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Home My WebLink About21 CLINTON DR DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT PERMIT# Application is hereby: TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT 7�l a/8 APPRO D 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 101 kc 2 — Date Building In or Application must be printed or typed FEE SCHEDULE Location of Job: � � G\ , n�^ fpri0C. $0-$1,000=$15.00 Street No. Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT APPLICANT ADDRESS a1 fr v� t�c c.v1C. TZ A - APPLICANT PHONE# �041*4 N st OWNER Su SG,nmC. F✓+Q �� lLw��SL. Tc JL��r� OWNER ADDRESS o71 C . n lr„ i�s •►�G n/1 l.J. Svt L u b .� 7- u 6 7 OWNER PHONE p — C ESTIMATED COST$ a s tj v • o J IS THIS A CONTRACT COST? _Yes _&No FEE ENCLOSED$ L IS • uJ SO• CO TYPE OF JOB: R• New Installation __�,Alteration/Addition/Repair Revised 4/01//2002 �V�� APPLICATION FOR ELECTRICAL PERMIT (continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A RESIDENTIAL BUILDING PERMIT APPLICATION? ❑ YES ANO L3 BUSINESS ❑ASSEMBLY CURRENT USE AND OCCUPANCY e, ❑MERCANTILE FUTURE USE AND OCCUPANCY ❑EDUCATIONAL ❑INSTITUTIONAL ❑FACTORY ENGINEER'S NAME PHONE ❑ STORAGE ❑GARAGE ADDRESS ❑MIXED USE CITY STATE ZIP (Other please specify) TYPE OF INSTALLATION/WIRING METHOD Iv SIZE OF SERVICE 1 ".� c� �.� SIZE OF MAIN CONDUCTORS NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS NUMBER OF PANELS REMOTE DISCONNECT REQUIRED? ❑YES ❑NO NUMBER OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS NUMBER OF SWITCHES NUMBER OF OUTLETS NUMBER OF LIGHT FIXTURES NUMBER OF HEAT CIRCUITS NUMBER OF A/C CIRCUITS SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED. DESCRIPTION OF WORK C n �. ,� ,�.�� Y�I.Y,uy��ur1 (\ c c �. . �c �— c:.b!�L �n-c !C S Lr Q L c ✓) C�. 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. )�k 36K \ 1= — 1 C C— CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT \: — DATE y h Pero a.k� � f(b foeA Skec] 0 dluoa /00.0 2( ,�i P,!`<�w�;_ail i�"1��1i?Q to y 12.1 l6� �1 v CO ZC N N O N O L O `90e .O /00.0 /00.0 DRIVE zi Ct�n�un Drives Z ► C 1.,,1,,.E A-4 So z.-ix, /00.0 /00.0_ 06 243 2o, 9 � y k•'? 't Vr • �' N/F O o, 1, South Windsor 13UILDING DEPARTMENT TO ME Mil'MXG DEPT. TOriii SO ,J This certified that this plan and specifications are tru: copies of the proposed tWilding or alterations to i3c erected at Q L�f scree, together with amendments stft.�d in application an:'. filed with plan and i aarer to coaialy with all ZonirL, Eullding and stata isms and such orders as shall Dc issvad try the SW*ng Departm►nt during pendency of this appticatim And Huai tswancn of a tfuliding permit; Signed This plan is apc uhiect to thu con l" that orders and ondiaances regulating building shall be complied with. Con di tiona lly Approved Those turd with &uilding Inspector G CIsA Date/L ay. /d-�U CERTIFICATION OF ZONING COMPLIANCE skeJ Proposed building(s), use(s) andfor structurefs) 121x/bf as shown 011 this plan appeal(s) to be In as Stu... conformance With current South Windsor regulations. Variances and special exceptlans May apply, Date /s vef:«t y8 (i4 30 DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT APPROVED 1540 SULLIVAN AVENUE Bldg. Permit# 40)6 644-2511 ext. 230 Dat Building In ctor Application must be printed or typed FEE SCHEDULE Location of Job: � ( �r/,'n �► fin- . $0-$1,000=$15.00 Street No. Street Lot No. - i Over$1,000= $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT APPPLI)CANT ADDRESS /2 C e- S4 APPLICANT PHONE# OWN S F,q OWNER � O R'�°RESS Jr U r OWNER PHONE 144 V/C/-- C ;D ESTIMATED COST$ G� G y. G U w ' * 1S THIS A CONTRACT COST? _Yes 4"No FEE ENCLOSED$ 70, CJU SO- CO�� TYPE OF JOB: R -'Kew Installation _Alteration/Addition/Repair Revised 4/01//2002 APPLICATION FOR HVAC PERMIT (Continued from reverse side) TYPE OF SY TEM: TYPE OF BUILDING: ErREATING EMESIDENTIAL ❑A/C ❑COMMERCIAL ❑VENTILATION ❑INDUSTRIAL HEATING ❑S LOW PRESSURE LMT LBS. HIGH PRESSURE LIMIT LBS. UlfYi�'Am ❑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) DXSCRIBk ALL HEATING EQUIPMENT(INCLUDING MAKE&P40DEL NO.) / Gyw--, GROSS HEATING CAPACITY(INPUT-BTUH) /�G60NET RATING(OUTPUT-BTUH)�C TYPE OF FUEL J O�OIL--GPM +1C 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. SD 37 8? 5-1 C'`�• CONTRACTORS LICENSE NO. E STATE SIGNATURE OF APPLICANT-5e DATE 7 -e:�7 Electric# v2.1 Cl n ✓APPLICATION FOR BUILDING PERMIT Plumbing# Date: 7 HVAC # No 9 oa3 i8 Sprinkler# U S U FINAL APPROVALS Estimated Cost $ f Building COMPLETE RED BOXED AREAS Permit Fee $ Engineering TYPE OR PRINT ONLY Occupancy Fee $ Affidavit "SIGN ON REVERSE SIDE u` Appr.for CO. Total Fee $ 0 C� TO BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR,CT (Additional Cost) The undersigned hereby applies to do work according to the following specifications: Job Location 2 f C/./-? k.,? &<-. Lot No. Side of Street Zone Applicant 01 Tel.# 5.2& 0 Address (i /Ct Zip Ve Lic.# 363 n-z Owner AWkl,� T .1 Address *2-l ABC, , Architect Address Sq. Ft.New Area: 1st FL 2nd FI. 3rd FL Total New Area #Rooms #Lavatories #Bathrooms // #Garages Purpose of this permit: ,V..e//C c o . "�^"�` �/� you rG/Z I'- Gty Water ❑ Well ❑ Septic System ❑ Sewer ❑ Ins. H.O. S. Area Basement Garage Approved by Date ) Use Group �OCTtruction Type .yy� b Revised 9/01 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 it$use is ail Signed�g I hereby apply for a Certificate of Occupancy or he work described in this application for the permit. Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS K"61�ie 12 FA 1.7-176 AND CGS 29-393