HomeMy WebLinkAbout24 TALLWOOD DR DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT 1P7-9.
0 7
Application is hcrcb,.: TOWN of SOUTH WINDSOR
BUELDING DEPARTMENT Bldg Permit it
AeBjjing
15.10 SULLIVAN AVENUE
644-2511 ext. 230
Da Inspector Application must be printed or typed
Location of job
Street No. Street Lot No.
FEE SCHEDULE
Floor Apt. No.
$0 - $1,000 - $+200/S.
Over $1,000
$12.00 per$1,000 OWNER
or any fraction thereof
ADDRESS
OWNERS PHONE# 647 ' 1 c )LI l
APPLICANT Y-
Ow 1 g�q ADDRESS I A
r )cLd t3mn L , C j D o f ly
O ESTIMATED COST $
C = IS THIS A CONTRACT COST?
►l V YES NO
FEE ENCLOSED $
r^'OS . ..0 TYPE OF JOB:
0 R C Original Installation
Alteration/Addition/Repair
Revised 11/95
APPLICATION FOR HVAC PERMIT(Continued from reverse side)
TYPE OF SYSTEM TYPE OF BUILDING
HEATING RESIDENTIAL �
A/C COMMERCIAL
VENTILATION INDUSTRIAL
HEATING
EATING
STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS.
HYDRONIC� WARM AIR UNIT RADIANT HEATER
EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION
DESIGN TEMP. OUTSIDE F INSIDE F DIFFERENCE F
TOTAL HEAT LOSS(BTUH)
(HEAT LOSS SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL HEATING EQUIPMENT (INCLUDING MAKE&MODEL NO.)
g 7—Er e� 000 — (
GROSS HEATING CAPACITY (INPUT-BTUH) NET RATING (OUTPUT-BTUH)
TYPE OF FUEL
OIL-GPM GAS-INPUT ELECTRIC-KW
OIL TANK SIZE&LOCATION
INSIDE OUTSIDE CAPACITY LPG TANK CAPACITY
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 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 CONN.BUILDING CODES IN THE
PERFORMANCE OF SUCH WO
3I '20, ��� J
STATE LICENSE-NO. NAME&TYPE S NA O APPLICANT
PHONE NO. DATE r,;k' )0`U S
31
isLf ,
olt
PINE RIPCt M IVE
Fe i na Lot Nr i on map ent i t f n;l ""1 NE HILL ESTAT"� -%dJ i t i can
No . I Fe I t- Vowl `,out•h Windsor, Conn . Sco.1 .I " = 40 ' %jrch
irth� Cri�wrlc' Enciinecrinct, Inc . Shert , I of n"
4c, .
r, AS �
fl
I ;;1tIC'L^ E N,71 'tF r.r, t �•r, I ,� ____ --- II
NNED �
MAY 2 1 1999
South Windsor
BUILDING DEPARTMENT
Kf BUILDING DEPT. TOWN OF SOUFN YYi v y
$fq�.'**"ihed that this plan and specifications are iru
ditp,M.y sM tie ( Posed Wilding or alterations to b.
fn er with amendmentnd � —— Stree,
lllod with s stated in aPPlication
Bllllding and state lawsr"to and comely with all zoningr
Issued by the such ordOFS as shall b,
of this a Building Department during Pendenc,
PPlieation and final issuance of a building
lair his
1'bis Plan Is aPDroved
CER ( iF i�.1 I( .L1 OL orty� and su ect o the condition
!l V y r ZONIN ( rdinances regulating building shall that
G (.CIj1Ii t'Lll-�(Vl,� exfnPlietl with. be
ProErosed bullding(s), use(s) and/or , G,tthtionally APProved
struetur�,j Si These tiled with
as shown on this plan appear(S) to ;)e i,; --_
conformance with current South Wii+d-. /2 �XZ' fi�ltl�ng ,n°Pe"°`
regulations. Variances and special ex„e tiont, / ► �lerg
p
may apply. p Sz�cc�
Date S�Zi
Zoning Enforcement Officer
N'Y-1"t
Y-0
77
110-70
V
V F I T 1
of t T
I t
No . I 1 I I I h i !-,or Corm I I
1 OhC Or i t o I t! it- i,? r, ,, v I i i(i I n c 'Sh
I-Vil v