HomeMy WebLinkAbout122 Newmarker RoadP-//w fia7lw
INSPECTION REPO T
Permit # Job
1 Footing
2 Foundation
3 Framing 7 --
4 Wiring
5 Plumbing
6 Heating
7 Lathing
8 C.O.
i
P ERM IT
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT 13?23
i
Application is hereby: TOWN OF SOUTH WINDSOR
BUILDING INSPECTION DEPT .APPROVED DISAPPROVED 1540 SULLIVAN AVENUE
644-2511 Ext . 230
ate g Inspector Application must be printed or typed
1 . LOCATION OF JOB
i
122 ryewmarker Rd.
FEE SCHEDULE No • Street
0 - $19000 - 10.00 Floor Apt . No.
Over $10000 - 10.00
per $10000 or 2 . OWNER Joseph lNatsisky
fraction thereof
3. ADDRESS 122 Newmarker Rd.
South Windsor Conn.
4 . APPLICANT Joseph Dumas
S . ADDRESS 55 'ti-Vinter St.
kanchester Conn.
i
6. ESTIMATED COST $ 450.00
7 . IS THIS A CONTRACT COST x
Yee No
8. FEE ENCLOSED $ 10. 00
9. TYPE OF BUILDING:
X RESIDENTIAL COMMERCIAL
10. TYPE OF JOB:
Original Installation
x Alteration/Addition/Repair
On 3A 11/88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11 . LOCATION OF JOB 1.2 evimdr?er
NO. STREET APT. NO .
12 . TYPE OF INSTALLATION 2.ervlce cl,c,r . e rrc)p. 'G to 1CC
13 . SIZE OF MAIN FEEDER al :eu
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 . Nn. 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 :-
1 C2 r
LICENSE NO.SIGNATURE OF APPLICANT DATE
rEPHONENUMBER: 251J
INSPECTOR DATE f z TIME
g 'galLOCATION472
INSPECTION: CODE: RESULT(D/A) :
BUILDING:
ELECTRICAL:
PLUMBING:
s
3
d
HVAC:
OTHER:
t
DEPARTMENT DECISION PERMIT-
APPLICATION FOR HVAC PERMIT io
Application is hereby: TOWN of SOUTH WINDSOR
BUILDING DEPARTMENT Bldg Perinit.#
APPROVED 1540 SULLIVAN AVENUE
644-2511 ext. 230
Date Building Inspector Application must be printed or typed Y `
Location ofjob
Street No. Street Lot No.
FEE SCHEDULEE Q '
Floor Apt. No.
1,000 - $12.00
Over $1,000rorsos12.00 per$l,000 owNER
any fraction thereof
I
a
ADDRESS /Z Z
a 4)t;,7 eyls0
OWNERS PHONE#
APPLICANT G Cc G D/ O• ..LhC L::;,. _'
0 N g ADDRESS o X SS/
ESTIMATED COST $
IS THIS A CONTRACT COST?
YES NO
CI FEE ENCLOSED $ O
FOR-CD 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.)
GROSS HEATING CAPACITY (INPUT-BTUH) NET RATING (OUTPUT-BTUH)
TYPE OF FUEL
OIL-GPM GAS-INPUT ELECTRIC-KW
OIL TANK SIZE&LOCATION
INSIDE_ OUTSIDE CAPACITY LPG TANK CAPACITY
2- 330 Gal-
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 ']ham, J 3 D furl D TG i.C 1
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.
1 s
STATE LICENSE-NO. NAME&TYP8 4GIN"'AVURE 9POAePPLICANT
PHONE NO. DATE
7-77- 7,
INSPECTOR ; DATE Z( TIME ft
LOCATION
INSPECTION: CODE: RESULT(D/A) :
BUILDING: f
i
ELECTRICAL:
PLUMBING:
L
HVAC:
OTHER:
ectric# APPLICATION FOR BUILDING PERMIT
Plumbing# 122 NEWMARKER ROAD
WAC #
No 25224 Dat :
r /
9
Sprinkler#
FINAL PR Estimated Cost $ a
Building` COMPLETE RED BOXED AREAS Permit Fee A
ing TYPE OR PRINT ONLY Occupancy Fee $
Affidavit SIGN ON REVERSE SIDEAppr.for CO.Total Fee 11
TO BUILDNG DEPARTMENT,TOWN OF SOUTH WINDSOR,CT Additional Cost) $
The undersigned h reby applies to do work according to the following specifications:
Job Location 92 J 64v O&C Lot No. Side of Street Zone
Applicant 4C, 4N-T Co•us 7- iAC - Tel.#&6)) 37a7-77-:5-7
Addr ss IS 1<'14167 757-: Kj! 'CAJVA) ,C7—.Zip 06OZ Lic.# s3,k .2a.3
Owner N AI iS j*Y 3 d se a Address 12 Z, 1y` l I 1•(c fit. 1 .
Architect Address
Sq. Ft.New Area: 1st Fl. 2nd Fl. 3rd Fl. Total New Area
Rooms Lavatories Bathrooms Garages
Purpos of this permit: 41,(,iDE6,?6"V A/if LAW VA L C8 YO' qU 1M104
City Water Well Septic System Sewer
Ins. H.O. Cert. Area Basement Garage
Approved by Date .S 21 I$ Use Group Construction Type
R•v4W 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 rom all street lines,side yard lines,and required
distances from all other zones and is located in which is i ing and its use' allowed.
Signed
I hereby apply for a Certificate of Occupancy(fr ribed in this application for the permit.
Signed
DO NOT WRITE B LOW THIS LINE
INSPECTION COMMENTS