HomeMy WebLinkAbout190 PALMER DR DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT
PERMIT#
TOWN OF SOUTH WINDSOR
Applicati BUILDING DEPARTMENT
P 1540 SULLIVAN AVENUE Bldg.Permit#
644-2511 ext. 230
Date - ng 1 pector
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$1,000 _
or any fraction thereof Tenant Designation Apt.No.
APPLICANT
APPLICANT ADDRESS Z, /q
APPLICANT PHONE#1 V3.Z
OWN S£ OWNER �_._J . -- -
> q� OWNER ADDRESS 'mot
OWNER PHONE 2/N ' 3 57S
C D ESTIMATED COST$
IS THIS A CONTRACT COST? 1-�No
FEE ENCLOSED$�ZL�
11�OS O�� TYPE OF JOB:
R C sWation
—Alteration/Addition/Repair
Revised 4/01//2002
w
APPLICATION FOR HVAC PERMIT (Continued from reverse side)
TYPE OF SY M: TYPE OFF BUIPING:
LioMATING LEI-KESIDENTIAL
❑A/C ❑COMMERCIAL
❑VENTILATION ❑INDUSTRIAL
HEATING
❑ STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS.
(i-N<-RONIC ❑WARM AIR ❑UNIT RADIANT HEATER
EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION
DESIGN TEMP. OUTSIDE OF INSIDE OF DIFFERENCE OF
TOTAL HEAT LOSS(BTUH) °F(HEAT LOSS SHEET MUST ACCOMPANY
APPLICATION)
DESCRIBE ALL HEATING EQUIPMENT(INCLUDING MAKE&MODEL NO.)
G - 31y &J
GROSS HEATING CAPACITY(INPUT-BTUIl,a NET RATING(OUTPUT-BTUH)�OpO
TYPE OF FUEL �
❑OIL-GPM OIL TANK LOCATION:U1 SEDE❑OUTSIDE CAPACITY
❑GAS-INPUT LPG TANK CAPACITY ELECTRIC-KW
AIR CONDITIONING
DESIGN TEMP.OUTSIDE OF INSIDE OF DIFFERENCE OF
TOTAL HEAT GAIN(BTUH) (HEAT GAIN SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL COOLING EQUIPMENT(INCLUDING MAKE&MODEL NO.)
TONNAGE COOLING CAPACITY(BTUH)
VENTILATION
DESCRIBE ALL AIR HANDLING EQUIPMENT(INCLUDING KITCHEN EXHAUST EQUIPMENT)
TOTAL SIZE OF SYSTEM(CFM) FRESH AIR INTAKE(CFM)
(PLANS MUST ACCOMPANY APPLICATION)
FURTHER DESCRIPTION OF WORK
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO
COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
CONTRACTORS LICENS TYP STATE
SIGNATURE OF APPLIC L. DATE
Short Form Job:
Date:
a Entire House By:
0 AUTOMATIC TLC
64 OAKLAND AVE,E.HARTFORD,CT 06108 Phone:568-1200
Project • •
For: MUTCHEK
190 PALMER, S. WINDSOR, CT
Phone: 214-3515
Design Information
Htg Clg Infiltration
Outside db(°F) 0 95 Method Simplified
Inside db(°F) 70 70 Construction quality Average
Design TD (°F) 70 25 Fireplaces 0
Daily range - M
Inside humidity(%) - 50
Moisture difference(gr/lb) - 21
HEATING EQUIPMENT COOLING EQUIPMENT
Make Make
Trade Trade
Efficiency 80 AFUE Efficiency 0 EER
Heating input 0 Btuh Sensible cooling 0 Btuh
Heating output 0 Btuh Latent cooling 0 Btuh
Heating temperature rise 0 OF Total cooling 0 Btuh
Actual heating fan 1235 cfm Actual cooling fan 1235 cfm
Heating air flow factor 0.028 cfm/Btuh Cooling air flow factor 0.054 cfm/Btuh
Space thermostat Load sensible heat ratio 95 %
ROOM NAME Area Htg load Cig load Htg AVF Clg AVF
(ft2) (Btuh) (Btuh) (cfm) (cfm)
1ST FLOOR 816 25942 12290 717 662
2ND FLOOR 816 18759 10660 518 574
Entire House d 1632 44701 22951 1235 1235
Ventilation air 832 297
Equip. @ 1.00 RSM 23248
Latent cooling 1346
TOTALS 1632 45534 24594 1235 1235
Bold/italic values have been manually overridden
Printout certified by ACCA to meet all requirements of Manual J 8th Ed.
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536
PROPERTY OF
NO. PALMER DRIVE SOUTH WINDSOR, CONN.
Being Lot No. S2 on map entitled "BIRCH HILL ESTATES Foster Street
South Windsor, Conn . Property of U & R Housing Corp. Scale 1" 100 '
Date: Jan . 21 , 1963 Hayden L. Griswold C .E."
Scale 1" s Sol
HAYDEN L. GRISWOLD C .E.
Connecticut New Service
Light & Power Connecticut Light&Power
176 Cumberland Avenue
Wethersfield,CT 06109
(860)721-4110
FAX(860)721-4119
augusdl@nu.com
Donna Augustowski
Clearing Desk Associate
December 2, 2005
Robert C Henselder
Power Line Electric, LLC
528 Stone Rd
Windsor, CT 06095
John Mutchek
190 Palmer Dr
South Windsor, CT 06074
Town of South Windsor
Attention: Bldg Inspector Office
1540 Sullivan Ave
South Windsor, CT 06074
RE: Customer Request System CRS# 469746 — 190 Palmer Dr, South Windsor
Dear Sir:
Over 60 days ago CL&P was notified that a residential service upgrade was to be completed at
the above referenced location. Work of this nature must be completed in accordance with the
CL&P Cut and Reconnect Policy. In addition, per CT General Statutes, your town requires an
electrical permit to be issued and that the electrical work is inspected and approved by a Local
Code Enforcement Official.
• CL&P has yet to receive any notification of an inspection approval from the Local Code
Enforcement official.
If CL&P's electrical meter was removed and reinstalled in the meter socket or "jumpers" have
been installed you have an additional 30 days to comply with the CL&P Cut & Reconnect Policy.
• Please contact your Local Code Enforcement Official to schedule an inspection.
If an inspection has already taken place, please have the town notify CL&P.
• Please contact the above referenced Clearing Desk Associate with a job status
update so we can work together to resolve any issues or concerns.
Thank you for your prompt attention to this matter.
Very Truly Yours,
%)"'"v4ayua�
Donna Augustowski
New Service Clearing Desk
cc: 60 day file
DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT
PERMIT#
Application is hereby:
TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
APPROVED 1540 SULLIVAN AVENUE
Permit 644-2511 ext. 230 Bldg. #
Dat Building Ins or
Application must be printed or typed
FEE SCHEDULE �j Location f Job:
$0-$1,000=$15.00 Street No. Street Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT /IfG' �l LCPA
APPLICANT ADD S
� c O
APPLICANT PHONE# r
O W Ni S Fq OWNER
OWNER ADDRESS
Of
O b OWNER PHONE 1
C ESTIMATED COST$ �1
w �—
x � IS THIS A CONTRACT COST? _Yes P iNoo
FEE ENCLOSED$ '
f/� TYPE OF JOB: �Qr
�SO R C0 New Installation
Alteration/Addition/Repair
Revised4/Ol//2002 � �
APPLICATION FOR HVAC PERMIT (Continued from reverse side)
' TYPE F YSTEM: TYPE OF UILDING:
AJHEATING RESIDENTIAL
❑kc ❑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 °F INSIDE °F DIFFERENCE °F
TOTAL HEAT LOSS(BTUH) °F(HEAT LOSS SHEET MUST ACCOMPANY
APPLICATION)
DESCRIBE ALL HEATING EQUIPMENT(INCLUDING MAKE&MODEL NO.)
t
GROSS HEATING CAPACITY(INPUT—BTUH) NET RATING(OUTPUT—BTUH)
TYPE OF FUEL
❑OIL—GPM OIL TANK LOCATION :❑ INSIDE❑OUTSIDE CAPACITY
�AS—INPUT,,T� LPG TANK CAPACITY ELECTRIC—KW
AIR CONDITIONING
DESIGN TEMP.OUTSIDE °F INSIDE °F DIFFERENCE °F
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.
CONTRACTORS LICEN E NO. TYPE STATES
DATE
SIGNATURE OF APPLICANT
J
BUILDING PERMIT Z27W&
STATE OF CONNECTICUT
WORKERS'COMPENSATION COMMISSION
Building Permit Affidavit for Property Owners or Sole Proprietors
(Conn.Gen.Stat. §31-286b)
Property located at
In the town of- 5" - WWW6277
Name of building permit applicant:
Please check one:
1._I am the owner of the above property.
2yZ,dam the sole proprietor of a business.
2A.Name of business c.
2B.Federal Employer Identification Number(FEIN)
....................................................................................................................
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 check one:
1._I 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(Chapter 568).
I understand that pursuant to§31-275 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 ired to have coverage unless he
files his intent to accept coverage.
Signature of appircant
Subscribed and sworn to before me this Qday of f 200
(Notary Public/Commissioner of the Superior Court)
1
�
.�
4
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
Applicatio rela}t;� TOWN OF SOUTH WINDSOR PERMIT
BUILDING DEPARTMENT
APPROVED 1540 SULLIVAN AVENUE
644-2511 ext. 230 Bldg. Permit#
Datc Building Inspector
Application must be printed or typed
FEE SCHEDULE Location of Job:
9� ('�1►�►-,A,� �J��tee..
$0-$1,000=$13.00 Street No. Street Lot No.
Over$1,000=
$13.00 per$1,000 1 1
or any fraction thereof ;i_ant Designation Apt.No.
APPLICANT
APPLICANT ADDRESS S �A.
o
APPLICANT PHONE#
OWN 3 Fq OWNER J QV T% iN1 try G�\L
OWNER ADDRESS I9 t� PG\ act
n
OWNER PHONE s -)-- S/ _ (,q Ll k
7 I ESTIMATED COST$
A V
IS THIS A CONTRACT COST? Yes O No
Q � FEE ENCLOSED$ 3 q. U J s(o g� jr l" �-C
rSO .Co TYPE OF JOB:
R
O Original Installation y
(�
�Alteration/Addition/Repair Revised 8/99
APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
14 RESIDENTIAL BUILDING PERMIT APPLICATION? ElYES ;V�NO
❑ BUSINESS I CURRENT USE AND OCCUPANCY .
❑ASSEMBLY
❑MERCANTILE FUTURE USE AND OCCUPANCY �1-Rtn t-e,
❑ EDUCATIONAL
❑ INSTITUTIONAL ENGINEER'S NAME PHONE
❑FACTORY
❑ STORAGE ADDRESS
❑GARAGE
❑MIXED vO% CITY STATE ZIP
(Other please specify)
TYPE OF INSTALLATION/WIRING METHOD Q 1=
SIZE OF MAIN FEEDERS AND RATING OF WIRE USED ex KP.i
NUMBER OF METERS I NUMBER OF DISCONNECTS AND RATINGS
NUMBER OF PANELS REMOTE DISCONNECT REQUIRED? ❑ YES ❑NO
NUMBER 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.
pp DESCRIPTION OF WORK \ �J
C V C C l Jh r . ^O 1A N 7 �` �nt�S L y C��G. Y It► y� _) Q./�X Q Q Q
V`L V4LJ �c.�e.L � ,al�K i (��1 �N Ltic lnS �(► �(
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.
1a36Kl
CONTRACTORS LICEN O. TYPE STATE
SIGNATURE OF APPLICANT DATE Ib ti� W
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
Ap s by:
TOWN OF SOUTH WINDSOR PERMIT#
BUILDING DEPARTMENT
APPROVED 1540 SULLIVAN AVENUE Bldg.Permit#
644-2511 ext. 230
,plic
Date NRing Inspector
Application must be printed or typed
FEE SCHEDULE Location of Job:
FtnantD
_ l Gu-P�c /.fit /
$0-$1,000=$15.00 :Te
Street :-No.
.
Over$1,000=
$15.00 per$1,000
or any fraction thereof gnation Apt
APPLICANT
APPLICANT ADDRESS 4Q- GQ
rA 06 /07
APPLICANT PHONE#
N $£q OWNER .
' OWNER ADDRESS
` OWNER PHONE
0
C ESTIMATED COST$
IS THIS A CONTRACT COST? _Yes _No
G FEE ENCLOSED$ l S
�l TYPE OF JOB: �352
OR'C��� ✓New Installation
Alteration/Addition/Repair
Revised 4/01//2002
APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
RESIDENTIAL
BUILDING PERMIT APPLICATION? O YES O NO
El BUSINESS
I,
O ASSEMBLY CURRENT USE AND OCCUPANCY
O MERCANTILE FUTURE USE AND OCCUPANCY
❑EDUCATIONAL
❑INSTITUTIONAL
❑FACTORY ENGINEER'S NAME PHONE
O STORAGE
❑GARAGE ADDRESS
❑MIXED USE
CITY STATE ZIP
(Other please specify)
TYPE OF INSTALLATION/WIRING METHOD
SIZE OF SERVICE SIZE OF MAIN CONDUCTORS
NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS
NUMBER OF PANELS REMOTE DISCONNECT REQUIRED? ❑YES O NO
NUMBER 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
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.
2 _1 103G33-
CONTRACTORS LICENSE TYPE cSTATE
SIGNATURE OF APPLIC — DATE
Electric # APPLICATION FOR BUILDING PERMIT
Plumbing# 190 Palmer Drive ,
HVAC# 13000324 [Date: b 121
Sprinkler# Estimated Cost $ /Or Yoa
FINAL APPROVALS Permit Fee $ IVT
Building COMPLETE RED BOXED AREAS Occupancy Fee $
Engineering TYPE OR PRINT ONLY Eng. Insp. Fee $
Affidavit
Appr.forCO. SIGN ON REVERSE SIDE 4 Total Fee $
TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ �2"
The undersigned hereby applies to do work according to the following:
Applicant PjAn LocationofWork NO I'er 9r. LotNo.__
Applicant's Address (OS f Jw,'^ Tel # Z8Y-!`63 _
Town _ 5 ,,+1 Zip OIL o'7Y Lic.#
Owner Architect
Owner's Address f QJ P4(,cr .Dr Architect's Address
S.W. Zip 0Lo7y Zip-
Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area
Purpose of this permit Ye4/ o44 L (Werg 4 kc/ �,�s�tJ. Sns ��/f ►r-C fw.-ki S(„'CQ
femu r r,'AA ycn+ 4nj ns�r'�sk
City Water❑ Well ❑ Septic System ❑ Sewer D -?61-�6(97s
Ins: HO Sft6er�t. Area Basement Garage
Approved by a ate Use Group 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 04/19/22
Printed by Middleton, Morgan 10 19 10
INSPECTION: 59320 FINAL PERMIT:
STATUS:
APPLICATION: 201300875
LOC: 190 PALMER DRIVE
SOUTH WINDSOR
PROPERTY ID: 68400190
OWNER: MUTCHEK JOHN H & JOANNE H
860-656-6948
CONTRACTOR:
REQUEST BY:
PROJ DESC: TEAR OFF TWO LAYERS ASPHALT SHINGLES. INSTALL ICE AND WATER
WORK ORDER:
INSPECTOR: ROSE RESULT: PASS
REQUESTED: 08/14/13 PRIORITY:
SCHEDULED: 08/14/13 AM COMPLETED: 08/14/13
UNPAID FEES: 00 Date Time
MILEAGE: 00 TIME: TRAVEL ONSITE
COMMENTS:
13000324 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER BUILDING PERMIT
DATE: 06/25/2013 -
GIS ID:68400190 r ' y, FEE: 165.00
MUNIS APPLICATION# 201300875 _ , "BUILDING DESCRIPTION:
APPLICANT• LOCATION
NAME: DZEN RESIDENTIAL ROOFING -=' ADDRESS: '190 PALMER DRIVE
ADDRESS: 105 EDWIN ROAD , s" ,-ti OWNER:,: MUTCHEK JOHN H&JOANNE H
SOUTH WINDSOR,CT 06074 ; -t 190;PALMER DRIVE
SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: TEAR O1zF TW0 LAYERS ASPHALT SHINGLES,. IN, ICE AND WATER
SHIELD;SFELT-PAPER,RIDGE VENT,AND RESHINGLE.
....
SPECIAL CONDITIONS:
ALL WORK TO BE DONE IN ACCORDANCE.WITH TM APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT.
CONSTRUCTION TYPE:
OCCUPANCY GROUP: �- ''•� ., z ` ,� °` BUILDING OFFICIAL
6/25/2013 11:41 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE
1000283 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER ELECTRICAL PERMIT
DATE: 09/28/10
GIS ID:68400190 FEE: 15.00
MUNIS APPLICATION# 201001317 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: ERIKSSON ELECTRIC ADDRESS: 190 PALMER DRIVE
ADDRESS: 19 RACE BROOK OWNER: MUTCHEK JOHN H&JOANNE H
WEST HARTFORD,CT 06107 190 PALMER DRIVE
SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: WIRE CENTRAL A/C.
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
9/28/2010 11:53 AM THE FEE ABOVE INCLUDES A S0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE