HomeMy WebLinkAbout104 ANDRIES TRL APPLICATION FOR HVAC PERMIT
DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT#
Application is hereby: BUILDING DEPARTMENT 1 :�b6210a
APPROV 1540 SULLIVAN AVENUE Bldg. Permit#
r 644-2511 ext. 230
D to Building Inspector
Application must be printed or typed
FEE SCHEDULE / Location of Job:
$0-$1,000=$15.00 S
Over$1,000= I
Street No. Street Lot No.
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT dyu^'S 0l d
APPLICANT ADDRESS d 64l,c tSZ 5,1
APPLICANT'S PHONE# R -5 0 --0-2 G G
W N St OWNER
q q< OWNER ADDRESS A:�)
Y
OWNER PHONE
ESTIMATED COST$ G� 2 S-S, G Cam%
U IS THIS A CONTRACT COST? Yes Rio
FEE ENCLOSED$ GC,
TYPE OF JOB: 6
�SO R•co� _Z ew Installation
Alteration/Addition/Repair
Revised 03/05/10
APPLICATION FOR HVAC PERMIT(Continued from reverse side)
TYPE OF SYSTEM: TYPE OF BUILDING:
❑ HEATING ElRESIDENTIAL
A/C ❑ COMMERCIAL
❑ 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) 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.)
�-'�
����3G�g7� AGOG
TONNAGE COOLING CAPACITY(BTUH)
VENTILATION
DESCRIBE ALL AIR HANDLING EQUI MENT(INCL`UDIN�KITCHEN EXHAUST EQUIPMENT)
�.�- (cat S/,-. --- 7 �.: s—�/,)� G
TOTAL SIZE OF SYSTEM(CFM) I&Q6)FRESH AIR INTAKE(CFM)
(PLANS MUST ACCOMPANY AP`PLICATION) /
FURTHER DESCRIPTION OF WORK ��C�l GG j'� ��-�j
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 NO. TYPE STATE
SIGNATURE OF APPLICANT DATE ��
/3 eA5'
GARDNER Et PETERSON ASSOCIATES SMOLD POSTROAD TOLLAND, cONNEcficurOW04
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MORTGAGE SURVEY ;.
A N L7 F F—I
LOT 10 'GREEN HILL'
LAND OF U & R CONSTRUCTION CO. INC.
TOWN OF SOUTH WINDSOR, CONNECTICUT .
I hereby certify that the location of the building as shown is substantially
correct and that there are no zoning violations of the same.
L. S. # 10839
pri�
REFERENCE:
"Subdivision Plan Green Hill in South Windsor
Prepared by Gardner & Peterson Assoc."
NOTICE
i r Reproductions of this plan are invalid if they do
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not bear the impression seal of the undersigned
Land Surveyor and/or Professional Engineer, 'S
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PROFESSIONAL ENGINEERS LAND SURVEYORS ���
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CNGINCCRING C3r'PAr� TNZNT
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GARDNER & PETERSON ASSOCIATES 576 OLD POST ROAD .TOLLAND,;CONNECT/CUT 06084
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PERMIT PLAN
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LOT #10 "GREEN HILL"
TOWN OF SOUTH WINDSOR, CONNECTICUT
SCALE: 1" = 40'
L. S. # 10839
January 26, 1984
REFERENCE: "Subdivision Plan, Green Hill in
South Windsor, Conn." Prepared by
Gardner & Peterson Associates.
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PROFESSIONAL ENGINEERS LAND SURVEYORS J
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PERMIT PLkN
LOT #10 "GP,_EN HILL"
T C'k%'N OF SOUTH WINDSOR, CONINECT ICUT
L. S. # 10839
January 26, 1984
R EF E R 'C E "Subdivision Plan, Green Hill in
South Windsor, Conn." Prepared by
Gardner b Peterson Associates.
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PROFESSIONAL ENGINEERS -LAND SURVEYORS
AUG 5 1991
South Windsor
13UILDING DEPARTMENT
i..rLLil��] 6JLY 1,
-f uficd that this plan end
f the propose+ bwldln,:, cr
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i It tw1 i iVi� OF ZONING GOMF'LiiNi` ��—_--
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-Proposed building(s), use(s) and/or structure(s, io-X 12 > -,,In :n ,,nd I \.sr.It't sc' ,,ny r',
as shown on this plan appear(s) to be i►: Shed °',;;; ;Yr',,'',t�_, a'�� f nshr. clan a of 3 r
conformance with current South Windscz +rr,it.
regulations. Variances and special exception J ,,ed �_ �(;�W"d4�,�,�
may apply. ] _ / 'n's rla i, r �to t,' c„n:jkr.n -
/C' S -'ers and or,lnances regulating ti.ildrng sha!l
Date
a �/l Jitwnyllr Approved Thesa filed wr:1
Zoning Enforcement Officer —
GARDNER It PETERSON ASSOCIATES 576 OLD POST ROAD TOLLAND, CONNECTICUT 06084
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y MORTGAGE SURVEY
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LOT 10 "GREEN HILL"
LAND OF U. & R CONSTRUCTION CO. INC.
TOWN OF SOUTH WINDSOR, CONNECTICUT
SCALE: 1" = 40'
I hereby certify to Northeast Saving F A, Chicago Title Insurance Co.
and Chester & Michelle G. Aleksandrowicz that the location of the
building as shown is substantially correct and that there are no
zoning violations of the same.
Lot is not within a flood hazard zone.
L. S. # 10839
ay�16,�1984
REFERENCE:
"Subdivision Plan Green Hill in South Windsor
Prepared by Gardner & Peterson Assoc."
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PROFESSIONAL ENGINEERS LAND SURVEYORS J�