HomeMy WebLinkAbout0 MILL POND DR BDLG #27 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 -7D014 4 b
APPROVED: BLDG.PERMIT NUMBER:
I DATE ' INSPEC OR
LOCATION OF WORK:
APPLICANT: OWNER: TYPE OF STRUCTURE:
// ❑NEW BUILDING
NAME: (it/ NAME: ❑ADDITION
PHONE NUMBER: l ' �. PHONE NUMBS : ^WEXISTING BUILDING
ADDRESS:-34 4 c a J-C' Z ADDRESS: CJ �'�,I i7 �
TYPE OF USE:
ESIDENTIAL ❑COMMERCIAL
HVAC INFORMATION: FURTHER DESCRIPTION OF WORK:
TYPE OF SYSTEM: �REATING ❑A/C V i�I 4 C�P f'!/�C C C'��L•�I
t�
HEATING:
TOTAL HEAT LOSS(BTUH) °F (HEAT LOSS SHEET REQUIRED)
DESCRIBE ALL HEATING EQUIPMENT(INCLUDE MAKE AND MODEL NO.):
Y U V `I d3 A ESTIMATED COST:Z/O V. (-)v
AIR CONDITIONING:
DESIGN TEMP:OUTSIDE 'F INSIDE 'F DIFFERENCE F° FEE ENCLOSED:
TOTAL HEAT GAIN(BTUH) (HEAT GAIN SHEET REQUIRED) �'LCI 3
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 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 2 TYPE:b� STATE:
SIGNATURE OF APPLICANT: DATE: 19112
- - Pro ect Summary Job:
wrightsoft°
Date: Sep 19,2017
Enure House By:
Proiect Information
For: AJAY MATHEW
2708 MILLPOND DR, SOUTH WINDSOR, CT
Notes:
D- • n-Information
Weather: Hartford, Bradley IAP, CT, US
Winter Design Conditions Summer Design Conditions
Outside db 8 OF Outside db 88 OF
Inside db 70 OF Inside db 75 OF
Design TD 62 OF Design TD 13 OF
Daily range M
Relative humidity 50 %
Moisture difference 28 gr/lb
Heating Summary Sensible Cooling Equipment Load Sizing
Structure 31062 Btuh Structure 10722 Btuh
Ducts 5752 Btuh Ducts 4643 Btuh
Central vent(0 cfm) 0 Btuh Central vent(0 cfm) 0 Btuh
(none) (none)
Humidification 0 Btuh Blower 0 Btuh
Piping 0 Btuh
Equipment load 36814 Btuh Use manufacturer's data n
Rate/swing multiplier 0.93
Infiltration Equipmenfsensible load 14290 Btuh
Method Simplified Latent Cooling Equipment Load Sizing
Construction quality Average
Fireplaces 1 (Average) Structure 964 Btuh
Ducts 674 Btuh
Central vent(0 cfm) 0 Btuh
2
Heatin Coolingg (none)
Area(ft 191 1914 Equipment latent load 1638 Btuh
Volume(ft3) 15312 15312
Air changes/hour 0.46 0.20 Equipment total load 15928 Btuh
Equiv.AVF(cfm) 117 51 Req. total capacity at 0.70 SHR 1.7 ton
Heating Equipment Summary Cooling Equipment Summary
Make Make
d Trade
C
AHRI ref Coil
AHRI ref
Efficiency 80AFUE Efficiency 0 SEER
Heating input 0 Btuh Sensible cooling 0 Btuh
Heating output 0 Btuh Latent cooling 0 Btuh
Temperature rise 0 OF Total cooling 0 Btuh
Actual air flow 634 cfm Actual air flow 634 cfm
Air flow factor 0.017 cfm/Btuh Air flow factor 0.041 cfm/Btuh
Static pressure 0 in H2O Static pressure 0 in H2O
Space thermostat Load sensible heat ratio 0.90
Calculations approved by ACCA to meet all requirements of Manual J 8th Ed.
C WI1 I1t50ft' 2017-Sep 12:32:03
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AED Assessment Job:
- wrightSofta Date: Sep 19,2017
Entire House By:
Project Information
For: AJAY MATHEW
2708 MILLPOND DR, SOUTH WINDSOR, CT
Design-Conditions
Location: Indoor: Heating Cooling
Hartford, Bradley IAP, CT, US Indoor temperature(OF) 70 75
Elevation: 180 ft Design TD (OF) 62 13
Latitude: 420N Relative humidity (%) 50 50
Outdoor: Heating Cooling Moisture difference(gr/lb) 48.5 28.0
Dry bulb(OF) 8 88 Infiltration:
Daily range OF) - 20 ( M )
Wet bulb(°F� - 72
Wind speed(mph) 15.0 7.5
Test for Adequate Exposure
Hourly Glazing Load
7,
8,
g 5,
S
y 4,
3,
2.
1,
0
8 9 10 11 12 13 U 15 16 17 18 19 20
wd Dry
Maximum hourly glazing load exceeds average by 33.0%.
House does not have adequate exposure diversity (AED), based on AED limit of 30%.
AED excursion: 1"l3tuh (PFG - 1.3*AFG)
t wri htsoft* 2017-Sep-1912:32:03
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+� wrightsoft Right-JO Worksheet Job:
Entire House Date: Sep 19,2017
By:
1 Room name Entire House Room1
2 Exposed wall 321.0 ft 106.0 ft
3 Room height 8.0 ft d 8.0 ft heaVcool
4 Room dimensions 18.0 x 35.0 ft
5 Room area 1914.0 ft' 630.0 ft2
Ty Construction U-value Or HTM Area (ft� Load Area (ft� Load
number (Btuh/ftl-'F) (BtutVft2) or perimeter (ft) (Btuh) or perimeter (ft) (Btuh)
Heat Cool Gross N/P/S Heat Cool Gross N/P/S Heat Cod
6 gyp! 12C-Osw 0.091 n 5,64 1.77 288 207 1168 367 0 0 0 0
L 1 Dc2ow 0,570 n 35.34 18.12 81 0 2863 1468 0 0 0 0
12C-Osw 0,091 n 5.64 1 77 144 132 745 234 144 132 745 234
1Dc2ow 0 570 n 35.34 18.12 12 0 424 217 12 0 424 217
11 T 12C-Osw 0.091 a 5,64 1.77 600 572 3227 1015 0 0 0 0
�-(p; 1 Dc2ow 0.570 e 35,34 6000 7 0 247 420 0 0 0 0
11 DO 0,390 a 24,18 9.55 21 21 508 201 0 0 0 0
W 12C-Osw 0 091 e 564 1,77 280 280 1580 497 280 280 1580 497
W, 12C-Osw 0.091 s 5,64 1.77 232 182 1027 323 0 0 0 0
__G 1Dc2cw 0.570 s 35.34 31.66 50 0 1767 1583 0 0 0 0
W 12C-Osw 0 091 s 5 64 1,77 144 144 812 256 144 144 812 256
W 12C-Osw 0.091 w 5,64 1.77 600 600 3385 1065 0 0 0 0
W 12C-Osw 0 091 w 564 1 77 280 280 1580 497 280 280 1580 497
12C-Osw 0.091 - 5.64 0,87 56 35 197 31 0 0 0 0
L—D 11 DO 0.390 n 24.18 955 21 21 508 201 0 0 0 0
C 16B-21ad 0 044 273 2,11 672 672 1833 1419 0 0 0 0
F 19A-Obswp 0,295 6.87 1.44 42 42 289 61 0 0 0 0
F 21A-24c 0 025 - 1 55 000 630 630 977 0 630 630 977 0
„ irrzyL
4 r
- i
6 c)AED excursion 144 -42
Envelope loss/gain 23136 9997 6117 1659
12 a) Infiltration 7926 725 2617 239
b) Room ventilation 0 0 0 0
13 Internal gains Occupants @ 230 0 0 0 0
Appliances/other 0 0
Subtotal(lines 6 to 13) 31062 10722 8735 1899
Less external load 0 0 0 0
Less transfer 0 0 0 0
Redistribution 0 0 0 0
14 Subtotal 31062 10722 8735 1899
15 Duct loads 19°% 43% 5752 4643 19% 43% 1617 822
Total room load 36814 15366 10352 2721
Air required(cfm) 6341 634 1 1 11781 112
Calculations approved by ACCA to meet all requirements of Manual J 8th Ed
wrightsoft 2017-Sep-19 12.32:03
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-�-wrightsoft Right-J®Worksheet
Job:
Entire House Date: Sep 19,2017
By:
1 Room name Room2 Room3
2 Exposed wall 99.0 ft 120 ft
3 Room height 8.0 ft heat/cod 8.0 ft heat/cool
4 Room dimensions 18.0 x 35.0 ft 7.0 x 6.0 ft
m 5 Roo area 630.0 ft' 420 ft'
Ty Constriction U-value Or HTM Area (ftj Load Area (ft� Load
number (Btuh/ft-'F) (Btuh/ftl or perimeter (ft) (Btuh) or perimeter (ft) (Btuh)
Heat Cod Gross N/P/S Heat Cod Gross N/P/S Heat Cod
6 VIJ 12C-0sw 0.091 n 5.64 1.77 144 88 496 156 0 0 0 0
L--{; 1Dc2ow 0.570 n 35.34 18.12 56 0 1979 1015 0 0 0 0
W/ 12C-Osw 0.091 n 5.64 1.77 0 0 0 0 0 0 0 0
�-G 1 Dc2ow 0.570 n 35.34 18.12 0 0 0 0 0 0 0 0
11 Upl 12C-0sw 0.091 a 5.64 1.77 280 280 1580 497 48 20 113 35
�L---(p` 1 D-c2ow 0.570 a 35.34 60.00 0 0 0 0 7 0 247 420
11 DO 0.390 a 24.18 9.55 0 0 0 0 21 21 508 201
W 12C-Osw 0.091 a 5.64 1.77 0 0 0 0 0 0 0 0
12C-Osw 0.091 s 5.64 1.77 88 63 355 112 0 0 0 0
T__.G 1Dc2ow 0.570 s 35.34 31.66 25 0 884 792 0 0 0 0
W 12C-0sw 0.091 s 5.64 1.77 0 0 0 0 0 0 0 0
W 12C-0sw 0.091 w 5.64 1.77 280 280 1580 497 48 48 271 85
W 12C-0sw 0.091 w 5.64 1.77 0 0 0 0 0 0 0 0
R 12C-0sw 0.091 - 5.64 0.87 0 0 0 0 56 35 197 31
�D 11D0 0.390 n 24.18 9.55 0 0 0 0 21 21 508 201
C 16B-21ad 0.044 - 273 211 18 18 49 38 42 42 115 89
F 19A-0bswp 0.295 - 6.87 1.44 0 0 0 0 42 42 289 61
F 21A-24c 0.025 - 1.55 0.00 0 0 0 0 0 0 0 0
6 c)AED excursion 52 45
Envelope loss/gain 6923 3158 2247 1166
12 a) Infiltration 2444 224 296 27
b) Room vertilaticn 0 0 0 0
13 Irdemal gains: Occupants C 230 0 0 0 0
Appliarx:es/other 0 0
Subtotal(lines 6 to 13) 9368 3382 2544 1193
Less external load 0 0 0 0
Less transfer 0 0 0 0
Redistribution 0 0 0 0
14 Subtotal 9368 3382 2544 1193
151 Dud loads 19% 43% 1735 1465 190/0 43% 471 517
Taal room load 1 1 11102 4846 3014 1710
Air required(cfm) 191 200 1 1 52 71
Calculations approved by ACCA to meet all requirements of Manual J 8th Ed
-*- wrightsoft- Right-Sufte®Universal 2017 17.0.21 RSU19651 2017-Sep-19 1 Page 2
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- -wrightsoft Right-J®Worksheet Job:
Entire House Date: Sep 19,2017
By:
1 Room name Room5
2 Exposed wall 104.0 ft
3 Room height 8.0 ft heat/cool
4 Room dimensions 18.0 x 34.0 ft
5 Room area 6120 ft=
Ty Constnrction U-value Or HTM Area (III Load Area Load
number (Btuhlft;'F) (Btuhlftj or perimeter (ft) (Btuh) or perimeter
Heat Cod Gross N/P/S Heat cod Gross N/P/S Heat Cod
6 1qJ 12C-0sw 0.091 n 5.64 1.77 144 119 671 211
G 1Dc2ow 0.570 n 35.34 18.12 25 0 884 453
12C-0sw 0.091 n 5.64 1.77 0 0 0 0
T-G 1 Dc2ow 0.570 n 35.34 18.12 0 0 0 0
11 1q1 12C-0sw 0.091 a 5.64 1.77 272 272 1535 483
�Gp 1Dc2ow 0.570 a 35.34 60.00 0 0 0 0
11D0 0.390 a 24.18 9.55 0 0 0 0
W 12C-0sw 0.091 a 5.64 1.77 0 0 0 0
1N 12C-Osw 0.091 s 5.64 1.77 144 119 671 211
-.G 1Dc2av 0.570 s 35.34 31.66 25 0 884 792
W 12C-0sw 0.091 s 5.64 1.77 0 0 0 0
W 12C-0sw 0.091 w 5.64 1.77 272 272 1535 483
W 12C-0sw 0.091 w 5.64 1.77 0 0 0 0
R 12C-Osw 0.091 - 5.64 0.87 0 0 0 0
�--D 11D0 0.390 n 24.18 9.55 0 0 0 0
C 16B-21ad 0.044 - 2-73 211 612 612 1670 1293
F 19A-Obswp 0.295 - 6.87 1.44 0 0 0 0
F 21A-24c 0.025 - 1.55 0.00 0 0 0 0
6 c)AED excursion 89
Envelope loss/gain 7849 4013
12 a) Infiltration 2568 235
b) Room ventilation 0 0
13 1ntemal gains: Occupants 230 0 0
Appliances/other 0
Subtotal(lines 6 to 13) 10417 4248
Less external load 0 0
Less transfer 0 0
Redistribution 0 0
14 Subtotal 10417 4248
151 Duct bads 19°k 43% 19291 1840
Total mom bad 12345 6088
Air required(dm) 213 251
Calculations approved by ACCA to meet all requirements of Manual J 8th Ed
c - wrightsoft' 2017-Sep-1912:32:03
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'4'(
Level 1
Room1
Job#: Scale: 1 89
Performed for: Page 1
AJAY MATHEW Right-Suite®Universal 2017
2708 MILLPOND DR 17.0.21 RSU19651
SOUTH WINDSOR,CT 2017-Sep-19 12:32:11
...rightsoft HVACV708 MILLPOND.rup
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Level 2
Room2
3
GARAGE
Job#: Scale: 1 89
Performed for: Page 2
AJAY MATHEW Right-Suite®Universal 2017
2708 MILLPOND DR 17.0.21 RSU19651
SOUTH WINDSOR,CT 2017-Sep-19 12:32:11
...rightsoft HVACX2708 MILLPOND.rup
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Level 3
Room5
Job#: Scale: 1 89
Performed for: Page 3
AJAY MATHEW Right-Suite®Universal 2017
2708 MILLPOND DR 17.0.21 RSU19651
SOUTH WINDSOR,CT 2017-Sep-19 12:32:11
...rightsoft HVACk2708 MILLPOND.rup
*2016010006293*
GENERAL DATA REAL ESTATE SOUTH WINDSOR AS OF 09/19/2017
BILL NO: 2016-01-0006293 ORIGINAL OWNER: MATHEW AJAY V
UNIQUE ID: 59402708 C/O:
LINK# ADDRESS: 2708 MILL POND DR
FILE# ADDRESS2
BANK: 47 CITY ST ZIP: SOUTH WINDSOR CT 06074
ESCROW: COUNTRY:
VOL/PAGE: 2038-171 PROP LOC. 2708 MILL POND DRIVE
LIEN VOL/PAGE: EXR PROP LOC.
DISTRICT: M/B/L: 48 23 2708
PROP ASSESSED: 118,200 ELD CODE: 0
EXEMPTIONS: EXMPT CHANGE:
COC CHANGE:
NET VALUE: 118,200
MILL RATE: 38.0800
*** BII-T-E ***
TOWN TOTALS
INST1: 2,250.53 2,250.53
INST2 2,250.53 2,250.53
INST3: 0.00 0.00
INST4 0.00 0.00
ADJS: 0.00 0.00
TOT TAX: 4,501.06 4,501.06
TOTAL PAID: 2,250.53 2,250.53
*** PAYMENTS ***
TYPE CYCLE DATE ADJ TERM/BATCH/SEQ INST AMOUNT INTEREST LIENS FEES TOTALS
Pmt 1 07/31/2017 90/101/1292 T 2,250.53 0.00 0.00 0.00 2,250.53
TOTAL PAYMENTS: 2,250.53 0.00 0.00 0.00 2,250.53
TOTAL BALANCE DUE AS OF 09/19/2017
TOWN
INT DUE: 0.00
LIEN DUE: 0.00
FEES DUE: 0.00
TAX DUE NOW: 0.00
TOT DUE NOW: 0.00
BALANCE DUE: 2,250.53
*** FLAGS ***
Circuit Breaker Amount 0 Benefit Year: 0
Invalid Address Flag No
APPLICATION FOR HVAC PERMIT
DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT#
Application is hereby: BUILDING DEPARTMENT 15005�`1
App O 1540 SULLIVAN AVENUE
1 I •�3-S
644-2511 ext. 230 Bldg.Permit#
Date Building Inspector
Application must be printed or typed
FEE SCHEDULE "tion of Job:
$041,000=$15.00
Over$1,000= Street No. Street Lot No.
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt,No.
APPLICANT u
{ ?CbaiA — IIV c Pii=I,QcCi G
APPLICANT ADDRESS ( j ulc5pq �7
��-
APPLICANT'S PHONE#
OMI N $ OWNER U
, q� OWNER ADDRESS
OWNER PHONE
CESTIMATED COST$ 6re
,.] V IS THIS A CONTRACT COSTS Yes No
FEE ENCLOSED$ ?JCC7
TYPE OF JOB: -,,i�75 I yq
�SOR-COS New Installation
Alteration/Addition/Repair
l .01�3�
Revised 03/05/10
APPLICATION FOR HVAC PERMIT(Continued from i+everse side)
TYPE OF SYSTEM: TYPE OF BUILDING:
6�AIC
RESIDENTIAL
❑ COMMERCIAL
❑ VENTILATION ❑ INDUSTRIAL
HEATING
❑ STEAM LOW PV5SURE LIMIT LBS. HIGH PRESSURE LIMIT LBS.
❑ HYDRONIC A WARM AIR ❑ UNIT RADIANT HEATER
EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION
DESIGN TEMP.OUTSIDE °F INSIDE 7O °F DIFFERENCE °F
TOTAL HEAT LOSS(BTUH)_2f(IMAT LOSS SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL HEATING EQUIPMENT(INCLUDING MAKE&MODEL NO.) _
�'f}���-� �J�C✓�}- U�� �y��77� -t-'tt�- l�-1�z'7S-f'�N ti�
GROSS HEATING CAPACITY JINPUTBTUH). T-a�rj NET RATING(OUTPUT-BTUH)
TYPE OF FUEL
❑ OIL-GPM OIL TANK LOCATION: ❑ INSIDE ❑ OUTSIDE CAPACITY
0�-GAS-INPUT o y c-lICLPG TANK CAPACITY ELECTRIC-KW
AIR CONDITIONING
DESIGN TEMP: OUTSIDE°F 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)
VENTIIATION
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 HEREBYAPPLIES 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 ��—
Load Short Form Job:
NUTUM Date:
MEC SEWMES IM Entire House By:
Nutmeg Mechanical Services Inc.
130-3 Utopia Road Manchester, CT 06042 Phone.860 643 2042
Project • •
For: Russel Snow, For Permit Only
2710 Mill Pond, South Windsor, CT 06074
Phone: 860 392 8869
Design Information
Htg Clg Infiltration
Outside db (°F) 6 88 Method Simplified
Inside db(°F) 70 75 Construction quality Average
Design TD (°F) 64 13 Fireplaces 1 (Average)
Daily range - M
Inside humidity (%) 50 50
Moisture difference(gr/lb) 49 32
HEATING EQUIPMENT COOLING EQUIPMENT
Make Make
Trade Trade
Model Cond
AHRI ref Coil
AHRI ref
Efficiency 80AFUE Efficiency 0 SEER
Heating input 0 Btuh Sensible cooling 0 Btuh
Heating output 0 Btuh Latent cooling 0 Btuh
Temperature rise 0 °F Total cooling 0 Btuh
Actual air flow 931 cfm Actual air flow 931 cfm
Air flow factor 0.034 cfm/Btuh Air flow factor 0.052 cfm/Btuh
Static pressure 0 in H2O Static pressure 0 in H2O
Space thermostat Load sensible heat ratio 0.83
ROOM NAME Area Htg load Clg load Htg AVF Clg AVF
(ft2) (Btuh) (Btuh) (cfm) (Cfm)
upper p 972 12134 8380 412 435
(Rest of House) p 1080 15245 10119 518 525
Entire House d 2052 27379 17893 931 931
Other equip loads 0 0
Equip. @ 1.00 RSM 17893
Latent cooling 3537
TOTALS 2052 27379 21429 931 931
Bold/italic values have been manually overridden
Calculations approved by ACCA to meet all requirements of Manual J 8th Ed.
2015-Nov-20 12:51:53
_ W'ightsoft Comfort Builder by Wrightsoft 15.0.14 RSU13477 Page 1
/' . . Cheryl 11-17-15\Snow permit only load calc.rup Calc=MJ8 Front Door faces: S
APPLICATION FOR ELECTRICAL PERMIT
DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT#
Application is hereby: BUILDING DEPARTMENT J l o CTh 1 S y .
APPR 1540 SULLIVAN AVENUE
644-2511.ext. 230 Bldg:Permit#
Date Building Inspectorr ,
Application must be printed or typed
FEE SCHEDULE Location of Job:
$0-$1,000=.$15.00 7 n (n 10 i L L d NJ D (3
Over$1,000= Street No. Street Lot No.
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt,No.
APPLICANT
APPLICANT ADDRESS
M 4 C-T
APPLICANT'S PHONE# f, 2Z (7
OWNER t
pal N S£q4 OWNER ADDRESS
O OWNER PHONE
Q ESTIMATED COST$ 2 5 y
a � IS THIS A CONTRACT COST? Yes _Z_No
FEE ENCLOSED$. 1 s
TYPE OF JOB: 4- I0l0/
OR•CGS New Installation
-j"(_Alteration/Addition/Repair
66
Revised 03/05/10
APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
BUILDING PERMIT APPLICATION? ❑ YES ❑ NO
tZ RESIDENTIAL CURRENT USE AND OCCUPANCY
❑ BUSINESS
❑. ASSEMBLY FUTURE USE AND OCCUPANCY
❑ EDUCATIONAL
❑ INSTITUTIONAL ENGINEER'S NAME PHONE
❑ FACTORY
❑ STORAGE ADDRESS
❑ GARAGE .
❑ MD(ED 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
NUMBEROF A/C CIRCUITS
SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED.
tt
_ DESCRIPTION OF WORK
Oj
THE UNDERSIGNED HEARBYAPFLIES 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
5E,
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT DATE I
,y BUILDING PBRMIT.
STATE OF CONNEMICUT
WORKERS'COWENSATION COIvIIvIISSION
Building Permit Affidavit for Property Owners or Sole Proprietors
(Conn.Gen.Stat.§31-286b)
Property looted at Z 0 6 6A ( L L fb N O
In the town of— 50010 W I N OS C-2
Name of building permit applicant: �5\) S n rV �c(Z►�+y t t,��J
Please check one:
1._I am the owner of the above property.
2.,N I am the sole proprietor of a business.
2A..Name of business l C
2B.Federal Employer Identification Number
....................................................................................................................
Pursuant to§31.286b,`a property owner or sole proprietor[who]intends to act as a general
contractor or principal employer"may provide either a certificate of workers'compensation
insurance or.a"Pica i notarized affidavit...stating that he will require proof of worker'
compensation insurance for all thoqq employedon the:`ob site in accordance with this chapW
Please check one:
1. I do not' to act as a general contractor or principal employer.
rgn an p here][
Sigma of applicant
2._I intend to act as-a general.contractor or principal employer.Applicant must either
povid`ei a certificate of workers"compensation insurance or sign the affidavit
li'elow:
........................................................................:.....................................
:.«.:.
Affidavit
I hereby swear and attest that I will require proof of workers'compensation insurance for every
contractor,subcouttaectw,or other worker before he/she engages in work on the above property in
accordance with the Wmicere Compensation Act(Maptee 568).
I Understand that pursuant to.§31-275 G.G.S.,offictrs of a corporation and partners in a
partnership may elect to be excluded from coverage by filing a waiver with the appropriate
District Office;and that a sole proprietor a business is not required to have coverage unless he
files his intent to accept
,.�-
Signature tf applicant
Subscribed and sworn to before me this day of ,200 .
(Notary Public/Commissioner of the Superior Court)
i
APPLICATION FOR HVAC PERMIT
DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT#
Application is hereby: BUILDING DEPARTMENT H8615,2-1
A 1540 SULLIVAN AVENUE Bldg.Permit#
� �- Tt7��r 644-2511 ext. 230
Date Building InspectW
Application must be printed or typed
FEE SCHEDULE
Location of Job:
$0-$1,000=$15.00 c -7 l O ; l\ a�,�
Over$1,000= I Street No. Street Lot No.
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT
APPLICANT ADD S
APPLICANT'S PHONE# �i-(�— � f)
OWNER
q OW N S fq< OWNER ADDRESS GAki « T-)n
O OWNER PHONE
ESTIMATED COST$
C �
IS THIS A CONTRACT COST?
Yes No
FEE ENCLOSED$ I
TYPE OF JOB: 1
DSO CON New Installation
alteration/Addition/Repair
�� lel(o�iy
Revised 03/05/10
APPLICATION FOR HVAC PERMIT(Continued from reverse side)
TYPE F SYSTEM: TYPE OF BUILDING:
ea�HEATING ❑ 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 HEATING EQUIPMENT(INCLUDING MAKE MODEL NO.)
c c
GROSS HEATING CAPACITY(INPUT-BTUH) NET RATING(OUTPUT-BTUH
TYPE OF FUEL
❑ AIL-GPM OIL TANK LOCATION: ❑ INSIDE ❑ OUTSIDE CAPACITY
GAS-INPUT Oc'v 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 NO. E ST TE
SIGNATURE OF APPLICANT DATE f I
APPLICATION FOR ELECTRICAL PERMIT
DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT#
Application is hereby: BUILDING DEPARTMENT
pp R 1540 SULLIVAN AVENUE � O'?
B
644-2511 ext. 230 Bldg.Permit#
Date Buil mg Inspector
Application must be printed or typed
FEE SCHEDULE Location of Job:
$0-$1,000=$15.00 F;Tenant
_a-� M lt_(_ PsN� VR-1U`t,
Over$1,000= Street Lot No.
$15.00 per$1,000
or any fraction thereof ignation Apt.No.
APPLICANT �� {�'�(�i.�L-S ' r l`-" �� Cj 0 C - L C
APPLICANT ADDRESS
APPLICANT'S PHONE#
OWNER �(L(L JS `j Ifs/
EMI N S Fq OWNER ADDRESS
e kut lt,�.
y OWNER PHONE g��0 37 S" 11 Sad
O � �
ESTIMATED COST$
,..] U IS THIS A CONTRACT COST? Yes No
FEE ENCLOSED$
TYPE OF JOB: -35--
- t
R.Co New Installation
KAlteration/Addition/Repair
Revised 03/05/10
APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
BUILDING PERMIT APPLICATION? ❑ YES ❑ NO
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
,AjSlAt leiri/ � Yd/t�sl.woz a4Lj 3DAm� Izo��q6v ��&��
r2�v�-I—
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
1-1L ,3 i a E—I
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT DATE le
A�/�
APPLICATION FOR HVAC PERMIT
DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT#
Application is hereby: BUILDING DEPARTMENT 11o64—
APPR 1540 SULLIVAN AVENUE
I I
M��i
644-2511 ext. 230 Bldg.Permit#
Date Building Inspector
Application must be printed or typed
FEE SCHEDULE a ation of Job:
$0-$1,000=$15.00 ''� ` � �' llvl
Over$1,000= Street No. Street Lot No.
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT kJ f-a O C�C
APPLICANT ADDRESS JQ RO�Qfe ✓
�r
APPLICANT'S PHONE#
OWNER
.`OWN S f q< OWNER ADDRESS 2-70 4 rn C-
OWNER PHONE (o -
C = ESTIMATED COST$ 'K000
IS THIS A CONTRACT COST? ✓ Yes No
FEE ENCLOSED$
TYPE OF JOB: N,�c
dSO CQC� New Installation
Alteration/Addition/Repair
Z6r10
Revised 03/05/10
r
APPLICATION FOR HVAC PERMIT(Continued from reverse side)
TYPE 07 SYSTEM: TYPE OF BUILDING:
HEATING ❑ RESIDENTIAL
GYA/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 °F INSIDE °F DIFFERENCE °F
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
❑ OIL-GPM OIL TANK LOCATION: ❑ INSIDE ❑ OUTSIDE CAPACITY
❑ GAS-INPUT 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.)
to, t3 5®�r YerMore- )L
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.
tt7ZO S i C
CONTRACTORS LICENSE NO. -/ TY E STATE
DATE
SIGNATURE OF APPLICANT
08/03/2011 16:28 8604665079 !CA PAGE 04/09
Adtek Software Co S� 2Sv tL-t-"Ce
105 S NbIn St-Tohx;a,Ili 61360
815.462-2345-salimpOedUAteoftAmm '�-� �S Xe-
Sales Consultant:
Job#: �J G
Dote: 07*9l2011
Sysftm t (Avers"Load Aumdure)
Design Conditions
Location: Peorls AP,Illinois devotion: 883 ft Daily Range: Mbdium
Input Data: Outdoor Dry Bulb odour Dry Bulb Letldide: 400 N Design Grains: 40
Summer: 119 75 Heated Area 1000 Sq.Ft.
VAnter: -1 70 Cooled Area 1000 Sq.Ft.
HeaMoss Summary(July Heat Load Calculations)
Gross sensible Latent
Area Loss (;lain Gain
Walla 1040 SM 1760 0
Windows 122 5834 am 0
Doors 24 613 226 0
Osl■raa 1000 13774 1;130 0
Skywta 0 0 0 0
Floors 10M 6970 1420 0
Room Intennal Loads 0 0 O
Blower Load 1707 0
Hot Water PlpkV Load 0 0
Winter Humldlfkxtion Load 0 0 0
Ini tration 4592 463 818
Ventlletlon 0 0 0 1
Duct Lem/Gain EHLF=0.246 ESGF 9191 712S 561 f
AED Excursion n/a 1450 lit
Sublotol 46251 31692 1379
Total Hearing 46251 Btuh 14 kw of electric heat
Tatsl Cooling 33M Btuh 91 Linear fL of Hydronlc Baseboard
3.S2 Nominal Tone of Sensible Cooling 2.76 Nominal Torts of Total Cooling
"Calculations are based on dw ACCA Manuel J 80 edltlon.All computed osiculsdons are estimates based on
building use,weather data,and Inputted values such as R-Values,wirxlow types,duct lose,eta Equipment
selection should most both the I@MU and senelble gain as well as building hest loss.
This application has glass arses first produce n%lsdt*ly laM a cooling i*We for part of the day. VarlaWe elr
rolurrre devices mar be ntgtffred m 0~00r»a SPA In solar load far arse of Mom roams.A zoned system
mer be required,or$ortre romm ftW raquke a ne Control(prt>t+*W by krd/Ndual,mctodsed
thernwetodaWly cmModed dampers).
Adfelc AawLoad Report Version 3.0.5 ate- f� L �f p"0 1
�� r
f -
•
• .
•
APPLICATION FOR HVAC PERMIT
DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT#
Application is hereby: BUILDING DEPARTMENT It o a 2 3f--
APPROVE 1540 SULLWAN AVENUE
644-2511 ext. 230 Bldg.Permit#
Date Building Inspector
Application must be printed or typed
Loca ion of Job:
FEE SCHEDULE FiTenant
a J 1 I/ I �'u�Over$1,000= Street Lot No.
$15.00 per$1,000
or any fraction thereof ignation Apt.No.
APPLICANT Ae tll a(-Q V d)6,S
APPLICANT ADDRESS PO OR 5V&
QQ� rl I S0 k' o&0 9 6
APPLICANT'S PHONE# B�<t D- �9a— 600
OWNER CD
.*OWN S Fq� OWNER DRESS :2 (k1 lel
_IA) s0A 07
OWNER PHONE O— — 02�}
ESTIMATED COST$ 9000, 010
C �
IS THIS A CONTRACT COST? Yes No
FEE ENCLOSED$ /,3!9 00
TYPE OF JOB:
�SOR•C43 New
Installation
Alteration/Addition/Repair
aal l oo i���
Revised 03/05/10
APPLICATION FOR HVAC PERMIT(Continued from reverse side)
TYPk0y SYSTEM: TYPE OF BUILDING:
HEATING ❑ 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 Llwtjd)K
TING EQUIPMENT C UDING MODEL NO.)
eMB ' 6's �v
* C&O(Al —, zM- 070 70,OGo �:iV
GROSS HEATING CAPACITY(INPUT-BTUH) NET RATING(OUTPUT BTUI)
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)
JESCRIBE ALL�OOLINGOEQ ME T(INCLUDING MAKE& ODES,NO.)
. ' '00
a
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 ACCO ANY APPLICATION)
FURTHER DESCRIPTION OF WORK r F
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.
�3a3o3a �S/ C'�
CONTRACTORS LICENSE NO. TY STATE
SIGNATURE OF APPLICA P DATE
Coolin -�,Heating Analysis Customer
Cooling .. . . LoadLoss)
SQUARE FOOTAGE OF WINDOWS
SQUARE FOOTAGE OF WINDOWS
North (Single) C— 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 ••-
East&West(Single) x 60 = Single Glass Patio x 76 = 3/
East&West(Double) x 49 = vo 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) d x 36 = Insulated Metal Door x 25 =
South (Double) x 25 = p
Total Glass Sq. Footage SQUARE FOOTAGEOF
Total Gain Frame(no insulation) x 15 =
SQUARE •• DOORS
Frame(3.5" insulation) x 5 = _--�o
Wood (no storm door) x 13 = L 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 FootageEY= Total Gain r 4�7
WALL PERIMETER-THIS TOTAL IS NOT PART OF THE HEAT GAIN SQUARE FOOTAGEOF
Base x Height x = r No Insulation x 18 =
(Minus) Glass and Door + = R-11 (3" insulation) a76 x 4.9 = 33,E
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 SQ. FT. OF ••' OVER CRAWL AREA
R-13(3.5" insulation) x 3 No Insulation x 18 =
R-19 (6"insulation) x 2 - Carpet(no insulation) x 8.5 = 6am c3
R-11 (3" + insulation) x 4.6 =
ONLY USE CRAWL,BASEMENT,OR SLAB
No Insulation x 22 SQ. FT. OF ••- OVER BASEMENT
R-11 (3"insulation)r f A,, 029t— x 4.1 = No Insulation x 1.6 =
R-19 (6"insulation) x 2.6 Sr/ Carpet or Insulation x 1 =
R-30 (10" insulation) x 1.6 =
THIS IS THE SQUARE FOOTAGE OF THE TOP FLOOR PERIMETER OF • • -
••- Slab (no insulati n x 45 =
No Insulation if x 3 Slab (edge insul n) x 23 =
Carpet(no insulation) x 2 =
R-11 (3"insulation) x 1 INFILTRATION / VENTILATION
Floor on Slab x 0 = Home Square Feet x 3.6 =
THIS IS THE SQUARE FOOTAGE OF THE BOTTOM FLOOR
INFILTRATIONVENTILATION
Home Square Feet �— x 3.5 = 333 a- USE SUB-TOTAL IN NEXT FIELD
LOSSES -• DUCTWOR
INTERNAL GAINS I_Crawl Space = Sub x x 0.1 =
Number of People a x 530 = O p Attic= Sub x x 0.1 =
Kitchen & Bath 1250
INTERNAL GAINS SUB-TOTAL /� •11 VA WTI• • • •
Sub-Total Btu/ Hour Heat Gain
USE SUB-TOTAL IN NEXT FIELDI GAINS oZ S' •
FROM • - 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
• • • � � • 11011
Cooling Size- Divide Total by 12,000
A/C Unit ! , g,-(, Furnace �, L
All multipliers based upon Manual J Load Calculations
op
Electric �j 6 APPLICATION FOR BUILDING PERMIT
Plumbin pN 17-1
HVAC# ...►n MM ��DAvr-- 4 Date: .lyluE �f 5f o�b✓a
Sprinkler# Estimated Cost $ 1,1 , 4 k
FINAL APP Permit Fee $ "_3!83
Building _ COMPLETE RED BOXED AREAS Occupancy Fee $
Engineering TYPE OR PRINT ONLY Eng. Insp. Fee $
Affidavit ► SIGN ON REVERSE SIDE /
Appr.forCO. To Fee $ o?)y4S 3
TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ !�# 3 7`rC4
The undersigned hereby applies to do work according to the following:
Applicant �'ow,l�.tV1At� 1P S_NArTQItJC;,_Location of Work!tTRAt..2BtiDl*, Tiz a7 Lot No.
Applicant's Address 17 9 dF-Atz µ 1 L.L "&P b Tel # 61-7 v?f;L_395� _
Town.)Nft)r1AM 5ZAe-HUSE'f[, Zipj=451/ Lic.# 83&2/
OwnerSI-tAW ;dsle- S4C.iCdt('1Q Architect %1% tJG.
Owner's Address 2��$ M i L_L_ ;:?SkZ DO- Architect's Address 21- C_H i-)RL_V-► � C:T_
Swhn W Zip ObD7. 44,h r.IL h,. L'QaNciLf. /r Zip C17!9
Sq.Ft.New Area: 1 st FI. 2nd FI. !n 3rd FI. .f Total New Area
Purpose of this permit 2,o1y amr-j S►a tju 41AcZiMe0-t-
City Water S Well J Septic System J Sewer
Ins: HO e t. Area Basement Garage
Approved by ate 0 S 112- Use Group Construction Type
aehsea 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 ccupancy for the ork 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
BUILDING DEPARTMENT
APPR E 1540 SULLIVAN AVENUE
Bldg.Permit#
4lU 644-2511 ext. 230
Dat Building Inspector
Application must be printed or typed
FEE SCHEDULE Location of Jolt:
F
$0-$1,000=$15.00 Street Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof gnation Apt.No.
APPLICANT M i kc l`�4A-A t iN lel
APPLICANT ADDRESS All Plumbing Repair, Inc.
P.O. Box 853
APPLICANT PHONE# $?a S 3�5 Tolland, CT 06084-0853
�0* N St OWNER CA V.-..- Le c I TiA k ►cJ I L
OWNER ADDRESS 27 o L Mill P.,- d 6-t iv c
Smv�k 611,J-S oa -714
OWNER PHONE 7 6 0 - 1f 32 5 9 A d
C ESTIMATED COST$ jQ,
w
•� IS THIS A CONTRACT COST? X Yes _No
FEE ENCLOSED$ 5- n
TYPE OF JOB: l All Plumbing Repair, Inc.
Scl C0 VI P.O. Box 853
_New Installation Tolland, CT 06084-0853
Alteration/Addition/Repair
Revised 4/01//2002
APPLICATION FOR PLUMBING PERMIT (Continued from reverse side)
TYPE OF BUH.DING IS THIS APPLICATION ASSOCIATED WITH A
J1 RESIDENTIAL BUILDING PERMIT APPLICATION? ❑ YES ❑NO
❑BUSINESS CURRENT USE AND OCCUPANCY
❑ASSEMBLY
❑MERCANTILE❑EDUCATIONAL FUTURE USE AND OCCUPANCY
❑INSTITUTIONAL
❑FACTORY ENGINEER'S NAME PHONE
❑ STORAGE
❑GARAGE ADDRESS
❑MIXED USE
CITY STATE ZIP
(Other please specify)
TYPE OF INSTALLATION jL±-1 e e- SIZE 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 "I MANUFACTURER «.Al
DESCRIPTION OF WORK
2c/I+�� e� 1Sa1A0j 5a G,•ll�N nr.►�v2,fL Q S
THE=ERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK 13ESCRIBED AND ITT7—
COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
-,;�a 19'sa P- r
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT `-7i -/' DATE