HomeMy WebLinkAbout111 DEBBIE DR DEPARTMENT DECISION APPLICATION FOR HVAC PE f-C 2 9 2008
Applicati ' her TOWN OF SOUTH WINDSOR BU►L SootING DEPARTMENT Windsor PERMIT#
BUILDING DEPARTMENT
ED 1540 SULLIVAN AVENUE
Z �►�/ Bldg.Permit#
644-2511 ext. 230
Date Bu 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$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT 7 AwkwG " �'e- lae a
APPLICANT ADDRES 50 �k iYA kv,7 14L
S 1 ftir G G
APPLICANT PHONE#
OW N SF�4 OWNER Debbl - ChllhL4A'
OWNER ADDRESS %1/ Debbie, Dr
io OWNERPHONE
C ESTIMATED COST$
w
�.� IS THIS A CONTRACT COST? /Yes _No
FEE ENCLOSED$ t
TYPE OF JOB:
R C New Installation
Alteration/Addition/Repair
Revised 4/011/2002
APPLICATION FOR HVAC PERMIT (Continued from reverse side)
TYPE OF SYSTEM: TYPE OF BUILDING:
❑HEATING O RESIDENTIAL
O A/C ❑COMMERCIAL
❑VENTILATION O 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)C rn e t �� S 7F" /N /l /NS �Arx-0
a e,1 v 1 X5c L 2 HVfL.)yn � 01-
GROSS HEATING CAPACITY(INPUT—BTUH) NET RATING(OUTPUT—BTUH)
TYPE OF FUEL
❑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.
.3,Vy6y/
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT - DATE /2' '
REINO E. HYYPPA 8 ASSOCIATES
CMAL ENGINEERS a LAND SURVEYORS
GLASTONBURY, CONK
OTHER LAND OF
JEAN MARC JACQUES
Z°1�
N 4Co" Z0
E _
I Z00.00'
12 AREA= 27 3E6 S.Lu
0
O O
0 0 \ 00
b '� 1.�L,sE 1° 0 p
Q ui r TG 302.�i f
z f t^ T" 1I�i Fi•Z1S.1
wUWE
f
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rRt Z5 00'
�\ T=25.00' 9Z
S 4G° -60, 00
DEBCIE DRIVE �9e
LOT Liw-5 FROM vMr-O.1 F%LE TITLED,
'00Em 54t-ce S.�v!s04 d-30 ZCO'A
PL-OT PvPJ SECna t I MouNTaNv-Ew
ESTATE'S 5ovTH vj"'c"oR'CDqw-°eY
RtaaO E. H--YaPA!Asc-,C-jc!AlEs -ctk-E
r=40' DATE:3-+4-e5 WIAP WC),I8D-63-1G
5HEET 3 OFiq SH E-ETS REV 6v-30-8s PREPARED FOR
vro... `CCA->p 4% 5,�VAN DART HILL REALTY INC
No Za.!1 NC V1owoNS
CERTIFIED 50551"TIALLY COMM SOUTH WINDSOR, CONN.
,'- SCALE '. 1"•40' DATE:
56- 135-IZ
Q�v, 4-4.1�� Fo..�.OcrA .►
.t SOUlH W1NDS�
loo , ns are trv�
To rAE B�v1sr 'J:?T• sp c1li, tln w M
is�ertot d that iId Ibulldlns cr alterntl"ns
-thof the P yY//fl
GoDtes StrMC
e►eet`� o — tl^n aM'
be
T 1
tOQ�tper dene)!,
l n'B
tiled �t" I ,. f a t,,lldltr[
f 1u..1
Permit _
that
giF.nnd - �l}act t l+ `'Cz Shall t*
�hts Cl wlttr
orders tn`Se ttl_d
`.Tr..{.1
Condltwno r Clefx
guli�D��tor '"'
oats �� Y
REINO E. HYYPPA 8 ASSOCIATES
CIVIL ENWNEERS S LAND SURVEYORS
GLASTONBURY, CONK
OTHER LAND OF
JEAN MARC JACQUES
j �p0
N 4(o"
200.00' i
z�� 1 ll
12 AREA= 27, 8E6 S.F
Lu
� 1 ,t• w
U O
CIO O O � � O O
0 p '� 1-�ousE 1° O p
z 1 L— r 11•S F�-�Z�S 1 i
Lj_f
LINE
90'0o l) ) 1 1
d
I c"o'
1 1 ,S9 T=25.00'�q'L
1?S OO' l L'
--
DEE61E DRIVE �98
LOT LINE-5 Ffi!:)M MAP O►.I FILE TITLED,
'OPEN S,a,:E S.MCIV ►:5 OW t-30 ZoA
PL..OT PLA.N 5EC-TIO64 I M00NTA+Nv'Ev4
ESTATE-- SOUTH NJI►.IL"--oR,CDC.w BY
P,F_i o E. P?waaA 0 A55(Y tw ES 5cALF
rz40* CLaTE:3-14-55 MA.D No.185�3 I�
'5"EJET 3 oFIA sH Emirs RED (0-30-8s PREPARED FOR
�:700'4 `exAk-T ° A-� 5>ioiswN DART HILL REALTY INC
NO ZOu i NCB V►OLATI10145
CERTIFIED 50e5TANTIAL.L71 CLCRECT SOUTH WINDSOR, CONN.
12 SCALE ; 1"•40' DATE.
58- 85-IZ
� s0 �
� 6
7
z �
� t i 7:�'• safe tsu�'
1 ,1•- G,i - c:tic lion
jnE 1•^` •� attefationr to DR.
t t t !s�inq,to
of
Th1r eert, t-.a
QaD►cr i Strata,
nny
'ul 0/
erect` ane
II •Z,e.- r-i-
111 a 11 N'1'.,h :71 ZOn1n��
LLLJJJ+++� js shall Dr
`ag,tr.r t d,fsn6 VenQenCl
Wed t "-ce of a ouitdi,*—
/rt M �s.,•�
issu, t, ei d
of o
Oerntft !f that
f t ter. cnnd'•shall br
signed -_ ,_ ,� ,11.ng
1 f.•
This 1 ' t.• cse tiled -1*r.
Ord'r
Con v_0
Can`.Wr, � Cterk
�- ...eV r}or
gu0d��•' po.
Date h f• •
REINO E. HYYPPA 8 ASSOCIATES
CIVIL ENCMIEERS 6 LAND SURVEYORS
GLASTONBURY, CONK
OTHER LAND OF
JEAN MARC JACQUES
� 11
/ N O(a` 30 30' E
Z� I2 AREA= 27, 8E 6 S.(
w
a 0
0 `
O \ a� � zz O
(!) o 00
O O
d N
rl)
Z f - - t' a
LANE , . . L
O '
1 f _ _ Fr) I c
�= 90`00 00"
' 1�5.00'
�2w �
DEBBIE �t9` DRIVE
LDT LIQ 5 FRC)m WAV OW FILE TrTLF--
'OD+Eµ 5't. E S.)eDVi5;3-j (Yh L-30 Z
F1rr PLA►J 5EC 10o 4 I MooNTaNvfEw
ESTATE'S 5ouTH Wi►av5oR,COMj•'bv
Rnwo E. PwPPA t Assoc f AT Es 5cALs
r=40* DATE:3-14-95 WUP 1.10-18� 8� I6
5"EET 3 OFiq 5"IETs RED 6,-30-SS PREPARED FOR
r-7v- 4% sAwAN 40-,�-� CART HILL REALTY INC
No ZON 1 NG V►owboNS
CERTIFIED c-055TA.W1-IALL`! COMECT SOUTH WINDSOR, CONN.
�- SCALE . 1' •40' [)ATE:00,
3-Z2-8(e
J55- 85-12
� U (14
f'1 � t� ►� J
C
� 0
Z
� r
t7
Z
f
ZO THE Etltlr'" t sa Cl
tions ,re troe
t
nr'. or aitersu°ns to be
crrtl'i
COO,s t
erect.-J -t •^,'��� / / Street
��( 't/) IJtf;'(•l�� �O,tic tion one
mth II sonint.
t ^ty
toB^ rd,rs es shall be
toe: I nt d,,rint pendency
pw. I 01 a pulld►nt
Issi t ti r u usnce
�tr:a
ondition that
g1E•,cd .-t '� the c shell be
n UuOd nt
orc t tiled with
c„ C These
Cordt°�
__ Clerk
yudd,�g I:ep.��ot
No•
REINO E. HYYPPA 6 ASSOCIATES
CIVIL ENGWEERS 6 LAW SURVEYORS
GLASTONBURY, CONK
OTHER LAND OF
JEAN MARC JACQUES
Z�10
i
/ r
� N 4(.'
/ I 2-00,00'
12 ARE 27 F366 S,F
LEI 3 ,
I
0
O
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0 0
I
z f l� — — - r 22.S F�►LqS 1
W to
LINE i
INz
C'o
I 1 R=25 Oo' A
S 4G' 30' 00 W
DEEbIE "�94 DRIVE
LDT L1WF.!-'- F:r%D"NAr-ON VILE TITL-E-a,
'010E11 SSE 5.7 41S'_-Wt t-'50 ZONE
PLOT PLAN 5ECTION 1 MOU"I'Ai"vEw
ESTATE- 5oxH WiwL--oR,Cb*jw-'5y
Rrigo E. H—PPA 0 A5sccfAIES 5CALE
r=40' DATE:3-14-65 W, ,P NOA80-65-IV
'501EPT 3 OFIq 5"E.ET.'S .REv &-30-8s PREPARED FOR
PD.' ` c `a7T-° k ��°�� DART HILL REALTY INC
NO 7-0W I NG VIOLAT10rJ5
CERTIFIED 5UB5TA-WTIALL`I COPRECT SOUTH WINDSOR, CONN.
�- SCALE . C-40' DATE'
s
J58- S5-IZ
Q��• 4-4-8� Fo.-�.Oae��.a
� v
m o D
F. "0
ri t� -U
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iU
z
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•fr
Luj. dlc,tlons o ps
�+ iNE B•V.l,.. n ane sv� rtion� t
r„O (tl'.15 P13 O f �ItEf
[Mscertd{'d th'r.PpSed burldlnL
the D
vopl of fL stt�
..ero
.r
cted at J y�}—IIN�YI tlon •Mildt'.Ittt�d (n wthcell iOnlni•
..i,�. ;�,• `r (, I-nn pinfdrff es shell
♦ toB•trer �n�' ,rd rhnt do fin
pEnd�
. Illed w'th P{t t.t, pulldlA6
a F' P ulna o/
BLLII�,n J (,.,C Il�' iiid frn•+1 ISS
Issur
)I trAl
l yermrt and
E condltlo� be
S►Bned ��. d ct pulidln6 shoosub{�.
th
sul too
o►dersl3anJ r" -I"$* lited wltlt
tOmDF,ed tn.
GOndWOn'IIi APF,roved
GMT
!�1
inspector
psta ---------------
REINO E. HYYPPA 6 ASSOCIATES
CIVIL ENGINEERS a LAND SURVEYORS
GLASTONBURY, CONK
OTHER LAND OF
JEAN MARC JACQUES
Lam$
N 4G* 30' 30" E
1 200.00'
3
D AREA= 27 ,3F6
3 oc?
!_1_I �
U O
n O �4 O
O
p p ; \ XpQOP 1�o�St 00
5v I.a -N Lo
600'
0
LiJ Z
0
�r w
N = 90'00'00" 1
►75.00'_ _ o �j
DEBBIE .zq` DRIVE
LOT LlwEc- FIRNA•Mc O►.1 f ILE TITLED,
'OPEN'-It-C-E -&> V!SDW t-30 ZO"L
PL-OT PLAN SECTIa l I MouNTaNv'Ew
ESTATE'S 5c-,1TH VJ,wD`-<w,Co►.1N.'5Y
RE.tWO E. t AssCxlA1ES 5cAjE
r_40' DATs:3-14-es
5"E.,E-T 3 oFiq SHEETS REV (D-30-8s PREPARED FOR
No zoNlG V%owoNs DART HILL REALTY INC
CERTIFIED S+JBS,MITIALLY MPRECT SOUTH WINDSOR. CONN.
SCALE 1"-40' PATE.
56- B5-12
20 JAE tctiee
alh rstt in liens s xe x�
B�• sv- to be
t is 1
that puAdmE or
his certiti d s d
.topics of the DreD�
streei
erected
/ W 1
1 1, -n•.nq.
I; b"
ncy
t � I,.udmG
gu•,Y, u
Oss
Of t' _
Uon tna.
sh"ll be
Sir, og
fh', , with
rpr6="'
l l,�sr tand
.Condit' '
insD ctor
Bu ;Mo•1� �
euddln8
Date
REINO E. HYYPPA 8 ASSOCIATES
CIVIL ENGINEERS a LAND SURVEYORS
GLASTONK Y, CONpt
OTHER LAND OF
JEAN MARC JACQUES
i
N 4V 30' 30' E _
200.00'
12 AREA= 27 866
w
3
Q O
a. O O
p p PQoP 1�roL)St I
� d �; ��� Tfi•.3o I.a -N � � r j
IZ LIWE 1 I
O 1
d \
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9O'00'04" 1
R.
T=Z-5.00' '�
r � � .
L,3
DEEBIE DRIVE
LOT LIWf- FR-:� t NAr-Ou FILE TrTL-E0,
,0PE►+Sqr.C.E 5.o�'VISDQ A-30 ZCYJE (/
FIAT PLAN 5EC110►d I MOVNTA+NvEw
Es-ATE-- -cyx i-i VIiN fit,i D►1N.'BY
R-l-two E. uwPP,t As--oCIAiEs SCALE
r=40' DATI_:3-14-e5 MAP No.183-61-I&
`'HEFT 3 OFiA EEr's Re✓ 6)-30-g5 PREPARED FOR
NO ZONING VbLttbNs DART HILL RF ALTY INC
CERTIFIED S0BSYWTlA- Y C. MCCT SOUTH WINDSOR, CONN.
SCALE I''•40
DATE�
58- g5-12
� a
m
( -, p ju
✓ 1 \
P7 1
10
jp Ti,% 3:V)MG D""' F S?ITN true
'JINDe
Thls rrrU alt.n,u„s to be
.1 d th t t is 1 n ,nd sp cd'c t►u
eoo a of lne pf,p,s,d uuilding or
auect d at / 1
�t."t I
� and
tog`ther
filed lh i-' be
f3U11:'i 11 y
tfSu.d ' f ti. 1 II l i , i � ''J:ng
Of tars 1
Permit. •
signed a that
This rl r i'
Ord r`
v_d lh-se til_d with
Condition.,a
l
Su,iding InSp ctor
No. i 4'S
Date _-----
REINO E. HYYPPA 8 ASSOCIATES
CIVIL ENGINEERS 6 LAND SURVEYORS
GLASTONBURY. CONK L,
/ F
OTHER LAND 0
JEAN MARC JACQUES
Z�I�
i
N 4fo' 30' 30" E _--
1 200.00'
l/
AREA= 27, 8E6 S•F
w
u O \
O . O
O
un 'O O \� P¢OP 1�ovst oO -
06 303.o ui
l UJ Z ��� ---- - -- - - - --
a LINE !
I j00' ;,
1 9
1 _ I
a
N w O \ p<
P T=
i 11
iq L
---DEBBIE DRIVE '�9e
LOT L%ojE5 FR^►n MAP(>j F%LE TM-EG,
'OPEw Er GE Svea415i0N t-30 ZOP'A
PLOT PLAN SECTip►'j 1 M0(j"TAAWVFw
ESTATE'S Y--nH W!"L [D,)N•,BY
fi Re two E. u�.PPA e A5soc!AiES 5CALE
1r=40' DATE:3-14-e5 kup No.180-65-t�
"1 oFjg 5H -5 REv -30-135 PREPARED FOR
DART HILL REALTY INC
{' ' No Z.ow i t4G VOLATt0►45
CEKTIFIM uBSS"TIALLY CCRIPECt � � SOUTH WINDSOR, CONN.
�- 5CALE. C -40' DATE..
58- 85-12
TO TA 3 l�l'1� D':T. i9NY _f Sand sPeeifiC lions""'trut r , ;,o building
or alterations to ba
' /
erect,d
"-n "no'
log tt`r t , r;ly vtth 11 zoning,
fih'd r. rs .,s--- b,
0 u'' n d.r1"R Pendency
Iss 1 ice of a building
of t
permit
Stu` 't t r,, c�nd,tion that
Thies ' ,i',ng Shall W
ord r-
C. These filed with
J
r
bu'ljmg ctor
REINO E. HYYPPA 8 ASSOCIATES
CIVIL ENGINEERS b LAND SURVEYORS
GLASTONBURY, CONK
/ OTHER LAND OF
JEAN MARC JACQUES
i Zit 9 1
/ ' r r
I Z-00.00'
l/
(I2 AREA= 27, 866 S.F
3 ,
W I W
U o
a_ o - �,� o
p p P¢oP 11*wSc 00
o -
d `\ 7v.303.o _N N
(40.
W z
LINE
O
1 1
1 I td �o s I
r,p2- c)()
5. ' A
i
I T=2-5-00`,q'�
DEBBIE �9N: DRIVE
LOT LIWE—c ffi7v+►MG coj FILE TRL£D,
,OPEN Sat.CE S VIS7►+ A-30 Z *A
FL-OT PLAN SECTIO" 1 MOONTA+NVIEw
ESTATES SOUTH WINL-50R,C '-"'J."BY
Rr--two E. P,"PPA 0 As---nc!AlES ScgLF
r-z40' DATE:3-14-95 N 1J0•ISM s3 1C
`JNNJFT3 oFigSHEETS .R¢v jo-ss PREPARED FOR
°, Z
DART HILL REALTY INC
N o ZoN i Wa VI,o&ATiC"5
CERTIFIED SUe51A.NTIALL71 COPRECT SOUTH WINDSOR. CONN.
SCALE : 1" '•40
PATE:
58- 85-12
_j l ,ti0a
MO
sr ..re s to
j t ll;13 oT alter
ThtT I J sty
cre
,
t'fetoning,
rtl^tl P,nd
en
fll'.. nce of a oultdOw
Ov, 1
ys
of
n 4h�t
c,ndSs
Slt .. �.dutnB
shay It°
Thy' r These filed wYp
oN
e `1
r "O GIB
_ f i
�-'� •sP ctor ,
gw11�,.•' ryo.
Date
REINO E. HYYPPA 8 ASSOCIATES
alAL ENGINEERS A LAND SURVEYORS
GLASTONBURY, CONK
OTHER LAND OF
JEAN MARC JACQUES
Z�f�
13 N 4G' 30
I 200.00' �- - --- -- �
AREA= 27 9E6 S.(
U `
Li
I t
< �3� -
a. O . `� ao���; its O
ch o 0 1 3,.s b O
�
d s' TF.. 302.1i U
z
LLJ
UWE
1 I fO !
' 0 \
i 1 �' . o- 90°00,oo''
R=25.00'
1-
-- S 4V ZO' 00— W:---�---`
I
DEBBIE �Z9` DRIVE �9e
LDT 1_!NES FR06A VAP au FILE TR►& A• b6UQ m
'OPEN sptr-E VISo+ A-30�
PLOT PLArS �J£C.TIO Vr•>Mt4 I MO %R f
ESTATES 5wN lAIl11L�.AR,C�MJ•6w"�".U* Ll;w
R✓`!NO E.}I'fYPFM► As�clgSEs• --jog-P 1.4�atd
1`--40' DATE:3-w-as MAP No-63-63-I&
5KEET 3 oFIA 15HE.ET'S .REV &-30-85 PREPARED FOR
N O ZO DART HILL REALTY INC
�C+ V10LATON5 r ~•.,
iFIED 5UB TANTIALL GOIt�I=
cE�T s 1► ET SOUTH WINOSOR, COIN.
5CALE: 1"-40' [)ATE: 3-Z7-b(,
58- f35-12 '
South Windsor
BUILDING DEPARTMENT
10 Tilf 111" lG 'Orl. gown Of swill wmvur
This certified that lMb M+II eitd apastMcatloes aft,tru.
cap,- at the prepesed g11Nd1" M alteratloty to be
erected at �/�
�( III L1% St row
together with amsndmsa>•s stated In "Pseetlon and
flied with plan and 1 egraa to comply with all toning.
eoUaing sold state laws end such orders as shall tte
lyyed by the Building Department during pendency
0 this application and final Isavence at a building
Permit.
signed JLLiti
'his plan Is approved sublstx to the ccndltlan
orders aM ordinances regulating building aH be•
+ompil.d with. � 1
Condillonally Approve/ /try wM _yw
gullding Inspacty Clorg
,e. __ l,g. 2 1c:$7?ko
CERTIFICATION OF ZONING COMPLIANCE
Proposed building(s), use(s)and/or structure(s)
as shown on this 00 appear(s) to be in
to�LrX 16 ` conformance wM Current South Windsor
S-� regulations. Variances and special exception$
may apply. 7/1
Date 7
Zoning Enforlownent Officer
Electric # APPLICATION FOR BUILDING PERMIT
Plumbing# 111 Debbie Drive Date:
HVAC #
Sprinkler# 3 07 7 6
FINAL PR — - -- - - - - -- - - - -- -- - - --- � Estimated Cost
_ -_-- - Permit Fee $ 1"
Engine
e COMPLETE RED BOXED AREAS o
En ne I ' Occupancy Fee $ /U.
g i TYPE OR PRINT ONLY Eng. Insp. Fee $
Affidavit
Co ► SIGN ON REVERSE SIDE - ov
pp Total Fee $ �5
TO THE BUIL ING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $
The undersigned hereby applies to do work according to the following:
Applicant D hr,_ ' h , 1 b*_- r6- `-ocation of Work i 111_66h e /v Lot No.
Applicant's Address 3A ni t= 'Tel.# ` `. D y��- BSc?
Town e— C T Zip C cy O-74/ Lic.#
Owner �,t ± ,-_ r,-,f C11: I Architect
Owner's Address 'SA tii Architect's Address
Zip Zip
Sq. Ft. New Area: 1 st FI. I 2nd FI. 3rd FI. Total New Area
Purpose of this permit t 1,
City Water❑ Well❑ Septic System❑ Sewer❑
Ins: HO r . Area Basement Garage
Approved by - Use Group 11 Construction Type
Revised W02
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 k)cated in which this building and its use is allowed
\ Signed
I hereby apply for a Certificate of Occupancy for the work described this application for the permit.
Signed c -�
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
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**-30776-B 4,700
B10 FINAL 02/08/05 JFF A
B10 FINAL 03/11/05 JFF A CLOSEOUT
DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT
ERMIT#
Application is hereby: TOWN OF SOUTH WINDSOR tg
BUILDING DEPARTMENT
APPROV D 1540 SULLIVAN AVENUE
Bldg.Permit#
644-2511 ext. 230
Datef Building In or
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$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT 00n--.5
APPLICANT ADDRESS (DO WtS � CX Un.' F .Z
APPLICANT PHONE# 'C 7OO
O W N S F,q OWNER
OWNER ADDRESS
Sov �h w �Soc- C-
O OWNER PHONE (o�L 3 9Dix j-
Co
C ESTIMATED COST$
. d
� IS THIS A CONTRACT COST? , Yes _No
FEE ENCLOSED$ qy
l��s O�� TYPE OF JOB: 4>-
O R C New Installation
_'&Alteration/Addition/Repair
APPLICATION FOR HVAC PERMIT (Continued from reverse side)
TYPE,OF SYSTEM: TYPE OF BUILDING:
❑HEATING 0 RESIDENTIAL
A A/C 0 COMMERCIAL
0 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 OF INSIDE OF DIFFERENCE OF
TOTAL HEAT GAIN(BTUH) (HEAT GAIN SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL COO,LING EQUIPMENT(INCLIVDINGMAKE&MODEJ ENO.)
i�jIA 5 i;„ 5 Ton c--h a C l A S y s 4x.,, w, �'. vvc u
/4;I NYAgGoGKj FEh1 tix.c,,a0o IL sic- AL110,0
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.
39110(�) SI . C-T
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT ► DATE