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HomeMy WebLinkAbout178 CHAPEL RD DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: Zj, (-"Z2 3 BUILDING DEPARTMENT APPROV D 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 Date Building Insyltor Application must be printed or typed FEE SCHEDULE ,, / �Location of Job: F C�$0-$1,000=$13.00 Street :t.N t No.Over$1,000= $13.00 per$1,000 or any fraction thereof gnation APPLICANT 1<.�I APPLICANT ADDRESS 136 APPLICANT PHONE# 6 6 O W N Sc OWNER T // OWNER ADDRESS cry {It OWNER PHONE C J ESTIMATED COST$ U• 00 V IS THIS A CONTRACT COST? ❑ Yes FEE ENCLOSED$ �` 'G U SOR.CO TYPE OF JOB: New Installation ❑ Alteration/Addition/Repair Revised 5101 APPLICATION FOR HVAC PERNUT (Continued from reverse side) TYPE OF SYSTEM: TYPE OF BUILDING: 4IEATING JJ IMSIDENTIAL ❑A/C ❑COMMERCIAL ❑VENTILATION ❑INDUSTRIAL HEATING ❑STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS. ,pWViiRONIC ❑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) / DOES CRIBE ALL HEATING EQUIPMENT(INCLUDJNG MAKE&M/OD L NO.) /� (J 1 %�7i1�1 f!%!� • ✓ SL %c Tr �i ta'f ��C GH �..1C l� ldr i/Gt ro,el GROSS HEATING CAPACITY(INPUT-BTUH) � "NET RATING(OUTPUT BTUH) lG� Ica 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 DATE Legend • SPOT ELEVATIONS CONTOUR LINES BUILDINGS 5 • PARCELS BROOKS, RIVERS. ETC. WATERBODIES FLOOD HAZARD ZONE LINES BASE FLOOD ELEVATION LINES FLOOD HAZARD ZONE AREAS FLD_ZONE _ 0.2 PCT ANNUAL CHANCE FLOOD HAZARD - A - AE X W Y _ Z - — �l inch - 50 feet 178 Chapel Rd MAPPING PROVIDED BY SBC UNDER CONTRACT. ° DATA MANAGED BY THE SOUTH WINDSOR ENGINEERING DEPARTMENT AND IT TECHNOLOGY DEPARTMENT. i r AL s -' t: d co QP ■ T A i .. r r�i %� a: r - i � J ♦J. k y�„ r� ate►`- r � M J 1 �s f ;a, \\ ,d d o � 515 0 —,8.12 ,00 S so / n 148(S) / o e 70r by ^ \ 459 CJ \\ 6 I t� >6 ' .0 u vv . o N UUU 444 r7 J )p er 1.0 96.66 .0 a N 4i y. '000 120 3' f' 380 y� 16,;10 0 05� goo y ss .0 ai 140 00 ,� a' 16�0 n \ 115 -90 - 0 415 R '3.69 Q A oi- ��3pr N, 260 S/ 76� 16009 0 �.0 C h R y 24544 s 41.9 600 ?4.81 282 2E 'qe 2 Legend �/ 88 'r rsr o m 0 L BUILDINGS ^�/f) h� 395 �— PARCELS y 180.93 134.6 100.fm337.82 N 17 8 Chapel R d man evic fete provided ed SBC under contract and is based m an aerial Nght perfo'mW is spring of 2005-Continuous � w E aerial flight.2016.This updnes completed with As-bush®formation and Snte of CT 1 inch = 150 feet aupu.graphical r.TeT at on of property,information and is subject to change.The To of 3owh ati Windsor end SBC assume no legal rnponabitiry for informaran 4 T 9 088 J 0 � -1"Ors� 8.12 400 S) 195( 1 148 o I I Ir X q � I �gj4 459 'op, 9 �\ % w mv_ / • o _ 2000(S) `�' ` 417 � 4" ; 3T h� J 1943g--� T 0p0 N � QO � g, � b5 3j30 "'00 20 ( 380 �. z rry 167 TO S, ,1QP 90 140 n o h p P b 113 1i0 = 2 416 ! ' � � e Legend T 1,0 TB IS BUILDINGS 178 PARCELS C"i T�%S -FLOOD HAZARD ZONE LINES FLOOD HAZARD ZONE AREAS FLD_ZONE 282 - 0.2 PCT ANNUAL CHANCE FLOOD HAZARD 26 X A 0 AE RO O X 134.E 180.93 J--_j0DA0 337 N - u a ec mc dare p onde d by SB C und cr r and rs based acrn alngnrparm ed;napnngnr2005 contimm.a178 Chapel Rd pd.,.cmp;emdwnhAs-bulr;nfoondSramofCT i o W E aerial nigh,to 2016.This map;s a graphical raprescritalm or 1 inch = 150 feet propmy in m foration and;s subject to change.The Town of South Windsor and SBC assume no legal respons;b;hry for informavon ._r F Electric # APPLICATION FOR BUIL ING PERMIT Plumbing# �'9 "�3� Date: HVAC# Sprinkler# FINAL APPROVALS Estimated Cost $ 3L l . . Building COMPLETE RED BOXED AREAS Permit Fee $ /d-G cc Occupancy Fee $ Engineering Affidavit TYPE OR PRINT ONLY Eng. Insp. Fee $ Appr.forCO. SIGN ON REVERSE SIDE A Total Fee $ /0-L6. 00 TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ The undersigned hereby applies to do work according to the following: Applicant If Location of Work 1 GrZ— Lot No. / W Applicant's Address o�_<-eiA tCLAr-� 1Zf>��£ `t�S�>, (�„�al•�,Ci, yc �-!�e Tel # A. Town Zipyn Lic.# C�Co� /.?O= Owner e�LzK Architect Owner's Address �� �� / ,�'c=`2 /�� Architect's Address 5'7f Zip Zip Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area Purpose of this permit / L I� aL i co,�,r�x,4 �Si�'Fc� �t f �..�st� Str�� 0.� L•�n..� /L,u;� '(��� s�,�-,^rLLra F S l�fLc��4c.{ �?Y+,�-;i ia�STY�7'"Sr �/.SG� ��^?3)+l3nc��cr City Water J Well J Septic System J Sewer J Ins: HO SP Cert. Area Basement Garage Approved by E -+ Date 42 4 9 Use Group ConstrWtion Tye "��R ised 1108 I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town of South Windsor and to notify the Building Inspector of any alteration in the plans or specifications of the Building for which this permit is asked,and agree that this building is to be located the proper distance from all street lines,side yard lines,and required distances from all other zones and is locate in which this building and its use is allowed. Signed I hereby apply for a Certificate of Occupancy-tvrtHe- us i is a ication for the permit. Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS 1900203 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER BUILDING PERMIT DATE: 04/22/2019 GIS ID: 18000178 FEE: 126.00 MUNIS APPLICATION# 201900731 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: BELLAMY HOME IMPROVEMENT INC. ADDRESS: 178 CHAPEL ROAD ADDRESS: 83-5 SLATER STREET OWNER: MAGALHAES JESSICA 178 CHAPEL ROAD MANCHESTER,CT 06042 DESCRIPTION OF WORK: REMOVE AND REPLACE ROOF SHINGLES SPECIAL CONDITIONS: _ ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED TH ILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUIL ING OFFICIAL 4/22/2019 3:35 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1900203 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER BUILDING PERMIT DATE: 04/22/2019 GIS ID: 18000178 FEE: 126.00 MUNIS APPLICATION# 201900731 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: BELLAMY HOME IMPROVEMENT INC. ADDRESS: 178 CHAPEL ROAD ADDRESS: 83-5 SLATER STREET OWNER: MAGALHAES JESSICA 178 CHAPEL ROAD MANCHESTER,CT 06042 DESCRIPTION OF WORK: REMOVE AND REPLACE ROOF SHINGLES SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY4THBUILDING DEPARTMENT. CONSTRUCTION TYPE: An OCCUPANCY GROUP: BU I FFICIAL 4/22/2019 3:35 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE