HomeMy WebLinkAbout22 JONATHAN LN 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: gQ D 3
APPROVED: BLDG.PERMIT NUMBER:
DATE INSPECTOR
LOCATION OF WORK: 2 '�— US C {>�[� 1 Q•ct2,
APPLICANT: OWNER: TYPE OF STRUCTURE:
\ ❑NEW BUILDING
NAME: NAME: (01 n 1 G� C 6. ❑ADDITION
PHONE NUMBER: PHONE NUMBER q
U O - - 3$ l EXISTING BUILDING
ADDRESS: ADDRESS: 2 Z S y5e�� CA
TYPE OF USE:
RESIDENTIAL, o COMMERCIAL
IL
HVAC INFORMATION: FURTHER DESCRIPTION OF WORK:
TYPE OF SYSTEM: ❑HEATING ❑A/C Ca N 60\\e r oc go
HEATING:
TOTAL HEAT LOSS(STUB) °F (HEAT LOSS SHEET REQUIRED)
DESCRIBE ALL HEATING EQUIPMENT(INCLUDE MAKE AND MODEL NO.):
`C GW �
\C' PC -�\-,V- \e\e Y S ESTIMATED COST:S
Co\
AIR CONDITIONING: 0
DESIGN TEMP:OUTSIDE "F INSIDE °F DIFFERENCE F' FEE ENCLOSED:S O
TOTAL HEAT GAIN(BTUFI( U�I�HEAT GAIN SHIFT REQUIRED)
DESCRIBE ALL COOLING EQ`UPMENT(INCLUDE MAKE AND MODEL NO.):
FEE SCHEDULE:S18 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.:�+ 3 a R 2'-lS TYPE: S- STATE: C`r
SIGNATURE OF APPLICANT: C_A��y9, �rr�A Qum DATE:L/Z /\�
7—
�o� 9 d 7S
(s,♦,4 !o'Z 1 30- 1�
Lot numbers refer to map entitled "Plot plan Property of Land Development
Co . , So. Windsor, Conn. , Sheet 1 of 1 - Scale 1" = 40 ' - Date, March , 1966 ,
Morton S . Fine Associates - Rev. 4-22-66 . 11
NSF
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'�•ass
JOSEPH L4fJE
PROPOSED LAYOUT
t cahp
ap f,' t- � JAMES MILKIE BUILDERS ,
JOSEPH LANE
I hereby certify that this �
u; SOUTH WINDSOR, CONN.
map is substantially correct w_ No. 5783
and no zoning regulations SCALE V' 4 0 ' 1/2 2/6 8
hav en violated ''�suavE'�` '' MDRTON S. FINE, C.E -L.S.
-�..v_ ........ HART; r �� CONN.