HomeMy WebLinkAbout1101 SULLIVAN AVE Electric # APPLICATION FOR BUILDING PERMIT
Pluming#; Date: '� � d "
HVAC # 1110 Sullivan Ave
Sprinkler# 730938
FINAL APPROVALS - - -- _---- -- — Estimated Cost $ —�C��,��
_- Permit Fee $-JC— �—
Building COMPLETE RED BOXED AREAS
Engineering TYPE OR PRINT ONLY I 'I Occupancy Fee $ /1Z
Affidavit Eng. Insp.FeFee $
A r. for co. ► SIGN ON REVERSE SIDE
Pp Total Fee $���
TO THE BUILDING DE ARTMENT,TOWN OF SOUTH WINDSOR,CT (Additional Cost) $
The undersigned hereby applies to do work according to the following:
Applicant 64Zr _� Location of Work a.9f� x� � Lot No.
Applicant's Andre ///O vC,Li�.�h-� , ,4 t�r� Tel.#
Town Zip ®&CI`7Y Lic.#
Owner o _t Architect
Owner's Address 1/id �'� r�,}�j .�9tiE. Architect's Address :ilnfZ'
Zip Zip_.
Sq. Ft. New Area: 1st FI. IOef 2nd FI. 3rd FI. Total New Area / yu
Purpose of this permit
City Water❑ Well❑ Septic System❑ Sewer❑
Ins: HO SP ]"rt. ea Basement Garage
Approved by Date " Use Group Construction Type
Revised 6102
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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 tones and is Iocp"j* eFtthis b ilding and' use is allowed.
Signed Q
I hereby apply for a Certificate of Oc fort a work descf�bed in this application for the permit.
Signed cyt
DO NOT WRITE LOW THIS LINE
INSPECTION COMMENTS
i INSPECTION FIELD SHEET 08/18/10
Printed by Peart, Dayshell 10 52 21
INSPECTION: 5421 FOOTING PERMIT:
STATUS:
APPLICATION: 200700997
LOCATION: 1110 SULLIVAN AVENUE
SOUTH WINDSOR
PROPERTY ID: 87301110
OWNER: GIROUX CONSTRUCTION LLC
CONTRACTOR:
DESCRIPTION: BUILDING A SHED 1OX14
WORK ORDER:
INSPECTOR: ROSE RESULT: PASS
REQUESTED:
SCHEDULED: COMPLETED: 07/03/07
UNPAID FEES 00 Date Time
TIME: TRAVEL ONSITE
COMMENTS:
PIERS FOR SHED
ALL INSPECTIONS:
INSPECTED INSPECTOR RESULT INSP DESCRIPTION
08/18/10 ROSE N/A B002 FOUNDATION
12/08/08 FLAN PENDING B003 FRAMING (ROUGH)
08/18/10 ROSE N/A B004 INSULATION
08/18/10 ROSE N/A B005 FIREPLACE / CHIMNEY
08/18/10 ROSE N/A B006 WOOD / GAS STOVE
08/18/10 ROSE N/A BO10 FINAL
06/24/10 ROSE PENDING BO10 FINAL
08/13/10 ROSE PASS BO10 FINAL
08/18/10 ROSE N/A E001 ELECTRIC SERVICE
08/18/10 ROSE N/A E002 ELECTRIC UNDERGROUND
08/18/10 ROSE N/A H003 HVAC ROUGH
08/18/10 ROSE N/A P002 PLUMBING UNDERGROUND
08/18/10 ROSE N/A P003 PLUMBING ROUGH
08/18/10 ROSE N/A P004 PLUMBING GAS TEST
10/19/09 CARS PASS Z003 CO PLANNING INSPECTION
IF
Revised 4/01H2002
DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT
PERMIT#
Application is hereby:
TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
APP VIE 1540 SULLIVAN AVENUE
644-2511 ext. 230 Bldg.Permit#
Date Building In r
Application must be printed or typed
FEE SCHEDULE FT-enant
of Job:
$0-$1,000=$15.00 Street Lot No.
Over$1,000$15.00 per$1,000
or any fraction thereof gnation Apt. No.
APPLICANT OL A— I
APPLIC ADDRESS y U(,.t va n J E
C- t O cU-71
APPLICANT PHONE# ':2�LoO - 9 9 3 L
0 W N S F,q OWNER _S4/,1 e
OWNER ADDRESS
N.
e OWNER PHONE
C ESTIMATED COST$
.� IS THIS A CONTRACT COST? _Yes 1-C No
FEE ENCLOSED$ _
f � �
S - TYPE OF JOB: GW
R. O��C X New Installation
At Alteration/Addition/Repair
APPLICATION FOR HVAC PERMIT (Continued from reverse side)
TYPE OF SYSTEM: TYPE OF BUILDING:
16 HEATING IF RESIDENTIAL
❑A/C ❑COMMERCIAL
❑VENTILATION ❑INDUSTRIAL
HEATING
❑ STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS.
❑HYDRONIC 49 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.)
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
J i► Ulet ,
TONNAGE COOLING CAPACITY(BTUH)
DESCRIBE ALL AIR HANDLING EQUIPMENT(INCLUDING KITCHEN EXHAUST EQUIPMENT)
i — 4o OJJ TV
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.
1H—, G- . o3ga , og -
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF C DATE