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HomeMy WebLinkAbout23A-23L AMATO DR BLDG 23 APPLICATION FOR HVAC PERMIT DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT Iq d oU Z AP RO D 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 Date Building Inspe r Application must be printed or typed FEE SCHEDULE / Location of Job: l-�a �- $0-$1,000=$15.00 3 o Over$1,000= Street No. Street Lot No. $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT � i��.-s d e e'e,4r APPLICANT ADDRESS /36 fLyG 5A 0609Y APPLICANT'S PHONE# OWNER ! �0W N SFq< OWNER ADDRESS Cn , OWNER PHONE ZO - G 59 -9 9- O ESTIMATED COST$ IS THIS A CONTRACT COST? Yes /- No FEE ENCLOSED$ �f TYPE OF JOB: It 29-6 7 ��SOR•CO New Installation Alteration/Addition/Repair Revised 03/05/10 APPLICATION FOR HVAC PERMIT(Continued from reverse side) TYPE OF SYSTEM: TYPE OF BUILDING: a HEATING ❑ RESIDENTIAL ❑ A/C 0 COMMERCIAL ❑ VENTILATION ❑ INDUSTRIAL HEATING ❑ STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS. Fk"YDRONIC ❑ WARM AIR ❑ UNIT RADIANT HEATER EXISTING RADIATION•luo,b6 d ADDITIONAL RADIATION TOTAL RADIATION DESIGN TEMP.OUTSIDE °F INSIDE °F DIFFERENCE °F TOTAL HEAT LOSS(BTUH) °F(HEAT LOSS SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL HEATING EQUIPMENT(INCLUDING MAKE&MODEL NO.)O �����_/AUvn��i [•pt�Gt�S�s f h e 1 iw► GROSS HEATING CAPACITY(INPUT-BTUH) NET RATING(OUTPUT-BTUH) TYPE OF FUEL ❑ OIL-GPM OIL TANK LOCATION: ❑ INSIDE ❑ OUTSIDE CAPACITY (KGAS-INPUT "I °0U LPG TANK CAPACITY ELECTRIC-KW AIR CONDITIONING DESIGN TEMP: OUTSIDE °F INSIDE °F DIFFERENCE °F 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 DESCRI TION OF WORK /Zc.r►niyy AV-If 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. 303?4'2 S/ 4'-7- . CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT DATE ��/�//3 M O O ^i o DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT Application is hereby: TOWN OF SOUTH WINDSOR PERMIT# BUILDING DEPARTMENT C�bt{73 APPRO D 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 :TCmnmwt eet o. Over$1,000= Street Lot No. $15.00 per$1,000 or any fraction thereof Designation d Apt. y APPLICANT L r L APPLICANT ADDRESS (� - D a APPLICANT PHONE# — OW N SFq OWNER S OWNER ADDRESS i n OWNER PHONE C ESTIMATED COST$ " IS THIS A CONTRACT COST? ✓yes _No �iGr �G FEE ENCLOSED$ �-b 00 Cl TYPE OF JOB: CO �dSOR• boy ✓New Installation Alteration/Addition/Repair Revised 4/01//2002 Low, _. _.., .. . I-- i-nn 41V 0` v L404 Am,,t. urrmh Iilj003/003 APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side) TYPE OF BUILD- IS THIS APPLICATION ASSOCIATED WITH�c ING BUILDING PERMIT APPLICATION? 0 YES U NO U RESIDENTIAL CURRENT USE AND OCCUPANCY ❑BUSINESS 0 ASSEMBLY 0 MERCANTILE FUTURE IJSE AND OCCUPANCY ❑EDUCATIONAL ❑INSTITUTIONAL ENGINEER'S NAME PHONE D FACTORY ❑STORAGE ADDRESS O GARAGE 0 MIXED USE CITY STATE ZIP (Other please specify) TYPE OF INSTALLATION/WIRING METHOD SIZE OF SERVICE SIZE OF MAIN CONDUCTORS NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS NUMBER OF PANELS REMOTE DISCONNECT REQUIRED? 0 YES O 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 s i SMoLP 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. CONTRACTORS LICENSE NO. E STATE SIGNATURE OF APPLIC r D� DATE 1 s Electric # APPLICATION FOR BUILDING PERMIT Plumbing# 23 B Amato Drive HVAC# + 1 1 0 0 0 1 6 4 FDate: /l Sprinkler# FINAL APPROVALS Estimated Cost � 0 0' � d Permit Fee $ 3�0 Building i COMPLETE RED BOXED AREAS Occupancy Fee $ Engineering TYPE OF PRINT ONLY Eng. Insp. Fee $ Affidavit ► SIGN ON REVERSE SIDE t Appr.forCO. Total Fee $_ 40 TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ The undersi rled hereb ap lies to do work according to the following: Applicant ,< 11 Location of Work d Lot No. Applicant's Address�/o /,�iL Tel # 0 7 5l AGO GSS Town 441//12>.5 O< a 7— Zip Lic.# So 0 7 Owner-5 /U>-<1} /C�oz E y Architect J Owner's Addressa23/3 < Architect's Address _ S O , S'a C-7` Zip Zip Sq.Ft.New Area:1 st FI. 2nd FI. 3rd FI. Total New Area Purpose of this permit 461 f- X'19� C F City Water❑ Well ❑ Septic System ❑ Sewer❑ :VA 1on 3 Ins: HO S t. Area Basement Garage Approved by Date J�- S� Use Group Construction Type Revised 1108 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-Vroper distance from all street lines,side yard lines,and required distances from all other zones and is located in which this ilding and its use, owed. /10 Signed �- I hereby apply for a Certificate of Occupa y e work de rib li n for the permit. Signe DO B LOW THIS LINE INSPECTION COMMENTS 9�93 i Electric # 23L ArnatOARIP11,,�WATION FOR BUILDING PERMIT Plumbing# 13000223 Date: HVAC# Sprinkler# Estimated Cost $ FINAL APPROVALS Permit Fee $ Building COMPLETE RED BOXED AREAS Occupancy Fee $ IF Engineering TYPE OR PRINT ONLY Eng. Insp. Fee $ Affidavit Appr.for CO. SIGN ON REVERSE SIDE t Total Fee $ US TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ C C f The undersigned hereby applies to do work according to the following: Applicant A16410v Alljxly /Woc do of W �► . Applicant's Address a20 e, Z Tel #. '] Town Zip 1y Lic.# Owner ! 02 Architect Tr's ress Zq Architect's Address / Zip 07 Zip Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd FI. Total w Area Purpose of this r lit l / C7 ©o P City Water❑ Well O Septic System 0 Sewer❑ Ins: HO SP Cert. Area Basement Garage Approved by 1 Date Use Group EConstruction Type Revised 1108 1 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 s cifications of the Building for which this permit is asked,and agree that this building is to be located the proper distance fr all street lines,side yard lines,and required distances from all other zones and is located in which this bpoingand its use i Signe---- -L - 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 vnhAff a QER: ipp, 17- rA CGS 2q-393 Electric # APPLICATION FOR BUILDING PERMIT Plum mg 3L Amato Drive Date: HVAC# 11000209 Sprinkler# Estimated Cost $ FINAL APPROVALS Permit Fee $ 45 Building COMPLETE RED BOXED AREAS Occupancy Fee $ Engineering TYPE OR PRINT ONLY Eng. Insp.Fee $ Affidavit ► SIGN ON REVERSE SIDE Appr.forCO. Total Fee $ TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ Ce d) The undersigned hereby applies to do work according to the following: Applicant I Locationof ork LotNo. Applicant's Address _Tel # / —//i"736 Town Zip &/! _Lic.# Owner / Architect Owr's Ad r ss 1244. Architect's Address Zip� �- - - - Zip Sq. Ft.New Area: 1 st FI. 2nd FI. ,r7 3rd FI. T I w Area Purpose of this permit Kur City Water J Well ❑ Septic System ❑ Sewer❑ d I � Ins: HO SP Ce Area Basement Garage Approved by ate S 'f Use Group Construction TI pe Revised 1108 I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town Leh .� 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 reet lines,side yard lines,and required distances from all other zones and is local �fSignee ����� 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 17-176 -- 29-393