HomeMy WebLinkAbout25 EVERGREEN LN DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
TOWN OF SOUTH WINDSOR PERMIT#
Application is hereby:
BUILDING DEPARTMENT
� Q. 1540 SULLIVAN AVENUE Bldg.Permit#
644-2511 ext. 230
Date Building Ins for
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$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT Kr✓.'n 7�y
APPLICANT ADDRESS 7U O/c-i T 114 n
6 - C56Z3 B
APPLICANT PHONE#
Of%0 W N S F,q OWNER N c40
< OWNER ADDRESS
a
A OWNER PHONE ISO— 1174
O
C = ESTIMATED COST$ O C>
•�, �" sal C�
x IS THIS A CONTRACT COST? es _No
L� �G FEE ENCLOSED$ .�U
401, O. • O�� TYPE OF JOB:
R C _ZNew Installation
_Alteration/Addition/Repair
Revised 4/01//2002
APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
El RESIDENTIAL BUILDING PERMIT APPLICATION? ElYES (KNO
❑BUSINESS CURRENT USE AND OCCUPANCY
❑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/WIRING METHOD (X� -
SIZE OF SERVICE SIZE OF MAIN CONDUCTORS_ 3
NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS
NUMBER OF PANELS t REMOTE DISCONNECT REQUIRED? ❑YES Ql�0
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 0
SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED.
DESCRIPTION OF WORK
P'lwv it v
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.
/1 3 6 Cs�
CONTRACTOa
RS LICENSE NO. TYPE SAT
SIGNATURE OF APPLICANT DATE
Shirley Wilhelm-CRS Approval Confirmation: Request No.444139 Page 1
From: <clpsvc@nu.com>
To: <WILHEL@SOUTHWINDSOR.ORG>
Date: 8/23/05 9:42AM
Subject: CRS Approval Confirmation: Request No. 444139
Your approval of the following CRS Request has been successfully
processed.
CRS Work Request M 444139
House No: 25 a
Lot No:
Street Name: EVERGREEN LN
Town Name: SOUTH WINDSOR, CT
Inspector: CHRISTOPHER DOUGAN
Approval Date: Aug 23, 2005
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PROPERTY MAPPED FOR
.LaCAVA CONSTRUCTION COMPANY
EVERGREEN LANE SOUTH WINDSOR, CONN.
SCALE: 1 "=40' DATE: MAY 14, 1980
Being lot no. 213 on a map entitled, "Plan Resubdivision of Lot 205 and a portion
of 254, Tudor Hill Section III, South Windsor, Connecticut, by Fuss & O'Neill
Consulting Engineers, Dated August 1976".
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PROPERTY MAPPED FOR
.LaCAVA CONSTRUCTION COMPANY
EVERGREEN LANE SOUTH WINDSOR, CONN.
SCALE: 1"=40' DATE: MAY 14, 1980
Being lot no. 213 on a map entitled, "Plan Resubdivision of Lot 205 and a portion
of 254, Tudor Hill Section III, South Windsor, Connecticut, by Fuss & O'Neill
Consulting Engineers, Dated August 1978".
FOR BUILDING PURPOSES ONLY4,4
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78-325
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PROPERTY MAPPED FOR
LaCAVA CONSTRUCTION COMPANY
EVERGREEN LANE SOUTH WINDSOR,CONN.
SCALE: 1 "=40' DATE: June 30, 1980
Being lot no. 213 on a map entitled, "Plan Resubdivision of Lot 205 and a portion
of 254, Tudor Hill Section III, South Windsor, Connecticut by Fuss & O'Neill
Consulting Engineers, Dated August 1978".
1 her®by certify this map to be
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DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT
PERMIT#
Application is he TOWN OF SOUTH WINDSOR r l �
BUILDING DEPARTMENT
PRO 1540 SULLIVAN AVENUE
Bldg Permit#
644-2511 ext. 230 -
�' Date Building Inspect
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$1,000 _
or any fraction thereof Tenant Designation Apt.No.
APPLICANT A-k-4/t-—Ij G,l e'�r
APPLICANT ADDRESS /Je -5ersk [.v�e•��fl/n ��
d6 0?1
APPLICANT PHONE#
0 W N S F,q OWNER �� oc� /L/e-1
OWNER ADDRESS 5- 4r!/<,�r� �A, ✓`O t/ / ('yx�
L -7
OWNER PHONE
C ESTIMATED COST$ 57, 00
.� IS THIS A CONTRACT COST? _Yes Ufto
a FEE ENCLOSED$ 7U, 0 0
SOR•CO TYPE OF JOB:
./view Installation
_Alteration/Addition/Repair
Revised 4/01//2002
APPLICATION FOR HVAC PERMIT (Continued from reverse side)
TYPE OF SYSTEM: TYPE OF BUILDING:
S-1IEATING 0 RESIDENTIAL
0 ABC ❑COMMERCIAL
❑VENTILATION ❑INDUSTRIAL
HEATING
❑ STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS.
O'NYDRONIC ❑WARM AIR ❑UNIT RADIANT HEATER
EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION
DESIGN TEMP. OUTSIDE OF INSIDE OF DIFFERENCE OF
TOTAL HEAT LOSS(BTUH) °F(HEAT LOSS SHEET MUST ACCOMPANY
APPLICATION)
DESCRIBE ALL HEATING EQUIPMENT(INC UDING MAKE&MODEL NO.) /
GROSS HEATING CAPACITY(INPUT—BTUH) 170 4'0 V NET RATING(OUTPUT—BTUH)
TYPE OF FUEL
❑OIL—GPM OIL TANK LOCATION:❑ INSIDEO 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 fir,s.Asc//l �'i�� ,... I �.►U/i--�:-�� .vim- -/t
z�
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.
36'3>X z 5'I
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT DATE ✓� _
APPLICATION FOR HVAC PERMIT
TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT
1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074(PHONE)860444-2511 EXT. 230
PERMIT NUMBER:
!APP'R7E
REB
BLDG.PERMITNUMBER:
�:2��
DATE PECTOR
LOCATION OF WORK:
APPLICANT: OWNER: TYPE OF STRUCTURE:
❑NEW BUILDING
NAME: NANE: J-� Net e!y 0I-7 ❑ADDITION
PHONE NUMBER dGf/' PT 0966 PHONE NUMBER: -Z�G- �I �s�ING BUELDING
ADDRESS: ?6 /2 ADDRESS:r) ' 1, TYPE OF USE:
c Sc lot r4 t O�
sIDENTIAL ❑COMMERCIAL
HVAC INFORMATION: FUR R DESCRIPTION OF WORK:
TYPE OF SYSTEM: ❑HEATING ❑A/C 2 �Fa
HEATING:
TOTAL HEAT LOSS(BTUH) 'F (HEAT LOSS SHEET REQUIRED)
DESCRIBE ALL HEATING EQUIPMENT(INCLUDE MAKE AND MODEL NO.):
3 � -3 ESTIMATED COST:S
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:$18 PER 51,000 OF THE ESTIMATED COST.
ROUND UP TO THE NEXT THOUSAND ONCE THE PROJECT IS
S1.00 OVER (Z6 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 TTHHEEPPERRFOMANCE OF SUCH WORK
CONTRACTORS LICENSE NO.: 7/b TYPE: STATE: (_�1 ✓ ,m
SIGNATURE OF APPLICANT: DATE:
a�ooag�
2000088 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER HVAC PERMIT
DATE: 03/02/2020
GIS ID:31200025 FEE: 162.00
MUNIS APPLICATION # 202000297 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: ANDREWS OIL&GAS SERVICES INC ADDRESS: 25 EVERGREEN LANE
ADDRESS: 136 RYE STREET OWNER: NELSON JEFFREY M &JOSEPHINE M
25 EVERGREEN LA
SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: RUNNING HOUSE GAS MAIN AND INSTALL NEW GAS BOILER
SPECIAL CONDITIONS:
ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT.
CONSTRUCTION TYPE:
OCCUPANCY GROUP: BUILDING OFFICIAL
3/2/2020 3:01 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE