HomeMy WebLinkAbout280 SAND HILL RD Electric# APPLICATION FOR BUILDING PERMIT
Plum'oing 280 Sand Hill Road
HVAC # No. 28882
Date: ` 1 UZ
Sprinkler#
FINAL P RO 5 Estimated Cost $ 013 c'0
Buildin 1 j l COMPLETE RED BOXED AREAS Permit Fee $ y S
Engines in TYPE OR PRINT ONLY Occupancy Fee $ i O
Affidavit —SIGN ON REVERSE SIDE
Appr.for C l Total Fee $__ S-5
TO BUILDIN P TMEt�lT,TO OF SOUTH WINDSOR,CT (Additional Cost) $
The undersigned hereby applies to do work according to the following specifications:
Job Location z a U l� Lot No. 3 Side of Street_Zone
Applicant ` Tel#
Address Zip OG 07 Lic.#
Owner Scr o Address G (�
Architect r Address 2-
Sq.Ft.New Area: 1st FL 2nd FL 3rd FL Tot New Area
#Rooms #Lavatories #Bathrooms #Garages efu l Z -S N
Purpose of this permit:
City Water ❑ Well ❑ Septic System ❑ Sewer ❑
Ins. H.O. S.P. Cert. Area Basement Garage
Approved by , — Date b 4 (t Z- Use Group'— Construction Type 5-
Revised 9/01
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 / Approval Date By Appl
Code Description Due Whom Code Comment
-------------------------------------------------------------------------------
**-28882-B 2,300
B10 FINAL 04/15/04 JFF A
B10 FINAL 05/24/04 CJD A CLOSEOUT
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Electric # PERMIT __ �Ell APP�ICATON FOR BUILDING PERMIT
Plumbing ��- p� A 17-176 280 Sand Hi Road
HVAC# AND 13000312 Date: Ag/I z 3
Sprinkler# 9 Estimated Cost $ 53
FINAL APPRO Permit Fee $ D
Building COMPLETE RED BOXED AREAS Occupancy Fee $
Engineering TYPE OR PRINT ONLY Eng. Insp. Fee $
Affidavit ► SIGN ON REVERSE SIDE
Appr.forCO. Total Fee $ 9 O �
TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ 1u0;
The undersigned hereby applies to do work according to the following:
Applicant E. UJjMCXjx5 Location of Work_2$(}_ �+A__QeJ LotNo.
Applicant's Address 26 P►I bton Rd Tel # (401)44.7_77172
Town t_tncoin, RT- Zip p2$r=5 Lic.# 0634SSS
Owner SaCn{'O 6ip4nca aVr_ Architect
Owner's Address O ;, to 41i1I (2d Architect's Address
90L4N luindscc, G'T Zip_ 06074- Zip
Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd Fl. Total New Area
Purpose of this permit Ti1'_�al k �� celo ,(� Acnm
d
City Water❑ Well J Septic System J Sewer J �36�
Ins: HO SP Area Basement Garage
Approved by HP!7�) Date l 1� 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
DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT
Application is hereby:
TOWN OF SOUTH WINDSOR PERMIT#
( ,
BUILDING DEPARTMENT 1
APPRO D 1540 SULLIVAN AVENUE Bldg.Permit#
13 644-2511 ext. 230
Date Building Inspect
Application must be printed or typed f
FEE SCHEDULE
$0-$1,000=$I5.00 Street No. Street Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
�1
APPLICANT ,5 !�
APPLICANT ADDRESS
0 z
APPLICANT PHONE# 70 —7 d
S O W N St OWNER (a. 1 '
OWNER ADDRESS
OWNER PHONE U q L4' 2 c� O
C ESTIMATED COST$ Z -' 3
r� * IS THIS A CONTRACT COST? j, Yes _No
FEE ENCLOSED$
sO Co
TYPE OF JO13 � 12-7 ?je4
R New Installation
_Alteration/Addition/Repair �� i
APPLICATION FOR HVAC PERMIT (Continued from reverse side)
TYPE OF SYSTEM: TYPE OF BUILDING:
❑HEATING U RESIDENTIAL
❑A/C ❑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 OF INSIDE OF DIFFERENCE OF
TOTAL HEAT LOSS(BTUH) °F(HEAT LOSS SHEET MUST ACCOMPANY
APPLICATION)
DFSCRIDE ALL HEATING EQUIPMENT(�,NCLUDING MAKE&MODEL N .)
Ci CC U (a_�W fq j For d oy� _ cc�
GROSS HEATING CAPACITY(INP T-BTUH) NET RATING(OUTPUT-BTUH)
TYPE OF FUEL
Cl OIL--GPM OIL TANK LOCATION:❑ INSIDE❑ OUTSIDE CAPACITY
Cl 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.
3q ( ( DC,0 S (
CONTRACTORS LICENSE NO. I TYP STATE
SIGNATURE OF APPLICANT J DATE
Q-
G 2G
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t Ni7
76
/3
L OT 6
150,00
0
I
St16" T n,NJ 1'r t I r -77- L O / 3
32, 9 74.3 0 sq. f/.
Ji'FfF -3 L. 'iK.L'41 Y L.1,
W
h
k- O O
I /0 00 GAL.J (V
SEPT/C
TANK
IO 22.0 38.0
ti I
N � p PROPOSED 3 B.R. O
N F.B. SPL/ T �J
22.0o I76 2io
2033
I 50 BUILDING i LINE
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- - 342.37 _ I /50. 00
to Properly
Line
SAND HILL ROAD
BEING LOT "3" ON MAP
ENTITLED
SAND HILL ESTATES"
MAY 2 , 1970
PLOT PLAN FOR
L / P M A Al
SAND HILL ROAD - SOUTH WINDSOR, CONN.
SCALE /" = 40' MARCH 28, 1972
✓AMES E. SHEEHY L.S. 7034 '
q1 7
42 77 PEP
76
L) LOT 6
a C. 150. 0
L 0 T 3
32, 974.30 sq- ft.
ft
I1000-6AL.6Al-1- -'C
C\j SEP r/c
'q6 TANK
2 0 38.0
2.0
PROPOSED 3 B.R.
F8. SPLIT i7l,6
22.00 , 2033
ILDING LINE
of
hi
--342.37 -] 150. 00
to Property
Line
SAND HILL ROAD
BEING LOT 3" ON MAP
E#rlrLED
"SAND HILL* ESTATES"
MAY 2, 19 70
PLOT PLAN FOR
P M A N
SAND HILL ROAD - SOUTH WINDSOR, CONN
SCAL E to z 40" MARCH 28, 19 72
JAMES E. SHEENY L-T.703 4
!J 1Nc F":,
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1: j
MAY 3 1 2002-
South Windsor
BUILDING DEPARTMENT
Z I
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DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT
PERMIT
Application is hereby:
TOWN OF SOUTH WINDSOR #
BUILDING DEPARTMENT ' S
APPROV D 1540 SULLIVAN AVENUE
Bldg.Permit#i
644-2511 ext. 230
Date Building Ins r
Application must be printed or typed
FEE SCHEDULE ,171 �f Jo
$0-$1,000=$15.00 FTenant
Street Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof gnation Apt.No.
APPLICANT �/��
APPLICAN ADD SS D ��
APPLICANT PH NE# Z
W N S OWNER
O �q� OWNER ADD SS
o OWNER PHONE
O
C = ESTIMATED COST$ �SOdv
x * 'A* IS THIS A CONTRACT COST? _ es _No
c FEE ENCLOSED$
Co TYPE OF JOB:
OR New Installation
V Alteration/Addition/Repair
APPLICATION FOR HVAC PERMIT (Continued from reverse side)
TYPF,O YSTEM: TYPE OF UILDING:
H£ATING ).RESIDENTIAL
Cl A/C ❑COMMERCIAL
❑VENTILATION ❑ INDUSTRIAL
HEATING
❑ STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS.
DRONIC EJ WARM AIR ❑UNIT RADIANT HEATER
EXISTING RADIATION J,55j ADDITIONAL RADIATION TOTAL RADIATION
DESIGN TEMP. OUTSIDE-°F INSIDE °F DIFFERENCE OF
TOTAL HEAT LOSS(BTUH) OF(HEAT LOSS SHEET MUST ACCOMPANY
APPLI"CATION) �Iv AID
S�� AL��r EATING� l �IN &Mpo a%NO.)
GROSS HEATING CAPACITY(INPUT-BTUH) //� NET RATING(OUTPUT-BTU
TYPE OF FUEL
❑OIL-GPM OIL TANK LOCATION :❑ INSIDEO 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.
jv2_2:;? g s-/ c/-,
CONTRACTORS LICENSE NO. TYPE STATE
i SIGNATURE OF APPLICANT )�2, DATE 11_254 p
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Building Information Rooms
Name Santo Giangrave Click on room label to edit
Location 280 Sand Hill Label Exterior height floor
Road Wall Length sq. ft.
Upper design 91 Room 160 8 1600
temp. #1.
Lower design -10
Add a New Room
temp.
Room temp. 71
Leeway as % 10
Number of people 5@400
Ground temp. 50
Cooling air 50
Warming air 120
Change Information
Calculation
Building Rooms
Gain BTU 20101 Label Gain Gain Loss Loss Base
Loss BTU 84960 BTU CFM BTU CFM Board
Gain CMF 670 Room 18101 603 84960 1605 147
#1
Loss CFM 1605
Base Board 147
Tonnage 1.7
Balk to Lo4in I Current Order Pad I All Order Pad Entries I OrderlQuotelAR Info
Home I About F.W.Webb I Product$I Locations I-roTram$I$eryice$I News
http://webbconnect.fwwebb.com/bin/fwk?wc.hc.room.process 11/17/2008
APPLICATION FOR ELECTRICAL PERMIT
DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT#
Application is hereby: BUILDING DEPARTMENT
APPR D 1540 SULLIVAN AVENUE 61
644-2511 ext. 230 Bldg.Permit#
Date Buildingifisp ctor
Application must be printed or typed
FEE SCHEDULE Location of Job:
$0-$1,000=$15.00 28 0 .5e,IJ
Over$1,000= Street No. Street Lot No.
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT A 1 SKr f 5S Pk-0
APPLICANT ADDRESS I'?:, O L
']6LLAAJ
APPLICANT'S PHONE# C —F? -r7=?6' q
O ff{ N S F OWNER 46 Va.,,
��t
OWNER ADDRESS Ck i` o4
f ✓ W
OWNER PHONE 60 6 —Z O
C �
ESTIMATED COST$ -1000.
►� IS THIS A CONTRACT COST? Yes No
FEE ENCLOSED$ y S�
TYPE OF JOB:
OR•CONew 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? Cl 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
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
n 2d 1194L� C [?-
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT DATE
! 2SD
/ y0d Office Location:HARTFORD
Proposal Date 10/10/2014 lJobNumbef -45 Sears Home Improvement Products,Inc.
Customer Name NOW
�iP.O. Box 522290
SANTOS GIANGRAVE , w.95 1024 Florida Central Parkway
Customer's Home Phone Customer's Work Phone Home Improvement Products Longwood, FL 32750-7579
(860) 644-2907 p Phone 800 469-4663
Street Address ESTIMATE AND PROPOSAL Contractor LlcenseiRegisiratlon Number
280 SAND HILL RD CT(HIC.0607669)
City State Zip Code Siding
SOUTH WINDSOR cr 06074 Is installation within city limits?
Installation Address County HARTFORD (Yes/No): YES
Billing Address(it different from above) City State Zip Code Project Consultant Name&License No.(it appicable)
Billing Addpess(if different from above) 7
IVAN CASTILLO HI5.0556215
Description of the Project and Description of the Significant Materials to be Used and Equipment to be installed
The work to be done under this contract includes the following(where checked):
Specifications(0=Included❑=Not Included)
Preparation: 1. 0 Obtain all necessary permits and insurance.
2. 0 Inspect surfaces in work area,re-nail loose wood,and replace rotten surface wood where necessary in work area(excluding
roof,decking,ratters,and structural members).
3. ❑ Remove existing siding. Type:
4. ❑ File out walls on brick,block,metal,or stucco areas. Location:
5. ❑ Caulk and seal around all windows and doors in the work area as necessary.
6. ❑ Install approved non-corrosive starter strip.
Insulation: 7. ❑ Install insulation of flatwall areas that are to be sided with (3/4"or 1/4"): extruded polystyrene insulation.
Custom Trim: B. la Install custom Vyna-Klad aluminum fascia system. Color: GLACIER WHITE
9. ® Remove existing guttering.After removal,existing guttering will be: (re-attached/disposed of): DISPOSED OF
10. ® Install new guttering and downspouts.
11. ❑ Cover soffit areas of home with vinyl soffit system(except where noted below in"Work NOT to be donel using:
(WB Max/WB Plus/Weatherbeater/Value Line/Other):
Color: Pattern:
12. ❑ Install custom Vyna-Klad aluminum frieze boards. Size:
Location: Color:
13. ❑ Window trim: (jump/butt): Location: Color:
14. ❑ Custom wrap windows,sills,mulls,headers with Vyna-Klad aluminum. Color:
15. ❑ Remove and re-install existing: (storm windows/awnings/shutters):
16. ❑ Install new shutters: (Panel/Louver): Color:
17. ❑ Custom wrap door facings with Vyna-Klad aluminum. Color:
18. ❑ Custom wrap garage door facings with Vyna-Klad aluminum (single/double): Color:
19. ❑ Remove and re-install storm doors.
20. ❑ Install deluxe corner posts. Color:
Siding: 21. ❑ Install: (WB Max/WB Plus/Weatherbeater/Value Line/Other): Solid vinyl siding.
TYPE:(Horizontal/Vertical): Color:
Porch Systems: 22. ❑ Porch ceilings: Location: Color:
23. ❑ Porch posts: Color:
24. ❑ Porch beams: Color:
Clean up: 25. 0 Clean up and removal of all job-related debris.
26. 0 Remove excess materials and re-stock each job is over-shipped to avoid delays).
Additional work to be done:INSTALLING FASCIA ONLY ON THE ENTIRE FRONT AND BACK SIDE OF THE HOUSE, NEW GUTTERS WITH LEAF
GAURDS AND DOWNSPOUTS
Work NOT to be done: No drip edge covered;no paint applied.
NOT DOING FASCIA ON THE SIDES OF THE HOUSE
SPECIAL INSTRUCTIONS:PLEASE BE AS NEAT AS POSSIBLE
r
f the above check boxes, 'Work NOT to be done," 'Additional work to be done," and Customer(s)initials
cial Instructions'sections have been reviewed and explained to me.
SS1-G4 (Dig.) Rev 08/01/12 Page 1 of 3
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Job Number: -45
APPROXIMATE START DATE and APPROXIMATE COMPLETION DATE:
The work will start approximately 1-2 WEKS (Approximate Start Date)
It will be substantially completed by approximately 2-4 WEEKS q
( pproximate Completion Date)
These dates are subject to change at the time the contract is accepted by Sears Home Improvement Products, Inc. ('Sears') or at any other time by mutual
written agreement. Customer understands that the Approximate Start Date is only an estimated date and the Customer will be contacted prior to this date to
schedule the actual start date.
ASBESTOS ABATEMENT: This Estimate and Proposal assumes that there are no asbestos containing materials ('ACMs') that would be disturbed in the
performance of the installation work. If upon further inspection by the contractor or others it is learned that ACMs have to be disturbed to perform work,then
Customer must arrange and pay for abatement of asbestos by a qualified person prior to the start or continuation of work. If Customer fails to arrange for
necessary asbestos abatement within thirty(30) days, Sears may cancel this contract upon Customer(s)initials
written notice to Customer.
The TOTAL PRICE including all labor,material,taxes and any applicable discount is S 3,385.37 Contract Price S 3,385.37
Initial Payment(not to exceed 30%of Total Price unless Special Order)S 1,015.61 State Sales Tax( o.00 %) S o.00
Final Payment(balance payable upon completion of job)S 2,369.76 Local Sales Tax( o.oo %) S 0.00
Total Amount Due S 3,385.37
The form and method by which the Customer(s)will pay is described in a separate Cash/Credit Customer(s)initials
Card Payment Addendum made a part of and incorporated into this contract by reference.
NOTICE TO BUYER: YOU, THE BUYER, MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY
(FIFTH BUSINESS DAY IN ALASKA, FIFTEENTH BUSINESS DAY IN NORTH DAKOTA IF YOU ARE AGE 65 OR OLDER)AFTER THE DATE OF THIS
TRANSACTION.SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT.
ADDITIONAL PROVISIONS
Proposal and Approval. Sears offers to furnish the materials and arrange for their delivery and installation as specified on the first page and/or the attached
sketches and specification sheets for the TOTAL PRICE shown.This offer must be approved by the Installation Department.If this is a credit sale or a payment
on completion sale,it must be approved by the Credit Sales Department.If this proposal is not approved or the installation cannot be made in accordance with
the law,this offer will be withdrawn and any payments you have made will be refunded to you.Any materials left over after the installation has been completed
are Sears property and will be removed by Sears.
Installation. I understand that Sears will not install the materials but will arrange for the installation. Sears is not responsible for materials or installation NOT
furnished or arranged by Sears.Sears'installation contractors)will obtain all building permits required by local law. For homes located in historic or landmark
zoning districts, Customer will be responsible for obtaining required approvals and related permits prior to the commencement of work on this contract.
Authorization. I authorize Sears to: (1) arrange for a contractor(licensed where required by law)to make the installation of materials; (2) issue a work order
for this installation to a contractor;(3)inspect the installation; and(4) pay the contractor when the installation is complete if I have signed a certificate that the
installation has been completed to my satisfaction.
Delays in Installation.I agree that Sears is not responsible for delays in delivery or installation due to weather,fire,strikes,war,government regulations or any
causes beyond Sears'control.
Oral Aareements and Chances in Contract.I understand that there are no oral agreements between Sears and me. Everything I expect Sears to do has been
included in writing in this contract. Nothing can be changed in this contract unless it is in writing on a separate form accepted by me and Sears.
Responsibility of Buyer. I agree that any information or measurements that I give to Sears are correct and complete. I am responsible for any special work
described in this contract.
Electrical & Plumbing Service. I will provide adequate electrical and/or plumbing service(s)to run any newly installed appliances or other furnishings. If the
electrical and/or plumbing service(s)do not meet the standards of the utility company or electrical and/or plumbing codes,I will make the necessary changes at
my expense unless Sears has agreed in this contract to make the changes.
Payment I will pay Sears the cash price that covers the price of material and installation as shown on the first page.
Warranty Information.Appropriate product warranty documents will be given to me by Sears.Sears'Warranty on Installaton is:
SEARS'LIMITED WARRANTY ON INSTALLATION
In addition to any manufacturer warranty extended to you on the product(s) used (which warranty becomes effective the date the merchandise is installed),
if the workmanship (or application) of any Sears' arranged installation proves faulty within (I) one year for Weatherbeater or other brand, (tf) two years for
Weatherbeater Plus,or(iii)three years for Weatherbeater Max,then upon notice from you Sears will cause such faults to be corrected by repair at no additional
cost to you.If Sears determines that repair is not commercially practicable or cannot be timely made,then,at Sears'sole discretion,Sears may elect to provide
replacement or refund.Service under this Limited Warranty is available by calling Sears Home Improvement Products at 1-800-222-5030,Option 4.This
warranty gives you specific legal rights,and you may also have other rights that vary from State to State.
SS1-G4 (Dig.) Rev 08/01/12 Page 2 of 3
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Job Number: -45
NOTICE TO BUYER
1. DO NOTSIGN THE AGREEMENT IF ANY OF THE SPACES INTENDED FOR THEAGREED TERMSTOTHE EXTENT OF THE AVAILABLE INFORMATION
ARE LEFT BLANK.
2. YOU ARE ENTITLED TO A COPY OF THIS AGREEMENT AT THE TIME YOU SIGN IT.KEEP IT TO PROTECT YOUR LEGAL RIGHTS.
3. YOU MAY PAY OFF THE FULL UNPAID BALANCE DUE UNDER THE AGREEMENT AT ANY TIME,AND IN SO DOING YOU SHALL BE ENTITLED TO
A FULL REBATE OF THE UNEARNED FINANCE AND INSURANCE CHARGES.
4. YOU MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY[FIFTH BUSINESS DAY IN ALASKA,
FIFTEENTH BUSINESS DAY IN NORTH DAKOTA IF YOU ARE AGE 65 OR OLDER]AFTER THE DATE OF THIS TRANSACTION.SEE THE ATTACHED
NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. FAILURE TO EXERCISE THIS OPTION, HOWEVER, WILL NOT
INTERFERE WITH ANY OTHER REMEDIES AGAINST THE RETAIL SELLER YOU MAY POSSESS. IF YOU WISH,YOU MAY USE THIS PAGE AS
NOTIFICATION BY WRITING"I HEREBY RESCIND"AND ADDING YOUR NAME AND ADDRESS.A DUPLICATE OF THIS RECEIPT IS PROVIDED BY
THE SELLER FOR YOUR RECORDS.
5. IT SHALL NOT BE LEGAL FOR THE SELLER TO ENTER YOUR PREMISES UNLAWFULLY OR COMMIT ANY BREACH OF THE PEACE TO
REPOSSESS GOODS PURCHASED UNDER THIS AGREEMENT.
NOTICE TO MARYL_AND RESIDENTS ONLY
Notice: All home improvement contractors and subcontractors must be licensed by the Maryland Home Improvement Commission. Inquiries regarding a
contractor or subcontractor should be directed to the Home Improvement Commission,telephone:410-230-6309 or in-state 1-888-218-5925.
NOTICE TO NEW HAMMPSHIRE CUSTOMERS
NEW HAMPSHIRE LAW, RSA 359-G, CONTAINS IMPORTANT REQUIREMENTS YOU MUST FOLLOW BEFORE YOU MAY FILE A LAWSUIT OR OTHER
ACTION FOR DEFECTIVE CONSTRUCTION AGAINST THE CONTRACTOR WHO CONSTRUCTED, REMODELED, OR REPAIRED YOUR HOME.
SIXTY DAYS BEFORE YOU FILE YOUR LAWSUIT OR OTHER ACTION, YOU MUST SERVE ON THE CONTRACTOR A WRITTEN NOTICE OF ANY
CONSTRUCTION CONDITIONS YOU ALLEGE ARE DEFECTIVE. UNDER THE LAW,A CONTRACTOR HAS THE OPPORTUNITY TO MAKE AN OFFER
TO REPAIR AND/OR PAY FOR THE DEFECTS.THERE ARE STRICT DEADLINES AND PROCEDURES UNDER STATE LAW,AND FAILURE TO FOLLOW
THEM MAY AFFECT YOUR ABILITY TO FILE A LAWSUIT OR OTHER ACTION.
NOTICE TO WEST VIRGINIA CUSTOMERS
WEST VIRGINIA STATE LAW,AS SET FORTH IN CHAPTER 21,ARTICLE 11A OF THE WEST VIRGINIA CODE,CONTAINS IMPORTANT REQUIREMENTS
YOU MUST FOLLOW BEFORE YOU MAY FILE A LAWSUIT FOR DEFECTIVE CONSTRUCTION AGAINST THE CONTRACTOR WHO MADE
RESIDENTIAL IMPROVEMENTS TO YOUR PROPERTY.AT LEAST NINETY DAYS BEFORE YOU FILE YOUR LAWSUIT,YOU MUST DELIVER TO THE
CONTRACTOR A WRITTEN NOTICE OF ANY CONSTRUCTION CONDITIONS YOU ALLEGE ARE DEFECTIVE AND PROVIDE YOUR CONTRACTOR
AND ANY SUBCONTRACTORS, SUPPLIERS OR DESIGN PROFESSIONALS THE OPPORTUNITY TO MAKE AN OFFER TO REPAIR OR PAY FOR THE
DEFECTS.YOU ARE NOT OBLIGATEDTO ACCEPTANY OFFER MADE BYTHE CONTRACTOR OR ANY SUBCONTRACTORS,SUPPLIERS OR DESIGN
PROFESSIONALS.THERE ARE DEADLINES AND PROCEDURES UNDER STATE LAW AND FAILURE TO FOLLOW THEM MAYAFFECT YOUR ABILITY
TO FILE A LAWSUIT.
10/10/2014 10/10/2014
Customer's signature Date Customer's signature Date
Accepted by Sears Home Improvement Products,Inc.('Searsl on 10/10/2014 by.
Date Management Representative
SS1-G4 (Dig.) Rev 08/01/12 Page 3 of 3
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Sears Home Improvement Products, Inc. II I I I III I I II III �'a��
1024 Florida Central Parkway
Longwood, FL 45 50 Home Improvement Products
Job Number:
This section must be filled out and signed by all homeowners.
Homeowner Acknowledgement
Home was built (choose one): 0 During or after 1978 ❑ Prior to 1978
SANTOS GIANGRAVE
Printed Name of Owner-occupant
10/10/2014
Signature of Owner-occupant Signature Date
This section must be filled out and signed if"Prior to 1978"is checked.
Occupant Confirmation
Pamphlet Receipt
I have received a copy of the lead hazard information pamphlet informing me of the potential risk of the
lead hazard exposure from renovation activity to be performed in my dwelling unit. I received this
pamphlet before the work began.
omeowne� n a s
SANTOS GIANGRAVE
Printed Name of Owner-occupant
10/10/2014
Signature of Owner-occupant Signature Date
For tenant-occupied dwellings, please see form S22-C.
S22-B (Dig)Rev.4/12/11
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SealFS
1024 Florida Central Parkway,Longwood,FL 32750 PH:407-551-6000
November 2014
LETTER OF AUTHORIZATION
I, Alfred W. Nyman, Jr., Assistant Secretary and Connecticut State Qualifier for Sears Home
Improvement Products, Inc., grant permission to Nikole Easley and her associate, Jennifer
Francis to submit permits and licenses, pick up permits and licenses, make changes to permits,
licenses and plans and initial changes made by the building department on behalf of Sears
Home Improvement Products, Inc.
I also grant permission to Nikole Easley and her associate,Jennifer Francis to purchase permits
and/or licenses with a company check,personal check,personal credit card or cash.
I certifiy that the above information is true and correct.
Alfred W.Nyman,V,Assistant Secretary and
Connecticut State Qualifier(HIC.0607669,HTG.0400133-S1)
Sears Home Improvement Products, Inc.
STATE of Florida
COUNTY of Seminole
SWORN TO AND SUBSCRIBED BEFORE ME THIS 31"day of November 2014,by Alfred W.
Nyman,Jr., Assistant Secretary for Sears Home Improvement Products, Inc.and who is X
personally know to me or has produced a valid Drivers License.
Seal: 44
� ,„„ DEBORM P. Print Name: Deborah P. Phill' s
��` MYCaMMISSIONIEE09WBI Notary Public,State of Florida
IXPIRES:August13,201s Commission#: EE 090281
i Sawed T?n Hoamy RAAC un mmus
MY COMMISSION EXPIRES:Aug.13,2015
Elect iic # APPLICATION FOR BUILDING PERMIT
Plumbing# a 8 0 Sand Hill Road
HVAC# 13000616 Date: /0/7/ /'3
Sprinkler# Estimated Cost $ Sc7oo'-
FINAL APPROVALS Permit Fee $ o `2 S
Building COMPLETE RED BOXED AREAS Occupancy Fee $
Engineering TYPE OR PRINT ONLY Eng. Insp. Fee $
Affidavit
Appr.forCO. SIGN ON REVERSE SIDE t
►i , ►� Total Fee $_ �
TO THE BUILDING DE ARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $
The undersig ed hereb applies to do work according to the following:
Applican w If Location of Work Lot No.
Applic ntt's Ad r s &A 'ems o _ Tel # Lf_I
Town "v) Zip rJ108 S Lic.#
Owner �i V/'Q O Architect
O ner's Ac�dress 2 S&j RD Architect's Address
�I. Zip-ob d Z Y
Zip
Sq. Ft. New Area: 1 st FI. 2nd FI 3rd FI. Total New Area
Purpose of this.perrpit 4
City Water L] Well ❑ Septic System ❑ Sewer L] J��l �
Ins: HO S� rt. Area Basement Garage
Approved by 'A Date►i• �`13 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 prope �e from all street lines,side yard lines,and required
distances from all other zones and is located in which this building a4d its use allowed.
Sign
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 11/13/13
Printed by' Peart, Dayshel M:42:23
INSPECTION: 62770 FINAL -PERMIT:
STATUS:
•APPLICATION: 201301598
LOC: 280 SAND HILL ROAD
SOUTH WINDSOR
PROPERTY ID: 79800280
OWNER: GIANGRAVE VIVIAN E & SANTO J
"CONTRACTOR:
ti
REQUEST BY:
PROJ DESC: STRIP OLD SHINGLES, NEW ICE•AND.WATER, FELT, AND'RESHINGLE.
WORK ORDER:
INSPECTOR: ROSE RESULT:
REQUESTED: 11/07/13 PRIORITY:
SCHEDULED: 11/12/13 AM COMPLETED: 11/12/13
'UNPAID FEES: 00 Time
MILEAGE: 00 TIME: TRAVEL ONSITE
COMMENTS: =
ILONA @ 1-413-636-6046 ;J
14000635 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER BUILDING PERMIT
DATE: I 1/25/2014
GIS ID: 79800280 FEE: 60.00
MUNIS APPLICATION# 201401562 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: SEARS HOME IMPROVEMENT ADDRESS: 280 SAND HILL ROAD
ADDRESS: 216 HAMILTON AVENUE OWNER: GIANGRAVE VIVIAN E&SANTO J
STRATFORD, CT 06615 280 SAND HILL ROAD
SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: INSTALL FASCIA ON FRONT AND BACK SIDE OF HOUSE. NEW GUTTERS
WITH LEAF GUARD AND DOWNSPOUTS.
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
11/25/2014 2:58 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE
13000616 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER BUILDING PERMIT
DATE: 11/08/2013
GIS ID:79800280 FEE: 225.00
MUNIS APPLICATION# 201301598 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: MAJOR HOME IMPROVEMENTS LLC. ADDRESS: 280 SAND HILL ROAD
ADDRESS: 42 COPPER STREET ;` OWNER: GIANGRAVE VIVIAN E&SANTO J
WEST SPRINGFIELD.MA 01089 280 SAND HILL ROAD
SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: STRIP OLD SHINGLES,NEW ICE AND WATER,FELT,AND RESHINGLE.
.n
w
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
l 1/8/2013 2:38 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE
13000312 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER BUILDING PERMIT
DATE: 06/20/2013
GIS ID: 79800280 FEE: 90.00
MUNIS APPLICATION# 201300839 �4 =BUILDING DESCRIPTION:
APPLICANT 4� ? y-" , 4o- .+° LOCATION
NAME: SOUTHERN NEW ENGLAND,WINDOWS-- ADDRESS: 280 SAND HILL ROAD
ADDRESS: 26 ALBION ROAD ;' OWNER:,. g GIANGRAVE VIVIAN E R;SANTO J
LINCOLN,RI 02865 p s :F a 280 SAND HILL ROAD
�` 4 ' '' _, " ' °�.",SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: INSTALb2.REPLACEMENT STORM DOORSFµ;,; 4,
NO STRUCTURAL CHANGES.
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
6/20/2013 12:16 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE
1500128 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER ELECTRICAL PERMIT
DATE: 05/26/2015
GIS ID: 79800280 FEE: 45.00
MUNIS APPLICATION# 201500565 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: AJP ELECTRIC LLC. ADDRESS: 280 SAND HILL ROAD
ADDRESS: 13 OLD CATHOLE ROAD S OWNER: GIANGRAVE VIVIAN E&SANTO J
TOLLAND,CT 06084 280 SAND HILL ROAD
�.. SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: UPGRADE FROM 100 AMP SERVICE TO 200 AMP SERVICE.
�3
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
5/26/2015 8:11 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE
1300414 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER PLUMBING PERMIT
DATE: 09/27/2013
GIS ID:79800280 P' " '" � F' ��� i � r_ FEE: 45.00
MUNIS APPLICATION# 201301386 , �"��,BUILDING DESCRIPTION:
APPLICANT `, LOCATION
NAME: HOMESTEAD FUEL I14C d'. "."y!ADDRESSs 2808AND HILL ROAD
ADDRESS: PO BOX 749 i � > �. ? M OWNER'. GIANGRAVE VIVIAN E&SANTO J
ELLINGTON,CT 06029� q lyre ��"A" ^5 '� 28Q SANp HILL ROAD
SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: INSTALL`NEW40 GALLON INDIRECT,HOT'W'ATERMAKER.
SPECIAL CONDITIONS: -" , v t�" 19
ALL WORK TO BE DONE IN ACCORDANCC`WITH,TH9 APPLICATION AND'PL`XA,NS ROVED BY THE BUILDING DEPARTMENT.
CONSTRUCTION TYPE:
OCCUPANCY GROUP: . .4.>>d.,, r BUILDING OFFICIAL
9/27/2013 12:52 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE