HomeMy WebLinkAbout2542 ELLINGTON RD DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT
PERMIT#
Application is hereby: TOWN OF SOUTH WINDSOR l 1'I to
BUILDING DEPARTMENT
APPROV 1540 SULLIVAN AVENUE Bldg. Permit#
R 1 644-2511 ext. 230 N>�
Date uilding Insp or
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$1,000
or any fraction thereof Tenant Designation Apt.No.
G��CI APPLICANT IWI ERL'L �:_j';,�'• ^ �:� r;. ��;
APPLICANT ADDRESS 981-SOUTH
IiYlwJn, CON11. 06074
044-2538
APPLICANT PHONE# \
OW N S f,q OWNER
OWNER ADDRESS
v OWNER PHONE
C ESTIMATED COST$
M
VO IS THIS A CONTRACT COST? ''Yes _No
��s✓ FEE ENCLOSED$ v
1� TYPE OF JOB:
OSOR-COS New Installation
�/Alteration/Addition/Repair
Revised 4/01//7007
APPLICATION FOR HVAC PERMIT (Continued from reverse side)
TYPE qFSYSTEM: TYPE UILDING:
HEATING RESIDENTIAL
A/C 0 COMMERCIAL
0 VENTILATION ❑INDUSTRIAL
HEATING
O STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS.
HYDRONIC 0 WARM AIR ❑UNIT RADIANT HEATER
E STING 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.)
\A )KA \Di-0 � 1U -c C,u --�A
GROSS HEATING CAPACITY(INPUT—BTUH) 1 n NET RATING(OUTPUT—BTUH)
TYPE OF FUEL
9OIL—GPM OIL TANK LOCATION :O 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 ,cA �i�2�1�\% �A S?� \w(\C-*
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.
30�,2 -\ S
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT Z�;� \��� t`� DATE_ -3 /2
Electric# APPLICATION FOR BUILDING PERMIT
•Plumbing# 2542 Ellington Road Date:
HVAC #
Sprinkler# 31825
FINAL P -F00" SIGN
--- -- ------- --- - -- Estimated Cost $ f°S"U,00
Building / DLETE RED BOXED AREAS Permit Fee $
En nee ' i I Occupancy Fee $
YPE OR PRINT ONLY Eng. Insp. Fee $
ON REVERSE SIDE vit
ApprAffidafor CO. ------- - -- -- Total Fee $ �O S
TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $
The undersigned hereby applies to do work according to the following:
Applicant ek G. Location of Work Lot No.
Applicant's Address 6 P/44,Y7 Lc,," L Tel.# 86a- 2-9y-9?'00
Town_5Q L.4� Zip C2 Go 7 Lic.#_S`f 5*6
Owner Architect
Owner's Address 2- d Architect's Address
Zip Zip
Sq. Ft. New Area: 1 st FI. dN 2nd FI. 3rd FI. Total New Area
Purpose of this permit _
City Water❑ Well❑ Septic System❑ Sewer❑
Ins: HO SP Cert. Area Basement Garage
Approved b Date -10<— Use Group --`Uonstruction Type �—
Revised 6102
1
1
I hereby agree to conform to all the requirements of the Laws f the State of nnecticut and the Ordinances of the Town of
South Windsor and to notify the Building Inspector of any al ration in th pla s or specifica ions of the Building for which this
permit is asked,and agree that this building is to be loc the pro e m all street lines,side yard lines,and required
distances from all other zones and is located in whi its u e Istallowed.
Signed /
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
1
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
-------------------------------------------------------------------------------
**-31825-B 6,500
B10 FINAL 02/01/06 JFF A
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2000278 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER BUILDING PERMIT
DATE: 06/16/2020
GIS ID: 30302542 FEE: 198.00
MUNIS APPLICATION# 202000932 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: SOUTHERN NEW ENGLAND WINDOWS LLC ADDRESS: 2542 ELLINGTON ROAD
ADDRESS: 10 RESERVOIR ROAD OWNER: PHILLIPS ANTHONY& KATHLEEN M
2542 ELLINGTON ROAD
SMITHFIELD, RI 02917
DESCRIPTION OF WORK: INSTALL 4 REPLACEMENT WINDOWS
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
6/16/2020 3:41 PM TI IE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE