HomeMy WebLinkAbout20 SIMCKA DR APPLICATION FOR HVAC 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.PERMIT NUMBER.
In'g ) r
DATE INSPECTOR
LOCATION OF WORK: (;�Q
APPLICANT: OWNER: TYPE OF STRUCTURE:
�I / ❑NEW BUILDING
NAME:/T11�et/l p,f �`G..1 S NAME: Ile / ❑ADDITION
PHONE NUMBER: ��8� O'1 G/6/ PHONE NUMBER:Jrb I/ / rfO yi i�STING BUILDING
ADDRES/S:/36 iZ�'s S �1��'L, ADDRESS 2 S d"G�i D/t.
7/r�G!/l TYPE OF USE:
SIDENTIAL ❑COMMERCIAL
��HVAC INFORMATION: FURTHER DESCRIPTION OF WORK:
TYPE OF SYSTEM: ffHEATING ❑A/C �yH�, / /�/�G�t 9 A I '-pf-/h ot e"
HEATING:
TOTAL HEAT LOSS(BTUH)a�G OT (HEAT LOSS SHEET REQUIRED) ef
DESCRIBE ALL HEATING EQUIPMENT(INCLUDE MAKE AND MOD NO.):
470 J C4 Cam,,.-,1; So- �. Q /'
,4-&l R 4/� -3 ESTIMATED COST:S qel •y()
AIR CONDITIONING:
DESIGN TEMP:OUTSIDE °F INSIDE T DIFFERENCE F° FEE ENCLOSED:S
TOTAL HEAT GAIN(BTUH) (HEAT GAIN SHEET REQUIRED)
DESCRIBE ALL COOLING EQUPMENT(INCLUDE MAKE AND MODEL NO.):
FEE SCHEDULE:SIS PER$1,000 OF THE ESTIMATED COST.
ROUND UP TO THE NEXT THOUSAND ONCE THE PROJECT IS
$1.00 OVER (.26 CENT EDUCATIONAL FEE INCLUDED AS 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.: 3Q 32 E: ( STATE: G 7`
SIGNATURE OF APPLICANT• DATE: 3 O�
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IVE
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y fP TO BE SUBSTANTIALLY CORRECT LAND SURVEYOR
96 RIDGEWOOD ROAD
GLASTONBURY, CONN. 06033
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1900674 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER HVAC PERMIT
DATE: 11/01/2019
GIS ID: 82800020 FEE: 162.00
MUNIS APPLICATION# 201902478 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: ANDREWS OIL&GAS SERVICES INC ADDRESS: 20 SIMCKA DRIVE
ADDRESS: 136 RYE STREET OWNER: VELEZ ANTONIO G& ELIZABETH E
20 SIMCKA DRIVE
SOUTH WINDSOR;CT.06074
DESCRIPTION OF WORK: RUNNING HOUSE GAS MAIN AND INSTALL HIGH EFF. BOILER
j
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
1 I/I/2019 3:59 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE