HomeMy WebLinkAbout11 BLUE RIDGE DR APPLICATION FOR HVAC PERMIT
DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT#
Application is hereby: BUILDING DEPARTMENT J y 0 0rjy e
APPL
1540 SULL'VAN AVENUE
I L ' V-)for
�' 644-2511 ext. 230 Bldg.Permit#
Date Bui
Appl cation must be printed or typed
FEE SCHEDULE Location of Job:
$041,000=$15.00 UL /Z -15 C. -N2 r v G
Over$1,000= Street No. Street Lot No.
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT /I�Y�wf Ot --?�viG �- S
APPLICANT ADDRESS /3 G /2Y-e
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APPLICANT'S PHONE# — S)9— 0> G 6
OWNER a Q e-
OWN S fq< OWNER ADDRESS 1/ye- X , �,e r�iz yt SUL
OWNER PHONE -
0 * ESTIMATED COST$ � 9 S", G �C>
C �
..� V IS THIS A CONTRACT COST? Yes --No
FEE ENCLOSED$ /Q 5 . G fJ
TYPE OF JOB: -53Z— 7
�SOR•CO� y New Installation
Alteration/Addition/Repair
Revised 03/05/10
APPLICATION FOR HVAC PERNIIT(Continued from reverse side)
TYPE OF SYSTEM: TYPE OF BUILDING:
% HEATING 4 RESIDENTIAL
❑ A/C ❑ COMMERCIAL
❑ VENTILATION ❑ INDUSTRIAL
HEATING
❑ STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS.
a 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) S�'� NET RATING(OUTPUT-BTUH) y/ ��U
TYPE O�F, U L
ftd OIL-GPM ,-7 U 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 K �'�/� i.�� O ( �/�-e-1 ✓O/ Z-
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.
363 ? Jz SI (f -/V--)
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLIC DATE ��Z 7
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CERTIFICATION Of ZONING COMPLIAN
Proposed building(s), use(s) and'or structur+
&Gztbo as shown on this plan appear(s) to be
/t' conformance with current South Wind c
as 14rw., regulations. Variances and special except::: . _
may apply.
Date 3v fe _
iIr?g Enforcement Officer
1�
" 3 4 two
r0 THE 6LIIL;:6u J�Yr, TOVIN Ox South Windsor
This certified that this plan and specilic tl:•rrs.,re trun BUILDING DEPARTMENT
cnpres of the proposed building or alterations to be
erected at
together with amend ent�s stateedd—In application any::
f,,,d with plan and 1 agree to compty with all zoning,
3❑uring and state laws and such orders as shall b
,ss-d by the Building Department during pendenc,
f this application and final Iss ance of a building
Permit.
[1I Signed
�l "n's plan Is approved subject to the condition Aar
ers and ordinances regulating building shall be
.onddronahY Approved These fiiea wish
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BLUE RIDGE DRIVE
PERMIT PLAN
LOT #174. "BIRCH HILL ESTATES" , SECTION q7
TOWN OF SOUTH WINDSOR, CONNF.I--TI CUT
SCALE: 1" 401
�" I •S . 4395
Rockville. Conn.
SCANNED'..
1400540 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER HVAC PERMIT
DATE: 11/26/2014
GIS ID: 11700011 FEE: 105.00
MUNIS APPLICATION# 201401677 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: ANDREWS OIL CO. ADDRESS: 11 BLUE RIDGE DRIVE
ADDRESS: 136 RYE STREET y'_ OWNER: LENIART STANISLAW Z&ZOFIA M L/U
SOUTH WINDSOR,CT 06074 I I-,BLUE RIDGE DRIVE
SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: REPLACE OIL FIRED BOILER AND INSTALL INDIRECT WATER HEATER.
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
11/26/2014 12:54 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE