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HomeMy WebLinkAbout1101-1112 TWIN CIRCLE DR BLDG 11 te�M ee E' s APPLICATION FOR ELECTRICAL PERMIT TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074 (PHONE) 860-644-2511 EXT. 230 DEPARTMENT DECISION PERMIT NUMBER: APPLICATION IS HEREBY: 4"y vp APPROVED- BLDG.PERMIT NUMBER: e � 3rv-Ig �- .")i DATE INSPECTOR LOCATION OF WORK: 1 ,oa la ^ C1 rd e APPLICANT: OWNER: TYPE OF STRUCTURE: ❑NEW BUILDING NAME: Kurkr..E���n�(.,c bC. NAME: TM �aL�^ ❑ADDITION PHONE NUMBER: p[Xi-'1�Fj Z�f Z PHONENUMBER: p[7V`Q,Q IQ'(p 96 *rWaSTINGBUILDING ADDRESS:pD�aX -> ca� ADDRESS: 1�O Q T�1 r, G e, �� c 1 '1`� �� cj h ,j / TYPE OF USE: ?CRISchi rf'�r d{CT �I, s... JT J 11�1`r IDENTIAL a coMNMc1AL L JL- -- 11 ELECTRICAL INFORMATION: FURTHER DESCRJPTION OF WORK: TYPE OF INSTALLATION: SIZE OF SERVICE: /f �i SIZE OF MAIN SERVICE: NUMBER OF METERS: NUMBER OF PANELS: NUMBER OF LIGHT CIRCUITS: ESTIMATED COST:$ NUMBER OF SWITCHES: NUMBER OF LIGHT FIXTURES: FEE ENCLOSED:$ 14q. GD NUMBER OF A/C CIRCUITS: FEE SCHEDULE:$18 PER$1,000 OF THE ESTIMATED COST. NUMBER OF POWER CIRCUITS: ROUND UP TO THE NEXT THOUSAND ONCE THE PROJECT IS$1.00 OVER (.26 CENT EDUCATIONAL FEE INCLUDED AS NUMBER OF OUTLETS: PART OF THE PERMIT FEE) THE UNDERSIGNED HEARBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFOMANCE OF SUCH WORK. CONTRACTORS LICENSE NO.: 1041LS TYPE: C STATE: C-T SIGNATURE OF APPLICANT: DATE: fG g = 4 APPLICATION FOR ELECTRICAL PERMIT TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074 (PHONE) 860-644-2511 EXT. 230 DEPARTMENT DECISION PERMIT NUMBER: APPLICATION IS HEREBY: APPROVED: BLDG.PERMIT NUMBER: 10 �•1� H K DATE INSPECTO LOCATION OF WORK: u 1 L 71(1 C 1`CI f APPLICANT: OWNER: TYPE OF STRUCTURE: NAME: � -b � l � F a NEW BUILD NAME: ING `CIC ❑ADDITION PHONE NUMBER: 8 -Ql( � PHONE NUMBER: p6n•Q I y " itonSTING BUILD ING ADDRESS: yy�PM 3� 1 ADDRESS: - L-�NC rCc Eris+Hs>lBrd,CT 06 I CT660—Tf TYPE OF USE: IL- 11!IDENTIAL a COMMERCIAL ELECTRICAL INFORMATION: FURTHER DESCRIPTPN OF WO TYPE OF INSTALLATION: SIZE OF SERVICE: �� r SIZE OF MAIN SERVICE: NUMBER OF METERS: NUMBER OF PANELS: NUMBER OF LIGHT CIRCUITS: ESTIMATED COST:S o2cSD,OD NUMBER OF SWITCHES: NUMBER OF LIGHT FIXTURES: FEE ENCLOSED:$ NUMBER OF A/C CIRCUITS: FEE SCHEDULE:$18 PER S1,000 OF THE ESTIMATED COST. NUMBER OF POWER CIRCUITS: ROUND UP TO THE NEXT THOUSAND ONCE THE PROJECT IS$1.00 OVER (16 CENT EDUCATIONAL FEE INCLUDED AS NUMBER OF OUTLETS: PART OF THE PERMIT FEE) THE UNDERSIGNED HEARBY 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 PERFOMANCE OF SUCH WORK. CONTRACTORS LICENSE NO.: ( PE: STATE: CT SIGNATURE OF APPLICANT: a DATE: Loziek DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT PERMIT# Application is hereby: TOWN OF SOUTH WINDSOR f-Gr,2 y S BUILDING DEPARTMENT APPROV 1540 SULLIVAN AVENUE 2m,r 644-2511 EKE 230 Bldg.Pemvt# w (Date) (Building I Application must be printed or typed FEE SCHEDULE Locati of Job: e $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 APPLICANT ADDRESS �� C'c[(J2 d- U/CD APPLICANT PHONE# 0 6c 0'4C O)0 N S OWNER OWNER ADDRESS �l rr�lp �7�1,u� �I�GLit- U� Cn OWNER PHONE C ESTIMATED COST $ IS THIS A CONTRACT COST?_ YES NO � FEE ENCLOSED$ �fJ TYPE OF JOB: S�s `FOR•C0 New Installation _Alteration/Addition Repair aZa �db Revised 12/22/11 APPLICATION FOR PLUMBING PERMIT (Continued from reverse side) TYPE OF BUELDING IS THIS APPLICATION ASSOCIATED WITH A RESIDENTIAL BUILDING PERMIT APPLICATION? ❑ YES 2---NO O BUSINESS CURRENT USE AND OCCUPANCY O ASSEMBLY O MERCANTILE O EDUCATIONAL FUTURE USE AND OCCUPANCY O FACTORY O STORAGE ENGINEER'S NAME PHONE O GARAGE O MIXED USE ADDRESS (Other please specify) CITY STATE ZIP TYPE OF INSTALLATION 6&j�,144.,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 G2°_%7c/47 Gv R'127L f 'Yti�'j'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. 00410 3 33 s^ D° / _ 017 CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT DATE APPLICATION FOR HVAC PERMIT DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT 114 QX)4 CoU App v 1540 SULLIVAN AVENUE 0 14 644-2511 ext. 230 Bldg.Permit# Date Building Insp Application must be printed or typed FEE SCHEDULE Location of Job: $041,000=$15.00 1103 Twin Ci role Or,v6. Over$1,000= Street No. Street Lot No. $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT John Pre b s,r'✓ i N i o l n t Hen 'e, Coo l ny APPLICANT ADDRESS 71 F Gu i n I O0 d 5cuth wir )d5or, CT Oto67 Ll APPLICANT'S PHONE# OWNER J a n i s l31 Q lC e— q�W N S Fq� OWNER ADDRESS % 103 -rw i n b r C« 20 n d 5c>LLf-� w,n dS o r , c r O to o 7q OWNER PHONE COO y 3,2— q O ESTIMATED COST$ ( 050 C � IS THIS A CONTRACT COST? Yes No FEE ENCLOSED$ / 0 5 TYPE OF JOB: SO R•COCA New Installation Alteration/Addition/Repair Revised 03/05/10 - J APPLICATION FOR HVAC PERMIT(Continued from reverse side) TYPE OF SYSTEM: TYPE OF BUILDING: _9HEATING ❑ RESIDENTIAL ABC ❑ 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.) 2 -r:)r tz K Co i L 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.) 2- dwltscK TONNAGE �_ COOLING CAPACITY(BTUH) VENTILATION DESCRIBE ALL AIR HANDLING EQUIPMENT(INCLUDING KITCHEN EXHAUST EQUIPMENT) c TOTAL SIZE OF SYSTEM(CFM) FRESH AIR INTAKE(CFM) (PLANS MUST ACCOMPANY APPLICATION) FURTHER DESCRIPTION OF WORKe d, P -,,5 ✓� Z -�y►^ SS/SAP y✓� 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. b CT CONTRACTORS LICENSE NO. 1 TYPE STATE SIGNATURE OF APPLICANT DATE IV APPLICATION FOR HVAC PERMIT DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT# Applic er y: BUILDING DEPARTMENT / APPRO 1540 SULLIVAN AVENUE 644-2511 ext. 230 Bldg.Permit# Date �ikiilding Inspector Application must be printed or typed FEE SCHEDULE Location of Job: $0-$1,000=$15.00 1101 Twirl Circle Dri y c- Over$1,000= I Street No. Street Lot No. $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT John hr2 b (stt N, Gent geafin d toOhn APPLICANT ADDRESS 71 Ed Nin Pcd Sou-+n ryinclsor, Cr 6tP07q APPLICANT'S PHONE# SIPO- ,9q I- O $I OWNER 12i chard Lope z �w N S Fq< OWNER ADDRESS 11 U/ Twin CG rcl e- On vC 5otA+h N 1 n d sor, CT O P 074 OWNER PHONE FCQ 0- 8$3—4 DOCp ESTIMATED COST$ 514 S O C V IS THIS A CONTRACT COST? Yes No FEE ENCLOSED$ CI d TYPE OF JOB: U I5$ SO C0 New Installation t/Alteration/Addition/Repair goiyo113t Revised 03/05/10 APPLICATION FOR HVAC PERMIT(Continued from reverse side) TYPE OF SYSTEM: TYPE OF BUILDING: ❑ HEATING IX RESIDENTIAL CY-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 *96 OF INSIDE -7,6--F DIFFERENCE b OF TOTAL HEAT GAIN(BTUH) (HEAT GAIN SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL COOLING EQUIPMENT(INCLUDING MAKE&MODEL NO.) TONNAGE ,_ ��` COOLING CAPACITY(BTUH) Opo 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. STATE SIGNATURE OF APPLICANT �DATE I DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT PERMIT# Application is hereby: TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT APPRO r—P 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 Date Building Inspector Application mast 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 ) J -�- �a,�t APPLICANT ADDRESS S0V1 k W-.vJStf 51 6 L07y APPLICANT PHONE# a 9 I - O Lg1 W N S t OWNER 1�a-(�a/4 f Moo^d O < OWNER ADDRESS 11 O H TW►6., C Ir t t4 p a t wig o� t��K�Sw C r Q (ay7 0 F. OWNER PHONE $b o- S r q - 9 S)a C ESTIMATED COST$ S, 4 S 7) IS THIS A CONTRACT COST? X Yes _No FEE ENCLOSED$ TYPE OF JOB: -:At •CO G Srlp I New Installation Alteration/Addition/Repair 61Lj �33 Revised 4/01//2002 APPLICATION FOR HVAC PERMIT(Continued from reverse side) TYPE OF SYSTEM: TYPE OF BUILDING: Ff HEATING 9COMMEERCIAL RESIDENTIAL VENTILATION ❑INDUSTRIAL HEATING D STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT ❑HYDRONIC ❑WARM AIR ❑UNIT RADIANT HEATER LBS. EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION DESIGN TEMP. OUTSIDE OF INSIDE °F DIFFERENCE °F TOTAL HEAT LOSS APPLICATION)) TUH) °F(HEAT LOSS SHEET MUST ACCOMPANY DESCRIBE ALL HEATING,EQUIPMENT(I�ICLUDING MAKEMQDEL NO.) '� S I GROSS HEATING CAPACITY(INpUT-BTUH) NET RATING(OUTPUT-BTUH) TYPE OF FUEL D OID-GpM OIL TANK LOCATION:D INSIDED OUTSIDE CAPACITY /1GAS-INPUT_ LPG TANK CAPACITY ELECTRIC-KW AIR CONDITIONING DESIGN TEMP.OUTSIDE OF INSIDE OF TOTAL HEAT GAIN(BTUI� DIFFERENCE °F DESCRIBE ALL COOLING E IDp (HEAT GAIN SHEET MUST ACCOMPANY APPLICATION) �. . Q (INCLUDING MAKE&MODEL NO.) TONNAGE 3 _ COOLING CAPACITY TUID J Q VENTILATION DESCRIBE ALL AIR HANDLING EQUIPMENT(INCLUDING KITCHEN EXHAUST EQUIPMENT) , TOTAL SIZE OF SYSTEM(CFM) FRESH AID INTAKE(CFM) (PLANS MUST ACCOMPANY AppUCATION) t 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. E STATE SIGNATURE OF APPLICANT DATE_ Z - DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT PERMIT# Application is hereby: TOWN OF SOUTH WINDSOR /SOd 5s s BUILDING DEPARTMENT APP U 1540 SULLIVAN AVENUE� �r 644-2511 EXT.230 Bldg.Pemut# � (Date) (Building Inspec r) Application must be printed or typed FEE SCHEDULE Location of 110 Job:y Tw,n G�r� bf . $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 + APPLICANT ADDRESS J I` AIL ?-. 6r{ �rjI APPLICAN`T FHONE# U O �I J °I S'l OWNER MPII- �l qt mob-'re- 0 WN SF '9� OWNER ADDRESS Ib Tta%n CG rckx - -� U OWNER PHONE Obi SS 9 S16 C ESTIMATED COST $ �)3�► <* IS THIS A CONTRACT COST? YES NO FEE ENCLOSED$ TYPE OF JOB: �SOR•Co New Installation JAlteration/Addition Repair Revised 12/22/11 APPLICATION FOR PLUMBING PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A O RESIDENTIAL BUILDING PERMIT APPLICATION? ❑ YES ❑ NO O BUSINESS O ASSEMBLY CURRENT USE AND OCCUPANCY O MERCANTILE O EDUCATIONAL FUTURE USE AND OCCUPANCY O FACTORY O STORAGE ENGINEER'S NAME PHONE O GARAGE O MIXED USE ADDRESS (Other please specify) CITY STATE ZIP TYPE OF INSTALLATION W 44t r 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 So eA p 4r•C MANUFACTURER 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 i Revised 4/01//2002 DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT PERMIT# Application is hereby: TOWN OF SOUTH WINDSOR 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: $0-$1,000=$15.00 Street No. Street ]—No. Over$1,000= $15.00 per$1,000 or any fraction thereof Tenant Designation Apt APPLICANT APPLICANT ADDRESS 5, � n:,�• C v .s 5 �( APPLICANT PHONE# SUO — 0 W N St OWNER C. C, rG G l\�N OWNER ADDRESS \\OR ��'n GGrC-�- -D�• Ob OWNER PHONE 5- 3 -CAS C = ESTIMATED COST$ �j ;),>o IS THIS A CONTRACT COST? Yes _No n FEE ENCLOSED$ `o.c70 1� TYPE OF JOB: *j0?.5 J �SOR•COS New Installation Alteration/Addition/Repair 9-c-3/a g APPLICATION FOR HVAC PERMIT (Continued from reverse side) TYPE OF SYSTEM: TYPE OF BUILDING: IEATING b RESIDENTIAL 5f 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 O 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.) Ck I - C`(y.a7�C 12►.1A�1'�57.'�E 1`�^yp1 1- Y�u7.F�c7R►JR ,�<�(`Fi7.�f.C�t.J(-� 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. <»�a S LA _ CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT DATE 1`{ Z Wrl9fltSOft Load Short Form Job. Date: Mar 15,2012 Entire House By: Air Temp Mechanical Services 360 Captain Lewis Dr,Southington,CT 06489 Phone:860-953-8888 Fax:860-953-5877 Email: ron@ctairtemp.com Project • • For: ELLINGSEN Design Information Htg Clg Infiltration Outside db(°F) -5 88 Method Simplified Inside db(°F) 70 75 Construction quality Average Design TD (°F) 75 13 Fireplaces 0 Daily range - M Inside humidity (%) 50 50 Moisture difference(gr/lb) 52 27 HEATING EQUIPMENT COOLING EQUIPMENT Make Make Trade Trade Model Cond AHRI ref no. Coil AHRI ref no. Efficiency 80 AFUE Efficiency 0 SEER Heating input 0 Btuh Sensible cooling 0 Btuh Heating output 0 Btuh Latent cooling 0 Btuh Temperature rise 0 °F Total cooling 0 Btuh Actual air flow 214 cfm Actual air flow 214 cfm Air flow factor 0.016 cfm/Btuh Air flow factor 0.047 cfm/Btuh Static pressure 0 in H2O Static pressure 0 in H2O Space thermostat Load sensible heat ratio 0.76 ROOM NAME Area Htg load Clg load Htg AVF Clg AVF (ft2) (Btuh) (Btuh) (cfm) (cfm) MAIN LIVING AREA 473 9035 3348 149 159 MSTR BDRM 180 3936 1159 65 55 Entire House d 653 12970 4507 214 214 Other equip loads 0 0 Equip. @ 0.93 RSM 4210 Latent cooling 1413 TOTALS 653 12970 5623 214 214 Bold/italic values have been manually overridden Calculations approved by ACCA to meet all requirements of Manual J 8th Ed. 2012-Aug-14 09:57:17 wrightSOft' Right-Suds®Universal 2012 12.0.03 RSU15849 Page 1 A C:\Users%RON\Documents\Wrightsoft HVACIELLINGSEN.rup Calc=MJ8 House Front faces: N This combination qualifies for a Federal Energy ' Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2011. to ry.org Certificate of Product Ratings AHRI Certified Reference Number: 4908219 Date: 8/14/2012 Product: Variable Speed Mini-Split Heat Pump, with Remote Outdoor Unit Air-Source, Free Delivery Outdoor Unit Model Number: MUZ-FE09NA-1 Indoor Unit Model Number: MSZ-FE09NA Manufacturer: MITSUBISHI ELECTRIC AND ELECTRONICS USA, INC. Trade/Brand name: MR. SLIM Manufacturer responsible for the rating of this system combination is MITSUBISHI ELECTRIC AND ELECTRONICS USA, INC. Rated as follows in accordance with AHRI Standard 210/240-2008 for Unitary Air-Conditioning and Air-Source Heat Pump Equipment and subject to verification of rating accuracy by AHRI-sponsored, independent, third party testing: Cooling Capacity (Btuh): 9000 EER Rating (Cooling): 15.50 SEER Rating (Cooling): 26.00 Heating Capacity(Btuh)@ 47 F. 10900 Region IV HSPF Rating (Heating): 10.00 Heating Capacity(Btuh) @ 17 F: 6700 CERTIFIED RATINGS FOR VARIABLE-SPEED,MINI-AND MULTI-SPLIT SYSTEMS ARE VALID FOR ALL COMBINATIONS OF INDOOR UNITS (BASED ON COMBINATION TYPES)WITH THE SPECIFIC OUTDOOR UNIT LISTED ABOVE AND IN THE AHRI DIRECTORY OF CERTIFIED EQUIPMENT.VISIT WWW.AHRIDIRECTORY.ORG TO VERIFY THAT THIS COMBINATION IS AN ACTIVE LISTING AND THE DATA LISTED ON THIS CERTIFICATE IS ACCURATE.SEARCH ON THE AHRI REFERENCE#TO QUICKLY LOCATE THIS COMBINATION IN THE DIRECTORY. Ratings followed by an asterisk(')indicate a voluntary rerate of previously published data,unless accompanied with a WAS,which indicates an involuntary rerate. DISCLAIMER AHRI does not endorse the product(s)listed on this Certificate and makes no representations,warranties or guarantees as to,and assumes no responsibility for, the product(s)listed on this Certificate.AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the product(s),or the unauthorized alteration of data listed on this Certificate.Certified ratings are valid only for models and configurations listed in the directory at www.ahridirectory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI.This Certificate shall only be used for individual,personal and confidential reference purposes. The contents of this Certificate may not,in whole or in part.be reproduced:copied:disseminated:entered into a computer database:or otherwise utilized,in any form or manner or by any means,except for the user's individual,personal and confidential reference. CERTIFICATE VERIFICATION ��' The information for the model cited on this certificate can be verified at www.ahridirectory.org, Air-Conditioning,Heating, A `' click on"Verity Certificate"link and enter the AHRI Certified Reference Number and the date on . .� and Refrigeration Institute which the certificate was issued,which is listed above.and the Certificate No.,which is listed below. ©2012 Air-Conditioning, Heating,and Refrigeration Institute CERTIFICATE NO.: 129894326946797983 This combination qualifies for a Federal Energy SCERTIFIEDITIVI Efficiency Tax Credit when placed in service x9ow 12L between Feb 17, 2009 and Dec 31, 2011. www.ahridirectory.org Certificate of Product Ratings AHRI Certified Reference Number: 4934170 Date: 8/14/2012 Product: Variable Speed Mini-Split Heat Pump, with Remote Outdoor Unit Air-Source, Free Delivery Outdoor Unit Model Number: MUZ-FE12NA1 Indoor Unit Model Number: MSZ-FE12NA Manufacturer: MITSUBISHI ELECTRIC AND ELECTRONICS USA, INC. Trade/Brand name: MR. SLIM Manufacturer responsible for the rating of this system combination is MITSUBISHI ELECTRIC AND ELECTRONICS USA, INC. Rated as follows in accordance with AHRI Standard 210/240-2008 for Unitary Air-Conditioning and Air-Source Heat Pump Equipment and subject to verification of rating accuracy by AHRI-sponsored, independent, third party testing: Cooling Capacity (Btuh). 12000 EER Rating (Cooling): 12.90 SEER Rating (Cooling): 23.00 Heating Capacity(Btuh)@ 47 F: 13600 Region IV HSPF Rating (Heating): 10.50 Heating Capacity(Btuh) @ 17 F: 7800 CERTIFIED RATINGS FOR VARIABLE-SPEED,MINI-AND MULTI-SPLIT SYSTEMS ARE VALID FOR ALL COMBINATIONS OF INDOOR UNITS (BASED ON COMBINATION TYPES)WITH THE SPECIFIC OUTDOOR UNIT LISTED ABOVE AND IN THE AHRI DIRECTORY OF CERTIFIED EQUIPMENT.VISIT WWW.AHRIDIRECTORY.ORG TO VERIFY THAT THIS COMBINATION IS AN ACTIVE LISTING AND THE DATA LISTED ON THIS CERTIFICATE IS ACCURATE.SEARCH ON THE AHRI REFERENCE#TO QUICKLY LOCATE THIS COMBINATION IN THE DIRECTORY. Ratings followed by an asterisk(')indicate a voluntary rerate of previously published data,unless accompanied with a WAS.which indicates an involuntary rerate. DISCLAIMER AHRI does not endorse the product(s)listed on this Certificate and makes no representations,warranties or guarantees as to,and assumes no responsibility for, the product(s)listed on this Certificate.AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the product(s),or the unauthorized alteration of data listed on this Certificate.Certified ratings are valid only for models and configurations listed in the directory at www.ahridirectory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI.This Certificate shall only be used for individual,personal and confidential reference purposes. The contents of this Certificate may not,in whole or in part,be reproduced:copied:disseminated:entered into a computer database:or otherwise utilized,in any form or manner or by any means,except for the user's individual,personal and confidential reference. CERTIFICATE VERIFICATION The information for the model cited on this certificate can be verified at www.ahridirectory.org, w Air-Conditioning,Heating, click on`Verify Certificate"link and enter the AHRI Certified Reference Number and the date on A. an`' and Refrigeration Institute which the certificate was issued,which is listed above,and the Certificate No.,which is listed below. ©2012 Air-Conditioning, Heating,and Refrigeration Institute CERTIFICATE NO.: 129894327198685879 APPLICATION FOR BUILDING PERMIT Electric# Plumbing# 1101 Twin Circle Drive Date: I d HVAC # 900048 Sprinkler# Estimated Cost $ ' t FINAL APPROVALS —--- Permit Fee $ I Building COMPLETE RED BOXED AREAS Occupancy Fee $ Engineering TYPE OR PRINT ONLY Eng.InspyFee $ Affidavit SIGN ON REVERSE SIDE �`,�� ' Appr. for CO. - - ---- -- -- _ ---- _- _-_ Total Fee $�— -- --- --- -- --- 56 , f OF SOUTH WINDSOR,CT (Additional Cost) $ USONE, LLC rding to the following: 12.3 Evergreen Road Cromwell CT 06416 ocation of Work-72�w-,j e i-g—U c - /)° ) Lot No. HIC#0583474 Tel.# jkiU• 6 Je yf`1 _ Zip Lic.# Owner Architect Owner's Address 2—,--U� C cr-j d c ,%5f�cj c- Architect's Address w �`s c n- �c ►7, Zip V y Zip Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area Purpose of this permit w r Do-u ,— 2 City Water❑ Well❑ Septic System❑ Sewer❑ Ins: HO S Cert. rea Basement Garage Approved by Date G�C Use Group Construction Type Revised 6/02 I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Down 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 DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT APPROVE 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 �- Date Building Inspector Application must be printed or typed FEE SCHEDULE 1111 Location of Job: f l�� ti� �ri;�� V)0 $0-$1,000=$15.00 Street No. Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT RO�-O — APPLICANT ADDRESS .57 aI C S J-i CR L C, Q-1 (_� e 6�Y\ Cry O �� APPLICANT PHONE# 137& S-S'3-19 3 O W N Ste: OWNER Ge1'Y1 J cr1 K I yn S OWNER ADDRESS O?, 717wi OWNER PHONE ��J 73�' 25 0 C ESTIMATED COST$ s, c7J IS THIS A CONTRACT COST? _Yes/ No FEE ENCLOSED$ 1 S s O TYPE OF JOB: O R C L",," Alteration/Addition/Repair ewInstallation Revised 4/01//2002 APPLICATION FOR PLUMBING PERMIT (continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A RESIDENTIAL BUILDING PERMIT APPLICATION? ElYES ❑NO BUSINESS CURRENT USE AND OCCUPANCY 12L�s ❑ASSEMBLY ❑MERCANTILE FUTURE USE AND OCCUPANCY E'S ❑EDUCATIONAL ❑INSTITUTIONAL ❑FACTORY ENGINEER'S NAME PHONE ❑ STORAGE ❑GARAGE ADDRESS ❑MIXED USE (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 ❑YES ❑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 AjOe THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TZT— 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 C� �� DATE y' 9 -) Z a