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Home My WebLink About1088 PLEASANT VALLEY RD DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT PERMIT# TOWN OF SOUTH WINDSOR Applic reby` BUILDING DEPARTMENT APPROVE 1540 SULLIVAN AVENUE 644-2511 ext. 230OIV- Bldg.Permit# Date BA ding ing Inspector Application must be printed or typed FEE SCHEDULE Location of Job: $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 Ev,ti-f 1N•� l "�Y it t �i r��t�f L C APPLICANT ADDRESS 316 Tc F�tF=h n C 6/4- APPLICANT PHONE# O W N S F,q OWNER OWNER ADDRESS a5 L✓ a OWNER PHONE L $rj — 5�d 33 C •� ESTIMATED COST$ 6 eo uv w IS THIS A CONTRACT COST? -Yes _No FEE ENCLOSED$ r/V�S O�� TYPE OF JOB: 11�1 OR C New Installation — Ce "`�"'�'« _Alteration/Addition/Repair O� I Revised 4/01//2002 �r 4 APPLICATION FOR HVAC PERMIT (Continued from reverse side) TYPE OF SYSTEM: TYPE OF BUILDING: XHEATING ,9 RESIDENTIAL 0 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) °F(HEAT LOSS SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL HEATING EQUIPMENT(INCLUDING MAKE&MODEL NO.) Air,,Z GROSS HEATING CAPACITY(INPUT-BTUH) NET RATING(OUTPUT-BTUH) TYPE OF FUEL ,0 OIL--GPM OIL TANK LOCATION :❑INSIDEO 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 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 S�! S C HOUSE 68,673 BTU/Hr------- 5. Enter Room Input---- --------- ---- , Desired inside room temperature:(40 to 80) 00 F Floor Area:(15 to 25,000) 1000 sq•ft • Average Ceiling height:(6 to 40) g R 6. Enter Method for Air Leakage--- -- - ---- r Air Leakage Classilrcation Best Enter Air Changes Per Hour Avere e 7. Define Each Exposed Type---- - Number of Exposed Wall Types:(0 to 4) 0 1 Is Floor Exposed? Is Ceiling Exposed? 2 Yes~ r No Yes (` No 13 — 3 HOUSE 68,673 BTU/Hr Exposed ceiling Exposed Wall Type 1 Exposed Wall Type 2 Exposed Wall Type 3 Exposed Wall Type 4 Exposed Floor Calculate Heat Load RETURN TO BUILDING SCREEN I Print Screen Exposed Gelling .--- ..__._ ....__..._.- Ceilin9TYPe: 1 Select construction material OMM 1 1111,11 - �' Enter Total R-value Foam-Core Panel Gross Ceiling area(15 to 25,000) 1 Q00 sq.fL , Window area:(0 to 2000) 120 sq.tt. Cold side air temperature: (-40 to 40) F-0 F Framed Ceiling Skylight single glass (R=Q9] • Ceiling Insulation 5'blown Fiberglass (R=16) Interior Finish 1I2"drywal (R=0.45) • �. ,..:N •.ay';�•:,,�- •�;.*: n,ut.�. ,�. .;�; rrs�;at.y4.w•,.srx�Y.;:Y#•�'awn•Y�^o%�d•;.�;��s�;`.aji�>`,`s.3.��5''w`.'iy�,zay.: r..� •..xrr.;t�rcht' r,;n;. 4a:•a:•-+,_,.. y"T�: "G'� ti.f�r>m '�.•�IcB,I:�1�'.:.,�•'�tre„x"r.":G": '�d,�'�7t�.-i�: li s•..�.ri N�ii� .:C A;X.}'s'"y :.�:':\�k','.n.,w,.�, i,�;''�,`�:L;.v.�,;%, r�i',.i, :i°� _• -•t... t®�`:-1�.!'�Ji,l •'�'.^-��,e�. �3a .-r.. �e,.!��;.'.p•'-�•� ,f•,..��'# .�'<'.� 7}�••;:.'�•F..�k�:}. �:x.;.•:,31>�`.�i�s::: Y`t,:. ,q..�r�.,� •.+ - •___..._.�.::-�,.... wa. .a,._.._..�..„.a.... '��r.:r•�:.��►-apt. >� ,i.� t- _ ,..�...w.w...._�.r...,....��...• Ple ❑ ❑ �= `VIM StaR Pro rtt "� •` •� ❑ ❑, s0116lS 1 Input efaults 3. Zone options O—Outdoor design temperature(40 to 40) Organize rooms into zones for loading Yes No e Total -— .F into Baseboard Module? building heating Load Indoor air temperature(40 to 80) --- 68,673 BTU,'Hr —70 *F. r ►�' 2.Add;Delete;Define rooms with exposed surface(s) CREATE ROOM DELETE ROOM DEFINE ROOM I �` Room List Room Load BTU;Hr ------------ HOUSE 68,673 BTU/Hr •.�rrrAtScreen ' TOWN OF SOUTH WINDSOR AFFIDAVIT OF ACTUAL COST 0 MAY 16 2009 PERMIT N0: DATE south Windsor BUILDING DEPARTMIzNT Ttie undersigned,being a duly authorized representative of, do by this statement, certify that the actual costs shown below, of the project referenced by the Permit Number shown above,are true and accurate. Thls statement is being made pursuant to the Town of South Windsor.Ordinance, Article il, Section 14-31, (a)thru(e),(see attached). I understand that verification for accuracy of actual costs may be made at any time by the Building Official through an appraisal of the work at the expense of the property owner. 1 hereby certify that tfie'actual cost of the work performed under this permit Is: y�o ,C,0 Signature of Permit Holder. 2 vim" Name(Please Print)_ .��, -f I -tr -Date: ■rraaraaarraaraaaaaararaaraarrarrrararaasarraaarararraaraaaaaaaararrarsrrrrraaar■ State'of Connecticut] County of Hartford] ] ss South Windsor Date: /5 v, Personally appeared as aforesaid, Signer and sealer of the foregoing Instrument and acknowledged'the same to be histher free act and deed, before me. Notary Public Commissioner of the Superior Court My commission expires on I� U�tyw / 1 if / i't1 SQv4A O N 7/,;j,/h7 / h Reo� �� x 2 rwlt ,+« mar �'+�-� .r �� ,.?,f L :rr• -q.a i i kv y` +,! S 7 t c 1 Rol$ ♦ + •l,'_" LSw�yf ' !•:', ".,�.. - ,.. 1 �F.r Y:• �✓•• ��. .N�•' 'MY,.�r r.�f�L�a�* t Rv is CA ,4-w r i� x jk r 'r'\L 'rM•� ;��H��1'.`'f6 r '�1..:x 1 � -/� 7�.�.4�. - r.� 9A_ R r �� , ,� � a r .,� , +J •: � r .ice ,�`c ,. , ` . Vv ja 1 ..� r, �" ��t�''t., y f•; r �'W, r+As� .� c �,ry`�.ait �r +tl�'��ar•'r�,ir' •' .} x , ,�h J J , j , • . i 'tea. .r L r! ', �� _"y, ". r,� M• ,r yvb,Y •�..t `•FE-y' . . ".t ".. � f. a � ti�� Yjbt,� ,�7y'•L1'n �.� r /+uY'w �i��YK,�` �r,�•• t^• 4 � -.at, � :,- �� .a �* �:,ak• t. ..+1.5 i r r t� 19 .:�.ppa- t. .r '.��1, `t . •}�•1•r t,� r�,rya •C �r.�,• rrl �i. 1(• !,,} .'i x .q `•'�, 4'.,� ., '��'.:�'•�� - .. � +. S .y �. K• .r•1 _fir � ri -r ., `f'!.7 7��y ; "� ;t �#�{`,� ��: i��?L ;•; Yin,•� •� far ,,yy , �4 • 4 3 r r :�,.. .O ' _ �»„♦. `. - w, ,,. .. a✓ �l'1 � �• v{.�Ir ' 4 ;`j +r��i•. V�f Lr � 'r' !1 4 ~"' _. �' 'al TO THE BUILDING DEPT. TOWN OF SC1UTH WINDSUI This s of that this plan and specaleratio are bt erecte of the proposed Uuildfng—or alterations t � erected at Q 7��Stree+ together with amendments st,tcd i;, application ar i ticd with pl:+n and I ❑gr ee to cnmpfy .vith all zOninl_ MAR i 9 1996 .�,�ilding4iance �ws nd such orders as shall t, su+d i Department during pendency .+ tnis nd final issuance of a bulldlnE South ryinVior permit. BU;?DING DEPARTMENT Phis plad ject to the condtlo' th.a ordc rs a reguLiing building shall be C.;moc ied .,tth. Condltion.elly Approved These filed with Bultdint Inspector p��^7�(a�ryt CERTIFICATION OF ZONING COMPLIANCE Proposed building(s), use(s) and/or structure(s) as shown on this plan appears) to be in .onformance with current South Windsor --gulations. Variances and special exceptions nay apply. Jate I f of Off Icer. mob— I