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