HomeMy WebLinkAbout22 RAYMOND RD APPLICATION FOR HVAC PERMIT
DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT#
Application is hereby: BUILDING DEPARTMENT
/0oaS0l
APPR VE 1540 SULLIVAN AVENUE
Bldg.Permit#
4 71 644-2511 ext. 230
Date Building Inspector
Application must be printed or typed
FEE SCHEDULE J2 Location , Job:
$041,000=$15.00 c
Over$1,000= Street No. Street Lot No.
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT C 4
APPL CANT ADDRESS
APPLICANT' PHre
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OWNER Ci � �✓
OWN SFq` OWN ADD SS C �C '
� OWNER PHONE
ESTIMATED COST$ CJ
IS THIS A CONTRACT COST? Yes &.-No
FEE ENCLOSED$
TYPE OF JOB: 1 � � Z
r ` �—
�So R•Co `
y' - New Installation
Alteration/Addition/Repair
12oIL,
Revised 03/05/10
APPLICATION FOR HVAC PERMIT(Continued from reverse side)
TYPE OF SYSTEM: TYPE OF BUILDING:
HEATING RESIDENTIAL
❑ A/C ❑ COMMERCIAL
❑ VENTILATION ❑ INDUSTRIAL
HEATING
❑�, STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS.
ICY/YDRONIC ❑ 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(INCLU ING MAKE&MODEL NO.)
_T?�UZ1C�c7 ,J
GROSS HEATING CAPACITY(INPUT-BTUH) IET RATING(OUTPUT BTUH)<T I✓d
TYPE O�FfUEL
Qd OIL-GPM+ 7 1OIL 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 I 4 -7 /^ t' �✓r/� G`��
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.
160-?-. Z— S ,
CONTRACTORS LICENSE NO. PE06-00 y STATE
SIGNATURE OF APPLICANT DATE �j L
DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT
TOWN OF SOUTH WINDSOR PERMIT#
Application ' :-_
BUILDING DEPARTMENT
AP 1540 SULLIVAN AVENUE
644-2511 ext. 230 Bldg.Permit#
Date ding Inspector
Application must be printed or typed
FEE SCHEDULE Location of Job:
$0-$1,000=$15.00 FTenant
Street Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof gnation Apt.No.
APPLICANT If f i-ZO
APPLICANT ADDRESS 2-2- /Lf}
APPLICANT PHONE#
OWN 3 Fq OWNER Erz-r
OWNER ADDRESS Z Z I'?-A y I'Lo
OWNER PHONE f3 to - 6 y Al-
C
C f� ESTIMATED COST$
xr
� IS THIS A CONTRACT COST? _Yes ✓No
w;o414G FEE ENCLOSED$
f�Os O�� TYPE OF JOB:
R C _New Installation a o l l o l o t}
_Alteration/Addition/Repair
Revised 4/01//2002
APPLICATION FOR PLUMBING PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
O'RESIDENTIAL BUILDING PERMIT APPLICATION? ❑YES C►1'NO
❑BUSINESS CURRENT USE AND OCCUPANCY
❑ASSEMBLY
❑MERCANTILE❑EDUCATIONAL FUTURE USE AND OCCUPANCY
❑ INSTITUTIONAL
❑FACTORY ENGINEER'S NAME PHONE
❑ STORAGE
❑GARAGE ADDRESS
❑MIXED USE
(Other please specify) CITY STATE ZIP
TYPE OF INSTALLATION SIZE OF MAIN DRAIN
NO.OF TOILETS STYLE NO.URINALS STYLE
NO.OF BATHTUBS NO.OF SHOWERS NO.OF LAVATORIES
NO.OF CONDUCTORS SIZE NO.OF STACKS SIZE
AREA OF ROOF NO.OF CATCH BASINS NO.OF FLOOR DRAINS
NO.OF OTHER FIXTURES KIND
ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW ❑YES ❑NO
SIZE OF WINDOW IF NONE C.F.M.OF VENTILATOR
SIZE OF DUCTS SEWER OR SEPTIC TANK
SIZE OF WATER MAIN SIZE OF WATER PIPING&RISER
WATER HEATER: TYPE MANUFACTURER
DESCRIPTION OF WORK
( Y
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND i7TZT-
COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT DATE
APPLICATION FOR ELECTRICAL PERMIT
DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT#
Applic i i BUILDING DEPARTMENT I 0 6 2 2cj
App 1540 SULLIVAN AVENUE
644-2511 ext. 230 Bldg. Permit#
Date ding Inspector
Application must be printed or typed
FEE SCHEDULE Location of Job:
$0-$1,000=$15.00 2:- -7z"!3"1 a.j d JZn4
Over$1,000= I
Street No. Street Lot No.
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT ff CL Z.v . , J j£.8 7-
APPLICANT ADDRESS 22- R/+yrvo�o RD
APPLICANT'S PHONE# 6 6 o" 4,`f 7 — f 7,P3
OWNER I�u�.,� /—,
W N S Fq< OWNER ADDRESS Z 2 y .✓� iZ�J
1; OWNER PHONE
O ESTIMATED COST$ /o
IS THIS A CONTRACT COST? Yes ✓No
maw
FEE ENCLOSED$ 5�
° ra TYPE OF JOB: 4,9P
SOR ,COI` New Installation 110164a
R �
Alteration/Addition/Repair
Revised 03/05/10
APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH
BUILDING PERMIT APPLICATION? ❑ YES NO
Ud RESIDENTIAL CURRENT USE AND OCCUPANCY
❑ BUSINESS
❑ ASSEMBLY FUTURE USE AND OCCUPANCY
❑ EDUCATIONAL
❑ INSTITUTIONAL ENGINEER'S NAME PHONE
D FACTORY
❑ STORAGE ADDRESS
❑ GARAGE
❑ MIXED USE CITY STATE ZIP
(Other please specify)
TYPE OF INSTALLATION/WIRING METHOD
SIZE OF SERVICE SIZE OF MAIN CONDUCTORS
NUMBERS OF METERS NUMBERS OF DISCONNECTS AND RATINGS
NUMBERS OF PANELS NUMBERS OF DISCONNECTS REQUIRED? ❑ YES ❑ NO
NUMBERS 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
l �z iv VAC-
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 PERFOR-
MANCE OF SUCH WORK
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT7� DATE
1200501 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER HVAC PERMIT
DATE: 12/06/12
GIS ID: 75300022 FEE: 75.00
MUNIS APPLICATION# 201201622 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: ANDREWS OIL CO. ADDRESS: 22 RAYMOND ROAD
ADDRESS: 136 RYE STREET OWNER: HEBERT HELEN L
SOUTH WINDSOR,CT 06074 ;" 22 RAYMOND ROAD
SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: REPLACING LEAKING BOILER.
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
12/6/2012 12:57 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE
1100229 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER ELECTRICAL PERMIT
DATE: 09/15/11
GIS ID:75300022 FEE: 15.00
MUNIS APPLICATION# 201101042 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: HEBERT HELEN L OR ADDRESS: 22 RAYMOND ROAD
ADDRESS: 22 RAYMOND RD OWNER: HEBERT JOSEPH R&HELEN L
S WINDSOR,CT 06074-3224' 22 RAYMOND ROAD
SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: EXTEND WATER AND DRAIN TO ACCOMODATE WASHER ON FIRST FLOOR.
ADD 110/220 VAC CONNECTION INTO GROUND FLOOR CLOSET FOR WASHER/DRYER.
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
9/15/2011 9:56 AM THE FEE ABOVE INCLUDES A SO.26 PER THOUSAND CT STATE EDUCATION SURCHARGE
1100300 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER PLUMBING PERMIT
DATE: 09/15/11
GIS ID:75300022 FEE: 15.00
MUNIS APPLICATION# 201101042 BUILDING DESCRIPTION:
APPLICANT t`;. .. LOCATION
NAME: HEBERT HELEN L OR ' . ADDRESS: 22 RAYMOND ROAD
ADDRESS: 22 RAYMOND RD ` A' OWNER: HEBERT JOSEPH R&HELEN L
S WINDSOR,CT 06074-32241' 22 RAYMOND ROAD
SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: EXTEND WATER AND DRAIN TO ACCOMODATE WASHER ON FIRST FLOOR.
SPECIAL CONDITIONS:
ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT.
CONSTRUCTION TYPE: x
OCCUPANCY GROUP: N BUILDING OFFICIAL
9/15/201 19:57 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE