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HomeMy WebLinkAbout102 BROOK ST APPLICATION FOR ELECTRICAL PERMIT DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT App 1540 SULLIVAN AVENUE J Bldg.Permit# 2 l . 644-2511 ext. 230 Date Building Inspector Application must be printed or typed FEE SCHEDULE Location of Job: $o-$1,000=$15.00 , , i: :S r Over$1,000= I Street No. Street Lot No. $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT APPLICANT ADDRESS ADDRESS APPLICANT'S PH NE# OWNER �W N SF'Q< OWNER ADDRESS Cn f OWNER PHONE l64 ESTIMATED COST$ �Q *'� �► C) IS THIS A CONTRACT COST? t_,Yes No FEE ENCLOSED$ lid 4V TYPE OF JOB: s0R•CO New Installation Alteration/Addition/Repair -20►Li oo Revised 03/05/10 APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side) TYPE OF BurLnnvc IS THIS APPLICATION ASSOCIATED WITH BUILDING PERMIT APPLICATION? El � YES ENO ❑ 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/WEMG 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 IC 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 _ CONTRACTORS LICENSE NO. YPE STATE A SIGNATURE OF APPLICANT � � DATE Revised 4/01 H2002 DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT PERMIT# Application TOWN OF SOUTH WINDSOR' BUILDING DEPARTMENT APPROVED 1540 SULLIVAN AVENUE Bldg. Permit# 644-2511 ext. 230 Date �—oing Inspector Application must be printed or typed FEE SCHEDULE Location of Job: 0s2 /took $0-$1,000=$15.00 Street No. Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT 46'rC'�LJl;e,( � �1��,` �O fl/t APPLICANT ADDRESS eO !w�. l �b 3 Sa_ (� t�.r�cm.l,f ct, APPLICANT PHONE# (9 b (D`f�t"[ IlkO W N St OWNER L_ S r�YL I 2 y=A tz D-'Q ® < OWNER ADDRESS O r OWNER PHONE ky fL L� F' C ESTIMATED COST$ 4'j�), IS THIS A CONTRACT COST? _Yes _No FEE ENCLOSED$ SO- CO TYPE OF JOB: R- _N Installation Alteration/Addition/Repair a-b I Ab4l APPLICATION FOR HVAC PERMIT (Continued from reverse side) TYPE OF SYSTEM: TYPE OF ILDING: ❑HEATING WRESIDENTIAL ❑A/C ❑ COMMERCIAL ❑VENTILATION ❑ INDUSTRIAL HEATING ❑ STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS. ❑ HYDRONIC ❑ WARM AIR Cl 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) 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 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 �� a� 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 TYP$ STATE SIGNATURE OF APPLICANT / DATE ��.-L4J 1200152 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER HVAC PERMIT DATE: 04/19/12 GIS ID: 14400102 FEE: 45.00 MUNIS APPLICATION# 201200415 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: MITCHELL FUEL CO INC ADDRESS: 102 BROOK STREET ADDRESS: 1209 SULLIVAN AVENUE OWNER: BRADDOCK LESTER A REVOCABLE TRUST SOUTH WINDSOR,CT 06074 102 BROOK STREET SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: REPLACE 275 GALLON OIL TANK. SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING OFFICIAL 4/19/2012 12:51 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1400211 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER ELECTRICAL PERMIT DATE: 06/27/2014 G1S ID: 14400102 FEE: 30.00 MUNIS APPLICATION# 201400824 BUILDING DESCRIPTION: APPLICAN LOCATION 11 NAME: GMAC ELECTRIC ADDRESS: 102 BROOK STREET ADDRESS: 107 SOUTH MAINS I44T OWNER: BRADDOCK LESTER A REVOCABLE TRUST EAST WINDSOR,C 0"608 ,. 102 BROOK STREET SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: UP 4ADE FROM 60 AMP FUSES TO 100 AMP RS. SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCOR E WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: � 7 OCCUPANCY GROUP: BUILDING OFFICIAL 6/27/2014 12:28 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE