HomeMy WebLinkAbout225 OAKLAND RD UNIT 403 DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT
Applicatio '
TOWN OF SOUTH WINDSOR PERMIT#
BUILDING DEPARTMENT , O et"',APP 1540 SULLIVAN AVENUE Bldg.Permit#
G> 644-2511 ext. 230
Date ulding nsp ctor
Application must be printed or typed
FEE SCHEDULE Location of Job:
Fie—nant
5 �t I-I 4-AJ i S i
$0-$1,000=$15.00 Street Lot No.
Over$1,000= U
$15.00 per$1,000 4
or any fraction thereof gnation Apt.No.
1014bo)t4,h
APPLICANT C,Z b I O
APPLICANT ADD ' D
6 Z.
APPLICANT PHONE# 0 7 6 cQ�,
OWNER
O W N S F 60-rLa(-6
q 5141��P 1C r
< OWNER ADDRESS
OWNER PHONE GU — 0
C ESTIMATED COST$ S ?-7
x IS THIS A CONTRACT COST? Yes _No
FEE ENCLOSED$ q6
I�YOS . • ��y� TYPE OF JOB:
R C New Installation
Alteration/Addition/Repair
Revised 4/01//2002
APPLICATION FOR HVAC PERMIT (Continued from reverse side)
TYPE F YSTEM: TYPE OF BUILDING:
HEATING ❑RESIDENTIAL
'PrA/C OMMERCIAL
❑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) °F(HEAT LOSS SHEET MUST ACCOMPANY
APPLICATION)
D SCRIBE ALL A EQUIPMENT(INCLUDING MAKE"ODEL NO) 664 C_c4B
GROSS HEATING CAPACITY(INPUT—BTUH) NET RATING(OUTPUT—BTUH)
TYPE OF FUEL
OIL--GPM OIL TANK LOCATION :❑INSIDE❑OUTSIDE CAPACITY
AS—INPUT QC-)MA/f.PG TANK CAPACITY ELECTRIC—KW
AIR CONDITIONING
DESIGN TEMP.OUTSIDE OF INSIDE OF DIFFERENCE OF
TOTAL HEAT GAIN(BTUH) (HEAT GAIN SHEET MUST ACCOMPANY APPLICATION)
DESCRIB L COOLING EQUIPMENT(INCLUDING PAKE&M L O.)
TONNAGE -Z, Z COOLING CAPACITY(BTUH)—�-�—/ do v
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 `f7� �-*u 3�)--,/ -
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.
"03 .-4- Z�4 -
CONTRACTORS LICENSE NO. TYPE STATE /
SIGNATURE OF APPLICANT DATE
DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT
IT#
Application' e y: TOWN OF SOUTH WINDSOR PERM
BUILDING DEPARTMENT
APPRO 1540 SULLIVAN AVENUE Bldg. Permit#
A644-2511 ext. 230
Date %ifding Inspector
Application must be printed or typed
FEE SCHEDULE Location of Job:
ZZ5 O AK"An-0 ST.
$0-$1,000=$15.00 Street No. Street Lot No.
Over$1,000=
$15.00 per$1,000 y t)3
or any fraction thereof Tenant Designation Apt.No.
APPLICANT N q Y'1V l��0'C EQS I
APPLICANT ADDRESS S+
l�tr CT bat to
APPLICANT PHONE# (p FPZ— 477 0 LO
O W N St OWNER C'S et-�t-- C n Z
OWNER ADDRESS Z7 + WAR
CT
0 + 0, OWNER PHONE s G Q ' u n3
C ' a ESTIMATED COST$ OO •O l7
IS THIS A CONTRACT COST? __.IZYes _No
FEE ENCLOSED$
TYPE OF JQB:
dSOR•Cps New 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? ❑ YES ❑NO
❑RESIDENTIAL
❑BUSINESS CURRENT USE AND OCCUPANCY
❑ASSEMBLY
❑MERCANTILE O EDUCATIONAL FUTURE USE AND OCCUPANCY
❑INSTITUTIONAL
0 FACTORY ENGINEER'S NAME PHONE
❑STORAGE
0 GARAGE ADDRESS
❑MIXED USE
CITY STATE ZIP
(Other please specify)
TYPE OF INSTALLATION SIZE OF MAIN DRAIN
y ,
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 '�;I n\e
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
i
SIZE OF WATER MAIN ' J{ SIZE OF WATER PIPING&RISER 3
WATER HEATER: TYPE IG MANUFACTURER ��,YY�Qr1 C.ih'h
DESCRIPTION OF WORK
THE UNDER IGNED ITREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND is Tn-
COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK. 1
VIP
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT DATE
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT PERMIT#
Applicatio ' e TOWN OF SOUTH WINDSOR o
BUILDING DEPARTMENT 2
ROV 1540 SULLIVAN AVENUE
Bldg.Permit#
644-2511 ext. 230
Date g Inspector
Application must be printed or typed
FEE SCHEDULE Location of Job: n
L�t4 4403 ac35 OAKIcru& T.e�1 We-r4wge4h arL
$0-$1,000=$15.00 Street No. Street Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT 4
APPLICANT ADDRESS
al C7, o 6o7 iG
APPLICANT-PHOCNEE# S 6 0 9 / 3 — O s- 6 5`
W SON S 7
lrq OWNER .let-f -54,wyer-
OWNERADDRESS Z7 &Wmee-Swe-eA 102-
asfon6a" , (LI ^06o 3 3
0
p, OWNER PHONE (S3 3 -- 1 Z y
C = ESTIMATED COST$ C, Od O
xIS THIS A CONTRACT COST? Yes /
FEE ENCLOSED$
S TYPE OF JOB:
R CO
New Installation
Alteration/Addition/Repair
Revised 4/01 H2002
APPLICATION FOR ELECTRICAL 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 FUTURE USE AND OCCUPANCY
❑EDUCATIONAL
❑INSTITUTIONAL
❑FACTORY ENGINEER'S NAME PHONE
❑STORAGE
❑GARAGE ADDRESS
❑MIXED USE
CITY STATE ZIP
(Other please specify)
TYPE OF INSTALLATION/WIRING METHOD �y
SIZE OF SERVICE DO SIZE OF MAIN CONDUCTORS_ Z fy L
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 JJ
win ne-L-/ o4,,tc- Cando 46 ha��•nc�l Clcc GvA L do S
t
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.
/60
6 c;Z -7 AEZ
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT DATE / ' 06
Electric # APPLICATION FOR BUILDING PERMIT
Plumbing# n 225 Oakland Road, Suite 403 Date: _ Q
HVAC # o
Sprinkler# __ 2$�4_ — - � 3_._ pCd',cb
FINAL APPROVALS Estimated Cost $
Building I - �7 ----- — - - - _ — - - - - Permit Fee $
g COMPLETE RED BOXED AREAS Occupancy Fee $
Engineering I
TYPE OR PRINT ONLY Eng. Insp. FeeAffid $
Appravit for. C o-o? SIGN ON REVERSE SIDE-
- -- _ — Total Fee $
TO THE BU ING DEPARTMENT,TOWN OF SOUTH WINDSOR,CT (Additional Cost) $
The undersigned hereby applies to do work according to the following:
v
Applicant GUCr A!13aj2- 10C Location of Work 22 G
Applicant's Address r� G P-0 SO t lO(p 4 Tel.# g6D— 3� l2
Town C-T— Zip 0 007M Lic.# ?1
Owner PAI 1 14 A0 Aa4IC Architect
Owner's Address rTlArchitect's Address 19 S'(C tAo f-
Zip !"A-A'f� Zip
Sq. Ft. New Area: 1st FI. 3 _2nd FI. 3rd FI. Total New Area 135G
Purpose of this permit __
1�N T ��— ay
City Water Well❑ Septic Systems Sew1K
Ins: HO . S Cert. Area Basement Garage
Approved by Date `1 i • oto Use Group Construction Type r+'�
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 allowed.
Signed
I hereby apply for a Certificate of Occu�ancy for the r<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 CommeAt
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•*-30039-B 18,000
•w-13086-H 5,870
"+-13075-P 5,000