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HomeMy WebLinkAbout22 NORTON LN APPLICATION FOR HVAC PERMIT DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT APP OV 1540 SULLIVAN AVENUE 644-2511 ext. 230 Bldg. Permit# Date Building Inspectoi Application must be printed or typed FEE SCHEDULE Location of Job: $0-$1,000=$15.00 22, a�cc —� ctv \and. Over$1,000= Street No. Street Lot No. $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT n APPLICANT ADDRESS APPLICANT'S PHONE# C \ O \ \—s OWNER w O N SF •� OWNER ADDRESS , OWNER PHONE Q C * .k ESTIMATED COSTT$ IS THIS A CONTRACT CST? VYes No 'S� G FEE ENCLOSED$ d P CD TYPE OF JOB: 0 O CO New Installation ✓Alteration/Addition/Repair y U 174 Revised 03/05/10 APPLICATION FOR HVAC PERMIT(Continued from reverse side) TYPE OF SYSTEM: TYPE OF BUILDING: HEATING A RESIDENTIAL ❑ A/C ❑ COMMERCIAL Cl VENTILATION ❑ INDUSTRIAL HEATING EASTEAMLOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS. HYDRONIC ClWARM AIR Cl UNIT RADIANT HEATER ISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION DESIGN TEMP.OUTSIDE °F INSIDE °F DIFFERENCE °F TOTAL HEAT LOSS(BTUH) °F(HEAT LOSS SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL HEATING EQUIPMENT(INCLUDING MAKE&MODEL NO.) ,7A S Sud GROSS HEATING CAPACITY(INPUT-BTUH) NET RATING(OUTPUT-BTUH) TYPE OF FUEL ❑ OIL-GPM OIL TANK LOCATION: ❑ INSIDE ❑ OUTSIDE CAPACITY ❑ GAS-INPUT LPG TANK CAPACITY ELECTRIC-KW AIR CONDITIONING DESIGN TEMP: OUTSIDE °F INSIDE °F DIFFERENCE °F 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 APPLLIICATION) FURTHER DESCRIPTION OF WORK O'kJ THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBEd D IS TO �1 COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. � oxa -I S� S 3 c � CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT �o ..� ��x,o� DATE \2/ / \L j � tic A-/Zl'.�r'Z? --'>0'—,T _"0,V- zSsyy - � 1b N1k o rrww� 4 1 v1 =: Y " A � PROPERTY OF h �� 65, NO. NORTOti LANE SOUTH WINDSOR, CONK . Being the Westerly portion of a plot marked N/N Norton on map , . entitled "WILSHIRE WOODS Section II Subdivision Map Prepared for Ross Hahn South Windsor, Conn. John J. Mozzochi fi Associates Kr Scale 1" 401 Date 10-25-60" ` `'•' miinmy Scale 1" = 401 COA' �tii CONNF���iy HAYDEN L. GRISWOLD C.E. AP y Jos ar '1 536 `a`L�" yi,,,y� SURVE��� N � � _ w /" ` r SSG zssyy 3o3so �F< '1k % 4{ 60 i-7 A PROPERTY OF NO. NORTON LANE SOUTH WINDSOR , CONK . Tieing the Westerly portion of a plot marked N/F Norton on map entitled "WILSHIRE FOODS Section II Suhdivision Map Prepared for Ross Hahn South Windsor , Conn . John J . Mozzochi Fs Associates Scale i " = 40 ' Date 10-25-60" Scale I " = 401 ����111gllllilittpryu s pF C OIyNFc ���o�����FUfuutrui�iii�z��ir o P ``�`�� OF CON/y�c�i�i� HAYDEN L. GRISWOLD C .E . Ia 536 a ADO 536 ��`` ��i//�9�Q ��� ,I°� Electric# APPLICATION FOR BUILDING PERMIT Plumbing# 22 Norton Lane Date: HVAC # Sprinkler # - _- Estimated Cost $ 5;O D FINAL P 0 act Buildin 1 �G - --- - - --- — - - - Permit Fee $J�-"� l COMPLETE RED BOXED AREAS Occupancy Fee $ Engineer g TYPE OR PRINT ONLY Eng. Insp. Fee $ Affidavit ' ► SIGN ON REVERSE SIDE Appr. for C _- - Total Fee $ TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) The undersigned hereby applies to do work according to the following: Applicant r ye-v Location of Work 12 All Lot No. Applicant's Addr s 0 Tel.# *`0 1512 0 Town i H Zip_17(.2-ZC/Lic.# Owner t k n Architect Owner's Address 22- No"4", 1,a"-f Architect's Address Siva v✓m SeY, &I Zip jQ4071 — Zip--Sq. Ft. New Area: 1st FI. 2nd FI. 3rd FI. Total New Area Purpose of this permit bVjns.oh s SJin 4 "t �0. City Water❑ Well❑ Septic System❑ Sewer❑ Ins: HO SP Cert. Area Basemet Garage Z� Approved by Date Use Grou Construction Type a ised sro2 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 a is allowed. Signed >; I I hereby apply for a Certificate of OQcupancy for the work de in this application for the permit. Signed �6 ✓ DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS Inspection / Approval Date By Appl Code Description Due Whom Code Comment ------------------------------------------------------------------------------- **-32749-B 20,000 B10 FINAL 11/08/06 JFF A DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT ERMIT# Application is hereby: TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT APPR VE 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 Date Building In for Application must be printed or typed FEE SCHEDULE Location of Job: 22 61Uc-V_e, � U< $0-$1,000=$15.00 FTenant Street ]No. Over$1,000= $15.00 per$1,000 or any fraction thereof gnation Apt.No. APPLICANT o APPLICANT ADDRESS APPLICANT PHONE# 2 \ \\S OW N St OWNER `�u-c�c c, \4�`� 1��, ►N OWNER ADDRESS OWNER PHONE C ESTIMATED COST$ V h 06 00 IS THIS A CONTRACT COST? �es _No FEE ENCLOSED$ ` C d f�Os O�� TYPE OF JOB: OR C New Installation Alteration/Addition/Repair APPLICATION FOR HVAC PERMIT (Continued from reverse side) TYPE OF SYSTEM: TYPE OF UILDING: ❑HEATING RESIDENTIAL ❑A/C 9 COMMERCIAL ❑VENTILATION ❑INDUSTRIAL HEATING ❑ STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS. ❑HYDRONIC ❑WARM AIR Cl 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 :❑ 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 S � 2 S n K (�l r, \Q P , d (TU,J(Nc f ( 2 ?A� 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. a o 12`: S-- C CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT yj\k.; DATE SA.-, O 1400560 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER HVAC PERMIT DATE: 12/05/2014 GIS ID:64800022 FEE: 90.00 MUNIS APPLICATION# 201401726 BUILDING DESCRIPTION: APPLICANT,:' „d,` ? LOCATION NAME: IMPERIAL PLUMBING CO:;1NC. ADDRESS: 22 NORTON LANE ADDRESS: 648 SULLIVAN AVENUE, .OWNER: MEIKLE JOHN THOMAS W&A P.O. BOX 875 i �''`') ` ;"-22 NORTON LANE SOUTH WINDSOR,CT 06074 ' ? , SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: BOILERREPLACEMENT,INDIRECT FIRED,WATER HEATER,AND GAS { j r PIPING: 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 12/5/2014 10:53 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE