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HomeMy WebLinkAbout151 Sand Hill Road (4) TO THE BUMDING INSPEMR of the APPLICATION FOR TOWN OF SOUTH WINDSOR,CONK PLAN EXAMINATION A N D BUILDING PERMIT IMPORTANT — Applicant to complete all items in sections: 1, 11, III, IV, and IX. o S,4�n 1/��(� ,G eA rT} ZONING I• AT (LOCATION) /V 1J �`7r :f/ DISTRICT LOCATION (NO.) (STREET) OF BETWEEN AND BUILDING (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE N II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D —� �v A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use rn 1 New building Residential Nonresidential 2 ❑ Add(tion(If residential, enter number 12❑ One family 18 ❑ Amusement, recreational of new housing units added, if any, 13 Two or more family - Enter 19 Church, other religious in Part D, 13) ❑ number of units- - - - -p. ❑ 20❑ Industrial 3 ❑ Alteration (See 2 above) 14 Transient hotel, motel, 4❑ Repair, replacement ❑ or dormitory - Enter number 210 Parking garage 5 ❑ Wrecking (If multifamily residential, of units ------- - -i 22 ❑ Service station, repair garage enter number of units in building in 15❑ Garage 23❑ Hospital, institutional Part D, 13) 16[❑ Carport 24❑ Office, bank, professional 6❑ Moving (relocation) 17❑ Other - Specijy 25❑ Public utility 7 ❑ Foundation only 26❑ School, library, other educational B. OWNERSHIP 27❑ Stores, mercantile 8 ❑ Private (individual, corporation, 28 ❑ Tanks, towers onprofit institution,etc.) 29❑ Other - Specify 9 Public(Federal, State, or local government) C. COST (Omit cents) Nonresidential - Describe in detail proposed use of buildings,e.g., food processing plant, machine shop, laundry building at hospital,elementary 10. Cost of improvement,,,,,,,,,,,,,,,, S school, secondary school, college, parochial school, parking garage for, departme store, rental office building, office building at industri I plant. To be installed but not included If use a ist' q buildin s being ch ged, enter proposed use in the above cost r a. Electrical...................... �� b. Plumbing ...................... c.Heating, air conditioning......... d. Other(elevator,etc.)............ 1 11. TOTAL COST OF IMPROVEMENT $ .YZOtiW� III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L; for wrecking, complete only Part J, for all others skip to IV. E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS 30❑Masonry(wall bearing) 40[Public or private company 48• Number of stories......2........ 31 ❑ Wood frame 41 ❑ Private (septic tank floor area, , etc.) 49. Total square feet of fl � � all floors, based on exterior 32[��5tructural steel dimensions .................... 33[reinforced concrete H. TYPE OF WATER SUPPLY 50. Total land area, sq. ft. ........... 34[❑ Other - Specify 42 Public or private company 43 ❑ Private(well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed ....................... 35❑ Gas Will there be central air 52. Outdoors....................... 96 ff0II conditioning? L. RESIDENTIAL BUILDINGS ONLY 37❑ El ctricity 44 52rYos 45❑ No 53. Number of bedrooms.............. 38❑ C al 39❑ Oth r- Specify Will th to be an elevat r? Full.......... 54. Number of 46 s 47❑ No bathr ms Partial....... IV. IDENTIFICATION — To be comp) ted by all applicants Nome Mailing address — Number, street, city, and State ZIP code Tel]No �. 7ow,v �f TDw i✓ ,�AGL- Owner or li(Lessee s�LIJ�/ 1A1.iPC0� 2. n/AE/� Coivsi2crCTivry ,o , /.�o x 7 9'3 Contractor co 1�NC C j c76v6�1' 3. 4A6 1'?C1 ee As'oem7q 64e.3-Z46/ Architect or Engineer The owner of this building and xhe undersigned agree to conform to all applicable laws of this jurisdiction. Signature o licant Address Application date ' A©•.3o x 793 IX�21v OXI . Z . 63 a,Sh {' f f Am/d DO NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Required Check Plan Review Date Plans B Date Plans B Notes 9 Fee Started y Approved y BUILDING $ PLUMBING $ MECHANICAL $ ELECTRICAL $ OTHER Is VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approval Check Date Obtained Number By Permit or Approval Check ObtDa ate ned Number By BOILER PLUMBING CURB OR SIDEWALK CUT ROOFING ELEVATOR SEWER ELECTRICAL SIGN OR BILLBOARD FURNACE STREET GRADES GRADING USE OF PUBLIC AREAS OIL BURNER WRECKING OTHER OTHER VII. VALIDATION Building Permit number 13266 Building Permit issued June 7 lq 83 Bui Iding Permit Fee $ N/A Approve TITL TOWN OF SOUTH WINDSOR BUILDING PERMIT Date June 7 , 19 83 Fee Paid $. .N,/.A Eat. Value $.l.,520 p 000 Permit N° 13266 on the aide of Sand Hill Road Sailer Street No. 151 O ,nn Town of South Windsor Appfimt Rashid Hamid CERTIFICATE OF OCCUPANCY ISSUED: Date No. 6385 Fee Paid $ N/A CLASSIFICATION Police/Ambulance Complex BUILDING PERMIT ' oMcaa of N° 13266 THE BUILDING INSPECTOR of the Town of South Windsor, Conn. i South Windsor, Conn. June 7 19 83 i 94i T f �� � � That Naek Construction Co. , nce is hereby granted permission to Police 11 neQ Comnl px at estimated value of $ 000 on the side of 151 Sand Hill Road Street on land owned by Town of South Windsor Said work to be as described in Application No. 13 5 6 6 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issued June 7 19 83 -v ^uild ing Inspector. Streets and sidewalks, obstructed by ezcavations or building materials, must be guarded by barriers during the day and by both barriers and colored lights by night. SECTION 1343, GENERAL STATUTES OF CONNECTICUT: "When any person shall place or keep building materials, or any obstacle in any highway (or any sidewalk) either with or without a license therefor from the city or borough in which such highway may be situated, he shall pay said city, town or borough all coats and damages which it shall sustain, or be compelled to reason therefor." Police/Ambulance Complex 6/7/83 Town Qf South Windsor-;Bldr. Naek Constr. Co.Inc. 151 Sand Hill Road Permit #13266 Sprinkler System: N. Becker #5695 Electrician Colonial Electric #7996 Heating Contr. Kendland Co. #5687 Plumbing " Kendland Co. #6212 Oil Burner # Certificate of Occupancy #6385 INSPECTION REPO T Permit # i Job 1 Footing 2 Foundation /~ 3 Framing ' 4 Wiring 5 Plumbing 6 Heating 7 Lathing 8 C.O. X 3?,-7 Permit No. -� TOWN OF SOUTH WINDSOR SOUTH WINDSOR, CONN. Permit N O 6385 CertificAte of Occupancy THIS IS TO RT Y that th at No. - � ' - z �` in the Town of South Wind4br, onnecticut, has been erected and completed in accordance with the Building Code and Zoning Regulations of the Town of South Windsor, and is hereby appr ved fo o upancy. Building Inspector "Vie'r, Builder e/V/A- Fee Paid Date 7j19 8 4— , f 7996 ELECTRICAL APPLICATION Application No. 9107 on the side of Sand Hill Road Street Street No. _ 151 Police/Ambulance Compl. Owner Town of South Windsor Electrician Colonial Electric FILED IN OFFICE OF The Building Inspector June 21 19 83 INSPECTION. eV,No Electrical Work shall be started until a Per- mit is granted by the Building Inspector. In New Buildings no wiring shall be started until the plumbing and heating pipes, and the fire stops (if of wood) are installed, without a special permit from the office of the Building Inspector. APPLICATION FOR PERMIT TO DO ELECTRICAI. WORK. No. ...... Permit No. . . TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. �. .. hereby make application tq perform Electr cal Work according to detailed description below. All provisions of the Rules for Electrical Installation, Section 48, Building By-Laws, shall be complied with whether specified herein or not. &e2O " South Windsor, Conn., 19 Sign here Ic .. ............ . Address ... ... ... ................. .................... Location � ...'`�.. ... `�.��`. .. a` .. Side of ... .... .... .... .......i................................. ...... .......... ............... Nature of Building .'. - VP i! How many stories .......... `.............. .......................................... ................. New or old Building . .... . ..... .... . How many families .. ................................................................... ............. Kind of Installation How many Stores ................................................................................................... Owner . .. ? l,� v ,i►a Address ........... .�`. . __:._.._......._..............._...... Architect Address ... ..................... Builder �j P...Co< .. ... Address ..................1,���.�...__.... .... Electrician WA-A. -C Ct-A... c,. �'�. ......... . .. .. Address � S.0 s.ul,�-��. ` ..........c .-�. ..................._... Size of Main Wires �An....�.�...+..:�.... No. of Light Loops . ... . ...... No. of Heat Loops . .., . No. of Power Loops ......................... No. of Light Outlets . .... ....... No. of Heat Outlets . . No. of Power Outlets ................. ............ N b of Light Circuits ... No. of Heat Circuits No. of Power Circuits .. No. of Sockets .. .. No. of Heat Receptacles No. of Motors .......... .. .. No. of Panels .................. . ..... . . .. . Size of Heat Circuit No. of Power Receptacles No. of Switches . ....... ...... . .... .. Total Wattage . . .............. Size of Power Circuit .. . ..... Total Horsepower No. of Straight Electric Fixtures ..... . . .. ........................ No. of Combination Fixtures ... .. .. ..... No. of Receptacles ............................. .. ... ... .. ...... ....... ..... . ...... No. of Cord Drops ..... ........................................ .. .. ...... ..... ... .. Remarks: For other kind of Installation ..... ........................................ .. ....................... ................................. .................. .. .. . ........... ................ ��c �arA.Aa% s «� . ................................ ...... ........... .. ..... . ..............._......................................................................................... .. .. ............................................ .............................................. .............. ............................................................................................................................ ................... .. ... .. .... ... ...... . .................................................................................... ...... .. . ................................................................. .. ......... ................... . ... . . . ... .. . ...... ..... ..... ... Estimated Cost .... i !TO`0 d o l c� 6 6212 PLUMBING APPLICATION 69 91 on the -sick of Sftftt No. 151 Ownw -M'O//v 0 tz Plumber lee-761JN Filed in Office of The Bwl&ng Isrpecoor July 27 19M INA-Erg OIL ................. No perom shall ooas -; MH 2D OC AW My portion of the &aimp wamm of my buMm (empt to repair leaks) umd a Pkessic in wwmad by the Build n Impeaw. APPLICATION FOR PLUMBING PERMIT (Continued from Reverse Side) TOWN OF SOUTH WINDSOR, CONN. 11. LOCATION OF JOB Sand Hill Road, South Windsor, CT NO. STREET FLOOR APT.NO. GENERAL PLUMBING 12. KIND OF INSTALLATION iJ �f�/L �' �s S06 Co 13. SIZE OF MAIN DRAIN 14. NO. OF TOILETS STYLE 15. NO. OF URINALS STYLE 16. NO.OF BATHTUBS 17.NO.OF LAVATORIES 18. NO.OF SINKS 19. NO. OF WASHTUBS 20. NO.OF CONDUCTORS SIZE 21. NO. OF STACKS SIZE 22. AREA OF ROOF 23.NO. OF CATCH BASINS 24. NO. OF FLOOR DRAINS 25. NO. OF OTHER FIXTURES KIND 26. ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW? 27. SIZE OF WINDOW 28. IF NO WINDOW,WHAT KIND OF VENTILATION IS THERE? 29. SIZE OF DUCTS 30. ARE SEWAGE AND WATER FACILITIES AVAILABLE? SIGNATURE ADDRESS e6 Zr-0 OD C S LI E NOT� 2-00 1 ESTIMATED COST � `-' �EN Z TELEPHONE OWNER "ro wiv o �= S- l,/d��,dS�2 ADDRESS /4-Yo WATER HEATER 31. TYPE 32. MANUFACTURER TANK SAFETY DEVICES 33. CAPACITY 37. TEMPERATURE RELIEF VALVE 34. TEST PRESSURE 38. MANUFACTURER_ 35. WORKING PRESSURE 39. PRESSURE RELIEF VALVE 36. TYPE 40. MANUFACTURER ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY THE OWNER OF THIS PROPERTY AND WILL BE DONE IN STRICT ACCORDANCE WITH THE BUILDING CODE.I ce Jx'� CD962 TE SIGNATURE OF APPLICANT PERMIT Application For 6795 15695 DEPARTMENT DECISION c Heating Permit 0 3 APPLICATION IS HEREBY:o DEPARTMENT OF LICENSES AND INSPECTIONS a� N APPROVED ❑ DISAPPROVED TOWN OF SOUTH WINDSOR 8/3/83 j 00 DATE C 1 INSPECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE MEL W O V1 A o W 1. LOCATION OF JOB O 1.4 151 Sand Hill Road C NO. STREET 4--) v 4) r Ground LOT NO. FLOOR APT. N . O I~ 0 O N7 W c Town of South Windsor 2. OWNER cd o S. ADDRESS 1540 Sullivan Avenue °0 3 a4.S . Windsor, CT pHONE 644-2511 4-11 > Cd to S. APPLICANT Nathan Becker vi ad �v B. ADDRESS 15 Wisconsin Avenue , Norwich w .d Conn. 06360-1515 ,,PHONE 889-3311 B. LICENSE NO. 300221 a C w B. EXPIRATION DATE OF LICENSE 10/1/8 3 c� O 10. ESTIMATED COST S 2 4 ,3 2 0 .0 0 ~ 11. IS THIS A CONTRACT COSTS ® YES ❑ No L= bo .� Permit #13266 i 12. FEE ENCLOSED S -0- (previously paid) x (1) 12. TYPE OF BUILDING: i W 54 ❑ RESIDENTIAL ® COMMERCIAL O 9 c 3 14. TYPE OF JOB: ❑ INDUSTRIAL 1�7 RIGINAL ❑ ALTERATION l� INSTALLATI N ADDITION REPAIR APPLICATION FOR HEATING PERMIT (Continued it m Reverse Sid ) 11. LOCATION OF JOB Sand Hill Road South Windsor Ground NO. STREET FLOOR AFT.NO. 12. TYPE OF INSTALLATION: ❑ OIL BURNER ❑ ELECTRIC ❑ VENTILATION SPRINKLER ❑ GAS BURNER ❑ STACK ❑ INCINERATOR ❑ MISCELLANEOUS J 20 � � � k "L O R, IDENTIFY SIZE LOCATION SIZE SIZE 13. OF TANK OF TANK OF FILL OF VENT 14. B.T.U. EQUIP. AT REGISTER FURNACE MAKE AND NO. AT BONNET FIRING RATE BOILER OR FURNACE MAKE AND NO. B.T.U. OR SQ. FT. NET B.T.U. OR SO. FT. GROSS FIRING RATE FLOORS TO BE HEATED NEW OR OLD BUILDING INSULATED — YES OR NO TYPE OF WALL INSULATION ROOF OR CEILING INSULATION AVG. SYSTEM WATER TEMP. B.T.U./SQ. FT./HR. EMISSION INDOOR-OUTDOOR TEMPERATURE DIFFERENCE °FAHRENHEIT MAKE OF RADIATION: BASEBOARD. COPPER CONVECTORS, OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ. FT. OR B.T.U. DESCRIPTION OF WORK 15. TO BE DONE: per plans and specifications on file in your office for sprinkler system m HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS): INDOWS Roots slzE AD Dooas AREA - SQUARE FEET VOLUME B.T.U. B.T.U. < DISTRIBUTION INSTALLED TOTAL TOTAL q NO. LL ROOM GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED <j LL RAD. REGISTER L W N AND C TEMP. TO F f: TYPE AND SIZE OR LEADER SIZE < WALL f'Lt0 (INFILT.) DIFF. •F O m N SQ. FT. FREE AREA TOTALS A. HEAT LOSS FROM BUILDING B.T.U./HR. B. DOMESTIC HOT WATER DEMAND B.T.U./HR. C. PIPING, OTHER THAN NORMAL B.T.U./HR. ALLOWANCE FOR HEAT VALVE OF FUEL (A B C) FACTOR 17. ELECTRICAL WORK BY: NAME ADDRESS SUBCONTRACTORS AND Ia. THEIR TRADES ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY THE (OWNE ) R (A jENT) OF THIS PROPER ND WILL BE DONE IN STRICT ACCORDANCE WITH THE BUILDING CODE. -G �- APPLICATION TO BE COMPLETELY FILLED IN. DATE SIGNATURE OF APPLICANT PERMIT # Application For 6793 5692 DEPARTMENT DECISION Co Heating Permit y O 3 APPLICATION IS HEREBY: DEPARTMENT OF LICENSES AND INSPECTIONS ' a � APPROVED DISAPPROVED TOWN OF SOUTH WINDSOR o p, ffhrmas P. D'Auria 00 O ATE CHIEF INSPECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER NE BEL W C 1. LOCATION OF JOB ICD O NO. STREET i Cd v .� 0) LOT NO. FLOOR APT. N . [ 0 O N O O rz 2. OWNER O O a. ADDRESS < be 3 d ; 4.PHONE S. APPLICANT C,11/�/��.,o .� 6. ADDRESS J S. LICENSE 140. y O C]. w f. EXPIRATION DATE OF LICENSE e� 10. 'ESTIMATED COST r" 11. IS THIS A CONTRACT COS" ❑ YES NO W R 12. FEE ENCLOSED S Permit 13 213 53 � is. TYPE OF BUILDING- Go be b M-1-9SIDEIITIAL ❑ COMMERCIAL O � 3 14. TYPE OF JOB: ❑ INDUSTRIAL MAL x WINSTALLATION ❑ DDITIONON REPAIR ri-ago ��®op APPLICATION FOR HEATING PERMIT (Continued it m Reverse Side) 11. LOCATION OF JOB STREET FLOOR APT.NO. 12. TYPE OF INSTALLATION: ❑ OIL BURNER ❑ ELECTRIC ❑ VENTILATION ❑ SPRINKLER ❑ GAS BURNER ❑ STACK ❑ INCINERATOR ❑ MISCELLANEOUS IDENTIFY SIZE LOCATION SIZE SIZE 13. OF TANK OF TANK OF FILL OF VENT 14. B.T.U. EQUIP. AT REGISTER PLIMNAI717 MAKE AND N0. AT BONNET FIRING RATE BOILER OR FURNACE MAKE AND NO B.T.U. OR SO. FT. NET B.T.U. OR SQ. FT. GROSS FIRI G RATE FLOORS TO BE HEATED NEW OR OLD BUILDING INSULATED — YES OR NO TYPE OF WALL INSULATION ROOF OR CEILING INSULATI AVG. SYSTEM WATER TEMP. 7,4 r-�(J�7 B.T.U./SQ. FT./HR. EMISSION INDOOR-OUTDOOR TEMPERATURE DIFFERENCE °FAHRENHEIT MAKE OF RADIATION: BAS BOARD. C PER CONVECTORS, OR :.I. RADIATION, UTPUT PER SECTION OR LINEAL OF RADIATION. SQ. FT. OR B.T.U. DESCRIPTION OF WORK 15. TO BE DONE: 16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS). ='z Room slzE w►NDows AREA SQUARE FEET B T. S. �° DISTRIBUTION INSTALLED AND DOOR$ VOLUME TOTAL TOTAL" w �� - _ -- NO. GLAS.! NET WALL CEILING FLOOR GU.FT. AT 70•F. CORRECTED •�j F• - - REGISTER '":• a RCJM GROSS < MAD. ` _ _L• W -H;" -AND• ` IINFILT 1 TEMP. TO �: TYPE AND SIZE OR LEADER - .. �. SIZE < WALL ''<<� DIPF. •F F m w !C. P7. FREE AREA 3Z- 01 O �i3 3 fov f/�DO vG y66, 0C) f300 41 c'c'c WO 0. r -117 13 �� �G� ��� > �y� /vo Y U 8 3 w,,A, 2 oo 207 C7 c0 ell"Oey All fly x3 dl /93- /f C _t r/ i a 0 E U p/ l3 7` ��c�, /cc �o 0� zov C GC/�0 ��r 79 3 2`z 2" —77,T, 0"("'4 TOTALS - �^ rf� A. HEAT LOSS FROM BUILDING _L.�_—a -`'---- RT.U./mR. B. DOMESTIC HOT WATER DEMAND B.T.U./HR. C. PIPING, OTHER THAN NORMAL B.T.U./HR. ALLOWANCE FOR HEAT VALVE OF FUEL (A B C) FACTOR 17. ELECTRICAL WORK BY: NAME ADDRESS SUBCONTRACTORS AND 18. THEIR TRADES -- - ---- - ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY THE (OWNER) OR (AGENT) OF THIS PROPERTY AND WILL BE DONE IN STRICT ACCORDANCE WITH THE BUILDING CODE. APPLICATION TO BE COMPLETELY FILLED I c? �-73 DATE SIGNATURE OF APPLICANT - I PERMIT # Application For 6788 5687 Cd 4-;0DEPARTMENT DECISION Heating Permit O 3 E APPLICATION IS HEREBY- 0 DEPARTMENT OF LICENSES AND INSPECTIONS N +' APPROVED ❑ DISAPPROVED TOWN OF SOUTH WINDSOR a C1 o ;, 7.12l183 Thomas P. D'Auria 00 w DATE CHIEF INSPECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BELOW O ^C 1. LOCATION OF JOB O w 191 SAIV,o #/,Z . 2oR-A-3 A NO. STREET +, O c� v O � ,q O LOT NO. FLOOR APT. NO. O A 4-3O N 2. OWNER _Z:2 AV"I/ D F •�. �i/`.0�'c"3�2 c s. ADDRESS y SG'�.-�./VA/y (✓E' b0 3 •G✓/IvaS c�2 CT- a 6 C'7 q I.FHONE i 4j ; — m Cc V2 = s. APPLICANT l�.O, /V�J GD SJ✓ vi cc 6. ADDRESS 7.PHONE v 6. LICENSE NO. f .3 D b 22-1 a� s O. �-' 9. EXPIRATION DATE OF LICENSE /O i �3 .a G 10. ESTIMATED COST = 41 N ^ 1 t. IS THIS A CONTRACT COST? ❑ YES 0 NO F- bo 12. FEE ENCLOSED :- Permit 13266 c.� m ai 13. TYPE OF BUILDING: �� W El RESIDENT" LJ COMMERCIAL Obo .r. C d a� 14. TYPE OF JOB: ❑ INDUSTRIAL Cd ❑ ORIGINAL ❑ ALTERATION INSTALLATION ADDITION REPAIR f APPLICATION FOR HEATING PERMIT (Continued it m Reverse Side) 11. LOCATION OF JOB Sand Hill Road, South Windsor, CT NO. STREET FLOOR APT.NO. 12. TYPE OF INSTALLATION: ❑ OIL BURNER ❑ ELECTRIC ❑ VENTILATION ❑ SPRINKLER D GAS BURNER ❑ STACK ❑ INCINERATOR ❑ MISCELLANEOUS IDENTIFY SIZE LOCATION SIZE SIZE 13. OF TANK OF TANK OF FILL OF VENT 14. B.T.U. EQUIP. AT REGISTER FURNACE MAKE AND NO. AT BONNET FIRING RATE BOILER OR FURNACE MAKE AND NO. B.T.U. OR SO. FT. NET B.T.U. OR SQ. FT. GROSS FIRING RATE FLOORS TO BE HEATED NEW OR OLD BUILDING INSULATED - YES OR NO TYPE OF WALL INSULATION ROOF OR CEILING INSULATION AVG. SYSTEM WATER TEMP. B.T.U./SQ. FT./HR. EMISSION INDOOR-OUTDOOR TEMPERATURE DIFFERENCE °FAHRENHEIT MAKE OF RADIATION: BASEBOARD. COPPER CONVECTORS. OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ. FT. OR B.T.U. DESCRIPTION OF WORK 15. TO BE DONE: �Cn 'c _ 16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS): ROOM SIZE WINDOWS AREA — SQUARE FEET B.T.U. B.T.U. DISTRIBUTION INSTALLED AND DOORS VOLUME TOTAL TOTAL �n ROOM NO' GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED J F-ILL j IL REGISTER L W N AND C TEMP. TO f TYPE AND SIZE RAO. OR LEADER SIZE < WALL 'Lt0 (INFILT.1 f DIFF. •F F m a SQ' FT' FREE AREA TOTALS A. HEAT LOSS FROM BUILDING B.T.U./HR. B. DOMESTIC HOT WATER DEMAND B.T.U./HR. C. PIPING. OTHER THAN NORMAL B.T.U./HR. ALLOWANCE FOR HEAT VALVE OF FUEL (A B C) FACTOR 17. ELECTRICAL WORK BY: NAME ADDRESS SUBCONTRACTORS AND 18. THEIR TRADES ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY THE (OWNER) OR (AGENT) OF THIS PROPERTY AND WILL BE DONE IN STRICT ACCORDANCE WITH THE BUILDING CODE. APPLICATION TO BE COMPLETELY FILLED IN. ,? ATE / SIGNATURE OF APPLICANT <"d&ad #70tc. PLUMBING, HEATING & A/C SUPPLIES 37 CHARLES STREET - EAST HARTFORD, CONNECTICUT - 06108 (203) 289-6813 July 21, 1983 Mr. Pat DiCiancia Town of South Windsor 1540 Sullivan Avenue South Windsor, CT 06074 RE: South Windsor Police & Ambulance Facility Dear Mr. DiCiancia: In accordance with your request, here is the breakdown of the three phases of the mechanical work for the above-referenced project: Plumbing - $66 ,905 .00 ; HVAC - $126 ,575 .00 ; Fire Protection - $24 ,320 .00 . Additionally, at your convenience, please forward to us the appropriate application for the permit for the fire protection system. We hope the above satisfies your need; should you have any questions regarding this matter, please do not hesitate to contact this office. Very truly yours, KENDLAND COMPANY, INC. . !. P�eitileo Vice President J1 P/pjkd 0-/?S-C� W)&U&at O � C V a � s w� 1540 SULLIVAN AVENUE • SOUTH WINDSOR, CONN. 06074 R-Co AREA CODE 203/644-2511 i TO: Richard J. Sartor, Town Manager FROM: Thomas P. D' Auria, Chief Building Official DATE: July 23, 1984 SUBJECT: Police/Ambulance Complex Certificate of Occupancy Inspection A final inspection was conducted July 20 , 1984 . Present were: Job Supervisor for Naek Construction Co. , Inc. , Electrical Contractor, Plumbing & Heating Contractor ; also Patsy DiCiancia, Earl Darby and Thomas P. D' Auria. We found the following items have not been completed due mainly to delays in shipments, and others not completed due to the communication contractor. A. First floor: t 1. Green light at entrance. f 2 . Noisy toilet vent fan. 3 . One light ballast. 4 . Overhead garage door not electrically connected. B. Basement: 1. Index on electric panel in generator room . 2. Police area garage door hits sprinkler pipe. 3 . Kitchen stove hood not installed. C. Ambulance area: 1. Kitchen stove hood not installed. 2 . At base of the garage door water accumulates - this could cause a serious problem in cold weather if the water freezes and the door is unable to open. i Page 2 SUBJECT: Police/kmbulance Comples Certificate of Occupancy Inspection DATE: July 23 , 1984 The cable on the antenna is not installed in a neat and workmanlike manor. Approved straps for cable shall be used and ends of plastic conduit must be sealed. A Certificate of Occupancy can be issued within a few days. cc: Naek Construction Co. , Inc . Howard E. Fitts, Chairman - puplic Building Commission William Lanning, Fire Marshal William Ryan, Chief of Police DEPARTMENT DECISION APPLICATION FOR SPRINKLER PERMIT Application is hereby: TOWN OF SOUTH WINDSOR PERMIT# BUILDING DEPARTMENT // 5L 2fPPROVE 1540 SULLIVAN AVENUE 644-2511 ext. 230 Bldg.Permit# Dat Building Inspector Application must be printed or typed FEE SCHEDULE Location of Job: $0-$1,000=$13.00 Street No. Street Lot No. Over$1,000= $13.00 per$1,000 ;t 1C,- �- TOU or any fraction thereof Tenant Designation Apt.No. APPLICANT APPLICANT ADDRESS jj r - APPLICANT PHONE# _ 20 0 W N $t OWNER OWNER ADDRESS / 5 T4TI611)Ll 0 . of E w OWNER PHONE ESTIMATED COST$ -� IS THIS A CONTRACT COST? Yes E3 No FEE ENCLOSED$ 401, �SOR-Cps TYPE OF JOB: INew Installation Alteration/Addition/Repair Revised 8/99 APPLICATION FOR SPRINKLER PERMIT (Continued from reverse side) TYPE OF BUILDING TYPE OF CONSTRUCTION USE GROUP NO. OF STORIES ❑ RESIDENTIAL IS THIS APPLICATION ASSOCIATED WI A ❑BUSINESS BUILDING PERMI PLICATION? ❑ YES kNO ❑ASSEMBLY w + ❑MERCANTILE CURRENT USE AND OCCUPANCY ❑ EDUCATIONAL INSTITUTIONAL FUTURE USE AND OCCUPANCY.'* ❑FACTORY ❑ STORAGE ENGINEER'S NAME PHONE ❑ GARAGE ❑MIXED USE ADDRESS (Other please specify) CITY STATE ZIP KIND OF INSTALLATION ❑DRY WET ❑ COMBINATION ❑ CHEMICAL SIZE OF MAIN DRAIN WATER PRESSURE AT STREET(PSI) rj ' ARE SPRINKLER HEADS ALTERED? ❑YES "*'XNO IF YES,CHECK ALL THAT APPLY: ❑ADDED ❑DELETED ❑ALTERED IF MORE THAN 3 HEADS ARE ADDED HYDRAULIC CALCULATIONS ARE PROVIDED BY(CHECK ONE) ❑PROFESSIONAL ENGINEER ❑INSURANCE COMPANY WATER FLOW WATER PRESSURE AT SPRINKLER HEADS(PSI) ARE PUMPS REQUIRED? ❑YES NO IF YES,CHECK ALL THAT APPLY: ❑FIRE ❑BOOSTER ❑OTHER ARE STANDPIPES PROVIDED? ❑YES ❑NO IS A SPRINKLER SYSTEM PROVIDED? ❑YES ❑NO SPRINKLER SYSTEM MAIN WATER SUPPLY RATING GPM TOTAL DYNAMIC HEAD(TDH)OF FIRE PUMP PSI DESCRIPTION OF WORK r L 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 N . TYPE STATE SIGNATURE OF APPLICANT DATE lllj'7 Iq c5� DEPARTMENT DECISION APPLICATION FOR SPRINKLER PERMIT Application is hereby: TOWN OF SOUTH WINDSOR PERMIT# BUILDING DEPARTMENT APPROV 1540 SULLIVAN AVENUE `3 ( O 644-2511 ext. 230 Bldg. Permit# Date Building Inspector Application must be printed or typedr FEE SCHEDULE Location of Job: $0-$1,000=$13.00 Street No. Street Lot No. Over$1,000= $13.00 per$1,000 No- or any fraction thereof Tenant Designation Apt.No. APPLICANT APPLICANT ADDRESS dC C' 40 v (,( t__4 t T APPLICANT PHONE# G Jill V�I N $F,q OWNER OWNER ADDRESS � �L C 0 - M 0. OWNER PHONE ESTIMATED COST$ �• �� . U IS THIS A CONTRACT COST? es 0 No FEE ENCLOSED$ w� �S0 C0 TYPE OF JOB: 0 NLAw Installation Alteration/Addition/Repair Revised 8/99 APPLICATION FOR SPRINKLER PERMIT (Continued from reverse side) TYPE OF BUILDING TYPE OF CONSTRUCTION USE GROUP NO. OF STORIESIs ❑ RESIDENTIAL IS THIS APPLICATION ASSOCIATED WITH A BUSINESS BUILDING PERMIT APPLICATION? ❑ YES ❑ NO ❑ASSEMBLY ❑ MERCANTILE CURRENT USE AND OCCUPANCY1���</C" ■ EDUCATIONAL INSTITUTIONAL FUTURE USE AND OCCUPANCY %f ❑ FACTORY ❑ STORAGE ENGINEER'S NAME PHONE ❑ GARAGE ❑MIXED USE ADDRESS (Other please specify) CITY STATE ZIP KIND OF INSTALLATION ❑ DRY WET ❑ COMBINATION ❑ CHEMICAL SIZE OF MAIN DRAIN � WATER PRESSURE AT STREET(PSI) ARE SPRINKLER HEADS ALTERED? YES ❑NO IF YES, CHECK ALL THAT APPLY: ❑ADDED ❑DELETED JALTERED IF MORE THAN 3 HEADS ARE ADDED HYDRAULIC CALCULATIONS ARE PROVIDED BY(CHECK ONE) ❑ PROFESSIONAL ENGINEER ❑ INSURANCE COMPANY WATER FLOW WATER P SRE AT SPRINKLER HEADS(PSI) ARE PUMPS REQUIRED? El YES NSU O IF YES,CHECK ALL THAT APPLY: ❑FIRE ❑ BOOSTER ❑ OTHER ARE STANDPIPES PROVIDED? ❑YES ❑NO IS A SPRINKLER SYSTEM PROVIDED? ❑ YES ❑NO SPRINKLER SYSTEM MAIN WATER SUPPLY RATING GPM TOTAL DYNAMIC HEAD(TDH)OF FIRE PUMP PSI DESCRIPTION OF WORK '2CUS- ALL- & r (C" 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. So 9 CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT DATE Electric# APPLICATION FOR BUILDING PERMIT Pkimbing# 151 Sand Hill Road H�/AC # Date: 16 ,�Z5101 �. 28334 �prinkler# 0 b FINAL APPROVALS Estimated Cost $ Building 2_ COMPLETE RED BOXED AREAS Permit Fee Utz l r4 t V�fS Engineering TYPE OR PRINT ONLY Occupancy Fee $ Affidavit SIGN ON REVERSE SIDE Appr.for CO. Total Fee $ TO BUILDING DEPARTMENT,TOWN OF SOUTH WISMR,CT (Additional Cost) $ The undersigned h reby applies to do work according to the following specifications: Job Location / L5,�QVb / 700r"ll V,4 Lot No. Side of Street Zone Applicant/` Tel.# 4"1��'o�5�jo I Addres � Que, •�a'�l�/ Zipa . Lic.# 3 O�2-&6 e? Own Address1 S -0 j%/UAA) /Q 19 .C,cJ 1 AZ Architect Address Sq. Ft.New Area: 1st FI. 2nd FI. 3rd Fl. Total New Area #Rooms #Lavatories #Bathrooms #Garages Purpose of this permit:_ ' j -' k-' K A z. rU City Water ❑ Well 0 Septic System ❑ Sewer ❑ Ins. H.O. S.P. Cert. Area Basement Garage Approved by Date 1 01 Use Group Construction Type Revisal 1197 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 I of any alteration in the plans or specifications of the Building for which this permit is asked,and agree that this building' to located the proper distance from a I street lines,side yard lines,and required distances from all other zones and is kx:at in ich is Id a s use is all Signed I hereby apply for a Certificate of Olupancy 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 ------------------------------------------------------------------------------- **-28334-B 15,400 B10 FINAL 02/26/02 JRC A CLOSEOUT • eectr c# So ' 1777 APPLICATION FOR BUILDING PERMIT Plumbing# 151 Sand Hill Road HVAC # No. 28346 Date: Nover-ne:ra 9.Z001 Sprinkl r# FINAL APPROV LS Estimated Cost $ I40t0gr0 Building c C s COMPLETE RED BOXED AREAS Permit Fee Engineering _ 1 TYPE OR PRINT ONLY Occupancy Fee $ S Affidavit SIGN ON REVERSE SIDE'�g Appr.for CO. Total Fee $ l TO BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR,CT Additional Cost) $ The and rsiigned hereby applies to do work according to the following specifications. Job Location 151 5ND MILL RQAI> Lot No.*4-8 Side of Street S Zon Rrt Applicant SBA PROFSimr1 es . r r4c . Tel.# %0 i6s9-9 i o i Addr ss 8o eAs-m+ P4 aoomvamv, c r Zip o(oo-53 Lic.# Own rtNE'r0%--,r4 of eott w#Nasow. Address ls4o tx--�L-LivkN *ve-. j#.dflzys, cr oryo7-4- ArchitectDi-a siviep iftamoiogx co,.iAmy,"rs Address ss(p wPe.,&*iA4&T0&4 Ave. , NOMN J+AV&tQ. Cr o �3 Sq.Ft.N w Area: 1st FI. r4jA 2nd FI. N/t, 3rd FL NI♦. Total New Area N/a #Rooms rjj^ #Lavatories 4& #Bathrooms N& #Garages N Iw Purpose of this permit: CoN yqw,-cri o..i o F FAOCc.i Li t�j ro 1 N e-LLt DC MONOPOLE -rowelt FeN-ED e=r-4P0vwiCo . AegS a^tED vriinrlCS,, rEMOVOM. or- Cxi VrjNb- tower Flr,i fl 1��L.00.�4'T't ON O!r TC7w Nl /tN TAN w1 RS. City Water ❑ Well ❑ Septic System ❑ Sewer 0 Ins. H.O. S.P. Cert. Area Basem nt Garage Approved by Date I (L b I Use Group Construction Type 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 requir d distances from all other zones and is located in wh' this building and its use is allowed. Signed I hereby apply for a Certificate of Occ ancy 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 ------------------------------------------------------------------------------- **-28346-B 140,000 B01 FOOTING 12/11/01 CJD A W/CONTRACTOR. REBAR AT BASE, GRNDNG. ELECTROD B01 FOOTING 12/12/01 CJD A TOWER SUPPORT COLUMN W/REBAR AND BOLTS, GRND GRID AT BASE OK E02 UNDERGROUND 12/27/01 JFF A RADIO TOWER B10 FINAL 04/15/02 CJD D NO CONTACT PERSON B01 FOOTING 04/25/02 CJD A W/ELECTRICIAN. B10 FINAL 06/26/02 CJD A W/CONTRASCTOR B10 FINAL 08/05/02 CJD A CLOSED OUT. **-17775-E 8,000 **-17507-E 24,000 DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT APPROVED 1540 SULLIVAN AVENUE Bldg.Permit# 2- /� 644-2511 ext. 230 C2i(tJi[6 ate Building Inspector Application must be printed or typed FEE SCHEDULE Location of Job: 5 ) �,�� t R5!tl $0-$1,000=$15.00 Street No. Street 7Lot Over$1,000= $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT 1_ a APPLICANT ADDRESS 1� ��� � �� C a6 lut APPLICANT PHONE# Z a� OWNER OWN SF OWNER ADDRESS �y 'S 3 .n OWNER PHONE MID ESTIMATED COST$ � IS THIS A CONTRACT COST? Yes No FEE ENCLOSED$ x) �r w � TYPE OF JOB: �R C NAew Installation Alteration/Addition/Rep air Revised 4/01H2002 APPLICATION FOR ELECTRICAL 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/WIRING METHOD SIZE OF SERVICE -2,09 6m,4D 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 tot- cam- st Cd ti 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. / T . E STATE SIGNATURE OF APPLICANT +.•. DATE L� 2i Shirley Wilhelm - CRS Approval Confirmation: Request No. 218390 Page 1 From: <clpsvc@nu.com> To: <WILHEL@SOUTHWINDSOR.ORG> Date: 6/26/02 2:25PM Subject: CRS Approval Confirmation: Request No. 218390 Your approval of the following CRS Request has been successfully processed. CRS Work Request M 218390 House No: 151 Lot No: Street Name: SAND HILL RD Town Name: SOUTH WINDSOR, CT Inspector: JOHN COLLINS Approval Date: Jun 26, 2002 F RTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT TOWN OF SOUTH WINDSOR PERMIT# lication is hereby: �U BUILDING DEPARTMENT 12 1540 SULLIVAN AVENUE APPROVED Bldg.Permit# 644-2511 ext. 230 c2 S3 Building Inspector Application must be printed or typed Location of Job: EESCHEDULE lS 1 ShN D H1 LA-. TzoAD Fao -$1,000=$13.00 Street No. Street Lot No. Over$1,000= 13.00 per$1,000 nyy fraction thereof Tenant Designation Apt.No. APPLICANT L G APPLICANT ADDRESS ,jw C'YOSS APPLICANT PHONE# eO Qr�4 41a 08 0'�'C 'C OW N S �4 OWNER OWNER ADDRESS W G reSyOgV,+ M L—\ { _ € t OWNER PHONE ey-00 (o13!5 -!q 10 1 C ESTIMATED COST$ 14, Do0 IS THIS A CONTRACT COST? pYes ❑ No y FEE ENCLOSED 3 1 2, . `t TYPE OF JOB: dSOR Co �W,New Installation 0 Alteration/Addition/Repair Revised 5101 APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATEP>VITH A BUILDING PERMIT APPLICATION? Z YES ❑NO ❑RESIDENTIAL ❑BUSINESS CURRENT USE AND OCCUPANCY ❑ASSEMBLY ❑MERCANTILE FUTURE USE AND OCCUPANCY ❑EDUCATIONAL ❑INSTITUTIONAL ENGINEER'S NAME PHONE ❑FACTORY ❑ STORAGE ADDRESS ❑GARAGE MIXED USE CITY STATE ZIP TYPE OF INSTALLATION/WIRING METHOD/* Air 11,41-41�Pzer 9� rivi AcQ4� SIZE OF SERVICE D p 1,n1 D J�/ � SIZE OF MAIN CONDUCTORS p? J�l�(�IVC14 NUMBER OF METERS_ NUMBER OF DISCONNECTS AND RATINGS /1VAy NUMBER OF PANELS f dr s4M REMOTE DISCONNECT REQUIRED? ❑YES �i0 0;Z70 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 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 (Wilhelm-CRS Approval Confirmation: Request No. 194221 Page 1 From: <clpsvc@nu.com> To: <WILHEL@SOUTHWINDSOR.ORG> Date: 1/3/02 12:03PM Subject: CRS Approval Confirmation: Request No. 194221 Your approval of the following CRS Request has been successfully processed. CRS Work Request M 194221 House No: 151 -&A t� Lot No: Street Name: SAND HILL RD Town Name: SOUTH WINDSOR, CT Inspector: JOHN COLLINS Approval Date: Jan 03, 2002 , R /5-( YAnd Hill STRUCTURAL ENGINEERS Statement of Special Inspections COALITION CONNECTICUT ENGINEERS IN PRIVATE PRACTICE Project: SBA Tower #10125-087 Location South Windsor, CT Owner: SBA, Inc. Owner's Address: 80 Eastern Boulevard, Glastonbury, CT. 06033 Architect of Record: Murali D. Atluru, PE. Registration #11569 Engineer of Record: Keith J. Tindall, PE. Registration # 21551 This Statement of Special Inspections is submitted as a condition for permit issuance in accordance with the Special Inspection requirements of the BOCA National Building Code. It includes a Schedule of Special Inspection Services applicable to this project as well as the name of the Special Inspector and the identity of other approved agencies intended to be retained for conducting these inspections. The Special Inspector shall keep records of all inspections and shall furnish inspection reports to the Building Official, Structural Engineer and Architect of Record. Discovered discrepancies shall be brought to the immediate attention of the Contractor for correction. If such discrepancies are not corrected, the discrepancies shall be brought to the attention of the Building Official, Engineer and Architect of Record. The Special Inspection program does not relieve the Contractor of his or her responsibilities. Interim reports shall be submitted to the Building Official, Owner, Engineer and Architect of Record. A Final Report of Special Inspections documenting completion of all required Special Inspections and correction of any discrepancies noted in the inspections shall be submitted prior to issuance of a Certificate of Use and Occupancy. Job site safety and means and methods of construction are solely the responsibility of the Contractor. Interim Report Frequency: or❑ per attached schedule. °j°i ° v`ee CO M �.. Prepared by: •��•,`,��0•PN•R q�CTi�% Ryan R. Roy PE (type or print name) " �0'.• N0.22118 40 / NA Le °1111,, I%%�``, Signature Date Design ss►onal Seal Own rs Authorization: Building Official's eptance: _! - _. ill Signature Date a Date SEC/CT Form 101 • Statement of Special Inspections ©SEC/CT 1999 Sheet 2 of 6 Project: SBA Tower# 10125-087 Schedule of Special Inspection Services The following sheets comprise the required schedule of special inspections for this project. The construction divisions which require special inspections for this project are as follows: X Soils and Foundations ❑ Cold-Formed Steel Framing X Cast-in-Place Concrete ❑ Spray Fire Resistant Material ❑ Precast Concrete ❑ Wood Construction ❑ Masonry ❑ Exterior Insulation and Finish System X Structural Steel ❑ Special Cases Inspection Agents Firm Address 1. Special Inspector Jaworski Geotech, Inc 114 Woodlawn Road Ryan R. Roy, PE Berlin,CT 06037 2. Testing Laboratory Eastern Materials Testing Lab, 114 Woodlawn Road a division of Jaworski Geotech, Inc Berlin,CT 06037 3. Testing Laboratory 4. Other Note: The qualifications of all personnel performing Special Inspection activities are subject to the approval of the Building Official. The inspection and testing agent shall be engaged by the Owner or the Owner's Agent, and not by the Contractor or Subcontractor whose work is to be inspected or tested. Any conflicts of interest must be disclosed to the Building Official, prior to commencing work. The credentials of all inspectors and testing technicians shall be provided if requested. It is recommended that the person administering the Special Inspections program be a Professional Engineer experienced in the design of buildings. Key for Minimum Qualifications of Inspection Agents(where indicated on Schedules) PE Professional Engineer EIT Engineer in Training ACI American Concrete Institute Certified Concrete Field Testing Technician AWS American Welding Society Certified Welding Inspector ASNT American Society of Non-Destructive Testing—Level II or III Qualifications of inspection agents may be indicated on the Schedule in instances where the Structural Engineer deems such requirements are appropriate. SEC/CT Form 101 Statement of Special Inspections ©SEC/CT 1999 Schedule of Special Inspection Services Sheet 3 of 6 Soil and Foundation Project: SBA Tower# 10125-087 Item Agent No. Scope (Qualif.) 1. Shallow Foundations 2 Review the subgrade preparation in accordance with the Geotechnical recommendations and project specifications. 2. Controlled Structural Fill 2 Complete laboratory gradation and density analyses. Monitor placement of compacted fill and perform field density testing. 3. Deep Foundations 4. Other SEC/CT Form 101 Statement of Special Inspections • ©SEC/CT 1999 Schedule of Special Inspection Services Sheet 4 of 6 Cast-in-Place Concrete Project: SBA Tower# 10125-087 Item Agent No. Scope Qualif.) 1. Mix Design 1, 2 Review concrete mix design to ensure compliance with project specifications. 2. Material Certification 3. Reinforcement Installation 2 Review steel reinforcement to ensure compliance with project specifications. 4. Post-Tensioning Operations 5. Batching Plant 6. Formwork Geometry 2 Verify formwork for general conformance to the size specified. 7. Concrete Placement 2 Conduct concrete slump and air test on every 50 cy of concrete placed. 8. Evaluation of Concrete 2 Prepare four(4)test cylinders on every 50 cy of concrete Strength placed. 9. Curing and Protection 2 Maintain proper curing and protection techniques in compliance with ACI 318-95 10. Other SEC/CT Form 101 • Statement of Special Inspections ©SEC/CT 1999 Schedule of Special Inspection Services Sheet 5 of 6 Structural Steel Project: SBA Tower# 10125-087 Item Agent No. Scope u lif. 1. Fabricator Certification/ Quality Control Procedures 2. Material Certification 1,2 Review material certification test reports for bolt and structural steel. 3. Open Web Steel Joists 4. Bolting 2 Review 10% of bolted connections in accordance with AISC specifications 5. Welding 6. Shear Connectors 2 Review structural details for general conformance with project specifications. 7. Structural Details 8. Metal Deck 9. Other STRUCTURAL ENGINEERS Final Report of Special Inspections COALITION CONNECTICUT ENGINEERS IN PRIVATE PRACTICE Project: SBA Tower # 10125-087 Location South Windsor, CT Owner: SBA, Inc. Owner's Address: 80 Eastern Boulevard, Glastonbury, CT 06033 Architect of Record: Murali D. Atluru, PE. Registration # 11569 Engineer of Record: Keith J. Tindall, PE. Registration # 21551 To the best of my information, knowledge and belief, the Special Inspections required for this project, and itemized in the Statement of Special Inspections submitted for permit, have been performed and all discovered discrepancies have been reported and resolved other than the following: Comments: (Attach continuation sheets if required to complete the description of corrections) Interim reports submitted prior to this final report form a basis for and are to be considered an integral part of this final report. Respectfully submitted: Special Inspector Ryan R Roy P_E (type or print name) Signature Date Design Professional Seal SEC/CT Form 102 • Statement of Special Inspections ©SEC/CT 1999 ERDMAN ANTHONY November 12,2001 Town of South Windsor South Windsor,Connecticut RE: 188-Ft. Self Supporting Monopole Tower SBA Site#10125-087 South Windsor,Connecticut Independent Structural Review To Whom It May Concern: We have completed our structural review of the proposed antenna support structure at the above referenced site pursuant to Section 114.3 of the State Building Code, 1999 Connecticut Supplement (CSBC). We have reviewed the structural calculations for the Self-supporting Monopole Tower dated November 1,2001 provided by Sabre Communications Corporation. The review assumes that the data and calculations presented are true representations of existing and proposed conditions, and our review is not intended to relieve the original designer of his responsibility for the accuracy and completeness of the information provided. The tower design and analysis was based on TIA/EIA-222-F "Structural Standards for Steel Antenna Towers and Antenna Supporting Structures." This standard is referenced in Section 3108.4 of the 1999 BOCA Code, 14 ed. which is referenced in Section 1609.1 of the CSBC. The self-supporting Monopole tower plans, designed in accordance with the requirements of EIA/TIA 222-F, identify the correct lateral (wind) and gravity (ice) and seismic loads. Independent calculations performed by Erdman, Anthony and Associates indicate that the output of the design is valid. The structural analysis and design was determined to be in conformance with the above stated codes. Our review of the sealed and signed computations submitted by Sabre Communications Company prompts the conclusions that the self-supporting Monopole tower design is in conformance with the CSBC. Any questions may be directed to the undersigned. Htuutu►rrxrrrtyi/ i ���``�a f C O NN 2//1 Sincerely, ��` t��. ••••••.FC �-% Erd n,Anth and Asso sates,Inc. eoNFs r f� • W e E. nesteel,P.E. �'• N0.21309 •'� S for Associate r '•w S•�CEN Sti�'G- `*.�`� Cc: Ed Dupont, SBA, Inc. °�'��S��°�N,A,LS %1,`\`\ Employee Owned- Quality Driven 317 Brick Church Road,Troy,NY 12180-8112 TUV Telephone 518 279 0505 : Facsimile 518 279 0555 www.erdmananthony.com owN sEqc CO) r T_a 014CS o� C&) y ` 1540 SULLIVAN AVENUE • SOUTH WINDSOR, CONN. 06074 SOR•C� AREA CODE 860/644-2511 � February 7, 2000 CERTIFIED #P462498084 Town of South Windsor Attn: Matthew Galligan 1540 Sullivan Avenue South Windsor, CT 06074 Re: Appl. #2453-00—Town of South Windsor, �1, RR zone Dear Matt: At the meeting of the South Windsor Zoning Board of Appeals held on February 3, 2000, the Board approved your request for variances to section 16.3 a, c, d & e to allow a commercial wireless telecommunication tower: (a) application for this facility by the Town rather than by a licensed carrier; (c) to allow a tower up to 199.00% (d) to allow such a site within 1,000' of a playground or school; and (e) to allow a site within 500' of residences, at 151 Sand Hill Road (Police Department), RR zone. The Board concluded the hardship to be as follows: 1. The existing telecommunications system and tower are inadequate and must be replaced to ensure quality town-wide emergency communications. 2. The proposed replacement facility must be located at the subject site, and there are no reasonable alternatives. 3. Characteristics of the coverage area, including topographic features of the Town, necessitate erecting a tower to the proposed height. Any new building, or alteration/additions to existing buildings, requires a building permit prior to start of construction. These actions are effective upon your filing the enclosed form in the Town Clerk's Office at your own expense. Very truly yours, • o',r: Marjo e Anthony, Chairperqon Zoning Board of Appeals MA:dr cc: Building Department I, Marjorie Anthony, Chairperson of the South Windsor Zoning Board of Appeals hereby certify that on February 3, 2000 the Zoning Board of Appeals granted to: The Town of South Windsor, variances to section 16.3 a, c, d & e to allow a commercial wireless telecommunication tower: (a) application for this facility by the Town rather than by a licensed carrier; (c) to allow a tower up to 199.99'; (d) to allow such a site within 1,000' of a playground or school; and (e) to allow a site within 500' of residences, RR zone. on premises located: 151 Sand Hill Road (Police Department) and more particularly bounded and described as follows: All that certain piece or parcel of land, situated on the southerly side of Sand Hill Road, in the Town of South Windsor, County of Hartford and State of Connecticut, containing 5.31 acres, bounded and described as follows: Beginning at a point in the southerly line of Sand Hill Road, which point represents the northwesterly corner of the herein described premises and the northeasterly corner of land now or formerly of the Missionary Society of the Diocese of Connecticut; thence running S 6' 54' 21" E, 624.86 feet, along the easterly line of said land now or formerly of the Missionary Society of the Diocese of Connecticut, to a point marked by an iron pipe; thence running S 81' 27' 34" E. 44.02 feet, along land now or formerly of Norman P. Priest, to a point which represents the southeasterly corner of the herein described premises; thence running N 42. 56' 12" E, 824.29 feet, along the westerly line of other land of Allerton Construction Corporation, to a point in the southerly line of Sand Hill Road, which point represents the northeasterly corner of the herein described premises and the northwesterly corner of said other land of Allerton Construction Corporation; thence running in a generally westerly direction, along the southerly line of Sand Hill Road, a total distance of 681.58 feet to the point or place of beginning. OWNER OF RECORD: Town of South Windsor Dated at South Windsor, Connecticut this 7th day of February, 2000. Marjorie thony, Chairperson PUBLIC ACT#75-317 Received for Record this day of 2000 at VOLUME PAGE TOWN CLERK Ar Mr. John Collins Chief Building Official, South Windsor Building Department 1540 Sullivan Avenue South Windsor, CT 06074 Re: BuildingPermit No. 28885 f V JJ 11 j�; l /Pact,d �9 Dear Mr. Collins; Bechtel Corporation respectfully requests that the Permit Applicant on Building Permit No. 28885 be changed from Bechtel Corporation to SBA Network Services, Inc. SBA Network Services is Bechtel Corporation's designated contractor for the work covered by this Building Permit. Thank you for your attention to this matter. Sin ely, Charles Getchell Construction Coordinator Bechtel Telecommunications 210 Pomeroy Avenue Meriden, CT 06450 BECHTEL TELECOMMUNICATIONS A unit of Bechtel Corporation Electric# V I S6 APPLICATION FOR BUILDING PERMIT Plumbing# 151 Sand Hill Road EDDate: -HVAC # D c.c t 7. a 00 No. 28424 Sprinkl r# FINAL APPRO A Estimated Cost $ S-0 46-0 Building �7 oa � E COMPLETE RED BOXED AREAS Permit Fee $ Engineering TYPE OR PRINT ONLY Occupancy Fee $ Affidavit SIGN ON REVERSE SIDE Appr.for CO. Total Fee $ TO BUILDING DEPARTMENT,TOWN OF SOUTH WlNDSOR,CT (Additional Cost) $ The undersigned hereby applies to do work according to the following specifications: Job Location ��� 's ^�� ���/ /eo o-4. Lot No.3 3 36 Side of Street Zon Applicant spR" /per S. Tel# 4/4-Yq3 ;e��3 Addr ss S�i� S /2.' SAet-l' / lt/-4dr0.c L Zip 060 Lic.# Own r C Address 10 C^Jk4e�v 1y C,ijlo Architect SS C// Address.*3 o S i l,*f Dom►-r ie Hwy Sq.Ft.New Area: 1st Fl. 2nd Fl. 3rd Fl. Total New Area #Rooms #Lavatories #Bathrooms #Garages Purpose of this permit: r � /r �^� a7� Q r�k-►�-t �.c,K, 'o.y oi•c.• 14-��°�J City Water ❑ Well ❑ Septic System ❑ Sewer ❑ Ins. H.O. S.P. C rt. Area Basement Garage Approved by .S _ Date 1 2 f7 U L Use Group Construction Type 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 o,r 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 b 'ding and its use i Ilowed. Signed I hereby apply for a Certificate of Occupancy for the work d ribed i this application for the permit. Signed — / DO NOT WRITE BELOW T S LINE INSPECTION COMMENTS DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: 19 5-3 1 BUILDING DEPARTMENT APPROVED 1540 SULLIVAN AVENUE Bldg.Permit# -O I 644-2511 ext. 230 �02 Date Bu' mg Spector Application must be printed or typed Location of Job: FEE SCHEDULE $0-$1,000=$13.00 Street No. Street Lot No. Over$1,000= $13.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT Lc-,h CS2 1t. APPLICANT ADDRESS �o �co sS APPLICANT PHONE# L{yZ-_QM3V, �W N S'e4 OWNER SQ%& LOIC 50r -:104314 cry' 4 OWNER ADDRESS -0y., S nay%ju l Q.A r OWNER PHONE C ESTIMATED COST$ lei,()OC),0T o© IS THIS A CONTRACT COST 9 Yes C1 No FEE ENCLOSED$ 3 TYPE OF JOB: SOR.Cp1`t Tew Installation 0 Alteration/Addition/Repair Revised 8/99 4 f APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION?)O YES ❑NO ❑RESIDENTIAL ❑BUSINESS CURRENT USE AND OCCUPANCY ❑ASSEMBLY ❑MERCANTILE FUTURE USE AND OCCUPANCY ❑EDUCATIONAL ❑INSTITUTIONAL ENGINEER'S NAME Mc- PHONE Lla - ❑FACTORY ❑ STORAGE ADDRESS ❑GARAGE ❑MIXED USE CITY -& NAMe -A STATE CT ZIP t (Other please specify) TYPE OF INSTALLATION/WIRING METHOD SIZE OF SERVICE 9QQ 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 cc>n p Q ra%JID rnAsam_ d V-% ;hxc�t 1 0 "f 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. E�- E1 c-c CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT DATE 12 12-Q 40kZA • cGora"itr �'Owe Tel:(860)442-0826 156 Cross Road Fax:(860)442-4734 Waterford,Connecticut 06385 CT License#E1-102834 December 12, 2001 Attention: Building Department South Windsor, CT RE: ELECTRICAL PERMIT 151 SAND HILL ROAD (TELECOMMUNICATIONS TOWER SITE) Dear Sir or Madame: Please accept this letter as authorization for Dicin Electric Co. , Inc. representative Christopher Hersom to procure an electrical permit for the above referenced site on our behalf. Attached please find a copy of my E-1 electrical license. Sincerely, R dolph Chieka President Subscribed and sworn to before me this 12th day of December, 2001 . s. o tary P blic Date Commission Expires : 05/31/05 d STATE OF CONNECTICUT DEPARTMEN'T OF ELECTRICAL UNLIMITED CONTRACTOR Type:E1 RUDOLPH T CHIEKA 199 NIANTIC RIVER RD WATERFORD,CT 06385 LIC./REG.NO. EFFECTIVE EXPIRES 102834 10/01/2001 /30/2002 SIGNED: ----- Shirley Wilhelm -CRS Approval Confirmation: Request No. 225405 Page 1 From: <clpsvc@nu.com> To: <WILHEL@SOUTHWINDSOR.ORG> Date: 8/21/02 2:08PM Subj ct: CRS Approval Confirmation: Request No. 225405 Your approval of the following CRS Request has been successfully processed. CRS Work Request#: 225405 House No: 151 Lot No: Street Name: SAND HILL RD Town Name: SOUTH WINDSOR, CT Inspector: JOHN COLLINS Approval Date: Aug 21, 2002 DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT APPRO 1540 SULLIVAN AVENUE Bldg.Permit# L04 R-Q.. 644-2511 ext. 230 Date Building Inspector Application must be printed or typed Location of Job: FEE SCHEDULE $0-$1,000=$13.00 Street No. Street Lot No. Over$1,000= $13.00 per$1,000 �e�., C,-1 5. _ or any fraction thereof Tenant Designation Apt.No. APPLICANT APPLICANT ADDRESS 1112 m uc y a n RA APPLICANT PHONE#0011 ,11111, N SF�4 OWNER OW �z.. OWNER ADDRESS O E,, OWNER PHONE C ESTIMATED COST$ 5,dC�l1 '/boa IS THIS A CONTRACT COST? O(Yes 0 No l� f FEE ENCLOSED$ CO,S TYPE OF JOB: �soR,Co� PI New Installation 0 Alteration/Addition/Repair Revised 8/99 APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION?b YES ❑NO ❑RESIDENTIAL ❑BUSINESS CURRENT USE AND OCCUPANCY ❑ASSEMBLY ❑MERCANTILE FUTURE USE AND OCCUPANCY ❑EDUCATIONAL ❑INSTITUTIONAL ENGINEER'S NAME %zapjn�-S PHONEow) - '7�1 ❑FACTORY ❑ STORAGE ` ADDRESS 20 RLIS; 4 r,r4IA,,IR� ❑GARAGE ❑MIXED USE CITY all STATE L'T ZIP louU(67 (Other please specify) TYPE OF INSTALLATION/WIRING METHOD SIZE OF SERVICE SIZE OF MAIN CONDUCTORS �hur� NUMBER OF METERS�_ NUMBER OF DISCONNECTS AND RATINGS �? NUMBER OF PANELS / REMOTE DISCONNECT REQUIRED? e1 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 nd , // 260 mp pt L Ld.etr- a g1j"AnumA 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 Z,-2.5--C)Z_ 4 y EPIC ELECTRIC, LLC 212 MARVIN ROAD COLCHESTER, CT 06415-1939 TEL./FAX: 860-537-9535 CT LIC. #E1-102875 February 25, 2002 Attention: Building Department South Windsor, CT RE: ELECTRICAL PERMIT 151 SAND HILL ROAD (SPRINT TELECOMMUNICATIONS SITE) Dear Sir or Madame: Please accept this letter as authorization for Epic Electric, LLC, representative Christopher Hersom to procure an electrical permit for the above referenced site on our behalf. Attached please find a copy of my E-1 electrical license. Sincerely, 4Roert Ther ' an Owner Subscribed and sworn to before me this 25th day of February, 2002 . S lfcj Notary fublic Date Commission Expires : 05/31/05 hirley Wilhelm-CRS Approval Confirmation: Request No. 207337 Page 1 From: <clpsvc@nu.com> T : <WILHEL@SOUTHWINDSOR.ORG> Date: 3/20/02 9:47AM Subj ct: CRS Approval Confirmation: Request No.207337 Your approval of the following CRS Request has been successfully processed. CRS Work Request#: 207337 House No: 151 Lot No: Street Name: SAND HILL RD Town Name: SOUTH WINDSOR, CT Inspector: JOHN COLLINS Approval Date: Mar 20, 2002 ax Bectrict APPLICATION FOR BUILDING PERMIT �"I umbir�p# 151 Sand Hill HvaC # Date: 5—�_o Z Sprinkl r# No. 28801 FINAL APPROVALS Estimated Cost $ �0 Building COMPLETE RED BOXED AREAS Permit Fee $ i 2-D o Engineering '�- t TYPE OR PRINT ONLY Occupancy Fee $ t o Affidavit ;�SIGN ON REVERSE SIDEAppr.for CO. a,v 4,6,6Total Fee TO BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR,CT (Additional Cost) $ The undersigned hereby applies to do work according to the following specifications: Job Location I I 'l ( Lot No.�_Side of Street Zon Applicant' n Tel# �;G3-22 Address S Poc- f i'l Zip o_rooa Lic.# 2[ et.31 Owner h W ttk o 0 te-^ Address 'S(o 5�ar►d l-k-1 \1 P,4 Architec(7 o i L Address L-!+L+ .t . 1>e A wg t4!3L Sq.Ft.N w Area: 1st FI. 2nd FI. 3rd Fl. Total New Area 2.q'a S V21 #Rooms #Lavatories #Bathrooms #Garages Purpose of this permit: vn a.gnr.b c l ��u�i P e•�.d..i1 S�+ar [�.,.�fi� �'�1'or. �. 12 Qe.�.� oyn��w.a.s 1✓b c�-n�/I d o Grx i s V: VL S le 'City Water ❑ Well ❑ Septic System ❑ Sewer ❑ Ins. H.O. S.P. Cert. Area Basement Garage Approved by a Date G d Use Group 0 Construction Type — 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 t ' building and its a is allowed. Signed I hereby apply for a Certificate of Oc pancy or 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 ------------------------------------------------------------------------------- **-28801-B 80,000 B01 FOOTING 07/24/02 CJD A LEFT NOTE TO PUMP WATER AND MUCK OUT IF NEC. E01 SERVICE 08/15/02 CJD A 4722 GATE COMBO E02 UNDERGROUND 09/25/02 WNB A WITH CONTRACTOR B10 FINAL 11/27/02 JFF D NO ONE AT SITE CALLED TECTONIC TO RESCHEDLE B10 FINAL 12/02/02 WNB A WITH BRIAN,NEXTEL B10 FINAL 12/02/02 WNB A CLOSEOUT Dectric# q� APPLICATION FOR BUILDING PERMIT Plumbing# 151 Sand Hill Road HVAC # Date: _�6Z_ No. 2 8 8 8 5 Sprinkl r# FINAL APPRO 7LS Estimated Cost Building o,2 CJb COMPLETE RED BOXED AREAS Permit Fee $ —75y Engineering I I TYPE OR PRINT ONLY Occupancy Fee $ i c� Affidavit 11 SIGN ON REVERSE SIDE Appr.for CO. Total Fee $ 7�� TO BUILD�IG DEPARTMENT,TOWN OF SOUTH WINDSOR,CT (Additional Cost) $ The undersigned hereby applies to do work according to the following specifications: Job Location 1 - Lot No. Side of Street Zon Applicant c �< c, a PCB TeL .3 Addr ssi W f'AJ"h S,� Lc# MC �85 Ovvner—l'G-A v oR Sova-A 47��R- _Address 5P40M i4sti Q 2>, , CQ&4 wl ArchitectfagcrK�yEs �q,,S n.Address t3`►L\ 6LLA3 C068*9E \1u)y Rock -` e-� Q =sLe Sq.Ft.N w Area: lst FL 2nd FI. 3rd Fl. Total New Area #Rooms #Lavatories #Bathrooms #Garages Purpose of this permit: Al Aj C3�' A•�"C E� 4,' s �' L 'E.4+►'L�an d City Water ❑ ell ❑ Septic System ❑ Sewer ❑ Ins. H.O. S.P. Cert. V Area Basement Garage Approved by jam_ Dat V Use Group y Construction Type 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 us4isillowed. Signed I hereby apply for a Certificate of Occupancy for the work described in this application for the permit. Signed � .A DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS Inspection / Approval Date By Appl ' Code Description Due Whom Code Comment ------------------------------------------------------------------------------- **-28885-B 50,000 E02 UNDERGROUND 07/17/02 CJD A W/ELECTRICAL CONTRACTOR E01 SERVICE 07/29/02 CJD A E02 UNDERGROUND 08/02/02 CJD A UNDERGRND TO CONTROL PANEL B10 FINAL 08/05/02 CJD A CLOSED OUT. **-17908-E 6,000 DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT PERMIT# Application is hereby: TOWN OF SOUTH WINDSOR /t BUILDING DEPARTMENT l APPROVED 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 ate Building Inspector Application must be printed or typed Location of Job: Fo EE SCHEDULE /GL ,p� Q -$1,000=$15.00 Street No. ham/ Street Lot No. Over$1,000= 15.00 per$1,000 ny fraction thereof Tenant Designation Apt.No. APPLICANT G ge07 e�� L��C�GLTf�S �C APPLICANT ADDRESS --:?R APPLICANT PHONE# N OWNER 0 % cJ O� -�• GcJ//v2V �0 SFq OWNER ADDRESS s6 0 OWNER PHONE ESTIMATED COST$ IS THIS A CONTRACT COST? Yes No FEE ENCLOSED$ 1� TYPE OF JO DSO 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 BUILDING PERMIT APPLICATION? ❑ YES ❑NO ❑RESIDENTIAL ❑BUSINESS CURRENT USE AND OCCUPANCY ❑ASSEMBLY ❑MERCANTILE FUTURE USE AND OCCUPANCY ❑EDUCATIONAL ❑INSTITUTIONAL ❑FACTORY ENGINEER'S NAME PHONE AO E3 STORAGE ❑GARAGE ADDRESS,/3 7 ❑MIXED USE CITY sae- / STATE <f—'/ ZIP_scKO6 7 (Other please specify) TYPE OF INSTALLATION/WIRING METHOD /,,,III 6W111 Cl SIZE OF SERVICE 7200 SIZE OF MAIN CONDUCTORS a C 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 se,oycx 7-0- 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 Z Y 3 �(-) Shirley Wilhelm - CRS Approval Confirmation: Request No. 224611 Page 1 . From: <cipsvc@nu.com> To: <WILHEL@SOUTHWINDSOR.ORG> Date: 8/16/02 9:11AM Subject: CRS Approval Confirmation: Request No. 224611 Your approval of the following CRS Request has been successfully processed. CRS Work Request M 224611 House No: 151 Lot No: Street Name: SAND HILL RD Town Name: SOUTH WINDSOR, CT Inspector: JOHN COLLINS Approval Date: Aug 16, 2002 'Electric# APPLICATION FOR BUILDING PERMIT Plumbing# 151 Sand Mill Road Date: qL[lioz, HVAC # Sprinkler# 29147 FINAL APPROVALS Estimated Cost s .S3 6n Building COMPLETE RED BOXED AREAS Permit Fee $ `7 ei 5- Engineering TYPE OR PRINT ONLY Occupancy Fee $ iv Affidavit Eng. Insp.Fee $_ 9 A r. for CO SIGN ON REVERSE SIDE PP Total Fee $ S%y� TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR,CT (Additional Cost) $ The undersigned hereby applies to do work according to the following: Applicant 56A Ak-FWfilk ,Se r✓i<I" Location of Work 111 P0,4d Lot No. Applicant's Address kqs cfh �I✓d• Tel.# 0"0-651, f/oi Town C�1a 5 ti r y c T Zip 0&0 3 3 Lic.# 90/0 07 b Owner Ve f/ O`i X/i- Ie S s Architect 84 Lases s/�10 s Owner's Address �9 h`Q �r Fir Architect's Address 3 S �es�A�a a wA �A'51�_ Zip O&/68 We o-I A'ch c T Zip OG So Sq. Ft. New Area: 1st FI. 2nd FI. 3rd FI. Total New Area Purpose of thispermit ��G 4&jwr or+Kit i l.-1,60A 4761I�G f City Water❑ Well❑ Septic System❑ Sewer❑ Ins: HO SP Cert. Area Basement Garage Approved by Date Use Group Construction Type Revised 6102 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 located the oper nce from all street lines,side yard lines,and required distances from all other zones and is locateSupancy ich this bui ng a use is allowed. L Signe I hereby apply for a Certificate 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 ------------------------------------------------------------------------------- **-29147-B 53,000 BO1 FOOTING 09/19/02 CJD A W/FOREMAN E10 FINAL 10/03/02 CJD D NO CONTACT PERSON B10 FINAL 12/09/02 WNB A WITH SBA REP B10 FINAL 12/09/02 WNB A CLOSEOUT F � EDERTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT TOWN OF SOUTH WIl�TDSOR PERMIT# plication is hereby: � �f d BUILDING DING DEPARTMENT APPRO 1540 SULLIVAN AVENUE Bldg.Permit# L 644-2511 ext. 230 � a (5d Building Inspector Application must be printed or typed Location of Job: FEE SCHEDULE lSl Sa nA R► CZo�d , $0-$1,000=$15.00 Street N . Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT APPLICANT ADDRESS / 6 6C05SQ0cQ8 APPLICANT PHONE# (a0) qLfZ' o�5� N s OWNER . Ce,tico 9g -+nersk,p O Ve�c t?an W%('JeSS OW �'4 DrkJ�, � 111aor' < OWNER ADDRESS F S� J2�' CT C�6 Ids OWNER PHONE ESTIMATED COST$ BOG.00 IS THIS A CONTRACT COST? Yes No FEE ENCLOSED$ S TYPE OF JOB: �SOR-COS X 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 BUILDING PERMIT APPLICATION? Et YES ❑NO ❑RESIDENTIAL ❑BUSINESS CURRENT USE AND OCCUPANCY ❑ASSEMBLY ❑MERCANTILE FUTURE USE AND OCCUPANCY C-Q- Pha►-,�, - ❑EDUCATIONAL ❑INSTITUTIONAL ENGINEER'S NAME �kCk C �18 o PHONE(Zc� �-- /`/66 ❑FACTORY �— ❑STORAGE J ❑GARAGE ADDRESS 3S S (Z 5�c��'l ec ( �a.4 ❑MIXED USE CITY VA er t&-n STATE C, ZIP �G (Other please specify) TYPE OF INSTALLATION/WIRING METHOD SIZE OF SERVICE 200 OeyiP SIZE OF MAIN CONDUCTORS 3/0 NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS /-200Prmf 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 d' Oct rr` eO— 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. /0z53� i '—/ G l CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT DATE � O Z .1ww-t * eaoraiwt, Yom Tel: (860)442-0826 156 Cross Road Fax:(860)442-4734 Waterford,Connecticut 06385 CT License#E1-102834 September 16, 2002 Attention: Building Department South Windsor, CT RE: ELECTRICAL PERMIT 151 SAND HILL ROAD VERIZON WIRELESS COMMUNICATIONS EQUIPMENT SITE Dear Sir or Madame: Please accept this letter as authorization for Dicin Electric Co. , Inc. representative Jason Scarano to procure an electrical permit for the above referenced site on our behalf. Attached please find a copy of my E-1 electrical license. Sincerely, *Rdo#lpChieka President Subscribed and sworn to before me this 16th day of September, 2002 . kt,1 .S. /eo Nota y Public Date Commission Expires: 05/31/05 [.ShirleyWilhelm -CRS A""pro Confirmation: Request No. 229834 4 Paµ e 1 From: <clpsvc@nu.com> To: <WILHEL@SOUTHWINDSOR.ORG> Date: 10/10/02 3:09PM Subj ct: CRS Approval Confirmation: Request No. 229834 Your approval of the following CRS Request has been successfully processed. CRS Work Request#: 229834 House No: 151 Lot No: Street Name: SAND HILL RD Town Name: SOUTH WINDSOR, CT Inspector: JOHN COLLINS Approval Date: Oct 10, 2002