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APPLICATION FOR HVAC PERMIT DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT APPROvj�D 1540 SULLIVAN AVENUE 1 `' 644-2511 ext. 230 Bldg.Permit# Date Building Inspector Application must be printed or typed FEE SCHEDULE � Location of Job: $041,000=$15.00 Over$1,000= Street No. Street Lot No. $15.00 per$1,000 or any fraction thereof Tenant Designation Apt..No. APPLICANT �CY e.►-�o s T �� c!-i�,�-�,. / �i - ,c a. S. C L C- APPLICANT ADDRESS I�r S� n,/_� 7 V / y� APPLICANT'S PHONE# 8- -- CZ Z IS— OWNER `7b HV) OWNER ADDRESS :2 2 Sr O11 L� of .r ter- D co d Y OWNER PHONE a ESTIMATED COST$ �` 3 �, c.,O ,.I U IS THIS A CONTRACT COST? Yes No FEE ENCLOSED$ /6� ° ° V TYPE OF JOB: �SOg.COS New Installation Alteration/Addition/Repair 2 i76o,7•31 Revised 03/05/10 APPLICATION FOR HVAC PERMIT(Continued from reverse side) TYPE OF SYSTEM: TYPE OF BUILDING: ❑ HEATING )A RESIDENTIAL A/C ❑ COMMERCIAL ❑ VENTILATION ❑ INDUSTRIAL HEATING ❑ STEAM LOW PRESSURE LB41T LBS. HIGH PRESSURE LIMIT LBS. ❑ HYDRONIC ❑ WARM AIR ❑ UNIT RADIANT.HEATER . EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION DESIGN TEMP.OUTSIDE OF INSIDE OF DIFFERENCE OF TOTAL HEAT LOSS(BTUH) OF(HEAT LOSS SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL HEATING EQUIPMENT(INCLUDING MAKE&MODEL NO.) GROSS HEATING CAPACITY(INPUT-BTUH) NET RATING(OUTPUT-BTUH) TYPE OF FUEL ❑ OIL-GPM OIL TANK LOCATION: ❑ INSIDE ❑ OUTSIDE CAPACITY ❑ GAS-INPUT LPG TANK CAPACITY ELECTRIC-KW AIR CONDITIONING DESIGN TEMP: OUTSIDE OF INSIDE OF DIFFERENCE OF TOTAL HEAT GAIN(BTUH) (HEAT GAIN SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL COOLING EQUIPMENT(INCLUDING MAKE&MODEL NO.) - 0 4g.4 j7d 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 A//- 'QQ �er- u T 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. at CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT DATE <G - wrightsoft Manual S Compliance Report Job: Date: Jun 14,2017 Entire House By: Project Inf• • For: DEBBIE HALPERN 229 OAKST, SOUTH WINDSOR, CT Cooling Equipment Design Conditions Outdoor design DB: 88.0°F Sensible gain: 26198 Btuh Entering coil DB: 78.3°F Outdoor design WB: 72.0°F Latent gain: 4235 Btuh Entering coil WB: 64.0°F Indoor design DB: 75VF Total gain: 30433 Btuh Indoor RH: 50% Estimated airflow: 1167 cfm Manufacturer's Performance Data at Actual Design Conditions Equipment type: Split AC Manufacturer: American Standard Model: 4A7A6036J1+TEM6AOC42H41++TDR Actual airflow: 1167 cfm Sensible capacity: 24500 Btuh 94% of load Latent capacity: 10500 Btuh 248% of load Total capacity: 35000 Btuh 115% of load SHR: 70% Heating Equipment Design Conditions Outdoor design DB: 8.0°F Heat loss: 45944 Btuh Entering coil DB: 66.7°F Indoor design DB: 70.0°F Manufacturer's Performance Data at Actual Design Conditions Equipment type: Gas furnace Manufacturer: Model: Actual airflow: 1167 cfm Output capacity: 0 Btuh 0% of load Temp. rise: 0 Meets are all requirements of ACCA Manual S. At. . wrightsoft` Right-Suite® 2017-Jun-14 09:35:30 Universal 2017 17.0.21 RSU19651 ...\OneDrive\Documents\wrightsoft HVAC\HALPERN.rup Calc=MJ8 Front Door faces: N Page 1 9 a DHW Report Job. wri htsoft Date: Jun 14,2017 Entire House By: Project Information For: DEBBIE HALPERN 229 OAKST, SOUTH WINDSOR, CT Design Occupants Not occupied during the day Age Number Dishwasher 0-5 0 Clothes washer 6-13 2 Additional use(gpd) 0 14-59 2 Setpoint (OF) 12C 60+ 0 Daily use (gpd) 01 Gas • • 1 gal, 0.60 Manufacturer Tank size(gal) 40 Trade name Energy factor 0.60 Model Input (MBtuh) 00 AHRI ref. number 1st hour(gal) 60 Recovery eff. (%) 77 2017-Jun-14 09:35:30 wrightSOW Right-Suite®Universal 2017 17.0.21 RSU19651 Page 1 ...\OneDrive\Documents\Wrightsoft H VAC\HALPERN.rup Cale=MJ8 Front Door faces: N •' Plans Examiner Review Fo Form ~� RIDER 1 ,qcC K ' • (Loads, Equ15 Mar 09 Header Information Contractor: REQ U I RED ATTACHMENTS ATTACHED Manual J1 Form(and supporting worksheets): Yes No Mechanical license: or MJ1AE Form*(and supporting worksheets): Yes (] No OEM performance data(heating,cooling,blower): Yes No El Building plan#: Manual D Friction Rate Worksheet: Yes 0 No Duct distribution sketch: Yes O No Home address(Street or Lot#,Block,Subdivision): 229 OAKST, Entire House HVAC • •D CALCULATION (IRC M1401.3) Design Conditions Building Construction information Winter Design Conditions Building Outdoor temperature: 8 °F Orientation: Front Door faces North Indoor temperature: 70 *F North,East,West,South,Northeast,Northwest,Southeast,Southwest Total heat loss: 45944 Btuh Number of bedrooms: Conditioned floor area: 1680 ftz Summer Design Conditions Number of occupants: 4 Outdoor temperature: 88 *F Indoor temperature: 75 *F Windows Root Grains difference: 28 gr/lb 50% RH Eave overhang depth: 0 ft Sensible heat gain: 28170 Btuh Internal shade: none Blinds,drapes,etc. Eave Latent heat gain: 4553 Btuh Depth window Total heat gain: 32723 Btuh Number of skylights: 0 HVAC EQUIPMENT ,0 Heating Equipment Data Cooling Equipment Data Blower Data Equipment type: Gas furnace ETuigment type: SplitAC Heating cfm: 1167 .mace,Heatpump,Boller,etc. Jr onditioner,Heat pump,etc. Cooling cfm: 1167 Model: Model: American Standard Static pressure: n in H2O 4A7A6036J1+TEM6AOC42H41++TDR desPgn e,u.ov. Heating output capacity: 0 Btuh Total cooling capacity: 0 Btuh Most pumps-capacttyat winter design outdoor conditions Sensible cooling capacity: 0 Btuh Aux.heating output capacity: 0 Btuh Latent cooling capacity: 0 Btuh • ell, i6ig. Design airflow: 1167 cfm Longest supply duct: 0 ft Duct Materials Used Equipment design ESP: 0 in H2O Longest return duct: 0 ft Trunk duct: Total device pressure losses: 0 in H2O Total effective length(TEL): 0 ft Available static pressure(ASP): 0 in H2O Friction rate: Q in/100ft Branch duct: Sheet metal Friction Rate=ASP-(TELx10 ) I declare the load calculation.equipment equipment selection and duct desigp were rigorously per forrried _Wsed on the building plan listed above. •- • the claims made on -se forms will be subject to review and verification. Contractor's printed name: Contractor's signature: Date Reserved for County Town Municipality orAuthority having jurisdi�6ti6n use. 'Home qualifies for MJ1AE Form based on Abridged Edition Checklist wrightSOW Right-Suite®universal2017 17.0.21 RSU19651 P ect SummaryJob: ro -�- wrightsoft� Entire House By: Jun 14,20,7 -Proiect Information For: DEBBIE HALPERN 229 OAKST, SOUTH WINDSOR, CT Notes: Desiqn Information Weather: Hartford, Bradley IAP, CT, US Winter Design Conditions Summer Design Conditions Outside db 8 OF Outside db 88 OF Inside db 70 OF Inside db 75 `F Design TD 62 OF Design TD 13 OF Daily range M Relative humidity 50 % Moisture difference 28 gr/lb Heating Summary Sensible Cooling Equipment Load Sizing Structure 32144 Btuh Structure 15466 Btuh Ducts 18871 Btuh Ducts 14475 Btuh Central vent(0 cfm) 0 Btuh Central vent(0 cfm) 0 Btuh none (none) Humidification 0 Btuh Blower 0 Btuh Piping 0 Btuh Equipment load 51015 Btuh Use manufacturer's data n Rate/swing multiplier 0.93 Infiltration Equipment sensible load 27846 Btuh Method Simplified Latent Cooling Equipment Load Sizing Construction quality Average Fireplaces 1 (Average) Structure 1764 Btuh Ducts 3199 Btuh Central vent (0 cfm) 0 Btuh Heating Cooling (none) Area(ft2 1680 1680 Equipment latent load 4963 Btuh Volume(ft3) 11784 11784 Air changes/hour 0.60 0.26 Equipment total load 32809 6tuh Equiv.AVF(cfm) 118 51 Req. total capacity at 0.70 SHR 3.3 ton Heating Equipment Summary Cooling Equipment Summary Make Make American Standard Trade Trade AMERICAN STANDARD Model Cond 4A7A6042J 1 AHRI ref Coil TEM6AOD48H41++TDR AHRI ref 8627889 Efficiency 80AFUE Efficiency 14.0 EER, 16.5 SEER Heating Input 0 Btuh Sensible cooling 28700 Btuh Heating output 0 Btuh Latent cooling 12300 Btuh Temperature rise 0 OF Total cooling 41000 Stuh Actual air flow 1367 cfm Actual air flow 1367 cfm Air flow factor 0.027 cfm/Btuh Air flow factor 0.046 cfm/Btuh Static pressure 0 in H2O Static pressure 0 in H2O Space thermostat Load sensible heat ratio 0.86 Calculations approved by ACCA to meet all requirements of Manual J 8th Ed. 2017-Jun-14 09:31:36 !� wrightsoft• Right-Suite®Universal2017 17.0.21 RSU19651 Page 1 AZ6K ...1OneDrive\Documents\Wrightsoft HVAC%HALPERN.rup Calc-MJ8 Front Door faces: N 9 AED Assessment Job: wri htsofta Date: Jun 14,2017 Entire House By: Project Information For: DEBBIE HALPERN 229 OAKST, SOUTH WINDSOR, CT Design C• • • Location: Indoor: Heating Cooling Hartford, Bradley IAP, CT, US Indoor temperature(OF) 70 75 Elevation: 180 ft Design TD (OF) 62 13 Latitude: 420N Relative humidity (%) 50 50 Outdoor: Heating Cooling Moisture difference (gr/lb) 48 Dry bulb (OF) 8 88 Infiltration: Daily range(OF) - 20 ( M ) Wet bulb(OF) - 72 Wind speed (mph) 15.0 7.5 Test • Adequate • • Hourly Glazing Load 9, 8, 7, g 6,00 5. 4, 3, 2, 1, 0 _ 8 9 10 11 12 13 14 15 16 17 18 19 20 Mm q Ory Maximum hourly glazing load exceeds average by 33.4%. House does not have adequate exposure diversity (AED), based on AED limit of 30%. AED excursion: 221 Btuh (PFG - 1.3*AFG) 2017-Jun-14 09:31:36 wrightSO W Right-Suite®Universal 2017 17.0.21 RSU19651 Page 1 ...%oneDrive\Documents\Wrightsoft HVAC\HALPERN.rup Calc=MJ8 Front Door faces: N I • -�}+-wrightsoft• Right-l®Worksheet Job. Entire House Date: Jun 14,2017 By: 1 Room name Entire House Room1 2 Exposed wall 246.0 ft 94.0 ft 3 Room height 8.0 ft d 8.0 ft heaucool 4 Room dimensions 23.0 x 24.0 ft 5 Room area 1680.0 it' 552.0 ft' Ty Construction U-value Or HTM Area (ft� Load Area (ftj Load number (Btuh/ft;-°F) (Btuhlft.) or perimeter (ft) (Btuh) or perimeter (ft) (Btuh) Heat Cod Gross N/P/S Heat Cod Gross NIP/S Heat Cod 6 %J 12C-0sw 0.091 n 5.64 1.77 376 301 1698 534 0 0 0 0 L�-_-Gp 1 D-c2ow 0.570 n 35.34 18.12 54 0 1908 979 0 0 0 0 11DO 0.390 n 24.18 9.55 21 21 508 201 0 0 0 0 15B 11-0wc-4 0.099 n 5.22 0.56 184 172 897 96 184 172 897 96 11 1 Dc2ow 0.570 n 35.34 18.12 12 0 424 217 12 0 424 217 W 12C-0sw 0.091 a 5.64 1.77 192 192 1083 341 0 0 0 0 W 15611-0wc-4 0.099 a 5.28 0.58 192 192 1013 112 192 192 1013 112 1Rl 12C-0sw 0.091 s 5.64 1.77 264 237 1337 421 0 0 0 0 L_G ID-c2ow 0.570 s 35.34 31.66 27 0 954 855 0 0 0 0 1?/ 15611-0wc-4 0.099 s 5.02 0.48 184 142 713 68 184 142 713 63 ILG 1Dc2ow 0.570 s 35.34 31.66 42 0 1484 1330 42 0 1484 1330 Val 12C-0sw 0.091 w 5.64 1.77 384 372 2099 660 C 0 0 0 T G ID-c2ow 0.570 w 35.34 60.00 12 0 424 720 0 0 0 0 1qJ 15B11-Owc-4 0.099 w 5.25 0.57 192 186 976 106 192 188 976 106 �O 1 D-c2ow 0.570 w 35.34 60.00 6 0 212 360 6 0 212 360 R 12C-0sw 0.091 - 5.64 0.87 192 171 965 149 0 0 0 0 1---D 11DO 0.390 n 24.18 9.55 21 21 508 201 0 0 0 0 12C-0sw 0.091 - 0.00 0.87 112 70 0 61 0 0 0 0 t-G 1Dc2ow 0.570 n 35.34 18.12 42 0 1484 761 0 0 0 C C 16630ad 0.032 - 1.98 1.54 1680 1680 3333 25W 552 552 1095 848 F 19C-19CSCD 0.049 - 1.05 0.22 576 576 607 127 0 0 0 0 F 19C-19csCp 0.049 - 1.05 0.22 552 552 581 122 0 C 0 0 F 21A-20c 0.027 - 1.67 0.00 552 552 924 0 552 552i 924 0 i I 6 c)AED excursion 221 I ' 1 229 Envelope losstgain I 24135 11221 1 77401 336561 12 a) Infiltration 8009 7251 I 22331 202 b) Room ventilation 0 0 0, 0 13 1rdemal gains: Occupants 230 4 920 0 0 Appliances/other 26W 500 Subtotal(lines 6 to 13) 32144 15466 1 9973 4468 Less extemal load 0 0 0 O Less transfer 0 0 0 0 Redistribution 0 0 0 0 14 Subtotal 32144 15466 9973 4468 15 DuCtloadS 59% 94% 18871 14475I 33% 55. 3308i 2437I Total room bad 51015 29942 I 132811 69001 Air required(cfm) 1367 1367 1 356i 315 Calculations approved by ACCA to meet all requirements of Manual J 8th Ed. -*- wrightsofV 2017-Jun-14 09:31:37 Right-Sulte®Universal 2017 17.0.21 RSU19651 Page 1 ...\OneDrive\Documents\Wrightsoft HVAC\HALPERN.rup Calc=MJ8 Front Door faces: N -wrightsoft• Right-J®Worksheet Job: Entire House Date: Jun 14,2017 By: 1 Room name Room3 Room6 2 Exposed wall 58.0 ft 94.0 ft 3 Room height 8.0 ft heat/cool 8.0 ft heaVcool 4 Room dimensions 24.0 x 24.0 ft 23.0 x 24.0 ft 5 Room area 576.0 ft' 552.0 ft° Ty Construction U-value Or HTM Area (ftj Load Area (ft Load number (Btuh/ft-'F) (Btuh/ftj or perimeter (ft) (Btuh) or perimeter (ft) (Btuh) Heat Cod Gross N/P/S Heat Cod Gross MP/S Heat Cool 6 % 12C-0sw 0.091 n 5.64 1.77 192 135 762 240 184 166 S37 295I L�-(p` 1 D-c2ow 0.570 n 35.34 18.12 36 0 1272 652 18 0 636 3261 11D0 0.390 n 24.18 9.55 21 21 508 201 0 0 0 0 i V�I 15611-0wc 4 0.099 n 5.22 0.56 0 0 0 0 0 0 0 0 11 L-G 1 Dc2ow 0.570 n 35.34 18.12 0 0 0 0 0 0 0 0 W 12C-Osw 0.091 a 5.64 1.77 0 0 0 0 192 192, 1053 341 W 151311-Owc-4 0.099 a 5.28 0.58 0 0 0 0 0 OI 0 0 1q/ 12C-Osw 0.091 s 5.64 1.77 80 68 384 121 184 169i 953 300 T--G ID-c2ow 0.570 s 35.34 31.66 12 0 424 380 15 0; 530 4751 W, 15B11-0wc-4 0.099 s 5.02 0.48 0 0 0 0 0 0 0 C L-G ID-c2ow 0.570 s 35.34 31.66 0 0 0 0 0 0 0 0 W 12C-0sw 0.091 w 5.64 1.77 192 192 1083 341 192 180 1016 319 -G 1Dc2ovv 0.570 w 35.34 60.00 0 0 0 0 12 C 424 729 19J 15B11-0wc-4 0.099 w 5.25 0.57 0 0 0 0 0 OI 0 0 L---G ID-c2ovv 0.570 w 35.34 60.00 0 0 0 0 0 0 0 01 q 12C-Osw 0.091 - 5.64 0.87 192 171 965 149 0 01 0 0 L-D 11 DO 0.390 n 24.18 9.55 21 21 5C8 201 0 0 0 0 12C-Osw 0.091 - 0.00 0.87 112 70 0 61 0 C' 0 0 1D-c2ow 0.570 n 35.34 18.12 42 0 1484 761 0 o, 0 0 C 166.30ad 0.032 - 1.98 1.54 576 578 1143 885 552 5521 1095 8-- F 19C-19cscp 0.049 - 1.05 0.22 576 576 607 127 0 01 0 C F 19C-19CSCp 0.049 - 1.05 0.22 0 0 0 0 552 552' 5811 122 F 21A-20c 0.027 - 1.67 0.00 0 0 0 0 0 OIi C I C ! II I � � I 1 1 � i f 6 c)AED excursion -791 701 Envelope loss/on ( 9139 4039I 7256: 3316 12 a) Infiltration ( 2204 200I 35721 3241 b) Room ventilation 0 01 0 0 13 1rdemal gains: Occupants Q 230 2-7460 2 460 Appliances/other 1200 SOJ Subtotal(lines 6 to 13) 1 11343 5899 108281 50991 Less external load 0 0 0 O Redistribution O Less transfer p p O I p l 14 Subtotal 11343 5899 10628 5099, 15 Duct toads 70% 109% 7962 6457 70% 109o/a I 7601 1 53821 Total room load 19305 12356 184291 10681 Air required(cfm) 517 564 I 494 483 Calculations approved by ACCA to meet all requirements of Manual J 8th Ed. 2017- un-14 09:31:37 wrightsofC �ZcA Right-Sufte®Universal 2017 17.0.21 RSUIS651 Paye 2 ...\OneDrive\Documents\Wrightsoft HVAC\HALPERN.rup Calc-MJ8 Front Door faces: N N Level 1 i h z1367 cfm R om1 17814W78 cfm Job#: Scale: 1 :61 Performed for: Page 1 D E B B I E HA L P E R N Right-Suite®Universal 2017 229 OAKST 17.0.21 RSU19651 SOUTH WINDSOR, CT 2017-Jun-1409:31:50 ...ents\Wrotsdt WAC\HA LPE M.rnp N I I, Level 2 Room3 Rooms CK 141 W141 N141 W141 fm Room4 Job#: Scale: 1 :61 Performed for: Page 2 DEBBIE HALPERN Right-Suite®Universal 201' 229 OAKST 17.0.21 RSU19651 SOUTH WINDSOR, CT 2017-Jun-14 09:31:50 ents\Wrghtsaft HUAC\HA LPE RV.ru Level 3 Room6 165N165N165 cfm 1 Job#: Scale: 1 :61 Performed for: Page 3 DEBBIE HALPERN 2017 229 OAKST 1 0.21 R 9651 7 s 1 SOUTH WINDSOR, CT 2017-Jun-1409:31:50 ents\Wrightsoft HVAC+ALPERV.rtp Duct System Summary Jot - wrightsoft Y Date: JL_: Entire House By: Project Information For: DEBBIE HALPERN 229 OAKST, SOUTH WINDSOR, CT Heating Cooling External static pressure 0 in H2O 0 in H2O Pressure losses 0 in H2O 0 in H2O Available static pressure 0 in H2O 0 in H2O Supply/return available pressure 0.000/0.000 in H2O 0.000/ 0.000 in H2O Lowest friction rate 0 in/100ft 0 ,n,",00: Actual air flow 1367 cfm 1367 cfm Total effective length (TEL) 0 ft Supply Branch Detail Table Design Htg Clg Design Diam H x W Duct Actual Ftg.Egv Name (Btuh) (cfm) (cfm) FIR (in) (in) Matl Ln (ft) Ln (ft) Trunk Room1 h 3452 178 158 0 0 Ox 0 ShMt 0 0 Roomt-A h 3452 178 158 0 0 Ox 0 ShMt 0 0 Room3 c 3091 129 141 0 0 Ox 0 ShMt 0 0 Room3•A c 3089 129 141 0 0 Ox 0 ShMt 0 0 Room3-13 c 3089 129 141 0 0 Ox 0 ShMt 0 0 i Room3 c c 3089 129 141 0 0 Ox 0 ShMt 0 0 I Rooms h 3561 165 163 0 0 Ox 0 ShMt 0 0 I Rooms-A h 3560 165 163 0 0 Ox 0 ShMt 0 0 ' Rooms-s h 3560 165 163 0 0 Ox0 ShMt 0 0 TableReturn Branch Detail Grille Htg Clg TEL Design Veloc Diam H x W Stud/Joist Duct Name Size(in) (cfm) (cfm) (ft) FIR (fpm) (in) (in) Opening (in) Mat! Trunk rb1 Ox0 1367 1367 0 0 0 0 Ox 0 ShMt .`, wrightSO'ft' Right-Suite®Universal 2017 17.0.21 RSU19651 2017-Jun-14 09:31:37Page 1 ...\oneDrive%Documents\Wrightsoft HVAC\HALPERN.rup Cak=MJ8 Front Door faces: N APPLICATION FOR ELECTRICAL PERMIT DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT 1,9063�3,3 APp U 1540 SULLIVAN AVENUE �0. S 644-2511 ext. 230 Bldg.Permit# Date Building Essp]ectio- Application must be printed or typed FEE SCHEDULE Location of Job: $0-$1,000=$15.00 22—9 Over$1,000= Street No. Street Lot No. $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT S1 e—p/'q, APPLICANT ADDRESS 2:�/ • — 'Co APPLICANT'S APHONE# p— d ^ J OWNER c)k rk q OW N S f-4< OWNER ADDRESS J OWNER PHONE ESTIMATED COST$ ,S-O y IS THIS A CONTRACT COST? Yes No FEE ENCLOSED$ ! �o TYPE OF JOB: 3q 7 � R.CO� ��Jew Installation 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 �R(NO SIDENTIAL 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 l co 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 Gt, 14- 4L�— S 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 WO CONTRACTORS LICENSE NO. TYPE CSTATE SIGNATURE OF APPLICANT DATE DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT PERMIT# Application is hereby: TOWN OF SOUTH WINDSOR /9-0 o BUILDING DEPARTMENT APPR vE 1540 SULLIVAN AVENUE 644-2511 ext. 230 Bldg.Permit# Date Building in or Application must be printed or typed FEE SCHEDULE Location of Job: FTenant 9 OAK $0-$1,000=$15.00 Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof gnation Apt.No. APPLICANT dkAth APPLICANT ADDRESS dGAu:Am .id. CICC i APPLICANT PHONE# '4 ,S OW N SF OWNER d,4Lyr-R j OWNER ADDRESS Aa_9 Dart S r- co� b OWNER PHONE $ce D R I -7 0 C = ESTIMATED COST$ x * IS THIS A CONTRACT COST? Yes _No o �C1 FEE ENCLOSED$ I 4; r�� TYPE OF JOB: SQ R CO \ New Installation Alteration/Addition/Repair 1 `��i7-01Z21 Revised 4/01//2002 APPLICATION FOR PLUMBING PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A I(RESIDENTIAL BUILDING PERMIT APPLICATION? ❑YES ❑ NO ❑BUSINESS CURRENT USE AND OCCUPANCY ❑ASSEMBLY ❑MERCANTILE❑EDUCATIONAL FUTURE USE AND OCCUPANCY ❑INSTITUTIONAL ❑FACTORY ENGINEER'S NAME PHONE ❑ STORAGE ❑GARAGE ADDRESS ❑MIXED USE CITY STATE ZIP (Other please specify) TYPE OF INSTALLATIO N.6 a 5 pla To 1 7Kw C EIS. 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 MANUFACTURER DESCRIIPTION OF WORK i�%STA�. GAS t'ir'WeS C &qe-k- Ii2UN I T DjTSiL& 17 KW Gi jzq,-6 THr UNDrRSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TT— COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. pLM . 1 - PI P-1 Ci- CONTRACTORS LICENSE NO. TYPE? STATE SIGNATURE OF APPLICANT �i% �_ �d'�o-wcz� DATE d-4-1;k. I3UILDI14G PBRMPP• /aka STATE OF CONNBCTT(.-UT WORKERS'COMPENSATION COMMISSION Building Permit AfTidavit for Property Owners or Sole Proprietors (Conn.Gen.Stat.§31286b) Property located at 4 P K Sr In the town of , 'e),,-r jj I A31 cc rz Name of building permit applicant:__C N A-N Please check one: I._I am the owner of the above property 2._ZI am the sole proprietor of a business. 2A.Name of business __ 2B.Federal Employer Identif cation Number(FEIN) .....................................................................:...... Pursuant to§31286b, a property owner or sole proprietor[who]intends to act as a general contractor or principal employee may provide either a certificate of workers'compensation insurance ort"sworn notarized affidavit ..stating that he will require proof of workers' compensation iiisrnance for all thole 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] fz D --;I _ 1J Signature of applicant 2. I intend to act as a general contractor or principal employer.Applicant must either • prrovide a certificate of Workers'compensation insurance or sign the affidavit Wow. ...................................•............................................................................... Atfidavit .I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subconttactor,or other worker.before he/she engages in work on the above property in accordance with the Yorkers'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 011ice;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 az-( day of W Prc-rv,Re2 .2001,a (Notary Public)Commissioner of the Superior Court) Electric # APPLICATION FOR BUILDING PERMIT Plumbing# 229 Oak STreet 9 j / HVAC# Date: Sprinkler# 1000447 Estimated Cost $ 01.1006• an FINAL APPROVALS Permit Fee $ Building _ COMPLETE RED BOXED AREAS Occupancy Fee $ / Engineering TYPE OF PRINT ONLY Eng. Insp. Fee $ Affidavit Ihf ► SIGN ON REVERSE SIDE A Appr.forCO. � Total Fee $ TO THE BUILDING D ARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ The undersigned hereby applies to do work according to the following: Applicant f.vi LocationofWork Lot No. Applicant's Address 5 Q2t�cs R SNrRiR-�- Tel # 4 6- y C R Town h(�b t\ch�st�,� t Zip 060) 0 Lic.# n(, It s Owner �A. ar Architect Owner's Address R.n Architect's Address Sc1�J- W'►�dscS� �'- Zip 060_Ay Zip Sq.Ft.New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area Purpose of this permit -%ay- o�r e.X;. 4►c ick City Water❑ Well ❑ Septic System 0 Sewer 0 Ins: HO SP Cert. Area Basement Garage Approved by ate Mm 4Use Group Construction Type y1pj 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 V'o ' se is allowed. Signed -61-L 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 O1/12/12 -Printed by Peart, Dayshell 09 04 54 , INSPECTION: 34901 FINAL PERMIT: STATUS: APPLICATION: 201001222 LOCATION: 229 OAK STREET SOUTH WINDSOR PROPERTY ID: 65400229 OWNER: HALPERN JOHN D & DEBORAH K CONTRACTOR: REQUEST BY: DESCRIPTION: REMOVE AND REPLACE ROOF WORK ORDER: INSPECTOR: ROSE RESULT: PASS REQUESTED: 11/08/11 PRIORITY: SCHEDULED: 11/08/11 AM COMPLETED: 11/08/11 UNPAID FEES: 00 Date Time TIME: TRAVEL ONSITE COMMENTS INSPECTION FIELD SHEET 03/13/12 Printed by Peart, Dayshell 12 01 14 INSPECTION: 34901 FINAL PERMIT: STATUS: APPLICATION: 201001222 LOCATION: 229 OAK STREET SOUTH WINDSOR PROPERTY ID: 65400229 OWNER: HALPERN JOHN D & DEBORAH K CONTRACTOR: REQUEST BY: DESCRIPTION: REMOVE AND REPLACE ROOF WORK ORDER: INSPECTOR: ROSE RESULT: PASS REQUESTED: 11/08/11 PRIORITY: SCHEDULED: 11/08/11 AM COMPLETED: 11/08/11 UNPAID FEES 00 Date Time TIME: TRAVEL ONSITE COMMENTS: Electric# APPLICATION FOR BUILDIN9 PERMIT Plumbing# 229 Oak Street Date: HVAC # Sprinkler# 32822 /�!© FIN PRQ —- -- --- — -- Estimated Cost Buildi COMPLETE RED BOXED AREAS Permit FeeOccu LC ancy $ Enginee TYPE OR PRINT ONLY I Eng.InsP. Fee $ l tt ---- - -- - - -- - - t Affidavit SIGN ON REVERSE SIDE Qro Appr. for C �J � � ---- _ - --- ---- -__� Total Fee $-�� TO THE B LD NG DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ 011�/ eP The undersigned hereby applies to do work according to the following: Applicant d Ag, rj Location of Work n L Lot No.�_ Applicant's Address n Tel.# k -- _ Town >B, �i.v�SOt Zi Owner Q ' •v'- / ! _Architect Owner's Addressc>Z;Z �K �S Architect's Address Zi �,5;, Zip Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area Purpose of this permit e�� City Water Well❑ Septic System❑ Seweo/ Ins: HO SP Cert. Area Basement Garage Approved by 01 Date. Use Grou Construction Type 'Y IRevised 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 istance from all street lines,side yard lines,and required distances from all other zones and is located in w c this building a s use is allowed. Sign I hereby apply for a Certifica Occ Rancy for the wor scribed in this applic i n for the permit. Signed NOT WRITE BELOW THIS LINE INSPECTION COMMENTS I .'spection / Approval Date By Appl ` Code Description Due Whom Code Comment ------------------------------------------------------------------------------- **-32822-B 28,000 B03 FRAMING (ROUGH) 09/26/06 JFF A WITH JOHN NEEDS TO TIE FRONT TO REAR WALLS E03 ROUGH 09/26/06 JFF A WITH JOHN NEED GFCI PROTECTION B10 FINAL 10/20/06 JFF A WITH JOHN SAMSEL Electric # APPLICATION FOR BUILDING PERMIT Plumbing# 229 Oak Street Date: ,0 HTVAC # Sprinkler FINAL#' O 32713 _. _ ..----- -- - ------ Estimated Cost Permit Fee $ ° Building���'' � COMPLETE RED BOXED AREAS Occupancy Fee $ o Enginee n TYPE OR PRINT ONLY Affidvit Eng. Insp. Fee $ Apprafor Cqw I — SIGN ON REVERSE SIDE Total Fee TO THE BUILD G DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost/$ E'er The undersigne hereby applies to do work according to the following: Applicant Location of Work Lot No. Applicant's Address ,_; �Z Af Ste. ��.i�,oc. Tel.# Town !o- Zip Lic.# Owner r /,� Architect Owner's Addres .2 11 Architect's Address seta Zip r/,6 4 Zip Sq. Ft. New Area: 1st FI. r' nd FI. 3rd FI. Total New Area Purpose of this permit City W erd--" Wello Septic Systemo Sewerr� Ins: HO SP Cert. � Area Baseme Garage Approved Date_ Use Groupj Construction Type R s Bl02 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 use is allowed. Signed , . 1 hereby apply for a Certificate ccu cy for the wor cribed in this ap c for the permit. Signed NOT WRITE BELOW THIS LINE INSPECTION COMMENTS Inspection / Approval Date By Appl ■ Code Description Due Whom Code Comment ------------------------------------------------------------------------------- **-32713-B 4,500 BO1 FOOTING 07/11/06 JFF A 6 PIERS WITH CONTRACTOR B10 FINAL 10/20/06 JFF A WITH JOHN SAMSEL NOTE 3SEASON RM ERECTED ON DECK WITH PERMIT 32771 THIS M M FOR MORTGAGE PURPOSES OWY LoT 54 LOT 5 Lc)-T 56 90. 12 5 00 -- 1-7 6 Lo-r `14- -77 •'' r0'JNDA'CICN �OrAZED �,. � Ar, �uc.,•�u: N.L. G, 7 " I i B. 101 �.:o.o �� ��� �Q � t25 •JO • J Cv��?,� rr�rsrr�. .%-:",�.�',,��.,� .�'.� :�.z.�,�", <.�Frrr�.fo,.�r �i.c,c.�,xJ ,,�,�•,�. �,.,.`�....rrr i�1 l �=�.� ;.�'' 'r i� /� !�►.T fy /,r'�' r 1:�Pr sf+. �?'iue/ir'�j. q' ;� i hereby -�atitythat this sjrrny an'. 'he,nund>ass insdsurumen;, shown het9o� are sotstantraity correct: that the title iin� and The lines of 3ct;,at pcsse sion are the same; that, huitd+ngs sr: iacated a shown and du rroi erwjoach over or upon street, tine v b6ldire ',nas: that there are no violations of Inning ordinances, restrictions or aner .u!rs a,)d ragulations ro respect m the toeatian of said buildings ant that Mote are na ealenents of encroachments aMx:ng this CroCalty &M3f'°t frcm a caret ! ingyecuon of the same other. than those shown and depicted.heWY Shirley Wilhelm -CRS Approval Confirmation: Request No. 313392 Page 1 From: <clpsvc@nu.com> To: <WILHEL@SOUTHWINDSOR.ORG> Date: 1/7/04 2:10PM Subject: CRS Approval Confirmation: Request No.313392 Your approval of the following CRS Request has been successfully processed. CRS Work Request M 313392 House No: 229 Lot No: Street Name: OAK ST Town Name: SOUTH WINDSOR, CT Inspector: CHRISTOPHER DOUGAN Approval Date: Jan 07, 2004 DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT APPROVED 1540 SULLIVAN AVENUE at 644-2511 ext. 230 Bldg.Permit# 1 , e� Date Buil nspector 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$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT �,- APPLICANT ADDRESS t, .._ C� ,x t APPLICANT PHONE# SOW N Sfq OWNER �eC N OWNER ADDRESS Z 2 G 0 c0e 77 0 OWNER PHONE C ESTIMATED COST$ r } IS THIS A CONTRACT C ST? Yes _No O FEE ENCLOSED$ � 0 CD 1 .mil�D l�Os 0 TYPE OF JOB: OR•C _New Installation V/I�lteration/Addition/Repair Revised 4/01//2002 APPLICATION FOR PLUMBING PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION? ❑YES ❑NO ❑RESIDENTIAL ❑BUSINESS CURRENT USE AND OCCUPANCY ❑ASSEMBLY ❑MERCANTILE FUTURE USE AND OCCUPANCY ❑EDUCATIONAL ❑INSTITUTIONAL ❑FACTORY ENGINEER'S NAME PHONE ❑STORAGE ❑GARAGE ADDRESS ❑MIXED USE CITY STATE ZIP (Other please specify) TYPE OF INSTALLATION 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 MANUFACTURER DESCRIPTION OF WORK + CAo '�`T1�_ 512 > - �e�4n , �n�J. e�.�sc rcyirYW THE UNDERSIGNED HEREBY APPrO FOR A PERMIT TO PERFORM THE WORK DESCRIB AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. 2 y -,-,s, -1 �- T- \ C� CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT C o�� o T. .S � �, DATE COIlIICCtlCllt Tolland District Office 48 Tolland Stage Road Light BcPower /II1 Tolland, CT 06084 The Northeast Utilities System December 11, 2008 JOHN HALPERN 229 OAK ST PO BOX 1274 SOUTH WINDSOR,CT 06074 RE: Electrical Service Changes �r r t G� �'cr ', r3 7 5 229 Oak St ` South Windsor,CT 06074 Dear Mr Halpern: The Connecticut Light& Power Company(CL&P or the"Company") has not received a response from our letter dated November 26, 2008. CL&P inspected the electrical service to your property located at229 Oak St, South Windsor. The Company's inspector discovered that wiring changes were made that do not conform to CL&P's Cut and Reconnect Policy. Your electrician must contact the Clearing Desk at the appropriate number listed below to discuss the resolution of this matter by 12"?6!08. To avoid a service interruption, you or your contractor must contact CL&P by the above date. Hartford area call 947-2121 Meriden customers call 860-947-2121 All other customers call 1-800-286-5000 filrer-F in Thank you for your prompt attention to this matter. Sincerely, erating Records Clerk cc: Meter Service Supervisor Clearing Desk Supervisor _- Building Inspector. Account Number: 881986057 -A NIP kq v DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT PERMIT# Application is hereby: TOWN OF SOUTH WINDSOR P o�Zo BUILDING DEPARTMENT APPROVED 1540 SULLIVAN AVENUE Bldg.Permit# '.eQ �• 644-2511 ext. 230 7D—ate— Building Inspecf<r Application must be printed or typed FEE SCHEDULE Location of Job: F:Tenant $0-$1,000=$15.00 Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof gnation Apt.No. APPLICANT �f7N/ [$ �l.EcT,e�G, IiUG APPLICANT ADDRESS (o JA�ORA I>R. d60 2 y APPLICANT PHONE# 260 —299 2jr/c;�, O W N S j , OWNER 110,44 Aj 4AL Peerrl/ OWNER ADDRESS co� OWNER PHONE e'I V - 38 81 C /mil ESTIMATED COST$ 3f ODO. C`o IS THIS A CONTRACT COST? _Yes r"No FEE ENCLOSED$ f�YOs O�� TYPE OF JOB: R 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 m /RESIDENTIAL BUILDING PERMIT APPLICATION? OYES ElNO ❑BUSINESS CURRENT USE AND OCCUPANCY 1?ES1 p -N-r1 A L— EI ASSEMBLY El LE El EDUCATIONAL FUTURE USE AND OCCUPANCY SA M ❑ INSTITUTIONAL ❑FACTORY ENGINEER'S NAME PHONE ❑ STORAGE ❑GARAGE ADDRESS ❑MIXED USE (Other please specify) CITY STATE ZIP TYPE OF INSTALLATION/WIRING METHOD S E R CA B l 5 ¢r Rb rnm lF�L SIZE OF SERVICE EX I'MAl y SIZE OF MAIN CONDUCTORS */p 5-C-12 Alum NUMBER OF METERS / NUMBER OF DISCONNECTS AND RATINGS NUMBER OF PANELS REMOTE DISCONNECT REQUIRED? 110 YES ❑NO NUMBER OF LIGHT CIRCUITS / NUMBER OF POWER CIRCUITS -3 NUMBER OF SWITCHES 4 NUMBER OF OUTLETS (a 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 .2 /USTAL.L 1, M,8J1VAT/G'N f_/Z T p11�/ EX/STl ,46t�R PANCC, iyItIN9 4jF AANze Roo171Px1 ?D /NC1.6,pC /�� • Lr6NTS � GP�PEP�/QGL.� S 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. 10.3/0L01- e l Ci CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT DATE AVAQ46 b 1Daniefs Electric, Inc. CT LIC# 103122 6 Sandra Drive South Windsor, CT 06074 Tel. (860)289-8512 Fax. (860)289-2091 Date: September 19, 2006 To: Electrical Inspector Town of South Windsor Re: 229 Oak St I authorize Bernie Morissette to apply for an electrical permit for the referenced project on behalf of Daniels Electric, Inc. Signed e".�r��� Daniel Etienne—President CT. License 4103122—E1 r _ 'z\�s'-c N O � o o,. � 0 0 12.72 KEU /moo R S7-A-EE7- ;� f-EL ' 4490A ,42 .SU. AIIAIDSOR� CONK K CAL E = 50� t-ToAv ' 1,9 6 Y N,n NOTE:SuR✓,Ef EO As efi v&JED j� Oc1C✓�iF!% 23UlLUlNli Y�itl�ll'1'�Z-1�,� STATE OF CONNECTICUT WORKERS'COMPENSATION COMMISSION Building Permit Affidavit for Property Owners or Sole Proprietors (Conn.Gen.Stat. §31-228`6b) Property located at �`_S L�r In the town of J Name of building permit applicant: �-�T�h. n �A/t.[xro� --/✓�1 Please check one: 1. I am the owner of the above property. 2. I am the sole proprietor of a business. 2A.Name of business 213.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: I. I do not intend to act as a general contractor or principal employer. [SM- n and stop h S' attire of app scant 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 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) THIS MM FOR MORTGAGE PURPOSES ONLY �-cj 54 L1_5 5 56 ?o, 12 5100 qo r g O'JtJQ4-T N k( P.ZED Z4 40 B.L. J. fx 1:;0.� f; Wit �o � 125•oo °' U 9 lrL lid o�4 /`,✓� /�c:.�t S �6�d�' L.S�7'+.T�''r�, �...'�j✓�.T •r/1/'/�i*:..�S"sv �'.. CU/1 j7+ • � Y�6�`�`7` O�, lam;",��,C r+��''~�,�o z�.�"� !�.r�i�t;lo��^ .�i�.cc�,c�,� �� �.�' ,,_7 c..crt' / - tir"�O /a'} 'f/'� /sS 1►r i I h"rrD'! :crttiyMalih+s sawey t^. ha �ur.;;s ,:G re•<.rorren;f shown hmoi ere S.dStanhat y carrect; that the trlie boos and the one, ui vz, al pissesston are the same; that',!'° hull,nQS cH locate(!, as shown ?rd do not en.'.o ch over or upon on street, ttt'e of beAJIIIE� tirP$: that there are no violations a o, (°rang otdtnances,feslrichons of c:nel ru,r.s aid r?gutations to respect to the lr"Can of said buildings ar.d that there are no easements or encroachments atfec,'ng this yro: rtY ap,ire,'t frc:n a catef:.! inSGecuon of the same other. t),ar, arose dawn and dipirled h►reco. p ECE � VC AUG 21 ZUU6 South Windsor BUILDING DEPARTMENT 10 Tiff i@,i;.4 iiLe1. ?_ _+ ai._iai This Gert l,r. t!:at this Ztza and sptcifieetisws are W... copies at the proposed rnnildiwg or alteratloas to b. eructed at as q ©ak L)_ itree- together with amendments stated in apoication arc flied with plan and t agree to comply with all zoning 6uilaing and state laws and such orders as shall bt issued by in* building Department during pendent% Of this appli tion and final is ante of a building Permit. . �-t- v 'hi pl is approved subject to the condition th .S -I C� -f-T1 ord and ordinances regulating building shall be cJJ CompEd with. Conditionellr Approved These flied with Building Inspector Clark CERTIFICATION OF ZONING COMPLIANCE PrOP'-)F',., )Ullding(�-) on C,. S y! f r... \ 1 in ni forc Oment officer Electric# APPLICATION FOR BUILDING PERMIT Plumbing# 229 Oak Street Date: Q HV4LC # Sprinkler# 3 2 7 71 O FINAL RQ ---- - Estimated Cost $ -� Building/ Permit Fee $ O Enginee COMPLETE RED BOXED AREAS I Occupancy Fee $ / O Affidavit TYPE OR PRINT ONLY Eng. Insp. Fee $ Appr. for CCY 1100- SIGN ON REVERSE SIDE Total Fee oo'• �d TO THE BUILD G DEPARTMENT,TOWN OF SOUTH WINDSOR,CT (Additional Cost) $ The undersigned hereby applies to do work according to the following: Applicant G --1 r' Location of Work 4,0. Lot No. Applicant's Address 6 f.t �. Tel.# �v - �S op Town 1 Zip Lic.#� Owner Wo Architect Owner's Address__ D�q S?� Archit�ec}'s Address Zip d6�77 Zip Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd FI. _Total New Area Purpose of this permit�w e-w !:7% �� ��Q�so%o .�� �c� ;i5rq= City ter Well❑ Septic Systemo Sewer Ins: HO SP Cert. Area Baseme Garage_ I/9 Approved by _Date -d Use Group onstruction Type Revised W02 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 114 this building an its use is allowed. Sign I hereby apply for a Certificate Occ p ncy for the work scribed in this applica on for the permit. Sigre NOT WRITE BELOW THIS LINE INSPECTION COMMENTS "Inspection / Approval Date By Appl Code Description Due Whom Code Comment ------------------------------------------------------------------------------- **-30000-B 6,000 B10 FINAL 10/20/06 JFF A WITH JOHN SAMSEL ERECTED ON DECK BUILT UNDER PERMIT 32713 DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT TOWN OF SOUTH WINDSOR PERMIT# ApplicaV BUILDING DEPARTMENTAP 1540 SULLIVAN AVENUE644-2511 ext. 230 Bldg.Permit# ►3i1- Date Application must be printed or typed FEE SCHEDULE Location of Job: Z L $0-$1,000=$15.00 Street No. Street Lot No. Over$1,000= $15.00 per$1,000 _ or any fraction thereof Tenant Designation Apt. No. APPLICANT �3 -c,\t- Mflt�- ps�e APPLICANT ADDRESS 1 b �o�c bow ST APPLICANT PHONE# ro` \l -�-O 2 K O W N S F OWNER 7o\,.\ �;A\Qe r q� OWNER ADDRESS O OWNER PHONE C ESTIMATED COST$ .� IS THIS A CONTRACT COST? _Yes _No FEE ENCLOSED$ k 5,00 1� TYPE OF JOB: DSO R C 0 New Installation Alteration/Addition/Repair Revised 4/01//2002 APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side) TYPE OF BULL G IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION? 0 YES C'NO ❑RESIDENTIAL ❑BUSINESS CURRENT USE AND OCCUPANCY ❑ASSEMBLY ❑MERCANTILE❑EDUCATIONAL USE AND OCCUPANCY ❑INSTITUTIONAL ❑FACTORY ENGINEER'S NAME PHONE ❑STORAGE , ❑GARAGE ADDRESS ❑MIXED USE CITY STATE ZIP (Other please specify) TYPE OF INSTALLATION/WIRING METHOD S t`{ C vOwe SIZE OF SERVICE 2.0 V pyh p SIZE OF MAIN CONDUCTORS NUMBER OF METERS 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. DESCRIPTION OF WORK l� G cN1�e -�e n+',C4 A'D 23-'�) Y� 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 DATE 1000447 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER BUILDING PERMIT DATE: 09/15/10 GIS ID:65400229 FEE: 135.00 MUNIS APPLICATION# 201001222 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: EXTERIOR HOME SERVICES ADDRESS: 229 OAK STREET ADDRESS: 8 SPENCER STREET _ OWNER: HALPERN JOHN D&DEBORAH K MANCHESTER,CT 06040, 229 OAK STREET SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: REMOVE AND REPLACE ROOF 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 10/4/2010 9:18 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1000447 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER BUILDING PERMIT DATE: 09/15/10 GIS ID:65400229 FEE: 135.00 MUNIS APPLICATION# 201001222 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: EXTERIOR HOME SERVICES ADDRESS: 229 OAK STREET ADDRESS: 8 SPENCER STREET I OWNER HALPERN JOHN D&DEBORAH K SOUTH WINDSOR,CT 06074 229-OAK STREET SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: REMOVE AND REPLACE ROOF 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 9/15/2010 10:15 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1700235 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER HVAC PERMIT DATE: 06/19/2017 GIS ID:65400229 FEE: 105.00 MUNIS APPLICATION# 201700731 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: FOREMOST MECHANICAL SERVICES LLC. ADDRESS: 229 OAK STREET ADDRESS: 306 SCANTIC ROAD OWNER: HALPERN JOHN D&DEBORAH K EAST WINDSOR,CT 06088 229 OAK STREET SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: A/C REPLACEMENT. 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 6/19/2017 3:20 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1200333 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER ELECTRICAL PERMIT DATE: 09/26/12 GIS ID: 65400229 FEE: 120.00 MUNIS APPLICATION# 201201221 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: SIERRA ELECTRIC ADDRESS: 229 OAK STREET ADDRESS: 715 STAFFORD ROAD; OWNER: HALPERN JOHN D&DEBORAH K SOMERS,CT 06071 s M 229:OAK STREET SOUTH WINDSOR,CT 06074 { DESCRIPTION OF WORK: INSTALL 17,KW STANDBY GENERATOR WITH AUTOMATIC TRANSFER SWITCH. - 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 9/26/2012 2:50 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1200385 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER PLUMBING PERMIT DATE: 10/03/12 GIS ID:65400229 FEE: 15.00 MUNIS APPLICATION# 201201221 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: CHAD L. BRANDOW ADDRESS: 229 OAK STREET ADDRESS: 282 COOPER STREET r OWNER: HALPERN JOHN D&DEBORAH K AGAWAM,MA 01001 i 229 OAK STREET SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: INSTALL 17 KW STANDBY GENERATOR WITH AUTOMATIC TRANSFER SWITCH. ` SPECIAL CONDITIONS: rt ALL WORK TO BE DONE IN ACCORDANCE'WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING OFFICIAL 10/3/2012 1 1:22 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE