Loading...
HomeMy WebLinkAbout0 MILL POND DR BDLG # 21 DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT PERMIT# Application is hereby: TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT I l-I 0 SSA APPR v 1540 SULLIVAN AVENUE 644-2511 ext. 230 Bldg.Permit# 11 - `L Date Building 1n Application must be printed or typed FEE SCHEDULE Location of Job: 2106 Mill Pond Dr $0-$1,000=$15.00 Street No. Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT Mike Marandino /All Plumbing Repair inc. APPLICANT ADDRESS PO Box 853 Tolland CT 06084 APPLICANT PHONE# 860-870-5325 �DW N SFq OWNER Nancy Murray < OWNER ADDRESS 2106 Mill Pond Dr South Windsor CT 06074 O • y OWNER PHONE 860-644-7669 C ESTIMATED COST$ 900 0, U .� IS THIS A CONTRACT COST? X Yes No FEE ENCLOSED$ 15.00 TYPE OF JOB: 4 rOb� `SCR CO New Installation _Alteration/Addition/Repair -)o► LjvI7 Z Revised 4/0 1//2002 APPLICATION FOR PLUMBING PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION? ❑YES O NO l$RESIDENTIAL ❑BUSINESS CURRENT USE AND OCCUPANCY ❑ASSEMBLY ❑MERCANTILE FUTURE USE AND OCCUPANCY ❑EDUCATIONAL 0 INSTITUTIONAL ❑FACTORY ENGINEER'S NAME PHONE ❑STORAGE ❑GARAGE ADDRESS ❑MIXED USE (Other please specify) CITY STATE ZIP 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 0 YES 0 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 BEATER: TYPE Natural Gas MANUFACTURER American Whirlpnol DESCRIPTION OF WORK Replace existing 40 gallon natural gas water heater. THE UNMRSIGNED HEREBY APPLIES RA PERMITIO PERFORM THE WORK DESCRIBED AND IS-10 COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. 204858 P-1 CT CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT 2<�yh DATE DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT PERMIT# Application is hereby: TOWN OF SOUTH WINDSOR (L.o O i-, BUILDING DEPARTMENT APPROVE 1540 SULLIVAN AVENUE .ZL• l ,, 644-2511 EXT.230 Bldg.Permit# (Date) (Building Inspector) Application must be printed or typed FEE SCHEDULE Locationof Job: m , V ,YI . $0-$1,000=$15.00 Street No. Street Lot No. Over$1,000- $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT APPLICANT ADDRESS C �-- APPLICANT PHONE# t( OW N $F OWNER 734 1 J!a r 0 r-, < OWNER ADDRESS O - OWNER PHONE ESTIMATED COST $ IS THIS A CONTRACT COST? YES NO FEE ENCLOSED$ 3 7D 0 1 � TYPE OF JOB: 1 qJ4-7 R•Co New Installation Alteration/Addition Repair 0261�6o42Z Revised 12/22/11 APPLICATION FOR PLUMBING PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A 0 RESIDENTIAL BUILDING PERMIT APPLICATION? ❑ YES ❑ NO 0 BUSINESS CURRENT USE AND OCCUPANCY 0 ASSEMBLY 0 MERCANTILE O EDUCATIONAL FUTURE USE AND OCCUPANCY O FACTORY 0 STORAGE ENGINEER'S NAME PHONE 0 GARAGE O MIXED USE ADDRESS (Other please specify) CITY STATE ZIP 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 O YES 0 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 Y )pK� 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. �, a77c --Zt5 - C, l CONTRACTORS LICENSE NO. TYPE STATE // SIGNATURE OF APPLICANT �., CCU �c: DATE d �/ 1 y APPLICATION FOR ELECTRICAL PERMIT DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT 12 0 Q 37- _ APPROV 1540 SULLIVAN AVENUE Bldg.Permit# t0 1i• 1�— .� 644-2511 ext. 230 Q Date Building Inspec or Application must be printed or typed FEE SCHEDULE Location of Job: $0-$1,000=$15.00 z A ` (u 2St j,b Over$1,000= Street Street Lot No. $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT El Q 9toc' ),I t! APPLICANT ADDRESS l SUC Nfy1c2Q r R -b APPLICANT'S PHONE# 811-('U RI C1 QQ,1q Z OWNER I�CZ1LAt.� iN�d�1J�-�q-rAA^.e.ti1� AWN SF4< OWNER ADDRESS 12l Wei,-r iALtku '5� j OWNER PHONE ESTIMATED COST$ SS(S 4:ZS - C K�I U IS THIS A CONTRACT COST? Yes No - _ ` FEE ENCLOSED$ 15 En JVf TYPE OF JOB: s3� SOR•C0 New Installation Alteration/Addition/Repair -71 Revised 03/05/10 I APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION? ❑ YES ❑ NO R RESIDENTIAL CURRENT USE AND OCCUPANCY ❑ BUSINESS ❑ ASSEMBLY 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 SIZE OF SERVICE SIZE OF MAIN CONDUCTORS NUMBERS OF METERS NUMBERS OF DISCONNECTS AND RATINGS NUMBERS OF PANELS NUMBERS OF DISCONNECTS REQUIRED? ❑ YES ❑ NO NUMBERS 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 t:yd-' MA&e-tL 9±Ld �A Lnp t Za Aw i/ -n-,Ln k' THE UNDERSIGNED HEARBY 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 PERFOR- MANCE OF SUCH WORK 22 > LA El CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT 9y) /�c��6 DATE /4 Lg Revised 4/01//2002 DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT APPROVE 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 Date Building Ins for Application must be printed or typed FEE SCHEDULE Location of Job: FTenant M , I I P6v a —or, $0-$1,000=$15.00 Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof gnation Apt.No. APPLICANT 2 e e(_h kc APPLICANT ADDRESS LL-LU e. n► t i RA . �r�► n CT O l0-1 �O APPLICANT PHONE# U q to CTS 0 Z— OW N St OWNER — I L 4 v, j- n - m OWNER ADDRESS ZI U g •W i nCiSa r (r I)(_ 6l4- 0 r OWNER PHONE g Z`b- 56 46 C ESTIMATED COST$ i'L+006 _ IS THIS A CONTRACT COST? _Yes —No FEE ENCLOSED$ G, U r1V�sO. O�� TYPE OF JOB: R C New Installation _Alteration/Addition/Repair CRa rj C 0 Lc t- APPLICATION FOR HVAC PERMIT (Continued from reverse side) TYPE,OTSTEM: TYPE O �LDEING: EATING SIDNTI AL ❑A/C ❑COMMERCIAL ❑VENTILATION ❑INDUSTRIAL HEATING ❑ STEAM LOW PRE SURE LIMIT LBS. HIGH PRESSURE LIMIT LBS. ElHYDRONIC WARM AIR ❑ UNIT RADIANT HEATER EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION DESIGN TEMP. OUTSIDE OF INSIDE °F DIFFERENCE OF TOTAL HEAT LOSS(BTUH) OF(HEAT LOSS SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL HEATING EQUIPMENT(INCLUDING MAKE&MODEL NO.) 9 e L a t+cx-c h c A 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 w Cl Y-r r-\ Q I Y -�U rr)CLC e__ `__Ka►-q t C!L4, 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. 308bo Z z442- sue► Cr CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT DATE 1 Z- - S l 11/23/'1F71f7 1'L:4y tlbtl4bb7tl/7 I I ►.%x.. ui , I i r I 105 l et Lou/Heat Gain 8vmmay Papon 11nBJZOt o . Wye f it W- n• -rim d-4 soars Home Impvw.m.M Pro y wi moll taen ( tor, Ronald DeGmw s• Irl�i s-1 d S y r� C fr - tlonaStNa 2 51ory+Cwxftomd eemot f M E an 72 ' 75 M aaaYa 19 �g age 9 ubmIn 92 goo 30 l�boll gmmmo 4 MwL2mkLmmwnBuff M aLOeaf mid NEATOANa3ltit CfJLtNgIi00F su 1.112 804 WALLS 1soo 9,R1a 31755 (8 ASs 195 7.330 4X2 Doom as 1,184 547 FLOW 4e2 818 0 MUMATDN 3,1115 SES oftalre Aw t:eorg"•M.d:945I CaNw.am A.E.O.EXCLXkK N $1 SUOTOTAL 10AM NTION"L SENSIBLE GAM Z430 INTMNAL LATENTOAIN 200 WOUMTDN LATENTOMN V2 NET LOMAM GAN 1 24.108 14,tX16 LATBVtoArw F--OUCTa 229 Duct l.mm a10 Ouot GOL 0.07 I 2.354 724 uvt UATDN toes ANO OM 0 0 uTENTOAIN FROlt VEMMATM 0 1,707 OUTPUT 28.E 13.1558 i e00% PM 3SX5 MEATcrm 508 I MTALLAW.WrO W 1A01 Tt cool CFM E46 UL SOONLE OAN 15^4 aBMSU.E RMTO 0.04 RootK:exn3 srea Lmw MR muloes mugain 00rq Below Root JO W Dark/bold calm asphaR Simple- 50 MOSt 31.00 t,e82 04 dark metal-dark membnms-dark ter/grovel R-19 Blanket /tooee fNl I I b69 t.ee2 694 walla area uvel hem Won BasomenK wal 8ebw tirade Eight Inch Bridle-Steno- M 0.OM 13.00 1,510 M7 Concrete Nons InataAon depth:Floor-ExImnal kwululan i WALL wood Frmw Consbuetlat R-11 CaNty InsulsOon all 0.097 20.10 551 243 WALL Wood Frame Conctiuc" R-11 Cavity Imubdon 1.118 0,097 29.10 7.157 3,15fi None-lextemol InwIsl s boon! Pape 1 of 2 11/LJ/Lt71t7 1L:47 bbb4bb0e7/7 FHk-w- l0 105 Heat Loss/Neat Gain Summary Report 11/19/2010 tlsmetlaa . _...•"• Seers Home Impmernent Pmdum Ronald DaGraw 2 Story.Conditioned Bamnt facee E 1308 Field 72 draynerre r Tom fFI 75 Do& M EhmQrg 19 &GF 0.99 9 a auft 30 Lafto& 41 Qz&=W 4 Windows area wd awal wn bh40ss btu in Oty'1 -SW#xkrd window Assembly Operable E- 12 0.570 1.00 28.84 452 323 Clear Gtaas.Double Pone.Vknyl frame-112 ExbmW VwftW Screen-Hodzontal BfndswM Stabs 0 45 Degrees-Sunoasen:None-Grew onwa sty 1 -Standard Wktdoer Anew" S- 8 OLFM 1.00 23.28 284 176 Clear Glass•Double Pane-Vk1yl frame-1/2 Enemas Vortical Screen-Hod z1 td ibllreda with State ai 45 Degrees-Sur tsaeon:None-Green Grass W.5-Stwodard kW � pe 0 ie 9- 06 0.570 1.00 104.00 715M 1,415 Claw Ginn-DoubleErmomal VAr*at Screen-t o taorttal Blinds with Biala at 45 Degre w-9unsasen:Non*-Green Grasa Gty:a-Standard W kxbw Aaesmbly operable E- 105 M570 1.00 2114,75 4.093 z,seo Goer Gan-Double Pone-Vinyl frame.12 ExTensl Vertical Screen-Horizorrtal Bonds whh 3iats at 45 Depress-Sunscreen:None-Green Orris 195 7,930 4,e12 Dona am wal Ism Muioa9 mom wood solid core-Storm:Metal 83 &M 81.00 1.164 547 63 1.164 w Floors area uvd lean bMAas WMALd Bawnwit Floor-lnwbSw 482 10.01710.00 1 519 0 462 61a 0 Cabyierepns M t vAW upvn ALGA rAm I J Version eao-rrchm"Aaeivrerrrr a,C,W Rd 11eb41W MtI*BUM M Page 2 0l 2 DEPARTMENT DECISION APPLICATION FOR HVAC P � PERMIT# Application.is ffereby. TOWN OF SOUTH WINDSOR U [� BUILDING DEPARTMENT c�i�OSd A»ROVED 1540 SULLIVAN AVENUE M Z 3 2 Bldg.Permit# 644-2511 ext. 230 South Windsor ROL,ANG DEPARTMEN-r Date B Inspector Application must be printed or typed FEE SCHEDULE Location of Job: F;Yenant i ( l Tom. 1 r2$0-$1,000=$15.00 Street :No. No.Over$1,000$15.00 per$1,000 or any fraction thereof gnation A APPLICANT l APPLICANT ADDRESS APPLICANT PHONE# D -'I(4p — OWN S F,q OWNER OWNER ADDRESS r—j= OWNER PHONE !�i 3L — C = ESTIMATED COST$ BOO .� IS THIS A CONTRACT COST? —Yes No FEE ENCLOSED$ I 1� S COR O TYPE OF JOB: X New Installation _Alteration/Addition/Repair Revised 4/01//2002 APPLICATION FOR HVAC PERMIT (Continued from reverse side) TYPE OF.,SYSTEM: TYPE OF BUILDING: HEATING RESIDENTIAL ❑ABC ❑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) °F(HEAT LOSS SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL HEATING EQUIPMENT(INCLVDINGWAKEMODEL NO.) 2 GROSS HEATING CAPACITY(INPUT—BTUH) 0d0 NET RATING(OUTPUT—BTUH) TYPE OF FUEL ❑OIL—GPM OIL TANK LOCATION :❑INSIDEO OUTSIDE CAPACITY *,GAS—INPUT AOcu LPG TANK CAPACITY ELECTRIC—KW 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) *6TAL 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 LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT DATE a`3 c) Electric# - APPLICATION FOR BUILDING PERMIT Plumbing# 2102 Mill Pond Drive Date: HVAC # Sprinkler# _ 30167 -_— --__ ----� Estimated Cost $ w FINAL APPROVALS _ --_ _—-------_--- — Permit Fee $ To Building I COMPLETE RED BOXED AREAS I Occupancy Fee $ /0 Engineering TYPE OR PRINT ONLY Eng. Insp. Fee $ Affidavit od 0 ► SIGN ON REVERSE SIDE - / Appr. for CO. I _ Total Fee $��^ TO THE BUILDING D P�AR�TMANT,TOWN OF SOUTH WINDSOR, CT (Additional Cost)The undersigned hereb ps to do work according to the following: 7 Applicant 4Lwe 10-4fw4f Location of Work ?/0.2- 1-'711/Pow 490-- Lot No. Applicant's Address Wrs /7,7i11e r /212 Tel.# 51`1`313 72 Town 5- —vi- �->o, Zip b r)o 7�- Lic.# 5,4(/09 1.ZG Owner f22gi-,-/ Ji9f5oL-✓5k-/ Architect Owner's Address 110 2 1)21//tea d O2 Architect's Address S—u-//ti,,l-yC✓ Zip Zip Sq. Ft. New Area: 1st Fl. 2nd FI. 3rd FI. Total New Area Purpose of this permit /9ft Efnr3111VT Ir- ( S�r�ctiT c, City ater❑ Well❑ Septic System❑ Sewer❑ Ins: HO SP Cert. Area Basement Garage Approved by Date L' Use Group Construction Type Revised 6102 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. 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 DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT PERMIT# Application is hereby: TOWN OF SOUTH WINDSOR PE / BUILDING DEPARTMENT PROVED 1540 SULLIVAN AVENUE Bldg. Permit# 644-2511 ext. 230 Date Building Inspector Application must be printed or typed FEE SCHEDULE Location of Job: $0-$1,000=$15.00 Street No. Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof 'Tenant Designation Apt.No. APPLICANT L�r,,u J`e t� �" ,a.� V� •w� v APPLICANT ADDRESS LI 3. /��:.-) ST P O, APPLICANT PHONE# W N S OWNER f l,(4 c� iv) ✓�L1'' 'l 1%0 OWNER ADDRESS co� 40 OWNER PHONE a L{ C ' ESTIMATED COST$ a * IS THIS A CONTRACT COST? Yes _No f� LG o �G FEE ENCLOSED$ It"alo S f�YO TYPE OF JOB: SQ R-C O New Installation Alteration/Addition/Repair Revised 4/01//2002 APPLICATION FOR PLUMBING PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A SIDENTIAL BUILDING PERMIT APPLICATION? O YE�O 0 BUSINESS CURRENT USE AND OCCUPANCY ❑ASSEMBLY 0 MERCANTILE FUTURE USE AND OCCUPANCY 0 EDUCATIONAL ❑INSTITUTIONAL 0 FACTORY ENGINEER'S NAME PHONE ❑ STORAGE ❑GARAGE ADDRESS ❑MIXED USE CITY STATE ZIP (Other please specify) TYPE OF INSTALLATION F eg �-�/ �p D I q c e ,..Q .��" 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 0 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 G u 5 MANUFACTURER_J���/ L�—/,c k DESCRIPTION OF WORK HEREBYTHE UNDERSIGNED APPLIES FOR A P RM PERF RM 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 SIGNATURE OF APPLICANT DATE vZ 66S Revised 4 01;;00, DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT TOWN OF SOUTH WINDSOR PERMIT# r— Application is h Q BUILDING DEPARTMENT PR ED 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 O ,— 10 Date Bul)&g Inspector Application must be printed or typed FEE SCHEDULE Location of Job: $0-$1,000=$15.00 Street No. Street Lot No. Over per$1 = $15.00 per$1,000 L_ or any fraction thereof Tenant Designation Apt.No. APPLICANT JW Z /Y1 APPLICANT ADDRESS I �1 mds ©y�607/ APPLICANT PHONE# -/_ E�J Z'1 52R6 / SOWN SFq OWNER < OWNER ADDRESS D c� 1V i A J I � . a OWNER PHONE O C ;D ESTIMATED COST$ xIS THIS A CONTRACT COST? _Yes _No ~ - o e �� FEE ENCLOSED$ ~, d� K � 7 7 S O�� TYPE OF JOB: O R•C w Installation eAlteration/Addition/Repair e APPLICATION FOR ELECTRICAL PERMIT (continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED YfITH A BUILDING PERMIT APPLICATION? ©YES ❑NO ❑RESIDENTIAL L3 BUSINESS ❑ASSEMBLY CURRENT USE AND OCCUPANCY ❑MERCANTILE FUTURE USE AND OCCUPANCY / JGVyI C� ❑ EDUCATIONAL ❑INSTITUTIONAL ❑FACTORY ENGINEER'S NAME PHONE ❑ STORAGE ❑GARAGE ADDRESS ❑MIXED LJSE CITY STATE ZIP (Other please specify) 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. DESCRIPTION OF WORK &J r:. cam' (-C? S �- Zf5, 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. �1 IbS 8 � C CONTRACTORS LICENS TYPE STATE SIGNATURE OF APPLICANT DATE rprr�t APPLICATION FOR HVAC PERMIT TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074(PHONE)860-644-2511 EXT.230 DEPARTMENT DECISION /PERMIT NUMBER. APPLIC !HEREBY: jeov.�q.S OVE ' BLDG.PERMIT NUMBER: DATE MPECTOR LOCATION OF WORK: �,21 0.2 A, Dc vui I« APPLICANT: OWNER: TYPE OF STRUCTURE: // s1 ❑NEW BUILDING NAME:2)u�-j 1,W L rL�`!C NAME:Se h-d, /�L✓a�� ❑ADDITION PHONE NUMBER O~ /l PHONE NUMBER: STING BUILDING ADDRESS:a� �,N `! /! �, ADDRESS: a/U 2-- /0/ %l1F'on TYPE OF USE: IDENTIAL o COMMERCIAL HVAC INFORMATION: FURTHER DESCRIPTION OF WORK: TYPE OF SYSTEM: ❑HEATING XA/C � �5� U,-/- / U t1 HEATING: /f sY1 L i �-7-- _iI �✓ __ TOTAL HEAT LOSS(BTUH) 'F (HEAT LOSS SHEET REQUIRED) DESCRIBE ALL HEATING EQUIPMENT(INCLUDE MAKE AND MODEL NO.): ESTIMATED COST:$ AIR CONDITIONING: `f DESIGN TEMP:OUTSIDE 'F INSIDE 'F DIFFERENCE F° FEE ENCLOSED:S `(7 TOTAL HEAT GAIN(BTUH) (HEAT GAIN SHEET REQUIRED) DESCRIBE ALL COOLING EQUPMENT(INCLUDE MAKE AND MODEL NO.): FEE SCHEDULE:$18 PER$1,000 OF THE ESTIMATED COST. ROUND UP TO THE NEXT THOUSAND ONCE THE PROJECT IS $1.00 OVER. (.26 CENT EDUCATIONAL FEE INCLUDED AS PART OF THE PERMIT FEE) THE UNDERSIGNED NEARBY 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 PEIWOMANCE OF SUCH WORRK. CONTRACTORS LICENSE NO.: TYPE: J ( STATE: SIGNATURE OF APPLICANT: DATE: �aoc�oo9�s Electric # APPLICATION FOR BUILDING PERMIT Plumbing# SED HVAC# _ �b M it Yoncl 1N ye- �1� Date: Jl>NE � aGla Sprinkler 12aoa3�3 Estimated Cost $ 14$. 1487 FINAL APROVAW Permit Fee $ 2. 44-63 Building no q93 COMPLETE RED BOXED AREAS Occupancy Fee $ Engineering Affidavit TYPE OR PRINT ONLY Eng. Insp. Fee $ Appr.forCO. SIGN ON REVERSE SIDE / Total Fee $ 2►y83 TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ 3, 64 The undersigned hereby applies to do work according to the following: Applicant i7 SHA-MPIIJE Location of WorkSTRA 'Rf_iD(,*-, 1&,7% 9�1 Lot No. Applicant's Address 17 9 '&_AQ 141 I-L 2of.D Tel # /o!']0?1.2-3QfS� Town_ Wl1-,l_'11A{>M �Y11�SSAGHUSEMn ZipAK,21S1 Lic.# F3�0A/ Owner STILAw31L.ACj� />�SrJC_1CdtcPj Architect �n OC— Owner's Address 1"Jg O tlL. PYjb t7R. Architect's Address 2 T Sojftni la Zip 06614 Lr'b r2i� 6n20CA- &Jr Zip rl7938 Sq. Ft.New Area: 1 st FI. (�_2nd A. p1 3rd A. 0 Total New Area Purpose of this permit ?,c�o!E cua n S►a.ic, OIAr im of City Water S Well J Septic System J Sewer �l ZUO-I Ins: HO Area Basement Garage Approved ba44� Date 5 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 building an i use is allowed. Signed_/ _ I hereby apply fora Certificate of ccupancy for the Vrk described in this application for the permit. Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS