HomeMy WebLinkAbout101 EVERGREEN WAY SPACE 109 APPLICATION FOR HVAC PERMIT
DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT#
Application is hereby: BUILDING DEPARTMENT 1 2_�n0 G-_,q
App O 1540 SULLIVAN AVENUE Bldg.Permit#
D_ k 644-2511 ext. 230 t Z 00
Date Building Inspecto
Application must be printed or typed
FEE SCHEDULE
Location of Job:
$0-$1,000=$15.00 n LA: ,< oc.� 10 a _
Over$1,000= Street No. Street Lot No.
$15.00 per$1,000 �tZ ,.l 5�.< -Tflk-
or any fraction thereof Tenant Designation Apt.No.
APPLICANT q.1
APPLICANT ADDRESS 1�jU AI,� Sl
APPLIC NT'S PHONE# CZa3) L9 1
W N Se
OWNER
•� q� OWNER ADDRESS
OWNER PHONE
CESTIMATED COST$ 3'-1 o o p
IS THIS A CONTRACT COST? Yes No
FEE ENCLOSED$ J O
TYPE OF JOB: U2a 3(,
OR-CQN New Installation 1
Alteration/Addition/Repair
f Revised 03/05/10
APPLICATION FOR HVAC PERMIT(Continued from reverse side)
TYPE OF SYSTEM: TYPE OF BUILDING:
23 HEATING ❑ RESIDENTIAL
® A/C U COMMERCIAL
fA 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 EQUIPMENT(INCLUDING MAKE&MODEL NO.)
GROSS HEATING CAPACITY(INPUT-BTUH) S'o NET RATING(OUTPUT BTUH)
TYPE OF FUEL
❑ OIL-GPM OIL TANK LOCATION: ❑ INSIDE ❑ OUTSIDE CAPACITY
® GAS-INPUT 0 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)
rr.&A DaLkaee. �1�/ w/ Ccanar—iI zz
TOTAL SIZE OF SYSTEM(CFM) 90 1 0 FRESH AIR INTAKE(CFM)
(PLANS MUST ACCOMPANY APPLICATION)
FURTHER DESCRIPTION OF WORK �"/ �/.;<� G./.,F 4r sb.w� �� �•�w y
i
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.
03o3YK(s
CONTRACTORS LICENSE NO. �TYPPEEJ STATE
SIGNATURE OF APPLICANT w — DATE l /3 �7
DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT PERMIT#
Application is hereby: TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
APPR E 1540 SULLIVAN AVENUE
w 644- .230 Bldg Pemut#
2511 EXT
(Date) (Building Inspector
Application must be printed or typed
FEE SCHEDULE _ Location of.lob:
COY- -'YY!y tc F//C-
1 U�
$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 A-/— 401 I_ A/q It,J.h S.,/Z
APPLICANT ADDRESS
S Al v.-
APPLICANT PHONE# 7
SOWN SF�9 OWNER
OWNER ADDRESS
U OWNER PHONE
C 1 ESTIMATED COST $
IS THIS A CONTRACT COST? YES NO
FEE ENCLOSED$
TYPE OF JOB: C1 l{
�SO R•C o New Installation
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? P YES ❑ NO
O BUSINESS
❑ ASSEMBLY CURRENT USE AND OCCUPANCY
MERCANTILE
EDUCATIONAL FUTURE USE AND OCCUPANCY
❑ FACTORY
O STORAGE ENGINEER'S NAME PHONE
O GARAGE
O MIXED USE ADDRESS
(Other please specify) CITY STATE ZIP
TYPE OF INSTALLATION SIZE OF MAIN DRAIN y
NO. OF TOILETS L STYLE It NO. URINALS -- STYLE �
NO. OF BATHTUBS NO. OF SHOWERS NO. OF LAVATORIES 2
NO.OF CONDUCTORS — SIZE NO.OF STACKS SIZE
AREA OF ROOF NO.OF CATCH BASINS NO.OF FLOOR DRAINS
NO.OF OTHER FIXTURES 2 KIND -1 u if O vim y� L'
ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW ❑ YES 1�)NO
SIZE OF WINDOW IF NONE C.F.M.OF VENTILATOR
SIZE OF DUCTS SEWER OR SEPTIC TANK S-e (4-rr
SIZE OF WATER MAIN SIZE OF WATER PIPING&RISER
WATER HEATER: TYPE t tv C4<< ( MANUFACTURER O. —7-A, t
DESCRIPTION OF WORK
bG 1, eoiu S: -Vz—k /a//Y�r
Cot a /* 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.
S 3 S-/ g C 7`--
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT DATE
APPLICATION FOR ELECTRICAL PERMIT
DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT#
Application is hereby: BUILDING DEPARTMENT
APPR VE 1540 SULLIVAN AVENUE Bldg.Permit#
,� 644-2511 ext. 230
! Date Building Inspector
Application must be printed or typed
FEE SCHEDULE Location of Job:
$0-$1,000=$15.00 C2 t%V f ,r e l,✓ Ni 1 O 4
Over$1,000= Street No. Street Lot No.
$15.00 per$1,000 —r& I
or any fraction thereof Tenant Designation Apt.No.
APPLICANT 9L-,51( � �n � e CT
APPLICANT ADDRESS
ell
APPLICANT'S PHONE# (10 d
OWNER
SOW N SFq` OWNER ADDRESS
OWNER PHONE
J ` F ESTIMATED COST$ U G V U
C � �
.IS THIS A CONTRACT COST? No
FEE ENCLOSED$ C��
�j, TYPE OF JOB: l
R,CO New Installation
Alteration/Addition/Repair
�12bo3��
Revised 03/05/10
APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
BUILDING PERMIT APPLICATION? �tYES ❑ NO
❑ RESIDENTIAL CURRENT USE AND OCCUPANCY E �
BUSINESS.109 ^
ASSEMBLY FUTURE USE AND OCCUPANCY -e A-r—,
❑ 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 I � �_ h 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.
/j DESCRIPTION OF WORK
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
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT DATE 12.
APPLICATION FOR ELECTRICAL PERMIT
DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT#
Application is hereby: BUILDING DEPARTMENT t2ooL�C-.Z
APPRO D 1540 SULLIVAN AVENUE Bldg.Permit#
644-2511 ext. 230 033k,
Date Building Inspector
Application must be printed or typed
FEE SCHEDULE Location of Job:
$0-$1,000=$15.00 �d �V e 1^9 r-CYN Ll/&V Sv i EL 161
]No.
Over$1,000= Street No. Streit$15.00 per$1,000 I-;anor any fraction thereof Tenant Designation Apt.
APPLICANT
APPLICANT ADDRESS '2/
APPLICANT'S PHONE# 9'60 5-6y c;4-0 2
�W N S F OWNER ry-IT i 1
q q� OWNER ADDRESS II't Z✓
OWNER PHONE
` ESTIMATED COST$
C
IS THIS A CONTRACT COST? Yes No
A* FEE ENCLOSED$ -3rb
,Y
° TYPE OF JOB: Cam
f��SQR-COS New Installation
2Co3
Alteration/Addition/Repair "T
Revised 03/05/10
APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
BUILDING PERMIT APPLICATION?RYES ❑ NO
❑ RESIDENTIAL CURRENT USE AND OCCUPANCY
X 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 J 00 A,)k
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
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
olgSo y q C -5--- C
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT f DATE
DEPARTMENT DECISION APPLICATION FOR SPRINKLER PERMIT
TOWN OF SOUTH WINDSOR PERMIT#
Application is hereby: 1300 OOa-
BUILDING DEPARTMENT
APPROVED 1540 SULLIVAN AVENUE
Bldg.Permit#
kk 7 644-2511 ext. 230 /,�2oO o 33c
ate Buildin Inspector
Application must be printed or typed
FEE SCHEDULE Location of Job:
$0-$1,000=$15.00 F
Str t Lot No.
Over$1,000=
$15.00 per$1,000 or any fraction thereof nation Apt.No.
APPLICANT_,Rp
APPLICANT ADDRESS .SS
,yice
APPLICANT PHONE# 8 oo- P 8 S --S/9 7
OWN S F OWNER s�7 � C(/>o/Z'l-Fs�� lJUac 1.,
q� OWNER ADDRESS
Q
0 b: OWNER PHONE
C ESTIMATED COST$ Z 7
�.
✓ U IS THIS A CONTRACT COST? Yes _No
� FEE ENCLOSED$
r1 VAS O�� TYPE OF JOB: �� 1
R-C New Installation
L' Alteration/Addition/Repair
`i I
Revised 4/01//2002 1
J
APPLICATION FOR SPRINKLER PERMIT (Continued from reverse side)
TYPE OF BUILDING TYPE OF CONSTRUCTION USE GROUP_� NO.OF STORIES
❑RESIDENTIAL
afUSINESS IS THIS APPLICATION ASSOCIATED WITH A
❑ASSEMBLY BUILDING PERMIT APPLICATION? ❑ YES ❑NO
❑MERCANTILE
❑EDUCATIONAL CURRENT USE AND OCCUPANCY r
0 INSTITUTIONAL
❑FACTORY FUTURE USE AND OCCUPANCY
❑ STORAGE
LIGARAGE 0 MIXED USE ENGINEER'S NAME �r},e I /Cp�2�ss�� PHONE -49,50-5/p 7
(Other please specify) ADDRESS -7-
CITY G(/f'S4e z D STATE ZIP
KIND OF INSTALLATION
SIZE OF MAIN DRAIN Z WATER PRESSURE AT STREET(PSI)
ARE SPRINKLER HEADS ALTERED? , LYES ❑NO
IF YES,CHECK ALL THAT APPLY: Ja WDED ❑DELETED .ALTERED
IF MORE THAN 3 HEADS ARE ADDED HYDRAULIC CALCULATIONS ARE PROVIDED BY(CHECK ONE)
❑PROFESSIONAL ENGINEER ❑INSURANCE COMPANY
WATER FLOW WATER PRESSURE AT SPRINKLER HEADS(PSI)
ARE PUMPS REQUIRED? ❑YES -NO IF YES,CHECK ALL THAT APPLY:
❑FIRE ❑BOOSTER ❑OTHER
ARE STANDPIPES PROVIDED? 0 YES 4-Z10 IS A SPRINKLER SYSTEM PROVIDED? ❑YES 0 NO
SPRINKLER SYSTEM MAIN WATER SUPPLY RATING GPM
TOTAL DYNAMIC HEAD(TDH)OF FIRE PUMP PSI
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.
A-Q 5� 7 �.
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT DATE /— ' %L
I
i
c� 9L ¢
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BAN 0 4 2013 REV.# DATE � REVISION DR. BY
1EL HAWK www.RedHawkUS.com
South Windsor FIRE&SECURITY MA SC#5864,CT FR1>#0040818-F1
BUILDING DEPARTMENT 32 CHAR DRNVE RI FPM#374,MA FA#607C
WES1r1ELD,MA RI FA#9065,CT ELC#105916-L5
TEL 413-568.4709 FAX 413-562-7298
THIS DRAWING IS PREPARED BY RED HAWK FIRE& —
SECURITY FOR USE IN CONJUNCTION WITH THIS
PROJECT AND IS FOR USE SOLELY u'ITH RESPECT TO
RED HAWK WORK ON SUCH PROJECT. RED HAWK �p
FIRE& SECURITY RETAINS ALL COMMON LAW, Q' PAUL E. y t 01 G.✓ G l_ ._1 _._ 1 Tom' G� _-_ _
_ __.-_—............. ... .. .
STATUTORY AND OTHER RESERVED RIGHTS ROUSSEAU
INCLTJDING COPYRIGHT. THIS DRAWING AND FIRE PROTECTION
ASSOCIATED CALCULATIONS SHALL NOT BE USED BY
No.39154
OTHERS ON OTHER PROJECTS OR FOR PERFORMANCE, c� At
s
�xl
"'T
l>
COMPLETION, OR ADDITION TO THIS PROJECT BY `��iaN t�+.- DRAWN BY: CHECKEDBY:----------- UNDERWRITER_ JOB
OTHERS EXCEPT BY AGREEMENT OF RED HAWK
IN WRITING AND WITH APPROPRIATE COMPENSATION 1131 La/` _____.____DATE:_.__ ._ _ __.--._—_-_ SHEET_
TO SUCH. n� NO.
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`— JAN 0 `� 2013 REV.# DATE REVISION DR. BY
South Windsor RED HAWK'
BUILDING DEPARTMENT www.RedHawkUS.com
FIRE&SECURITY MA SC#5864,CT FRP#0040818-F1
32 CHAR DRIVE RI FPM#374,MA FA#607C
WESTFIELD,MA RI FA#9065,CT ELC#105916-L5
TEL 413-568-4709 FAX 413-562-7298
THIS DRAWING IS PREPARED BY RED HAWK FIRE&
SECURITY FOR USE IN CONJUNCTION WITH THIS
PROJECT AND IS FOR USE SOLELY WITH RESPECT TOt �?f
RED HAWK WORK ON SUCH PROJECT. RED HAWK ��� OF _--
FIRE& SECURITY RETAINS ALL COMMON LAW, ��* PAUL E. q�s � ��--
ROUSSEAU
si
t4
STATUTORY AND OTHER RESERVED RIGHTS
DIREPROTECTIOP!
- INCLUDING COPYRIGHT. THIS DRAWING AND
ASSOCIATED CALCULATIONS SHALL NOT BE USED BYE No.
•39154
-
OTHERS ON OTHER PROJECTS OR FOR PERFORMANCE,
COMPLETION, OR ADDITION TO THIS PROJECT BY ,u/ DRAWN BY: CHECKED BY: UNDERWRITER:
OTHERS EXCEPT BY AGREEMENT OF RED HAWK � -��-� �iJ�� - ------ - ----- JOB
IN WRITING AND WITH APPROPRIATE COMPENSATION 1
TO SUCH. -- No.