HomeMy WebLinkAbout159 PALMER DR FOR BUILDING PURPAJES ONLY
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-NO. DRIVE SOUTH •WIN'DSOR, CONN.
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Being Lot `Nq. 62 on-,map, entitled "BIRCH .HILL ESTATES roster ..Street;..
South- Windsor,` Conn.-. Property of U R Housing Corp..-Scaic It,;- 100 °
Date : Jan'. -21 , 1963 ' Hayden L. Grisvold:'C.F. .= "
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FOR BUILDING PURPOSES ONLY\
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PROPERTY OF SLIRV
NO. PALMER DRIVE SOUTH WINDSOR, CONN .
Being Lot No . 62 on map entitled "BIRCH HILL ESTATES Foster Street
South Windsor, Conn . Property of U & R Housing Corp. Scale 10 100 '
Date : Jan . 21 , 1963 Hayden L. Griswold l; .E."
Scale 1 " a 50 ' HAYDEN L. GRISWOLD C .E . �_//G
DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT PERMIT 4
Application is hereby: TOWN of SOUTH WINDSOR
BUILDING DEPARTMENT Bldg Permit#
PROVED 1540 SULLIVAN AVENUE
644-2511 ext. 230
Date B�ng Inspector Application must be printed or typed
Location of job
101mer— RLC�,�
Street No. Street Lot No.
FEE SCHEDULE
$0 - $1,000 - $12.00 Floor Apt. No.
Over $1.000
$12.00 per$1,000 OWNER
or any fraction thereof
ADDRESS
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OWNERS PHONE#
APPLICANT--C\v\L-,,r— Fnc- c-QU
Fq ADDRESS 0(1 P)C)x 11�44
(4 t�ro C 1C. 0 1
ESTIMATED COST $ (60,00
IS THIS A CONTRACT COST?
S NO
FEE ENCLOSED $ qO
DSO R-C 0 TYPE OF JOB:
Original Installation
"-�Alteration/Addition Repair Revised 11/95
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 F INSIDE F DIFFERENCE F
TOTAL HEAT LOSS(BTUH)
(HEAT LOSS SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL HEATING EQUIPMENT (INCLUDING MAKE&MODEL NO.)
GROSS HEATING CAPACITY (INPUT-BTUH) NET RATING (OUTPUT-BTUH)
TYPE OF FUEL
OIL-GPM GAS-INPUT ELECTRIC-KW
OIL TANK SIZE&LOCATION
INSIDE OUTSIDE CAPACITY LPG TANK CAPACITY
AIR CONDITIONING
DESIGN TEMP. OUTSIDE F INSIDE F DIFFERENCE F
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 CONN.BUILDING CODES IN THE
PERFORMANCE OF SUCH WO
.��?)q FCC �- $kko U�, �b
STATE LICENSE-NO. NAME&TYPE SIGNOURt OF PLICANT
PHONE NO. DATE /a- 7'O
. t N�i�
ZONING COMPLIANCE FOR SMALL STRUCTURES
(Sheds and detached decks 200 sq. ft. and smaller)
Address of Proposed Structure: 517 PAc m y~, Dl� ►v F Zone:
Name of Owner: R / c 14 AX6 s c A A + c N GIS PIN: cods+6 0 1 �9
Phone Number: �� - ` q— 3a Application #: 91 J�
1. Name of Applicant: R►C N A,-,19 57"-3 , c 0 RECEIVED
Address: /)ALM CA 0R IV E
Phone Number: g 6 0 -C-gg- 3 ac.C� APR 1 b 2016
SOUTH WINDSOR PLMNING DEPT.
2. Structure cannot exceed 200 square feet.
TYPE OF STRUCTURE: ✓ SHED DECK (not to exceed 30"from grade)
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DIMENSIONS OF PROPOSED STRUCTURE: y X -�
3. A Class D survey must be submitted with the application showing the property lines, all other
buildings and the location of the proposed structure.
4. Is the property served by a septic system? Yes No If yes, the applicant must
complete and submit a B100a Application to the Health Department for review and approval.
The undersigned hereby permits Town staff to enter onto and inspect this property during
reasonable hours for the purpose of reviewing this application and to determine final compliance
once construction is completed.
I, the undersigned, acknowledge that the above information is true to the best of my knowledge
and that the above requirements are understood.
Applicant Signature: Date: q A s'// �
Owner Signature: Date:
*****************************************************************
Reviewed and approved by: x Date:
g En r ment Officer
Reviewed and approved by: Date:
Environmental Health Officer
cc: Assessor
Building File tGANNED
04/15/14
Ht BUILDING PURPA� ONLY /
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1 Q:: PALMER, ORIVI. SOUTH 1_W1NDSOlt, CONN.
Waing Lot ',NQ. .62' on-map. entitled:. "BIRCH HILL `ESTATES , Foster •Str.eet;_
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$;buth- tindsi o r,� -Conn.: Property of U. & R Hous.Ing Corp,;."Scale -1 1001
ate. Jan: -21. 1,963. Hayden L. Grisv,Qld- C.T.'?' .:
A is
Bale'. 1 SO _ - r�tvwiav "* . n_�te�►nrr ft. :" !�;r:;
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South V-:, - r
J30d,n , G_ rn,e.nt
;Is pl an and sp�cAlcations
Y of the proposed building or alterations,t,
.t,d at
J�9 do
Sir
^er with amendments stated in application
J -th PI-In end I ague to comply with all Zonn,
,nd >t•te laws and such orders as shall t
d by the Building Department during penden,
Is application and final Issuance of a bulldin,
lermit.
Plan Is approved sub)ect to the condition that
rti -nd ,rdinances regulating building shall be
.,th.
'Id,tlonAly Approved These filed with
11: In-prctor
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