HomeMy WebLinkAbout225 OAKLAND RD UNIT 404 DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT
7APP
tion ' TOWN OF SOUTH WINDSOR PERMIT#
BUILDING DEPARTMENT
OV 1540 SULLIVAN AVENUE Bldg. Permit#
644-2511 ext. 230
Date ilding Inspector
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$1,000 1
or any fraction thereof Tenant Designation Apt.No.
APPLICANT V ��j 'htfLS 1•�G
APPLICANT ADDRESS !vim e1% st
Ct 0l0c)IO &
APPLICANT PHONE# R(p) ' V-D-- 4�'0 U
OW N 8F OWNER N I
q< OWNER ADDRESS Z ee
0! r r OWNER PHONE
C ESTIMATED COST$ SoO� • O
•Y
•� } IS THIS A CONTRACT COST? _j,/ Yes _No
FEE ENCLOSED$ 775. DO
• O TYPE OF JOB:
OR C V/ 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 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 Ney) aL,,b 'n C SIZE OF MAIN DRAIN Lj
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 SI e \ 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 I SIZE OF WATER PIPING&RISER
WATER HEATER: TYPE (0 Gq V,Z It C+k I L MANUFACTURER Ayne R 1 C or n
DESCRIPTION OF WORK
THE UNDERSIGNED HEREBY APPLIES FOIZ A PERMIT TO PERFORM THE WORK DESCRIBED=IS TO
COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
zCZIU0 P--- ) Or
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT DATE Zb b L.
DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT
TOWN OF SOUTH WINDSOR PERMIT#
Applicati O
BUILDING DEPARTMENT 1
APPR VED 1540 SULLIVAN AVENUE Bldg.Permit#
At-Ve
644-2511 ext. 230
c---B Iding Inspec or
Application must be printed or typed
FEE SCHEDULE Location of Job:
$0-$1,000=$15.00 [;T�e—nant
o. Street Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof Designation 1 t I�n L J�` � Apt.No.
WWW'6f L'T
APPLICANT D V13Jt.T- '7-K/ V 1 OL-6� LLB
APPLICANT ADDRESS J�>O- "7 le
L= 6T-0,.i = O(Qu Z 5
APPLICANT PHONE
O W N 3 F,q OWNER T ✓1 �
< OWNER DRESS
0
$, OWNER PHONE
C ESTIMATED COST$ c)
•� IS THIS A CONTRACT COST? , Yes _No
FEE ENCLOSED$ S 0/0 b"
O�� TYPE OF JOB:
OR C New Installation
_Alteration/Addition/Repair
Revised 4/01//2002
APPLICATION FOR HVAC PERMIT (Continued from reverse side)
TYPE OF SYSTEM: TYPE OF BUILDING:
HEATING Cl RESIDENTIAL
12k:A/C kCOMMERCIAL
❑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 HEATING EQUIPMENT(INCLUDING MAKE&MODEL NO.)
GROSS HEATING CAPACITY(INPUT-BTUH)-Z��#NET RATING(OUTPUT-BTUH)
TYPE OF FUEL
OIL TANK LOCATION:❑INSIDE❑OUTSIDE CAPACITY
)kGAS-INPUT /f 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(INCLUDING MAKE&MODEL NO.)
TONNAGE / COOLING CAPACITY(BTUH) 421 Oct
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
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.
303s4a 5 � C7-
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT 0 DATE ��f
Revised 4/01//2002
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
PERMIT#
Application is y: TOWN OF SOUTH WINDSOR ��J
BUILDING DEPARTMENT
1540 SULLIVAN AVENUE Bldg.Pennit#
f
644-2511 ext. 230
Date mg Inspector
Application must be printed or typed
FEE SCHEDULE Location of Job:
F
$0-$1,000=$15.00 Street Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof gnation Apt.No.
APPLICANT r
APPLICANT ADDRESS PO O�>C t CQLAC�
Oho
APPLICANT PHONE#
nr
"OW N SFq OWNER �--kI wive-
OWNER ADDRESS ,'�7 �, het" Wee- t �f
OOWNER PHONE �� — �/' r!<�-- �'I 0 q
ESTIMATED COST$
IS THIS A CONTRACT COST? Yes� _No
�t-
FEE ENCLOSED
TYPE OF JOB:
�SOR-Cod New Installation
Alteration/Addition/Repair
APPLICATION FOR ELECTRICAL 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
CITY STATE ZIP
(Other please specify)
TYPE OF INSTALLATION/WIRING METHOD
SIZE OF SERVICE SIZE OF MAIN CONDUCTORS y
NUMBER OF METERS �' NUMBER OF DISCONNECTS AND RATINGS
NUMBER OF PANELS i REMOTE DISCONNECT REQUIRED?,/ ❑YES ❑NO
NUMBER OF LIGHT CIRCUITS S NUMBER OF POWER CIRCUITS_17�
NUMBER OF SWITCHES / c NUMBER OF OUTLETS 3
NUMBER OF LIGHT FIXTURES 3 NUMBER OF HEAT CIRCUITS
NUMBER OF A/C CIRCUITS
SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED.
DESCRIPTION OF WORK
�s
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.
�0 2 3 ( 3 f GT
CONTRACTORS LICENSE N TYPE STATE
SIGNATURE OF APPLICANT DATE
Electric # APPLICATION FOR BUIL ING PERMIT
Plumbing# 225 Oakland Road Date:
HVAC #
Sprinkler# 30621 2 a 0 0
--— ---- --- - Estimated Cost $. ��
FINAL APPROVALS _ F-606
_ -- - _--- ---- � ; Permit FeeBuilding PLETE RED BOXEDAREAS Occupancy FeeEngineering TYPE OR PRINT ONLYEn Ins Fee $
g• P•Appr.fr C �� N ON REVERSE SIDE
Total Fee $ -:3 5. C�
- - -TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR,CT (Additional Cost) $
The undersigned hereby applies to do work according to the following: ( s�C'� UNIT
Applicant--G Fkfl� "1 Z 10 C. Location of Work -60 .
Applicant's Address ZJ S U M M t*-�-Wf�r Pl- Tel.# 66— 33'02)- C
Town 9 Zip 60 h 0 Lic.#
Owner t( Sal[ OJ f _Architect EL6 t T�
Owner's Address Architect's Address 11
Zip Zip �b
Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd Fl. '— Total New Area (2O 10
Purpose of this permit
I
City Wate Well❑ Septic System❑ SewejV
Ins: HO rt. - Area Basement Garage
Approved by ''x"`� Date4 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 ch this building and its a is allowed.
Signed
I hereby apply for a Certificate of Occupancy for the work described in this application for the permit.
Signed
DO NOT WRITE BELOW IS LINE
INSPECTION COMMENTS
Inspection / Approval Date By Appl ,
Code Description Due Whom Code Comment
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**-30621-B 25
B10 FINAL 02/23/07 CJD A
E01 SERVICE 01/03/06 CJD A