HomeMy WebLinkAbout225 OAKLAND RD UNIT 202 DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
TOWN OF SOUTH WINDSOR PERMIT#
Application is hereby:
BUILDING DEPARTMENT
PROVE 1540 SULLIVAN AVENUE Bldg.Permit#
��J�O � 644-2511 ext. 230 �� k 7 U
Date Building Ins for
Application must be printed or typed
FEE SCHEDULE Location of Job:
$0-$1,000=$15.00 F
Street Lot No.
Over$1,000=
$15.00 per$1,000 02-
or any fraction thereof gnation Apt.No.
APPLICANT
APPLICANT ADDRESS / / I _ )2.
APPLICANT PHONE# 6, 2-R 101
OW N SFq OWNER �iPN ei2 A�rar�
OWNER ADDRESS
COD * OWNER PHONE
C ESTIMATED COST$ 066, w
V
•� IS THIS A CONTRACT COST? h Yes _No
FEE ENCLOSED$
'4 O�� TYPE OF JOB:
soR C New Installation
_Alteration/Addition/Repair
Revised 4/01//2002
APPLICATION FOR ELECTRICAL PERMIT (continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
O RESIDENTIAL BUILDING PERMIT APPLICATION? ❑YES ElNO
0 BUSINESS CURRENT USE AND OCCUPANCY_�i c &e
❑ASSEMBLY o
❑MERCANTILE❑EDUCATIONAL FUTURE USE AND OCCUPANCY
❑INSTITUTIONAL
O FACTORY ENGINEER'S NAME PHONE
U STORAGE
❑GARAGE ADDRESS
❑MIXED USE
(Other please specify) CITY STATE ZIP
TYPE OF INSTALLATION/WIRING METHOD
SIZE OF SERVICE AOD SIZE OF MAIN CONDUCTORS Z
NUMBER OF METERS�_ NUMBER OF DISCONNECTS AND RATINGS
NUMBER OF PANELS REMOTE DISCONNECT REQUIRED? 0 YES ❑NO
NUMBER OF LIGHT CIRCUITS 3 NUMBER OF POWER CIRCUITS
NUMBER OF SWITCHES_0 NUMBER OF OUTLETS .2 5"
NUMBER OF LIGHT FIXTURES NUMBER OF HEAT CIRCUITS
NUMBER OF A/C CIRCUITS I
SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED.
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
DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT
TOWN OF SOUTH WINDSOR PERMIT#
Application is b
BUILDING DEPARTMENT
PROV 1540 SULLIVAN AVENUE Bldg. Permit#
644-2511 ext. 230
Date uilding Insp or
Application must be printed or typed
FEE SCHEDULE Location of Job:
7� 06kce4 S7-
$0-$1,000=$15.00 Street No. Street Lot No.
Over$1,000=
$15.00 per$1,000 C�
or any fraction thereof Tenant Designation Apt.N
APPLICANT P ( r (Q ooCa (C 0 Ct UC--
APPLICANT ADDRESS 0 A C) ? ��
�r-- co 2
APPLICANT PHONE# e�,o O — ?j
O W N S Fq OWNER4--FIA�- — C a fx I h1
OWNER ADDRESS -7--7
C-0) OWNER PHONE ! k'2 —
0
C ESTIMATED COST$ 58 70
IS THIS A CONTRACT COST? Yes _No
_' FEE ENCLOSED$ 0 lel��sO TYPE OF JOB:
R•co New Installation
Alteration/Addition/Repair
Revised 4/01//2002
APPLICATION FOR HVAC PERMIT (Continued from reverse side)
TYPE OF SYSTEM: TYPE OF BUILDING:
VLHEATING ❑RESIDENTIAL
A/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 HEA G UIPMENT(INCLUDING MAKE MODEL NO.)
GROSS HEATING CAPACITY(INPUT—BTUH)Z�� NET RATING(OUTPUT—RTUH) S L-000
TYPE OF FUEL
9 OIL—GPM OIL TANK LOCATION:❑INSIDE❑OUTSIDE CAPACITY
GAS—INPUT�pOW 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)
/ DESCRH3E L COOLINg EQUIPMENT(INCLUDING MAKE&MODEL NO ,t
2�
TONNAGE J�Z COOLING CAPACITY(BTUH) Z ccxf)()
VENTILATION
DESCRIBE ALL AIR HANDLING EQUIPMENT(INCLUDING KITCHEN EXHAUST EQUIPMENT)
TOTAL SIZE OF SYSTEM(CFM) FRESH AIR INTAKE(CFM)
(PLANS MUST ACCOMPANY APPLICATION) ' l
FURTHER DESCRIPTION OF WORK J1&C; , �D'�TH V Aj77c f-?7cxJ r-14i
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.
'303 S ( -- L-7
CONTRACTORS LICENSE NO I-) STATE
SIGNATURE OF APPLICANT DATE
DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT
Applic
TOWN OF SOUTH WINDSOR PERMIT#
�� BUILDING DEPARTMENT
APPROV 1540 SULLIVAN AVENUE Bldg.Permit#
�T 2 ' 644-2511 ext. 230 r
a17 to " ` ilding Insp for
Application must be printed or typed
FEE SCHEDULE Location of Job:
$0-$1,000=$15.00 Street No. Street Lot No.
Over$1,000=
$15.00 per$1,000 Z p �2—
or any fraction thereof Tenant Designation Apt.No.
APPLICANT < 9
APPLICANT ADDRESS T
APPLICANT PHONE#
O W N S F,q OWNER
OWNER ADDRESS Z 7 -5d,V/YG zS���� D�
rL,4S?vr,,,, C., o -5
CO) OWNERPHONE
C ;D ESTIMATED COST$
•� * IS THIS A CONTRACT COST? _Yes No
!� �G FEE ENCLOSED$
S •,• o TYPE O
FB:
�R C Installation
_Alteration/Addition/Repair
Revised 4/01//2002
APPLICATION FOR PLUMBING PERMIT (continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
BUILDING PERMIT APPLICATION? 0 YES ❑NO
0 RESIDENTIAL
❑BUSINESS CURRENT USE AND OCCUPANCY
❑ASSEMBLY
❑MERCANTILE FUTURE USE AND OCCUPANCY
❑ EDUCATIONAL
0 INSTITUTIONAL
U FACTORY ENGINEER'S NAME PHONE
❑ STORAGE
❑GARAGE ADDRESS
❑MIXED USE
CITY STATE ZIP
(Other please specify)
T7?E OF INSTALLATION ��'?�" �L�'vt��n�G SIZE OF MAIN DRAIN C w
NO.OF TOILETS STYLE NO.URINALS STYLE
NO.OF BATHTUBS NO.OF SHOWERS NO.OF LAVATORIES
ti
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,� le-
ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW ❑YES LINO
SIZE OF WINDOW IF NONE C.F.M.OF VENTILATOR
SIZE OF DUCTS SEWER OR SEPTIC TANK !/
SIZE OF WATER MAIN t K SIZE OF WATER PIPING&RISER �l
WATER HEATER: TYPE6�WL FZe-G T MANUFACTURER
DESCRIPTION OF WORK
r,.,4s 'el 49.-.-L 1=0 4L- d zL Z
SIGNEDTHE UNDLT HEREBY APPLIESA PER IT TO PERFORM DESCRIBED AND IS TO
COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
20 ?2,, -P
CONTRACTORS LICENSE N . 7 TYPE STATE
l
SIGNATURE OF APPLICANT DATE
Electric.# it, F ` APPLICATION FOR BUILDING PERMIT
Plumbing# /d1 oc 225 Oakland Road Unit 202 Date:
HVAC # /;z(P6f
Sprinkler# _
FINAL APPROVALS _ 31$7 0 _ Estimated Cost
Building Permit Fee $
Engineering COMPLETE RED BOXED AREAS Occupancy
Affidavit TYPE OR PRINT ONLY Eng. Insp. Fee $
PP
A r. for CO.,CO.�
S SIGN ON REVERSE SIDE / Total Fee $
TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $
The undersigned hereby applies to do work according to the following: slax
Applicant Gf. )fkaf * 'L-It C. Location of Work 225' .w�td0. 262
Applicant's Address 'L'1 Tel.# 9&0 " -
Town G f6"e!N H Zip 0&&33 Lic.#
Owner ow _Architect c r S
Owner's Address Ve Architect's Address__ /!? SILUTA 401*'1
Zip ' Zip Ob/
Sq. Ft. New Area: 1st FI. 2nd FI. 3rd FI. Total New Area o
Purpose of this permit
City Water❑ Well❑ Septic System❑ Sewer❑
Ins: HO SP Cert. Area Baseme t Garage
Approved by Date Use Group Construction Type
Revised 8r02
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 us.his allowed.
Signed
I hereby apply for a Certificate of Occu ncy for the work described in this application for the permit.
Signed
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
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**-31870-B 4,000
B03 FRAMING (ROUGH) 08/08/05 CJD A
E03 ROUGH O8/08/05 CJD A
E01 SERVICE 08/08/05 CJD A
P03 ROUGH O8/08/05 CJD A
H03 ROUGH O8/08/05 CJD A
B04 INSULATION 08/05/05 CJD A
B10 FINAL 09/26/05 PJP A W/JEFF
**-12665-H 5,870
**-12008-P 4,500
**-19785-E 6,000