HomeMy WebLinkAbout245 FAIRVIEW DR DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT
Application is by: TOWN OF SOUTH WINDSOR PERMIT#
BUILDING DEPARTMENT ��Sa`-7
1540 SULLIVAN AVENUE Bldg.Permit#
644-2511 ext. 230
Date Bui1 g Inspector
Application must be printed or typed
FEE SCHEDULE Location of Job:
2 , PO,.,(Vktk-x-1 ) ;,�C
$0-$1,000=$15.00 Street No. Street Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT IMPERIAL PLUMBING & OIL CO. IN
APPLICANT ADDRESS 981 SULLIVAN AVENUE
SOUTH , CONN. 06074
APPLICANT PHONE#
O W N Se. OWNER Q\S P c c� �-�-n �1 Q-
q� OWNER ADDRESS
O a OWNER PHONE
C ESTIMATED COST$ 2 y U y
IS THIS A CONTRACT COST? Yes _No
FEE ENCLOSED$ (1 G
1��s O�� TYPE OF JOB:
OR C New Installation
__I,,Ajteration/Addi tion/Repair
R eviaett 4/01//9007
APPLICATION FOR HVAC PERMIT (Continued from reverse side)
TYPE OF YSTEM: TYPE Olf BUILDING:
9 HEATING RESIDENTIAL
A/C ❑ COMMERCIAL
❑VENTILATION ❑ INDUSTRIAL
HEATING
0 STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS.
p HYDRONIC ❑WARM AIR 0 UNIT RADIANT HEATER
MISTING 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 EATING EQUIPMENT(INCLUDING MAKE&MODEL NO.)
� 9, � �Ta �!n �S,I Ty, C,(,�- 'A
GROSS HEATING CAPACITY(INPUT—BTUH) NET RATING(OUTPUT—BTUH) b
TYPE OF FUEL
❑OIL—GPM OIL TANK LOCATION :0 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.)
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 -r,C "iQ( e OA
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. TYPE STATE
SIGNATURE OF APPLICANT 4' n�,,� DATE_S / y
)3 - uy
GARDNER PETERSON ASSOCIATES 576 OLD POST rOAD TOLLAND, CONNECTICUI 0"-04 --
T' M C3lJ1lCJ1Wv CO � 1IVC • �C• L. \�• - R •n• '.�/ �
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MORTGAGE SURVEY
LOT 47 TIMBER RIDGE SECTION V.
LAND OF U. & R CONSTRUCTION CO.
TOW; OF SOUTH WIN'DSOR, CONNECTICUT
SCALE: 1 " = 40'
I hereby certify to Chicago Title Insurance Company, Savings Bank of
Manchester and Richard I . Stone and Gail D. Stone that the location of
the building as shown is substantially correct and that there are no
zoning viol t' ns of th scene
November 22, 1983
' � L.- S. # 10839
REFERENCE: Resubdivision Plan, Portion of Parcel "A" - Timber Ridge
Section V South Windsor, Conn. Subdivider U. & R.
Housing Corporation Scale 1 " = 40' 8-27-80
By Gardner & Peterson Assoc.
1J' 4
PROFESSIONAL ENGINEERS LAND SURVEYORS
` _�.^.•DATE: T..-`7NT
!_'
st6.t
GARDNER & PETERSON ASSOCIATES "S7'S OLD ROSr R0�:0 rOLLAND, CONNECTICUT 0604
��� G.�•� �. Row
544. -oS- 42'' E
320 U
w � `
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PERMIT PLA14
LAND OF U. & R. CONSTRUCTION CO. , INC. J
LOT 47, "TIMBER RIDGE, SECTION V" A �S
TOWN OF SOUTH WINDSOR, CONNECTICUT � (/
SCALE; 1 " = 40`
Certified substantially correct.
� ,� L. S. # 10839
A ril 28, 1983
Elev. base M.D.C. datum 4
PROFESSIONAL ENGINEERS LAND SURVEYORS
A P P R O V E D
TOWN OF :,^ 'i—A VVINDSOR
ENGIT,"_--v i , D,7PAnT.MENT
DATE:
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
�--� PERMIT#
Applii�6 hereby: TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
APPRO 1540 SULLIVAN AVENUE
Bldg.Permit#
644-2511 ext. 230
Date 'ding Inspector
Application must be printed or typed
FEE SCHEDULE Location of Job:
zy S Air v cGt l Alt. --
$0-$1,000=$15.00 Street No. Street Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT C005`7AA7 }PO(%j-f1-
APPLICANT ADDRESS So_S �U1cF CAD �Gt•
APPLICANT PHONE# ZI q- ,s037
SOW N SFq OWNER M4. t ALS_ SToILe,
OWNER ADDRESS Z�{S �A/r V/C�,l �4,
0 b ,r OWNER PHONE G q q— 3!q Z
C = ESTIMATED COST$ 900 t
IS THIS A CONTRACT COST? _Yes No
FEE ENCLOSED$
TYPE OF JOB:
OSOR CO� _New Installation
-x Alteration/Addition/Repair
Revised 4/01//2002
APPLICATION FOR ELECTRICAL PERNUT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
BUILDING PERMIT APPLICATION? ❑ YESAr' 0
RESIDENTIAL
❑BUSINESS CURRENT USE AND OCCUPANCY
❑ASSEMBLY
❑MERCANTILE FUTURE USE AND OCCUPANCY
❑EDUCATIONAL
❑INSTITUTIONAL
❑FACTORY ENGINEER'S NAME PHONE
❑STORAGE
❑GARAGE ADDRESS
❑MDC✓D USE
CITY STATE ZIP
(Other please specify)
TYPE OF INSTALLATION/WIRING METHOD //� /Q l(
SIZE OF SERVICE C CJ C) SIZE OF MAIN CONDUCTORS
NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS
NUMBER OF PANELS REMOTE DISCONNECT REQUIRED? ❑YES ❑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
SUc.k-Q+ a C4uS(,4q Tp�4�`kS, C L hr`If /4-4 cie—
1qdd�-� i o� a to
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. TYPE STATE
SIGNATURE OF APPLICANT DATE 6 z-7—O7