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Home My WebLink About1245 MAIN ST APPLICATION FOR HVAC PERMIT DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT r S UU`12 APPRO 1540 SULLIVAN AVENUE Bldg.Permit# u 644-2511 ext. 230 Date Building Inspector Application must be printed or typed FEE SCHEDULE Location of Job: $0-$1,000=$15.00 F 5A Over$1,000= Street Lot No. $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT raw/ G1Gc- APPLICANT ADDRESS Z,7-) G60 APPLICANT'S PHONE# O --5-7 9- OWNER UL 611-1 S �6 Y r OW N S fqt OWNER ADDRESS 11 S / OWNER PHONE WO- 2 J3 9' c3'460 j ESTIMATED COST$ 7 (� IS THIS A CONTRACT COST? Yes —1 IQo FEE ENCLOSED$ 12-0, 00 TYPE OF JOB- SO R•COS New Installation Alteration/Addition/Repair 0�2015 b 1(ya� Revised 03/05/10 APPLICATION FOR HVAC PERMIT(Continued from reverse side) TYPE ZATING STEM: TYPE OF B ILDING: SIDENTIAL ❑ A/C ❑ COMMERCIAL ❑ VENTILATION ❑ INDUSTRIAL HEATING TEAM 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 NCO.)/ GROSS HEATING CAPACITY(INPUT-BTUH) NET RATING(OUTPUT-BTUH) }, 6r"v TYPE OF FUEL EKOIL-GPM I-� �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) FURTHER DESCRIPTION OF WORK 2�-��'+c e r( O tl_e� , 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 APPLICATION FOR HVAC PERMIT DEPARTMENT DECISION TOWN OF SOUTH WINDSOR URMIT# 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 �r Location of mob: $0-$1,000=$15.00 Over$1,000= Street No. Street Lot No. $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT APPLICANT ADDRESS �lC� APPLICANT'S PHONE# OWNER 1n OWN SF q q� OWNER A RESS i7 &0) � . OWNER PHONE J�6 0 O * = ESTIMATED COST$ e"o 0 (� IS THIS A CONTRACT COST? Yes o FEE ENCLOSED$ 370, �� TYPE OF JOB: 4t 1—]1 SO R•CO �ew Installation Alteration/Addition/Repair 2or2o�(��3 Revised 03/05/10 APPLICATION FOR HVAC PERMIT(Continued from reverse side) TYPE OF SYSTEM: TYPE OF BUILDING: ❑ HEATING ❑ RESIDENTIAL ❑ 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 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 D CRIPTION OF W RK ti 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 LICENSEY,cz ';TYPE STATE SIGNATURE OF APPLICANDATEZ/Z-- APPLICATION FOR HVAC PERMIT DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT 1 3poSo3 APRROb D 1540 SULLIVAN AVENUE 644-2511 ext. 230 Bldg.Permit# Date Building Inspector Application must be printed or typed FEE SCHEDULE Location of Job: > $0-$1,000=$15.00 Over$1,000= Street No. Street Lot No. $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT t APPLICANT ADDRESS �t.) oe •/�c-f APPLICANT'S/PHONE# -C9 6 C,' OWNER �c�-►� £ r�ori i cam,- ce �' W N S ff / q q� OWNER ADDRESS /;Z Y f q` OWNER PHONE ,QGO' - O * �' j ESTIMATED COST$ V IS THIS A CONTRACT COST? Yes o FEE ENCLOSED$ C' �r ° ° � TYPE OF JOB Icy I SOR•CO� ✓New Installation Alteration/Addition/Repair Revised 03/05/10 APPLICATION FOR HVAC PERMIT(Continued from reverse side) TYPE OF SYSTEM: TYPE OF BUILDING: 2-'HEATING U-RESIDENTIAL ❑ A/C ❑ COMMERCIAL ❑ VENTILATION ❑ INDUSTRIAL HEATING ❑ STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS. QefiYDRONIC ❑ 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.) Cloy-vr �t�t c 9a, S arc L�.�� ,c•.�t- J�'IG /lt.!'- SSG GROSS HEATING CAPACITY(INPUT-BTUH) /��Cef NET RATING(OUTPUT BTUH) TYPE OF FUEL / 9k"b_IL-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) / FURTHER DESCRIPTION OF WORK �� - �i �� ,-,� Cv eti�le�`I!'' 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. 3G37�Z � t �T CONTRACTORS LICENSE NO. . TYPE STATE i SIGNATURE OF APPLICANT DATE lG/ � DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT PERMIT# Application is hereby: TOWN OF SOUTH WINDSOR ( �U 35� BUILDING DEPARTMENT APPR VED 1540 SULLIVAN AVENUE Bldg.Pernut# 644-2511 ext. 230 Date Building Inspector Application must be printed or typed FEE SCHEDULE Location of Job: �-,)LI-S mo;r $0-$1,000=$15.00 FTenant Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof gnation Apt.No. APPLICANT �Lk 0 2, ,, v r APPLICANT ADDRESS ';E 16 0Y <''1S-\� — tL7f c\""N G7, ne APPLICANT PHONE# "�66n O W N Sc OWNER q� OWNER ADDRESS r.c�5c< OWNER PHONE r) ` r Er' C ESTIMATED COST$ x IS THIS A CONTRACT COST? _Yes _No FEE ENCLOSED$ / TYPE OF JOB: 3�2O I Co SO R.C 0 _New Installation Alteration/Addition/Repair Revised 4/01//2002 APPLICATION FOR PLUMBING PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION? ❑YES ❑NO • ❑RESIDENTIAL ��}} ❑BUSINESS CURRENT USE AND OCCUPANCY (MCA, c ❑ASSEMBLY ❑MERCANTILE FUTURE USE AND OCCUPANCY �z��112 r c f ❑ EDUCATIONAL ❑INSTITUTIONAL ❑FACTORY ENGINEER'S NAME PHONE ❑ STORAGE ❑GARAGE ADDRESS ❑MIXED USE CITY STATE ZIP (Other please specify) 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 \ , THE UNDERSIGNED HETTBY APPLIES FOR A PERMIT TO PEM=THE WORK DESCRIBED AN13 IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. K CONTRACTORS LICENSE NO _ TXPE ATE SIGNATURE OF APPLICANT �rLt—�—— DATE 1�' '�G`�' let •WO (I i PLUMBING do PLPPO"- SCAO ALM.0277686-P1 4Pi, 0�` ,""� 10/31/2012 SKMED Licensed Contractor.agent Authorization Form Connecticut General Statutes Sec 2-338b. Building permits applications. Who may sign? Any Licensed contractor, as defined in section 20-330,who seeks to obtain a permit from a building official, may sign the permit application personally,or such licensed contractor may delegate the signing of the building permit application to an employee,subcontractor or other agent if the agents submits to the building official a dated letter on the licensed contractor's letterhead,signed by licensed contractor,stating that the bearer of the letter is authorized to sign the copy or a facsimile,but shall be an original letter bearing the original signature of the licensed contractor. The letter shall also include: (1) the name of the municipality where the work is to performed (2) the job name or description of the job (3) the starting date of the job(4) the name of the licensed contractor(5) the name of the licensed contractor's agent;and (6) the license number of All contractors who shall be involved in the work. Roto-Rooter Services Company P Y 576 Christian Lane Berlin,CT 06037 G (860) 356-2545 Date. /1 I,Scott Coutant authorize: (agent) To sign the building permit application as my agent to perform work at, Address:- U` S Ma-, 54 Job name or description: Starting Date: y fa License type and number P-10277688 Agent signature: Licensed Contractor Signature: _ 1300503 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER HVAC PERMIT DATE: 11/12/2013 GIS ID: 54901245 FEE: 120.00 MUNIS APPLICATION# 201301601 BUILDING DESCRIPTION: APPLICANT °`M" '` LOCATION NAME: ANDREWS OIL CO. "-f,. ADDRESS: 1245 MAIN STREET ADDRESS: 136 RYE STREET OWNER: B[IRGDORF DORIS P SOUTH WINDSOR,CT,06074 w a, 1245 MAIN ST ,,.; SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: REPLACING BOILER AND WATER HEATER.-, Y]. „k % SPECIAL CONDITIONS: y ^ ALL WORK TO BE DONE IN ACCORDANCE_WITI I,THE APPLICATION AND,PLANS APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: r OCCUPANCY GROUP: BUILDING OFFICIAL 11/12/2013 11:17 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1500512 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER HVAC PERMIT DATE: 11/23/2015 GIS ID:54901245 FEE: 120.00 MUNIS APPLICATION# 201501615 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: ANDREWS OIL CO. ADDRESS: 1245 MAIN STREET ADDRESS: 136 RYE STREET OWNER: BURGDORF DORIS P SOUTH WINDSOR,CT,06074 1245 MAIN ST SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: REPLACING OIL FIRED BOILER. 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 11/23/2015 1:51 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1200509 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER HVAC PERMIT DATE: 12/07/12 GIS ID:54901245 FEE: 30.00 MUNIS APPLICATION# 201201623 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: ANDREWS OIL CO. ADDRESS: 1245 MAIN STREET ADDRESS: 136 RYE STREET OWNER: BURGDORF DORIS P SOUTH WINDSOR,CT 06074 1245 MAIN ST SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: REPLACING LEAKING OIL TANK. SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED B ATHE B G DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDIN& OFFICIAL 12/7/2012 3:25 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1200358 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER PLUMBING PERMIT DATE: 09/14/12 GIS ID:54901245 FEE: 15.00 MUNIS APPLICATION# 201201182 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: ROTO ROOTER ADDRESS: 1245 MAIN STREET ADDRESS: 576 CHRISTIAN LANE„ OWNER: BURGDORF DORIS P BERLIN,CT 06037 - 1245 MAIN ST SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: REPLACE WATER PIPING ABOVE WELTROL TANK. 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 9/14/2012 12:35 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE