HomeMy WebLinkAbout175 KRAWSKI DR DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT
TOWN OF SOUTH WINDSOR PERMIT#
Applicatio a y: �p
BUILDING DEPARTMENT D U
AP RO 1540 SULLIVAN AVENUE
644-2511 ext. 230 SEp 2 5 2009 Bldg.Permit#
Date u ding Inspector
South Windso(
BUILDING DEpARTt11EN"I
Application must be printed or typed
FEE SCHEDULE Location of Job:
$0-$1,000=$15.00 F:Ten:annt
Street Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof gnation Apt.No.
APPLICANT C,a
APPLICANT ADDRESS
S W
APPLICANT PHONE#
O W N S Fq OWNER �d`�V-�i Cuc1c��lJ`i10
< OWNER ADDRESS S
a
OWNER PHONE
C ESTIMATED COST$ "�S p O J
� � V
.� IS THIS A CONTRACT COST,? �V"Yes _No
FEE ENCLOSED$
r�OSO •C O�� TYPE OF JOB:
R _New Installation
�teration/Addition/Repair
Revised 4/01//2002
�151
APPLICATION FOR HVAC PERMIT (Continued from reverse side)
TYPE OF YSTEM: TYPE OF BUELDING:
PWATING gRESIDENTIAL
A/C OMMERCIAL
0 VENTILATION O INDUSTRIAL
HEATING
❑STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS.
(A HYDRONIC O WARM AIR ❑UNIT RADIANT HEATER
EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION
DESIGN TEMP. OUTSIDE OF INSIDE OF DIFFERENCE OF
TOTAL HEAT LOSS(BTUH) °F(HEAT LOSS SHEET MUST ACCOMPANY
APPLICATION)
DESCRIBE ALL HEATING EQUIPMENT(INCLUDING MAKE&MODEL NO.)
GROSS HEATING CAPACITY(INPUT—BTUH) a NET RATING(OUTPUT—BTUH) \Q
TYPE OF FUEL
❑OII.—GPM OIL TANK LOCATION :0 INSIDEO OUTSIDE CAPACITY
D 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 DATE ���a cl
REiNO E. HYYPPA a ASSOCIATES
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GLASTONSuRy. CONN.
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c f f>rICA t 3C�►V OF ZONING ��• 1990
Proposed building(s), uses) andjor structures;
,2,kZO as shown on this Plan ePPear(s) to be in South Windsor
conformance with current South Windsor BUILDING DEPARTMENT
egulatiom Varian cm and special exceptlor:
nay apply.
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TO THE VMDUK WT. TOWN OF SouTH
This oenffled that this plan and specificttlons are trne
Copies nt the proposer' building or aiterationt to +
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Street
^(s) andfor St r urbi;;) together with amendments stated In application and
f -• O hied with plan and 1 agree to comply with elf zoning.
_ L' .tom p n appear t� �. i�2 Building and state laws and such orders as shell be
� �!� urrent JCit(til �ifildy:.•'- Issued by the Building w ,e p.etapt Qurtns pendency
this • tication and flaal is ea taan of • bulldMg
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REINO E HYYPPA ♦ ASSOCIATES
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N/F WILL/AM HRAtiNSKi
PARCEL "A'. NIF JOSEPH KRAWSKI
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PARCEL "A" NIF J05EPH HRAWSKI
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