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HomeMy WebLinkAbout105 Buckland Hills Drive (16) ElectAc# APPLICATION FOR BUILDING PERMIT Plumbing# 105 Buckland Hills Drive Date: /O//&l 00 HVAC # No. 27417 Sprinkler# FINAL APPROVA Estimated Cost So,o0 0 Building COMPLETE RED BOXED AREAS Permit Fee $ 4S0 ,00 Engineering -3 TYPE OR PRINT ONLY Occupancy Fee Affidavit SIGN ON REVERSE SIDE Total Fee S v c� Appr.for CO. TO BUILDING DEPARTM 4T,TOWN OF SOUTH WN)SOR,CT (Additional Cost) $ The undersigned hereby applies to do work according to the following specifications: .lob Location /oS &jc.KI4nD 1 113 Dri✓c Lot No. 41 Side of Street Not-TH Zone G 0 ZoAE. Applicant So t4aj Ih or i4 r;4---( TeL# J180 9 Address 2 S New j3,f v'+ i n! AVC yn ionvi 1lc C-T Zip Oho 85 Lic.# 9 c o 3 2 N Owner h)Qc+f er.% I&t*II s , LL C. Address /I o 9 Close. Cen a Be%c-&. ✓A• 23115 1 Architect Eraz ie'Cc w•s an. 60.0 Address 14 S i 1✓tr Lane, E'.ttT Ka rdara GT 4046 If a Sq. Ft.New Area: 1st FI. (o,o ocs 2nd FI. N Ar 3rd Fl. iV 4 Total New Area (e o o 0 #Rooms #Lavatories #Bathrooms #Garages a Purpose of this permit: 1~6oT i^!q S Fou n/ a a.+ on S p6f_ CC�a^KA-'-'re.-(n<- 13 c2?I( (arc-P l --F City Water ❑ ell ❑ Septic System ❑ Sewer ❑ Ins. H.O. S.P. Cert. Area Basement Garage Approved by S6� Date LQ L3 (Nd Use Group Construction Typi Revd 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 afteration 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 and its use is allowed. wh' Signed I hereby apply for a Certificate of Occupancy for the work described in this application for the permit. Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS Inspection / Approval Date By Appl Code Description Due Whom Code Comment ------------------------------------------------------------------------------- **-27417-B 50,000 B01 FOOTING 09/12/01 JFF A WITH SUPER AN TESTING LAB H9TO8 HTOF ON 10LIN 10LINE 16FT PASTF9 LINE B01 FOOTING 09/13/01 JFF A WITH SUPER REMAINDER EAST FOOTING WITH LOFT RETURN NORTH FOOTING B01 FOOTING 09/18/01 JFF A WITH SUPER REINFORCED WALLS ENTIRE SOUTH HALF OF STRUCTURE ALSO PIER PAD G9 B01 FOOTING 09/19/01 JFF A WITH SUPER ENTIRE NORTH FOOTING NORTH HALF OF WEST FOOTING B01 FOOTING 09/24/01 CJD A W/FOREMAN-FTGS. 7 LINE H-F, WALL AT H-LINE 7-9, F LINE 7-9 FTGS. (WILL MUCK OUT H-7 AREA) B01 FOOTING 09/26/01 JFF A WITH SUPER 3 PIERS CANAPY ENTRANCE REMAINDER OF NORTH WALL 00/00/00 B04 INSULATION 09/26/01 JFF A WITH SUPER PERIMETER SLAB INSULATION B10 FINAL 08/31/01 JRC A CLOSED OUT. LDERTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT TOWN OF SOUTH WINDSOR PERMIT# lication is hereby: BUILDING DEPARTMENT APPROVED 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 Building Inspector Application must be printed or typed FEE SCHEDULE l Location of Job: 0 0 (+ I 15- kt cc I $0-$1,000=$13.00 Street No. Street Lot No. Over$1,000= $13.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. _f 4 APPLICANT ��� APPLICANT ADDRESS U APPLICANT PHONE# a z/ OWN S Fq owNER r OWNER ADDRESS nn Cc) yw. g OWNER PHONE ;� C r7 ESTIMATED COST$ C7r u r:T19 �Q S IS THIS A CONTRACT COST? Yes ❑ No South Windsor FEE ENCLOSED$ �0 0 C"O L 0Z3` BUILDING p � w � EPaRrMENr OR.'C O11 TYPE OF JOB: $-New Installation ❑ Alteration/Addition/Repair Revised 5101 APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION? 151 YES ❑NO ❑RESIDENTIAL A.BUSINESS CURRENT USE AND OCCUPANCY ❑ASSEMBLY ❑MERCANTILE❑EDUCATIONAL FUTURE USE AND OCCUPANCY ❑ INSTITUTIONAL ENGINEER'S NAME PHONE ❑FACTORY ❑ STORAGE ADDRESS ❑ GARAGE ❑MIXED USE CITY STATE ZIP TYPE OF INSTALLATION/WIRING METHOD SIZE OF SERVICE SIZE OF MAIN CONDUCTORS NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS NUMBER OF PANELS REMOTE DISCONNECT REQUIRED? ❑YES ❑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. (c) C'T CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT r' DATE rC /'f c /1 DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT ,PERMIT# Application is hereby: TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT APPROVE 1540 SULLIVAN AVENUE Bldg.Permit# 0 � Gr 644-2511 ext. 230 -f6 D e Building Inspector Application must be printed or typed Location of Job: FEE SCHEDULE -- J� �.�G.Q y� icy s /�i9.d $0-$1,0(0=$13.00 Street No. Street Lot No. Over$1,000 $13.00 per$1,000 or any fraction thereof Tenant Designation Apt.No: . 1 . 1 APPLICANT Uc.v.vo i��c� �• ��'l' APPLICANT ADDRESS /fir-��� APPLICANT PHONE# ego 040 IN OWNER �iC T�YE��✓ ©44 �q< OWNER ADDRESS OWNER PHONE C ESTIMATED COST$ Zd aae) IS THIS A CONTRACT COST? IR Yes O No ICJ FEE ENCLOSED$ 4 TYPE OF JOB: OR-Co 8 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 JKBUSINESS 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 INSTALLATIONw SIZE OF MAIN DRAIN y NO.OF TOILETS. STYLE /- ✓ NO.URINALS-- STYLE NO.OF BATHTUBS NO.OF SHOWERS NO.OF LAVATORIES NO.OF CONDUCTORS SIZE NO.OF STACKS SIZE AREA OF ROOF NO.OF CATCH BASINS NO.OF FLOOR DRAINS NO.OF OTHER FIXTURES KIND ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW ❑YESA�NO SIZE OF WINDOW IF NONE C.F.M.OF VENTILATOR SIZE OF DUCTS SEWER OR SEPTIC TANK SIZE OF WATER MAIN SIZE OF WATER PIPING&RISER WATER HEATER: TYPE MANUFACTURER DESCRIPTION OF WORK 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 DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT PERMIT# Application is hereby: TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT APPROVED 1540 SULLIVAN AVENUE Bldg.Permit# 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 F Lot No. Over$1,000= $13.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANTw APPLICANT ADDRESS APPLICANT PHONE# N St OWNER2Ti/�.-z OWNER ADDRESS t j O 4 OWNER PHONE C ESTIMATED COST$ IS THIS A CONTRACT COST? 1%Yes 0 No f� f CJ FEE ENCLOSED$ 3 3 TYPE OF JOB: 0 New Installation 0 Alteration/Addition/Repair Revised 8/99 APPLICATION FOR HVAC PERMIT (Continued from reverse side TYPE OF SYSTEM: TYPE OF BUILDING: Ap HEATING ❑RESIDENTIAL A/C ❑COMMERCIAL ❑VENTILATION ❑INDUSTRIAL HEATING ❑ STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS. ❑HYDRONIC A WARM AIR ❑UNIT RADIANT HEATER EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION DESIGN TEMP. OUTSIDE OF INSIDE OF DIFFERENCE OF TOTAL HEAT LOSS(BTUH) OF(HEAT LOSS SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL HEATING EQUIPMENT(INCLUDING MAKE&MODEL NO.) �"U1Z/� /f�C���-,ram"® ��o�iv�� _�.95������•c G•%v�TS GROSS HEATING CAPACITY(INPUT—BTUH) NET RATING(OUTPUT—BTUH) TYPE OF FUEL ❑ OIL—GPM OIL TANK LOCATION:❑INSIDE❑ OUTSIDE CAPACITY )I GAS-INPUT LPG TANK CAPACITY ELECTRIC-KW AIR CONDITIONING DESIGN TEMP.OUTSIDE OF INSIDE OF DIFFERENCE OF TOTAL HEAT GAIN(BTUH) (HEAT GAIN SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL COOLING EQUIPMENT(INCLUDING MAKE&MODEL NO.) TONNAGE COOLING CAPACITY(BTUH) VENTILATION DESCRIBE ALL AIR HANDLING EQUIPMENT(INCLUDING KITCHEN EXHAUST EQUIPMENT) TOTAL SIZE OF SYSTEM(CFM) FRESH AIR INTAKE(CFM) (PLANS MUST ACCOMPANY APPLICATION) FURTHER DESCRIPTION OF WORK THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT DATE EJI/SE/� ••- 1370 de Coulomb, lie PQ MB 734 Tel: (450 65546866 79, lIl INC. Fcm: (450) 655-4144 November 30, 2001 Town of South Windsor Planning&Zoning Department Jeff Folger 1540 Sullivan Ave South Windsor, CT 06074 1-860-644-2511 ext 299 Re: Check for sign permit for The Vitamin Shoppe,Northern hills Shopping Center 105 Bucklatnd Hills Drive, Dear Jeff: Please find enclosed a check for$ 9 1.00 dollars to cover the costs of the sign permit. Please fax me a of the permit to 1-450-655-4144. You could mail me the original . Thank you, Tammi RECEIVED DEC 3 2001 SOUTH WINDSOR PLANMG DEPT. Letnorandum To: John Collins,Building Official CC: Planning&Zoning From: Charles P.Danna Jr.,Assessor Date: 05/12/00 Re: Northern Hills Subdivision,Street(re)numbering As part of the recent subdivision&reconfiguration of the Northern Hills properties,it Is the appropriate time to amend all street references for properties involved. w e afore it is suggested that the following be considered for use and reference purposes: Street references shall be as though each individual building is located on Buckland Hills Drive rather than ss off Buckland Road(as is currently referenced). The code for Buckland Hills Drive is 1540. : x. :. N z lAKA #10 Buckland NKA #39 Buckland Hills Drive zi YR AKA NKA Lot#3 AKA #20 Buckland R NKA #125 Buckland Hills Drive 6o�<1 0- Lot#4 AKA NKA # 95 Buckland Hills Drive & #105 Buckland Hills Drive 1 rTRUCTURAL Statement of Special Inspections ENGINEERS p p COALITION CONNECTICUT ENGINEERS IN PRIVATE PRACTICE Project: Parcel T East Building, Northern Hills Location: 105 Buckfand Hdh Drive, South Windsor, CT Owner: Northern Hill Associates LLC Owner's Address: 1109 Rose Lane Virginia Beach, VA 23451 Architect of Record: FLB Architecture&Planning, Inc. Structural Engineer of Record: Hallisey Engineering Associates, Inc. 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, 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 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. Prepared by: Joseph M. Hallisey �,M • (type or print name) 4 No.4B08 (I tip 9128100NZE's�e Signature Date Design al Seal r A i n: Building Official's Acceptance: ignature Date Signature Date SEC/CT Form 101CT • Statement of Special Inspections • ©SEC/CT 1999 Sheet 2 of 9 Project: Northern Hills 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: ® Soils and Foundations ® Cold-Formed Steel Framing ® Cast-in-Place Concrete ❑ Spray Fire Resistant Material ❑ Precast Concrete ❑ Wood Construction ® Masonry ❑ Exterior Insulation and Finish System ® Structural Steel ❑ Special Cases Inspection Agents Firm Address 1. Special Inspector Hall isey Engineering Associates, Inc. 78 Beaver Road Wethersfield, CT 06109 2. Testing Laboratory Eastern Materials Testing,Laboratory 114 Woodlawn Road 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 conflict 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. Ke for Minimum Qualifications of Ins ion A ents where indicated on Schedules PE Professional Engineer EIT Engineering 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 101CT • Statement of Special Inspections ©SEC/CT 1999 Schedule of Special Inspection Services Sheet 3 of 9 Soils and Foundations Project: Northern Hills Item Agent No. Scope (Qualif.) 1. Shallow Foundations 2 Soil at footing to be observed to conform with bearing capacity indicated on contract documents. 2. Controlled Structural Fill 2 Confirm nature and condition of subgrade prior to compaction. 1705.7 Inspect compaction procedures, thickness of lifts, and percent of compaction. Perform laboratory gradation tests and compaction tests and in place density tests on each list of strucural fill. 3. Deep Foundations 1705.8, 1705.9, 1816.13 4. Other SEC/CT Form 101CT • Statement of Special Inspections ©SEC/CT 1999 Schedule of Special Inspection Services Sheet 4 of 9 Cast-in-Place Concrete Project: Northern Hills Item Agent No. Scope (Qualif.) 1. Mix Design 1 Review all mix designs to ensure compliance with contract 1705.4.1 documents. 2. Material Certification 2 Review data and documentation providing evidence of 1705.4.1 conformance to quality standards of materials used in mix design. 3. Reinforcement Installation 1,2 Review installation of all reinforcement to ensure conformance 1705.4.2 with contract documents and ACI. 4. Post-Tensioning Operations N/A N/A 1705.4.5 5. Batching Plant 2 Review batch plant Q.C.procedures. 1705.4.4 6. Formwork Geometry 1,2 Periodic review of formwork to assure that proper shape, CT 1705.4.3 coverage, and any other requirements are achieved. 7. Concrete Placement 2 Conduct concrete mix tests every 50 yards for each successive 1705.4.4 pour to ensure concret meets project specifications. 8. Evaluation of Concrete 2 Prepare and test 3 cylinders every 50 yards ro each successive Strengths pour. 1705.4.4 9. Curing and Protection 1,2 Field Review 1705.4.4 w 10. Other N/A SECICT Form 101CT Statement of Special Inspections ©SEC/CT 1999 Schedule of Special Inspection Services Sheet 5 of 9 Masonry Project: Northern Hills Item Agent No. Scope (Qualif.) 1. Material Certification 1 Masonry units to be verified for each type of unit specified. 1705.5 2. Mixing of Mortar and Grout 2 Review field procedures concerning mixing,proportioning to 1705.5 ensure compliance with contract documents. 3. Installation of Masonrylu 1,2 Review installation procedures. 1705.5 4. Reinforcement Installation 2 Inspect the condition size, location and spacing of all reinforcing 1705.5 to ensure complaince with contrct documents. 5. Grouting Operations 2 Review field procedures concerning mixing,proportioning to 1705.5 ensure compliance with contract documents. 6. Weather Protection 1,2 Field review protexction in cold or hot temperatures to ensure 1705.5 that proper heat or coring temperatures are in conformance specifications. 7. Evaluation of Masonry 2 Take and test mortar cubes to each 5000 sq.ft. of wall area. Strength14 1705.5 8. Anchors and Ties N/A 1705.5 9. Other SEC/CT Form 101CT • Statement of Special Inspections ©SEC/CT 1999 Schedule of Special Inspection Services Sheet 6 of 9 Structural Steel Project: Northern Hills Item Agent No. Scope (Qualif.) 1. Fabricator Certification/ 2 Conduct in plant inspection of steel fabrication to ensure that Quality Control Procedures adequate Q.C.procedures are in place. A minimum of 1 visit 1705.2; 1705.3.1 shall be conducted. (Inspection not required if plant fabrication has certifiction in AISC Quality certification program) 2. Material Certification I Review mill order reports. 19' Review certified test reports. 1705.3.2 Review material identification markings. 3. Open Web Steel Joists 2 Review material identification markings. Review certified test reports. 4. Boltingzu 2 Visually inspect all T-C bolts. 1705.3.3.1 5. Welding 2 100%visually inspect all fillet welds and ultrasonic test all for 1705.3.3.2 penetration welds. 6. Shear Connectors N/A 7. Structural Details I Check structural details for general conformance with contract 1705.3.3.3 documents. Shop drawing review 8. Metal Deck 2 Review documentation indicating deck type and gage installed in the field meets contract document requiremms. 100%visually inspect fastening of deck meets contract document requirements. 9. Other N/A SEC/CT Form 101CT • Statement of Special Inspections • ©SEC/CT 1999 Schedule of Special Inspection Services Sheet 7 of 9 Cold-Formed Steel Framing Project: Northern Hills Item Agent No. Scope (Qualif.) 1. Member Sizes 1,2 Review identification markings and certificates. 2. Material Thickness 2 Review identification markings. 3. Material Properties 1,2 Review data and documentation providing evidence of conformance to quality standards of materials. Review certifications. 4. Mechanical Connections 2 Review Installation to ensure conformance with contract documents and shop drawings. 5. Welding 2 100%visually inspect all welds. 6. Framing Details I Check details for general conformance with contract documents. Shop drawing review. 7. Other SEC/CT Form 101CT Statement of Special Inspections ©SEC/CT 1999 Schedule of Special Inspection Services Sheet 8 of 9 References Project: Northern Hills 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, Building 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. 13. ACI 530.1 /ASCE 6/TMS 602—95, Specifications for Masonry Structures, § 1.8. 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 or A490 Bolts, §9. 21. AWS D1.1 —92, Structure/Welding Code—Steel, §6. 22. AWS D1.1 —92, Structural Welding Code—Steel, §7.8. SEC/CT Form 101CT Statement of Special Inspections ©SEC/CT 1999 TTRUCTURAL Final Report of Special Inspections ENGINEERS COALITION CONNECTICUT ENGINEERS IN PRIVATE PRACTICE Project: Parcel T East Building, Northern Hills Location: 105 Buckland Hills Drive, South Windsor, CT Owner: Northern Hill Associates LLC Owner's Address: 1109 Rose Lane Virginia Beach, VA 23451 Architect of Record: FLB Architecture&Planning, Inc. Structural Engineer of Record: Hallisey Engineering Associates, Inc. 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 Joseph M. Hallisey (Type or print name) Signature Date Design Professional Seal SEC/CT Form 102 • Final Report of Special Inspections • OSEC/CT 1999 rTRUCTURAL Statement of Special Inspections ENGINEERS p C OAL.ITION CONNECTICUT ENGINEERS IN PRIVATE PRACTICE �(c0( Project: Parcel T East Building, Northern Hills a Location: 105 Buckland Hills Drive, South Windsor, CT Owner: Northern Hill Associates LLC Owner's Address: 1109 Rose Lane Virginia Beach, VA 23451 Architect of Record: FLB Architecture&Planning, Inc. Structural Engineer of Record: Hallisey Engineering Associates, Inc. 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, 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 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. Prepared by: coNN t P eY Joseph M. Hallis o �►�"�M �bc�� w �t <�+ t+ (type or print name) ���� �AC. 0 No.4209 O on • v 8128101 NA1.tM Sig t e Date Design rossanal Seal Owner's Authorizatio . Building Official's Acceptance: OM-xww- gn Date Signature Date SEC/CT Form 101CT • Statement of Special Inspections • ©SEC/CT 1999 Sheet 2 of 9 Project: Northern Hills 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: ® Soils and Foundations ® Cold-Formed Steel Framing ® Cast-in-Place Concrete ❑ Spray Fire Resistant Material ❑ Precast Concrete ❑ Wood Construction ® Masonry ❑ Exterior Insulation and Finish System ® Structural Steel ❑ Special Cases Inspection Agents Firm Address 1. Special Inspector Hallisey Engineering Associates, Inc. 78 Beaver Road Wethersfield, CT 06109 2. Testing Laboratory Eastern Materials Testing,Laboratory 114 Woodlawn Road 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 conflict 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 Ins ion A ents where indicated on Schedules PE Professional Engineer EIT Engineering 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 101CT . Statement of Special Inspections ©SEC/CT 1999 Schedule of Special Inspection Services Sheet 3 of 9 Soils and Foundations Project: Northern Hills Item Agent No. Scope (Qualif.) 1. Shallow Foundations 2 Soil at footing to be observed to conform with bearing capacity indicated on contract documents. 2. Controlled Structural Fill 2 Confirm nature and condition of subgrade prior to compaction. 1705.7 Inspect compaction procedures, thickness of lifts, and percent of compaction. Perform laboratory gradation tests and compaction tests and in place density tests on each list of strucural fill. 3. Deep Foundations 1705.8, 1705.9; 1816.13 4. Other SEClCT Forth 101CT Statement of Special Inspections ©SEC/CT 1999 Schedule of Special Inspection Services Sheet 4 of 9 Cast-in-Place Concrete Project: Northern Hills Item Agent No. Scope (Qualif.) 1. Mix Design 1 Review all mix designs to ensure compliance with contract 1705.4.1 documents. 2. Material Certification 2 Review data and documentation providing evidence of 1705.4.1 conformance to quality standards of materials used in mix design. 3. Reinforcement Installation4 1,2 Review installation of all reinforcement to ensure conformance 1705.4.2 with contract documents and ACL 4. Post-Tensioning Operations N/A N/A 1705.4.5 5. Batching Plant 2 Review batch plant Q.C.procedures. 1705.4.4 6. Formwork Geometry 1,2 Periodic review of formwork to assure that proper shape, CT 1705.4.3 coverage, and any other requirements are achieved 7. Concrete Placement 2 Conduct concrete mix tests every 50 yards for each successive 1705.4.4 pour to ensure concret meets project specifications. 8. Evaluation of Concrete 2 Prepare and test 3 cylinders every 50 yards ro each successive Strength- pour. 1705.4.4 9. Curing and Protection 1,2 Field Review 1705.4.4 10. Other N/A SEC/CT Form 101CT Statement of Special Inspections ©SEC/CT 1999 Schedule of Special Inspection Services Sheet 5 of 9 Masonry Project: Northern Hills Item Agent No. Scope (Quallf.) 1. Material Certificationts I Masonry units to be verified for each type of unit specified 1705.5 2. Mixing of Mortar and Grout 2 Review field procedures concerning mixing,proportioning to 1705.5 ensure compliance with contract documents. 3. Installation of Masonry 1,2 Review installation procedures. 1705.5 4. Reinforcement Installation 2 Inspect the condition size, location and spacing of all reinforcing 1705.5 to ensure complaince with contrct documents. 5. Grouting Operations 2 Review field procedures concerning mixing,proportioning to 1705.5 ensure compliance with contract documents. 6. Weather Protection 1,2 Field review protexction in cold or hot temperatures to ensure 1705.5 that proper heat or coring temperatures are in conformance specifications. 7. Evaluation of Masonry 2 Take and test mortar cubes to each 5000 sq.ft. of wall area. Strength14 1705.5 8. Anchors and Ties N/A 1705.5 9. Other SEC/CT Form 101CT Statement of Special Inspections ©SEC/CT 1999 Schedule of Special Inspection Services Sheet 6 of 9 Structural Steel Project: Northern Hills Item Agent No. Scope (Qualtf.) 1. Fabricator Certification/ 2 Conduct in plant inspection of steel fabrication to ensure that Quality Control Procedures adequate Q.C.procedures are in place. A minimum of I visit 1705.2; 1705.3.1 shall be conducted. (Inspection not required if plant fabrication has certifction in AISC Quality certification program) 2. Material Certification 1 Review mill order reports. 19' Review certified test reports. 1705.3.2 Review material identification markings. 3. Open Web Steel Joists 2 Review material identification markings. Review certified test reports. 4. Bolting Boltingzu 2 Visually inspect all T-C bolts. 1705.3.3.1 5. Weldingzi 2 100%visually inspect all fillet welds and ultrasonic test all for 1705.3.3.2 penetration welds. 6. Shear Connectors N/A 7. Structural Details 1 Check structural details for general conformance with contract 1705.3.3.3 documents. Shop drawing review. 8. Metal Deck 2 Review documentation indicating deck type and gage installed in the field meets contract document requiremms. 100%visually inspect fastening of deck meets contract document requirements. 9. Other N/A SEC/CT Form 101CT • Statement of Special Inspections ©SEC/CT 1999 Schedule of Special Inspection Services Sheet 7 of 9 Cold-Formed Steel Framing Project: Northern Hills Item Agent No. Scope (Qualif.) 1. Member Sizes 1,2 Review identification markings and certificates. 2. Material Thickness 2 Review identification markings. 3. Material Properties 1,2 Review data and documentation providing evidence of conformance to quality standards of materials. Review certifications. 4. Mechanical Connections 2 Review Installation to ensure conformance with contract documents and shop drawings. 5. Welding 2 100%visually inspect all welds. 6. Framing Details 1 Check details for general conformance with contract documents. Shop drawing review. 7. Other SECICT Form 101CT Statement of Special Inspections ©SECICT 1999 r Schedule of Special Inspection Services Sheet 8 of 9 References Project: Northern Hills 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, Building 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, Specifcations 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, Specfcations 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. 13. ACI 530.1 /ASCE 6/TMS 602—95, Specifications for Masonry Structures, § 1.8. 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, Specd1cation 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, Specfcation for Steel Sheet, Carbon and High-Strength, Low-Alloy, Hot-Rolled and Cold Rolled, General Requirements For. 20. RCSC-85(88), Specd1cation for Structural Joints Using A325 or A490 Bolts, §9. 21. AWS D1.1 —92, Structural Welding Code—Steel, §6. 22. AWS D1.1 —92, Structural Welding Code—Steel, §7.8. SEC/CT Form 101CT . Statement of Special Inspections ©SEC/CT 1999 TTRUCTURAL p ENGINEERS p Final Report of Special Inspections COALITION CONNECTICUT ENGINEERS IN PRIVATE PRACTICE Project: Parcel T East Building, Northern Hills Location: 105 Buckland Hills Drive, South Windsor, CT Owner: Northern Hill Associates LLC Owner's Address: 1109 Rose Lane Virginia Beach, VA 23451 Architect of Record: FLB Architecture&Planning, Inc. Structural Engineer of Record: Hallisey Engineering Associates, Inc. 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 Joseph M. Hallisey (Type or print name) Signature Date Design Professional Seal SEC/CT Form 102 • Final Report of Special Inspections ©SEC/CT 1999 DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT ��,5"(Q APPROVE 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 'Date Building Inspector Application must be printed or typed Location of Job: FEE SCHEDULE f O.S �t-[C I c n rX /�i��S Dr;y�e $0-$1,000=$13.00 Street No. Street Lot No. Over$1,000= 1 $13.00 per$1,000 i or any fraction thereof Tenant Designation Apt.No. i APPLICANT Tf 0`t•ecAt 0(1 o rye__ APPLICANT ADDRESS T�c�, ,s tU At e r Io u,r ca O 0 APPLICANT PHONE# 20 3 -75.s77 i200 c) OWN 3 OWNER V', +q M in nf)c� rT 4< OWNER ADDRESS Sa/ �en o r✓� � k , OWNER PHONE O �� ay j� C 3 3(),3 C ESTIMATED COST$ s IS THIS A CONTRACT COST? 13 Yes JC(No FEE ENCLOSED$ C-k OR.Cp11 TYPE OF JOB: �S XOONew Installation 13 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 Z�NO ❑RESIDENTIAL ❑BUSINESS CURRENT USE AND OCCUPANCY ❑ASSEMBLY Xf MERCANTILE FUTURE USE AND OCCUPANCY � ❑EDUCATIONAL ❑INSTITUTIONAL ENGINEER'S NAME acs lA4(or A,(Ooc. PHONE f/T 00 ❑FACTORY II n ❑ STORAGE ADDRESS S 7j r #I., r :cYGc1✓4 ❑GARAGE ❑MIXED USE CITY l'J�\J� STATE ZIP /0 G o (Other please specify) TYPE OF INSTAL LATION/WIRING METHOD LO(A-) ALARn C_l'f-c_k-oJ SIZE OF SERVICE 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_ I SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED. DESCRIPTION OF WORK r &,,4 Sv S C-il-S5 13re-qk ni 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. 1 5- 7 B ,I, i. C T CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT DATE 0/ 0 q/,