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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 C-. (7 Ld t'A w > U) > C 0 Cl. E. CL 03 OD C-3 ,, V) a&L S E P- j PUL p Iq I s jo ju k, a'Jj *f'jl P". U'li S'Lli le4l P "ll"o S!4 c' C, i 1 5� f yti C- .3cce l� lhV'A' nil `•� ` � ` 3�c� � p h�� ' `. � � '• v ` 1 5 to d � (� �� 13.9' 10 9 2c.1 d �� /y(✓ ��i w. 7A � �� T•w 3�•o n � Y l 3!sa.5 — it.9 pJ 4 O y� 1 41 �10 64* `�g3 � S.dp R.Z`�'q .J� �� �E C,a�,NF.C«O�'o FooZ1n►G ��3d •32 -S� . L= z• 3coZ SMN 3Ss G, '�53� yS., .5� ZF.352�.oc. 'co 'D5'4.� Rep �0 S� 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 I p v b 3@21 -'Ec c i 1989 Windsor BUILp NGhDEPARTMENT /- r r�I nr-true t n be yam'' F�/3f D EC' 2 01989 v Fh 9 A P P R O V E D - fin'- %T �k CP 6P a4(. cn c(I 3(d..S tj 61 3 OVI ' Cad n a \C), 51 VIZ. 3 Lit VA NA 'N 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 f v cz mac„ �� �q �o. � _.._.�.. t. CP en D, ip ZQX 777 OJa %4-k 0i ow a 12 % ,, V7 Z 3 azl. T-A 1A v'k C 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 T1,1s n rim t FI ••l c ve c-ptcs ,f tn ny sr J uwli n,, +, t r. t =S ._reCtrJ :tr L/2 t � tI`rl ,rr ndrn^nts st,tJ m •d d �•.iti, ('I n ni•1 i agree t, rn•r plv J;•Ir• arr �t is Id•.+s and s,ch r,; r; d "V t',e NUi�dl ng Drpertmcnt Jt,nnK / t I: ppl.�dtlon and final Issuaree crf r n,It ,. <•O �- +s I .n 1. ',pprr—d subject to the e,nd u , t.,3t ),V.4 rdl—ces «qulatrngs•,...1 be ;M 4 n,4«•vea Th,se i i C —'r- La DEC 2 Ct Tr` i i 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