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Home My WebLink About2400 TAMARACK AVE 2ND FLOOR t , APPLICATION FOR ELECTRICAL PERMIT DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT# Applicatio s-�- BUILDING DEPARTMENT 106 Q ft PROV ' 1540 SULLIVAN AVENUE '� 644-2511 ext. 230 Bldg. Permit# _ goo oaf Date uilding Inspector Application must be printed or typed FEE SCHEDULE C/ Locatti,o,nof Job: $0-$1,000=$15.00 L I Ayyxhf,4-c- -' Over$1,000= Street No. Street Lot No. $15.00 per$1,000 ?4;wx Mjc4pe- or any fraction thereof TenantDesignation ination Apt.No. APPLICANT APPLICANT ADDRESS o (POI o APPLICANT'S PHONE# 4r'(d - -8--9 - -q tZ- OWNER �1-en ot�h �ei C}� 4 OG.2?(- ES t_z L.Z- C .�OW N S f 4< OWNER ADDRESS 4 n'eu Gfi 0Ga3 3 OWNER PHONE 760 ESTIMATED COST$ 3 C � IS THIS A CONTRACT COST? L-'Yes No FEE ENCLOSED $ T TYPE OF JOB: r IF SOR•Cod ew Installation Alteration/Addition/Repair Revised 03/05/10 w k APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION? ❑ YES ❑ NO ❑ RESIDENTIAL CURRENT USE AND OCCUPANCY ❑ BUSINESS ❑ ASSEMBLY FUTURE USE AND OCCUPANCY ❑ EDUCATIONAL ❑ INSTITUTIONAL ENGINEER'S NAME PHONE ❑ FACTORY ❑ STORAGE ADDRESS ❑ GARAGE ❑ MIXED USE CITY STATE ZIP (Other please specify) TYPE OF INSTALLATION/WIRING METHOD SIZE OF SERVICE SIZE OF MAIN CONDUCTORS NUMBERS OF METERS NUMBERS OF DISCONNECTS AND RATINGS NUMBERS OF PANELS NUMBERS OF DISCONNECTS REQUIRED? ❑ YES ❑ NO NUMBERS 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 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 PERFOR- MANCE l C CONTRACTORS LICENSE N�/I TYPE STATE, SIGNATURE OF APPLICANT- DATE TOWN OF SOUTH WINDSOR AFFIDAVIT OF ACTUAL COSTS PERMIT NO: l 0d189 DATE /2 The undersig ,being a duly authorized representative of, do by 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 11, Section 14-31, (a)thru(e),(see attached). 1 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. I hereby certify that the actual cost of the work performed under this permit is: Signature of Permit Holder. �J v Name(Please Print)_ Ago ivy �/r44R,� -Date:_ ;2- !v ■■assssaaaaaassssaassassssasa■men saasassaasssaassasaassasssaaaaaaaaaaaa■-magnums■ State'of Connecticut] County of Hartford] ] ss South Windsor Date: 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 DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT Applica ' TOWN OF SOUTH WINDSOR PERMIT# BUILDING DEPARTMENT O 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 1e Date ]ding Inspector Application must be printed or typed FEE SCHEDULE Location of Job: $0-$1,000=$15.00 Street No. Street Lot No. Over$1,000= $15.00 per$1,000 _ or any fraction thereof enant Designation Apt.No. APPLICANT __ —I 01j-I APPLICANT ADDRESS 3.� �i9rts3�.c ;a APPLICANT PHONE# __ GpZyp�—,Q� O VI S j , OWNER CO= OWNER ADDRESS �(JU fiit Q A 0 OWNER PHONE C ESTIMATED COST$ IS THIS A CONTRACT COST? Yes _No ,� 00 FEE ENCLOSED$ ��C/U TYPE OF JOB: I S�R-C O ZAlteration/Addition/Repair Installation Revised 4/01//2002 APPLICATION FOR HVAC PERMIT (Continued from reverse side) TYPE OF,S7rSTEM: TYPE OF BUILDING: Wf �ATING ❑VSIDENTIAL rIj C WCOMMERCIAL ENTILATION 0 INDUSTRIAL HEATING ❑ STEAM LOW PRES50M LIMIT LBS. HIGH PRESSURE LIMIT LBS. ❑HYDRONIC 0"WARM AIR ❑UNIT RADIANT HEATER EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION DESIGN TEMP. OUTSIDE OF INSIDE OF DIFFERENCE OF TOTAL HEAT LOSS(BTUH) OF(HEAT LOSS SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL HEATING EQUIPMENT(INCLUDING MAKE&MODEL NO.) 06A �c GROSS HEATING CAPACITY(INPUT-BTUH) NET RATING(OUTPUT-BTUH) TYPE OF FUEL 0 OIL--GPM OIL TANK LOCATION :❑ INSIDE❑ OUTSIDE CAPACITY ❑GAS-INPUT 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) DESCRIBE ALL COOLING EQUIPMENT(INCLUDING MAKE&MODEL NO.) S Cwr /—=L45 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 WORKTZcJSJ 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 APPLICANT DATE l DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT Application is hereby: TOWN OF SOUTH WINDSOR PERMIT#I co U�� BUILDING DEPARTMENT APPROVE 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 Da Buil!inEgInAsr �OOD2'-13 Application must be printed or typed FEE SCHEDULE Location of Job: I ft TA MARACK AVA, $0-$1,000=$15.00 Street No. Street Lot No. Over$1,000= $15.00 per$1,000 PR1y imm C.ow ZAID F _ or any fraction thereof Tenant Designation Apt.No. APPLICANT THE E-JGFNE S- MINBERG CO. APPLICANT ADDRESS 86 BARBER POND ROAD Pin 609 BLOOMFIELD,CT 06M APPLICANT PHONE# Phone i860242=0.050- 41 O W N s Fq OWNER FaX (860)2864170 OWNER ADDRESS C �r .q>«. OWNER PHONE C ESTIMATED COST$ 4Q sm.ap x * IS THIS A CONTRACT COST? _j/Yes _No t�f o � � FEE ENCLOSED$_�45.� TYPE OF JOB:-1 �/ o1 * (J S�R C O /New Installation Alteration/Addition/Repair Revised 4/01//2002 APPLICATION FOR PLUMBING PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATE WITH A ❑RESIDENTIAL BUILDING PERMIT APPLICATION? OYES ElNO WBUSINESS CURRENT USE AND OCCUPANCY 14Eb, OfF ftper. ❑ASSEMBLY ❑MERCANTILE FUTURE USE AND OCCUPANCY ❑ EDUCATIONAL ❑ INSTITUTIONAL ❑FACTORY ENGINEER'S NAME PHONE ❑ STORAGE ❑ GARAGE ADDRESS ❑ MIXED USE (Other please specify) CITY STATE ZIP TYPE OF INSTALLATION SIZE OF MAIN DRAIN �a NO.OF TOILETS 3 STYLE S1r F NO.URINALS — STYLE NO. OF BATHTUBS NO.OF SHOWERS — NO. OF LAVATORIES 3 NO. OF CONDUCTORS ( a TJ SIZE NO.OF STACKS Z, SIZE AREA OF ROOF NO.OF CATCH BASINS NO.OF FLOOR DRAINS NO.OF OTHER FIXTURES KIND SIN S ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW ❑YES [YNO SIZE OF WINDOW IF NONE C.F.M.OF VENTILATOR SIZE OF DUCTS SEWER OR SEPTIC TANK SIZE OF WATER MAIN Z" SIZE OF WATER PIPING&RISER WATER HEATER: TYPE EU&Kr, 30 64L. MANUFACTURER A.O. Sw/i/ {M. 4 kw DESCRIPTION OF WORK -t Au-fiicAnopts aa►I Fit.. THE UNDERSIGNED HEREBY APPLIES rOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IrM- COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. P/ 20wa CONTRACTORS LICENSE NO. 4TYPE STATE SIGNATURE OF APPLICANT DATE ro`ZthO