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HomeMy WebLinkAbout141 SCOTT DR APPLICATION FOR HVAC PERMIT DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT A R D 1540 SULLIVAN AVENUE a t�S Bldg. Permit# Ljt, 644-2511 ext. 230 Date Building Inspector Application must be printed or typed FEE SCHEDULE Location of Job: $0-$1,000=$15.00 z Sec l/ 5a�) � / W' Over$1,000= Street No. Street Lot No. $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT APPLICANT ADDRESS O. a G 4 av j Gt/lhd o/' c i C�6c, 7 Y APPLICANT'S PHONE# (j 60 OWNER J V., Lp OWNER ADDRESS L Sel- G✓ 1? a r � G / OWNER PHONE �Ga C/34 7J 7 ESTIMATED COST$ 20 ,.j L) IS THIS A CONTRACT COST? Yes No �+ FEE ENCLOSED$ , S �l o> ., o ` TYPE T OB �d$0 C0 New Installation Alteration/Addition/Repair Revised 03/05/10 APPLICATION FOR HVAC PERMIT(Continued from reverse side) TYPE OF SYSTEM: TYPE OF B DING: ❑ 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 NJ#KE&MODEL NO.) o 5eT - a a a✓ L v qs GROSS HEATING CAPACITY(INPUT BTUH) NET RATING(OUTPUT BTUH) TYPE OF FUEL ❑ OIL-GPM OIL TANK LOCATION: ❑ IN�ID,E ❑ OUTSIDE CAPACITY GAS-INPUT LPG TANK CAPACITY c.� 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. CONTRACTORS LICENSE NO. TYPE STATE 9 SIGNATURE OF APPLICAN DATE S 3/— / I 1205 0.(;o 62-*A IZb CD 0 So 3- co D P..I,,/ U: PERM-IT ;:'LAN BINU HILL ESTATES" "FCTION LOT #127t " 41 TOWN OF SOUTH WINWONj CONNECTICUT SCALE: i'l - 4o, # h395 hoc,tville.. Colin 1Nl ne,r�-�'r 1 Sc�I L? Cie c 126; 1 t /,CD ` //eol JLa Jv 50 ►� 4� `� zs� 2p. pP.�v C Pt=RMtT ?LAN LOT #127, "BIRCt: HILL ESTATES SECTIC.' #b TOWN OF SOUTH WINDSOR, C0bNB(;`l'ICUT SCALE: 1" 4C ' u 395 i - HocKville, Cann . Electric # APPLICATION FOR BUILDING PERMIT Plumbing# 141 Scott Drive Date: HVAC # Sprinkler# 29497 Estimated Cost $ �'� FINAL P - - - -- -- Buildin �'� - - -- -- - -- - _ — � Permit Fee $ �""'`�� COMPLETE RED BOXED AREAS Occupancy Fee $ Engine TYPE OR PRINT ONLY Eng. Insp. Fee $ Affidavi 1 SIGN ON REVERSE SIDE av Appr. for CO. - - - - j Total Fee $ TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ The undersigned hereby applies to do work according to the following: Applicant c,L HoJ I Location of Work r Lot No Applicant's Addrqss a o. 1 Tel. Y --3S Town + zip 6Acc Lic.# _Q3:797� Owner Architect Owners dress Architect's Address sor' ZiPao)! Zip Sq. Ft.New Area: 1st FI. d FI. 3rd FI. Total New Area Purpose of this permit - A `� -►1 City Water❑ Well❑ Septic System Sewer❑ Ins: HO SP��Cert. Area Basement Garage Approved by �__ Date 0 3 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 is bu' ing a all Signed I hereby apply for a Certificate of Occupancy for the wort described in this application for the permit. Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS Inspection / Approval Date By Appl Code Description Due Whom Code Comment ------------------------------------------------------------------------------- **-29497-B 12,000 B10 FINAL 05/05/04 JFF A B10 FINAL 05/05/04 JFF A CLOSEOUT "� t 11�S l i 1 1 I it I C7 3,! I ti -0 iL i iV i • 5o i 3• a i \ 'l e-t.9 LOT #127 , :'•IilCr hlLl, F.Sih'I'F.` ; SECTIC:' TC)W OF :>C�T:; WI;;;�.`>C`h, CC:•:�:::;'iIC�'"' 4` , 4 C .;. r, DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT PERMIT# Application is hereby: TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT 0,l— APPROVE 1540 SULLIVAN AVENUE Bldg. Permit# 644-2511 ext. 230 -Dati Buil ing Inspect Application must be printed or typed FEE SCHEDULE Location of Job: $0-$1,000=$15.00 Street No. Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT ��'V APPLICANT ADDRESS 6LXi11w V 67 U6o0y APPLICANT PHONE# W N S f OWNER `/ alit/ q OWNER ADDRESS I�// Si ohs 0- .So v,�1, GJ,��✓re c7T OWNER PHONE P016 ESTIMATED COST$ ��• �� a IS THIS A CONTRACT COST? Yes _ o o FEE ENCLOSED$ l�, TYPE OF JOB: CG SOR•CO New Installation/ v Alteration/Addition/Repair Revised 4/01//2002 APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side) TYPE OF BUILD- IS THIS APPLICATION ASSOCIATED WITVNO ING BUILDING PERMIT APPLICATION? El YES Q RESIDENTIAL CURRENT USE AND OCCUPANCY ❑BUSINESS ❑ASSEMBLY FUTURE USE AND OCCUPANCY ❑MERCANTILE ❑EDUCATIONAL ❑ INSTITUTIONAL ENGINEER'S NAME PHONE ❑FACTORY ❑ STORAGE ADDRESS ❑GARAGE ❑MIXED USE CITY STATE ZIP (Other please specify) TYPE OF INSTALLATIONIWIRING METHOD 6< ul417 4C- SIZE OF SERVICE /f 1D'-7'7 ` SIZE OF MAIN CONDUCTORS LZ—,"'0// 2 NUMBER OF METERS / NUMBER OF DISCONNECTS AND RATINGS NUMBER OF PANELS REMOTE DISCONNECT REQUIRED? ❑YES 0 NO NUMBER OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS NUMBER OF SWITCHES NUMBER OF OUTLETS NUMBER OF LIGHT FIXTURES NUMBER OF HEAT CIRCUITS NUMBER OF A/C CIRCUITS . SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED. Q DESCRIPTION OF WORK /�P/�� IOOr� /�'J� '� c?�I�✓ C�✓1o�%�l b'� ©-I o crr�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. 0i9Zg/7 - Z-/ Z-/ cT CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT DATE 1100175 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER HVAC PERMIT DATE: 06/03/11 GIS ID: 81600141 FEE: 15.00 MUNIS APPLICATION# 201100516 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: PROPANE GAS SERVICE ADDRESS: 141 SCOTT DRIVE ADDRESS: P.O.BOX 880 OWNER: FERRUOLO JOHN A ETAL CO-TRUSTEES SOUTH WINDSOR,CT 06074 141 SCOTT DR SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: SET 1-50 GALLON LP TANK AND RUN GAS LINE TO COOKSTOVE. SPECIAL CONDITIONS: A ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING OFFICIAL 6/3/2011 4:08 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE