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Home My WebLink About121 Maskel Road (7)Model ETA." The Prineds s QApplicationNo. 2407........ 67...................... Permit No. TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINI?SOR, CONN. w.e........ hereby make application for a permit to (erect *kAw skaee6a to) a building according to the following detailed statement of the specifications and plans herewith submitted. (Draw a line through word "erect" or words "make alteration to" as the case may require.) All provisions of the Building By-Laws (Sections 2 to 32 inclusive) shall be complied with in the execu- tion of this work whether specified herein or not. South Windsor, Conn., ................. .Y.....1.7.3............... 1958..... Sign here iMCCONA...HUNE.BUIL .-....v.,....INC....................................... ....... .. ............... ... . . Address91 ...:wToQste ..s R...T'.IT:rriatn,...Gong.. Location? .................East. b Roadsideof? ............... ... ............................................................................................ Nearest cross street? .....Maier...Road...........................................Street No. ..................................................... Lot No. ......3...................... Owner of land is?FF O11IA....H01,1E...BUILDERS.IT:TC Address ..................................................................................................................... Ownerof building is? ...................................................................................Address .... .................................................................................................................. Architectis? .............................................................................................................Address ....................................................................................................................... Builder is? FRASCO A....1101',11E,'.....13UIIDERS.....I1C.-............Address Dimensions of building? 25.! 10.t.".....Feet front? 4Q. ...... ............. Feet rear?4:o.T6............. Feet deep? ....2. ... ............. Extreme height to highest point of roof? ......I.6a t.................... ........ ....... .. ... No. of stories in height? ............I................... Purposeof building is? .......Re.sidentiel.....................................No. of stores? ........................................................................................................ j ' y Howmany families. ............I........................................................................No. of rooms? .... ...................5............................................................................ Distance from street line is? 405.................................................from building line s? ............................ ..................................................... ADDITIONS AND ALTERATIONS 3 -1 Give Brief Description) MapNo. .............................. If of steel frame, what is exterior construction? .... ..... ... . ... .. .. ................ ........ . ........................................... ............................... What kind of columns used? ........................................... ...................Size of columns used? .............. ..................... ........... .. ......... Whatlength 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. Of what material will walls be constructed? ............... ..................................................................................................................................... ................. Compositionof mortar? ............................................................................................................................................................................................................................ Height and Thickness of Walls Height Stories Front Wang Side Walls Rear Walls Partition Walls Basement, 1st Story I........................................ 2nd " 3rd 'd I................ I................................................. ....................................................... 4th 'I 5th of 6th ds 7th is 8th 9th Old I..................... ........................ .............................................. ..................................................................................................... I 10th 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? f WOOD CONSTRUCTION. Giv Size, Longest Span and Distance Between Centres, of Joists, Girders and Columns JOISTS GMDAW C OLU3!'ATB Floors Size Longest spun Centres whieft Size Longest Span Centres Sise Lftlg* Centres 1st Floorr 2 1x8li 1211011 16tf X8x16 61rx8tt 7110't 71911 3 rr 71 71911 2nd « 4 .... .. .............. Size of outside studs? .......2';x4................... Distance on centres?1611 Size of sill? 2 rx6 r Size of rafters? .......2"X6!!.................. Distance on centres?...................... 6".................. Size of plate? ........2"x,,..6'............................ Size of ledgers or girts? .................................................................................Size of deck rafters? ........211x8u........................................... ............... Distance on centres? ......1 t a6!'..........................................................Size of studs in bearing partitions? ..... . .Of MISCELLANEOUS Style of roof, flat, pitch, Mansard or hipped? ........ Pe. ........................................... Fireplaces?eplaces? ........................................................ Material of roof covering? ......!.P....-.t.......................................Material of Cornice? ..................Pine...................................................... Howis building heated? ...... L'.............................................................Lining of flues? ... ......Cl Y......................................................................... Thickness of shell of flues? 2 3..............................................Any elevators or lifts.?Yo...................................... ...................... Whatkind? How many? y y T............................................ An ho stwa s. .....?.4............................................. Howprotected? .................. .......................................................... .................Total Value of Building ..... ..122.0.0.0............................................ Whenwill work be commenced? ... .....................7./21Z55 Q................................................................................................................................................ 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. FEIAX917L 110 TILDaT:SA T1,C. Applicant 2407 BUILDING APPLICATION ApplicationNo. ......26.6.7...................................................... East onthe .................................................................................. Side of Abbyby Rd,Street. StreetNo, .. ....... f"23................................................ Owner ...Tr...a.s.c.qn....a.....Home........B.....u....i.....1...4...e....r.....s...In. Applicant CLASSIFICATION Dwellinc, 25'x4016f'D > I......... Permit issued on above Application. Julv 21J. 58Date, ............................................ . 19............ dErt TOWN OF SOUTH WINDSOR BUfLDI NG PERMIT date July 21„ , 19 58 00--4v l2,000FeePaid ..........+ Est. Value m Pernik 2407 a on the Ea s t side o Atbby A D Street Lotr 23StreetNo. Oivner Frascona Home Builders, Inc. Applican SAmet CERTIFICATE OF OCCUPANCY ISSUED: Date No. 1449 Fte Paid 00 3 CLASSMCATION Dwelling 25 t,x4016 s 3 BUILDING PERMIT N? 2407 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. J u, Y 19 ir4ta is o Tertifl, That Fo SaGrLai .7,;. 1c r C. is hereby granted permission to "'"8'1 " =7 Y 4 t at estimated value of y$ J on the side of A bt y 'l• :,o t 423 Street on land owned by F ,:c na T give EL,ilder: lEzc. Said to be as described in Application No. and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH.WINDSOR- Issued Jul • cJ. 19 r Building Inspector. Streets and sidewalks, obstructed by excavations or building materials, must be guarded by barriers dur- ing the day and by both barriers and colored lights by night. SECTION 1343, GENERAL STATUTES OF CONNECT IC UT: "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." Permit Noj#of TOWN OF SOUTH WINDSOR SOUTH WINDSOR, CONN. Permit N? 1449 Certificate of Occupancy THIS IS TO CERTIFY that the at No. an t own of South Windsor, Connecticut, has been erected and comy{eted in accordance with the wilding Code and Zoning Regulations of the Town of South Windsor, and is hereby approved for occupancy. f `oCr BUILDING INSPECTOR OWNER, BUILDER Fee Paid ` . '"" Date 19 yl TO THE BUIELAi ING INSPEMB of the APPLICATION FOR PLAN EXAMINATION ANDT0" OF sotrm W1105M COW BUILDING PERMIT z IMPORTANT — Applicant to complete all items in sections: 1, 11, III, IV, and IX.O ZONING AT (LOCATION) DISTRI LOCATION NO.) STREET) OF BETWEEN AND BUILDING CROSS STREET) CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE N 11. TYPE AND COST OF BUILDING — All applicants complete Parts A — D A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking' most recent use M 1 New buildingq Residential Nonresidential 2 Addition(If residential, enter number 12 R]One family 18 Amusement, recreational of new housing units added, if any,13 Two or more family — Enter 19 Church, other religiousinPartD, 13) number of units— -- — — - 20 Industrial 3 Alteration (See 2 above) 14 Transient hotel, motel, 21 Parking garage4 Repair, replacement or dormitory — Enter number 5 Wrecking (If multifamily residential, of units ——————— — i 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) 17® Other — SpeciJy 25 Public utility 7 Foundation only 26 School, library, other educational B. OWNERSHIP 27 Stores, mercantile pal- P 28 Tanks, towers 8 Private(individual, corporation,LAIJ nonprofit institution,etc.) 29 Other — SpeciJy 9 Public(Federal, State, or I cal government) C. COST Omit coe onres• ntial — Describaidetail proposed use of buildings,e.g.,f od process g plant, machine slaundry building at hospital, elementary 10. C st f improvement................ S13W / 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. Other(elevator, etc.)............ 11. TOTAL COST OF IMPROVEMENT $ 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 Masonry(wall bearing) 40 Public or private company 48• Number of stories................ 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 Reinforced 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. Encloied ...................... F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 35 Gas Will there be central air 52. Outdoors....................... 96 Oil c nditi nine? L. RESIDENTIAL BUILDINGS ONLY 37 El ctricity 44 Yes 45 N 53. Numb r f bedr ms.............. 38 Cal 39 Other— Specily Will there b an I vat r? 54. Number f Full.......... 46 Yes 47 No bathrooms Partial......... NOTES and Data — (For department use) IV. IDENTIFICATION — To b c mplet d by all applicants m Mailing address — mber, s et, ci an Stage ZIP code T I. No. Aa4cOwneror 4 ey Lessee l}f 2. Contractor 3. Architect or Engineer The own r of this building and the undersigned agree to conform to all applicable laws of this jurisdiction. Signature of applicant Address Application date i 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans R vi w Required Check Plan Review Date Plans By Date Plans By NotesFeeStartedApproved BUILDING PLUMBING MECHANICAL ELECTRICAL OTHER VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS P rmit or A r va I Check Dote Number B Permit or Approval I Check Date Number ByppObtainedYppObtained 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. 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Value .aoQ,of Permit 10922 on the side of Maske 1 Road save f Street No. 121 Owner John Langtange vK Applicant John Langtange CERTIFICATE OF OCCUPANCY ISSUED: Date No. Fee Paid $ CLASSIFICATION t i y4. BUn DING PERNWr N? 10922 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. 1979 94is is fit Crrfifg, That T:esa ge is hereby granted permission to at estimated value of n the side of 721 Ma Rk e l Rojad Street on land owned by John Langtiange Said Work to be as described in Application No.11222 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issued 19 f g. f`` ding Inspector. Streets and sidewalks, obstructed by excavations 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 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." i TO THE BITUDING INSPECTOR CIE d6 APPLICATION FOR OF SOUTH W ADS K C NK PLAN EXAMINATION AND BUILDING PERMIT zIMPORTANT — Applicant to complete all items in sections: 1, 11, Ill, IV, and IX. O I• AT (LOCATION) lcq/ ////'S / -ZONINGS DISTRICT LOCATION I NO.) STREET) OF BETWEEN AND BUILDING CROSS STREET) CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE N II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D v A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use T 1 New building Residential Nonresidential 2 Additi n(1/residential, enter number 12 One farm ly 18 Amusement, recreational o/new housing smelts added, i/any, 13 Two or more family — Enter 19 Church, other religiousisPartD. 13) 3 Altenoti n (See 2 above) number of units- -- - 20 Industrial 14 Transient hotel, motel, 21 Parking garage4 Repair, replacement or dormitory — Enter number 5 Wracking (if multi/amily residential• Of units ——————— —-i 22 Service station, repair garage enter number o/units in building in 15 Garage 23 Hospital, instituti nal Part D. 13) 16 Carport 24 Office, bank, professi nal6 M ving (relocation) 17® Other — Specify A 6%2 Y$/# 25 Public utility7 Foundation only 26 School, library, other educati nal B. OWNERSHIP 7— 27 Stores, morconti le 8 Private(individual, corporation,29 Tanks, towers nonprofit institution,etc.) 29 Other — specify 9 Public(Federal, State, or local g vernmont) C. COST Omit cents) Nonresidential — Describe in detail proposed use of buildings, e.g., f ad processing plant, machine shop, laundry building at hospital, elementary 10. Cost of improvement,,,,,,,,,,,,,,, 1 1-5-00 school, secondary school, college, parochial school, parking garage f r, 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 ebe above cost a. El ctrical...................... b. Plumbing .......................V e.Heating, air conditioning......... d. Other(elevator, etc.)............. 11. TOTAL COST OF IMPROVEMENT t C 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 Masonry(well bearing) 40 Public or privets company 48. Number of stories................ 31 Wo d from.41 Private(septic tank, ate.) 49. Total square feet of floor area, all floors, based on exterior 32 Structural stool dimensions .................... 33 R inforced concrete H. TYPE OF WATER SUPPLY 42 Public or private 50• Total lend area, sq. ft. ...........34 Other - Speci/y p ' ere company 43 Private(well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 31. Enclosed ....................... 35 Gas Will there be central air 52. Outdoors........................ 0 Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY 37 El atricity 44 Yes 45 N 53. Number f bedrooms.............. 36 coal 39 Other— Specify Will then be an 1 vator? 54. Number of Full.......... 46 Yes 47 Me bathrooms Pertlel......4. IV. IDENTIFICATION — To be completed by all applicants Name Mailing address — Number, street, city, and State ZIP c d T I. No. 6Owneror Lessee 2. Contractor 3. Architect or Engineer Th own r of this building and the undersigned agree to conform to all applicable laws of this jurisdiction. Sig r of pplicant Address Application dot DO NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Revi w Required Check Plan Review Date Plans By Date Plans By NotesFeeStartedApproved BUILDING PLUMBING MECHANICAL ELECTRICAL OTHER VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS P rmet or Approval Check Date Number B Permit or Approval Check Date Number i 8YppObtainedYppObtained 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 Permit number Bui Iding Permit issu d Q ,3 19 6 Bui Iding Permit Fe $ prove TITLE 14 TOWN OF SOUTH WINDSOR BUILDING PERMIT Date Sept. 23 198 6 Fee Paid $. 4 .0 0 Eat. Value 5 0.0. Permit N° 15445 on the aide of Ma ske l Road Street Street No. 121 Owner John Lanatanae Applicant John Langtancre CERTIFICATE OF OCCUPANCY ISSUED: Date No. Fee Paid $ CLASSIFICATION Basement recreation roan BUILDING PMUMrr M 15445 OFFICE OF THE,, BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. Sept. 2 3- 1986 14ia is tit Crrtifu, That is hereby granted permission to Recreation room i n basement at.estimated value of $ on the side of 12 u-ske Read Street on land owned by Wohn Itangtange Said Work to be as described in Application No.1'5.45-- and to conform to spoafications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. I c__=± 2 z 19 86. a7C n uilding Inspector. Streets and sidewalks, obstructed by excavations 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 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." s 9389 ELECTRICAL APPLICATIOR Application No. 10901 V on the side of Pia ske 1 Road StMt Street No. 121 Owner John LanettancrP Electrician FILED IN OFFICE OF The Building Inspector Sept, 23 19 86 1NBPEMKON. car No Electrical Work shall be started until a Per. mit is granted by the Building Inspector. In New Buildings no wiring shall be started until the plumbing and heating pipes, and the Are stops (if of wood) are installed, without a special permit from the oAlce of the Building Inspector. Electrical Permit No. ... 3 Master License No.*gm TOWN OF SOUTH WINDSOR Building Permit No. v.........._...... BUILDING DEPARTMENT Date Filed Date Final Approval ..........................................._..... APPLICATION FOR ELECTRICAL WORK Electrical Inspector JOBLOCATION. Q - ......................._......__._......._ JOB OWNER: .. Sideof ...... .. .............. ...... ...................... . ........ Between ............................................................................... and ..............................._....._....._........__._.__......._ Name of Building Owner Address ......... ..............................................................._._....._...__......._... Ifwork is for Lessee—Give name .. ..... . .. ........... ................ ............................. Address ..............................................................................._..........__ Building now occupied as (unless neV No. of family units now ....... /................_...... Building to be pied as ... ``.^ . ....... . ......... ................... .......... .......... Number of family units to be .........`..................... Is this Ivor inclu d in a Bu' g Permit Permit Fee ................. ......................................................._.............................. ...... If no Building it) Business AddressPermitteec. Telephone ..°..... COSTO INSTALLATION ram? ......G...... .. ......................._.................. ........................................................................................_..........._...._.._.... ... TO BE FILLED OUT BY PERMITTEE TO BE WIRED EXISTING APPLIANCES Number of light outlets to be installed . . ........... .._. .. .. Number of convenience outlets to be installed.................. ... .. Number of present Appliance Circuits .............................._..........._...... Number of switches to be installed . . • ............... Do these include Range Water Heater Number of appliances to be installed . . . ............................. as listed below) Dryer Air Conditioner Oil Burner f TYPE RATING NO. Dish Washer Gas Burger Range . . . . . . . . Well Pump Elec. Heaters Range Top . . . . . . Oven . . . . . . . . REMARKS: Water Heater C Clothes Washer . . . . Clothes Dryer . . . . . Dish Washer . . . . . . Air Conditioning Motor . Oil Burner Motor . . . . Gas Burner . . . . . . Circulator Motor Attic or Large Fan , , , Well Pump . . . . . . Electric Heat . . . . . Other . . . . . . . . Number of new Lighting Circuits Number of new Appliance Circuits Number of Heating Circuits Number of Motor Circuits . . . . . Size of present service ....._........................... Size of service to be ....................................... Sectric# APPLICATION FOR BUILDING PERMIT Plumbing# 121 Maskel Road WAC # Date: Sprinkler# No.27652 FINAL APPROVALS Estimated Cost $mil', dG,QpBuildingo' Jam— COMPLETE p BOXED AREAS Permit Fee Affidavit Engineering TYPE OR PRINT ONLY Occupancy Fee $Affidavit SIGN ON REVERSE SIDE 4?'a'dAppr.for CO.Total Fee TO BUILDING DEPARTMENT,TOWN OF SOUTH WNDSOR,CT Additional Cost) $ The undersigned hereby applies to do work according to the following specifications: Job Location Id/ Ma S k a /2C-/. Lot No. Side of Street Zone Applicant /1.4dec,&a 4 o t/ if o,Tel# Addr ss 6 Rye S-- Zip 049 Lic.# 38 s871' Owner o Address /// Gt i(Gtil Architect Address Sq.Ft.N w Area: 1st FL 2nd FL 3rd Fl Total New Area Rooms Lavatories Bathrooms Garages Purpose of this permit: e/ct 17 j— gr atl/oo .e!/ trpe City Water Well Septic System 0 Sewer 0 Ins. H.O. S.P. Cert. Area Basement Garage Approved by Date 3 O Use Group Construction Type Rev6ed 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 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 which this building and its use is allowed. 0010 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 F RTMENT DECISION APPLICATION FOR HVAC PERMIT PERMIT# plication is hereby:TOWN OF SOUTH WINDSOR O QBUILDINGDEPARTMENT 1540 SULLIVAN AVENUE Bldg.Permit# l 644-2511 ext. 230 Building Inspector Application must be printed or typed i Location of Job: FEE SCHEDULE i laske . 0-$1,000=$13.00 Street No. Street Lot No. Over$1,000= 13.00 per$1,000 or any fiaction thereof Tenant Designation Apt.No. APPLICANT APPLICANT ADDRESS R 6 S• , 'SoK. CT, d6a G APPLICANT PHONE# (00) _ VR—0 G IN st,4 , OWNER a 4 h OWNER ADDRESS I 0 t4Jv ' OWNER PHONE ESTIlVMATED COST$T IS THIS A CONTRACT COST? 0 Yes U-No FEE ENCLOSED$ TYPE OF JOB: Ro c XT4ew Installation U Alteration/Addition/Repair Revised 8/99 APPLICATION FOR HVAC PERMIT (Continued from reverse side TYPE OF SYSTEM: TYPE OF BUILDING: S 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 OF INSIDE OF DIFFERENCE OF TOTAL HEAT LOSS(BTUH) OF(HEAT LOSS SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL HEATING EQUIPMENT(INCLUDING MAKE&MODEL NO.) GROSS HEATING CAPACITY(INPUT—BTUH) NET RATING(OUTPUT—BTUH) /GLGY d TYPE OF FUEL OIL—GPM OIL TANK LOCATION:INSIDE OUTSIDE CAPACITY GAS—INPUT LPG TANK CAPACITY ELECTRIC—KW 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) 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 CONNECTICUT BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. 3F5-97S7'-- S"-- ( C%r./ CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT DATE