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Home My WebLink About154 Griffin Road .57 Application No. .......241.9........................ Permit NO. .........2.........1........................ TO THE BU DING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. ......** w.'hereby make application for a permit to (erect —.Ja aleeradm to) a building according to the following detailed statement of the specifications and plans herewith submitted. (Draw a fine through word "erect" or words "make alteration top' as the case may require.) All provisions of the Building By-Laws (Sections 2 to 32 inclusive) shall,be complied with in the ezecu. tion of this work whether specified herein or not. South Windsor, Conn., .,Vaz Sign here'll,4 --- ------ ............ .. .......... .. ..... .., Address . ......... Location? .......S /-6 ..........X ........................_.....................side of? ....... ............................................................................................ Nearestcross street? ........12 No. ..................................................... Lot No. ................................... Owner of land is? .............J4.slZr.......................Address ..................... ................ ................. Ownerof building is? ... . .............. ...................Address .... ............................................................................t...J,................................ Architectis? .........-.�.........................................................................................Address ...............................................................................................I................. Builder is. ��_.__.__Address Ul� ................ ................................... 7 ......... ........ Dimensions of building? .)...... 2 ...Feet front? ....................................Feet rear? ............................. Feet deep? ............................. Extreme height to highest point of roof? .......... ................................................. No. of stories in he4ht?.........Z....................... Purpose of building is?1&..,? ✓ Z.Crq�_-C:.........No. of stores? ................I................................................................................ Howmany families? ............../................ of rooms? .... ................................................................................................... Distance from street line is? ................................................................-Jrom building line is? .................I..................................................................... ADDITIONS AND ALTERATIONS (Give Brief Description) ............. ....... ........................2..............( ..... .. .......... ........... ......K.2... .............................................................. ... .... .... ...... ............................................................................. .................................................................................................................................................. ............................................................................................................................................................................................................................................................. ....................... MapNO. ............................. If of steel frame, what is exterior construction? .. .. .. .. .. ... .......... .... ..................... ............I......................................... What kind of columns used? ..............................................................Size of columns used? . ................. .................. .. ..... .......... What length of columns used? ........ ........ ......... .....................How protected? .. .. ........ ............... ......................... ............. What kind of beams or girders? .. ......... Size of beams or girders? .............................................................. ... Longest span of beams or girders? ....................... These rest on? ..................... ....................................................................... Roofconstruction is? .....................................................................................Roof covering is? . ....... ......................................................................... The floors are of .......................................................... construction and are calculated to carry a safe load of..... ........................ lbs. per square foot. (See Section 14, Building By-Laws.) BRICK CONSTRUCTION. Ofwhat material will walls be constructed? .............. ...... ... .................................................................................................................. ................. Compositionof mortar? .......................... ................................................................................................................................................................................................... Height and Thickness of Walls Height Stories Front Walls Side Walls Rear Walls Partition Wails Basement, ............................................................................................................. ........................................................................................................................................................................................................ 1st Story ....................................................................................................................................I....................... ...................................................................................................................................................... 2nd " ......................................................................................................................................................................................................... ......................................................................................................... 3rd 4949 ......................................................................................................................................................................................................................................................................................................................... 4th 94 ...................................................................................................... ................................................................................................................................................................ .................................. 5th 69 ......................................................................................................... ............................................................................................ .......................................................................................................... 6th ad ....................... ................ ................................................................................................................................................................. ......................................................................................................... 7th 'I .................................................... .................................................................................................................................... .......................................................................................................................... 8th as ............................................................................................................................................................t................................................. .............................................. ....................................................... 9th ad ...............................................................................;j............................................. ......................................... .......................... .......................................................................................................... I 10th I I I I Material of Front? ........................ ........... .. ..........................................If stone, what kind? ....... .... ................................ .............. Thickness of Ashlar? .... ..... ....... ............................ ........................Thickness of Backing? ..... ... ...... . .. ...................... ....................... Backed up with what? Arches or lintels over openings? `.�\S. 'y tr,5'd�¢+,�¢�¢_•t�^,e��k'...4c.'.5�,f�1T'ii y�fe� �� .#��`� IS �i WOOD CONSTRUCTION. Give Size, Longest Span and Distance Between Centres, of Joists, Girdws and Colneasss ' JOISTS COLS°� Floors size Longest Span Centres size Longest open Centm an Lebg16 Canines 1st Floor ` ............... .... .............. .................................. ....»_ ................. - - 2nd ». ... ........... ...................»................. ............. ...........»......... .....�..»1........ 4th "- Distance on centres? / Siu » Size of outside studs? .. .�..�..................... ».......... ........................... of ull? .... :.�'� ,...........»....»... Size of rafters? ... ..................... Distance on centres?............14....r....................... Size of plate? ......»X... .»�?�..».»..».».....»».». Size of ledgers or girts? .................................................................................Size of dock rafters? ..................................................................... ............ ». Distance on centres? .........................................................................................Size of studs in bearing partitions? ....A....................................... MISCELLANEOUS Style of roof, flat, pitch, Mansard, or hipped? ....... ...fin..... ...�,!�............. .......... F replaces? ........................................................ Material of roof covering? . ,a '�'...Material of Cornice? ......../�-........................................................... Howis building heated? ......d.?. -►" :.............................................Lining of flues? .................................................................................................. Thicknessof shell of flues? ........................................................................Any elevators or lifts? ............................................................ ...................... ? ......................................... ...................... Any hoistways What kind ........... How many? ................................. . ........................................................... How protected? ..Total Value of Buil ..�... .................................................................. Whenwill work be commenced? .......�, 14 ..... ��.,r......... ..... .............................................................................................. The applicant warrants that the lot for residential purposes, shown on a plot plan accompanying this appli- cation, has 20,000 square feet, or more, and at least 100 foot frontage on a Town road shown on a map of South Windsor showing Town Roads dated December 1949, or on any other roads officially accepted by the Town of South Windsor since 1949. Applicant 2159 BUILDING APPLICATION Application No. .......2.41.9.................................................... ...............................................fir i f f i n R d. Street. ............................................... StreetNo, ........................................................................................... Owner H.arq.1 d..... hook .......................... ..... ............................. Applicant ..Kenn th.....K..........Akins. .. ................... .... .... . .................... ... CLASSIFICATION �....e.ar...gar..age.....2.2..'.......x.....22.'..................... ..... ....... ....................................... ........................................................... ..................................................................................................................... Permit issued on above Application. Date, .............MAr.Qh....21.... 19.......58 TOWN OF SOUTH WINDSOR BUILDING PERMIT Mar ch 21 , 58 Date .. . ... . ... ..... ........ .. . 9 19... Fee Paid$..8 o.0 0 Est.Value $ 1,8.6 Permit N? 2159 on the . .... .........V Qrth ...... side of ............. ... Qr..jrf n Rd Street Street No. f . Owner Harold ..Shook .,. ......... Applicant Kenne th K. E.1kins CERTIFICATE OF OCCUPANCY ISSUED: Date No. Fee Paid $ CLASSIFICATION .....car....garage...221......x. -2-2-1-- ............. .... ................................... ..................................................................... . .... .... . .................. ... BUILDING PERMIT 2159 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. .. arch 19. 58 Alt to to QTrrtt*fjjq That ... KerxAth K. Elkine "(57"Xiiiibuici.....Aiie*,Se st 'H*tf d*j*1 Ct 9' is hereby granted permission to ..... gairap ..,o .22.1 X 22 I . ............ ...... ............. .................. .... ........ .......... . ........... .. ................. ........... ..... ............. . .......... ................... .............I........................... .... . ... ............. .. at estimated value of 1 a.865 on the ... o. . . R ... side of ....Gri.f fir, d.... .. .... Street on land owned by ]U!RrQld...;$h9.Q.X....... ......... . . . .. ........ ............. ..... Said.XQ44...................................................................................................... ...... to be as described in Application No. -.9419... .. ..... and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issued ... .... ..... ...... ..... ...............................%.X...: •.. ....... ....................... Building Inspector. Streets and sidewalks, obstructed by excavations or building material, must be guarded by barriers dur- ing the day and by both barriers and colored lights by night. SECTION 1343, GENERAL STATUTES OF CONNECTICUT: "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." TO THE BUMDING INSPEMR of the APPLICATION FOR PLAN EXAMINATION AND TIMM OF SOUTH WUMISM 00M BUILDING PERMIT z IMPORTANT — Applicant to complete all items in sections: 1, 11, III, IV, and IX. O r- � �I ZONING I• AT (LOCATION) J4' l ?jirl T lrl/1 DISTRICT LOCATION (NC.) (STREET) OF BETWEEN AND (CROSS STREET) BUILDING (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE N II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use 1 ❑ New building Residential Nonresidential 2❑ Addition(If residential, enter number 12❑ One family 18❑ Amusement, recreational of new housing units added, if any, 13❑ Two or more family - Enter 19❑ Church, other religi us in Part D, 13) number of units- - - - -i 20❑ Industrial 3 ❑ Alteration (See 2 above) 140 Transient hotel, motel, 4❑ Repair, r placement or dormitory - Enter number 210 Parking garage 5 E] Wrecking (1/multifamily residential, of units ------- - i E] Service station, repair garage enter number of units in building in 15❑ Garage 23❑ Hospital, institutional Part D, 13) 16❑ Carport 24❑ Office, bank, professional 6❑ Moving (relocation) 25❑ Public utility 17❑ Other - SpeciJy 7 ❑ Foundation only 26❑ School, library, other educational B. OWNERSHIP m ty fa- IMMf7eV 27❑ Stores, merconfile 28 Tanks, towers 8 ❑ Private(individual, corporation, � �/ ❑ n npr fit institution,etc.) Od�l �I�L)d- 29❑ Other - Specify 9 ❑ Public(Federal, State, or local g vernment) C. COST (Omit cents) Nonresidential - Describe in detail proposed use of buildings, .g.,f d processing plant, machine shop, laundry building at hospital,elementary 10. Cost of improvement................ U Q •J,t 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 building is being changed,enter proposed use. in the above cost a. Electrical...................... b. Plumbing ...................... c.Heating, air conditioning......... d.Oth r(elevator,etc.)............ 11. TOTAL COST OF IMPROVEMENT s DU•00 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❑Mas my(wall bearing) 40❑ 48. Number of stories.........Public or private company ...... 31 ❑ W ad frame 41 ❑ Private(septic tank, etc.) 49• Total square feet of floor area, all floors, based on exterior 32❑ Structural steel dimensions .................... 33❑ R inforced concrete H. TYPE OF WATER SUPPLY 34❑ Other - Specify 42❑ Public or private company 50. Total land area, sq.ft. ........... 43❑ Private(well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES 51. Enclosed ...................... F. PRINCIPAL TYPE OF HEATING FUEL 1. TYPE OF MECHANICAL 35❑ Gas Will there be central air 52. Outdoors........................ 96❑ Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY 37❑ Electricity 44❑ Yes 45❑ N 53. Number of bedr ms... ........... 36❑ C al 39❑ Oth r- Specify WI II there be an el vat r? 54. Number f Full.......... 46❑ Y s 47❑ No bathrooms Partial........ NOTES and Data — (For department use) IV. IDENTIFICATION — To b compl t d by all applicants Nam Mailing add��r'' ss —^/Number, street, city, and State ZIP code Teel. N Owner or MQ 4'14A-S J `��jj- (Sri iT' /✓I /Ll,0Q ,,Cu4Cl/-ea t c_ J�h u�a n�s v i C�fc G�7 Lessee 2. /n e, Contractor 3. Architect or Engineer Th own r of this building and the undersigned agree to conform to all applicable laws of this jurisdiction. Signature of applicant Address Application date Cyr- W11i 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Required Check Plan Review Date Plans B Date Plans B Notes q Fee Started y Approved y BUILDING PLUMBING MECHANICAL ELECTRICAL OTHER VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS P rmit or Approval Check Date Obtained Number By Permit or Approval Check Ob ate Da ned 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 1291� Permit number Bui Iding P rmit issued Sept. 20 19 82 Bui Iding `•00 P rmit Fee $ (� Approved b TIT FRONT' Vill. ZONING PLAN EXAMINERS NOTES DISTRICT SIDE - . SIDE YARD REAR YARD NOTES IX. SITE OR PLOT PLAN ForApplicant ..�r1......w ..w�. ..\a.......................••...w..... w_.......Z:.•......... . . .....■w.....wwau law�wr.. . a■r...•w moons. •.■■ww wr.■u • ve •• ■4•riC.:irNIW:C•MILiM::4Catf■CCraCCCCC�:f:: L:e::s: :ir�Cam:Cic ::■::::GG:S:::C■:•`:::ZCCi M■Miii/M•:\i:■C•r.'a■+•.■:• ::I�i fCMMf:•rr:M i■ ■•r 41. ■M!■, a■f'ar,f■r■:::: #f•■ :N■,a r•r.■.asmUNf,i�■arr■aaaa■..�,r/.ra a/fat ■ •f■.. S! ■ Ras!# . 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SSS : Dn �S:e:::::a'saegee=.e::eEe:was:=seaasismog L=pope's:�s=s:,a#s=?assaes=sem:�:ea=;=:ssi:s:us ni: � as ■ a::.�::::■:aaa.::::��:::�s :�a ::::::.::::::::::::::::::i::::::::i�saaa::HHHmuse:aaeiaaa.a.as.aaama■saa �Na,�Nas\.LaaL:■asr..m• u u. r ■ • ■m/• •.■• sums a aaa■ •.m• •saw• ■Lsaaens s•s,s.• mass ■aamseesas.s.■m■ ■mm• w.ss•.■s• ■ssa•■r.■ gimp •■a■ •s■ ■..aasas • ■■ •m■.■.■..asm.N■ _��===awerm=■��ea■��.a�=��=�e��=��a��=��e■��■��-=---ss-----------------:- -.i= ---------------��---- ------1---- --------- -=a-�i��Zs��s�� TOWN OF SOUTH WINDSOR BUILDING PERMIT Date Sept. 20 , 1982 Fee Paid $. .6 r 0 0 Est. Value $.$Q.Q.0 0 Permit No 12913 on the — —side of Gr if f in Road Street Street No. 154 Owner Mr. Mr- Wi It inm lanild eau Applicant T i n rl a Rea r e a i i CERTIFICATE OF OCCUPANCY ISSUBD: Date No. Fee Paid $ CLASSIFICATION Wood stove/metal chimney BUILDING PERMIT OMCE of N° 12913 THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. Sept. 20 102 94io to to 9jertif#, That wi 1 1 i am Bea„dreau is hereby granted permission to Install metal chimney/wood stove at estimated value of on the side of 154 Gr i f f I n_Road Street on land owned by1r. mnd. Mrs - Wi 1 1 i sum T._Reauc3roa31 Said Work to be as described in Application No. 13213— and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issued Sept. 20 42. � } Iz � > rG-Building luapector. Streets and sidewalks, obstructed by ezcavations 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 CONNECTICUT: "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 higfiway may be situated, he shall pay said city, town or borough all costa and damages which it shall sustain, or be compelled to reason therefor." FINAL INSPECTIONS:Building APPLICATION FOR BUILDING PERMIT Plumbing HVAC [Date: v �U Sprinkler 154 Griffin Road Electric Estimated Cost Zoning Permit Fee$ Affidavit NO. 17892 Occupancy Fee $ Eng. Dept. COMPLETE RED BOXED AREAS. F Total Fee $ Fire Dept. Health Dept. TYPE OR PRINT ONLY Approved for CO: SIGN ON REVERSE SIDE. (Additional Cost) $ TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT The undersigned, hereby applies t9 do work according to the following specifications: Job Location A/ Lot No. Side of Street Zone Applicant oN Tel. # -Kam—?36`l Address /yy 64/ fIN Z ip al.,U 7,4/ Lic.# 510P,279 STREET CITY STATE Owner dd ress /-4 GR/ffi^V Architect Address Size New Area: Ft. Front Overall Ft. Deep Overall Lotal Area #Garages 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 S �r — N/J GVs� Civ Water ❑ Well ❑ Septic ❑ Sewer ❑ Approved by Date — O BD1A 11/88 I hereby agree to conform to all the requirem nts of th Laws of the Stat of Conn cticut and th Ordinanc s 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 zon 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# 154 GRIFFIN ROAD Date: /LIz/;z s HYAC # No. 22713 Sprinkler# FINAL APPROVAL Estimated Cost $ 1, Opp Building COMPLETE RED BOXED AREAS Permit Fee, Engineering TYPE OR PRINT ONLY Occupancy Fee $ Affidavit SIGN ON REVERSE SIDE Appr.for CO. 11 Total Fee $ ,30 TO BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR,CT (Additional Cost) $ The undersigned hereby applies to do work according to the following specifications: Job Location '�9 a r�T' -.'N Rj. Lot No. Side of Street Zone Applicant aw Tel.# Address_ RaAht S Zipa(./08 Lic. # SD /Q9� Own r G6 H ti P i V.a of Address Architect Address Sq. Ft. New Area: 1st Fl. 2nd Fl. 3rd A. Total New Area #Rooms # Lavatories #Bathrooms 11 #Garages Purpose of this permit: t eve 5 O ��IV �-� S v � City Water C Well ❑ Septic System ❑ Sewer Use Group Construction Type /U Area / Baseme t Garage Approved by J Dot 0 2 Revied 6/95 iil'i iIIIIIIIAIIIII 11011llAA1' 'iilllml� 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 ' the plans or specificatio of the Building for which this permit is asked, and agree that this building is to be located the per distance from a Ines,side yard lines and required distances from all other zones and is located in /inwhi is building and i e' owed. SignedI hereby apply for a Certificate of Occupancy foed in this application for the permit Signed -- DO NOT WRITE BELOW THIS LINE -- INSPECTION COMMENTS PERMIT b DEPARTMENT DfsCISION APPLICATION FOR ELECTRICAL PERMIT 1��) Application is hereby : TOWN OF SOUTH WINDSOR BUILDING INSPECTION DEPT. APPROVE DISAPPROVED 1540 SULLIVAN AVENUE J 644-2511 Ext . 230 Date Building Inspector Application must be printed or typed 1 . LOCATION OF JOB �s C/�/-P �/`A/ Roll FEE SCHEDULE No . Street $ 0 - $10000 - $10.00 Floor Apt , No. Over $1.000 - $10.00 2 . OWNER per $10000 or fraction thereof 3. ADDRESS /S4/ 4. APPLICANT So ADDRESS Z:'-. /,4 0(a 1,3 e?,-0 95�7- 6. ESTIMATED COST $ 630- o 7 . IS THIS A CONTRACT COST Yee No 8 . FEE ENCLOSED $ l&9, 9 . TYPE OF BUILDING: RESIDENTIAL COMMERCIAL 10. TYPE OF JOB : Original Installation Alteration/Addition/Repair R n 3A 11/88 APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side) 11 . LOCATION OF JOB %J� �/F'� �i/Z/ Poll I NO. STREET APT. NO . 12 . TYPE OF INSTALLATION 13 . SIZE OF MAIN FEEDER 14 . NO . OF LIGHT LOOPS 15 . NO. OF HEAT LOOPS 16 . NO . OF POWER LOOPS 17 . NO. OF LIGHT OUTLETS 18 . NO . OF HEAT CIRCUITS 19 . NO. OF POWER OUTLETS 20 . NO. OF CONVENIENCE OUTLETS 21. NO. OF HEAT CIRCUITS 22 . NO. OF POWER CIRCUITS 23. NO. OF LIGHT CIRCUITS 24. SIZE OF HEAT CIRCUITS 25 . NO. OF MOTORS 26 . NO . OF PANELS 27 . TOTAL WATTAGE 28 . NO . OF POWER FEEDERS 29. NO. OF SWITCHES 30. A/C LOAD 31. SIZE OF POWER FEEDERS 32. NO. OF FIXTURES 33. TOTAL HORSEPOWER 34. NAME OF SUBCONTRACTORS AND THEIR TRADES 35 . REMARKS AND FURTHER DETAILS : LICENSE NO. SIGNATURE OF APPLICANT DATE PHONE NUMBER: .S74F- 71'?'(p .ZNSPECTOR-94 DATE f g TIME LOCATION INSPECTION: CODE: RESULT(D/A) : BUILDING: i i i d ELECTRICAL: 1 1 PLUMBING: HVAC: OTHER: Ar ''h�"nn,,,.-A:4r',,'�.�.'iwwti. :w'�;a�.'r,'^7i*✓�n_n.,ry.,`s:r i'..'.,._-'.+.:,ar':�sit.;vf�rt:�9.;.f�'�:tv.:-.�.`ri.;o:,t..? :�t:Ilia DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT PERMIT# /II 33 Application is hereby: TOWN of SOUTH WINDSOR BUILDING DEPARTMENT Bldg Permit# APPRO 1540 SULLIVAN AVENUE 644-2511 ext. 230 —i-�j6e Date Building Inspector Application must be printed or typed Location of job �s Q�,c, ok,k X', Street No. Street Lot No. FEE SCHEDULE - $1,000 - $12.00 Floor Apt.No. F$0 . Over $1,000 $12.00 per$1,000 OWNER or any fraction thereof (' ADDRESS A� OWNERS PHONE# 2 - : ` APPLICANT = O* N S ADDRESS 7. 4< ESTIMATED COST � C IS THIS A CONTRACT COST? YES NO . FEE ENCLOSED $ Z SOR.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 HEATING STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS. HYDRONIC 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.) n&-6ao �S-LT_`Z Cis)- 3 GROSS HEATING CAPACITY (INPUT-BTUH) NET RATING (OUTPUT-BTUH) L O TYPE OF FUEL OIL-GPM 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 RC_-f_ 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. 02 2C, STATE LICENSE-NO. NAME&TYPE SIGNATURE OF APPLICANT PHONE NO. ��V A, 2�S l DATE o 1