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
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BROOKS, RIVERS. ETC.
WATERBODIES
FLOOD HAZARD ZONE LINES
BASE FLOOD ELEVATION LINES
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FLD_ZONE
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178 Chapel Rd MAPPING PROVIDED BY SBC UNDER CONTRACT.
° DATA MANAGED BY THE SOUTH WINDSOR
ENGINEERING DEPARTMENT AND IT TECHNOLOGY
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Legend
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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
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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