HomeMy WebLinkAbout24A-24L AMATO DR BLDG 24 M
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o DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
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Application is hereby: TOWN OF SOUTH WINDSOR PERMIT#
BUILDING DEPARTMENT f
APPROVE 1540 SULLIVAN AVENUE
!v' ►� ,x 644-2511 ext. 230 Bldg.Permit#
Date Building Inspecto
Application must be printed or typed
FEE SCHEDULE j� Location of Job:
eet
$0-$1,000=$15.00 l 1 D 1~)V,)
Over$1,000= Strcet No. Street
$15.00 per$1,000 Lot No.
or any fraction thereof
Tenant Designation
pt.N
y APPLICANT Ark r l 4 r►1 ���
APPLICANT ADDRESS (�
APPLICANT PHONE# �a—(4050
�QW N SFR OWNER
r <
OWNER ADDRESS
A
r .
OWNER PHONE
a U ESTIMATED COST$b?�.7 -
" IS THIS A CONTRACT COST? ✓Yes _No
FEE ENCLOSED$ _ Q y
0 CO TYPE OF JOB: (DaLj`3
I"New Installation??
Alteration/AdditioNRepair
Revised 4i01irz002
---- 4 003/003
APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side)
TYPE OF BUILD- IS THIS APPLICATION ASSOCIATED WITH�A�
ING BUILDING PERi�IIT APPLICATION? El ��I YES NO
A RESIDENTIAL CURRENT USE AND OCCUPANCY
❑BUSINESS
O ASSEMBLY FUTURE USE AND OCCUPANCY
❑MERCANTILE
❑EDUCATIONAL
❑INSTITUTIONAL ENGINEER'S NAME PHONE
0 FACTORY
O STORAGE ADDRESS
❑GARAGE
0 MIXED USE CITY STATE ZIP
(Other please specify)
TYPE OF INSTALLATION/WIRRING METHOD
SIZE OF SERVICE SIZE OF MAIN CONDUCTORS
NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS
NUMBER OF PANELS REMOTE DISCONNECT REQUIRED? 0 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
ir�liFe: 1�1s a� D S ti1 S�{�' Cnnfir� �
liar
:SYYID�P.S IL h 00a f
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.
01T
CONTRACTORS LICENSE NO. E STATE
z �
SIGNATURE OF APPLIC DATE /
5 ti�
4
S
i
APPLICATION FOR HVAC PERMIT
DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT#
Application is hereby: BUILDING DEPARTMENT
AP RO D m U y 1540 SULLIVAN AVENUE B
644-2511 ext. 230 Bldg.Permit#
Date Building Insl4ctor
Application must be printed or typed
FEE SCHEDULE Location of Job:
$0-$1,000=$15.00 AIM D�
Over$1,000= I
Street No. Street Lot No.
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
Y
APPLICANT Aok5,1,-ud1
APPLICANT ADDRESS /36 &yC
G7'/
APPLICANT'S PHONE#
OWNER l/"Glc C'or►�3 .�1aG.',•L,e7' ia�tc ��.y�i � .
.(0W N S Fq< OWNER ADDRESS d+ ,Bc��C d f� S�u�►`y,-� f�`, �43�
OWNER PHONE -,&""6r
O * ESTIMATED COST$ _3 �q 2
C
IS THIS A CONTRACT COST? Yes 41 No
FEE ENCLOSED$
TYPE OF JOB: -Zy 7
�SOR•CO�
ew Installation
Alteration/Addition/Repair
3Nce-ID
Revised 03/05/10
APPLICATION FOR HVAC PERMIT(Continued from reverse side)
TYPE OF SYSTEM: TYPE OF BUILDING:
W HEATING ❑ RESIDENTIAL
❑ A/C 9-COMMERCIAL
❑ VENTILATION ❑ INDUSTRIAL
HEATING
❑ STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS.
3-'HYDRONIC ❑ WARM AIR ❑ UNIT RADIANT HEATER
EXISTING RADIATION3d0, ADDITIONAL RADIATION TOTAL RADIATION 34� o�•v
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.)
//3 5-3o ie a �G u� - �35; c,
GROSS HEATING CAPACITY(INPUT-BTUH) NET RATING(OUTPUT BTUH)
TYPE OF FUEL
❑ OIL-GPM OIL TANK LOCATION: ❑ INSIDE ❑ OUTSIDE CAPACITY
UVGAS-INPUT S�° 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 /2y��,a p`l�.vlC1 •,.,n a �•�t�s�l��+/'
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 7 82 :5 )
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICAN DATE ��
APPLICATION FOR HVAC PERAUT
TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT
1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074 (PHONE)860-W-2511 EXT.230
DEPARTMENT DECISION PERMIT NUMBER:
APPLICATION IS HEREBY: Q 1q,
APPROVED: BLDG.PERMIT NUMBER:
DATE INSPECTOR
LOCATION OF WORK: Z4 p--AM17r-� Lv�
APPLICANT: OWNER: TYPE OF STRUCTURE:
(j c_}-FV ' \ `t` / o NEW BUILDING
NAME: ST ye�(2 v�w(��-�'JeCJC l NAME: Z a(L 4 to a ❑ADDMON
PHONE NUMBER e r-- PHONE NUMBER �U3 4 EXISTING BUILDING
(�
ADDRESS: 13C� lS Q � y ADDRESS: 2y D A 1✓rr(.�o
,��11 C� ��� TYPE OF USE:
RESIDENTIAL ❑COMMERCIAL
HVAC INFORMATION: FURTHER DESCRIPTION OF WORK:
TYPE OF SYSTEM: o HEATING 41C (� l
HEATING:
TOTAL HEAT LOSS(BTUID °F (HEAT LOSS SHEET REQUIRED)
DESCRIBE ALL HEATING EQUIPMENT(INCLUDE MAKE AND MODEL NO.):
ESTIMATED COST:S C S
AIR CONDMO7NING:
DESIGN TEMP:OUTSIDE 9 s—� INSIDE C °F DIFFERENCE-F° FEE ENCLOSED:S X
TOTAL HEAT GAIN(BTUH) (HEAT GAIN SHEET REQUIRED)
DESCRIBE ALL COOLING EQUPMENf(INCLUDE MAKE AID MODEL NO.):
FEE SCHEDULE:$18 PER$1,000 OF THE ESTIMATED COST.
ROUND UP TO THE NEXT THOUSAND ONCE THE PROJECT IS
( Dui G, +t 3 $1.00 OVER (.26 CENT EDUCATIONAL FEE INCLUDED AS PART
OF THE PERWF FEE)
THE UNDERSIGNED HEARBY APPLIES FOR A P TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND
STATE OF CONNECTICUT BUILDING CODES IN PERFOMANCE OF SUCH WORK.
CONTRACTORS LICENSE NO.: 03 3 2 TYPE: S STATE: c4-
SIGNATURE OF APPLICANT: _DATE:
c?0a?U007&3
Electric # APPLICATION FOR BUILDING PERMIT
Plumbing# 24—C Amato Drive
HVAC# 12000690 Date:
Sprinkler# Estimated Cost $
FINAL APPROVALS Permit Fee $ Zo
Building COMPLETE RED BOXED AREAS Occupancy Fee $
Engineering TYPE OR PRINT ONLY Eng. Insp. Fee $
Affidavit
Appr.forCO. SIGN ON REVERSE SIDE .4 Total Fee $
TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ Cat'
The undersigned hereby applies to do work according to the following:
Applicant ationofWork L tNo.
Applicant's 50dress Tel #
Town Zip a1149 Lic.# 116 1? 4
Owner Architect
Owner's A ess t /l! Architect's//Address _
SO Zip 1 Zip—
Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd Fly Talal N Ar
Purpose of this permit Aaaj ao / !
City Water J Well ❑ Septic System ❑ Sewer J I AO f5m
Ins: HO P ert. Area Basement Garage 7
Approved by Date 1 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 proper distance from all stre es,side yard lines,and required
distances from all other zones and is located in which this building nd its use is allowed.
Signed 1
I hereby apply for a Certificate of Occupancy for the work described in this application for the permit.
Signed
DO NOT WRITF RFI OW THIS LINE
INSPECTION COMMENTS
nrn RA ; 117
AND
(�GS 29-393
Electric # APPLICATION FOR BUILDING PERMIT
Plumbing#
HVAC# Date: G t bcl
Sprinkler#
FINAL VALS Estimated Cost $ ;�I S
n r Permit Fee $_ _
Building '� COMPLETE RED BOXED AREAS Occupancy Fee $
Enginee TYPE OR PRINT ONLY Eng. Insp. Fee $_
Affida
Appr�f�rQ . y ► SIGN ON REVERSE SIDE
Total Fee $
I
TO E BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $
The undersigned hereby applies to do work according to the following: �� p
Applicant CS ,,A d rh e_ Location of Work p*v i)iV& Lot No.
Applicant's Address P•d . l�0 1�� U n i A - L Tel # COO `I y�7
Town `C�Itj�ef r/r Zip Ui/iIIJ Lic.# %4'R7),
Owner we- 01 L Architect NJ�
Owner's G Address /—��r 14(o �(�V�-' Architect's Address VIA V}V\ V.(1k-_ V r cl 1 Zip t)67 U7
Zip_
Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area
Purpose of this permit S r;boa k U"(9 d . mot awn ot4-
vode
��,.T,io-
City Water J Well J Septic System J Sewer J
Ins: HO SP Area Basement Garage
Approved by ate _A 2. Use Group Construction Type
Revised 11QH
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 proper distance from all street lines,side yard lines,and required
distances from all other zones and is located in which this building and its use is allowed.
Fr c,n� Gp rr t,otv Signed 2e--id`sb
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
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