HomeMy WebLinkAbout201 CARRIAGE DR DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT
PERMIT#
Application
TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
AP ROVED 1540 SULLIVAN AVENUE
l Bldg.Permit#
644-2511 ext. 230
Date B ld g Inspector
Application must be printed or typed
FEE SCHEDULE Location of Job:
�20 Cc, e,;P q G 7)�.
$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 /4>t0/G w S t ( (. O .
APPLICANT ADDRESS 136 4 K e S 7-, �d
APPLICANT PHONE# 8G O — �2 $—07 _
O W N S F�4 OWNER _fZ os-,-l-, t /� /O Ci x
OWNER ADDRESSA
�d (fit//:�c1 riot T, G
OOWNER PHONE _ �t�G — G yy--- ��
C ESTIMATED COST$
.� IS THIS A CONTRACT COST? _Yes 4--'No
FEE ENCLOSED$ U1 U
40 � O�� TYPE OF JOB: '0 36
R C 4,1* ew Installation
��l mope
_Alteration/Addition/Repair
Revised 4/01//2002
APPLICATION FOR HVAC PERMIT (Continued from reverse side)
TYPE OF SYSTEM: TYPE OF BUILDING:
a4EATING U-6SIDENTIAL
❑A/C 0 COMMERCIAL
❑VENTILATION 0 INDUSTRIAL
HEATING
❑ STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS.
91+rYDRONIC ❑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) /0/i NET RATING(OUTPUT—BTUH) Ac-0
.19
TYPE OF FUEL
UV61L- GPM • v 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(INCLUDI�,IG KITCHEN EXHAUST EQUIPMENT)
TOTAL SIZE OF SYSTEM(CFM) FRESH AIR INTAKE(CFM)
(PLANS MUST ACCOMPANY APPLICATION)
r /
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.
3a37 g Z �-- G7--
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT DAT
VELTI: r-Sl� 5K.i L_Mk:-_
sc CA
�` l! C, .-
PLY
� �=--_--.__•- _ __�-•__..._. _. .._. ....._, _...__ . _ �.__.,._......_.__..._._..�.-,, �' � � ! �-•'�`�• Sty.,` N�
�? DVY \
t
r
G {
f!
CP�RP.IA\GE ORAVE
71r _7t:
_- i L_.__
t G SM,►\ RZ05
r..
A
O
So
i -
,o.
PLE: A"SWVfD BY DRAWN BY
�
L,lC_, # D3 533
DRAWING NUMBER
DIETZGEN MASTER FORM198MF
tr 1NG 1.U'1' )G uN A MAI' ENT ITLL V&
"SAND HILL ESTAPES 11 SHEET 2 OIL 3
MAY .10 19'10 HFVI.30t NOV. 19Y
CARRIAGE DRIVE
CONC
M O N.
,.,,.......r• 150.00
/25.3s
�1
No. 7034 C i���i��� ••� 50' BUILDING LINE
O S rii E•1 Os.��
IJ kV
1
1
---52.50_--_ 29.3 35.7 32.10
0
O N PROPOSED
O w�
O3 B.R. RAISED RANCH O M
N ° 65.0
H
i O
WOO GAL.
h — SEPTIC TANK
h)
L i
O
LOT 34
150.00
SEPTIC SYS i cM
I 42 LINEAL FEET OF TILE PER
1 BEDROOM LAID IN 3 FT. wocz.
LOT 32 TRENCHES FILLED 1'�:TH WASHED
GRAVEL OR bROKEI-i STONL FOR A
DEPTH OF 18 INCHES, TRENCHES
I HERESY CERTIFY THIS PLAf SUBSTANTIALLY TO DE SPACED 12 FEET C.O.C. MIN.
CCR UMT AND THERE ARE NO CNING REGULATIONS
VIOLATED. �
C.
,, _ PLOT PLAN FOR
L IPMAN
CARRIAGE DR - SOUTH WINDSOR. CONN.
SCAL E.' I "=40 ` MARCH /6, /9 74
✓AMES E. SHEEHY L S. 7034
1000123 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER HVAC PERMIT
DATE: 04/15/10
GIS ID: 17100201 FEE: 90.00
MUNIS APPLICATION# 201000388 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: ANDREWS OIL CO. ADDRESS: 201 CARRIAGE DRIVE
ADDRESS: 136 RYE STREET OWNER: VASTOLER-RIOUX ROSALIE D
SOUTH WINDSOR,CT,06074 201 CARRIAGE DRIVE
SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: REPLACING BOILER AND WATER HEATER. "
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
4/15/2010 11:32 AM THE FEE ABOVE INCLUDES A$0.22 PER THOUSAND CT STATE EDUCATION SURCHARGE