HomeMy WebLinkAbout2800 TAMARACK AVE SUITE 104 DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT
TOWN OF SOUTH WINDSOR PERMIT#
App ' re o �
BUILDING DEPARTMENT
APPROV 1540 SULLIVAN AVENUE Bldg.Permit#
644-2511 ext. 230
Date B 1 ing Inspector z�<f.
Appheation must be printed or typed .3 Zc
FEE SCHEDULE -04ln/'/l 'OqC'KcationofJob:
IN
$0-$1,000=$15.00 Street No.M ,�� • �, U— Street Lot No.
Over$1,000= ::_—
$15.00 per$1,000 t�' Mew SS 9Zs� 1?0+ S'
or any fraction thereof Tenant Designation '� 1 Apt.No.
APPLICANT__ 77fie R)c;, 3121 elwk C9
APPLICANT ADDRESS 10 d� _ 0
APPLICANT PHONE# 9Co--
O W N Se OWNER
OWNER ADDRESS Zoo 6,sdNt, D2 .
O -
OWNER PHONE �cip 67 qa�
C ESTIMATED COST$ 63 Ow
.� IS THIS A CONTRACT COST? St/ Yes _No
tG f FEE ENCLOSED$ ,
TYPE OF JOB:
�S�R CO� New Installation `�ffx,� v r
Alteration/Addition/Repair
Revised 4/01//2002
APPLICATION FOR PLUMBING PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
❑RESIDENTIAL BUILDING PERMIT APPLICATION?V/YES ❑NO
250USINESS CURRENT USE AND OCCUPANCY /bti ClcwQ--
❑ASSEMBLY
❑MERCANTILE❑EDUCATIONAL FUTURE USE AND OCCUPANCY Q C-p
U INSTITUTIONAL F7
❑FACTORY ENGINEER'S NAME
❑ STORAGE
❑GARAGE ADDRESS
❑MIXED USE
CITY �t6l*F10,0 STATE ZIP 2-
(Other please specify)
T-iTE OF INSTALLATION Qj f 61 p//a/_ SIZE OF MAIN DRAIN
NO.OF TOILETS_�STYLE FTJZA VAWL NO.URINALS—_Q STYLE-- 6`
NO.OF BATHTUBS Q— NO. OF SHOWERS 4= NO. OF LAVATORIES
NO.OF CONDUCTORS SIZE 4� NO.OF STACKS SIZE
AREA OF ROOF NO.OF CATCH BASINS 0 — NO. OF FLOOR DRAINS
NO.OF OTHER FIXTURES ; _ KIND SS 3//AJ#6
ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW 0 YES'*0
SIZE OF WINDOW IF NONE C.F.M.OF VENTILATOR
SIZE OF DUCTS SEWE R SEPTIC TANK
SIZE OF WATER MAIN SIZE OF WATER PIPING&RISER �� N
WATER HEATER: TYPE 3 RWA MANUFACTURER A ,a SAS-[rat
DESCRIPTION OF WORK
GFwJA - R
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2d�n&���Pd
THE UNDERSIGNED HEREBY APPLIE9 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.
P/ZoZ-o+2oQ
CONTRACTORS LICENSE7*",OV
TYPE STATE
SIGNATURE OF APPLICANTDATE 7�Z��
DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT
PERMIT#
Applicatio re y: TOWN OF SOUTH WINDSOR / z�c
BUILDING DEPARTMENT
PROVED 1540 SULLIVAN AVENUE Bldg.Perna
644-2511 ext. 230
Date Building Inspector n/
Application must be printed or typed
FEE SCHEDULE Location of Job:
$0-$1,000=$15.00 Street No. Street Lot No. �C ! / J
Over$1,000=
$15.00 per$1,000 5F-;Z--73 h-�Lt=DrG t�1
or any fraction thereof Tenant Designation Apt.No.
APPLICANT ��h17t3� C.Zlr,v�c�a.� S.{�Zcs�, lid
APPLICANT ADDRESS S t `� �v c>►G� SAIL$"("
APPLICANT PHONE# 0-7 7-L-L Z -:._-
��W N S OWNER G/��1.cS GviRtPv►,.,.-r�V
OWNER ADDRESS 2t�v �cS1,IZ ?_
$, OWNER PHONE
C ESTIMATED COST$ "
.� IS THIS A CONTRACT COST? ✓Yes _No
�C! FEE ENCLOSED
S . oly� TYPE OF JOB:
OR•C /
✓ New Installation
Alteration/Addition/Repair
Revised 4/01//2002
APPLICATION FOR HVAC PERMIT (Continued from reverse side)
TYPE OF SYSTEM: TYPE OF BUILDING:
EMEATING ❑ RESIDENTIAL
LI-VC 21 0_MMERCIAL
LPV ENTILATION ❑INDUSTRIAL
HEATING
❑ STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS.
❑ HYDRONIC [s MARM AIR ❑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.)
R-G,-,F I--:,la Li ICJ,-1
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.)
- P7—"-'r 12 -�:_ Ub-JLT3
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. TYP STATE
SIGNATURE OF APPLICANT /� DATE 7/-0 S
DEPAR1 NIENT DECISION APPLICATION FOR EE L ECTIUCAL PEPUiV1irl'
�4JT
T(-)\ N OF SOUTH "WINDSOI� PIJ :`.�• ,�
Application is hereby: ,
BUILDING; DIEPAI?TIMENT 1 If��
RO 1540 SULLR7A-N f VENUE ( I
1- _ 644-2511 ext. 23t;
z I
Date Building Inspector
w- ---- - Few'--'cation rats[ be printed or types[—.......�....�_� � - tace��-�--..-•s,��pus
FEE SCHEDULE � Locatiou u-Job:
5u,;er No, -Street
- --- p Lot No.
Over S 1,000= r
F oi any fra,lion thereof Tenant Designation Apt.No.
APPLIC,,VNTT L
APPPI.ICAN' AixmESS
VPLICANT PHONT
C) AN OWNER
s� OVVIvTER PMDRESS — 2 i;Gu T4,+, :. L
OWNER PHONE
�- ►� ► E`"I'I1vIATFD COST$IS'I HIS A MY11:ACT CGS'T? X-Yea _ No
�I 1� 5, L' FEE ENCLOSED$_ 5 ,8 S, oo-41
—
,�^� R`C O� TYPE OF JOB:
X New Installation O
Alteration/Addition/Repair
Re,v:sea VG1,10,007
APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side
YFE OF BUILDING IS THIS APPLICATIO14 ASSOCIATED WITH A
❑ RESIDENT(AL BUILDING PERMIT APPLICATION? ❑ YES t]NO
❑BUSINEC'S CURRENT USE AND OCCUPANCY
❑
ASSEMBLY —
❑MERCANTILE
❑EDUCATIONAL, FUTURE USE AND OCCUPANCY �P !
❑INSTITUTIONAL
❑ FAC.TORY ENGINEER'S NAME PhONE
❑ STORAGE
❑GARAGE ADDRESS
❑ lAIXED USE
CITY STATE ZIP
(Other please specify)
TYPE OF INSTALLATION/WIRING METHOD ^ a
SIZE OF SERVICE _T—
SIZE OF MAIN CONDUCTORS
NUMBER OF METERS— NUMBER OF DISCONNECTS AND RATINGS
N`UMBER OF PANELS____ REMOTE DISCONNECT REQUIRED? ❑ YES ❑NO
NUMBER OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS
NUMBER OF SWITCHES NUMBER OF OUTLETS
NUMBER OF LIGHT FIXTURES--NUMBER OF HEAT CIRCUITS
NUMBER OF A/C CIRCUITS
SEPARATE HEAT LOSS AND AJC CALCULATIONS MUST BE SUBMITTED.
DESCRIPTION OF WORK
tali ,^ 1, �,�� I
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• TYPE STATE
SIGNATURE OF APPL �2�i�s DATE.�LSlZ G
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
-------------------------------------------------------------------------------
**-32069-B 91,000
P03 ROUGH 10/17/05 JFF A WITH CONTRACTOR AND CHRIS D/W/V NOTE HW HEATE
SHARED WITH EASTERN ORTHO
E03 ROUGH 10/27/05 JFF A WITH JIM OF SEMAC
B04 INSULATION 11/07/05 JFF A R19 PERIMETER WALLS WITH PAUL
B09 OTHER O1/30/06 PJP D W/JFF AND PAUL CASTLE CORP
B03 FRAMING (ROUGH) 02/01/06 JFF A ABOVE CEILING WITH PAUL
E03 ROUGH 02/01/06 JFF A ABOVE CEILING WITH PAUL
B10 FINAL 04/12/06 JFF A WITH PAUL AND CHRIS NEED PLUMB AND SPRINKLER
PERMITS
B10 FINAL 04/12/06 JFF SPRINKLER PERMIT OK
B09 OTHER 04/13/06 JFF SPOKE WITH LOU STEINBERG PLUMB PERMIT UNDER
12002
Soo iwamtL I
APPLICATION FOR PLUMBING PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
BUILDING PERMIT APPLICATION?VYES ❑NO
❑RESIDENTIAL
Oq3USINESS CURRENT USE AND OCCUPANCY /L16hJ COA91 .
❑ASSEMBLY
❑MERCANTILE FJ.I.URE USE AND OCCUPANCY 1;1CD .OFF6WCy-
Q EDUCATIONAL
❑INSTITUTIONAL �
❑ 9 -2 2-Wj
FACTORY ENGINEER'S NAME HONE
❑ STORAGE
❑GARAGE ADDRESS
❑MIXED USE
(Other please specify) CITY STATE ZIP 2-
TYPE OF INSTALLATION Oil_1 &J NAl_ SIZE OF MAIN DRAIN
NO.OF TOILETS_�STYLE Ft.11 A Vhwi5 NO.URINALS o V STYLE-- o -
NO.OF BATHTUBS -p- NO.OF SHOWERS NO.OF LAVATORIES
NO.OF CONDUCTORS SIZE _ NO.OF STACKS. SIZE r Z�I
AREA OF ROOF NO.OF CATCH BASINS -Q- NO.OF FLOOR DRAINS 4 -
NO.OF OTHER FIXTURES ; KIND SS, JIIAJKS
ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW ❑YES'*0
SIZE OF WINDOW IF NONE C.F.M.OF VENTILATOR
SIZE OF DUCTS SEWS R SEPTIC TANK
SIZE OF WATER MAIN H SIZE OF WATER PIPING&RISER
1
WATER HEATER: TYPE MANUFACTURER A.0 SIWi fly
QT / DESCRIPTION OF WORK
m
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.
P/2 Wi2 P-
CONTRACTORS LICENSE N TYPE STATE
SIGNATURE OF APPLICANT DATE .--Z-4
ti,
cpel
DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT
T#
PERMIT
App " re TOWN OF SOUTH WINDSOR 1 PE U
BUILDING DEPARTMENT
APPRO 1540 SULLIVAN AVENUE Bldg.Permit#
644-2511 ext. 230
Date B 1 ing Inspector 3 Z�twf
Application must be printed or typed
FEE SCHEDULE p� )qM'172'4y� cation of Job:
i iN
$0-$1,000=$15.00 Street No. „04 Street Lot No.
Over$1,000= Nb
$15.00 per$1,000 1 SS jC� s' //mod
or any fraction thereof Tenant Designation ! Apt.No.
APPLICANT
APPLICANT �� P
ADDRESS _Q
k ,&N6fi&z& lam'. 06=
APPLICANT PHOON"E�# 260— Z�+Z-2aZ .
Ow N SFq OWNER I�VGt(XgCFEj) IIA-f iVA.
.
OWNER ADDRESS :zoo Lard
OWNER PHONE %O— 67i(=966e
C ESTIMATED COST$ 63.MW
IS THIS A CONTRACT COST? St/—Yes _No
FEE ENCLOSED$
sO CY TYPE OF JOB:
$. New Installation
Alteration/Addition/Repair
Revised 4/01//2002