HomeMy WebLinkAbout16 SCANTIC MEADOW RD DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT
TOWN OF SOUTH WINDSOR PERMIT#
Application is hereby: /
BUILDING DEPARTMENT ,3
APPROVED 1540 SULLIVAN AVENUE Bldg. Permit#
, -4 41� 644-2511 ext. 230
Date Building Inspector —
Application must be printed or typed
FEE SCHEDULE Location of Job:
$0-$1,000=$15.00 Street No. Street Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT
APPLICANT ADDRESS 36 G S Sd
APPLICANT PHONE# S Z L7 —G7 G
W N 3 F,q OWNER
OWNER AD RESS 16 S �.G a�da�✓
L1,el, µ x G QG"07
OWNER PHONE - 2gC /OG
C ESTIMATED COST$ Tl S' G C)
x IS THIS A CONTRACT COST? _Yes 14-No Q
FEE ENCLOSED$ S•
TYPE OF JOB: `-
�SO R C O� L�'N'ew Installation
Alteration/Addition/Repair
Revised 4/01//2002
APPLICATION FOR HVAC PERMIT (Continued from reverse side)
TYPE OF SYSTEM: TYPE OF BUILDING:
SEATING ❑RESIDENTIAL
0 A/C 0 COMMERCIAL
O VENTILATION ❑INDUSTRIAL
HEATING
❑STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS.
O HYDRONIC WVARM AIR 0 UNIT RADIANT HEATER
EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION
DESIGN TEMP. OUTSIDE °F INSIDE OF DIFFERENCE OF
TOTAL HEAT LOSS(BTUH) OF(HEAT LOSS SHEET MUST ACCOMPANY
APPLICATION)
DESCRIBE ALL HEATING EQUIPMENT CLUDINc MAKE&MODEL NO.)
Dv6c,17-t Cm� o�ru 9C,
GROSS HEATING CAPACITY(INPUT—BTUH) NET RATING(OUTPUT—BTUH) -7/ 61610
TYPE OF FUEL
0 OIL--GPM OIL TANK LOCATION:❑INSIDEO OUTSIDE CAPACITY
@GAS—INPUT7 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 /2Qy/ c e
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.
3d37 & Z S � C_ '-.
CONTRACTORS LICENSE NO TYPE STATE
SIGNATURE OF APPLICANT DAB ll 3 O
i
t numbers refer to map entitled,
16ubdivision 'Sap, Farnham Estates,
roperty of 1, K. Stich Associates,
Inc. , Rye Street, South 1Nindsor, Conn. ,
dale 1" - 4010 Sept 19, 1957, Sheet
Certified Substantially Correct,
rton S. Fine, C.E. & L.S,"
-�j ` PROPOSED LAYOUT
FAh\HXM ESTATES
SCAN\TIC 11LADOU hOAD
I hereby certify that th_ s Z' t SOUTH WlSDSOR, CONNECTICUT
nap is substantially cor-
rect and no zoning regula- P���, SCALE 1'' 401 NOV. 7, 1958
ti have-aTve been violated . f4f� �ANJ''��/ MORTON S . r _ti'_'',
rr II �-
.ti
'1 0
i
mortgage P
urposes only. Ile
re produced hereon �s an instrument
This survey is for
of -�
drawing p the Person 01 Pet.
service by the undersigned to01 he
sons indicated hereon, and is ti�� Grop2rtoo others
d. ►ransier of ih s drawl
undets+fine
Is expressly Prohibited.
J
V- 118. 00
c
` o
are LM. .� C,A/V7 / Ems+
t numbers refer to map entitled,
Farnham Estates, rtO1�TGAGE SURVEY
iSubdivision Hap, FRANK OLGA T. VIESTART
F1t
roperty of I, R. Stich Associates, ANK & ZS ROAD
nc o , Rye Street, South Windsor, Cow• ► iCASOUTH WINDSOR# CONN.
cale lit 4019 Sept. 199
1957, Sheet
Certified Substantially Correct,
rton S. Fine, C.E. b L.Soit
PROPOSED LAYOUT
�, FARNHAM ESTATES
SCANTIC HGADOW ROAD
SOUTH WINDSOR# CONNECTICUT
C4
I hereby certify that this
map is substantially cor-
No. 2931 - SCALE i" = 401 NOV. ?, 1958
rect and no zoning regula- E;�A yy & SCALF,MORTON S. FINE, C.E. -L.
tions have been violated . Ev LAN gARTFORD, CONN .