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
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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
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ar
'1 536 `a`L�" yi,,,y� SURVE���
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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