HomeMy WebLinkAbout230 GRAHAM RD APPLICATION FOR HVAC PERMIT
DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT#
Application is hereby: BUILDING DEPARTMENT 1'3op3-7 5-
AP O D 1540 SULLIVAN AVENUE Bldg.Permit#
644-2511 ext. 230
Date Building Inspector
Application must be printed or typed
FEE SCHEDULE n�
Location of Job:
n _(�
$0-$1,000=$15.00 `�� A 6� R S,,
Over$1,000= Street No. Street Lot No.
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT
APPLICANT ADDRESS O yb
Elcu °
APPLICAN 'S PHONE# 9C C) d S
OWNER
q O W,N S Eq< O ER ADDRESS
`/''�1
1. l
1"� 1
AL
OWNER PHONE
U) Er
ESTIMATED COST$
IS THIS A CONTRACT COST? es No
FEE ENCLOSED$ Jos
TYPE OF JOB: I 0 0` 4
�SOR-CO� New Installation
r
Alteration/Addition/Repair
Revised 03/05/10
r
APPLICATION FOR HVAC PERMIT(C timed from reverse side)
TYPE OF TEM: TYPE OF DING:
HEATING RESIDENTIAL
❑ A/C ❑ COMMERCIAL
❑ VENTILATION ❑ INDUSTRIAL
HEATING
❑>-f T`AM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS.
HYDRONIC ❑ WARM AIR ❑ UNIT RADIANT HEATER
EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION
DESIGN TEMP. OUTSIDE b OF INSIDE '70 OF DIFFERENCE OF
TOTAL HEAT LOSS(BTUH) OF(HEAT LOSS SHEET MUST ACCOMPANY APPLICATION)
f
DES RI E ALL HE TING EQUIPMENT(INCLUDING MAKE&MODEL NO.)
'e YC1
GROSS HEATING CAPACITY(INP T BTU (OUTPUT-BTUH)
RATING(OUTPU BTUH)
M (a.,t►,,t� curl 9 0
TYPE OF FUEL
❑ 911,GPM OIL TANK LOCATION: ❑ INSIDE ❑ OUTSIDE CAPACITY
GAS-INPUT Mom) LPG TANK CAPACITY ELECTRIC-KW
AIR CONDITIO"NING
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)
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.
C23o,30 6 S- 1 bL
CONTRACTORS LICENSE NO. PE STATE/
SIGNATURE OF APPLICANT DATE �[
1antlFn -C dronic Ex er 43
i
.lob Name: .Q c Customer ADVANCE Engineer. Salesman:
Address: a City: State: Cyst" Zip: phone:
Indoor Design Temperature: 70.0 F Outdoor Design Temperature:0.0 F System Design Water Temperature: 180.0 F
HEAT L055 CALCULATION5
z MAIN FLOOR
-� KIT BATH MASTER BED MASTER BA BED1 BED2 DIN LN
-----
Room Height(n)_ 8.00 8.00 8.00 8.00 8.00 8.00 8.00
Room Length(ft) - 12.60 6.00 15.00 6.00 12.00 14.00 12.60 18.00
Room Wldth(ft) 12.00 12.00 12.00 5.00 12.00 12.00 12.00 13.00
Doors&Glass(sq ft) 37.00 28.00 10.001 36.00! 26.00, 24.00 32.00
Door&Glass Factor 015600 0.5800 0.56001 0.56001 0.5800i 0.5600 0.56001 0.5600
Exposed Wall Length(ft) 12.00 6.00 27.001 5.00 24.00 14.00 12.00 31.00
Exposed Wall Factor 0.20001 0.20001 0.20001 0.2000 0.2000 D.2000 0.2000 0.2000
Cold Partition Length(ft) 12.00 6.00; 27.00 5.00 24.00 14.00 12.00 31.00
Cold Partition Factor 0.1500. 0.1500 0.1500 0.1500 0.1500 0.1500 0.1500 0.1500
Calling Factor _ 0.0700 1 0.0700 0.0700 0.0700 0.0700 0.0700 0.0700 0.0700
Floor Factor I
Infiltration Factor ! 0.0180 0.0120 0.0180 0.0120 0.0180 0.0120 0.0120 0,0120
Indoor Temperature(F) 70.00 70.00 70.00 70.00 70.00 70.00 70.00 70.00
Heat Loss(BTU/HR) 5,046 1,937 7,560 1.4441 6,760 4,7631 4,2101 8,299
SASEBOARD SELECTIONS
MAIN FLOOR
FlneJLins 15(iln.ft.)
selected
�= FlnelLlne30(Iin.ft.)
selected 9.0 4.0 13.0 3.0 12.0 8.0 8.01 14.0
Multi/Pak 80(Iln.ft.)
selected
(lase/Line 70(lin.ft.)
selected
BaseJL.Ine 2000(Iln.ftJ '
selected
-�- Copyright(C)2000-2004 Slant/Fln Corporation 100 Forest Drive Greenvale,NY 11548 (516)484-2600 www.slantfin.com
3 � 3
Slant Fn. TC droniC 2x e,
Job Name: Customer. ADVANCE Engineer. Salesman:
Address: City. State: -(:r- Zip: Phone:
Indoor Design Temperature: 70.0 F Outdoor Design Temperature:0.0 F System Design Water Temperature: 180.0 F
'MEAT L055 CALCULATION5
z MAIN FLOOR
_ FOYER Floor Totals Job Totals ^
Room Height(R) _ 12.00
Room Length(ft) 9.00 "
Room Width(11) 7.00
Doors&Glass(sq ft) 22.50
Door&Glass Factor 0.5600 '
Exposed Wall Length(ft) 7.00
Exposed Wall Factor 0.2000
Cold Partition Length(ftj 7.00
Cold Partition Factor 0.1500
Ceiling Factor 0.0700
Floor Factor ~
Infiltration Factor 0.0120
indoor Temperature(F) 7D.00
• Heaf Loss(BTU/HR) 3,12111 43,146 61,271
13ASE130ARD 5ELECTIONS
MAIN FLOOR
FrnelLlne 15(iin.ft.) _
selected
FlnelLine 30(Iln.ft.)
selected 6.0 77.0 109.0
f11ullllPak BD(lin.lt.)
selected
Basell-rne 70(Iln.ft.) '
• solecled ,
l ase/Llne 20Mlin.ft.) ;
selected
-3. Capyrlght(C)2000-2004 Slant/Fin Corporation 100 Forest Drive Greenvale, NY 11548 (516)484.2600 www.slantfin.t:om
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
PERMIT#
Application is hereby: TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT 3C0(v�
APPROVED 1540 SULLIVAN AVENUE
644-2511 ext. 230 Bldg. Permit#
Date Building Inspector
Application must be printed or typed
FEE SCHEDULE Location of Job:
$0-$1,000=$15.00 Fienant
Street Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof gnation Apt. No.
APPLICANT lL Y,of e .5.1, 10 l r p=
APPLICANT ADDRE S _QZ 7 y 1/w ��y ,r y /2 Q
Saa>-A C,-' C i OGG7
APPLICANT PHONE# //— ,2 5 7— S 6 4
OWN SF4 OWNER gl'113•,q 5N/1 C -k 1 e I C l -i
OWNER ADDRESS C rt r+ c�/e &0 c co tJ tZ
L./ : 0/, C T-
ode "� `l
OWNER PHONE 7
C = ESTIMATED COST$ 1 O
+f, IS THIS A CONTRACT COST? —Yes _No
o �CJ FEE ENCLOSED$ 3C�
f��s0 •CO�� TYPE OF JOB: 4
O�rj�q'Jj
R _ Installation
Alteration/Addition/Repair
Revised 4/01/12002
APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH
RESIDENTIAL
BUILDING PERMIT APPLICATION? 0 YES O
U BUSINESS CURRENT USE AND OCCUPANCY Siny/e il"l l vse-
D ASSEMBLY
❑MERCANTILE FUTURE USE AND OCCUPANCY S em e-
❑EDUCATIONAL
❑INSTITUTIONAL
❑FACTORY ENGINEER'S NAME PHONE
O STORAGE
❑GARAGE ADDRESS
❑MIXED USE
CITY STATE ZIP
(Other Please specify)
TYPE OF INSTALLATION/WIRING METHOD 5 eetla t
SIZE OF SERVICE SIZE OF MAIN CONDUCTORS Z
NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS
NUMBER OF PANELS � REMOTE DISCONNECT REQUIRED? ❑YES 0 NO
NUMBER OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS
NUMBER OF SWITCHES NUMBER OF OUTLETS
o:L
NUMBER OF LIGHT FIXTURES NUMBER OF HEAT CIRCUITS e
NUMBER OF A/C CIRCUITS JVanc CRS# ,Z08 ;B4 gS
SEPARATE BEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED.
DESCRIPTION OF WORK
Srrv,ce C kaR,j G i0e If Al.? / d g a JJonG PdG COu411e.11
6a ro u M &t.,, A-S r r !Y Iz-: 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.
CO�ANT CTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT DATE �Z.—/.2 /3
APPLICATION FOR BUILDING PERMIT
Electric # 230 Graham Roach 800458
Plumbing# • Date: 7�� !'�i
HVAC #
Sprinkler#
FINAL PRO ^ r— __ --- - - _-- -._ _ _ � Estimated Cost $_��f �
BuildingSG 0' c COMPLETE RED BOXED AREAS Permit Fee $ ��)
En nee ^ TYPE OR PRINT ONLY Occupancy Fee $
� ,, � i ! Eng. Insp. Fee $
Affidavit � SIGN ON REVERSE SIDE
Appr, for CO. Total Fee $ _
TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ a�'3
The undersigned hereby applies to do work according to the following:
Applicant Location of Work3c� .jAjdw` RZ Lot No.
Tel.#Applicant's Address�/ 3
Town Z L: Zip D f Lic.# v.�� 3 3 C5 C
Owner Architect
Owner's Address ? iy Lc V AA,- (L-1) Architect's Address
Zip Oro Zip
Sq. Ft. New Area: 1 st FI. 2nd A. 3rd FI. Total New Area
Purpose of this permit ,�k ( c,%_ ,'.-. -
City Water❑ WeW Septic System❑ Sewer
Ins: HO SP area Basement Garage
Approved by __!!�Date Q Use Group Construction Type
Rsvls9d 6102
13dY
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 i i Esu and its use 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 THIS LINE
INSPECTION COMMENTS
Page No. of
Contractors Name,Address,Telephone M&Registration N
PETER FORD; lba
FORDS ROME MPROMIENTLS
18 WebsL-r Road 9 Erllingtoa, CT 06029
hell: (860) 833-6593 • Rome; (860) 875-7M • Cl'License + M3389
Proposal Submitted To Homeowner Work To Be Performed At
f
Nam C
Street Street
City �� t t 7`�. r State i. City State
Date O Telephone_. Date of Plans
Complete Description of Work to be Performed:
L / -
- -�-----T�ZrIw _ --
r
Starting Date: Completion Date: / >S few
All material is guaranteed to be as specified.All work to be completed in a workmanlike manner according to standard practices.Any alteration or deviation from the above specifications must be made in writing on
an Add-on/Modification of Contract form and may become an extra charge over and above the amount stated herein.This agreement is contingent upon delays beyond our control.Owners to carry fire,tornado and
other necessary insurance.Our workers are fully covered by Workmen's Compensation Insurance.Homeowner agrees to pay for all work as set forth below tf the homeowner defaults,homeowner agrees to pay all
costs of collection,including reasonable attorneys fees,in addition to other damages incurred by contractor.A %per month service charge will be assessed for all payments not made within 10 days of due
date per the schedule below:
We propose hereby to furnish material and labor-complete in accordance with the above specifications, for the sum of:
dollars ($ 2 Z. o0C-) ). Said amount shall be paid as follows:
Note: This proposal may be withdrawn by us if not accepted within days.
Work will not be begun until your right to cancel has expired and you have paid a deposit of
dollars ($ ), unless this agreement provides otherwise.
Signature of Contractor or authorized representative:
'(I/We) have read the terms stated erein, they have been explained to (me/us), and (I/We) find them to be satisfac-
tory and hereby accept them.
Signature of Homeowner(s): - :� -- ---,----_--- -- ---------------_ -- -- Date _-- ---- _You, the buyer, may cancel this transaction at any time prior to midnight of the third business day after the date
of this transaction.See the attached notice of cancellation for an explanation of this right.(Saturday is a legal business
day in Connecticut.)This sale is subject to the provisions of the Home Solicitation Sales Act and the Home Improve-
ment Act. This instrument is not negotiable.
NOTICE OF CANCELLATION Date of Transaction
You may cancel this transaction, without any penalty or obligation, within three business days from the above date.
If you cancel, any property traded in, any payments made by you under the contract or sale, and any negotiable instru-
ment executed by you will be returned within ten business days following receipt by the seller of your cancellation
notice, and any security interest arising out of the transaction will be cancelled.
If you cancel, you must make available to the seller at your residence, in substantially as good condition as when
received, any goods delivered to you under this contract or sale; or you may, if you wish, comply with the instructions
of the seller regarding the return shipment of the goods at the seller's expense and risk.
If you do make the goods available to the seller and the seller does not pick them up within twenty days of the date
of cancellation, you may retain or dispose of the goods without any further obligation. If you fail to make the goods
available to the seller, or if you agree to return the goods to the seller and fail to do so, then you remain liable for
performance of all obligations under the contract.
To cancel this transaction, mail or deliver a signed and dated copy of this cancellation notice or any other written
notice,�or send a telegram to
f (Name of Seller)
at ---- — ----- ---
(Address of Seller's Place of Business)
not later than midnight of
(Date)
I hereby cancel this transaction.
(Date) (Buyer's Signature)
t
TOWN OF SOUTH WINDSOR
AFFIDAVIT OF ACTUAL COSTS
PERMIT NO: FU Lf -T DATE
The undersigned,being a duly authorized representative of,
do by this statement, certify that the actual costs shown below, of the project referenced by the Permit
Number shown above,are true and accurate.
This statement is being made pursuant to the Town of South Windsor Ordinance, Article II, Section 14-31,
(a)thru(e),(see attached).
I understand that verification for accuracy of actual costs may be made at any time by the Building Official
through an appraisal of the work at the expense of the property owner.
hereby certify that the actual cost of the work performed under this permit is:
$ 2 Z_0,010 . 00
Signature of Permit Holder: & C.i
Name(Please Print) �P_� 1,s
Date:
.................................................................................
State of Connecticut]
] ss South Windsor Date:
County of Hartford]
Personally appeared , as aforesaid,
Signer and sealer of the foregoing instrument and acknowledged 'the same to be
his/her free act and deed, before me.
Notary Public
Commissioner of the Superior Court
My commission expires on
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1300375 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER HVAC PERMIT
DATE: 09/04/2013
GIS ID:37500230 1 FEE: 105.00
MUNIS APPLICATION# 201301266 y _BUILDING DESCRIPTION:
APPLICANT�w �A%� R a t' LOCATION
NAME: ADVANCE PLUMBING AND,HEATING INC. ADDRESS' 230 GRAHAM ROAD
ADDRESS: 700 NORTH MOUNTAIN ROAD., OWNER:" a<_SWIETLICKI BRIAN C
NEWINGTON,CT 0611 t4" A CANDLEWOOD DR
"SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: INSTALLING BOILER. F ry.e
SPECIAL CONDITIONS: p w .�`+w.�o f
ALL WORK TO BE DONE IN ACCORDANCE-WITH',THE'APPLICATION AND'PLANS-APPROVED BY THE BUILDING DEPARTMENT.
CONSTRUCTION TYPE:
OCCUPANCY GROUP: r BUILDING OFFICIAL
9/4/2013 3:10 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE
1300067 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER ELECTRICAL PERMIT
DATE: 02/20/2013
GIS ID:37500230 FEE: 30.00
MUNIS APPLICATION# 201300156 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: NUTMEG TECHNOLOGIES' ADDRESS: 230 GRAHAM ROAD
ADDRESS: 279 NUTMEG ROAD , OWNER: SWIETLICKI BRIAN C
SOUTH WINDSOR,CT 06074 t 1 CANDLEWOOD DR
SOUTH WINDSOR,CT 06074
4 r
DESCRIPTION OF WORK: SERVICE CHANGE. 100 AMP TO BE DONE IN PVC CONDUIT GROUNDING
AS PER NEC."
SPECIAL CONDITIONS:
ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS'APPROVED BY THE BUILDING DEPARTMENT.
CONSTRUCTION TYPE:
OCCUPANCY GROUP: BUILDING OFFICIAL
2/20/2013 1023 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE