HomeMy WebLinkAbout2650 ELLINGTON RD DEPARTMENT DECISION PERMIT#
APPLICATION FOR HVAC PERMIT Mbi-ir'l-
Application is hereby: TOWN of SOUTH WINDSOR
BUILDING DEPARTMENT Bldg Permit#
PRO 1540 SULLIVAN AVENUE
644-2511 ext. 230
ate Building Inspector Application must be printed or typed
Location of job
Street No. Street Lot No.
FEE SCHEDULE Floor Apt.No.
$0 - $1,000 - $12.00
Over $1,000
$12.00 per$1,000 N o L" r�
OWNER Wo ye)e-
or any fraction thereof
ADDRESS .qLo 50 F- I
0 to 0 1
OWNERS PHONE# SRF -1 *8-j -553 (,oQ 43
APPLICANT I o-q (or Y-N-C c 11 tj
,l 6,1111 1111 SFADDRESS 6,3 'K 3LA-8
C La 0
ESTIMATED COST $ �,2LIOO-
;D IS THIS A CONTRACT COST?
Q YES NO
FEE ENCLOSED $
TYPE OF JOB:
OR- 0 Original Installation
Alteration/Addition Repair
Revised 11/95
Le 0 IS(1111,2-
APPLICATION FOR HVAC PERMIT(Continued from reverse side)
TYPE OF SYSTEM TYPE OF BUILDING
HEATING ✓ RESIDENTIAL _Vf
A/C 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 F INSIDE F DIFFERENCE F
TOTAL HEAT LOSS(BTUH)
(HEAT LOSS SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL HEATING EQUIPMENT (INCLUDING MAKE&MODEL NO.)
�i-►�e.�y�n��Ic�mcn f. �F �7S n lam, s�cc! o• l ta.f► �� ,� b�_�c.h��f-
GROSS HEATING CAPACITY (INPUT-BTUH) NET RATING (OUTPUT-BTUH)
TYPE OF FUEL
OIL-GPM GAS-INPUT ELECTRIC-KW
OIL TANK SIZE&LOCATION
INSIDE�� OUTSIDE CAPACITY,']S LPG TANK CAPACITY
AIR CONDITIONING
DESIGN TEMP. OUTSIDE F INSIDE F DIFFERENCE F
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 CONN. BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK
STATE LICENSE-NO. NAME&T9PE SI NATURE OF APPLICANT
PHONE NO. a(w-b.3-3303 DATE /d-Zed.-/G
r STATE OF CONNECTICUT
HEATING,PIPING&COOLING UNLIMTI'ED.CONTRACTOR
TIMOTHY J AKER _
po box 476; ,
'yo tiox,476 I
WEST SIMSBUR CT 06092-2310
LIC./REG NO.. EFFE TIVE- EXPIRES
HTG.0402683-Si '09/61/2016. 08/31/2017
:SIGNED - !
I, Timothy Aker authorize Mary-Beth Wilcox to sign the Building Permit
applications as my agent to perform work:-
Address: .2650 Ell ng-faa kd S. CJ1 no(jo,4
Job Description: 6-t"ergc.nc,1 rep16LCeMen L of 275 9/,7 S
License type & number HTG-0402683—S1
Agent Signature
Licensed Contractor
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South Windsor
BUILDING DEPARTMENT
To THE B"J%C'K CWT. TOWN Of 5OLf14 WRMSO,
This certified t..,, t,Is pl9n and specifics -s a,n 1",
:opi<s of the proposed building or alterations to b•
rected.�a at
z(,V �L�l li�l� -4 Str r
:"gether with amendmrnt, srited
Icd with plan and I g-.. t o;rt:piy
oilding and state I,tws and ,ucr .raers t
surd by the Building pe•p—rt ,,:'ni dunnp p -c
f this application and final issuance of a Dcild,.
oe nnit.
;igned K Z'
his plan is approved subject to the c—dlt.
orders and ordinances regWatmg budding shall be
_implied kith.
conditionally Approved These flied with
8uilding Inspector a1�fY
�i . ., i✓_i::�.::o ;, US*-I�i a;id,cir structurE,
s shown on thli plan app^a (s) to be z
:onformance with current S,� Fi VVi,j&;Cr
I cgulations. Variances and special exceptions
may
Zoning Enforcement Of� cnr
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r0 THE BUILDING DEPT. TOWN OF SOUTH WINDSOf
plan an specif'cations are true
This Certified that this p or alterations to be
copies of the�4. build'
?recte
^G J�V Stroel
together witheats stated in application any
1 agree to comply with all zoninf-
-11ed with plan and
w WlAing and state laws and such t°fduri gders sDendlene•
-;Sup-d by the Building Depart
1 tnis application a final I
ante of a buildmv
permit.
Signed
;his plan is approve subject to the Condit shell thbe
orizn lz
and
ordinances regulating building
:nmplitd with.
These filed with
-londltionaily Approved
Building Inspector
Onto
Ne. �
„r r_viYiitU �,VLIf'L►/t1�lJC
i-oposed building(s), use(s) andjor structure(s)
:s shown on this plan appear(s) to be in
current
,onformance with eral excep io"i-
.::gulations. Variances and special
may apply- �
Date _
l
En o cement officer
APR � 6 1996
South Windsor
BUILDING DEPARTMENT
ry
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for
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Ce�f��i'r a' Su6Sfan �io/Yy Co�iecf
C C/741. ACl y. --X 2 7-
II�
JUN 2 8 1991 Im
South Windsor
BUILDING DEPARTMENT
—,-,i iriGA i iiNN OF ZONiNG t;oMeLiANCri-
�roposed building(s), use(s) andlor structuro(s)
,is shown on this plan appear(s) to be in
;onformance with current So'ath Windsat
-cgulations. Varlances and special exceptions
nay apply.
Jate
Zoning Enforcement Officer
TO THE BUILDING DEPT. TOWN Gf SnUTA ' '`R
This certifled that this plan and specillcatvnns .. .�..
eoples of the proposed building or aRsro� -,e
erected at
::•et:iher with amendments stated in n
•!.•� vi:h n and 1 agree to comply ,.
c.•: .:nd state taws and such ordure as ;hnr
tv tho Building Department during pen,,.,.. .
application and final Issuance of • bulidi� ,
t. /l
��S-J414477�
/`, approved subject to the condition t+.
-rs •1rd ordinances regulating building shall lie
ai wel .v rth
A,,ndi00,aliti, Approved TMse tiled with
Inspector Clark
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DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT PERMIT#
Application is hereby: TOWN of SOUTH WINDSOR
BUILDING DEPARTMENT Bldg Permit#
APPRO D 1540 SULLIVAN AVENUE
644-2511 ext.230
Date Building Inspector
Application must be printed or typed
Location of job
Street No. Street Lot No.
FEE SCHEDULE
18 Floor Apt.No.
$0 - $1,000 - M700
Over $1,000
$12.00 per$1,000
or any fraction thereof
ADDRESS_ 1711 'nQ+ors Rcl.
, L il o )0,r . Cl C) (aiLly
OWNERS PHONE# Z/S q- S S3- 7 013,
APPLICANT / a.u�02 EnerG y
�pW N S fq ADDRESS /S 2 L3 roc,-&
road Ps oo tiC CT Oe o 1 b
ESTIMATED COST $_ 9 3,
" = IS THIS A CONTRACT COST? t�
0 ' ti YES NO
Q :- G FEE ENCLOSED $ W U.
TYPE OF JOB:
OR-CO "K-P 4;6'
Original Installation
Alteration/Addition/Repair
Revised 11/95
��oo �
APPLICATION FOR HVAC PERMIT(Continued from reverse side)
TYPE OF SYSTEM TYPE OF BUILDING
HEATING / RESIDENTIAL
A/C 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 F INSIDE F DIFFERENCE F
TOTAL HEAT LOSS(BTUH) .t{<<;
(BEAT LOSS SHEET MUST ACCOMPANY APPLICAT01n
DESCRIBE ALL HEATING EQUIPMENT (INCLUDING MAKE&MODEL NO.)
Replace f.v,s+trt LA) ,t1,.-lecrless ( JCS"d-OA - k,,oPck c0; 1
GROSS HEATING CAPACITY (INPUT-BTUH) NET RATING (OUTPUT-BTUH)
TYPE OF FUEL
OIL-GPM GAS-INPUT ELECTRIC-KW
OIL TANK SIZE&LOCATION
INSIDE OUTSIDE CAPACITY LPG TANK CAPACITY
AIR CONDITIONING
DESIGN TEMP. OUTSIDE F INSIDE F DIFFERENCE F
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 CONN.BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
STATE LICENSE-NO. NAME&TYPE S115NATURE OF APPLICANT
PHONE NO. $(oo-toZ3 -3 30-3 DATE `f-11 -/ 9
Electric # APPLICATION FOR BUILDING PERMIT
Plumbing#
HVAC# 2650 Ellington Road Date:
Sprinkler# 900286 Estimated Cost $ 700d.
FINAL APPROVALS
Building COMPLETE RED BOXED AREAS Permit Fee $
Occupancy Fee $
Engineering TYPE OR PRINT ONLY Eng. Insp.Fee $
Affidavit Appr.forCO. ► SIGN ON REVERSE SIDE
Total Fee $ 1 0 S
TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ :*-53
The undersigned hereby applies to do work according to the following:
Applicant Location of Work T Lot No.
Applicant's Address Tel #
Town L 1Likt1m- C--r Zip
Owner T(' A Gf�1*. Z—I K Architect
Owner's Address 6 j O L LL/R/41a 9l AeArchitect's Address PERMIT Q
Zip PER: P P17-176
Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd Fl. Total New Area_AND
Purpose of this permitPLO--f*-% 3- -A*L `cA (��t� 11 9CAWAW _393
City Water Well ❑ Septic System Sewer 0
Ins: HO SP Cert. Basement Garage
Approve by Date�.Area
Use Group, Construction Type
Revised 1108
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,4he proper distance from all street lines,side yard lines,and required
distances from all other zones and is located in ch th b ilding a is use is all wed.
Signe
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
1900238 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER HVAC PERMIT
DATE: 04/29/2019
GIS ID: 30302650 FEE: 126.00
MUNIS APPLICATION# 201900689 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: TAYLOR ENERGY , ADDRESS: 2650 ELLINGTON ROAD
ADDRESS: PO BOX 348/ 152 BROADBROOK RD OWNER: ROBERTS WAYNE L&KATHERINE L
2650 ELLINGTON ROAD
BROADBROOK,CT 06016
DESCRIPTION OF WORK: REPLACE EXISTING HEATING WITH TANKLESS
SPECIAL CONDITIONS:
ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT.
a
CONSTRUCTION TYPE: A7---
OCCUPANCY GROUP: BUILDr OFFICIAL
4/29/2019 3:26 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE
1600452 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER HVAC PERMIT
DATE: 1 1/01/2016
GIS ID: 30302650 FEE: 45.00
MUNIS APPLICATION# 201601562 BUILDING DESCRIPTION:
APPLICANT-"',, LOCATION
NAME: TAYLOR ENERGY ADDRESS:' 2650 ELLINGTON ROAD
ADDRESS: PO BOX 348 OWNER: ROBERTS WAYNE L&KATHERINE L
BROAD BROOK,CT 06016 2650 ELLINGTON ROAD
SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: EMERGENCY REPLACEMENT OF 275 GALLON,STEEL OIL TANK IN
BASEMENT.-
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
I I/1/2016 3:23 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE