HomeMy WebLinkAbout25 TUMBLEBROOK DR APPLICATION FOR HVAC PERMIT
DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT#
Application is hereby: BUILDING DEPARTMENT
i-1 C�C�IoU
APPR 1540 SULLIVAN AVENUE Bldg.Permit#
I.�,9-- tt U_ 644-2511 ext. 230
Date Building Inspector
Application must be printed or typed
FEE SCHEDULE
Location of Job:
$041,000=$15.00
Over$1,000= Street No. Street Lot No.
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT
APPLICANT ADDRESS e.
's \_sw L\
APPLICANT'S PHONE#
OWNER c a 2
N S Fq< OWNER ADDRESS 2 S v
& OWNER PHONE M 6U b\Aq- l C\ 3 b
O k ESTIMATED COST$ U y� GP
IS THIS A CONTRACT COST? —Yes No
FEE ENCLOSED$
TYPE OF JOB: (
0 .co New Installation
(Alteration/Addition/Repair
Revised 03/05/10
APPLICATION FOR HVAC PERMIT(Continued from reverse side)
TYPE OF SYSTEM: TYPE OF UILDING:
HEATING RESIDENTIAL
CI'A/C ❑ COMMERCIAL
❑ VENTILATION ❑ INDUSTRIAL
HEATING
❑ STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS.
9HYDRONIC ❑ WARM AIR ❑ UNIT RADIANT.HEATER
XISTING 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.) 1
CIUIIC� ) �2 1 L
CF 1\ \A -71 =c A Ursa r D-%c cat
GROSS HEATING CAPACITY(INPUT-BTUH)_l aS, NET RATING(OUTPUT-BTUH) 1
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.)
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
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 / 2—x
LOT l I z
00 0 1 50.00
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61
110. o.
00
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LOT CMG
0
LOT 65 00 4 LOT 67
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0 0
N RJ
NousF- a ;
50 63' EL
LC
S 1
O BOO 0 00,
9 f 50.00 %Cb
TUMBLEBROOK DRIVE
PROPERTY OF
NO. TUMBLEBROOK DRIVE SOUTH WINDSOR, COi+TN.
Being Lot No. 66 on map entitled, "Timber Ridge Homes, Dart Hill Rd.'&
Ellington Rd. , South Windsor, Connecticut, Scale : 1" = 40' , , Oct. 1968,
Griswold Engineering, Inc . , Sheet 2 of 7".
SCALE: 1" = 40' Date:
G ?IS..OLD & FUSS, INC .
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MANCHESTER, CONN. &sl
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FM
81111D1NG PURpM
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