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--