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HomeMy WebLinkAbout106 LAKE ST APPLICATION FOR HVAC PERMIT DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT t l oo4 m APP OVT 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 Date Building Inspect Application must be printed or typed FEE SCHEDULE Location of Job: $041,000=$15.00 Over$1,000= Street No. Street Lot No. $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT cll a& APPLICANT ADDRESS oco( ao APPLICANT'S PHONE# 0— `j OWNER Uld 4 0vi s Fq� OWNER ADDRESS OWNER PHONE D©r' "�) -- 7�'7 CO ESTIMATED COST$ /(7 CD© U IS THIS A CONTRACT COST? Yes No FEE ENCLOSED$ 1 TYPE OF JOB: �� Z SOR 0 New Installation C 4 Alteration/Addition/Repair 2017V 724 Revised 03/05/10 APPLICATION FOR HVAC PER AM(Continued from reverse side) TYPE OF SYSTEM: TYPE O B� F •DING: ❑ HEATING Z-a RESIDENTIAL ❑ A/C ❑ COMMERCIAL ❑ VENTILATION ❑ INDUSTRIAL HEATING ❑ STEAM LOW PRESSURE LM41T 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(BTU") OF(HEAT LOSS SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL HEATING EQUIPMENT(INCLUDING MAKE&MODEL NO.) GROSS HEATING CAPACITY(INPUT-BTUH) NET RATING(OUTPUT BTUEO T TYPE OF FUEL ❑ OIL-GPM OIL TANK LOCATION: ❑ INSIDE ❑ OUTSIDE CAPACITY ❑ GAS-INPUT LPG TANK CAPACITY low 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.) L l� L -4-- 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 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. 6_7 C--7 CONTRACTORS LICENSE NO. TYPE STATE' SIGNATURE OF APPLICANT 9;���� DATE 7 TheALLG4S & quipment Municipality: /O G /7/V1,,✓ SJ� SG u�� G�/iv�JG�C C-7 Job Name: /71c-,1c-11erJAjid &4%�e,-CJ Starting Date: Job Description: Sir , -, a-G 7�rvlx- 16 otyl a ytow-d 3CLIJ 1l>. Per Public Act 91-95 This letter authorizes I ^/d ,4))ocf,_(CKJt'0 to sign the permit as an agent of The ALL-GAS & Equipment Company, for th bove mentioned job and municipality. Application License: STATE OF CONNECTICUT HEATING,PIPING&COOLING LIMITED CONTRACTOR JAY I MAGNUSON 200 COPPERMINE RD Ja )UsonU UNIONVILI.E,CT 06085 License#: HTG.0389013-G1 LI i REG NO. EFFECTIVE EXPIRES Expiration: 08/31/17 HTG.0389013-G1 09/01/2017 08/31/2018 SLCj!jE EL 4h/"- 3150 MAIN ST, HARTFORD, CONNECTICUT 06120 / PHONE (860) 522-5197 • FAX (860)527-2376 VISIT US AT: www.aeroaligas.corn jd' _ L � t"1c /, S , < Y 1 /F e 1 1 Ck DEPARTIVIENT DECISION APPLICATION FOR PLUMBING PERMIT PERMIT# Application is hereby: TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT APPROVED 1540 SULLIVAN AVENUE 644-2511 EXT.230 Bldg Pemvt# � I�oy3Z (Date) (Building Inspect Application must be printed or typed FEE SCHEDULE Aocation of Job: /CYn ,r A�e $041,000=$15.00 Street No. Street Lot No. Over$1,000- $15.00 per$1,000 or any.fraction thereof Tenant Designation Apt.No. APPLICANT APPLICANT ADDRESS 16 -r APPLICANT PHONE# O VI N S F,q OWNER 11( / i- OWNER ADDRESS �:).Co OWNER PHONE S QD ,-2XS 7S 77 C ESTIMATED COST IS THIS A CONTRACT COS YES NO .�•. I FEE ENCLOSED$ 15 TYPE OF JOB: 3 y OR-Co New Installation Alteration/Addition Repair �2 70 D 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? ❑ YES ❑ NO O BUSINESS CURRENT USE AND OCCUPANCY O ASSEMBLY O MERCANTILE FUTURE USE AND OCCUPANCY O EDUCATIONAL O 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 NO.OF TOILETS STYLE NO.URINALS STYLE NO.OF BATHTUBS NO.OF SHOWERS NO.OF LAVATORIES NO.OF CONDUCTORS SIZE NO.OF STACKS SIZE AREA OF ROOF NO.OF CATCH BASINS NO.OF FLOOR DRAINS NO.OF OTHER FIXTURES KIND ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW O YES O NO SIZE OF WINDOW IF NONE C.F.M.OF VENTILATOR SIZE OF DUCTS SEWER OR SEPTIC TANK SIZE OF WATER MAIN SIZE OF WATER PIPING&RISER WATER HEATER: TYPE MANUFACTURER DESCRIPTION OF WORK -/ 4 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 NO. TYPE STATE 7 SIGNATURE OF APPLICANT / DATE APPLICATION FOR ELECTRICAL PERMIT DEPARTMENT DECISION TOWN OF SOUTH VaNDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT APPROVED 1540 SULLIVAN AVENUE Bldg:Permit# 644-2511.ext. 230 Date Building Inspector Application must be printed or typed FEE SCHEDULE Location of Job: $041,000 $15.0o Over$1,000= Street No. Street Lot No. $15.00 per$1,000 or any fraction thereof Tenant Designation Apt No. APPLICANT a l-l al vrz L APPLICANT ADDRESS tom. . ZC y. APPLICANT'S PHONE]# FS(ab d7; Ow N S OWNER OWNER ADDRESS m P O OWNER PHONE '( ,59 5 ­257 7 C ESTIMATED COST$ 4 ,�000 U IS THIS A CONTRACT COST? Yes No FEE ENCLOSED-$. TYPE OF JOB: K) � dSOR•CO� New Installation Alteration/Addition/Repair �O I -7 O d y 2 Revised 03/05/10 APPLICATION FOR ELECTRICAL PERAUT(Continued from reverse side) TAPE of Burr DIN IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION? ❑ YES ❑ No RESIDENTIAL CURRENT.USE AND OCCUPANCY ❑ BUSINESS ❑ ASSEMBLY FUTURE USE AND OCCUPANCY ❑ EDUCATIONAL ❑ INSTITUTIONAL ENGINEER'S NAME PHONE ❑ FACTORY ❑ STORAGE ADDRESS ❑ GARAGE ❑ MDCED USE CITY STATE ZIP (Other p1mc specify) TYPE OF INSTALLATION/WIRING METHOD SIZE OF SERVICE SIZE OF MAIN CONDUCTORS NUMBERS OF METERS .' NUMBERS OF DISCONNECTS AND RATINGS NUMBERS OF PANELS NUMBERS OF DISCONNECTS REQUIRED? ❑ YES li"O NUMBERS OF LIGHT CIRCUITSLl _�_ 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 NEARBY 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 /03,5 9Q E' I GT CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OFAPPLICANT DATE 3:h?/ 1 Installation & Operating Manual NOT _ ES�Iy1Cy3MC�S - m 1 4 ULL AVEN S T�ARNING l CO (860}(0�} S'§ACES! Glass and other surfaces are hot during operation and cool down. Hot glass will cause burns. Model(s): • Do not touch glass until it is cooled P68 Freestanding Pellet Stove • NEVER allow children to touch glass • Keep children away • CAREFULLY SUPERVISE children in same room as stove. • Alert children and adults to hazards of high temperatures. High temperatures may ignite clothing or other t flammable materials. • Keep clothing,furniture,draperies and other flammable materials away. NOTE To obtain a French translation of this manual, please contact your dealer or visit www.harmanstoves.com Pour obtenir une traduction fran�aise de ce manuel, s'il vous plait contacter votre revendeur ou visitez www. harman stoves.com SAFETY NOTICE PLEASE READ THIS ENTIRE MANUAL BEFORE INSTALLATION AND USE OF THIS WOOD PELLET FUEL-BURNING ROOM HEATER. FAILURE TO FOLLOW THESE INSTRUCTIONS COULD RESULT IN PROPERTY DAMAGE,BODILY INJURY, OR EVEN DEATH. FOR USE IN THE U.S.AND CANADA. SUITABLE FOR INSTALLATION IN MOBILE HOMES. IF THIS PELLET STOVE IS NOT PROPERLY INSTALLED,A HOUSE FIRE MAY RESULT. FOR YOUR SAFETY,FOLLOW INSTALLATION DIRECTIONS. CONTACT LOCAL BUILDING OR FIRE OFFICIALS ABOUT RESTRICTIONS AND INSTALLATION INSPECTION REQUIREMENTS IN YOUR AREA. CONTACT YOUR LOCALAUTHORITY(SUCH AS MUNICIPAL BUILDING DEPARTMENT, FIRE DEPARTMENT, FIRE PREVENTION BUREAU, ETC.) TO DETERMINE THE NEED FOR A PERMIT. TESTED AND LISTED BY OMNI-TEST LABORATORIES; REPORT# 135-S-13c-6.2 TESTED TO;ASTM E 1509-04, ULC S627-00, ULC/ORD C1482-M1990 INSTRUCTIONS.SAVE THESE 3-90-00688R24 06/13 This label is located on the back of the unit. Please copy the Serial Number for future reference. - Sei ial#: MODEL!Moif3le:'P68e Lit�lvin a `PREVENTION DES HCEN s*wI «e . Room Healer Pelet Fud Bumry Type.Abo ter use n Motile Fbnws. Respects acrupuMuesnwd bs natructions du axWrucbw pow ISnewfiabon N be oaaQ,as Appel d.nhwlege i pawMa de boa Utisabb dru des mowb homes. Made in U.SA of US and imported pads./Fabnqui de brcbonrwmenL Respecter tea rigbs do o6crite on vigiwir dens wire 4" a petit bumkp aDDfiece has been bated tits listed fa use lo Mrndacturd sux ksWJM6dA rAr"par des paces d'onpins AVERTISSEMEIR POUR MOBILE HOMES:,No pas Insider dens une chambre.I eel i"@V Report a/Rapport a 135S-13c.6.2 Homes m axadreo with OAR 114.23-n00 wrwgh 61423N309 ernincene at Peas imporlies, de privor une prise d'elr atirwur.LSmigdt►struct role du plancher,du plelond at des mars doff firs Tested to I Tests A. strictrnenl prise"".So reporter sot instructions du fabrbanl at wx rigbmentdons spidfigwe ASTM E15D9-04,ULCIORDL7462- Sedal No. bcebt ooncemnl bs precwhons aquas bra de a trawrset d'un mar ou dun plabnd. M1990.ULCS627-00 i �^* �7/—ra Contrsler et ne0oyer%gamnwnt but b atsirne d'avanalbn des f rndes confomi6menl aux N°de 86f)S: 7-he 102non,No post du aansWctew. A w cdes onduit o c«sDwel grraus6 p d.076 mm w 102 run.No pas rs000rda a pate i un oordutl do drerrrrtee deli uhFsd poor un wtrs appereL • aloe `�'�� FONCTIONNE EXCLUSNEMEIII DES GRANULES DE BOIS MINPREVENT HOUSE FIRES' DIS r ' ° ,Sh° Apparel do chwllege b grannie"a.Conermw6m mnawm:3.63 kguL Inuall and Use Only n Acmrdana With ManufacNafs Inewtlstim and Operation Instructions. M1A • US couWa:115 VAC,ft0 H;1.3 empa D6martr,Ea6trrwt 31AMP5 Ma �Vn bnctianenenl normal 1.1A Tsar b ardon?dmenwtron b 7K.t du posh. Contact Local Bu ng or Five Offiaels About Resbchons and loslaiacn Inspection n You Area. a ^sNGER nettPjsq n rmcroactroA.Toth Is cordon Dabra di c Fspprel aunt buts du posts. . WARNING THE STRUCTURAL INTEGRITY OF THE MANUFACTURED HOME FLOOR.WALL, °� on ^�ehere IS f M .•yvdre qu'wec us.Vito drrnpue 5mm do rail quabU daponlMe AND CEILINGIROOF MUST BE MAINTAINED.DO NOT INSTALL IN SLEEPING ROOM. Back Well I IS.._ orb^' y gran °I I"�Ae An winde oombwbon sir ivset mat b.provided.Relu b Manufacturer's instructions and focal Side WWI I Ends Prd Lew. �1N/`+ -.porter 1 le rbda d'uliFaabon,Teri4 b ports code. getting Me requremants for passing pa eahwal Venting system through s cornk usbbb CORNER INSTALLATION I EN ANGLE on S r -swrna w approvucnwmrM suNsanl n air fret WWIwmmkng the re ant to ace n WabbAppfisnce 13'/STOmm B-rtar,.. Inspect and Clean Exhaust Venting System Frequently Entre Mors at appareil a •°� S t�n l�i F Use a T or e'donator type'V Or'PV venhnq system. Flue Connecbr/Raccad b la cho r4 a 3'/IBmm c Do Not Corved Thor UM b a Chrmry Flue Servng Anottw Applimm. FLOOR PROTECTION I Prowcbun Du Pkncher t yy he P�V ��� COnsU�t Spec- FOR USE WITH Other PELLET FUEL an UP T0501LCORN(PELLET MIXTURE ONLY. USA Canada I e/hOp he t The Uao of Otlw Fuel.May Caste n Unasto Condition. 6dee'M,OW (A) fY 200mm Beck"/Ardire(B) 6' 200M c Input Rating Max 3 b.fueMV. Front/Avrd (C) B e50mm �r �• PROTECTION Of tot "Measured from pdostel base n fw US ONLY rr.00A nroTecnott Rwte Power Cord Awry From UrPL U.S.Elftal Rating Sled e.3 AMPS.Run 31 AMPS "Me*"A prts M Is bases du ands wx EWwna unquwr*M Ce pn�ration IApp,... sir �7 'Moseredfrom Glass Opening DANGER Risk of Ebctrnd Shock.Disconnect Poway Before Servruq UM *Mesurw b pats do In salsa do Is pats on verso For Fu"Inetwbon,Rater To Owner's Manuel. Floor Prolectan Must Be a NonCombustible Matend. Dab d NrKfatAo I Dora do hbrlo.Ilo1C Must Also be Plea Under Any Horizontal Flue Comeclor,Exbrd'rp Replan glass only with 5mm aamc available from you dealer. 2'Or 51m Beyond dw Ppo Meesuemnt, __ _ 2012 2013 2014 JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC Keep Viewing rd Ash Removel Doors Tightly Closed Dung Operation. Pow proteges IN plarcher.I lout sous Is*Is un matAdau.Out doil . . . ousts i1ro pled a"be parties hodzonldes du brgw do rxwrd A DO NOT REMOVE THIS LABEL/NE PAS EMEVER CETTE ETIQUETTE 1 la clwminse at a'Handre 151mm o 2 pa ou-0elb do Is nwsure C Fatsqui pr.Haman Sbro Conp ow 352 Mounab Nrre Rod,FWlbtr PA 1T032 du hryau P.N.3S0NI6600 Roy C CID f9 m N N Installation Installing Alternate floor protector dimension may be used Place the stove on a noncombustible type floor or floor protector as long as they satisfy the measurement requirements 9"(228mm)- that extends a minimum of 6 inches (152mm)to the front of the shown Wow. 13"(330mm) load door opening, 6 inches (152mm) to the sides of the door Mmumurnstrefloorprotectlon opening, and 6 inches to the rear. Floor protection must also for a corner installation is36' o x 36".Clearance shown as extend 2 inches(51 mm)beyond each side of any horizontal flue 6-with optional side shields pipe. The minimum floor protector material is 20 gauge sheet installed. metal. Other floor protector materials are ceramic tile, stone, brick, etc. NOTE for Canadian installation only: Per ULC-S627-00, w If installed on a combustible floor, the need to provide a g-(22amm)With Side shields w noncombustible floor protector covering the area beneath the 13"(330mm)Without Side Shields 3 3 space heater and extending at least 17.72"(450mm)on the firing 3, side and at least 7.87" (200mm)on the other sides. Fig. 3 In Canada, you may follow smaller U.S. floor protection requirements ONLY if the user agrees to completely shut- -- down the appliance, and allow it to cool to where all fire is 2"(51mm) extinguished and the combustion blower and its indicator light shuts off,prior to opening the firebox door or ash door. F(355MM)Place the stove away from combustible walls at least as far asshown in Figures 3 and 4.Please note the difference in side wall o ___ 1a"(355mm) clearance with and without side shields. 20"(508mm) Note that the clearances shown are minimum for safety but do not 20"(508mm) leave much room for access when cleaning or servicing. Please without side shields take this into account when placing the stove. Connect the power cord to a 120 V.A.C. 60Hz grounded receptacle. (A surge protector is recommended to protect the circuit board.) Also be sure that the polarity of the outlet that the stove is plugged into is correct. Fi 4 367914mm) Prior to installing the flue pipe, connect a draft meter. (The g" floor protection (USA) is draft meter must have a minimum range of 0 - .5") Record the Minimum size rectangularp first reading. Connect flue pipe to stove and be sure all doors 285116"Deep By 24314"Wide. and windows in the home are closed. Record the second draft reading . If the second reading is more than .05"lower * Floor protection dimensions for the front and sides than the first reading, check for possible restrictions or the need are measured from the appliance door opening in for outside air(see page 10). For more information on the draft The United States. In Canada, the side dimension is test procedure, refer to Page 21. measured from the widest part of the appliance. Mobile Home Installation When installing this unit in a mobile home, several requirements must be followed: 1.The unit must be bolted to the floor.This can be done with 1/4" Sides 6" 200mm lag screws through the 2 holes in the base plate. J 2.The unit must also be connected to outside air. See page 10. K Front 6" 450mm 3. Floor protection and clearances must be followed as shown. 4.Unit must be grounded to the metal frame of the mobile home. L Rear 6" 200mm 5.Be sure to follow the vent manufacturer's guidelines to provide for a sufficient vapor barrier where the flue penetrates the outside. NOTE: 6.The top section of any chimney or venting must be removable Measurement"L" to a height of 13' (3.9 M)to allow for transport. is measured from 7. The factory-built chimney must conform to CAN/ULC-S629, the pedestal base 'L Standard for 650`C Factory-Built Chimneys. in the US ONLY 0 CAUTION:This appliance must be vented to the outside. Clothing and other flammable materials should not be placed on NOTE: or near this unit. Measurement"IC' is measured from WARNING the glass in the ; THE STRUCTURAL INTEGRITY OF THE US ONLY 'CANADA MANUFACTURED HOME FLOOR, WALL, AND CEILINGIROOF MUST BE MAINTAINED. USA X FL"Wo7K7oR DO NOT INSTALL IN SLEEPING ROOM. P68 Pellet Stove 6 3-90-00688R24_06/13 ., Venting Requirements for Terminating the Venting I. The clearance to service regulator vent outlet must be a WARNING: Venting terminals must not be recessed into a minimum of 6 feet. wall or siding. J. The clearance to a non-mechanical air supply inlet to the building or the combustion air inlet to any other appliance va> NOTE: Only PL vent pipe wall pass -throughs and fire stops must be a minimum of 48". ,,. should be used when venting through combustible materials. K. The clearance to a mechanical air supply inlet must be a NOTE: Always take into consideration the effects of the minimum of 10 feet. prevailing wind direction or other wind currents that may cause flyash and/or smoke when placing the termination vent. (with outside air installed,6 feet) In addition,the following must be observed: L. The clearance above a paved sidewalk or a paved A. The clearance above grade must be a minimum of 18". driveway located on public property must be a minimumof 7 feet. B. The clearance to a window or door that may be opened M.The clearance under a veranda, porch, deck or balcony must be a minimum of 48" to the side, 48" below the must be a minimum of 12 inches.(See B.) window/door, and 12" above the window/door.(with outside air installed, 18") NOTE: The clearance to vegetation and other exterior C. A 12" clearance to a permanently closed window is combustibles such as mulch is 36" as measured from the recommended to prevent condensation on the window. center of the outlet or cap.This 36"radius continues to grade or a minimum of 7 feet below the outlet. D. The vertical clearance to a ventilated soffit located above Certain Canadian and or Local codes or regulations may the terminal within a horizontal distance of 2 feet(60 cm) require different clearances. from the center-line of the terminal must be a minimum q of 18". A vent shall not terminate directly above aside-walk or paved driveway which is located between two single family dwellings E. The clearance to an unventilated soffit must be a minimum of a l and serves both dwellings. F. The clearance to an outside corner is 11"from center of Only permitted if veranda,porch,deck,or balcony is fully open on a minimum of 2 sides beneath the floor. pipe. G. The clearance to an inside comer is 12". NOTE: Where passage through a wall, or partition of combustible construction is desired,the installation shall H. A vent must not be installed within 3 feet (90 cm) above conform to CAN/CSA-B365.(if in Canada) a gas meter/regulator assembly when measured from the horizontal center-line of the regulator. -4 G j D A E row, �ad °� :C FrcM B �—B Pwh m Dcdi Cbxd OperuCk rued Openahle w Feed L F B `bed C o el, j l- M .� -4 B A K J =Vent Terminal O=Air supply Inlet ® =Area where termination is mot permitted 7 P68 Pellet Stove 3-90-00688R24_06/13 • III 1'3aoo y y '3 Revised 4/01//2002 DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT PERMIT# TOWN OF SOUTH WINDSOR Applicatio tereby: 1500143 BUILDING DEPARTMENT PRO 1540 SULLIVAN AVENUE Bldg.Permit# V-/z 644-2511 ext. 230 Dat B it ing Inspector Application must be printed or typed FEE SCHEDULE Location of Job: ion $0-$1,000=$15.00 Street No. Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT CCU-M L 1 APPLICANT ADDRESS tbl\,O-n(:A, cj-- 0&-)Cyz� C-j APPLICANT PHONE# L 11%O Yd N S F4 OWNER 0. r..^ -:s; 0a It i & q n Irc- OWNER ADDRESS ©� La S� OE.. OWNER PHONE I JCS�T�_ ��w�.V�I ,,,� - "j C •�• ESTIMATED COST$ oL�O O IS THIS A CONTRACT COST? `Yes _,Y,_No FEE ENCLOSED$ %- t o0o C-•allo.� uST-, �� w4u c�. TYPE OF JOB: �SOR-C0CI Se� New Installation �, \ �✓ A ST w �'�� ' Alteration/Addition/Repair S-- APPLICATION FOR HVAC PERMIT (Continued from reverse side) TYPE OF SY M: TYPE OF BUE�PING: EATING &aKESIDENTIAL ❑A/C ❑COMMERCIAL 0 VENTILATION ❑INDUSTRIAL HEATING ❑ STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT. LBS. ❑HYDRONIC 0 WARM AIR 0 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.) ,150 GgOk 116,4 Wkl— ill- 80 140AX6 417 aM 74d)4 GROSS HEATING CAPACITY(INPUT-BTUH) NET RATING(OUTPUT-BTUH) TYPE OF FKL ®'OIL-GPM OIL TANK LOCATION: NSIDEO OUTSIDE CAPACITY-33-0 ❑GAS-INPUT LPG TANK CAPACITY ELECTRIC-KW AIR CONDITIONING DESIGN TEMP.OUTSIDE OF DIFFERENCE OF TOTAL HEAT GAIN(B /NINC HEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL C LIN UIP ING MAKE&MODEL NO.) TONNAGE COOLING CAPACITY(BTUH) VENTILATION DESCRIBE ALL HANDLING EQUIPMENT(INCLUDING KITCHEN EXHAUST EQUIPMENT) TOTAL SIZE OF SYSTEM(CFM) FRESH AIR INTAKE(CFM) (PLANS MUST ACCOMPANY APPLICATION) FURTHER DESCRIPTION OF WORK ""; Oh �� KK THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM T E WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. /1T� 0 :?o2160 _gq eI CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT fM DATE O DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT PERMIT# TOWN OF SOUTH WINDSOR Application is hereby: 13001g`� BUILDING DEPARTMENT APPROVED 1540 SULLIVAN AVENUE Bldg. Permit# 644-2511 ext. 230 Datb Building Insp Application must be printed or typed FEE SCHEDULE Location of Job: F Lokc. S4-�,r $0-$1,000=$15.00 Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof gnation Apt.No. APPLICANT APPLICANT ADDRESS T_3c,X CT O(oZ 3 APPLICANT PHONE# �W N S£ OWNER XmIA $C�rnham OWNER ADDRESS ao i3ox 85 J rVc r ion , rn g o a7(�G; Oa r OWNER PHONE C = ESTIMATED COST$ � i(060. 00 IS THIS A CONTRACT COST? �s No FEE ENCLOSED$ TYPE OF JOB: `(Q� OSOR•Cod New Installation Alteration/Addition/Repair Doi 3 6 c>, 7S- Revised 4/01//2002 APPLICATION FOR ELECTRICAL PERMIT (continued from reverse side) TYPE OF BUILD- IS THIS APPLICATION ASSOCIATED WITH A ING BUILDING PERMIT APPLICATION? ❑ YES A NO ]RESIDENTIAL CURRENT USE AND OCCUPANCY ❑BUSINESS ❑ASSEMBLY FUTURE USE AND OCCUPANCY ❑MERCANTILE ❑ 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 O O SIZE OF MAIN CONDUCTORS NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS NUMBER OF PANELS REMOTE DISCONNECT REQUIRED? ❑YES ❑NO NUMBER 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 4rnp 5-u v;ce , C RS .)11 9 7 R9 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. ELG.0125-)1`i-EI e I CT CONTRACTORS LICENSE NO. T J,W, E STATE SIGNATURE OF APPLICANT DATE w Electric # APPLICATION FOR BUILDING PERMIT Plumbing# HVAC# i b(A "-xe S� <k Date: 7VI-71L 7 Sprinkler# Ile " FINAL APPROVALS Estimated Cost $ Building COMPLETE RED BOXED AREAS Permit Fee $ .�� Engineering Occupancy Fee $ �0 Affidavit TYPE OR PRINT ONLY Eng. Insp. Fee $ Appr.forCO. SIGN ON REVERSE SIDE 4 Total Fee $ E TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ The undersigned hereby applies to do work according to the following: Applicant c v , , Location of Work O Lot No. Applicant's Address S 7F S o s►d /P�_� - �-y Tel # 860__-;?/-y'Z 9�f/ Town cd*rVP" Zip Lic.# �I� Owner Der y,'el Architect Owner's Address /0 1( 3- Architect's Address S. by,.• j1 r.0 Zip ag(`O 7 y Zip Sq. Ft. New Area: 1 st FI. 2nd FI. // 3rd FI. Total New Area Purpose of this permit L•'M- �� �o �s+�n _ T / I^ram .r, �.e•��-.a �Nr.�r/�� '7/I'7/l� r' � ram•, �,c ci--� af %��.` /.e.r7 IPrmrws /d7 �e/ � i►a, rhs// � ice• f City Water J Well J Septic System J Sewer J 2,61 7�d Ins: HO SP v1 Cert. ,/ Area Bas ent Garage Approved by Date '��) Use Group Construction Type �l Revised 1108 1 w I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town of South Windsor and to notify the Building Inspector of any alteration in the plans or specifications of the Building for which this permit is asked,and agree that this building is to be located the proper distance from all street lines,side yard lines,and required distances from all other zones and is located in which this building and its use is allowed. Signed I hereby apply for a Certificate of Occupancy for the work described in this application for the permit. Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS INSPECTION FIELD SHEET 02/24/21 Printed by Middleton, Morgan 13 50 43 INSPECTION: 96644 FINAL PERMIT: STATUS APPLICATION: 201700924 LOC: 106 LAKE STREET SOUTH WINDSOR PROPERTY ID: 51600106 OWNER: TOEBBE LAWRENCE H & HEATHER L CONTRACTOR: REQUEST BY: PROJ DESC: REMODEL OF KITCHEN--REMOVE NON BEARING WALL BETWEEN KITCHEN WORK ORDER: INSPECTOR: ROSE RESULT: PASS REQUESTED: 12/08/17 PRIORITY: SCHEDULED: 12/11/17 AM COMPLETED: 12/11/17 UNPAID FEES: 00 Date Time MILEAGE: 00 TIME: TRAVEL ONSITE COMMENTS ALL INSPECTIONS: INSPECTED INSPECTOR RESULT INSP DESCRIPTION 12/08/17 ROSE N/A B001 FOOTING 12/08/17 ROSE N/A B002 FOUNDATION 08/16/17 ROSE PASS B003 FRAMING (ROUGH) NEIL @ 860-214-2981 08/17/17 ROSE PASS B004 INSULATION 12/08/17 ROSE N/A B005 FIREPLACE / CHIMNEY 12/08/17 ROSE N/A B006 WOOD / GAS STOVE 12/08/17 ROSE N/A E001 ELECTRIC SERVICE 12/08/17 ROSE N/A E002 ELECTRIC UNDERGROUND 08/16/17 ROSE PASS E003 ELECTRIC ROUGH 12/08/17 ROSE N/A P001 WATER HEATER REPLACEMENT 12/08/17 ROSE N/A P002 PLUMBING UNDERGROUND 12/08/17 ROSE N/A P003 PLUMBING ROUGH 12/08/17 ROSE N/A P004 PLUMBING GAS TEST Electric # APPLICATION FOR BUILDING PERMIT Plumbing# 106 Lake Street HVAC# 13000443 Date: Sprinkler# Estimated Cost $ -4 C 3-1-161 FINAL APPROVALS Permit Fee $ Is— Building COMPLETE RED BOXED AREAS Occupancy Fee $ Ie, . Engineering TYPE OR PRINT ONLY Eng. Insp. Fee $ Affidavit Appr.for CO. SIGN ON REVERSE SIDE Total Fee $ 8S TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost` The undersigned hereby applies to do work according to the following: Applicant Location of Work _ ___ Lot No._ __ Applicant's Address Tel # Town SaT-, Zip OroO? _Lic.# KTG. 03-1541St� r►P� Owner Argi ect Owner's Address Architect's Address Zip Zip Sq.Ft.New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area Purpose of this permit ?r11 r.4- 5 =,54-4 "o•• �P:r, - City Water'J Well ❑ Septic System J Sewer❑ c�31 13,0117 S Ins: HO SP rt. Area Basement Garage Approved by ate 9- (3 Use Group Construction Type Revised 1108 I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town of South Windsor and to notify the Building Inspector of any alteration in the plans or specifications of the Building for which this permit is asked,and agree that this building is to be located the proper distance from all street lines, side yard lines,and required distances from all other zones and is located in which this building and its use is allowed. Signed I hereby apply for a Certificate of ccupancy for the work described in this application for the permit. Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS INSPECTION FIELD SHEET 02/24/21 Printed by Middleton, Morgan 13 48 10 INSPECTION: 60756 FINAL PERMIT: STATUS: APPLICATION: 201301173 LOC: 106 LAKE STREET SOUTH WINDSOR PROPERTY ID: 51600106 OWNER: KAITZ KATHERINE K CONTRACTOR: REQUEST BY: PROJ DESC: PELLET STOVE INSTALL ON FIRST FLOOR. WORK ORDER: INSPECTOR: ROSE RESULT: PASS REQUESTED: 09/11/13 PRIORITY: SCHEDULED: 09/11/13 PM COMPLETED: 09/11/13 UNPAID FEES: 10 00 Date Time MILEAGE: 00 TIME: TRAVEL ONSITE COMMENTS: ALL INSPECTIONS: INSPECTED INSPECTOR RESULT INSP DESCRIPTION B006 WOOD / GAS STOVE 1700432 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER BUILDING PERMIT DATE: 08/09/2017 GIS ID:51600106 FEE: 30.00 MUNIS APPLICATION# 201700924 BUILDING DESCRIPTION: APPLICANT `_ LOCATION NAME: MCCUSKER CONSTRUCTION ADDRESS: 106 LAKE STREET ADDRESS: 576 SWAMP ROAD; ., OWNER: TOEBBE LAWRENCE H&HEATHER L COVENTRY,CT 06238"-/ 106 LAKE STREET f SOUTH WINDSOR,CT 06074 F " t 1 DESCRIPTION OF WORK: REMODEL OF KITCHEN--REMOVE NON BEARING WALL BETWEEN KITCHEN AND DINING ROOM. 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 8/9/2017 10:36 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 13000443 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER BUILDING PERMIT DATE: 08/22/2013 GIS ID: 51600106 FEE: 75.00 MUNIS APPLICATION# 201301173 BUILDING DESCRIPTION: APPLICANT." � :% W.: LOCATION H NAME: TOEBBE LAWRENCE &HEATHER L ADDRESS: 106 LAKE STREET ADDRESS: 106 LAKE STREET ; r` OWNER: " ,.-KAITZ KATHERINE K SOUTH WINDSOR,CT 06074 ,„ 106 LAKE STREET °"� z ` SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: PELLET STOVE INSTALL ON FIRST FLOOR .' SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE'WITH;THE'APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT. ' ....K , CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING OFFICIAL 8n2/2013 11:13 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1300143 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER HVAC PERMIT DATE: 04/12/2013 GIS ID:51600106 ` ° . = ' FEE: 45.00 MUNIS APPLICATION# 201300415 =`' BUILDING DESCRIPTION: LOCATION NAME: TEDDY'S OIL&ENERGY'LLC. ADDRESS: ,.106 LAKE STREET ADDRESS: 360 EAST CENTER STREET/ a OWNER. KAITZ'KATHERINE K MANCHESTER,CT 06640` 106 LAKE STREET �9 m.. . SOUTH WINDSOR,CT 06074 b:D r DESCRIPTION OF WORK: INSTALL ION OF HEATING OIL TANK IN BASEMENT. SPECIAL CONDITIONS: ' w `" ALL WORK TO BE DONE IN ACCOROANCk.WITH, THE APPLICATION!AND PLANS-APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: `,°" < % : OCCUPANCY GROUP: BUILDING OFFICIAL 4/12/2013 3:53 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1700419 TOWN OF SOUTH WINDSOR, CT PERMITNUMBER HVAC PERMIT DATE: 09/19/2017 GIS ID: 51600106 FEE: 18.00 MUNIS APPLICATION It 201700924 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: ALL GAS ADDRESS: 106 LAKE STREET ADDRESS: 3150 MAIN STREET - OWNER: TOEBBE LAWRENCE H& HEATHER L HARTFORD,CI'06120, 106 LAKE STREET SOUTI I WINDSOR,CT 06074 DESCRIPTION OF WORK: INSTALL: 120 GALLON ABOVE GROUND LP TANK AND HOOK TO EXISTING APPROVED GAS LINE. SPECIAL CONDITIONS: A1.1, WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILllING OFFICIAL 9/19/2017 1 1:11 AM THE FEE ABOVE INCLUDES A$0.26 PER TI IOUSAND CT STATE EDUCATION SURCHARGE 1300185 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER ELECTRICAL PERMIT DATE: 04/22/2013 GIS ID:51600106 w FEE: 30.00 MUNIS APPLICATION# 201300475 BUILDING DESCRIPTION: APPLICANT LOCATION _ LOCATION NAME: ACKERT ELECTRIC Qi _ ADDRESS: 106 LAKE STREET ADDRESS: P.O.BOX 406 ='"J J '"`; OWNER: KAITZ KATHERINE K COVENTRY,CT 06238` ,`.d 106,L:AKE STREET 1. w r y "SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: REPLACEMENT OF 100 AMP SERVICE. CRS NO.-2119289 > `' 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 4/22/2013 3:00 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1700401 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER PLUMBING PERMIT DATE: 09/14/2017 GIS ID: 51600106 FEE: 15.00 MUNIS APPLICATION# 201700924 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: GAS SPECIALITIES LLC ADDRESS: 106 LAKE STREET ADDRESS: 105 PHELPS ROAD ':,: ; OWNER: TOEBBE LAWRENCE H&HEATHER L EAST WINDSOR,CT 06088 106 LAKE STREET SOUTH WINDSOR,CT 06074 1 DESCRIPTION OF WORK: INSTALLATION OF GAS LINE TO COOKTOP PROVISION FOR 3 FUTURE GAS FURNACES. 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 9/14/2017 11:32 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE