HomeMy WebLinkAbout1201-1204 ARTHUR DR BLDG 12 DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT
PERMIT#
Application is hereby: TOWN OF SOUTH WINDSOR �gvv31�
BUILDING DEPARTMENT
APPRO�EI 1540 SULLIVAN AVENUE
YAK- ex Bldg.Permit#
644-2511 t. 230
Date Building Inspector
Application must be printed or typed
FEE SCHEDULE Location of Job:
lZ-y ar�-hur Drl VC
$0-$1,000=$15.00 Street No. Street :-No.
]No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof Tenant Designation A
APPLICANT KR1- Lf4at(Z PWM61V a d H;F-/ W/J C L L e-
APPLICANT ADDRESS
zsbu-t J W INOSO4 , CT 06ei7q
APPLICANT PHONEa# 4 D- 43 G -6 CRY
OWN SFq OWNER 0ne5h No va
OWNER ADDRESSr�hu r fir.
0
OWNER PHONE 800 - 0 qt- - Z �3J�
C ESTIMATED COST$ 52M5•Q 0
xw
i IS THIS A CONTRACT COST? Yes _No
FEE ENCLOSED$ O
5 O�� TYPE OF JOB: I C)
R C _New Installation
Alteration/Addition/Repair
�o1y voq�,7
Revised 4/01//2002
APPLICATION FOR HVAC PERMIT (Continued from reverse side)
TYPE OF SYSTEM: TYPE OF BUILDING:
O HEATING )&RESIDENTIAL
❑COMMERCIAL
❑VENTILATION ❑INDUSTRIAL
HEATING
❑STEAM LOW PRESSURE LM41T LBS. HIGH PRESSURE LIMIT LBS.
❑HYDRONIC gWARM AIR ❑UNIT RADIANT HEATER
EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION
DESIGN TEMP. OUTSIDE_jor 2F INSIDE effl -°F DIFFERENCE��°F
M
TOTAL HEAT LOSS(BTUH) °F(HEAT LOSS SHEET UST ACCOMPANY
APPLICATION)
DESCRIBE ALT.HEATING EQUIPMENT(INCLUDING MAKE&MODEL NO.)
'v VihcSrde A opw - tAvA TAA14LEss
GROSS HEATING CAPACITY(INPUT--BTUH)T0 NET RATING(OUTPUT—BTUH)_.__qy, 6V 0
TYPE OF FUEL
❑OIL—GPM OIL TANK LOCATION :❑INSIDE❑OUTSIDE CAPACITY
X GAS—INPUT LPG TANK CAPACITY ELECTRIC—KW
AIR CONDITIONING
DESIGN TEMP.OUTSIDE _OF INSIDE -71 OF DIFFERENCE 2.0 OF
TOTAL HEAT GAIN(BTUH) (HEAT GAIN SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL COOLING EQUIPMENT(INCLUDING MAKE&MODEL NO.)
TONNAGE 2- C D
OOLING CAPACITY(BTUH)_ ,
a2_�AD
VENTILATION ��
DESCRIBE ALL AIR HANDLING EQUIPMENT(INCLUDING KITCHEN EXHAUST EQUIPMENT)
Clwy/vl/riy LJ �CC/C - CON •r-.
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.
039 77 9 Z S-/ CT
CONTRACTORS LICENSE NO. ` TYPE STATE
SIGNATURE OF APPLICANT , DATE
DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT
PERMIT#
Application is hereby: TOWN OF SOUTH WINDSO �p 3ooZ
BUILDING DEPARTMENTI
U
APPROVED 1540 SULLIVAN AVENUE Bldg.Permit#
644-2511 ext. 230 r1AY 0 2013
} tab. 't South Windsor
Dat Building Inspector BUILDING DEPARTMENT
Application must be printed or typed
FEE SCHEDULE Location of Job:
1a-/ Glr-�hw a'•
$0-$1,000=$15.00 Street No. Street Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT K'F -L-t 2 PWMBWG d Ht-"wG 1 .1_ e-
APPLICANT ADDRESS 389 S LA B 5-t -
5007 F1 W I N OSo e- C'r O to 1i-7q —
APPLICANT PHONE# 94 d' 43 Co —6 o d q
WN S F,q OWNER I)QIDh k/1 ndo\
O
OWNER ADDRESS 1d-/ l.U" r• __..
T. SoU}b1 ('T- D�On q
Or OWNER PHONE - y 3ji
C ESTIMATED COST$ I 7
U
IS THIS A CONTRACT COST? Yes _No
FEE ENCLOSED$�
TYPE OF JOB: Z
SO R Co _New Installation
Alteration/Addition/Repair
Revised 4/01//2002
APPLICATION FOR RVAC PERMIT (Continued from reverse side)
TYPE OF SYSTEM: TYPE OF BUILDING:
0 H ATING A RESIDENTIAL
❑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_jor 2F INSIDE g,0 _°F DIFFERENCE
TOTAL HEAT LOSS(BTUH) °F(HEAT LOSS SHEET MUST ACCOMPANY
APPLICATION)
DESCRIBE ALL HEATING EQUIPMENT(INCLUDING MAKE&MODEL NO.)
660clad,dAJ CM !- AS O 531I A FurU/� 0 OD
GROSS HEATING CAPACITY(INPUT—BTUH) pi0 NET RATING(OUTPUT—BTUH) 6�D
TYPE OF FUEL
❑OH GPM OIL TANK LOCATION:❑ INSIDE❑OUTSIDE CAPACITY
X GAS—INPUT LPG TANK CAPACITY ELECTRIC—KW
AIR CONDITIONING
DESIGN TEMP.OUTSIDE _OF INSIDE -71—OF DIFFERENCE W OF
TOTAL HEAT GAIN(BTUH) (HEAT GAIN SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL COOLING EQUIPMENT(INCLUDING MAKE&MODEL NO.)
TONNAGE 2- COOLING CAPACITY(BTUH)
VENTILATION
�+
DESCRIBE ALL AIR HANDLING EQUIPMENT(INCLUDING KITCHEN EXHAUST EQUIPMENT)
4!Cl0)M A AJ 13 ScE)C e0/V o NSeW f 4C o L.
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.
039 77 9 Z S-/ ��-
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT DLAZak DATE ,3 4.57
Proposal
KELLNER PLUMBING & HEATING, LLC May 02,2013
Mailing Address:389 Slater Street Reference#: 1652-101
South Windsor, CT 06074 Due Date: 5/17/2013
Office: 860-436-6824 Fax:860-920-5215
www.kellnerplumbing.com dan@kelinerplumbing.com
Job Name:
Ralph Lindsay Ralph Lindsay
12-1 Arthur Drive 12-1 Arthur Drive
South Windsor,CT 06074 South Windsor,CT 06074
860-644-3878 860-644-3878
We Hereby Submit Specifications And Estimates For:
Remove and dispose of the existing warm air furnace and water heater(off site).
Install a new 95%efficient Goodman GMA950""3BXA warm air furnace with required ductwork and a concentric
(single unit)vent on the exterior of the building.
`*New furnace will be properly sized based on the existing furnace.
Includes sidewall venting through the basement up to 50'
If r i e charged.
NO additional charges(extra's)will be incurred without prior approval by a board member and a written change
order.
5xmtrg—air con i
Permanently cap flue in the basement. Does not include termination on roof/removal from attic.
Installation includes: a new programmable energy saving thermostat, a new condensate pump, a new air filter
and wiring with service switch and outlet
--�------
Page 1 of 5
Proposal
KELLNER PLUMBING & HEATING, LLC May 02,2013
Mailing Address:389 Slater Street Reference#: 1652-101
South Windsor CT 06074
Due Date: 5/17/2013
Office:860-436-6824 Fax:860-920-5215
www.kelinerplumbing.com dan@kellnerplumbing.com
Job Name:
Ralph Lindsay Ralph Lindsay
12-1 Arthur Drive 12-1 Arthur Drive
South Windsor,CT 06074 South Windsor,CT 06074
860-644-3878 860-644-3878
We Hereby Submit SpecifiC2tions And Estin'121tes For:
OPTIONS:
Upgrade to a Goodman GMVC95***3BX,variable speed,warm air furnace with required ductwork and a
concentric(single nit)vent on the exterior of the building add$300.00.
Initial here V to select this option.
Upgrade to a Quie ide 92%+efficient tankless water heater with 12 year warrantee add$460.00.
Initial here V to select this option.
Replace the origgl Freon equipped air conditioning equipment with new 13 SEER R-410-A equipment add
$1950.
Initial here to select this option.
Replace the original Freon equipped air conditioning equipment with new 14 SEER R-410-A equipment add
$ 30.
Irfififtere to select this option.
R,e�lace the original Freon equipped air conditioning equipment with new 16 SEER R-410-A equipment add
$3300.
t�itial here to select this option. V
Install a new high efficiency air filter add$225.00 Initial here to select this option.
Install a new wash own high quality humidifier with humidistat add$420.00.
Initial here to select this option.
Page 2 of 5
Proposal
KELLNER PLUMBING & HEATING, LLC May 02, 2013
Mailing Address:389 Slater Street Reference#: 1652-101
South Windsor, CT 06074 Due Date: 5/17/2013
Office:860-436-6824 Fax:860-920-5216
www.kellnerplumbing.com dan@kellnerplumbing.com
Job Name:
Ralph Lindsay Ralph Lindsay
12-1 Arthur Drive 12-1 Arthur Drive
South Windsor,CT 06074 South Windsor,CT 06074
860-644-3878 860-644-3878
We Hereby Submit Specifications And Estimates For:
Drop clothes will be used to protect the floors in the home.All work to be completed in a professional manner.
In the event that finished walls or ceilings have to be cut in order to run vent piping we are not responsible for
repairing sheetrock.
All equipment will be stored off site and all debris and equipment will be removed daily from the job site.
NOTE:This quote is based on an owner occupied unit and does not include tax as needed on any rental/income
producing units.
IMPORTANT:We will help with applications for any possible rebates but have no control over the rebate programs
and make no promises about what rebates are available,what qualifies for rebates or when the rebate programs
may be terminated..
Page 3 of 5
Proposal
KELLNER PLUMBING & HEATING, LLC May 02,2013
Mailing Address:389 Slater Street
Reference#: 1652-101
South Windsor, CT 06074
Due Date: 5/17/2013
Office:860-436-6824 Fax:860-920-5215
www.kelinerplumbing.com dan@kellnerplumbing.com
Job Name:
Ralph Lindsay Ralph Lindsay
12-1 Arthur Drive 12-1 Arthur Drive
South Windsor,CT 06074 South Windsor,CT 06074
860-644-3878 86DZ44-3878
We Hereby Submit Specifications And Estimates For:
FURNACE AND WATER HEATER $4,525.00 -I -9-1/
FURNACE UPGRADE $300.00 300
FURNACE ONLY $3,064.00
WATER HEATER ONLY $1,460.00
TANKLESS UPGRADE $460.00
A/C 13 SEER $1,950.00
A/C 14 SEER $2,630.00
A/C 16 SEER $3,300.00
HUMIDIFIER $420.00
FILTER $225.00 �1
TOTAL I
50%DEPOSIT CHECK NUMBER
BALANCE DUE UPON COMPLETION
Page 4 of 5
J
r,�
Proposal
KELLNER PLUMBING & HEATING, LLC May 02,2013
Mailing Address:389 Slater Street Reference#: 1652-101
South Windsor. CT 06074 Due Date: 5/17/2013
Office:860-436-6824 Fax:860-920-5215
www.kellnerplumbing.com dan@kellnerplumbing.com
Job Name:
Ralph Lindsay Ralph Lindsay
12-1 Arthur Drive 12-1 Arthur Drive
South Windsor,CT 06074 South Windsor,CT 06074
860-644-3878 860-644-3878
We Hereby Submit Specifications And Estimates For:
NOTES:
We propose hereby to furnish material and labor-complete in accordance with the above specifications,for the
sum of: $4,525.00
TERMS:
50% Deposit&balance due upon completion. Please indicate acceptance of this proposal by signing below&returning
with your deposit.
All material is guaranteed to be as specified_ All work to be completed in a professional manner according to standard practices. Any alteration or
deviation from above specifications involving extra costs will be executed only upon written orders and will become an extra charge over and above
the estimate. All agreements contingent upon delays beyond our control. Purchaser agrees to pay all costs of collection,including attorney's fees.
This proposal may be withdrawn by us if not accepted by the above due date
Authorized Acceptance
Signature �'J Y�=����- Signature Date
APPLICATION FOR ELECTRICAL PERMIT
DEPARTMENT DECISION TOWN OF SOUTH WINDSO 2 C PERMIT#
Application is hereby: BUILDING DEPARTMENT l5
f 3oo24y
APP OV 1540 SULLIVAN AVENUE MAY L 0 2013 Bldg.Permit#
644-2511 ext. 230
� Soutti Windsor Dat Building Inspector BUILDING DEPARTMENT
Application must be printed or typed
FEE SCHEDULE Location of Job:
$0-$1,000=$15.00 V
F§—tree!t Over$1,000= Street Lot No.
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT Ke I I 44a-i r h s, L Lc
APPLICANT ADDRESS 3�� cs'LA TcK s`T
S'O A)N �G 1� r �' 7 0,60 751
APPLICANT'S PHONE#
OWNER
�0 N S Fq< OWNER ADDRESS
OWNER PHONE
ESTIMATED COST$ ���•
•�i U IS THIS A CONTRACT COST? X Yes No
FEE ENCLOSED$ /-<
TYPE OF JOB: —'�- fps-12
SOR.CO New Installation
1 l Alteration/Addition/Repair
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 NO
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 SIZE OF MAIN CONDUCTORS
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
A o'd a /yPw o t1t-e--e7 - ICav,- :j7z2,/c ( e s s- w,6 7-age
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
01a.307 - i CT
CONTRACTORS LICEN ENO. TYPE STATE
SIGNATURE OF APPLICANT DATE �� ��
APPLICATION FOR ELECTRICAL PERMIT
DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT#
Application is hereby: BUILDING DEPARTMENT
APPRO 1540 SULLIVAN AVENUE
� �
644-2511 ext. 230 Bldg.Permit#
Date Building Inspe r
Application must be printed or typed
FEE SCHEDULE Location of Job:
$0-$1,000=$15.00 /4i7-//u Z ' DAW -
Over$1,000= Street No. Street Lot No.
$15.00 per$1,000 f2-/, /� �,z-3� /�_y
or any fraction thereof Tenant Designation Apt.No.
APPLICANT -�a.�+.
APPLICANT ADDRESS ]
APPLICANT'S PHONE#
OWNER T
ow N S t,4 OWNER ADDRESS 0)0 1K4-/tifh y i'�J)
OWNER PHONE C T T
ESTIMATED COST$ G�C �
C �
•�1 (� IS THIS A CONTRACT COST? k Yes No
VFEE ENCLOSED$ (S
TYPE OF JOB: :#-12
kw
SQR.Co New Installation
X Alteration/Addition/Repair
CQ41
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 ja NO
40, 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 ���%�'� E:ti O�-�� t✓mot k
SIZE OF SERVICE SIZE OF MAIN CONDUCTORS
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
/�FPL��G� EX/Si i.y� SrrO.Cr`17G- it'c7`CJ�S /icS'irLL N�- ✓ J7t'Tcc r-cr�
/1V i4/fL4- rt �.�Sc-�-+C�tiT, /NSTifGL ��'[clT/CiiiJ Sc.ys'iiy�; Lice/fT$ '47-
1✓Oi:c^n nF '�i�i!!•� N✓r` J�'1GOlrV� Si�i�{s � ��i'Uf�c=' C'rt�S7�w'� �1G�/`TS ''��i`�o'nc,�
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
-61
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OFAPPLICANT � DATE �'//'1�
Oro vnoo2
DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT
TOWN OF SOUTH WINDSOR PERMIT#
Application is hereby:
BUILDING DEPARTMENT
APPR VE 1540 SULLIVAN AVENUE
Bldg.Permit#
644-2511 ext. 230
Date Building Ins o
Application must be printed or typed
FEE SCHEDULE Location of Job:
-
$0-$1,000=$15.00 Street No. Street Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
-- I
APPLICANT ADVANCED Heating & Air Conditioning, Inc.
APPLICANT ADDRESS 701 Nutmeg Rd. No.
South Windsor, CT 06074
APPLICANT PHONE# (8/6 0 ) 2 8 2-0 2 0 5
SOW N SF,q OWNER �I/
OWNER ADDRESS
5,e y r- 0- 7 e� o7
OWNER PHONE
C ESTIMATED COST$ � 8&19 F�
* IS THIS A CONTRACT COST? L s_No
FEE ENCLOSED$ ..3 G9 - 0
sO. CO�� TYPE OF JOB:
R- _New Installation O o/a0 07-7
_Alteration/Addition/Repair
APPLICATION FOR HVAC PERMIT (Continued from reverse side)
TYPE OF SYSTEM: TYPE OF BUILDING:
CHEATING A!rRESIDENTIAL
❑A/C ❑COMMERCIAL
❑VENTILATION ❑INDUSTRIAL
HEATING
❑ STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS.
❑ HYDRONIC A3-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 HEATINGEQUIPMENT(INCLUDING MAKE,i MODEL NO.)
r�iy1 LIP !C a x- 5` /2� e j ��{ 7 i Al z96 J�)
GROSS HEATING CAPACITY(INPUT—BTUH) 4fttW NET RATING(OUTPUT—BTUH)
TYPE OF FUEL
❑OIL—GPM OIL TANK LOCATION :❑ INSIDE❑OUTSIDE CAPACITY
JRLGAS—INPUT 6g1&OV 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.
303614 S-1 CT
CONTRACTORS LICENSE NO. D A
STATE
SIGNATURE OF APPLICANT - 1 DATE / y
DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT
PERMIT#
Application is hereby:
TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT o 0 Si
APPRO ED 1540 SULLIVAN AVENUE
Bldg.Permit#
644-2511 ext. 230
Date Building Inspector.
Application must be printed or typed
FEE SCHEDULE Location of Job:
Ak l gvc 0R(Y,,
$0-$1,000=$15.00 Street No. Street Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT Mll�k M-1AAffJ1N0
APPLICANT ADDRESS All Plumbing Repair, Inc.
P.O. Box 853
APPLICANT PHONE# $ �'�"" '�� ?o —S3as
O W N St OWNER
OWNER ADDRESS / a — Cy AR I l,v ft b e IV
O # OWNER PHONE q Y — $ S 6
C ESTIMATED COST$
d
IS THIS A CONTRACT COST? Yes _No
FEE ENCLOSED$ !f S• o d
TYPE OF JOB: (p All Plumbing Repair, nc
�SOR•Cps P.O.
New Installation Tolia d, CT 06084-C
Alteration/Addition/Repair
P0 (19iya1
APPLICATION FOR PLUMBING PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
BUILDING PERMIT APPLICATION? ❑ YES ❑NO
RESIDENTIAL
❑BUSINESS CURRENT USE AND OCCUPANCY
❑ASSEMBLY
❑MERCANTILE
7 FUTURE USE AND OCCUPANCY
❑EDUCATIONAL
❑INSTITUTIONAL
❑FACTORY ENGINEER'S NAME PHONE
❑ STORAGE
❑GARAGE ADDRESS
❑MIXED USE
CITY STATE ZIP
(Other please specify)
TYPE OF INSTALLATION Oxftx t"i'A 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 ❑YES ❑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_ J,4ijA.Ai. C,-i MANUFACTURER �iC�t��•.,I G/�r}c
pp DESCRIPTION OF WORK
9CP )A « PAL.'A'I 6.4s wsi eR
THE UNDERSIGNED HEIMBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND 17Tn7—
COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
.-2a495'6' p>> Ct
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT -�i�� DATE
Electric# APPLICATION FOR BUILDING PERMIT
Plumbing# 1201 Arthur Drive Date:
HVAC #
Sprinkler# -- - --- --- - - --
pFINAL APPRO ALS F011- SIGN
7 3 087 4 Permit Fee $
Estimated Cost $Building LETE RED BOXED AREAS
Engineering YPE OR PRINT ONLY Occupancy Fee $
Eng. Insp. Fee $
Avit
ppr. for CO. ON REVERSE SIDE /-j Total Fee $
PP ---
TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $
The undersigned hereby applies to do work according to the following:
Applicant AC04 t- "T.T.s�2Nffz—� � s S Location of Work bL;iLg>rN&* )a AZrOcA_ bxiuE_ Lot No.
Applicant's Address,SaQ PAW, 1�k_ %fN,T 'tom Tel.# �R(,o :3,/b-t)o 44
Town M Its r g;-z w;`j Zip �n Lic.# S53?1-L1
Owner 19 sal niT tA 1_(_s Cmt-OAA it/juM A&c r.Architect
Owner's Address AarkayL *baiy-E_ Architect's Address
S Zips Zip_.
Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area
Purpose of this permit
City Water❑ Well❑ Septic System❑ Sewer❑
Ins: HO SP Cert. Area Basement--------
asement Garage
Approved by f=N Date Use Group Construction T
Revised"2W
the tat ofConnecticuthOrdinancesf o f
I hereby agree to conform to all the requirements of the Laws of e State and the o the Tow o
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 uilding and its use is allowed.
Signed
1 hereby apply for a Certificate of Occupancy for�the wor escribed in this application for the permit.
Signed
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT
PERMIT#
Application is hereby: TOWN OF SOUTH WINDSOR3�3
BUILDING DEPARTMENT
APPROVED 1540 SULLIVAN AVENUE Bldg.Permit#
s >3 644-2511 ext. 230
Date Building In or
Application must be printed or typed
FEE SCHEDULE Location of Job:
$0-$1,000=$15.00 FiT-e-nantDesignation
Street Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof Apt.No.
APPLICANT M(4 14A-0-4 J1 Aw'
APPLICANT ADDRESS All Ph bonaRepair, Inc. _
P.O. Box 853
APPLICANT PHONE# ��0-5 3,a 5 Tolpan -
,SOWN SFq OWNER �c6eQw�• P.4 A
OWNER ADDRESS Q A AtA
S,,,Jk
CIO) OWNER PHONE S q, a
C ESTIMATED COST$ 7c Q
.� IS THIS A CONTRACT COST? Yes _No
FEE ENCLOSED$
l�Os �0►►//�� TYPE OF JOB: (P
R C New Installation
>7 Alteration/Addition/Repair
Revised 4/01//2002
APPLICATION FOR PLUMBING PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
SRESIDENTIAL BUILDING PERMIT APPLICATION? ❑ YES ❑NO
❑ BUSINESS CURRENT USE AND OCCUPANCY
❑ASSEMBLY
❑MERCANTILE❑EDUCATIONAL FUTURE USE AND OCCUPANCY
❑INSTITUTIONAL
❑FACTORY ENGINEER'S NAME PHONE
❑ STORAGE
❑GARAGE ADDRESS
❑MIXED USE
CITY STATE ZIP
(Other please specify)
TYPE OF INSTALLATION kMf'tR tt eAjtR 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 ❑YES ❑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 pA jAA L 6 AJ MANUFACTURER Ac IA4
DESCRIPTION OF WORK
THE UNDERSIGNED HEREBY APPLIrS FOR A PERMI I TO PERFORM THE WORK 15ESCRIBED AND IS TO
COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
a-'-g 9 s?� P-t c t
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT DATE
DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT
TOWN OF SOUTH WINDSOR PERMIT#
Application is hereby: 1 Q 0
BUILDING DEPARTMENT —{
APP O 1540 SULLIVAN AVENUE
Bldg.Permit#
644-2511 ext. 230
at Building 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=
$15.00 per$1,000 bP� P41 Me r Z
or any fraction thereof Tenant Designation Apt.No.
APPLICANT_'T'iMoVy Kn214 --
APPLICANT ADDRESS 62-,1�n(,ye of J- j E' IS Ave
APPLICANT PHONE# g6v 2 c y 86
SOW N SC.q OWNER t>6(ra me`
OWNER ADDRESS 1Z (- rAt-4 r Drive r�P4'—Z
GT O,( 3°7
OWNER PHONE 2 Y6o
C
C ESTIMATED COST$ 3 i 8S O 0 0
x � IS THIS A CONTRACT COST? X Yes _No
FEE ENCLOSED$ 90 . 00
40, SO. 14' TYPE OF JOB:
R•C New Installation a
Alteration/Addition/Repair
Revised 4/01/t2002
��o6oa3tp
APPLICATION FOR HVAC PERNUT (Continued from reverse side)
TYPE OF SYSTEM: TYPE OF BUILDING:
❑HEATING 19-RESIDENTIAL
1/C 0 COMMERCIAL
❑VENTILATION ❑INDUSTRIAL
HEATING
0 STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS.
❑HYDRONIC X 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 EQUIPMENT(INCLUDING MAKE&MODEL NO.)
61X�4An GMV95 Gas 'had- ��c-4,rna c e
GROSS HEATING CAPACITY(INPUT—BTUH) NET RATING(OUTPUT—BTUH)
TYPE OF FUEL
❑OIL--GPM OIL TANK LOCATION :0 INSIDEO OUTSIDE CAPACITY
AGAS—INPUT iak, 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.)
Z+ttl 16 Seer R y 10 A Fre0,1 iyodmcm %Ki 6 o 2 q A -co; I --
TONNAGE Z COOLING CAPACITY(BTUH) Z Y i(W
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 J&p V-e Q�CiS� �Q 9 2 lr-
a e 1-/JA 943 77,55 v 77- Z74Q7e 7 A Z-twl i4le
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.
O3o31-7SiM
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT DATE 7/?, 1 1 /0
' PERMITS/INSP PAYMENT RECPT# 20429347
TOWN OF SOUTH WINDSOR
1540 SULLIVAN AVENUE
SOUTH WINDSOR CT 06074
DATE: 07/27/10 TIME: 09 04
CLERK: aliceakeh DEPT:
CUSTOMER# 0
PARCEL:
CHG: BLDPRM BUILDING PERMIT 60 00
AMOUNT PAID: 60 00
PAID BY: TIMOTHY KENNEDY
PAYMENT METH: CHECK
2565
REFERENCE: A1202 ARTHUR
AMT TENDERED: 60 00
AMT APPLIED: 60 00
CHANGE: 00
6/15/2021
110�N SEq
C
ti
. .. r ; Town of South Windsor Building Department
Y�soeco
Plumbing Permit: PLMB-21-84
APPLICANT
NAME: Andy Hui
EMAIL ADDRESS: racheal@rapidservicellc.com
ADDRESS: 59 Route 6
Columbia, CT 06237
LOCATION
ADDRESS: 12 ARTHUR DR
South Windsor CT 6074
OWNER: PALMER DEBORAH M
1202 ARTHUR DRIVE
SOUTH WINDSOR CT 6074
DESCRIPTION OF WORK:
Electric water heater installation
May 5, 2021
BUILDING OFFICIAL DATE SIGNED
—ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT—
*PERMIT ONLY VALID IF SIGNED BY BUILDING OFFICIAL"`
1;