HomeMy WebLinkAbout0 MILL POND DR BDLG #17 76
APPLICATION FOR HVAC PERMIT
DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PER GT#
Application is hereby: BUILDING DEPARTMENT 00 VqS
R D 1540 SULLIVAN AVENUE Bldg.Permit#
z1 �1 644-2511 ext. 230
Date Building Inspec or
Application must be printed or typed
FEE SCHEDULE I� Og � pLocation oL1 :
$0-$1,000=$15.00 o1)
Over$1,000= �nI Street Lot No.
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT 1 f AM9- -WU)CC--5
APPLIC ADDRESS XO
GUN S O fo
APPLICANT' HO # 9a—
OWNER S
.�OWN S Fq� OWNER ADDRESS o PtU
is 0 7
OWNER PHONE — D
ESTIMATED COST$ r,7
IS THIS A CONTRACT CO�S-T? Yes No
FEE ENCLOSED$ Q
TYPE OF JOB:
�S�IZCQC� New Installation
Alteration/Addition/Repair
Revised 03/05/10
APPLICATION FOR HVAC PERMIT(Continued from reverse side)
TYPE OF SYSTEM: TYPE OF BUILDING:
EATING ❑ 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) OF(HEAT LOSS SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL HEATING EQUIPME (IN ING MAKES,,A M DEL 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 EQU PMENT(INCLUDING &MODEL NO.)
ce4eA-1-1 I-M- tj oic 6 101; V7
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��pf 6A S ACC
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__20 303 a--
CONTRACTORS LICENSE NO. TYPE /ST E
SIGNATURE OF APPLICA DATE ID '
R LOCKS AIELL6 CORPORATE OFFICE P.O. BOX 548, wlNoso , CT 06096
HOME SERVICES Plumbing • Heating • Electrical •Air Conditioning •Water Quality Solutions
To Whom This May Concern:
Aiello Home Services authorized Linda Dawson-Hayes, Russell Horrocks, Stephen
Birch, Garrett Cardwell,Tim Lynch, Joe Sparveri, Keith Tyler, Joel Tobias, Randy
Weidig, Scott White, Robert Bilodeau, Mark Putorti, 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:
(IM—k /I " Wk..,
Homeowner: All t 1� 5W,4A)SQV
Permit Fee Amount: P
Sincerely, �.
.r,
`LICENSED ,
/ FOR
Michael Jezouit ,SAFETY
President s ji. A41
STATE OF CONNECTICUT STATE OF CONNECTICUT
DEPARTMENT OF CONSUMER PROTECTION DEPARTMENT OF CONSUMER PROTECTION
HEATING,PIPING& TED CONTRACT LIMITED SHE" . � Cc�1V TRACTOR
MICR R J T MI
X f
WIND `. 096 WIND I f< y 096
LI . R _<__`.. IV , /. EXPIRE i •T 1 XPIRE
1
r, � I R .. � Ka -=0$/31/2011
HTG.0303032'— ovi } "a+Et• '$!F/31/2011 SHM.0005345 0 3,�+..,
SIGNED -
SIGNED —
Local 860-292-2600 • Connecticut Toll Free 1-888-956-4455 Fax 860-292-2690
Connecticut License Numbers 9 P1-203350 • S1-303032 9 E1-0196723 • Aiello is an AA/EOE 07/10
Coolin &Heatino Anal sis Customer ,
Cooling .. .
(Heat Loss)
SQUARE FOOTAGE OF WINDOWS
SQUARE FOOTAGE OF WINDOWS
North (Single) x 26 = Single Glass x 72 = '
North (Double) x 21 = Double Glass x 51 =
NE &NW(Single) x 45 =
NE & NW(Double) x 35 = SQUARE FOOTAGEOF DOORS
East &West(Single) x 60 = Single Glass Patio / x 76= L
East &West(Double) x 49 = Double Glass Patio x 53 =
SE & SW(Single) x 50 = Wood (no storm door) _ x 57 =
SE & SW(Double) x 40 = Wood (with storm door) x 33 =
South (Single) x 36 = Insulated Metal Door x 25 =
South (Double) x 25 =
Total Glass Sq. FootageSQUARE FOOTAGE
Total Gain F Frame(no insulation) x 15 =
SQUARE •• OF DOORS Frame(3.5" insulation) x 5 =
Wood (no storm door) x 13 = Frame(6" insulation) x 3 =
Wood (with storm door) x 9 = Masonry(no insulation) x 29 =
Insulated Metal Door x 6 = Masonry(1" insulation) x 8 =
Total Door S . Footage Total Gain
WALL PERIMETER-THIS TOTAL IS NOT PART OF THE HEAT GAIN SQUARE FOOTAGEOF
Base x Height x = No Insulation x 18 =
(Minus) Glass and Door + = R-11 (3" insulation) x 4.9 =
Subtract Total Glass&Door From Wall R-19 (6" insulation) x 2.9 =
USE NET WALL TOTAL IN NEXT FIELD Net Wall R-30 (10" insulation) x 1.8 =
SQUARE •• • OF
No Insulation x 8 SO. FT. OF ••- OVER -
AREA
R-13 (3.5" insulation) x 3 = No Insulation x 18 _
R-19 (6" insulation) x 2 = Carpet(no insulation) x 8.5 =
R-11 (3" + insulation) x 4.6 =
ONLY USE CRAWL,BASEMENT,OR SLAB
No Insulation x 22 SO. FT.OF ••' OVER BASEMENT
R-11 (3" insulation) x 4.1 = No Insulation x 1.6 =
R-19 (6" insulation) x 2.6 = Carpet or Insulation x 1 =
R-30 (10" insulation) x 1.6 =
THIS IS THE SQUARE FOOTAGE OF THE TOP FLOOR PERIMETER OF • ' FLOOR
FLOOR Slab (no insulation) x 45 =
No Insulation x 3 = Slab (edge insulation) x 23 =
Carpet(no insulation) x 2 =
R-11 (3" insulation) x 1 =
INFILTRATIONVENTILATION
Floor on Slab x 0 = Home Square Feet x 3.6
THIS IS THE SQUARE FOOTAGE OF THE BOTTOM FLOOR
INFILTRATION • Btu/Hour Loss
Home Square Feet x 3.5 = USE SUB-TOTAL IN NEXT FIELD
-LOSSES -• DUCTWORK
INTERNAL GAINS Crawl Space=Sub x x 0.1 =
Number of People x 530 = Attic = Sub x x 0.1 =
Kitchen & Bath 50
INTERNAL GAINS SUB-TOTAL I I • • •
Sub-Total Btu/ Hour Heat Gain ON
USE SUB-TOTAL IN NEXT FIELD
GAINS FROM DUCTWORK 80% Furnace x 0.3 =�
Crawlspace(Sub-Total) x 0.1 = 90% Furnace x 0.1 =
Attic (Sub-Total) x 0.1 =
FURNACE INPUT NEEDED
CoolingSize-Divide Total b 12,000 /�
7
A/C Unit `� Furnace 3 �oo
All multipliers based upon Manual J Load Calculations
DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT
PERMIT#
Application-is
TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT �—
AI�PROV 1540 SULLIVAN AVENUE
Bldg.Permit#�
f 644-2511 ext. 230
Date B 'Iding inspector
Application must be printed or typed
FEE SCHEDULE ad
Location of Job:
AL I/ a; ✓
$0-$1,000=$15.00 Street No. Street Lot No.
Over$1,000=
$15.00 per$1,000 _
or any fraction thereof Tenant Designation Apt.No.
APPLICANT e�� /M�� C &if
APPLICANT ADDRESS P C7 EaD�C�SSI
0, vldsor A-oa1CS 0T 9&09L
APPLICANT PHONE# <Z&0-029, -ca(o OO
O w N S F,q OWNER �L- .D i2 Id OWNER ADDRESS /'?f)`7 Mi// e).- / Dr
hb d Sae- C1 0607Y
p OWNER PHONE 5?/,,0 - 6
O
C ESTIMATED COST$ /�S'(� UCH
b
IS THIS A CONTRACT COST? Yes _No
0 FEE ENCLOSED$ 2,%6.I)2
�� TYPE OF JOB: . /
S�R C _New Installation Y `�
} Alteration/Addition/Repair
i
7
APPLICATION FOR HVAC PERMIT (Continued from reverse side)
TYPE.OF SYSTEM: TYPE OF BUILDING:
>LHEATING `>RESIDENTIAL
❑A/C 0 COMMERCIAL
0 VENTILATION ❑INDUSTRIAL
HEATING
❑ STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LB41T LBS.
❑HYDRONIC 0 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 HEA f'FnTTTDwR..— ,....,_T TIDING MAKE&MODEL NO.)
o C a o
sV-J&,A-070 NrbV4
GROSS HEATING CAPACITY(INPUT—STUB) NET RATING(OUTPUT—BTUH)
TYPE OF FUEL
❑OIL—GPM OIL TANK LOCATION :❑ INSIDEO 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 LICENSE N STATE
SIGNATURE OF APPLICANT. TYP DATE Lo
r
AFELL6Corporate Office P.O. Box 548, Windsor Locks, CT 06096
HOME SERVICES Plumbing, Electrical, Heating, Air Conditioning & Home Heating Oil
S13t/01
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:
MS 06074
Homeowner:
Permit Fee Amount: $,Z9'F, 00 De
Sincerely,
Michael Jezouit
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&Light Commercial HVAC Loads Elite Software Development,Inc.
Warren's Heating&Cooling,Inc Gas Furnace And AC Replace On A Condo
Wolfeboro,NH 03894 Page 2
Project Report
General Project Information
Project Title: Gas Furnace And AC Replace On A Condo
Designed By: Garrett Cardwell
Project Date: Thursday, May 31,2007
Client Name: Dold, Don&Gail
Client Address: 1708 Mill Pond Dr., Stawbridge Condos
Client City: South Windsor, CT 06074
Client Phone: 644-9689
Company Name: Aiello Home Services
Company Representative: Garrett Cardwell
Company Address: 600 Old County Circle, PO Box 548
Company City: Windsor Locks, Ct 06096
Company Phone: 888-956-4455
Company Fax: 860-292-2690
Company E-Mail Address: g.cardwell@aiellohomeservices.com
Company Website: aiellohomeservices.com
Company Comment:
Design Data
Reference City: Hartford, Connecticut
Daily Temperature Range: Medium
Latitude: 41 Degrees
Elevation: 19 ft.
Altitude Factor: 0.999
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 73 50 72 28
Check Figures
Total Building Supply CFM: 847 CFM Per Square ft.. 0.642
Square ft. of Room Area: 1,320 Square ft. Per Ton: 781
Volume(ft')of Cond. Space: 10,560 Air Turnover Rate(per hour): 4.8
Building Loads
I
Total Heating Required With Outside Air: 38,072 Btuh 38.072 MBH
Total Sensible Gain: 15,829 Btuh 89 %
Total Latent Gain: 1,885 Btuh 11 %
Total Cooling Required With Outside Air. 17,714 Btuh 1.69 Tons(Based On 78%Sensible Capacity)
Notes
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.
Fhvac-Residential&Light Cortmarcial HVAC Loads Elite Software Development,Inc.
Warren's Heating&Cooling, Inc Gas Furnace And AC Replace On A Condo
Wotfeboro, NH 03894 Page 5
System 1 Room Load-Summary
Htg Htg Run Run -Clg Clg Clg Air
Room Area Sens Nom Duct Duct Sens Let Nom Sys
No Name SF Btuh CFM Size Vel Btuh Btuh CFM CFM
---Zone 1--- - ---- -
1 First Floor 660 16,989 249 3-8 462 7,620 908 484 484
2 Second Floor 660 12,408 182 2-8 521 5,725 508 363 363
AED Excursion 1,564
Humidification 3,730
Duct Loads 4,945 920 469
System 1 total 1,320 38,072 431 15,829 1,885 847 847
System 1 Main Trunk Size: 14 in.
Velocity: 792 ft./min
Loss per 100 ft.: 0.067 in.wg
Cooling-System Summary
— ----- -- --- --- -- -- -- -- --- -- ---
Cooling Sensible/Latent Sensible Latent Total
Tons Split _ Btuh _Btuh Btuh,
Recommended: - -- 1.69 - -78%/22% -�---- 15,829 -----4,465
i I
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i
i
DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT
PERMIT#
Application is hereby: TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
APPRO E 1540 SULLIVAN AVENUE
644-2511 ext. 230 Bldg. Permit#
Date Building In for
Application must be printed or typed
FEE SCHEDULE Location of Job:
Ll JV\ pow RA
$0-$1,000=$15.00 Street No. Street Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt. No.
APPLICANT Lc ,.,
APPLICANT ADDRESS
c-v- q(.O&e
APPLICANT PHONE# 81CO- S;b - `tRCLf
�0 N S F,q OWNER )I u
OWNER ADDRESS Sccw.�
Oa. OWNER PHONE ��3 oZ^ S Q I
C ESTIMATED COST$
U
.� IS THIS A CONTRACT COST? _Yes _No
o �G FEE ENCLOSED$ Z
SO. CO
TYPE OF JOB: L)
R New Installation
✓Alteration/Addition/Repair
Revised 4/01//2002
MIA
APPLICATION FOR PLUMBING PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
❑RESIDENTIAL BUILDING PERMIT APPLICATION? ❑ YES ElNO
❑BUSINESS CURRENT USE AND OCCUPANCY
❑ASSEMBLY
❑MERCANTILE❑EDUCATIONAL FUTURE USE AND OCCUPANCY
❑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 ❑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 Gas (0 e a I law MANUFACTURER
I DEISCR^^IPTION 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.
5-10
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT DATE C'k/?
a
APPLICATION FOR HVAC PERMIT
TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT
1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074 (PHONE) 860-644-2511 EXT.230
P RM l F NUMB :
DEPARTMENT DECISION
APPLICATION IS HEREBY:
APPROVED: BLDG.PERMIT R:
DATE INSPECT
LOCATION OF WORK �`,Cj� M �� :�•�•',. Or'�, 5ov� VV �'�Sor `•T. O(o O'1y
APPLICANT: OWNER: TYPE OF STRUCTURE:
❑NEW BUILDING
p
NAME: NAME: 1�C r k ",I 1-
❑ADDITION
PHONE NUMBER 0 " �O a1-�S GO O PHONE NUMBER STING BUILDING
ADDRESS: -ZIA rl�'�`� h� ` ADDRESS: 11 o S M m P onC� D; v�
�,r,;� G, S evt� W.��`� C-T• Olo Q'1 y TYPE OF USE:
WISSIDENTIAL o COMMERCIAL
Oto^.A
HVAC INFORMATION: -T FURTHER DESCRIPTION OF WORK:
TYPE OF SYSTEM: HEATING o A/C
Zns*2k u r1 �T b y,�� 44 T �tur+lvc e cif k
HEATING:
TOTAL HEAT LOSS(BTUH) °F (HEAT LOSS SHEET REQUIRED)
DESCRIBE ALL HEATING EQUIPMENT(INCLUDE MAKE AND MODEL NO.): '
ESTIMATED COST:S 3,'A b 3.co
AIR CONDITIONING:
DESIGN TEMP:OUTSIDE °F INSIDE "F DIFFERENCE F° FEE ENCLOSED:S al c'
TOTAL HEAT GAIN(BTUH) (HEAT GAIN SHEET REQUIRED) nr
DESCRIBE ALL COOLING EQUPMENT(INCLUDE MAKE AND MODEL NO.): (J
FEE SCHEDULE:S18 PER$1,000 Ot THE ESTIMA ED 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 PERFOMANCE OF SUCH WORK.
CONTRACTORS LICENSE NO.: WrU \kc TYPE: 5- STATE: CT
SIGNATURE OF APPLICANT: Ale DATE:
10l dV l Ica
(�0l6-)ou57
Electric # APPLICATION FOR BUILDING PERMIT
PI
H Will &Y-1 T)L\je- bdQ .t1 Date: _J.N
Sprinkl "114 Imp Estimated Cost $ M,4%l
FINAL AF44ftVALS Permit Fee $ a,qZ3
Building rGS 29-3 COMPLETE RED BOXED AREAS Occupancy Fee $
Engineering TYPE OR PRINT ONLY Eng. Insp. Fee $
Affidavit
Appr.forCO. SIGN ON REVERSE SIDE A Total Fee $ a,42'?,
TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ -*3-7yg4
The undersigned hereby applies to do work according to the following:
Applicant Sow>,'.tln Atu P SN AMP 11-lE. Location of Work 15TRAIA,221 L D Cam, lkb /5t Lot No.
Applicant's Address 17 9 -Ag-141 L-L ^Nb Tel # 4o 1"]09).;-—s-7
Town W NLt)j A tm Zip„=4 S01 Lic.# g'3&A/
OwnerSTtAW'&1. c_1Cijt0PJ Architect eC V% G.
Owner's Address 2"-s Will L ;?5KJD 't79._ Architect's Address 21, r H u(x-VI
Swfln LJ > Zip 0667q_ Lr'b CAJ-„4 raluxX 0 AZE _ZipQ,9 3A
Sq. Ft.New Area: 1 st FI. �_2nd FI. ?1 3rd FI. 0 Total New Area �
Purpose of this permit S r C110(x Ol AC-Coo a 0-t
City Water S Well J Septic System J Sewer
Ins: HO 99aer[. Area Basement Garage
Approved 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 located2ccupancy
ch this building an i use is allowed.
SignedI hereby apply for a Certificate of for the ork described in this application for the permit.
Signed
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS