HomeMy WebLinkAbout144 WOODLAND DR DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT
PERMIT#
Application is hereby: TOWN OF SOUTH WINDSOR /PE 7 / r
BUILDING DEPARTMENT
PROVED 1540 SULLIVAN AVENUE Bldg.Permit#
-a 5 644-2511 ext. 230
Date Buil-1;2A Inspector
11 IV
Application must be printed or typed
FEE SCHEDULE Location of Job:
Lj Lf wow P P-06JCk
$0-$1,000=$15.00 Street No. Street Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT vt C1
APPLICANT ADDRESS t Lt L-4-)OOCJ2 POvt f`C)Cc
APPLICANT PHONE# Yi�;O- 6 q 7-(q Q �f'{a►Mc �o -�los-S ]�lvl��
O W N S OWNER S Cf sy
OWNER ADDRESS SG N^e
C07 OWNER PHONE 9(e D 6W(-0y 9�D,
C ESTIMATED COST$ 1500
•� ¢ IS THIS A CONTRACT COST? _Yes No
4 �G FEE ENCLOSED$ 3� f
1��s O�� TYPE OF JOB:
OR-C _New Installation
Alteration/Addition/Repair
Revised 4/01//2002
APPLICATION FOR HVAC PERMIT (Continued from reverse side)
TYPE OF SYSTEM: TYPE OF BUILDING:
�ifHEATING ORESIDENTIAL
❑A/C ❑COMMERCIAL
❑VENTILATION ❑ INDUSTRIAL
HEATING
❑ STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT SD LBS.
WHYDRONIC ❑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)
DE CRIBE ALL EATIN EQUIPMENT(10 Z
UDING MAKE&MODEL NO.)
c I.P DtJ
GROSS HEATING CAPACITY(INPUT—BTUH) PA NET RATING(OUTPUT—BTUII)ALRP
TYPE OF FUEL
❑OIL-GPM OIL TANK LOCATION :❑ INSIDE❑OUTSIDE CAPACITY
)a GAS-INPUTla_,,ak 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)
00 ygl�)d
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.
A
CONTRACTORS LICENSE NO. TYPE STATE l
SIGNATURE OF APPLICANT DATE 9/6/C —
WOODLAND DRIVE
EDGE OF PAVEMz-NT
MON.
378./4 To - !e I25.0
P.C. MON, a t I
LAURAL ST. I ' I h �� N
Ih I �:
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40� ► BUILDING I LINE Z
Q iK�PORL^Q. v
26.0 p 3I.70
O a EXISTING v23
o1D ' ' V
w HOUS E
k) h „ 3,
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D ECK * p O
♦ 32.25
Q BRICK
O I PA7-10 ( tic W
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125.00
N/F ✓EFFR E Y S. 5 DARC Y E, N/F PA TRI CK V. a
GRAHAM EL AINE P. PELLET/ER
LOT 7/ LOT 70
to
SPENCER HEIGHTS- TRACT
MORTGAGE SURVEY FOR
CARMINE J Z7 8 CA THERI NE M. NAPOL I TANO
144 WOODLAND DRIVE - SOUTH WINDSOR, CONN.
SCALE : / "z 30 ' MAY 12 t 1987
✓AME"S E. SHEEHY L. S. 7034
1 Il1:REIIY CI:It'1 IFY TO 1'11G CONNI.-C I'ICUT A'1"I'UIZNI•:YS I'I' LI: INSUltANCF CI NPANY
ANl) TU CONNI:C'l'ICU'1' NATIONAL NMUCAGI: C( :TAN'i, ITS SUC(:I:SSORS ANI)
ASS LGNS AS Tlll:LR LN'ITHLST CIA\' AI ITAlt, '1'lfr\'I' L111:; :�1.'ItVl.ti' WAS ',IAI)I: ON
I'lll: GROUND ON P1,\l' 1" 1987 I'lI l S SUIZVI:l' IS :il'f;:i I A:+'I'I r\I,LI (:Oltkl:(;'I'
CU,1111,LES WL'1'1f 'I'lIE S'Lr\,,NI)AItUS M' A C-1 SIIWI.l', AS Mil- IiJI•:I) Ill'
CO:.NIXTICUT ASSO(;IA'f ION OF LANI) SURVI•:YO1tS, l:+(: I:I'I'1:C'I'IVI: JAN 1 , 1987. � 1
1 uru L1NUS ANU LINO O17 ACTIIAI, POSSI.:SSION r1Rl. 'rill-. SA?11: rill-. I;1111,I)INC 7U
IS LOCA'1'la AS SHOWN ANU DUI.. S til)'I' OIZ UPONec,
(M I)UILI)1NG LI1vI:S THITE ARI. NO ZONIN(: RI:('l'I.A f lc)NS V1OLATH) ANI) ,
TIIERI: AIZI: NO i:NCRUACI1�11;:Y1'5 APFI:CTIN(; 'I'HI:; I'Rt►I'I;IZ1'l' AI'I'A]zLNl' FM)1,1/A
CAM3.-UI, INSPECTION• NO'l'I: UI:IiU ItI:F't:It1:N(:I: 1'O 1'1,101A;IEN'l' EASE,'11•.'N'I' fN FOF' CUSP. I'ROPI:K'I'Y 1S NO'i' Sll1; IIXT TO 'fill. ONF, IIUNI)RI:I) YI',Alt I'I.O(►I) INS :��l'IItI:MI:V'l'S
?"'ter fA
140V 12
South Windsor
BUILDING DEPARTMENT
__cau ,LIt11U1'� Ur LIJri11,46 l.�"
Proposed building(s), use(s) aridlor struc"ul. '
as shown on this plan appears) to be
a conformance with current South Wind-:-, -
eyAi
regulations. Variances and special exceptioi,s
-nay apply.- 11/
:Nate / Z Z
Toning Enforcement Offlcer.,t-
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1
DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT
TOWN OF SOUTH WIlVDSOR PERMIT#22
A7rAPPRO
is ere • BUILDING DEPARTMENT
1540 SULLIVAN AVENUE Bldg.Permit#
644-2511 ext. 230
Date Building Inspector
Application must be printed or typed
FEE SCHEDULE Location of Job:
$0-$1,000=$15.00 FTenant
Street Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof gnation Apt.No.
APPLICANT
APPLICANT ADDRESS I ;. f UM h I N .� �j� i�- I N�•
P 'K - 3 Ja 114 rd Cj o 6 a'& `f
APPLICANT PHONE# Q 7 C ' ✓ 3 a S
W N S OWNER Ckkl S
�q� OWNER ADDRESS /q q �J �� P
�vfi w �,�dS�z c fi O t4 7 Y
OWNER PHONE
O o
C x ESTIMATED COST$ 6 s
IS THIS A CONTRACT COST? Yes _No
�L
G FEE ENCLOSED$ l
TYPE OF JOB:
SO R• 0 _New Installation
,f!�; lteration/Addition/Repair
Revised 4/01//2002
APPLICATION FOR PLUMBING PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
BUILDING PERMIT APPLICATION? ❑ YES O NO
RESIDENTIAL
❑BUSINESS CURRENT USE AND OCCUPANCY
❑ASSEMBLY
❑MERCANTILE FUTURE USE AND OCCUPANCY
❑ EDUCATIONAL
❑ INSTITUTIONAL
❑FACTORY ENGINEER'S NAME PHONE
0 STORAGE
❑GARAGE ADDRESS
❑MIXED USE
CITY STATE ZIP
(Other please specify)
TYPE OF INSTALLATION C t r"E c SIZE OF MAIN DRAIN
NO.OF TOILETS STYLE NO.URINALS STYLE
NO.OF BATHTUBS NO.OF SHOWERS NO.OF LAVATORIES
NO.OF CONDUCTORS SIZE NO.OF STACKS SIZE
AREA OF ROOF NO.OF CATCH BASINS NO.OF FLOOR DRAINS
NO.OF OTHER FIXTURES KIND
ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW U YES ❑NO
SIZE OF WINDOW IF NONE C.F.M.OF VENTILATOR
SIZE OF DUCTS SEWER OR SEPTIC TANK
SIZE OF WATER MAIN SIZE OF WATER PIPING&RISER
WATER HEATER: TYPE 4JA�000,4�� GAS MANUFACTURER ✓ 1^r L
DESCRIPTION OF WORK
N IJ14 ��, CA
THE UNDERSIGNED HEREBY APPLIES M THE WORK DESCRIBED AND IS 1 0
COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
au P , �-
CONTRACTORS LICENSE NO. l TYPE STATE
SIGNATURE OF APPLICANT /�'Wf /2 DATE - '8 '