HomeMy WebLinkAbout21 DAVEWELL RD t
DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT
PERMIT#
Application is hereby: TOWN OF SOUTH WINDSOR loco
BUILDING DEPARTMENT
APPRO E 1540 SULLIVAN AVENUE
Bldg.Permit#
l� 0 644-2511 ext. 230 - --
Date Buildin Inspector
Application must be printed or typed
FEE SCHEDULE Location o J b:
Aw
$0-$1,000=$15.00 Street No. Street Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT I1 iy' 1 /mm�/ d
AP ADDRE S !�PL -
I�
APPLICANT PHONE#
.OW N Sf4 OWNER
OWNER ADDRESS
OWNER PHONE
C ESTIMATED COST$
w * low �IS THIS A CONTRACT COST? vYes _No
FEE ENCLOSED$ 7 O
S O TYPE OF JOB: -� �gcoo
R C New Installation
Alteration/Addition/Repair
Revisal 4/01//2002
r�o r.6 63
e �
APPLICATION FOR HVAC PERMIT (Continued from reverse side)
TYPE OF SYSTEM: TYPE OF BUILDING:
Cl HEATING ❑RESIDENTIAL
❑A/C ❑COMMERCIAL
❑VENTILATION ❑INDUSTRIAL
HEATING
0 STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS.
0 HYDRONIC ❑WARM AIR ❑UNIT RADIANT HEATER
EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION
DESIGN TEMP. OUTSIDE OF INSIDE 'F 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
FlWwL-
Ar6iL-GPm OIL TANK LOCATION -01 SIDEO 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 ACCOMP APPLI TION)
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.
30 2?2Y sa c-f,
CONTRACTORS LICENSE NO. t TYPE STATE
SIGNATURE OF APPLICANT DATE 9 Z e7,w
Electric,# APPLICATION FOR BUILDING PERMIT
Plumbing# 21 Davewel l Road Date:
HVAC #
Sprinkler# 32104
FINAL R Estimated Cost $ y y�y
�
Building/ o FNO�- SIG�N
PLETE RED BOXED AREAS ! Permit Fee $
En nee n Occupancy Fee $
g� TYPE OR PRINT ONLY Eng. Insp. Fee $
Appr. f ON REVERSE SIDE
Appr. for CO. - - - - - Total Fee
J 4-J1ya
TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $
The undersigned hereby applies to do work according to the following:
Applicant 3� L� 0h� -' Location of Work i t��.,e. -� I I ►2 .��r Lot No.
Applicant's Address I Z► Tel.# 7 1-1z -I y d
Town �� � '-Z L Zip C%�2-3 h Lic.#
Owner ���" ►�eyt S�-'�" Architect
Owner's Address Architect's Address
Zip
Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area
Purpose of this permit 'r"Ve- c Q-c t-,v-'S�c <&- i .+�4ea c cti'trtr
(�tiJ ,�}\..•tin;;�.�.^-� ^t � �J�.c� ���`rc' c'�-��['S a (C_�-�;"�
City Water❑ Well❑ Septic System❑ Sewer❑
Ins: HO SP Ce Area Basement Garage
Approved by G Use Group.---" Construction Type 60"061�/V � I Revised W02
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 th building use is allowed.
Signe '� _
I hereby apply for a Certifica �upancy 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
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**-32104-B 14,984
B10 FINAL 01/23/05 JFF A
1000368 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER HVAC PERMIT
DATE: 10/08/10
GIS ID:26100021 FEE: 30.00
MUNIS APPLICATION# 201001353 BUILDING DESCRIPTION:
APPLICANT., LOCATION
NAME: MAILHOT HENRY ` ADDRESS: 21 DAVEWELL ROAD
ADDRESS: 64 OAKLAND AVENUE OWNER: SYVERUD DEBRA A&JOHN F
EAST HARTFORD,CT 06108 21 DAVEWELL ROAD
SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: REPLACE OIL TANK IN BASEMENT
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
10/8/2010 10:57 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE