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