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