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Home My WebLink About195 Commerce Way (3)Electric# APPLICATION FOR BUILDING PERMIT PlumbirrO 195 Commerce Way WAC # 2 7 4 3 7 Date: 4 7 64 Sprinkler#No. FINAL APPROVAL4 Estimated Cost Building COMPLETE RED BOXED AREAS Permit Fee f`A Engineering TYPE OR PRINT ONLY Occupancy Fee $ Affidavit SIGN ON REVERSE SIDE Appr.for CO.Total Fee TO RULDWG DEPARTMENT,TOWN OF SOUTH WWDSOR,CT Additional Cost) $ The undersigned hereby applies to do work according to the following specifications: Job Location Lot No. Side of Streetl2?e Zone . Applicant - Tel# Address Zip Lic.# Owner Address Architect ddress v d` G Sq.Ft.New Area: 1st Fl. , 9 2nd FI. 3rdpf Tot I New Area Rooms Lavatories Bathrooms Garages Purpose of this permit:IJ&t-.j rN AC-463, 2!Y Water Well Septic System Sewer Ins. H.O. VS.P. Cert. Area Basement Garage Approved by j1W, Date 7 00 Use Group Construction Type Rev'sed 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 W ing and its is allowed. le-Signed I hereby apply for a Certificat Occupancy for the work described in this application for the permit. Signed OT WRITE BELOW THIS LINE INSPECTION COMMENTS Inspection / Approval Date By Appl Code Description Due Whom Code Comment p-------------!------- 27437-B 10,000 BO1 FOOTING 11/01/00 JFF A LEFT TAG NOTIFIED SCOTT B10 FINAL 02/26/01 JRC A CLOSED OUT. Bectric# a-73 APPLICATION FOR BUILDING PERMIT PlumUng#0(o2 '/O-7d ljln 195 Commerce Way WAC # 27479 Date: Sprinkler# N0• rFINALAPPRO3ALSEstimatedCost $ 75 4z- Building i /v Z Jul COMPLETE RED BOXED AREAS Permit Fee 9 7 Engineering cox-' D TYPE OR PRINT ONLY Occupancy FeeAffida"t SIGN ON REVERSE SIDE 0Appr.for CO. r z ie_ J. Total Fee T TO BULDWC DEPARTMM,TOWN OF SOUTH WNDSOR,CT Additional Cost) The undersigned hereby applies to do work according to the following specifications: Job Location Jam--ri-) ,41 err e I Lot No. Side of Street Zone Applicantw-0 7 Tel Addr ss a l a=6--h c 71 Zip 667 Lic# Own r Address Architect Address Sq. Ft.N w Area: 1st FI. 2nd FI. 3rd Fl. Total New Area Rooms Lavatories Bathrooms Garages Purpos of this permit: 04icee, 9f37 FQrn r0u wd 7Zo&J City Water Well Septic System 0 Sewer Ins. H.O._ S.P. Cert._ Area Basement Garage Approved by Date i3 4() Use Group f,Construction Type SIS ReriNd 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 thi I ,n 's use is lowed. Signed f- I hereby apply for a Certificate of ccupancy for the described in this application for the permit. Signed V G D T WRITE BELOW THIS LINE INSPECTION COMMENTS Inspection / Approval Date By Appl Code Description Due Whom Code Comment 27479-B 75,000 P02 UNDERGROUND 11/15/00 CJD A LEFT TAG E03 ROUGH 02/26/01 CJD A LEFT STICKER PO4 GAS TEST 02/02/01 CJD A W/INSTALLER E03 ROUGH 04/06/01 CJD D SECURE ROMEX W/BATWINGS OR OTHE APPRVD. METHO D ABOVE CLG. AT MIN. 4.5 FT E01 SERVICE 04/18/01 JFF D NEEDS 2ND GRD ROD NOTIFIED OWNER E03 ROUGH 04/18/01 JFF A ABOVE CEILING NOTIFIED OWNER E01 SERVICE 04/19/01 JRC A SECOND GROUND ROD HAS BEEN INSTALLED E03 ROUGH 04/26/01 CJD A H03 ROUGH 04/26/01 CJD D HOT WTR. HTR. IN GARAGE NOT ELEVATED TO 18" AND UNPROTECTED AGAINST DAMAGE E02 UNDERGROUND 06/07/01 CJD A W/ELECTRICIAN B10 FINAL 08/22/01 CJD A W/DAVE 10673-P 3,000 11035-H 9,000 10721-P 1,500 17109-E 8,678 17273-E 5,700 Total Est Value 102,878 i Inspection / Approval Date By Appl Code Description Due Whom Code Comment 27479-B 75,000 P02 UNDERGROUND 11/15/00 CJD A LEFT TAG E03 ROUGH 02/26/01 CJD A LEFT STICKER PO4 GAS TEST 02/02/01 CJD A W/INSTALLER E03 ROUGH 04/06/01 CJD D SECURE ROMEX W/BATWINGS OR OTHE APPRVD. METHO D ABOVE CLG. AT MIN. 4.5 FT E01 SERVICE 04/18/01 JFF D NEEDS 2ND GRD ROD NOTIFIED OWNER E03 ROUGH 04/18/01 JFF A ABOVE CEILING NOTIFIED OWNER E01 SERVICE 04/19/01 JRC A SECOND GROUND ROD HAS BEEN INSTALLED E03 ROUGH 04/26/01 CJD A H03 ROUGH 04/26/01 CJD D HOT WTR. HTR. IN GARAGE NOT ELEVATED TO 18" AND UNPROTECTED AGAINST DAMAGE E02 UNDERGROUND 06/07/01 CJD A W/ELECTRICIAN B10 FINAL O8/22/01 CJD A W/DAVE B10 FINAL O1/31/02 JRC A CLOSED OUT. 10673-P 3,000 11035-H 9,000 10721-P 1,500 17109-E 8,678 Inspection / Approval Date By Appl Code Description Due Whom Code Comment 17273-E 5,700 SITE COMPLIANCE CHECKLIST TOWN of SOUTH WINDSOR, CONNECTICUT 195 COMMERCE WAY LOT_##27 Reviewed By neering) D & L CARON Date Reviewed prov Denied 312 DEMING STREET,SOUTH WINDSOR,CT Reviewed By Planning) BP_#_27479_ Ph_# 644-2197 Date Reviewe C1L -prove Denied Date Submitted 00/00/00 FO C of 0 *** 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 2. Finish grading per approved building permit plan 3. Site work; i.e. trees, shrubs, dumpsters, required parking V/ 4. Utility location; a. sanitary sewer/se c sys em 1/ b. foundation drain V C. electrical & telephone V d. water e. other 5. Sewer connection charge paid 6. Appropriate certification 7. Bonding 8. Planning & Zoning/ Inland Wetlands Considerations A. Lighting B. Signage Freestanding Wall C. Fee in lieu of Open Space Sewer Permit No. 7 Z/ 'L Pavement Excavation NA. COMMENTS a SITE COMPLIANCE C'NF ST TOWN of SOUTH WINDSOR, CONNECTICUT 195 COMMERCE WAY LOT_#27 Reviewed By Z/I Engine in ) D & L CARON Date Reviewed Z p Approved/ 312 DEMING STREET,SOUTH WINDSOR,CT Reviewed By al BP_# 27479 Ph_##_644-2197 Date Reviewed slzZ o) rove hi Date Submitted 00/00/00 FOR C o 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 2. Finish grading per approved building permit plan l 3. Site work; trees shrub , dumpsters, requi parking 4. Utility location; 1z a. sanitary sewer/sal stem b. foundation drain c. electrical & telephone d. water e. other 5. Sewer connection charge paid V 6. Appropriate certification 7. Bonding 8. Planning & Zoning/ Inland Wetlands Considerations A. Lighting B. Signage Freestanding Wall C. Fee in lieu of Open Space Sewer Permit No. JZ/-2- Pavement Excavation No. COMMENTS: TOWN OF SOUTH WINDt)UK A NITAR Y SEWER LATERAL F LOCATION DATE OF CONSTRUCTION: BUILDING ADDRESS 5 '"^ L ''' STREET N SUBDIVISION: 61"e-4 NORTH ARROW r... --•- _- 7 I AV- t 1 CONTRACTOR (PRINT)NAME OF CONTRACTOR'S SUPERVISOR (PRINT) STREET ADDRESS SIG E DATE TOWN STATE ZIP IN EC D BY TOWN DATE TELEPHONE NUMBER t v LI a WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER DEVELOPER TRANSMISSION VERIFICATION REPORT TIME 08/23/2001 08:32 DATE.,TIME 08/23 08:31 FAX NO./NAME 92918757 DURATION 00:00:46 PAGE(S) 02 RESULT OK MODE STANDARD ECM SITE COMPLIANCE CHECKLIST TOWN of SOUTH WINDSOR, CONNECTICUT ' 195 COMMERCE WAY LOT_#27 Reviewed By / En ineering)D & L CARON Date Reviewed V J G l pprove / enied 312 DEMING STREET,SOUTH WINDSOR,CT Reviewed B l anni ) BP_#_27479_ Ph_#_644-2197 Date Reviewed /pd 6 pprov Date Submitted 00/00/00 FOR f O *** 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 t/ 2. Finish grading per approved building permit plan 1— 3. Site work; i.e. trees, shrubs, dumpsters, required parking 4. Utility location; a. sanitary sewer/s4O5 lc system b. foundation drain C. electrical & telephone d. water ath r 5. Sewer connection charge paid or t/ 6. Appropriate certification 7. Bonding B. Planning & Zoning/ Inland Wetlands Considerations A. Lighting B. Signage Freestanding Wall C. Fee in lieu of Open SpaceP Sewer Permit No. Pavement Excavation No. COMM NTS: r' r l o lL t ,C . olc, S— /`" ''` S Iv N lr'r— rltk c.,6 sty\RA&oL TF-14" 0 DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT lo APP OVED 1540 SULLIVAN AVENUE Bldg. Permit#644-2511 ext. 230 Date Buildin Inspector Application must be printed or typed FEE SCHEDULE Location of Job: m 0-$1,000=$13.00 Street No. Street Lot No. Over$1,000= 13.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT E&41,Q APPLICANT ADDRESS S-- APPLICANT PHONE# c. c T'" Z 4- 00,OWN S t OWNER mt Q G -12 rV q OWNER ADDRESS N S1ld-lT— rrH 7 y- OWNER PHONE ESTIMATED COST$ CQ 7V IS THIS A CONTRACT COST? VkYes 0 No dz)Q FEE ENCLOSED$ Q 7. OR. Q1 TYPE OF JOB:S C ` 1 Original Installation 0 Alteration/Addition/Repair Revised 8/99 APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION? YES NO 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 INSTALLATION/WIRING METHOD 7 YPE- AI 4 SIZE OF MAIN FEEDERS AND RATING OF WIRE USED NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS 'Z NUMBER OF PANELS REMOTE DISCONNECT REQUIRED? YES 10 NUMBER OF LIGHT CIRCUITS / NUMBER OF POWER CIRCUITS NUMBER OF SWITCHES // NUMBER OF OUTLETS 3—1 NUMBER OF LIGHT FIXTURES 1 7 NUMBER OF HEAT CIRCUITS NUMBER OF A/C CIRCUITS SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBNHTTED. DESCRIPTION OF WORK Z L c-,l C L- /1/CYLLZ 2- /1!'`Z '11:.y1.n n'I 4 L jc1,L-.D/l/G7 8 oo 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. l '3 E/ 2044 . CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT DATE 0 ,' o n o ins- pprova on irmation: Request No. age From: cipsvc@nu.com> To: COLLIN@SOUTHWINDSOR.ORG> Date: 4/19/01 10:59AM Subject: CRS Approval Confirmation: Request No. 163660 CRS Work Request M 163660 House No: 195 Cor Lot No: 1 Street Name: Inspector:JOHN COLLINS Approval Date: Apr 19,2001 DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: 73BUILDINGDEPARTMENT APPROVED 1540 SULLIVAN AVENUE Bldg.Permit# J, 644-2511 ext. 230 cQ 7 (77 ate Building Inspector l Application must be printed or typed FEE SCHEDULE Location of Job: 44W 0-$13%000=$13.00 Street No. Street Lot No. Over$1,000= 13.00 per$1,000 J iq/Z Cl or any fraction thereof Tenant Designation Apt.No. APPLICANT 1alaL7e. PCLD - o fi-C nC APPLICANT ADDRESS I moo. tO 1 N D54:P2 , e,- - 060`7 4-4-- APPLICANT PHONE# gloms t.2 - -I Z 4 N S OWNER -571 OWNER ADDRESS AJIVY r. - • OWNER PHONE ESTIMATED COST$O 0 0 V IS THIS A CONTRACT COST? Ks No FEE ENCLOSED$ a pR.CO TYPE OF JOB:S hNew Installation Alteration/Addition/Repair Revised 5101 APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION? YES NO RESIDENTIAL 3 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 TYPE OF INSTALLATION/WIRING METHOD SIZE OF SERVICE SIZE OF MAIN CONDUCTORS 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. L)J/1&7DESCRIPTIONOFWORK AO'i11 S I1/S i tJ 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. 10 VZ-) CONTRACTORS LICENSE N . TYVE STATE SIGNATURE OF APPLICANT DATE d DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT PERMIT# Application is hereby:TOWN OF SOUTH WINDSOR U 702BUILDINGDEPARTMENT APPRO 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 e Date Building Inspector Application must be printed or typed Location of Job: FFE., E SCHEDULE 1 q 5 Cornme C'.P_ lea 1,000=$13.00 Street No. Stree Lot No. Over$1,00013.00 per$1,000 y fraction thereof Tenant Designation Apt.No. APPLICANT S4-a r q s APPLICANT ADDRESS D,0k S 6 "" C h APPLICANT PHONE# 03 d OWN S4. OWNER OWNER ADDRESS 50u,-+h UDI nrafpb( C OWNER PHONE a-G b - fD C ESTIMATED COST$ 1 1 U IS THIS A CONTRACT COST? 1:1 Yes ®No ICJ FEE ENCLOSED$ 9 c TYPE OF JOB: SpR.CO XNew Installation 0 Alteration/Addition/Repair Revised 8/99 APPLICATION FOR PLUMBING PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION? U4ES NO 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 INSTALLATION SIZE OF MAIN DRAIN NO. OF TOILETS STYLE NO.URINALS STYLE NO.OF BATHTUBS NO.OF SHOWERS NO.OF LAVATORIES NO.OF CONDUCTORS SIZE NO.OF STACKS SIZE AREA OF ROOF NO.OF CATCH BASINS NO.OF FLOOR DRAINS NO.OF OTHER FIXTURES KIND ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW YES NO SIZE OF WINDOW IF NONE C.F.M.OF VENTILATOR SIZE OF DUCTS SEWER OR SEPTIC TANK SIZE OF WATER MAIN SIZE OF WATER PIPING&RISER WATER HEATER: TYPE MANUFACTURER DESCRIPTION OF WORK r an n 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. D — -3C-bgg $3 62 CT CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT I 2-, A DATE DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: 6(o 73BUILDINGDEPARTMENT APPROVED 1540 SULLIVAN AVENUE Bldg.Permit# t . 644-2511 ext. 230 Date Building Inspector Application must be printed or typed . FFEESCHEDULELocation of Job: 0-$1,000=$13.00 Street No. Street Lot No. Over$1,000= 13.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT APPLICANT ADDRESS APPLICANT PHONE# os OW q S OWNER q OWNER ADDRESSl r ' Vds y OWNER PHONEO ESTIMATED COST$ U IS THIS A CONTRACT COST? *;s 0 No FEE ENCLOSED$ TYPE OF JOB: SpR.CO qew Installation L 0_Alteration/Addition/Repair Revised 8/99 APPLICATION FOR PLUMBING PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION? YES NO RESIDENTIAL USINESS 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 INSTALLATION Z Z- SIZE OF MAIN DRAIN NO.OF TOILETS STYLE NO.URINALS STYLE NO.OF BATHTUBS NO.OF SHOWERS NO.OF LAVATORIES NO.OF CONDUCTORS SIZE NO.OF STACKS SIZE AREA OF ROOF NO.OF CATCH BASINS NO.OF FLOOR DRAINS NO.OF OTHER FIXTURES / KIND ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW YES NO SIZE OF WINDOW IF NONE C.F.M.OF VENTILATOR SIZE OF DUCTS SEWER OR SEPTIC TANK l SIZE OF WATER MAIN ce SIZE OF WATER PIPING&RISER WATER HEATER: TYPE I MANUFACTURER Ci 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. AZ CONTRACTORS LICE SE NO. STATE SIGNATURE OF APP DATE A DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT PERKIt Application is hereby: TOWN of SOUTH WINDSOR BUILDING DEPARTMENT Bldg Permit# APPROVED 1540 SULLIVAN AVENUEC7/n 2511 ext. 230f644 Date Building Inspector Application must be printed or typed Location ofjob laS cc Street No. Street Lot No. FEE SCHEDULE Floor Apt. No. 0 - $1,000 - $12.00 Over $1,000 12.00 per$1,000 OWNER B14-L CCRvq,,-i L LCoranyfractionthereof ADDRESS 1C)s cblv"t1,4&--ece OWNERS PHONE APPLICANT ADDRESS 44(soJ(--, V,vJscsv-, C4- o(,o e4 ESTIMATED COST $ c=t,0Q)0 00 IS THIS A CONTRACT COST? YES NO FEE ENCLOSED $ OR-CO ME OF JOB: Original Installation Alteration/Addition Repair Raised 11/95 APPLICATION FOR HVAC PERMIT(Continued from reverse side) TYPE OF SYSTEM TYPE OF BUILDING HEATING RESIDENTIAL A/C COMMERCIAL VENTILATION INDUSTRIAL IJ EATING STEAM LOW PRESSURE LIMIT LBS.HIGH PRESSURE LIMIT LBS. HYDRONIC WARM AIR Vol*' 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.) er v- 'r`C"b 4s S e,- o P-t r3((4=m a`g I4s)cixz> GROSS HEATING CAPACITY (INPUT-BTUH) NET RATING (OUTPUT-BTUH) tW/ TYPE OF FUEL OIL-GPM GAS-INPUT ELECTRIC-KW OIL TANK SIZE&LOCATION INSIDE OUTSIDE CAPACITY LPG TANK CAPACITY3Q0 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,3'O_>_ COOLING CAPACITY(BTUH) C:) 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 i-S ` .cc- cS 3 4 4c Ind `cam t -C C vecl ov-4, m">-L 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 WOR Cj STATE LICENSE-NO. NAME&TYPE SIGNATUREOF APPLICANT PHONE NO. -S:XZ-Lf -4 DATE `-A f2-H//O 1