HomeMy WebLinkAbout1126 MAIN ST APPLICATION FOR ELECTRICAL PERMIT
DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT#
Applic ' • he b BUILDING DEPARTMENT �pyaQa-
AP O 1540 SULLIVAN AVENUE Bldg.Permit#
644-2511 ext. 230
Date ilding Inspector
Application must be printed or typed
FEE SCHEDULE Location off Job:
$0-$1,000=$15.00 1 l cb 6�luJ t'
Over$1,000= Street No. Street Lot No.
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT
APPLICANT ADDRESS ICI sW N ,
�A1oJ �� 11� C'1oC71�
APPLICANT'S PHONE#
OWNER
'SOW N Sf,q� OWNER ADDRESS
060^1�f
v, OWNER PHONE J 6 0 - qq o
C ESTIMATED COST$ L(00
+� IS THIS A CONTRACT COST? to Yes No
-. ` FEE ENCLOSED$ /S,
TYPE OF JOB: q
OR-CO X New Installation
Alteration/Addition/Repair 201 5 Q
7
' Revised 03/05/10
I.
APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
BUILDING PERMIT APPLICATION? ❑ YES ❑ NO
® RESIDENTIAL SENT USE AND OCCUPANCY
❑ BUSINESS
❑ ASSEMBLY FUTURE USE AND OCCUPANCY
❑ EDUCATIONAL
❑ INSTITUTIONAL ENGINEER'S NAME PHONE
❑ FACTORY
❑ STORAGE ADDRESS
❑ GARAGE
❑ MIXED USE CITY STATE ZIP
(Other please specify)
TYPE OF INSTALLATION/WIRING METHOD
SIZE OF SERVICE SIZE OF MAIN CONDUCTORS
NUMBERS OF METERS NUMBERS OF DISCONNECTS AND RATINGS
NUMBERS OF PANELS NUMBERS OF DISCONNECTS REQUIRED? ❑ YES ❑ NO
NUMBERS OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS
NUMBER OF SWITCHES NUMBER OF OUTLETS
NUMBER OF LIGHT FIXTURES NUMBER OF HEAT CIRCUITS
NUMBER OF A/C CIRCUITS
SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED.
DESCRIPTION OF WORK
(A)I Ill 2 (LS
THE UNDERSIGNED NEARBY 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 PERFOR-
MANCE OFSUCH WORK
^
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OFAPPLICANT DATE
. rt
PRO-TECH ELECTRIC LLC
123 FARMINGTON AVENUE
#135
BRISTOL, CT 06010
860-982-3505
Fax: 860-582-6376
Visit us @: protechelectricct.com
CT. E-1 Lic# 123562
I,Richard J.Angelillo Jr. authorize(agent)�,�,mN,
To sign the electrical permit application as my agent to perform iv rk at:
Address: I196 fylaj,.j 5�.
Job Name or Description: ���_� Q�--P-j - WI QING �a2 30 k 1� ,C, susTEm
U
Starting Date: ASAP License Type&Number E-1 J&556 A
Agent Signature:
License Contractor Signature:
APPLICATION FOR HVAC PERMIT
DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT#
Applica ' ' y: BUILDING DEPARTMENT
1 . OLD 4��
ROVE 1540 SULLIVAN AVENUE Bldg.Permit#
C,Z?. 7 644-2511 ext. 230
Date B ilding Inspector
Application must be printed or typed
FEE SCHEDULE Location of Job:
$0-$1,000=$15.00 F
Over$1,000= Street Lot No.
$15.00 per$1,000
or any fraction thereof ignation Apt.No.
APPLICANT
APPLICANT ADDRESS ((IO
P1 44yi b , CC„��• p�06a.
APPLICANT'S PHONE# 8G0"3 )Lf— ��8
W N $f OWNER N ► k.F. £ , r
q q� OWNER ADDRESS J
-714
OWNER PHONE - _ b0 �l ct 0 -- 1 v1(o a.
Ct ESTIMATED COST$
IS THIS A CONTRACT COST? Yes No
FEE ENCLOSED$ /So ,
TYPE OF JOB: 'ci
0 4 COS 'K New Installation
Alteration/Addition/Repair
�i�'vogZ3
Revised 03/05/10
APPLICATION FOR HVAC PERMIT(Continued from Yeverse side)
TYPE OF SYSTEM: TYPE OF BUILDING:
❑ HEATING ;EF RESIDENTIAL
P'A/C ❑ COMMERCIAL
❑ VENTILATION ❑ INDUSTRIAL
HEATING
❑ STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LMT LBS.
❑ HYDRONIC ❑ WARM AIR ❑ UNIT RADIANT HEATER
EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION
DESIGN TEMP.OUTSIDE OF INSIDE °F 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 g OF INSIDE 7 S' °F DIFFERENCE OF
TOTAL HEAT GAIN(BTUH)�(HEAT GAIN SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL COOLING EQUIPMENT(INCLUDING MAKE&MODEL NO.)
c: F 9.k
TONNAGE +Z, COOLING CAPACITY(BTUH) 3 d, O ocJ
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°iy 802 5—I CD
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT DATE aQ-t�
Total Mechanical Systems
140 New Britain Ave.-Plainville,CT 6062
860-314-1518-mark@tmsllc.biz
Whole House Heat Loss/Gain System I
Mike Sheperd Sales Consultant: Mark Tiso
1126 Main St Proposal#: 2006
South Windsor,CT 06074 Date: 0610512015
860-990-1262
Design Conditions:
Winter Outdoor Temp. 8 Winter Indoor Design Temp: 70
Summer Outdoor Temp. 88 Summer Indoor Design Temp: 75
Loss/Gain Summary:
Loss Gain
Walls 5673 1542 Total BTUH Gain 21211
Windows 5842 4447 Capacity Multiplier 1.25
t
Doors 1198 322 A/C Unit BTUH Rating 26514
Ceilings 5803 3471
Skylights 0 0
Floors 6287 819
People/Kitchen 0 2100
Infiltration 17732 1487 Nominal A/C Unit Size* 2.5
Duct Loss/Gain 6380 2128
Total Sensible 48915 16316 Gas Furnace Output BTUH 48915
Total Latent 0 4895
Total 48915 21211 Electric Furnace KW 14.3
Calculations are Estimated values based on a Whole House Heat Loss/Gain analysis for a typical application.
Please refer to our Room by Room program for atypical applications.
'Equipment Selection should match Manufacturers Performance Data.(Latent and Sensible)
i
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I
!T ' Total
Mechanical
Systems!, L
I, Nicholas Dell'Aera authorize (agent) __tGCML= bcj5r_ .
To sign the building permit application as my agent to perform work at:
Address: I �,-4.(o AIaJ S--,
Job Name or Description: "S6P EO-4 ' �N5 1� �� k co.�c�F�;E� a- 3 �� +z hra►J�.��,25,
Starting: License Type and Number S— -3c-1
Agent Signature:
74�-
License Contractor Signature:
- I
140 New Britain Ave. Plainville, CT 06010 Phone 860.314.1518 Fax 860.314.1613
License # P1 278957 SM1 2534 Si 394806 HIC-0634532
y I i
- _ .�. "J � --•� , .��� , �� � ., —'"'+ter�I,i
1
W.
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1 �.
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t� a
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Electric # APPLICATION FOR BUILDING PERMIT
Plumbing# 1126 Main Street Date:
HVAC # at,lOU3
Sprinkler# _29907
FINAL APPROVALS E� t
- — - Estimated Cost $ I Oi(o2.3Building Permit Fee $ z4s --
En neerin PLETE RED BOXED AREAS Occupancy Fee $Afdavit g TYPE OR PRINT ONLY Eng. Insp. Fee $
Appr. for CO. si o WA; ON REVERSE SIDE Total Fee $ 5:
TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $
The undersigned hereby applies to do work according to the following:
Applicant WocDj4AVe,1) `Develc hneJ, Location of Work 112lo M« ijv St Lot No.
Applicant's Address 315 Pr-os,geol R�k Ri , Tel.# Cc,ll %36-ow
Town w k Aso rz , Ct. Zip O(o Oq5 Lic.# 52502 S
Owner- as- rStdlg� IKArt Kow S K,t, Architect
Owner's Address I i'Lco ar, SSG- Architect's Address
S C A U.) C Zip Zip
Sq. Ft. New Area: 1st FI. 2nd FI. 3rd Fl. Total New Area
Purpose of this permit _ 2
ti
City Watercl Wello Septic System❑ Sewer❑
Ins: HO SP Cert. Area Basement Garage
Approved by e Date — Use Group _ --Construction Type
Revised 6102
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 bcat h this buildi and its is C
Signe P�r, >
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
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
-------------------------------------------------------------------------------
*�-29907-B 10,623
B10 FINAL 10/31/03 WNB A WITH OWNER
B10 FINAL 10/31/03 WNB A CLOSEOUT
Electric# APPLICATION FOR BUILDING PERMIT
Plumbing# 1126 Main Street [6ate:
HVAC #
800178
Sprinkler# �)
FINAL APPROVALS - —--" _--- -- Estimated Cost $
---_ - --- ---- - ----- ---- , Permit Fee $
Building COMPLETE RED BOXED AREAS
Engineering TYPE OR PRINT ONLY I Occupancy Fee $
Eng. Insp. Fee $
- -- -
Affidavit for
SIGN ON REVERSE SIDE / Total Fee
A r. for CO.
�
TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ A
The undersigned hereby applies to do work according to the following:
Applicant Ad ez) Location of Work 1!d(G A AID 2 c5y(-- Lot No.
Applicant's Address &dfc 1ZjA11-> Tel.# J92 - '31<6T-
Town Zip Lic.#
Owner "Id Architect Al
Owner's Address Sf Architect's Address
Zip Zip
Sq. Ft. New Area: 1st FI. 2nd FI. 3rd Fl. To' -NQ
Purpose of this permit e&n• / Ro l�T
2 yo/•'.-S % L✓�.vrlc►3� /e E .Q �e J S 'L
;e. 92
City Water, Well❑ Septic Systemo Sewec&
Ins: HO SP Ce t. Area Basement Garage
Approved by Date OC Use Group Construction Type
Revised 6102
N0
L
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 located in which this building and its uses allowed
Signed
I hereby apply for a Certificate of Occupancy for the w described in this apkcation for the permit.
Signe Z�4
DO NOT WRITE BEL HIS LIN
INSPECTION COMMENTS
. -b BUILDING PERMIT11�
STATE OF CONNECTICUT
WORKERS'COMPENSATION COMMISSION
Building Permit Affidavit for Property Owners or Sole Proprietors
(Conn.Gen.Stat. §31-286b)
Property located at /a-(o /(tic7 -54—
In the town of
Name of building permit applicant: z5' ! R4
Please check one:
1. vi am the owner of the above property.
2._I am the sole proprietor of a business.
2A.Name of business
2B.Federal Employer Identification Number(FEIN)
....................................................................................................................
Pursuant to§31-286b,"a property owner or sole proprietor[who]intends to act as a general
contractor or principal employer"may provide either a certificate of workers'compensation
insurance or a"sworn notarized affidavit... stating that he will require proof of workers'
compensation insurance for all those employed on the job site in accordance with this chapter."
Please check one:
1._I do not intend to act as a general contractor or principal employer.
[Sign and stop here]
Signature of applicant
2._I intend to act as a general contractor or principal employer.Applicant must either
provide a certificate of workers'compensation insurance or sign the affidavit
below.
....................................................................................................................
Affidavit
I hereby swear and attest that I will require proof of workers'compensation insurance for every
contractor,subcontractor,or other worker before he/she engages in work on the above property in
accordance with the Workers'Compensation Act(Chapter 568).
I understand that pursuant to§31-275 C.G.S.,officers of a corporation and partners in a
partnership may elect to be excluded from coverage by filing a waiver with the appropriate
District Office;and that a sole proprietor of a business is not required to have coverage unless he
files his intent to accept coverage.
Signature of at!iknt
Subscribed and sworn to before me this day of ,200 .
(Notary Public/Commissioner of the Superior Court)
1500243 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER HVAC PERMIT
DATE: 06/29/2015
GIS ID: 54901126 FEE: 150.00
MUNIS APPLICATION# 201500823 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: TOTAL MECHANICAL SYSTEMS ADDRESS: 1126 MAIN STREET
ADDRESS: 140 NEW BRITAIN AVENUE OWNER: SHEPERD MICHAEL J&MARLENE R
PLAINVILLE,CT 06062 1126 MAIN ST
SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: INSTALL CONDENSER AND AIR HANDLER.
SPECIAL CONDITIONS:
ALL WORK TO BE DONE IN ACCORDANCE WITH TIIE APPLICATION AND PLANS APPROVED BY TIIE BUILDING DEPARTMENT.
CONSTRUCTION TYPE:
OCCUPANCY GROUP: BUILDING OFFICIAL
6/29/2015 2:38 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE
1500202 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER ELECTRICAL PERMIT
DATE: 06/29/2015
G1S ID: 54901126 FEE: 15.00
MUNIS APPLICATION# 201500823 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: PRO-TECH ELECTRIC. ADDRESS: 1126 MAIN STREET
ADDRESS: 123 FARMINGTON AVE OWNER: SHEPERD MICHAEL J&MARLENE R
#135 1126 MAIN ST
BRISTOL,CT 06010 SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: WIRING FOR CONDENSER AND 3 AIR HANDLERS.
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
6/29/2015 2:38 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE