HomeMy WebLinkAbout1A-5H AMATO DR APPLICATION FOR HVAC PERMIT
DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT#
Application is hereby: BUILDING DEPARTMENT
76a
APP OVA _ 1540 SULLIVAN AVENUE 1
1 _ 644-2511 ext. 230 Bldg.Permit#
Date Building Inspector
Application must be printed or typed
FEE SCHEDULE Location of Job:
$041 000=$15.00
of V 14C, C CIy4/fpvS e
Over$1 000=
Street No. Street Lot No.
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT / Y1c - t,wt 0-C
APPLICANT ADDRESS / )Z C S A ry ,�wL
APPLICANT'S PHONE#
OWNER .� LGin�0 �SS G� %� ld�s d ��1 GSA-,SA r+
OWN S Fq< OWNER ADDRESS 3(1,8 00.Ir—e
OWNER PHONE
CESTIMATED COST$ y� 7`1 57
IS THIS A CONTRACT COST? Yes kNo
FEE ENCLOSED$ 7 S-', C U
TYPE OF JOB: - �—�Z.j
OR-C0 �New Installation
Alteration/Addition/Repair
olD ��f
Revised 03/05/10 .
APPLICATION FOR HVAC PERMIT(Continued from'i+everse side)
TYPE OF SYSTEM: TYPE OF BUILDING:
❑ ❑ R�FSIDENTIAI,
A/C Q<OMMERCIAL
❑ 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 BEATING EQUIPMENT(INCLUDING MAKE&MODEL NO.)
GROSS HEATING CAPACITY UNPUT-BTUH)- NET RATING(OUTPUT-BTUH)
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) I�/G f'U
VENTILATION
DESCRIBE ALL-AIR HANDLING EqUIPMENT(INCLUDING KITCHEN EXHAUST EQUIPMENT)
liz L
eon
TOTAL SIZE OF SYSTEM(CFM) 390 FRESH AIR INTAKE(CFM)
(PLANS MUST ACCOMPANY APPLICATION)
FU.RpiER PESCREPTION OF WORK
Lin l��h Se,
s �/ N v- ✓� O C1 ,- rs'r
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. STATE
SIGNATURE OF APPLIC DATE i� f
8LDP- 1y-yz3
Electric # APPLICATION FOR BUILDING PERMIT
Plumbing# Icy
HVAC# Y 8 Date: 6 1 1
Sprinkler# p
FINAL APPROVALS Estimated Cost $ sa,a l`�
Permit Fee $
Building COMPLETE RED BOXED AREAS Occupancy Fee $
Engineering TYPE OR PRINT ONLY Eng. Insp. Fee $
Affidavit ► SIGN ON REVERSE SIDE A
Appr.forCO. Total Fee $ 10
TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $
The undersigned hereby applies to do work according to the following: 1c,
Applicant ts'Z ' o► Locationof Work W-ve, LotNo. l•
Applicant's Address a•d - L�04 Vn-Vs A- L Tel #
Town D-A cl\o ve-r t Cr( Zip 06 t S _Lic.# 5_6 h `7701
OwnerWWk,401L- &�h&rn',rlioth ass(). Architect MIA
Owner's Add/res m 4y 0 r, al Architect's Address N�li
Gl Zip 06 C��� --Zip-
Sq. Ft.New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area.
Purpose of this permit O%n ; i,n - D own-S L70I--
a wry
City Water❑ Well ] Septic System ] Sewer -1
Ins: HO SP Area Basement Garage
Approved by `� Date 1 Use Group Construction Type
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 located in which this/building and its use is allowed.
-2!
Signed ` 2 1�`
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 03/07/23
Printed by Middleton, Morgan 15 29 49
a
INSPECTION: 118064 FINAL PERMIT:
STATUS
APPLICATION: 201901136
LOC: AMATO DRIVE
SOUTH WINDSOR
PROPERTY ID: 02700000
OWNER: FIRST WESTAGE ASSOC
CONTRACTOR:
REQUEST BY:
PROJ DESC: STIP & REROOF GUTTERS & DOWNSPOUTS PLYWOOD SEAM
WORK ORDER:
INSPECTOR: WS-B RESULT: PASS
REQUESTED: PRIORITY:
SCHEDULED: COMPLETED: 03/07/23
UNPAID FEES 00 Date Time
MILEAGE: 00 TIME: TRAVEL ONSITE
COMMENTS:
INSPECTED BY ADAM CHROSTOWSKI