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$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT d f�tN ?'c�j�� •�� — ,� •
APPLICANT ADDRESS 'Z
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APPLICANT PHONE# 0 6-A-7 7 9.f'
O* N SF OWNER •.
OWNER ADDRESS
OWNER PHONE
C ESTIMATED COST$
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
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MIORTGAGE SURVEY �`.4!4°�671 tiF�
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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$,
zoning regulations not violated
L.S. #4395
January 13, 1977
REFERBrE i'ap prepared for Joseph Kristan , South Windsor, Conn.
Scale 1 " = 60' Dated 10-29-62. Rev 10--30-62 by John J. Nlozzochi
Assoc. Certified substantially correct, no zoning violations Joinn
LL:Chs Jr. L. S. 3744
Elevations added march 3, 1977
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PROFESSI;)^i.IC EOG1"Jr."FR^__. .____-- !..^.A�,clr�l•�ynng
it
EVERETT O. GARDNER & ASSOCIATES 576OLOPOSTROAD TOLLAND, CONNECTICUT 06084 7
H.oI-BERT Sa CLCO GLtpOUN
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PERMIT PLAN
I LAND OF JOSEPH JOHN & HELEN TERESA KRISTAN
TOWN OF SOUTH WINDSOR, CONNECTICUT
SCALE 1 " = 40' �OF CDPV
AF
Certified substantially correct, y�'���
f
No. 4395 ,
s STERE d
PE _ #4395
November 23, 1976 Tolland, Conn.
Rev 12/►/'tly x;
REFERENCE
Map prepared for Joseph Kristan South Windsor, Conn.
Scale 1 " = 60' Dated 10-29-62 Rev. 10-30-62 By John J. '
Moz o bi & As oc. Ce tified substantially correct no zoning
�f
viofa�ions. �ohn Luc s Jr y g -
LS3744
t10---- EX1S"T iNG COt�'SOURS ?I� PVZ0PO`5f;0 CatJToUTZi�>
PROFESSIONAL ENGINEERS LAND SURVEYORS
/�/171
--EVERETT O. GARDNER U ASSOCIATES— 57GOLDPOSrROao "- TOLLAND, CONNEM-xur Oscs4 -"---t
V,
rrAL_ts` `T- c_t_C.� GI—dr��c�rJ
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{ O TZAISED R,c.>,!CN
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, ..1.1 J^-_i 1•..-.r,�.!1
MORTGAGE SURVEY ,$%°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'
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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