HomeMy WebLinkAbout139 CLINTON DR APPLICATION FOR HVAC PERMIT
DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT#
Application is hereby: BUILDING DEPARTMENT j qoo j
APP 1540 SULLIVAN AVENUE
14
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644-2511 ext. 230 Bldg. Permit#
�D te� Building Inspdctor ,
Application must be printed or typed
FEE SCHEDULE 2 �* Location of Job:
$041,000=$15.00 13� 1. I n foe, T)
Over$1,000= Street No. Street Lot No.
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT
APPLICANT ADDRESS /L10 fUQ(,✓ �rr=t� rat ��
116L .• v, ((C C T
APPLICANT'S PHONE# 5 L O
OWNER
EMI N S Fq< OWNER ADDRESS c 3`i C 1 t n-c>,1 7 r
OWNER PHONE
a ESTIMATED COST$ /GOO
►•l * ' U IS THIS A CONTRACTrr COST? Yes No
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FEE ENCLOSED$ lDU
° TYPE OF JOB:
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:
HEATING j6 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) l r 00 O 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(INCLI'DTNG MAKE&MODEL NO.)
TONNAGE ' J COOLING CAPACITY(BTUH)
VENTILATION
DESCRIBE ALL AIR HANDLING EQUIPMENT(INCLUDING KITCHEN EXHAUST EQUIPMENT)
TOTAL SIZE OF SYSTEM(CFM) FRESH AIR INTAKE(CM
(PLANS MUST ACCOMPANY APPLICATION)
FURTHER DESCRIPTION OF WORK � A_eL_L _Du c J(e_y 3
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.
H f c- 06_3LY 5 32_ - GT
CONTRACTORS LICENSE NO. TYPE l STATE
SIGNATURE OFAPPLIC� _ — DATE 5 ( �/� 7
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161.60 r
LOT 24 LOT. 23
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PROPERTY OF
NO. CLI' TON DRIVE SOUTH WINDSOR, CONN.
Being Lot No. 23 on map entitled "Map of OAK RIDGE ESTATES Foster ST.
South L,indsor, Conn. Scale : I " = 40' Sept. 5, 1963 Hayden L. Griswold C.E.
Sheet
Scale : I " = 40' HAYDEN L. GRISWOLD C. .E.
1400194 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER HVAC PERMIT
DATE: 05/09/2014
GIS ID:21300139 FEE: 60.00
MUNIS APPLICATION# 201400513 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: TOTAL MECHANICAL SYSTEMS ADDRESS: 139 CLINTON DRIVE
ADDRESS: 34 TIFFANY LANE.` OWNER: WIMBISH MARY L
BRISTOL,CT 06010 ",' 139 CLINTON DRIVE
SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: INSTALL DUCTLESS A/C IN BEDROOM.
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
5/9/2014 3:23 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE