HomeMy WebLinkAbout192 TUMBLEBROOK DR DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT
PERMIT#
Appl' on s hereby: TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
6!PROV 1540 SULLIVAN AVENUE
Bldg. Permit#
644-2511 ext. 230 —
nA
Date B ldlng nspector
Application must be printed or typed
FEE SCHEDULE Location of Job:
/y� %C�f'n�✓c 1.vvLz
$0-$1,000=$15.00 Street No. Street Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT
APPLICANT ADDRESS �[fsZc, ��[�Ns,1, }cl, 1gz1j
So le 7-
APPLICANT PHONE# c _ vZ —26 -7
OIN N Si , OWNER / C,C"i(�i
OWNER ADDRESS / -2- 61c Zrw/4
�T
0
OWNER PHONE ��o
C ESTIMATED COST$
x j IS THIS A CONTRACT COST? _L,:::� des _No
FEE ENCLOSED$ f �'
1� TYPE OF JOB:
AN
R•C O'�4 ew Installation
Alteration/Addition/Repair � 1 1
Revised 4/01//2002
APPLICATION FOR PLUMBING PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
0 RESIDENTIAL 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
Ruh lit rV Ci�tS /i✓lZ fryn, �S�f f�ny Ah� Jam. ��c�l 7(-Ky.,- � t
T7
THE UNDERS16NED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO
COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
H71T -(;;, ?57S7Y9C-1 4�- - -2 cT
CONTRACTORS LICENSE NO. TYPE 7�f STATE
SIGNATURE OF APPLICANT 1cL �� /�,(%i DATE o
/t. spa/
Propane Gas Service I N VO I C E
V 420 John Fitch Blvd., P.O. Box 239
South Windsor, CT 06074 10001
Since1941 Phone: 860-289-0267 • Fax: 860-289-5368
Equipment Service and Appliance Sales.are provided by Inergy Services
CUSTOMER NAME ACCOUNT NUMBER DATE
DAVID PARK 03395 05/20/08 10:53
STREETADDRESS PHONE NUMBER TAKEN BY
192 TUMBLEBROOK DR (860)644-5234 MBO
CITY.SPATE&"LIP PROMISEDi
S WINDSOR CT 06074 With:AL t�✓'t""
DIRECTIONS: CUST TO WATCH GAUGE & CALL @ 30% FOR DEL C/O ELLINGTON RD T jARRIV'ALTImE
FAIRVIEW MINIMUM DELIVERY IS 100 GALS
FINIS11L•D JOB
REGULATOR TEST TERM CODE: CR 3
Fluty Pm..wre Under Lu d L-k Up Pm.wm PRODUCT CODE/STEP RATE: 009/ 3. 36 TAf)(L NNIE
Integral Twin Stage IN.W.C. I IN.W.C. #OF TANKS/TANK CAPACITY: 001/00450
EQUIPMENT INSTALLED/REMOVED
Two Stage Flow P—m Under(wand Luck Up P— re ITEM CAP.OR MODEL NO. SERIAL NO.
IStStage PSI PSI CYL/PANK 803879
2nd Stage IN.W.C. IN.W.C. CYL/TANK
LEAK TEST REG.
Integral Twin Stage Start Pressure End Pressure Time Held Sniff Teat REG.
Tank PSI PSI PSI APPLIANCES: SPACE / FOOL / LOGS
IN.W.C. IN.W.C.
Two Stage %OF L.P.IN REMOVED TANK
Tank PSI PSI PSI EST.ANNUAL USAGE-IMAT
I ct Stage PSI PSI NON HEAT
2nd Stage IN.W.C. IN.W.C.
INSTRUCTIONS
RUN GAS LINE NEEDS PERMIT SEE ATTACHED
WORK PERFORMED
QTY DESCRIPTION COST QTY DESCRIPTION COST SUMMARY P.C. AMOUNT
APPLIANCE
INSTALLATION
SALES TAX
PERMITS
PARTS/FMINGS
SALES TAX
LABOR
SALES TAX
MISC.
SALES TAX
PROPANE
SALES TAX
Customer received safety information YES TOTAL BILLING
Operation of System explained to Customer YES
Customer received MSDS for Odorited Propane YES AMOUNT RECEIVED S
Checke.6 Equipment Operation YES
Gas Line Pressure Tested YES
CUSTOMER SIGNATURE DATE
SERVICEMAN DATE
CR03A-PGS
SUBJECT TO TERMS ON REVERSE SIDE OFTHIS INVOICE
UJI
i Z SIC,
Y _ INV:�93.0
oz 94-
J - - - -
z `
Q �
o=
i-ANDSCAPED AREA N/F OPEN SPACE TIMBER KNOLL
ox
Uj go 7-7
e9
g ,BjNfO OF w _w 152.00'
PROPOSED I AD
POOL OF WALL,- - -94- _
96 _
- j V=99.0
, s8.so;
E X98.89 LANDSCAPED AREA
6\
/ 35 ARE OF EXISTING POOL,- �- 40' R.Y.
TO FILLED IN
99 POOLD
X YARD DRAIN
99. Iz INV=94 0
TF=96.5 ' AREA OF EXISTING POOL
BOTTOM F WALL D< TO BE FILLED IN
w TOP OF WALL
ELEV 97. 6 o DECK
ELEV 98.82 DECK N/F CONSTANCE L GRAHAM o N/F RAMON A NIETO
0 100_
97 17 _ ) CN �p2- - BSMT=97.60
SCALE 1"=20' I EXIST HOUSE r
N Lo
NOTES:
i. ZONE IS AA-30.
2. THIS MAP IS DEPENDENT ON THE MAP REFERENCED HEREON AND __
MONUMENTATION FOUND IN THE FIELD AND DEPICTED HEREON 50' F.Y_
3. VERTICAL DATUM IS ASSUMED.
4. FIELD GENERATED TOPOGRAPHY TAKEN IN THE AREA OF
PROPOSED DEVELOPMENT ' I
5 AREA = 30,400. SOFT
MAP REFERENCE:1 SUBDIVISION PLAN TIMBER RIDGE SECTION III SOUTH WINDSOR, CONN.
SUBDIVIDER: U&R HOUSING CORP. 1"=40', DATE 5-30-78 SHEET 1 OF 2 152.00'
THIS SURVEY AND MAP HAS N PREPARED IN '+'`�/�a J. AM`'-c,
IP _— —— IP � 'c� -HF
BEEN RE ED ACCORDANCE WITH SECTIONS 20-300b-1 THRU 20-300b-20 4 �t R . .
OF THE REGULATIONS OF CONNECTICUT STATE AGENCIES - "MINIMUM STANDARDS FOR SURVEYS AND MAPS 1N
THE STATE OF CONNECTICUT" AS ENDORSED BY THE CONNECTICUT ASSOCIATION OF LAND SURVEYORS, INC. TUMBLEBROOK DRIVE
AND CONFORMS TO HORIZONTAL ACCURACY CLASS A-2. ,
1 ;I
TO THE BEST OF MY KNOWLEDGE AND BELIEF, THIS MAP IS SUBSTANTIALLY CORRECT AS NOTED HERFON. ,I' }
12882
RICHARD P MARTEL UC No.
ulstsa a w"St NO", Ex""G unury FMyl� DEPENDENT RESURVEY PREPARED FOR
AS GRAPHIC SCALE (aao� �,-e7s5
aG,� " N es19� DEBBIE MADDEN p /�
SH01"S IIMILD V INF ALL PRIOR
TO
MTRI5 LOCk
StgUD i P1tlD YFAfED PIMA TO(;a16Tnt1C11aN --- 40 Q 20 ♦0 P
; 40""m"` To A M PR " U ""n rofessionais, Inc.
9�uaLnto uno c.al IT BE T� 192 TUMBLEBROOK DRIVE XASN it �, .�l1r An� ,.x1.i of
J MIS PLAN K AM C GftAL I NEARS T11E r evil en9Meers • plannerS • surveyors . 9;s
ssa[ssaw StAI AEA oRfpNAI 9arAruRt — ---- — 1 inch :: 4J feet — ---- _ ----OF RIE PRO/CSaOMAI ENpNEER/91MiKY0R NO. OA IE DESCRIPTION BY 165 south satellite rood, south wondsor, connecticut 06074 SOUTH WIND" CONNECTKUT a%Fa gy ww VAIE }�_pp
10;Tig BUILDING DEM. TOWN Of WH WMSCZ
i Ais certified that this plan and specifications are tn/a
Copies of the proposed building or alterations to be
.greeted at
9.2 J Street
f.igether with amendments stated In application ano
eMly �� tiled with plan and 1 agrue to Comply with all toning.
Building and state laws and such orders as shall b,
!%sued by the 13uifd"+ng Uepattn_c,r.t during pandency-
pt
.) !f ibis application and final lssuance of a t,ultdinb
MAID
,youth Windsor !pis plan is ?;-proved subiert to the eendltlon that
CUILDING DEPARTUIE 1T ,Mecs and ordlnaeres ragatdli4jS builClag shau be
. ,,,plied with.
_.cnditionally Approved The" filed W"
CER"I"IFICATION OF ZONING C01'"r LIAiNCE sKd;ng jnWectew Cloth
Proposed building(s), use(s) andl'or structures)
shown on this plan apprcar(s) to be in
,nformance with current South Windsc.
gulations. Varianc,�s and special exception;
.fay apply.
vate ��
g f rc/ernent Officer I
OK d/ J� `� �1 j.2 bp
GARDNER Et PETERSON ASSOCIATES 676 OLD POST ROAD TOLLAND, CONNECTICUT 06084
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N N 330
O _ N N TW 346.0 3\
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TUMSt.EBRooK S dR UE V
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34-� s-44
PERMIT PLAN
yyyyy pnrarni�i..
LAND OF U. & R. HOUSING CORP.
LOT # 6, TIMBER RIDGE SECTION III ,`��,�'�`' ��s oI
TOWN OF SOUTH WINDSOR, CONNECT ICUT ;� x Z; a
SCALE: 1 " = 40'
No. 10839 ►►,�
Certified substantially correct. y <=�F`I STEn�O�0/
� o
SUR
1
L. S. 10839
June 22, 1979 ;
Elev. base M.D.C. datum
1
___ PROFESSIONAL ENGINEERS LAND SURVEYORS
yv2
GARDNER Et PETERSON ASSOCIATES""— 578 OLD POST ROAD TOLLAND, CONNECTICUT 06084
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SGS'ZS -54 E �,hCv%'Zw pq
- TUM8LE8ROoK � OCZ\�/E
PERMIT PLAN 0 lay Z."!-"
LAND OF U. & R.. HOUSING CORP.
LOT # 6; TIMBER RIDGE SECTION III
TOWN OF SOUTH WINDSOR, CONNECTICUT *� No. 10839 IsN
SCALE: 1 " = 40' = r+
�•. t�R�ersrca�i��? �,�
•4�i�� D u av�,�09ti3O
Certified substantially correct.
L. S. 10839
June 22, 1979
Elev. base M.D.C. datum-'• '
PROFESSIONAL ENGINEERS LAND SURVEYORS � �
II
bbia
'Iva
jlri
o"ka
-GARDNER $ PETERSON ASSOCIATES 576 OLD POST ROAD TOLLAND, CONNECTICUT 06084
\ OPGn SPc.c� TIm4�c1 KT�oll
152.Oo'
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24Z4
0
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21. ' W
7 1.1
4 1 t3
1/1 Gn.Sr.ne 6 347 G
N
A• 341.�
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2 �4
6'
a
G
152.00
3 A.5 n
TUME�)L_EPBr-,C0 K DFRtVIE-
MORTGAGE SURVEY
°j1rrrn.rrrr��
LOT # 6 TIMBER RIDGE SECTION III
TOWN OF SOUTH WINDSOR ti CONNECTICUT 04<�d
�rtt� R P`T
.� �,
SCALE: 1 " = 40'
I hereby certify that the location of the building = *` No. 1333)
as shown is substantially correct and that there
are no zoning violations of the same. U.4'4 ..d
•-r. ,Ir r...
d
i
L. S. 10839
December 5, 1979
rv.
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PROFESSIONAL ENGINEERS —LAND SURVEYORS i
SIG.: _ ---- --
IF
is-r"4 S1C.$AFVU4-E--- G) POOL SHFz t
jt"4RS .FY4FjeY G " JAI A&SP (P,* M4-r-OfeAZI `✓ 4AP1,1f4Fb � S.00 PS/ #3 ' �-, VF Psi 7-FV7 ° OR PVC'. SC14 40 , A004F
P. 404FA714Fk.
0� SIN/SW q Eel �A►��'«
�iY r 'q,VS/T"I /V a) C OPf�C • CA Vr e01V+G�!f7T, WAOIT " 60rY Ins CMOR SE ,A/4L. "E" S 477rAC{,
W� Abe c�wA� R 'i4, ' �"Yt`RY �'�` S'' 7 !fir MO+PTA c IJ4A c a �'UAVVt�f//�'a /f 1' �Gyt/'G AXIS CIF Ic+�+ &%� , � __ �a.�&--r rl•4. .. m- r�r .A A,-Ur }+ OVA " c�1 ! C 1 '1► ' 'j �S lFFA�
` 7 f f �' P'M;U, ,f X .:V r_. 6rsfr;rs,0-7 f*"
CrAffWr rIrM W/PxF MVP A~ kgT4114 1r Jc . FNERAL
-- ' - SPECIFICATIONS
ECI_FICAT_IO_ N. ..S
D vvAv'rR schoo AREA �t)EPit{ _t"t?
NORMALLY W E! mW W , MEM os A bMN
`
>a ► Ts. " + E �1PLATE NO. #;t35T.,x:4
.. I
V T�C' """"" ., ,,.. «.......-.- «„-.♦".1 3 "�..-� bwM
fofp�rw ASC'�kF�1y�i rr to "1t` I$ 'p 0 OUT A Y 1c,P# fa .....�. �»� •���!/►�1 A Z`� "�`"0 . '7 7! f Cr
46
r+��t#/IIA� , .� �.
G.'iLS.
G'41dQ4d�" `> ST ` i J AP :, TY
, I'!I_TEE SO , T.
2 6 v ju m" comic.* R. PA^)t
~ a
E*L�� Vf� � P �t
Tu!INavu "�OF TYPICAL WAP�c
RETLWRN LINE
MAIN DRAW-, � A
SKIMMER .Mot)jt.
ANTI Si€'#ffllK ; . £,�`
• ;;. _ _ -
CLOCK
ELEC]Vtc BY:
ELECTRICAL ar a %c� bY
P �#' ILL '.� L L �' POOL CLEANED
am Il�A �FSC�"AAEP
l "1�' tl�i C f ± T' Sf)*P^cr. ,, DRYWF.L.� CHLORINATOR
SLIDE
1►I�a•r t r ROIPE RINGS
GRADING
ST08 PLUMBcKreXUALVE rest •,,
Of CK BY,
Olt OWNER: TREES. �t�.
6NM 1aALV ;�. SALES OFFICE— _ - - CONCRETE REMOVAL BY
TO DETERMINE APPROXIMATE ELEVATION N SCALE 1/8" Itow iMIT OFFICE Ra;srDBaHcacA�_
OF POOL ON DAY OF EXCAVATION. _ -__
iES C IYf � c e,sr
c"
PHONE NO.. ..
JIOB NO.-
_.
POOL AREA TO BE FENCED, PER COUNTY MAP BOOK. NO .__.� SWIMMING
... . w ! .r ... OR CITY ORDINANCE. GATES TO BE SELF
Pf9Ql � CLOSING AND SELF LATCHING. 94 OWNER _. ��.._ ___ . _.---�____ LEGAL `ESCttIP"►ON NEE ►,,Fr
'� 40 ELLS"r SYS1"EI1A ---
____-_ F AIzDRFE .
ys � Row* WATM OWNER:
P '% PAe^T 140AJ T"A#IK m 7t) A 1>QV 4'tr" ,S*Vf* WET DOWN CONCRETE SHELL AT LEAST
TWICE DAILY FOR 7 DAYS L:O'T No
��" " DO NOT TURN ON POOL LIGHT WHEN POOL i
a - I CROSS STREETS
IS EMPTY. - _ _ ._. ,.. _, . TRACTNO _,
j is !2F"4jv 'F'* 4 fto4« DO NOT USE RUBBER 140SE WHEN FILLINGSO" I7E5, PHONE
—rsAjF IDIP r =PAWA TUF P#Lr' :. IS r RAPP116 POOL AS IT WILL MART( PLASTER. _ 44t,,A :A rt 0``
MAILING ADDRESS � _
C Off""' JFM P"#r`Iff�- wIts TPr" IrfRA O *R t e. s `.
C
K.
R
e.
h/iClb�'-JCS
eL t� Y f- 7 c*. .L g,: 4-j 01
All "S..
r !
1
_ r. r*.srn A c-nr iattElf' AT1P1A1C
. M VCIVCRAL
SIZE (S I x? + AREA -q oc� [�DEPTH =r TO_`
L :/f��t O ram',i_o 1r- )A `'Vf� i- I SHAPE Mq }_%C, PERIMETER `
Y f}T j k'1 L,.�/6- - ,. . -
TEMPLATE NO.Nam,i
O� f_^AZ_ CUSTOM 'tL-
G�•_ .� 5 r� :,'�p"`` f : '� �" TILE SIZE x �
colv
TILE COLOR K^ 1t,J^3..-���
-A,
`` ♦ ,t .. ;� .' ` , COPING
I
COPING COLOR
POOL CAPACITY /l,, `GCS.,'► GALS.
------ PUMP CAPACITY — �� G.P.M.
MOTOR N.P. .�r�tT'G,'{
FILTER, SO. FT.
FILTER RATE
D,' T G.P.M.
TURNOVER --- — - �,-. HRS.
I VACUUM LINE & SKIMMER_
O,t _� t 2 RETURN LINE
J` I MAIN DRAIN { k!
\ SKIMMER L
MODE - u
�,! I► BACKWASH TO -
w 91 C f- / _/ < )�! �� . ,ram r1 --=— OF ',' FILL LINE - -
/y r'' '� L ANTI-SYPHON VALVE _-
I�/ 7"f'. HEATER SIZE. -- -- - -- ---BTU
R
GASUIVE BY -- --. VENTLC iY
t r:
--- v LIGHT c ' >�. -------
— — I - ,, '� I , ELECTRIC BY --
1 ELECTRICAL BONDING BY:
1�
+S POOL CLEANER
CHLORINATOR �-Aa
° COLOR
I•� _____.. .. BOARD SIZE R U ::�,;+� �• --
-- -- - - - BOARD SUPPORTS- - Tile. _
LADDER-Model Tile:
L Tile: ._.-
•-- Sp - -- Water
.v.••. SLIDE"u_L�of'�E Co4or� .^,A, Haukup
x ROPE RINGS rc W ROBE & FLOATS
- -
GRADING DIRT WALK
a I STUB PLUMB �' ESONO TRACTOR SIZE
TILE & COPING flfascv
GECK BY. CN_ ir•� 1 r
TREES. ETC
CONCRETE REMOVAL BY-
�.— PERMIT OFFICE --- ----
NOTESCALE 1/8" V 0" $ALES O��iCE !�tl.r�,c rto 3�G � -- --- -- noel: WEAN I � �' - --
PHONE NO. J - MGR ---- — - --
_..
JOB NO. SALESMAN --
_- MAP BOOK NO._ SWIMMING POOL
LEGAL DESCRIPTIOlf E NAME__
�f
LEGEND POOL SETBACKS FROM: BUYER: --- — _
TO DETERMINE APPROXIMATE ELEVATION +rN ADDRESS-1 -
HOUSE_ _-___---- ------- OF POOL ON DAY OF EXCAVATION - `
r p
-�_•_- POOL SUCTION ___ft. of Q GAS METER REAR PROPERTY LINE __-_ -._--__---- --- BUYER: �� ✓� t`r ' 'Q-��- -_ .____. _ ___ `�� w- .` f� _ _ __ _
_••-••_- POOL RETURNS_-__ft. ot_� \� ELECT PANEL SIDE PROPERTY 1.INE_ POOL
AREA TO BE FENCED, PER COUNTY - LOT NO._ CROSS STREETS
OR CITY ORDINANCE GATES TO BE SELF "'^ g
•••---�••- SWEEP LINE_. -_____-ft of ___ GATE VALVES EOUIP,SETBACKS FROM. CLOSING AND SELF LATCHING TRACT NO.__ ---
S. PH ONE
KI 'tV '? - BUS. PHONE_r�
RE ��..
� _ T
-•_-.--__--- FILL LINE--._---ft. of__" � LIGHT HOUSE BOOK ___ ___ PAGE ---BLOCK
BUYER:
�_• •_� SPA SUCTION ft. of LIGHT JUNCTION REAR PROPERTY LINE_ _ --- WET DOWN CONCRETE SHELL AT LEAST
(� =,R,N_5 �" ANT}10NJ POOLS
t 1 BOX TWICE DAILY FOR 7 DAYS MAILING ADDRESS EQUIPMENT DEALER
,(S_)_••___•• o SPA RETURN ft of Y SIDE PROPERTY LINE
` - iW NOT TURN UN PC)Ot_ LIGHT WHEN ROC;._
-fi REQUIRED FENCE HEIGHT NOSE BIB EMPTY,
GAS LINE_ _tt.
V7 SKIMMER DO "tut USE RUBBER HOSE WHFN FILLING
- -- ELECTRIC LINE- ff II PO AS IT WILL MARK PLASTER