HomeMy WebLinkAbout14 STEEP RD DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT
TOWN OF SOUTH WINDSOR PERMIT#
Applicatio
BUILDING DEPARTMENT
AP VED 1540 SULLIVAN AVENUE Bldg.Permit#
y, ,ti3 644-2511 ext. 230
Date Buildi Inspector
Application must be printed or typed
FEE SCHEDULE
Location of Job:
$0-$1,000=$13.00 Street No. Street Lot No.
Over$1,000=
$13.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT _ Cx
APPLICANT ADDRESS
APPLICANT PHONE#
O W N S f q OWNER le c nr11 c -
OWNER ADDRESS
OWNER PHONE (A- 0�� �—
C T
C ESTIMATED COST$ �� O O
U
VA
IS THIS A CONTRACT COST? fps O No
f cu
` c o��` �� FEE ENCLOSED$ _:_.>o
r�QSOR.,.C0 TYPE OF JOB:
0 Original Installation
I�Alteration/Addition/Repair Revised 8/99
APPLICATION FOR HVAC PERMIT (Continued from reverse side
TYPE OF SYSTEM: TYPE OF BUILDING:
HEATING A 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 ❑ GAS-INPUT ❑ELECTRIC-KW
OIL TANK SIZE&LOCATION
❑ INSIDE ❑ OUTSIDE CAPACITY LPG TANK CAPACITY
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
(40 ale A .
THE ERSIGNED 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 U DATE
DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT
PERMIT#
Applic TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
APPROV D 1540 SULLIVAN AVENUE
644-2511 ext. 230 Bldg. Permit#
Date B ing Inspector
Application must be printed or typed
FEE SCHEDULE Location of Job:
$0-$1,000=$15.00 FfTenant
Street Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof gnation Apt. No.
APPLICANT n—� zsC& i C,
APPLICANT ADDRESS �—
.3•
APPLICANT PHONE# \
O W N 8 F,q OWNER Q C)!D t
OWNER ADDRESS �U\
r r OWNER PHONE )— ., �—
C = ESTIMATED COST$ 2 U y CU G U
IS THIS A CONTRACT COST? Yes _No
FEE ENCLOSED$
O
TYPE OF JOB:SO C 0 New Installation
✓Alteration/Addi tion/Repair
Revised 4/02//2002
APPLICATION FOR HVAC PERMIT (Continued from reverse side)
TYPE OF,SYSTEM: TYPE F UILDING:
HEATING A RESIDENTIAL
❑A/C Lf 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.)
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 DESCRIPTION OF WORK Y U\\e e u e�•n�e v��
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� G % )-----� � 3 �-
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT ��S.I�1.5tt�1 Q �rcno�n DATE ) U
Town of South Windsor
Building Department
Location Building permit#
SWIMMING POOL REQUIREMENTS:
This list is not all inclusive,please refer to pool packet.
❖ A 48"barrier shall be provided to protect pool access. Including a temporary fence for inground
pools prior to excavation.
❖ Access gates shall be self closing and self latching(if less than 54"high the latch shall be on the
pool side and be protected within 18"of release mechanism).
❖ Doors providing direct access to the pool area shall either have an alarm,a self closing self
latching device 54"min.from floor or the pool shall be provided with a safety cover.
❖ No receptacle within 10'of pool.(Except locking type receptacle for pool equipment,must be at
least 5' from pool and GFCI protected).
❖ All metal parts of the pool structure,fixed metal parts within 5"of pool,pump motors etc.,shall
be bonded with a minimum#8 solid copper wire using proper bonding lugs.
❖ Convenience GFCI receptacle shall be provided between 10'and 20' from pool.
❖ Trench depth for 20 amp.max.GFCI protected circuit to pool equipment shall be 12"deep min.
❖ A surface pool alarm shall be installed pursuant to Public Act 99-140.
❖ All swimming pool pumps shall be provided with a time clock.
❖ Entrapment avoidance shall be in accordance with the provisions of Section AG 106
REQUIRED SWIMMING POOL INSPECTIONS:
The following is a list of inspections that need to be performed prior to the continuation of work. Request
for inspections can be made by calling the Building Department at 860-644-2511.(24 hour notice required)
1. TRENCH AND BONDING-Electrical trench depth verification and bonding of pool and metal
appurtenances including metal reinforcing for gunite pools and concrete decks.
2. FINAL ELECTRICAL-Location of equipment and GFCI protection,pump timer and convenience
outlet provided.
3. FINAL-Swimming pool access protection must be in place before pool may be used.
Each swimming pool installation requires a Building and an Electrical permit. Additional permits and
inspections may be required for pool decks.
I have read and understand the requirements listed a ove.
Applicants Signature Date
O
Electric # -176 APPLICATION FOR BUILDING PERMIT
Plumbing# g 14 Steep Road Date:
HVAC# ---J
Sprinkler# q3 11000198 ODD o-
FINAL APPRO A S Estimated Cost+ $
4S
Building COMPLETE RED BOXED AREAS Permit Fee $Occupancy Fee $ �o
Engineering TYPE OF PRINT ONLY Eng. Insp. Fee $
Affidavit
Appr.forCO. ► SIGN ON REVERSE SIDE 4
Total Fee $ �S
TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ ��
The undersigned hereby applies to do work according to the following:
Applicant Location of Work S LotNo.
Applicant's Address f if r AT Tel # 940— 0170A
Town S� �ldl7�D.!� Zip e O Lic.#
Owner 0°!.0 _Architect
Owner's Address Architect's Address
Zip _Zip
Sq. Ft.New Area: 1st FI. 2nd FI. 3rd FI. Total New Area
Purpose of this permit f L d&*
City Water❑ Well L l Septic System 0 Sewer 0
HO SP Area Basement Garage
Approved by U-3V Date 1 Use Group Construction Type
Revised 1108
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`nes,and required
distances from all other zones and is located in which this building and its use is allowed.
.iic- Signed
I hereby apply for a Certificate of Occupancy for the work described in this application for the permit.
Signed _��� J
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
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NO ZONING OR IjUILAING LINE.
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ORDINANCE VIOLATIONS.
MAY 19 ?n11
South Windsor
BUILDING DEPARTMENT
U IhE BGIWi-1, Dhr?. QA., '? Aij ;
i his certified that this plan ani specilic+qio„s
xples 61 the proposod pudding Ur alterations to e
rrected 81
---A,—, fitree
together with amendme s stated In application or,
filed with plan and 1 agree to comply with all zoning
Building and state laws and such orders as shall b:
issued by the Building Department during pendcncl
of this application and final issuance M a building
permit.
Signed ,`j�
his plan N approv d su blest to the condition that
orders and ordinances regulating building shall be
compiled with.
Conditionally Approved Thane filled with I'
Building Inspeotor 1w.,�clar/
CERTIFICATION OF ZONING COMPLIANCE
Proposed bukk4s), Iue(s) and/or structure(s) as
ashown an this plan appear(s)to be in conformance
vft current South Windsor regulations. Variances
�1 and spacial expepbons may apply.
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IS SUBSTANTIALLY CORRECT, .-C e 3 �
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NO ;OtiTINU OR hUALDING LINE.
ORDINANCE VIOLATIONS. Al
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South Windsor
BUILDING DEPARTMENT
0 THE SUILDINL DEPT. TOWN OF SOM WINDSOP
.is ccrtiffed that this plan and specifications are true
„pu-s of the proposed building or alterations to be
acted at
(-1 Street
tiler with ame,44nents stated in application an
I with plan and I agree to comply wlth all zoning
.ling and stwlte laws and s•-jCh orders as shall b,
d by the Budding Department during pendence
-is application and final issuance of a buildins
lit.
d
plan is approved subject to eondltion that
d%rs and ordinances regulating building shall be
,piicd with.
,nditionally Approved These filed with
Building Inspector Clerw
','CIRTIFlCATION OF ZONING CON'''LIANICE
i-opcsed building-'s), use(s) and/or structure(: t
shown on this plan appcar(s) to be in
:,iiotm,3nce With current S':`l,zh Wind:
_;ulations. Variances 4nd special exciaptior;l..
:ay apply.
.)ate
E or ement Officer
y/ G
11000198 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER BUILDING PERMIT
DATE: 05/25/11
GIS ID:85500014 FEE: 45.00
MUNIS APPLICATION# 201100470 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: DEMERS ROBERT R ADDRESS: 14 STEEP ROAD
ADDRESS: 14 STEEP RD _ OWNER: DEMERS ROBERT R L/U
S WINDSOR,CT 06074-1340 14 STEEP ROAD
SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: REPLACE 24 FT ROUND POOL.
RECEIVED POOL PACKET 5/19/11
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
5/25/2011 12:27 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE