HomeMy WebLinkAbout220 SKYLINE DR APPLICATION FOR HVAC PERMIT
DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT#
Application is hereby: BUILDING DEPARTMENT j 3C)o ti 2'5
APPRO D 1540 SULLIVAN AVENUE Bldg. Permit#
do s,1� Lt� 644-2511 ext. 230
Date Building Inspector
Application must be printed or typed
FEE SCHEDULE
Location of Job:
-
$0-$1,000=$15.00 �°?� JK�(/-ih P �2
Over$1,000= I Street No. Street Lot No.
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT J l- 13 �rnDl+�S �-��d��►'�
APPLICANT ADDRESS &lid 1Uv'f'
APPLICANT'S PHONE# y o y y G
OWNER �ig
OWN Sf
q q� OWNER ADDRESS
OWNER PHONE
ESTIMATED COST$
C
IS THIS A CONTRACT COST? ✓ Yes No
FEE ENCLOSED$ 7 j
�Gj � TYPE OF JOB: A N%G17,
SOR- 0 New Installation
Alteration/Addition/Repair
�oi3o lye,
Revised 03/05/10
APPLICATION FOR HVAC PERMIT(Continued from reverse side)
TYPE OFSYSTEM: TYPE OF BUILDING:
(HEATING ❑ RESIDENTIAL
❑ A/C ❑ COMMERCIAL
❑ VENTILATION ❑ INDUSTRIAL
HEATING
❑ STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS.
❑ HYDRONIC W 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
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
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. TYPE / STATE
SIGNATURE OF APPLICANT DATE /
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ERECTED AS SHOWN AND STAKED.
I HEREBY CERTIFY THIS MAP TO BE SUBSTANTIALLY
PROPERTY OF CORRECT AND IN ACCORDANCE WITH CLASS A-2
OF CODE OF CONNECTICUT TECHNICAL COUNCIL. ��pF COMpE0l/
SKY VIEW W b 3 0 0
OEVELdPMENT CORD■ AI_,FTORID AS0OCIA-rM3 No. 2163 i
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k LOT56 - SKYVIEW- SOUTH WINDSOR, SCALE: I IN. = 40 FT-1 DATE:tl&AMrl /97S
t_77 77 1 A MOYTNt.AST fJrPlV C.
Electric # APPLICATION FOR BUILDING PERMIT
Plumbing# 220 Skyline DRive -- 8 20
HVAC# 33nnn905 Date:
Sprinkler# Estimated Cost $
FINAL APPROVALS Permit Fee $ �-
Building COMPLETE RED BOXED AREAS Occupancy Fee $
Engineering TYPE OR PRINT ONLY Eng. Insp. Fee $
Affidavit
Appr.for CO. SIGN ON REVERSE SIDE ATotal Fee $ / .
TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ 3 7
The undersigned hereby applies to do work according to the following:
Applicant ��+ VV••ee Location of Work_ka b 5 t Lot No.
Applic nt's Address a;L dCC �f--� I 1 n _ _tr Tel #
Town O M� Zip _ Lic.#
Owner Architect
Owner's ?ess Architect's Address
Zip Zip
Sq. Ft.New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area
Purpose of this permit ����d1,1�� f\_
City Water J Well J Septic System J Sewer J o26i3nps9
Ins: HO SP Cert. p Area Basement Garage
Approved by Date '0 Use Group Construction Type
Revised 1108
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 t is building is to be located th pop distance from all street lines,side yard lines,and required
distances from all other zones a d is located in ich is uil in nd its use is allowed.
I hereby apply for$ael!i
cate of Occ ancy for the work described in this application for the permit.
Signed
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
13000205 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER BUILDING PERMIT
DATE: 05/14/2013 �
GIS ID: 83100220 >_ FEE: 150.00
MUNIS APPLICATION# 201300594 �`, '— �Y-°~ "" ""* < "'<BUILDING DESCRIPTION:
APPLICANP4 a, `� ``', LOCATION
NAME: LEE JOO HAK "' - ADDRESS: Q20 SKYLINE DRIVE
ADDRESS: 220 SKYLINE DR �! ��' ,� OWNER::- HO&G-LEE SAWON&LEE JOO HAK
S WINDSOR,CT 06074,1376 '` k` 220-SKYLINE DRIVE
.s-SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: SIDINGG AW'WINDOWS:
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
5/14/2013 10:17 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE
1300423 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER HVAC PERMIT
DATE: 10/07/2013
GIS ID: 83100220 ;7 W _�:• '.a r" "' ' FEE: 75.00
MUMS APPLICATION# 201301412 .,BUILDING DESCRIPTION:
APPLICANTS ; �� ,: , , .- •' ty LOCATION
NAME: A&B COOLING AND HEATING CORP ADDRESS., 220 SKYLINE DRIVE
ADDRESS: 660 NUMEG ROAD NORTH F, OWNER: tiHONG-LICE SAWON&LEE JOO HAK
SOUTH WINDSOR,CT 66074 °$220, SKYLINE DRIVE
SOUTHaWINDSOR,CT 06074
DESCRIPTION OF WORK: REPI;ACP,EXI gSTING RED TAGGED FURNACE:�
p� ' aI s t++mofeN"'. .I.:YP'•' % Y t"0�r ,S
SPECIAL CONDITIONS: 'a „� '� ;1 9' .: I y.
ALL WORK TO BE DONE IN ACCORDANC I'iVITH,THE,�APPLICATION AND PLXNS',APPROVED BY THE BUILDING DEPARTMENT.
CONSTRUCTION TYPE:
OCCUPANCY GROUP: '�" �. ........... :•,,,� "' BUILDING OFFICIAL
10/7/2013 3:33 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE