HomeMy WebLinkAboutLat_19109OldeWaterfordRoadWASHINGTON COUNTY SANITARY DISTRICT
Elliott Parkway 70/81 Industrial Park Williamsport, Md. 21795
Telephone 301-223-9416
Permit to Conneict. to Public Water/Sewer System
Type of Permit Res Sewer -I Permit No. SCP 150- :1060
Subdistrict Name Maugansv.7 Issue
/OH Date 5/29J90
i
Mainline Contract No. S--150-335 VoildDate
90-0391-028
Building Permit No.. ubdistrict Nn!
15*
jlW--.;PermIqsIon I� hereby glv*n; toj
.
Property Owner. Btan
of address:
2601'
1 11hger
For p-
roperty, located at
Ho 1 ihie` 1.1
e I
town�,7
IZ1740 - i'l-I.
Vat4-_'irfn1rr1 RnHri
Lot No 50-Subdiv. 'Fou
Ownees Agent: Brian Ho'l
Previous Owner:.
i Agent's Address: 2601 Penn
Fees Paid In Full?
Date Fees Paid 3!1 L1
WCSD DIstJColI. System Fee
WCSD Ready to Serve- Fee
WCSD Fee
City of Hitt e rs to,,. ri 1i Fee
Total Fee
Remarks
This is a re i ss mix
Nil
�ro
�s
.; ;
nt4inht-_EL'd ;North ! I
r
ine h
IT77 7 1 i i
J�
Street Adidma
Phase 2 Sec -
;,:n
7.
Lateral with Mainline? -Sas
Residential EDU'S
Commercial EDUIS.
Gal/Day Allocation 2011
Building Number
Latera(, Contract No.
3
c-ompleted
When connecting to a public water/sewer system, the installation of the connection and the abandonment of the previous private system
shall conform with tnu provisions of Maryland State laws and WCSD policy.
This permit does not supercede any local ordinance that Is in erfect with regard
to road excavations, plumbing permits. etc. ALL OTHER
PERMITS, S AND LOCAL, 41UST BE OBTAINED 19 HE PROPERTY -OWNER AND ALL RESPONSIBILITY CONNECTED
TMEREWl:L?
,jAllr j WITI THE PROPAATY OWNE
Signed:
Data:
�c� y
I IUN: At least 48 hours notice prior to requested date is required.
ON SITE INSPECTION will be made by: Washingililn county PiLmb ng Board-,
33 W. Washington Street
Hagerstown. Md. 21740 Phone: 791-3072:
Inspection Date: Plumbing Inspector
OFF SITE INSPECTION (in Public Rights of Way and Easiaments) by WCSD
Inspection Date. WCSD! Inspector (Lateral)
Inspection Date: WCSD: Inspector (Connection)
Distribution: Permittee- City of Hagerstown City of Wiiiian sp
WCSD Construction, WCSD O&M __ WCSD Fl:e
low Permits Office - Plumbing Board __ Plumbing 1111sp rkDn
JAI4 2 3 19N
WASHINGT31NI Co.
11-�-SA
NITARY Mar,
WASHINGTON COUNTY PLUMBING BOARD
COUNTY OFF410E BUILDING 33W. WASHINGTON ST. HAGERSTOWN, MD. 21740 PHONE 791-3070
APPLICATION FOR PLUMBING PERMIT
l�ecenr.h��, l -Q- 19 Bio
Permit No.
90 --'2a]-7
(Building)
FOR OFFICE USE ONLY:
PNmit No. �XC /
(Plumbing)
Date Recd. 41? — /1) — 7 0
Cosh Check
I hereby apply for permission to do the work, as listed, on the property described as follows, for which I tender herewith
the required fee. Permit expires 1 year after dote of issue.
Owners Name Ah L rr t, S• No blah Phone No. 7ct 7- 5.Y /4
Location of Property
& Street: also nearest intersecting rood or street) U
Town or Vicinity
Sub -division R)1_1 g tri / if tlrQ d 7'1C1L:H1 Lot 70 Block Section
Is property located within city limits of municipality? (Yes) (No) If yes, name
the municipality
PROPOSED PLUMBING WORK
CHARGES
A TYPE OF IMPROVEMENT
B TYPE OF HEATING FUEL
C. TYPE SEWERAGE DISPOSAL
D. TYPE OF WATER SUPPLY
I NEW —FRAME
1 [KAS (HOT AIR OR HOT WATER)
1. PUBLIC SEWER
1. [�UBLIC SYSTEM
2. ❑ NEW —MODULAR
2 ❑ OIL (HOT AIR OR HOT WATER)
COAL AIR OR HOT WATER)
2. ❑ PRIVATE SYSTEM
❑ EXISTS B-fROPOSED
2. ❑ PRIVATE SYSTEM
❑ EXISTS [PROPOSED
3. ❑ ADDITION
3. ❑ (HOT
4 ❑ ALT./REPAIR
4 ❑ ELECTRICITY
( SEE SPECIAL FOOTNOTE)
I have been authorized by the owner to do the work
herein described, and in the execution thereof, I agree to
abide by the regulations of the Washington County Plumb-
ing Board.
look
OWNER 3,t'r,-1. t, .3• MoWced
a 14 /3 La- Rcd a e, R d .
(address, if different from above,
Mast umb r
Add ress
MD License No. -
Wash. Co. Lic. No
SPECIAL FOOTNOTE: If plumbing work involves
tapping a public water or
sewer system or both, a receipt for payment of applicable
fees and/or charges from the proper municipality or the
Washington County Sanitary Commission MUST aL PRE-
SENTED with plumbing application.
INSPECTOR'S APPROVAL
Connection to Public Sewer
'Connection to Public Water
Underground
Rough -In
(�q Date �`Z �0
) Date
CHECK
HERE
PROPOSED PLUMBING WORK
CHARGES
L/
Building Water Service
5, Q
Building Sewer Service
Well Pump
Heating Equipment
Water Cooled Air Conditioning
PROPOSED PLUMBING FIXTURES
DUAN
TYPE BSMT IST 2ND
Water Closets
Urinals
Bath Tubs
Shower Baths
Showers
Lavatories
CjQ
Sinks
Laundry Tubs
Sump Pump
Floor Drain
Other
PROPOSED PLUMBING APPLIANCES
Water Heater
o
(
Dish Washer
O
Washing Machine
00
Water Conditioner
Garbage Disposal
!J
Ice Maker
TOTAL
1J�1.CC) .
'_4< Date �� _n Make Checks Payable To: BOARD OF COUNTY COMMISSIONERS
Health Dept. No.
Final Approval All Plumbing ( ) Date
PLUMBING INSPECTOR
y � 1
WASHINGTON COUNTY SANITARY DISTRICT
Elliott Parkway 70/81 Industrial Park Williamsport, Md. 21795
Telephone 301-223-9416
Permit to Connect to Public Water/Sewer System
Type of Permit Re's Sewer Permit No. SCF 150- 1060
Subdistrict Name Maugansv/011 Issue Date 5/29/90
Mainline Contract No. S-150-335 Void Date
Building Permit No. 90-0391-0289 Subdistrict No. 15
Permission is hereby given to:
Property Owner: Brian Holmes
of address: 2601 Pennsylvania Ave.
Hagerstown, 217140
For property located at: 102 01de Waterford Road Street Address
Lot No. Subdiv. Fc>unt,ai.nhead North Phase 2 Sec.
Owner's Agent:
Brian Holmes
Previous Owner:
Agent's Address:
2601 Pennsylvania
Ave., Hagersttiwn
Fees Paid in Full?
Date Fees Paid
WCSD Dist./Coll.
WCSD Ready to
WCSD
City of Hagerstown
Remarks
System
Serve
yes
., / 1 "= /
Fee
Fee
Fee
Fee
Total Fee
90
$
$
$
$
$
1500
420
1920
Lateral with Mainline? Yes
Residential EDU'S 1
Commercial EDU'S
Gal/Day Allocation 200
Building Number
Lateral Contract No.
This is a
rei.ssuance
of permit
issued on 3/20/90
No
connection can
be
made until
sewer construction completed
When connecting to a public water/sewer system, the installation of the connection and the abandonment of the previous private system
shall conform with the provisions of Maryland State laws and WCSD policy.
This permit does not supercede any local ordinance that is in effect with regard to road excavations, plumbing permits, etc. ALL OTHER
PERMITS, S E AND LOCAL, MUST BE OBTAINED BY THE PROPERTY OWNER AND ALL RESPONSIBILITY CONNECTED
THEREWITFjf, MA1 S WITI�j THE PROP TY OWNER.
Signed: I V/�f/r! Date:
INSPECTION: At least 48 hours notice prior to requested date is required.
ON SITE INSPECTION will be made by: Washington County Plumbing Board
33 W. Washington Street )
Hagerstown, Md. 21740 Phone: 791-3TZ>� �^
Inspection Date: w ' Plumbing Inspector
OFF SITE INSPECTION (in Public Rights of Way and Easements) by WCSD
Inspection Date:
Inspection Date:
WCSD Inspector (Lateral)
WCSD Inspector (Connection)
Distribution: Permittee City of Hagerstown City of Williamsport
WCSD Construction WCSD O&M WCSD File
Permits Office Plumbing Board Plumbing Inspection
bli
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WASM!"14,01TOIN 00
SANITARY MST
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COUNTY COMMISSIONERS FOR WASHINGTON COUNTY
% PERMIT APPLICATION & ZONING CERTIFICATE
DEPARTMENT OF BUILDING PERMITS & INSPECTIONS
33 W. Washington Street, Hagerstown, Maryland 21740 • 791-3070
I JOB LOCATION (� r� % 1 q �{n/
. F I r) �i n ]E K 0 (.� ! ,, .• ��f1 !Y . 1Q A
PERMIT NO.
DATE ISSUED
C
q
NAME/APPROVAL DATE
LOT NO.
SEC. N0.
PLAT NO.
TAX MAP
BLOCK NO.
PARCEL N0.
ZONING DIST.
T
A
ISDIVISION
/ )
j
N `YARD SETBACK BUILDING LINE VERIFICATION
C / I
LOT SHOWN ON SUBDIVISION RECORD PLAT NOTED
ABOVE AND APPROVED BY PLANNING
COMMISSION REQUIRES GREATER SETBACK OR YARD
REQUIREMENTS THAN MINIMUMS PRE -
I
\M 1V
INITIALS
n
0
I
ACCOUNT NO.
IMPRO EEMENT
ELECTION DIST.
LIBER
FOLIO
ACREAGE LOT SIZE
N
Q
N
3�i
►
0
PROP PITY OWNER(S)
PHONE NO.
W
N1
r
/
/ 41
R
F
PROPERTY OWNER(S) DRESS
CITY STATE
ZIP/
C
R
`
N
A
CONTRACTOR'S NAME/OWNERS REPRE NT VIVE
y
°
PHONE NO.
T
R
T
I
SPECIAL
r
CONDITIONS
A
C
N
CONTRACTOR'S ADDRESS CITY
STATE ZIP
HOME IMPROVEMENT LIC. NO.
T
0
DESCRIPTION OF WORK
EST. VALUE
D
S
I
F
' ` " "MiZ'�iJJI
O O
PERMIT FEE
C
0
Y
J R
1
R
M
0 P
A
B T
T
.
BEDROOMS
R FI�1. _
FOUNDATION SIZE
PORCH SIZE
GARAGE SIZE
CARPORT SIZE
DECK SIZE
N
N
EXIST. TOTAL
`VTE
V •' \�J` (
A,
O V "]
/S J(❑i6E-PTIC
I
.zsmz
NO. FULL BATHS
NO. HALF BATHS
UNITS
�1lM SEWER
GAS
ELEC.
TYPE HEAT
AIR
PUBLIC
X WATER
PRIVATE
❑ WELL
� ^ I
,GOND.
I have carefully examined and read this application and know the same is true and correct, and that in doing this work, all
provisions of Washington County Regulations and State Laws will be complied with, whether herein specified or not.
I further understand that to begin construction before a building permit placard has been issued and displayed on the job is
a violation of the law. A Use and Occupancy permit must be received before permitting occupancy.
r
APPLICANT'S SIGNATURE DATE
z
O
N
N
G
A
S
T
E
AGENCY NAMES DATE
APPROVALS
NEW ADDITION ALTERATION ONE TWO ULTI
BUILDING FAMILY FAMILY FAMILY BD OF APPEALS BUILDING
REFERENCE DEPT.
V!`
NON RESIDENTIAL DESCRIPTION RESIDENTIAL DESCRIPTION
HEALTH
` DEPT.
LOT TRACT AREA OFF STREET PARKING
PROPOSED MIN. BY ORD. PROPOSED MIN. ORD. ZONING
LOT AREA PER FAMILY LOT WIDTH
PROPOSED MIN. BY ORD. PROPOSED MIN. BY ORD. `'' "ST 1
DS , � . I
FRONT YARD SETBACK REAR YARD
PROPOSED MIN. BY ORD. PROPOSED MIN. BY ORD. FIRE
/ MARSHAL
LEFT SIDE YARD
RIGHT SIDE YARD
PROPOSED MIN. BY CRD.
PROPOSED
MIN. BY
L
N `YARD SETBACK BUILDING LINE VERIFICATION
LOT SHOWN ON SUBDIVISION RECORD PLAT NOTED
ABOVE AND APPROVED BY PLANNING
COMMISSION REQUIRES GREATER SETBACK OR YARD
REQUIREMENTS THAN MINIMUMS PRE -
N SCRIBED BY ZONING ORDINANCE.
F ❑ YES ❑ NO El NOT APPLICABLE
INITIALS
n
ORD.
SPECIAL
r
CONDITIONS
AGENCY NAMES DATE
APPROVALS
NEW ADDITION ALTERATION ONE TWO ULTI
BUILDING FAMILY FAMILY FAMILY BD OF APPEALS BUILDING
REFERENCE DEPT.
V!`
NON RESIDENTIAL DESCRIPTION RESIDENTIAL DESCRIPTION
HEALTH
` DEPT.
LOT TRACT AREA OFF STREET PARKING
PROPOSED MIN. BY ORD. PROPOSED MIN. ORD. ZONING
LOT AREA PER FAMILY LOT WIDTH
PROPOSED MIN. BY ORD. PROPOSED MIN. BY ORD. `'' "ST 1
DS , � . I
FRONT YARD SETBACK REAR YARD
PROPOSED MIN. BY ORD. PROPOSED MIN. BY ORD. FIRE
/ MARSHAL
LEFT SIDE YARD
RIGHT SIDE YARD
PROPOSED MIN. BY CRD.
PROPOSED
MIN. BY
L
N `YARD SETBACK BUILDING LINE VERIFICATION
LOT SHOWN ON SUBDIVISION RECORD PLAT NOTED
ABOVE AND APPROVED BY PLANNING
COMMISSION REQUIRES GREATER SETBACK OR YARD
REQUIREMENTS THAN MINIMUMS PRE -
N SCRIBED BY ZONING ORDINANCE.
F ❑ YES ❑ NO El NOT APPLICABLE
INITIALS
n
RPMD
A
T
I
O
N
FILE COPY
BUILDING ADMINISTRATOR
BRIAN S. HOLMES
MARIAN E. HOLM
PENNSYLVANIA AVE
HA E%STOWN, MD 21740
PAY TSTHU 7'
ORDER OF j./leflet . LJ '[d i��.eL A wfw. -7
J ,FAR"Bmk
MERSBMER ANTS BANK Of HA(jtN#'If fi -
sac
'MEMOr
f-e�.r►�a��� yet /L��rtk i1111A
E
1:0 5 5000 2 591: 0117- 89 022 Wo
117
AR 19 90 65-25
550
$ i 9ay.
,vASH INGTON COUNTY SANITARY f — TRICT
WASHINGTON COUNTY, MD.,^ ` - -
Project:
Street (or location): Oin LeT 50
Contractor: c,:01.le ("daAe-eirard l
SANITARY SEWER LATES
CONSTRUCTION REPORT
MH 1-9 -79 TO MH
Date Installed 6-5-Q4 Wye Sta. On Main-
ain
WYE
WYE
SIZE-
TYPE
DEPTH
TYPE
EXCAVATION
TYPE PIPE
C, 0.
C. 0.
LATERAL
LENGTH
LAYING LENGTI-
Horiz. = Total
NOTES
4.'
TV
1 39'- 5
Depth of Cleanout Q� at Flow Line
Cleanout 39, S'' From
Layed at
Basement Service
I-,
MH # �; - •;o��
Amounts pertaining to work
completed this period, reviewed and approved.
BY
WCSD INSPECTOR CONTRACTORS
WASHINGTON COUNTY SANITARY DISTRICT
AUGUST 13, 1984
Slope + Horiz. = To
MH#
REPRESENTATIVE
WASHINGTON COUNTY SANITARY f TRICT
WASHINGTON COUNTY, MD.
1
ro ect: e, N„V 4PAI) Nora-
Street (or location): _Onp WA-rFRF Rr? LOT 5o C (-\ l
Contractor:
Date Installed 6,5-24
SANITARY SEWER LATEF
CONSTRUCTION REPORT
M H /0 7" TO M H /O P5
Wye Sta. On Main �j 7' 513
WYE SIZE- TYPE DEPTH TYPE EXCAVATION
TYPE PIPE C.O. r_ 0. LATERAL LENGTH LAYING LENGTF
`YXLlX�/ ,� Horiz. = Total
?' a `' P P'/ �vC 7 S T'D. ya y
NOTES:
T F)
0
I 39
Depth of Cleanout � at Flow Line
Cleanout 39 S'' From S-Z"Se aw MI;" L,r,,
Layed at
Basement Service
Slope + Horiz. = To
MH #•
M # Says
Amounts pertaining to work completed this period, reviewed and approved.
BY f,.
WCSD INSPECTOR CONTRACTORS REPRESENTATIVE
WASHINGTON COUNTY SANITARY DISTRICT
AUGUST 13, 1984
FT