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Home My WebLink About115 Mohegan Trail J 3 - �° TO T BUILDING INSPECTOR of dw APPLICATION FOR PLAN EXAMINATION AND TOWN OF SOUTH WUrDSOR, COW PLAN PERMIT z IMPORTANT — Applicant to comj&ete all items in sections: 1, 11, M, 1 , and IX. 0 c�� I. ZONING AT (LOCATION) ' DISTRICT LOCATION (NO') (STREET) OF BETWEEN AND BUILDING (CROSS STREET) (CROSS STREET) LOT � SUBDIVISION ' � LOT �40BLOCK SIZE N II. TYPE AND COST OF BUILDING — AI applicants complete Parts A — D A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use M —1 1 New building Residential Nonresidential 2 Addition(1/residential, enter number 12 One family 18 ❑ Amusement, recreational of new housing units added, if any, in Past D, 13) 13 Two or more family — Enter 19 ❑ Church, other religious number o/units— — — — --jo. 20❑ Industrial 3 ❑ Alteration (See 2 above) 14 Transient hotel, motel, ❑ 21 E] Parking garage 4❑ Repair, replacement or dormitory — Enter number 22 5 ❑ Wrecking (If multifamily residential, of units ——————— — —� ❑ Service station, repair garage enter number of units in building in 15 ❑ Garage 23 ❑ Hospital, institutional Part D, 13) 16 ❑ Carport 24 E] Office, bank, professional 6 ❑ Moving (relocation) 17❑ Other — Speci/y 25❑ Public utility 7 ❑ Foundation only 26 E] School, library, other educational B. OWNERSHIP 27❑ Stores, mercantile 8 19 Private (individual, corporation, 28 ❑ Tanks, towers nonprofit institution, etc.) 29❑ Other — Specify 9 ❑ Public (Federal, State, or local government) C. COST (Omit cents) Nonresidential — Describe in detail proposed use of buildings,e.g., food processing plant, machine shop, laundry building at hospital, elementary 10. Cost of improvement,,,,,,,,,,,,,,,, S &4 Poe> school, secondary school, college, parochial school, parking garage for, department store, rental office building, office building at industrial plant. To be installed but not included If use of existing b is being d, enter proposed use. in the above cost a. Electrical...................... . 4� G b. Plumbing ...................... c. Heating, air conditioning......... d. Other(elevator, etc.)............ 11. TOTAL COST OF IMPROVEMENT $ vogv� III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L; for wrecking, complete only Part J, for all others skip to IV. E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS 30❑Masonry (wall bearing) 40 Public or private company 48• Number of stories................ 31 Wood frame 41 Private (septic tank, etc.) 49• Total square feet of floor area, all floors, based an exterior 32❑ Structural steel dimensions .................... y 33❑ Reinforced concrete H. TYPE OF WATER SUPPLY 34❑ Other — Specify 42 Qe Public or private company 50. Total land area, sq. ft. ........... ZJ"O'C) 43 ❑ Private(well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES F. PRINCIPAL TYPE OF HEATING FUEL 1. TYPE OF MECHANICAL 51. Enclosed ....................... 35❑ Gas Will there be central air 52. Outdoors....................... 36 rM Oil c nditioning? L. RESIDENTIAL BUILDINGS ONLY 37 ji!� El ctricity 44❑ Yes 45 X] No 53. Numb r of bedro ms.............. 38❑ Cal 39❑ Oth r— Specify Will th re b an levator? 54. Number of Full.......... 46❑ Yes 47® No bathr ms Partial....... NOTES and Data — (For department use) IV. IDENTIFICATION — To be completed by all applicants No We Mailing address — Number, street, city, and at ZIP code T I. No. 77 1 � Owner or Lessee 0 2. Contractor 3. Architect or ot �Y Engineer The owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction. Si nature of appli nt Address Application date el j P` a- 6 DO NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Required Check Plan Feer Review Date ted By ate Plans By Notes BUILDING $ O . PLUMBING $ MECHANICAL $ ELECTRICAL $ OTHER $ VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approval Check Date Obtained Number By Permit or Approval Check ObtDained Number By BOILER PLUMBING CURB OR SIDEWALK CUT ROOFING ELEVATOR SEWER ELECTRICAL SIGN OR BILLBOARD FURNACE STREET GRADES GRADING USE OF PUBLIC AREAS OIL BURNER WRECKING OTHER OTHER VII. VALIDATION Building Permit number 1201 Building Permit issued Jan 30 76 19 Building 174.00 Permit Fee $ Approved by: Z- TITLE VII1. ZONING PLAN EXAMINERS NOTES DISTRICT USE FRONT YARD SIDE YARD SIDE YARD REAR YARD NOTES IX. SITE OR PLOT PLAN — For Applicant Use N �4 .qi, TOWN OF SOUTH WINDSOR BUILDING PERMIT Date Jan 26 19 76 Fee Paid $. 174.00 Est. Value $. 29*000.00 Permit Ne 9201 on the side of Lot. #30 Mohegan Trai],Stmet Street No. 115 Owner U & R Hous ing Applicant U & R Housing Corp CERTIFICATE OF OCCUPANCY ISSUED: Date No. 47 34 Fee Paid $ 3.00 CLASSIFICATION Dwelling BUILDING PERMIT 9201 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. Jan 26 ig 76 94is 'to to Tertifil, That U & R Housing Corp is hereby granted permission to Dare l l ing -• at estimated value of $ 29 9 000 00 on the side of Lot #30 Mohegan Trail Street on land owned by U & R HousingCorp. Said Work to be as described in Application 9 501 No. and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. '-Buil&Wg Inspector. Streets and sidewalks, obstructed by excavations or building materials, must be guarded by barriers during the day and by both barriers and colored lights by night. SECTION 1343, GENERAL STATUTES OF CONNECT I CUT: "When any person shall place or keep building materials, or any obstacle in any highway (or any sidewalk) either with or without a license therefor from the city or borough in which such highway may be situated, he shall pay said city, town or borough all costs and damages which it shall sustain, or be compelled to reason therefor." PNB. TOWN OF SOUTH WINDSOR SOUTH WINDSOR, CONN. Permit Nd 4734 Certificate of Occupancy THI IS TO CE TIF that the at No. in the own of South Windsor, Connecticut, has been erected and comple d in accordance with the Building Code and Zoning_Regulations of the Town of South Windsor, and is hereby approved for occupancy. t Building Inspector f weer, Buil Fee Paid Date ' 19 z GZFEN RIDGE SECT. .etc 15' OTILI-TY E'S'M'-T a3 0 12 5.0' t l L 1 c 1 2Q0 30 ,j I ` �b 1 q'T.5 lgT.9 194 ! �9 Zp'± --- I� i � I 1 4 S ►93s M Q HEGAN TRAIL_ a" 'SAN. SEW. P P R O V E D PERMIT PLAN T0WN OF SOUTH WINDSOR ENGii EERING DEPARTMENT LOT #30, "GREEN RIDGE", SECTION II DATE: 3 0 cl TOWN OF SOUTH WINDSOR, CONNECTICUT SCALE: 1 " = 40' SIG.: 1 L.S. #4395 ,� ,� 7 _ Tolland, Conn. 5938 ELECTRICAL APPLICATION Application No. 6249 on the side of Uot #30 Mohegan Trail Street Street No. __ 115 Owner U & R Ho u-s i nn Electrician DuBa lcin R 1 Pc-t r i o CO- FILED IN OFFICE OF The Building Inspector Mar 9 19_?_b__ INSPECTION. No Electrical Work shall be started until a Per. mit is granted by the Building Inspector. In New Buildings no wiring shall be started until the plumbing and heating pipes, and the fire stops (if of wood) are installed, without a special permit from the office of the Building Inspector. y y� C,�`' APPLICATION FOR PERMIT TO DO ELECTRICAL WORK. No. ...,2 49........................ Permit No. 5938 TO THE BUILDTNC INSPECTOR of the TOWN OF SOUTH W INDSOR, CONN. ................. hereby make application taq perform Electr cal Work according to detailed description below. All provisions of the Rules for Electrical Installation, Section 48, Building By-Laws, shall be complied with whether specified herein or not. South Windsor, Conn., .�...�..414. .... . .. 197e Sign here ............ .................... /...........................J......GG.! .�L.............. Address "z .... ... � ...r_ .......... LocationIA�r_e... Q...... :.....A.•.... Side of ................................................................................................................................. Nature of Building .................. e., ze. ................ How many stories Newor old Building ................................196 ............................ .. How many families ............../._......................_........................................_........... Kindof Installation ........................'loop... ............. .. . ............................. How many Stores ........................................._,,...//.....w.......................................... Owner ....Z.Kte... ........ ...-.... Address ,-.... .......r. .. Architect ......................................................................... .............................................. Address ............................................................................ Builder Vtoe........... . . ..... ........ .................. Address .. .. . .P.?.'O/ ElectricianA�- 'a-6416...... .........4.�.r.... Address .. ..=..(.�G .. �..� ...�.. Size of Main Wires ..... .. ..'L.....-.. �o No. of Light Loops .......................... ............. No. of Heat Loops .............. .. .. . . No. of Power Loops ......_.............................. No. of Light Outlets /P......... No. of Heat Outlets ................. ...... No. of Power Outlets .................................... NoO of Light Circuits ............7. ................ No. of Heat Circuits ........ . ... . . ........ No. of Power Circuits ............... ................. No. of Sockets ............ ........ .... ...... ...... . No. of Heat Receptacles .. ..... .. ... ... No. of Motors ..................................................... No. of Panels .............................. ............. .... ... Size of Heat Circuit .......... .... . ............. No. of Power Receptacles ........................ No. of Switches ..................... .......... .... Total Wattage .............................. ..................... Size of Power Circuit ................. . Total Horsepower ............. ......................... . No. of Straight Electric Fixtures ... ...r . ��-......................... No. of Combination Fixtures .......................................... .. ......... No. of Receptacles ...................................:/....7........................ . . ............ No. of Cord Drops ................................................................................................ Remarks: For other kind of Installation ............................................................................................................................................................................................... ............................................................................................................................................ ................_.............................................................................................................................................. .... ......................................................................................................... ... .............. ......... ............._.......................................................................................................................................................... ........................................................................................................................................................................................................................................................... ...................................................... Estimated Cost ...............!p.er2l,................. ........ 4856 PLUMBING APPLICATION Applicatim No. 4645 on the side of 115 Trail 1 Sr�er _............_._ l Street Igo. _.__�_ {=�Z'' 0 Owner Pl �z Fil of The Bui1dingIarpec�or Feb. 18 ig —Z6 n�e�r�caox. No person shall construct, add to or abw my portion of the drainage wa m of mw buddmg (accept to repair leaks) until a Plemoit in scooted by the Building Inapecooc. 4645 4856 Application No. .................................... Permit No. .................................... TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. ... .... hereby make application to perform plumbing according to detailed description bel w. All provisions of the Rules for Sanitation, By-Laws, Sections 33 to 47A i usve, shall be complied with whether specified herein or not. . ......Ai-7 ............ South Windsor, - .... .............................................. 19 Sign here ....... .... ..... Address .......... ........................................................ �f ....... .................. Street Location ....................................... .......... side X Natureof Building ...... 'r" G........................................... How many_Aories .. ........................................................................................ Owner ........ ........... .......................... Address ......./ zz./ zet ......................................................... Architect ......I............................. ..................................................................... Address ............................................................................................................... Builder ...... ...... ... ....... ................................................................ Address ............................. .......Plum ........ ....... ............................... . ....... ....................................................... Address o. DRAINAGE CESSPOOLS, How many .. . ..... ilkJ44.... .............. . Where located ...... .... ................................................................................ Are they water tight . . ... ........................................................................ Of what mate Zare they built ........................ ........................... Size of pipe from house to cesspool ................. ....... ..... Kind of pipe ... .. ..................................................................................... MAINDRAIN IN CELLAR, Materi I ................................. Diameter .................................................................................................................. Aboveor below cellar bottom .... .... ................................................................................................................................................................. SOILPIPES, Material ...... .............................. Diameter ....................................................................................................... WASTE PIPES, Material .........C. C................................ Diameter ... TRAPS,Type proposed to use is ................................... . . .... ................................. RAIN WATER LEADERS, where do they run to ................ .............................***...... ......REFRIGERATOR WASTES, where do they run to .. .... ................................................................................................... .............................. TANK OVERFLOWS, where do they run to . ..... . ................................................................................................................. FIXTURES WATER CLOSETS, How many . .......... ............................. Where located ................................................................................. Distance from trap to vertical soil pipe ......................................... Pattern . . .................. .. ............................................................. WASHTRAYS, How many ......................................................... Where located . .. .................... ............... ................................................ "7 i- SINKS, How many ..................../.............................................................. Where located ........ .-0................................................................................. BUTLER'S SINKS, How many ........................................................ Where located. ................................................................................................... REFRIGERATOR SINKS, How many.. ................................... Where located ................................................................................................... LAVATORIES, How many r ............. -2- .................................................... Where located ... ........................................................................... BATHTUBS, How many................/................................................... Where located ..... . .......................................................................... URINALS, How many ........................................................................... Where located ..................................................................................................... Are water closets and urinals to be local vented - . ....... - . . If not,is there a window in outer wall of room where same are to be located ....... .. . ...................................................................................................................................... Estimated Cost.. /..I T.�V.......................... E PERMIT I# Application For 4716 4515 .� DEPARTMENT DECISION Heating Permit i o c APPLICATION IS HEREBY: DEPARTMENT OF LICENSES AND INSPECTIONS to +' APPROVED ❑ DISAPPROVED TOWN OF SOUTH WINDSOR 0 I G/ oc 00 O DATE CHIE TOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BEL W O to A C 1. LOCATION OF JOB CO O. STREET 4-J, v (1) LOT NO. FLOOR APT. NO. O � !V i 2 4) O z a. OWNER ` cc 0 o S. ADDRESS bo y4-11 y 4.PHONE cc S. APPLICANT o � r .,., a. ADDRES ' 4 >., 1 �.PHON O .G w S. LICENSE NO. Q C 4j s. EXPIRATION DATE OF LICENSE t� to. ESTIMATED COST s 1 j 500.00 '-' 11. IS THIS A CONTRACT COSrf ❑ YES - b. Permit 9201 I a. FEE ENCLOSED S � v ai 13. TYPE OF BUILDING: bo b a-RESIDENTIAL ❑ COMMERCIAL O � cc3 14. TYPE OF JOB: ❑ INDUSTRIAL 6 IGINAL ALTERATION INSTALLATION ❑ ADDITION REPAIR APPLICATION FO HEATING PERMIT (Continued tr m Reverse Side) �11. LOCATION OF JOB NO. �)4*99T FLOOR A►T.NO. 12. TYPE OF INSTALLATION: L-OIL BURNER ❑ ELECTRIC ❑ VENTILATION ❑ SPRINKLER ❑ GAS BURNER ❑ STACK ❑ INCINERATOR ❑ MISCELLANEOUS IDENTIFY SIZE LOCATION SIZE SIZE 13. OF TANK OF TANK OF FILL OF VENT 14. B.T.U. EQUIP. AT REGISTER FURNACE MAKE AND NO. AT BONNET FIRING RATE BOILER OR FURNACE MAKE AND NO. B.T.U. OR SQ. FT. NET B.T.U. OR SQ. FT. GROSS FIRING RATE FLOORS TO BE HEATED NEW OR OLD BUILDING INSULATED - YES OR NO TYPE OF WALL INSULATION ROOF OR CEILING INSULATION AVG. SYSTEM WATER TEMP. B.T.U./SQ. FT./HR. EMISSION INDOOR-OUTDOOR TEMPERATURE DIFFERENCE °FAHRENHEIT MAKE OF RADIATION: BASEBOARD. COPPER CONVECTORS. OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ. FT. OR B.T.U. DESCRIPTION OF WORK 15. TO BE DONE: IS. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS): R OM SIZE WINDOWS AREA - SQUARE FEET IS.T.U. IS.T.U. o DISTRIBUTION INSTALLED AND DOORS VOLUME NO. t TOTAL TOTAL rF LL ROOM REGISTER L W N AND III GROSS GLASS NET WALL CEILING FLOOR CU. AT�F CORTOTED t 3 4 TYPE AND SIZE RAO. OR LEADER SIZE WALL f'GtG (INFILT.) DIFF. •F m d iQ. FT. FREE AREA 75< TOTALSF7 , C>< --.I- I I A. HEAT LOSS FROM BUILDING B.T.U./HR. B. DOMESTIC HOT WATER DEMAND B.T.U./HR. C. PIPING. OTHER THAN NORMAL B.T.U./HR. ALLOWANCE FOR HEAT VALVE OF FUEL (A B C) FACTOR 17. ELECTRICAL WORK BY: NAME ADDRESS SUBCONTRACTORS AND IS. THEIR TRADES ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY THE (OWNER) OR (AGENT) OF THIS PROPERTY AND WILL BE DONE IN STRICT ACCORDANCE WITH BUILDING CODE. APPLICATION TO BE COMPLETELY FILLE IN. DATE l/ SIGNATURE OF APPLICANT . 'APPLICATION FOR BEATING PERMIT �•a� ��•�• ew.! ' 01. LOCATION of JOB a 7 IL TYK OF INSTALLATION: ❑ OIL BURNER ❑ ELECTRIC ❑ VIOMLATION ❑ a" BURNER ❑ STACK ❑ INCINERAT RWHOM ❑ rISCEWMBOU •' t s. rANrc 71 LOCATION '�FILL t4. B.T.U. EQUIP. AT REGISTER , AT BONNET FIRING RATE BOILER OR FURNACE MAKE AND NO B.T.U.OR SQ. FT L;oZ �- jj)LT'U. OR SQ. FT.GROSSfIRIM RATE FLOORS TO BE HEATED NEW OR BUILDING INSULATED — YES OR NOOil � TYPE OF WALL �� INSULATION ROOF OR CEILING t Ty► AV& SYSTEM WATER TEMP. ZjKG '•.15-[Q LT.UJSQ. tTJHR.EMISSION INDOOR-OUTDOOR TEMPERATURE DIFFERENCE a e.3 •---- paultammaT .t. MAKE'OF RA N: [ D. COPE CONY QRS.OR C.i. RA ON. OUTPUT BER f[GTIOM OR UIi�L OF Cl* - . a v r..% .. FT. OR B.T.U. r�. rOR K DIISCRIFTION OF a..r ;LT-- a'�'. .°x, ,.�• riA�':' '1t, 4.,yt .. t:t sw +i.. +SIB"�^:i. 4 ;a`Yn i",'. `,"' i` "y . f IS. NEAT LOiS ip1EDULL (TO BE INCLUDED FOR ALL JOBSh'• " i`' woe..ow. in AREA - SWARM FEET vo�vt ..T.I& �.T.IL- �<e aSTRIGUTWN INWALLW'T AND MOWN TOTAL rsTwiti t � Iie• ewes eI.Ar Met w CeILUM IKOow eu.R. AT M•w t wr L r M Asm Teilp• TV"Y #Was DOW. ID met so ummw wwLi f OI�II.TJ TO • i am/►. man mwA a l 7 0 lei r Ri o Q / - . .� • f w �°o AOW4 `do 0 n : . ,�} 3 00 O p O ow TOTALS A::•MEAT LDSM FROM BUILDING Cs =:Q. .'c.• 'r LT.UJMR. �i� i�Fi 'f.•Yi 'S/� �zvi'w T:.t� •?•, %� j.�' ti -•• -0�`, .•]"Is= NOT WATER DtMA1rD• �T.UJNR. C..Fulm OTHER THAN NORMAL _ :' ` : LTA/HX ' ALLOWANCE'FOR•HEAT VALVE OF FUEL (A ��C) FACTOR t7. uxCTRICAL wOac BY• •AMALN - CONTRACTORS AND tat. 111B�DRR TRADES - - - r AIL WORK COVERM RY THIS AMICA710m HAS BEEN AUTHORIZED BY THE(OWNER)OR(AGSM Of THIS PROPERTY AND WU t. U DOME IN STRICT ACCORDANCE WITH THE BUILDING CODE. ° kPPLICATIOM T BE COMPLETELY PILLED 114. 151126 ATE sm"I 1H cw MKICAIR • r AL IN Building SPEC r s: <S4cp APPLICATION FOR BUILDING PERMIT Plumbing HVAC 115 MCHEGAN '_`RAIL Date: c�& 50, Co Sprinkler Electric Estimated Cost $ y5, Zoning 23968 Permit Fee$ /-7a, 00 Affidavit NO. Occupancy Fee $ Eng. Dept. COMPLETE RED BOXED AREAS. Total Fee $ Fire Dept. TYPE OR PRINT ONLY Health Dept. Approved for CO: SIGN ON REVERSE SIDE. (Additional Cost) $ TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT The undersigned, hereby applies to do work according to the following specifications: Job Location 67 /no eq" rQ,i l Lot No. Side of Street Zone Applicant cchr1k5 Tel. # (OL(O 3 3�( Address 3 67 &tsf Ce1746- 6f., IVOJC CG XbQ el' ! 7 Zip I.&OYI)Lic.# 30 S4b3 STREET CITY STATE Owner vhn 6 i Rni 46aS Address //, mE��e� 7r �� '�;Cn �andsoS U Architect Address Size New Area: Ft. Front Overall Ft. Deep Overall Total Area #Garages Lavatories No. of Families No. of Stories Construction Bathrooms Rooms 1st 2nd 3rd Size of Lot Dist. from Street Line Dist. from Side Street Line Purpose of this Permit (2 J!2 (1 )75 l?dA6n- it Water ❑ Well ❑ S ptic ❑ Sewer ❑ Approved by Date Bo1A 11/88 I hereby agree to conform to all the requirements of the laws of the State of Conn-yticut and the Ordinances of the Town of South Windsor and to notify the Building Inspector of any alteration in the plans or specifications of the Building for which this permit is asked,and agree that this building is to be located the proper distance from all street lines,side yard lines and ed dist nces fro all oth r zon s and is located in a zone in which this building and its use is allowed. Signed - I hereby apply for a Certificate of Occupancy for the work described in this application for permit. Signed —DO NOT WRITE BELOW THIS LINE— INSPECTION RECORD Footing Framing Foundation Fireplace/Chimney Insulation Plumbing Permit# Inspections: HVAC Permit# Inspections: Electrical Permit# Inspections: Sprinkler Permit# Inspections: Electric# APPLICATION FOR BUILDING PERMIT Plumbing# 115 MOHFGAN TRAIL HVAC # 23969 Date: �v�• 3� •9'(a Sprinkler# No. FINAL APPROVALS Estimated Cost $ 9"?S Building ! C/ 47 cfKC, COMPLETE RED BOXED AREAS Permit Fee $ .00 Engineering TYPE OR PRINT ONLY Occupancy Fee $ Affidavit SIGN ON REVERSE SIDE D Appr.for CO. Total Fee $ f� TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR,CT (Additional Cost) $ The and rsign d hereby applies to do work according to the following specifications: Job Location Lot No. Side of Street Zone Applicant Tel. # Address tG " j: Zip 6 Lic. Owner C2py,� Address Architect Address Sq. Ft. New Area: ist Fl. 2nd FI. 3rd FI. Total New Area #Rooms # Lavatories #Bathrooms #Garages Purpose of this permit: and!a tk� rn-kyacj M ity Water C Well ❑ Septic System D Sewer Use Group Construction Type Area / Basement Garage Approved 6y (f Date ya� Revised 6/95 I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town of South Windsor and to notify the Building Inspector of any alteration in the plans or specifications of the Building for which this permit is asked, and agree that this building is to be located the proper distance from all street lines,side yard lines and required distances from all other zones and is located in a zone in which this building and its use is allowed. Signed _ �_ I hereby apply for a Certificate of Occupancy for the work described in this application for the permit Signed -- DO NOT WRITE BELOW THIS LINE -- INSPECTION COMMENTS DEPARTMENT DECISION AppLICATION FOR HVAC PE P T�PERMIT Application is hereby: TOWN of SOUTH WINDSOR BUILDING DEPARTMENT Bldg Pe it# PROVES 15.10 SULLIVAN AVENUE _ ?- J 644-2511 ext. 230 Date Building Inspector Application must be printed or typed Lo tion of job FStreet No. Street Lot No. FEE SCHEDULE $0 - $1,000 - $12.00 Floor Apt.No. Over $1,000 $12.00 per$1,000 OWNER or any fraction thereof ADDRESS // e< OWNERS PHONE# S� APPLICANT OVj N St ADDRESS . ESTIMATED COST $ O C IS THIS A CONTRACT COST? IN YES NO - FEE ENCLOSED $ OR.CO TYPE OF JOB: Original Installation ' Alteration/Addition/Repair Revised 11/95 APPLICATION FOR HVAC PERMIT(Continued from reverse side) TYPE OF SYSTEM TYPE OF BUILDING HEATING �/" RESIDENTIAL A/C COMMERCIAL VENTILATION INDUSTRIAL IIEATING STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS. HYDRONIC e, - WARM AIR UNIT RADIANT HEATER EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION DESIGN TEMP. OUTSIDE F INSIDE F DIFFERENCE F TOTAL HEAT LOSS(BTUH) (HEAT LOSS SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL HEATING EQUIPMENT (INCLUDING MAKE&MODEL NO.) GROSS HEATING CAPACITY (INPUT-BTUH) NET RATING (OUTPUT-BTUH) TYPE OF FUEL OIL-GPM 1! GAS-INPUT ELECTRIC-KW OIL TANK SIZE&LOCATION INSIDE OUTSIDE CAPACITY LPG TANK CAPACITY AIR CONDITIONING DESIGN TEMP. OUTSIDE F INSIDE F DIFFERENCE F TOTAL HEAT GAIN(BTUH) (HEAT GAIN SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL COOLING EQUIPMENT (INCLUDING MAKE&MODEL NO.) TONNAGE COOLING CAPACITY(BTUH) VENTILATION DESCRIBE ALL AIR HANDLING EQUIPMENT(INCLUDING KITCHEN EXHAUST EQUIPMENT) TOTAL SIZE OF SYSTEM(CFM) FRESH AIR INTAKE(CFM) (PLANS MUST ACCOMPANY APPLICATION) FURTHER DESCRIPTION OF WORK THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONN.BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. 3 2JI czz 3z�� , L�CIL� STATE LICENSE-NO. NAME&TYPE SI ATURE OF APPLICANT PHONE NO. �C/V� S'-3 � DATE