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HomeMy WebLinkAbout207 WYNDEMERE CT BLDG 2 F 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: DATE INSPECTOR LOCATION OF WORK: G 1 j 4tj gtn t e7l ' le,pAPPLICANT: OWNER: TYPE OF STRUCTURE: o NEW BUILDING NAME:did,/L�wr a p. l &Af S-t,,:a Lam(+ NAME: '1✓ol v•�/C�i �1 ❑ADDITION PHONE NUMBER: ,�G(j S?g ' �7G 6 PHONE NUMBER: ) �`0 3� p�jGSTING BUILDING ADDRESS: C Si �o ADDRESS: Wt - TYPE OF USE: IL- T smENTLAL a coMMERCIAI. HVAC INFORMATION: FURTHER DES -4 OF WO TYPE OF SYSTEM: a HEATING ❑A/C /t C � Q• l- rJ�-- fiK. �iU HEATING: TOTAL HEAT LOSS(BTUH) _°F (HEAT LASS SHEET REQUIRED) DESCRIBE ALL HEATING EQUIPMENT(INCLUDLE/ AKE AND MODEL NO.): ESTIMATED COST:$ I AIR CONDITIONING: a DESIGN TEMP:OUTSIDE 'F INSIDE---'F DIFFERENCE F' FEE ENCLOSED:$ TOTAL HEAT GAIN(BTUH) (HEAT GAIN SHEET REQUIRED) DESCRIBE ALL COOLING EQUPMENT(INCLUDE MAKE AND MODEL NO.): FEE SCHEDULE:$18 PER S1,000 OF THE ESTIMATED COST. ROUND UP TO THE NEXT THOUSAND ONCE THE PROJECT IS SI.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.: (;' TYPE: STATE: SIGNATURE OF APPLICANT: +f f �/ DATE: � ZCJ DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT PERMIT# Application is hereby: TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT APPROVE 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 Date Building InspecE6r Application must be printed or typed Location of Job: FEE SCHEDULE G J�� / �4 $0-$1,000=$15.00 Street No. T(/(J d Street 7No. o. Over$1,000= $15.00 per$1,000 or any fraction thereof Tenant Designation A APPLICANT l'F�✓ �f G ( t� G APPLICANT ADDRESS 6 Ss 7— . C APPLICANT PHONE# G 7 G 4�; O W N S F,q OWNER c / 'P OWNER ADDRESS OWNER PHONE � ^ 1cf 3^0 C = ESTIMATED COST$ O b IS THIS A CONTRACT COST? es �1Go FEE ENCLOSED$ 051-1 l/U �bs O�� TYPE OF ZewInstallation OR•C CQ' _Alteration/Addition/Repair Revised 4/01//2002 APPLICATION FOR HVAC PERMIT (Continued from reverse side) TYPE OF S� EM: TYPE OF BUILDING: CrHEATING ❑RESIDENTIAL ❑A/C ❑COMMERCIAL ❑VENTILATION ❑INDUSTRIAL HEATING ❑ STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS. S iVDRONIC ❑WARM AIR ❑UNIT RADIANT HEATER EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION DESIGN TEMP. OUTSIDE OF INSIDE OF DIFFERENCE OF TOTAL HEAT LOSS(BTUH) OF(HEAT LOSS SHEET MUST ACCOMPANY APPLICATION) z DESCRIBE ALL HEAIT�IN�G EQUIPMENT(I CLUDING MAKE&MODEL NO.) Q GROSS HEATING CAPACITY(INPUT-BTUH) NET RATING(OUTPUT-BTUH) TYPE OF FUEL GYOIL- GPM //0 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. Se -72 9 z S c 7, CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICAN"F-�, DATE/� PERMITS/INSP PAYMENT RECPT# 20256850 TOWN OF SOUTH WINDSOR 1540 SULLIVAN AVENUE SOUTH WINDSOR CT 06074 THIS IS NOT A PERMIT DATE: 04/02/08 TIME: 08 45 CLERK: dpeart DEPT: CUSTOMER#: 0 PARCEL: CHG: BLDPRM BUILDING PERMIT 45 00 AMOUNT PAID: 45 00 PAID BY: ANDREWS OIL COMPANY PAYMENT METH: CHECK 2561 REFERENCE: A AMT TENDERED: 45 00 AMT APPLIED: 45 00 CHANGE: 00 THIS IS NOT A PERMIT THIS DOES NOT AUTHORIZE WORK TO BEGIN Electric # APPLIC��TIOzN FOR BUILDING PERMIT Plumbing# Wyndemere Court B g. • HVAC# 12000567 Date: lO-2/a0/-2- Sprinkler# FINAL APPROVALS Estimated Cost $�O,cSOG Permit Fee $ l4 S 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 $ i co S TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ 6 , 1 ` The undersigned hereby applies to do work according to the following: t Applicant �'.` /f Q of ectCJ Location of Work re —Lot No._ Applicant's Address A&4 h f- Tel # Town Z:57 li`�;1101 er Zip OA13?d� Lic.# Owner ,F/12.1117e Architect Owner's Address if Architect's Address A Zip ?(/ Zip Sq. Ft.New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area Purpose of this permit Ji Q cl r e op / ir f / 53it:�/a ,vi 1/0 Ilele aC+�CpF l�tJV1 S City Water❑ Well ❑ Septic System J Sewer Ins: HO SP e Area Basement Garage Approved by Date 1 O 1 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 located in which this building and its use is allowed. Signed &IeI 6 Pacoo +C'aU I hereby apply for a Certificate of Occupancy for the work described in this application for the permit. Signed ,r I[• �f e yk 'f--au - DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS r INSPECTION FIELD SHEET 04/25/22 Printed by Middleton, Morgan 13 51 39 INSPECTION: 52592 OTHER PERMIT: STATUS APPLICATION: 201201327 LOC: WYNDEMERE COURT SOUTH WINDSOR PROPERTY ID: 98000000A OWNER: B & M ENTERPRISES INC CONTRACTOR: REQUEST BY: PROJ DESC: REMOVE ONE LAYER SHINGLES. INSTALL NEW DRIP EDGE, ICE AND WORK ORDER: INSPECTOR: ROSE RESULT: PASS REQUESTED: 10/12/12 PRIORITY: SCHEDULED: 10/12/12 AM COMPLETED: 10/12/12 UNPAID FEES: 00 Date Time MILEAGE: 00 TIME: TRAVEL ONSITE COMMENTS //partial for first inspection of front side unit 102& 103 ALL INSPECTIONS: INSPECTED INSPECTOR RESULT INSP DESCRIPTION BO10 FINAL