HomeMy WebLinkAbout194 DOGWOOD LN -1:40
-IZ7
ZOT gl/
74
7LZ
2v
Ac
el-'902:) LA A�l E
74'
7-Z
Z.5
•/Cidde AVU
Wt.* 1»N! oem 1•,w.ddv Al1•uu111P,
ul+v f it IL4. Buipllnq /011.lnlaz saow a}Pz•. qu,. u ,
1641 u.plpuoo v44 01 Pal(Ins paeozddu .1 u,:IJ si
gaup,,
11 W I.(1
t ulpllnq . to sou-5111 I¢ul{ pUe Lwil"j1dde 6141 a•
�'uapuaA 11—wUcdaU yulpFN,B a47 by Vana,
�,vyt ce sJaplu w,rs pUe 9r,Ij a4c4u puv aulplln8
u µn>z 11,, UnM Frn uun -11 ). RP I puv ue,d 441. pail,
u"17r 11r e r V'i�le s7uawquo y1l,w Ny1.lo1
1• p.la.1s
nl 0v11101.11. ao 8*11041"0 N.odwd 041 1< ..ldao
yu. wld •141 ►.4• P*UIW*o sWl
1N3W18dd30 Wa-uns
.wspuiM 41noS
f OOZ 0 � Nnr
II�9� a
DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT
TOWN OF SOUTH WIl�TDSOR PERMIT#
Applic ereby:
BUILDING DEPARTMENT
APPR 1540 SULLIVAN AVENUE Bldg.Permit#
644-2511 ext. 230
Date "L B I ing inspEctor
Application must be printed or typed
FEE SCHEDULE / Location of Job:
te
$0-$1,000=$15.00 Street No. Street Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT �� S' �U �,
APPLICANT AD RESS `
I oo�e 1� �
APPLICANT PHONE#
OWNER /I//
OWN SF
q< OWNER ADDRESS W OaW
e OWNER PHONE
C
C - ESTIMATED COST$ (W
IS THIS A CONTRACT COST? > Yes _No
FEE ENCLOSED$
TYPE OF JOB:
'SOR'CO New Installation
Alteration/Addition/Repair
Revised 4/01//2002
r
APPLICATION FOR HVAC PERMIT (Continued from reverse side)
TYPE OF SYSTEM: TYPE OF BUILDING:
Pk HEATING A RESIDENTIAL
❑A/C ❑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) °F(HEAT LOSS SHEET MUST ACCOMPANY
APPLICATION)
DESCRIBE ALL HEATING EQUIPMENT(INCLUDING MAKE&MODEL NO.)
IV it 61
GROSS HEATING CAPACITY(INPUT-BTUH)- i00O NET RATING(OUTPUT-BTUH),5 _OW
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.
3D 23(0-9-- s 1 �
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT DATE 0
MUNICPALTTY JOB ADDRESS 9(&Id ` l STARTING DATE �L
JOB DESCRIPTIONAa2c4" '
PER PLUC ACT 91-95
THIS LETTER AUTHORIZES_
TO SIGN THE PERMIT AN AGENT O^ MICHAEL : LISKA FOR THE ABOVE JOB.
ij
D.LISKA
STATE OF CONNECTICUT
DEPARKWENTOF CONSUIIIERPROTECTION
LBUTED SHEET METAL CONTRACTOR
MICHAEL D LISKA
2 COPLEY RD
S GLASTONBURY, CT 06073
TYPE: SM1
r
UC./REG NO. EFFECTIVE EXPIRES
2531 09/01/2003 08/31/2004
F
SIGNED -
F STATE OF CONNECTICUT
DEPAREWENT OF CONSUAIERI I
BEATING,PIPING& COOLING UNLUAITED CONTRACTOR
MICHAEL D LISKA
2 COPLEY RD
S GLASTONBURY, CT 06073
TYPE: S 1
LIC./REG N0. EFFECTIVE EXPIRES
303102 09/01/2003 08/31/2004
SIGNED ,
C�
q/ 606,�vOOb 44iVe_
F4E
E OF ROOM 1 2. / 3. 4 15 6 7. 8. 9. 10. Ill.
M WIDTH 6 LENGTH ZQ
NING FT. EXPOSED WALL 2
NG HEIGHT I
FACTOR I I
1. S0. FT. i DQ I S� 30 15(4
WINDOW Fco I �_o
R �a I
I I I
Z... . TIMES V
EXPOSED.WALLS 'FACTOR
COLD S0:FT.'::: _
PARTITIONS TIMES -7.
FACTOR
SO FT. � J y Uc
4. CEILING -:-,TIMES
FACTOR s:- 2.Ot5 ZOO ZDI
','�z
S�FiDOR
FACTOR
5`TOTAL BTUN .: --
m 7. REQUIRED BRANCH SIZE I I I I I I I ( ! I
-f
I 1 TOTAL HEAT LOSS_ ��/ V y9 2-5ODEL IIUyM�BER j 6 GJ~s ZQ— l- UN'_' R H El1T IN6�PAan_•�G &Z a
. . isa.a.t:!•Tt,:u�ypT..rid'«'�' i'> !'!s'�'+�'�/.".r'3C.i�c�Ft?^:Y:�{+^y�;'_'riv_+,_r_ j n •:+.'•—c...:.
l:
HEATING WORK SHEET
INSTRUCTIONS —For a room by room estimate,list rooms and enter individual data for B. Enter square feet of windows to left of diagonal line in room# 1 column.
items 1 to 5.For an overall estimate consider each story as a single large C. Multiply square feet of windows x window factor and enter the answer to right of
room. diagonal line in room#1 column.This figure is BTUH loss through windows in room
1. WINDOWS — Enter square feet of window. Figure area on basis of window opening Ni.
dimensions. D. Continue this proceedure for the walls, partitions. etc.:of each room in the house.
Z. EXPOSED WALLS—Enter square feet of outside wall(running It exposed wail x ceiling E.Add STUH figures for each room and enter total in Row 6.
height), including walls adjoining glassed-in porches or garages. Use inside F.Add across Row 6 to obtain total heat loss of house in BUTH.
dimensions. Include closets, dressing rooms, halls, etc., with adjacent rooms. EQUIPMENT SELECTION —If ductwork is located entirely within the heated space,furnace
3. COLD PARTITIONS — Enter square feet of wall adjoining unheated living space. output should be selected at least equal to the total heat foss.IrI houses having basements.
4. CEILING— Enter square feet, including closets, halls, etc. basement loss should be figured and included in house total.When ducts pass througn
5 FLOORS—For slab floors or the floor of a heated crawl space enter lin feet of exposed unheated spaces they must be insulated. In designing a residential heating system it
perimeter. For other floors use area in square feet. should be anticipated that most home owners will eventually want year-round air
conditioning. To avoid expensive modifications later the furnace and air distribution
COMPUTATION: system should be capable of handling the air quantities required for either cooling or
A. Enter proper factors from Tables 1 through 5 in the factor column. heating.
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
•+-29749-B 2,000
B10 FINAL 04/15/04 JFF A
B10 FINAL 05/24/04 CJD A CLOSEOUT
Electric # APPLICATION FOR BUILDING PERMIT
Plumbing#
HVAC# I �oy W a�� Date:
Sprinkler# �(�007572— Estimated Cost $ r'76 L9
FINAL APPROVALS Permit Fee $ 17-49
• Building _ COMPLETE RED BOXED AREAS Occupancy Fee $
Engineering TYPE OR PRINT ONLY Eng. Insp. Fee $
Affidavit Appr.forCO. ► SIGN ON REVERSE SIDE t
Total Fee $�__
TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ _
The undersigned hereby applies to do work according to the following:
Applicant )_ 166./,/ _ Location of Work / dZ46 & .4z)6 Lot No.
Applicant's Address Tel #1e6 v �1 S��
Town ti 4 Zip D U7 Lic.# V 5'� ::� a 3 )
Owner N/7d Architect
Owner's Address /9� �)�G �.p, L N- Architect's Address
G �. Zip4y>,a7 ! Zip
Sq.Ft.New Area: 1 st A. 2nd FI. 3rd FI. Total New Area
Purpose of this permit :t,-6 412 6��� Z 4,9 Apyo:C
City Water J Well J Septic System J Sewer] 2 cq
Ins: HO SP Area Basement Garage
Approved by Date to 31 - (C, Use Group Construction Type
Revised 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;cupancy
h this b41dwnnd its use is allowed.
Signed
I hereby apply for a Certificate of fork described in this application for the permit.
Signed
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
Electric # APPLICATION FOR BUILDING PERMIT
Plumbing# 194 Dogwood Lane Date: q_1 6
HVAC #
Sprinkler#
FINAL RO - ---- -2g744--- ---- Estimated Cost o?L 6?�
Building lj COMPLETE RED BOXED AREAS
Permit Fee $ 3"
Enginee n TYPE OR PRINT ONLY Occupancy Fee $—��-
Affidavit Eng. Insp. Fee $
SIGN ON REVERSE SIDE ,
Appr. for C _-- - -- _ - — Total Fee $ �G,
TO THE UI NG DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $
The undersigned hereby applies to do work according to the following:
Applicant 'Location of Work Lot No.
Applicant's Address Cl Tel.# 9b�4L —300S
Town Zip W7 Lic.#
Owner Architect
Owner's Address IC44 Architect's Address
Zip Zip
Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area
Purpose of this permit 1�\!h a K_rr e"
City Watero Well❑ Septic System❑ Sewer❑
Ins: HO_ SID Cert. Area Basement Garage
Approved by 3KLI Date Use Group V— Construction Type
Revised 6102
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 kneed the proper distance from all street lines,side yard lines,and required
distances from all other zones and is located in which this building and its use is allowed
Signed
I hereby apply for a Certificate of Occupancy for the work described in this application for the permit.
Signed
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
INSPECTION FIELD SHEET 04/04/23
Printed by Middleton, Morgan 13 54 17
INSPECTION: 90728 FINAL PERMIT:
STATUS
APPLICATION: 201601590
LOC: 194 DOGWOOD LANE
SOUTH WINDSOR
PROPERTY ID: 28500194
OWNER: COHEN ANITA
CONTRACTOR:
REQUEST BY:
PROJ DESC: TEAR OFF 2 LAYERS AND APPLY ICE AND WATER SHIELD, RIDGE VENT
WORK ORDER:
INSPECTOR: WS-B RESULT: PASS
REQUESTED: PRIORITY:
SCHEDULED: COMPLETED: 04/04/23
UNPAID FEES 00 Date Time
MILEAGE: 00 TIME: TRAVEL ONSITE
COMMENTS
INSPECTED BY ADAM CHROSTOWSKI - INSPECTED TO CLOSE OUT OLD PERMIT
1600752 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER BUILDING PERMIT
DATE: 11/02/2016
GIS ID:28500194 FEE: 120.00
MUNIS APPLICATION# 201601590 BUILDING DESCRIPTION:
APPLICANT_ LOCATION
NAME: JULIEN QUIRION ADDRESS: 194 DOGWOOD LANE
ADDRESS: 453 FOSTER STREET , OWNER: COHEN ANITA
SOUTH WINDSOR,CT 06074 194 DOGWOOD LANE
SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: TEAR OFF 2 LAYERS AND APPLY ICE AND WATER SHIELD,RIDGE VENT
SYNTHETIC PAPER.ROOF WITH LIFETIME SHINGLES, DRIP AND RAKE.
SPECIAL CONDITIONS:
ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT.
CONSTRUCTION TYPE:
OCCUPANCY GROUP: BUILDING OFFICIAL
l]/2/2016 3:59 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE