HomeMy WebLinkAbout1 Arrowwood Circle (4) PERMIT
Application For
y DEPARTMENT DECISION Heating Per
b
d
3 APPLICATION IS HEREBY:
c DEPARTMENT OF LICENSES AND INSPECTIONS
tA ❑ APPROVED C1 DISAPPROVED
c TOWN OF SOUTH WINDSOR
00 Cl DATE CHIEF INSPECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BILLOW
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1. LOCATION OF JOB
NO. STREET
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LOT NO. FLOOR APT. NO.
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p 2. OWNER h
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0 2. ADDRESS
bo
d 4.PHONE
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S. APPLICANT " CZ
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6. ADDRESS 7-
C I C>6 7. ONE
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B. LICENSE NO.
CL
y' B. EXPIRATION DATE OF LICENSE
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lo. ESTIMATED COST s
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11. IS THIS A CONTRACT COST1 P YES NO
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y 12. FEE ENCLOSED
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to W 13.
TYP5E ILDING:
BESIDE
� MTIAL ❑ COMMERCIAL
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•3 14. TYPE OF JOB: ❑ INDUSTRIAL
.--i ❑ INSTALLATION ElADDITIONON
REPAIR
APPLICATION FOR HEATING PERMIT (C ntinued it m Reverie Side)
11. LOCATION OF JOB- 1 6 2 �AQQ�� Wd d,p G/.QG L F
NO. STREET FLOOR AFT. NO.
�1.2.TTYPE OF INSTALLATION: ❑ OIL BURNER ❑ ELECTRIC ❑ VENTILATION ❑ SPRINKLER
YJ 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 NOJe_C+ B.T.U. OR SO. FT. NE/T /3b B.T.U. OR SQ. FT. GROSS FIRING RATE
FLOORS TO BE HEATED NEW OR OLD BUILDING A/1Pu) INSULATED - YES OR NO )4e 5
TYPE OF WALL INSULATION ROOF OR CEILING INSULATION
a/
AVG. SYSTEM WATER TEMP. I 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.- 51-in Tern i0 t-le T 56D�
DESCRIPTION OF WORK _ L J 2„�lP f-
ts. TO BE DONE: �TTJ I (_�
16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS):
ROOM SIZE ANo DDOR! AREA — SQUARE FEET VOLUMEe.T.U. IS.T.U. o DISTRIBUTION INSTALLED
TOTAL TOTAL In
ROOM NO. GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70'F CORRECTED t j REGISTER
N L W A a TEMP. TO k f TYPE AND SIZE OR LEADER
SIZE < wALL f'L2o IIMFILT.1 DIFF. 'F F m u0i RAD SQ* FT. FREE AREA
TOTALS
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) FACTORS
17. ELECTRICAL WORK BY:
NAME ADDRESS
SUBCONTRACTORS AND
1s. 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 THE BUILDING CODE.
APPLICATION TO BE COMPLETELY FILLED IN. L_;3 Q
ATE SIGNATURE OF APPLICANT
ELEATEIAAL APPLIGATIN
Application No. r y y "S
on the So u ?'h� _tick of
- Stnct No.
Ownrr y/"-,
Electrician ;1YO.�a J •``r
FILED IN OFFICE OF
The 8uimiat bq"-tor
19 g
INBliI.'t10N.
sarNo Electrical Work shall be started until a Per.
mit is `ranted by the Building Inspector.
In New Buildings no wiring shall be started
until the plumbing and heating pipes. and the On
stops tit of wood) are installed. without a special
permit from the office of the Building Inspector.
Electrical Permit rim 9 q y
Muter License No. l d T-7 AP
TOWN OF SOUTH WINDSOR Building Permit No.
BUILDING DEPARTMENT Date Filed
Date Final Approval _
APPLICATION FOR ELECTRICAL WORK
mecuical I=pecw
L. t z
OB LOCATION w._r�[au.� __C I�.,-1� JOB OWNER:
. .........................
drr ir��
S.a.J:x:!�.. Side of ... .1.��...21�.6..w........�.....c..�...�?.........._ Between ._......_.........................3-__...........___ and y/C l' L A�.•�F �
g lr d�� I- Address
Name of Building Owner .�,le�...,?..,f�_....�.._.......1� .......__....�.
If work is for Lessen- Give name
.__.__........__...._._._,_. _..... ..__._..._ Address
Building n w occupied as (unless new) No. of family units now
Building to be occupied as Number of family units to be
Is this w rk included in a Building Permit? .L....— Permit Fes _
(If no BU11ing Paean)
Permittee .._� _..�Z._......_.._...._....._...T.�/_p...........—_ ]Business Address .Z._ Tslephoae
COST OF INSTALLATION: cz _d �_ �S o v TiS� t,✓ w!�la/�
TO BE FILLED OUT BY PERMITTER
TO BE WIRED EXISTING APPLIANCES
Number of light outlets to be installed _ _ O
Number of convenience outlets to be installed •..... ..Y.. Number of present Appliance Circuits
Number of switches to be installed Do these include Range ❑ Water Heater ❑
Number of appliances to be installed �_....3_..._._
(as listed below) Dryer ❑ Air Conditioner ❑ Oil Burner
TYPE RATING NO.
yo / Dish Washer ❑ Gas Burner ❑
Range Well Pump ❑ Elea Heaters
Range Top . . . . . .
Oven . . . . . . . . REMARKS:
Water Heater
Clothes Washer . . . . CP a
Clothes Dryer . . . . . :3
Dish Washer . . . . . . 02 a
Air Conditioning Motor .
Oil Burner Motor 1 a l
Gas Burner . . . . . . /r
Circulator M for . . . .
Attic or Large Fan ,
Well Pump . . . . . .
Electric Heat . . . . .
Other . . . . . . . .
Number of new Lighting Circuits 5-
Number of new Appliance Circuits 3
Number f Heating Circuits . . . . . . .
Number f Motor Circuits . . . . . . . _
Size f present service /r�a
Size of service to be •-
- n
7S�
PLUMBING APPLICATION
on the .--- side of
Street No. 1 "�
owm
Plumber °� IOGC pc
Filed in Office of
The Bua&g Inrpeonr
No pawn •hall construct, add oo Or alto ay
portion of the drainage gym= of amy boa&g
(ezoept to repair leab) una a Pemtit is gras�oed
by the Building ItnPMW.
APPLICATION FOR PLUMBING PERMIT (Continu d from R verse Side)
TOWN OF SOUTH WINDSOR, CONN.
11. LOCATION OF JOB L 6 / 2. �/ xo CCJ w pa/' clxc Gr
NO. STREET FLOOR APT.40.
n GENERAL PLUMBING
12. KIND OF INSTALLATION 13. SIZE OF MAIN DRAIN
14. NO. OF TOILETS_,.L_STYLE rl S 15. NO. OF URINALS STYLE
16. NO.OF BATHTUBS 17.NO.OF LAVATORIES J 18. NO.OF SINKS 19. NO. OF WASHTUBS
20. NO.OF CONDUCTORS SIZE 21. NO. OF STACKS / SIZE 3
22. AREA OF ROOF 23.NO. OF CATCH BASINS 24. NO. OF FLOOR DRAINS
25. NO. OF OTHER FIXTURES KIND
26. ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW? 27. SIZE OF WINDOW
28. IF NO WINDOW, WHAT KIND OF VENTILATION IS THERE?
29. SIZE OF DUCTS 30. ARE SEWAGE AND WATER FACILITIES AVAILABLE?
SIGNATURE ADDRESS
LICENSE NO. a01-7 5 L ESTIMATED COST 1 31 07T421 6-6 TELEPHONE
OWNER ADDRESS
WATER HEATER
31. TYPE �� ���S 32. MANUFACTURER
TANK SAFETY DEVICES
33. CAPACITY 37. TEMPERATURE RELIEF VALVE
34. TEST PRESSURE_ 38. MANUFACTURER_
35. WORKING PRESSURE 39. PRESSURE RELIEF VALVE
36. TYPE 40. MANUFACTURER
ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY THE OWNER OF THIS PROPERTY
AND WILL BE DONE IN STRICT ACCORDANCE WITH THE BUILDING CODE.
CD962 DATE SIGNATURE OF APPLICANT