HomeMy WebLinkAbout20 SUMMIT DR s
DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT
T PERMIT#
OWN OF SOUTH WINDSOR
Application' I �3-7
BUILDING DEPARTMENT
APPROVED 1540 SULLIVAN AVENUE Bldg.Permit#
J 644-2511 ext. 230 `
bafe ui mg n —T
Application must be printed or typed
Location of Job:
FEE SCHEDULE op�
$0-$1,000=$13.00 Street No. Street Lot No.
Over$1,000=
$13.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT � 8QX
APPLICANT ADDRESS /l `f
IC-7- (060j�5
APPLICANT PHONE# Cn, co - �al'�h
OW N Se OWNER _ Grat)cl c CSC-')
OWNER ADDRESS
+ OWNER PHONE
C r ESTIMATED COST$
U
IS THIS A CONTRACT COST? ■Yes O No
�Gr
FEE ENCLOSED$ �
SOR"CO�� TYPE OF JOB:
0 New Installation
0 Alteration/Addition/Repair Revised 8/99
APPLICATION FOR IIVAC PERMIT (Continued from reverse side
TYPE OF SYSTEM: TYPE OF BUILDING:
!$HEATING W 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.)
GROSS HEATING CAPACITY(INPUT-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)
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.
S r?, C}-.
CONTRACTORS LICE STATE
SIGNATURE OF APPLICAN DATE
HEATING,PIPING&Cp01✓]�.iG LDWED CONTRACTOR
If
J-iPMAS L BOUCHER
309 bLD;SPRINGfId RD
STAFFWW'SPRINGSI CT 06076
TYPE::S3 ,
LIC./REG NO. -,EFFECTIVE, EXPIRES
308935 r 09/ 12 03 - >08/3I/2004
SIGNED
' r
r
FUSCO B ROS.
• 866 Marshall Phelps Road
• P. 0. Box 459
Windsor, CT 06095
Electric # APPLICATION FOR BUILDING PERMIT
Plumbing# �SE0' 20 Summit Drive
HVAC# 32000452 Date:
Sprinkler# Estimated Cost $-2Sa'2 'o
FINAL A PR �. Av Permit Fee $ 10
Building P` Q : S COMPLETE RED BOXED AREAS Occupancy Fee $
Affidavit
Engineering Co �•' TYPE OR PRINT ONLY Eng. Insp. Fee $
Appr.forCO. SIGN ON REVERSE SIDE A Total Fee $ t2o
TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ C401't
The undersigned hereby applies to do work according to the following:
Applicant we Co'S - Location of Work v Lot No.
Applicant's Address lI y G 41 A z Tel # —5 3 q d G 3
Town w• 11"IN5 011 Zip 0G-� 7 c1 Lic.# D(;-Q 1 1c(C1
Owner P1 Y C-CAPO Architect
Owner's Address Q 2 S h M v-\ • ID r Architect's Address �1
Zip Zip
Sq. Ft. New Area: 1 st Ff. 2nd FI. 3rd Fl. Total New Area
Purpose of this permit w t•+ 11Y r`i y A
City Water Well ❑ Septic System :l Sewer �II
o'�t� IcY
Ins: HO P Cert. Area Basement Garage
Approved b Date 2' �'2 Use Group Construction Type
Revised 1108
I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and th Ordinances of the Town of
South Windsor and to notify the Building Inspector of any alteration in the lans or specification of the Building for which this
permit is asked,and agree that this building is to be located the proper nce from all street nes,side yard lines,and required
distances from all other zones and is located in which ilding d us 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
Electric # APPLICATION FOR BUILDING PERMIT
Plumbing# 20 Summit Drive Date: o?7 v
HVAC #
Sprinkler# 29448
FINAL -- -- - --- - - - - - Estimated Cost $ /5611,
Buildin ir Permit Fee $
COMPLETE RED BOXED AREAS Occupancy Fee $
Enginee TYPE OR PRINT ONLY Eng.Insp Fee $
Affidavitppr. for CO. SIGN ON REVERSE SIDE
— - - --- Total Fee $ ��
,rO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $
The undersigned hereby applies to do work according to the following:
Applicant L(-Z90 Location of Work C50S . r• Lot No.
Applicant's Address a'g� Sc,,m mj .pl. So Tel.#
Town S o w ndSa/2 Zip oG o Z!1 _Lic.#
Owner Architect
Owner's Address Q i G Architect's Address
Zip ti— Zip
Sq. Ft. New Area: 1 st FI. 2nd FI._ 3rd FI. Total New Area
Purpose of this permit IZ.4koet' 7 ,<OtAkc- (-o Out:
City Water Well❑ Septic Systemo Seweru?(
Ins: HO SP Cert. Area Basement Garage
Approved by Date 3 U Use Group "Construction Type
R"ssd GM2
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 e is al
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 / Approval Date By Appl
Code Description Due Whom Code Comment
-------------------------------------------------------------------------------
**-29448-B 1,500
B10 FINAL O8/10/04 JFF A
B10 FINAL 08/10/04 JFF A CLOSEOUT
12000462 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER BUILDING PERMIT
DATE: 08/23/12
GIS ID: 87800020 FEE: 120.00
MUNIS APPLICATION# 201201089 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: BIDWELL CONSTRUCTION, ADDRESS: 20 SUMMIT DRIVE
ADDRESS: 148 BALAZS ROAD OWNER: CICERO ERIKA
WILLINGTON,CT 06279 20 SUMMIT DRIVE
SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: REMOVE OLD SIDING AND REPLACE WITH NEW VINYL.
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
8/23/2012 9:57 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE