HomeMy WebLinkAbout21 MANOR LN DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT
Appli ' reby: TOWN OF SOUTH WINDSOR PERMIT#
BUILDING DEPARTMENT /.;�/6
PROVED 1540 SULLIVAN AVENUE Bldg.Permit#
644-2511 ext. 230
Date u! g Inspector
Application must be printed or typed
FEE SCHEDULE Location of Job:
$0-$1,000=$15.00 Street No. Street Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT
APPLICANT ADDRESS 7� ��✓�fl
APPLICANT PHONE#
O W N S F,q OWNER &
OWNER ADDRESS P?,f %Z cSTr
_MAPSA-9- G O7
OWNER PHONE 16IV - S
C ESTIMATED COST$ 17
x IS THIS A CONTRACT COST? _Yes _No
o �C� FEE ENCLOSED$ /9,5,00
TYPE FAIteration/Addition/Repair
OB:SO R CONewInstallation
Revised 4/01//2002
APPLICATION FOR HVAC PERMIT (Continued from reverse side)
TYPE OF SYSTEM: TYPE OF UILDING:
Z6flEATING 7,RESIDENTIAL
C COMMERCIAL
VENTILATION 0 INDUSTRIAL
HEATING
D 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) OF(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 :0 INSIDEO OUTSIDE CAPACITY
❑GAS—INPUT LPG TANK CAPACITY ELECTRIC—KW
AIR CONDITIONING
DESIGN TEMP.OUTSIDENVO
F INSIDE 7J -F DIFFERENCE 20 OF
TOTAL HEAT GAIN(BTUAT GAIN SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE AL COOLINMENT CL ING �&MO EL NO.
(�tW 3. S ram/ 6z;ff i �
TONNAGE c/- COOLING CAPACITY(BTUH) dT ZJ
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.
383fzO
CONTRACTORS LICENSE NO. ZE STATE
SIGNATURE OF APPLICANT S/D/fkrTE �Zor 4
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
PERMIT#
A=APPRO
by: TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
1540 SULLIVAN AVENUE
644-2511 ext. 230 Bldg.Permit#
01
Date B1019
Inspector
Application must be printed or typed
FEE SCHEDULE Location of Job:
$0-$1,000=$15.00 FiTenan
Street Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof gnation Apt.No.
APPLICANT �oNr/Mi �Gc�.-rti c.
APPLICANT ADDRESS 23 /e u.!L-x /PO
160.9i/
APPLICANT PHONE# 0-
O W N S 4.,q OWNER
OWNER ADDRESS
b lot OWNER PHONE G<<<l'S-13-5—
C ESTIMATED COST$
xw
IS THIS A CONTRACT COST? _Yes -"'-No
�G FEE ENCLOSED$ O• // 1
f� TYPE OF JOB:
�Sp R-COS New Installation
Alteration/Addition/Repair
APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
SIDENTIAL BUILDING PERMIT APPLICATION? ❑YES ❑NO
❑BUSINESS CURRENT USE AND OCCUPANCY
❑ASSEMBLY
❑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
SIZE OF SERVICE '��^"� 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
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.
CT
CONTRACTORS LICENSE NO. E STATE
SIGNATURE OF APPLICANT DATE �`S-ZZ
LOT NUMBERS REFER TO MAP ENTITLED "SUBDIVISION MAP,SECTION 4,AVERY- HIEGHTS
! SOUTH WINDSOR,CONN.SCALE 1"=50 ' OCT.2 , 1957 MORTON S . FINE C.E .
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23 �N i
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I HEREBY CERTIFY THAT THIS 4AP IS PROPOSED GARAGE
SUBSTANTIALLY CORRECT AND THAT NO PROPERTY OF 1
ZONING REGULATIONS HAVE BEEN VIOLATED JOHN MARTIN {
PERTAINING TO THE PROPOSED GARAGE 21 MANOR LANE i
SOUTH WINDSOR,CONN .
1"=40 ' MAY 3, 1980 i
F.A.HESKETH & ASSOC .INC . 1
BLOOMFIELD,CONN .
t 1 1
LOT 126 - -� - - -
41
79. 39 ( 131:1\c: ►\ \Ot;'\ 15 LOT \(�. 1:35 O:\ :1 11:1 P F:\77T'1.1:'I) ':tit l31)n'tsrO\ a 1P sl:CTlO,\'
�' 1 :11F.R) fl1:ICYfI7:� SO( Ifl 111\1)SOR C0%NE'('-TlC( W. 'I'IIF AI"l-J?Y
HEIGHTS C'O MPA N ) is RAYON/) ROAD AD WEST II-1R I'VORI) SC• LP. 1 `50 OC'T OBER_'.
t55'* y'm TIN SHED 1l15� ,11ORT'ON S. VINF: C1171, I*XGINT-.l;R"
TIIF C U)I•:RSIGNED HEREBY CERTIVIF.S THAT: AJU)!? 1'10,\ Ol' TIIF PRIl.''VISES
1 SHOWN ON THE 111,07 11'1.A:\-A-F.1:' LUC:1TrI) l;'1"1'I11,\ A PLOW) /.O\F.' A4,
11011, ElER, TIIF IIO( S1: IS NOT AS SHOWN 1)1:t`F.LOP.11F:.\�7 1l(. 1) F1:1)ERAL
LOT 124 INSURANCE : 0.I11\7STI?'.A'l10N C'011.I. W) 090036 PANEL N-0 00038
C h''RI 7FII.''D 1'0 JOHN .1..-TI•1GIA-1. I)l.M.;-;k A. C., 11'1• \F:1 11.1.5i .1I'1 1-7 ul?PR1Sl:S
LOT 135 LOT 13 4 IIORrc:1G1•: CORP. •1 �n CHIC 1GO TITLE. IN'St R 1 \'t'V CO.
ri
CI•:RTIVIE'D SUBSTANTIALLY VORRECT. FO(. ,\UA' ION LOC-1T E'l) AS SHU1;',\.
FLOOD r \O 7.ONIN(; VIOLATIONS \07'EI) IITT"11 T() 13( "H.1)I\G 1,0C'•1T►ONS.
ZONE A- 4 NO CF:I?TIFICAIJON Iti�1'••1 PRF:SSI:ll OR 111P1 IED lit' 1.111S 111P ( �Ll-'SS IT
0 BLARS THE ILiPRrSS►O\ I YPE SEAL ANI) SIG,\:1"/'UIf L OF T111: S( RVE*YOR WHOSE
Q \ •1 1iF. ANI) REGIS1 1?AjW i\ N1 IIII R APPEAP 13I•:1,011.
1 ilER1: ?V CERTIFY Th � ! THIS -11AP AND St F?1 EI tt'F:RF: PREPARED IN ACCORD-
N LAPPROX FLOOD I 1 \C�F. it / T I I F STA.`\ AI?US OF 4 CLASS 1) S1'1?1*V• :1S 1)F.FINED 1,\ T I1E
o c (,1)r OF PR;ICTICE FOR ST 1 \I)API)S OF" ACCUR.1_C;1 OV SUI?vEI'S AN1) VA PS.
N FLOOD ZONE LINE 1IMPTED 1)FCEA1BFI? I.0. 1•975. IS 1 11E++\J*I,, 10 1 111-: C'O.\�IOXT ICUT ASSOC—:
ZONE C l i'1 10% OF' LA.) SUR VE'YORS, 1
L,I OH. ,t a
___L_ PATIO �0`� RIC'11AIM 11VEIIAN L.L.S. 123:I0
z +- 40 _ 24 i
_ 10.5�
LOT 123 Nt a GAR AGE N
N
40 10.5 24`
1 8' O.H.
10' SNETCO EASEMENT
4 0� 8 .L. VOL 56 PG. 107
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! ,�0oF c. 1,�raF;;r` NEE
FiAN ASSOCIATES
't�
'`Q\G� Consulting Engineers— Surveyors, P.C.
4� - �•� MfA = `�/ ;87 North stain Street Manchester. CT 06040
L= I25.00� R= 5 , 5 = ice_
Nam)'-Z3 PLAN PREPARED FOR
'' ;l
MANOR A NE , s"jotsuF4'E411611% ,0;� �.
JOHN A. TAG LI A AND DENISE A GAFFNEY
REVISIONS NO. 21 MANOR LANE SOUTH WINDSOR, CONN.
THIS MAP IS COMPILED FROM OTHER MAPS, DEED DIMEN- DATE APPROVED
SIONS AND OTHER SOURCES OF INFORMATION, NOT TO BE FOR MORTGAGE PURPOSES ONLY
CONSTRUED AS AN ACCURATE SURVEY AND SUBJECT TO
FINAL CHANGES AS A MORE ACCURATE SURVEY MAY SCALE 1 3o DRN. A.V. H FILE N9 SHEET No
DISCLOSE. DATE 6 — 29— 84 TRD. 8 492 9 I OF 1
OEPi, TOWN CF SCUM Wij�=a
btAc
*q Of thq PFOPos dean and sP^nlic tlons are t►ua
M!e(ed at Duildm8 or alterations to ►a
110trtht► with emend^ �� Stnaat
f""wlth plan an mgrve stated in aa:li��li.,n as
R d 1 aS a to in
with d
uMdint and state laws and such =11 zonint,
asaued try the EuUdin nrd,rs is shall bn
0 this application d Dnairtmr nt d��r1^g PInde"
La t>.► it- an Issuance of
a bnhdigt
slSl*d
1 J�rhia plan la aPProved sub)ect to tl•.
"et's and rrdi: nccs n co'd•ti,n that
Complied with. g L"IlJir.8 61u11 be
+'ond[tionailtr ApproveQ
These /pled wltR
IlibYdint Inspeeto►
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