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Home My WebLink About254 GRAHAM RD DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT PERMIT# Application is hereby: TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT - - - — APPRO E 1540 SULLIVAN AVENUE 0-1 644-2511 ext. 230 Bldg.Permit# -- 2 Date Building Inspector Application must be printed or typed FEE SCHEDULE Location of Job: 2.� (:> r ck u $0-$1,000=$15.00 FTen-antDesignation Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof Apt.No. APPLICANT APPLICANT ADDRESSe- S• \,vL7 APPLICANT PHONE# 2 Ak O W N St q OWNER We SA, OWNER ADDRESS Oo OWNER PHONE * U ESTIMATED COST$ O n o U U . x IS THIS A CONTRACT COST? Yes _No rn �� FEE ENCLOSED$ `� U U C K --d q / q TYPE OF JOB: O` O R-C o New Installation lteration/Addition/Repair �q 1 APPLICATION FOR HVAC PERMIT (Continued from reverse side) TYPE OF YSTEM: TYPE OF UH, ING: HEATING RESIDENTIAL HEATING ❑COMMERCIAL ❑VENTILATION ❑INDUSTRIAL HEATING ❑STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS. ❑HYDRONIC ❑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(INCLUDING MAKE&MODEL NO.)w `\e uLL yN-0 (- \Ca k h V �. h U � G�- C "�0 r,-y GROSS HEATING CAPACITY(INPUT—BTUH) I y 0 NET RATING(OUTPUT—BTUH) 1 O3 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 CN J 0,\\ 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 �, D� , , � DATE v\� ?z r� Electric# APPLICATION FOR BUILDING PERMIT Plumbing# 254 Graham Road Date: HVAC # Sprinkler# 800530 FINAL S — --- Estimated Cost Building3 COMPLETE RED BOXED AREAS Permit Fee $ Enginee Occupancy Fee $_ Affidavit ! TYPE OR PRINT ONLY Eng. Insp. Fee Appr. for CO. ill SIGN ON REVERSE SIDE / Total Fe�pw $ TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ The undersigned hereby applies to do work according to the following: Applicant Location of Work 2 5�G/ ��!�-� D Lot No. Applicant's Address 7 K U I X-16 D/L— Tel.# — Town ✓�IQNo.v CT Zip et,2 3 Z Lic.# Owner ,r S Architect Owner's Address Architect's Address - yu�4+ W91V DSOct— Zip o(oa )4i Zip Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area Purpose of this permit QCr- Ex�sr«lr �vs:�-c_ ''� " Cz--S City Water❑ Well❑ Septic System❑ Sewer❑ Ins: HO Area Basement Garage Approved by ate Use Group Construction Type Revised W02 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 and its use is allowed. Si d I hereby apply for a Ceg6fi a of Occupancy for the work described in this application for the permit. Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS kf APPLICATION FOR HVAC PERMIT TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074(PHONE) 860-644-2511 EXT.230 PERMIT NUMBER: DEPARTMENT DECISION APPLICATION IS HEREBY: APPROVED: BLDG.PERMIT NUMBER: DATE INSPECTOR LOCATION OF WORK: 2 S 7 c/'Gt�Ct✓"7 APPLICANT: OWNER: TYPE OF STRUCTURE: ❑NEW BUILDING NAME: S C cd rJ- T�/O/ NAME: //'t1 c!/!�L P�iS p ❑ADDITION PHONE NUMBER:rQ�O' 3 Y� 3 5 PHONE NUMBER,:/15�^232- l L EXISTING BUILDING ADDRESS:- 66`l Al w 47c,r,7 fZ ADDRESS:,?57 ��Li a r! x 1> / TYPE OF USE: AtEstnENTTAL o COMMERCIAL ` HVAC INFORMATION: )FURTHER DESCRIPTION OF WORK: TYPE OF SYSTEM: o HEATING 4A/C HEATING: TOTAL HEAT Loss(BT[JH) F (HEAT LOSS SHEET REQUIRED) 2 -^-10 7 Y/3 S DESCRIBE ALL HEATING EQUIPMENT(INCLUDE MAKE AND MODEL NO.): � ESTIMATED COST:s !, AIR CONDITIONING: y»� DESIGN TEMP:OUTSIDE�°F INSIDE?�°F DIFFERENCE /� F' FEE ENCLOSED:S TOTAL HEAT GAIN(BTUI)33 s72 (HEAT GAIN SIEST REQUIRED) DESCRIBE ALL COOLING EQUPMENT(INCLUDE MAKE AND MODEL NO.): FEE SCHEDULE:$18 PER$1,000 OF THE ESTIMATED COST. ROUND UP TO THE NEXT THOUSAND ONCE THE PROJECT IS ZQ/i1C'i 3{o a0i (3 TU $1.00 OVER. (.26 CENT EDUCATIONAL FEE INCLUDED AS PART OF THE PERM117 FEE) TIM UNDERSIGNED HEAEBY 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 P/E`RFOMANCE OF SUCH WORK. CONTRACTORS LICENSE NO.: 03 k(o S TYPE:- S STATE: G 7 SIGNATURE OF APPLICANT: DATE: l F-140 �o�-� 1800376 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER HVAC PERMIT DATE: 07/27/2018 GIS ID:37500254 FEE: 144.00 MUNIS APPLICATION# 201801021 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: SCOTT TAYLOR ADDRESS: 254 GRAHAM ROAD ADDRESS: P.O. BOX 677 _ OWNER: LEWIS TRACY M 254 GRAHAM ROAD ELLINGTON,CT 06029 ' DESCRIPTION OF WORK: A/C MINI SPLIT HEAT PUMP AND 36000 BTU CONDENSOR 18000 BTU HEAD AND 9000 BTU HEAD SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: ' OCCUPANCY GROUP: BUILD G OFFICIAL 7/27/2018 9:50 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE