HomeMy WebLinkAbout24 LAKEWOOD (PINTAIL CIR) a��M
APPLICATION FOR HVAC PERMIT
TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT
1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074 (PHONE)860-644-2511 EXT.230
DEPARTMENT DECISION PERMIT NUMBER.
APPLICATION IS HEREBY: OO 3,5
APPROVED: BLDG.PERMIT NUMBER:
DATE INSPECTOR •
LOCATION OF WORK:N/
APPLICANT: OWNER:
NER: TYPE OF STRUCTURE:
4so l wc A� �-SFyV t GGj ❑NEW BUILDING
NAMEYM,(?G7'?9,I / NAME: Ol'1'I, S 710 Z.�2 o ADDITION
PHONE NUMBER�y 6 D U tI o f `1 ZDU PHONE NUMB ( k !,Xl �L EXISTING BUILDING
ADDRESS: ADDRESS: l tl o1 i .f
TYPE OF USE:
*-ESIDENTIAL ❑COMMERCIAL
HVAC INFORMATION: FURTHER DESCRIPTION OF WORK:
TYPE OF SYSTEM: ❑HEATING XA/C
HEATING:
TOTAL HEAT LOSS(BTUH) °F (HEAT LOSS SHEET REQUIRED)
DESCRIBE ALL HEATING EQUIPMENT(INCLUDE MAKE AND MODEL NO.):
ESTIMATED COST:S& Lou 0
AIR CONDITIONING:
DESIGN TEMP:OUTSIDE °F INSIDE 'F DIFFERENCE F° FEE ENCLOSED:S
TOTAL HEAT GAIN(BTUH) (HEAT GAIN SHEET REQUIRED) / ✓
DESCRIBE ALL COOLING EQUPMENT(INCLUDE MAKE AND MODEL NO.):
FEE SCHEDULE:S18 PER SIAN OF THE ESTIMATED COST.
1ll-1-S Lt`NSA M Xz.-30 b IfANl-Z—lU I ROUND UP TO THE NEXT THOUSAND ONCE THE PROJECT IS
$1.00 OVER (.26 CENT EDUCATIONAL FEE INCLUDED AS PART
OF THE PERMIT FEE)
THE UNDERSIGNED HEARBY 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 PERFO�MANCE OF SUCH WORK
CONTRACTORS LICENSE NO.: ,O '(/ TYPE: S 1 STATE:
SIGNATURE OF APPLICANT: DATE: to /b
peer ee
i
5
APPLICATION FOR ELECTRICAL PERMIT
TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT
1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074 (PHONE) 860-644-2511 EXT. 230
DEPARTMENT DECISION
PERMIT NUMBER:
APPLICA IS HEREBY: 6 2-3
BLDG.PERMIT NUMBER:
DATE f tdPECTOR
LOCATION OF WORK:
APPLICANT: OWNER: TYPE OF STRUCTURE:
I� T ❑NEW BUILDING
NAME: SeV)Ck5fF c,, n��G-Rcd NAME: T�owAS 1 nZ O ❑/ADDITION
PHONE NUMBER: FCC) (-2 - -2 C--k-7 PHONE NUMBER: �f EXISTING BUILDING
ADDRESS: O'c"n R[( ADDRESS: 2�, Ili fa,i ( Circl2
(.(l
Rocky�" II TYPE OF USE:
CT- NRESIDENTLAL ❑COMMERCIAL
ELECTRICAL INFORMATION: FURTHER DESCRIPTION OF WORK:
TYPE OF INSTALLATION: P(b yi k iD Cn Ul.'L�I esS
SIZE OF SERVICE: Sf }' Sygn,4eM
SIZE OF MAIN SERVICE:
NUMBER OF METERS:
NUMBER OF PANELS:
NUMBER OF LIGHT CIRCUITS: ESTIMATED COST:S 600.60
10
NUMBER OF SWITCHES: o X \a
NUMBER OF LIGHT FIXTURES: FEE ENCLOSED:S o w
NUMBER OF A/C CIRCUITS:
NUMBER OF POWER CIRCUITS: FEE SCHEDULE:$18 PER$1,000 OF THE ESTIMATED COST.
ROUND UP TO THE NEXT THOUSAND ONCE THE.PROJECT
IS S1.00 OVER (.26 CENT EDUCATIONAL FEE INCLUDED AS
NUMBER OF OUTLETS: PART OF THE PERMIT FEE)
THE UNDERSIGNED NEARBY 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 PERFOMANCE OF SUCH WORK.
CONTRACTORS LICENSE NO.: rLOZ C,99 TYPE:` STATE: CT
SIGNATURE OF APPLICANT: DATE:
ao1 CIO 1 13-0
ANGIAFICO
E LECTRIC
0
June 27th,2019 1 Gorman Road
Rocky Hill,CT 06067
860-462-2647
MangiaficoElectric@gmafl.com
To Whom It May Concern:
I,Sebastian Mangiafico,give Giancarlo DiGiacomo permission to pull an
electrical permit in the town of South Windsor,for a job being conducted at 24
Pintail Circle. Please contact me if you have any further questions.
Thank you,
Sebastian R.Mangiafico
CT Lie#E 1-202689
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