HomeMy WebLinkAbout145 MASKEL RD APPLICATION FOR HVAC PERMIT
DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT#
Application is hereby: BUILDING DEPARTMENT
AP P O D 1540 SULLIVAN AVENUE
,�-►� � 644-2511 ext. 230 Bldg.Permit#
Date Building Inspector
Application must be printed or typed
FEE SCHEDULE Location of Job:
$041,000=$15.00 �tS AX.oA�' c\ Rd
Over$1,000= F;Tenant
Street Lot No.
$15.00 per$1,000
or any fraction thereof signation Apt.No.
APPLICANT C o
APPLICANT ADDRESS
5w
APPLICANT'S PHONE#
OWNER0011,
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OWNER PHONE 2- 5 S 1 O
ESTIMATED COST$ 3 p 6 0 o J
IS THIS A CONTRACT COST? ✓ Yes No
FEE ENCLOSED$
TYPE OF JOB: - 1 1 3 —A.3 b
OR-
00 New Installation 4 2-2 21 to —
V-Alteration/Addition/Repair
Revised 03/05/10
APPLICATION FOR HVAC PERMIT(Continued from reverse side)
TYPE,O SYSTEM: TYPE OF BUILDING:
HEATING RESIDENTIAL
A/C COMMERCIAL
❑ VENTILATION ❑ INDUSTRIAL
HEATING
Q STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS.
�I 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.)
C-Mc- \Q\r w--y uv - � Ck -� �cuY, � ',lc-c
GROSS HEATING CAPACITY(INPUTBTuH) 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,
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-
3 0'S_,D--1 S - 5- -, -
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT�_�, � ���stzw . DATE
T
9
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fic-
BUILDINGS) LOCATED AS
SHOWN
MORTGAGE SURVEY
PROPERTY OF
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-
r.,!A.r THIS "AP IS SUBSTANTIALLY W-
riA—LEY CORRECT
AMIZONINC REGULATIONS ARE NOT VIOLATED.
SCA L E. IN = Fr DATE'.*- r. i'/�)
1600129 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER HVAC PERMIT
DATE: 04/12/2016
GIS ID: 57900145 FEE: 45.00
MUNIS APPLICATION# 201600305 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: IMPERIAL PLUMBING CO.,INC. ADDRESS: 145 MASKEL ROAD
ADDRESS: 648 SULLIVAN AVENUE OWNER: JOSIE SHARON A&SILVANO
P.O. BOX 875 145 MASKEL ROAD
SOUTH WINDSOR,CT.06074 SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: BOILER REPLACEMENT.
SPECIAL CONDITIONS:
ALL WORK TO BE DONE IN ACCORDANCE WITH TIIE APPLICATION AND PLANS APPROVED BY TIIE BUILDING DEPARTMENT.
CONSTRUCTION TYPE:
OCCUPANCY GROUP: BUILDING OFFICIAL
4/12/2016 11:36 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE