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Home My WebLink About1162 Ellington Road DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT PER'V� Application is hereby TOWN of SOUTH WINDSOR BUILDING DEPARTMENT Bldg Permit# PROVE 1540 SULLIVAN AVENUE 644-25 11 ext. 230 Date Building Inspector Application must be printed or typed FLocation of job '...-.- �2 3030 Street No. Street Lot No. FFEE SCHEDULE Floor Apt.No. $0 - $1,0 00 - $12.00 Over $1.000 $12.00 per$1,000 OWNER or any fraction thereof ADDRESS OWNERS PHONE#. APPLICANT— zz ea, -s e j C6 ADDRESS OVA 840 4 -5 4( ESTIMATED COST $ 0 es IS THIS A CONTRACT COST? ✓ A%W YES NO FEE ENCLOSED $ oa I SOR-Co TYPE OF JOB: Original Installation v1 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_Z WARM AIR UNIT RADIANT HEATER EXISTING RADIATION ADDITIONAL RADIATION v TOTAL RADIATION S _oao DESIGN TEMP. OUTSIDE F INSIDE F DIFFERENCE F TOTAL HEAT LOSS(BTUH) (HEAT LOSS SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL HEATING EQUIPMENT (I(INCLUDING MAKE&MODEL NO.) xa-_�� en� U i GROSS HEATING CAPACITY (INPUT-B �H))// RATING (OUTPUT-BTUH)`,00Ddv TYPE OF FUEL OIL-GPM�oa GAS-INPUT ELECTRIC-KW OIL TANK SIZE&LOCATION INSIDE_ OUTSIDE CAPACITY 17�5, 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. STATE LICENSE-NO. NAME&TYPE SIGNATURE OF APPLI PHONE NO. S,2 9- -o 7 6 DATE /0 -l'l- 7 DEPARTMENT DECISION b IT#APPLICATION FOR ELECTRICAL PERMIT lGo Application is hereby: TOWN of SOUTH WINDSOR BUILDING DEPARTMENT Bldg Permit# APPRO 1540 SULLIVAN AVENUE 644-2511 ext. 230 Date B ' ding Inspector V Application must be printed or typed Location of job Street No. Street Lot No. FEE SCHEDULE Floor Apt.No. $0 - $1,000 - $12.00 Over $1,000 $12.00 per$1,000 OWNER or any fraction thereof ADDRESS OWNERS PHONE It a9 371 APPLICANT �WeAoOe& * N s f ADDRESS 4,o 0,'o 2 ej e,7 ESTIMATED COST 0Y IS THIS A CONTRACT COST? +� '� ,` YES NO FEE ENCLOSED $ OR-Co TYPE OF JOB: OrizizW Installation ;�e'M-t'e' n/Addition Repair Revised 11/95 APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side) TYPE OF ILDING IS THIS APPLICATION ASSOCIATED WITH A RESIDENTIAL BUILDING PERMIT APPLICATION YES / NO BUSINESS ASSEMBLY CURRENT USE AND OCCUPANCY MERCANTILE EDUCATIONAL FUTURE USE AND OCCUPANCY INSTITUTIONAL FACTORY STORAGE ENGINEER'S NAME PHONE GARAGE MIXED USE ADDRESS CITY STATE ZIP (Other please specify) TYPE OF INSTALLATION/WIRING METHOD SIZE OF MAIN FEEDERS AND RATING OF WIRE USED NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS NUMBER OF PANELS REMOTE DISCONNECT REQUIRED?YE5i$ NUMBER OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS NUMBER OF SWITCHES NUMBER OF OUTLETS NUMBER OF LIGHT FIXTURES NUMBER OF HEAT CIRCUITS NUMBER OF A/C CIRCUITS SEPERATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED. 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.BUILDIN DES IN PERFORMANCE OF SUCH WORK. NAME STATE LICENSE NO. TYPE SI NA APPLICANT PHONE NO. DATE INSPECTOR DATE TIME9' Am � LOCATION 2 �� ►r► n INSPECTION: CODE: RESULT(D/A) : BUILDING: ELECTRICAL: p 1&(000 c n PLUMBING: j HVAC: OTHER: t Electro# 1162 NG APPLICATION FOR BUILDING PERMIT Plumbing# WAC # 26620 Date: j)/2 Sprinkler# NO' FINAL APPIkOVALS Estimated Cost $,;2 a Building r 0 Z) COMPLETE RED BOXED AREAS Permit Fee Affidavit Engineering TYPE OR PRINT ONLY Occupancy Fee $ SIGN ON REVERSE SIDE Appr.for CO. Total Fee TO BIALDM DEPARTM 4T,TOWN OF SOUTH WHDSOR,CT (Additional Cost) $ The undersigned hereby applies to do work according to the following specifications: Job Location 1/0- 1'1 /1 n �s L2j Lot No. Side of Street Zone Applicant M. ze-% r2&oS :r_7 Tel# 1-9 P- y�rb Addr ss 7''( /2/'�^^ S T lo Zip 6(�%C Lic.# OoS'o 1 `I`i l Own r IVA Address )/(.;)- Architect Address Sq.Ft.N w Area: 1st FI. 2nd FI. 3rd Fl. Total New Area #Rooms #Lavatonr� #Bathrooms #Garages Purpose of this permit. -c✓ati T=cl— 6CIC aAe rV . 4M ice S-s)4� f 4 .t/ Ft l� lip City Water ❑ Well ❑ Septic System ❑ Sewer ❑ Ins. H.O. Cert. Area I Basement Garage Approved by 4ex z==& Date 114 Use Group Construction Type R•v6W 1197 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 p s or specifications of the Building for which this permit is asked,and agree that this building is to be located the proper donce from all street lines,side yard lines,and required distances from all other zones and is located in which this bull ' g an use is allowed. Signed_ "'o/' I hereby apply for a Certificate of Occupancy for a work described in this application for the permit. Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS Inspection / Approval Date By Appl Code Description Due Whom Code Comment ------------------------------------------------------------------------------- 99-26620-B 2,224 B10 FINAL 07/17/00 CJD A B10 FINAL O1/17/00 CJD A CLOSED OUT.