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HomeMy WebLinkAbout2550 ELLINGTON RD DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT Application is hereby: TOWN OF SOUTH WINDSOR /� ///PERMIT# ' a BUILDING DEPARTMENT `7 `� APPROVED 1540 SULLIVAN AVENUE Bldg.Permit# 1> n:- 06 "Ir 644-2511 ext. 230 Date Bu' ' g nspector Application must be printed or typed FEE SCHEDULE Location of Job: �5-5-0 FIC-6 4 .1 ; $0-$1,000=$15.00 Street No. Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT APPLICANT ADDRESS /3G �1Sit' S ,Z Sp�;✓� '�C ;t C T , 06071 APPLICANT PHONE# W N g OWNER q� OWNER ADDRESS _;2 06 c OWNER PHONE _ V/ C ESTIMATED COST$ �G r✓ CJ IS THIS A CONTRACT COST? _Yes FEE ENCLOSED$ cr C�• �/ �/i �/� '1 SOR CO TYPE OF JOB: c� /1IVew Installation _Alteration/Addition/Repair Revised 4/01//2002 APPLICATION FOR HVAC PERMIT (Continued from reverse side) TYPE OF SYSTEM: TYPE OF BUILDING: O-HEATING U-RESIDENTIAL Ll A/C ❑COMMERCIAL 0 VENTILATION ❑INDUSTRIAL HEATING ❑ STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS. ❑HYDRONIC R-WA-RM AIR 0 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.) 5 -- 3 � GROSS HEATING CAPACITY(INPUT—BTUH)/0 56 NET RATING(OUTPUT—BTUH) 00 TYPE OFF FUEL a,ojL--GPM *75 OIL TANK LOCATION :0 INSIDEO OUTSIDE CAPACITY O 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 r - 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. S' r 7- CONTRACTORS LICENSE O. E STATE SIGNATURE OF APPLICANTDATE �r�G Electric # APPLICATION FOR BUILD NG PERMIT Plumbing# 2550 Ellington Road Date: Ohl Ia HVAC # - Sprinkler# - 730888 FINA'. P .OV —_- - --- _ _ —_ - Estimated Cost $ ' Permit Fee $ Building] (7 O�i. j COMPLETE RED BOXED AREAS Occupancy Fee $ Engineer g V TYPE OR PRINT ONLY I Eng. Insp. Fee $ Affidavit SIGN ON REVERSE SIDE _ Appr. for CO. I - - J Total Fee $ TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ The undersigned hereby applies to do work according to the following: Applicant nt- m cL"xun T Qu•A rtit.,Location of Work a JY. ,02 //nc lee---- Lot No. Applicant's Address,!�L Po+1&n S} Tel.# Town uDAkt_vv,,,,ku., CT 0(1;xG Zip Lic.# 9,2,oy! a joAe2d7.4 Owner--P4rAjv rx Architect Owner's Address Z/. /6, ,Qee Architect's Address c2•4,), 2A,6jA Zip Zip—. Sq. Ft. New Area: 1 st FI. 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 Use Grou onstruction TYW Revised 6102 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 which this building and its use is allowed. 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 INSPECTION FIELD SHEET 03/23/09 Printed by Peart, Dayshell 12:28 32 -i r INSPECTION: 4734 FINAL PERMIT: STATUS: APPLICATION: 200700871 LOCATION: 2550 ELLINGTON ROAD SOUTH WINDSOR PROPERTY ID: 30302550 OWNER: LAUSIER PATRICK R & GERTRUDE M CONTRACTOR: DESCRIPTION: SIDING REPLACEMENT WORK ORDER: INSPECTOR: FLAN RESULT: PASS REQUESTED: SCHEDULED: COMPLETED: 03/19/09 UNPAID FEES: 00 Date Time TIME: TRAVEL ONSITE COMMENTS Electric # APPLICATION FOR BUILDING PERMIT Plumbing# HVAC# -26 � Date: Sprinkler# D 0 Estimated Cost $ FINAL APPROVALS Ap Building COMPLETE RED BOXED AREAS Permit Fee $ S Occupancy Fee $ Affidavit Engineering TYPE OR PRINT ONLY Eng. Insp. Fee $ Appr.forCO. SIGN ON REVERSE SIDE / Total Fee $ 135.e� TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ The undersigned hereby applies to do work according to the following: Applicant 1 1 o n Location of Work W E 1• ) "S.W. Lot No. IQ _1j Applicant's Address To # tKO-796-56CV Town!JrrO. WN_�s,or,n'T Zip Lic.# 1�2C.0617 1:Z Owner�'� �.e,C SoS Architect Owner's Address AMC. Architect's Address (v Zip Zip_ Sq. Ft. New Area: 1 st FI. 2nd Fl. 3rd FI. Total New Area Purpose of this permit T r\ _Qr� '—_�j �� CX.C(� C' y;s 3' c4mr,C Ixn I AL) Vs w w T IeaZ cexs� S Cit ater J Well J Septic System J Sewer �I S--O o Ins: HO S er . Area Basement Garage Approved by Date l�' Use Group Construction Type Revised 1108 I hereby agree to conform to all the requiremeZah of th tate of Connecticut and the Ordinances of the Town of South Windsor and to notify the Building Insperat in the plans or specifications of the Building for which this permit is asked, and agree that this building ist roper distance from all street lines,side yard lines,and required distances from all other zones and is located iding and its use is allowed. v Signed I hereby apply for a Certificate of Ohe work described in this application for the permit. Signed---- DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS INSPECTION FIELD SHEET 03/14/23 Printed by Middleton, Morgan 10 54 37 INSPECTION: 77509 FINAL PERMIT: STATUS: APPLICATION: 201500841 LOC: 2550 ELLINGTON ROAD SOUTH WINDSOR PROPERTY ID: 30302550 OWNER: LAUSIER PATRICK R & GERTRUDE M CONTRACTOR: REQUEST BY: PROJ DESC: ROOF REPLACEMENT. WORK ORDER: INSPECTOR: WS-B RESULT: PASS REQUESTED: PRIORITY: SCHEDULED: COMPLETED: 03/14/23 UNPAID FEES 00 Date Time MILEAGE: 00 TIME: TRAVEL ONSITE COMMENTS: INSPECTED BY ADAM CHROSTOWSKI 1500364 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER BUILDING PERMIT DATE: 07/20/2015 GIS ID:30302550 FEE: 135.00 MUNIS APPLICATION# 201500841 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: RISING STAR CHIMNEY ADDRESS: 2550 ELLINGTON ROAD ADDRESS: 250 DIANE DRIVE OWNER: LAUSIER PATRICK R&GERTRUDE M SOUTH WINDSOR,CT 06074 2550 ELLINGTON ROAD SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: ROOF REPLACEMENT. 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 7/20/2015 3:22 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE