HomeMy WebLinkAbout0 ST MARC CIR BLDG 9 DEPARTMENT DECISION APPLICATION FOR PLUMBING PEIMT PERMIT#
Application is hereby: TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
APP 1540 SULLIVAN AVENUE Bldg.Permit#
ti 644-2511 EKE 230
(Date) (Building Ins
Application must be printed or typed
� s Ma.M ,( � cc-
FEE SCHEDULE C Location of Job:
$0-$1,000=$15.00 :Ten
eet No. Street Lot No.
Over$1,000-
$15.00 per$1,000
or any fraction thereof nt Designation Apt.No.
APPLICANT one c R\ Q Co
APPLICANT ADDRESS
APPLICANT PHONxE,# 2�a\—O vs
SOW N St OWNER '
OWNER ADDRESS C \ \ r cwc,D
0 -* < OWNER PHONE (��IN S 2R o \y 1
C ' ' ESTIMATED COST $ 1.A O O
IS THIS A CONTRACT COST? V YES NO
FEE ENCLOSED$
TYPE OF JOB: ZZ 2 Z`3
OR-Co New Installation
V'Alteration/Addition Repair
Revised 12/22/11
APPLICATION FOR PLUMBING PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
RESIDENTIAL BUILDING PERMIT APPLICATION? ❑ YES NO
ausINEss
O ASSEMBLY CURRENT USE AND OCCUPANCY
O MERCANTILE
O EDUCATIONALTURE USE AND OCCUPANCY
O FACTORY
O 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 C3 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
Vt\�N-b. r-�V a d Ym ,-v- C\
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.
2y3SQ1z �- 1 C-C-
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT �4��s� �-c,_�s,�,�, DATE q/ 1=. /`L
APPLICATION FOR ELECTRICAL PERMIT
DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT#
Application is hereby: BUILDING DEPARTMENToo
AP VE 1540 SULLIVAN AVENUE
" l;
644-2511 ext. 230 Bldg. Permit#
Date Building I spector
Application must be printed or typed
FEE SCHEDULE Location of Job:
Over$1,000= Street No. Street Lot No.
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt. No.
APPLICANTa,,titi
APPLICANT ADDRESS S'*1i
APPLICANT'S PHONE# c940
OWNER
%OWN S f.4 OWNER ADDRESS 45 L,sTF-*
OWNER PHONE
CO �` ESTIMATED COST$ 2 /d
IS THIS A CONTRACT COST? Yes No
FEE ENCLOSED$ /5
° �L TYPE OF JOB: 2 Yo
40"AOR C�S O'� � New Installation
Alteration/Addition/Repair 0�
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 5V NO
9d 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
ROLL L-'X/ST/N S SMO ACE fTE�TAc S
/AV / .4 e-e- 1-4A 6 v AGDA6;e, --,
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
O,q tiy7 e &-/ L-F
CONTRACTORS LICENSE NO. / TYPE STATE
SIGNATURE OF APPLICANT DATE �2 'c/ 63
_- APPLICATION FOR HVAC PERMIT
DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT#
Application is hereby: BUILDING DEPARTMENT oa 3
APPRO E 1540 SULLIVAN AVENUE
644-2511 ext. 230 Bldg. Permit#
Date Building Inspector
Application must be printed or typed
FEE SCHEDULE
Location of Job:
$0-$1,000=$15.00 /— Itt^ c CiIL Ce
Over$1,000= Street No. Street Lot No.
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANTdlG�-'f
APPLICANT ADDRESS _1-7 /CyG 5 1-1
APPLICANT'S PHONE# 7C— S —G G
OWNER
q OWN S Fq OWNER ADDRESS
OWNER PHONE G — S-2
ESTIMATED COST$ S-�O . C-
C �
IS THIS A CONTRACT COST? Yes Z,No
FEE ENCLOSED$ qO /
TYPE OF JOB:
r <
�,S`OR CON ew Installation
Alteration/Addition/Repair
Revised 03/05/10
APPLICATION FOR HVAC PERMIT(Continued from reverse side)
TYPE OF SYSTEM: TYPE OF BUILDING:
&"HEATING Q-16ESIDENTIAL
D-kC ❑ COMMERCIAL
❑ VENTILATION ❑ INDUSTRIAL
HEATING
❑ STEAM LOW PRESWRE LIMIT LBS. HIGH PRESSURE LIMIT LBS.
❑ HYDRONIC ZkVARMAIR ❑ 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 EQUIPMENT(INCLUDING MAKE&MODEL NO.)
GROSS HEATING CAPACITY(INPUT-BTUH) GUv NET RATING(OUTPUT BTUH) �/
TYPE OF FUEL
❑,��IrOIL-GPM OIL TANK LOCATION: ❑ INSIDE ❑ OUTSIDE CAPACITY
Itl AS-INPUT LC 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.)
A�� �
TONNAGE COOLING CAPACITY(BTUH).)- 00 U
VENTILATION
DESCRIBE ALL AIR HANDLING EQUIPMENT(INCLUDING KITCHEN EXHAUST EQUIPMENT)
TOTAL SIZE OF SYSTEM(CFM) FRESH AIR INTAKE(CFM)
(PLANS MUST ACCOMPANY APPLICATION)
FURTHER E$CRIPTION OF WORK /�e-i jYL��� `rye Gi rZ
G „Gr c r
ki
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 .0 -DATE
1`� r
♦ 1.
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
P IT NUMBER:
APPLICATION IS HEREBY:
/APPROVED: BLDG.PERMIT NUMBER:
DATE INSPECTOR
LOCATION OF WORK: F-3 St Marc Circle
APPLICANT: OWNER: TYPE OF STRUCTURE:
❑NEW BUILDING
HARP Home services NAME: Elida Danaher
NAME: o ADDITION
PHONE NUMBER: 860-623-4350 PHONE NUMBER: 860-989-9422 XExISTING BUILDING
ADDRESs:483 Spring St ADDRESS: F-3 St Marc Circle
_Windsor Locks. Ct 06096
South Windsor, Ct 06074 TYPE OF USE:
)(RESIDENTIAL ❑COMMERCIAL
jim@harpmech.com -J
HVAC INFOR.NIATION: FURTHER DESCRIPTION OF WORK:
TYPE OF SYSTEM: XHEATING )Q A/C RernOVe and- epla ce-and aITCOJ'Id—
HEATING: equipment with new Lennox brand 2 stage variable speed
TOTAL HEAT LOSS(BTUH)41,000 °F (HEAT LOSS SHEET REQUIRED) blower furnace and 2 stage air conditioning equipment
DESCRIBE ALL HEATING EQUIPMENT(INCLUDE MAKE AND MODEL NO.):
80% Lennox SL280 2 stage variable speed blower furn
ESTIMATED COST:S 12,671.00
AIR CONDITIONING:
DESIGN TE1IP:OUTSIDE 88.0°F INSIDE 75.&F DIFFERENCE 13.0F° FEE ENCLOSED:S 234.00
TOTAL HEAT GAIN(BTUH)23,500(HEAT GAIN SHEET REQUIRED) n I/
DESCRIBE ALL COOLING EQUPMENT(INCLUDE MAKE AND MODEL NO.): V v 11
16 SEER 2 stage air conditioning equiment FEE SCHEDULE:$19 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 PERINIIT 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.: f388411 TYPE: S-1 STATE: CT 2019
SIGNATURE OF APPLICANT: DATE: 8/28/18
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