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HomeMy WebLinkAbout12 RAYMOND RD Electric # `rQ�� '�- APPLICATION FOR BUILDING PERMIT �- Plumbing# �' 12 Raymond Road Date: 10 -QS -G HVAC # Sprinkler# 30209 -� FINAL APPROVALS ---- - — - - — Estimated Cost $ 1)OGO•l.C� Building F010- SIGN PLETE RED BOXED AREAS j Permit Fee $ IS•U O Engineering Occupancy Fee $ Affidavit TYPE OR PRINT ONLY Eng. Insp. Fee $ A r. for CO. ON REVERSE SIDE / _ pP I, I, Total Fee $ �S•�-U TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ The undersigned hereby applies to do work according to the following: Applicant \ank k Location of Work��1=' lk PIS. —Lot No. Applicant's Address GQ Tel.#(S10 0-) k43 . 5134 Town WaAd-)e-SA Cx Zip 01jo O4 !Lic.# 3D9 000 S'7 Owner 1 -, Architect Owners Address Ind Ra Architect's Address �indSaZ ZioC�� Zip Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area Purpose o.'this permit ZnSka11 orip6 � 755 ca�Ilio n;1 5iora!�C -kink in oeflar- City Water[] Well❑ Septic System❑ Sewer❑ Ins: HO SP Cert. Area Basement Garage Approved by Date//, I-e3 Use Group —Construction Type Revised V02 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 whi h this buikfin nd use is allowed. Signed i )4. c j 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 ElecnmR T ME APPLICATION FOR BUILDING PERMIT Plum- in PIR2 ne 17-176 12 Raymond Road � HVAC# 1 /000604 Date: �-��' Sprinkler# ANE) Estimated Cost $ �d a FINAL(LW1$t Permit Fee $ Building COMPLETE RED BOXED AREAS Occupancy Fee $ Engineering TYPE OR PRINT ONLY Eng. Insp. Fee $ Affidavit Appr.forCO. SIGN ON REVERSE SIDE t Total Fee $ I TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ The undersigned hereby applies to do work according to the following: Applicant LocationofWork Lot No. Applicant's Addre Tel # Y6U' GS,1`-17//7 Town Zip`�6 a f,) —Lic.# ( V 7 Owner Architect Owner's Address P5 Architect's Address zip 06 v 7 y Zip - Sq.Ft.New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area — Purpo a of this permit t �� nllall i r lzl City Water❑ Well ❑ Septic System 'J Sewer❑ 2A1361 1&77q Ins: HO S Cert. Area Basement Garage Approved by Date k 3& / Use Grou onstruction 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 the proper distance from all street lines,side yard lines,and required distances from all other zones and is located in whiegis building d its is allowed. Sigr'Md 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 FOR HVAC PERMIT DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT f 7p 6 112 APPR 1540 SULLIVAN AVENUE F i n 644-2511 ext. 230 Bldg.Permit# .$ Date Building Inspector Application must be printed or typed FEE SCHEDULE Location of Job: $041,000= $15.00 Q, S11 n A 9-�_ Over$1,000= Street N . ToN . To Street Lot No. $15.00 per$1,000 or any fraction thereof Tenant Designation Apt,No. APPLICANT APPLICANT ADDRESS3s o,• o n t >�v r _ Q� �1.,`.. T a 6 i y O APPLICANT'S PHONE# OWNER C�n �0W N SFq< OWNER ADDRESS \Z Q c•,,rs �L,� OWNER PHONE 19, SKr( 6' 0 ESTIMATED COST$ !o, 2 — ,.� U IS THIS A CONTRACT COST? ---Ves No FEE ENCLOSED$ I O� TYPE OF JOB/ 22 0 �S'OR•C0� New Installation Alteration/Addition/Repair 6(-7 Revised 03/05/10 : LICATION FOR HVAC PERART(Continued from ieverse side) TYPE OM STEM: TYPE OF#UllDING: HEATING Ed RESIDENTIAL ❑ A/C ❑ COMMERCIAL ❑ VENTILATION ❑ INDUSTRIAL HEATING ❑ STEAM LOW PRESSURE LIlKIT LBS. HIGH PRESSURE LIMIT LBS. ❑ HYDRONIC ❑ WARM AIR ❑ UNIT RADIANT.HEATER EXISTING RADIATION ADDITIONAL RADIATION ` TOTAL RADIATION DESIGN TEMP.OUTSIDE OF INSIDE OF DIFFERENCB °F TOTAL HEAT LOSS(BTUH) °F(HEAT LOSS SHEET MUST ACCOMPANY APPLICATION) pp DESCRIBE ALL HEATING EQUIPMENT(INCLUDING MAKE&MODEL NO.) _Vu,rr=oCo ab- 3 GROSS HEATING CAPACITY f INPUTBTUH) 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- 0 �a 3oa6 - 7 l C 1 CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT C� DATE AUMMATIC Automatic TLC 36 Brownstone Avenue, Portland, CT 06480 TLC ENERGY (800) 815-1128 Fax: (860) 342-4455 Date To ATTN: Town Building Inspector Re PERMIT AUTHORIZATION LETTER Dear Sirs: In accordance with Connecticut Statute 20-338B, this letter serves as written authorization and notification that Connecticut Permit Services, Inc. Employee listed below have the authority to represent us in the procurement of permits and pertinent documentation on our behalf as detailed below. Project Start Date Project End Date Project Type: Yri } Location: Authorized Agent Connecticut Permit Services, Inc. Service Agent name Very truly Yours, Licensee Signature Printed Name IRichard Johnson License Number 51-303006 Notary Public Printed Name Commission Expires Notary Public Signature AUTOMATIC o Aut0;ft TLC,o n o CT11Box °`"" 888-225-5540 /�'rj�, EeM HaMoM.Ci 06f0a �� New Haven,CT 06531 �D� (,! El CT LIC1 51.303006,SM1.4448 CT LIG181.303006•BM14"11. r�eP Fax: 860-271-2050 �O/ P1.2 RI LIGI RM-7es5 Pt-202648,is LIC/RW7945 G f V G 1 G ENERGY ••� enet9 HOD e29e 130—1 www.DOLCEnwgy-�^ www.VMleyOl.odn 410 amk 8tr*M 36 Brownsme Are. Q© New London,CT 06320 Pyeatnd,CT 06460 DDLCPLC"s,•30T006 DOWS.6, p �IC P1M o,4e, OILACCT.NO. 13C.3 RI LICe PM-9386,HOD"3B5 ENERGY INT.ACCT.NO. Applicant r Co-Applicant Ng3e AddresT Address City,State,Zip . City,State,Zip Email Email Phori Work_Phone# Cell Phone# Phone# Work Phone# Cell Phone# Payment Options: ❑American Express O Discover O Master Card ❑VISA ❑Personal Check or Money Order ❑Bank Check Boiler City_ Model# ❑Oil Tank Oty_Model# ❑Furnace/Air Handler Oty_Model# ❑Humidifier Oty_Model# ❑Condenser/Heat Pump City_Model# ❑Chimney Liner City_Model# ❑Water Heater/Indirect Qty_Model# ❑Generator Oty_Model# ❑A/C Coil Oty_Model# ❑Maintenance Plan Exp. Scope of work:(attach additional description andlor drawings if necessary) Check box If additional page(s)were used to describe work. ❑#pg. AX QX Installation may include necessary local fees,licenses and permits relative to this proposal. Replacement of the heating unit will be performed after Asbestos has been removed,at Buyets THIS QUOTE IS VALID FOR THIRTY DAYS FROM: expense,by a licensed Asbestos removal contractor,and disposed of in accordance with 1.Installation Total Cost $ o?.OD government regulations.Price does not include Asbestos removal. (initials) .�g.�.. 2.Disposal Fee�:y� � $ Any limitations of existing duct work system is the responsibility of the owner (initials) ¢ v 3.Total Installation Cost $ i:O, I For valuable consideration received,Vwe the undersigned do hereby absolutely and unconditionally fY n guarantee,as an individual(s),payment of any Indebtedness incurred by virtue of any and all credit 4.Down payment extended In accordance with the within agreement and all of its terms and conditions.The undersigned consents to HOP Energy obtaining a Consumer Credit Report on Applicant ands co-applicant for the pur- pose of evaluating the credit worthiness of applicant and/or co-applicant, In connection with an 5.Amount Financed $ r application of credit. The amount of credit provided to you on your behalf r1 NOTICE To BUYER: 1.Do not sign this contract before you read it or If it contains any 6.Amount of Monthly Payment $ o�Sit r O blank space. 2.You are entitled to a completely filled-in copy of the contract when you sign It. 3. Under the law,you have the following rights,among others: (a)to pay off in ad- 7.Number of Monthly Payments $ v2 vane the full amount due and obtain a partial refund of any unearned finance charge;(b) to redeem the property l repossessed for a default(c)to require,under certain conditions, g,Total of Payments $ a resale of the property If repossessed.YOU,THE BUYER, MAY CANCEL The amount you will have paid wren you have THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF made all scheduled payments THE THIRD BUSINESS DAY AFTER THE DATE OF THIS Each Payment Due on(date) 30 days after billing TRANSACTION. SEE THE ATTACHED NOTICE OF Payment Schedule Starting on 30 days after billing CANCELLATION FORM FOR AN EXPLANATION OF THIS g,Annual Percentage Rate D eye RIGHT You acknowledge that Seller has delivered or mailed to you an executed copy of as a yearly rate this contract. 10.Finance Charge $ 0 Uwe hereby accept the terms and conditions of the proposal as set for the above and on the The Dollar amount the credit YAP cost you reverse side of he shee ail of M i e h e read and agree to be bound lher 11.Total Sale Price The total price of your purchase on credit, Appiicanj _Date2 � r ktdudinp your down payment Co-Applicant r L � I /IS'[ Date Print Name Applicant )L L i"t Dt t e [ Y l n 2���l Date ales Representative !Y" v Date Co-Applicant 4B if/3&. 4 //�l e-h Date_61i�12_41ff.ah Manager Date iviaiJ -nvizgl>uciuwilupciiergy.cuiit rage 1 or 1 Outlook ,7�° ,earth hail and Pe'up1ti O Newl Delete Archive Junk I Sweep Move to Categories Undo C) Folders property Deed A Favorites Inbox MA Melanie Agosta Reply I -'exrda'r ..:P,s Sent Items Robert J Gagnon,Lorelei Headley.Frank J Cloutier Drafts 2 Horne Improvement Property Detail Report For Property Located At south parkinn 1 12 RAYMOND RD,SOUTH WINDSOR,CT 06074.3224 Quotes -- ----- Trash 10 Robert J Gagnon Owner Information Owner Name: WHALEN RICHARDJ&LOUISEJ inbo� Mailing Address: 12 RAY MOND RD,SOUTH WINDSOR CT 06074-3224 C005 _._._�._.__.._... _._.................._......... Drafts 2 Vesting Codes: //TR Sent Items Location Information Legal Description: Deleted items 1598 County: HARTFORD,CT APN: SWIN-000 IGmarll Census Tract/Block: 4872.01/3 Alternate APN: 715424 Township-Range-Sect: Subdivision: All Mail Legal Book/Page: Map Reference: / Drafts Legal Lot: Tract 4: Legal Block: School District: Important Market Area: School District Name: Sent Mail Spam Starred This office is attempting to collect a debt and any information obtained will be used for that purpose. Trash 10 aprovals 14 Melanie Agosta Archive Corporate Credit Analyst. 4 W.Red Oak.Lane CEMA White Plains,NY_1.0604_ Conversation History (914)304.1324 1914)644-7500 fax Donsavengers i email maeostatahooenerrv.com Follow up GMAII RG Robert J Gagnon Home Improvement :rO . ,a install sheets 1 Junk Email 16 Kerrigan Ling of comedy lending info Misc Notes Pt iority 16 Quotes south parkinn 1 v https://outlook.office365.com/owa/?realm=hopenergy.com&exsvurl=l&11-ce=1033&modu... 2/28/2017 HOP Energy SLAM Lead Information Name Richard Whalen Interested In Boiler Delivery 12 Raymond Rd Lead Source Referral by Service Tech Address South Windsor CT 06074 Mailer Response Sales Status CreditApproved Billing 12 Raymond Rd Outside Sales Rep Address South Windsor CT 06074 Inside Sales Rep Branch Automatic TLC Lail Date Created 02/28/2017 Phones Home 86OW0591 Created By molsen Mobile Date Updated 02/28/2017 Updated By rgagnon Move Out Date Existing Acct N 0 Attorney Realtor Landlord HD Prospect# HD Lead Gen Employee Ref HD Store# 0 Svc Tech Ref DCallender Iy&� S Value Account/Credit Applications CreditStatus DateApprovgd Approval Conditions Energy Acct Budget? Budget Start N 01/01/1900 Approved 02128/2017 N 01/01/1900 Comments Created By molsen Date Created 2128117 Updated By molsen Date Updated 2128117 showed cust.rotted boiler refer sales Date Job Scheduled 03/. 03/17 Lead Source(Tech name,Lowes, Dale C.t40 Date proposal signed 2/28/2017 etc.) $75.00 Cost Summary Sheet Major Materials Needed Equipment Description Part# Part Cost Qty Total Boiler $1,479.00 $1,479.00 $0.00 $0.00 1,479.00 Minor Materials Needed Equipment Description Part# Part Cost Qty Total Mat. $1,450.00 1,450.00 0.00 0.00 MiScLellaneous Materia s Nee e Equipment Description Part# Part Cost Qty Total 0.00 0.00 0.00 0.00 Labor equire Sub Contractor Labor Rate (In house Total to pay to sub Total Or In House hours $48/hr) Sub $1,000.00 $1,000.00 1,000.00 Cost Summary Sales Estimate Actual Variance %Variance Sales Price prior to allowances/Fe ates inc $49 Disposal Fee $6,682.00 Service Contract Allowance Other Credits/Rebates Net Sale-Price $6,682.00 Major Materials $1,47900 Minor Materials $1,450.00 Miscellaneous Materials Labor(in House/sub) Permits Taxes Third Party Financing Total Commission Cost 2 .0 Tota Cost Mark-up used 059 Gross Profit GP% 3U ZOYO Boiler Installation Survey Equipment Specialist Rob G. Branch TLC Customer's Name Richard Whalen Date Customer's E-mail Install Address 12 Raymond Dr. Customer Contact Numbers City/Town South Windsor Zip 06074 Home# 860-644-0591 Municipality/Township Billing Address same Cell# City/Town Zip Work# Account# 1363598 Existing Equipment FHW x Steam Gravity Steel Boiler Make Crow Boiler Model BD-120 #of zones 3 Circulator 1 Zone Valves 3 Size of Mains Sectional Cast Iron Boiler x Copper Black Iron Copper and Black Iron x Cast Iron baseboard Copper baseboard x Convector Free Standing Cast Iron �— Hydro Air _Unit Heater How Is Domestic Hot Water Provided Alliance indirect Size of Domestic Piping 1/2" City Water x Well Water Size of Chimney Size of Chimney Thimble 8" Chimney Location Inside Wall Height of Chimney 60" Chimney Material Block Direct Vent Size of Smoke Pipe 6" Oil Tank: Inside Outside Buried Above Ground Storage Tank New Equipment Sold New Unit Purepro AO-3 Number of Zones 3 New Burner yes New Tank no Circulators or Zone Valves 1 Domestic Hot Water reconnect indirect-bring pipes higher on indirect when reconnecting Other Programmable Thermostat for main zone-use existing zone valves Access to building Entry in bulkhead If other Size standard Floor Covering Required yes Basement Height 7' Area Clear yes Basement Floor Type cement If other &carpet #of steps Does equipment need to be cut to be removed no Special Instructions 35C? Use this space for sketch of basement showing: ✓' New Unit H A09 Old Unit Water Heater 0 Oil Tank Oil Electric Meter Board E Chimney Inside Central FEI p LL tl FYI/" (front of house) Use this space for installation instructions r j` ,-7�` �' 7J� y e i "i f. ... w _ L���� ��.. '�/ Y �,:; A s. '4's�. \, •�� _ � ` �, .J - ` r`� ' ' *` wri9htsoft� Project Summary Job: Date: Mar01,2017 Entire House By: Automatic TLC 64OaldandM,East Hargord,Ct06105Phone:860.944-1358 Emap:rgagnon(MhopenergyoomLk:ense:St303006 Project Information For. RIchard and Louise Whalen 12 Raymond Rd, South Windsor, Ct. Phone: 860-644-0591 Notes: Design Information Weather. Hartford Bradley Intl AP, CT, US Winter Design Conditions Summer Design Conditions Outside db 8 OF Outside db 88 OF Inside db 68 OF Inside db 75 OF Design TD 60 OF Design TD 13 OF Daily range M Relative humidity 50 % Moisture difference 27 gr/lb Heating Summary Sensible Cooling Equipment Load Sizing Structure 44875 Btuh Structure 0 Btuh Ducts 0 Btuh Ducts 0 Btuh Central vent(0 cfm) 0 Btuh Central vent(0 cfm) 0 Btuh Humidification 0 Btuh Blower 0 Btuh Piping 0 Btuh Equipment load 44875 Btuh Use manufacturers data n Rate/swing multiplier 0.93 Infiltration Equipment sensible load 0 Btuh Method Simplified Latent Cooling Equipment Load Sizing Construction quality Average Fireplaces 1 (Average) Structure 0 Btuh Ducts 0 Btuh Heatingg Cool Central vent(0 cfm) 0 Btuh Area(ft5 1599 Equipment latent load 0 Btuh Volume(ft° 13392 0 Air changes/hour 0.59 0.41 Equipment total load 0 Btuh Equiv.AVF(cfm) 132 0 Req.total capacity at 0.70 SHR 0 ton Heating Equipment Summary Cooling Equipment Summary Make F.W.Webb Make n/a Trade PUREPRO ADVANTAGE Trade n/a Model AO-3-065 Cond n/a AHRI ref 5536365 Coil n/a AHRI ref n/a Efficiency 86AFUE Efficiency n/a Heating input 91 Btuh Sensible cooling 0 Btuh Heatingg output 80 Btuh Latent cooling 0 Btuh Low output baseboard 500 Btuhlft Total cooling 0 Btuh Total low baseboard 90 ft Actual airflow 0 cfm High output baseboard 700 Btuh/ft Air flow factor 0 cfm/Btuh Total high baseboard 64 ft Static pressure 0 in H2O Space thermostat Load sensible heat ratio 0 Calculations approved byACCA to meet all requirements of Manual J 8th Ed. 2017-Mar-0108:5723 •� '�" WI'19t1tS0�' R'ighl�uiteQD Uthersa1201515J)20 RSU23611 Page 1 ACCK Projedtnrp Calc-MJS FrontOoorfacer.W - - wrightsoft' Load Short Form Date: Mar01,2017 Entire House By: Automatic TLC 64 Oakland Ave,East Hartford,CL 0610B Phone:860-944-1358 Emall:rgegnon(lPhopenergy.°om License:S1 303006 Project • For Richard and Louise Whalen 12 Raymond Rd, South Windsor, Ct. Phone: 860-644-0591 Design Information Htg Cig Infiltration Outside db(OF) 8 88 Method Simplified Inside db(OF) 68 75 Construction quality Average Design TD (°F) 60 13 Fireplaces 1 (Average) Daily range - M Inside humidity(%) 50 50 Moisture difference (gr/Ib) 45 27 HEATING EQUIPMENT COOLING EQUIPMENT Make F. W. Webb Make Na Trade PUREPRO ADVANTAGE Trade Na Model AO-3-065 Cond Na AHRI ref 5536365 Coil Na AHR1 ref Na Efficiency 86AFUE Efficiency Na Heating input 91 Btuh Sensible cooling 0 Btuh Heating output 80 Btuh Latent cooling 0 Btuh Low output baseboard 500 Btuh/ft Total cooling 0 Btuh Total low baseboard 90 ft Actual air flow 0 cfm High output baseboard 700 Btuh/ft Air flow factor 0 cfm/Btuh Totai high baseboard 64 ft Static pressure 0 in H2O Space thermostat Load sensible heat ratio 0 ROOM NAME Area Htg load Clg load Baseboard (ft) Clg AVF (ft� (Btuh) (Btuh) Low High (cfm) Kitchen 180 5383 0 11 8 0 Dining Rm 96 2184 0 4 3 0 Living Rm 240 6674 0 13 10 0 Bed Rm Right 144 2983 0 6 4 0 Addition 300 10369 0 21 15 0 Bathroom 48 1248 0 2 2 0 Center Rm 120 3169 0 6 5 0 Right Rear 156 4708 0 9 7 0 Hall 90 1869 0 4 3 0 Lower Level 225 6287 0 13 9 0 Calculations approved pp ed b yACCA to meet all requirements of Manual J 8th Ed. wrightsoft• Right-Suite®Universal 2015 15.020 RSU23611 2017-Mar-Ot 08:67:23 Page 1 ACCt+ ProJed1 rup Calc=MJ8 Front Door faces:W Entire Mouse d 1599 44875 0 90 64 0 Other equip loads 0 0 Equip. @ 0.93 RSM 0 Latent cooling 0 TOTALS 1599 44875 0 90 64 0 Calculations approved byACCA to meet all requirements of Manual J 8th Ed. wrightsoft" Right-SU"LinhrersW 201515.020 RSu Page 23611 2017-Mar-0108 ace 2 2 ACM Pro)ed1jup Caic=MJB FroatDoorface&W APPLICATION FOR HVAC PERMIT DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT 1 5j O 1:g AP 0 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 Date Building Inspec or Application must be printed or typed FEE SCHEDULE Location of Job: --� $0-$1,000=$15.00 phi./WlOver$1,000= :::t Street Lot No. $15.00 per$1,000 or any fraction thereof ignation Apt.No. APPLICANT APPL�C ADDRESS 3 aC.eJ b Gt. O��fko APPLICANT'S PHONE# P&O OWNER l L.4*A vl e q�WN SFq< OWNER ADDRESS I� ,S6v wl v�.1dYl L� b(p(j7 `� CIO OWNER PHONE O - F ESTIMATED COST$ 0710 07 00 C � ,.1 U IS THIS A CONTRACT COST? L,/ es No FEE ENCLOSED$ �t7 TYPE OF JOB: -T:t 3 O-7 UR COS New Installation _alteration/Addition/Repair Revised 03/05/10 . APPLICATION FOR HVAC PERMIT(Continued from reverse side) TYPE OF SYSTEM: TYPE OF BUILDING: HEATING XRESIDENTIAL ❑ 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 OF INSIDE OF DIFFERENCE OF TOTAL HEAT LOSS(BTUH) OF(HEAT LOSS SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL HEATING EQ PMENT(INCLUDING MAKE&MODEL NO.) T K sue_ 3 s � le--,- GROSS HEATING CAPACITY(INPUT-BTUH) NET RATING(OUTPUT-BTUH) TYPE OF FUEL *OIL-GPM OIL TANK LOCATION:O'INSIDE ❑ OUTSIDE CAPACITY ❑ GAS-INPUT LPG TANK CAPACITY ELECTRIC-KW AIR CONDITIONING f DESIGN TEMP: OUTSIDE 0 INSIDE OF DIFFERENCE OF TOTAL HEAT GAIN(BTUH) (HEAT GAIN SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL COOLING T(INCLUDING MAKE&MODEL NO.) TONNAGE COOLING CAPACITY(BTUH) VENTILATION DESCRIBE ALL AIR HANDLIN Q MENT(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)3co& 1476r- s - I T CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT DATE T-L ,I� AUTOMATIC Automatic TLC 36 Brownstone Avenue, Portland, CT 06480 TLCENERGY (800) 815-1128 Fax: (860) 342-4455 Date To c /� ATTN: Town Building Inspector Re PERMIT AUTHORIZATION LETTER Dear Sirs: In accordance with Connecticut Statute 20-338B, this letter serves as written authorization and notification that Connecticut Permit Services, Inc. Employee listed below have the authority to represent us in the procurement of permits and pertinent documentation on our behalf as detailed below. Project Start Date Project End Date Project Type: Location: W W,,L 0 Authorized Agent Connecticut Permit Services, Inc. Service Agent name Very truly Yours, Licensee Signature Printed Name IRichard Johnson License Number 51-303006 Notary Public Printed Name I Commission Expires Notary Public Signature rieather M. Dutton NOTARY PUBLIC My Commission Expires January 31,201E Vu—I u—I u,llu. f�rnw, ;sL 1 li is A OTOMATIC Automatic TLC Energy 860.528-4328 64 Oakland Ave. �OP Fax:860-528-2241 Tom. C�i ENERGY C Pc#S1303 06,SM1-4448,Pt-202648 RI ile#RM-7945,HOD#400 JOB N0. 15- OIL ACCT,NO. I NT.ACCT.NO. Applicant , Co•Applleant N .10 e Addrese Address City,State,Zip City,State,Zlp ,Gil , D6o Emell Emall Phona4 rk Phone# Call Phoney Phone# Work Phone# Can Phonof Payment Options: Credit Card Issuer ❑American Express O Discover 0 Master Card ❑VISA O Personal Check or Money Order O Boller Qty_ Model# O Oil Tank Oly_Model# 0 Furnace/Air Handler Cry_ Modal# ❑Humidifier Qty—Model# ❑Condenser/Heat Pump City Model# 0 Chimney Unar Qry_Model 41 SMater Heatar ndir 0 t y Model# 0 Genormor Qty_Model# 0 A/C Coll City_Model# ❑Maintenance Plan Exp. Scope of work (attach additional description and/or drawings It necessary) Check box It additional pags(s)were used to describe work ❑#pg. / f V ♦ Installation may Include necessary local fees,licenses and permits relative to this proposal. Replacement of the heating unit will be performed after Asbestos has been remaved,at Buyers THIS QUOTE IS VAUD FOR THIRTY DAYS FROM -4g.W,5'� expense,by a licensed Asbestos removal contractor,and disposed of In accordance with 1.installation Total Cost $ ?.OD government regulations.Pdco does not Include Asbomos removal. (Initials) 2 Disposal Fes $ 49-94 Any limitations of existing duct work systom is the responsibility of the owner (Initlals) / / 3.Total Installation Cost $ 69 64?OIL,0a For valuable canaldoradon mcolvod,IAvo tho undarafgned do hereby absolutely and wfcandulanaly guarantee,as an Indlvldual(a),payment of any Indebisdnesa Incurred by virtue or any and as credit 4.Down payment $ a:landed In accondanee Mtn the Whin agreement and ail of Its terms and conddona.Ttto undersigned camena to HOP enargy obtalning a Consumer Cretin Repon on Applkwi orWor co•appilcant for fho pus ��112 � pose of evaluating the credit worthiness of applicant and/or oomppltcani,In connection vAth an S.Amount Financed S application �- of cmdh. Tho amount of cmd%p*Adad b you on your bahatl NOTICETO BUYER: 1.Do not sign this contract before you read it or If It contains any 6.Amount of Monthly Payment $ ^ 1 P,110 blank&pats. 2 You are entitled to a completely fillod-In copy of the contract when you sign it,3, Under the law,you have the following rights,among others:(a)to pay off In ad. y.Number of Monthly Payments $ 1 vane the full amount due and obtain a partial refund of any unearned finance charge;(b) to redeem the proporly If ropossessed for a default,(c)to require,under canain conditions B.Tolal of Payments $ 1>61 1-1 2?100 a resale of the property If repossessad.YOU,THE BUYER,MAY CANCEL The amouyouwll havo paldwhan you nave THiS TRANSACTION AT ANYTIME PRIOR TO MIDNIGHT OF made e11 Rammed paymonis THETHIRD BUSINESS DAY AFTERTHE DATE OFTHIS Each Payment Due on(date) 30 days after billing TRANSACTION. SEE THE ATTACHED NOTICE OF Payment Schedule Starting on 30 days after billing CANCELLATION FORM FOR AN EXPLANATION OF THIS % RiGHT You acknowledge that Seger has delivered or mailed to you an exacutod copy of 8'Annuala rlyreieaRldge Rate this contract. 1 o. Finance Charge $ Uwe hereby accept the terms and conditions of the proposal as set for the above and on the The Doflar amount me credi will coat you D reverse side of the&host p of hkh s avo ro d and agree to be bound thereby. 11-Total Sale Price $ a' 11 Applicant Date S �J including total yo rdown pr rensae on credl, ` You psyme Co-Applicant Data 411,� �h Print Name Applicant G Dato ales Representative atO��� CO-Applicant Z_e Lt/5 rp, i �h Date_S/4&emnch Manager Date www,AutomaticTLC,com C57-306-10 Water Heater/Indirect Installation Survey Equipment Specialist Rob G. Branch TLC Customer's Name Richard Whalen Date 05/15/2025 Customer's E-mail Install Address 12 Raymond Rd. Customer Contact Numbers City/Town South Windsor Zip 06074 Home# 860-644-0591 Municipality/Township i I Billing Address same Cell# i city/Town Zip Work# Account# 1363598 Existing Equipment FHW x Steam Hot Air Heat Pump Make Crown Model Bahama #of zones 2 Circulator Zone Valves How Is Domestic Hot Water Provided ee- `G��Q _ Size of Domestic Piping 1/2" City Water x Well Water Size of Chimney Chimney Location Height of Chimney Chimney Material Direct Vent Size of Smoke Pipe New Equipment Sold New Unit Burnham AL 35 SL Other Access to building Entry in bulkhead If other Size Standard Floor Covering Required no Basement Height 7' Area Clear yes Basement Floor Type cement If other #of steps Does equipment need to be cut to be removed no Special Instructions Date Job Scheduled 05/21/2015 Lead Source(Tech name,Lowes, Date proposal signed 05 15/2015 etc.) Don Q.#18$30.00 va-i u-i u,va, i tnvi, Use this space for sketch of basement showing: ' New Unit Old Unit Water Heater Oil Tank Oil Electric Meter Board 17E Chimney Inside m Central B � IT axL Q (front of house) Use this space for installation instructions APPLICATION FOR ELECTRICAL PERMIT DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT i22y22e%1 APPROVED 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 Date Building Inspector Application must be printed or typed FEE SCHEDULE Lffation of Job: $0-$1,000=$15.00 oZ Ay/ro/qo Q, Over$1,000= Street No. I Street Lot No. $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT _ I /N 71YoN 5' F- �D/e/9/`� AA1 d&a. d N7,"(zoeS-ZG C. APPLICANT ADDRESS yo G 9�e 6u ao 97,, f4 C 1 0 6 lyT APPLICANT'TleeA14A-1) ONE# �O �° 7�3fo OWNER �(OW N Sf q< OWNER ADDRESS �oZ ��I ,,A O O , ;{ WM o ell.� /A.ot/el-C C7 �6 i f OWNER PHONE ��U- , y�• US9/ ESTIMATED COST$ /0760 IS THIS A CONTRACT COST? jC Yes No GFEE ENCLOSED$ � ,.y, TYPE OF JOB: 4t 733"7(a2 SOR,CO New Installation X Alteration/Addition/Repair �rao�z Revised 03/05/10 APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION? ❑ YES ONO RESIDENTIAL CURRENT USE AND OCCUPANCY / ❑ BUSINESS ❑ ASSEMBLY FUTURE USE AND OCCUPANCY ❑ EDUCATIONAL ❑ INSTITUTIONAL ENGINEER'S NAME PHONE ❑ FACTORY ❑ STORAGE ADDRESS ❑ GARAGE ❑ MIXED USE CITY STATE ZIP (Other please specify) TYPE OF INSTALLATION/WIRING METHOD SIZE OF SERVICE of SIZE OF MAIN CONDUCTORS 3 NUMBERS OF METERS NUMBERS OF DISCONNECTS AND RATINGS NUMBERS OF PANELS NUMBERS OF DISCONNECTS REQUIRED? ❑ YES ❑ NO NUMBERS 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 A/C CALCULATIONS MUST BE SUBMITTED. DESCRIPTION OF WORK G� JiA SN1n�Ax_LCif'8Lk_ 0ai a F w� tiE� a g AF12 �'�� C'i2cc��f !�� q4 s .vet 3d0_/,tl l0,* THE UNDERSIGNED HEARBY 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 PERFOR- MANCE OF SUCH WORK /a/,ie - E-/ cow'd. CONTRACTORS LICENSE NO. ,TYPE STATE --.f SIGNATURE OF APPLICANT , 2 DATE a! d (f I .Z C'D c L 7- Z o/ tz i 3.5 �I I ti I I Q �i 1 P `aT' AUG 1 " 1994 CERTIFICATION OF ZONING COMPLIANCE Propo,ed t;,,, .ng;s- South Windsor ..,ldf ), use(s) and/or sr BUILD ING DEPARTMENT as shcwn on this plan appear(s) to cbe ein conformance with current South Wii - regulations. Variances and special exceptior,', may apply. Date PN(-- I� I Cer TO THE BUILDING DEPT. TOWN Of SOUIN n1l ii, 7r`ti Enforcement Of,`; This certified that this plan and specifications are copies of the proposed building or alterations to ,+ erected at iZ RAgc~`.c 10 &019 stv together with amendments stated in application filed with plan and I agree to comply with all zonin _ Building and state laws and such orders as shall issued by the Building Department during penden- of this application and final issuance of a building permit. nY signed I t- Uc This plan is approved sublet o the condition th. orders and ordinances regulating building shall tat.- complied with. Conditionally Approveci These filed with *,ji.ding InSpeC10_A Clark Zdo .4 7* Q 4 `' wJ scale 40� f1 S S APPLICATION FOR ELECTRICAL PERMIT TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074 (PHONE) 860-644-2511 EXT. 230 DEPART DECISION PERMIT NUMBER: APPL IO : 1) 1 1 00 LA 1-f- PROVED: BLDG.PERMIT NUMBER: l . fClLv �ya DATE IN ECTOR LOCATION OF WORK: Ka?, U APPLICANT: OWNER: TYPE OF STRUCTURE: ❑NEW BUILDING NAME: (uf� NAME _ �DDMON PHONE NUMBER: `t-� y' PHONE NUMBER: C7� ❑EXISTING BUILDING ADDRESS: e (/�-� ADDRESS- 12 YY� r F 0-gb� TYPE OF USE: I 11 OFl ti aFSmEMIAI c CONLMER0%•- ELECTRICAL INFORMATION: F!!FLMR DESCRIPTION OF WORK: TYPE OF INSTALLATION: St>i r4,y" 1 bo - SIZE OF SERVICE: /0044 pv ,4 - 266tvj /y� SIZE OF MAIN SERVICE: / // c) NUMBER OF METERS: NUMBER OF PANELS: J - NUMBER OF LIGHT CIRCUITS: ESTIMATED COST:S '.NUMBER OF SWITCHES: NUMBER OF LIGHT FIXTURES: FEE ENCLOSED:S 1 NUMBER OF A/C CIRCUITS: C k L y FEE SCHEDULE:S18 PER S1,000 OF THE ESTIMATED COST. NUMBER OF POWER CIRCUITS: ROUND UP TO THE NEXT THOUSAND ONCE THE PROJECT NUMBER OF OUTLETS: IS SI.00 OVER. (.26 CENT EDUCATIONAL FEE INCLUDED AS PART OF THE PERMIT FEE) THE UNDERSIGNED HEARBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTI*C��UT BUILDING CODES IN THE PERFOMANCE OF SUCH WORK. CONTRACTORS LICENSE NO• 6- TYPE: STATE: ar SIGNATURE OF APPLICANT: D DATE: gol4 oalsv 1900749 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER BUILDING PERMIT DATE: 10/03/2019 GIS ID: 75300012 FEE: 90.00 MUNIS APPLICATION# 201902150 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: MOMENTUM SOLAR ADDRESS: 12 RAYMOND ROAD ADDRESS: 3096 HAMILTON BLVD OWNER: WHALEN RICHARD J& LOUISE J TRUSTEES 12 RAYMOND ROAD SO.PLAINFIELD,NJ 07080 DESCRIPTION OF WORK: INSTALL-13 SOLAR PANELS ON ROOF SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY T UILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDINP OFFICIAL 1 0/3/20 1 9 2:17 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 13000604 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER BUILDING PERMIT DATE: 11/01/2013 GIS ID:75300012 FEE: 165.00 MUNIS APPLICATION# 201301574 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: K.J. ARNOLD COMPANY;INC. ADDRESS: 12 RAYMOND ROAD ADDRESS: 60 HEDGEHOG LANE OWNER: WHALEN RICHARD J&LOUISE J TRUSTEES WEST SIMSBURY,CT 06092 12 RAYMOND ROAD SOUTH WINDSOR,CT 06074 M DESCRIPTION OF WORK: REMOVE ALL'ASPHALT ROOFING.INSTALL ICE AND,WATER BARRIER, FELT PAPER,RIDGE VENT,AND DRIP EDGE METAL. RESHINGLE. SPECIAL CONDITIONS: r 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/1/2013 3:05 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1500178 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER HVAC PERMIT DATE: 05/29/2015 GIS ID:75300012 FEE: 45.00 MUNIS APPLICATION# 201500547 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: AUTOMATIC TLC FUEL OILADDRESS: 12 RAYMOND ROAD ADDRESS: 64 OAKLAND AVENUE, 1. OWNER: WHALEN RICHARD J&LOUISE J TRUSTEES EAST HARTFORD,CT 06108 .12 RAYMOND ROAD SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: INSTALL 35 GALLON A/C-INDIRECT WATER HEATER 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 5/29/2015 10:54 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1700112 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER HVAC PERMIT DATE: 03/22/2017 GIS ID: 75300012 FEE: 105.00 MUNIS APPLICATION# 201700190 BUILDING DESCRIPTION: APPLICANT .: LOCATION NAME: AUTOMATIC TLC ENERGY ADDRESS: 12 RAYMOND ROAD ADDRESS: 36 BROWNSTONE AVENUE OWNER: WHALEN RICHARD J&LOUISE J TRUSTEES PORTLAND,CT 06480 '�a 12 RAYMOND ROAD SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: REPLACE OIL FIRED BURNER. `N 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 3/22/201 7 3:01 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1900417 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER ELECTRICAL PERMIT DATE: 10/03/2019 GIS ID:75300012 FEE: 198.00 MUNIS APPLICATION# 201902150 BUILDING DESCRIPTION: APPLICANT, LOCATION NAME: MOMENTUM SOLAR ADDRESS: 12 RAYMOND ROAD ADDRESS: 3096 HAMILTON BLVD OWNER: WHALEN RICHARD J& LOUISE J TRUSTEES 12 RAYMOND ROAD SO.PLAINFIELD,NJ 07080 1 < DESCRIPTION OF WORK: INSTALL 13 SOLAR PANELS ON ROOF SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY TI BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDfN&t OFFICIAL I0/3/2019 2:20 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1200301 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER ELECTRICAL PERMIT DATE: 08/22/12 GIS ID:75300012 FEE: 30.00 MUNIS APPLICATION# 201201082 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: FORAN BROTHERS CONTRACTORS ADDRESS: 12 RAYMOND ROAD ADDRESS: 694 GOODWIN STREET OWNER: WHALEN RICHARD J&LOUISE J TRUSTEES EAST HARTFORD,CT 06108 12 RAYMOND ROAD SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: REPLACE SERVICE ENTRANCE CABLE,REPLACE CIRCUIT BREAKER PANEL WITH NEW 32 CIRCUIT 100 AMP PANEL 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 8/22/2012 3:25 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE