HomeMy WebLinkAbout14 GRACE RD APPLICATION FOR HVAC PERMIT
DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT#
Application is hereby: BUILDING DEPARTMENT 11 U C>31112
APP OV D 1540 SULLIVAN AVENUE
644-2511 ext. 230 Bldg. Permit#
Date Building Inspect
Application must be printed or typed
FEE SCHEDULE Location of Job:
$041,000=$15.00 G
Over$1,000= Street No. Street Lot No.
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT S X--\Re CQ
APPLICANT ADDRESS
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APPLICANT'S PHONE# 2a\- O \
OWNER et�� LkSri a-.::,
OWNER ADDRESS
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1 OWNER PHONEGOD
O * ESTIMATED COST$
IS THIS A CONTRACT 5OST? k'es No
FEE ENCLOSED$ (Do ° J
TYPE OF JOB:
SOR•COS New Installation
—L-x-lteration/Addition/Repair
Revised 03/05/10
APPLICATION FOR HVAC PERMIT(Continued from reverse side)
TYPE OF SYSTEM: TYPE FBUILDING:
HEATING RESIDENTIAL
❑ A/C ❑ COMMERCIAL
❑ VENTILATION ❑ INDUSTRIAL
HEATING
STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS.
HYDRONIC ❑ WARM AIR ❑ UNIT RADIANT HEATER
XISTING 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.)
�JUQ,A (- l &, sn W(,h -
GROSS HEATING CAPACITY(INPUT-BTUH) NET RATING(OUTPUT-BTUH) k O O
TYPE OF UEL
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 \ \ S
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.
20 _Z�ls c� R S _a� Q:_lV
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT �s,,�,�9 DATE ��
4
PLOT FLAN FOR
/ CARLO PRES T I L 0
SOUTH WIND50R, CONN.
Scale 111_4"I , Mar. 25 ,19' 4
I
Note ;
THERE IS NO BJILI;ING BUILT
Therefore there in no ♦io&Rtions of
the zoning ordingncee .
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1100342 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER HVAC PERMIT
DATE: 11/01/11
GIS ID:37200014 FEE: 60.00
MUNIS APPLICATION# 201101256 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: IMPERIAL PLUMBING CO.;INC. ADDRESS: 14 GRACE ROAD
ADDRESS: 648 SULLIVAN AVENUE OWNER:, JULIAN-DUDAS DIANE&
P.O.BOX 875 14 GRACE ROAD
SOUTH WINDSOR,CT 06074 - SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: BOILER REPLACEMENT. EQUAL BTU'S.
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 l/l/2011 2:31 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE