HomeMy WebLinkAbout16 NORTHVIEW DR 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: q G V Sp�
APPROVED: BLDG.PERMIT NUMBER
DATE
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INSPECTOR
LOCATION OF WORK: 16 koq-d!,)/�G Gt/ /:�)1-7
APPLI ANT: OWNER: TYPE OF STRUCTURE:
❑NEW BUILDING
NAME:F►yld/G�/oi � d�}�I S�rGQ NAME: CriA /��iZ ��/► ❑ADDITION
PHONE NUMBER K-0- PHONE NUMBER Sa gal /^O87 L" M406STING BUILDING
ADDRESS:Y-Td(
DDRESS:Y3d( Oe t/L cS,4 '�d f/r'l ADDR-ES�S::4 AJ"A Vi GGtJ Lwt.
TYPE of USE:
aR�61DENTIAL o COMMERCIAL
// HVAC INFORMATION: THER DESCRIPTION OF WORK:
TYPE OF SYSTEM: ao&ATING ❑A/C 9
e!y f /Y? I e,�
HEATING: /A��S / %hP X• q� "L�'�C �1 9 o J
TOTAL HEAT LOSS(BTUH) L.7 T (HEAT LOSS SHEET REQUIRED) cow<]. d,A
DESCRIBE ALL HEATING EQUIPMENT(INCLUDE MAKE AND MODEL NO.):
,` w/3 3 S—3 ESTIMATED COST:$
AIR CONDITIONING:
DESIGN TEMP:OUTSIDE °F INSIDE °F DIFFERENCE F' FEE ENCLOSED:S
TOTAL HEAT GAIN(BTUH) (HEAT GAIN SHEET REQUIRED)
DESCRIBE ALL COOLING EQUPMENT(INCLUDE MAKE AND MODEL NO.):
FEE SCHEDULE:S18 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.: 3D g E• 5 ( STATE:
SIGNATURE OF APPLICANT: ` DATE:
1900502
PERMIT NUMBER HVAC PERMIT
DATE: 08/19/2019
GIS ID: 64500016 FEE: 144.00
MUNIS APPLICATION# 201901729 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: ANDREWS OIL&GAS SERVICES INC ADDRESS: 16 NORTHVIEW DRIVE
ADDRESS: 136 RYE STREET OWNER: MAZZADRA SANDRA
16 NORTHVIEW DRIVE
SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: RUNNING GAS HOUSE MAIN AND INSTALLING HIGH EFFICIENCY
GAS COMBI BOILER
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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
8/1 9/20 19 3:53 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE