HomeMy WebLinkAbout119 FARMSTEAD DR APPLICATION FOR PLUMBING PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
0 RESIDENTIAL BUILDING PERMIT APPLICATION? ❑ YES ❑ NO
0 BUSINESS CURRENT USE AND OCCUPANCY
0 ASSEMBLY
0 MERCANTILE
O EDUCATIONAL FUTURE USE AND OCCUPANCY
0 FACTORY
0 STORAGE ENGINEER'S NAME PHONE
O GARAGE
0 MIXED USE ADDRESS
(Other please specify) CITY STATE ZIP
TYPE OF INSTALLATION SIZE OF MAIN DRAIN
NO. OF TOILETS STYLE NO.URINALS STYLE
NO. OF BATHTUBS NO. OF SHOWERS NO. OF LAVATORIES
NO.OF CONDUCTORS SIZE NO.OF STACKS SIZE
AREA OF ROOF NO.OF CATCH BASINS NO.OF FLOOR DRAINS
NO.OF OTHER FIXTURES KIND
ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW 0 YES O NO
SIZE OF WINDOW IF NONE C.F.M.OF VENTILATOR
SIZE OF DUCTS SEWER OR SEPTIC TANK
SIZE OF WATER MAIN SIZE OF WATER PIPING&RISER
WATER HEATER: TYPE MANUFACTURER
DESCRIPTION OF WORK
rPe-lc,«l-? t-,).z--
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 APPLICANT DATE /�
DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT PERMrr#
Application is hereby: TOWN OF SOUTH WINDSOR
BUELDING DEPARTMENT
APPR 1540 SULLIVAN AVENUE
644-2511 EXT.230 Bldg.P q Cat U
�— r S U
'(Date) (Building Inspector)
Application must be printed or typed
FEE SCHEDULE / I.rn of Job:
$0-$1,000=$15.00 Street No. Street Lot No.
j Over$1,000-
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT
APPLICANT ADDRESS YO fV17104, S-7—
j APPLICANT PHONE# ktc U 16 3 3
OWNER
0 w N S f �ana/oC r�/2{a L/
q< OWNER ADDRESS
sG�tLi
O * OWNER PHONE 2G y 2-02, 635151
C ESTIMATED COST $ 3 w Q
IS THIS A CONTRACT COST? YES X NO
FEE ENCLOSED$
TYPE OF JOB: 2 3
SO •CO New Installation
Alteration/Addition Repair
Revised 12/M2
ffCu7stomerName
20/2015 Job Numb7Pho-ne39"
Office Location: HARTFORD
Sears Home Improvement Products,Inc.
AU /� P.O. Box 522290
Customer's Home Phone 1024 Florida Central Parkway
Customer'sHome Improvement Products Longwood, FL 32750-7579
Street Address Phone 800 469-4663
ESTIMATE AND PROPOSAL Contractor License/Regishation Number
119 FARMSTEAD DR CT(HIC.0607669)
City State Zip Code Kitchen Remodeling
SOUTH WINDSOR CT 06 11 074
Is installation within city limits?
Installation Address Coun HARTFORD Yes/No : YES
Billing Address(if different from above) City
State Zip Code Project Consultant Name&License No.(ff applicable)
33265
Description of the Proiect and Description of the Significant Materials to be Used and Equipment to be installed
The work to be done under this contract includes the following:
I. Professional blueprinting and design confirmation;installation of new cabinets per contract and design layout. 4
Customer approved diagram
2. Removal of existing cabinets,countertops,plumbing,and appliances where new cabinets are to be installed.
3. Minor drywall repair as necessary for cabinet installation(Tape, mud and sand only;no texture matchin of cabinet boxes design layout
4. Installation of all moldings and finish trims around cabinet boxes as specified in this contract. 9) is attached to and made a part
5. Installation of hardware and accessories as specified in this contract. of this contract.
6. Installation of sinks,faucets,and wall out plumbing when new countertop is purchased with order.
7. Installation of electric changes and/or upgrades as specified in this contract.
8. Re-installation of existing appliances and hook up of new appliances as specified in this contract.
Cabinet 3utiiniary Countertop Sunmwry
NONE
SS COUNTER TOP
Construction SEARS PREMIUM
Hardware Summary If any of the following are checked,please see the attached addendum:
Door 1092 DBAC Drawer 1092 DBAC 0 Plumbing ❑ Electrical 0 Appliance
The Kitchens Addendum is made a part of and incorporated into this contract by reference. Customer(s)initials
Additional work to be done:HARDWARE ON EXISTING CABINETS ALSO
Work NOT to be done: Removal or moving of any walls; flooring, painting, wallpaper work; repairs of water or termite damage to sub-floors or walls,
electrical or plumbing work outside of this kitchen or bath project.
NO ELECTRICAL
SPECIAL INSTRUCTIONS:GO To THE BACK DOOR
All of the above check boxes, "Work NOT to be done," '`Additional work to be done." and
"S"Special Instructions"sections have been reviewed and explained to me. Customers)initials
J=
SKI-G4 (Dig.) Rev 08/12/12
Page 1 of 3
r*.:
II I II I II I I III fll Job Number: 18823643
APPROXIMATE START DATE and APPROXIMATE COMPLETION DATE:
The work will start approximately 4-6 WEEKS
It will be substantially completed by approximately 6-8 WEEKS (Approximate Start Date)
These dates are subject to change at the time the contract is accepted by Sears Home Improvement Products, Inc. ("Sears()or t any other timApproximate le by metion utual
written agreement. Customer understands that the Approximate Start Date is only an estimated date and the Customer will be contacted prior to this date to
schedule the actual start date.
ASBESTOS ABATEMENT: This Estimate and Proposal assumes that there are no asbestos containing materials ("ACMs")that would be disturbed in the
performance of the installation work. If upon further inspection by the contractor or others it is leamed that ACMs have to be disturbed to perform work,then
Customer must arrange and pay for abatement of asbestos by a qualified person prior to the start or continuation of work. If Customer fails to arrange for
necessary asbestos abatement within thirty (30)days, Sears may cancel this contract upon
written notice to Customer. Customer(s)initials
The TOTAL PRICE including all labor, material,taxes and any applicable discount is$ 15,454.36 Contract Price
Initial Payment(not to exceed 30%of Total Price unless Special Order)$ 4,636.31 State Sales Tax( 0.00 %) 5$ o oo 6
Final Payment(balance payable upon completion of job)$ 1o,818.o 5 Local Sales Tax( o.00 %) $ o.oo
The Initial Payment is due p6or to Sears ordering products. Total Amount Due $15,454.36
The form and method by which the Customer(s)will pay is described in a separate Cash/Credit
Card Payment Addendum made a part of and incorporated into this contract by reference. Customer(s)initials —�
NOTICE TO BUYER: YOU, THE BUYER, MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY
(FIFTH BUSINESS DAY IN ALASKA, FIFTEENTH BUSINESS DAY IN NORTH DAKOTA IF YOU ARE AGE 65 OR OLDER)AFTER THE DATE OF THIS
TRANSACTION,SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT.
ADDITIONAL PROVISIONS
Proposal and Ap royal.Sears offers to furnish the materials and arrange for their delivery and installation as specified on the first page and/or the attached
sketches and specification sheets for the TOTAL PRICE shown. This offer must be approved by the Installation Department. If this is a credit sale or a payment
on completion sale,it must be approved by the Credit Sales Department. If this proposal is not approved or the installation cannot be made in accordance with
the law, this offer will be withdrawn and any payments you have made will be refunded to you.Any materials left over after the installation has been completed
are Sears property and will be removed by Sears.
instaiiabon. i understand that Sears will not install the materials but will arrange for the installation. Sears is not responsible for matenais or installation NOT
fumished or arranged by Sears. Sears'installation contractors)will obtain all building permits required by local law. For homes located in historic or landmark
zoning districts, Customer will be responsible for obtaining required approvals and related permits prior to the commencement of work on this contract.
Authorization. I authorize Sears to: (1)arrange for a contractor(licensed where required by law)to make the installation of materials; (2)issue a work order
for this installation to a contractor; (3)inspect the installation; and(4)pay the contractor when the installation is complete if I have signed a certificate that the
installation has been completed to my satisfaction.
elays in Installation.I agree that Sears is not responsible for delays in delivery or installation due to weather,tire,strikes,war,govemment regulations or any
causes beyond Sears'control.
Oral Agree I understand that there are no oral agreements between Sears and me.Everything I expect Sears to do has been
included in writing in this contract. Nothing can be changed in this contract unless it is in writing on a separate form accepted by me and Sears.
Responsibility of Buyer. I agree that any information or measurements that I give to Sears are correct and complete. I am responsible for any special work
described in this contract.
Electrical Plumbing Service. I will provide adequate electrical and/or plumbing service(s)to run any newly installed appliances or other tumishings. It the
electrical and/or plumbing service(s)do not meet the standards of the utility company or electrical and/or plumbing codes, I will make the necessary changes at
my expense unless Sears has agreed in this contract to make the changes.
Pa ment.I will pay Sears the cash price that covers the rice p of material and installatio
n as shown on the first page.
Warran Information. r tY Appropriate product warranty documents will be given to me by Sears.Sears'Warranty on Installation is:
SEARS'LIMITED WARRANTY ON INSTALLATION
In addition to any manufacturer warranty extended to you on the product(s)used(which warranty becomes effective the date the merchandise is installed),if the
workmanship(or application)of any Sears'arranged installation proves faulty within one year(other).2 years(select),3 years(ply-select),then upon notice from
you Sears will cause such faults to be corrected by repair at no additional cost to you. If Sears determines that repair is not commercially practicable or cannot
be timely made,then,at Sears'sole discretion,Sears may elect to provide replacement or refund. Service under this Limited Warranty is available by calling
Sears Home Improvement Products at 1.800.222-5030,Option 4.This warranty gives you specific legal rights,and you may also have other rights that vary
from State to State.
SK1-G4 (Dig.) Rev 08/12/12
Dada7ofI
litil ii it Itil tii
Job Number. 18823643
NOTICE TO BUYER
1. DO NOT SIGN THE AGREEMENT IF ANY OF THE SPACES INTENDED FOR THE AGREED TERMS TO THE EXTENT OF THE AVAILABLE INFORMATION
ARE LEFT BLANK.
2. YOU ARE ENTITLED TO A COPY OF THIS AGREEMENT AT THE TIME YOU SIGN IT.KEEP IT TO PROTECT YOUR LEGAL RIGHTS.
3. YOU MAY PAY OFF THE FULL UNPAID BALANCE DUE UNDER THE AGREEMENT AT ANY TIME,AND IN SO DOING YOU SHALL BE ENTITLED TO
A FULL REBATE OF THE UNEARNED FINANCE AND INSURANCE CHARGES.
4. YOU MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY[FIFTH BUSINESS DAY IN ALASKA,
FIFTEENTH BUSINESS DAY IN NORTH DAKOTA IF YOU ARE AGE 65 OR OLDER)AFTER THE DATE OF THIS TRANSACTION.SEE THE ATTACHED
NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. FAILURE TO EXERCISE THIS OPTION, HOWEVER, WILL NOT
INTERFERE WITH ANY OTHER REMEDIES AGAINST THE RETAIL SELLER YOU MAY POSSESS. IF YOU WISH, YOU MAY USE THIS PAGE AS
NOTIFICATION BY WRITING"I HEREBY RESCIND"AND ADDING YOUR NAME AND ADDRESS.A DUPLICATE OF THIS RECEIPT IS PROVIDED BY
THE SELLER FOR YOUR RECORDS.
5. IT SHALL NOT BE LEGAL FOR THE SELLER TO ENTER YOUR PREMISES UNLAWFULLY OR COMMIT ANY BREACH OF THE PEACE TO
REPOSSESS GOODS PURCHASED UNDER THIS AGREEMENT,
NOTICE TO MARYLAND RESIDENTS ON Y
Notice: All home improvement contractors and subcontractors must be licensed by the Maryland Home Improvement Commission. Inquiries regarding a
contractor or subcontractor should be directed to the Home Improvement Commission,telephone:410-230-6309 or in-state 1-888-218-5925.
NOTICE TO NEW HAMPSHIRE CUSTOMERS
NEW HAMPSHIRE LAW, RSA 359-G, CONTAINS IMPORTANT REQUIREMENTS YOU MUST FOLLOW BEFORE YOU MAY FILE A LAWSUIT OR OTHER
ACTION FOR DEFECTIVE CONSTRUCTION AGAINST THE CONTRACTOR WHO CONSTRUCTED, REMODELED, OR REPAIRED YOUR HOME.
SIXTY DAYS RFFORF YOU FII F YOUR LAWSUIT OR OTHFR ACTION, YOU MUST SFRVF ON THE CONTRACTOR A WRITTFN NOTICF OF ANY
CONSTRUCTION CONDITIONS YOU ALLEGE ARE DEFECTIVE. UNDER THE LAW,A CONTRACTOR HAS THE OPPORTUNITY TO MAKE AN OFFER
TO REPAIR AND/OR PAY FOR THE DEFECTS.THERE ARE STRICT DEADLINES AND PROCEDURES UNDER STATE LAW,AND FAILURE TO FOLLOW
THEM MAY AFFECT YOUR ABILITY TO FILE A LAWSUIT OR OTHER ACTION.
NOTICE TO WEST VIRGINIA CUSTOMERS
WEST VIRGINIASTATE LAW,AS SET FORTH IN CHAPTER 21,ARTICLE 11A OF THE WEST VIRGINIA CODE,CONTAINS IMPORTANT REQUIREMENTS
YOU MUST FOLLOW BEFORE YOU MAY FILE A LAWSUIT FOR DEFECTIVE CONSTRUCTION AGAINST THE CONTRACTOR WHO MADE
RESIDENTIAL IMPROVEMENTS TO YOUR PROPERTY.AT LEAST NINETY DAYS BEFORE YOU FILE YOUR LAWSUIT, YOU MUST DELIVER TO THE
CONTRACTOR A WRITTEN NOTICE OF ANY CONSTRUCTION CONDITIONS YOU ALLEGE ARE DEFECTIVE AND PROVIDE YOUR CONTRACTOR
AND ANY SUBCONTRACTORS, SUPPLIERS OR DESIGN PROFESSIONALS THE OPPORTUNITY TO MAKE AN OFFER TO REPAIR OR PAY FOR THE
DEFECTS.YOU ARE NOT OBLIGATED TOACCEPTANY OFFER MADE BY THE CONTRACTOR OR ANY SUBCONTRACTORS,SUPPLIERS OR DESIGN
PROFESSIONALS. THERE ARE DEADLINES AND PROCEDURES UNDER STATE LAW AND FAILURE TO FOLLOW THEM MAY AFFECT YOUR ABILITY
TO FILE A LAWSUIT.
4
07/20/2015
07/20/2015
Customer's signature Date Customer's signature at'�'e—
Accepted by Sears Home Improvement Products, Inc. ("Sears?on 07/20/2015 by: I� n�
at6 Managemiant 1�epresentau'vc
SKI-G4 (Dig.) Rev 08/12/12
Page 3 of 3
Kitchens Addendum
Consultation .
Lead Number: 18823643 Date: 7/2042015 Sales Rep: KATHLEEN KENNEDY
Customer Name: DONALD BRAZEAU Phone: -d 1,660)202 6344
Address: 119 Farmstead Dr
Clty: South Windsor State: CT Zipcode: 06074
Worksheet Summary
Description Comments
Kitchen 2-Kitchen-Solid Surface-None
Proposal
Code Description
AMCTSS AMC SS Counter Top. AMT CT Solid Surface Deck
Adders Hanwha SS Color:Pinehurst
BCBPOS BC-Blind Corner PullOut Storage. Blind-w/Pull Out Storage
OOCAB BC-Base Cabinet. Base caUneis'wl door,drawer
Adders: Cabinet Door Style/Species:Adams-Oak
Cabinet Stain/Finish Groups Standard Stains
Cabinet Stain/Finish: Hazelnut
abinet Construction:A-Premium
FEP Filter vd End Panel. Appliance Panel,Baso Fillor w/Plywood End
HW Hardware. Hardware
Adders: Hardware Location.Doors
Hardware: 1092 DBAC
P210 Plumbing Remove,reinstall&hookup Customer's Existing Faucet
P-2.30 Solid Sink Promo wAMC Solid CT purchase. Promo-Large single bowl sink 23"08",8"deep
Surface
P265 Install New. Install New appliance in existing location
Adders: ppliance Names Dishwasher
SS-EDGE AMC SS Counter Top. Edge Treatment
TREATMENT
Adders' S Edge Treatment. 1/4"Round Over Edge
SS-Under Mount AMC SS Counter Top. Finished Cut Out and Sink Mounting
UCSSOS UC-Single Slide Out Shelf. Tall Slide Out Shelf
WCCAB30 WC-Up to 30"Ht. Wall cabinets-up to 30"Ht
Adders: Cabinet Door Style/Species.Adams-Oak
Cabinet Stain/Finish Groups:Standard Stains
Cabinet Stain/Finish: Hazelnut
Cabinet Construction:A-Premium
WCCAB42 WC-Over 30"Ht. Wall cabinets-Over 30"Ht
Adders: Cabinet Door Style/Species Adams-Oak
Cabinet Stain/Finish Groups Standard Stains
Cabinet Stain/Finish Hazelnut
Cabinet Construction:A-Premium
WCDCLS JWC-Diagonal Corner w/ Lazy Susan. Lazy Susan corner wall,wood
. Kitchens Addendum
07/20/2015
Customer Signature Date
Customer Signature Date
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South Windsor
13UILDjNG DEPARTMENT
r r�,
TO THE BUILDING DEPI. lowiq .F cr..Td WI!41)SOR
This certified that this plan and specifications are true
copies of the proposed building or alterations to be
erected at
-411 • Street
together with amendments stated in application and
filed with plan and I agree to comply with all zoning,
Building and state laws and such orders as shall be
issued by the Building and
during pendenry
Of this application and final Issuance of a building
permit.
Signed 2z� a.-----1-11
This plan Is approved subject to the condition that
orders and ordinances regulating building shall be
complied with.
Conditionally Approved These filed with
Building Inspector 7 Clerl,
/`
Oat* ryo_ S./] I S
..-.q l,i-wl`d!NG COWLTANCE
.cpoS--d buildingis), use(s) andlor structures)
on this Flan appear(s) to be in
.,./lojiirlance with current South W�clsor
Variances and Ispecial exception:
Enforcer--int 0{,�r_er
X Ib
a A ��n
1500490 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER BUILDING PERMIT
DATE: 09/03/2015
GIS ID:31800119 FEE: 240.00
MUNIS APPLICATION# 201501082 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: SEARS HOME IMPROVEMENT ADDRESS: 119 FARMSTEAD DRIVE
ADDRESS: 216 HAMILTON AVENUE-, OWNER: BRAZEAU DONALD E
STRATFORD,CT 06615:-- 119 FARMSTEAD DR
SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: KITCHEN REMODEL.
j
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
9/3/20 1 5 3:24 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE
1500608 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER BUILDING PERMIT
DATE: 10/19/2015
GIS ID:31800119 FEE: 45.00
MUNIS APPLICATION# 201501425 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: THD AT-HOME SERVICES ADDRESS: 119 FARMSTEAD DRIVE
ADDRESS: 908 BOSTON TURNPIKE UNIT# I OWNER: BRAZEAU DONALD E
SHREWSBURY,MA 01545 119 FARMSTEAD DR
SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: INSTALL(R-60)BLOWN-IN ATTIC INSULATION.
(R-19)BATT KNEE WALL INSULATION.
SPECIAL CONDITIONS:
ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY TIIE BUILDING DEPARTMENT.
CONSTRUCTION TYPE:
OCCUPANCY GROUP: BUILDING OFFICIAL
10/19/2015 3:30 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE
1500376 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER PLUMBING PERMIT
DATE: 09/16/2015
GIS ID:31800119 FEE: 15.00
MUNIS APPLICATION# 201501082 BUILDING DESCRIPTION:
s
APPLICANT, ; LOCATION
NAME: DJ PLUMBING SERVICES. ADDRESS: 119 FARMSTEAD DRIVE
ADDRESS: 40 SMITH ST OWNER: .BRAZEAU DONALD E
TERRYVILLE,CT 06786 w. 2119 FARMSTEAD DR
SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: KITCHEN SINK 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
9/16/2015 10:53 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE