HomeMy WebLinkAbout115 PIERCE RD APPLICATION FOR HVAC PERMIT
DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT#
Application is hereby: BUILDING DEPARTMENT 150 0 025
APP V 1540 SULLIVAN AVENUE Bldg.Permit#
l_�g i 644-2511 ext. 230
Date Building Inspector
Application must be printed or typed
FEE SCHEDULE
Location of Job:
$0-$1,000=$15.00 < � Q-
Over$1,000= Street No. Street Lot No.
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT s,--,i-clrx- .c, \ Q X—A C 0
APPLICANT ADDRESS L
.SG -��-1 t 'NA--'so C C7`7
APPLICANT'S PHONE# `1 �A - O IS
OWNER ChQ,,.be. Qe ervc �e—
.`o.N/N S Fq< OWNER ADDRESS \1 P e c c
T OWNER PHONE ( (, G) U(A
O ESTIMATED COST$
C
IS THIS A CONTRACT COST? ��' Yes No
Now FEE ENCLOSED$
G TYPE OF JOB: H(4-7C)
�SOR,Co New Installation
L-KIteration/Addition/Repair
��sooc�
Revised 03/05/10
APPLICATION FOR HVAC PERMIT(Continued from reverse side)
TYPE Oy SYSTEM: TYPE OF UILDING:
4 1HEATING RESIDENTIAL
❑ A/C t 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) u( `, 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.)
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) —r
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.
.5Q$ 2. --I5 S 3 C�
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT�= a�A e DATE 1 k S
;A, w •
41
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ECEl��EC
PR 18 2015
South Windsor
ldin Department
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;,oym cry t;f ,is plan :-
i fi current scu`,h Vi;_,
nd l
: sp ci.,
� cxCc•pti,ns may
��ir7ry r t�,c�;mC;�t 0f Eger
Electric # APPLICATION FOR BUILDING PERMIT
Plumbing#HVAC# i yCt C,,-C e- acc-i Date: Zd S
Sprinkler# I j< C% 5 Estimated Cost $ 2-G
FINAL APPROVALS
Permit Fee $ (oU -
Building COMPLETE RED BOXED AREAS
Occupancy Fee $
Engineering TYPE OR PRINT ONLY Eng. Insp. Fee $
Affidavit
Appr.forCO. SIGN ON REVERSE SIDE -4 Total Fee $
TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ 23
The undersigned hereby applies to do work according to the following:
Applicant R013CUT Vj W, location of Work _Lot No.
Applicant's Address C-E \ Tel #
Town ` C- Zip (4pYl!�? Lic.#
Owner 2 Ckf,---V- Architect
Owner's Address 11 Architect's Address
�a�`�`�1aSt�r C� ' Zip 0�-t _ Zip
Sq. Ft. New Area: 1 st FI. �^ 2nd FI. 3rd FI. Total N w Area
Purpose of this permit 1^ Y, p �1C-IF �C�C� S�OVE ,t VJSEhfi — rN*t NC4 -w.
City Water J Well J Septic System J Sewer J
02 l-5 boy
Ins: HO SP Cert. /Area Basement Garage
Approve y Date 1-2A v Use Group _ Construction Type
Revised 1108
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 use is allowed.
Signed a4�
I hereby apply for a Certificate of Occupancy for the work desch in'this appl lion for the permit.
Signed
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
INSPECTION FIELD SHEET 04/19/22
Printed by Middleton, Morgan 11 42 56
INSPECTION: 73767 FINAL PERMIT:
STATUS:
APPLICATION: 201500063
LOC: 115 PIERCE ROAD
SOUTH WINDSOR
PROPERTY ID: 71400115
OWNER: WHIPPLE CHARLENE GREEN & PETROLITO MARY
CONTRACTOR:
REQUEST BY:
PROJ DESC: FIREPLACE WOOD STOVE INSERT IN LIVING ROOM.
WORK ORDER:
INSPECTOR: ROSE RESULT: PASS
REQUESTED: 01/29/15 PRIORITY:
SCHEDULED: 01/30/15 PM COMPLETED: 01/30/15
UNPAID FEES: .00 Date Time
MILEAGE: 00 TIME: TRAVEL ONSITE
COMMENTS:
ROBERT ® 860-205-9513
ALL INSPECTIONS:
INSPECTED INSPECTOR RESULT INSP DESCRIPTION
O1/29/15 ROSE N/A B006 WOOD / GAS STOVE
1500232 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER BUILDING PERMIT
DATE: 06/02/2015
GIS ID: 71400115 FEE: 225.00
MUNIS APPLICATION# 201500480 BUILDING DESCRIPTION:
APPLICANT >':. LOCATION
NAME: BROWNSTONE BUILDERS. ADDRESS: 115 PIERCE ROAD
ADDRESS: 123 PIERCE ROAD �. OWNER: WHIPPLE CHARLENE GREEN&PETROLITO
SOUTH WINDSOR,CT 06074 '--115 PIERCE ROAD
Q4, SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: CONSTRU6T.14 X 24 CARPORT/OPEN PAVILLION AND TIE INTO HOUSE.
RE-ROOF,ENTIRE HOUSE. .'
_� ;mow '��. .�._ .. - ., • -
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
6/2/2015 3:28 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE
1500035 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER BUILDING PERMIT
DATE: 01/29/2015
GIS ID:71400115 FEE: 60.00
MUNIS APPLICATION# 201500063 BUILDING DESCRIPTION:
APPLICANT .1 LOCATION
NAME: WHIPPLE ROBERT C ADDRESS: 115 PIERCE ROAD
ADDRESS: 115 PIERCE RD _ OWNER: WHIPPLE CHARLENE GREEN&PETROLITO
S WINDSOR,CT 06074-2631 115 PIERCE ROAD
SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: FIREPLACE WOOD STOVE INSERT IN LIVING ROOM.
SPECIAL CONDITIONS:
ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT.
I
CONSTRUCTION TYPE:
OCCUPANCY GROUP: BUILDING OFFICIAL
1/29/2015 1 1:05 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE
1500025 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER HVAC PERMIT
DATE: 01/29/2015
GIS ID:71400115 FEE: 60.00
MUNIS APPLICATION# 201500086 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: IMPERIAL PLUMBING CO.;"INC. ADDRESS: 115 PIERCE ROAD
ADDRESS: 648 SULLIVAN AVEN(JE OWNER: WHIPPLE CHARLENE GREEN&PETROLITO
P.O. BOX 875 • 115 PIERCE ROAD
SOUTH WINDSOR,CT 06074 SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: BOILER REPLACEMENT. ;
4
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
1/29/2015 11:05 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE