HomeMy WebLinkAbout25 GERBER RD E CLUBHOUSE DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT
PERMIT#
TOWN OF SOUTH WINDSOR
Application�llereby: j
BUILDING DEPARTMENT
APPROVED 1540 SULLIVAN AVENUE Bldg,Permit#
644-2511 ext. 230 `
Date B 'ng Inspector
Application must be printed or typed
FEE SCHEDULE Location of Job:
25 Gerber Road East Clubhouse
$0-$1,000=$15.00 Street No. Street l Lot No.
Over$1,000= &
$15.00 per$1,000a� 22 units
or any fraction thereof Tenant Designation Apt. No.
APPLICANT Moynihan Plumbing LLC
APPLICANT ADDRESS P.O.Box 301895
Newington,CT 06131-0895
APPLICANT PHONE# 860-665-0708
OW N S q O Kelly Road Associates Limited Partnership
OWNER ADDRESS 6 Executive Drive,Suite 100
Farmington,CT 06032
• ?t OWNER PHONE 860-674-5641
C ESTIMATED COST$ 5,000
IS THIS A CONTRACT COST? Yes X No
�r �V FEE ENCLOSED$75
, C O TYPE OF JOB:
XNew Installation
Alteration/Addition/Repair
Revised Oro vi2002
L
APPLICATION FOR PLUMBING PERMIT (Continued finer reverse aide)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIA WITH A
18 RESIDENTIAL
BUILDING PERMIT APPLICATION? YES O NO
❑BUSINESS CURRENT USE AND OCCUPANCY
❑ASSEMBLY
O MERCANTILE FUTURE USE AND OCCUPANCY Clubhouse
❑ EDUCATIONAL
❑INSTITUTIONAL EA3 Engineers
O FACTORY ENGINEERS NAME PHONE (423)217-0494
O STORAGE❑GARAGE ADDRESS 3004 Shelby Street,Apt.120
❑MIXED USE
CITY Bristol . STATE TN ZIP37620
(Other Please specify)
TYPE OF INSTALLATION SIZE OF MAIN DRAIN
NO.OF TOILETS 2 STYLE NO.URINALS STYLE
NO.OF BATHTUBS NO.OF SHOWERS NO.OF LAVATORIES 2
NO.OF CONDUCTORS SIZE NO.OF STACKS SIZE
AREA OF ROOF NO.OF CATCH BASINS NO.OF FLOOR DRAINS
NO.OF OTHER FIXTURES KIND Kitchen Sink
ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW ❑YES (XNO
SIZE OF WINDOW IF NONE C.F.M.OF VENTILATOR
SIZE OF DUCTS 4 SEWER OR SEPTIC TANK Sewer
SIZE OF WATER MAIN SIZE OF WATER PIPING&RISER
WATER HEATER: TYPE E;ectroc MANUFACTURER
DESCRIPTION OF WORK
COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
/ ryl
CONTRACTORS LICENSE NO. TYPE STATE 4�
SIGNATURE OF APPLICANT
DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT PERMIT#
Application is hereby: TOWN OF SOUTH WINDSOR a �-
BUILDING DEPARTMENT cL6—�—
APPROVED 1540 SULLIVAN AVENUE Bldg.Permit#
644-2511 ext. 230
Date Building Inspector
Application must be printed or typed
FEE SCHEDULE Location of Job:
25 Gerber Road East Clubhouse
$0-$1,000=$15.00 Street No. Street Lot No.
Over$1,000= 89
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT Ductworks HVAC Services LLC
APPLICANT ADDRESS 175 Spring Street
Southington,CT 06489
APPLICANT PHONE# 860-621-6295
�Ml N SF OWNER Kelly Road Associates Limited Partnership
OWNER ADDRESS 6 Executive Drive,Suite 100
r Farmington,CT 06032
OWNER PHONE 860-674-5641
ESTIMATED COST$ 30,400
IS T141S A CONTRACT COST? Yes _11No
FEE ENCLOSED$ J
r�4!) TYPE OF JOB: 4 I"t l
OR*C0 X New Installation
Alteration/Addition/Repair
Revised 4/01//2002
APPLICATION FOR HVAC PERMIT (Continued from reverse side)
TYPE OF SYSTEM: TYPE OF BUILDING-
M HEATING N RESIDENTIAL
3 A/C ❑COMMERCIAL
3 VENTILATION ❑INDUSTRIAL
HEATING
❑ STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS.
❑HYDRONIC 3 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.)
Lennox#G61 MP-60C-1 10
GROSS HEATING CAPACITY(INPUT—BTUH)110,000 NET RATING(OUTPUT—BTUH) 104,000
TYPE OF FUEL
❑ 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.)
Lennox XC16-060
TONNAGE 5 COOLING CAPACITY(BTUH)
VENTILATION
DESCRIBE ALL AIR HANDLING EQUIPMENT(INCLUDING KITCHEN EXHAUST EQUIPMENT)
Range Hood Fan,Two(2) Bath Fans and Furnace
TOTAL SIZE OF SYSTEM(CFM) FRESH AIR INTAKE(CFM)
(PLANS MUST ACCOMPANY APPLICATION)
FURTHER DESCRIPTION OF WORK All duct,fans,furnace,compressor
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.
D1=391896,SM1=5943 D1 &SM1 CT
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT ���� DATE Z Z q c0�
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
PERMIT#
Application is hereby: TOWN OF SOUTH WINDSOR 160CIS
BUILDING DEPARTMENT
APPROVED 1540 SULLIVAN AVENUE Bldg.Permit#
—" 644-2511 ext. 230
Date Building Inspec
Application must be printed or typed
FEE kHEDULE Location of Job:
25 Gerber Road East Clubhouse
$0-$1,000=$15.00 Street No. Street Lot No.
Over$1,000= 89
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT J-Electric
APPLICANT ADDRESS 8 Sanrico Drive
Manchester,CT 06042
APPLICANT PHONE# 860-645-9891
OWN SF OWNER Kelly Road Associates Limited Partnership
Z �� OWNER ADDRESS 6 Executive Drive,Suite 100
` Farmington,CT 06032
Ois OWNER PHONE 860-674-5641
C ESTIMATED COST$ 27,200
IS THIS A CONTRACT COST? Yes No
�l �G FEE ENCLOSED$
TYPE OF JOB:
�SaR CO XNew Installation
Alteration/Addition/Repair ZJ`c
Revised 4/01//2002
APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
a RESIDENTIAL BUILDING PERMIT APPLICATION? ® YES ElNO
❑BUSINESS CURRENT USE AND OCCUPANCY A-3 Assembly Recreation Building
❑ASSEMBLY
❑MERCANTILE FUTURE USE AND OCCUPANCY Clubhouse
❑EDUCATIONAL
❑ INSTITUTIONAL EA3 Engineers 802-922-6471
❑FACTORY ENGINEERS NAME PHONE
❑ STORAGE❑GARAGE ADDRESS 18541 Royal Hammock Boulevard
❑ MIXED USE
CITY Naples STATE FL ZIP 34114
(Other please specify)
NMC
TYPE OF INSTALLATION/WIRING METHOD
SIZE OF SERVICE 200/A SIZE OF MAIN CONDUCTORS 4/0
NUMBER OF METERS 1 NUMBER OF DISCONNECTS AND RATINGS
NUMBER OF PANELS 1 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
Wire clubhouse/community building,back-up generator
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.
123580 E1 CT
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT DATE