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HomeMy WebLinkAbout155 Greenwood Drive (4) FOR OFFICE USE ONLY APPLICATION FOR HVAC PERMIT DATE: 34 7- (N0. ) TOWN OF SOUTH WINDSOR EST.COS • BLDG. PERMIT NO. Y?q1540 SULLIVAN AVENUE FEE 0 SOUTH WINDSOR, CT 06074 FEES: 644-2511 - Ext. 230 $ 0 - $19000 - $10.00 $1000 or fraction LOCATION OF BUILDING thereof - $10.00 // OWNER ADDRESS TOWN PHONE NO. HVAC CONTRACTOR S TOWN PHONE NO. TYPE OF SYSTEM: HEATING TYPE OF BUILDING: RESIDENTIAL L/ A/C COMMERCIAL VENTILATION BUSINESS INDUSTRIAL IF HEATING: STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS. HYDRONIC WARM AIR UNIT RADIANT HEATER (INCLUDING WOOD/COAL BURNING STOVE) TYPE OF FUEL: OIL-GPM �'i� GAS IN-PUT ELECTRIC KW WOOD COAL OIL TANK - SIZE & LOCATION: INSIDE fi-- OUTSIDE CAPACITY,� LPG TANK - CAPACITY EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION DESIGN TEMP. OUTSIDE OF INSIDE OF DIFFERENCE OF 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) IF AIR CONDITIONING: DESIGN TEMP. OUTSIDE OF INSIDE OF DIFFERENCE OF TOTAL HEAT GAIN (BTUH) (HEAT GAIN SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL COOLING EQUIPMENT (INCLUDING MAKE & MODEL NO.): TONNAGE COOLING CAPACITY (BTUH) IF VENTILATION: DESCRIBE ALL AIR-HANDLING EQUIPMENT (INCLUDING KITCHEN F.XHAUSE EQUIPMENT): TOTAL SIZE OF SYSTEM (CFM) FRESH AIR INTAKE (CFM) (PLAN MUST ACCOMPANY APPLICATION) The undersigned hereby applies for a permit to perform the following work and is to comply with all local ordinances and Stat of Conn. Building Codes in the performance of such work. FURTHER DESCR=NOFK: c�Z 6? '2J 2- STATE LICENSE - NAME & TYPE # DATE G74"NATURE OF APPLICANT APPROVED DATE BD 4A 11/88 I - B - R CALCULATION SHEET 15W (Modern Method) Copyright 1977 by Th Hydronics Institute WNER ADDRESS DESIGN TEMPERATURE DIFFERENCE F. DATE COL.A COL.S COL.C COL.D COL.E COL.F COL.G 1 ROOM tL p H L W H L W H L W H L W H L W Design Water Temp. 2 ROOM DIMENSIONS, FT. ~ _ U BTUH per F t of 31 LENGTH EXPOSED WALLS,FT. < Radiation Selected 4 WINDOW AND OUTSIDE DOOR AREA LL STUN STUN STUN STUN STUN 5 WALL CONSTRUCTION ROOM LIN.FT.OF (Table 9, L ins 3 x H) TOTALS RADIATION 6 TYPE OF GLASS FROM LINE 12 SELECTED (Bottom of table used f r Line 5) 7 CEILING CONSTRUCTION C (Table 9, L x W) _ p g FLOOR CONSTRUCTIONt (Table 9, L x W or Lin. F t) E 9 COLD PARTITION CONSTRUCTION F (Table 9, L x H) G 10 C 1 Wail(With Openings) _ H 2 Walls(With Openings) O X eJ I 3 Wells(With Openings) or Ent.Hall h 11 TOTAL BTUH AT 70F TEMP DIFFERENCE' 12 TOTAL BTUH AT DESIGN TEMP. DIFFERENCE K COL.A COL.B COL.H COL.1 COL.J COL.K COL.L TOTAL BTUH TOTAL `— -- — — —r� -- OF BUILDING RADIATION 1 ROOM ILAT SELECTED p H L W H L W H L W H L W H L W DESIGNTEMP.° 2 ROOM DIMENSIONS,FT I DIFFERENCE 3 LENGTH EXPOSED WALLS, FT. 4 WINDOW AND OUTSIDE DOOR AREA LL BTUH BTUH BTUH BTUH BTUH 5 WALL CONSTRUCTION 'INCREASE BATHROOM (Table 9,LIns 3 x H) TOTAL 20% 6 TYPE OF GLASS (Bottom of table used for Line 5) --- ?FOR CONCRETE FLOOR ON 7 CEILING CONSTRUCTION GROUND OR FILL AT (Table 9, L x W) GRADE LEVEL,USE LINEAR B FLOOR CONSTRUCTION? FEET OF EXPOSED EDGE (Table 9,L x W r Lin Ft.) 9 COLD PARTITION CONSTRUCTION (Table 9. L x H) 10 -0 1 Wall(With Openings) 2 Walls(With Openings) D X J 3 Walls(With Openings)or Ent.Hall H 11 TOTAL BTUH AT 70F TEMP DIFFERENCE' 12 TOTAL BTUH AT DESIGN TEMP. DIFFERENCE FORM 1503 This form Is available from The Hydronlcs Institute,35 Russo Place,Berkeley Heights,N.J.07922 Electric# APPLICATION FOR BUILDING PERMIT Plumbing# 155 GREENWOOD DRIVE Date: HVAC # 23252 Sprinkler# FINAL APPR A S Estimated Cost $ ZDO, " Building �L `l� COMPLETE RED BOXED:AREAS ] Permit Fee $Engineering TYPE OR PRINT ON Occupancy Fee $ Affidavit SIGN ON REVERSE S Appr.for CO. Total Fee $ TO BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR,CT (Additional Cost) $ Th and rsigned hereby applies to do work according to the following specifications: E a Job Location 155 4:nezj4 w00ct ,l et, Lot No. Side of Street Zone Applicant i t Cl ASSOC _zLi[ Tel.# Q99—l000 Address ,FD ,00 A j;P/AI Sr \Or lit i;1c1k t G Zip O At Lic.# Owner i<&/eLim Address l S'S S,G2. Architect Address Sq. Ft.N w Area: 1st FI. 2nd FI. 3rd FI. Total New Area #Rooms # Lavatories #Bathrooms #Garages Purpose of this permit: r C a 1-?e City Water D Well 0 Septic System 0 Sewer J Use Group '� Construction Type / Bas nt Garage Ir Approved by Date Rovsed 6/95 6 E m 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 m hich 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 PLUMBING PERMIT PERMIT# Application is hereby: TOWN OF SOUTH WINDSOR /0 02 BUILDING DEPARTMENT �PRO 1540 SULLIVAN AVENUE Bldg.Permit# � �� �2 J� 644-2511 ext. 230 Date Building Inspector Application must be printed or typed Location of Job: FEE SCHEDULE S� 6—gg"AzI&I $0-$1,000=$13.00 Street No. Street Lot No. Over$1,000= $13.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT APPLICANT ADDRESS a v APPLICANT PHONE# a q R U 00 OWNER K/'�--� O`N N S F q< OWNER ADDRESS O •� � - # �, OWNER PHONE C ESTIMATED COST$ 5 a IS THIS A CONTRACT COST? O Yes gNo �CJ FEE ENCLOSED$, La'm 0 TYPE OF JOB: ,*New Installation ,)t Alteration/Addition/Repair Revised 8/99 APPLICATION FOR PLUMBING PERMIT (continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION? ❑ YES ❑NO ❑RESIDENTIAL ❑BUSINESS CURRENT USE AND OCCUPANCY Gdc tv` )4 L ❑ASSEMBLY ❑MERCANTILE FUTURE USE AND OCCUPANCY ❑EDUCATIONAL ❑INSTITUTIONAL ENGINEER'S NAME PHONE ❑FACTORY ❑ STORAGE ADDRESS ❑ GARAGE ❑MIXED USE CITY STATE ZIP TYPE OF INSTALLATION/y C ,nc-�OBI SIZE OF MAIN DRAIN �- NO.OF TOILETS. STYLE NO.URINALS STYLE NO.OF BATHTUBS_ NO.OF SHOWERS I NO.OF LAVATORIES 3 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 G-h'IC- SIZE OF DUCTS SEWER OR SEPTIC TANK ';z�,0 CA-`n rj.-- SIZE OF WATER MAIN SIZE OF WATER PIPING&RISER a-, WATER HEATER: TYPE P✓G MANUFACTURER 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 CONNECTICUT BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. gV' CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT (.tom �' DATE �� � C �'�r--