HomeMy WebLinkAbout225 OAKLAND RD UNIT 304 DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT
Application is hereby:
TOWN OF SOUTH WINDSOR PERMIT#
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-$1,000=$15.00 FfTenant
Street Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof gnation n Apt.No.
l
APPLICANT -}-F�Uln1�-f LAC
APPLICANT ADDRESS
r
APPLICANT PHO � #
W N 3 F,q OWNER
< OWNER ADDRESS e
CIO) OWNER PHONE 9 O Q 5
C ESTIMATED COST$
� � V
x IS THIS A CONTRACT COST? Yes _No
�CJ FEE ENCLOSED$ - C�
O�� TYPE OF JOB:
OR C New Installation
_Alteration/Addition/Repair
Revised 4/01//2002
40t-i ,17-
APPLICATION FOR HVAC PERMIT (Continued from,reverse side)
TYPE O SYSTEM: TYPE OF BUILDING:
HEATING ❑RESIDENTIAL
XA/C XCOMMERCIAL
❑ VENTILATION Cl 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) °F(HEAT LOSS SHEET MUST ACCOMPANY
APPLICATION)
DESC E ALL HEATING EQUIPIT
INC UDING MAKE&MODEL O. � ��
ocArrin �kd'
GROSS HEATING CAPACITY(INPUT-BTUH) OONET RATING(OUTPUT-BTUH)5,2._•_06 0
'"�TYPE OF FUEL
C�OIL-GPM OIL TANK LOCATION :❑INSIDE❑OUTSIDE CAPACITY
1T5'tS GAS-INPUT If WG TANK CAPACITY ELECTRIC-KW
AIR CONDITIONING
DESIGN TEMP.OUTSIDE OF INSIDE OF DIFFERENCE OF
TOTAL HEAT GAIN(BTUH) (HEAT GAIN SHEET MUST ACCOMPANY APPLICATION)
DM
BE ALL COOLING EQUIPMEN UDING MAKE&MODEL NO.)
i
TONNAGE COOLING CAPACITY(BTUH)4 O lJ
VENTILATION ��pp
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
PERFORMANCES OF SUCH WORK.
a SL' sl CT
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT DATE j O - 3 /
BUILDING INSPECTION DEPARTMENT
TOWN of SOi;.ii^'�DS R't-ONNZCTICUT
w
C E R T I Nam'I T" E O F 0'"C4 [j i�'4:A N C Y
4.,
20Nfi: T.VAKLA
March 28 2006
This is to certifyitheA ND I' ERECT D ,,c,dc
a permit
No. 32318 conformal subs jt3 y to cite ._�lui: _nr of. the Connecticut
Basic Building cool 4(r,�i nj' regulotiur,:, of 'E. T@wg aft
,.•
South Windsor an # h?, "' :, p roved *.or cupa iirdicatAd below
Approved for occ4lpos6y TFNPT d7UILD OUT Itasur
$ •4SUITE`3D4
�
Use Group: NA sv �• ''
Constr. Type: NA
�. Su Ong'Official
4w .
Notice: If this cert 4: e�jjr syt=:odestroyed, duplicate should
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
PERMIT#
Application is hereby: TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
APPROVED 1540 SULLIVAN AVENUE
Bldg.Permit#
644-2511 ext. 230
Date BuAftinspWor
Application must be printed or typed
FEE SCHEDULE Location of Job:
F
6�1ea,.. <I--$0-$1,000=$15.00 Street Lot No.
Over$1,000=
$15.00 per$1,000 or any fraction thereof tion Apt.No.
APPLICANT !,JcZ �11 ���r�L$Ll r•
APPLICANT ADDRESS / i-tplae Cie
c / �ic-tit D'3 3
APPLICANT PHONE#
N SFq OWNER
OWNER ADDRESS e
C�gs�VL, ,i�1y ef( . Gr'c�G33 CO) F, OWNER PHONE 8<F U 3
(T ESTIMATED COST$
IS THIS A CONTRACT COST? Yes _No
FEE ENCLOSED$
OR CO�� TYPE OF JOB:
New Installation
Alteration/Addition/Rep air
APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
BUILDING PERMIT APPLICATION? 0 YES ❑NO
❑RESIDENTIAL
BUSINESS CURRENT USE AND OCCUPANCY
❑ASSEMBLY
0 MERCANTILE
❑EDUCATIONAL FUTURE USE AND OCCUPANCY Micro 2 r'
0 INSTITUTIONAL
0 FACTORY ENGINEER'S NAME PHONE
0 STORAGE
0 GARAGE ADDRESS
O MIXED USE
CITY STATE ZIP
(Other please specify)
TYPE OF INSTALLATION/WIRING METHOD �x
SIZE OF SERVICE /CG i SIZE OF MAIN CONDUCTORS
NUMBER OF METERS I NUMBER OF DISCONNECTS AND RATINGS /Cc'
NUMBER OF PANELS REMOTE DISCONNECT REQUIRED? ❑YES ❑NO
NUMBER OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS
NUMBER OF SWITCHES ai6 NUMBER OF OUTLETS j _
NUMBER OF LIGHT FIXTURES S NUMBER OF HEAT CIRCUITS
NUMBER OF A/C CIRCUITS 1 _
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.
lb ' �
CO MRACTORS LICENSE NO. !� 4TYPE STATE
in ) 2
SIGNATURE OF APPLICANT C��� �,t, ,J/_ DATE
DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT
PERMIT#
Application is hereby: TOWN OF SOUTH WINDSOR / o S
BUILDING] DEPARTMENT
APPROVED 1540 SULLIVAN AVENUE Bldg. Permit#
644-2511 ext. 230
Date Iding Inspector '
App 1cation must be printed or typed
FEE SCHEDULE Location of Job:
6� ZZ S
$0-$1,000=$1T.00 Street No. Street Lot No.
Over$1,000=
$13.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT AA n y pZDT'A 0 S h e
APPLICANT ADDRESS I-40 IZPSt 111a-. n Si
(P
APPLICANT PHONE# _ q(a O" a 1 Z— 470 Y
SOW N 3F,q OWNER
OWNER ADDRESS Z-7 s L1 y11r(1Q�- t� lT'e-
� � � e a33
OWNER PHONE
O ESTIMATED COST$ d D L
IS THIS A CONTRACT CCST? �es O No
FEE ENCLOSED$
s, TYPE OF JOB:
OR•C Dl
'New Installation
0 Alteration/Additior./Repair Revised 8/99
APPLICATION FOR PLUMBING PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
❑RESIDENTIAL BUILDING PERMIT APPLICATION? ❑ YES ❑ NO
❑BUSINESS CURRENT USE AND OCCUPANCY
❑ASSEMBLY
❑MERCANTILE FUSE USE AND OCCUPANCY
❑EDUCATIONAL
❑INSTITUTIONAL ENGINEER'S NAME PHONE
❑FACTORY
❑ STORAGE ADDRESS
❑ GARAGE
❑MIXED USE CITY STATE ZIP
(Other please specify)
TYPE OF INSTALLATIONJJCI,> Tl,l.rw h•,, SIZE OF MAIN DRAIN 1
NO.OF TOILETS I 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 BASIN S NO. OF FLOOR DRAINS
NO.OF OTHER FIXTURES KIND S I\n L L
ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIIrBY A WINDOW ❑YES ❑NO
SIZE OF WINDOW IF NONE C.F.M. OF VENTILATOR
SIZE OF DUCTS SEWER OR SEPTIC TANK V
SIZE OF WATER MAIN SIZE OF WATER PIPING&RISER . 3
WATER HEATER: TYPE &A jlnn �1CdANUFACTURER Anme-?-:c-n-"
DESCRIPTION.OF WORK
xk) cr - r r1
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.
Z bS-7 Z (-p
CONTRACTORS LICENSE NO. E STATE
SIGNATURE OF APPLICANT DATE_ Cp