HomeMy WebLinkAbout225 OAKLAND RD UNIT 405 DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT
TOWN OF SOUTH WINDSOR PERMIT#
Application is hereby: BUILDING DEPARTMENT l30 8 2
1540 SULLIVAN AVENUE Bldg.Permit#
644-2511 ext. 230
Date uilding Inspector
Application must be printed or typed
FEE SCHEDULE Location of Job:
ZZI LC )CVtd S-l-I ej2-J=
$0-$1,000=$15.00 Street No. Street Lot No.
Over$1,000=
$15.00 per$1,000 ()s
or any fraction thereof Tenant Designation Apt.No.
APPLICANT / L. C
APPLICANT ADDRESS
111 2�j 4-2 v1 Ca
APPLICANT PHONE# C O _ L 7 U L!
�a W N St OWNER
OWNER ADDRESS Z-� S"t,t_rn err,2
0 OWNER PHONE
ESTIMATED COST$ S 87 n
x a IS THIS A CONTRACT COST? Yes _No
t� o FEE ENCLOSED$
SO. o✓, TYPE OF JOB:
R•C New Installation
_Alteration/Addition/Repair
Revised 4/01//2002
APPLICATION FOR HVAC PERMIT (Continued from reverse side)
TYPE OF SYSTEM: TYPE OF BUILDING:
Pl�WEATING ❑RESIDENTIAL
a,AJC ,alCOMMERCIAL
❑VENTILATION ❑INDUSTRIAL
HEATING
0 STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS.
O 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)
DJESCREBE ALL ATING EQUIEM�NT(INC,LUDING MAKE&MODEL NO.) 86 AA
GROSS HEATING CAPACITY(INPUT-BTUH) NET RATING(OUTPUT-BTUH)
TYPE OF FUEL
❑OIL-GPM OIL TANK LOCATION :0 I NSIDEO OUTSIDE CAPACITY
,tea GAS-INPUTT_ K� 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)
DESCRIRALL COOLING EQ MENT(INCLUD4NG MAKE&MODEL NO.)
S�•v S %z_ 7-y_¢z,coo A �r yvs . i�rutT
dot ,A4 -t- s
TONNAG6a_ COOLING CAPACITY(BTUH) 00 C
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.
3o 3 s4-a s C7-
CONTRACTORS LICENSE N TYPE STATE
SIGNATURE OF APPLICANT DATE 4
DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT
TOWN OF SOUTH WINDSOR PERMIT#
Application is hereb • P--W
BUILDING DEPARTMENT
APP O�VEJ 1540 SULLIVAN AVENUE
Bldg. Permit#
644-2511 ext. 230
Date it ' Inspector
Application must be printed or typed
FEE SCHEDULE Location of Job:
ZZZ- QAr�c c,Ann�
$0-$1,000=$15.00 Street No. Street Lot No.
Over$1,000= ' L --
$15.00 per$1,000 "�1�S
or any fraction thereof Tenant Designation Apt.No.
APPLICANT
APPLIC T ADDRESS ��O f.7.
APPLICANT PHONE# D2jf) " D [Z- y7D
O W N S t- OWNER —e v.
OWNER ADDRESS 5un,. -c> eL+ ,
CIO) • #, OWNER PHONE
0
C ESTIMATED COST$ S O O O. O 1D
•mil U
•� IS THIS A CONTRACT COST? _Yes _No
FEE ENCLOSED$ ��j• d (7 ,
ry�S o TYPE YNew
B:
�R C 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
__�Je 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 3 KIND S► tJ
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 V
SIZE OF WATER MAIN r! SIZE OF WATER PIPING&RISER_ 3/,4 _
WATER HEATER: TYPE (D GA..C, &A • MANUFACTURER
DESCRIPTION OF WORK
Pwn 61ncon
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS T
COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
z.o 3-7 z ( P G i
CONTRACTORS LICENSE NO. STATE
SIGNATURE OF APPLICANT DATE
APPLICATION FOR BUILDING PERMIT
Electric #
Plumbing# 225 Oakland Road c„; t o Date:
T-IVAC #
Sprinkler# _ 32466 --
___ _ Estimated Cost $
FINAL APPR VALS _ -- - ---
- ----I � Permit Fee $
Building COMPLETE RED BOXED AREAS Occupancy Fee $ t o
Engineering TYPE OR PRINT ONLY I Eng. Insp. Fee $
Affidavit
CO ► SIGN ON REVERSE SIDE
- - - - Total Fee $ 16Ci d�
(; —a 8- a -- - - - --- - -TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $
The undersigned hereby applies to do work according to the following:
Applicant G, Location of Work 0 Aj-' l/t N d Lot No.
Applicant's Address �-� ��l�wt- f Tel.# ll'T y
Town Gz L*% C4-- Zip 6 4--C 3 3 Lic.#
Owner_ !Q ti►►C, ae ,G!j Architect I
Owner's Address � - Architect's Address aj Si Ly`i.,,` L"
Zip C.�-E{` 'i Do Zp-M A
Sq. Ft. New Area: 1 st FI. 2n 3rd FI. Total New Area
Purpose of this permit LL FI.PK ""i L "
City Wate Well❑ Septic System❑ Sewer
Ina: HO SP Cert. Area Basement Garage j
Approved b� —mate Use Group �j_ Construction Type 1�6--
Revised 6/02
J
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 Oc pancy for the work des b d in this application for the permit.
Signed
DO N WRITE BELOW THIS LINE
INSPECTION COMMENTS
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
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*'-32466-5 10,000