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HomeMy WebLinkAbout225 OAKLAND RD UNIT 206 DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT Ap=APP TOWN OF SOUTH WINDSOR PERMIT# BUILDING DEPARTMENT z` � 1540 SULLIVAN AVENUE Bldg.Permit# ..0� 644-2511 ext. 230 Date Byfiling Inspector Application must be printed or typed FEE SCHEDULE Lqcation of Job: $0-$1,000=$15.00 Street No. Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT �� ��pL�2 i`c— �Ciz APPLICANT ADDRESS o C I A CIti APPLICANT PHONE# At O W N 3 f,q OWNER OWNER ADDRESS e C Vr7 (0) + �, OWNER PHONE C ESTIMATED COST$ 7604. �U ►•� + *S (� IS THIS A CONTRACT COST? X Yes _No FEE ENCLOSED$ SO- O��►�'' TYPE OF JOB: R 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 ❑RESIDENTIAL BUILDING PERMIT APPLICATION? ElYES ElNO BUSINESS CURRENT USE AND OCCUPANCY , kz e � G e ❑ASSEMBLY ❑MERCANTILE 0 EDUCATIONAL FUTURE USE AND OCCUPANCY U INSTITUTIONAL ❑FACTORY ENGINEER'S NAME PHONE O STORAGE 0 GARAGE ADDRESS O MIXED USE (Other Please Specify) COY STATE ZIP TYPE OF INSTALLATION/WIRING METHOD /V fic>) SIZE OF SERVICE 166 ) SIZE OF MAIN CONDUCTORS NUMBER OF METERS ! NUMBER OF DISCONNECTS AND RATINGS NUMBER OF PANELS REMOTE DISCONNECT REQUIRED? O 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 SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED. DESCRIPTION OF WORK 41m X,ecd -e C 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. /C y�3s C / CT CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT DATE DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT PERMIT# Application is hereby: TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT APPROVED 1540 SULLIVAN AVENUE Bldg. Permit .# 644-2511 ext. 230 Date Building Inspector Application must be printed or typed FEE SCHEDULE Location of Job: _ 0 Dlc S i $0-$1,000=$15.00 Street No. Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. (�r-,\t k-jor-�\, a�k APPLICANT a 1aI �c`2�� 1 V d ram- /� t- �c;L� L.�--L APPLICANT ADDRESS 3 7 f APPLICANT PHONE# Q W N St.4 Fq OWNER Te—` OWNER ADDRESS O • OWNER PHONE��� C ESTIMATED COST$ .� IS THIS A CONTRACT �COST? ?�Yes _No FEE ENCLOSED$ -I 0 TYPE OF JOB: �SO R C0N X New Installation _Alteration/Addition/Repair Revised 4/01//2002 APPLICATION FOR HVAC PERMIT (Continued from reverse side) TYPE OF SYSTEM: TYPE OF BUILDING: A HEATING ❑RESIDENTIAL 13 A/C W COMMERCIAL 0 VENTILATION ❑INDUSTRIAL HEATING ❑ STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS. 0 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(IN LUDING MAKE&MODEL NO.) go o is ,PF Fwr vti� - �to l4,6, - ( GROSS HEATING CAPACITY(INPUT-BTUH)7a� NET RATING(OUTPUT-BTUH) � TYPE OF FUEL ❑OIL-GPM OIL TANK LOCATION :❑ INSIDEO OUTSIDE CAPACITY W GAS-INPUT `12A0 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(INCLUD G MAKE&MODEL NO.) U, bsL� 1 t r 4-a.,0op Z+u.), r�� l�x `zs I d h- U4 TONNAGE COOLING CAPACITY(BTUH) Cj 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 v\ ST-. ' I 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. �� S � CONTRACTORS LICENSE NO. TYPE STATE 7 SIGNATURE OF APPLICANT DATE DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT Application is hereby: TOWN OF SOUTH WINDSOR PERMIT t, BUILDING DEPARTMENT O 1540 SULLIVAN AVENUE L�69 644-2511 ext. 230 Bldg. Permit# Date 1 i nspector Application must be printed or typed FEE SCHEDULE Location of Job: ZZ� On 1c�ANn e�> $0-$1,000=$15.00 Street No. Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT t-- ^ r) C ' APPLICANT AD SS (770 , AA o C t APPLICANT PHONE# (p 01— 9 70 le w N s F,q OWNER Q Ci < OWNER ADDRESS e 2 P OWNER PHONE C f = ESTIMATED COST$ j;/'S—cfp n x IS THIS A CONTRACT COST? _Yes _No FEE ENCLOSED$ . ON� TYPE 7New: J a R C Installation _Alteration/Addition/Repair Revised 4/01H2002 APPLICATION FOR PLUMBING PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION? ❑ YES ❑NO ❑RESIDENTIAL ❑BUSINESS CURRENT USE AND OCCUPANCY ❑ASSEMBLY ❑MERCANTILE FUTURE USE AND OCCUPANCY ❑EDUCATIONAL ❑ INSTITUTIONAL ❑FACTORY ENGINEER'S NAME PHONE ❑ STORAGE ❑ GARAGE ADDRESS ❑MIXED USE (Other please specify) CITY STATE ZIP TYPE OF INSTALLATION Nil tA�) 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-In)L= ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW ❑YES ❑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 3 WATER HEATER: TYPE MANUFACTURER C is� DESCRIPTION OF WORK jj�� \ \ 1 LA h V THE UNDERSIGNED HER BY APPLIES FOR A PERMIT TO PERFORM THE WORK DrSCRIBED AND IS TU— COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. Z CONTRACTORS LICENSE NO. IEST TE SIGNATURE OF APPLICANT DATE r APPLICATION FOR BUILDING PERMIT Electric # Plumbing# 229 Oakland Road Un}+. a ate: l� HVAC # /Z 2 Z:::� Sprinkler# FINAL ROVALS r - 32203 -____- -_--___ �__--- --.- _-_-- Estimated Cost $ RQ Building EIN- SIGN PLETE RED BOXED AREAS Permit Fee $ Engineering TYPE OR PRINT ONLY Eng.Occupancy sp. Fee $ /c Affidavitppr. for COcl!.�ac� 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: Applicant Location of Work IZ26 / LA � _Lot No. -� Applicant's Address nk Tel.# 6766— b33-/f Town s Lim M&!*I Gr Zip 4C�G 3 Lic.# Wh Owner Architect R6 11£C1T — Owner's Address Architect's Address I SlL ?4t-L q44 Zip 1A7WTIfF�O C-T- Zip O b J -- Sq. Ft. New Area: 1 st FI. 2nd FI. 1350 3rd FI. ,-- Total New Area 1O Purpose of this permit Ti�W . Ilk,7- City Water Well❑ Septic System❑ Sewer Ins: HO SP Cert. 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 is ed. Signed 1 hereby apply for a Certificate of Oc cy for the wo�describ application for the permit. Signed DO NOT RITE BELOW THIS LINE INSPECTION COMMENTS