HomeMy WebLinkAbout198 HILTON DR DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT
Application is hey TOWN OF SOUTH WINDSOR PERMIT#
BUILDING DEPARTMENT 11 b 6 51 S
APPROVED 1540 SULLIVAN AVENUE Bldg.Permit#
644-2511 ext. 230
Deco Building l
AppHeation must be printed or typed
FEE SCHEDULE Location of Job:
198 Hilton Drive
$0-$1,000=S 15.00 street No. street Lot No.
Over$1,000=
$15.00 per S1,000
or any&action thereof Tenant Designation Apt.No.
APPLICANT All Plumbing Repair INC. / Mike Marandino
APPLICANT ADDRESS PO Box 853 Tolland, CT 06084
APPLICANT PHONE# 860-870-5325
11OMi N SFq OWNER Albina Boucher
OWNER ADDRESS 198 Hilton Drive South Windsor, CT 06074
rn OWNER PHONE 860-528-5259
O
C ESTIMATED COSTS 900.00
V
.� IS THIS A CONTRACT COST? X Yes _No
FEE ENCLOSED S 18.00
OR-CO TYPE OF JOB:
New Installation
Alteration/Addition/Repair
2�1'1 o IS31
Revived 4ro1/1=
APPLICATION FOR PLUMBING PERMIT(Continued from reverse aide)
TYPE OFBMZ>ING IS THIS APPLICA77ONASSOCIA7'ED WITBA
❑RESIDENTIAL BUILDING PERMIT APPLICATION? U YES O NO
O BUSINESS CURRENT USE AND OCCUPANCY
❑ASSEMBLY
O MERCANTILE FUTURE USE AND OCCUPANCY
❑EDUCATIONAL
O INSTITUTIONAL
Cl FACTORY ENGINEER'S NAME PHONE
Cl STORAGE
O GARAGE ADDRESS
❑MIXED USE
CITY STATE ZIP
(Other please specify)
TYPE OF INSTALLATION Water Heater 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 O YES ❑NO
SIZE OF WINDOW IF NONE C.F.M.OF VENTILATOR
SIZE OF DUCTS SEWER OR SEPTIC TANK
SIZE OF WATER MAW SIZE OF WATER PIPING&RISER
WATER HEATER: TYPE Natural Gas MANUFACTURER AO Smith
DESCRIPTION OF FORK
Replacing existing 40 Gallon Natural Gas water heater.
THE UNDERSIGNED HEREBY APPLIEES FOR A PERMIT'L-0 PERFORM-1 HE WORK DESCRIBED AND IS 10
COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
204858 Pi CT
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT -/��'�►.C�i DATE
1700515 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER PLUMBING PERMIT
DATE: 10/27/2017
GIS ID:44100198 FEE: 18.00
MUNIS APPLICATION# 201701539 BUILDING DESCRIPTION:
APPLICANT ? ;. LOCATION
NAME: ALL PLUMBING REPAIR,INC. ADDRESS: 198 HILTON DRIVE
ADDRESS: PO BOX 853 ,.' " OWNER: BOUCHER ALBINA C
TOLLAND,CT 06084-0853 198 HILTON DRIVE
SOUTH WINDSOR,CT 06074
:5 day t a
DESCRIPTION OF WORK: REPLACE EXISTING 40 GALLON NATURAL GAS WATER HEATER.
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
10/27/2017 10:38 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE