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Ele_:tric # APPLICATION FOR BUILDING PERMIT
Plumbing#
HVAC# l a a j. IDtvi J zt Date:
Sprinkler# ,
FINAL AP ROVALS 1416 D (-P t Estimated Cost $ Obb.
Building Permit Fee $
g COMPLETE RED BOXED AREAS Occupancy Fee $
Engineerin TYPE OR PRINT ONLY Eng. Insp. Fee $
Affidavit ► SIGN ON REVERSE SIDE t
Appr.forCO. Total Fee $
TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $4 I o 5 Zb
The undersigned hereby applies to do work according to the following:
Applicant Gy L 19CoA%c^&,&- —Q0 [ ha1ionofWork /2,? LotNo._
Applicant's Address ,57 fs;1 u 1-z r4✓c Tel #
Town k , - Zip 06/- T Lic.# d&3 I ho oZ
Owner 10e I :,o Architect
Owner's Address I ?J -DC>G6- Z / K Architect's Address
Zip -
-Zip-Sq. Ft. New Area: 1st FI. 2nd FI. 3rd FI. Total New Area
Purpose of this permit /L>0-0 AH l ',o y i q-%p4 NI �-
!�/�L.. rdo S4,-,1 ..aki 71>0 tzc14- c,ecr . ` ic-c wH i «-L.p-U
City Water Well J Septic System J Sewer J f
Ins: HO P Cert. Area Basement Garage
Approved by5r_Date `2 Use Group��L Construction Type
Revised 1108
I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town of '
South Windsor and to notify the Building Inspector of any alteration in the plans or specifications of the Building for which this
permit is asked,and agree that this building is to be located the proper distance from all street lines,side yard lines,and required
distances from all other zones and is located in 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 01/05/17 •
Printed by Foreshaw, Dayshell 16:26 50
INSPECTION: 883030 PERMIT:
" STATUS:
APPLICATION: 201601214
LOC: 172 DOGWOOD LANE
SOUTH WINDSOR
PROPERTY ID: 28500172
OWNER: SECRETARY OF HOUSING AND URBAN DEV
CONTRACTOR:
REQUEST BY:
PROJ DESC: STRIP EXISTING ROOF AND INSTALL NEW 30 YR ASPHALT ARCH.
WORK ORDER:
INSPECTOR: DOFUG, �� RESULT: ASS I
REQUESTED: 1"O /03{17 PRIORITY:
SCHEDULED: 01/04/17 PM COMPLETED: 5/704/i1
UNPAID FEES: 00 ate- Time
MILEAGE: 00 TIME: TRAVEL ONSITE
COMMENTS:
DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT PERMIT#
Application is hereby: TOWN OF SOUTH WINDSOR y a 0 z
BUILDING DEPARTMENT }rI 3
APPROVED 1540 SULLIVAN AVENUE
644-2511 =.230 Bldg.Permit#
(Date) (Building Inspector)
Application must be printed or typed
FEE SCHEDULE Location of Job:
$041,000=$15.00 Street No. Street Lot No.
Over$1,000-
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT �i�
APPLICANTS� ADDRESS /y / �U �I a�'►cl S
APPLICANT PHONE 7
HONE# `�l� _ G SSS�` �✓ (o
O� N Sf OWNER 1 P4ec n0
'et OWNER ADDRESS 17 Z
0 OWNER PHONE
C = ESTIMATED COST $
IS THIS A CONTRACT COST? YES NO
FEE ENCLOSED$ (.
0 0
TYPE OF JOB: co,
`BUR•CD New Installation
Alteration/Addition Repair
26 1 1 v o o 52
Revised 12/22/11
APPLICATION FOR PLUMBING PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
R! RESIDENTIAL BUILDING PERMIT APPLICATION? ❑ YES NO
O BUSINESS CURRENT USE AND OCCUPANCY
O ASSEMBLY
O MERCANTILE
O EDUCATIONAL FUTURE USE AND OCCUPANCY
O FACTORY
O STORAGE ENGINEER'S NAME PHONE
0 GARAGE
O MIXED USE ADDRESS
(Other please specify) CITY STATE ZIP
TYPE OF INSTALLATION SIZE OF MAIN DRAIN
NO. OF TOILETS STYLE NO.URINALS STYLE
NO. OF BATHTUBS NO. OF SHOWERS NO. OF LAVATORIES
NO.OF CONDUCTORS SIZE NO.OF STACKS SIZE
AREA OF ROOF NO.OF CATCH BASINS NO. OF FLOOR DRAINS
NO.OF OTHER FIXTURES KIND
ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW 0 YES 0 NO
SIZE OF WINDOW IF NONE C.F.M.OF VENTILATOR
SIZE OF DUCTS SEWER OR SEPTIC TANK
SIZE OF WATER MAIN SIZE OF WATER PIPING&RISER
WATER HEATER: TYPE MANUFACTURER
DESCRIPTION OFCoe
WORK
&✓aler p7ez to S•�;H1�
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.
1 I-M- e_-2 $74/ io 2 _I cl
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT DATE c3
BUILDIJiG P$RMIfi
STATE OF CONNECITCUT
WORKERS'GOhIPENSATICIN CON MSSION
Building Permit Atlidayit for Property Owners or Sole Proprietors
(Conn.-Gen.Stet§312M)
Property located at LK.
In the town of "50,3 HN ,�-
Name,of building permitapplicant: 1a o z
Please check one:
✓ 1.+ am the owner of 1he above property.
2. 1 am the sole..proprietor of a business.
2A.Name of business-]DL 13 Ou,-,
• 2B.Federal Employer Identification Number(FEIIJ)
.....................................................................................
..............:.:..............
Pursuant to 3I--2Wb,`fit property owner or sole proprietor[who/intends to act as a general
ooutractor or princW employer"mayprovide either a certificate of woriaa s!compensation
iasuiancx or.a`Swrocd aotaiiud aldavit...stating that he w81 require proof of waricaa'
compensation mi-Mime mce for all thoge employed on the jpb site in accordance widr this chapter."
Please c7� I
e: -
do not intend to act as a general contractor orprincipal employer.
[Sign and.step here]
SWiture of applicant
2._I ink to act as-a gtme{al.conhactor or principal employer.Applicant must either
• pl M&a certificate of*orbd compensation insurance or sign the affidavit
WOW.
........................................................................:..............................
.......:.N:..
AMdavit
.I hereby swear and.mest that I will require proof of wodwe oompeasation insurance for every
eo u�or,subconthaw,or other worker before he/she cagages in work on the sbovo propuly in
accordom with tlio`WoAnf Compensation Act(ChopW568).
I understand drat pucsusnt to§31-275 C.G.S,offict o of a.corporation and partners in a
p�a�hii mot elect to be acchkW from wv_uage by_film' a waiver with the appropriate
District Offic -and that a sole proprietor ofa business is not required to'have coversge unless he - -
---- -- - 5ks his hdw to'acoapt coverage.---_
Sigaatum of applicant
Subscribed and sworn to before me this day of ;200
(Notary Public/Commissioner of the Superior Court)
APPLICATION FOR HVAC PERMIT
DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT#
Application is hereby: BUILDING DEPARTMENT
AP O 1540 SULLIVAN AVENUE
-t r r 644-2511 ext. 230 Bldg.Permit#
Date Building Inspector
Application must be printed or typed
FEE SCHEDULE ll Location of Job:
$041,000=$15.00 l 2 l-J (� L- 1
Over$1,000= Street No. Street Lot No.
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT -1 P C,�o
APPLICANT ADDRESS y Z gD Cl3 2
l;1Pr 1�T c2r 0 C, I z d
APPLICANT'S PHONE# (D D �� Z
OWNER r �
OWN S Fq< OWNER ADDRESS J 7 Z a W oo A v►Q S �Y
OWNER PHONE
ESTIMATED COST$ 2*�� C)
C �
IS THIS A CONTRACT COST? Yea 4__�No
FEE ENCLOSED$
TYPE OF JOB: [&wk
�$OR-CON New Installation
lteration/Addition/Repair
�O l rl U DOS
Revised 03/05/10
APPLICATION FOR HVAC PERMIT(Continued from ieverse side)
TYPE OF S TEM: TYPE OF BUILDING:
a-111EEATING ZU RESIDENTIAL
❑ A/C ❑ COMMERCIAL.
❑ VENTILATION ❑ INDUSTRIAL
HEATING
❑ STEAM LAW PRESS LIMIT LBS. HIGH PRESSURE LIMIT LBS.
❑ HYDRONIC 9--WARM AIR ❑ UNIT RADIANT.HEATEER
EXISTING RADIATION ADDITIONAL RADIATION .-TOTAL RADIATION
DESIGN TEMP.OUTSIDE OF INSIDE OF DIFFERENCB °F
TOTAL HEAT LOSS(BTUH) °F(HEAT LOSS SHEET MUST ACCOMPA?&APPLICATION)
DlESCRIBE ALL BEATING EQUIPMENT(INCLUDING &MODEL NO.)
a IfY /—'&X/c4i 6< -,L22 5�-1/ A-�Kt,) 6�-S
GROSS BEATING CAPACITY{INPUTBTUH). NET RATING(OUTPUT-BTUH)
TYPE OF FUEL
❑ OIIrGPM OIL TANK LOCATION:❑ .INSIDE ❑ OUTSIDE.CAPACITY
❑ GAS-INPUT---SJVLPG 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 HERF.BYAPPUES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO
COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECIICUT BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
(7
CONTRACTORS LI 5E N ST
SIGNATURE OF APPLIC DATE 0
MIX17 Load-Cale
DmignIndoor('ooling'remp.:75 °F PeterDelftno Design Indoor Heating Temp.:70 °F
Design Outdoor Cooling Temp.:88 °F 172 Dogwood Ln.,South Windsor,Ct Design Outdone Heating Temp.:6 °F
Temp.Difremnee Cooling:13°F Area: Hartford Brainard Field,CT Temp.Difference Heating:64°F
Indoor Humidity: 50 • Grains difference:30 Front Door Orientation North •
Whole House Load Calculator
TDICOOMPIR Ho@tWF 3(4 A.-types 1 and 2 shading Sy.R.-types I aru12 slo is 4 R-r pw I and 2
0101111ille VI&North 1:704 21 Wedows It 'I:32 2y Glass Doors x 1
Ottsids VIbdL Sotah 1:704 2: Wledowa l• 1:32 2. Glees Doors l• 1: 2. Doss
Outside Vlh&E t W 1:8W 2: Wedows L• 116 2 GlassDone L• 11 2. Daoe 1
Outside VM:NE A N W 1: 2: windows x 1:� 2 Gbw Dotsa x I, 2: Doors
Onbido Wdl:BE h SW 1: 2: 1>redows l • 1• 2 I Gbw Done I.• t 2;
Sky Lights N: S: E w: N&NW: SE-Sw:
Fktor-(linear R if slab) I: 2: Basenmi Willsabose psd.148 below gaol. 866 sq.R
— Ceiling 1:- 2: Baaeaneat Oof- ML or[• feat blow sredC a ft. •
Nw*w oP.Appliances 3 Fireplaces 1 •
Ntssberof 4 Fresh air rerosmseh 57cfm CVM
Cauditwd-ft ft: 1108 77 Cubit:.lit:SOW Coommarwum:good • D octsysiem: crawispa• R-2 • (•
ToW Btu's Cooling Sensible load Laoeat toad Total 13hes Heating
18001 16722 1279 43490
Btu breakdown
r- 771 Sensible Latent Heating Stmcture types
walls I6266 1664 t Outside Walls 1:Siding or Stucco no insulation w/R4 board
windows 3520 4608 Outside Walls 2:
ceilings F5O
Windows 1:single pane no internal shade
doors 20 Windows 2:single pane no internal shade
Glass Doors 1:
floors Glass Doors 2:
a pliances 3600 Floors 1:closed or vented crawl carpet no insulation
ople I920 F80-0-7 Floor 2:open crawl or garage R-13 insulation
glass doors 0 Ceiling 1:Ceiling under attic space R-13
skylights 00� Ceiling 2:Ceiling under roof joists R-1 I
asement walls 2060 117125 Doors:Wood solid core
basement floor 11950 Skylights:
infiltration 0 336 479 4116 Basement Walls:block brick or concrete-no insulation 00
fresh air 0 0 0 Basement Floor no insulation underneath
duct load Win ht.:5'0" Overhang: 1.5' Top to overhang:2'
Totals 16722 1279 43490
httpJMrww.loadcalc.netAoad.php 1M
172 DOGWOOD LANE
Location 172 DOGWOOD LANE Mblu 68/ 56/88//
Acct* 28500172 Owner SECRETARY OF HOUSING
AND URBAN DEV
Assessment $157,600 Appraisal $225,100
PID 4695 Building Count 1
Current Value
Appraisal
Valuation Year -Improvements — Land Total
2015~—�_---- ---$85,700 �--- — $139,400 � $225,1001
Assessment
Valuation Year Improvements Land Total
2015 $60,000 $97,600 $157,600
Owner of Record
Owner SECRETARY OF HOUSING AND URBAN DEV Sale Price $0
Co-Owner C/O MICHAELSON,CONNER&BOUL Certificate
Address 4400 WILL ROGERS PKWY #300 Book&Page 2502/ 18
OKLAHOMA CITY, OK 73108 Sale Date 01/08/2016
Instrument 14
Ownership History
Ownership History
Owner Sale Price Certificate Book&Page Instrument Sale Date
SECRETARY OF HOUSING AND URBAN DEV $0 2502/ 18 14 01/08/2016
BANK OF AMERICA $0 2471/ 193 14 07/02/2015
i
GOETZ JOHN E JR&NICOLE A l $175,000 11791 181 00 12/28/2000
j KINGSTON GARY E&LINDA A $61,900, 263/ 133 01 07/09/1979
Building Information
Building 1 : Section 1
Year Built: 1960
Living Area: 1,188
Replacement Cost: $127,073
Building Percent 67
Good:
Extra Features jeQend j
• No Data for Extra Features A
Land
Land Use Land Line Valuation
Use Code 101 Size(Acres) 0.7
Description Res Dwelling Frontage 0
Zone A20 Depth 0
Neighborhood Assessed Value $97,600
Alt Land Appr No Appraised Value $139,400
Category
Outbuildings
Outbuildings Legend
Code Description Sub Code Sub Description Size Value Bldg#
SHD1 -Shed ;FR Frame 160 S.F. $600� 1
Valuation History
Appraisal
Valuation Year r Improvements i Land Total
2015 $85,700~ $139,400 $225,1001
- -j
2014 -_--------.-- ---�--_------- $85,700 $139,400-_ -----$225,100�
2014 —___------_---------_- $85,700 I -�-`-_ $139,400` ---'---` $225,100
Assessment
Valuation Year Improvements Land Total
2015 $60,000 1 $97,600 1 $157,6001
12014 $60,000 $97,600 1 $157,600
12014 $60,000 $97,600 $157,600
i
(c)2016 Vision Government Solutions, Inc.All rights reserved.
Replacement Cost Building Photo
Less Depreciation: $85,100
Building Attributes
Field Description
Style Split-Level 4
s
Model Residential
Grade: C
Stories 1.0
Occupancy 1
Exterior Wall 1 Vinyl Siding
Exterior Wall 2
Roof Structure Gable
(http://images.vgsi.com/photos/SouthWindsorCTPhotos//\00\0(
Roof Cover Asphalt
Building Layout
Interior Wall 1 Drywall
Interior Wall 2
04*
Interior Fir 1 Carpets
Interior Fir 2
Heat Fuel Gas - f
Heat Type: Forced Hot Air
AC Percent 0
Total Bedrooms: 3 Bedrooms
Full Bthrms: 1
Half Baths: i
Extra Fixtures 0
Total Rooms: 7 Building Sub-Areas (sq ft) legend
Bath Style: Average Code Description Gross Living
Area Area
Kitchen Style: Average
BAS First Floor 1,188 1,188
Num Kitchens 1
BSM Basement 1,100 0
Fireplace(s) i
DCK Deck 304 (i
Extra Opening(s) 0
2,592 1,188
Gas Fireplace(s) 0
%Attic Fin 0
LF Dormer 0
Foundation Poured Conc
Bsmt Gar(s) 1
Bsmt% 100
SF FBM 650
Fin Bsmt Qual Full-Ave
Bsmt Access None
Extra Features
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BUILDING DEPARTMENT
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:.pies of the proposed building or alterattuns to u.
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together with amendments slated In application n�
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permit.
Signed
this plan Is approved sublect to the condition V.
ardcrs and ordinances regulating building shall b•
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t:ondttionalty Approved These tiled with
Building Inspector Clark
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1600564 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER BUILDING PERMIT
DATE: 09/21/2016
GIS ID:28500172 FEE: 90.00
MUNIS APPLICATION# 201601214 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: GN CONSTRUCTION LLC. ADDRESS:- 172 DOGWOOD LANE
ADDRESS: 55 GIRARD AVENUE OWNER: SECRETARY OF HOUSING AND URBAN
HARTFORD,CT 06165 4400 WILL ROGERS PKWY#300
OKLAHOMA CITY,OK 73108
DESCRIPTION OF WORK: STRIP EXISTING ROOF AND INSTALL NEW 30 YR'ASPHALT ARCH.
ROOF: INSTALL NEW 30LB.FELT PAPER.3FT:ICE AND WATER
SHIELD AND NEW DRIP EDGE. 16 SQ.
SPECIAL CONDITIONS:
ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT.
CONSTRUCTION TYPE:
OCCUPANCY GROUP: BUILDING OFFICIAL
9/21/2016 11:23 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE
1700021 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER HVAC PERMIT
DATE: 01/19/2017
GIS ID:28500172 FEE: 45.00
MUNIS APPLICATION# 201700024 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: HECTOR RIVERA ADDRESS: 172 DOGWOOD LANE
ADDRESS: 83 WILLIAMS STREET OWNER: DELFINO PETER
EAST HARTFORD,CT 06108 193 LAMENTATION DR
BERLIN,CT 06037
DESCRIPTION OF WORK: REPLACE GAS FURNACE AND INSTALL NEW GAS FURNACE.
SPECIAL CONDITIONS:
ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT.
CONSTRUCTION TYPE:
OCCUPANCY GROUP: BUILDING OFFICIAL
1/19/2017 1:41 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE
1700032 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER PLUMBING PERMIT
DATE: 01/24/2017
GIS ID:28500172 FEE: 15.00
MUNIS APPLICATION# 201700052 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: DBL PLUMBING LLC. ADDRESS: 172 DOGWOOD LANE
ADDRESS: 1141 TOLLAN STREET OWNER: DELFINO PETER
EAST HARTFORD, CT 06108 193 LAMENTATION DR
BERLIN,CT 06037
DESCRIPTION OF WORK: INSTALL 40 GALLON GAS WATER HEATER.
SPECIAL CONDITIONS:
ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT.
CONSTRUCTION TYPE:
OCCUPANCY GROUP: BUILDING OFFICIAL
1/24/2017 3:39 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE