Loading...
HomeMy WebLinkAbout145 FARMSTEAD DR DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT TOWN OF SOUTH WINDSOR PERMIT# Application is hereb � 3p0 BUILDING DEPARTMENT PRO 1540 SULLIVAN AVENUE Bldg. Permit# 644-2511 ext. 230 Date B 'dmg Inspector Application must be printed or typed FEE SCHEDULE F LoccationlofJob: fArtm5h-aJ D2, $0-$1,000=$15.00 Street Lot No. Over$1,000= $15.00 per$1,000or any fraction thereof gnation Apt.No. APPLICANT ��v��rh yty TLC �qa-Q!y APPLICANT ADDRESS _(:e,,q iiC`�/,,4''K1�4Nnn� ,G' 'E, - Gt�S�',�d�r�� ��J�1• APPLICANT PHONE# 25 60 SOWN SF,q OWNER J o k" C—, ��in►5013 OWNER ADDRESS i�i � S mmJiirad Do- aSo , CAOL,A,502, CNr1 0-1 Lk (:07 OWNER PHONE gCod - (,qL - Qje b C = ESTIMATED COST$ ,'�_70, IS THIS A CONTRACT COST? X Yes _No 401, FEE ENCLOSED$ TYPE OF JOB: 3d I �SO R-C 0 New Installation V Alteration/Addition/Repair G !Z O G Revised 4/01/12002 1 APPLICATION FOR HVAC PERMIT (Continued from reverse side) TYPE OF SYSTEM: TYPE OF BUILDING: ❑ 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 MAKE&MODEL NO.) GROSS HEATING CAPACITY(INPUT—STUD NET RATING(OUTPUT—BTUH) TYPE OF FUEL IEP OIL--GPM OIL TANK LOCATION :3 INSIDE❑ OUTSIDE CAPACITY 75 ya-1 ❑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) 1 FURTHER DESCRIPTION OF WORKp 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 O o).-]-7 s 5`t CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT DATE ,r ' 0 '/3 Aug. 21. 201311 25AM No. 4206 P. 12 Autornatic TLC Energy 860.528-4328 AUTO O' MA TIC 64 Oakland Ave.ord,CT 06108- Fax: 860.528-22'}1 ENERGI' CT lie#S East r 1.302778& P1-202648 HOD#0000398 JOB NO. 15- OIL ACCT.NO. *T 2A irLr- INT.ACCT.NO. Applicant Address V ss ice,! J9Z1r:�. Clty,State,pp F I Coy,Slate,Zip Emal1 ,o,,,.,� Etnall Phonef `o-(, �/i�r r}c P}1 Oi< Call Phonef Phonoti, vftu Pnono# Cell PbonOR Payment options: Credl(�Cj/anti lssuer ID American Express J Discover O Master Card O VISA 0 Personal Check or Money Order 13 Boiler Qly_ Model fr �. Oil Tank City L.Model i►_ ❑Furnace/Air Handler City_Model?, 0 Humidifier Oty_Model 1) _ o CondensorrHeat Klmp Oly,Model of d Chimney Liner Qty _Model d ❑Water Iieaterlindlrect qly`Model 0_ O Generator Oly Model41 •A/C Coil City Model ri.__ O Maintonanco Plon _• Cxp- Scope of work:(attach additional description and/or drawings If necessary) Cheek box 11 additional pege(s)were used lode scrIb a work ❑#pg-_ .(f"J r v ;77'R C L� r �1 G -Z lWe ' r G Installation may i"elude r ocossary local tees,licenses and perm;ls rotative to this proposal. Replacement of the healing until will be performed a/lerAsbeelos has aeon rernoved,'al Boyors THfS QUOTE IS VALID FORTHIRTY DAYS FROM: /—Zt�/�' expense,by a Iiconsed Asbestos removal eoolracto►,.and disposed ofjP accordance with 1.Instollalon Total Cost $ �7y-°Q,� government regulations.Price does not InenKtc Asbestos removal. lI pnlHals) 2.Disposal Fee $ Any llmilntlons of oxlsling duel work systant Is that respon41Wlt1y of this ownar t-(lnlilals) T �v 3.Total Ittstaffallon Cost $ rot veluetoo considdr0on recelved,Uwe the undorslprod do hereby aosolutely and uncvcdillmally gusmnted.•ss tit+6rAvkual(s),ppymenl or°try indoblednets ineurfed aj virtu°of any pad at:credit 4.Dovin payn)enl $ U extondod in ammiatx;e%v;6 the within agroamoiq and nil of Its teitiis end conditi;Ir The undarslgnod -- Carwerda 10 HOP Energy oblalnlp0 a Conewner Credil Report oil Apphoeni ontlobr co-opptkani to Inc pie= polo or wr4adng the cteW wctoiln°ss of app1cant ands or co•ap0coni,in conneclrcn",ilh ph S.Arnounl Financed $ •i��'��� "ppYcoGon of credit. no amount ut veit)proAocd to You ow yew behalf NOTICE TO BUYER: i,Uo riot sign thie controcl baloro you read it or if it contains any 6.AIrlOUril'nf Monthly Paymeril blank space, 2.You are enfillad to a completely Alled•in copy of the contract when you sign it.3. Undar uis law,you have the loilowing rights,amanrg olhore: (a)to pay'on in ad. 7.Number of Monthly payments $-___ f vance itio full amount dud and obtain a partial refund of any unearned finance Marge;(b) to redeem the,p(operty it mpossassed for a delaull:It)to require,urKlee certain oondltione, r 2 S.Total of Paymestls $ W Q e d e resale ol the proporlyifn+possessed.'YdU,THEUY BER,MAY'CANCE;L ThoamoanryuuvnNnagp;ddwhonyodhavo THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF ni°`�'"hed"OQp�TP°n19 E THE THIRD BUSINESS DAY AFTER THE DATE OF THIS ach fattymt nt Due on(date) 30 days after billing TRANSACTION. SEETHE ATTACHED NOTICE-'OF Payment Schedule Starling on $0 days alter billing CANCELLATION FORM FOR AN EXPLANATION OF THIS era •RIGHT. You acknowledoe thal Sauer has delivered or mated to you an executed copy of 9'as a y�y Percentage Rate Q ihls con iracl; 10. FinencaCharge $� d Vwe hereby,- see i the 'In I and conditions of the proposal as sol for tho above and on the The Wear amount the aed;W1 colt Irmo reverse 6ld(I ale ylree�,ell of ich IAvQ road ang ogre to be bound thereby. y 1.Total Salo Price Apfykanl' � v '. a Delo Tho wat orke of your pwehise en oraal, kWWRig yourgonm payment f � Co-Applicant _ pate Ij Print Name Applicant lit// /h�1ta f D»le�_`�%t�a aba Reprecahlallvez _ �_.Dato (� /,/. r Co•ApplicanlG(y� --r�J p Dele po/W4ranch -��74 Managdr _ DaIO www.AutomalloYLC.corn C61-306-10 PERMIT N DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT Application is hereby : TOWN OF SOUTH WINDSOR BUILDING INSPECTION DEPT. APPROVED DI AP O ED 1540 SULLIVAN AVENUE �, 644-2511 Ext . 230 Date Building 16spector Application must be printed or typed 1 . LOCATION OF JOB FEE SCHEDULE No . Street $ 0 - $1 .000 - $10.00 Floor Apt . No. Over $1 ,000 - $10.00 per $1 ,000 or 2 . OWNER �Y_ i W�IkinSc fraction thereof 3. ADDRESS 4 . APPLICANT 5 . ADDRESS (C(p ( ��JQ rlL)PiC 195�3 6. ESTIMATED COST $ 7 . IS THIS A CONTRACT COST )Yee No B . FEE ENCLOSED $ 9 . TE OF BUILDING : - ,0• RESIDENTIAL COMMERCIAL 10 . TYPE OF JOB : Original Installation Alteration/Addition/Repair nD 1A 11/88 APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side ) 11 . LOCATION OF JOB + Tc�VfY1S4,-9C1 l_ ) /- _ NO. STREET APT. NO , 12 . TYPE OF INSTALLATION 13 . SIZE OF MAIN FEEDER 14 . NO . OF LIGHT LOOPS 15 . NO. OF HEAT LOOPS 16 . NO . OF POWER LOOPS 17 . NO . OF LIGHT OUTLETS 18 . NO . OF HEAT CIRCUITS 19 . NO . OF POWER OUTLETS 20 . NO. OF CONVENIENCE OUTLETS 21. NO . OF HEAT CIRCUITS 22 . NO . OF POWER CIRCUITS 23 . NO. OF LIGHT CIRCUITS 24. SIZE OF HEAT CIRCUITS 25 . NO. OF MOTORS 26 . NO . OF PANELS 27 . TOTAL WATTAGE 28 . NO . OF POWER FEEDERS 29 . NO. OF SWITCHES 30 . A/C LOAD 31 . SIZE OF POWER FEEDERS 32 . NO . OF FIXTURES 33 . TOTAL HORSEPOWER 34 . NAME OF SUBCONTRACTORS AND THEIR TRADES 35 . REMARKS AND FURTHER DETAILS : � &--AFC11 ( 67- �1tC< ,SP /u z4 LICENSE NO . SIGNATURE OF APPLICANT DAT PHONE NUMBER : h 'Wk DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT PERMIT# TOWN OF SOUTH WINDSOR Application is hereby: BUILDING DEPARTMENT APPR 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 Date Building Inspec r Application must be printed or typed FEE SCHEDULE Loc ion of Job: $0-$1,000=$15.00 FYe—n—antDesignation, Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof Apt.No. APPLICANT P—n if "l �© APPLICANT ADDRE5S APPLICANT PHQH # W N S OWNER "--f614A O �q OWNER ADD SS G" C- o OWNER PHONE 0 C ;D ESTIMATED COST$ IS THIS A CONTRACT COST? Z"'Y es _No FEE ENCLOSED$ O�� TYPE OF JOB: R C New Installation t7"Alteration/Addition/Repair a0ogmdl.ka APPLICATION FOR HVAC PERMIT (Continued from reverse side) TYPE OF SYSTEM: TYPE OF BUILDING: X44£ATING RESIDENTIAL ❑A/C ❑COMMERCIAL 0 VENTILATION ❑INDUSTRIAL HEATING ❑STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS. ZlqlYDRONIC CL WARM AIR ❑ UNIT RADIANT HEATER EXISTING RADIATION ADDITIONAL RADIATIO�1 TOTAL RADIATION /�//D DESIGN TEMP. OUTSIDE .- OF INSIDE 77 °F DIFFERENCE OF TOTAL HEAT LOSS(BTUHj9;!::7 OF(HEAT LOSS SHEET MUST ACCOMPANY APPLICATION) C E HEATING UIPMENT(INf,UDING KE"QDE'[ GROSS HEATING CAPACITY(INPUT-BTUH) NET RATING(OUTPUT-BTUH) TYPE 01JUEL IL-GPM OIL TANK LOCATION :❑ 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) 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. go z-22 F s-/ CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT DATE g , W APPLICATION FOR HVAC PERMIT TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 (PHONE)860-644-2511 EXT. 230 DEPARTMENT DECISION PERMIT NUMBER: APPLICATION IS HEREBY: 0 U 4 g q APPROVED: BLDG.PERMIT NUMBER: DATE INSPECTOR LOCATION OF WORK: �LJ S Farml,�e,4,� APPLICANT: OWNER: TYPE OF STRUCTURE: f� T ❑NEW BUILDING NAME: Av�ur,..k j -TLC IL�19 y NAME: J;o,n ❑ADDITION PHONE NUMBER:C-6 00 �� S-I f 2 (� PHONE NUMBER: iS6 O"CL)4-V n EXISTING BUILDING ADDRESS:3�0 �! AJ2, ��i�lG,� ADDRESS: H 5 / TYPE OF USE: //RESIDENTIAL ❑COMMERCIAL HVAC INFORMATION: j� ,, l FURTHER DESCRIPTION OF WORK: Z TYPE OF SYSTEM: ❑HEATING ❑A/C 1�^^'^� C-�e' O p lci Lk- HEATING: G•�S p� 3 C 9 4�, n ,Se^^t-�. TOTAL HEAT LOSS(BTUH) °F (HEAT LOSS SHEET REQUIRED) DESCRIBE ALL HEATING EQUIPMENT(INCLUDE MAKE AND MODEL NO.): ESTIMATED COST:S Z Z� AIR CONDITIONING: J DESIGN TEMP:OUTSIDE °F INSIDE "F DIFFERENCE F° FEE ENCLOSED:S S L(•00 TOTAL HEAT GAIN(BTUH) (HEAT GAIN SHEET REQUIRED) (j,-0 L L -:0 I v 3 Iv DESCRIBE ALL COOLING EQUPMENT(INCLUDE MAKE AND MODEL NO.): FEE SCHEDULE:$18 PER$1,000 OF THE ESTIMATED COST. ROUND UP TO THE NEXT THOUSAND ONCE THE PROJECT IS $1.00 OVER. (.26 CENT EDUCATIONAL FEE INCLUDED AS PART OF THE PERMIT FEE) THE UNDERSIGNED HEARBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFOMANCE OF SUCH WORK. CONTRACTORS LICENSE NO.:/.01030C�o- 51 TYPE: T I I6 STATE: a'lne�M�� SIGNATURE OF APPLICANT: �//r DATE: 11 a 00$oo 1300359 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER HVAC PERMIT DATE: 08/22/2013 GIS ID:31800145 - FEE: 45.00 MUNIS APPLICATION# 201301200 ; t BUILDING DESCRIPTION: ti APPLICANT':.` ' ,' - -LOCATION NAME: AUTOMATIC TLC FUEL:'OIL ";,,,--' ADDRESS:A. 145 FARMSTEAD DRIVE ADDRESS: 64 OAKLAND AVE] k OWNER: WILKINSON JOHN J C&SUSAN A EAST HARTFORD,CT 06108 , •. 145 FARMSTEAD DRIVE -SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: REPLACE 2\\175 GALLON OIL STORAGE TANK IN BASEMENT. 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 8/22/2013 2:57 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1800299 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER HVAC PERMIT. DATE: 06/13/2018 GIS ID:31800145 FEE: 54.00 MUNIS APPLICATION# 201800800 BUILDING DESCRIPTION: s APPLICANT .. LOCATION NAME: AUTOMATIC TLC ENERGY ADDRESS: 145 FARMSTEAD DRIVE ADDRESS: 36 BROWNSTONE AVENUE OWNER: WILKINSON JOHN J C&SUSAN A PORTLAND,CT 06480 145 FARMSTEAD DRIVE SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: REMOVE AND REPLACE 30 GAL EVERHOT WB30 AQUA BOOSTER IN BASEMENT SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY UILDIN RTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING FFICIAL 6/13/2018 11:55 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE