r SUSAN F. FISHER
NOTARY PUBLIC 2T =.
MY COMMISSION EXPIPE ��� t''S MAR.31,2013 yp oTla -• 9,2
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J REINO E HYYPPA 5 ASSOCIATES ;
CIVIL ENGINEERS IS LANC SURVEYORS
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In THE El:,l3lY:+ Jf)T. TOWN ;.F SOUTH WINDSOiI
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[)ATE:
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GLASTONBURY, CONK
DEB81E DRIVE
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1100155 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER PLUMBING PERMIT
DATE: 05/12/11
GIS ID:26700152 FEE: 15.00
MUNIS APPLICATION# 201100434 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: MR.ROOTER ADDRESS: 152 DEBBIE DRIVE
ADDRESS: 12 COMMERCIAL STREET OWNER: TORRES JOHN R&SUSAN C
BRANFORD,CT 06405;. 152_DEBBIE DRIVE
SOUTH WINDSOR,CT 06074
t
DESCRIPTION OF WORK: REPLACE 50 GALLON GAS HOT WATER HEATER IN THE BASEMENT.
e
SPECIAL CONDITIONS:
ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT.
CONSTRUCTION TYPE:
OCCUPANCY GROUP: BUILDING OFFICIAL
5/12/2011 12:49 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE