HomeMy WebLinkAbout144 ORCHARD HILL DR APPLICATION FOR HVAC PERMIT (Continued from reverse side)
TYPE OF SYSTEM: TYPE OF BUILDING:
[EATING UITSIDENTIAL
❑A/C ❑COMMERCIAL
❑VENTILATION ❑INDUSTRIAL
HEATING
❑ S EAM 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) °F(HEAT LOSS SHEET MUST ACCOMPANY
APPLICATION)
DESCRIBE ALL HEA IlNG EQUIPYENT(INCLUDING M KE ODENIQ.)
GROSS HEATING CAPACITY(INPUT-BTUH)h,B"V NET RATING(OUTPUT-BTUH) 0,
TYPE OF FUEL
Q(OIL--GPM .7rOIL TANK LOCATION :0 INSIDEO 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)
N
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.
3o37 8 z
CONTRACTORS LICENSE NO.� E /STATE
SIGNATURE OF APPLICANT T DATE
DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT
TOWN OF SOUTH WINDSOR PERMIT#
Application is hereby: Zbw 9(Q
BUILDING DEPARTMENT
APPROVE 1540 SULLIVAN AVENUE
Bldg.Permit#
644-2511 ext. 230
Date Building Inspector
Application must be printed or typed
FEE SCHEDULE Location of Job:
$0-$I,000=$15.00 Street No. Street Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT 1427
APPLICT ADDRESS
APPLICANT PHONE# d"— 07 6 G
0 W N S F,q OWNER C C-,/
OWNER SS ��/� �✓ a✓ ��
sLIV, 0 e 6C? y
Oa OWNER PHONE 6
C 1 ESTIMATED COST$ 7
w.
IS THIS A CONTRACT COST? _Yes _No
. GU o:" FEE ENCLOSED$ -7
�L f
. TYPE OF JOB:
�SO R•COS L/
New Installation \
_Alteration/Addition/Repair
Revised VO1N2002
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
TOWN OF SOUTH WINDSOR PERMIT#
Application is hereby: r7�1 Qa—
BUILDING DEPARTMENT Cry
APPROVE1540 SULLIVAN AVENUE
644-2511 ext. 230 Bldg. Permit#
Date Buil ing In r
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$1,000
or any fraction thereof Tenant Designation Apt. No.
APPLICANT &Q L c -
APPLICANT ADDRESS
APPLICANT PHONE# 60 1,5k P7
O W N St OWNER �`f 4 P
OWNER ADDRESS J `7� C' Al kzl
,o OWNER PHONE
OESTIMATED COST$ O v
.� IS THIS A CONTRACT COST? Yes _No
FEE ENCLOSED$
TYPE OF JOB:
s�R•C j New Installation 1 r l9V
_Alteration/Addition/Repair
Revised 4/011/2002
APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
,KRESIDENTIAL BUILDING PERMIT APPLICATION? ElYES Q NO
❑BUSINESS CURRENT USE AND OCCUPANCY
❑ASSEMBLY
❑MERCANTILE FUTURE USE AND OCCUPANCY
❑EDUCATIONAL
❑INSTITUTIONAL
❑FACTORY ENGINEER'S NAME PHONE
❑ STORAGE
❑GARAGE ADDRESS
0 MIXED USE
(Other please specify) CITY STATE ZIP
TYPE OF INSTALLATION/WIRING METHOD
SIZE OF SERVICE SIZE OF MAIN CONDUCTORS
NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS
NUMBER OF PANELS REMOTE DISCONNECT REQUIRED? ❑YES ❑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.
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.
Z'/ C7�
CONTRACTORS LICENSE NO. YPE STATE ll
DATE
SIGNATURE OF APPLICANT
Mo o/
0
o
L(T f Z L CST It LOT 10
I �
ti
Lo Ca
Ct
m
I a}
V� s
6/S 49
ORCHARD
FOR BUILDING PURPOSES ONLY
. ,,r, . .a;• .ir i
•
1700683 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER BUILDING PERMIT
DATE: 12/08/2017
GIS ID:66900144 FEE: 144.00
MUNIS APPLICATION# 201701739 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: ALEX BAILEY ADDRESS: 144 ORCHARD HILL DRIVE
ADDRESS: 62 TROUT STREAM DRIVE OWNER: REED HAL C
VERNON ROCKVILLE,CT 06066 144 ORCHARD HILL
SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: REMOVE 2 LAYERS OF SHINGLES,INSTALL 6FT,OF ICE AND WATER,
SYNTHETIC UNDERLAYMENT,DRIP EDGE,STARTER AND GAF
TIMBERLINE ARCHITECTURAL SHINGLES,
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
12/8/2017 3:18 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE