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1401-1405 ARTHUR DR BLDG 14
APPLICATION FOR HVAC PERMIT DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT JlQC 33# AP 0 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 Date Building Inspec r Application must be printed or typed FEE SCHEDULE 1 Location f Job: $041,000=$15.00 1 4— I kct�U r Over$1,000= I Street No. Street Lot No. $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT APPLICANT ADDRESS APPLICANT'S PHONE# OWNER E7Mr�r` YYl G r SOW S N SFq< OWNER ADDRESS � CO (A _ StAtk ,gals v c T o60 OWNER PHONE �j l — `2 ESTIMATED COST$ UU. ,.� V IS THIS A CONTRACT COST? es No FEE ENCLOSED$ �1T (fin W. G — L TYPE OF JOB: �SO it COS New Installation r Iteration/Addition/Repair Revised 03"Ad 1 APPLICATION FOR RVAC PERMIT(Continued from reverse side) TYPE=OFSTEM: TYPE OF 1HLDING: TING Id RESIDENTIAL ❑ A/C ❑ COMMERCIAL ❑ VENTILATION ❑ INDUSTRIAL HEATING ❑ STEAM LOW PRESJME LIMIT LBS. HIGH PRESSURE LIMIT LBS. ❑ HYDRONIC WVARRM AIR (3 UNIT RADIANT.HEATER EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION DESIGN TEMP.OUTSIDE OF INSIDE 70?, °F DIFFERENCE OF TOTAL HEAT LOSS(BTUH) °F(HEAT LOSS SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL HEATING EQUIPMENT(INCLUDING MAKE&MODEL NO.) e.t' o0r C- ,p C f7 R( SS I�� G CAPACITYs(I j�F- �j�_ry_T� NE� G(O/ UTPUT BTUH) TYPE OF FUEL ❑ QfC- PM 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 516) 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 Page 1 Residential Heat Loss and Heat Gain Calculation 7/31/2015 In accordance with ACCA Manual J Report Prepared By: Hydronic Consultants 32 Cullen Avenue West Haven CT-06516 (203) 942-5142 For. Arthur Drive 14-1 Arthur Drive South Windsor, Connecticut 06074 Design Conditions: New Haven Indoor. Outdoor. Summer temperature: 68 Summer temperature: 95 Winter temperature: 75 Winter temperature: -10 Relative humidity: 50 Summer grains of moisture: 85 Daily temperature range: High Building Component Sensible Latent Total Total Gain Gain Heat Gain Heat Loss (BTUH) (BTUH) (BTUH) (BTUH) Whole House 14,054 5,919 19,973 78,257 ( 1.5 tons) Upper Level 14,054 5,919 19,973 78,257 Lower Level 5,254 2,421 7,675 37,162 All Rooms 8,800 3,498 12,298 41,095 Whole House 14,054 5,919 19,973 78,257 ( 1.5 tons) HVAC-Calc Residential 4.0 by HVAC Computer Systems Ltd. 888 736-1101 Load calculations are estimates only,actual bads may vary due to weather and construction ddferences. APPLICATION FOR HVAC PERMIT DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT# Application ' BUILDING DEPARTMENT (3 p p y y1 OVED 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 Date BuiNing Inspector Application must be printed or typed FEE SCHEDULE `` Location of Job: $0-$1,000=$15.00 Li/ A u2-�h wz '0121W Over$1,000= Street No. Street Lot No. l)$15.00 per$1,000 fna lv (l dd l or any fraction thereof Tenant Designation Apt.No. APPLICANT �� ���' -•rL ,?�� APPLICANT ADDRESS 967 X 5 �r s APPLICANT'S PHONE# a— e N OWNER /14AQ�v /1 f-c� (, OW SF •( q< OWNER ADDRESS /0--3 AL; -Dior, /)171 v*t f T ci 4 OWNER PHONE O y ESTIMATEDCOST$ S'c)o , w IS THIS A CONTRACT COST? 4Yes No kftw FEE ENCLOSED$ 1IS ° ° C.) TYPE OF JOB: So co New Installation Alteration/Addition/Repair �r3Grsi� Revised 03/05/10 i APPLICATION FOR HVAC PERMIT(Continued from reverse side) TYPE OF SYSTEM: TYPE OF BUILDING: 2r HEATING .f RESIDENTIAL Z A/C ❑ COMMERCIAL ❑ VENTILATION ❑ INDUSTRIAL HEATING ❑ STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS. ❑ HYDRONIC 1K 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 EQUIPMEN�)T JINCLUDING MAKE&MODE NO.) c"; 1, ct nc,,. Tvn A f c c:vTM .•s �1 jCc,i� GROSS HEATING CAPACITY(INPUT BTUH) ?Pj awd NET RATING(OUTPUT BTUH) 6-2) TYPE OF FUEL ❑ OIL-GPM OIL TANK LOCATION: ❑ INSIDE ❑ OUTSIDE CAPACITY ❑ GAS-INPUT LPG TANK CAPACITY ELECTRIC-KW AIR CONDITIONING q DESIGN TEMP: OUTSIDE /v°F INSIDE 70 OF DIFFERENCE 3-0 OF TOTAL HEAT GAIN(BTUH)��N"X (HEAT GAIN SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL COOLING EQUIPMENT(INCLUDING MAKE&MODEL NO.) 3 Tor, Al c Gc_,�o lZ Q Al ca� L TONNAGE 3 COOLING CAPACITY(BTUH) .3�0 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. 3c)3 6/S CONTRACTORS LICENSE NO. TYPE STATE �-- SIGNATURE OF APPLICANT �'�� / DATE 1011711 PRIORITY FUEL , INC. w 31 TOBEY RD.SUITE#8 BLOOMFIELD,CT. 06002 S-1 303615 PROPOSAL FOR: MADHUSUDAN REDDY 14-4 AURTHUR DR. SOUTH WINDSOR,CT. 10/17/2013 Prepared 10/172013 using O'Brien Quick Loads Pro-Version 1.01-SN:QP-070101-30392 PRIORITY FUEL , INC. a 31 TOBEY RD.SUITE#8 BLOOMFIELD,CT. 06002 S-1 303615 Project Default Calculation Values for MADHUSUDAN REDDY Indoor/Outdoor Design Temperatures(Degrees Farenheit) Summer Winter Inside(Thermostat setting) 74 Inside(Thermostat setting) 72 Outside(Above ground): 97 Outside(Above ground 0 Outside(Below ground): 65 Outside(Below ground) 60 Unconditioned Space 97 Unconditioned Space 65 Above Ceiling(Attic/Crawl Space) 130 Above Ceiling(Attic/Crawl Space) 45 Concrete Slab(Ground temperature) 80 Concrete Salb(Ground temperature) 55 Unconditioned Basement 60 Unconditioned Basement 55 Below Floor Crawl Space 85 Below Floor Crawl Space 50 Design Conditions Insulation Values(U-Factors) Occupant Sensible Load(BTUH per person) 250 Exposed Walls(Above Ground) .080 Occupant Latent Load(BTUH per person) 200 Exposed Walls(Below Ground) .5 Duct Insulation Factor 1 Partitions .075 Duct Temperature Difference(Summer) 20 Roof/Ceiling .055 Duct Temperature Difference(Winter) 45 Floor(Above basement) .083 Space Humidity Difference Inside/Outside(Summer) 20 Floor(Concrete slab) 001 Space Humidity Difference Inside/Outside(Winter) 15 Floor(Between conditioned spaces) .287 Fresh Air Per Person(CFM) 2 Doors .500 Air Change Factor(Air change per hour) .5 Windows .900 Space Shading Factor .4 Air Handler Design Cooling(CFM per ton) 400 Hydronic Heat(BTUH per linear ft 600 Duct and Grill Sizing Supply Ducts Supply Grills 0 to 50 CFM 5"Round Metal 8x4"Supply Grille 50 to 100 CFM 6"Round Metal 104"Supply Grille 100 to 150 CFM 7"Round Metal 12x6"Supply Grille 151 to 200 CFM 8"Round Metal 126"Supply Grille 201 to 275 CFM 9"Round Metal 14x6"Supply Grille 276 to 350 CFM 10"Round Metal 14x8"Supply Grille 351 to 600 CFM 12"Round Metal 12x12"Supply Grille 601 to 900 CFM 14"Round Metal 18x10"Supply Grille 901 to 1200 CFM 16"Round Metal 18xl2"Supply Grille Return Ducts Return Grills 0 to 50 CFM 5"Round Metal 8x4"Return Grille 51 to 100 CFM 6"Round Metal 10x4"Return Grille 101 to 125 CFM 7"Round Metal 104"Return Grille 126 to 175 CFM 8"Round Metal 124"Return Grille 176 to 225 CFM 9"Round Metal 12x8"Return Grille 226 to 300 CFM 11"Round Metal 12x10"Return Grille 301 to 400 CFM 12"Round Metal 16x10"Return Grille 401 to 500 CFM 14"Round Metal 18x12"Return Grille 501 to 600 CFM 15"Round Metal 20x12"Return Grille 601 to 700 CFM 16"Round Metal 2402"Return Grille 701 to 800 CFM 17"Round Metal 1808"Return Grille 801 to 900 CFM 18"Round Metal 20x18"Return Grille 901 to 1000 CFM 19"Round Metal 24x18"Return Grille 1001 to 1200 CFM 21"Round Metal 30x18"Return Grille 1201 to 1400 CFM 23"Round Metal 24x24"Return Grille 1401 to 1500 CFM 24"Round Metal 36x18"Return Grille 1501 to 1600 CFM 25"Round Metal 36x18"Return Grille 1601 to 1800 CFM 26"Round Metal 40x18"Return Grille 1801 to 2000 CFM 27"Round Metal 36x24"Return Grille 2001 to 2500 CFM 31"Round Metal 4840"Return Grille 2501 to 3000 CFM 34"Round Metal 48x24"Retum Grille 3001 to 3500 CFM 36"Round Metal 60x24"Return Grille 3501 to 4000 CFM 39"Round Metal 6000"Return Grille These are the current default system design conditions.These values can be adjusted by the user on a global or room-by-room basis.To review the actual values for a specified room,print the Detailed Load Analysis Report. It is not uncommon,particularly in complex or mull-story structures,for temperatures,U-factors,and other design conditions to vary between floors and or rooms. Prepared 10/17/2013 using O'Brien Quick Loads Pro-Version 1.01-SN:QP-070101-30392 PRIORITY FUEL , INC. y 31 TOBEY RD.SUITE#8 BLOOMFIELD,CT. 06002 S-1 303615 Heat Load Detail Report for MADHUSUDAN REDDY Room 1 of 2 Room Specifications: FIRST FLOOR Room Length(Ft.) 28 Sq.Ft windows facing NE&NW: — Watts Incandescent Light: 260 Room Width(Ft.) 20 Sq.Ft windows facing South: — Watts Flourescent Light: — Room Height(Ft.) 8 Sq.Ft windows facing SE&SW: — Duct Length from A/H to room: — Exposed Wall Length(FL) 96 Number of Exterior Doors: — Number of Large Electric Motors: 1 Wall against unconditioned room(Ft.) 96 Sq.Ft.Exterior Doors: 2 Average Electric Motor Horsepower: 3 Sq.Ft windows facing North: — Number of People in Room: 3 BTUH Appliance Sensible Heat: 400 Sq.Ft windows facing E&W: 60 BTUH Appliance Latent Heat: 200 Indoor/Outdoor Design Temperatures(degrees Farenheit) Summer: Winter: Inside(Thermostat setting) 74 Inside(Thermostat setting) 72 Outside(Above ground): 97 Outside(Above ground 0 Outside(Below ground): 65 Outside(Below ground) 60 Unconditioned Space 97 Unconditioned Space 65 Above Ceiling(Attic/Crawl Space) 130 Above Ceiling(Attic/Crawl Space) 45 Concrete Slab(Ground temperature) 80 Concrete Slab(Ground temperature) 55 Unconditioned Basement: 60 Unconditioned Basement 55 Below Floor Crawl Space 85 Below Floor Crawl Space 50 Applicable Temperatures: Above Ceiling:Thermostat Setting Below Floor:Unconditioned Basement Exposed Walls:Above Ground Design Conditions Insulation Values(U-Factors) Occupant Sensible Load(BTUH per person) 250 Exposed Walls(Above Ground) .080 Occupant Latent Load(BTUH per person) 200 Exposed Walls(Below Ground) .5 Duct Insulation Factor 1 Partitions .075 Duct Temperature Difference(Summer) 20 Roof/Ceiling .055 Duct Temperature Difference(Winter) 45 Floor(Above basement) .083 Humidity Difference Inside/Outside%(Summer) 20 Floor(Concrete slab) .001 Humidity Difference Inside/Outside%(Winter) 15 Floor(Between conditioned spaces) .287 Fresh Air Per Person(CFM) 2 Doors .500 Air Change Factor(Air change per hour) .5 Windows .900 Space Shading Factor .4 Air Handler Design Cooling(CFM per ton) 400 Hydronic Heat(BTUH per linear ft 600 Calculated Room Results-Summer Heat Gains Wall Heat Gain(BTUH) 2738 Appliance/Elec Motor Latent Heat Gain(BTUH) 800 Ceiling or Roof Heat Gain(BTUH) 0 Appliance/Elec Motor Sensible Heat Gain(BTUH) 12216 Floor Heat Gain(BTUH) -651 Ventilation Latent Heat Gain(BTUH) 501 Glass Heat Gain(BTUH) 1132 Ventilation Sensible Gain(BTUH) 929 Exterior Door&North Window Heat Gain(BTUH) 19 Summer Total Latent Heat Gain: 1301 Solar Heat Gain(BTUH) 5160 Summer Total Sensible Heat Gain(BTUH) 21543 Total Transmission Heat Gain(BTUH) 8398 TOTAL SUMMER COOLING LOAD(BTUH) 22844 Calculated Room Results-Winter Heat Losses Transmission Heat Losses(BTUH) 9220 Latent Ventilation Heat Losses(BTUH) 376 Sensible Ventilation Heat Losses(BTUH) 2909 Hydronic Heat(Linear Ft.) 21 TOTAL WINTER HEATING LOAD(BTUH): 12605 Calculated Totals for Entire Structure Size of Structure(Sq.Ft.): 1120 Total Sensible Heat Gain(BTUH): 34863 Total Heat Loss(BTUH): 24990 Total Cooling Gain(BTUH): 37266 Total Hydronic Heat(Linear Ft.): 41.65 Total Cooling Requirement(Tons): 3.11 Total Latent Heat Gain(BTUH): 2402 Total Cooling CFM: 1242 Disclaimer These computed results should be treated as estimates only and should be viewed as only one of the many tools required for a professional installation.The installing contractor's experience and expert judgement are also major factors in sizing and installing a complete system. The weather,customer usage,duct installation,and structure design may vary on each estimate and should be taken into account.Correct system sizing Is based on the systems ability to meet both latent and sensible heat requirements,not just total BTUs. Prepared 1 011 7/2 0 1 3 using O'Brien Quick Loads Pro-Version 1.01-SN:QP-070101-30392 PRIORITY FUEL , INC. y 31 TOBEY RD.SUITE#8 BLOOMFIELD,CT. 06002 S-1 303615 Heat Load Detail Report for MADHUSUDAN REDDY Room 2 of 2 Room Specifications: SECOND FLOOR Room Length(Ft) 28 Sq.Ft windows facing NE&NW: — Watts Incandescent Light: 260 Room Width(Ft.) 20 Sq.Ft windows facing South: — Watts Flourescent Light: — Room Height(Ft.) 8 Sq.Ft windows facing SE&SW: — Duct Length from A/H to room: — Exposed Wall Length(Ft.) 96 Number of Exterior Doors: — Number of Large Electric Motors: — Wall against unconditioned room(Ft.) 96 Sq.Ft.Exterior Doors: — Average Electric Motor Horsepower: — Sq.Ft windows facing North: — Number of People in Room: 3 BTUH Appliance Sensible Heat: — Sq.Ft windows facing E&W: 60 BTUH Appliance Latent Heat: — Indoor/Outdoor Design Temperatures(degrees Farenheit) Summer. Winter. Inside(Thermostat setting) 74 Inside(Thermostat setting) 72 Outside(Above ground): 97 Outside(Above ground 0 Outside(Below ground): 65 Outside(Below ground) 60 Unconditioned Space 97 Unconditioned Space 65 Above Ceiling(Atfic/Crawl Space) 130 Above Ceiling(Attic/Crawl Space) 45 Concrete Slab(Ground temperature) 80 Concrete Slab(Ground temperature) 55 Unconditioned Basement 60 Unconditioned Basement: 55 Below Floor Crawl Space 85 Below Floor Crawl Space 50 Applicable Temperatures: Above Ceiling:Attic or Crawl Space Below Floor:Thermostat Setting Exposed Walls:Above Ground Design Conditions Insulation Values(U-Factors) Occupant Sensible Load(BTUH per person) 250 Exposed Walls(Above Ground) .080 Occupant Latent Load(BTUH per person) 200 Exposed Walls(Below Ground) .5 Duct Insulation Factor 1 Partitions .075 Duct Temperature Difference(Summer) 20 Roof/Ceiling .055 Duct Temperature Difference(Winter) 45 Floor(Above basement) .083 Humidity Difference Inside/Outside%(Summer) 20 Floor(Concrete slab) .001 Humidity Difference Inside/Outside%(Winter) 15 Floor(Between conditioned spaces) .287 Fresh Air Per Person(CFM) 2 Doors .500 Air Change Factor(Air change per hour) .5 Windows .900 Space Shading Factor .4 Air Handler Design Cooling(CFM per ton) 400 Hydronic Heat(BTUH per linear ft: 600 Calculated Room Results-Summer Heat Gains Wan Heat Gain(BTUH) 2738 AppGance/Elec Motor Latent Heat Gain(BTUH) 600 Ceiling or Roof Heat Gain(BTUH) 1725 Appliance/Elec Motor Sensible Heat Gain(BTUH) 1637 Floor Heat Gain(BTUH) 0 Ventilation Latent Heat Gain(BTUH) 501 Glass Heat Gain(BTUH) 1132 Ventilation Sensible Gain(BTUH) 929 Exterior Door&North Window Heat Gain(BTUH) 0 Summer Total Latent Heat Gain: 1101 Solar Heat Gain(BTUH) 5160 Summer Total Sensible Heat Gain(BTUH) 13320 Total Transmission Heat Gain(BTUH) 10754 TOTAL SUMMER COOLING LOAD(BTUH) 14421 Calculated Room Results-Winter Heat Losses Transmission Heat Losses(BTUH) 9201 Latent Ventilation Heat Losses(BTUH) 376 Sensible Ventilation Heat Losses(BTUH) 2909 Hydronic Heat(Linear Ft.) 21 TOTAL WINTER HEATING LOAD(BTUH) 12486 Calculated Totals for Entire Structure Size of Structure(Sq.Ft.): 1120 Total Sensible Heat Gain(BTUH): 34863 Total Heat Loss(BTUH): 24990 Total Cooling Gain(BTUH): 37266 Total Hydronic Heat(Linear Ft): 41.65 Total Cooling Requirement(Tons): 3.11 Total Latent Heat Gain(BTUH): 2402 Total Cooling CFM: 1242 Disclaimer These computed results should be treated as estimates only and should be viewed as only one of the many tools required for a professional installation.The installing contractor's experience and expert judgement are also major factors in sizing and Installing a complete system. The weather,customer usage,duct installation,and structure design may vary on each estimate and should be taken into account.Correct system sizing is based on the systems ability to meet both latent and sensible heat requirements,not just total BTUs. Prepared 10/17/2013 using O'Brien Quick Loads Pro-Version 1.01-SN:QP-070101-30392 PRIORITY FUEL , INC. 31 TOBEY RD.SUITE#8 BLOOMFIELD,CT. 06002 S-1303615 Heat Load Summary Report for MADHUSUDAN REDDY Room Square Heating Loss Hydronic Heat Latent / Sensible Cooling Gain Cooling Cooling Name Ft. BTUH Linear Ft. Gain BTUH BTUH Tons CFM FIRST FLOOR 560 12505 20.84 1301 121543 22844 1.9 761 SECOND FLOOR 560 12486 20.81 1101 /13320 14421 12 481 TOTALS 1120 24990 41.65 2402 / 34863 37266 3.11 1242 Disclaimer These computed results should be treated as estimates only and should be viewed as only one of the many tools required for a professional Installation.The installing contractor's experience and expert judgement are also major factors in sizing and installing a complete system. The weather,customer usage,duct installation,and structure design may vary on each estimate and should be taken into account.Correct system sizing is based on the systems ability to meet both latent and sensible heat requirements,not just total BTUs. Prepared 10/17/2013 using O'Brien Quick Loads Pro-Version 1.01-SN:QP-070101-30392 13UILISING PERMIT STATE OF CONNECIICUT — WORKERS'COMPENSATION COW&SSION Buildin,Permit Amdavit for Property Owners or Sole Proprietors (Conn.Gen.Stat.§31.286b) Property located at�y 3 A olz��',Jn bn iv-�_ In the town of j_j j ),k)n, CT_ Name of building Permit applicant: ��� y>� ,�'�,(?\ 'T•GEC. Please check one: 1. I am the owner of the above property. Z. �I am the Sole proprietorof a business. 2A.Name of business 1 n O " JI- � W` J' 21).Federal Employer.Identifieation Number 06/Ll g-KO9�— Purwant to§31286b,"a property owner or sob proprietor,[who)irrtends do act as a genctal .. CO°UacWf°r P en pk yer"my provide either a certificate of workers'Compensation insurance or.a"awoni notarized aMrAL..stating that he will require proof of workere ComPon iiismanoe for all thole amplaypl on the job site in accordance with this chapter." Pkase check one: I._I do not intend to act as a general contractor or principal employer. [sip andstop here] Si of 8�� aPplrawt I, 2. I uhtoad to act as a general contractor or principal employer.Applicant must either vide a certificate of*0[ked compensation insurance or sign the affidavit low. ............................................................................................................ Affidavit I hereby swear and attest that I will re juire proof of workers'compensation inscnanoe for every contractor,subcont(acw,or other worker before he/she aogages in work oa the above property is accordance with the Workers•Compensation Act(Chaptet 568). I understand that pursuant to§31-275 C.G.S,offices of a corporation and partners in a partnership may Clect to be excluded from coverage'by filing a waiver with the appropriate District Office;and that a sole proprietor of a iness is not required to have coverage unless he files his intent to accept coverage. Signature of applicant Subscribed and sworn to before me this day of 200 . (Notary Public/Commissioner of the Superior Court) APPLICATION FOR ELECTRICAL PERMIT DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT ( ?�OGlo27 APPROVED 1540 SULLIVAN AVENUE - � A 3_-1_ 'i� LJE�Z_ 644-2511 ext. 230 Bldg.Permit# Date Building Inspector Application must be printed or typed FEE SCHEDULE Location of Job: $041,000=$15.00 FiTenant Z Over$1,000= Street Lot No. ^ $15.00 per$1,000 or any fraction thereof ignation --� Apt.No. APPLICANT APPLICANT ADDRESS 5-4,1,, APPLICANT'S PHONE# 0�1 N 3F OWNER s,.--t- — '� OWNER ADDRESS flO &1fh1vARP ikf) ,c:(j`_ 1G' OWNER PHONE FLbC; 5-W<rT T } ESTIMATED COST$ IS THIS A CONTRACT COST? k Yes No FEE ENCLOSED$ TYPE OF JOB: IZ dSpR.Co New Installation "D 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 J3 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 O,-f) L,0al 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 I��PL�G�� �X,S;in,�; S�rO�Cr'17G- TL'G'TO�5 /��Sj/tLC_ /11�' ✓ 77tTGC rDi� J/V 14A4_4_ rt 13�¢Sc-�Ciu T, /US T�fGL �t c> T/C�/t! Sc.vs',�v L/ciI17-S- 4 T Of 9/2z , /IV i �V1G yiN� S%�//�S r �/'/✓1`GG" eA/STw'j 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 CONTRACTORS LICENSE NO. � TYPE STATE SIGNATURE OFAPPLICANT � DATE 3�`"/'/, DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT PERMIT# Applic ereb . TOWN OF SOUTH WINDSOR 130 0 6 BUILDING DEPARTMENT APP D 1540 SULLIVAN AVENUE Bldg. Permit# J-(� r, 644-2511 ext. 230 Date B ding Inspector j, r 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$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT KR^L•Ne-? PLU M MV G- d H E-W1V G .1 L L e- APPLICANT ADDRESS 303 S LA tex— 5'OU-19 W INID504 , CT 0bej7�{ APPLICANT PHONE# 96 d' 4 3(0 -6 tfa?y O W N S F�4 OWNER I I ►T l i SS Q Q ICI SQ Ilt?.I) I -- OWNER ADDRESS _1 "3 n f*nu-f ((j�e.. r So 9'T W;r,IOSd,R , CrDrao� y OWNER PHONE �SOO -UQu, -OUS3 C a ESTIMATED COST$ G3r w � t x * IS THIS A CONTRACT COST? Yes _No FEE ENCLOSED$ 6S� 40 TYPE OF JOB: SCR C� New Installation Alteration/Addition/Repair C,OI�ppDrs Revised 4/01//2002 APPLICATION FOR HVAC PERMIT (Continued from reverse side) TYPE OF SYSTEM: TYPE OF BUILDING: i HEATING )4 RESIDENTIAL 13 A/C ❑COMMERCIAL ❑VENTILATION ❑INDUSTRIAL HEATING Cl STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS. ❑HYDRONIC WARM AIR 0 UNIT RADIANT HEATER EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION DESIGN TEMP. OUTSIDE_��°F INSIDE g.0 OF DIFFERENCE__er°F TOTAL HEAT LOSS(BTUH) °F(HEAT LOSS SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL HEATING EQUIPMENT(INCLUDING MAKE&MODEL NO.) Gaed�c►�t��'!+�YC 4LS �5 �A Fc�rU/► A O S'M ith (M A 40 100 direct y,n-r um at wavy, - � �c CI n, � _ 1 ID rMICLEss , GROSS HEATING CAPACITY(INPUT—BTUH)�Q NET RATING(OUTPUT—BTUH) 7700 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 ZD 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) G'MbMAAJ 13 ScTe e0nilr-,lV5 2 + 4,C6;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-i c�- CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT.3� K�Q� DATE Proposal • a KELLNER PLUMBING & HEATING, LLC December 12,2012 389 Slater Street Reference# 1661-101 South Windsor, CT 06074 Due Date: 12/27/2012 Office:860-436-6824 Fax:860-920-5216 www.kelinerplumbing.com dan@kellnerplumbing.com Job Name: Melissa Cusanelli Melissa Cusanelli 14-3 Arthur Drive 14-3 Arthur Drive South Windsor,CT 06074 South Windsor,CT 06074 HerebyWe . . . Remove and dispose of the existing�(waarr�m air furnace and water heater(off site). Install a new 95%efficient Goodman�lhht950*'3BXA,two stage,warm air furnace with multi speed ECM blower motor, 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 roof venting is required an additional$150.00 will be charged. NO additional charges(extra's)will be incurred without prior approval by a board member and a written change order. 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 Install a 40 gallon natural gas direct vent water heater(non-sealed combustion). OPTIONS: Upgrade to a Quitside 92%+efficient tankless water heater with 12 year warrantee add$400.00. Page 1 of 5 Y Proposal KELLNER PLUMBING & HEATING, LLC December 12,2012 ' 389 Slater Street Reference#: 1661-101 South Windsor, CT 06074 Due Date: 12/27/2012 Office: 860-436-6824 Fax:860-920-6215 www.kelinerplumbing.com dan@kellnerplumbing.com Job Name: Melissa Cusanelli Melissa Cusanelli 14-3 Arthur Drive 14-3 Arthur Drive South Windsor,CT 06074 South Windsor,CT 06074 HerebyWe Initial here to select this option. Replace the original Freon equipped air conditioning equipment with new 13 SEER R-410-A equipment add $1875. Initial here to select this option. Replace the original Freon equipped air conditioning equipment with new 14 SEER R-410-A equipment add $2550. Initial here to select this option. Replace the original Freon equipped air conditioning equipment with new 16 SEER R-410-A equipment add $3200. Initial here to select this option. Install a new high efficiency air filter add$225.00 Initial here to select this option. Install a new wash-down high quality humidifier with humidistat add$420.00. Initial here to select this option. 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. Page 2 of 5 Proposal KELLNER PLUMBING & HEATING, LLC December 12, 2012 389 Slater Street Reference#: 1661-101 South Windsor, CT 06074 Due Date: 12/27/2012 Office: 860-436-6824 Fax:860-920-5215 www.kelinerplumbing.com dan@kelinerplumbing.com Job Name: Melissa Cusanelli Melissa Cusanelli 14-3 Arthur Drive 14-3 Arthur Drive South Windsor,CT 06074 South Windsor,CT 06074 We Hereby Submit Specifications And Estimates For: NOTE:This quote does include tax as needed on a single, owner occupied unit.An additional$120.08 will be added to any rentall income producing units for a new total sale price of $4444.04 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 December 12,2012 389 Slater Street Reference#: 1661-101 South Windsor, CT 06074 Due Date: 12/27/2012 Office:860-436-6824 Fax:860-920-5215 www.kellnerplumbing.com dan@kellnerplumbing.com Job Name: Melissa Cusanelli Melissa Cusanelli 14-3 Arthur Drive 14-3 Arthur Drive South Windsor,CT 06074 South Windsor,CT 06074 We Hereby Submit Specifications And Estimates For: FURNACE AND WATER HEATER $4,323.24 FURNACE ONLY $3,023.24 WATER HEATER ONLY $1,300.00 TANKLESS UPGRADE $400.00 A/C 13 SEER $1,875.00 g S• �0 A/C 14 SEER $2,250.00 A/C 16 SEER $3,200.00 HUMIDIFIER $420.00 FILTER $225.00 TOTAL 62, •Z� 50% DEPOSIT CHECK NUMBER BALANCE DUE UPON COMPLETION Page 4 of 5 1 Y Proposal 2,2012 KELLNER PLUMBING & HEATING, LLC Reference December 1 1 1661-101 389 Slater Street South Windsor, CT 06074 Due Date: 12/27/2012 Office:860-436-6824 Fax:860-920-5215 www.kelinerplumbing.com dan@kellnerplumbing.com Job Name: Melissa Cusanelli Melissa Cusanelli 14-3 Arthur Drive 14-3 Arthur Drive South Windsor,CT 06074 South Windsor,CT 06074 SubmitWe Hereby . NOTES: We propose hereby to furnish material and labor-complete In accordance with the above specifications,for the sum of: $4,323.24 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 A/J rek-'% Signature Date APPLICATION FOR ELECTRICAL PERMIT DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT# Applica _ _ _ y: BUILDING DEPARTMENT /30 0 00g App 1540 SULLIVAN AVENUE Bldg.Permit# 0-(; 644-2511 ext. 230 Date iilding Inspector Application must be printed or typed FEE SCHEDULE Location of Job: $0-$1,000=$15.00 _LL4-E5 Over$1,000= Street No. Street Lot No. $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT Ke I r'1e,�- 44a-f , %s, LL APPLICANT ADDRESS 3-FS Lf/-A 7-,er -' -57 - S'o UT-k W, rV a/ Cc v- , c 7 0,60711 APPLICANT'S PHONE# fG0 " jW3,/. G jt.2 y OWNER (t -JZC( l Xl4 At 0* N S Fq` OWNER ADDRESS \L�-5 Or--WAX' -D-\V 01) OWNER PHONE ESTIMATED COST$ ���• C � •-1 C� IS THIS A CONTRACT COST? X Yes No FEE ENCLOSEAAA- ) , -30/5 TYPE OF JOB: SOjt•CO New Installation I 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? O 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 /�dw a / yew o tlt G e-r- Fay :j / v L c Fs ruz-,Ama-rg h1��rr� THE UNDERSIGNED NEARBY 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 o 1 a3 `77 T CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT DATE DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT Applic ' re TOWN OF SOUTH WINDSOR UT 3 BUILDING DEPARTMENT APP -� 1540 SULLIVAN AVENUE Bldg.Permit# b 644-2511 ext. 230 Date il&n nspev r Application must be printed or typed FEE SCHEDULE Location of Job: ry-� Qrt hu r Ori ve $0-$1,000=$15.00 Street No. Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT KF-I.•IV T. P LU S I N G d H t-14 A4 G , L L. e- APPLICANT ADDRESS 387 S-tp-&E—1 500-tFA W I NOSoe- CT 01607y APPLICANT PHONE# 2 d— 436 -6 to I O* N SFq OWNER k )60n t A)6 rrf n "jlSh OWNER ADDRESS 1 y- 5 Q rt hut V 0() V e- O .a: .; # OWNER PHONE S L00- 11 y L/ "LDDOn C ESTIMATED COST$ 72-43 IS THIS A CONTRACT COST? Yes _No FEE ENCLOSED$ ZC� SO O�� TYPE OF JOB: I�j 1 R C _New Installation Alteration/Addition/Repair 2of 360�1 I Revised 4/01//2002 APPLICATION FOR HVAC PERMIT (Continued from reverse side) TYPE OF SYSTEM: TYPE OF BUILDING: ❑HEATING )4 RESIDENTIAL ❑COMMERCIAL ❑VENTILATION O INDUSTRIAL HEATING ❑ STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS. 0 HYDROMC WARM AIR ❑UNIT RADIANT HEATER EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION DESIGN TEMP. OUTSIDE_ __2F INSIDE gffl OF DIFFERENCE TOTAL HEAT LOSS(BTUH) °F(HEAT LOSS SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL HEATING EQUIPMENT(INCLUDING MAKE&MODEL NO.) e04m a Cm VC IS p #53!6 ,K A Pvrun e� � AO ® u A ODIJ tD,6A TA�1XcEss . GROSS HEATING CAPACITY(INPUT—BTUH)._ &, 0 NET RATING(OUTPUT—BTUH) 60 0 TYPE OF FUEL ❑OIL--GPM OIL TANK LOCATION:❑INSIDEO 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 .Z COOLING CAPACITY(BTUH) a 4_600 tp VENTILATION DESCRIBE ALL AIR HANDLING EQUIPMENT(INCLUDING KITCHEN EXHAUST EQUIPMENT) 1! ca O M rtAy U 57c TX eoiy p ,,vs" t A g a 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-� Cy- CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT 1.�.�Ic XX�_, DATE I L43 Proposal KEL'LNER PLUMBING & HEATINGr LLC December 12,2012 :389 Slater Sheet Reference t 1664-101 South Windsor, CT 06074 Due Date: 12/27/2012 Office: 860.436-6824 Fax:860-920-5215 www.kelinerplumbing.com dan@kellnerplumbing.com Job Name: Joan&Warren Walsh Joan 8 Warren Walsh 14-5 Arthur Drive 14-5 Arthur Drive South Windsor,CT 06074 South Windsor,CT 06074 860-644-6000 860-64 000 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 GMH950**313f&two stage,warm air furnace with multi speed ECM blower motor, required ductwork and a concentric(single unit)vent on the exterior of the building. 2C0 ,00 lrQL Ls ID(T **New furnace will be properly sized based on the existing furnace. Includes sidewall venting through the basement up to 50' If roof venting is required an additional$150.00 will be charged. NO additional charges(extra's)will be incurred without prior approval by a board member and a written change order. � .Y+nri�tion�pg eau4dmPn_t t�remain intact 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. I II a ga on na n-sea a ). OPTIONS: Upgrade to a Quitside 92%+efficient tankless water heater with 12 year warrantee add$400.00. Page 1 of 5 Proposal KELLNER PLUMBING & HEATING, LLC December 1. 2 16 Reference#: 64-101 389 Slater Street South Windsor, CT 06074 Due Date: 12/27/2012 Office:860-436-6824 Fax:860-920-5215 www.kellnerplumbing.com dan@kellnerplumbing.com Job Name: Joan&Warren Walsh Joan&Warren Walsh 14-5 Arthur Drive 14-5 Arthur Drive South Windsor,CT 06074 South Windsor,CT 06074 860-644-6000 860-644-6000 SubmitWe Hereby . Initial here to select this option. Replace the original Freon equipped air conditioning equipment with new 13 SEER R-410-A equipment add $1875. Initial here to select this option. �tepla a the original Freon equipped air conditioning equipment with new 14 SEER R-410-A equipment add Initi here to select this option. eplac a original Freon equipped air conditioning equipment with new 16 SEER R-410-A equipment add $3 I ial re to select this option. Install a new high efficiency air filter add$225.= Initial here to select this option. Z 5-Iv Install a new was own high quality humidifier with humidistat add$420.00. Initial here to select this option. 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. Page 2 of 5 Proposal KEL'LNER PLUMBING & HEATING, LLC December 12,2012 :389 Slater Street Reference#: 1664-101 South Windsor, CT 06074 Due Date: 12/27/2012 Office:860-436-6824 Fax:860-920-5215 www.kellnerplumbing.com dan@kellnerplumbing.com Job Name: Joan&Warren Walsh Joan&Warren Walsh 14-5 Arthur Drive 14-5 Arthur Drive South Windsor,CT 06074 South Windsor,CT 06074 860-644-6000 860-644-6000 We Hereby Submit Specifications And Estimates For: NOTE:This quote does include tax as needed on a single,owner occupied unit.An additional$120.08 will be added to any rentall income producing units for a new total sale price of $4444.04 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 December 12,2012 .389 Slater Street Reference#: 1664-101 South Windsor CT 06074 Due Date: 12/27/2012 Office: 860-436-6824 Fax:860-920-5215 www.kelinerplumbing.com dan@kellnerplumbing.com Job Name: Joan&Warren Walsh Joan&Warren Walsh 14-5 Arthur Drive 14-5 Arthur Drive South Windsor,CT 06074 South Windsor,CT 06074 860-644-6000 860-644-6000 HerebyWe FURNACE AND WATER HEATER $4,323.24 113A ap 0 FURNACE ONLY $3,02324 WATER HEATER ONLY $1,300.00 TANKLESS UPGRADE $400.00 �U A/C 13 SEER $1,875.00 .DO A/C 14 SEER $2,250.00 A/C 16 SEER $3,200.00 HUMIDIFIER $420.00 gaO-DO FILTER cZ-!!� TOTAL ( a q J' 00 50% DEPOSIT C100 qtj@G Cc- BALANCE DUE UPON COMPLETION Page 4 of 5 J 0 Proposal KELLNER PLUMBING & HEATING, LLC December 12,2012 .389 Slater Street Reference# 1664-101 South Windsor, CT 06074 Due Date: 12/27/2012 Office:860-436-6824 Fax:860-920-5215 www.kellnerplumbing.com dan@kelinerplumbing.com Job Name: Joan&Warren Walsh Joan&Warren Walsh 14-5 Arthur Drive 14-5 Arthur Drive South Windsor,CT 06074 South Windsor,CT 06074 860-644-6000 860-644-6000 SpecificationsWe Hereby Submit • Estimates For: NOTES: We propose hereby to furnish material and labor-complete In accordance with the above specifications,for the sum of. $4,323.24 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 worts 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 ,, n ^ Acceptanc Signature �-C�CX Signature Date I J- 1 3 l APPLICATION FOR ELECTRICAL PERMIT DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT# Appli t�ie BUILDING DEPARTMENT APP D 1540 SULLIVAN AVENUE Bldg. Permit# l- 644-2511 ext. 230 Date Ir ding Inspector Application must be printed or typed FEE SCHEDULE Location of Job: $o-$1,000=$15.00 1u-�- ( "� � �v Over$1,000= Street No. Street Lot No. $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT Ke I eof•- Dl v M b r n 4 1 44�, L.LL APPLICANT ADDRESS LrLA 7-cTX -57 - S'o uTk W, nJgl Cc,,— , c 1 dG o 7V APPLICANT'S PHONE# 6P61r4 OWNER l�ly(C-rn k � N SFgt OWNER ADDRESS CA) OWNER PHONE O � } ESTIMATED COST$ ���• IS THIS A CONTRACT COST? X Yes No o o FEE ENCLOSED$ I S TYPE OF JOB: I3 DSO C0 x New Installation I Alteration/Addition/Repair �p 7r' � IZU13c� 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 D 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 dd a /V l w D tlt l-eT For- �i y 4 ( ess 7-e7z 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 01 a3 07 T CONTRACTORS LICENSE NO TYPE STATE SIGNATURE OF APPLICANT / u u�^ DATE • ~� Jun. 20. 2011 11 01AM No. 5789 P. 3 -� :424- )~lectric# .%ICATION FOR.BUILDING PERMIT Plumbing# 1494 Arthur RVAC# 11000333 Da(e: SP rinkler# Estimated Cost $ FINAL APPROVALS Permit Fee 15 Building COMPLETE RED BOXED AREAS Occupancy Fee $ Engineering TYPE OF PRINT ONLY Eng..Insp.Fee $ Affidavit 0- r SIGN ON REVERSE SIDE �.� Appr.forC � 'Ibtal Fee $ � TO THE BUIDING DEPARTMENT TOWN OF SOUTH WINDSOR,CT (Additional Cost) $ f b LitThe undersigned hereby applies to do work according to the following: Applicant Location of Work Lot No. Applicant's Address LL —— S• LJ Tel# Town S l 1 L N S O CC Zip Lic.4 Owner S l .G, Architect Owner's Address L —r 1447_,t�Ut? 43- ArchilecPs Address t.J I f�f o Sd tt zip C '6 a ?I-? zip EMT' _ [UD S Al I. 3rd FI. Total NewArea 100, Sq.Ft.?VewArea:i� `� Purpose of th it City Water❑ Well❑ Septic System l'] Sewer 0 I s: P Cert. Area Basement garage A Y Aate 7— — Use Group` 7, ° onstruction TYP Re1A9B0110B' LN w V0%ki i J Jun. 2°v, 2011 11 :01AM No. 5789 P. 4 I hereby agree to conform Io all the requirements of the Laws of the Stale of Connecticut and the Ordkrances of the Town of South Windsor and to notify the Building Inspector of any alteration in the plans Or specincatioLh of the Building o for which this permit Is asked,and agree that this building is to be located the proper distance from all street tines,side yard lines,and required distances from all other zones and is located i hfch(nIINS building and Its use is allowed. Signed a& &/,,, (tr JOHN GRIWSOLD BY PAUL CZEPIGA HIS A 0 E IN FACT hereby apply for a Certificate of 0cc an for the work described in this application fo the p Signed JOHN GR �rmit. �t ISWOLD BY PAUL CZEPIGA HIS ATTO N DO NOT WRITE BELOW THIS LINE IN FACT INSPECTION COMMENTS i t r INSPECTION FIELD SHEET 09/20/11 Printed by Peart, Dayshell 12 18:22 INSPECTION: 41199 FOOTING PERMIT: STATUS APPLICATION: 201100744 LOCATION: 1404 ARTHUR DRIVE SOUTH WINDSOR PROPERTY ID: 05401404 OWNER: GRISWOLD JOHN E CONTRACTOR: REQUEST BY: DESCRIPTION: TO DOCUMENT FINISHED BASEMENT. WORK ORDER: INSPECTOR: DOUG RESULT: N/A REQUESTED: PRIORITY: SCHEDULED: COMPLETED: 08/23/11 UNPAID FEES 00 Date Time TIME: TRAVEL ONSITE COMMENTS: ALL INSPECTIONS: INSPECTED INSPECTOR RESULT INSP DESCRIPTION 08/23/11 ROSE N/A B002 FOUNDATION 08/23/11 ROSE N/A B003 FRAMING (ROUGH) 08/23/11 ROSE N/A B004 INSULATION O8/23/11 ROSE N/A B005 FIREPLACE / CHIMNEY 08/23/11 ROSE N/A B006 WOOD / GAS STOVE 07/19/11 DOUG PASS BO10 FINAL 08/23/11 ROSE N/A E001 ELECTRIC SERVICE 08/23/11 ROSE N/A E002 ELECTRIC UNDERGROUND 08/23/11 ROSE N/A E003 ELECTRIC ROUGH 08/23/11 ROSE N/A P001 WATER HEATER REPLACEMENT 08/23/11 ROSE N/A P002 PLUMBING UNDERGROUND 08/23/11 ROSE N/A P003 PLUMBING ROUGH 08/23/11 ROSE N/A P004 PLUMBING GAS TEST <�W N SEA s Town o-P Sou,t�i V&U&at �° 1540 SULLIVAN AVENUE• SOUTH WINDSOR, CT 06074 SOR•G°`'� TELEPHONE(860) 644-2511 John Griswold 14-4 Arthur Drive South Windsor,CT 06074 Re: Permit# 11000333 This letter represents that the basement renovation under the above permit substantially complies with the International Residential Code, 2003. Plumbing and electrical permits were applied for in conjunction with this building permit and have inspections and approvals. Christopher J.Dougan Ch' uil g Official Electric# APPLICATION FOR BUILDING PERMIT Plumbing# 1401 Arthur Drive Date: G fYb) HVAC # Sprinkler# 730872 FINAL APPROVALS — -F00' SIGN -- - — —_ - _ Estimated Cost $ L? CAD " b, -- -- -- Permit Fee $ y Building LETE RED BOXED AREAS Engineering Occupancy Fee $ vit YPE OR PRINT ONLY Eng. Insp. Fee $ ApprAffidafor. CO. ON REVERSE SIDE Total Fee $ ` TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ The undersigned hereby applies to do work according to the following: Applicant T T AAqrZ 4 Mr,o aARQ,� Location of Work (7(jlLA1A)o`µ I SL 192XtV L- A-1.10LLot No. Applicant's Address 2_TA.1 t,)s;n,yjc �Lv/ "'.� Tel.# 8&0 3y6 DOs/V Town ki c b 4 &,U.V Zip d 62 Lic. Owner , j_r 1. Architect Owner's Address ft-" .,2�2jyL_ Architect's Address .S L/j A).a,5"102 . C7. Zip 0b 0?_y Zip- .-Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area Purpose of this permit tifiitJl. City Water❑ Well❑ Septic System❑ Sewer❑ Ins: HO SP Cert. Area Basement Garage Approved by Date t Use Grou Construction Typ 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 all street lines,side yard lines,and required distances from all other zones and is located in whic this building an its use is allowed. S ig n e d �L-r 4Lti I hereby apply for a Certificate of Occu ncy for th wor described in this application for the permit_ Signed •> DO NOT WRITE BELO THIS LINE INSPECTION COMMENTS DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT Applic ier by: PERMIT TOWN OF SOUTH WINDSOR J ao� #q BUILDING DEPARTMENT AP 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 Date BuMing Inspector Application must be printed or typed FEE SCHEDULE Location of Job: $0-$1,000=$15.00 FTenant Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof gnation Apt.No. APPLICANT KRI- Pl-u1r► 161WG d Nv-"wG LL e- APPLICANT ADDRESS _�Sq S LA tE-12 5'-t —_ ,5OLrTFi W INIDSo1e , C'T 01607q APPLICANT PHONE# 24 Dry" 43 G —6 ka y O W N S F OWNER V ct✓� uc %j P r q� OWNER ADDRESS ) `f—Z Ar-rk.-)r Ur— V C SOU rVA \Az'jU0s . M D&o� y OWNER PHONE Flo a 49 C ESTIMATED COST$ 70 8 I ,-2 y ►1 IS THIS A CONTRACT COST? Yes No x FEE ENCLOSED$ 1CR-0'6c, ��SO-,•CO TYPE OF JOB: I j R Il New Installation Alteration/Addition/Repair A6��o�35le Revised 4/01//2002 J r e APPLICATION FOR HVAC PERMIT (Continued from reverse side) TYPE OF SYSTEM: TYPE OF BUILDING: O HEATING )4 RESIDENTIAL ❑COMMERCIAL ❑VENTILATION ❑INDUSTRIAL HEATING ❑ STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS. ❑HYDRONIC XWARM AIR ❑UNIT RADIANT HEATER EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION DESIGN TEMP. OUTSIDE_jgy__°F INSIDE g,® OF DIFFERENCE 9';e3F TOTAL HEAT LOSS(BTUH) °F(HEAT LOSS SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL HEATING EQUIPMENT(INCLUDING MAKE&MODEL NO.) G6ea ,v �M Y 4s o 153 A ,'A w _ i 1 •�>�/ - Fyru^ a- 49 QV 1kCS.►dam 4 ObW - I Q6 A TAA1 4 LE.TS t GROSS HEATING CAPACITY(INPUT-BTUH)�Qoo NET RATING(OUTPUT-BTUH)�60 D 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�_°F DIFFERENCE °F TOTAL HEAT GAIN(BTUH) (HEAT GAIN SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL COOLING EQUIPMENT(INCLUDING MAKE&MODEL NO.) TONNAGE .L COOLING CAPACITY(BTUH) a2 ,ADO VENTILATION DESCRIBE ALL AIR HANDLING EQUIPMENT(INCLUDING KITCHEN EXHAUST EQUIPMENT) accOM14N U 5k-nK FOND NStsQ + /¢cg;g_ 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-/ Cy- CONTRACTORS LICENSE NO. TYPE a TATE SIGNATURE OF APPLICANT s UAL, DATE ` - a : Proposal 'KELLNER PLUMBING & HEATING, LLC August23,2012 PO box 830 Reference#: 1660-101 Kuth Windsor, CT 06074 Due Date: 9/7/2012 Office:860-436-6824 Fax:860-920-5215 www.kelinerplumbing.com dan@kellnerplumbing.com Job Name: Doreen Rogers Doreen Rogers 14-2 Arthur Drive 14-2 Arthur Drive South Windsor,CT 06074 South Windsor,CT 06074 860-648-1649 860-723-5597 860-648-1649 860-723-5597 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 GMH950**313XA,two stage,warm air furnace with multi speed ECM blower motor, 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 roof venting is required an additional$150.00 will be charged. NO additional charges(extra's)will be incurred without prior approval by a board member and a written change order. Existing air conditioning equipment to remain intact 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 Install a 40 gallon natural gas direct vent water heater(non-sealed combustion). 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 Page 1 of 2 y Proposal KELLNER PLUMBING & HEATING, LLC August23,2012 . PP box 830 Reference#: 1660-101 South Windsor, CT 06074 Due Date: 9/7/2012 Office:860-436-6824 Fax:860-920-5215 www.kelinerplumbing.com dan@kellnerplumbing.com Job Name: Doreen Rogers Doreen Rogers 14-2 Arthur Drive 14-2 Arthur Drive South Windsor,CT 06074 South Windsor,CT 06074 860-648-1649 860-723-6597 860-648-1649 860-723-5597 We Hereby Submit SpeCifiC2tions And Estimates 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 does include tax as needed on a single,owner occupied unit.An additional$120.08 will be added to any rental/income producing units for a new total sale price of $4444.04 1 have forwarded information on available rebates for high efficiency equipment http:/Avww.cl-p.com/Home/SaveEnergy/Rebates/Home—Services And Rebates/?MenulD=4294984962 Install Firomatic safety device on the ceiling if requested by fire marshal add $65.00 per unit. We propose hereby to furnish material and labor-complete in accordance with the above specifications,for the sum of: $4,323-24- 1 -7619 -2-Y 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 attorneys fees. This proposal may be withdrawn by us if not accepted by the above due date Authorized Acceptance Signature (��0�1 Signature L r A Date 4 PLEASANT HILLS OPTIONS SELECTION SHEET Nam el©-i\ces er'S Date: /aQ Address: 4 `-� Email: R0G K l-S K)(Dfl1E�A• CO 1L1 Phone Number 946•6g9-16% cell-Y 0"5751•._ 76g Work: F-0-223'SS7 9 Best time to reach you: AM PM Notes: Please initial the spaces provided to select the options that you would like to include during the furnace/water heater replacement. Add$400 to upgrade water heater to a QuietSide 92+%efficient wall hung tankless water heater with a 12 year warranty.Please initial hereto select this option. Replace original Freon equipped air conditioning components with new 13 SEER environmentally friendly R410A condenser and coil:add$1875.Please initial hereto select this option. Re ce original Freon equipped air conditioning components with new 14 SEER environmentally frigAbly R410A condenser,and coil:add$2550.Please initial here to select this option. ReAe original Freon equipped air conditioning components with new 16 SEER environmentally frierkty R410A condenser,and coil:add$3200.Please initial here to select this option. 1)611 a high efficiency air filter add$225.00:Please initial here to select this option. Install a wash-down high quality humidifier add$420.00:Please initial here X to select this option. Please sign this document agreeing to have us complete the selected work and return it to us with a 50% deposit. By signing below you also agree to pay balance in full upon completion of the work. 1 9' 7 5r OWNER SIGNITU DATE f Ov gs, on APPLICATION FOR ELECTRICAL PERMIT DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT# Application is, BUILDING DEPARTMENT 1540 SULLIVAN AVENUE 116073 OV B Idg.Permit# -131, 644-2511 ext. 230 Date Buil i g Inspector Application must be printed or typed FEE SCHEDULE 1 V14 —L Ak Loca 'o f Job: $0-$1,000=$15.00 Over$1,000= Street No. Street t Lot No. $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT gjE,Vu A/ C- MQA1'T,5'7K,5+k4 APPLICANT ADDRESS 91 l�krU4iv0 /Z D ZV 4,&6MWA7/ C7- Ole VY7 APPLICANT'S PHONE# d06Q- 41& 7 &L1&1p OWNER .(OWN S Fq OWNER ADD SS r, OWNER PHONE 2,qZ O r ESTIMATED COST$ Ob(] ,,.� t► V IS THIS A CONTRACT COST? Yes No FEE ENCLOSED$ ° 10 TYPE OF JOB: • . 45 0 co New Installation R ✓Alteration/Addition/Repair Revised 03/05/10 , I 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 IIUS�EGr )W-F r/.S'rlNdy /,JlZiA161 OR Pej!5VI Ov j7 joiyfM60,1T" FlI Al04 MAE AI0 66C9 11- tyr S EfiX45tJ_ TAB gif-17600sl iclu rf f�K maj.,_G 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 el /"J"a6L/O P E/ CT CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT � / 3 DATE L-7,11i BUILDING PERMIT. //era/73 STATE OF CONNECITCUT ' WORKERS'COWENSATION COWYUSSION Building Permit Affidavit for Property Owners or Sole Proprietors (Conn.Gen.Stat.§31286b) Property located at__l y—4( AtZ a rZ -D[L. In the town of S 0UT14 I,t1 l u 0 S o R Name of building permit applicant: Vauw►J C. lV OOTS'rr-,rA V-X Please check one: I._1 am the owner of the above property. 2. ✓I am the sole proprietor of a business. 2A.Name of business cS-rergM 4NE 15'L44 12i c 2B.Federal Employer Identification Number(FEIN)20-5I F XF y g .............................................................................................................:...... Pursuant to§31 286b,"a.property owner or sole proprietor[who]intends to act as a general contractor or principal employer"may provide either a certificate of workers'compensation insurance or a"sworn notarized affidavit...stating that he will require proof of workers' compensation insurance for all those employed on the job site in accordance with this chapter." Please chec�Pl ne: 1. do not intend to act as a general contractor or principal employer. [Sign and stop here] Signature of applicant 2.._I intend to act as a general contractor or principal employer.Applicant must either provide a certificate of workers'compensation insurance or sign the affidavit below. .................................................................................................................... Affidavit I hereby swear and attest that I will require proof of workers`compensation insurance for every contractor,subcontractor,or other worker before he/she engages in work on the above property in accordance with the Workers'Compensation Act ter 568). I understand that pursuant to§3 i-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. Signature of applicant Subscribed and sworn to before me this day of ,200 . (Notary Public/Commissioner of the Superior Court) JUL-14-2011 07 :59 AM STREAMLINEELECTRIC 8604676466 P. 01 860.467.6466 To whom it may concern, This letter is in regards to 14-4 Arthur Drive, South Windsor, CT. It is upon the request of the South Windsor Building Official,Christopher Dougan,that this letter be submitted for the aforementioned property's file. This property has a finished basement that was not properly permitted or inspected before completion,and is in the process of being sold. The Town of South Winds6i as, wiring that the basement be inspected by trade professionals, permitted, an&t�'.04opted by the South Windsor Building Official. Streamline Electric, LLC has ijrfspegt the property, and has found some items that may need addressing,due to current code requirements. These items may or may not have been required at the time of construction,and I would leave the approval up to the South Windsor Building Official. None of these items aar.a life safety concern, nor pose any present danger. Please contact myself when a list of your requirements becomes available, so I may expedite the repair process. The buyer, is anxious to obtain the property,and can not complete the transaction until this is complete. Thank you for your continued cooperation, Regards, Brendon Montstream Streamline Electric, LLC 860-467-6466 streamlineeleetric@comeast,net 91 PORTLAND ROAR E LECTRIC LLC. MARLBOROUGH, 06447 860.467.646 • STREAM LIN • CT Lic El 19266 To whom it may concern, This letter is in regards to 14-4 Arthur Drive, South Windsor, CT. It is upon the request of the South Windsor Building Official, Christopher Dougan,that this letter be submitted for the aforementioned property's file. This property has a finished basement that was not properly permitted or inspected before completion, and is in the process of being sold. The Town of South Windsor is requiring that the basement be inspected by trade professionals, permitted, and then inspected by the South Windsor Building Official. Streamline Electric, LLC has inspected the property,and has made some modifications due to current code requirements. These items may or may not have been required at the time of construction,but are required now under the 2005 National Electrical Code. Streamline Electric, LLC is confident that the basement is ready for final inspection,but should any additional modifications be necessary, we ask that you contact us directly, so we may expedite the repair process. Thank you for your continued cooperation, Regards, Brendon Montstream Streamline Electric, LLC 860-467-6466 streamlineelectric@comcast,net JUL-19-2011 02 :29 PM STREAMLINEELECTRIC 8604676466 P. 01 JUL 11 South indsor BUII DING Rip,4RTMFNT To whom it may concern, JUL 18 In»South Windsor BUILDING DEPARTMENT This letter is in regards to 14-4 Arthur Drive, South Windsor,CT. It is upon the request of the South Windsor Building Official, Christopher Dougan, that this letter be submitted for the aforementioned property's file. This property has a finished basement that was not properly permitted or inspected before completion, and is in the process of being sold. The Town of South Windso`r.,is'r quiring that the basement be inspected by trade professionals,permitted,and t]ICil ir>t*ned by the South Windsor Building Official. Streamline Electric, LLC has iispe4IWd the property, and has made some modifications due to current code requirements. These items may or may not have been required at the time of construction, but are required now`:tinder the 2005 National Electrical Code. Streamline Electric,LLC is confident that the basement is ready for final inspection, but should any additional modifications be necessary,we ask that you contact us directly, so we may expedite the repair process. Thank you for your continued cooperation, Regards, Brendon Montstream Streamline Electric, LLC 860-467-6466 streamlineelectric@comeot,net DEPARTMENT DECISION APPLICAUON FOR PLUMBING PERNIIT PEpmrr# Applicati e ycr-- TOWN OF SOUTH VVINDSOR ,1 BUILDING DEPARTMENT z RO 1540 SULLIVAN AVENUE ldg.Permit# 644-2511 ext.230 7(6 v O 33.3 p� 'Idinginspector Application must be printed or typed Location of Job: FEE SUMDULE 14- 4 g )e-- pa $0-S 1,000=S 15.00 FTe�wn—an�t Street Lot No. Over$1,Q00= S 15.00 per$1,000 or any fraction thereof nation Apt No. APPLICANT \l O it' ifs I S Q APPLICANT ADDRESS 11- PA` -K)(I QQ- APPLICANT PRONE# 960 �0W � OWNER Al A4SOYF�- OViNER ADDRESS OWNER PHONE e 21 C a ESTMIATED COST S C7 C'3 01 � IS THIS A CONTRACT COST? _Yes 1/No o .`''G FEE ENCLOSED$ N l��SOR•CO��w TYPE OF New Installation U �� 1--��N _ � , � /Z AltemtionlAddition/Repair r V / A a 1 � � �� `} I� a� � ; ,Jun. 20. 2011 11 OOAM No. 5789 P. 2 APPLICATION FOR PLUMBING PERMIT(Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION? ❑YES❑NO 9RESIDENTIAL 13USINESS CURRENT USE AND OCCUPANCY ASSEMBLY 0 EDUCATE OVAL ME USE AND OCCUPANCY19A tN/ 9&_F 11 INSTITUTIONAL FACTORY ENGINEER'S NAME PHONE ❑STORAGE GARAGE ADDRESS ❑MIXED USE CITY ATE ZIP (Other please specify) TYPE OF INSTALLATION ? l h RSWSIZF,OF MAIN DRAIN NO.OF TOILETS�_STYLE NO.URINALS STYLE NO.OF BATHTUBS` D 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 O YES �60 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 DESCRIpTCON ORK IKA TAq-4 T149 UNDERSIGNED HEREBY APPLIES FOR A PERMIT 10 PWO1W THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. i CONT RS ICFSE No. TYPE STATE () DATE SIGNA�'CIU�OF ILICANT TTORNEY IN FACT Jr 1 DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT Application is hereby: M TOWN OF SOUTH WINDSOR PERMIT# APPROV U BUILDING DEPARTMENT _501247 D JUN 16 2008 1540 SULLIVAN AVENUE 644-2511 ext. 230 pi M Bldg.Permit# Date Building Insp South windsor INUILDING DEPARTMENTD Application must be rime,I ►incisor FEE SCHEDULE Location of Job: L — Ll �r Over$1,000= Street No. Street Lot No. $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. LAPPLICA�N:T ADDRESS � Cf Dco 1O — APPLICANT PHONE# S8S- 9cjc( 9 —� ,t p W N S t4 OWNER Qe.�r-2Yh OWNER ADDRESS f-�✓ �+� Qom. --- so CT O . A. [• OWNER PHONE ESTIMATED COST$ 00 vZ) IS THIS A CONTRACT COST? t!Yes _No FEE ENCLOSED$ dS0R co TYPE OF JOB: foil w�New Installation Alteration/Addition/Repair Revised 4/01//2002 APPLICATION FOR PLUMBING PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A 0 RESIDENTIAL BUILDING PERMIT APPLICATION? 0 YES CI NO ❑BUSINESS CURRENT USE AND OCCUPANCY ❑ASSEMBLY O 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 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 `_() QQ-N MANUFACTURER DESCRIPTION OF WORK `10 sCJLOl Guy, UTHE UNDER D HEREBY APPLIES FOR A PERIqU TO PERFOM7TM WORK DESCRIBED—AND IS T COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. P l C� CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT DATE O� Electric # APPLICATION FOR BUILDING PERMIT Plumbing#HVAC# I701 Ar4hor P)nVe- - Date: Sprinkler# Estimated Cost $ t4no• oy FINAL APPROVALS Permit Fee $ Building COMPLETE RED BOXED AREAS Occupancy Fee $ Engineering Affidavit TYPE OR PRINT ONLY Eng. Insp.Fee $ - Appr.forCO. ► SIGN ON REVERSE SIDE 4 Total Fee $ TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ The undersigned hereby applies to do work according to the following: Applicant = �d LocationofWork — LotNo. Applicant's Address / 'f — / A/�TH 1.�Fc' �I y Tel # Town :SCU'7�! 1AJ1'A1ZLC0A GT zip 60 uc.# Owner LESS `�L[ltC/+0 Architect Owner's Address _ ARTN uR --4W(VVF= Architect's Address -- S'0UT- l t, );AJ7S09 GT Zip Zip \ Sq.Ft. New Area:t st FI. 5 `_2nd R. S.�q 3rd FI. v Total New Area Purpose of this permit i .O GIc F A C City Water�L Well O Septic System O Sewer❑ Ins: HO_ SP Cert. 00, Area as ent Garage ApprovedbfSq=,,_ Date Use Group Construction 'Iype�—' o �pOgy3 Rind 11 N T 1� c�l c c" Ll S �1 P L . �� �4e- 6/12/2020 Mail-Leisa Duncan-Outlook ISs a of cw�m/x 5� Tg4g, tf5' `��1�'�1'+' 1'{�.:"53�Ss +j�,''x•E r�4�'1 �� 7�r'� � '� a+.i� it � .�'E' s. a , v f �, ✓� �� 5 7 op�R. /H rL is Fn,sN C- 7i�T�Y BHSE�►lFN7 L'N&I J'�C-S c,u 2G T C-rg7rdU r, I ht"://OuUwk.im.corrdmail/O/search/id/AC)MkADAwATZiZmYAZC04NmNmLTYIMDMtMDACLTAwCgBGAAADsHSH8N5LrE602eNEQTpd3wcA4Sen... 112 Electric # APPLICATION FOR BUILDING PERMIT Plumbing# U� Ar-� �r Dr�y� HVAC# r y Date: �/2� //`1 Sprinkler# orl.-IJ -M 1`010063o Oo17 FINAL APPROVALS Estimated Cost $ Building COMPLETE RED BOXED AREAS Permit Fee $ 3 -3 Engineering Occupancy Fee $ Affidavit TYPE OR PRINT ONLY Eng. Insp. Fee $ Appr.forCO. SIGN ON REVERSE SIDE Total Fee $ TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ The undersigned hereby applies to do work according to the following: Applicant r E ,,,:,,f Location of Work -S" r LotNo. l,� �Applicant's Address .?4� 41 /urin40•4 -r1k 200 Tel # F6e LJ7c moot Town �Q/�1on; C% Zip QKd46 Lic.# 06 <6Qr6 Owner " +J.s, �14/s Architect Owner's Address l if'r I44L Architect's Address 1.�S.CWA ,^4: Zip Ono" Zip Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area Purpose of this permit Ora �P,L-;,& City Water ] Well J Septic System J Sewer J Ins: HO SP Cert. lz Area Basement Garage Approved by Date CK21-11 Use Group Construction Type aol 9 0 1 8's 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 which this building and its use is allowed. Signed 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 INSPECTION FIELD SHEET 03/31/22 Printed by Middleton, Morgan 14 58 35 t• INSPECTION: 120837 FINAL PERMIT: STATUS: APPLICATION: 201901875 LOC: 1405 ARTHUR DRIVE SOUTH WINDSOR PROPERTY ID: 05401405 OWNER: WALSH WARREN H SR & JOAN F CONTRACTOR: REQUEST BY: PROJ DESC: DECK REBUILD WORK ORDER: INSPECTOR: ROSE RESULT: PASS REQUESTED: 10/07/19 PRIORITY: SCHEDULED: 10/10/19 PM COMPLETED: 10/10/19 UNPAID FEES: 00 Date Time MILEAGE: 00 TIME: TRAVEL ONSITE COMMENTS: DECK FINAL 5