HomeMy WebLinkAbout0 IVY LN BDLG 7 (4 UNITS) Electric # APPLICATION FOR BUILDING PERMIT
Plumbing#
HVAC# --I vu t_�,� PSI c�4 _ 7 Date:
Sprinkler# j1�16o' i`I FINAL APPROVALS Estimated Cost $31 `7(05-
Permit Fee $ 4qj� l
Building V-).44N � ,/ COMPLETE RED BOXED AREAS Occupancy Fee $
Engineering TYPE OR PRINT ONLY Eng. Insp. Fee $
Affidavit
Appr.forCO. SIGN ON REVERSE SIDE 4 Total Fee $ y9y '
TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ Z(,'1 Z
The undersigned hereby applies to do work according to the following:
Applicant LE Location of Work t �( $�[�,c� Lot No.
Applicant's Address kn1L Town pp Tel # V.0-�'�1�3-9b�1
Town q� C
Zip r aoA4% Lic.# Ak •Q7 QgW31
Owner=U rchitect
Owner's Address Architect's Address
4SO JA fI VZ'Yk isT— Zip =
Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area
Purpose of this permit---*ri Qz_-vy4einkas
hAy
.
City Water ZI Well .3 Septic System J Sewer J 7
oc�I�101 ZI�O
Ins: HO SP Cert. Area Basement Garage
Approved by Date -11C t Use Group Construction Type
Revised 1108
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 i ng and its Ilowed.
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
Revised 4/01//2002
DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT
TOWN OF SOUTH WINDSOR PERMIT#
Application is hereb
BUILDING DEPARTMENT
�v 1540 SULLIVAN AVENUE
Bldg.Permit#
644-2511 ext. 230
Date lding Inspector
Application must be printed or typed
FEE SCHEDULE Location of Job:
$0-$1,000=$15.00 Street No. Street :LotNo.Over$1,000=
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt
APPLICANT
APPLICANT ADDRESS
J v
APPLICANT PHONE# 0
W N S F OWNER G 1\ VYICi in C7A a V-V1 L e
q< OWNER ADDRESS
501
a
OWNER PHONE
C ESTIMATED COST$
IS THIS A CONTRACT COST? _Yes _No
FEE ENCLOSED$
11y�s O�� � TYPE OF JOB:
R C V New Installation
_Alteration/AdditiorvRepair
APPLICATION FOR HVAC PERMIT (Continued from reverse side)
TYPE OF S TEM: TYPE OF B LDING:
EATING SIDENTIAL
❑ 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 EATING EQ MENT(INCLUDING MAKE&MODEL NO.)
GROSS HEATING CAPACITY(INPUT-BTUH) NET RATING(OUTPUT-BTUH)
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.
CONTRACTORS�LTENSE N6. �T�, `STATE
SIGNATURE OF APPLICANT DATE ��
i - �$- ��
� ��� �
, t ��
� ��� � � �
INSPECTION FIELD SHEET 04/21/23
Printed by Middleton, Morgan 10 22 52
INSPECTION: 98013 FINAL PERMIT:
STATUS:
APPLICATION: 201701200
LOC: IVY LANE
SOUTH WINDSOR
PROPERTY ID: 46200000
OWNER: BROOKSIDE ASSOC
CONTRACTOR:
REQUEST BY:
PROJ DESC: STRIP AND REROOF BLDG. 7--TEAR OFF 1 LAYER OF EXISTING
WORK ORDER:
INSPECTOR: WS-B RESULT: PASS
REQUESTED: PRIORITY:
SCHEDULED: COMPLETED: 04/17/23
UNPAID FEES: 00 Date Time
MILEAGE: 00 TIME: TRAVEL ONSITE
COMMENTS
INSPECTED BY VALERIE MUSZYNSKI TO CLOSE OUT OLD PERMIT