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APPLICATION FOR HVAC PERMIT 'J ob#51�)9 Uya
TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT
1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074 (PHONE) 860-644-2511 EXT. 230
DEPARTMENT DECISION PEW NUMBER:
APPLICATION IS HEREBY: r„
APPROVED: l�
BLDG.PERMIT NUMBER:
LUC
DATE INSPE
LOCATION OF WORK: I I l )csj, l P =r— J r
APPLICANT: OWNER: TYPE OF STRUCTURE:
❑NEW BUILDING
NAME: NAME
� r ❑ADDITION
PHONE NUMBER: pCL�'� t - ((� PHONE NUMBERffjAr)-Uy C\--RRCt EXISTING BUMDING
ADDRESS: 15,o) ADDRESS: I--CUmhthr` -
�j r t i c I/„ , T r TYPE OF USE:
Qb C`q 6 ��J C RESIDENTIAL o COMMERCIAL
HVAC INFORMATION: FURTHER DESCRIPTION OF WORK:
TYPE OF SYSTEM: ❑HEATING XA/C
HEATING:
TOTAL HEAT LOSS(BTUH) °F (HEAT LOSS SHEET REQUIRED)
DESCRIBE ALL HEATING EQUIPMENT(INCLUDE MAKE AND MODEL No.): J rQ Y1�
ESTIMATED COST:S
AIR CONDITIONING:
DESIGN TEMP:OUTSIDE °F INSIDE °F DIFFERENCE F° FEE ENCLOSED:S r'c-
TOTAL HEAT GAIN(BTUH) (HEAT GAIN SHEET REQUIRED)
BE ALL COOLING EQUPMENT(INCLUDE MAKE AND DEL NO.):
`l� Q C FEE SCHEDULE:S18 PER$1,000 OF THE ESTIMATED COST.
1�11xc a 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.: TYPE: STATE: (/ T
SIGNATURE OF APPLICANT: DATE:
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SR0()K DRIVE
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VO. TiT`TT3T.7,RR0OK PTZTVr SOUTH k INDSOR) CONN .
Reing Lot No . 65 on mar entitled , "Timber Ridge Homes , Part Hill
Rd , s, 7111 nc!ton Rd . , South "indsor, Connecticut , Scale : I "=401 ,
ei r , 196� , Griswold Fngineerir_., Tnc . , 'Iv,-et ^ of 1"
S,-AL? . 1 "=40 '' Pate VL _ 1Z -7 2-
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,^ ,.. , rR11wo �`�j GRISt���LTI �* FUSS, INC .
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No. Tumblei)rook Drive South Windsor, Conn.
Eeing LoL No.65 on map entitled: "Timber Ridge Homes,
Dart Hill Rd. & Ellington Rd. , South Windsor, Connecticut
Scale L"=40r - Oct, 11968 - Griswold Engineering, Inc, -
;le ct 2 o. 7 - Revised: F=eb.i6, 1971 - Section i:, Line "
i
Scale: 1" = 40r Date: :�.1�• Z1 �Z Z
GRUSWOLD & FUSS, INC.
2i0 Main Street
MANCHESTE.R,CONN.
APPLICATION FOR BUILDING PERMIT
Electric#
Plumbing# 1 Tumbleb#c pk .Drive Date:
HVAC #
Sprinkler# __ -- — Estimated Cost $
FINAL APPROVALS _ _.__
Building COMPLETE RED BOXED AREAS Permit Fee $
Engineering � I Occupancy Fee $
g g TYPE OR PRINT ONLY Eng. Insp. Fee $
Affidavit Appr. for CO. SIGN ON REVERSE SIDE Total Fee $ =�
TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CI' (Additions Cost) $
The undersigned hereby applies to do work according to the following:
Applicant' -r` Location of Work /jVZ21 i/-hlwk ar Lot No.
Applicant's Address y f C Tel.# k.1O 393a2
Town ---Zip Q� O yO Lic.# 8" g lo7
Owner Dcy i'!�,6 4 Architect
Owner's Ad / Zvi 7A/ b�a�K Y1l Architect's Address
So, L�,iiuQ.cd�- Cr% Zipz5t' Zip
Sq. Ft. New Area: 1st FI. 2nd FI. 3rd FI. Total New Areaj 6r.�7i`c��
Purpose of this permit WeW 190o4 4a v e O
30 he
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Cx
City Water❑ Well❑ Septic System❑ Sewer❑
Ins: HO S e Area Basement Garage
Approved by a 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 Ordinari-es 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 distangq from all street lines,side yard lines,and required
distances from all other zones and is located in which this building and its use allowed.
Signed
I hereby apply for a Certificate of Occupancy for the work described in this application for the permit.
Signed
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
1
INSPECTION FIELD SHEET O1/20/21
Printed by Middleton, Morgan 08 26 16
INSPECTION: 8953 FINAL PERMIT: '
STATUS
APPLICATION: 200701611
LOC: 1 TUMBLE BROOK DRIVE
SOUTH WINDSOR
PROPERTY ID: 90600001
OWNER: WINTER DWIGHT T & PAULINE L
CONTRACTOR:
REQUEST BY:
PROJ DESC: REPLACE OLD ROOF
WORK ORDER:
INSPECTOR: ROSE RESULT: PASS
REQUESTED: 05/16/14 PRIORITY:
SCHEDULED: 05/19/14 PM COMPLETED: 05/19/14
UNPAID FEES 00 Date Time
MILEAGE: 00 TIME: TRAVEL ONSITE
COMMENTS
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