HomeMy WebLinkAbout188 WHEELER RD AKA 188 SMITH APPLICATION FOR ELECTRICAL PERMIT
TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT
1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074(PHONE) 860-644-2511 EXT.230
DEPARTMENT DECISION PERMIT NUMBER:-
APPLICATION IS HEREBY:
APPROVED: BLDG. NUMBFA
_} t
DATE INSPECTOR
LOCATION OF WORK:
APPLICANT: OWNER: TYPE OF STRUCTURE:
❑NEW BUELDING
NAME: S �,,,;oJ;v S,.\,00 ❑ADDITION
PHONE NUMBER Lk$I- Z 145-"1 PHONE NUMBER: ��n]NG B=ING
ADDRESS:( Sl�c ro (S cu R ADDRESS: ,`6Cf 1,,4nt t�v O Z
l TYPE OF USE:
�WMENTIAL ❑COMMERCIAL
ELECTRICAL INFORMATION: FURTHER DESCRIPTION OF WORK:
TYPE OF INSTALLATION: I C,�- tom , I z Pam, ( � �i 1 L Li -
SIZE OF SERVICE: ZW A SO\tea 5 Tb
SIZE OF MAIN SERVICE:
NUMBER OF METERS:
NUMBER OF PANELS:
NUMBER OF LIGHT CIRCUITS: ESTIMATED COST:S oD
NUMBER OF SWITCHES:
NUMBER OF LIGHT FD{TURES: FEE ENCLOSED:S O
NUMBER OF A/C CIRCUITS: `
FEE SCHEDULE:SIB PER S1,000 OF THE ESTIMATED COST.
NUMBER OF POWER CIRCUITS: ROUND UP TO THE NEXT THOUSAND ONCE THE PROJECT
IS SI.00 OVER (26 CENT EDUCATIONAL FEE I1VaUDED AS
NUMBER OF OUTLETS: PART OF THE PERMIT FEE)
THE UNDERSIGNED HEARBY 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 PERFOMANCE OF SUCH WORK.
CONTRACTORS LICENSE NO.: C0 3, 3s "�= TYPE: ` t STATE: C\
SIGNATURE OF APPLICANT: I . DATE: 7" �S
Wrang Associate Engineers
Structural Consultants
9 Penfield Hill Road
Portland, Ct. 06480
June 25,2018
Aegis Solar Energy.
81 School Ground Rd.
Suite 1
Branford,CT.06405
Attn:Mr.Elliott Hitchcock
Mamata Agarwal
188 Wheeler Rd.
South Windsor,CT 06074.
Dear Mr.Hitchcock,
I have reviewed the information given to me regarding the above referenced project and have the
following comments:
The structure has roof rafters and interior partitions.
The assessment is based solely on the following information provided by your office:
Building type: Residence
Roofing material: On layer Asphalt Shingles
Roof framing: 2"x 6"Rafters @ 16"O.C.
Roof span: 9'and 6' Horizontal span
Collar Ties Yes
Type of solar panel: LG
Size of solar panel: 3'-3"X 5'-4 1/2"nominal
Weight of solar panel: 45 pounds 2.58 P.S.F
Max#rows of solar panels 3 short dimension parallel to ridge)
#of rows or rails 4
Maximum rail support spacing: 32
Based on a weight of 45 pounds per solar panel,the maximum weight distributed to a single roof
rafters would be 60P/LF based on 32"staggered rail support spacing and 2'x 6"Rafters @ 16"
O.C. This includes snow load on the panels of 30 P.S.F.per the Connecticut Residential Code
and roof dead load of 10 P.S.F without the solar panels.
The maximum uplift at a single rail support is 478 Lbs.based on 115 mph wind speed.A 3/8"lag
bolt with a minimum of 2"thread into the rafter is required.
Dotted line indicates exterior 120/240V
equipment location Service
------------------------------------
200A MDP
#10 PV wire
Solar 60A External
Production Lockable Utility
Meter Disconnect
13 LG3 60
W/Solar edge Optimizers O �/
40A
14 LG360 O Located next to
W/Solar edge Optimizers Utility Meter
#8 THHN
Solar Panel Rating Inverter Rating:
Manufacturer:LG i Manufacturer:SolarEdge External AC Disconnect:
Model#: LG360Q1C-A5 j Model SE7600A-US Manufacturer:Square D_
Volts:36.7V Max DC Volt Rating: 500Vdc Model#: DU222R6
A s:9.9A Max Power.7.6KW----- .._.
_ Volt Rating: 240
mpV
Isc: 10.61A Nominal AC Voltage:240V I Current Rating: 60A
Voc:43.6V Max AC Current:32A
Project: Mamata Agarwal One Line Diagram E-1
AE C S 81 School Ground Road Biswajit Sahoo Revision: 1
Branford,CT 06405 °
SOLAR ENERGY (203)481-2187 office 188 Wheeler Road Date: 3/23/2018 6
s South Windsor,CT 06074 Scale: not to scale
INV
AC P
J_
M
1
O
Z
M - Utilty Meter
AC -AC Disconnect
INV - Inverter
DC - DC Disconnect
P - Main Service Panel
Project: Site Plan
A'E G I S 81 School Ground Road Mamata Agarwal Revision: 1
Branford, CT 06405 Biswajit Sahoo
SOLAR ENERGY (203)481-2187 office 188 Wheeler Road Date: 3/23/2018
South Windsor, CT 06074 Scale: not to scale
energize em
Permit*[For Jurisdiction Use]: CONNECTICUT V4kVT`
CTStandardized Solar PV Permit Application Supplement PAGE 1 OF 3
Please fill in the following information and submit ALL applicable attachments.
Date: 7/17/2018
General Description of Solar PV Array:27 solar PV modules mounted on the roof of house
System Size(kW DC): 9.72
Solar PV Mounting Information
Mounting Type(roof,pole,ground,other-specify): roof
Mounting System Manufacturer: Iron Ridge(spec sheet attached)
Product Name and Model#:XR-100
Building Information(For Roof-Mounted Systems Only)
Building Type(e.g.house,shed,barn,slab): house
Building Height(in feet):25' +/-
Is the building permitted? O Yes ❑No O NA
If no,reason:
Electrical Description
Size(amps)and type(phase,voltage)of electrical service: 200A Single Phase 240V
Amperage of main breaker:200 Will the value of main breaker change? ❑Yes X No To:
Rated amperage of the bus bar in the main panel:200A
Type of interconnection(e.g.breaker-load side,supply-side interconnect):breaker in panel
Electrical panel location: basement
If load side interconnect,will solar intertie into a subpanel? ❑Yes 9 No
If yes,rated amperage of the subpanel bus bar? Value of breaker protecting subpanel bus bar?
Attachments for application(See instructions on the next page.Example Attachments are available for download
at w_sv_w.ener(,,.izeet,com/s4nrisenc)
❑ 1.Additional Subcontractors and Information
0 2.One-Line Electrical Drawing
❑+ 3.One-Line Site Plan Drawing
4.Attachment Details(Line Drawing)*
5.Solar PV Module Specification Sheets From Manufacturer
❑� 6.Inverter Specification Sheets From Manufacturer
❑ 7.Pole or Ground Mount Information(if applicable)*
❑ 8.Structural Evaluation(if required by municipality). See page 3 for documentation requirements.
❑ 9.Additional Information for Large Solar PV Systems(as Specified by the Municipality)
*NOTE:Applicants should submit either Attachment 4 for roof-mounted systems_R Attachment 7 for pole/ground-
mounted systems,not both.
Version 8.1.2014
SLW LLC HIC#0628150 Stuart Willson Cell#8606176855
-Gienda Kehaylas, 229 Farnham Road, South Windsor, CT 06074
Scope of work strip roof and re-install to code:
Remove existing roofing material, roof paper,vents,jacks and flashing,gutters if needed. Dispose of
debris. Sweep area clean of all nails/staples.
Asphalt composition shingle. 2.2 Ibs per SF. UL Class A fire resistance and 110 mph wind resistance. 30
Year labor and materials warranty.Quantity includes typical waste overage, material for repair and local
delivery.
Labor to install asphalt shingle roof with favorable site conditions. Install drip edge/eave trim, and valley
flashing. Due to pitch of roof Install ice and water membrane. Layout,fabricate,overlap and secure
architectural asphalt shingles per manufacturer instructions. Includes planning, equipment and material
acquisition, area preparation and protection, setup and cleanup.
Cost of related materials and supplies typically required to install asphalt shingle roof including:
fasteners, ice and water under layment on complete roof, drip edges and chimney flashing.
Job related costs of specialty equipment used for job quality and efficiency, including: Roof jacks,
pneumatic roofing nailer,shingle cutting tools.
Costs to load and haul away old materials, installation waste and associated debris:
Inspection points to be discussed with building official:
gpor+�+bclbrl
*amat_
rr�1d nds 1*16 1.141 12 above
roof 142W &0 edge fom edge of S10 09 o1bUr
OUNK
board
�'htdip
swap
ItaRu wP n"to
to 1%M 3V up r*A be min.12'O.0
atarbr Nnp•12'kwh wW*ragerookp of
n+rtd shinpMs with Lba opt age and wl4*Wknp
drip edge r b000m Wwwn here)
SLW LLC HIC 062815 Stuart Willson Cell#8606176855
Permit for Glenda Kehaylas, 229 Farnham Road, South Windsor, CT 06074
Scope of-work will be to construct 20 feet wide deck by 12 foot depth from house:
Call for CBYD before digging holes
Drill 5 x 12"holes to 42"deep at lift from property and insert soni tubes(Request inspection)
Fill holes with 4"of stone and remainder of tube with Concrete 5000 early strength at above 42 degrees
Posts will be secured to foundation concrete using posts ties and constructed with 6x6 PT lumber
(Reaches 2500 psi in 3 days and 5000 psi in 28 days and Exceeds specifications of C387 for high strength concrete mixes)
Build 2"x 12"PT double beam nailed at every 16"for each row of concrete posts,attach 2"x 12" PT lumber to structure using''/:"x
6"lag bolts.Build floor structure using 2"X 10"every 16"on center using PT lumber and using metal joist hangers and ties to attach
to beams(Request inspection)Use 10d nails to secure hangers to wall plate.
Build stairs with 8"riser and 10"treads.Grabbable handrail will be secured to one side and regular rail to other side.
Composite 6"decking will be used for flooring screwing every other joist to allow for expansion and contraction.Framing will be
completed to allow for picture framing
Build and secure 40"high guard rail with spacing no more than 4"between spindles attach handrails on all sides,and attach
handrails to the stairs using stringer ties
guard decking
ledger board
blocking fasteners existing house
floor construction
0
0
guard post ledger board
attachment attachment to
0 existing house
e
rim joist joists
a
0
beam
post-to-beam connection
(flush,tight bearing)
footing joist-to-beam post
connection
R� C
EIVFp
MAR 2 7 2018
Buifdint�e nds
or
artment
This tertifICA/hat this plan and speeifIcAti<'r.s
co'I s of the Drnposed building or atteratlo—
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I find that the 2"x 6"Rafters for the house are able to handle the additional load of the solar
panels.
• Should you have any questions cernmg this matter please contact me at(860)301-4390.
1Rn1M�,
Very fY yfA-J
tsla+.
i 1
ELECTRICAL UNLIMITED CONTRACTOR
CHRISTOPHER D LENDA
81 SCHOOL GROUND RD
Aegis Solar Energy
BRANFORD,CT 06405-2943
--110 !R N TIV 1 E
ELC.0123735-E1 10/01/2017 09/30/2018
SIGNED- -� '-- - --- - - ----- —-—
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LG
Life's Good
NOON
1100
No ■■
NoN
LG NeON" R ••
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features enhanced warranty,durability,performance under
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Enhanced Warranty del
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LG NeON+ R .. ,.
. Mechanical Properties Electrical Properties(STC*)
Cells 6 x 10 _ Module_ 365 _360 _ 355 350
CeU Vendor :G _ Maximum Power(Pmax) 365 360351, 35_0_
Cell�pe _--_____ -__-_ - -- MonocrYstalline/N-type MPP Voltage(Vmpp) ---- 367 365 353 361
Cell Dimensions _ _ 161 7 x 161 7 mm J 6{nches _ MPP Current(I_mpp) __ 9_95_ 987 _ 979 _9_70_
Dimensions(L x W x H) 1700 x 1016 x 40 rr,.m Open Circuit Voltage Voc 4 2 8 427 427 427
66 93 x 40 0 x 157 inch Short Circuit Current(Isc) 10-8 10.79 1078 1077
Front Load 6000Pa ---- — - - - -- -- --
_ - ModuleEfficie-ncy 211 208 206 203
Rear Load 5400Pa ---rat.-- e p -
__ __ Operating Temperature
Weight 18 5 kg Maximum System Voltage-- — 1000 -- ---~
Connector Type ,—_ MC4 _ __- Maximum Series Fuse Rating _— 20
Junction Box _ IP68 with 3 Bypass CioJes Power Tolerance(%) 0-t3
Length of Cables- - 1000 mm x 2 ea_ -_ _- •STC Is+andard Test C-6-t,-)Irmd,ance I lY 0 W—,A,L,—t Tem;r:a ure 25 AM Is
Glass High Transmission Tempered Glass •T,en—,1<rep•,ervup.,t—a-ed-ddet—at,.lGE*ct--satA5,t,P-d -et ten
•Ttetypeai.ha:wemmoder.'e ehk:er,r�at:C9 V:-m'mrc4ran to'CC1wlm+is-2C:
Frame Annd.zeC A!ummium
Electrical Properties(NOCT*)
Certifications and Warranty
Module 365 360 355 350
Certifications IEC 61215,IEC 61 730-1/-2 Maximum Power(Pmax) 275 271 267 263
UL 1703 - - MPP Voltage(Vmpp) 366 36 4 36 2—_36 0
IEC 61701(Salt mist corrosion test) _ MPP Current(Impp) 7 51 _7 45 7.39 7 32 _
IEC 62716(Amnioma corrosion test) Open Circuit Voltage(Voc) 402 402 402 401
ISO 9001 Short Circuit Current(Isc) 870 869 868 867
Module Fire Performance(USA) Type l4M„na:cran,xce{7e-,.anr.isr,a� .s��v �r.,m�ntt:n� �u:eC.wnd uealm;:
Fire Resistance Class(CANADA) Class C(ULC/OR0 C1703)
Product Warranty 25 years _
Output Warranty of Pmax Linear warranty`•
Dimensions(mm/in)
••11°,,[5 yHn 94'.,i;A/;er 5T rear C 7;annuli dsgradauon.3).'S rea:,E7(t
Temperature CharacteristicsIF
NOR 44 t 3'C
Pmpp -0 30 461'C
Voc -0 24°lai'C _
15c 0 04%/"C
Characteristic Curves
ROM \\
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200w
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�� North America Solar Buslress Tears Rrodtl=t Sperm f`ratiIXts Ne siblect to tha�ge widwur notice i a
LG UeLtrorKs USA Inc DS-T1 72=N-G-P-EN-60630
L fe's Good 1000 Sylvan Avo,Englewood Ckffs,NI 07632 ti.e
Copyright 0 2017 LG Dectrontcs All nghts reserved kuuaton for a Better Life
CC:LaCL t9snJar�4-e coil[ 01/01/2017
www Igsulw usacom Q
solar - s • z .
SolarEdge Single Phase Inverters
For North America
SE3O00A-US / SE38OOA-US / SE5O0OA-US / SE6O0OA-US /
SE760OA-US / SE10000A-US / SE1140OA-US
�werter
c 12-25
31100-10
m
`�WaRan�l m
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The best choice for SolarEdge enabled systems L �
Integrated arc fault protection for NEC 2011 690.11 compliance
Rapid shutdown for NEC 2014 690.12
Superior efficiency(98%)
Small,lightweight and easy to install on provided bracket
Built-in module-level monitoring
Internet connection through Ethernet or Wireless
Outdoor and indoor installation
Fixed voltage inverter,DC/AC conversion only
Pre-assembled Safety Switch for faster installation
Optional—revenue grade data,ANSI C12.20
USA-GERMANY-ITALY-FRANCE•JAPAN-CHINA-AUSTRALIA-THE NETHERLANDS-UK•ISRA€L www.solaredge.us
so I a r=@@ Single Phase Inverters for North America
SE3000A-US/SE360OA-US/SE5000A-US/SE6000A-US/
SE760OA-US/SE1000OA-US;SE11400A-US
S LSE3000A-USSE3800A US SESOOOA-US E6000A-US' SE7600A US SE10000A US I SE11400A US
OUI - �- - �------9980 @ 208V-r --- ----
Nominal AC Power Output 3000 ' 3800 5000 6" 7600 10000.�?240V i 114M VA
_.................... ... .._.......- ....... _......... _.
5400 @ 208V 10800 @ 209V j
Max.AC Power Output 3300 4150 6000 8350 12000 VA
P 1095
AC Output Voltage Min-Nom:Max!ti
183.208-229 Vac
_. .._...,..._ _ ....! ........ ........
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AC Output Voltage Min:Nom:Max.'11
211-240-264 Vac
..!..........
AC frequency Min:Nom:Max!' ! 59.3-60-60.5 Hz
'......... ..... 24 @ 208V 48 @ 208V
Max.Continuous Output Current 12.5 16 i 25 32 47.5 A
!...............: .21,�?240V- !.. -.. _...... . .... ..... ..4Z@240V. .!.......
GFDI Threshold 1 A
Utility Monitoring,Islanding Protection,Country Configurable Thresholds Yes Yes
INPUT
Maximum DC Power(STC) r 4050 1 5100 ! 6750 1 8100 10250 13500 15350 W
Transformer less,Ungrounded i Yes
Max Input Voltage 500 i. Vdc
. . .. ...... .. ... .
Nom DC Input Voltage I325 @ 208V/350 @ 240V Vdc
16.5 @ 208V 33 @ 208V
Max.Input CurrenN'I ; 9.5 13 18 23 34.5 Adc
Max.I.nput Short Circuit Current 45 Adc
Reverse-Polarity Protection j Yes
...... .................. _.. .................... .
Ground-Fault Isolation Detection 6OOku Sensitivity
........,
Mawmum inverter Efficiency 97.7 98.2 98.3 98 3 98 98 %
ximu n in erter Efficiency
98 ;
Nighttime Power CEC Weighted ficiency Co sumption 97.5 ! 98 ! 98 5 I 97.5 97.5 97 S @ 240V<i 97.5 %
ADDITIONAL FEATURES
.__...-.. .,_ .. --
Supported Communication Interfaces 1 R5485 RS232,Ethernet,ZigBee(optional)
i
Revenue Grade Data,ANSI C12.20 Optional"'
......... ... ....... ... .. I.
Rapid Shutdown-NEC 2014 690.12 i... _ .__-._..... ..........__-._..........__-.-----.... .._Ves _...._ __._.._._ _.._ _. .. --- _._ ... . ..
STANDARD COMPLIANCE
Safety ! UL1741,UL1741 SA,UL16998,UL1998,CSA 22.2
..............I.. ....... ............... ,........., .......... ..........._............... ............... ........._........... .. ... . .. .,. .. _
Grid Connection Standards IEEE1547
_.._. ....... .... .......I..-.., ... ... ....-.......-............... ..-.. ... P.... ... . .. ..
Emissions ! FCC art15 class B
----------.-..._._....___...___._-.-...._.-_.........._.............._.._...___...._........_...._....._...____.._.._.._.-._._._.__...---T.___._......__._
INSTALLATION SPECIFICATIONS
AC output conduit size/AWG range 3/4"minimum/16-6 AWG 3/4"minimum/8-3 AWG
..... ... . _.
DC input conduit size/p of strings/ 3/4"minimum/1-3 strings/
3/4 minimum/1-2 strings/16-6 AWG
AWG range !.. ....... .. 14-6 AWG
i
Dimensions with Safety Switch 30.5 x 12.5 x 7.2/775 x 315 x 184 30.5 x 12.5 x 10.5/ in/
77S x 31S x 260 ; .mm,
Weight with Safety Switch 51.2/23.2 j 54.7/24.7 88.4/40.1 lb/kg
...
j Natural
convection
Cooling Natural Convection and internal Fans(user replaceable)
fan(user
....... ....... j.. ... ... ..... ...... replaceable)
Noise I <25 <SO dBA
Min:Max.Operating Temperature -13 to+140/-25 to+60(-40 to+60 version available`) 'F/'C
Protection Rating I. NEMA 3R
I"For other regional settings please contact Solarfdge support
pt A higher Nrrent source may be used;the inverter will limit its Input current to the whies stated.
pr Rawnue grade hrwrter PM:SEx A-USOOONNR2(for 7600W Inwrter:1E 7600A.US0071,11,1R21.
N'-40 version PIN:SEnrnA-USOOONN W(tor 760OW imrerter:1E7600A.US002NNIH).
SlN15PEC RoHS
s OPTIMIZED BY SCUREDGE
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CONN., SCALE 1"=100' , NOV. $ ;� I -+ CODE OF CONN. TECHNICAL COUNCIL: INC. SMITH STREET SOUTH WINDSOR
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CERTIFIED SUBSTANTIALLY •f�.,G='F�sw a;°a ��G��Kti
CORRECT. suRve�°
WILLIAM J. CARRINGTON , L.S.
DEPARTMENT DECISION CATION FOR ELECTRICAL PERMIT
PERMIT#
A:?77
TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT 9 TO 1540 SULLIVAN AVENUE AU I D
2��8 Bldg. Permit#
PVG �\�dsotM�N� 644-2511 ext. 230
Souu� v,,.,,,��r
Date Bu' 'ng Inspector O;NGDEP�� BUILDING DEPARTMENT
6V
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$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT V JALT7—YL
APPLICANT ADDRESS )7 Ij ink H EMI,nL- kAf)
APPLICANT PHONE# � T 4-51 2y e28� --) q e _
O* N S F,q OWNER W A(--F`VL—
OWNER ADDRESS 1$B ljJ H tla-r0l— t2_0^0
tu 0:f- I
E,r OWNER PHONE
ESTIMATED COST$
•� IS THIS A CONTRACT COST? 0"C—Yes _No
FEE ENCLOSED$ I)5
TYPE OF JOB:
OSOR-CON _New Installation
Alteration/Addition/Repair 1�2 74
Revisod 4/01//2002
APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
BUILDING PERMIT APPLICATION? ❑ YES ❑ NO
❑ RESIDENTIAL
❑BUSINESS CURRENT USE AND OCCUPANCY
❑ASSEMBLY
❑MERCANTILE FUTURE USE AND OCCUPANCY
❑ EDUCATIONAL
❑ INSTITUTIONAL
❑FACTORY ENGINEER'S NAME PHONE
❑ STORAGE
❑GARAGE ADDRESS
❑MIXED USE
CITY STATE ZIP
(Other please specify)
TYPE OF INSTALLATION/WIRING METHOD
SIZE OF SERVICE SIZE OF MAIN CONDUCTORS
NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS
NUMBER OF PANELS REMOTE DISCONNECT REQUIRED? ❑YES ❑NO
NUMBER OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS
NUMBER OF SWITCHES NUMBER OF OUTLETS
NUMBER OF LIGHT FIXTURES NUMBER OF HEAT CIRCUITS
NUMBER OF A/C CIRCUITS
SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED.
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.
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CONTRACTORS LICENSE NO STATE
SIGNATURE OF APPLICANT DATE g 1 �L•'�
DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT
TOWN OF SOUTH WINDSOR PERMIT#
Application is hereby: Qrv,.►-�_
BUILDING DEPARTMENT �1
APPROVE 1540 SULLIVAN AVENUE
Bldg.Permit#
644-2511 ext. 230
Date Building Inspector
Application must be printed or typed
FEE SCHEDULE F;i
Location of Job:
$0-$1,000=$15.00 Street Lot No.Over$1,000$15.00 per$1,000
or any fraction thereof gnation Apt.No.
APPLICANT /I'id►r � 'Y�c,n i c� ( ��n'S ��"
APPLICANT ADDRESS .QO CfbSS� Ctee.c L a•�_
6Tm,,,bn C. I 0("O w-S
APPLICANT PHONE# 1;4,0— o -U 3 3 y
SOWN SF,4 OWNER n tC.
OWNER ADDRESS F r 4�
o E� OWNER PHONE
O ;D ESTIMATED COST$ 2000,
N
IS THIS A CONTRACT COST? _Yea _No
FEE ENCLOSED$ N
f�O TYPE OF JOB: 1
SOR•CO New Installation
ZAlteration/Addition/Repair
APPLICATION FOR HVAC PERMIT (Continued from reverse side)
TYPF,OF SYSTEM: Cx,S TYPE Of BUILDING:
HEATING P R SIDENTIAL
Cl A/C (,�„ f(Pctr ❑COMMERCIAL
U VENTILATION ❑INDUSTRIAL
HEATING
O STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS.
0 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) ,FO,Od O NET RATING(OUTPUT—BTUH) 7t CEO
TYPE OF FUEL
❑OH.—GPM OIL TANK LOCATION :0 INSIDEO 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.
39 goy � -S-1 GT
CONTRACTORS LICENSE NO. TEE STATE
SIGNATURE OF APPLICANT �� DATE 0 7
110
REMOVE
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•fi�j / w� AVON rE1 L 2?4"10
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TO K A �ED C/
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TIE ALL ROOF LEADERS INTO FOOTING
MAIN T711TI FT I INFO FOP Al I RrV"W
APR 3 0 ;t�2
South Windsor
BUILDING DEPARTMENT
J,c6,b Lh Pe,,, D P 1 Ste, -
CEZ_% i i;,',_A(iUN OF ZCNiNG COMPLIANCE
Proposed building(s), uses) andjor sirueturefs)
3S;i 6' as shown on this plan ar:poar,N to be :n
conformance with curr,�n
GJ�\, regulations. Vari;;nces a,; s
may apply.
Date y�3o
Zo;iin; Er,fcrcc;,, ;1t Officer
fo Tie d )EPT. To"M Of SQUTff wmosof.
T!!15::^r[, .; r:,•t tf!s Vl"n and speCificatings are Nun cop;.s the Proposed building or alterabuns to bo
erect,el at
ioc.the%r wEth amc•ndrnrr,ts atatcd in ep,i;cation and
i.: i 's ;:.-.. „i,c+• c as shall be
li ailo i"H Pendency
f a building
This lap •� ..d sue'
' t-, the condition that
v r.l,rs alld Ordinance9 r,'u;,tin e d building shall be
c_.u{i1,eG wrth-
�c',ntJanaily Approved These filed wltll
Builping Inspector
CIerU
Date
—— NO