HomeMy WebLinkAbout1645 Ellington Road (14) Boctrfi:# ��3 3 +� APPLICATION FOR BUILDING PERMIT
Plumbing# 1645 ELLINGrPON ROAD
HVAC # �. 26375
Date: � ���9�
Sprinkler#
FINAL APPROVA Estimated Cost
Building `{ qtcxl d 4-Q_ COMPLETE RED BOXED AREAS Permit Fee $ 9 9 om.
Engineering TYPE OR PRINT ONLY Occupancy Fee 5
Affidavit
: 51GN ON REVERSE SIDE
Appr.for CO. Ci'T OL Total Fee $ qbS
TO BULDING DEPARTMENT,TOWN OF SOUTH WHDSOR,CT (Additional Cost) $
The undersigned hereby applies to do work according to the following specifications:
Job Location i y 4 5 GU-1 Ng o.+ Ro wo Lot No. Side of Street to-e Zone 2 r-
Applicant 2or-tiV,\\e TeL# 8 1 t 1958 + 174
Addr ss ?�Z `��k !Z-eT Cl--Zip D 6 0 166 Llc.#
Owner 5av%w%ti awrc •%,-% Address Z 2 P g a y 4 . fZ o a c v, l l e
�tect 1*�t• w►1g• Zyaw Address P.O.Roy. 58L So.wowesvirt Lyy 569Z
Sq.Ft.New Area: 1st FL 'r• 2nd FL 3rd FL Total New Area
#Rooms #Lavatories #Bathrooms #Garages
Purpose of this permit: lgmkpe. .wr WAn ay Lwo. 1h AN j&jw 4���,�ntt "�' ATM. �4Awiu�O ute 18 jumlys
'R ft*t-aoe - /DPP L 91 -4 L P T d e. Pl�w..'� _ �-�,r o.� hte r.s%460 FiR S "1 6n..+g -t p MW 1100 r0 i}T M
City Water CAI- Well ❑ Septic System ❑ Sewer 9--'
. H.O. S.P. Cert._ Area Basement Garage
Approved by �'1kz- We q Z ci Use Group Construction Type
R*YbW 1/97
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 is building Qan se is allowed
Signed
I hereby apply for a Certificate of Occu ancy for the work de 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
-------------------------------------------------------------------------------
99-26375-B 75,000
E01 SERVICE 08/17/99 DCJ A TEMP. SERVICE
B10 FINAL 08/24/99 JRC A APPROVED TO OCCUPY
99-16433-E 2,000
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
PERMIT#
Application is hereby: TOWN OF SOUTH WINDSOR t L4 -3-73
BUILDING DEPARTMENT
APPROVED 1540 SULLIVAN AVENUE Bldg.Permit#
� S(0 644-2511 ext. 230 C�
ate Building Inspector
Application must be printed or typed
s Lo on of Job:
FEE SCHEDULE / Y E ti
$0-$1,000=$13.00 Street No. Street Lot No.
Over$1,000= —f16M 4ERV`r c L ANo
$13.00 per$1,000
or any fraction thereof Tenant Designation ��� Apt.No.
APPLICANT A rl&Lr /r
►t� "45-
APPLICANT ADDRESS PO 130/ bl IN
/W,gAle, i e T 0�a
APPLICANT PHONE# 5
6-3
W N S OWNERf?
(� I I U
�q< OWNER ADDRESS g Z VA
s .
OWNER PHONE
O UG G
C ESTIMATED COST$
IS THIS A CONTRACT COST? Yes G No
CJ FEE ENCLOSED$
TYPE;New
OB.
dsOR,C,,
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? ❑ YES ❑NO
❑RESIDENTIAL
BUSINESS CURRENT USE AND OCCUPANCY Tet;� � �i V
❑ASSEMBLY
❑MERCANTILE 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 �00 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
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
INSPECTOR �-S DATE
TIME---A
LOCATION
r
E: RESULT D/A) :
INSPECTI COD �-
L3�
BUILDING:
ELECTRICAL.
1 �L( 33
PLUMBING:
HVAC: -
OTHER:
Electric# �l 1?1��Avc APPLICATION FOR BUILDING PERMIT
Plumbing# O � 1645 Ellington Road
HVAC # /0 Tr?. Date: April 14, 2000
Sprinkler# No. 26908
FINAL APPROVALS Estimated Cost $ t 2,100 0
Building tt -A.3 -j t [=]SIGN
D BOXED AREAS Permit Fee 214 (�
Engineering �' 0 i rPRDIT ONLY Occupancy Fee
Affidavit �� 61 Jl��
Appr.for CO. tt(2t(o 1 EVERSE SIDE
Total Fee $ -2-z ao 1
TO BULD14G DEPARTMB*4T,TOWN OF SOUTH WI I)SOR,CT (Additional Cost) $
The undersigned hereby applies to do work according to the following specifications:
Job Location 1645 Ellington Road Lot No. 5 0-16 Side of Street south Zone RC
Applicant W.J. Mountford Co TeL# 860-291-9448
Addr ss 170 Commerce Way, South Windsor, CT Zip 06074 Lic.# 00900-574
Owner The Savings Bank of RockvilAddress 25 Park Street, Rockville, CT 06066
Architect Russell & Dawson Address 330 Roberts Street, East Hartford, CT 06108
Sq.Ft.N w Area: 1st FI. 10,286 2nd FL 10,286 3rd FL 10,286 Total New Area 30,858 SF
#Rooms - #Lavatories - #Bathrooms - #Garages -
Purpose of this permit: Construction of new corporate offices and retail bank for
The Savings Bank of Rockville. L301 qSA SQ_rTl
City Water LI Well ❑ Septic System ❑ Sewer t
Ins. H.O. S.P. Cert. Area Basement Garage
Approved by Date OCR Use Group Construction Type �-C-
Revked 1197
I hereby agree to conform to all the requirem nts 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 is allowed.
Signed
I hereby apply for a Certificate of Occupancy for the described in this application for the permit.
Signed
-�L� Z0,2
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
Location of Job: AFFIDAVIT Additional Fee$ 3,445.00
State of Connecticut
ss.South Windsor
County of Hartford
I Scott P. Mountford of W.J. Mountford Co.
XVAW
Contractor
under Permit No. 26908 issued by the Building Department of the Town of South Windsor bein
duly sworn,make oath and say that the actual cost of the completed work authorized under s ' ermit was $ ,957,000.00
Sl&lged 4/Vu
Subscribed and sworn to before me this 20th day of November A .20_QL
Estimated Cost$ 1,692,000.00
Difference: $ 265,000.00
Leola R. LaMothe
Notary Public ` -
Inspection / Approval Date By Appl
+ Code Description Due Whom Code Comment
**
B01 FOOTING 04/27/00 JRC A SOUTH WALL
B01 FOOTING 04/28/00 JRC A WEST WALL
B01 FOOTING 05/01/00 JFF A WITH SUPER MIKE LINEHI4 TO H13 TO I13
B01 FOOTING 05/02/00 JFF A WITH SUPER MIKE ELEVATOR PIT DOUBLE MAT
FOOTING E10
B01 FOOTING 05/03/00 JFF D POUR CANCELLED PER MIKE SUPER
B01 FOOTING 05/09/00 JFF A WITH SUPER MIKE PIERS C12 C10 C8 OK TO POUR
B01 FOOTING 05/10/00 JFF A WITH SUPER WALL POUR 2 LINE F TO M 2 NO 5
REBARS TOP AN BOTTOM
B02 FOUNDATION 05/12/00 DCJ A PARTIAL NORTH WALL
B01 FOOTING 05/15/00 JFF A B2 PAD M LINE 2 TO 9 PLUS WITH SUPER
B01 FOOTING 05/16/00 JFF A WITH SUPER 14 LINE ENTIRE WALL RETURN ON G
LINE B2 CORNER S AN W 15 FT EACH WAY
B01 FOOTING 05/17/00 DCJ D NOT READY, SPECIAL INSP. TO BE ON SITE BEFORE
POUR
B01 FOOTING 05/18/00 JFF D POUR CANCELLED RAIN WITH SUPER
B02 FOUNDATION 05/19/00 DCJ A PARTIAL SOUTH WALL
B01 FOOTING 05/22/00 DCJ A 4 PIERS
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
-------------------------------------------------------------------------------
B01 FOOTING 05/23/00 DCJ A LAST PORTION OF WALL, AND TWO PIERS
B04 INSULATION 05/23/00 DCJ A PERIMETER INSULATION ON NORTH WALL ONLY
B02 FOUNDATION 05/24/00 DCJ D NOT READY
B01 FOOTING 05/25/00 JFF A WALL POUR WEST WALL M 9 TO H 13
B04 INSULATION 05/25/00 JFF A PERIMETER SLAB INSUL R 9 FRONT AN EAST WALLS
B02 FOUNDATION 05/26/00 DCJ D NO WORK BEING DONE
E02 UNDERGROUND 06/02/00 DCJ A
P02 UNDERGROUND 06/02/00 DCJ A
E02 UNDERGROUND 06/05/00 DCJ A
P03 ROUGH 09/18/00 CJD A W/PLUMB.COTRACTOR, JOE. OBSERVED TEST WATER R
ELEASED. DRAIN AND VENT SYSTEM,ONLY.
B03 FRAMING (ROUGH) 09/28/00 JFF A WITH SUPER MIKE ROOF STRUCTURE ONLY NEED
ENGINEERS SPECS ON ROOF BRACING
E02 UNDERGROUND 10/25/00 JRC A SERVICE CONDUITS-CONCRETE ENCASEMENT NEEDED
FOR 1ST 15 FEET FROM BUILDING/ NO 24" COVER
E03 ROUGH 10/25/00 JRC A THIRD FLOOR
E03 ROUGH 11/03/00 CJD A EXTERIOR WALLS AND BATHROOMS ONLY-2ND FLR.
PO4 GAS TEST 11/13/00 CJD A W/SUPER-GAS PIPING THROUGH TO TERMINATION BY
UNITS ON ROOF OK/AIR TEST
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
-------------------------------------------------------------------------------
E10 FINAL 02/20/01 JRC A FIRE ALARM
S10 FINAL 02/20/01 JRC A
B10 ® 02/20/01 JRC A CLOSED OUT
**-27590-B 6,500
B10 FINAL 09/26/01 JRC A CLOSED OUT.
**
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
-------------------------------------------------------------------------------
**-26908-B 1,692,000
B01 FOOTING 04/27/00 JRC A SOUTH WALL
B01 FOOTING 04/28/00 JRC A WEST WALL
B01 FOOTING 05/01/00 JFF A WITH SUPER MIKE LINEHI4 TO H13 TO I13
B01 FOOTING 05/02/00 JFF A WITH SUPER MIKE ELEVATOR PIT DOUBLE MAT
FOOTING E10
B01 FOOTING 05/03/00 JFF D POUR CANCELLED PER MIKE SUPER
B01 FOOTING 05/09/00 JFF A WITH SUPER MIKE PIERS C12 C10 C8 OK TO POUR
B01 FOOTING 05/10/00 JFF A WITH SUPER WALL POUR 2 LINE F TO M 2 NO 5
REBARS TOP AN BOTTOM
B02 FOUNDATION 05/12/00 DCJ A PARTIAL NORTH WALL
B01 FOOTING 05/15/00 JFF A B2 PAD M LINE 2 TO 9 PLUS WITH SUPER
B01 FOOTING 05/16/00 JFF A WITH SUPER 14 LINE ENTIRE WALL RETURN ON G
LINE B2 CORNER S AN W 15 FT EACH WAY
B01 FOOTING 05/17/00 DCJ D NOT READY, SPECIAL INSP. TO BE ON SITE BEFORE
POUR
B01 FOOTING 05/18/00 JFF D POUR CANCELLED RAIN WITH SUPER
B02 FOUNDATION 05/19/00 DCJ A PARTIAL SOUTH WALL
B01 FOOTING 05/22/00 DCJ A 4 PIERS
B01 FOOTING 05/23/00 DCJ A LAST PORTION OF WALL, AND TWO PIERS
B04 INSULATION 05/23/00 DCJ A PERIMETER INSULATION ON NORTH WALL ONLY
B02 FOUNDATION 05/24/00 DCJ D NOT READY
B01 FOOTING 05/25/00 JFF A WALL POUR WEST WALL M 9 TO H 13
B04 INSULATION 05/25/00 JFF A PERIMETER SLAB INSUL R 9 FRONT AN EAST WALLS
B02 FOUNDATION 05/26/00 DCJ D NO WORK BEING DONE
E02 UNDERGROUND 06/02/00 DCJ A
P02 UNDERGROUND 06/02/00 DCJ A
E02 UNDERGROUND 06/05/00 DCJ A
P03 ROUGH 09/18/00 CJD A W/PLUMB.COTRACTOR, JOE. OBSERVED TEST WATER R
ELEASED. DRAIN AND VENT SYSTEM,ONLY.
B03 FRAMING (ROUGH) 09/28/00 JFF A WITH SUPER MIKE ROOF STRUCTURE ONLY NEED
ENGINEERS SPECS ON ROOF BRACING
E02 UNDERGROUND 10/25/00 JRC A SERVICE CONDUITS-CONCRETE ENCASEMENT NEEDED
FOR 1ST 15 FEET FROM BUILDING/ NO 24" COVER
E03 ROUGH 10/25/00 JRC A THIRD FLOOR
E03 ROUGH 11/03/00 CJD A EXTERIOR WALLS AND BATHROOMS ONLY-2ND FLR.
PO4 GAS TEST 11/13/00 CJD A W/SUPER-GAS PIPING THROUGH TO TERMINATION BY
UNITS ON ROOF OK/AIR TEST
E10 FINAL 02/20/01 JRC A FIRE ALARM
S10 FINAL 02/20/01 JRC A
B10 FINAL 02/20/01 JRC A CLOSED OUT
**-10888-H 197,000
**-1142-S 30,000
**-16819-E 160,000
**-27590-B 6,500
B10 FINAL 09/26/01 JRC A CLOSED OUT.
**-17123-E 35,000
**-10599-P 28,000
Total Est Value 2,148,500
SITE COMPLIANCE CHECKLIST
TOWN of SOUTH WINDSOR, CONNECTICUT
1645 ELLINGTON ROAD LOT_# 2 Reviewed By ineering)
MOUNTFORD W J/DESAUTELS L Date Reviewed /o ?/ o / prove Denied
205 NUTMEG ROAD SOUTH,SOUTH WINDSOR,CT Reviewed B a lanning)
BP_#_26908_ Ph_#_(203)291-9448 Date Reviewed J/ cr prove /Denied
Date Submitted 00/00/00 ***** FOR f O *****
As required in the Zoning and/or Subdivison Regulations, no Certificate of
Occupancy shall be issued until grading plans have been complied with and
approved by the Town Engineer. The minimum requirements shall include:
Approved Denied N/A
1. Approved building permit plan
2. Finish grading per approved
building permit plan
3. Site work; i.e. trees, shrubs,
dumpsters, required parking
4. Utility location;
a. sanitary sewer/septic system
b. foundation drain
C. electrical & telephone
d. water
e. other
5. Sewer connection charge paid
6. Appropriate certification
7. Bonding
8. Planning & Zoning/
` Inland Wetlands Considerations
A. Lighting
g g
B. Signage
Freestanding Wall
C. Fee in lieu of Open Space
7/s-�/ lI sY
Sewer Permit No. ;;VZ 2
,W`- AOaeC 17-)7,j,0V` Pavement Excavation No.
�f COMMENTS:
5',APV 7- r
06—z �f
SBR Signage
Notice
PASSENGER CARS, VANS AND PICKUPS
ONLY
Due to tight turning room, no trucks or trailers '
Can be served at the drive-in window
Notice s,�q 1� QC'
Limit—2 transactions ..� T. F Z
Per vehicle
�np
At drive-in window
PLEASE — SAFETY FIRST A P p o
G WATCH FOR CONSTRUCTION ACTIVITY
ALWAYS WEAR YOUR SEATBELTS
WE APPRECIATE YOUR BUSINESS
= SAVINGS
'ANKPWC � rn - o
CONNSC?ICUT'i ft sST CoMMUNiTY BAN[
r L L 1 m c�To bj
P'
�,y�! 'z; 6 Z
j
- • SCAqSWASNE r � I i
PROPOSED LIMIT '! I�
OF CONSTRUCTION ; tly r!' �,'�.` •''fit 1_• f
f RED END
• , UNGE POOL;
1 — v.=74.85
1 ;I
SEO. STRUC.
T.F.9078.50 ,,..
W-75,00 (15 ` {...R PREP~ PROP I CP '
Itw.=75.75 6"3. r '
ONC.. •;FUG �p 'PROP. I 1 f
"AND SIC ' IJ
(SEE ,vL) I I •C
•• f�, 1.� ��,• .• Pis O '� ..
.y I
INV. 76.0
# i
0 ? t; 1
co
PROPOSED TEMPORA •__ J / I� �I
AN PAD (4' ,x 4')
-- PROPOSED
39 ILDING
_ P.O SFD—lUPORA YUTlu
BIT. WW14 _
II
4 e \ I FJ
T F.Q8t.30 :. I
— W Z6 7g • • MH
114 Q• a •,1 C6.) JJ I I fl
.14 '`
SEE WATER.: SERVICE
-CROSStNC•.OCTA!E'`
1 � r
Oil UE ?`...')!'I_-
This Gertiffi d th.t fh;s yl—, is t
copies of the proposed baud 1.�
erected at
trier
together with amendments stI to and
filed with plan and I agrre t„ 1
Building and state laws a,id s . shjll he
issv,ed by the Building I)ep--rI,- !_. _'.r If
of this application and final issL—i:,:e .,f .,,aiding
permit,
Signed - a- —
This plan is approved subject t, to tf--t
orders and ordinances regulaiing t3, _ If 5t
complied with.
Conditionally Approved These f *11h
Building Inspector /CiiWN
Oats rto,
1uctu �j`
-t cT�', LJ;��.,;i J � ,..t
Prcp.,��,c; �u�i � .� b
tj i �
as shc• ,Vn on thiis pl� i ,,..
ccr.�o►r c�ac�ce� �A�l A Ni.�cl
r�;�ulatlons. a ; Ild
may apply. BIZ (
Dat ,
Vt
+h
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
Application is hereby:
TOWN OF SOUTH WINDSOR PERMIT#
BUILDING DEPARTMENT
P 1540 SULLIVAN AVENUE
�7A A) 644-2511 ext. 230 Bldg.Permit#
iYatel Building Inspector
Application must be printed or typed
FEE SCHEDULE A cation of Job:
V
$0-$1,000=$13.00 Street No. Street Lot No.
Over$1,000=
$13.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT
APPLICANT ADDRESS
APPLICANT PHONE ( Z
OWN S F-4 OWNER - P
OWNER ADDRESS I Q,C,
OWNER PHONE
ESTIMATED COST o-0
* U
IS THIS A CONTRACT COST? Yes 0 No
FEE ENCLOSED$
'CORC O TYPE OF JOB:
0 Original Installation
�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? ❑ YES ❑ NO
❑RESIDENTIAL
KBUSINESS CURRENT USE AND OCCUPANCY
❑ASSEMBLY
❑MERCANTILE FUTURE USE AND OCCUPANCY
❑EDUCATIONAL
❑INSTITUTIONAL ENGINEER'S NAME PHONE
❑FACTORY
❑ STORAGE ADDRESS '4
❑ GARAGE
❑MIXED USE CITY STATE ZIP
(Other please specify)
TYPE OF INSTALLATION/WIRING METHOD
SIZE OF MAIN FEEDERS AND RATING OF WIRE USED
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 SUBNHTTED.
DESCRIPTION OF WORK
1
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. E STATE
SIGNATURE OF APPLICANT DATE
John Collins- pprova on rmation: equesto. age
From: <cipsvc@nu.com>
To: <COLLIN@SOUTHWINDSOR.ORG>
Dat 11/15/00 2:36PM
Subject: CRS Approval Confirmation: Request No.42269
Your approval of the following CRS Request has been successfully processed.
CRS Work Request M 42269
House No: 1645
Lot No:
Street Name:
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
PERMIT#
TOWN OF SOUTH WINDSOR
Application is hereby: S/
BUILDING DEPARTMENT
APPROVE 1540 SULLIVAN AVENUE
644-2511 ext. 230 Bldg.Permit#
I �
bate ing Inspector
Application must be printed or typed
FEE SCHEDULE Location of Job:
4CS
$0-$1,000=$13.00 Street No. Street Lot No.
Over$1,000=
$13.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT , \
APPLICANT ADDRESS
APPLICANT PHONE#
w
O W N 84. OWNER sA
S
OWNER ADDRESS -- f-I1yva q-1,-j
�L\ �h'1 ®(d-74
0 E'" OWNER PHONE
* ESTIMATED COST$
IS THIS A CONTRACT COST? Wres O No
db
FEE ENCLOSED$
OR-CO TYPE OF JOB:
®'Original Installation
0 Alteration/Addition/Repair Revised 8/99
APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED Wn A
BUILDING PERMIT APPLICATION? QYES ❑ NO
CRE,,SIDENTIAL
��USINESS 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
(Other please specify)
TYPE OF INSTALLATION/WIRING METHOD
SIZE OF MAIN FEEDERS AND RATING OF WIRE USED
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
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
l
SIGNATURE OF APPLICANT t. DATE
06/01/2000
Town of SouthWindsor
For the project being done at 1645 Ellin on Road
Owner: Savings Bank of Rockville
Permit Value: 160,000.00 One Hundred Sixty Thousand Dollars
To whom it may concern.
Gerald R.Campion my apply for this electrical permit in my absence.
Michael Finnegan Electrical Contracting Inc.
Sincerely, r
Michael Finnegan
e
130 Commerce Way • South Windsor,CT 06074 CT LIC# 104546 (860)282-1922 FAX(860)282-9230
w
DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT
PERMIT#
Application is hereby: TOWN OF SOUTH WINDSOR z U S 9
BUILDING DEPARTMENT
APPROVED 1540 SULLIVAN AVENUE Bldg.Permit#
5( ,( C)U � _ 644-2511 ext. 230 �4 Y G Fr
Date Building Inspector
Application must be printed or typed
FEE SCHEDULE Location of Job:
�2G�N�fp Az -.&P
$0-$1,000=$13.00 Street No. Street Lot No.
Over$1,000=
$13.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT
APPLICANT ADDRESS
63r-
APPLICANT PHONE# C ?-Ice
OWN S OWNER / —
q� OWNER ADDRESS �
OWNER PHONE
C ESTIMATED COST$ �grJ
►,J U
., �'� IS THIS A CONTRACT COST? FYes 0 No
. � FEE ENCLOSED$ 60 7
OR-CO TYPE OF JOB:
S
`'New Installation
0 Alteration/Addition/Repair Revised 8/99
APPLICATION FOR PLUMBING PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
BUILDING PERMIT APPLICATION? ❑ YES ❑NO
❑RESIDENTIAL
BUSINESS CUNT USE AND OCCUPANCY
❑ASSEMBLY
❑MERCANTILE FUTURE USE SAND OCCUPANCY
❑EDUCATIONAL
❑INSTITUTIONAL ENGINEER'S NAME Z/VLt/SD' V PHONE
❑FACTORY
❑STORAGE ADDRESS
❑GARAGE
❑MIXED USE CITYJ� STATE ZIP
(Other please specify) ON
TYPE OF INSTALLATION A/e—,w SIZE OF MAIN DRAIN u
�J Wiflti f44-/Vt59;, w
NO.OF TOILETS / STYLE NO.URINALS _STYLE
NO.OF BATHTUBS NO.OF SHOWERS NO.OF LAVATORIES
Y IT
NO.OF CONDUCTORS SIZE NO.OF STACKS SIZE
AREA OF ROOF P�/1/ NO.OF CATCH BASINS NO.OF FLOOR DRAINS
NO.OF OTHER FIXTURES C� KIND Xf 7—C <N�
ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW ❑YESNO
Cq
SIZE OF WINDOW IF NONE C.F.M.OF VENTILATOR
SIZE OF DUCTS SEWER OR SEPTIC TANK
SIZE OF WATER MAIN SIZE OF WATER PIPING&RISE `s�.�--
WATER HEATER: TYPE MANUFACTURER
DESCRIPTION OF WORK
s
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO
COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
�- c7
CONTRA ORS L CENSE NO. E STATE
SIGNATURE OF APPLICA DATE
DEPARTMENT DECISION PERNUT#
APPLICATION FOR HVAC PERMIT
Application is hereby TOWN of SOUTH WINDSOR
BUILDING DEPARTMENT Bldg Permit#
APPRO 1540 SULLIVAN AVENUE c�2(0 2 6 FI
644-2511 ext. 230
Dat 'I d.i g Inspector Application must be printed or typed
Location of job
Racxvit.Lz SA\J%&Y.,3 8AK11L
16 415' FLLjM6TpA,3 Mo
Street No. Street Lot No.
FEE SCHEDULE
2-9 Floor Apt. No.
so - s 1,000 - R
Over $1,000 13,
&W-damper$1,000 OWNER (A). T, Mowurbab rim
or any fraction thereof
ADDRESS 170 CoMlq&WE Way/
TWTU wj OA, C"T,
OWNERS PHONE#
APPLICANTI C.
0N ADDRESS MoQQ�j
40% 4 1
<
E&i(EL-h C
17
ESTIMATED COST $
IS THIS A CONTRACT COST?
'� '�v .` YES NO
FEE ENCLOSED $ 561
OR
40 CIO 40,�,.E OF JOB:
Or,,,�
ginal Installation
Alteration/Addition Repair
FzNrised 11/95
APPLICATION FOR HVAC PERMIT(Continued from reverse side)
TYPE OF SYSTEM TYPE OF BUILDING
HEATING RESIDENTIAL /
A/C COMMERCIAL y
VENTILATION INDUSTRIAL
HEATING
STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS.
HYDRONIC WARM AIR UNIT RADIANT HEATER
EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION
DESIGN TEMP. OUTSIDE F INSIDE F DIFFERENCE F
TOTAL HEAT LOSS(BTUH)
(HEAT LOSS SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL HEATING EQUIPME &MODEL NO.)
As ?m, ?Lm� --i- E S-S 6 L lb AlJ-S�Q
GROSS HEATING CAPACITY (INPUT-BTUH) NET RATING (OUTPUT-BTUH)
TYPE OF FUEL
OIL-GPM GAS-INPUT ELECTRIC-KW
OIL TANK SIZE&LOCATION
INSIDE OUTSIDE CAPACITY LPG TANK CAPACITY
AIR CONDITIONING
DESIGN TEMP. OUTSIDE F INSIDE F DIFFERENCE F
TOTAL HEAT GAIN(BTUH)
(HEAT GAIN SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL COOLING EQUIPMENT (INCLUDING MAKE&MODEL NO.)
TONNAGE COOLING CAPACITY(BTUH)
VENTILATION
DESCRIBE ALL AIR HANDLING EQUIPMENT(INCLUDING KITCHEN EXHAUST EQUIPMENT)
TOTAL SIZE OF SYSTEM(CFM) FRESH AIR INTAKE(CFM)
(PLANS MUST ACCOMPANY APPLICATION)
FURTHER DESCRIPTION OF WORK
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO
COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONN.BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK. COS.�PNC✓L Q &A&3'K/ Pf&5 •
STATE LICENSE-NO. NAME&TYPE S TURE OF IC
PHONE NO. � -763 -�7Z DATE Z
DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT
PERMIT#
Application is hereby: TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
APPRO 1540 SULLIVAN AVENUE Bldg.Permit#
*- J tL 644-2511 ext. 230
Date Building Inspector
Application must be printed or typed
FFE, E,SCHEDULE Loc lion of Job:
A L
-$1,000=$13.00 Street No. Street Lot No.
Over$1,0003.00 per$1,000
y fraction thereof Tenant Designation Apt.No.
APPLICANT � /:« i K�
APPLICANT ADDRESS ,
APPLICANT PHONE# Z Tl— 3COO
IlljillllllllllllllllIIIIIIIIIIIIIIIIIIIIIIillillilillillilI
O H se OWNER
OWNER ADDRESS
k OWNER PHONE
ESTIMATED COST$ 500 U
IS THIS A CONTRACT COST? ❑ Yes ❑ No
FEE ENCLOSED$
OR-C TYPE OF JOB:
❑ New Installation
0QAlteration/Addition/Repair Revised 5101
APPLICATION FOR HVAC PERMIT (Continued from reverse side)
TYPE OF SYSTEM: TYPE OF BUILDING:
J4 HEATING ❑RESIDENTIAL
9 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 °F INSIDE OF DIFFERENCE OF
TOTAL HEAT LOSS(BTUH) OF(HEAT LOSS SHEET MUST ACCOMPANY
APPLICATION)
DESCRIBE ALL HEATING EQUIPMENT(INCLUDING MAKE&MODEL NO.)
GROSS HEATING CAPACITY(INPUT-BTUH) NET RATING(OUTPUT-BTUH)
TYPE OF FUEL
❑OIL--GPM OIL TANK LOCATION:❑INSIDE❑ OUTSIDE CAPACITY
❑ GAS-INPUT LPG TANK CAPACITY ELECTRIC-KW
AIR CONDITIONING
DESIGN TEMP.OUTSIDE OF INSIDE OF DIFFERENCE OF
TOTAL HEAT GAIN(BTUH) (HEAT GAIN SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL COOLING EQUIPMENT(INCLUDING MAKE&MODEL NO.)
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
1 &- (l) CaXt 2)jkf'S
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO
COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
CONTRACTORS LICENSE N TYPE STATE
SIGNATURE OF APPLICANT DATE 7 G�'
DEPARTMENT DECISION APPLICATION FOR SPRINKLER PERMIT
Application is hereby:
TOWN OF SOUTH WINDSOR PERMIT#
BUILDING DEPARTMENT //'/OZ
APPR 1540 SULLIVAN AVENUE
644-2511 ext. 230 Bldg.Permit#
ate 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$1,000
or any fraction thereof ' Tenant Designation Apt.No.
APPLICANT -/� VA4,e- /it/G
APPLICANT ADDRESS G
� G T
APPLICANT PHONE# �'
OWN Se-4
e,q OWNER S,rf'(///V�'s /'�JI�/� 0/ 7
OWNER ADDRESS t7i�iJ cS��.
OWNER PHONE
C ESTIMATED COST$ r-
P-i V
';S• IS THIS A CONTRACT COST? Yes O No
� FEE ENCLOSED$ 2 90.
10 �� TYPE OF JOB
dSOR.C0�
4rNew Installation
O 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 WITH A
USINESS BUILDING PERMIT APPLICATION? ❑ YES ❑ NO
❑ASSEMBLY
❑MERCANTILE CURRENT USE AND OCCUPANCY
0 EDUCATIONAL
❑ INSTITUTIONAL FUTURE USE AND OCCUPANCY
OFACTORY
0 STORAGE ENGINEER'S NAME 1�l/rjS€fili ��G�SO/V PHONE
❑ GARAGE
❑MIXED USE ADDRESS Ma �-
(Other please specify) CITY !' �/ STATE lid ZIP
KIND OF INSTALLATION
❑DRY , VET ❑ COMBINATION ❑ CHEMICAL
SIZE OF MAIN DRAIN WATER PRESSURE AT STREET(PSI) llt"42
ARE SPRINKLER HEADS ALTERED? ❑ YES JKNO
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 O INSURANCE COMPANY
WATER FLOW WATER PRESSURE AT SPRINKLER HEADS(PSI)
ARE PUMPS REQUIRED? 0 YES �NO IF YES,CHECK ALL THAT APPLY:
❑ FIRE ❑BOOSTER ❑ OTHER
ARE STANDPIPES PROVIDED? ❑YES MAO IS A SPRINKLER SYSTEM PROVIDED? *IYES ❑NO
SPRINKLER SYSTEM MAIN WATER SUPP Y RATING GPM
TOTAL DYNAMIC HEAD(TDH)OF FIRE PUMP PSI
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.
1Sz //o -/ �--
CONTRACTORS LICENSE NO. TYP STATE
SIGNATURE OF APPLI TE 5 -�31' 1 0
STATE OF CONNECTICUT
DEPARTMENT OF PUBLIC SAFETY
1111 Country Club Road
P.O.Box 2794
Middletown,CT 06457-9294
August 22,2000
Montgomery KONE, Inc
16 Old Forge Road
Rocky Hill, CT 06067
Re: Savings Bank of Rockville
So sor,
Fb1P;
To All Contractors:
We are returning your approved blueprint No. CP-143095 for one Passenger Elevator to
be located at the above address.
These drawings have been reviewed, found to be in compliance with requirements, and
are hereby approved for construction.
Please note that no deviations from the approved plans are allowed without prior
approval from this office.
Scheduling new acceptance inspections should be made at least 5 working days prior to
the required date.
Very truly yours,
Nancy C. DiMitruck, State Elevator Inspections Supervisor
DR/sf
Enclosure
cc: Building Official—South Windsor, CT
An Equal Opportunity Employer
STATE OF CONNECTICUT - DEPARTMENT OF PUBLIC SAFETY
BUREAU OF ELEVATORS
COMMON REASONS FOR NON-ACCEPTANCE OF NEW
ELEVATOR INSTALLATIONS:
MACHINE ROOM
Required door lock and closer.
Circuit breaker or disconnect must be lockable and sealable. Disconnect must
be interlocked in both positions.
Fire rating of machine room enclosure must be in accordance with CT Building
Code.
Use of machine room as a thoroughfare.
Presence of access panels in ceilings or walls. (A suspended ceiling would be
considered an access panel).
Improperly guarded or unguarded lighting.
Machine room ventilation as required by ANSI A17.1.
HOISTWAY
Hoistway fire rating and venting must be in accordance with CT Building Code.
Voids and gaps in hoistway walls or door bucks.
Improperly fastened rails and brackets.
PITS
Water in pit- pit must be kept in clean, dry condition.
Pit circuit must have GFI protection.
Pit lights must be guarded.
Sumps and sump holes must have securely fastened covers.
GENERAL
When sprinklers are installed in hoistway and machine room, a means of
automatically disconnecting main line power before or upon application of water
must be provided. Heat detectors when used shall be within 24 inches of
sprinkler head. Above system cannot be installed where there is no sprinkler
head.
Elevator cab must have means of communication to a 24 hour manned station or
service.
THIS LIST DOES NOT COVER ALL POSSIBLE PROBLEMS THAT MAY BE
ENCOUNTERED, IT MERELY REFLECTS SOME OF THE COMMON ISSUES.
1646- Wan �
RUSSELL
O DAWSON
ARCHITECTURE
(�E N G IN E ER I N G 330 ROBERTS STREET (EXIT 58,1-84)EAST HARTFORD,CONNECTICUT 06108-3654 PHONE(860)289-1100 FAX(860)289-3272
June 29, 2001
John Collins
Town of South Windsor
1540 Sullivan Avenue
South Windsor, CT 06074
Re: Rockville Bank
South Windsor, CT
File: 99.134
Dear Mr. Collins:
Please be advised that the above building substantially complies in all respects with our
Architectural and Engineering design.
Very t -yours,
SS an DA N
. awson, III
Consulting Engineer
RMD/ldo'k
cc: R. Ryan, Ryan Associates
File 99.134/062901L.doc
DAN LYMAN RUSSELL,ARCHITECT ROBERT M.DAWSON,III,PROFESSIONAL ENGINEER• SUDHAKAR V.NAGARDEOLEKAR,ARCHITECT
RUSSELL
O DAWSON
ARCHITECTURE
C E N G IN E E R I N G 330 ROBERTS STREET (EXIT 58.1-84)EAST HARTFORD.CONNECTICUT 06108-3654 PHONE(SM 289-1100 FAX(860)289-3272
CERTIFICATE OF OWNER ❑
ARCHITECT ❑
SUBSTANTIAL CONTRACTOR ❑
COMPLETION FIELD ❑
OTHER
PROJECT: THE SAVINGS BANK OF ROCKVILLE
(name,address) 1645 Ellington Road, South Windsor, CT
CONTRACTOR: W. 4, MOUNTFORD CO., 170 Commerce Way, South Windsor, CT
TO (Owner)
F-Savings Bank of Rockville ARCHITECT'S PROJECT NO: 99.134
25 lurk Street CONTRACT FOR: General Construction
Rockville, CT 06066
L J CONTRACT DATE: 4/7/00
DATE OF ISSUANCE: April 91 2001
PROJECT OR DESIGNATED AREA SHALL INCLUDE:
Base building and bank space excluding rental tenant fitup.
The Work performed under this Contract has been reviewed and found to be substantially complete. The Date of Sub-
stantial Completion is hereby established as April 9, 2001 ,
which is also the date of commencement of all warranties and guarantees required by the Contract Documents.
DEFINITION OF DATE OF SUBSTANTIAL COMPLETION
The Date of Substantial Completion of the Work or designated portion thereof is the Date certified by the Architect when
construction is sufficiently complete, in accordance with the Contract Documents, so the Owner may occupy the Work or
designated portion thereof for the use for which it is intended.
Z'
Russell & Dawson 4/9/O1
ARCHITECT B Robert M. Dawson, III DATE
DAN LYMAN RUSSELL,ARCHITECT ROBERT M.DAWSON,III,PROFESSIONAL ENGINEER SUDHAKAR V.NAGARDEOLEKAR.ARCHITECT
( & UCTURAL
E N G I N E E R S
Final
CoA L N n p 0 I T I al Report of Special Inspections
jNONpREIVATE RACTICE
Project: The Savings Bank of Rockville
Location: 1645 Ellington Road, South Windsor, CT
Owner: The Savings Bank of Rockville
Owner's Address: 14 Park Street
Rockville, CT
Architect of Record: Russell and Dawson, East Hartford, CT 06108
Structural Engineer of Record: Robert M. Dawson, III, East Hartford, CT 06108
formation, knowledge and belief,the special inspections required for this project, and
To the best of my in ldsubmitted for permit, have been performed and all discovered
itemized in the Statement of Special Inspections
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, ;t
Special Inspector
• Type or print name
obert M. Dawson, III
Russel-I & Dawson
Date Professional Engineer's S al r
natu e
ti
t,
SEC Form 102
Final Report of Special Inspections C)SEC 1998
RUSSELL
O DAWSON
ARCHITECTURE
330 ROBERTS STREET (EXIT 58,1-84) EAST HARTFORD,CONNECTICUT 06108-3654 PHONE 860)289-1100 FAX(860)289-3272
CnENGINEERING (
TO: Town of South Windsor TRANSMITTAL# 93
1540 Sullivan Avenue DATE: 6/25/2001
South Windsor, CT 06074 PROJECT:
The Savings Bank of Rockville
ATTN: John Collins 1645 Ellington Road
South Windsor, CT 06074
FILE NO: 99134
We are sending you Via:
❑ hand IR/regular mail ❑ express the following:
❑ shop drawings ❑ tracings ❑ sample
❑ prints ❑ copy of letter A3 certificate of pay ent
❑ photographs ❑ specifications
CITY DATE Item Description Status
1 4/6/2001 Special Final Report of Special Inspections
Inspections
1 4/9/2001 Certificate Certificate of Substantial Completion
REMARKS
Copies to: Richard Ryan- Ryan Associates(w/attachments)
File
RUSSELL&DAWSON,
Robert M. Dawson
Partner
Status Codes:NET=No Exceptions Taken,MCN=Make Corrections Noted,RR=Revise and Resubmit,R=Rejected,REC=Submitted for Record
aye
Ryon Associates P.O. Box 586 South Windsor,
ecticut 06074-0586
Phone/Fax: 860.644.5682 1- 888 3817377 e-mail: bizrep writeme.coAvol 12�Ir
Mr. CharlesDana,Assessor
Town of S- 04*Windsor,CT
1650 t-Avenue
South W'�; CT 06074
Subject: Change of Address—SBR Ellington Road property
Dear . Dana
My client,the Savings Bank of Rockville has authorized me,to request an address change
for the property they own on Ellington Road. SBR plans to construct an office building with a
branch bank on the property. Currently the address is listed as 900 Clark Street. The plot plan
recently approved by the town's Inland/wetlands Commission shows the building entrance and
the entry driveway on Ellington Road.
We feel that a Clark Street address will be confusing to new customers and to town agencies
that may have to make an emergency response to 900 Clark Street,only to find later that the
entrance is on Ellington Road.
Many of our construction service people like the telephone company, gas company etc.
have asked me for the address so they could set up their billing systems and dispatch workers. We
appreciate your prompt response to our request.
Thank You,
Richard R
v
STRUCTURAL
• ErrGINCCRS
c
o , T , o N Statement of Special Inspections
CpNN(CTKUT tN( MERS
IN tRIVATIL /RACTICC I
�I
I
Project: The Savings Bank of Rockville
Location: 1645 Ellington Road, South Windsor, CT
Owner: The Savings Bank of Rockville
Owner's Address: 14 Park Street
Rockville, CT]
Architect of Record: Russell and Dawson, East Hartford, CT 06108
Structural Engineer of Record: Robert M. Dawson, III, East Hartford, CT 6108
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
Inspections 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 and to the 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 and the Structural 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, Structural Engineer and Architect of
Record. A schedule of interim reports shall be approved by the Building Official prior to permit issuance.
A final report of 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 is solely the responsibility of the Contractor.
or❑ per attached
Interim Report Frequency: As Venerated. schedule.
Prepared by Structural Engineer: of CON/V y
Robert M. Dawson, III
Russ 1 and Dawson haom3 •
(type or prin me) E
� r
No. 5233
A'p �RfWSTE0; ���i,R
Si azure
Date Professional Engineer's S at
Owner's Authorization: Building Official's Acceptance:
GlibDate
• Signature�L, -bigOat Signature
SEC Form 101 • Statement of Special Inspections • ®SEC 1998
• Sheet 2 of
Project:The Savings Bank of Rockville
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:
Q Soils and Foundations ® Cold-Formed Steel Framing
Q Cast-in-Place Concrete ❑ Spray Fire Resistant Material
❑ Precast Concrete ❑ Wood Construction
Q Masonry ❑ Exterior Insulation and Finish System
® Structural Steel ❑ Special Cases
Inspection Agents Firm Address
1. Special Inspector Russell & Dawson 330 Roberts Street
Robert M. Dawson, In East Hartford, CT 06108�
2. Testing Laboratory
Not SeleceCted Yet
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 be the Owner or the Owner's Agent. and not by the
Contractor or Subcontractor whose work Is to be inspected or tested. Any conflict of interest must be
disclosed to the Building Official.
The credentials of all Inspectors and testing Technicians shall be provided if requested.
The person administering the Special Inspections program shall be a Professional Engineer with a minimum
of ten (10) years experience in the design of buildings.
Key for Minimum Qualifications of Inspection A ents where indicated on Schedules
PE Professional Engineer with five years minimum experience in structural design of buildings
EIT Engineering in Training with two years minimum experience in structural design of
buildings
GE Professional Engineer specializing in Geotechnical Engineering
ACI-1 American Concrete Institute Level I Certification
ACI.2 American Concrete Institute Concrete Construction Inspector Certification
AWS American Welding Society Certified Welding Inspector
ASNT American Society of Non-Destructive Testing - Level II or III
SEC Form 101 Statement of Special Inspections QSEC 1998
STRUCTURAL
E N G I N E E R S lb
c p A L I T 1 o N Final Report of Special Inspections
NNPITFIcCEI RVAE Ap
Project: The Savings Bank of Rockville
Location: 1645 Ellington Road, South Windsor, CT
Owner: The Savings Bank of Rockville
Owner's Address: 14 Park Street
Rockville, CT
Architect of Record: Russell and Dawson, East Hartford, CT 06108
Structural Engineer of Record: Robert M. Dawson, III, East Hartford, CT 06108
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
Type or print name •
Robert M. Dawson, III
Russell & Dawson
Signature Date Professional En ineer's S !
�—J
SEC F rm 102 0 Final Report of Special Insp ctions • QSEC 1998
Sch dule of Sp ciai Inspection Services :
Soils and Foundations
It m Ag nt No. Sc pe
(Qualif.)
1.Controlled Structural Fill
1705.7
A. Fill material 2 Test material for conformance to the construction
documents. Perform laboratory tests in accordance with the
specifications to determine optimum water content and
maximum dry density.
2 Verify that the site has been prepared in accordance with the
B. Installation of controlled construction documents. Verify that the material used and
structural fill the lift thickness complies with the construction docum nts.
2 Perform field density tests of the in-place fill at the approved
C. Density of fill frequency, to verify that in-place dry density conforms to th
specifications.
v
A •
l
0.
•i
11 ,
Sch dul of Special Inspection Services
Cast-in-Place Concrete
It,m Ag nt No. Scop
(Qualif.) �'•
r
11. Mix D sign and Mix 1 and 2 Review mix designs and techniques. Verify that concrete
Techniques' being placed in the field is per approved mix design. ia.
1705.4.1 '
f'
2. Material Certification' 1 and 2 Review certificates of conformance and verify use of
1705.4.1 specified material in the field.
3. Reinforcement Installation 1 and 2 Inspect reinforcing for size,quantity,condition,and
1705.4.2 placement for first footing and wall placement.
`.�
13
4. Formwork Geometry 1 and 2 Generally review form dimensions.
CT 1705.4.3 +,
5. Concrete Placements 2 Observe concrete placement operations when sampling
1705.4.4 concrete. Verify conformance to specifications including
cold-weather and hot-weather placement procedures.
6. Evaluation of Concrete 2 One set of cylinders shall be taken each day of concrete
Strength° placement, plus and additional set for each 150 cubic yards
1705.4.4 or 5,000 square feet.
7. Curing and Protection' 1 and 2 Observe procedures when present for testing and/or
1705.4.4 inspections.
XI
• j1
`A
!w ••
='--TG•r*``Sch• dufe of Sp cial Insp ction Services
. . �1::..... Masonry
•� It M Agent No. Scope
1. .Material Certification '
Submittal Review
2. Mixing of Mortar and Grout
• 3. Installation of Masonry -•
1 Visual Observation
4. R Inforcement Installation
•�t Visual Observation
1
• .t / ,fir ,
•• 5. Grouting Operations ,
•, 6. Weather Protection
1 Visual Observation •
, .. 7.. Evaluation of Masonry
• Strength
B. Anchors and Ties
1 Visual Observation
._Other _.
•
iph
Schedui of Special Inspection Services
' Structural St el
ft m Ag nt No. Scop
' (Quallf.)
1. Fabricator Certification/ 1 and 2 Part A: AISC Certification or equivalent inspection.
Quality Control Procedures Part B: Visual inspection of the fabrication of steel frames,
1705.2, 1705.3.1 columns, and beams.
2. Material Certification*"•18•1°• 1 and 2 Review certificates of conformance and verify use of
1705.3.2 specified material In the field.
3. Open Web Steel Joists 1 and 2 Verify size, placement, bridging, bearing,and connections to
structure are in accordance with the construction documents „
and approved shop drawings. '►;
J."
' 't
4. Bolting20 2 Observe calibration procedures. '. Y
1705.3.3.1 Snug tight verification: 100%. `
5. Welding21 2 Check welder's qualifications. Provide pre weld, in-process,
1705.3.3.2 and post-weld visual inspection of all welds for size,length,
locations,and quality. Ultrasonic test all penetration welds.
6. Structural Framing, Details, 1 and 2 Review for compliance with the construction documents and
and Assemblies approved shop drawings in shop and field.
7. Metal Decking 2 Verify gauge and width. Inspect placement, laps,welds, :t
sidelap attachment,and screws or other mechanical
fasteners. Check welder's qualifications.
x
V
•Il
N
f . ,
JM f
Schedul of Special Insp ction Services
Sp cial Cas S — Light Gauge Metal Framing
It m Ag nt N Scop
(4ualif.)
1. Material Certification 1 Review certificate of conformance. '
At .
2. Installation 1 and 2 Verify that the size and placement of the structural members `
and their connections conform to the construction documents
and approved shop drawings.
V
1,
,
. J.
3. Fasteners 1 and 2 Verify fastener type,size,and placement.
4. Welds 1 and 2 Verify conformance to AWS specifications,construction '
documents,and approved shop drawings. Check welder's
qualifications. Inspect welds visually.
. L; .
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schedule of Special Inspection S rvices
relic S►
1. ACI 318-95, Building Code Requirements for Structural Concrete,Chapter 3.
2. ACI 318-95, Building Code Requirements for Structural Concrete,§7.4, 7.5, 7.6 and 7.7.
3. ACI 318-95, Building Code Requirements for Structural Concrete,§ 18.18. •
4. ACI 318-95, Bullding Code Requirements for Structural Concrete,Chapter 4 and§5.2, 5.3, 5.4 and 5.8.
5. ACI 318-95, Building Code Requirements for Structural Concrete,§5.9 and 5.10.
6. ACI 318-95, Building Code Requirements for Structural Concrete, §5.6.
7. ACI 318-95, Building Code Requirements for Structural Concrete,§5.11,5.12 and 5.13. ;
8.- ACI 530.1 /ASCE 6/TMS 602—95, Specifications for Masonry Structures,§2.3.
9. ACI 530.1 /ASCE 6/TMS 602—95, Specifications for Masonry Structures,§2.6. ,
10. ACI'530.1 /ASCE 6/TMS 602—95, Specifications for Masonry Structures,§3.2.
11. ACI 530/ASCE 5/TMS 402—95, Building Code Requirements for Masonry Structures, Chapter 8.
12. ACI 530.1 /ASCE 6/TMS 602—95, Specifications for Masonry Structures,§3.5.
5• .
13. ACI 530.1 /ASCE 6/TMS 602—95, Specifications for Masonry Structures,§ 1.8.
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14. ACI 530.1 /ASCE 6/TMS 602—95, Specifications for Masonry Structures,§ 1.4.
15. ACI 530/ASCE 5/TMS 402—95, Building Code Requirements for Masonry Structures, §4.2 and 5.14.
16. AISC ASD—89, Specification for Structural Steel Buildings—Allowable Stress Design and Plastic Design, _
§A3.4 and A3.6.
17. AISC LRFD—93, Load and Resistance Factor Design Specification for Structural Steel Buildings,§A3.3 ,
and A3.5.
18. ASTM A6—95c, Specification for General Requirements for Rolled Steel Plates, Shapes, Sheet Piling,
and Bars for Structural Use.
19. ASTM A568—95, Specification for Steel Sheet, Carbon and High-Strength, Low-Alloy, Hot-Rolled and
Cold Rolled, General Requirements For.
20. RCSC-85(88), Specification for Structural Joints Using A325 orA490 Bolts, §9.
21. AWS D1.1 —92, Structural Welding Code—Steel,§6.
22. AWS D1.1 —92, Structural Welding Code—Steel,§7.8.
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TI3E SAVINGS BANK OF RO CKVILLE
SOUTH WINDSOR, CT
HVAC CALCULATIONS
Russell & Dawson
Architecture & Engineering
330 Roberts Street
East Hartford, Connecticut 06108
Phone (860) 289-1100 Fax (860) 289-3272
email—russelldawsonl@ AOL.com
File: 99.134
March 9, 2000
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Inside Version 1.1
Scope and Application Guide
Envelope Compliance Guide
Mechanical Compliance Guide
Lighting Compliance Guide
Software Compliance Guide
State Maps and Prescriptive Packages
Field Inspection Checklist
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RUSSELL
ig�DAWSON
AFCMIIE CIURE
tl EN G1NEERING
STATE OF CONNECTICUT
DEPARTMENT OF PUBLIC SAFETY
DIVISION OF FIRE, EMERGENCY&BUILDING SERVICES
OFFICE OF THE STATE BUILDING INSPECTOR
March 28, 2001
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Mr. Robert Dawson
Russell and Dawson
330 Roberts Street
East Hartford, CT 06108
RE: M-280-01 Rockville Bank
South Windsor, Connecticut
Dear Mr. Dawson:
I have reviewed the referenced request for modification of Section 106, of the
1999 Connecticut Safety Code for Elevators and Escalators, which states in part
that where drains are not provided to prevent the accumulation of water, sump
pumps shall be provided.
It is my decision to approve this modification, as requested, and waive the
requirement for a floor drain or sump pump to be installed within an elevator pit.
This decision is based on the fact that Connecticut is in the process of revising
the above-referenced safety code to delete this requirement.
If you have any questions, please contact Nancy DiMitruck, Supervisor, Bureau
of Elevators, at (860) 685-8340.
Very truly yours,
Christopher R. Laux, AIA
ilding Inspector7ju
Atze-
JA
By: Daniel J. Tierney
Deputy State Building Inspector
CRL:DT:pm
cc: John Collins,.South Windsor Building Official
Nancy DiMitruck
Telephone (860) 685-8310
1111 Country Club Road P.O.Box 2794
Middletown,CT 06457-9294
An Equal Opportunity Employer
APPLICATION FOR PERMANENT SIGN PERMIT
Zoning Approval: 1645 ELLINaffV ROAD
� 26376 Est. Cost: $ 1.o 6.
Re(,- No. I Z e o
_ Permit Fee. $_ —
Final Inspections: Approved: a9
Building 5� dim Electric #
Zoning- 5 �-
Applicant Name Say►wcs aAwlc be R o c r_„,A)to
Address 1(.45 ELI_1Ng7-0r Rcl Phone
w•.�1_ �e,,..�� ON %ocvLsV- %V%la►.rat
Location of Sign N•T,,cA s to w s are gy.4 D,,y r.,ere Ld"r Zone � L
tuOa« - 3 L -*we s7 wie.# AlrPo e
Sign Size (square feet) Sign Height # of signs on site: Free-standing Wall
TYPE of SIGN: awall or Free-standing [ 'New or❑ Replacement Illuminated? ❑ Yes ❑ No
Description of sign materials and lighting:
ATTACH
DIAGRAM OF
SIGN
INCLUDING
DIMENSIONS
1 have read, understand and ag o abide by the South Windsor Zoning Regulations, Signs.
SIGNATURE Date 7Z29149
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
-------------------------------------------------------------------------------
99-26376-B 1,000
B10 FINAL 05/28/02 JRC A CLOSEOUT
.... ...r. W. • ■'nor• U al V a 4. a k-is U.w.a a r sr r u 9 V■M 0 'r ! `a%atliI i
7orti ng Approval: 1645 Ellington Road`_
Est. Cost:
Ref. 1�.� ,l No. 27590 0o
Final Inspections: Per tIse:
Building J� �
Zonin Approved:
Applicant Name ( Yz X s --t7"cr,
Address �?'o y (2z[cjo&-\fj g -V Cl- 66 Oo;� Phone $'60-;1Y a- 00 3 �
Location of Sign 6_Y S �l/� / if - Zone
Sign Size (square feet) 36 Sign Height /0' # of signs on site: Free-
standing-Wall
TYPE of SIGN: El Wall or Free-standing [I New or ❑ Replacement Illuminated? [�Yes ❑ No
Description of sign materials and lighting:
ATTACH
DIAGRAM OF
0 o�-� SIGN
INCLUDING
DIMENSION
I have read, understand and agree to abide by the South Windsor Zoning Regulations, Signs.
SIGNATURE tiG s c Date (� ��
f k
**-27590-B 6,500
B10 FINAL 09/26/01 JRC A CLOSED OUT.
4'
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
PERMIT#
Application is hereby: TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
APPRO 1540 SULLIVAN AVENUE Bldg.Permit#
Z 1 Kq_ 644-2511 ext. 230 0? y
ate Building Inspector
Application must be printed or typed
FEE SCHEDULE
Location of Job:
A I
$0-$1,000=$13.00 Street No. Street Lot No.
Over$1,000=
$13.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
A�7 ill C-Eic!�wL
APPLICANTw
APPLICANT ADDRESS _ 0 :Se#4 C),g
APPLICANT PHONE# 5?&C —2?1:5-1'L
OWNER IC r-,c 3-, l k C �3ww 1<L
OWNER ADDRESS
OWNER PHONE 9&0
ESTIMATED COST$ OC)
--ll
�+ IS THIS A CONTRACT COST? 'Yes 13 No
FEE ENCLOSED$ ��jC, .00 0,00
OR-CO
11 TYPE OF JOB:
�S
13 New Installation
�lteration/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? ❑ YES ❑NO
❑RESIDENTIAL
L P USINESS CURRENT USE AND OCCUPANCY
❑ASSEMBLY
❑MERCANTILE FUTURE USE AND OCCUPANCY
❑EDUCATIONAL
❑INSTITUTIONAL ENGINEER'S NAME 1 y PHONE _
❑FACTORY
❑ STORAGE ADDRESS
❑GARAGE
❑MIXED USE CITY STATE ZIP
(Other please specify)
TYPE OF INSTALLATION/WIRING METHOD
SIZE OF SERVICE ��15T/`�Gi 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
IU e-,-L-) 7n" e S
IQ L4
� cw LzT�
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 ��