HomeMy WebLinkAbout102 FAIRVIEW DR a
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 PE N�UIMBER.
APPLICATION IS HEREBY: V -i5 1 4-:::
APPROVED: BLDG.PERMIT NUMBER:
DATE � INSPECTOR
LOCATION OF WORK: ��-
APPLICANT: OWNER: TYPE OF STRUCTURE:
r C7 ` ❑NEW BUILDING
NAME: ^ , Tcl NAME: G\&CN \"e c 0.cC x:n ❑ADDITION
PHONE NUMBER-- 2,G,\-G\ PHONE NUMBER: �V�- EXISTING BUILDING
ADDRESS: 1L\kl S���wan W U C ADDRESS: k0 v%e.,,�o
TYPE OF USE:
RESIDENTIAL ❑COMMERCIAL
HVAC INFORMATION: FURTHER DESCRIPTION OF WORK:
TYPE OF SYSTEM: ❑HEATING o A/C f
HEATING: SN"1�—
TOTAL HEAT LOSS(BTUH) O 3 °F (HEAT LOSS SHEET REQUIRED)
DESCRIBE ALL HEATING EQUIPMENT(INCLUDE MAKE AND MODEL NO.):
C Zci\ 3,( J l w 2— l 0 o CCjz� s o
L C c tw,- kv�oOe c ESTIMATED COST:S
AIR CONDITIONING:
DESIGN TEMP:OUTSIDE °F INSIDE °F DIFFERENCE F° FEE ENCLOSED:S
TOTAL HEAT GAIN(BTUH) (HEAT GAIN SHEET REQUIltED) S
DESCRIBE ALL COOLING EQUPMENT(INCLUDE MAKE AND MODEL NO.): �C 1
FEE SCHEDULE:$18 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 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.: 2U 3 S�A 2' TYPE:� _ STATE: C
SIGNATURE OF APPLICANT:����A, �t��,eQ DATE:
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1900315 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER HVAC PERMIT
DATE: 06/14/2019
GIS ID:31500102 FEE: 90.00
MUNIS APPLICATION# 201900941 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: IMPERIAL PLUMBING CO.,INC. ADDRESS: 102 FAIRVIEW DRIVE
ADDRESS: 648 SULLIVAN AVENUE OWNER: PERACCHIO ALDO A R.
P.O.BOX 875 102 FAIRVIEW DRIVE
SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: BOILER REPLACE CROWN TW2 CAST IRON BOILER
SPECIAL CONDITIONS:
ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY 'I �BU NG DEPARTMENT.
CONSTRUCTION TYPE:
OCCUPANCY GROUP: BUILDING OFFICIAL
6/14/2019 2:45 PM THE FEE ABOVE INCLUDES A$0.26 PER TIIOUSAND CT STATE EDUCATION SURCHARGE