HomeMy WebLinkAbout165 SCANTIC MEADOW RD DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT
PERMIT#
Application is hereby: TOWN OF SOUTH WINDSOR t�ooyG
BUILDING DEPARTMENT
APP VE 1540 SULLIVAN AVENUE
L � Bldg.Permit#
644-2511 ext. 230
Date Building Inspector
Application must be printed or typed
FEE SCHEDULE Location of Job:
b� SC4v-xA k'c, /\nPc,- o) ,,) _
$0-$1,000=$15.00 Street No. Street Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT
APPLICANT ADDRESS --
c
APPLICANT PHONE#
0 W N S F,Q OWNER q U Yv
OWNER ADDRESS S
b OWNER PHONE C1- 1 S
C ESTIMATED COST$ O
xIS THIS A CONTRACT C ST? ✓Yes _No
FEE ENCLOSED$ 1 S y
TYPE OF JOB:
OSOR-Cod New Installation
�teration/Addition/Repair
00)060 f
APPLICATION FOR PLUMBING PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH
BUILDING PERMIT APPLICATION? ❑ YESNO
kRES IDENTIALUSINESS CURRENT USE AND OCCUPANCY
❑ASSEMBLY
❑MERCANTILE❑ EDUCATIONAL FUTURE USE AND OCCUPANCY
❑ INSTITUTIONAL
❑FACTORY ENGINEER'S NAME PHONE
❑ STORAGE
❑GARAGE ADDRESS
❑MIXED USE
CITY STATE ZIP
(Other please specify)
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
�O - - _ I
THE UNDERSIGNED HEREBY APPLIES FOR A
PEMIT TO PERFORM THE WORK DESCRIBED AN15 ITT7—
COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT DATE
1 = 40' Sh'i 7- ' 7 "56"5 2 -Sf
221-39
L-1 L.
�� GRAlN�4 _E R O. W.
i
,1 4
� 1
t
Lot numbers refer to map entitled, \ �, C3
Subdivision Map, Farnham Estates, ,ja33 ?2_S
Property of I. R. Stich Associates,
Inc., Rye Street, Sou�ch Windsor, 22_G 2 4
Conn., Scale 1" - 401, Sept. 19, 1957,
Sheet #7, Certified Substantially A i�
Correct, Morton S. Fine, C.E. fs L.S." 10
oo
C
R = EA p0 y1/ ROAD
SCANT�C "`
PROPOSED LAYOUT
a .C�� FARNHAM ESTATES
'\ SCANTIC MEADOW ROAD
I hereby certify that this map is substantially cor- ,� • ' �; SOUTH WINDSOR s CONN.
rect and no zoning regula- No. 2931 p SCALE 1" = 401 OCT, 3 1958
tions have been violated. ,
1AOS�, MORTON S. FINE, C.E. -L. S.
HARTFORD, CONN.
1000049 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER PLUMBING PERMIT
DATE: 02/18/10
GIS ID: 81000165 FEE: 15.00
MUNIS APPLICATION# 201000126 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: IMPERIAL PLUMBING CO.,INC. ADDRESS:, 165 SCANTIC MEADOW ROAD
ADDRESS: 648 SULLIVAN AVENUE .` OWNER: HOGAN JOHN H JR&JEAN A
P.O.BOX 875 165 SCANTIC MEADOW
SOUTH WINDSOR,CT 06074 SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: WATER HTR RPLC
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
2/18/2010 11:49 AM THE FEE ABOVE INCLUDES A$0.22 PER THOUSAND CT STATE EDUCATION SURCHARGE