HomeMy WebLinkAbout166 GREENWOOD DR DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT
TOWN OF SOUTH WINDSOR PERMIT#
Application is hereby: Q
BUILDING DEPARTMENT
APPRO D 1540 SULLIVAN AVENUE Bldg.Permit#
644-2511 ext. 230
G
Date Buildingwapdaw
Application must be printed or typed
FEE SCHEDULE Location of Job:
:6 G e c\.,a c) c, �� r
$0-$1,000=$15.00 Street No. Street Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT
APPLICANT ADDRESS C t\ vi> p., otlq-t
APPLICANT PHONE# 2 0\1
O ON S tq OWNER 1V b.C U
OWNER ADDRESS a 1K
S �, t,�
U a. OWNER PHONE
C ESTIMATED COST$ \ S C7 Q
IS THIS A CONTRACT COST? 1,,Yes _No
FEE ENCLOSED$
l��s - O�� TYPE OF JOB:
R-C New Installation
v"A'Iteration/Addition/Repair
APPLICATION FOR HVAC PERMIT (Continued from reverse side)
TYPE,OF SYSTEM: TYPE O UILDING:
❑ HEATING RESIDENTIAL
❑A/C el 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—BTUH) 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.
CONTRACTORS LICENSE NO. TYPE �— STATE
SIGNATURE OF APPLICANT o�,\1 DATE J U�` /O—I
GARDNER It PETERSON ASSOCIATES—178 HARTFaW nVMWE—TOLLAND, CONNECTICUT 06W
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AS BUILT PLAN
LOT #8 - MOUNTAIN LAUREL ESTATES
PREPARED FOR STONER GROUP, INC.
65A Louis Street, Newington, CT 06111 Tel. 666-2888
TOWN OF SOUTH WINDSOR, CONNECTICUT
SCALE: 1" = 40'
I hereby declare that this map and survey were prepared in accordance with the
standards of a Class A-2 survey as defined in the Code of. Practice For Standards
of Accuracy of Surveys and Maps, adopted December 10, 1975 as amended by the
Connecticut Association of Land Surveyors, Inc. and that the location of the
building as shown is substantially correct and that there are no zoping violations
of the same. 0, 4 _S if395
DATE: A *1 129 1990 L.S. #10839
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REFERENCE: Subdivision Plan Mountain Laurel Estates in South Windsor, Connecticut
Gardner & Peterson Associates Tolland, Connecticut Scale 1"
Revisions .6/2/87.
7.�"',7 '77
Subsurface _Improvements - Data furnished by Contractor. ;/N4
PROFESSIONAL ENGINEERS LAND SURVEYORS
o ��IId
1990
South Windsor
BUILDING DEPARTMENT
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It.,; ,,Id Such 'tj rs -.' g`,tll Le
�f Icy The l;uilding D,p,rtm,nt dnrinqpendpney
t iA'Lc Sii�r� and fro11 issu,rnce of a I-1:dl"Z
-• it.
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RECEIVED a
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6 1990
10:/0 of SouthRds�r 9
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GARDNER b PETERSON ASSOCIATES—170 HARWORD TwwKr—TOLLAND, CONNECTICUT OWU
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AS BUILT PLAN
LOT #8 - MOUNTAIN LAUREL ESTATES
PREPARED FOR STONER GROUP, INC.
65A Louis Street, Newington, Cr 06111 Tel. 666-2888
TOWN OF SOUTH WINDSOR, CONNECTICUT
SCALE: 1" = 40'
I hereby declare that this map and survey were prepared in accordance with the
standards of a Class A-2 survey as defined in the Code of Practice For Standards
of Accuracy of Surveys and Maps, adopted December 10, 1975 as amended by the
Connecticut Association of Land Surveyors, Inc. and that the location of the
building as shown is substantially correct and that there are no zoning violations
of the same.
L=
DATE: WA 11 12, 1990 L.S. #10839 446
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REFERENCE: Subdivision Plan Mountain Laurel Estates in South Windsor, Connecticut ti
Gardner & Peterson Associates Tolland, Connecticut Scale 1" = 40' Date 10/21/86
Revisions 6/2/87.
Subsur,face .Improvements - Data furnished by Contractor.
—PROFESSIONAL ENGINEERS —LAND SURVEYORS,
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my
i � 1990
South Windsor
BUILDING DEPARTMENT
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