HomeMy WebLinkAbout0 MILL POND DR BDLG #16 Revised 4/01//2002
DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT
TOWN OF SOUTH WINDSOR PERMIT#
Application is hereby: ooO
BUILDING DEPARTMENT
APPROVE 1540 SULLIVAN AVENUE
Bldg.Permit#
644-2511 ext. 230
to Building Inspect05
Application must be printed or typed
FEE SCHEDULE Location of Job:
F
'e i�$0-$1,000=$15.00 StreetLot NoOver$1,000=
$15.00 per$1,000
or any fraction thereof gnation Apt.No.
APPLICANT
APPLICANT ADDRESS /"�• �0� �v OZ
/v . C i o 6 a3'z
APPLICANT PHONE# D �� O O
�pW N St OWNER r/ate 17516 P
OWNER ADDRESS /603 /f7i//A_V
Or OWNER PHONEb
C = ESTIMATED COST$ e�P406 —
* IS THIS A CONTRACT COST? _Yes
ohs✓ FEE ENCLOSED$ 30 —
s0 CO�� TYPE OF JOB: SI�
R _New In tallation
teration/Addition/Repair
�I
APPLICATION FOR HVAC PERMIT (Continued from reverse side)
TYPE OF SYSTEM: TYPE OF BUILDING:
❑HVATING UAtESIDENTIAL
QJ'A/C 0 COMMERCIAL
U VENTILATION ❑INDUSTRIAL
HEATING
❑ STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS.
❑ HYDRONIC ❑WARM AIR O UNIT RADIANT HEATER
EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION
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) NET RATING(OUTPUT-BTUH)
TYPE OF FUEL
0 OIL-GPM OIL TANK LOCATION :0 INSIDE❑OUTSIDE CAPACITY
O GAS-INPUT LPG TANK CAPACITY ELECTRIC-KW
AIR CONDITIONING
DESIGN TEMP.OUTSIDE/U0 OF INSIDE 72— OF DIFFERENCE OF
TOTAL HEAT GAIN(B (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) ' 4) 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.
J933d v P/
CONTRACTORS LICENSE NO. TYP S ATE
SIGNATURE OF APPLICANT DATE
A First Response
P.O.Box 8027 Berlin,Connecticut 06037
393320//390236
Heat Load Summary Report for Brian McQueeney
Room Square Heating Loss Hydronic Heat Latent / Sensible Cooling Bain Cooling Cooling
Name Ft. BTUH Unear FL Gain BTUH BTU" Tons CFM
Kitchen 121 8134 13.56 1578 /7033 sail 0.72 287
Dine room 143 1074 1.79 128 /843 971 0.08 32
Living room 270 8770 14.62 302 /11248 11550 0.96 385
1 st floor Bath 15 394 0.66 13 /725 738 0.06 25
Master Bath 48 629 1.05 43 /501 544 0.05 18
2nd flor bath 50 364 0.61 45 151 96 0.01 3
Master bedroom 196 2984 4.97 575 /2801 3376 028 113
Bedroom 2 156 2589 4.32 340 /2469 2809 0.23 94
TOTALS 999 24937 41.56 3024 / 25671 28695 2.39 957
Disclaimer
These computed results should be treated as estimates only and should be viewed as only one of the many tools required for a professional
Installation.The Installing contractoes experience and expert judgement are also major factors In sizing and installing a complete system.The
weather,customer usage,duct irrstaliation,and structure design may vary on each estimate and should be taken Into account.Correct system
sizing is based on the systems ability to meet both latent and sensible heat requirements,not just total BTUs.
,, Prepared 8/312010 using O'Brien Quick loads Pro-Version 1.01-SN:QP-070101-41346
DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT
PERMIT#
Application is hereby:
TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
APPROv DTL 1540 SULLIVAN AVENUE
Bldg.Permit#
644-2511 ext. 230
Date f Building Inspector
Application must be printed or typed
FEE SCHEDULE Location Job:
F
&( LL P�o� K L�$0-$1,000=$15.00 Street Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof gnation Apt.No.
APPLICANT /Q II AD j l�svices
APPLICANT ADDRESS "^ 0
�JJNLO, U[- S
APPLICANT PHONE# AG 0-C2 Ia- 42( 00
O W N S i , OWNER Le,am Me- &yeeA1E7
OWNER ADDRE S !O i ON l
C)Aktit ' 06 0'7
Oo OWNER PHONE
C ;D ESTIMATED COST$Lnnn Q
IS THIS A CONTRACT COST? Yes _No
FEE ENCLOSED$
S o TYPE OF JOB: * 3�q
OR C New Installation
Alteration/Addition/Repair [�
• APPLICATION FOR HVAC PERMIT (Continued from reverse side)
TYPE.VF YSTEM: TYPE OF BUILDING:
HEATING RESIDENTIAL
❑A/C ❑COMMERCIAL
0 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)
eDESCRIBE L HEATING EQUIPMENT(INCLUDING MAKE&MODEL NO.)
otRexsp,tj n oC.--o-1,01.P jj::✓z36 6-p1b Ga cl FUr✓7iC�Cc= --�
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.
`30.3o 3 a S l or
CONTRACTORS LICENSE O. TYPE STATE
SIGNATURE OF APPLIC DATE l/ J 3 D 7
AFELL6 Corporate Office P.O. Box 548, Windsor Locks, CT 03096
1� 00HOME SERVICES Plumbing, Electrical, Heating, Air Conditioning & Home Heating Gail
Il a7-d7
To Whom This May Concern:
Aiello Home Services authorized Linda Dawson-Hayes, Ray Page,Russell Horrocks,
Donna Heidelmark or Stephen Birch to pull permits for our company for any plumbing,
heating or air conditioning replacement(s) or new installation(s). If you have any
questions please call our office at 860-292-2600.
This letter is for a permit for the property located at: ,
11 �soy' C--D 66-7
Homeowner:carile-411 zl-r4aoeenou
Permit Fee Amount: $
Sincerely,
/ichaelzouit
President
Toll Free 1-888-956-4455 Local 860-292-2600 Fax 860-292-2690
CT License Numbers P1-203350, S1-303032, E1-191819
Rhvac:Residential$ ght Commercial HVAC Loadss,
WAieirlildosorLocksr` -06096 :arrse"r:; z,C�„1.: E.C. t r 'yi.••'r":h'-,,q' :e:}'."...`£_: '.:s":;' E.�l..i.t.er.s:S votfttsw.' a'r e Development
Inc.
-"v3Re lacementGasFumace
21
C7Ns
Project Re ort
�; z7
r : 7k := j.• y�` %�:'v , ..�L � r "z .t'"`�,, r. ^W. s.. is "•�; `a.'.A :{, a. .s,.e � as•a is
Project Title: Replacement Gas Furnace
Designed By: David Arildsen '
Project Date: Monday, November 26, 2007
Client Name: Mcqueeney, Brian
Client Address: 1603 Mill Pond Drive
Client City. South Windsor, CT 06074
Company Name: Aiello Home Services
Company Representative: David Arildsen
Company Address: 600 Old County Circle
Company City: Windsor Locks, CT 06096
Company Phone: (860)292-2635
Company Fax: (860)292-2690
Company E-Mail Address: d.arildsen@aiellohomeservices.com
Company Website: www.alellohomeservices.com
Company Comment: The right comfort for your home.
LI]e$1D ta'm z•S- ' k'z �;;xj.' ;fSt s•-:&°:,' ";;P'f ' •br p: ;a'.g c" .cti s r'<,t,.v• i3'd z:^-r..s.
Reference City: Windsor Locks, Connecticut
Daily Temperature Range: Medium
Latitude: 41 Degrees
Elevation: 169 ft.
Altitude Factor. 0.994
Elevation Sensible Adj. Factor: 1.000
Elevation Total Adj. Factor: 1.000
Elevation Heating Adj. Factor. 1.000
Elevation Heating Adj. Factor. 1.000
Outdoor Outdoor Indoor Indoor Grains
Dry Bulb Wet Bulb Rel.Hum Dry Bulb Difference
Winter. -5 0 45 70 46
�Summer: 95 72 50 72 23
1•i Y.FI �1(e$.•i�• ' yQ.: 'ad w.Py=s-;: ;; •e. '•y t•�2s`.'#�z;�`Pt.�t ."t`:�'�-. {$S" 't„$7.a. d°ss'.P•S.`' =�.�ti, a�,s•.x�; •�..,,.-•
Total Building Supply CFM: 1,016 CFM Per Square ft.. 0.641
Square ft.of Room Area: 1,584 Square ft. Per Ton: 725
Volume(ft")of Cond. Space: 12,672 Air Turnover Rate(per hour): 4.8
ul In Da S' s q �' a a �t{yy ': =.#z' ttf` e tk ?'° i s� Sa e y .a:,}4:F3s,r�§,'•S tee.Y 'd 'u ai n•
Total Heating Required With Outside Air. 37,166 Btuh 37.166 MBH
Total Sensible Gain: 18,876 Btuh 94 %
Total Latent Gain: 1,255 Btuh 6 %
Total Cooling Required With Outside Air. 20,131 Btuh 2.18 Tons(Based On 72% Sensible Capacity)
.Not S'1��ir-,,:A •:b, � aS'°.a"L" '� ?',':e°,;.8¢d�ka4'•.i�• N.'�.'A�.,�;�i 'a,;�.,�'.: . a.. `t��$, w Y7A`. >-`� Ore#.�.`• ,.�°'°i:--s,.�'"ar n.C:t»i.n•.:
Calculations are based on 8th edition of ACCA Manual J.
All computed results are estimates as building use and weather may vary.
Be sure to select a unit that meets both sensible and latent loads.
T:Unstallation department\Load Calc-DavelMcQueeney, Bdan.rhv Monday, November 26,2007, 9:23 AM
Rhvac•Residential$Light Commercial HVAC Loads.l}= ;. ;4 + 4 •, - ftware Deve opme Y;y.: , Elite So nt,Inca
Aiell" a I' ':. k; ., :Yb._; c^<' �,. `,, . ,. ;�;q., y =. :F
o Hom Sere ce§ ' F2e tacement Ga
1Nindso Locks'CT. 8 6 �.r - ,...-.:r; ';. .P.. ' . p_rtTT. ,lP.
age 3
Miscellaneous Report
[SjOf&ih1;'1V�amt oor d a°° Du oor.e Qut o �.a ' ,:;_ << F�.� :.�, s � t : ,; .s,,,.�., � }... d ar.�a`>��,�t .�;;��°° f ��77door-';� �,< �.w; In oo� t� �;�:��Gra ns
a.z� '4 ,t ,a 4:.s ",<,y ,m'�' `+4 r1
iri u Data. .i .aa':. "{ +, fit, ., i` < `t D Bulb-a;3 p`�• 1lVef.Bulti t=: - :Ref Hu' �..;Yxk:FA p ;a -�+biff r
:Bulb e e ice.
Winter: -5 0 45 70 45.89
Summer: 95 72 50 72 22.91
uct'Slzln In Ut5 FM4'a;a:. ' :wa',.�°4 «�',tff>`°'�yEOr° N+a'j* .b;,& y at "eg lL<; f`:�v� �d�o • ..;e;. .a;ae Main Trunk Runouts
Calculate: Yes Yes
Use Schedule: Yes Yes
Roughness Factor: 0.00030 0.00030
Pressure Drop: 0.0500 in.wg./100 ft. 0.0500 in.wg./100 ft.
Minimum Velocity: 550 ft./min 450 ft./min
Maximum Velocity: 600 ft./min 600 ft./min
Minimum Height: 0 in. 6 in.
Maximum Height: 18 in. 10 in.
o tSl f 3 ah'€� $° . s i; :r'n t � �' •. � � ; +.
k�
Winter Summer
Infiltration: 0.475 AC/hr 0.200 AC/hr
Above Grade Volume: X 12,672 Cu.ft. X 12,672 Cu.ft.
6,015 Cu.ft./hr 2,534 Cu.ft./hr
X 0.0167 X 0.0167
Total Building Infiltration: 100 CFM 42 CFM
Total Building Ventilation: 0 CFM 0 CFM
—System 1—
Infiltration&Ventilation Sensible Gain Multiplier. 25.15 = (1.10 X 0.994 X 23.00 Summer Temp. Difference)
Infiltration &Ventilation Latent Gain Multiplier. 15.49 = (0.68 X 0.994 X 22.91 Grains Difference)
Infiltration&Ventilation Sensible Loss Multiplier. 82.00 = (1.10 X 0.994 X 75.00 Winter Temp. Difference)
u 5 Loa 0Fac or ce anos ,-
'4' 40
j. ,,'ri m.zY' C'S'� * rtx.' . '.DUCt �.r =I�uCt•..T .SUrFaCe s ID
o. e Descn tIon '- L Ceilin �° � 'M L'ea a e insu : Area = MD
�afions� -< .. <,
1 Supply Main Basement - 0.12 0 442 No
1 Return Main Basement - 0.24 0 164 No
T:\Installation department\Load Calc-Dave\McQueeney, Bdan.rhv Monday, November 26, 2007,9:23 AM
j
f[.Rhva6",»R6sld6ntlal"&' Light Comfii rcialHVAC Loads`- -
, .
EliteSotware'Deiyj�plopmenPt a;g!pAfelI6 -6m6 Services -'. Ury i e c4.
ceimG �unae. � iWi6dior C66ks CT�06096 Load Preview Report
w
S S
nj
a
VC
1) T n F. is
n 1.
Has
z
51 �tg W
-CFM,,h4 C
Building 1.68 2.18 725 1,584 18,876 1,255 20,131 37,166 486 1,016 1,016
System 1 No 1.68 2.18 725 1,584 18,876 1,255 20,131 37.166 486 Qj r_6,, 1016 18
Duct Latent 601 601
Humidification 3,109
Zone 1 1,584 18,876 654 19.530 34,057 486 V.Cl'79fq 1,016 18
1-Bedroom 1 768 10,602 327 10.929 18.030, 257 570 5-6
2-Living 816 8,274 327 8,601 16,027 229 445 4-61
UInstallabon department\Load Calc-Dave\McQueeney, Brian.rhv Monday, November 26, 2007, 9:23 AM
DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT
TOWN OF SOUTH WINDSOR PERMIT#
Application is hereby: S
BUILDING DEPARTMENT —
APPROVED 1540 SULLIVAN AVENUE Bldg.Permit#
644-2511 ext. 230
Date Building Inspectef
Application must be printed or typed
Location of Job:
FEE SCHEDULE F!Tenant
$0-$1,000=$15.00 Street Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof gnation Apt.No.
APPLICANT t—p k Q tk-4,—A,y 6 e(- AA L I l o
APPLICANT ADDRESS -�'l) P-,n K S4t
APPLICANT PHONE# &r,Q aCl a aC�,00
W N $F,q OWNER l a y4 M i l a r n i nS
OWNER ADDRESS L o POcu ix-
c,T O k0_ 4
O yr. E.. OWNER PHONE
C ESTIMATED COST$
IS THIS A CONTRACT COST? ZYes _No
FEE ENCLOSED: ,
TYPE OF JOB: -�t Eb7--b
�SOR'C0 New Installation
k Alteration/Addition/Repair
f
Revised 4/01//2002
r ►�
APPLICATION FOR PLUMBING PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
'RESIDENTIAL BUILDING PERMIT APPLICATION? ❑YES WNO
❑BUSINESS CURRENT USE AND OCCUPANCY
❑ASSEMBLY
❑MERCANTILE FU PURE USE AND OCCUPANCY
❑EDUCATIONAL
❑INSTITUTIONAL
❑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 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 LI 1, MANUFACTURER [
DESCRIPTION OF WORK
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT I 1 0 PERFORM THE WORK DESCRIBED AND 19'=—
COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
C.�ao?,3 P1 CT
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT� ( `l��t�-� DATE ,
-4. �41•lU3.TS0:
C LO
I Corporate Office
E L 600 Old County Circle, P. O. Box 548, Windsor Locks, CT 06096
LICENSED; Local 860-292-2600 • Fax 860-292-2690
FOR SAFETY Connecticut Toll Free 1-888-956-4455
HOME SERVICES Aiello Horn eServices.corn • Aiello is an AA/EOE
To Whom This May Concern:
Aiello Home Services Authorized Alesha Fillmore,Stephen Birch, Randy Weidig, Robert
Bilodeau, Nick White, Kevin Vaughan, Lorie Metivier,Stacy Dlubac, Cindy Nicewicz,Tim Lynch,
Matt Cormier, Dave Arildsen, Bill Faitella,Joe Arroyo, Mike Loscialpo, Frank Chiarillo to pull
permits for our company for any Plumbing, Electrical, Heating, or Air Conditioning
replacement(s) or new Installation(s). If you have any questions please call our office at 860-
292-2600.
This Letter is for a permit for the property located at:
1 Log rk,.xk Pane► n y- 6-(,L)
Home Owner: 1 amrn ftAw- 1 Ut5
Permit Fee Amount: $
Sincerely,
///A
Michael Jezouit
President
' PLUMBING&PIPING UNLIMITED CONTRACTOR
NIICHAEL R JEZOUIT
PO BOX 548
WINDSOR LOCKS,CT 06096-0548 i
LIC./REG NO. EFFECTIVE EXPIRES
PUI.0203350-PI 11/01/2015 10/31/2016
HEATING • PLUMBING ELECTRICAL • GENERATORS • OIL DELIVERY • HOME AWARENESS • AIR CONDITIONING
sou
VIM
-own O-P sou V&U&ot
�`' 1540 SULLIVAN AVENUE • SOUTH WINDSOR, CT 06074
SOR•CO TELEPHONE (860) 644-2511
January 31,2007
Mr. Stuart Yontef
1601 Mill Pond Drive
South Windsor, CT. 06074
RE: Installation of Trane furnace
Building#16-Mill Pond Dr.
HVAC Permit# 16639
Dear Mr.Yontef.
Consistent with your enquiry of the above matter, please be advised that the records of
the Building Department reflects that the above stated appliance was inspected and
approved.
If I can be of further help,please do not hesitate to call me at 860 644 2511 ext.233.
Yours truly,
ql--�
Michael Rose
Asst. Building Official.
DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT
Application is hereby: TOWN OF SOUTH WINDSOR PERMIT#�y
BUILDING DEPARTMENT — /-a r7 L I
APPROVED 1540 SULLIVAN AVENUE Bldg.Permit#
644-2511 ext. 230
Date ing Inspector
Application must be printed or typed
FEE SCHEDULE Location of Job:
f (00 5 M*,� I R) 1
$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 �� �� 1C) 1—[dfjQ_. �rL)' PJ
APPLICANT ADDRESS +
/l r
APPLICANT PHONE# ( J)— 29 Z— 7-660
O W Ni St-4
t-4 OWNER Awe O �
OWNER ADDRESS L�,(�S �j// Y%l
C • OWNERPHONE
C = ESTIMATED COST$64
V
.� IS THIS A CONTRACT COST? _Yes _No
FEE ENCLOSED$
TYPE OF JOB:
�SOR•CON Ne Installation
1� Alteration/Addition/Repair
ReviseA 4/01//7009
APPLICATION FOR HVAC PERMIT (Continued from reverse side)
TYPE OSTEM: TYPE OF BUILDING:
El H�rrING 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 OF INSIDE OF DIFFERENCE OF
TOTAL HEAT LOSS(BTUH) °F(HEAT LOSS SHEET MUST ACCOMPANY
APPLICATION)
DESCRIBE_ALL HEAXING EQUIPMENT( CLUDIN MAKE&MODEL NO.)
�LQ�noxtnatic 5o U - zy1+-0?v
I_.e��bclf Cv ( G 33 -- -24 A - Z F
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)
j} � � DESCRIB ALL COOLING EQUIPMENT(INCLUDING MAKE& MODEL NO.)
IR
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.
13�
��
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT �� ` D DATE 7A4
r
r
Page 1 7/26/2005
Residential Heat Loss and Heat Gain Calculation
In accordance with ACCA Manual J
Registered To: Aiello Plumbing Heating and Air Conditioning
For: O'konis anne
1605 mill pond dr
south windsor, Ct 06074
Design Conditions: Windsor Locks,Bradley Field
Indoor: Outdoor:
Summer temperature: 72 Summer temperature: 96
Winter temperature: 70 Winter temperature: -6
Relative humidity: 50 Summer grains of moisture: 93
Daily temperature rangeMedium
Building Component Sensible Latent Total Total
Gain Gain Heat Gain Heat Loss
(BTUH) (BTUH) (BTUH) (BTUH)
Whole House 1,120 sq.ft. 18,615 2,467 21,082 42,151
(2 tons)
First Floor 12,852 2,243 15,095 30,320
All Rooms 560 sq.ft. 12,852 2,243 15,095 30,320
Second Floor 5,763 224 5,987 11,831
All Rooms 560 sq.ft. 5,763 224 5,987 11,831
Whole House 1,120 sq.ft. 18,615 2,467 21,082 42,151
(2 tons )
HVAC-Calc Residential 4.0 by HVAC Computer Systems Ltd. 888 736-1101
Load calculations are estimates only,actual bads may vary due to weather and construction differences.
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
TOWN OF SOUTH WINDSOR PERMIT#
Applica' e y: BUILDING DEPARTMENT
APPROVED 1540 SULLIVAN AVENUE Bldg.Pernut#
644-2511 ext. 230
Date Buip
ng Inspector
Application must be printed or typed
FEE SCHEDULE Location of Job:
Nil/ F-0 PKI've
$0-$1,000=$15.00 Street No. Street Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof Tenant Designation :XApt.
APPLICANT 114rvev
APPLICANT ADDRESS Metdow
-ra1l.kid ,1 060 4
APPLICANT PHONE# /�$��
Ow N SF,q OWNER l �.
OWNER ADDRESS ` D N
Sa a607
OOWNER PHONE
C ESTIMATED COST$
IS THIS A CONTRACT COST? _Yes _No
All
�G FEE ENCLOSED$
TYPE OF JO
OR•CO��
New Installation
Alteration/Addition/Repair
Revised 4/011/2002
APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
WP/LESIDENTIAL BUILDING PERMIT APPLICATION? ❑YES ❑NO
❑BUSINESS CURRENT USE AND OCCUPANCY
❑ASSEMBLY
❑MERCANTILE FUTURE USE AND OCCUPANCY
❑EDUCATIONAL
❑INSTITUTIONAL
❑FACTORY ENGINEER'S NAME PHONE
❑STORAGE
❑GARAGE ADDRESS
❑MIXED USE
CITY STATE ZIP
(Other please specify)
TYPE OF INSTALLATION/WIRING METHOD 9—ow.-ex 4/1� F
SIZE OF SERVICE Od wr SIZE OF MAIN CONDUCTORS
NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS
NUMBER OF PANELS I REMOTE DISCONNECT REQUIRED? ❑YES ❑NO
NUMBER OF LIGHT CIRCUITS tOl 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
r1 S DAP c t t dyj O e �'�a f t gar! C�GO�j vt$�2'�l 4(fdr?
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.
CO CTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT \ t DATE ��I�p D�.�
• i •
• - • • • •'
4
ATTENTION
OTY. MATERIAL UNIT AMOUNT DESCRIPTION OF WORK
� ww�
/ 1 < ! W Iy �r _1
MISCELLANEOUS CHARGES
LABOR HRS. RATE AMOU
TOTAL LABOR
.. .. . :
TOTAL
DATE COMPLEMID • •
SUBTOTAL
GRAND TOTAL ,
Electric APPLICATION FOR BUILDING PERMIT
Plumbing# 1606 Mill Pond Drive Date:
HVAC #
Sprinkler X ,
nkler# 32242
FINAL RO --- - -- Estimated Cost $--� ,y
Buildin (� o -- .--- - - -- _. ___- - -- - - Permit Fee $
g� COMPLETE RED BOXED AREAS Occupancy Fee $ /C/"dam K
Enginee n i TYPE OR PRINT ONLY Eng. Insp. Fee $
ffi Adavit
Affi for c �6 ' ► SIGN ON REVERSE SIDE
- - - - - - - - -- Total Fee $ q()_
TO THE BUI ING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $
The undersigned hereby applies to do work according to the following:
Applicant mic., - r Location of Work /60&AP kUnd Lot No.
Applicant's Address m Tel.# ibo-8-It-aV
Town 01 Zip 011C94 Lic.#
Owner Architect
Owner's Address dAdkfil YW& Architect's Address
7o44a Zip op Zip_
Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area 4;.;L u 3 y
Purpose of this permit--! oL)ftjt'a,L i inj TflCQ( ,2 LtnAph ed1 ba4kinnr)l FrN
City Water❑ Well❑ Septic System❑ Sewer®'
Ins: HOSP Cert. Area Basement Garage
Approved/by Date -C 7- Use Group Construction Type
Revised 6/02
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 pr r distance from all street lines,side yard lines,and required
distances from all other zones and is located in whi tiis b ildi d its use is allowed
f
Signed
I hereby apply for a Certificate of Occup y for the wor cribed this application for the permit.
Signed
DO NOT WRITE BEL W THIS LINE
INSPECTION COMMENTS
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
-------------------------------------------------------------------------------
**-32242-B 2,000
B09 OTHER 11/23/05 JFF WITH OWNER WENT OVER CODE REQUIR
EMENTSMQ
B10 FINAL 12/09/05 JFF A WITH OWNER CONDITIONS OF 1123200
5 CORRECTED
DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT
TOWN OF SOUTH WINDSOR PERMIT#
Application is hereby:
BUILDING DEPARTMENT
APPROVED 1540 SULLIVAN AVENUE
Bldg.Permit#
644-2511 ext. 230
Date Buildi or
Application must be printed or typed
FEE SCHEDULE Location of Job:
10001 mo/ give
$0-$1,000=$15.00 Street No. Street Lot No.
Over$1,000=
$15.00 per$1,000 _
or any fraction thereof Tenant Designation Apt.No.
APPLICANT_g.j.E )bndn M Ifr�j'Cell 00-) -rr 7b'5,LLC
APPLICANT ADDRESS I7 AA&�Lo4 lane
Cql oLco3,3
APPLICANT PHONE# 69 0') (67- J4--6 /
o)8 N St OWNER M i Chae 1 I Enmy-OS
OWNER ADDRESS ow f)l d camos Road
GOD OWNER PHONE J
C r
(77 = ESTIMATED COST$ '�I,=).DO
IS THIS A CONTRACT COST? _Yes No
FEE ENCLOSED$
1��s0 R.C O�� TYPE OF JOB:
_New Installation
Alteration/Addition/Repair
Revised 4/01//2002
APPLICATION FOR HVAC PERMIT (Continued from reverse side)
TYPE O YSTEM: TYPE OF UILDING:
HEATING RESIDENTIAL
Jff*A/C ❑ COMMERCIAL
❑VENTILATION ❑INDUSTRIAL
HEATING
❑ STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS.
❑ HYDRONIC V WARM AIR ❑UNIT RADIANT HEATER
EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION
DESIGN TEMP. OUTSIDE O OF INSIDE 'l 0 OF DIFFERENCE 76 °F
TOTAL HEAT LOSS(BTUH) OF(HEAT LOSS SHEET MUST ACCOMPANY
APPLICATION) LD-c d S a 4-4-`'"
DESCRIBE ALL HEATING EQUIPME (INCLUDING MAKE&MODEL NO.)
I rCc+'�c- )�nD�8� v3 })Gi i4�f Fvc � acas
GROSS HEATING CAPACITY(INPUT—BTUH) NET RATING(OUTPUT—BTUH)
TYPE OF FUEL
❑ OIL—GPM OIL TANK LOCATION:❑INSIDE❑ OUTSIDE CAPACITY
GAS—INPUT D OCO LPG TANK CAPACITY ELECTRIC—KW
AIR CONDITIONING p
DESIGN TEMP.OUTSIDE 6'o OF INSIDE h OF DIFFERENCE S OF
TOTAL HEAT GAIN(BTUH) (HEAT GAIN SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE nL COOLING EQUIPMENT(INCL ING MAKE&MODEL NO.)
Lo , A44-AC4,c _ lam' - —I_rctr%f TWO 090 R 9 V3
14l= Tc,,.v%F !jr-ea,24
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.
37a7rCo CT
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT DATE R f I q�oCv
RIGHT-J SHORT FORM
Entire House
M.J. Emonds Mechanical
17 Nutmeg Lane,Glastonbury,CT 06033 Phone:860-6574554 Fax:860-657-4558 Email:Mike@emonds.com Web:emonds.com
Project • •
For:
Design Information
Htg Clg Infiltration
Outside db (OF) 6 88 Method Simplified
Inside db(OF) 70 75 Construction quality Average
Design TD (OF) 64 13 Fireplaces 1
Daily range - M
Inside humidity (%) - 50
Moisture difference(gr/Ib) - 28
HEATING EQUIPMENT COOLING EQUIPMENT
Make Make
Trade Trade
Efficiency 80.0 AFUE Efficiency 0.0 EER
Heating input 0 Btuh Sensible cooling 0 Btuh
Heating output 0 Btuh Latent cooling 0 Btuh
Heating temperature rise 0 OF Total cooling 0 Btuh
Actual heating fan 239 cfm Actual cooling fan 239 cfm
Heating air flow factor 0.012 cfm/Btuh Cooling air flow factor 0.043 cfm/Btuh
Space thermostat Load sensible heat ratio 80 %
ROOM NAME Area Htg load Clg load Htg AVF Clg AVF
(ft2) (Btuh) (Btuh) (cfm) (cfm)
Living/Dining 315 3042 344 35 15
Kitchen 170 5740 1705 66 74
Foyer 52 3579 494 41 21
Bath 25 337 80 4 3
Office 165 2693 1133 31 49
Master 224 4409 1419 51 61
Bath 1 176 894 350 10 15
Entire House d 1127 20694 5526 239 239
Ventilation air 0 0
Equip. @ 0.93 RSM 5139
Latent cooling 1413
TOTALS 1127 20694 6552 239 239
Printout certified by ACCA to meet all requirements of Manual J 7th Ed.
�~ WrjghtSOft Right-Sufte Residential—5.0.48 RSR29065 2006-Sep-22 15:45:50
,CCK S:Ioad Data\Residential Loads\Yontef-1601 Mill Pond Drive.rsr Page 1
'�+. , lik ti:'d`a fw• ,�" �•,.
STATE OF CONNECTICU 1 ♦ DEPARTMENT '�,C4 CST CTIO ,
=�"
ti Be it known that. ,, . 'wi '
MICHAEL j EMONDS . �''�
� �''4•-r'+ii' '' �, :,�,�" ,s� fib'
! r• , 'a .1' 204.OLD FARMS .,.
W-W
.' has been. e ,by t en S er Protection as aij L
y HEATING, PIPING &`C - ITED CONTRA!; R a� J
�.r: � i�i ,` " �,6 .s � •�• y,v
ti A. r.. �V; y y 4 r
MvC �4 i d+ ; �i p r.AaTG>� 4r �i1
u ;
Effective: 09/01/2006
i Expiration: 08/31/2007Ole-
*Y: Edwin R Rodriguez,Commissioner 5�
�j
STATE OF CONNECTICUT ♦ DEPARTMENT OF CONSUMER PROTECTION
i
it known that-----.•
�� �fwt,�_Ji�*- � i�c �l�i!• `r t4•t' v
ICHAEL J EMONDS s� �z,�� N ,
- j �d��+•/ ` ;"'f l�.Y,-'' r 'x_i M�.-'�� - r�„•'r''��si e•. * ,' b''��•: .l si `• �- 'y��_
202 OLD FARMS RD .
00073
,± ! ° a Ks "f`a x [ y 'rv� �'' : ``••"'/ \ e i -.% y tk t`�x J t¢ �t j' ' ,
U "Y� end �C ` umer Protect}oa as a. rrr3"
i r r.-.:yti n �Iitlr s.. y -�f . ':t x� y f� c •.ra{� �hr Yf t
�` �t` $Myz'+:; i4��*y �,� .t r•o �•, � f�c "• +�; .r x i �:f � t�� � �"•.y : Ar ��4.
r, � ^' .u�J°S .•ems •3 . Jli yN '}Y►- .,,t ,, ys .�• '} ?,.K�'1 .,•;rrJi r i»# . "
J4 4 -_
ST��/t' .�. �• rprr} ��; Y ,r,
i � yt�.i'- �e i ,.::.��,J P �►�i'.�'�• .t,r d'i- ... i,!'����,�q y4������C+ M� t'iR � �s at
tive•r�09 01 200fi;: .,�, •;w �jr4 `. ,. �`` f, PA,jt
� .
Effec / /_ K
Ex �iration:.08/31/2007
J �J•/#'1;i'?t':. ?aji� Edwin R Rodrigues,Commissiuner
L_ ^_ / {Y •�"= - ),.'mot j5iv. vfi
y�
�pw
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.
APPLICATION IS HEREBY: /1(J j) 7!:e
APPROVED: BLDG.PERMIT NUMBER:
DATE INSPECTOR
LOCATION OF WORK: �e L i v I 1 p (,yy in 0J-L\./ �
APPLICANT: OWNER: TYPE OF STRUCTURE:
�/ o NEW BUMDING
NAME: N it,1 C 1,IA s ��l l L LIQ NAME: !'I a)v S I !'A D A L/ ❑ADDITION
PHONE NUMBER:Sf(C->- 314— 1 S) PHONE NUMBER.g4' 37Y—BSI Iup6asnNG BUILDING
ADDRESS: 1-4 0 P`l 1./ Gi i}'A)N AA,;� ADDRESS: /4 j U w1.LI �c.v O �r-
S C=)-� C'C U 7c.1 TYPE OF USE:
q�IDENTL4L ❑COMMERCIAL
HVAC INFORMATION: (�.g10 q�; ,t - FURTHER DESCRIPTION OF WORK:
TYPE OF SYSTEM: /HEATING LC 2 6 5 N L. Z:b 13 SS 9 2 A 6
HEATING: �,'(? 11�A o2- vr-
TOTAL HEAT LOSS(BTUH) °F (IIEAT Loss SHEET REQUIRED) .J �j N (�� A 4-14
DESCRIBE ALL HEATING EQUIPMENT(INCLUDE MAKE AND MODEL NO.): A do 70 1C �(J��o �� �y�-���q I (}A S
�c)k ��o NG- F�,r�n..o i� FvR,r,Ac t 40 p6-F MilA02407c"
I` P(r F? I- •A 1) C, �-� a--) U ESTIMATED COST:S l�J L L/
AIR CONDITIONING: cp 2CO3 .
DESIGN TEMP:OUTSIDE IF INSIDE T DIFFERENCE F° FEE ENCLOSED:S
TOTAL HEAT GAIN(BTUH) (HEAT GAIN SHEET REQUIRED)
DESCRIBE ALL COOLING EQUPMENT(INCLUDE MAKE AND MODEL NO.):
FEE SCHEDULE:$18 PER SI,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
►'S 00 U: µ•t C_) -r' (01 J OF THE PERMIT FEE)
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 PERFOMANCE OF SUCH WORK.
CONTRACTORS LICENSE NO.: 0,19 Y,v TYPE:—�� STATE: `-
SIGNATURE OF APPLICANT: JI �f DATE: 1 3U 1
ao�q�v��a
APPLICATION FOR PLUMBING PERNUT
TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT
1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074(PHONE) 860-644-2511 EXT. 230
DEPARTMENT DECISION PERMIT NUMBER:
APPLICATION IS HEREBY: 1
[[JJ
,, BLDG.PERM R IT NUMBER:
d .jq-' o
DATE TOR
LOCATION OF WORK: ' S M r I i IN n t :y
APPLICANT: OWNER TYPE OF STRUCTURE:
1 ❑NEW BUILDING
f C l(
NAME: n I C h�lA S 1� G NAME: J Y.C h 1�C�Lt `In i ❑ADDITION
PHONE NUMBER 4i6 sy 3 �()�Z PHONE NUMBER. D ;(� S� i(MaMING BUILDING
ADDRESS:Z�D hrricj to ,`� ADDRESS: p� —
s TYPE OF USE:
k"IDENTIAL o COMMERCIAL
PLUMBING INFORMATION: FURTHER DESCREMON OF WORK.
TYPE OF INSTALLATION: �( Cc� �� Y^ 5 �G�I� 10
NO.OF TOILETS: STYLE: No.OF BATHTUBS: `/`e G r LJF r 1-44 U G t—
NO.OF SHOWERS: NO.OF LAVATORIES:
NO.OF CATCH BASINS: NO.OF FLOOR DRAINS:
ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY WINDOW?
DYES oNO ESTIMATED COST: S G v
SITE OF WINDOW: S12E OF DUCTS:
SEWER OR SEPTIC TANK: FEE ENCLOSED:S O
SITE OF WATER PIPING AND RISER:
WATER HEATER: TYPE }f MANUFACTURER
FEE SCHEDULE:$18 PER S1,000 OF THE ESTIMATED COST.
ROUND UP TO THE NEXT THOUSAND ONCE THE PROJECT IS
S1.00 OVER (.26 CENT EDUCATIONAL FEE INCLUDED AS PART
OF THE PERMIT FEE)
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 PERFOMANCE OF SUCH WORK.
CONTRACTORS LICENSE NO.: % Z d E: STATE: C
SIGNATURE OF APPLICANT: DATE: Z
�� aoa000a��
S0.*N 3
Town of South Windsor Building Department
oR Co���
HVAC PERMIT: HVAC-21-53
APPLICANT
NAME: Beacon Mechanical Service LLC
EMAIL ADDRESS: cmcdonald@beaconmechanical.com
ADDRESS: PO Box 868 PO Box 868
Granby, CT 06035
LOCATION
ADDRESS: 1607 MILL POND DR
South Windsor CT 6074
OWNER: PATIL KIRAN
1607 MILL POND DRIVE
SOUTH WINDSOR CT 6074
DESCRIPTION OF WORK
Replace existing natural gas fired furnace and central air conditioning system with a Heil G96VTN06,60,000 BTUH input/57,600 BTUH output
natural gas fired furnace and a Heil 2 TON Air Conditioning coil and condenser.
February 16, 2021
BUILDING OFFICIAL DATE SIGNED
"'ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT"'
'""PERMIT ONLY VALID IF SIGNED BY BUILDING OFFICIAL"'
Electric # APPLICATION FOR BUILDING PERMIT
Plumbing# a JyIVEa
HVAC#--����i� ED M� 1� P l�riys�— eId� 1 l� Date:
Sprinkler#— 6 126pU'�� Estimated Cost $ I y87
FINAL APP
Building AN COMPLETE RED BOXED AREAS Permit Fee $ �,u(t�
Occupancy Fee $
Engineering CCS 9n323 TYPE OR PRINT ONLY Eng. Insp. Fee $
Affidavit
Appr.forCO. SIGN ON REVERSE SIDE / Total Fee $ 2, 493
TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ t374�y
The undersigned hereby applies to do work according to the following:
Applicant Sonjt�.tVlAhj P S'HA.MPIIJE Location of Work!iTR UA2-RSLDC-+s. LLD /6 LotNo.
Applicant's Address 1?9 !3&A z i4,L4_ ` np b Tel # 417 a?t a-3067
Town w fa+L-fM A M fto&5Z AG1j US E'er_. Zipj26S Lic.# S3 SoA/
Owner STILAw2R,Cb JC iGLti('fy Architect �► o<_
Owner's Address M i l_L_ Architect's Address 2'L G};v 9x_yi
lam, > Zip Dep?q Lr'b r.lLt, �isltocx. A,97__Zip 7!7
Sq.Ft.New Area: 1 st FI. (V 2nd FI. PI 3rd FI. 0 Total New Area_ 0
Purpose of this permit Poor= au ,oc,
City Water Well J Septic System J Sewer (
Ins: HO P Cert. Area Basement Garage
Approved Date �f 5 I12 Use Group Construction Type
Rewsed 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 for a Certificate of 40ccupancy for thelwork described in this application for the permit.
Signed
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS