HomeMy WebLinkAbout28 NIEDERWERFER RD APPLICATION FOR HVAC PERMIT
DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT#
Ap BUILDING DEPARTMENT //v o e n-
OVED 1540 SULLIVAN AVENUE� Bldg. Permit#)_( 644-2511 ext. 230
Date B g Inspector
Application must be printed or typed
FEE SCHEDULE ,� ) Location of Job:
$0-$1,000=$15.00 8 /�/ �d i-r 4J a—r, ;�:/,
Over$1,000= Street No. Street Lot No.
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANTd/�r�✓S ,,/
AP�P/LICANT ADDRESS /3� �Cf/G S' >l SJ y4-6
APPLICANT'S PHONE# 3 GC/ - S 2-Lf G-2`C
OWNER
At W N SFq< OWNER AD PRESS
OWNER PHONE j6;
C ? ESTIMATED COST$
IS THIS A CONTRACT COST? Yes yNo
FEE ENCLOSED$ Cs d'Go
° ° � TYPE OF JOB: 40%
�$OR-Co y New Installation
20116097v
Alteration/Addition/Repair
Revised 03/05/10
APPLICATION FOR HVAC PERMIT(Continued from reverse side)
TYPE OF SYSTEM: TYPE OF BUILDING:
9`11EATING Q- ESIDENTIAL
❑ A/C ❑ COMMERCIAL
❑ VENTILATION ❑ INDUSTRIAL
HEATING
❑ qTEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS.
2 HYDRONIC ❑ WARM AIR ❑ UNIT RADIANT HEATER
EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION
DESIGN TEMP. OUTSIDE °F INSIDE °F DIFFERENCE °F
TOTAL HEAT LOSS(BTUH) °F(HEAT LOSS SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL HE TING EQUIPMENT(INC UDING MAKE&MODEL NO.)
GROSS HEATING CAPACITY(INPUT-BTUH) 71ee?() NET RATING(OUTPUT BTUH)
TYPE OF FUEL
❑ OIL-GPM r )7 OIL TANK LOCATION: ❑ INSIDE ❑ OUTSIDE CAPACITY
❑ GAS-INPUT LPG TANK CAPACITY ELECTRIC-KW
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 CONNECTICUT BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
3�)-3,,_) 9 Z S/ 3 �i
CONTRACTORS LICENSE NO. TYPE Q STATE
SIGNATURE OF APPLICANT Q DATE
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South Windsor
BUILDING DEPARTMENT
to 114E w`...... .. «,,r
rhis certifi,d tart tm, 041, ;r.p si ':c u * It tfw-
copies rR the propose/ 11104.1144.ng o: „uer.,twns to be
erected at
G-#- N� 0trae,
together with amendment st•led in application am
rllsd with plan and 1 ,gree to Comply with oil zorAng.
3uifding and state taws and st-Ch orders as shalt b(
issued by the Building :wpartroent during pendency
of this application and final Issuance of a building
permit.
�i9ign ad _
rhis plan Is approved subio" to the condition that
a rdars and ordinances regulinmg building shall be
:ompllad with.
Conditionally Approved These filed with
RmIding inspector Clerb
No. --__
CATION OF ZONING COMPLIANCE
F )uilding(s), use(s)and/or structure(r)
on this plan appaar(s) to ,r
,;e with current AI A >r
r is. Variances and special ex(-..,_.,.•,3
g En ement Officer
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Electric# ���-C APPLICATION FOR BUILDING PERMIT -
Plumbing# ' 28 Niederwerfer Road Date:
H VAC #
Sprinkler# 31010
FINAL APPROVALS �F0101" SIGN
- - _ - _ - Estimated Cost 3. LGOA•��
Building PLETE RED BOXED AREAS 1 Permit Fee $ �z o
Engineering TYPE OR PRINT ONLY Occupancy Fee $ /O
Affidavit Eng. Insp. Fee $
Appr. for CO. ON REVERSE SIDE
-- - 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 I-ocation of Work3,%A,—Aa. ,C r Lot No.
Applicant's Address P yc=, Ni.# -%C)X-1 3
Town S Zip ()�� tic.#
0wnerk,0,%_r:0., Architect
Owner's Addressa%. It ` � Architect's Address
CK: Zip
Sq. Ft. New Area: 1st FI. 2nd FI. 3rd FI. Total New Area
Purpose of this
City Water❑ Well❑ Septic System❑ Sewer❑
Ins: HO _Cert. Area Baseme t Garage
Approved by Date Use Group' Construction Type
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 afteration 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 th 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 :u
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
-------------------------------------------------------------------------------
++-31010-B 6,600
BO1 FOOTING 08/31/04 JFF A 3 8IN PIERS WITH CONTRACTOR
1100288 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER HVAC PERMIT
DATE: 08/30/11
GIS ID: 63600028 - FEE: 75.00
MUNIS APPLICATION# 201100970 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: ANDREWS OIL CO. f.`.Y ADDRESS: 28 NIEDERWERFER ROAD
ADDRESS: 136 RYE STREET OWNER: CUMMINGS MARIAN C
SOUTH WINDSOR,CT 06074 28 NIEDERWERFER ROA
SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: REPLACING BOILER.
a 4
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
8/30/2011 3:27 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE