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Home My WebLink About2800 TAMARACK AVE SUITE 001 DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT PERMIT# Application is-her by: TOWN OF SOUTH WINDSOR �3a3S# BUILDING DEPARTMENT APPROVE 1540 SULLIVAN AVENUE Bldg.Permit# �j 644-2511 ext. 230 j� Date ng Inspector Application must be printed or typed FEE SCHEDULE Location of Job: $0-$1,000=$15.00 Street No. Street Lot No. Over$1,000= lei la��c > �L��✓7G.�C TZ�2 C.iLrGL�rs3s """`' 4 '�G Z_ $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT 1-4 d&PC -1 APPLICANT ADDRESS APPLICANT PHONE# G 7 7 - Z Z Z z_ 0 W N SF OWNER q< OWNER ADDRESS ;IV d fis/,�X— d"Ic 41�- . OWNER PHONE C ESTIMATED COST$ w a C> IS THIS A CONTRACT COST? ✓Yes _No LG o 0 �Cl FEE ENCLOSED$ 4001, OR•C �S . O�� TYPE OF JOB: _,!f<ew Installation _Alteration/Addition/Repair Revised 4/01//2002 0 APPLICATION FOR HVAC PERMIT (Continued from reverse side) TYPE OF YSTEM: TYPE OF BUILDING: HEATING ❑RESIDENTIAL LYA/C Ur6OMMERCIAL 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 OF DIFFERENCE OF TOTAL HEAT LOSS(BTUH) OF(HEAT LOSS SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL HEATING EQUIPMENT(INCLUDING MAKE&MODEL NO.) GROSS HEATING CAPACITY(INPUT-BTUH) NET RATING(OUTPUT-BTUH) TYPE OF FUEL ❑OIL-GPM OIL TANK LOCATION :❑ 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 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. CONTRACTORS LICENSE NO. ` E STATE 3 SIGNATURE OF APPLICANT �./ _ ��"� DATE �� MODERN MECHANICAL SYSTEMS, INC. ? Public Act No. 91-95: An act concerning the requirement that licensed contractors as defined in Section 20-330 of the General Statutes, must personally sign each building permit application. Date: 11-21-05 Town of South Windsor Re: Application for HVAC Gentlemen: In accordance with Public Act 91-95, this letter authorizes the below named agent to sign the above reference permit application. 1. Project Name: ECHN—Medical Building @ Evergreen Walk WOMEN'S CENTER FOR WELLNESS LOWER LEVEL Project# 897-009 2. Location: 2800 Tamarack Road 3. Starting Date: 2/21/05 4. Licensed Contractor's Name: Jeffrey A. Clement 5. Licensed Contractor's Trade License No.: SM-1 #2896 6. Name of Agent: Edward Hlasyszyn 7. License Numbers of all Contractors involved in the work, if applicable: Sincerely, MODERN MECHANICAL SYSTEMS, INC. /effreyyA. Clement President JAC:m 897-002permitHVAC 519 COOKE STREET • P.O. BOX 492 • FARMINGTON, CT 06034-0492 PHONE 660 / 677-2222 • FAX 660 / 676-8305 An Equal Opportunity Employer Electric# APPLICATION FOR BUILDING PERMIT Plumbing# 35 Tamarack Avenue Date: 10 1 12- ' 0 g�HVAC # Sprinkler# 30111 FINAL APPROVALS Estimated Cost $ I OSO 2 4`1.dry Building COMPLETE RED BOXED AREAS Permit Fee $ Is�S3.'1y Engineering TYPE OR PRINT ONLY Occupancy Fee $ 16.00 Affidavit Eng. Insp. Fee $ Appr. for CO. SIGN ON REVERSE SIDE -- — -- -- - Total Fee $ 15763.7y TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ The undersigned hereby applies to do work according to the following: Applicant "pJ! � Cor1�-fin��;i��l Location of Work F,YtP&g.LPA WALIL 44A.SZ I►i Lot No. 00 Applicant's Address 3a 3 A—rr�- Q,4 k_ r1 o V- . Tel.# 66o 2�7-I Town j-A-w i rn L;,t!,j c.-T Zip 06 B 3 H Lic.# Ol o0o 7 1 Owner 3ok g McEva t A l-j r"-Tv Li- Architect " I N c , A.tt.Lit► F <<,, kF_ Owner's Address 6 N Io Po PLAiL Avi- Sv,;E ?i b Architect's Address WZ_1tT N,&i If 5—, S��i�7_ 60p AA F m-PA► N Zip3F5-1)01 Zip`fy I I Sq. Ft. New Area: 1 st FI. Zb 3 96 0 2nd FI. 3rd FI. Total New Area Zvi g0 Purpose of this permit SujU, (n A iL u<aonl rrl4- L.6 C D 140ip T-,n1C.Lam,\ I nl G S►��I�� Q Ic R WM:D SLA P City Water❑ Well❑ Septic System❑ Sewer❑ Ins: HO SP Cert. Area Basement 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 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 th building and its se is allowed. Signed I hereby apply for a Certificate of Occupancy for the wo�rkderibed in this application for the permit. Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS i Electric# APPLICATION FOR BUILDING PERMIT Plumbing# Evergreen Walk Phase III Date: 10 HVAC # Sprinkler# FINAL APPROVALS 3�_ _�� -_ - �--- - -- _- --- Estimated Cost $ Building COMPLETE RED BOXED AREAS �I 1 Permit Fee $ 2,2 En ineerin TYPE OR PRINT ONLY Occupancy Fee $ -t�-r�- g g i Eng. Insp. Fee $ Affidavit ► SIGN ON REVERSE SIDE Appr. for CO. Total Fee $ °IIZ z 3 TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ The undersigned hereby applies to do work according to the following: c� 2 t'�0 Applicant �L,c�CQF_R_ Co!S i(l,)c.ijorJ Location of Work V I,ALk- P►.jts.— ok Lot No. 2`1 Do Applicant's Address 3o 6L_6 _ Tel. # li6o Z�,-i j `� O Town Zip 0 60 3� Lic. # 9 ®r o --?I Owner ?c)Ac t MciE* A s_Architect LA — i✓ Owner's Address 6Njo ec,&AtL A-v�_ &SV Architect's Address A05 Wirh rl� i N S i SL),TE /ham M P1-4�S Ti,1 Zip3-b\lc� C L.EA E.L_ ,.A n H Zip 113 Sq. Ft. New Area: 1st FI. ZO 3�6 O 2nd FI. 3rd FI. Total New Area Z-O 3-,!�O Purpose of this permit r�-i cAu s L FDJrI D A-ru o n _S City Water❑ Well❑ Septic System❑ Sewer❑ Ins: HO SP Cert. Area Basement Garage Approved by Date Use Group Construction Type Revised 6/02 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 ail street lines,side yard lines,and required distances from all other zones and is located in which t s building and its use is allowed. Signed 6�-/r 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 APPLICATION Electric # 7 d//>— Date: 0l 30. 0(v Plumbing# ?O�-/ 2800 Tamarack Atenue HVAC # Sprinkler# � 32370 FIN P - - — -- Estimated Cost $ 2. 01 Buildin DP COMPLETE RED BOXED Ak As Permit Fee $ Z 1 30. Engineer TYPE OR PRINT ONLY Occupancy Fee $ IO — Affidavit Eng. Insp. Fee $ Appr. for C ,1 b SIGN ON REVERSE SIDE / . Z --_ Total Fee $ . 140• - -- - - TO THE B IL NG DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) The undersiganed hereby applies to do work according to the following: Applicant T-1 r_ Gas le (.or jo�a4-,an Location of Work E614N E�Mrte,A U114 Lot No. Applicant's Address 2.00 FAA&r Drve _Tel.# Sw-b 7P,Uoz) Town Zip oGOp 1 Lic.# goOZ S 9 Owner eve r�(�Cr► ir ,Q s�;k+ea,L C• Architect W M Qt2(,;+c,�{yral r-ro.>P Owner's Address 200 F;�1,Gf D rye Architect's Address Z oo Fi 56/, D r! don, CT Zip b&MI Aeon CT' Zip d0O Sq. Ft. New Area: 1 st FI. 3,J5Z 5 2nd FI. 3rd FI. Total New Area Purpose of this permit A k_L,d,' -jO; e G o men r kS z Lb z✓a�M ArL��kr-4,tal �r q G lo.o City Water Well❑ Septic System❑ Sewer Ins: HO SP Cert. Area Basemen Garage Approved by Date Use Group Construction Type?l_- Revised W02 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 p:=L-- I hereby apply for a Certificate of Occupancy for the work described in this application for the permit. Signed �r ,�--- DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS