HomeMy WebLinkAbout133 GREENWOOD DR DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT
PERMIT#
A lication is
TOWN OF SOUTH WINDSOR
� 7 -7�_
BUILDING DEPARTMENT
�P,0��V; 1540 SULLIVAN AVENUE
Bldg.Permit#
?� 644-2511 ext. 230
Date it g Inspector
Application must be printed or typed
FEE SCHEDULE FTenant
G�U)0 (}Location of Job:
$0-$1,000=$15.00 Q�y Street Lot No.
Over$1,000=
$15.00 per$1,000or any fraction thereof gnation Apt.No.
APPLICANT �
APPLICANT ADDRESS 14,90 ' t)
CF
5 W ) s (:�7.
APPLICANT PHONE#
OW N SF OWNER 6avn 6n
Ltl
q� OWNER ADDRESS 3 6
o OWNER PHONE
C)
C ESTIMATED COST$
.� IS THIS A CONTRACT COST? _Yes No
o (� FEE ENCLOSED$
o� TYPE OF JOB: I�
O R C \/New Installation
Alteration/Addition/Repair
APPLICATION FOR HVAC PERMIT (Continued from reverse side)
TYPE,OTSTEM: TYPE OF BUILDING:
HEATING D/q ❑RESIDENTIAL
❑ A/C v ❑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) •�w
DESCRIBE* ALA HEATING EII SPM NT(INCLU IrO AKE&M D NO.)
GROSS HEATING CAPACITY(INPUT-BTUH) NET RATING(OUTPUT-BTUH)
TYPE OF FUEL
❑OIL-GPM OIL TANK LOCATION :❑ INSIDEE TSIDE CAPACITY
❑GAS-INPUT LPG TANK CAPACITY6aVAELECTRIC-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,,-Al'PLICATIOp,N�))
FURTHER DESCRIPTION OF WORK 1.6-A 5-a J - " '7 !,� U -<�Tjb c -
-_ 1
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM TIYE 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. � � n STATE
CJ
SIGNATURE OF APPLICANT DATE
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PERMIT PLAN
LOT #19 - MOUNTAIN LAUREL ESTATES
PREPARED FOR STONER GROUP, INC. , (o 5 A Lc�,► S . , tJ F w t N ro�� , CT CKD►I
TOWN OF SOUTH WINDSOR, CONNECTICUT
SCALE: 1" = 40'
I hereby declare that this map and survey were prepared in accordance with the standards
of a Class A-2 survey as defined in the Code of Practice For Standards of Accuracy of
Surveys and Maps, adopted December 10, 1975 as amended by the Connecticut Association
of Land Surveyors, Inc.
DATE: May 1, 198 L.S. #10839 ` a;
•ZZ..-
REFERENCE: Subdivision Plan Mountain Laurel Estates in South Windsor, Connecticut
Gardner & Peterson Associates Tolland, Connecticut Scale 1" = 40' Date 10/21/86
Revisions 6/2/87
1
GARDNER & PETERSON ASSOCIATES LAND SURVEYORS �V.T(_ 1g P
TOLLAND, CONNECTICUT A6W PROFESSIONAL ENGINEERS
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Windsor
BUILp NGhDEPARTMENT
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NOTICE
AS BUILT PLAN Reprodi,ctions cr t'-;, r!in' -re irv?- I;d if they do
not bear th im�:r. 0, UfldcrsigneO
Land Surveyor and/or Professional Engineer.
LOT #19 MOUNTAIN LAUREL ESTATES
PREPARED FOR STONER GROUP, INC. , 65A Louis St. , Newington, Ct. 06111, Tel. 666-2888
TOWN OF SOUTH WINDSOR, CONNECTICUT
SCALE: 1" = 40'
I hereby declare that this map and survey were prepared in accordance with the standards
of a Class A-2 survey as defined in the Code of Practice For Standards of Accuracy of
Surveys and Maps, adopted December 10, 1975 as amended by the Connecticut Association
of Land Surveyors, Inc. and that the location of the building as shown is substantially
correct and that there are no zoning violations of the same.
A,K�LDecember 6, 1989 L.S. #10839
REFERENCE: Subdivision Plan Mountain Laurel Estates in South Windsor, Connecticut
Gardner & Peterson Associates Tolland, Connecticut Scale V = 40' Date 10/21/86
Revisions 6/2/87
GARDNER & PETERSON ASSOCIATES LAND SURVEYORS
rotLAND, CONNECTicuro6w PROFESSIONAL ENGINEERS
Electric # APPLICATION FOR BUILDING PERMIT
Plumbing# 133 Greenwood Drive Date:
HVAC #
Sprinkler# - $.0 0 3 4-_—_
FINAL P Estimated Cost $ /I 0o
Buildin ' I o� -- Permit Fee
"� COMPLETE RED BOXED AREAS Occupancy Fee $
Aff love g TYPE OR PRINT ONLY Eng. Insp. Fee $
Appr. for Co. SIGN ON REVERSE SIDE / l Total Fee $ � 5 "
TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cdsf) $
The undersigned hereby applies to do work according to the following:
Applicant 'Olt, Location of Work 133 Lot No.
Applicant's Address la S Tel.# )Ii-/66J
Town 5•,-F,, cT Zip 0607Y Lic.# 6ac�3'
Owner 4,rq -,pky Architect
Owner's Address O ` ..v 2e. Architect's Address
S. i✓ • Zip coo7q Zip-
--Sq. Ft. New Area: 1st FI. 2nd FI. 3rd FI. Total New Area
Purpose of this
/p^erm1it Teter I
City Water❑ Well❑ Septic System❑ Sewero
Ins: HO SP Cer Area Basement Garage
Approved by 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 located in which this building and its use is allowed.
Signed D,
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
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NOTICE •
AS BUILT PLAN
Rapr_ of"-is p!:ln -ire inv-41;d if they d(
no*, be_r I!,- -:,jjj ` :;
I G- und2r51gne,
Land Surveyor and/or Professio'nal Engineer.
LOT #19 MOUNTAIN LAUREL ESTATES
PREPARED FOR STONER GROUP, INC. , 65A Louis St. , Newington, Ct. 06111, Tel. 666-2888
TOWN OF SOUTH WINDSOR, CONNECTICUT
SCALE: V = 40'
I hereby declare that this map and survey were prepared in accordance with the standards
of a Class A-2 survey as defined in the Code of Practice For Standards of Accuracy of
Surveys and Maps, adopted December 10, 1975 as amended by the Connecticut Association
of Land Surveyors, Inc. and that the location of the building as shown is substantially
correct and that there ar o zoning violations of the same.
DATE: December 6, 1989 L.S. #10839
REFERENCE: Subdivision Plan Mountain Laurel Estates in South Windsor, Connecticut
Gardner & Peterson Associates Tolland, Connecticut Scale 1" = 40' Date 10/21/86
Revisions 6/2/87
GARDNER & PETERSON ASSOCIATES LAND SURVEYORS
Ck
TOLLAND, CONNECTICUT 06M PROFESSIONAL ENGINEERS
: 'EC L Q 1989
South Windsor
BUILDING DEPARTMENT
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DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT
Appli � '" TOWN OF SOUTH WINDSOR PERMIT
BUILDING DEPARTMENT
APPROVED 1540 SULLIVAN AVENUE
644-2511 ext. 230 Bldg.Permit#
Date Bull Inspector
Application must be printed or typed
FEE SCHEDULE Location f Job:
$0-$1,000=$15.00 Street No. Street Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT Nv� t t cJ L
APPLICANT ADDRESS 53 c l
+lam �cr Ct C-�(n 0 1
APPLICANT PHONE#
O VJ " S i , OWNER s co_g\ M U(-p I tCF
OWNER ADDRESS 1 Z 3 CCZ-1A
0 ,a OWNER PHONE Coy q - 9(o d--
C = ESTIMATED COST$ Lj q s 0`�
IS THIS A CONTRACT COST?
J _Yes _No
FEE ENCLOSED$ /
TYPE OF JOB:
r��so- co �
��
R, ew Installation
Alteration/Addition/Repair
Revised 4/01//2002
APPLICATION FOR HVAC PERMIT (Continued from reverse side)
TYPE OF SYSTEM: TYPE OF BUILDING:
V 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.)
L�.
GROSS HEATING CAPACITY(INPUT-BTUH) NET RATING(OUTPUT-BAUH)
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 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.
&S- k G Cf
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT DATE