HomeMy WebLinkAbout15 Vincent CircleElect #24.Z APPLICATION FOR BUILDING PERMIT
15 VINCENT CIRCLEPlumbing#
HVAC # 2 3 9 0 4 Date: 17
Sprinkler#
FINAL APPROVALS, Estimated Cost $95006
Building 17 COMPLETE RED BOXED AREAS Permit Fee
Engineeri oG TYPE OR PRINT ONLY Occupancy Fee $
Affidavit o!a/97 SIGN ON REVERSE SIDE
Appr.for CO. Q-7 a Total Fee V •W
TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR,CT Additional Cost) $ 421, 5 IS
The undersign d hereby applies to do work according to the following specifications:
Job LocationUinoen4- Lot No._Side of Street L Zone
Applicant Tel. # SoL$'(06
Address Zip lp Lic. # S QQ 6
Owner Address
Architect Address Q-, V-r\Q
Sq. Ft. New Area: 1st FI. 2nd FI. 3rd FI. Total New Area
Rooms r7 Lavatories o2 #BathrOOML Garages
Purpose of this permit: 1
City WaterR` Well 0 Septic System Sewer
Use Group 12g- Construction Type Area 2a / Basem nt I uv Garage
Approved by Date
Revised 6/95
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 a zone in which this building and its use is allowed.
Signed
I hereby apply for a Certificate of Occupancy for the work described in t Is application for the permit
Signed A)C'44n'n ae;A:
DO NOT WRITE BELOW THIS LINE --
INSPECTION COMMENTS
Location of Job: Al+ FIDAV IT Additional Fee S 44 4.0 0
State of Connecticut
ss.South Windsor
County of Hartford
C ' = ill r2Q-
Owner - -
I of ent for the buildin erecte
Contractor
under Permit No. 23904 issued by the Building Department of the Town of South Windsor being
duly sworn,make oath and say that the actual cost of the completed work authorized under said permit did not
exceed the most current accepted BOCA value of S i ijg i 15 .nn
Signed
Subcribed and sworn to before me this
t
day of rC. A.D. 1947t'
Estimated Cost S 8 1.Rnn_np
Difference: S 36,315.00
tary Public Yf-; I
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
96-23904-B 75,000
B01 FOOTING 12/12/96 JFH A
P02 UNDERGROUND 12/17/96 JFH D NOT READY
P02 UNDERGROUND 12/19/96 JFH D NOT READY
P02 UNDERGROUND 12/20/96 JFH D NOT READY
P02 UNDERGROUND 12/23/96 JFH D NOT READY
B02 FOUNDATION 12/23/96 JFH A
P02 UNDERGROUND 12/31/96 JFH A AIR TEST
E01 SERVICE 01/06/97 JFF A NOTIFIED NU
P03 ROUGH 01/17/97 JFH A WATER TEST
B03 FRAMING (ROUGH) 01/24/97 JFF A
E03 ROUGH 01/24/97 JFF A
B04 INSULATION 01/27/97 JFH D NOT READY
B04 INSULATION 01/28/97 JFH A
B05 FIREPLACE/CHIMNEY 02/05/97 JFF D NOT READY 1ST FLUE NOT IN PLACE
B05 FIREPLACE/CHIMNEY 02/07/97 JFH A
PO4 GAS TEST 02/13/97 JFH A AIR TEST
B10 FINAL 02/28/97 JFH A
96-9835-P 1,900
97-9668-H 1,900
96-14223-E 3,000
Total Est Value 81,800
Dwelling 2,094 85,686.48
Basement 1,004 12,449.60
Garage 473 5,865.20
Smoke Det 7 525.00
BOCA Value 118,114.70
Difference 36,314.70 C2 Lk
SITE COMPLIANCE CHECKLIST
TOWN of SOUTH WINDSOR, CONNECTICUT
15 VINCENT CIRCLE LOT_# 2 Reviewed By p.. n4 u-C (Engineering)
DART HILL REALTY, INC. Date Reviewed 316Q rove Denied
658 ELLINGTON ROAD,SOUTH WINDSOR„CT_ Reviewed By Planning)
BP_#_23904_ Ph #_(203) 644-8137 Date Reviewed/ 3 ` pprove_ Denied
Date Submitted
T
03/05/97 FOR C of ***
As required in the Zoning and/or Subdivison Regulations, no Certificate of
Occupancy shall be issued until grading plans have been complied with and
approved by the Town Engineer. The minimum requirements shall include:
Approved Denied N/A
1. Approved building permit plan
p 2. Finish grading per approved
nn
building permit plan
L 3. Site work; i.e. trees, shrubs,
dumpsters, required parking
4. Utility location;
a. sanitary sewer/septic system
b. foundation drain
RlJC. electrical & telephone
d. water
e. other
D S. Sewer connection charge paid
6. Appropriate certification
7. Bonding
8. Planning & Zoning/
Inland Wetlands Considerations
Sewer Permit No. , ill*'_
Pavement Excavation No.
COMMENTS:
Si t is (der We j Spr %S Sa ra , Si Je'ergs T1hal jraolih./ ,y
vPso i l ah( s eed shy
b o r fj r.-. ,.' D 0 Do h u s 7L e P os'eci o r l h Gts c Gt rk t r o s es
SITE COMPLIANCE CHECKLIST
TOWN of SOUTH WINDSOR, CONNECTICUT
15 VINCENT CIRCLE LOT_## 2 Reviewed By q/ j?_ (Engineering)
DART HILL REALTY, INC. Date Reviewed pprove eniedlR/4/si
658 ELLINGTON ROAD,SOUTH WINDSOR„CT_ Reviewed By Planning)
BP_#_23904 Ph_#_(203) 644-8137 Date Review iOA&Z rICprov /Denied
Date Submitted 12/09/96 FOR BU DING PE
In accordance with the Zoning and/or Subdivision Regulations, prior to the
building of any structure on a lot, a Topographic Plot Plan shall be submitted
for approval. The minimum requirements shall include:
Approved Denied N/A
L-11- 1. Name, address & phone number of owner/applicant
2. Name, address & phone number of plan preparer
o 3. Zoning Information - i.e. zone, open space,
1 /
floodway, etc.
V 4. Plot Plan at 1" = 40' scale
120 V a. Subdivision reference, abutting properties, etc
1Z p V,b. Easements of record
0 C. Lot description, bearings, building lines,
distances, area, etc.
Rr V' d. Contours, existing & proposed, 1 or 2 ft.
interval where appropriate
Q y
e. Building location with dimensions.
Elevations of proposed finish floor, garage
floor & centerline of road at driveway
V f. Elevations of gravity drainage systems, sanitary
foundation drain at the house and the street
IZO tative utility location (gas, water,
electric septic system, etc.)
v h. Title block with name and address of preparer,
date, appropriate certification, live seal and live
signature consistent with the Board of Registration
requirements. (P.E. & L.S.)
5. Sedimentation and erosion control
6. Special Planning & Zoning, Inland/Wetlands
1
considerations (Plans on file w/Town Clerk)
7
COMMENTS:
IL tc dw
i
ouh a leeCA _0L tc a
uh
PERMIT 11
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
Application is hereby : TOWN OF SOUTH WINDSOR
BUILDING INSPECTION DEPT.
APPROVED DISAPPROVED 1540 SULLIVAN AVENUE
Iqy/F4
644-2511 Ext. 230
ate lding Inspector Application must be printed or typed
1 . LOCATION OF JOB
L0- - a vIN('14N
FEE SCHEDULE No . Street
0 - $19000 - 0 Floor Apt . No.
Over $1 ,000 -
p e r $1 ,0 0 0 o r 2 . OWNER T" f.(r f_4l T_i
fraction thereof
3. ADDRESS 6 8 j,,CCc/UCTW C/—
LISO ,1 6®7&/
4, APPLICANT 177 t J
5 . ADDRESS dx / j` J c/6 1, G'7'
49 O 6 6
6. ESTIMATED COST $ 3000 .
7 . IS THIS A CONTRACT COST C..--
Yes No
8 . FEE ENCLOSED $
9. TYPE sEOFBUILDIN
CRESIDENTIAL COMMERCIAL
10. TYPE F JOB :
Origin 1 Installation
Alteration/Addition /Repair
RD 3A 11/88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11 . LOCATION OF JOB
NO. STREET APT. NO ,
12 . TYPE OF INSTALLATION 3 &SIJ)f
13 . SIZE OF MAIN FEEDER 10cj wh f
14 . NO . OF LIGHT LOOPS 9 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 ''I 21. NO. OF HEAT CIRCUITS
22 . NO. OF POWER CIRCUITS a 23 , NO. OF LIGHT CIRCUITS_
24. SIZE OF HEAT CIRCUITS I:5" 25 . NO. OF MOTORS "
26 . NO . OF PANELS 1 27 . TOTAL WATTAGEJNK O
28 . NO . OF POWER FEEDERS 29 . NO. OF SWITCHES
30 . A/C LOAD 31. SIZE OF POWER FEEDERSa
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: IT Z) --3
INSPECT+O r DATE TIME
LOCATION
I
INSPECTION: CODE: RESULT(D/A) :
BUILDING:
v
ELECTRICAL:
3=
PLUMBING:
HVAC:
OTHER:
r
DEPARTMENT DECISION rT#APPLICATION FOR PLUMBING PERMIT nP
TOWN f
7
Application is hereby-: O o SOUTH WINDSOR
BUILDING DEPARTMENT Bldg Permit#
APPROVED 1540 SULLIVAN AVENUE q 3 Z)
644-2511 ext. 230
Date Building Inspector Application must be printed or typed
Location o job
Street No. Street Lot No.
FEE SCHEDULE
Floor Apt. No.
0 - $1,000 - $12.00
Over $1,000
12.00 per$1,000 OWNER
or any fraction thereof
ADDRESS
OWNERS PHONE#
APPLICANT
0* N ADDRESS Ot9?1
ESTMATED COST$ GoaOF'
C - a IS THIS A CONTRACT COST?
YES NO
FEE ENCLOSED $ ca 7
frb. TYPE JooBsOR,Cp Original Installation
Alteration/Addition/Repair
Revised 10/96
APPLICATION FOR PLUMBING PERMIT(Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
BUILDING PERMIT APPLICATION NO
RESIDENTIAL
BUSINESS CURRENT USE AND OCCUPANCYASSEMBLY
MERCANTILE
EDUCATIONAL
FUTURE USE AND OCCUPANCY
INSTITUTION
FACTORY ENGINEER'S NAME PHONE
STORAGE
GARAGE ADDRESS
MIXED USE
CITY STATE ZIP
Other please specify)
TYPE OF INSTALLATION SIZE OF MAIN DRAIN
NO. OF TOILETS y STYLE 6XZ, NO. OF URINALS STYLE
NO. OF BATHTUBS—NO.OF SHOWERS NO. OF LAVATORIES 3
NO. OF CONDUCTORS SIZE NO. OF STACKS SIZE
AREA OF ROOF NO. OF CATCH BASINS NO.OF FLOOR DRAINS
NO. OF OTHER FIXTURES / KIND GV, M
ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW YES/NO
SIZE OF WINDOW X IF NONE C.F.M. OF VENTILATOR
SIZE OF DUCTS SEWER OR SEPTIC TANK aie"ajeYl
SIZE OF WATER MAIN SIZE OF WATER PIPING&RISER 3
WATER HEATER
TYPE MANUFACTURE
TANKS SAFETY DEVICES
TEMPERATURE
CAPACITY RELIEF VALVE
TEST PRESSURE WORKING PRESSURE PRESSURE RELIEF VALVE
TYPE MANUFACTURER
DESCRIPTION OF WORK
C
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 WO
G?/6 •
NAME STATE LICENSE NO. TYPE S ATURE OF PLIC
PHONE NO. n1-14d 1!3 0 DATE la /
FOR OFFICE USE ONLY APPLICATION FOR HVAC PERMIT DATE 3
NO. TOWN OF SOUTH WINDSOR EST. d
BLDG. PERMIT NO. I, 1540 SULLIVAN AVENUE FEE a t. I
SOUTH WINDSOR, CT 06074 FEES:OF
644-2511 - Ext. 230 0 - $19000 - $10.00
1000 or fraction
LOCATION OF BUILDING there_f - $10.00
kill 9 S G/
OWNER ADDRESS TOWN PHONE NO.
HVAC CONTRACTOR AD S TOWN PHONE NO.
TYPE OF SYSTEM: HEATING TYPE OF BUILDING: RESIDENTIAL y
A/C COMMERCIAL
VENTILATION BUSINESS
INDUSTRIAL
IF HEATING: STEAM LOW PRESSURE LIMITLBS. HIGH PRESSURE LIMIT_LBS.
HYDRONIC &-` WARM AIR
UNIT RADIANT HEATER (INCLUDING WOOD COAL BYRNING STOVE)
TYPE OF FUEL: OIL-GPM_ GAS IN-PUT•7/efp ECTRIC KW
WOOD COAL
OIL TANK - SIZE & LOCATION: INSIDE_ OUTSIDE_ CAPACITY
LPG TANK - CAPACITY
EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION
DESIGN TEMP. OUTSIDE OF INSIDE OF DIFFERENCE 0F
TOTAL HEAT LOSS (BTUH)- 7p, HEAT LOSS SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL HEATING E UIPMENT (INCLUDING MAKE & MODEL NO.):
a,/ Q
CROSS HEATING CAPACITY (INPUT-BTUH) N_ff RATING (OUTPUT-BTUH)
IF AIR CONDITIONING: DESIGN TEMP. OUTSIDE_.02F INSIDE OF DIFFERENCE F
TOTAL HEAT GAIN (BTUH)
HEAT GAIN SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL COOLING EQUIPMENT (INCLUDING MAKE & MODEL NO.):
TONNAGE COOLING CAPACITY (BTUH)
IF VENTILATION: DESCRIBE ALL AIR-HANDLING EQUIPMENT (INCLUDING KITCHEN EXHAUSE EQUIPMENT):
TOTAL SIZE OF SYSTEM (CFM) FRESH AIR INTAKE (CFM)
PLAN MUST ACCOMPANY APPLICATION)
The undersigned hereby applies for a permit to perform the following work and is to comply
with all local ordinances and Sta of Conn. Buildjjg Codes in the performance of such work.
FURTHER DESCRIPTION OF WORK:
STATE LICENSE - NAME b TYPE # LaDATE NATURE OF APPLICANT
I /21A
ID T
BD 4A 11/88
I - 8- R CALCULATION SHEET 1503 (Modern Method)Copytlght 1977 by The Hydronlcs Institute
WHER ADDRESS DESIGN TEMPERATURE DIFFERENCE F. DATE
COL.A COL.B COL.C COL.D COL.E COL.F COL_.G
1 ROOM --- Ix vt'n 7 irl53 he lle eidoQ
O H I L /W HH Lc- W H L W Hp L W i L W Design Walet Temp.tF-2 ROOM DIMENSIONS, FT.U Q 15 1S 0 M 0 / aI :: l-la OTUH pv F t of
3 LENGTH EXPOSED WALLS.FT. j{Q p 30 Radiation Selected
4 WINDOW AND OUTSIDE DOOR AREA to Q O it-5,x
BTUH BTUH BTUH BTUH BTUH
5 WALL CONSTRUCTION
Table 9,Line 3 x H) Q 6 DO O D 760 f aO 0 ROOM LIN. FT.OF
Cy-' TOTALS RADIATION
8 TYPE Of GLASS FROM LINE 12 SELECTED
Bott rn f table used low Line 5) CT w 1 6-Q0 o/Q O F Q 0
7 CEILING CONSTRUCTION n C O 0Q (
Table 9.L x W)E A 00 OO o 0 00 UQO o 0Q1A
9 FLOOR CONSTRUCTIONt
O
ITable 9,L x W or Lin. F t)
9 COLD PARTITION CONSTRUCTION F
ITable 9.L x HI OG
10 -C 1 Well 1 With OpenlnBa Qi p 70 0 H
O
2 Walls(With Openings) x f l 0 0 0 6 1
3 Wells IWilh Openings)or Ent.Hall p.
OO g /Z•
11 TOTAL BTUH AT 70F TEMP DIFFERENCE' o 0 7 0 O QU 00 j-Ov C) ,
12 TOTAL BTUH AT DESIGN TEMP.DIFFERENCE 10 OO 6 OQ 1 ql 00 O Ov K
COL.A COL.B COL.H COL.1 COL.1 COL.K COL.L TOTAL BTUH TOTAL
1 ROOM
i-- --
Cam- (1 Q OF BUILDING RADIATION
cc SELECTED
O H L W H L W H L 1 W H L W H L W DESIGN TEM.•
Z ROOM DIMENSIONS. FT F' y i p ! U
DIFFERENCE
U 1
3 LENGTH EXPOSED WALLS. FT.
4 WINDOW AND OUTSIDE DOOR AREA i
BTUH BTUH BTUH BTUH BTUH
S WALL CONSTRUCTION
t /
INCREASE BATHROOM
Table 9,LIne 3 x HI rDO 700v 0r)TOTAL 20%
d TYPE OF GLASS f(
Gott m f table used f r Line 51 V/o 0 6206 tF
7 CEILING CONSTRUCTION L, /1- GROUND
CONCRETE FLOOR ON
Tablet.L x W) iO ?bQ Q 0 OU GRADE LEVEL.USE LINEAR
B FLOOR CONSTRUCTIONt FEET OF EXPOSED EDGE
ITable 9.L x W or Lin Ft l
9 COLD PARTITION CONSTRUCTION
ITable 9.L x H)
10 _
C 1 Well(With Openings) O - --- -
2 Wells(With Openings) O X
3 Wells(With Openings) or Ent. Hall
11 TOTAL BTUH AT 70F TEMP DIFFERENCE* 041100 OU 1 b 0
12 TOTAL BTUH AT DESIGN TEMP DIFFERENCE - 0 If-lq 00 0 _
FORM 1503
This form Is available from The Hydr nlcs Institute. 36 Russo Piece,Berkeley Heights,N J 01922
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DEPARTMENT DECISION APPLICATION FOR ELMkL
TOWN OF SOUTH WINMR,Application is hereby:
q Y
st y,r •A',", ^, ` Viz,_
M' - `t: ,x"ZA;.k vi(
pp BUILDING DEPART "`
1540 SULLIVAN AVER
644-2511 ext. 23
N VV
1
4 { .g ;
y`,
to w'
e "
s k •,!+ ''
A.y ._,^. .-F.,- ," ,'''a
Date Building Inspector a_a^. `
zta,,.`*,-'u"a
A hcadon must z.{ `. ' =>f:PP
k
r' >, tc,;l
d,
ci,#k<E3'•n tfi,,z,'e ,.,t. .a'a`xJY'. •xz.:, ;s-_gf.. t_ _,.rx r;. '5"*r'e.' a.." l.,
y,
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s; axe'.w•
s <v'' .''s. :lock.- '.,
y" s, ' a `r=.t'i€'Ja_ S„ ,c..^•',r":,4 '',
t
ucafi'ilk
FEE SCHEDULE
Street No.
f
Yl.r0-$1,000—$13.00
Over$1,000 it J"..' .`„ d'+ -' j,. .f-.•'$°
k, M. 3''.\'".,' ,<_-}'
phi,
Q k,, ,,,
Y
2a,;~ •,,,•,
13.00 per$1 000 y: gym;''>" r . p .. , ..a=N f
Tenant Designationoranyfractionthereof s, .,.., ' g.
F - - .-i,t•'•- o="','k- - . }w..,°sue ,,. y,Xc,S S'a r r y-_ '+';
ry;.! '
T"•
APPLICANT r,,n do=.
r'`--,fir.-1.._,.I, :.'_rsx
APPLICANT ADDRESS
Tzk
APPLICANT PHONE#
IN
N OWNERY1VERi-
At
F OWNER ADDRESS
H JY.x FT,.Y.
F'' T——R—
a r2-, .. .C'- '., it •t tji. :si - r;.r,YF4 •,,S^ ,,. Jv'-a - to2v, r.'j,'y o-,
r
z,'
l,- ,
r g:.•.......... I,YI Y,wlfllP I fi'Y..41 lul.!fl f '
OWNER PHONE
C ESTIMATED COST$
IS THIS A CONTRACT COST? t-Yes We
1 ICJ FEE ENCLOSED$ 2Q 0
TYPE OF JOB:
Sd R 0 New Installation
Alteration/Addition/Repair
APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
BUILDING PERMIT APPLICATION?AYES NO
tg-RESIDENTIAL
BUSINESS CURRENT USE AND OCCUPANCY
ASSEMBLY
MERCANTILE FUTURE USE AND OCCUPANCY
EDUCATIONAL
INSTITUTIONAL ENGINEER'S NAME ///` PHONE
FACTORY
STORAGE ADDRESS
GARAGE
MIXED USE CITY STATE ZIP
Other please specify)
TYPE OF INSTALLATIONIWIRING METHOD e`l rg sC
S4&3 F'
SIZE OF SERVICE SIZE OF MAIN CONDUCTORS__
NUMBER OF METERS / NUMBER OF DISCONNECTS AND RATINGS
M,49in/
NUMBER OF PANELS/— REMOTE DISCONNECT REQUIRED? YES gNO
NUMBER OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS
NUMBER OF SWITCHES 5— NUMBER OF OUTLETS
NUMBE R OF LIGHT F S NUMBER OF HEAT CIRCUITS N
NUMBER OF A/C CIRCUITS
SEPARATE 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 CONNECTICUT BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
CONTRACTORS LICENSE NO. STATE
SIGNATURE OF APPLICANT
w*
y
DATE ///9 I a0
t 17 r
INSPECTOR' 'G DATE
r
TIME L .-
LOCATION i l ' cl t
INSPECTION: ODE: RESULT(D/A) :
16G31
BUILDING:
i
ELECTRICAL:
PLUMBING:
HVAC:
OTHER:
f
DEPARTMENT DECISION APPLICATION FOR HVAC A,,
TOWN OF SOUTH W11*M v
Application is hereby:
BUILDING DEPARTME?4T
APPROVED 1540 SULLIVAN AVE Sr
644-2511 ext.230
Date Building Inspector
2
qN{'A4`z psi
Application must be
Location
FEE SCHEDULE
a, - fir ' •,;°;
GJ 1 !/, w / 4?`
f'
N {_ ;°sxlr':P_rµ^•va'%' ", -,
Y:
F"y°• aim x,
0-$1,000=$13.00 Street No. Strut
3'
fix,
Over$1000= k,4°° `, • ' °:':,.$
13.00 per$1,000 y .
40
or any fraction thereof Tenant Designation tx f _ _ ., • _", z -_°'
APPLICANT ,,, /
APPLICANT ADDRESS J'
t N Wes, c
APPLICANT PHONE#
W N Se OWNER y
OWNER ADDRESS
OWNER PHONE
C ESTIMATED COST$_ •--
IS THIS A CONTRACT COST? Yes allo t '-
l CJ FEE ENCLOSED$
h TYPE OF JOB:
SO CVVVVJ7R 13 New Installation
WAlteration/Addition/Repair
APPLICATION FOR HVAC PERMIT (Continued from reverse side
TYPE OF SYSTEM: TYPE OF BUILDING:
HEATING 4 RESIDENTIAL
A/C COMMERCIAL
VENTILATION INDUSTRIAL
HEATING
STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS.
O IYDRONIC WARM AIR ElUNIT RADIANT HEATER
EXISTING RADIATION_ZgF ADDITIONAL RADIATION_!TOTAL RADIATION 151
DESIGN TEMP. OUTSIDE OF INSIDE OF DIFFERENCE OF
TOTAL HEAT LOSS(BTUH) F(HEAT LOSS SHEET MUST ACCOMPANY
APPLICATION)
DESCRIBE ALL HEATING EQUIPMENT(INCLUDING MAKE&MODEL NO.)
GROSS HEATING CAPACITY(INPUT—BTUH) /D.SNET RATING(OUTPUT—BTUH)
TYPE OF FUEL
IL—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 WO /%/!5 pryt /S XZS
THE UNDERSIGNED HEREBY A LIES 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.
CONTRACTORS LICENSE NO. TYPE STATE
c
DATE 1SIGNATUREOFAPPLIC19 DU
12-01-00 14:25 From-PEASODY SUPPLY 19T85321463 T-368 P•01/01 F-763
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0 37 a o
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PEPUMIT
Application is hereby:TOWN OF SOUTH WINDSOR
PERMIT#/
BUILDING DEPARTMENT
APPROVED 1540 SULLIVAN AVENUE Bldg.Permit#
C/X/44)- CJ", 644-2511 ext. 230 C2 707 S
ate Building Inspector
Application must be printed or typed
Loc tion of J
FEE SCHEDULE 5— V14 e n
0-$1,000=$13.00 Street No. Street Lot No.
Over$1,000=
13.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT
APPLICANT ADDRESS 0 FAeM QCLj
V k n 0
APPLICANT PHONE#SO
OW N S OWNER eak f
OWNER ADDRESS ylll C C h r.
i
V V
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OWNER PHONE
ESTIMATED COST$ 0 s (00
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IS THIS A CONTRACT COST? 0 Yes W1 fo
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OR* O TYPE OF JOB:
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S C anginal Installation
B-Aeration/Addition/Repair Revised 8/99
APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
W RESIDENTIAL
BUILDING PERMIT APPLICATION? NYES NO
BUSINESS CURRENT USE AND OCCUPANCY
ASSEMBLY
MERCANTILE FUTURE USE AND OCCUPANCY 'eS dig,
EDUCATIONAL
INSTITUTIONAL ENGINEER'S NAME PHONE
FACTORY
STORAGE ADDRESS
GARAGE
MIXED USE CITY STATE ZIP
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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? YES NO
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
SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED.
DESCRIPTION OF WORK
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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.
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CONTRACTORS LICENSE NO. YPE0, STATE
SIGNATURE OF APPLICANT DATE '