HomeMy WebLinkAbout225 OAKLAND RD UNIT 103 DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT
PERMIT#
ALAPPRD
on is h TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
E 1540 SULLIVAN AVENUE
644-2511 ext. 230 Bldg.Permit#
4G
Date Iding Inspector
Application must be printed or typed
FEE SCHEDULE Location of Job:
22 5 DAY-L AV) R0Ab _
$0-$1,000=$15.00 Street No. Street Lot No.
Over$1,000=
$15.00 per$1,000 f0a
or any fraction thereof Tenant Designation Apt.Igo.
APPLICANT &N-4 &J OT41kR 10 .
APPLICANT ADDRESS Aa1%
jz p c : I lc CT 6(s 0(a L,
APPLICANT PHONE# gtoo- 9ft: Z- �j-;0 Lp
O W N Se OWNER Gab)E)P- ID r, tJ C. - -- --
OWNER ADDRESS �-
�
r OWNER PHONE
C ;D ESTIMATED COST$ a
U
IS THIS A CONTRACT COST? Yes _No
FEE ENCLOSED$ S• O�
TYPE OF JOB: /
OSOR•CAN �ew Installation
Alteration/Addition/Repair
Revised 4/01//2002
APPLICATION FOR PLUMBING PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED A
BUILDING PERMIT APPLICATION? YES ❑ NO
0 RESIDENTIAL
®'BUSINESS CURRENT USE AND OCCUPANCY
0 ASSEMBLY
0 MERCANTILE FUTURE USE AND OCCUPANCY
0 EDUCATIONAL
❑ INSTITUTIONAL
0 FACTORY ENGINEER'S NAME PHONE
O STORAGE
❑ GARAGE ADDRESS
0 MIXED USE
CITY STATE ZIP
(Other please specify)
` � �
TYPE OF INSTALLATION tJ
, L_uDI4.�•nb� rti 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 S A LLD N S 1 014-S
ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW 0 YES O 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 +�1.
WATER HEATER: TYPE 8C) &^6. Gft& MANUFACTURER A O S,nn• 1 ��
DESCRIPTION OF WORK
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCR ED AND IS TO
COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
Zo 3-i Z Lo
CONTRACTORS LICENSE NO. STATE
/
SIGNATURE OF APPLICANT DATE �b
DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT
PERMIT#
Application is hereby:
TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
APPROVED 1540 SULLIVAN AVENUE
L
Bldg.Permit#
644-2511 ext. 230
Date Bui g Inspector
Application must be printed or typed
Location of Job:
FEE SCHEDULE F:Te:nant
$0-$1,000=$15.00 Street Lot No.
Over$1,000=
$15.00 per$1,000 O
or any fraction thereof nation Apt.No.
APPLICANT �- V (C L� (Ufa V7<LA LL-C
APPLICANT ADDRESS D - 0 k �o
ELt_1-0 Cam--
APPLICANT PHONE# _
W N S Cq OWNER 4-/t
OWNER ADDRESS 2 7 Sc4 4A SGyr-�
p OWNER PHONE 0
C ESTIMATED COST$ c6 7U
x * w IS THIS A CONTRACT COST? X-Yes _No
FEE ENCLOSED$
TYPE OF JOB: l'
OR- 0N New Installation
_Alteration/Addition/Repair
APPLICATION FOR HVAC PERMIT (Continued from reverse side)
TYPE O,f SYSTEM: TYPE OF BUILDING:
IEATING ❑RESIDENTIAL
A/C f(COMMERCIAL
VENTILATION ❑INDUSTRIAL
HEATING
❑ STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS.
❑HYDRONIC I ,WARM AIR ❑UNIT RADIANT HEATER
EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION
DESIGN TEMP. OUTSIDE OF INSIDE OF DIFFERENCE OF
TOTAL HEAT LOSS(BTUH) -F(HEAT LOSS SHEET MUST ACCOMPANY
APPLICATION)
DESCRIBE ALL HEATING EQUIPMENT r (INC UJDING MAKE&MODEL NO.
GROSS HEATING CAPACITY(INPUT-BTUH) NET RATING(OUTPUT-BTUH)
TYPE OF FUEL
❑OIL-GPM OIL TANK LOCATION:❑ INSIDE❑OUTSIDE CAPACITY
G '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)
t) c-IBE ALL OQ 2 LING E�tIPMENT - 1471C MAKE& L NO.)
1�
TONNAGE �� COOLING CAPACITY(BTUH) 4
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.
3 3 ,'S7,4 ,I S_ / C-7-
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT DATE �3 - o k
j APPLICATION FOR BUILDING PERMIT
Electric#
Plumbing# 225 Oakland Road, Unit 103 &1 ate:
HVAC #
Sprinkler# 32834 Z_Z
FINAL APPROVALS — -- -- Estimated Cost $ Q O d d
Building COMPLETE RED BOXED AREAS Permit Fee $ a
Engineering TYPE OR PRINT ONLY Occupancy Fee
Affidavit Eng. Insp. Fee $
A r. for CO ' _ -Q SIGN ON REVERSE SIDE
PP - - - --- -- --- Total Fee $�
TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ �?ze
The undersigned hereby applies to do work according to the following: iQ 3 t.1 d 4.
Applicant GIEXA l CO Z jib C Location of Work ZZ- O Lot No.
Applica f Address 2� S Tel.#Town (�r �r-N�i t,{ 4 Zip 0 (Q 0.$�> _Lic.# N
Owner Q p�,_i�_ cad Architect r—th 444A L a _a
Owner's Address Architect's Address
Zip &I sT' "f PrFC4-V Zi 0611
Sq. Ft. New Area: 1st FI. `� d 2nd FI. ( G 3rd FI. �— Total New Area Z d
Purpose of this permit
City Water Well❑ Septic System❑ SeweK
Ins: HO SP Cert. J Area Basement Garage
Approved by Date Use Group_ Construction Type,
Revised 6102
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 its use lowed.
1
Signed
I hereby apply for a Certificate of Occu Jcy for the work descri n is application for the permit.
Signed
DO NO JITE BELOW THIS LINE
INSPECTION COMMENTS
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
-------------------------------------------------------------------------------
**-30022-B 30,000
E03 ROUGH 09/08/06 JFF A UNITS 103 AND 104
P03 ROUGH 09/01/06 JFF A UNITS 103 AND 104 DWV
H03 ROUGH 09/01/06 JFF A UNITS 103 AND 104
P03 ROUGH 09/01/06 JFF D SYSTEM NOT FILLED
H03 ROUGH 09/01/06 JFF A UNITS 101 AND 102
P03 ROUGH 08/30/06 JFF A UNITS 105 AND 106 DWV WITH JEFFS DAD
P03 ROUGH 09/05/06 CJD A