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HomeMy WebLinkAbout220 KELLY RD DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT Applicatio eFe TOWN OF SOUTH WINDSOR PERMIT# BUILDING DEPARTMENT I.z � 1540 SULLIVAN AVENUE Bldg.Permit# r:, 644-2511 ext. 230 Date Building Inspector Application must be printed or typed FEE SCHEDULE J Location of Job: $0-$1,000=$15.00 Street No. Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT d f�tN ?'c�j�� •�� — ,� • APPLICANT ADDRESS 'Z �r✓� �Z ��_ 4� t q APPLICANT PHONE# 0 6-A-7 7 9.f' O* N SF OWNER •. OWNER ADDRESS OWNER PHONE C ESTIMATED COST$ x IS THIS A CONTRACT COST? ` Yes _No FEE ENCLOSED$ ffY TYPE OF JOB: DSO R.C O XNew Installation Alteration/Addition/Repair Revised 4/01//2002 APPLICATION FOR HVAC PERMIT (Continued from reverse side) TYPE OF SYSTEM: TYPE O UILDING: ❑HEATING RESIDENTIAL >'y C ❑COMMERCIAL ❑VENTILATION ❑INDUSTRIAL HEATING ❑ 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 :❑ INSIDE❑OUTSIDE CAPACITY ❑GAS-INPUT LPG TANK CAPACITY ELECTRIC-KW AIR CONDITIONING p DESIGN TEMP.OUTSIDE,LD OF INSIDE 20OF DIFFERENCE 3s °F TOTAL HEAT GAIN(BTUH)W, EAT GAIN SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL COOLING E UIPME T(INCLUDING M3XE&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) r �1,,.,, /� FURTHER DESCRIPTION OF WORK �&OC,0,%G � ��N'�L' //l.:r 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. CONTRACTORS LICENSE NO. M STATE SIGNATURE OF APPLICANT DAB �-l I -----EVCRETT 0. GARDNER $ ASSOCIATES 576 OLD POST ROAD-- TOLLAND, CONNECTICUT 060a4 1 I 17�.LEsCr-`` StiZ• r, CLCO GLICL�4J _ 11 Y JI v?L i` •t R�ucLo Vnca. t-t_p 0 r toq•� IV c ta•GO' MIORTGAGE SURVEY �`.4!4°�671 tiF� 0 a LA14D OF PLT CARPENTRY CO , INC 41 TM!N OF SOUTH WINDSOR, CONNECT ICUT `CALL 1 " - 40' No. 4395 •RFGISTERE� I,'f Certified substantially correct `•• 441, �••' SGRYE'100.6d,0 Building located as shown, ••��nmofs$, zoning regulations not violated L.S. #4395 January 13, 1977 REFERBrE i'ap prepared for Joseph Kristan , South Windsor, Conn. Scale 1 " = 60' Dated 10-29-62. Rev 10--30-62 by John J. Nlozzochi Assoc. Certified substantially correct, no zoning violations Joinn LL:Chs Jr. L. S. 3744 Elevations added march 3, 1977 /1; j PROFESSI;)^i.IC EOG1"Jr."FR^__. .____-- !..^.A�,clr�l•�ynng it EVERETT O. GARDNER & ASSOCIATES 576OLOPOSTROAD TOLLAND, CONNECTICUT 06084 7 H.oI-BERT Sa CLCO GLtpOUN I I I \ ►.a f ZotJ c a A O 0 I �20 q00 0 We I V' Q\ \ .� 0 0 °� A O welseo �czA.►�cN \ �2 -I V r'aF= 1O-l.O Y N I O \ 40. C, L:42.5't W I �'Z�•� � IoA I � w2 � b•a I� \ Nara-Q3- ao"w\ 1 S`szc P C 13 1'ia1Uo p �KELL �ROAD TPA loop .ems Z 94.0 10Z ,04 IOb PERMIT PLAN I LAND OF JOSEPH JOHN & HELEN TERESA KRISTAN TOWN OF SOUTH WINDSOR, CONNECTICUT SCALE 1 " = 40' �OF CDPV AF Certified substantially correct, y�'��� f No. 4395 , s STERE d PE _ #4395 November 23, 1976 Tolland, Conn. Rev 12/►/'tly x; REFERENCE Map prepared for Joseph Kristan South Windsor, Conn. Scale 1 " = 60' Dated 10-29-62 Rev. 10-30-62 By John J. ' Moz o bi & As oc. Ce tified substantially correct no zoning �f viofa�ions. �ohn Luc s Jr y g - LS3744 t10---- EX1S"T iNG COt�'SOURS ?I� PVZ0PO`5f;0 CatJToUTZi�> PROFESSIONAL ENGINEERS LAND SURVEYORS /�/171 --EVERETT O. GARDNER U ASSOCIATES— 57GOLDPOSrROao "- TOLLAND, CONNEM-xur Oscs4 -"---t V, rrAL_ts` `T- c_t_C.� GI—dr��c�rJ i� 1 i i U' { O TZAISED R,c.>,!CN i S G/\Ix � 4 Q W \ I ~\ U , ..1.1 J^-_i 1•..-.r,�.!1 MORTGAGE SURVEY ,$%°OF ca/V LAND OF PLT CARPENTRY CO , INS .•`�P•'�� �,,, ro_ TO�I,Ir� OF SOUTH WINDSOR, CONNECTICUT � ti,o9 SCALE i " = 40' �� ` � �-+_ No. 4295 a ,,r Certified substantially correct '�FG/S7ERE�. '•• �° ELIT I d i n g located as shown, ••i'•(,N�S...... pP', zoning regulations not violated «•-•••••••'"� s4395 January 13; 1977 REFERENCE: i,'.ap prepared for Joseph Kristan , South Windsor, Conn. Scale 1 " = 60' Dated 10-29-62 Rev. 10-30-62 by John J Nozzochi ?� Assoc. Certified substantially correct, no zoning violations. Jonn Luchs Jr. L.S. 3744, " Elevations added March 3, 1977 -' ----_.__Pr n. ESSIO,JAL FNGIfJF.ERS-------- -----.. t..qr,� rl ,-1 "-yn•,� / I' / i ��1 DEPARTMENT DECISION PERMIT# APPLICATION FOR ELECTRICAL PERMIT UP/ Application is hereby TOWN of SOUTH WINDSOR BUILDING DEPARTMENT Bldg Permit# APPROVED 1540 SULLIVAN AVENUE 644-2511 ext. 230 Date Building Inspector Application must be printed or typed Location of job oCo Street No. / Street Lot No. FEE SCHEDULE /S Floor Apt. No. $0 - $1,000 - $100 Over $1,000 $12.00 per$1,000 OWNERR"�� v`�e fir or any fraction thereof ADDRESS OWNERS PHONE# APPLICANT /7hIfII oW N SF,q ADDRESS �7 G U� rp 4e :h r r` C:� � ndsa- Locb s CT r O [�" ESTIMATED COST$ C = IS THIS A CONTRACT COST? ^� V YES NO Ql FEE ENCLOSED $ O - `O�yS� TYPE OF JOB: R C _1 Original Installation Alteration/Addition/Repair Revised 11/95 APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A RESIDENTIAL BUILDING PERMIT APPLICATION YES / NO BUSINESS ASSEMBLY CURRENT USE AND OCCUPANCY MERCANTILE EDUCATIONAL FUTURE USE AND OCCUPANCY INSTITUTIONAL FACTORY STORAGE ENGINEER'S NAME PHONE- GARAGE MIXED USE ADDRESS CITY STATE ZIP (Other please specify) TYPE OF INSTALLATION/WIRING METHODovx SIZE OF MAIN FEEDERS AND RATING OF WIRE USED # ZIZ�w.o 2b (Avr.DS NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS ZO p-Pb NUMBER OF PANELS REMOTE DISCONNECT REQUIRED 7 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 SEPERATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED. DESCRIPTION OF1 WORK 1 THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONN UILDING CODES IN PERFORMANCE OF SUCH WORK. c-r /a50a& E- i NAME STATE LICENSE NO. TYPE SIGN OF APPLIC PHONE NO. (O 3 DATE - "U S � ♦ v 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: APPROVED: BLDG.PERMIT NUMBER: DATE INSPECTOR LOCATION OF WORK: 7 APPLICANT: OWNER: TYPE OF STRUCTURE: /J ❑NEW BUILDING NAME: Of,,Vc 4 (. I�G G NAME: &1- ❑ADDITION PHONE NUMBER: 0 6U —/ PHONE NUMBER: d v a �^ ? OUSTING BUILDING ADDRESS: O (�I I"c1 ADDRESS: Q � G/ TYPE OF USE: SU c( r T�SG�7y ��(c f� /rGirxl If RESIDENTIAL o COMMERCIAL !- HVAC INFORMATION: FURTHER DESCRIPTION OF WORK: TYPE OF SYSTEM: cJ�iEATING ❑A/C -- 'VL &n O// HEATING: aeu.dpelL, L(-!!Y Cc- TOTAL HEAT LOSS(BTUH) Ua °F (HEAT LOSS SHEET REQUUtED) el onlu DESCRIBE ALL HEATING EQUIPMENT(INCLUDE MAKE AND MODEL NO.): ESTIMATED COST:S Ov AIR CONDITIONING: DESIGN TEMP:OUTSIDE 'F INSIDE 'F DIFFERENCE F° FEE ENCLOSED:$ , TOTAL HEAT GAIN(BTUH) (HEAT GAIN SHEET REQUIRED) DESCRIBE ALL COOLING EQUPMENT(INCLUDE MAKE AND MODEL NO.): FEE SCHEDULE:S18 PER$1,000 OF THE E'§TtMATtD tOST. ROUND UP TO THE NEXT THOUSAND ONCE THE PROJECT IS S1.00 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.: )U TYPE: STATE: SIGNATURE OF APPLICANT: C DATE: 7 / U