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Home My WebLink About1 BUCKLAND RD 6/15/2021 40MM ��1 Town of South Windsor Building Department SOR-CO?2i% Electrical Permit ELEC-21-212 APPLICANT NAME: Keith Schmelter EMAIL ADDRESS: keith@leict.com ADDRESS: 227 Shunpike Rd Cromwell , CT 06416 LOCATION ADDRESS: 1 BLICKLAND RD South Windsor CT 6074 OWNER: ONE BLICKLAND CENTER LLC 110 LAVENDER LANE ROCKY HILL CT 6067 DESCRIPTION OF WORK: Cigar shop Install 75 KVA Transformer and Panel Wire new Bathroom for space May 11, 2021 BUILDING OFFICIAL DATE SIGNED -ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT— PERMIT ONLY VALID IF SIGNED BY BUILDING OFFICIAL— "�:,y u'--�..,�•3- S:. +:�pp Lt i:r�r:-.�i� �� Sys, .sr<...=.'��s.:- sF -" k�> �i9�2' 'r -{ �S(: nlr'.�„�..v:,i ....�.: 4.b a�'.r.' iv.u;xw..^%iiF. •4 -.'t �2 +�-�'- 3:s�ti+..J<•`T yvy§..�hrv�.. Xi' .vp.� `��: ':f J �. � .. .a.��-iiA�',%y�;,3�,: az.a: •�s.:�i,a _ ++Crais�s�,3:Y$�a ��aa-��i�w — — �urt�: •'� ' xe�..a±csa.dt �`"y�savaar�.t�;e'�:� .Fr-''``c, y `°��.,,"_ ;si�ix•�;!sae'�'�• 1/1 6/15/2021 "0*N SC R y Town of South Windsor Building Department G U y �v_ SOR Co`'� Plumbing Permit: PLMB-21-82 APPLICANT NAME: Tyler Rickert EMAIL ADDRESS: tyler@accratemp.com ADDRESS: 40 Chelton Ave West Hartford, CT 06110 LOCATION ADDRESS: 1 BUCKLAND RD South Windsor CT 6074 OWNER: ONE BUCKLAND CENTER LLC 110 LAVENDER LANE ROCKY HILL CT 6067 DESCRIPTION OF WORK: (1) New 6 Gal Hot water heater, (1)new water closet-Floor mount, (1)new lav sink and faucet,Connect DomesticNVasteNent to existing piping, Pipe insualtion. May 16, 2021 BUILDING OFFICIAL DATE SIGNED -ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT"' PERMIT ONLY VALID IF SIGNED BY BUILDING OFFICIAL- vi LETTER OF TRANSMITTAL DIMENSION GROUP TO:Town of South Windsor DATE: 12-Nov-19 Aft:Morgan A.Middleton Building Department RE: Roosters#13240 1540 Sullivan Ave 1 Buckland Rd South Windsor,CT 06074 S.Windsor,CT 06074 860-644-2511 ext.230 JOB# 19-699 WE ARE SENDING YOU VIA UPS THE FOLLOWING ITEMS: ©PRINTS TRACINGS COPY OF LETTER COPIES REPORTS COST ESTIMATES SPECIFICATIONS OTHER DWG.NO. COPIES DESCRIPTION 3 24"x36"Signed/Sealed Construction Drawings 1 Application for Building Permit 1 Check:$1,374.00(permit fee) THESE DOCUMENTS ARE TRANSMITTED FOR THE PURPOSE CHECKED BELOW: APPROVED AS NOTED FOR REVIEW AND COMMENT ©AS REQUESTED REVISED AND RESUBMIT FOR YOUR(USE)(FILES FOR BIDS FOR PERMIT SUBMITTAL FOR SIGNATURE FOR BUILDING PERMIT REMARKS: Please call me if you have any questions. Thank you, Daniel Murphree 214.343.9400 RECEIVED BY: CC: File 214.343.9400 720.S36.3181 720.536.3187 Fax 107SS Sandhill Rd S600 S.Quebec Sy Ste 210C Dallas,Texas 75238 www.dnnensiongrp corn Greenwood Villaqe,Colorado 80111 ARCHITECTURE CIVIL ENGINEERING MEP ENGINEERING PLANNING 90i _ - - .040 Aluminum returns 4. 3• Power shut off switch Existing AL wall .080 Aluminum backers d 3/16'Trans acrylic face w/ 9 HP trans vinyl applied to 1st surface (colors to be determined) a ® 318"X 4"Mechanical fasteners .063 Aluminum raceway - —� painted to match building :� ! ! ' - •1 soffit i I r PVC bushings ,A Y i Bright white UL listed LEDsZZE - - -� Electrical power to sign location by others "� mac♦ r All wiring and fabrication is UL approved LINEAR FT:24 108" 20" CHANNEL LETTERS ON RACEWAY 1'8"X 9'= 15 SQ FT CLIENT INFO: CONTACT INFO: DATE:8/17/2021 C 2007-2021 e N`.;!:iokE NAME:Wally HARTFORD SIGN&DESIGN H Q R T FOR D CELL PHONE:1-646-578-6173 LAST REV.DATE: These images are the Property of PROJECT NAME: WORK PHONE:- Hartford Sign c Design.They are S� SIGN&DESIGN EMAIL:va ensmokect® mail.Com INSTALL DATE: provided for customervievnn Sign package p g only until project is awarded and `\ CLIENT APPROVAL: Date: FILENAME: receipt of deposit Any other use DESIGN BUILD • INSTALL PROJECT LOCATION: Vape N Smoke sign-TOWN PROOF is legally forbidden.Rights may be One Buckland Rd unit 1C,South Windsor X DESIGNER: purchased for a minimum fee of$500. - • - •' - •- • • L CAVANNA us.RErasteneD corrnctrt DESIGN srurP = '• - •'• • • r � rd 1-d new 5�gr\C-CV(.. O � o flflol SIGN tfaY/a3 202000070 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER CERTIFICATE OF OCCUPANCY DATE: 01/22/2020 FEE: GIS ID: 15300001 ZONE: RURAL RESIDENTIAL MUNIS APPLICATION# 201902594 THIS IS TO CERTIFY THAT I BUCKLAND ROAD UNDER APPLICATION NUMBER 201902594 CONFORMS SUBSTANTIALLY TO THE REQUIREMENTS OF THE CONNECTICUT BASIC BUILDING CODE AND THE ZONING REGULATIONS OF THE TOWN OF SOUTH WINDSOR AND IS HEREBY APPROVED OF OCCUPANCY AS INDICATED BELOW: APPROVED FOR OCCUPANCY ROUGH FRAMING FOR NEW DEMISING WALLS FOR CLOSETS,BATHROOMS, AND CHANGING AREAS-"30 MIN QUICK HIT"(UNIT D) SPECIAL CONDITIONS NOTICE: IF THIS CERTIFICATE 1S LOST OR DESTROYED,A DUPLICATE SHOULD BE OBTAINED IMMEDIATELY FROM THE BUILDING DEPARTMENT. t CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING OF I L I0/13/2022 1.46 PM ANY CHANGE OR EXTENSION OF THE USE I IEREIN APPROVED REQUIRES ANEW CERTIFICATE OF OCCUPANCY 202000070 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER CERTIFICATE OF OCCUPANCY DATE: 0 l/22/2020 FEE: GIS ID: 15300001 ZONE: RURAL RESIDENTIAL MUNIS APPLICATION# 201902594 THIS IS TO CERTIFY THAT I,BUCKLAND ROAD UNDER APPLICATION NUMBER 201902594 CONFORMS SUBSTANTIALLY TO;THE REQUIREMENTS OF THE CONNECTICUT BASIC BUILDING CODE AND THE ZONING REGULATIONS OF THE TOWN OF SOUTH WINDSOR AND IS HEREBY APPROVED OF OCCUPANCY AS INDICATED BELOW: APPROVED FOR OCCUPANCY ..ROUGH FRAMING FOR NEW DEMISING WALLS FOR CLOSETS,BATHROOMS, AND CHANGING AREAS-"30 MIN QUICK HIT"(UNIT D) SPECIAL CONDITIONS NOTICE: IF THIS CERTIFICATE IS LOST OR DESTROYED;A DUPLICATE SHOULD BE OBTAINED IMMEDIATELY FROM THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: Ac,�r OCCUPANCY GROUP: BUILDING Oqf ICIAL 10/13/2022 1:46 PM ANY CHANGE OR EXTENSION OF THE USE HEREIN APPROVED REQUIRES ANEW CERTIFICATE OF OCCUPANCY W"i J ° Impact Martial Arts LLC is requesting permission to operate as a Retail Space and a Personal lesson facility at (1 Buckland Rd South Windsor CT, 06074) We will have a retail section of the space that allows customers to purchase equipment (Impact Bags, Gloves) and branded clothing. (Shirts, Hoodies, Uniforms) Customers can also receive personal training on how to use equipment properly or study of the Arts. A personal training session is limited to 30 minutes at a time. With a 5 minute transition period between session that may be back to back. 4Y-00� ' /// tiv l.� - - o z APPLICATION FOR PLUMBING PERMIT TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074 (PHONE) 860-644-2511 EXT. 230 DEPARTMENT DECISION PERMIT NUMBER: APPLICATION IS HEREBY: 1 76()U 3 j APPROVED. BLDG.PERMIT NUMBER: 74 1-7o U �7 DATE INSPECTOR LOCATION OF WORK: l 1>1 "Ic_ k L A+,1 (l ��G!'► Z P C APPLICANT: OWNER: TYPE OF STRUCTURE: ❑NEW BUILDING NAME: G ti Ada � � �- ` NAME: T3 CC V" Q N O LC ' - ❑ADDITION PHONE NUMBER: (, E7 V '7 0�'S (� PHONE NUMBER )!(F,)aSTING BUILDING ADDRESS:_: Lc p q nl. ADDRESS: / D l A ?n D Q IZ I,AN C T 6629 6 �DL k-J H I I ( C r d 6 0�� TYPE OF USE: ❑RESIDENTIAL COMMERCIAL PLUMBING INFORMATION`: FURTHER DESCRIPTION OF WORK: TYPE OF INSTALLATION:��ps" /-I( N T r,,-1 q_9f -A_ a Jy b / r 1 S t► 17 I NO.OF TOILETS: STYLE: NO.OF BATHTUBS: �� J 1) a- "+ V + n 1 (- D y 1 r 4 NO.OF SHOWERS: NO.OF LAVATORIES: NO.OF CATCH BASINS: NO.OF FLOOR DRAINS: ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY WINDOW? OYES ONO ESTIMATED COST: S J 0 O G SIZE OF WINDOW: SIZE OF DUCTS: SEWER OR SEPTIC TANK: 5 C ++ '2- FEE ENCLOSED:S SIZE OF WATER PIPING AND RISER: 1 l lJ/D I WATER HEATER: TYPE MANUFACTURER FEE SCHEDULE:$18 PER$1,000 OF THE ESTIMATED COST. ROUND UP TO THE NEXT THOUSAND ONCE THE PROJECT IS $1.00 OVER (.26 CENT EDUCATIONAL FEE INCLUDED AS PART OF THE PERMIT FEE) THE UNDERSIGNED HEARBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFOMANCE OF SUCH WORK. CONTRACTORS LICENSE NO.: 2 Y TYPE: - STATE: L T SIGNATURE OF APPLICANT: DATE: % Wli i LY APPLICATION FOR ELECTRICAL PERMIT TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 (PHONE) 860-644-2511 EXT.230 DEPARTMENT DECISION PERMIT NUMBER. APPLICATION 1S HEREBY: I lot)b I`f' APPROVED: BLDG.PERMIT NUMBER: DATE INSPECTOR LOCATION OF WORK APPLICANT: OWNER: TYPE OF STRUCTURE: ❑NEW BUILDING NAME: C/,� 'I ��'+ �.t t '-/r c— NAME: u L�`" t ❑ADDITION PHONE NUMBER �'L� ?E- S (1 ] PHONE NUMBER: F ' STING BUILDING ADDRESS: L C(i—c t `°" s ADDRESS: G 1',I TYPE OF USE: �-��c j7 {�i Gbl�lC7_ o RESIDENTIAL p�OM[vtERCIAL ELECTRICAL INFORMATION: FURTHER DESCRIPTION OF WORK: TYPE OF INSTALLATION: L lu F, , I /� 1�'y, A/e►ng �✓�'�� SIZE OF SERVICE: SIZE OF MAIN SERVICE: NUMBER OF METERS: NUMBER OF PANELS: 7J C c NUMI3ER OF LIGHT CIRCUITS: ESTIMATED COST:S % NUMBER OF SWITCHES: NUMBER OF LIGHT FIXTURES: FEE ENCLOSED:S 3b v NUMBER OF A/C CIRCUITS: -4— rq FEE SCHEDULE:$19 PER$1,000 OF THE ESTIMATED COST. NUMBER OF POWER CIRCUITS: ROUND UP TO THE NEXT THOUSAND ONCE THE PROJECT IS$1.00 OVER. (.26 CENT EDUCATIONAL FEE INCLUDED AS NUMBER OF OUTLETS: PART OF THE PERMIT FEE) THE UNDERSIGNED HEARBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFOMANCE OF SUCH WORK. CONTRACTORS LICENSE NO.:U 'I 6 2 4 S TYPE: E1 STATE: Ci� SIGNATURE OF APPLICANT: DATE: l I�T/f-�---- Ow��4e S ' APPLICATION FOR HVAC PERMIT TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074(PHONE) 860-644-2511 EXT. 230 PERMIT NUMBER: DEPARTMENT DECISION APPLICATION IS HEREBY: 1966634 APPROVED: BLDG.PERMIT NUMBER: DATE INSPECTOR LOCATION OF WORK: ' �kG�C,c1.-� ` I�j,r ` SCw�� APPLICANT: OWNER: TYPE OF STRUCTURE: y, ❑NEW BUILDING NAME: (' E'► � 112C�cv.pt-q 50S NAME: Te r �c d ❑ADDITION PHONE NUMBER: PHONE NUMBER: STING BUILDING ADDRESS: �� p fc�;`� ew iZ ADDRESS: TYPE OF USE: o ❑RESIDENTIAL XOMMERCIAL HVAC INFORMATION: FURTHER DESCRIPTION OF WORK: L TYPE OF SYSTEM: *ATING * /W e C-T-F 8 C? `-< �wc-i- 11�+-�a( C lam('� -�- HEATING: /. l �,�..�. IL e r-a n T C 4L OL TOTAL HEAT LOSS(BTUH) °F (HEAT LOSS SHEET REQUIRED) DESCRIBE ALL HEATING EQUIPMENT(INCLUDE MAKE AND MODEL NO.): ESTIMATED COST:S AIR CONDITIONING: DESIGN TEMP:OUTSIDE °F INSIDE T DIFFERENCE F' FEE ENCLOSED:S /+L4 TOTAL HEAT GAIN(BTUH) (HEAT GAIN SHEET REQUIRED) L1 L'f" DESCRIBE ALL COOLING EQUPMENT(INCLUDE MAKE AND MODEL NO.): FEE SCHEDULE:S18 PER$1,000 OF THE ESTIMATED COST. ( z G_ ( G� �� ` C. ROUND UP TO THE NEXT THOUSAND ONCE THE PROJECT IS $1.00 OVER. (.26 CENT EDUCATIONAL FEE INCLUDED AS PART OF THE PERMIT FEE) THE UNDERSIGNED HEARBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFOMANCE OF SUCH WORK. CONTRACTORS LICENSE NO.: TYPE: STATE: C T— SIGNATURE OF APPLICANT: DATE: *,A 1 7b t ' SOLO MECHANICAL aR TWp MAINTENANCE INC. MECMAWIOALSEWCESINC. DATE: I C la L Qo authorize Licensed Contractor Agent to sign the building permit application as my agent to perform work at: Address: , — &-A-A-A-1 Lam,(A-- 1��1, (� N. Job Name/ Description: U 4-<- �ke_�_ .,.) Q--c-�c F t-�--c� , A- �bey Q- A2_6d< C-s5 Start Date: \\ \�� License#/Type: VrG-,C3 Sn4'c Agent Signature: Licensed Contractor Signature: 1�--- 360 Captain Lewis Drive Southington, CT 06489 CT S1-390692/CT SM1-2010 AA/EOE and CT SBE Electric # APPLICATION FOR BUILDING PERMIT Plumbing# 1 ?A00W ' rp—jae:HVAC# (o -2- a-O Sprinkler# U� �8"(o Estimated Cost ZOD• FINAL APPROVALS Permit Fee $ 90.00 Building COMPLETE RED BOXED AREAS Occupancy Fee $ Engineering TYPE OR PRINT ONLY Eng. Insp. Fee $ Affidavit Appr.forCO. ► SIGN ON REVERSE SIDE Total Fee $ TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ The undersigned hereby applies to do work according to the following: u � Applicant Da r i in se y\h4 Location of Work Lot No. Applicants Address ciomytor st Tel Town iQst E"4Q.r�� C.,T _Zip 4n6 (129 Lic.# 4-IIC. 0629 3,05 Owner S&v t{' Architect N� Owner's Address Architect's Address N A [if -1 Zip Zip Sq. Ft. New Aka: 1 st FI. 2nd FI. 3rd FI. Total New Area Purpose of this permit u / s S City Water ❑ Well ❑ Septic System ❑ Sewer ❑ Ins: HO SP Cert. Area Base ent Garage Approved bye Date ` Use Group Construction Type gevfaed 4108 ��v53v 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 th' building and its use is allowed. Signed _ 1 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 APPROVALS: _ - [] CUSTOMER ] DEPOSIT PAID --" M . - . [] LANDLORD TOWN -•�``� DESIGN IgMCAI.. MT►LL/1. te- Signature required to begin production Da 860-293-1824 poor TEMPUR-PEDIC' URGENT = CARE SPACE AVAILABLE 860-916-1747 S ��r CONTACT: D' r COPYRIGHT DESIGN -Scott Leonard -Scott Leonard -5/22/20 -Move Existing Pylon Sign to new location on-site 2007-2020 Hertford Sip&Design PROJECT NAME: WORK PHONE: START: T -One Buckland Center small pylon - - 1>e9ChiWafEtllePrOp9��f1a t Ord51¢I&Df51�1' PROJECT LOCATION: CELL PHONE: LAST REVISION: IsamikanThey am dadforfofdq�v�g� s -One Buckland Rd.,South Windsor,CT - - kirMWrdederdfEOl�O(dEp06�' �� CLIENT ADDRESS: EMAIL: DUE: I inihim mfeeoilds, �� idesell forit �� POBOX 799 Rocky Hill Ct 06067 -scottleonardl@yahoo.com FILE NAME: -One Buckland Center Relocation of small pylon_proof 6-2-20 DRAWN BY: gw VALS: CUSTOMER DEPOSIT PAID - LANDLORD SIGN KSION-FABRICATION INSTALLATON 196.8 In 860-293-1824 1 T [BB 4DD CE TER N C 1 5/8-11 Grade 8 Hex bolts I 3/4" Thick steel match plate rn Cq LO New 5" X 5" X .25"wall Steel pole i 9i 3/4" plate QTY: 2 T e I � In C 120 VAC 8.5 � C 1 20 AMP Circuits it , Electrical Hook-up by Others oU m 6.25in_ 2 Q 5" square tube X .25" wall X 93.25" lengths 1 _ _ 34 in 147.62 in CONTACT: -Scott Leonard - -5/22/20 Move Existing Pylon Sign to new location on-site 2007-2020 Hartford 1tle��iege5aretlrePtopelyf>fllarUa PROJECT NAME: WORK PHONE: START: Signth %SlgnlDe�gl. -One Buckland Center small pylon - - d PROJECT LOCATION: CELL PHONE: LAST REVISION: T1leratepvVldedfaQl'tD11I�vkY��JP -One Buckland Rd.,South Windsor,CT - �awarded and ofdqxsL Any Wier use 6 CLIENT ADDRESS: EMAIL: DUE: leg*latidda. Wils may be F 1 1-d for ---- -scottleonardl@yahoo.com - FILE NAME:- a ml*=fee of$W. -One Buckland Center Relocation of small pylon_proof 6-2-20 DRAWN BY: gw APPROVALS: "❑ CUSTOMER ❑] DEPOSIT PAID _ . — ❑ LANDLORD __.•.--"""`� SIGN ❑ TOWN D�Rr1 o PARACATION o wrrAEaw„DN Signature required to begin production Date 860-293-1824 New Location TEII MAII-PEDIC U R G E N T CAR< t' iMRAWYIAR{5 '�. - � 860.916.1717 SEPTIC TANK LOCA110N (REMOVE) 1OV'PVC SCH-40 BENCFOAAAK 2 _ ■JO',fA{T R011 M EXISTING DRMNAGE MANHOLE + ./• - •'w/FyV AND Wo COVER- r, .-M]06.01((CENTER) I ~ r „- -I'HRSTANOE TO-SEPTIC TANIt -�'PYc aL - INVERT(W): 205.20 FT 1/I M010r DISTANCE YO SEPTIC TANK .- INVERT(OUT} 20406 FT 9E 91 z " xTv.-Tm.o -6,PVC 5CW-40 -- TP-2 SANTMr MANHOLE g 5-0.021 7r-6•PVC SCH-40 S S_ WV.104,!pIM) 5.0.051 1P_1 E 42-0� 0�- WYCRT To! ITT wall to be removed t _ -� �. _..— c _ T♦allF I _ Y T; - — MUN10Q' WV..ly�7 �£ ..{ PVC ' \C\ '� • r - - Mail } -Scott Leonard 5/22/20 - Move Existing Pylon Sign to new location on-site ®2007-2020 Hartford Sign&Design PROJECT NAME: WORK PHONE: START: 51 T -One Buckland Center small pylon - - 11P�e kIlageS amUIE PfOperly 0f ifalU0ld 01&DeSkjR' PROJECT LOCATION: CELL PHONE: LAST REVISION: Tt�ya�pt�+lded(aaatonKlvleMArgiPro -One Buckland Rd.,South Windsor,CT - 6awarde!and imo*ofdgat Arrfta useis leg*11 ...n Rats may be pUdoW for CLIENT ADDRESS: EMAIL: DUE:---- -scottleonard1@yahoo.com FILE NAME:- a mrirNm fee of$500. -One Buckland Center Relocation of small pylon_proof 6-2-20 DRAWN BY: gw Electric # APPLICATION FOR BUILDING PERMIT Plumbing# HVAC# �etrY� Pc�:_ Date: .s✓ //�� Sprinkler# (e- ';' Estimated Cost $ OU FINAL APPROVALS Permit Fee $ D Building COMPLETE RED BOXED AREAS Occupancy Fee $ Engineering TYPE OR PRINT ONLY Eng. Insp. Fee $ Affidavit ApprJorCO. SIGN ON REVERSE SIDE A Total Fee $ c6pZ) TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ -:Or The undersigned hereby appli s to do work according to the following: Yclar e eaa« Applicant —I Location of Work c Lot No. Applicant's Ad ress Lave a 1- Tel # ELO -50—�3,2-3 Town oak zip 0hy6 7 Lic.# Owner Secd aolwj, Architect Owner's Ad ress L ved cc Architect's Address dC4t jj&l zip doG I Zip- Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area Purpose of this permit PaC41nr C-1 d &4M .b'Cl"s ='e st? i;4C, (I=►! Y""al3 City Water J Well J Septic System J Sewer J I 5N Ins: HO SP Cert. Area Basement Garage Approved by Date Use Group—J464�., Construction Type Revised 1108 I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town of South Windsor and to notify the Building Inspector of any alteration in the plans or specifications of the Building for which this permit is asked,and agree that this building is to be located the proper distance from all street lines.side yard lines,and required distances from all other zones and is located in which this building and its use is allowed. Signed I hereby apply for a Certificate of Occupancy for the work described in this application for the permit. Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS INSPECTION FIELD SHEET 04/04/22 Printed by Middleton, Morgan 11 50 31 INSPECTION: 85299 FOOTING PERMIT: STATUS APPLICATION: 201600548 w LOC: 1 BUCKLAND ROAD SOUTH WINDSOR PROPERTY ID: 15300001 OWNER: LEONARD SCOTT CONTRACTOR: REQUEST BY: PROJ DESC: FOOTING AND FOUNDATION. WORK ORDER: INSPECTOR: DOUG RESULT: PASS REQUESTED: 06/01/16 PRIORITY: SCHEDULED: 06/03/16 AM COMPLETED: 06/03/16 UNPAID FEES: .00 Date Time MILEAGE: 00 TIME: TRAVEL ONSITE COMMENTS: KENNY ® 860-985-3715 rightproprtyretain ftngwall ALL INSPECTIONS: INSPECTED INSPECTOR RESULT INSP DESCRIPTION 06/06/16 DOUG PASS B001 FOOTING KENNY @ 860-985-3715 B002 FOUNDATION BO10 FINAL i I i Electric# A PLICATION FOR BUILDING PERMIT ` I Plumbing# NiL11/12/2019 t HVAC# Date. i Sprinkler# �a Estimated Cost S 75,000.00 FINAL APPROVALS Permit Fee $ I'11SD , Building COMPLETE RED BOXED AREAS Occupancy Fee VAS ?�O Engineering TYPE OR PRINT ONLY Eng.Insp.Fee S Affidavit Appr.forCO. ►SIGN ON REVERSE SIDE Total Fee $ i TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR,CT (Additional Cost) $ The undersigned hereby applies to do work according to the following: I Applicant Bri Bennett LocationofWork1 d Rd_ S_tneyUrklan —Wadsor, CT. Lo(No. Applicants Address 10755 Sandhill Rd Tel r 214-343-9400 ! Town Dallas, TX 2ip 75238 Lic.0 owner Scott Leonard- Phone: 860-550-2323 Architect Jeramy A. Williams Owner's Address Architects Addr,§13 Main St, Suite 200, Ft Worth, TX 76102 Zip Zip Sq.Ft.New Area:1 st FI. 1,217 sg ft. end FI. 3rd FL Total New Area ' Purpose of this permit Tenant finish out for a Roosters barbershop located at 1 Buckland Center. City Water Well O Septic System J Sewer O Ins: HO SP V Area Basement Garage Approved by_ l Date Use Group B Construction Type V-B ^ Rowed 1108 t hereby agree to conform to an the requirements of the Lams of ft State of Cornec kut and We Ordinances of the Town of South Windsor and to ratify the Building Inspector of any alteration In the plans or specifications of the Building for wtdch this permit is asked,and agree that this building is to be located the proper distance from atl street pies,side yard lines,and required distances from all other zones and is locatedH1n1,N1,,,,ilding and Its use Is allowedSigned1 hereby copy for a Ceritfcate ofw work tlascn�ed in tnis application for the permit Signed QO NOT WA E BELOW THIS LINE INSPECTION COMMENTS PERMITS/INSP PAYMENT RECPT# 20909011 TOWN OF SOUTH WINDSOR 1540 SULLIVAN AVENUE SOUTH WINDSOR CT 06074 DATE: 11/19/19 TIME: 13 59 CLERK: morganami DEPT: CUSTOMER# 718345 BRITNEY BENNETT PARCEL: CHG: BLDPRM BUILDING PERMIT 1374 00 AMOUNT PAID: 1374 00 PAID BY: BRITNEY BENNETT PAYMENT METH: CHECK 29724 REFERENCE: 1 BUCKLAND R AMT TENDERED: 1374 00 AMT APPLIED: 1374 00 CHANGE: 00 Electric # APPLICATION FOR BUILDING PERMIT Plunibing# HVAC# I 'et t c u4-n a Poc� Date: b$ Ib I1 -F S rinkler# p t� V? Estimated Cost $ ZG I- FINAL APPROVALS Permit Fee $ 1�412 Building COMPLETE RED BOXED AREAS Occupancy Fee $ I0 Engineering TYPE OR PRINT ONLY Eng. Insp. Fee $ Affidavit ► SIGN ON REVERSE SIDE Appr.forC Total Fee $ I`t u- TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ 4 79yZ The undersigned hereby applies to do work according to the following: Applicant sTASrAiyie AV-A LocationofWork yc1c4A-+d 9--J _Lot No. Applicant's Address g3"'10 1n1i1Sirttre 330 Tel #310-2?5 --7-1-14 Town S I CA Zip °j O,;k-t( Lic.# Owner Scoff L,,onaro) Architect Nooril Vvon!N ^ 13623 Owner's Address p.D. 1»3 ok 1 q9 Architect's Address 250 su*}Lr- S+.-OtOO,j�w R-O(,H Q\ IC T 0l00f0-7 Zip Sgr% r-MnC.tSc 4o C{ Zip fi0� Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area Purpose of this permitTeV\av►'1 lmovaveYnDa+ (ot- G-pj4ew1-P► UrfCV4 CArC on tekwlins 3J030SQ. T so0elf- "A- Inct%.Ap-C Its .e10orc wow►s �Z' - WM WN%R.4nTlt��ri,or iVA\-6 Kai � l•o►y►a iv.S .N u� �11dc�tw.o r k L am� F0,' tAV IkC. t.)v►%+. City Water Well J Septic System > Sewer J 2I-76 i(q( Ins: HO SP Cert. Q rea Basement Garage Approved by Date 9'iY�� Use Group ' L--_ Construction Type Revised 1108 I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town of r 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 tines,and required distances from all other zones and is located in which this building and its use is allowed. Signedg,-v,— I hereby apply for a Certificate of Occupancy for the work described in this application for the permit. Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS INSPECTION FIELD SHEET 12/08/17 Printed by Foreshaw, Dayshell 10 29 58 tl2/6/17 ROSE N/A P004 PLUMBING GAS TEST 12/06/17 ROSE N/A S003 SPRINKLER ROUGH 12/06/17 ROSE N/A 5005.,,-HYDRO TEST tl2/0'7/1," DOUG�PASS --� ,� BO10 -FINAL-.: --* 12/08/17 ROSE N/A B004 INSULATION 12/08/17 FOLG PASS Z003 CO PLANNING INSPECTION • INSPECTION FIELD SHEET 12/08/17 Printed by Foreshaw, Dayshell 10 29 58 INSPECTION: 97610 FOOTING PERMIT: STATUS APPLICATION: 201701141 LOC: 1 BUCKLAND ROAD SOUTH WINDSOR PROPERTY ID: 15300001 OWNER: ONE BUCKLAND CENTER LLC CONTRACTOR: REQUEST BY: PROD DESC: TENANT IMPROVEMENT FOR GOHEALTH URGENT CARE. SCOPE OF WORK WORK ORDER: INSPECTOR: ROSE RESULT: N/A REQUESTED: PRIORITY: SCHEDULED: COMPLETED: 12/06/17 UNPAID FEES 00 Date Time MILEAGE: 00 TIME: TRAVEL ONSITE COMMENTS ALL INSPECTIONS: INSPECTED INSPECTOR RESULT INSP DESCRIPTION 10/10/17 DOUG PASS P002 PLUMBING UNDERGROUND 10/13/17 ROSE PASS P003 PLUMBING ROUGH 11/08/17 ROSE PASS B003 FRAMING (ROUGH) BRETT ® 1-417-456-2413//INCLUDING LOBBY CLG 11/08/17 ROSE PASS E003 ELECTRIC ROUGH WALLS ONLY 11/08/17 ROSE PASS P003 PLUMBING ROUGH WATER TEST WASTE & VENTS/PRESS. TEST ON WATER PIPES 11/08/17 ROSE PASS H003 HVAC ROUGH DUCTWORK./EQUIPMENT PREY. HUNG AND INSPECTED. 11/30/17 DOUG PASS B003 FRAMING (ROUGH) 12/06/17 ROSE N/A E001 ELECTRIC SERVICE 12/06/17 ROSE N/A E002 ELECTRIC UNDERGROUND 12/06/17 SUMM PASS F005 FM PENETRATIONS/SEPERATION 12/06/17 SUMM N/A FO10 FM ABOVE CEILING 12/06/17 SUMM N/A F015 FM FIRE ALARM TEST 12/06/17 SUMM PASS F025 FM EMERGENCY/EXIT LIGHTING 12/06/17 SUMM PASS F035 FM EXITS 12/06/17 SUMM PASS F040 CO -FIRE MARSHAL INSPECTION 12/06/17 ROSE N/A H002 HVAC UNDERGROUND 12/06/17 ROSE N/A B002 FOUNDATION Electric # APPLICATION FOR BUILDING PERMIT Plumbing# HVAC# 1 BucklanJ Kb.d FDae: Sprinkler# 1-706-3of Estimated Cost $ O d FINAL APPROVALS Buildin - COMPLETE RED BOXED AREAS Permit Fee $ 4 " Occupancy Fee $ �b Engineerin TYPE OR PRINT ONLY Eng. Insp. Fee $Affidavit Appr.forCO. SIGN ON REVERSE SIDE t Total Fee $ TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ i3Say The undersigned hereby applies to do work according to the following: Applicant W. ILO* C-o Location of Work Lot No. u4q, Applicant's Address 1 (�Al D1A) S'f • Tel # 1100 -JUJ-4102,- -{ Town ,UI � W t'"` So �� Zip O(oc Lic.# ►lit,0047 2.1i $P Owner �S cu4+ Le J^c.,,t Architect E 15-5►n Owner's AddrPo s it 0 Lc,V-9t Jp e ✓Lame Architect's Address S Leda b�o�—�• , YYlans O�Z�C� dy-,i 14, t( , (-`� Zip 0(e O u') Zip Sq. Ft. New Area: 1st FI. 7, 3?9 1 2nd FI. 3rd FI. Total New Area Purpose of this permit City Water Well .d Septic System Sewer -1 �f Ins: HO SP Cert. 1, Area Basement Garage Approved by Date `�7 ' Use Group Construction Type �— Pr Revised 1108 I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town of South Windsor and to notify the Building Inspector o any alteration in the plans or specifications of the Building for which this permit is asked,and agree that this building is to b ocated distance from a treet lines,side yard lines,and required distances from all other zones and is loca4inh this bu i and it the proper dist se isallo Sig I hereby apply for a Certifi ate of Occu cy for th wor describgd in this ap cation for the permit. Signe DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS INSPECTION FIELD SHEET 12/08/17 P„inted by Foreshaw, Dayshell 10 17:21 12/06/17 SUMM PASS F010 FM ABOVE CEILING 112/06/17 SUMM N/A F015 FM FIRE ALARM TEST 12/06/17 SUMM PASS F025 FM EMERGENCY/EXIT LIGHTING 12/06/17 SUMM PASS F035 FM EXITS 12/06/17 SUMM PASS F040 CO_-FIRE MARSHAL INSPECTION 12-n8'[17'0"°RbOIIG PASS*"��^c?""^"B0107r_FINA : 12/08/17�DOUG PASS B004---INSULATION 12/08/17 DOUG PASS H003 HVAC ROUGH 12/08/17 DOUG PASS E003 ELECTRIC ROUGH 12/08/17 DOUG PASS B002 FOUNDATION DOUG P004 PLUMBING GAS TEST INSPECTION FIELD SHEET 12/08/17 PiintecT by Foreshaw, Dayshell 10 17 21 ` INSPECTION: 95281 FOOTING PERMIT: STATUS APPLICATION: 201700633 LOC: 1 BUCKLAND ROAD SOUTH WINDSOR PROPERTY ID: 15300001 OWNER: ONE BUCKLAND CENTER LLC CONTRACTOR: REQUEST BY: PROJ DESC: BUILDING OF STRUCTURE. WORK ORDER: INSPECTOR: DOUG RESULT: PASS REQUESTED: PRIORITY: SCHEDULED: COMPLETED: 11/28/17 UNPAID FEES 00 Date Time MILEAGE: 00 TIME: TRAVEL ONSITE COMMENTS ALL INSPECTIONS: INSPECTED INSPECTOR RESULT INSP DESCRIPTION 06/07/17 DOUG PASS P002 PLUMBING UNDERGROUND 09/07/17 DOUG PASS B003 FRAMING (ROUGH) 09/29/17 DOUG PASS P002 PLUMBING UNDERGROUND SEWER WASTE OUT MAIN 10/11/17 DOUG PASS B009 OTHER roof install ok 10/13/17 ROSE PASS P003 PLUMBING ROUGH ROMEO 86-289-6896WATER TEST ON WV& PRESS TEST ON WATER PIPE 10/16/17 DOUG PASS E001 ELECTRIC SERVICE 11/28/17 DOUG PASS E002 ELECTRIC UNDERGROUND 11/28/17 ROSE N/A H002 HVAC UNDERGROUND 11/28/17 ROSE N/A 5002 SPRINKLER UNDERGROUND 11/28/17 ROSE N/A 5003 SPRINKLER ROUGH 11/28/17 ROSE N/A S005 HYDRO TEST 11/28/17 ROSE N/A S006 TRIP TEST 11/28/17 ROSE N/A S007 MAIN DRAIN 11/28/17 ROSE N/A B005 FIREPLACE / CHIMNEY 11/28/17 ROSE N/A B006 WOOD / GAS STOVE 12/05/17 LIPE PASS Z003 CO PLANNING INSPECTION 12/05/17 DOUG N/A B009 OTHER 12/06/17 SUMM N/A F005 FM PENETRATIONS/SEPERATION �� i Electric # APPLICATION FOR BUILDING PERMIT Plumbing# ^ f HVAC# �Ucklcu�cQ Roca, Date: Sprinkler# 11003)CD Estimated Cost $ Saoe> FINA PPROVALS Permit Fee $_1'� Buildin COMPLETE RED BOXED AREAS Occupancy Fee $ Engineerin TYPE OR PRINT ONLY Eng. Insp. Fee $ Affidavit Appr.forCO. SIGN ON REVERSE SIDE / Total Fee $ / 9 TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ The undersigned hereby applies to do work according to the following: (' " 000 00 Applicant L X GL ltiS Location of Work (u r� ( _Lot No. Applicant's Address 7 ( wn�) 0 5 Tel # Town !Jc � Zip(�� p Lic.#Nl1tL'-ODl�-�z co Owner SCD eD 1xa,+r Architect N�� ✓1�Q��a� S�z,✓t Own is Address I I I*LaL -e A c6 'e Architect's Address R S LZd b r bob }Mar 5�i e 1cD CJ O(.cj Nh-►1 .LX,— Zip o ob"1 Zip 0lvz50 Sq. Ft. New Area: 1 st FI. 1 `-11 a- 2nd FI. 3rd Fl. Total New Area 10 1`4"1 Purpose of this permit a LA t City Water je Well J Septic System 1� Sewer J 20I-7oo1,3 Ins: HO SP Cert. V Area Basement Garage Approved by Date - Use Group= yConstruction Type - y - Revised 1106 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 i the plans or specifications of th uilding for which this permit is asked,and agree that this building is to be cated the pr a distance from all street line ide yard lines,and required distances from all other zones and is located in w i this buildi a it use allowed. C Signed I hereby apply for a Certificate of ancy for e w rk described in thi plication for the permit. 1 DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS f Wilcox Excavating Construction Company, Inc. ,0j,��- Complete Site an Road Development Work r r Y' � k� � � t . � = r... IL -..%,.-. '�: ti`� !mow � ♦y�.��N� j ab ,Z } Chief Building Official n T. A "' �M" di `; w .} ! �^s+ x r 6 rati.^'A� r r n .t-•. ; Town of South Windsor kiss. - �9t 7 fi p°.r`-�+1t h{ y ^t� 7,�.41" 1540 Sullivan Avenue �7�; �� ,��,�, ��- -��'�� a u� � � a n a � South Wuidsor, CT o60 .� y - �,+.,�Fa �,n> - C" �k� �^a" A"s`�' � ,�t rj ra 4 ",1_� '�' •�; • r �- y� ,'�.-r .. ? a6 .., r°,'i1' •' 4fi !1 .;' ' 'aii '� _ .j ,{,?'"1�� _ - i..l` x !r.4 i P7". ,'�S#`c `3� RE: ONE BUCKLAND CENTER.- 1,& 25 BUCKLAND ROAD, SOUTH ; cif ♦W I DL70R, Cr This is the final costs of the buildingshells. �4 r �, .,�; i"4 f "£-,`**§nt7 ';i •fir + ` - ~is}t Costs for Building #1 - 59% belongs to South Windsor - $425,500.00 Costs for Building #2 -All in the To%rn of South Windsor - $9S,;,o00.00 Sincer y, 1' erald J. W cox President Wilcox Excavating Construction Company, Inc. tih 71 Willow Street 4 South Windsor,CT 06074 ' Wi1coxExc@ao1,com - 860-644-8534 _ 860-644-8589 www.wilcoxexcavati ng.com ' •' -.�A �e'er .. • INSPECTION FIELD SHEET 12/08/17 Printed by Foreshaw, Dayshell 09 59 57 INSPECTION: 95308 FOOTING PERMIT: STATUS: APPLICATION: 201700634 LOC: :1 BUCKLAND ROAD SOUTH WINDSOR PROPERTY ID: 15300001 OWNER: ONE BUCKLAND CENTER LLC CONTRACTOR: REQUEST BY: PROJ DESC: BUILDING OF STRUCTURE. WORK ORDER: INSPECTOR: ROSE RESULT: N/A REQUESTED: PRIORITY: SCHEDULED: COMPLETED: 12/05/17 UNPAID FEES: 34 00 Date Time MILEAGE: 00 TIME: TRAVEL ONSITE COMMENTS ALL INSPECTIONS: INSPECTED INSPECTOR RESULT INSP DESCRIPTION 06/07/17 DOUG PASS P002 PLUMBING UNDERGROUND 10/10/17 DOUG PASS E001 ELECTRIC SERVICE 10/13/17 ROSE PASS P003 PLUMBING ROUGH PARTIAL -WATER TEST ON WASTE&VENTS/PRESS TEST WATER MAIN 10/23/17 DOUG PASS P004 PLUMBING GAS TEST 12/05/17 ROSE N/A S002 SPRINKLER UNDERGROUND 12/05/17 ROSE N/A S003 SPRINKLER ROUGH 12/05/17 ROSE N/A S005 HYDRO TEST 12/05/17 ROSE N/A S006 TRIP TEST 12/05/17 ROSE N/A S007 MAIN DRAIN 12/05/17 LIPE PASS Z003 CO PLANNING INSPECTION 12/05/17 DOUG PASS B009 OTHER 12/05/17 ROSE N/A E002 ELECTRIC UNDERGROUND 12/05/17 ROSE N/A E003 ELECTRIC ROUGH 12/05/17 ROSE N/A B002 FOUNDATION 12/05/17 DOUG PASS B003 FRAMING (ROUGH) 12/05/17 DOUG PASS B004 INSULATION 12/05/17 ROSE N/A B005 FIREPLACE / CHIMNEY 12/05/17.�,.�,=.�ROSE - . ---N/A--a— ,a.,,_—.B006-..„.WOOD-/`,SAS STOVE `12/05/17�DOUG,,., �...: ,;�.PASS.,:.,,:.:.,. ,,,,,,,BO10., ,F:INAL_:.,4 4-12/05/17 ROSE N/A H002 HVAC UNDERGROUND INSPECTION FIELD SHEET 12/08/17 Printed by Foreshaw, Dayshell 09 59 57 12/05/17 ROSE N/A H003 HVAC ROUGH 12/06/17 _,SUMM N/A F005 FM PENETRATIONS/SEPERATION 12/06/17 • SUMM N/A FO10 FM ABOVE CEILING 12/06/Q 7 SUMM N/A F015 FM FIRE ALARM TEST 12/06/17 SUMM PASS F025 FM EMERGENCY/EXIT LIGHTING 12/06/17 SUMM PASS F035 FM EXITS 12/06/17 SUMM PASS F040 CO -FIRE MARSHAL INSPECTION i Electric # APPLICATION FOR BUILDING PERMIT Plumbing# _ F.VAC# uCK�ac�d a F-Date: Sprinkler# 7 b� Estimated Cost $ 53 11 W0 FINAL APPROVALS Permit Fee $ Building _ COMPLETE RED BOXED AREAS Occupancy Fee $ Engineering TYPE OR PRINT ONLY Eng. Insp. Fee $ Affidavit ► SIGN ON REVERSE SIDE t Appr.forJBUI � � Total Fee $ TO THEDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ The undersigned hereby applies to do work according to the following: Applicant n.j 7 Location of Work Lot No. Applicant's Address 1 7 /e ✓P. u,�4,4 T To # 5-1 Y- Town C;"Q 6QC � C&N A80. Zip J4qS 1671 Lic.# _ Owner fe4g^j2ln A— TIQTa; S70ne5 LLC Architect RG 2.ic L !0— Owner's Address 10bo reivy c W AV Architect's Address/4150 C,lzA Ed 3W, ST, t-x`rS.01 l.aci .CdE) WZip [ 56Ds l Zip 342-3 Sq. Ft.New Area: 1 st FI. G 2nd Fl. 3rd FI._ Total New Area', _ Purpose of this permit �e�A-�✓! A),,r S H' ry becime pit IL— Ptr� , /�UhjL u AZS' IS,> .es•n, l�'iac%k+usTAf6--AAr-+tr-/, 7)ee rh,a,WOXIL ?lLd; QC 7— City Water❑ Well J Septic System J Sewer J Ins: HO SP Cert. Area Basement Garage Approved by Date Use Group Construction Type Revised 110E r t 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 I led the proper distance fr all street lines, side yard lines,and required distances from all other zones and is located in whi is build g and se (lowed. C Signed I hereby apply for a Certificate of Occup ncy for th wo7doribed his applicat on for the permit. Signed L DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS # PLANiT CONSTRUCTION U.S.A. Project: Tempur- Pedic South Windsor/ Manchester Cr To whom it may concern, I, Claudio Stabile, President of Planit Construction USA Inc, hereby authorize Michael James Franklin, site superintendent to act as representative on behalf of Planit Construction USA, Inc for permit and contractor registrations pertaining to the above mentioned project(s). Cl / dio Stabile ��-�/j-/ Xo— President Date � & Sworn and subscribed to before me on this / �— day of � g6je- , 20 in the province of(Q oSET— , Country of O-AA4-�* My commission expires Br3t, dD ROBERTA 90 l o YOUNG z NOTARY PUBLIC , 131 327 oJa' 4949 Cote Vertu St-Laurent, Quebec, ada, H4S 1E1 www.planitconstruction.com tric # ' APPLICATION FOR BUILDING PERMIT Plum # _ VAC# guC.1C�Cit�lo� �� Date: Sprinkler# FINAL AP OVALS Estimated Cost $ r �� Building COMPLETE RED BOXED AREAS Permit Fee $ 75'i 0 Engineering Occupancy Fee $ 3 Affidavit TYPE OR PRINT ONLY Eng. Insp. Fee $ A r.forCO. ► SIGN ON REVERSE SIDE t pp Total Fee $ 2,'7 Yy TO THE BUILDING DEPART NT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ 3Q2 3' The undersigned hereby applies to work according to the following: Applicant Location of Work ( of No. Applicant's Address Z Tel # 31y• q l S 3q L Town Zip VVL4j kdNjr3Lic.# Owner �QJYljkajj�,0jj4*ti S".S UV, Archite Owner's Address �CY�(Z� �b Architect's A ss �(Xj��_�l . kT, tlJ ,ly� -OVA 9Zip qp Zip l Sq. Ft. New Area: 1st FI. 2nd FI.I 3rd FI._ Total New Area Purpose of this permit I { Woa 1 v luded City Wate Well J Septic System J Sewer I 15116 Ins: HO SP Cert. V Area Basement Garage Approved by Date Use Group Construction Typ Revised 1108 I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town of South Windsor and to notify the Building Inspector of any alteration in the plans or specifications of the Building for which this permit is asked,and agree that this building is to be located the proper distance from all street lines,side yard lines, and required distances from all other zones and is locat#inhichthis building and its use is allowed. SigneI hereby apply for a Certificate oy for the work described in this application for the permit. Signet i- h T WRITE BELOW THIS LINE INSPECTION COMMENTS SAINT LOUIS ORLANDO A R iS I O N DALLAS LAS VEGAS N C O R P O R A T E D SEATTLE ARCHITECTURE - ENGINEERING - STORE PLANNING TRANSMITTAL LETTER TO: Town of South Windsor Building Department DATE: 11/3/17 1540 Sullivan Ave - South Windsor,CT 06074 860-644-2511 RE: Tempur-Pedic PROJECT NO. 170486 SENT VIA: NEXT DAY AIR ENCLOSED PLEASE FIND THE FOLLOWING: QUANTITY DESCRIPTION COMMENTS 3 set of plans sign&seal 1 comcheck signed 1 application 1 check:$2784.00 Remarks: Please find plans enclosed for your review.If you have any questions,please contact me at 314415-2400 or tkorte@arcv.com. ArcVlsion Inc. y Korte CC: File, J:\Clients\ 1950 Craig Road,Suite 300 9 St.Louis,MO 63146•Phone (314) 415-2400 9 Fax(314)415-2300 COMcheck Software Version 4.0.6.2 Interior Lighting Compliance Certificate Project Information Energy Code: 90.1 (2010)Standard Project Title: TEMPUR-SEALY Project Type: Alteration Construction Site: Owner/Agent: Designer/Contractor. SOUTH WINDSOR,CT 06074 Allowed Interior Lighting Power A B C D Area Category Floor Area Allowed Allowed Watts (ft2) Watts/ft2 (B X C) 1-Retail:Sales Area 2335 1.68 3923 2-Common Space Types:CorridodTransition<8 ft wide 94 0.66 62 3-Common Space Types:Storage 445 0.63 280 4-Common Space Types:Restrooms 153 0.98 150 Total Allowed Watts= 4415 Proposed Interior Lighting Power A B C D E Fixture ID Description/Lamp/Wattage Per Lamp I Ballast Lamps/ #of Fixture (C X D) Fixture Fixtures Watt. Retad.Sales Area( 32 3 sq.ft.) LED:NN1:PENDANT:Other. 1 4 15 60 LED:DD:DOWN LIGHT:Other: 1 25 15 375 LED:PP:RECESSED LUMINAIRE:Other: 1 3 45 135 Track lighting:EE:SALES TRACK: Wattage based on 54 feet of track 0 0 1620 1620 Track lighting:EE:SHOW WINDOW TRACK: Wattage based on 22 feet of track 0 0 660 660 LED:JJ-2:2'LINEAR LED:Other: 1 3 8 24 LED:JJ-3:3'LINEAR LED:Other: 1 7 10 70 Incandescent:LAMPS:Other. 1 8 60 480 Common Space Tvnes.Comdor/Transition<8 ft wide(94 sg.ft.l LED:LED 2X2:Other: 1 2 39 78 Common Space Types.Storage(445 sa.ft.) LED:LED 2X2:Other: 1 8 39 312 Common Space Tynes.Restrooms(153 sq.fQ LED:LED 2X2:Other: 1 2 39 78 Total Proposed Watts= 3892 ,Interior Lighting PASSES Interior Lighting Compliance Statement Compliance Statement. The proposed interior lighting alteration project represented in this document is consistent with the building plans,specifications,and other calculations submitted with this permit application.The proposed interior lighting systems have been designed to meet the 90.1(2010)Standard requirements in COMcheck Version 4.0.6.2 and to comply with any applicable mandatory requirements listed in the Inspection Checklist. Project Title: TEMPUR-SEALY Report date: 11/01/17 Data filename: \\STL-FILE\Clients\Tempur-Pedic\170486\Dots\MEP\170486 COMCHECKRA.cck Page 1 of 6 ROBERT L.QUEATHEM-ENGINEER tl� z r -7 Name-Title Signature Date Project Title: TEMPUR-SEALY Report date: 11/O1/17 Data filename: \\STL-FILE\Clients\Tempur-Pedic\170486\Docs\MEP\170486 COMCHECKRA.cck Page 2 of 6 COMcheck Software Version 4.0.6.2 Inspection Checklist Energy Code: 90.1 (2010) Standard Requirements: 0.0% were addressed directly in the COMcheck software Text in the "Comments/Assumptions" column is provided by the user in the COMcheck Requirements screen. For each requirement, the user certifies that a code requirement will be met and how that is documented, or that an exception is being claimed. Where compliance is itemized in a separate table, a reference to that table is provided. Section # Plan Review Complies? Comments/Assumptions & Re .ID 4.2.2,8.4. Plans,specifications,and/or ;❑Complies 1.1,8.4.1. calculations provide all information ;❑Does Not 2,8.7 with which compliance can be [PR6]2 determined for the electrical systems :❑Not Observable', and equipment and document where ;❑Not Applicable exceptions are claimed. Feeder connectors sized in accordance with approved plans and branch circuits sized for maximum drop of 3%. 4.2.2,9.4. Plans,specifications,and/or ❑Complies 4,9.7 calculations provide all information j[]Does Not [PR4]1 with which compliance can be :[]Not Observable; determined for the interior lighting and electrical systems and equipment ❑Not Applicable and document where exceptions to ;the standard are claimed.Information provided should include interior lighting power calculations, wattage of bulbs and ballasts transformers and control devices. Additional Comments/Assumptions: 111 High Impact(Tier 1) 12 1 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3) Project Title: TEMPUR-SEALY Report date: 11/01/17 Data filename: \\STL-FILE\Clients\Tempur-Pedic\170486\Docs\MEP\170486 COMCHECKRA.cck Page 3 of 6 Section i # Rough-In Electrical Inspection Complies? Comments/Assumptions & Re .ID 8.4.2 At least 50%of all 125 volt 15-and ❑Complies [EL10]2 20-Amp receptacles are controlled by ❑Does Not an automatic control device. ❑Not Observable ❑Not Applicable 9.4.1.1 Automatic controls to shut off all ;❑Complies [ELI]2 building lighting. ;[]Does Not I❑Not Observable ❑Not Applicable 9.4.1.2 Independent lighting controls installed :❑Complies [EL2]2 per approved lighting plans and all ❑Does Not manual controls readily accessible and', visible to occupants. ❑Not Observable !❑Not Applicable 9.4.1.3 Parking garage lighting is equipped ❑Complies [ELI1]2 with required lighting controls and ❑Does Not daylight transition zone lighting. ❑Not Observable ❑Not Applicable 9.4.1.4 Primary sidelighted areas>=250 ft2 ;❑Complies [EL12]1 :are equipped with required lighting ;❑Does Not controls. ;❑Not Observable ❑Not Applicable 9.4.1.5 ;Enclosed spaces with daylight area ❑Complies [EL13]1 :under skylights and rooftop monitors ❑Does Not >900 ft2 are equipped with required ❑Not Observable lighting controls. :DNot Applicable 9.4.1.6 ;,Separate lighting control devices for ;❑Complies [EL4]1 :specific uses installed per approved ;❑Does Not ;lighting plans. ;❑Not Observable' ❑Not Applicable 9.4.2 Exit signs do not exceed 5 watts per ❑Complies [EL6]1 face. :❑Does Not ;❑Not Observable: ❑Not Applicable 9.6.2 Additional interior lighting power ;❑Complies [EL8]1 ;allowed for special functions per the :ODoes Not ;approved lighting plans and is automatically controlled and :❑Not Observable separated from general lighting. ;❑Not Applicable Additional Comments/Assumptions: i High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: TEMPUR-SEALY Report date: 11/01/17 Data filename: \\STL-FILE\Clients\Tempur-Pedic\170486\Docs\MEP\170486 COMCHECKRA.cck Page 4 of 6 [Section # Final Inspection Complies? Comments/Assumptions & Re .ID 8.7.1 ;Furnished as-built drawings for UComplies [FI16]3 electric power systems within 30 days ;❑Does Not of system acceptance. ;❑Not Observable ❑Not Applicable 8.7.2 ;Furnished O&M instructions for ;❑Complies [FI17]3 :systems and equipment to the ❑Does Not building owner or designated representative. ;❑Not Observable j❑Not Applicable 9.2.2.3 Interior installed lamp and fixture ❑Complies ;See the Interior lighting fixture schedule for values. [FI18]1 ;lighting power is consistent with what ;❑Does Not is shown on the approved lighting ;plans,demonstrating proposed watts :❑Not Observable; :are less than or equal to allowed ❑Not Applicable ;watts. Additional Comments/Assumptions: 11 High Impact(Tier 1) Z 1 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: TEMPUR-SEALY Report date: 11/01/17 Data filename: \\STL-FILE\Clients\Tempur-Pedic\170486\Docs\MEP\170486 COMCHECKRA.cck Page 5 of 6 Project Title: TEMPUR-SEALY Report date: 11/01/17 Data filename: \\STL-FILE\Clients\Tempur-Pedic\170486\Docs\MEP\170486 COMCHECKRA.cck Page 6 of 6 L INSPECTION FIELD SHEET 02/16/18 Printed by F�eshaw, Dayshell 09 57 09 02/08/18 MAUL PASS F025 FM EMERGENCY/EXIT LIGHTING APPROVED - CODE COMPLIANT �02/08/18 MAUL PASS F035 FM EXITS APPROVED - CODE COMPLIANT . 02/08/18 MAUL PASS F040 CO -FIRE MARSHAL INSPECTION APPROVED - CODE COMPLIANT 02/08/18 ROSE N/A H002 HVAC UNDERGROUND 02/09/18 ROSE PENDING BO10 FINAL HANDICAP ACCESSORIES NOT IN PLACE. MISSING COAT HOOK ,TOILET PAPER HOLDER & PAPER DISPENSER. OK TO STOCK MERCHANDISE. 02/14/18 DOUG PASS BO10 FINAL INSPECTION FIELD SHEET 02/16/18 Printed by Fofeshaw, Dayshell 09 57 09 INSPECTION: 100033 FOOTING PERMIT: STATUS APPLICATION: 201701596 LOC: 1 BUCKLAND ROAD SOUTH WINDSOR PROPERTY ID: 15300001 - OWNER: ONE BUCKLAND CENTER LLC CONTRACTOR: REQUEST BY: PROJ DESC: TENANT FINISH TO BECOME TEMPUR-PEDIC. WORK INCLUDES NEW WORK ORDER: INSPECTOR: ROSE RESULT: N/A REQUESTED: PRIORITY: SCHEDULED: COMPLETED: 02/08/18 UNPAID FEES 00 Date Time MILEAGE: 00 TIME: TRAVEL ONSITE COMMENTS ALL INSPECTIONS: INSPECTED INSPECTOR RESULT INSP DESCRIPTION O1/10/18 DOUG PASS E003 ELECTRIC ROUGH O1/10/18 DOUG PASS B003 FRAMING (ROUGH) O1/10/18 DOUG PASS P003 PLUMBING ROUGH O1/10/18 DOUG PASS H003 HVAC ROUGH 02/02/18 DOUG PASS B003 FRAMING (ROUGH) DANE @ 860-836-5991 above ceiling 02/08/18 ROSE N/A P002 PLUMBING UNDERGROUND 02/08/18 ROSE N/A B002 FOUNDATION 02/08/18 ROSE N/A P004 PLUMBING GAS TEST 02/08/18 ROSE N/A 5003 SPRINKLER ROUGH 02/08/18 ROSE N/A S005 HYDRO TEST 02/08/18 FOLG PASS Z003 CO PLANNING INSPECTION 02/C18/18 ROSE N/A B004 INSULATION 02/08/18 ROSE N/A E001 ELECTRIC SERVICE 02/08/18 ROSE N/A E002 ELECTRIC UNDERGROUND 02/08/18 MAUL PASS F005 FM PENETRATIONS/SEPERATION APPROVED - CODE COMPLIANT 02/08/18 MAUL PASS FO10 FM ABOVE CEILING APPROVED - CODE COMPLIANT 02/08/18 MAUL PASS F015 FM FIRE ALARM TEST APPROVED - CODE COMPLIANT r a APPLICATION FOR ELECTRICAL PERMIT TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT 1540 SULLIVAN AVENUE SOUTH WINDSOII, CT 06074 (PHONE) 860-644-2511 EXT. 230 DEPARTMENT DECISION PERMIT NUMBER: APPLICATION IS HEREBY: i -7 oo389 APPROVED: BLDG.PERMIT NUMBER: - 0 �, f?�S DATE I INSPECTOR LOCATION OF WORK: 1 13✓G(tan 4 Lel 3-c� APPLICANT: OWNER: TYPE OF STRUCTURE: I /IL (J ❑NEW BUILDING NAME: I nGroS oG/J NAME:_ �a f(�1e n 141 ❑ADDITION PHONE NUMBER: LO U g3G-SQ 4 PHONE NUMBER: `1 7y —70 ' Z s 1�tMSTING BUILDING xI- I0,�5 ADDRESS: ADDRESS: L� U6(/�' Z TYPE OF USE: CC c� It� 7Gr/ / l /c 4�� ` o FMIDENTLAL <comNERcL L 3o-5u Z ELECTRICAL INFORMATION: r� FURTHER DESCRIPTION OF WORK: TYPE OF INSTALLATION: cc 4-fY cc-1 SIZE OF SERVICE: re (.,.+c.d ¢v SIZE OF MAIN SERVICE: C a e�, NUMBER OF METERS: NUMBER OF PANELS: / NUMBER OF LIGHT CIRCUITS: ESTIMATED COST.S NUMBER OF SWITCHES: �( NUMBER OF LIGHT FD{TURES: FEE ENCLOSED:S NUMBER OF A/C CIRCUITS: / FEE SCHEDULE:$18 PER S1,000 OF THE ESTIMATED COST. NUMBER OF POWER CIRCUITS: ROUND UP TO THE NEXT THOUSAND ONCE THE PROJECT NUMBER OF OUTLETS: IS$1.00 OVER. (.26 CENT EDUCATIONAL FEE INCLUDED AS PART OF THE PERMIT FEE) THE UNDERSIGNED HEARBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFOMANCE OF SUCH WORK CONTRACTORS LICENSE NO.: TYPE: L; STATE: SIGNATURE OF APPLICANT: DATE: * an lly 1 S Y ti R � APPLICATION FOR ELECTRICAL PERMIT TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074 (PHONE) 860-644-2511 EXT. 230 DEPARTMENT DECISION PERMIT NUMBER: APPLICATION IS HEREBY: k-7 bb�%o APPROVED: BLDG.PERMIT NUMBER: rdKf7l-1 C,aog DATE I INSPECTOR LOCATION OF WORK: C �� "'l�r�f C�nL APPLICANT: OWNER: TYPE OF STRUCTURE: I r X EW BUILDING NAME: ' a�a$�Cot CL L NAME: ev-a'ri ❑ADDITION PHONE NUMBER:IS o-q7 'SDI`Y 1 PHONE NUMBER: ❑EXISTING BUILDING ADDRESS: Za Cle✓e ADDRESS: 01 TYPE OF USE: ❑RESIDENTIAL l,-%/coNUvtERCIAL ELECTRICAL INFORMATION: FURTHER DESCRIPTION OF WORK: TYPE OF INSTALLATION: SIZE OF SERVICE: { SIZE OF MAIN SERVICE: NUMBER OF METERS: NUMBER OF PANELS: NUMBER OF LIGHT CIRCUITS: ESTIMATED COST:$ / —T NUMBER OF SWITCHES: p,, NUMBER OF LIGHT FIXTURES: FEE ENCLOSED:$ I �o NUMBER OF A/C CIRCUITS: FEE SCHEDULE:$18 PER$1,000 OF THE ESTIMATED COST. NUMBER OF POWER CIRCUITS: ROUND UP TO THE NEXT THOUSAND ONCE THE PROJECT NUMBER OF OUTLETS: IS$1.00 OVER (.26 CENT EDUCATIONAL FEE INCLUDED AS PART OF THE PERMIT FEE) THE UNDERSIGNED HEARBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFOMANCE OF SUCH WORK. CONTRACTORS LICENSE NO.: O J&9 Z453 TYPE: STATE: Ci-- SIGNATURE OF APPLICANT: ,----- DATE: (049417 .OEM•f1 l C i V = Z APPLICATION FOR ELECTRICAL PERMIT TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074 (PHONE) 860-644-2511 EXT. 230 DEPARTMENT DECISION PERMIT NUMBER: APPLICATION IS HEREBY: )7o o 36( APPROVED: BLDG.PERMIT NUMBER: ra.)- 0 DATE INSPEt OR LOCATION OF WORK: On c- i�tttt g 0 i yl�> Tw o APPLICANT: OWNER: TYPE OF STRUCTURE: f�'Gu(-T-E XIEWBUILDING NAME: dro 5 c e,1 cL, LL c� NAME: SG jt L-a-^old ❑ADDITION PHONE NUMBER: 76G - 3 G - 9,a1 PHONE NUMBER: ❑EXISTING BUILDING ADDRESS: 2o" ADDRESS: a^ u�'ye✓1 f TYPE OF USE: ❑RESIDENTIAL ❑COMMERCIAL ELECTRICAL INFORMATION: FURTHER DESCRIPTION OF WORK: TYPE OF INSTALLATION: SIZE OF SERVICE: SIZE OF MAIN SERVICE: NUMBER OF METERS: NUMBER OF PANELS: NUMBER OF LIGHT CIRCUITS: ESTIMATED COST:$ —T NUMBER OF SWITCHES: r\ NUMBER OF LIGHT FIXTURES: FEE ENCLOSED:$ -,Mow NUMBER OF A/C CIRCUITS: 7 Sq FEE SCHEDULE:$18 PER$1,000 OF THE ESTIMATED COST. NUMBER OF POWER CIRCUITS: ROUND UP TO THE NEXT THOUSAND ONCE THE PROJECT IS$1.00 OVER. (.26 CENT EDUCATIONAL FEE INCLUDED AS NUMBER OF OUTLETS: PART OF THE PERMIT FEE) THE UNDERSIGNED HEARBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNE01,11 CyTICUT BUILDING CODES IN THE PERFOMANCE OF SUCH WORK. CONTRACTORS LICENSE NO.: V 1 412AI- TYPE: STATE: SIGNATURE OF APPLICANT: - DATE: f o �� 7 L .off•�•• 5 Y •<. ""�y APPLICATION FOR PLUMBING PERMIT TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074 (PHONE) 860-644-2511 EXT. 230 DEPARTMENT DECISION PERMIT NUMBER: APPLI BY: I /nO Ll 5 R BLDG.PERMIT NUMBER: WDATINSPECTOR LOCATION OF WORK:APPLICANT: OWNER: TYPE OF STRUCTURE: ?31EW BUILDING NAME: NAME W Q& -4 ❑ADDITION PHONE NU�2MBERy� PHONE NUMBER: ❑EXISTING BUILDING ADDRESSIN0�-�•_0le4gZi /� ADDRESS: ✓ TYPE OF USE: ❑RESIDENTIAL OOMMERCIAL PLUMBING INFORMATION: FURTHER DESCRIPTION OF WORK: TYPE OF INSTALLATION: /V� D lfjy�ifr3l Y, ��y NO.OF TOILETS: STYLE: IYL NO.OF BATHTUBS:_ NO.OF SHOWERS: NO.OF LAVATORIES: ! - in �• NO.OF CATCH BASINS:�_NO.OF FLOOR DRAINS: :?— ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY WINDOW? ,/s oYES XNO ESTIMATED COST:,' v SIZE OF WINDOW: SIZE OF DUCTS:_ FEE ENCLOSED: SEWER OR SEPTIC TANK: 4 k FEE SCHEDULE:$18 PER$1,000 OF THE ESTIMATED COST. ROUND UP TO SIZE OF WATER PIPING AND RISER: THE NEXT THOUSAND ONCE THE PROJECT IS S1.00 OVER. (26 CENT /� EDUCATIONAL FEE INCLUDED AS PART OF THE PERMIT FEE) E J WATER HEATER: TYPE � G• MANUFACTUR I i THE UNDERSIGNED NEARBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFOMANCE OF SUCH WORK. CONTRACTORS LICENSE NO.: ll�IN YP STATE: v SIGNATURE OF APPLEC T: DATE: col -7 o Q�{I APPLICATION FOR HVAC PERMIT DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT# App ' on ere BUILDING DEPARTMENT t-76o4-S(P D 1540 SULLIVAN AVENUE 644-2511 ext. 230 Bldg.Permit# *Date VildiInspector ngIns f (a�4 SSA Application must be printed or typed FEE SCHEDULE C� Location of Job: $0-$1,000=$15.00 `� -1L.7C� —� NKk \ Over$1,000= I Street No. Street Lot No. $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT APPLICANT ADDRESS �' ,-\ . APPLICANT'S PHONE# ` Io0 - ©`� OWNER VLCL Ow N S Fq< OWNER ADDRESS OWNER PHONE ESTIMATED COST$ `— ..} V IS THIS A CONTRACT COST? t--�Yes No FEE ENCLOSED$ C ° TYPE OF JOB: OR•CO New Installation Alteration/Addition/Repair Revised 03/05/10 APPLICATION FOR RVAC PERMIT(Continued from reverse side) TYPE OF SYSTEM: TYPE OF BUILDING: ❑ HEATING ❑ RESIDENTIAL ❑ A/C .COMMERCIAL ❑ VENTILATION ❑ INDUSTRIAL HEATING ❑ STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS. ❑ HYDRONIC ❑ WARM AIR ❑ UNIT RADIANT HEATER . EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION DESIGN TEMP.OUTSIDE OF INSIDE OF DIFFERENCE OF TOTAL HEAT LOSS(BTUH) 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-t"�( � THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. CONTRACTORS LICENSE NO. E STATE SIGNATURE OF APPLICAN DATE o�••tr APPLICATION FOR PLUMBING PERMIT TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074 (PHONE) 860-644-2511 EXT. 230 PERMIT NUMBER: DEPARTME CISION APPLIC O REBY: P U J5 Lf R BLDG.PERMIT NUMBER: l�o 6-130Q LATE SPECTOR LOCATION OF WORK: APPLICANT: OWNER: TYPE OF STRUCTURE: NEW BUILDING NAME: NAME: ❑ADDITION PHONE NUMBER: -��J � PHONE NUMBER: ❑EXISTING BUILDING ADDRESS: 4 AA ADDRESS: TYPE OF USE: ❑RESIDENTIAL COMMERCIAL PLUMBING INFORMATION: FURTHER DESCRIPTION OF WORK: TYPE OF INSTALLATIOON N` y- �r..�� C C� NO.OF TOILETS: STYLE: NO.OF BATHTUBS: NO.OF SHOWERS: NO.OF LAVATORIES: 2- NO.OF CATCH BASINS: 141!!r NO.OF FLOOR DRAINS:7� ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY WINDOW? ❑YES )00 ESTIMATED COST: r N SIZE OF WINDOW: SIZE OF DUCTS: FEE ENCLOSED. N SEWER OR SEPTIC TANK: V wex FEE SCHEDULE:S18 PER SI,000 OF THE ESTIMATED COST. ROUND UP TO SIZE OF WATER PIPING AND RISER: �/� ~ THE NEXT THOUSAND ONCE THE PROJECT IS S1.00 OVER. (.26 CENT n O EDUCATIONAL FEE INCLUDED AS PART OF THE PERMIT FEE) WATER HEATER: TYPE E=�4 •• MANUFACTURER f• THE UNDERSIGNED HEARBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICCU�T BUILDING CODES IN THE PERFOMANCE OF SUCH WORK. CONTRACTORS LICENSE NO.: 4181 TYPE: STATE: G7 SIGNATURE OF APPLICAN DATE: APPLICATION FOR HVAC PERMIT DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT# qDateBu-ildingInspector r BUILDING DEPARTMENT h604 tea D 1540 SULLIVAN AVENUE 644-2511 ext. 230 Bldg.Permit# Application must be printed or typed FEE SCHEDULE Location of Job: $041,000=$15.00 Over$1,000= Street No. Street Lot No. $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT �� APPLICANT ADDRESS Z� r� uca APPLICANT'S PHONE# OWNER OWN SF4< OWNER ADDRESS OWNER PHONE ESTIMATED COST$ ' 5a , aob IS THIS A CONTRACT COST? L4es No low FEE ENCLOSED$ TYPE OF JOB: OR S O�� VS New Installation C Alteration/Addition/Repair ao��o��33 Revised 03/05/10 APPLICATION FOR HVAC PERMIT(Continued from reverse side) TYPE OF SYSTEM: TYPE OF BUILDING: }HEATING ❑ RESIDENTIAL P-A/C WCOMMERCIAL ❑ VENTILATION ❑ INDUSTRIAL HEATING ❑ STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS. ❑ HYDRONIC 9 WARM AIR ❑ UNIT RADIANT HEATER EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION DESIGN TEMP.OUTSIDE OF INSIDE OF DIFFERENCE OF TOTAL HEAT LOSS(BTUH) OF(HEAT LOSS SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL HEATING EQUIPMENT(INCLUDING MAKE&MODEL NO.) GROSS HEATING CAPACITY(INPUT BT NET RATING(OUTPUT BTUH) ��c e� TYPE OF FUEL ❑ OIL-GPM OIL TANK LOCATION: ❑ INSIDE ❑ OUTSIDE CAPACITY 4-GAS-INPUT Ypgjgi� LPG TANK CAPACITY ELECTRIC-KW I=EiE`R 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.) f TONNAGE _ COOLING CAPACITY(BTUH) l($c_ppo 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 L LisrAN 1.00P.'�(- CN�- 1;,�)pC. 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. 3 \ao <&_\� C-C' CONTRACTORS LICENSE NO. TYPE q STATE SIGNATURE OF APPLICANTDATE 17 APPLICATION FOR HVAC PERMIT DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT# Applininspector BUILDING DEPARTMENT 1540 SULLIVAN AVENUE ' ®� �� Bldg.Permit# 644-2511 ext. 230 1760 31 6 Date Application must be printed or typed FEE SCHEDULE F Location of Job: $0-$1,000=$15.00Over$1,000= Street Lot No. $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT APPLICANT ADDRESS \ 3v APPLICANT'S PHONE# OWNER _ D W N Se OWNER ADDRESS OWNER PHONE O * J ' ` E` ESTIMATED COST$ C � U IS THIS A CONTRACT COST? L Yes No Now FEE ENCLOSED$ O TYPE OF JOB: ' Z�fJ"��( �� 110/1 �SOR•CO� "New Installation 2�S7Z' `tl� Alteration/Addition/Repair ��1-7 6G to"3 q Revised 03/05/10 APPLICATION FOR RVAC PERMIT(Continued from reverse side) TYPE OF SYSTEM: TYPE OF BUILDING: �IEATING ❑ RESIDENTIAL �1/C COMMERCIAL ❑ VENTILATION ❑ INDUSTRIAL HEATING ❑ STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS. ❑ HYDRONIC ❑ WARM AIR ❑ UNIT RADIANT HEATER EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION DESIGN TEMP.OUTSIDE OF INSIDE OF DIFFERENCE OF TOTAL HEAT LOSS(BTUH) 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 a GAS-INPUTarR,%xq e�LPG TANK CAPACITY ELECTRIC-KW ll" � 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) t 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 C,0dtSL 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 O. TYPE STATE SIGNATURE OF APPLICAN DATE Jt2�1 DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT PERMIT# Application is hereby: TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT 1`�00 2 8 APPROVED 1540 SULLIVAN AVENUE 644- Bldg.Permit# L .s 2511 EXT.230 _ 1-700j& _ (Date) (Building Inspector Application must be printed or typed FEE SCHEDULE Location of Job: $0-$1,000=$15.00 Street No. Street Lot No. Over$1,000- $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT <wAlf V-4 Le—& , �G APPLICANT ADDRESS APPLICANT PHONE# 53 25 OWNER ' OWNER ADDRESS OVVV OWNER PHONE C j ESTIMATED COST $ IS THIS A CONTRACT COST? _,�CYES NO FEE ENCLOSED$ o o TYPE OF JOB: 1 b �SOR-CO� ew Installation Alteration/Addition Repair -��?.O�"lOole33 Revised 12/22/11 APPLICATION FOR PLUMBING PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A ❑ RESIDENTIAL BUILDING PERMIT APPLICATION? 0 YES ❑ NO BUSINESS O ASSEMBLY CURRENT USE AND OCCUPANCY ❑ MERCANTILE O EDUCATIONAL FUTURE USE AND OCCUPANCY ❑ FACTORY ❑ STORAGE ENGINEER'S NAME PHONE O GARAGE O MIXED USE ADDRESS (Other please specify) CITY STATE ZIP TYPE OF INSTALLATION SIZE OF MAIN DRAIN NO.OF TOILETS STYLE NO.URINALS STYLE NO. OF BATHTUBS NO. OF SHOWERS NO.OF LAVATORIES NO.OF CONDUCTORS SIZE NO.OF STACKS SIZE AREA OF ROOF NO.OF CATCH BASINS NO.OF FLOOR DRAINS NO.OF OTHER FIXTURES KIND ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW O YES O 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 gig 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 DATE SIGNATURE OF APPLICANT G�s/) DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT PERMIT# Application is hereby: TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT I-I a 0 2 Yt<' APP O 1540 SULLIVAN AVENUE Rhip-Permit# 644-2511 EXT.230 (Date) I (Building Inspector)) Application must be printed or typed FEE SCHEDULE Location of Job: $0-$1,000=$15.00 Street No. Street Lot No. Over$1,000- $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT APPLICANT ADDRESS ��3sss0 t�� /tad G 7. OIs G'7� APPLICANT PHONE# gtGO /C OWNER OWNER ADDRESS OOWNER PHONE C l ESTIMATED COST $ /.Somo IS THIS A CONTRACT COST? YES NO t . FEE ENCLOSED$ 22 5 0 o V TYPE OF JOB: �� O OR-Co )< New Installation _Alteration/Addition Repair Revised 12/22/11 APPLICATION FOR PLUMBING PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A O RESIDENTIAL BUILDING PERMIT APPLICATION? 597 YES ❑ NO BUSINESS CURRENT USE AND OCCUPANCY ReF—r-- � O ASSEMBLY 0 MERCANTILE �� O EDUCATIONAL FUTURE USE AND OCCUPANCY 0 FACTORY O STORAGE ENGINEER'S NAME PHONE O GARAGE O MIXED USE ADDRESS (Other please specify) CITY STATE ZIP TYPE OF INSTALLATION SIZE OF MAIN DRAIN NO. OF TOILETS STYLE NO. URINALS STYLE NO.OF BATHTUBS NO. OF SHOWERS NO.OF LAVATORIES NO.OF CONDUCTORS SIZE NO.OF STACKS SIZE AREA OF ROOF NO.OF CATCH BASINS NO.OF FLOOR DRAINS NO.OF OTHER FIXTURES KIND ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW 0 YES O 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 !�/0�2,/L ��JZ �� PL/91✓S �� ti/n/d/�:�c)Td21�?. Z- 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. G?- CONTRACTORS LICENSE NO. TYr STATE SIGNATURE OF APPLICANT D TE S APPLICATION FOR ELECTRICAL PERMIT DEPARTMENT DECISION TOWN OF SOUTH WINDSOR pg,RMTT# Appli on• 'Feb • BUILDING DEPARTMENT O 1540 SULLIVAN AVENUE ' Bldg:Permit# 644-2511.ext. 230 Date 1,41ding Inspector Application must be printed or typed FEE SCHEDULE Location of Job: $0-$1,000=$15.00 tx ✓ -e n L� Over$1,000= Street No. Street Lot No. $15.00.per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT APPLICANT ADDRESS 2 ( r c /h 9- L. f�Gh / C. f APPLICANT'S PHONE# OWNER '�OW N 3£'44 OWNER ADDRESS C OWNER PHONE a C 7 ESTIMATED COST$ 3 0 *'1 U IS THIS A CONTRACT COST? Yes No FEE ENCLOSED$ . S f� •' o � 1 TYPE OF JOB: r� New Installation Alteration/Addition/Repair a-o��orsly Revised 03/05/10 r APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION? ❑ YES ❑ NO ❑ RESIDENTIAL CURRENT USE AND OCCUPANCY 0 BUSINESS ❑ ASSEMBLY FUTURE USE AND OCCUPANCY ❑ EDUCATIONAL ❑ INSTITUTIONAL ENGINEER'S NAME PHONE ❑ FACTORY O STORAGE ADDRESS ❑ GARAGE ❑ MIXED USE CITY STATE ZIP (Other please specify) TYPE OF INSTALLATION/WIRING METHOD. SIZE OF SERVICE SIZE OF MAIN CONDUCTORS NUMBERS OF METERS NUMBERS OF DISCONNECTS AND RATINGS NUMBERS OF PANELS NUMBERS OF DISCONNECTS REQUIRED? ❑ YES ❑ NO NUMBERS OF LIGHT CIRCUIT'S NUMBER OF POWER CIRCUITS NUM 3ER 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 Ale Lj THE UNDERSIGNED HEARBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFOR- MANCE OF SUCH WORK CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT DATE f Q 13 l APPLICATION FOR.ELECTRICAL PERMIT DEPART DECISION TOWN OF SOUTH WINDSOR PERMIT# A ication i e. y: BUILDING DEPARTMENT O 1540 SULLI:VAN AVENUE '- 644-2511.ext. 230 Bldg:.Permit# Date kiilding Inspector Application must be printed or typed FEE SCHEDULE Location'of Job: $0-$1,000=$15.00 Over$1,000= Street No. Street Lot No. $15.00,per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT �h�''�S d APPLICANT ADDRESS 20 C�c,.olo�r - F, G7 APPLICANT'S PHONE:# Go — 926-- Sqo / T ow N S. OWNER Go `� L_ ��.J. 't -44 O R ADDRESS ' Q 794 rc, .(nl C 1 cl6G6 C F OWNER PHONE V — PC(_ 3 C 7 ESTIMATED COST$ (S00 U IS THIS A CONTRACT COST? Yes No FEE ENCLOSED'$. ° TYPE OF JOB: �SOR•CO KNew Installation Alteration/Addition/Repair. Revised 03/05/10 APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION? ❑ YES []-,NO ❑ RESIDEN71AL CURRENT USE AND OCCUPANCY BUSINESS []. ASSEMBLY FUTURE USE AND OCCUPANCY - ❑ EDUCATIONAL ❑ INSTITUTIONAL ENGINEER'S NAME PHONE ❑ FACTORY EI STORAGE ADDRESS ❑ GARAGE . ❑ MIXED USE - CITY STATE ZIP (Other plem'specify) TYPE OF INSTALLATION!WIRING METHOD :4 . SIZE OF SERVICE l U� � _ SIZE OF MAIN CONDUCTORS .: v NUMBERS OF METERS NUMBERS.OF DISCONNECTS AND RATINGS NUMBERS OF PANELS NUMBERS.OF DISCONNECTS REQUIRED? ❑ YES ❑ NO NUMBERS OF LIGHT CIRCUITS Z NUMBER OF POWER CIRCUITS .NUMBER OF SWITCHES. NUMBER OF OUTLETS NUMBER OF LIGHT FIXTURES NUMBER OF BEAT CIRCUITS NUMBEWOF A IC CIRCUITS SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED. DESCRIPTION OF WORK S THE UNDERSIGNED HEARBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFOR- MANCE OF SUCH WORK �— CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT DATE ✓ �� Statement of Special Inspections Project: One Buckland Center—FOUNDA TIONPERMIT Location: 1,9,15 Buckland Road South Windsor CT Owner: Scott Leonard 110 Lavender Lane,Rocky Hill, CT 06067 Design Professional in Responsible Charge: Kennett:P.Anderson,P.E. This Statement of Special Inspections is submitted as a condition for permit issuance in accordance with the Special Inspection and Structural Testing requirements of the Building Code. It includes a schedule of Special Inspection services applicable to this project as well as the name of the Special Inspection Coordinator and the identity of other approved agencies to be retained for conducting these inspections and tests. This Statement of Special Inspections encompass the following disciplines: ® Structural ❑ Mechanical/Electrical/Plumbing ❑ Architectural ❑ Other: The Special Inspection Coordinator shall keep records of all inspections and shall furnish inspection reports to the Building Official and the Registered Design Professional in Responsible Charge. 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 Registered Design Professional in Responsible Charge. The Special Inspection program does not relieve the Contractor of his or her responsibilities. Interim reports shall be submitted to the Building Official and the Registered Design Professional in Responsible Charge. A Final Report of Special Inspections documenting completion of all required Special Inspections, testing 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: Bi-Monthly or❑ per attached schedule. Prepared by: `,`��,,,►,uur„r:,,, CONNF��r,� `��.<<G ANC O�Di�+ Kenneth P.Anderson, P.E. :v�; F9't G (type or print name) O S0 No.21141 ltJ�• iol CENS ex, 4/27/2016 s101VAL Signature Date Desi n Professional Seal Ow s Aut ization: Building Official's Acceptance: igna use Date Signature Date CASE Form 101 • Statement of Special Inspections • ©CASE 2004 u , Page 2 of 5 4 Schedule of Inspection and Testing Agencies This Statement of Special Inspections includes the following building systems: ® Soils and Foundations ❑ Spray Fire Resistant Material ® Concrete Construction ❑ Wood Construction ❑ Precast Concrete ❑ Exterior Insulation and Finish System ❑ Masonry ❑ Mechanical &Electrical Systems ❑ Structural Steel ❑ Architectural Systems ❑ Cold-Formed Steel Framing ❑ Special Cases Special Inspection Agencies Firm Address,Telephone, e-mail 1. Special Inspection Coordinator 10 Waterchase Dr. Girard and Company,LLP Rocky Hill CT 06067 (860)-563-3820 2. Inspector 160 South Turnpike road suite 3 Tri State Materials Testing,Inc Wallingford, CT 06492 (203)949-7732 3. Testing Agency 160 South Turnpike road suite 3 Tri State Materials Testing,Inc Wallingford, CT 06492 (203)949-7732 4. Other—Geotechnical Engineer 455 Minding Brook Dr. GEI Consultants,Inc Suite201 Glastonbury CT 06033 (860)368-5300 Note: The inspectors and testing agencies 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. CASE Form 101 • Statement of Special Inspections 9 ©CASE 2004 " 1 1 Page 4 of 10 Qualifications of Inspectors and Testing Technicians The qualifications of all personnel performing Special Inspection and testing activities are subject to the approval of the Building Official. The credentials of all Inspectors and testing technicians shall be provided if requested. Key for Minimum Qualifications of Inspection Agents: When the Registered Design Professional in Responsible Charge deems it appropriate that the individual performing a stipulated test or inspection have a specific certification or license as indicated below, such designation shall appear below the Agency Number on the Schedule. PE/SE Structural Engineer—a licensed SE or PE specializing in the design of building structures PE/GE Geotechnical Engineer—a licensed PE specializing in soil mechanics and foundations EIT Engineer-In-Training—a graduate engineer who has passed the Fundamentals of Engineering examination American Concrete Institute(ACI)Certification ACI-CFTT Concrete Field Testing Technician—Grade 1 ACI-CCI Concrete Construction Inspector ACI-LTT Laboratory Testing Technician—Grade 1&2 ACI-STT Strength Testing Technician American Welding Society(AWS)Certification AWS-CWI Certified Welding Inspector AWS/AISC-SSI Certified Structural Steel Inspector American Society of Non-Destructive Testing(ASNT)Certification ASNT Non-Destructive Testing Technician—Level II or III. International Code Council (ICC)Certification ICC-SMSI Structural Masonry Special Inspector ICC-SWSI Structural Steel and Welding Special Inspector ICC-SFSI Spray-Applied Fireproofing Special Inspector ICC-PCSI Prestressed Concrete Special Inspector ICC-RCSI Reinforced Concrete Special Inspector National Institute for Certification in Engineering Technologies(NICET) NICET-CT Concrete Technician—Levels I, II, III & IV NICET-ST Soils Technician-Levels I, II, III &IV NICET-GET Geotechnical Engineering Technician-Levels I, II, III & IV Exterior Design Institute(EDI)Certification EDI-EIFS EIFS Third Party Inspector CASE Form 101 • Statement of Special Inspections • ©CASE 2004 j # Soils and Foundations Page 4 of 5 One Buckland Center Item Agency# Scope-with inspection frequency in (bold). (Qualif.) 1 Shallow Foundations Observe preparation of subgrade. Verb conformance with the 4 requirements of the contract documents. PE/GE Inspect soils below footings for adequate bearing capacity and consistency with project design data and geotechnical report. 2. Controlled Structural Fill Perform sieve tests(ASTMD422&DI140)and modified Proctor 2 or 4 tests(ASTMD1557)of each source offfll material. Tests to be performed under all foundations, building slabs and paved areas. (Perform one test for each type of fill material used. Perform additional tests if required by the Geotechnical Engineer. For each subgrade,fill and backfill material. Perform one moisture-density relationship test for each 1,000 cubic yards of material or fraction thereof.) Inspect placement, lift thickness and compaction of controlled fill. Test density of each lift of fill by nuclear methods(ASTMD2922) (One test per lift for every 2,500 SF. Minimum of 3 tests per lift.Two tests per lift for backfilling of walls and trenches.) Note:Special Inspections are NOT REQUIRED during placement offfll less than 12 inches deep. 3. Foundation Drainage Not Applicable 4. Load Testing Not Applicable. 4. Other: CASE Form 101 • Statement of Special Inspections 9 ©CASE 2004 Concrete Construction Page 5 of 5 * One Buckland Center Item Agency# Scope-with inspection frequency in (bold). (Qualif.) 1 Mix Design Review concrete batch tickets and verify compliance with approved mix design. Verb that water added at the site does not exceed that allowed by the approved mix design. Verb that the 2 quantities on batch ticket do not exceed those allowed by the ACI-CCI approved mix design. Verify that admixtures on batch tickets match those on approved mix design. (Provide periodic inspection—at least once per placement for each class or type of concrete.) 2. Material Certification Not Applicable. 3. Reinforcement Installation Inspect size,spacing, cover,positioning and grade of reinforcing steel. Verify that reinforcing bars are free of form oil or other 2 deleterious materials.Inspect bar laps and mechanical splices. ACI-CCI Verify that bars are adequately tied and supported on chairs or bolsters. (Provide periodic inspection as needed to assure all of the above requirements are met.) 4. Formwork Geometry 2 Review formworkfor width,depth,straightness and overall conformance with the contract documents. (Provide periodic AC[-CCI inspection as needed to assure all of the above ICC-PCSI requirements are met.) 5. Welding of Reinforcing Not Applicable. 6. Anchor Rods and other Inspect size,positioning and embedment ofanchor rods.Inspect Embedded Items. 2 concrete placement and consolidation around anchors. (Provide AC[-CCI continuous inspection to assure all of the above requirements are met, and that all embedments have been provided.) 7. Concrete Placement Inspect placement of concrete. Verb that concrete conveyance 2 and depositing avoids segregation or contamination. Verb that AC[-CCI concrete is properly consolidated. (Provide continuous inspection.) 8. Sampling and Testing of 2 Test concrete compressive strength(ASTM C31&C39),slump Concrete ACI (ASTM C143),air-content(ASTM C231 or C173)and temperature CFTT (ASTMC1064). (One set of cylinders per 50 cubic yards or &ACI- portion thereof. One set of cylinders per 5,000 SF of STT floor or wall area or portion thereof.) 9. Curing and Protection Inspect curing,cold weatherprotection and hot weather 2 protection procedures. (Provide periodic inspection as ACI-CC[ needed to assure all of the above requirements are met.) ICC-RCSI 10. Other: CASE Form 101 • Statement of Special Inspections • ©CASE 2004 b' r APPLICATION FOR ELECTRICAL PERMIT TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074 (PHONE) 860-644-2511 EXT. 230 DEPARTMENT DECISION PERMIT NUMBER: APPLICATION IS HEREBY: I q00 513 APPROVED: BLDG.PERMIT NUMBER: DATE INSPECTOR LOCATION OF WORK: '`-z ✓� �d r (c.�� Te/x n n 4" J vc/i APPLICANT: OWNER: TYPE OF STRUCTURE: o NEW BUILDING NAME: � L O�adNAME: ❑ADDITION PHONE NUMBER: b 6 0- el ? PHONE NUMBER: G - t(�-1 f S y q t}OUSTING BUILDING ADDRESS: U /t,G 5;- ADDRESS: 7( Ir IIc v- -.4 TYPE OF USE: o RESIDENTIAL gtOMMERCIAL ELECTRICAL INFORMATION: FURTHER DESCRIPTION OFWORK: TYPE OF INSTALLATION: L;g��'r�5 Q.3 Fj SIZE OF SERVICE: f{;�- SIZE OF MAIN SERVICE: NGLi Icy A {fc%i `SfioP*•��+�� Ky� NUMBER OF METERS: X 1%n K ,Zori A 12.y✓�L o8 rtu' Pz,�� NUMBER OF PANELS: NUMBER OF LIGHT CIRCUITS: ESTIMATED COST:S cea r NUMBER OF SWITCHES: 2 NUMBER OF LIGHT FIXTURES: FEE ENCLOSED:S V NUMBER OF A/C CIRCUITS: W FEE SCHEDULE:S18 PER$1,000 OF OST. NUMBER OF POWER CIRCUITS: ROUND UP TO THE NEXT THOUSAND ONCE THE PROJECT IS S1.00 OVER (.26 CENT EDUCATIONAL FEE INCLUDED AS NUMBER OF OUTLETS: PART OF THE PERMIT FEE) THE UNDERSIGNED HEARBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFOMANCE OF SUCH WORK. CONTRACTORS LICENSE NO.: U�� Z� TYPE: STATE: SIGNATURE OF APPLICANT: DATE: �bl�i o2�01 aNr y e ,r APPLICATION FOR ELECTRICAL PERMIT TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 (PHONE) 860-644-2511 EXT. 230 DEPARTMENT DECISION PERMIT NUMBER: APPLICATION IS HEREBY: APPROVED: J BLDG.PERMIT NUMBER: DATE INSPECTOR LOCATION OF WORK: L5 4-/L(` (� CC1 r— I P APPLICANT: OWNER: TYPE OF STRUCTURE: / 0 NEW BUILDING NAME `J I G c ��c� NAME: - L 4 f L c a.,o. ❑ADDITION PHONE NUMBER:.- gLSG - g 6-Se)q PHONE NUMBER: q(,U G K y - 3 K Ag)(ISTING BUILDING G ADDRESS: G/'(ADDRESS: T S 074 TYPE OF USE: o RESIDENTIAL COMMERCIAL jL— L- I ELECTRICAL INFORMATION: FURTHER DESCRIPTION OF WORK: TYPE OF INSTALLATION: �cc�ert t� /u L�(% SIZE OF SERVICE: SIZE OF MAIN SERVICE: NUMBER OF METERS: NUMBER OF PANELS: ' NUMBER OF LIGHT CIRCUITS: ESTIMATED COST:S ( �/�� 1 1N t�^� NUMBER OF SWITCHES: ou— NUMBER OF LIGHT FIXTURES: FEE ENCLOSED: NUMBER OF A/C CIRCUITS: FEE SCHEDULE:S18 PER$1,000 OF 1 NUMBER OF POWER CIRCUITS: ROUND UP TO THE NEXT THOUSAND ONCE THE PROJECT NUMBER OF OUTLETS: IS$1.00 OVER (.26 CENT EDUCATIONAL FEE INCLUDED AS PART OF THE PERMIT FEE) THE UNDERSIGNED NEARBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFOMANCE OF SUCH WORK. CONTRACTORS LICENSE NO:: ON 6 Z 4 'TYPE:�i STATE: C SIGNATURE OF APPLICANT: DATE: 1--G ( � G i i 1�6 7 5 F- VL r12G ` ^u` ?Uti 4(vo L 2 - APPLICATION FOR HVAC PERMIT TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074(PHONE)860-644-2511 EXT.230 DEPARTMENT DECISION PER Wr NUMBER: APPLICATION IS HEREBY: I '7 60 737 APPROVED: BLDG.PERMIT NUMBER lk, PECTOR DATE INS LOCATION OF WORK: APPLICANT: OWNER: TYPE OF STRUCTURE: ANE/� 10 W BUII.DING NAME: �� NAME: (/_ lax d2,1 ❑ADDITION PHONE NUMBER: D,C_7 '� (-�cd�/ PHONE NUMBER 0 Q -6 qb s��G 1 a MS TING BUILDING ADDRESS: / GGr Li/l 1/ ADDRESS: 5-0 V --C-b-e"�o� p TYPE OF USE: � Q�i l✓� ✓ ❑RESIDENTIAL o COMMERCIAL HVAC INFORMATION: FURTHER DESCRIPTION OF WORK: TYPE OF SYSTEM: kHEATING crA/C HEATING: TOTAL HEAT LOSS(BTUH) °F (HEAT LOSS SHEET REQUIRED) DESCRIBE ALL HEATING EQUIPMENT(INCLUDE MAKE AND MODEL NO.): 51ti/wr Cco,c.>�� '571v U (S t1 j_' t�✓i!//L�.? ESTIMATED COST:S AIR CONDITIONING: DESIGN TEMP:OUTSIDE _-F INSIDE D2L°F DIFFERENCE J�—'F' FEE ENCLOSED:S TOTAL HEAT GAIN(BTUH) (HEAT GAIN SHEET REQUIRED) DESCRIBE ALL COOLING EQUPMENT(INCLUDE MAID;AND MODEL NO.): QG v� FEE SCHEDULE:$18 PER$I W OF THE ESTEWATED COST. rl ROUND UP TO THE NEXT THOUSAND ONCE THE PROJECT IS S1.00 OVER (Z6 CENT EDUCATIONAL FEE INCLUDED AS PART OF THE PERMIT FEE) THE UNDERSIGNED NEARBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNEC HCUT BUILDING COI?ES IN THE PERFOMANCE OF SUCH WORK CONTRACTORS LICENSE NO.: b > E: J' STATE: *� SIGNATURE OF APPLICANT: l DATE: Currently_ — --------- 87" ' � e rF 21.5" IMPACT MARTIAL AR TS 5" Proposed REGULAR BLACK HP VINYL WITH RELIEF EDGE DAYTIME --- SIGN=13sf s - —t .040 Aluminum returns -- .OBO Aluminum backers --- Existing wall 3118'Trans acrylic race wr — . I _ HP trans vinyl applied to 1 at surface i (colors to be determmed) l 318'X3'Lags ----- ' 083 Aluminum raceway �--- i 51•' painted to match building — — soffit PVC bushings IMPACT MARTIAL ARTS V Bnghl white UL listed LEDs --- r. l Power shut o%switch— Electrical power to sign location by others I All wiring and fabncation is I UL approved I UL a E325015 CHANNEL LETTERS ON RACEWAY ^_ WITH CAPSULE HP TRANSLUCENT VINYL GRAPHICS unit frontage= 21 ..�.x� WHITErouvrn LEXAN CLIENT: CONTACT INFO: DATE: 11/28/2022 'C;2007-2022 H A R T F O R D Impact Martial Arts COMPANY:Impact Martial Arts HARTFORD SIGN&DESIGN CONTACT:Crest Markiv LAST REV.DATE: These images are the Property of PROJECT TYPE: CELL:860.680.8210 Hartford Sign&Design.They are S"D SIGN&DESIGN EMAIL.orestmarkiv®me.com INSTALL DATE: provided for customer viewing Channel Letters on Raceway with Capsule FILE NAME only until project is awarded and \� / DESIGN BUILD INSTALL CLIENT APPROVAL: Date: Martial Arts TOWN PROOF receipt of deposit.Arty other use �� PROJECT LOCATION: impactis legally forbidden.Rights may be 1 Buckland,Manchester,CT X DESIGNER: purchased for a minimum fee of$500. 328 Governor Street East Hartfordr CT 06108 L CAVANNA U4REGS mro eovelar9 DEMN stew 860.293.1824 REGULAR BLACK HP VINYL WITH RELIEF FROM EDGE NIGHTTIME I i IMPACT MARTIAL ARTS Nor-] Nll[�1�'IMl N._.r.r. LMN CLIENT: CONTACT INFO: DATE: 1 1!28/nP2 C 2007-2022 Impact Martial Arts COMPANY:Impact Martial Arts HARTFORD SIGN 8 DESIGN H A R T F O R D CONTACT:Crest Markiv LAST REV.DATE: These images are the property of H PROJECT TYPE: CELL:860.680.8210 Hartford Sign or c Design.They are S D SIGN&DESIGN giannel Letters on Raceway with Capsule EMAIL:orestmarkiv@me.com INSTALL DATE: provided project customer viewingan FILE NAME: only until(deposit An othef se \� DESIGN • BUILD • INSTALL CLIENT APPROVAL: Date: receipto(deposit.Any other me �/ PROJECT LOCATION: Impact Martial Arts Town Proof is legally forbidden.Rights maybe 1 Bucklar+J,Manchester,CT X DESIGNER: purchased for a minimum fee of$500. 328 Governor Street, Fast Hartford,CT 06108 L CAVANNA USM STMCOPYRW1 soSTUi 860.293.1824 i L URGENT TEMPUR--PEDIC' CARE SPACE AVAILABLE 860-916-1747 IMPACT MARTIAL ARTS L_ i 56" I (2x) LEXAN FACES 12 25" WITH HP TRANSLUCENT VINYL GRAPHICS ■ ■ ❑ I IMPACT MARTIAL ARTS ., �.. L. WHITE un a vww LE%AN CLIENT: CONTACT INFO: DATE: 11/28/2022 G 2007-2022 �-- H A R T F O R D Impact Martial Arts COMPANY:Impact Martial Arts HARTFORD SIGN&DESIGN /�� CONTACT:Crest Markiv LAST REV.DATE: These images are the Property of fi/ PROJECT TYPE: CELL:860.ti80.8210 Hartford Signor c Design.viewing S SIGN&DESIGN Channel Letters on Racewaywith Capsule EMAIL:orestmarkKOme,com INSTALL DATE: pry until roectisawarustomer elan p only until project is awarded and CLIENT APPROVAL: Date: FILE NAME: receipt ofdeposlLAnyotheruse v DESIGN • BUILD • INSTALL PROJECT LOCATION: Impact Martial Arts Town Proof is legally,forbidden,Rights may be 1 Buckland,Manchester,C1 X DESIGNER: purchased for a minimum fee of$500. 328 Governor Street, East Hartford,CT 06105 L CAVANNA u.&NEGIsTM COPrrac•sr oEMN saw 860.293.1824 i -C �e)�,� Jam► Svc i ' Fuss&O'Neill Inc. TABLE OF CONTENTS (continued) RESIDENTIAL PROPERTIES/ 1-15 BUCKLAND ROAD AND 395 SMITH STREET LIST OF FIGURES END OF TEXT Figure 1 Site Location Map Figure 2 Site Plan LIST OF APPENDICES END OF TEXT Appendix A Scope of Work,Exceptions,and Deletions Appendix B Site Assessment Checklist Appendix C Property Description Cards Appendix D Environmental Database Search(FirstSearch) Appendix E Town File Information Appendix F Site Photographs Appendix G Lead Paint Inspection Reports ' Appendix H Asbestos Site Survey Reports F.\P2000\481\P20\Archive\10\ESA_RRK042004_doc 11 comes. r A 1 1 1 1 1 1 1 1 1 1 1 1 1 tFuss&O'Neill Inc. 1.0 INTRODUCTION Fuss&O'Neill,Inc.has been retained by Poag&McEwen Lifestyle Centers,LLC to conduct a Phase I Environmental Site Assessment(ESA)and pre-demolition lead-based paint(LBP)and asbestos-containing materials(ACM)surveys of the properties located at 1,9,and 15 Buckland Road and 395 Smith Street in South Windsor,Connecticut(subject site). The objective of the Phase I ESA was to identify recognized environmental conditions (RECs)with regard to the subject site. The LBP and ACM surveys were conducted to make a determination regarding disposal of building materials after anticipated demolition of the site buildings. As defined by Standard Practice for Environmental Site Assessments E 1527-00 (ASTM Practice E 1527-00) developed by the American Society for Testing and Materials (ASTM, 2000), REC means the presence or likely presence of any hazardous substances or petroleum products on a property under conditions that indicate an existing release, a past release, or a material threat of a release of any hazardous substances or petroleum products into structures on the property or into the ground, groundwater, or surface water of the property. The term includes hazardous substances or petroleum products even under conditions in compliance with ' laws. The term is not intended to include de minimis conditions that generally do not present a material risk of hann to public health or the environment and that generally would not be the subject of an enforcement action if brought to the attention of appropriate governmental agencies. This Phase I ESA was performed using the Connecticut Department of Environmental L Protection Transfer Act Site Assessment (TASA) Guidance Document (CTDEP, 1991) and ASTM Practice E 1527-00 as general standards for the facility investigation. Refer to Appendix A for the scope of work and limitations of this ESA and to Appendix B for a listing of the offices contacted for this assessment, as well as relevant site information. 2.0 SITE OVERVIEW 2.1 Site Information 2.1.1 Property Location, Size of Parcel, and Site Plan The subject site consists of four residential properties located in a residential zone of South Windsor,Connecticut(Hartford County)between the Manchester-South Windsor Town line and Smith Street. Three of the properties (1, 9, and 15 Buckland Road) are located along the western side of Buckland Road,and the fourth is located along the southern side of Smith Street adjacent to the west side of the other parcels. A portion of a United States Geological Survey (USGS)topographic map showing the subject site location is provided as Figure 1. According to Town records,the subject site consists of four contiguous parcels,each consisting of approximately 0.5 acres of land and containing an approximately 1,300-square foot ranch ' house with a basement built between 1957 and 1966. The owner of record for the Buckland Road parcels is Scott Leonard. Evergreen Walk,LLC is listed as the owner of the Smith Street parcel. Tenants currently occupy the 9 Buckland Road residence, but the remaining three residences are currently unoccupied. A site plan showing the four parcels comprising the F.\P2000\481\P20\Archive\10\FSA_RRK042004.doc 1 Corres. 1 t f 1 A 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I � Fuss&O'Neill Inc. subject site is provided as Figure 2. Copies of the property description cards available at the Town of South Windsor Tax Assessor's office are attached as Appendix C. A detailed description of the subject site developed during the site inspection is presented in Section 5.0 below. 2.1.2 Potable Water Supply and Sewage Disposal ' The four residences on the subject site are served by on-site septic systems and private wells, according to Town records. 2.1.3 Adjoining Land Use Based on observations made during the site inspection and available mapping, properties adjoining the subject site include a large commercial plaza to the south,residential properties to the west,and Buckland Road to the east. The land to the north of the site across Smith Street is vacant former farmland, but construction and site work is currently being conducted on this property as part of a large mixed commercial and residential development project. ' 2.2 Physical Setting of Site 2.2.1 Geologic and Physiographic Setting The topography of the subject site generally slopes gently to moderately down from Buckland Road to the west(USGS, 1992). The regional topography generally slopes down to the west, toward the Podunk River. Surficial material at the subject site is mapped as collapsed stratified drift consisting ofstratified sand and gravel (Colton, 1965). Bedrock beneath the subject site is mapped as the Portland Arkose,which is a reddish-brown arkosic sandstone of Jurassic age(Rodgers, 1985). Depth to bedrock at the site is estimated to be 30 feet below grade(Colton and Cushman, 1963). 2.2.2 Groundwater III The quality of groundwater beneath the subject site is classified by the Connecticut Department of Environmental Protection as GA (CTDEP, 1993). GA groundwater is presumed to be suitable for drinking without treatment(CTDEP,2002). Based on USGS mapping and field observations of the Iocal topography and surface water hydrology,the inferred groundwater flow direction is to the west toward an unnamed tributary S�' � to Plum Gulley Brook. Depth to groundwater is estimated to be less than 20 feet. 2.2.3 Surface Water The nearest surface water body to the subject site is an unnamed tributary to Plum Gulley Brook located approximately 300 feet west of the site(USGS, 1992). This stream is classified by the F.\P2000\481\P20Wchive\10\ESA RRK042004.doc 2 comes. a ' Fuss&O'Neill Inc. State of Connecticut as Class A (CTDEP, 1993). Such inland surface waters are known or presumed to be suitable for drinking-water supply(CTDEP, 2002). 2.2.4 Location of Public Water Supply Sources The Atlas of Public Water Supply Sources and Drainage Basins of Connecticut(CTDEP,1982) shows no public water-supply wells within a one-half mile radius of the subject site. 2.3 Previous Environmental Investigations ' According to Mr. Scott Leonard and representatives of Evergreen Walk, LLC, no previous environmental investigations have been performed on the subject site. 3.0 SITE HISTORY The following sources were used to develop the history of the subject site and, to the extent required by ASTM Practice E 1527-00,the nearby sites: Source Reference Number Information Source 1 Town street directories (available at the Connecticut State Library) reviewed at approximately five year intervals dating back to the year 1982. 2 Aerial photographs(available at the State Archives of the Connecticut State Library)for the years 1934, 1951, 1965, 1980, 1985,and 1990. 3 Historical USGS Topographic Maps for the years 1944 and 1952,available on the internet from the Documents Department and Data Center of the University of New Hampshire(http://does.unh.edu/nbtgpos/nhtopos.htm). 4 Files and personnel at the Town of South Windsor offices of the Building Department, Engineering Department,Planning and Zoning Department, Health Department,and Fire Marshal. The history of the subject site,developed using the above-referenced sources,is provided below. Parenthetical reference numbers following historical descriptions in the text refer to the Source Reference Number in the above table. Prior to the mid-1950's, the subject site was agricultural land (2,3). A bam, presumably associated with the agricultural activities on the site is present along the southern edge of the site during this time period. Town records indicate that construction of the residences on the subject site began in the mid-1950's;all four of the residences had been constructed by the mid-1960's (2, 4). The subject site has been used for residential purposes since construction of the residences(1,4). F.\P2000\481\P20\Amhive\10\FSA_RM042004.dce 3 ' Comes. 1 1 1 1 1 1 . 1 1 1 1 1 ; 1 �''�, 1 i 1 , 1 1 1 Fuss&O'Neill Inc. Nearby Sites The land surrounding the subject site was primarily used for agricultural purposes prior to the 1960's,including apparent plots of shade tobacco crops to the west and southwest of the subject site (2, 3). Interstate 84, located to the south of the subject site, appears to have been constructed circa 1950(2). Residential development in the vicinity of the subject site appears along Buckland Road and Smith Street beginning circa 1960 (2). Beginning circa 1990 and continuing to present,significant commercial development began to the south ofthe subject site and Interstate 84 was reconstructed (2, 4). A large development project is currently under ' construction across Smith Street to the north of the subject site. 4.0 FEDERAL,STATE,AND LOCAL FILE REVIEW Files of Federal State and local agencies were reviewed for environmentally-related issues g Y pertinent to the subject site and nearby parcels,such as permits,inspection reports,enforcement history or documented releases of hazardous materials. The sources of information listed in the following table were researched to identify properties of concern within distances of the subject site specified by ASTM Practice E 1527-00. Additionally, a file review was conducted at the CTDEP Bureaus of Water and Waste Management as discussed in Section 4.2. Please refer to Appendix B for a listing of the CTDEP files reviewed. Information Source* Search Distance Federal Files NPL site list 1 mile RCRA CORRACTS TSDF list 1 mile RCRA TSDF list 0.5 mile CERCLIS list 0.5 mile RCRA generator list property and adjoining ERNS list property and adjoining State Files Hazardous waste site list I mile 1 Landfill and solid waste site list 0.5 mile Lealdng UST list 0.5 mile Oil&chemical spills property and adjoining UST list property and adjoining Transfer Act Filings property and adjoining *Fuss&ONeill used FirstSearch,an environmental database search service,to obtain the information referenced in the above table. FirstSearch provides access to publicly available environmental databases maintained by various Federal and State agencies. A copy of the information provided by FirstSearch relative to the subject site and nearby properties is included in Appendix D. The listed information sources are defined and described in detail in the FirstSearch report. F:\P2000\481\P20\AmhiveU0\FSA_RM042004.doc 4 Comes. t 1 1 1 1 1 Fuss&O'Neill Inc. 4.1 Summary of RegulatoryDatabase Information No environmental concerns were identified for the subject site in the environmental databases searched. Due to the proximity and/or inferred sidegradient or downgradient groundwater flow direction of other sites listed in the FirstSearch report relative to the subject site,none of these known or potential release locations have a significant potential to adversely impact the subject site. It should be noted that the CTDEP.has limited the liability of downgradient property owners that ' have been impacted by upgradient sources. The CTDEP's policy on upgradient sources of contamination is that "a downgradient property owner is not responsible for remediating groundwater contamination flowing onto his or her property from another site, as long as the contamination is present solely as a result of the off-site sources"(CTDEP Policy on Upgradient Contamination, Michael Harder, Director of Permitting, Enforcement, and Remediation Division,August 28, 1997). 4.2 CTDEP File Review No correspondence files for any of the property addresses associated with the subject site were available at the CTDEP Waste Management Bureau or Water Management Bureau. The Connecticut Leachate and Wastewater Discharge Sources Inventory(CTDEP,2000)was reviewed to determine if any historical discharges to the ground in the area of the subject site have been reported. The only historical discharge listed in the Podunk River drainage basin (#4004) within a one half-mile radius of the subject site is an area of residential wells contaminated with ethylene dibromide (EDB), approximately 0.5 mile west-southwest of the site. EDB was historically used as a fumigant for pest control in shade tobacco agricultural plots. Due to the distance and inferred hydraulically downgradient or sidegradient locations of the contaminated wells relative to the subject site,the area of EDB-impacted groundwater is not 1 inferred to have a significant potential to adversely impact the subject site. 4.3 Local File Review Files and personnel at the Town of South Windsor offices of the Tax Assessor, Building Department, Planning and Zoning Department, Health Department, and Fire Marshal were queried regarding environmental concerns at the subject site. No environmental concerns were identified for the site. 5.0 SITE RECONNAISSANCE The site reconnaissance was conducted by hydrogeologist Robert Kovach of Fuss &ONeill, Inc. During the site visit,the subject site was inspected for RECs. Photographs taken during the site inspection are presented in Appendix F. The topography of the subject site slopes down gently to moderately to the west from Buckland Road. All trees on the Buckland Road parcels,except those immediately adjacent to Buckland F:\P2000\481\P20\Amhive\10\ESA_RRK042004.doc 5 cores. t r i 1 1 1 1 1 1 1 1 1 Fuss&O'Neill Inc. Road, have been cut down, presumably in anticipation of impending demolition and construction activities. 1 5.1 1 Buckland Road This property is the southernmost parcel of the subject site. The residence on this parcel was vacant at the time of the site visit and electrical service to the house had been disconnected. No environmental concerns were noted on exterior areas of this property. Two large cylinders of compressed gas,likely propane,were present outside the northeastern corner of the residence. In addition,an oil-fired furnace and an associated 275-gallon fuel-oil aboveground storage tank (AST)was present in the basement of the residence at the time of the site visit,but no staining or other evidence of a release from the AST or oil burner were observed. At the time of the site 1 visit,there were no visible indications that the on-site water supply well or septic system had been abandoned. A number of small (less than one gallon capacity) containers of paints and maintenance supplies typical of household use were noted on a shelf in the basement,but the containers appeared to be properly stored with no evidence of leakage or spillage. A pile of debris,primarily wood,was present in the basement garage of the garage,but this material is not considered to be an environmental concern. 1 5.2 9 Buckland Road The residence on this parcel was occupied by a tenant at the time of the site visit. This residence is served by an on-site well and septic system and is heated by an oil-fired furnace supplied with fuel oil from a 275-gallon AST in the basement. No environmental concerns were noted on exterior portions of this parcel,and no staining or other evidence of a release from the oil burner or AST were noted at the time of the site visit. One five-gallon pail of paint and a number of small(less than one gallon capacity)containers of paints and other maintenance supplies typical of household use were noted in the basement,but the containers appeared to be properly stored with no evidence of leakage or spillage. 1 5.3 15 Buckland Road ' The residence on this parcel was vacant at the time of the site visit and electrical service to the building had been disconnected. No environmental concerns were noted on exterior portions of the parcel..As with the other residences on the subject site,this residence is served by an on-site 1 well and septic system and is heated by an oil-fired furnace supplied with fuel oil from a 275- gallon AST in the basement. Small areas of oil staining were noted on the concrete beneath the oil burner and adjacent to the AST beneath the oil filter,but both stained areas appeared to be superficial and no cracks were noted in the concrete in the stained areas. This staining is not inferred to represent a REC. At the time of the site visit,there were no visible indications that the on-site water supply well or septic system had been abandoned. 5.4 395 Smith Street ' The residence on this parcel was vacant at the time of the site visit..No environmental concerns were noted on exterior portions of the parcel. This residence is served by an on-site well and septic system and is heated by an oil-fired furnace supplied with fuel oil from a 275-gallon AST F:\P2000\481\1?20\Archive\10\ESA_RRK042004.doc 6 Corns. � ''. � �'', � I t t Fuss&O'Neill Inc. in the basement. No staining or other evidence of a release from the AST or oil burner were observed during the site visit. At the time of the site visit,there were no visible indications that the on-site water supply well or septic system had been abandoned. 6.0 CONNECTICUT TRANSFER ACT STATUS The State of Connecticut property transfer program, described in Sections 22a-134a through 22a-134e of the Connecticut General Statutes(the"Transfer Act'),requires the disclosure of environmental conditions when certain real properties and/or businesses are transferred. The ' program applies only to those properties that are deemed to be"establishments"as defined under the law. As defined by the Transfer Act(Sections 22a-134a et seq.of the Connecticut General Statutes,as amended),an establishment is"any real property at which or anybusiness operation ' from which (A) on or after November 19, 1980, there was generated, except as the result of remediation of polluted soil, groundwater or sediment, more than one hundred kilograms of hazardous waste in any one month, (B) hazardous waste generated at a different location by another person or municipality was recycled, reclaimed, reused, stored, handled, treated, transported or disposed of, (C) the process of dry cleaning was conducted on or after May 1, 1967, (D) furniture stripping was conducted on or after May 1, 1967, or (E) a vehicle body repair shop or vehicle painting shop is or was located on or after May 1, 1967." If the site is determined to be an establishment,CTDEP reporting and involvement will be required in order ' to transfer the property,and CTDEP will require identification,delineation,and remediation of all environmental concerns in accordance with Connecticut's Remediation Standard Regulations. ' Activities that would qualify the facility as an "establishment" have not been identified. However,should a determination as to the regulatory status of the subject site with regard to the Connecticut Transfer Act be desired,legal counsel should be consulted. 7.0 LEAD AND ASBESTOS INSPECTIONS In anticipation of planned demolition activities,pre-demolition testing of building materials for lead-based paint(LBP)and asbestos was conducted at each of the four residences on the subject site. The testing and inspections were conducted by Mr. Peter Shannon of Leadsafe Environmental. Mr. Shannon is a State-certified lead and asbestos inspector. The lead inspection was conducted using a MAP 4 x-ray fluorescence(XRF)spectrum analyzer. If LBP or suspect LBP was identified(approximately 1 milligram or more of lead per square centimeter), a weighted composite of building materials was collected for that residence and analyzed for leachable lead using the Toxicity Characteristic Leaching Procedure (TCLP) to characterize the material for disposal. Leadsafe lead paint inspection reports for the four residences on the subject site are provided in Appendix G. Mr. Shannon inspected each of the residences for suspect ACMs and subsequently collected ' bulk samples of these materials using standard USEPA protocols. A particular suspect homogeneous building material was determined to be an ACM if one or more samples of that material contained greater than one percent by weight of asbestos. Leadsafe asbestos survey reports for each of the four residences on the subject site are provided in Appendix H. F.\P2000\481\P20\Archive\10\FSA_RRK042004.doc 7 corms. t Fuss&O'Neill Inc. ' 7.1 1 Buckland Road The XRF results from the lead paint inspection indicated that no LBP is present in this residence. Ten suspect ACMs were identified during the asbestos inspection. Analytical testing of these materials showed that two of these suspect materials,identified as"chimney flue patch" and"joint compound,"were confirmed to be ACMs. 7.2 9 Buckland Road ' The XRF results from the lead paint inspection indicated that no LBP is present in this residence. Twelve suspect ACMs were identified during the asbestos inspection. Analytical testing of these materials showed that the suspect material identified as"joint compound,"was confirmed to be an ACM. 7.3 15 Buckland Road The XRF results from the lead paint inspection indicated that LBP is present on the exterior siding of this residence. Subsequent TCLP lead testing of the weighted building material composite sample indicated that the building demolition debris is non-hazardous for lead and can be disposed of as normal construction debris. Nine suspect ACMs were identified during the asbestos inspection. Analytical testing of these materials showed that none of these suspect materials were ACMs. ' 7.4 395 Smith Street The XRF results from the lead paint inspection indicated that LBP is present on the interior bathroom window well. Subsequent TCLP lead testing of the weighted building material composite sample indicated that the building demolition debris is non-hazardous for lead and can be disposed of as normal construction debris. Thirteen suspect ACMs were identified during the asbestos inspection. Analytical testing of these materials showed that three of the suspect materials,identified as"underlying red floor tile,""mastic,"and"textured ceiling coat" were confirmed to be ACMs. 8.0 CONCLUSIONS AND RECOMMENDATIONS 8.1 Phase I ESA Fuss & O'Neill, Inc. prepared this Phase I ESA report in conformance with the scope and limitations of ASTM Practice E 1527-00 and the Connecticut TASA Guidance Document. Any exceptions to,or deletions from,this practice are described in Appendix A of this report..This assessment has revealed no evidence of recognized environmental conditions, as defined by ASTM Practice E 1527-00, in connection with the subject site that warrant additional investigation or action at this time. Fuss&O'Neill has followed the guidelines described in ASTM El 527-00 to identify the RECs at this site in a manner consistent with standard practice in the industry. However,as indicated F:\P20001481\P20\Archive\IO\ESA_RRK042004.doc 8 Correa. t � ' 1 1 t 1 1 1 Fuss&O'Neill Inc. 1 in the ASTM standard, "No environmental site assessment can wholly eliminate uncertainty regarding the potential for RECs in connection with a property. Performance of this practice is intended to reduce,but not eliminate,uncertainty regarding the potential for RECs in connection with a property, and the practice recognizes reasonable limits of time and cost." 8.2 Lead and Asbestos Surveys The lead paint inspection revealed the presence of lead-based paint(LBP)associated with the 15 Buckland Road and 395 Smith Street residences. However,subsequent TCLP lead testing on ' weighted composite samples of the building materials in each of these residences indicated that no special handling of the debris from these residences is necessary. One or more asbestos-containing materials (ACMs) were identified in the 1 and 9 Buckland Road residences and the 395 Smith Street residence. A summary of information regarding the identified ACMs is provided below: Location Material Description Approx.Area Recommended (square feet Management Method 1 Buckland Road Chimney Flue Patch 2 Abatement by licensed Insulation asbestos contractor ' 1 Buckland Road Joint Compound Unknown Use of wet methods during demolition 9 Buckland Road Joint Compound Unknown Use of wet method during demolition 395 Smith Street Red Floor Tiles 350 Abatement by licensed under linoleum asbestos contractor 395 Smith Street Floor Tile Mastic 350 Abatement by licensed asbestos contractor 395 Smith Street Textured Ceiling Coat 250 Abatement by licensed asbestos contractor According to Leadsafe personnel,the asbestos-containing joint compound can be disposed of with the associated non-ACM sheetrock as normal construction debris,as long as the demolition contractor is made aware of the presence of this material and uses wet methods during demolition of the drywall and joint compound. Combined samples of the drywall and joint compound have been submitted for laboratory analysis to confirm that the combined wall system tests negative as an ACM and results are pending. As indicated in the above table,other identified ACMs should be abated by a licensed asbestos removal contractor prior to initiation ' of demolition activities. 8.3 Demolition Considerations The following items have not been identified as environmental issues at the site but should be addressed duringproposed demolition activities at the site to avoid potential releases of P P chemicals to the environment and satisfy regulatory requirements: F.\P2000\481\P20\Amhive\10\FSA RRK042004.doc 9 comes — Fuss&O'Neill Inc. • The water supply wells on each of the parcels of the subject site should be abandoned per State regulations, and the septic systems associated with each of the residences should be properly abandoned. 1 The fuel-oil above-ground storage tanks(ASTs)in the basements of the residences on the site should be emptied of fuel oil and the ASTs should be properly disposed of. • Any containers of paints or other chemicals present in the residences should be removed and properly disposed of prior to demolition. F.\P2000\481\P20\Archive\10\FSA_RRK042004.doc 10 ' Corres. 1 1 i 1 1 1 i 1 1 1 1 i Fuss&O'Neill Inc. ' 9.0 REFERENCES American Society for Testing and Materials,2000, Standard Practice for Environmental Site Assessments;Phase I Environmental Site Assessment Process: ASTM Practice E 1527-00. Colton, R.B., 1965, Geologic Map of the Manchester Quadrangle, Hartford and Tolland Counties,Connecticut;United States Department of the Interior,U.S.Geological Survey,Map GQ-433. ' Colton,R.B.and Cushman,R.V., 1963,Contour Map of the Bedrock Surface of the Manchester Quadrangle, Connecticut; United States Department of the Interior,U.S. Geological Survey, Map I-402. Connecticut Department of Environmental Protection 1982 The Atlas of Public Water Supply eP pP Y Sources and Drainage Basins of Connecticut; CTDEP Natural Resources Center. Connecticut Department of Environmental Protection, 1991, Transfer Act Site Assessment Guidance Document; CTDEP,June 1989,revised November 1991. Connecticut Department of Environmental Protection, 2000, Leachate and Wastewater Discharge Sources Inventory,Connecticut and South Central Coast Major Basin;CTDEP Water Management Bureau. ' Connecticut Department of Environmental Protection, 2002, Water Quality Standards; CTDEP,2002. ' Connecticut Department of Environmental Protection, 1993,Water Quality Classifications for the Connecticut River and Southcentral Coastal Basins;CTDEP,Bureau of Water Management; adopted February 1993. Rodgers,J., 1985,Bedrock Geological Map of Connecticut;CTDEP,Natural Resources Center, Connecticut Geological and Natural History Survey. ' United States Geological Survey, 1992, Manchester Quadrangle Connecticut-Hartford and � Y Tolland Counties, 7.5-Minute Series Topographic Map; United States Department of the ' Interior,U.S. Geological Survey, 1963,Revised 1992. F.\P20001481\P20\Archive\10\FSA_FAK042004.doc 11 Comes. 1 1 1 1 1 1 i 1 1 1 1 1 1 1 ' Fuss&O'Neill Inc. ' 9.0 LIMITATIONS OF WORK PRODUCT All work product and reports provided in connection with the performance of Environmental Site ' Assessments are subject to the following limitations. 1. The observations described in this Report were made under the conditions stated therein. The conclusions presented in the Report were based solely upon the services described therein,and ' not on scientific tasks or procedures beyond the scope of described services. 2. In preparing this report,Fuss&ONeill,Inc.has relied on certain information provided by state and local officials and information and representations made by other parties referenced therein, and on information contained in the files of state and/or local agencies made available to Fuss& O'Neill, Inc. at the time of the site assessment. To the extent that such files are missing, ' incomplete or not provided to Fuss & ONeill, Inc., Fuss & ONeill, Inc. is not responsible. Although there may have been some degree of overlap in the information provided by these various sources, Fuss &ONeill, Inc. did not attempt to independently verify the accuracy or completeness of all information reviewed or received during the course of this site assessment. ' 3. The purpose of this Report was to assess the physical characteristics of the subject site with respect to the presence in the environment of hazardous substances, waste or petroleum and chemical products and wastes as defined in Connecticut General Statutes Section 22a-452. Unless otherwise noted,no specific attempt was made to check the compliance ofpresent or past owners or operators of the subject site with Federal, State, or local laws and regulations, environmental or otherwise. 4. If water level readings have been made in observation wells,these observations were made at the times and under the conditions stated in the Report. However,it must be noted that fluctuations in the level of ground water may occur due to variations in rainfall,passage of time and other factors. Should additional data become available in the future,these data should be reviewed by Fuss & ONeill, Inc., and the conclusions and recommendations presented herein modified accordingly. 5. Except as noted within the text of the Report,no quantitative laboratory testing was performed as part of the site assessment. Where such analyses have been conducted by an outside laboratory, Fuss&ONeill,Inc.has relied upon the data provided, and has not conducted an independent evaluation of the reliability of these tests. 6. If the conclusions and recommendations contained in this report are based,in part,upon various types of chemical data, then the conclusions and recommendations are contingent upon the validity of such data. These data(if obtained)have been reviewed and interpretations made in ' the Report. If indicated within the Report,some of these data may be preliminary"screening" level data and should be confirmed with quantitative analyses if more specific information is necessary. Moreover, it should be noted that variations in the types and concentrations of contaminants and variations in their flow paths may occur due to seasonal water table fluctuations,past disposal practices,the passage of time and other factors. Should additional chemical data become available in the future,these data should be reviewed by Fuss&ONeill, Inc. and the conclusions and recommendations presented herein modified accordingly. 7. Chemical analyses may have been performed for specific parameters during the course of this site assessment, as described in the Report. However, it should be noted that additional chemical constituents not searched for during the current study may be present in soil and/or ground water at the subject site. F:\P2000\481\P20\A chive\10\ESA_RRK042004.doc 12 ' Comes. 44 77 40 '.`3 f ., J � �� ••• fir. • ,f(d W. j �l �22 rook .tea Et' �,�b" �• , , 1, ;� ` o _ 2 IL SITE LOCATION •Pam.. �. � /� �'_� .. a ; % . t-, `U ,so 4j •. / • 1nU GrA,e' , Plts - SCALE=1:24000 ' 0 1/2 t MILE 0 2000 4000 SCALE:1'=2000' FIGURE 1 MAP REFERENCE: _rCrRN Fuss&O'Neill Inc. Consulting Engineers 146 HARTFORD ROAD,MANCHESTER,CONNECTICUT 06040 ' THIS MAP WAS PREPARED FROM THE FOLLOWING (8"646-2469 7.5 MINUTE SERIES TOPOGRAPHIC MAPS: MANCHESTER,CONN. 1963 PHOTOREVISED 1984 SITE LOCATION MAP ■ Connecticut RESIDENTIAL PROPERTIES 1-15 BUCKLAND ROAD AND 395 SMITH STREET SOUTH WINDSOR CONNECTICUT ' Quadrangle Location PROJ.NO.2000481 P20 DATED:APRIL 2004 SCALE-1'=2000' I.1f1WlYD7Ml11AQ�1O Jn1!"r1DDCCICITCI r1r DDT t t � . III �� i ' 0 LOCATION OF 395 SMITH STREET 1 —_� APROX MATE BASED ON TOWN OF —*7 N0.395 SMITH STREET MANCHESTER MAPPING NF ' ' I EVERGREEN\WALK, LLC I (18-11) #395 , ' 1 NO I i c NO.1 BUCKLAND ROAD ' 2 N\F I o SCOTT LEONARD '00 (18-8) I NO.9 BUCKLAND ROAD [NO.15 BUCKLAND ROAD SUBJECT SITE ' N F I N F I SCOTT LEONARD I SCOTT LEONARD BOUNDARY ' DOWNEAST ASSOCIATES I (18-9) (18-10) LIMITED PARTNERSHIP I N\F TOWN OF SOUTH WINDSOR #1524 PLEASANT VALLEY RD. N\F pR/vF- SCOTT LEONARD I I 1 I � #1 � ❑ #9 #15 # I� — — s26't I I 75.9 t0 /r. 8/r. R/ DR/ S4�7��F4•� 1� GU/D£RAIL GUIDE RAIL TO MANCHESTER 1 TO SOU WNDSO BUCKLAND STREET BUCKLAND ROAD R c DESCNEICR u SCA<E PR HORZ:I'-w SITE PLAN .p p� O.Ne_20DO-48IP20 �L 4 VERT: DATE:MAY 2004 REVIEWED BY. DATE YAP DERIVED FROM FUSS&O)nL SURVEY YAP TI =•YAP DATUM HORZ: FUSS do O'NEILL INC. 1-15 BUCKLAND ROAD AND SWW LAND AND EAS1310M 70 BE ACOUM FROM SCOTT VERT_ N I' s HMIFM m,&mocHc m COMIELn=o8oa LEXw WED AUGUST 2t 2OU a 0 50 .qµv I40 395 SMITH STREET FIG. 2 Na DATE DESCRIPTION BY IO REVISNS GRAPHIC SCALE rw.F�dDoow SOUTH WINMR I CONNECrK= 1 1 1 C �. �.+ a t 1 Fuss&O'Neill Inc. 1 APPENDIX A SCOPE OF WORK, EXCEPTIONS, AND DELETIONS F:\P2000M I\P20\Archive\10\ESA_RRK042004.doc Corres. m m m m r m w w, r M :m M � W a tow m m = Fuss&O'Neill Inc. FUSS&O'NEILL'S GENERAL PHASE I ESA SCOPE OF WORK Fuss&ONeill uses Standard Practice E 1527-00 and the CTDEP Transfer Act Guidance Document as general standards for conducting Phase I ESAs. For consistency,this scope of work is generally presented based on the outline of our standard Phase I ESA report. The descriptions of the procedures and sources for obtaining the information for each section follow the section headings. As specified by Standard Practice E 1527-00,the scope of work described below allows for use of professional judgment to determine the extent to which specific sources are reviewed. Unless otherwise specified,the following items are not considered in the course of completing an ASTM Phase I ESA: • Asbestos • Lead(paint/plumbing) • Radon • Regulatory Compliance • Fluorescent Light Ballasts • Wetlands These items typically present little environmental risk to the grounds of a site;however,these items may be future liabilities during property transfer,regulatory audits,construction,renovation,or demolition projects. 1.0 Introduction The purpose of the ESA and the party that this ESA was conducted for are identified in this section. 2.0 Site Overview 2.1 Site Information 2.1.1 Property Location,Size of Parcel,and Site Plan Review of USGS topographic maps,local assessor and zoning maps and property description cards, field observations and sketches,and,if available,plans provided by a contact for the subject site. A site plan is included that is derived from these sources. 2.1.2 Potable Water Supply and Sewage Disposal Query the local Department of Public Works, local Engineering Department, appropriate local utilities,and/or other local municipal sources and/or a knowledgeable site contact. 2.1.3 Adjoining Land Use Site reconnaissance and assessor's mapping. 2.2 Physical Setting of Site 2.2.1 Geologic and Physiographic Setting Site reconnaissance,USGS topographic maps,and available geological maps. 2.2.2 Groundwater �I Site reconnaissance,USGS topographic maps,and CTDEP water quality maps and water quality standards. 2.2.3 Surface Water Site reconnaissance,USGS topographic maps,and CTDEP water quality maps and water quality standards. 2.2.4 Location of Public Water Supply Sources Site reconnaissance, CTDEP water supply source mapping, and mapping available in local departments queried as part of the ESA. 2.3 Previous Environmental Investigations Provided by the appropriate site contact or identified by other means during the course of conducting the ESA. 3.0 Site History Site reconnaissance,knowledgeable site contacts, aerial photographs available at the State Archives and CTDEP,Sanborn fire insurance maps available at the State Library,street directories available at the State Library(note that street directories are reviewed at approximately five year intervals,but may be reviewed at smaller intervals for multi-tenant properties), and local municipal sources (local municipal Building Department, Engineering Department, Planning and Zoning Department, Health Department, and Fire �( Marshal). An appropriate site contact is queried to determine if any environmental liens apply to the property. F.\P2000\481\P20\Archive\10\FSA_RRK042004.doc Pagel of 2 ' Comes. Fuss&O'Neill Inc. A title search is generally not conducted because they can be very difficult and time consuming and because they generally only yield the owners of the property,not the occupants. However,if the history of a site cannot be otherwise identified,a limited title search may be attempted. 4.0 Federal,State,and Local File Review 4.1 Summary of Regulatory Database Information Regulatory databases specified by Standard Practice E 1527-00 are reviewed using FirstSearch Technology Corporation,an environmental database search service. The report provided by FirstSearch Technology Corporation is reviewed in detail. Sites that are inferred to present a significant risk to adversely impact the subject site are identified and explained within the ESA report. However,sites inferred to pose little risk to adversely impact the subject site are disclaimed within the attached FirstSearch Technology Corporation report. 4.2 CTDEP File Review CTDEP Orders,Notices of Violation,and Connecticut Transfer Act Forms are provided for the subject site using FirstSearch Technology Corporation. Correspondence files for the subject site are requested from the CTDEP solid waste and water management bureaus. If available, these files are reviewed for pertinent information,which is either copied or noted. CTDEP Connecticut Leachate and Wastewater Discharge Source maps are reviewed to identify any sites within one-half mile of the subject site that may adversely impact the subject site. 4.3 Local File Review Files for the local municipal Tax Assessor, Building Department, Planning and Zoning Department, Health Department,and Fire Marshal are reviewed. 5.0 Site Reconnaissance Field observations and in interview or interviews with appropriate,knowledgeable personnel familiar with the site. 6.0 Connecticut Transfer Act Status Based on information obtained as part of the ESA,our opinion regarding the site's status with respect to the Connecticut Transfer Act is provided. Hazardous waste manifests may be requested from CTDEP or appropriate site contact to help resolve questions regarding the quantity of hazardous waste generated at the site. 7.0 Conclusions and Recommendations Recognized environmental conditions are summarized in this section as well as recommendations for further investigation,if appropriate. 8.0 References References used as part of the ESA are presented here. SPECIFIC EXCEPTIONS TO, OR DELETIONS FROM, THE GENERAL SCOPE OF WORK AND LIMITATIONS None. a F:\P2000\481\P20\Archive\10\FSA_RRK042004.doc Page 2 of 2 Comes. B , � Fuss&o'rvein t Fuss&O'Neill Inc. r r r 1 1 APPENDIX B SITE ASSESSMENT CHECKLIST r r r r r r r ' F:\P2000\481\P20\Archive\10\FSA_RRK042004.doc comes. 1 1 1 1 i 1 . 1 ' 1 ' 1 1 �I 1 1 1 1 1 1 1 1 1 i � c 1 1 1 1 1 1 1 i 1 1 1 � Fuss&O'Neill t t Fuss&O'Neill Inc. FUSS &O'NEILL,INC. 146 HARTFORD ROAD MANCHESTER, CONNECTICUT 06040 ' 860-646-2469 Project Number: 2000481.P20 Date: April 2004 Site Name: 1-15 Buckland Road and 395 Smith Street Site Address: 1-15 Buckland Road and 395 Smith Street, South Windsor, CT Client: Poag&McEwen Lifestyle Centers, LLC Key Site Manager: Bill McFarland Telephone: ' REGULATORY DATABASE REVIEW 1 Federal Files Date Reviewed National Priority List 04/16/04 RCRA TSDF List 04/16/04 CERCLIS List 04/16/04 RCRA Generators List 04/16/04 ERNS List 04/16/04 CTDEP Waste Management Bureau Files Waste Engineering and Enforcement Division: Hazardous Waste Sites List 04/16/04 Orders 04/21/04 Notices of Violation 04/21/04 Oil and Chemical Spills Response Division: Spills Files 04/16/04 Solid Waste Program: Landfill and Solid Waste Site List 04/16/04 Orders 04/21/04 Notices of Violation 04/21/04 Underground Storage Tank Division: Leaking UST List 04/16/04 UST List 04/16/04 F:\P2000\481\P20\Amhive\10\ESA RRK042004.doc Page 1 of 3 Correa. Fuss&O'Neill Inc. FUSS &O'NEILL, INC. 146 HARTFORD ROAD MANCHESTER, CONNECTICUT 06040 860-646-2469 Project Number: 2000481.P20 Date: April 2004 , Site Name: 1-15 Buckland Road and 395 Smith Street REGULATORY DATABASE REVIEW(continued) CTDEP Water Management Bureau Files Date Permitting,Enforcement,and Remediation: Permits List 04/16/04 Orders 04/21/04 Notices of Violation 04/21/04 Site Remediation and Closure Division: Transfer Act Filings 04/16/04 Orders 04/21/04 Notices of Violation 04/21/04 SITE INSPECTION General Information Drinking Water Private Well Testing Source: On-site wells Results(if available): Not available Sanitary Waste Disposal: On-site septic Type of Heating: Oil Surface Conditions Number of Buildings: Four Sheds or other: None Type of Structures: Wood Frame Square Footage: See Appendix C Number of Floors: One+basement Bldg.Condition: Fair to good Aboveground Tanks: Basements Floor Drains: None noted Haz-Mat Storage: Household items Drums: None 1 Buckland Rd Debris: garage Other: F.\P2000\481\P20\Archive\10\ESA RRK042004.doc Page 2 of 3 Comes. Fuss&O'Neill Inc. ' FUSS&O NEILL,INC. 146 HARTFORD ROAD MANCHESTER,CONNECTICUT 06040 860-646-2469 Project Number: 2000481.P20 Date: April 2004 rSite Name: 1-15 Buckland Road and 395 Smith Street SITE INSPECTION (Continued) Subsurface Conditions Underground Storage Tanks: None noted ' Water Supply Wells: Yes Monitoring Wells: None noted Sewer: None Septic: Yes Storm Drains: None noted Other: Potential Sources Petroleum Products: ASTs Transformers: None noted Cleaners/Solvents: Household items Pesticides/Herbicides: Unknown Effluents: None noted Odors: None noted Other: Waste Disposal Liquid Wastes: None Biomedical Wastes: None noted Solid Wastes: Household waste Recycling: None noted Disposal Contractor(s): Other: F.\P2000\481\P20\Amhive\10\ESA RRK042004.doc Page 3 of 3 Comes. M m m m s m m m k� w Mao m m M M w M M Fuss&O'Neill Inc. APPENDIX C PROPERTY DESCRIPTION CARDS I' it ' F.\P2000\481\P20\Archive\10\ESA_RRK042004.doc comes. 1 i 1 1 1 1 1 1 1 1 1 rr r r r r rr rr r r r r rr rr r it ■r rr rr rr TOWN OF SOUTH WINDSOR, CONNECTICUT SIDE CARD STREET CODE LOCATION7 1 OF 1 NEIGHBORHOO MAP/LOT/SDIV ACCOUNT NUMBER 1 0002860 153010001 0001 BUCKLAND ROAD 6COM 18 8 CENSUS TRACT 4875 ZONE RR OWNER OF RECOR MAILING ADDRESS VOLUME/PAGE PURCHASE DATE SALES PRICE U/N LEON ,RD SCOTT 110 LAVENDER LANE 1228/143 07/05/2001 157500 U ROCKY HILL CT 06067 OWNERSHIP HISTORY FANDOZZI GURRIE A JR 113/137 U . � rTYPE BASEMENT FINISH ASSESSMENT BREAKDOWN DESCRIPTION UNIT ACREAGE ASSESSMENT BUILDING CLASS 8 / 0 RESIDENTIAL LOT 0.50 49280 TYPE 1 FAMILY/ 1.0 / B FINISH AREA 1074 S/F AREA RESIDENTIAL DWELLINGS 1 64490 DESIGN RANCH SEMI FIN% WET/LOW BSMT OCCUPANCY FAMILY RESIDENCE BSMT FINISH QUALITY LOWER QUALITY #CARS/BSMT GARAGE XTERIO � FOUNDATION POURED CONC. TOTAL ASSESSMENT 113770 BASEMENT FULL CRAWL% HEATING AND COOLING SYSTEM N . ;1cN PART% SLAB% HOT WATER OIL CONDITION/DESIR/UTIL AVERAGE EXTERIOR SIDING -1 WOOD SHINGLE YEAR BUILT 1966 -2 RENOVATION YEAR -3 HEATING% 100 AIR COND% ADDITION YEAR BRICK/STONE LN HGT W, PLUMBING 000WROOMlAYOUT , INSULATION 100 % FIXTURES BATH TYPE FIXTURES LAV TYPE EXTERIOR MILLWORK PLAIN 3 MOD-PLAIN TUB 2 MODERN-PLAIN KIT DR LR BR FR I OTHER TOTAL BATH ROOF TYPE GABLE BASEMENT DORMER(L.F.) 1ST FLR 1 1 1 3 6 1.5 ROOFING ASPHALT 2ND FLR PLAIN FIREPLACES 1 3RD FLR DETAILED FIREPLACES HEATING DEPRECIATION MODERN TOTAL 3 1 6 1.5 CHIMNEY S 1 TERIOR -".,. ", "fB ILDING PERMIT-C.O. INFORMATION SINGLE CARD YES INTERIOR MILLWORK PLAIN PERMIT NUMBER PERMIT STATUS REFER ACCT# %OF INTERIOR FINISH 100 % LAST UPDATE 05/28/2003 PERCENT COMPLETE DATE OF CERTIFICATE INSPECTION DATE s :INTERIORFINISHr% INSPECTOR DS WALL FINISH FLOOR FINISH PERMIT STATUS ENTRY CS BASEMENT NIL CONCRETE PREVIOUS GROSS ASSESSMENT 80300 1ST FLOOR PLASTER HARD WOOD ASSESSMENT HISTORY DATA 2ND FLOOR YEAR GROSS REASON UPDATE 3RD FLOOR REFUSED ENTRY PER APPOINTMENT LETTER-ESTIMATED;TOPO-BELOW GRADE; LESHER GLENDINNING MUNICIPAL SERVICES, INC. _TOWN OF SOUTH WINDSOR CONNECTICUT SIDE.CARD ' STREET CODES LOCATION,fi: 1 OF 1 BIUMBORHOO I MAP/LOT/SDIVI ACCOUNT NUMBER 0008263 153010009 0009 BUCKLAND ROAD 6COM 18 9 I,QgWWS TRACT 4875 NE RR _ ' OWNER OF RECORD MAILING ADDRES V GE PURCHASE DAJ.T SALES PRICE EN LEONARD SCOTT 110 LAVENDER LANE 1346/282 08/23/2002 275000 N23 ROCKY HILL CT 060674219 OWNERSHIP HISTOR SLOWICK MITCHELL M 406/085 TYPE-; BASEMENT FINISH `,t-. ,ASSESSMENT BREAKDOWN DESCRIPTION UNIT ACREAGE ASSESSMENT BUILDING CLASS 8 r 0 RESIDENTIAL LOT 0.47 49280 TYPE 1 FAMILY/ 1.0 ! B FINISH AREA S/F AREA RESIDENTIAL DWELLINGS 1 54660 DESIGN RANCH SEMI FIN% WET/LOW BSMT OCCUPANCY FAMILY RESIDENCE BSMT FINISH QUALITY LOWER QUALITY #CARS/BSMT GARAGE 1 STALLS XTE IOR FOUNDATION POURED CONC. TOTAL ASSESSMENT 103940 BASEMENT FULL CRAWL% HEATING AND COOLING SYS PART% SLAB% HOT WATER OIL CONDITION/DESIR/UTIL AVERAGE EXTERIOR SIDING -1 WOOD SHINGLE YEAR BUILT 1957 -2 RENOVATION YEAR -3 HEATING% 100 AIR COND% ADDITION YEAR BRICK/STONE LN HGT PLUMBING ROOM LAYOUT' INSULATION 100 % FIXTURES BATH TYPE FIXTURES LAV TYPE EXTERIOR MILLWORK PLAIN 3 MOD-PLAIN TUB 2 MODERN-PLAIN KIT DR LR BR FR OTHER TOTAL BATH ROOF TYPE GABLE BASEMENT DORMER(L.F.) 1ST FLR 1 1 1 4 7 1.5 ROOFING ASPHALT 2ND FLR PLAIN FIREPLACES 3RD FLR DETAILED FIREPLACES HEATING DEPRECIATION MODERN TOTAL 4 7 1 5 CHIMNEY(S) 1 INT I - ,BUILDING PERMIT-CA INFORMATION; SINGLE CARD YES INTERIOR MILLWORK PLAIN PERMIT NUMBER PERMIT STATUS REFER ACCT# %OF INTERIOR FINISH 100 % LAST UPDATE 03/20/2003 PERCENT COMPLETE DATE OF CERTIFICATE INSPECTION DATE 08/16/1993 o.r `" '1 10 INI$H.�.... ,. .i..., :: INSPECTOR JB WALL FINISH FLOOR FINISH PERMIT STATUS ENTRY JM BASEMENT NIL CONCRETE PREVIOUS GROSS ASSESSMENT 73650 1ST FLOOR DRY WALL HARD WOOD . 2ND FLOOR NIL NIL YEAR GROSS REASON UPDATE 3RD FLOOR NIL NIL ^777r QM ELDERLY BENEFIT;TOPO BELOW GRADE; LESHER GLENDINNING MUNICIPAL SERVICES, INC. ww ww w� w w■i �w w �w aw w� ww �w ww w ww w w w w TOWN OF SOUTH WINDSOR, CONNECTICUT SIDE,CARD STREET CODE LOCATION 1 OF 1 INEIGHBORHOO I MAP/LOT LSDIV ACCOUNT NUMBER 1 0009070 153010015 0015 BUCKLAND ROAD 6COM 1810 CENSUS TRACT 4875 ZONE RR OWNS Q -, ECOR MAILING ADDRESS VOLUME/PAGE PURCHASE DATE SALES PRICE LEONARD SCOTT 110 LAVENDER LANE 1184/116 01/31/2001 175000 U ROCKY HILL CT 06067 r` OWNERSHIP HISTORY VARRICK MARY A 460/014 U PE BASEMENT FINISH ASSESSMENT BREAKDOWN DESCRIPTION UNIT ACREAGE ASSESSMENT BUILDING CLASS 8 / 0 RESIDENTIAL LOT 0.44 73080 TYPE 1 FAMILY/ 1.0 / B FINISH AREA S/F AREA RESIDENTIAL DWELLINGS 1 52600 DESIGN RANCH SEMI FIN% WET/LOW BSMT OCCUPANCY FAMILY RESIDENCE BSMT FINISH QUALITY #CARS/BSMT GARAGE 1 STALLS w " ,EXTERI0 FOUNDATION POURED CONC. TOTAL ASSESSMENT 125680 BASEMENT FULL CRAWL% HEATING AND COOLING SYSTEM <. ONDITION i-_l. . PART% SLAB% HOT WATER OIL CONDITION/DESIR/UTIL AVERAGE EXTERIOR SIDING -1 WOOD SHINGLE YEAR BUILT 1957 -2 RENOVATION YEAR -3 HEATING% 100 AIR COND% ADDITION YEAR BRICK/STONE LN HGT �PLUMBING ', - ROOM LAYOUT INSULATION 100 % FIXTURES BATH TYPE FIXTURES LAV TYPE EXTERIOR MILLWORK PLAIN 3 MOD-PLAIN TUB KIT DRILRI BR FRI OTHER TOTAL BATH ROOF TYPE GABLE BASEMENT DORMER(L.F.) 1ST FLR 1 1 3 5 1.0 ROOFING ASPHALT 2ND FLR PLAIN FIREPLACES 3RD FLR DETAILED FIREPLACES HEATING DEPRECIATION MODERN TOTAL 3 1 1 5 1.0 CHIMNEY(S) 1 1,^ INTERIOR LDING PERMIT-C.O. INFORMATION SINGLE CARD YES INTERIOR MILLWORK PLAIN PERMIT NUMBER PERMIT STATUS REFER ACCT# %OF INTERIOR FINISH 100 1/1, LAST UPDATE 05/27/2003 PERCENT COMPLETE DATE OF CERTIFICATE INSPECTION DATE 08/16/1993 INTERIOR FINISH INSPECTOR JB WALL FINISH FLOOR FINISH PERMIT STATUS ENTRY EC BASEMENT NIL CONCRETE COMPLETE WIRE AS PER PLANS#16766 PREVIOUS GROSS ASSESSMENT 71610 1ST FLOOR DRY WALL HARD WOOD SSESSMENTfHISTQRY�DATA'� 2ND FLOOR NIL NIL YEAR GROSS REASON UPDATE 3RD FLOOR NIL NIL �. ;COtJIMEiVT �" y OPEN PORCH(6X4)-NO CHARGE;TOPO BELOW GRADE; LESHER GLENDINNING MUNICIPAL SERVICES, INC. TOWN OF SOUTH WINDSOR CONNECTICUT nSID WSTREEUPPIM L'QCATION 1 OF 1 1 NEIGHBORHOO MAP-!LOT/SDIV ACCOUNT NUMBER 0003259 837010395 0395 SMITH STREET 6T1A 1811 LS TRACT 4875 ENE RR 7. *, WNER OF RECORD" MAILING ADDRESS 0 P CHAS ALES PRICE U/N EVERGREEN WALK LLC 1109 ROSE LANE 1419/40 02/19/2003 250000 N24 VIRGINIA BEACH VA 23451 OWNERSHIP HISTOR R? 4 BASEMENT FINISH ASSESSMENTBREAKDOWN DESCRIPTION UNIT ACREAGE ASSESSMENT BUILDING CLASS 8 / 0 RESIDENTIAL LOT 0.46 46200 TYPE 1 FAMILY/ 1.0 / B FINISH AREA S/F AREA RESIDENTIAL DWELLINGS 1 58130 DESIGN RANCH SEMI FIN% WET/LOW BSMT OCCUPANCY FAMILY RESIDENCE BSMT FINISH QUALITY #CARS/BSMT GARAGE 1 STALLS AiiA&' ,y _ 1EXTEE05R FOUNDATION POURED CONC. TOTAL ASSESSMENT 104330 BASEMENT FULL CRAWL% EATIN PART% SLAB% HOT WATER OIL CONDITION/DESIR/UTIL AVERAGE EXTERIOR SIDING -1 WOOD SHINGLE YEAR BUILT 1965 -2 RENOVATION YEAR -3 HEATING% 100 AIR COND% ADDITION YEAR BRICK/STONE LN HGT , LUMBING. INSULATION 100 % FIXTURES BATH TYPE FIXTURES LAV TYPE EXTERIOR MILLWORK PLAIN 3 MOD-PLAIN TUB KIT DR LR BR FIR OTHER TOTAL BATH ROOF TYPE GABLE BASEMENT DORMER(L.F.) 1ST FLR 1 1 1 3 6 1.0 ROOFING ASPHALT 2ND FLR PLAIN FIREPLACES 3RD FLR DETAILED FIREPLACES HEATING DEPRECIATION MODERN TOTAL 3 6 1.0 CHIMNEYS 1 C.O.INF SINGLE CARD YES INTERIOR MILLWORK PLAIN PERMIT NUMBER PERMIT STATUS REFER ACCT# %OF INTERIOR FINISH 100 % LAST UPDATE 03/27/2003 PERCENT COMPLETE DATE OF CERTIFICATE INSPECTION DATE 08/18/1993 #'INTERIOR.FINIS INSPECTOR JA WALL FINISH FLOOR FINISH PERMIT STATUS ENTRY EP BASEMENT NIL CONCRETE REPLACE OIL FIRED HYDRONIC BOILER#10048; PREVIOUS GROSS ASSESSMENT 82150 1ST FLOOR DRY WALL CARPET ASSMMENT, ' RY DATA 2ND FLOOR NIL NIL YEAR GROSS REASON UPDATE 3RD FLOOR NIL NIL O M BASEMENT IS GARAGE WALKOUT; LESHER GLENDINNING MUNICIPAL SERVICES, INC. ws ek J� � ,fOJOa.a O�l� CADASTTVLL MAP OF N TOWN OF f SOUTH WINDSOR NARTFORD COUNTY CONNECTICUT i • f w I� SOR tER wrm `--- ansn ti s•� S��I\NO�GHES - L2&Fd0 113 n+r MOCKIO, .,,r aNaaffo.aws f f.r wN •K� TEItT e°N wra ww 1 NN• ..Y .ee raww �.wY YY Nq a .f1 Nf OF __'. tNwuafw,a.sf ••r -- wev°s w F • 0 .oN.ow wunw N• A Nw SOWN TOWN ..w�« w.aw.... N KEY TO INEET7 9'a ......... 26 27 2 I-U"w Ofc°n0u 1L 3067 0 n0 F•• O r.ora ar aKEEr a also 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 � D � Fuss& O'Neill Fuss&O'Neill Inc. APPENDIX D ENVIRONMENTAL DATABASE SEARCH FirstSearch Technology Corporation ' F:\P2000\481\P20\Archive\10\ESA_RRK042004.doc Corms. 1 1 1 FirstSearch Technology Corporation Environmental FirstSearchT"I Report 1 TARGET PROPERTY: 1 9 BUCKLAND ROAD 1 SOUTH WINDSOR CT 06074 1 Job Number: 2000481P20 1 1 PREPARED FOR: Fuss & O Neill, Inc. 1 146 Hartford Road ' Manchester, CT 06040 1 1 04-16-04 FIR en Tel. (781) 320-3720 Fax: (781)320-371 S 1 Environmental FirstSearch is a registered trademark of FirstSearch Technology Corporation.All rights reserved. 1 Environmental FirstSearch ' Search Summary Report Target Site: 9 BUCKLAND ROAD ' SOUTH WINDSOR CT 06074 FirstSearch Summary , Database Sel Updated Radius Site 1/8 1/4 1/2 1/2> ZIP TOTALS NPL Y 02-09-04 1.00 0 0 0 0 0 0 0 ' CERCLIS Y 02-09-04 0.50 0 0 0 0 - 0 0 NFRAP Y 0209-04 0.15 0 0 0 - - 0 0 ' RCRA TSD Y 02-09-04 0.50 0 0 0 0 - 0 0 RCRA COR Y 02 09 04 1.00 0 0 0 0 0 0 0 RCRA GEN Y 02-09-04 0.15 0 0 0 - - 0 0 RCRA NLR Y 02-09-04 0.25 0 0 1 - - 1 2 , ERNS Y 12-31-03 0.15 0 0 0 - - 4 4 State Sites Y 02-01-04 1.00 0 0 0 0 5 5 10 Spills-1990 Y 03-16-04 0.15 0 1 6 - - 238 245 SWL Y 01-01-04 0.50 0 0 0 0 - 1 1 ' Other Y 11-21-01 0.25 0 0 0 - - 0 0 REG UST/AST Y 01-05-04 0.15 0 0 0 - - 0 0 Leaking UST Y 01-22-04 0.50 0 0 0 0 - 7 7 ' Receptors Y 01-01-95 0.50 0 0 0 0 - 0 0 -TOTALS- 0 1 7 0 5 256 269 Notice of Disclaimer Due to the limitations,constraints,inaccuracies and incompleteness of government information and computer mapping data currently available to FirstSearch Technology Corp.,certain conventions have been utilized in preparing the locations of all federal,state and local agency sites residing in ' FirstSearch Technology Corp.'s databases.All EPA NPL and state landfill sites are depicted by a rectangle approximating their location and size.The boundaries of the rectangles represent the eastern and western most longitudes;the northern and southern most latitudes.As such,the mapped areas may exceed the actual areas and do not represent the actual boundaries of these properties. All other sites are depicted by a point representing their approximate address location and make no attempt to represent the actual areas of the associated property. Actual boundaries and locations of individual properties can be found in the files residing at the agency responsible for such information. ' Waiver of Liability Although FirstSearch Technology Corp.uses its best efforts to research the actual location of each site,FirstSearch Technology Corp.does not and ' can not warrant the accuracy of these sites with regard to exact location and size.All authorized users of FirstSearch Technology Corp.'s services proceeding are signifying an understanding of FirstSearch Technology Corp.'s searching and mapping conventions,and agree to waive any and all liability claims associated with search and map results showing incomplete and or inaccurate site locations. Environmental FirstSearch Site Information Report ' Request Date: 04-16-04 Search Type: COORD Requestor Name: Bob Kovach Job Number: 200048IP20 Standard: ASTM TARGET ADDRESS: 9 BUCKLAND ROAD SOUTH WINDSOR CT 06074 Demographics Sites: 269 Non-Geocoded: 256 Population: NA Radon: 0.3-3.1 PCn Site Location Degrees(Decimal) Degrees (Min/Sec) UTMs Longitude: -72.555375 -72:33:19 Easting: 703076.056 Latitude: 41.808624 41:48:31 Northing: 4631204.109 Zone: 18 Comment Comment:1-15 BUCKLAND RD AND 395 SMITH ST Additional Requests/Services Adjacent ZIP Codes: 1 Mile(s) Services: ZIP Code City Name ST DisUDir Sel Requested? Date 06040 MANCHESTER CT 0.04 SE Y Sanborn No Aerial Photographs No Topographical Maps No City Directories No Title Search No Municipal Reports No Online Topos No Environmental FirstSearch 1 Sites Summary Report TARGET SITE: 9 BUCKLAND ROAD JOB: 200048IP20 SOUTH WINDSOR CT 06074 1-15 BUCKLAND RD AND 395 SMITH ST TOTAL: 269 GEOCODED: 13 NON GEOCODED: 256 SELECTED: 1 ID DB Type Site Name/ID/Status Address Dist/Dir Map ID i 10 SPILLS 350 BUCKLAND STREET 0.11 SE 10 9905047/CLOSED MANCHESTER CT 06040 ' 8 SPILLS UNK APPLICATOR 1 BUCKLAND HILLS 0.13 SE 8 9803301/CLOSED MANCHESTER CT 06040 13 SPILLS 1550 PLEASANT VALLEY ROAD 0.15 SE i 1 200004749/CLOSED MANCHESTER CT 06040 12 SPILLS 1550 PLEASANT VALLEY RD 0.15 SE 11 200305866/CLOSED MANCHESTER CT 11 SPILLS 1540 PLEASANT VALLEY RD 0.15 SE 7 200303158/CLOSED MANCHESTER CT 06040 9 SPILLS 345 BUCKLAND DRIVE 0.15 SE 9 94243/CLOSED MANCHESTER CT 06040 7 SPILLS SALONZO BEAUTY PARLOR 1540 PLEASANT VALLEY RD 0.15 SE 7 200305606/CLOSED MANCHESTER CT 1 RCRANLR EXXON CO USA 38956 1527 PLEASANT VALLEY 0.20 SE 1 CTD983896036/NLR MANCHESTER CT 06040 2 STATE BURGESS PROPERTY 36 RIDGE ROAD 0.62 NE 2 2671/SUSPECTED SOUTH WINDSOR CT 06074 5 STATE MOBIL#06-ARB 112 BUCKLAND STREET 0.64 SE 5 2209/SUSPECTED MANCHESTER CT 06040 6 STATE SNET 1187 TOLL AND TURNPIKE 0.80 SE 6 4434/SUSPECTED MANCHESTER CT 06040 3 STATE EAGLE CLEANERS 1143 TOLLAND TURNPIKE 0.83 SE 3 4414/SUSPECTED MANCHESTER CT 06040 4 STATE FIRESTONE STORE 7060 1145 TOLL AND TURNPIKE 0.83 SE 4 4415/SUSPECTED MANCHESTER CT 06040 ' Environmental FirstSeards Sites Summary Report TARGET SITE: 9 BUCKLAND ROAD JOB: 200048IP20 SOUTH WINDSOR CT 06074 1-15 BUCKLAND RD AND 395 SMITH ST TOTAL: 269 GEOCODED: 13 NON GEOCODED: 256 SELECTED: 1 ID DB Type Site Name/ID/Status Address Dist/Dir Map ID 181 SPILLS SHELDON RD NON GC 9901221/CLOSED MANCHESTER CT 06040 180 SPILLS RT 81 PARKER ST NON GC 9801977/CLOSED MANCHESTER CT 06040 86 SPILLS 4 CORNERS INTERSECTION OF RT94 NON GC 9803451/CLOSED SOUTH WINDSOR CT 87 SPILLS 291 WEST OFF RT 5 NON GC 200205886/CLOSED SOUTH WINDSOR CT 177 SPILLS I-94 WB EX 60-62 NON GC 933656/CLOSED MANCHESTER CT 06040 178 SPILLS WIISON/WASHINGTON AVE NON GC 955339/CLOSED MANCHESTER CT 06040 215 SPILLS 84 EAST BETWEEN EXITS 62 AND 6 NON GC 200000604/CLOSED MANCHESTER CT 06040 190 SPILLS SPRING ST NON GC 200305849/CLOSED MANCHESTER CT 06040 214 SPILLS I-384 WB BETWEEN EXITS 1& NON GC 200002947/CLOSED MANCHESTER CT 06040 213 SPILLS 615 PARK STREET NON GC 200003492/CLOSED MANCHESTER CT 06040 211 SPILLS OAKLAND ST BEHIND DUNKIN DONU NON GC 200006328/CLOSED MANCHESTER CT 06040 ' 99 SPILLS RT 6/RT 68 EB NON GC 924143/CLOSED SOUTH WINDSOR CT 06074 209 SPILLS BUCKLAND ST NON GC 200007138/CLOSED MANCHESTER CT 06040 208 SPILLS FINLEY STREET NON GC 200201797/CLOSED MANCHESTER CT 06040 207 SPILLS EAST MIDDLE TURNPIKE NON GC 200204515/CLOSED MANCHESTER CT 06040 179 SPILLS NORTH MAIN ST. NON GC 9802004/CLOSED MANCHESTER CT 06040 205 SPILLS TOLLAND TPK NON GC 200204919/CLOSED MANCHESTER CT 06040 90 SPILLS ROUTE 5/GOVERNORS CIRCLE NON GC 200303551/CLOSED SOUTH WINDSOR CT 189 SPILLS OAKLAND STREET/NORTH MAIN ST/M NON GC 200306066/CLOSED MANCHESTER CT 06040 188 SPILLS SOUTH MAIN NON GC 200306027/CLOSED MANCHESUR CT 06040 Environmental F a trst rch S a Sites Summary Report TARGET SITE: 9 BUCKLAND ROAD JOB: 200048IP20 SOUTH WINDSOR CT 06074 1-15 BUCKLAND RD AND 395 SMITH ST TOTAL: 269 GEOCODED: 13 NON GEOCODED: 256 SELECTED: 1 ID DB Type Site Name/ID/Status Address Dist/Dir Map ID 187 SPILLS 84 WEST EXIT 64+63 NON GC 9706333/CLOSED MANCHESTER CT 06040 186 SPILLS 184 EAST BOND NON GC 200207575/CLOSED MANCHESTER CT 06040 185 SPILLS RT 291 W EXIT 4+5 NON GC 9700809/CLOSED MANCHESTER CT 06040 184 SPILLS 184 WEST BOUND BETWEEN EXIT 6 NON GC 9702193/CLOSED MANCHESTER CT 06040 183 SPILLS 1291 BETWEEN EXIT 4-5 NON GC 9701918/CLOSED MANCHESTER CT 06040 182 SPILLS I-84 WB BETWEEN EXITS 63&6 NON GC 9701721/CLOSED MANCHESTER CT 06040 206 SPILLS WEST MIDDLE TPKE NON GC 200204737/CLOSED MANCHESTER CT 06040 108 SPILLS A LITTLE DIRT ROAD RIGHT OFF 0 NON GC 200007615/CLOSED SOUTH WINDSOR CT 06074 88 SPILLS EAST WINDSOR HILL&MAIN ST ( NON GC 200203638/CLOSED SOUTH WINDSOR CT 116 SPILLS HIGH VIEW DR AND BENNEDICT DR NON GC 9800831/CLOSED SOUTH WINDSOR CT 06074 115 SPILLS SULIVAN AVE NON GC 9801836/CLOSED SOUTH WINDSOR CT 06074 114 SPILLS U-SELF STORAGE NON GC , 9801875/CLOSED SOUTH WINDSOR CT 06074 113 SPILLS ST MARK CIRCLE NON GC 9903479/CLOSED SOUTH WINDSOR CT 06074 112 SPILLS CAMBRIDGE DRIVE NON GC 99043761CLOSED SOUTH WINDSOR CT 06074 III SPILLS BARRY ROAD NON GC 9907528/CLOSED SOUTH WINDSOR CT 06074 118 SPILLS FELTWERT EXT NEAR RT 30 NON GC 92274/CLOSED SOUTH WINDSOR CT 06074 109 SPILLS 121 CONNECTICUT BLVD NON GC 200002277/CLOSED SOUTH WINDSOR CT 06074 119 SPILLS STRONG RD RT 5 POLE#3159 NON GC 9703611/CLOSED SOUTH WINDSOR CT 06074 107 SPILLS NEW MARKER RD NON GC 956990/CLOSED SOUTH WINDSOR CT 06074 106 SPILLS GRIFFIN RD PAD 986 NON GC 200205441/CLOSED SOUTH WINDSOR CT 06074 Environmental FirstSearch Sites Summary Report TARGET SITE: 9 BUCKLAND ROAD JOB: 2000481P20 SOUTH WINDSOR CT 06074 1-15 BUCKLAND RD AND 395 SMITH ST TOTAL: 269 GEOCODED: 13 NON GEOCODED: 256 SELECTED: 1 !, ID DB Type Site Name/ID/Status Address Dist/Dir Map ID 105 SPILLS BUCKLAND ROAD NON GC 200205816/CLOSED SOUTH WINDSOR CT 06074 104 SPILLS SULLIVAN AVE 1395/RT 5 NON GC 200300136/CLOSED SOUTH WINDSOR CT 06074 103 SPILLS INT TROY AND RYE NON GC 200401068/CLOSED SOUTH WINDSOR CT 102 SPILLS ROUTE 74/FOSTER STREET EXTEN NON GC 200401176/CLOSED SOUTH WINDSOR CT 101 SPILLS 89 ELLINGTON ROAD NON GC 200401563/CLOSED SOUTH WINDSOR CT 100 SPILLS RT 74&ROSTER ST NON GC 9245/CLOSED SOUTH WINDSOR CT 06074 110 SPILLS GOVERNERS HIGHWAY NON GC 9907580/CLOSED SOUTH WINDSOR CT 06074 98 SPILLS SMITHST NON CC 931984/CLOSED SOUTH WINDSOR CT 06074 212 SPILLS WEST MIDDLE TURNPIKE NON GC 200003759/CLOSED MANCHESTER CT 06040 91 SPILLS SAINT MARKS CIRCLE P7 NON GC 200304807/CLOSED SOUTH WINDSOR CT 92 SPILLS RTS AND 291 NON GC 200308802/CL,OSED SOUTH WINDSOR CT 93 SPILLS RT 5 NON GC 200300535/CLOSED SOUTH WINDSOR CT 06074 94 SPILLS SULLIVAN AVE NON GC 951541/CLOSED SOUTH WINDSOR CT 06074 95 SPILLS 90 BROOKFIELD ST NON GC 951458/CLOSED SOUTH WINDSOR CT 06074 96 SPILLS SULLIVAN AVE NON GC 91762/CLOSED SOUTH WINDSOR 0 CT 064 7 117 SPILLS KENNEDY RD NON GC 9706110/CLOSED SOUTH WINDSOR CT 06074 260 SPILLS NEW STATE RD NON GC 913154/CLOSED MANCHESTER CT 06040 89 SPILLS BISSELL BRIDGE ROUTE 291 EAST NON GC 200106887/CLOSED SOUTH WINDSOR CT 127 SPILLS EXIT 4 RAMP OFF 291 EAST NON GC 9807336/CLOSED SOUTH WINDSOR CT 126 SPILLS 1-291 X 4 NON GC 200203130/CLOSED SOUTH WINDSOR CT Environmental FirstSearch Sites Summary Report TARGET SITE• 9 BUCKLAND ROAD JOB: 200048IP20 SOUTH WINDSOR CT 06074 1-15 BUCKLAND RD AND 395 SMITH ST TOTAL: 269 GEOCODED: 13 NON GEOCODED: 256 SELECTED: 1 ID DB Type Site Name/ID/Status Address Dist/Dir Map ID 125 SPILLS PLEASANT VALLY RD AND CLARK RD NON GC 200202756/CLOSED SOUTH WINDSOR CT 124 SPILLS CT RIVER NON GC 200303145/CLOSED SOUTH WINDSOR CT 123 SPILLS MAIN STREET NON GC 200304220/CLOSED SOUTH WINDSOR CT 122 SPILLS ANREIS TRAIL,POLE 286 NON GC 200305045/CLOSED SOUTH WINDSOR CT 121 SPILLS JOHN FITCH BOULAVARD NON GC 200307249/CLOSED SOUTH WINDSOR CT 120 SPILLS NEVERS RD NON GC 9605866/CLOSED SOUTH WINDSOR CT 06074 97 SPILLS SULLIVAN AVE NON GC 951091/CLOSED SOUTH WINDSOR CT 06074 200 SPILLS 194 EAST BOUND EXIT 60-61 NON GC 200306601/CLOSED MANCHESTER CT 06040 191 SPILLS 300 CHAPEL STREET NON GC 200305051/CLOSED MANCHESTER CT 06040 223 SPILLS 8000 BUCKLAND ST NON GC 200009254/CLOSED MANCHESTER CT 06040 222 SPILLS BUCKLAND HILL ROAD NON GC 200100105/CLOSED MANCHESTER CT 06040 221 SPILLS FINLEY STREET NON GC 200100320/CLOSED MANCHESTER CT 06040 220 SPILLS 1-84 EB EX 62-63 NON GC 957174/CLOSED MANCHESTER CT 06040 219 SPELLS BROAD STREET NON GC 200108894/CLOSED MANCHESTER CT 06040 204 SPILLS 15 JOHN OATES DRIVE GARAGE 14 NON GC 200205414/CLOSED MANCHESTER CT 06040 203 SPELLS 151 WEST MAIN ST NON GC 200206812/CLOSED MANCHESTER CT 06040 225 SPILLS SPRING ST NON GC 200104423/CLOSED MANCHESTER CT 06040 201 SPILLS BUCKLAND ST HOV LANE NON GC 200306402/CLOSED MANCHESTER CT 06040 226 SPILLS HILLARD STREET NON GC 200008552/CLOSED MANCHESTER CT 06040 199 SPILLS SAINT JAMES STREET NON GC 200307533/CLOSED MANCHESTER CT 06040 t Environmental FirstSearch Sites Summary Report TARGET SITE: 9 BUCKLAND ROAD JOB: 2000481P20 SOUTH WINDSOR CT 06074 1-15 BUCKLAND RD AND 395 SMITH ST TOTAL: 269 GEOCODED: 13 NON GEOCODED: 256 SELECTED: 1 ID DB Type Site Name/ID/Status Address Dist/Dir Map ID 198 SPILLS VERNON STREET NON GC 200400283/CLOSED MANCHESTER CT 06040 197 SPILLS SPENCER STREET BY I-394 NON GC 200308817/CLOSED MANCHESTER CT 06040 196 SPILLS WEST MIDDLE TRNPK ESSEX STREET NON GC 200206943/CLOSED MANCHESTER CT 06040 195 SPILLS RT 291 W NON GC 200208345/CLOSED MANCHESTER CT 06040 210 SPILLS KEENEY STREET NON GC 200207192/CLOSED MANCHESTER CT 06040 193 SPILLS N.MAIN NON GC 200300150/CLOSED MANCHESTER CT 06040 216 SPILLS FAULKNER ROAD NON GC 200000539/CLOSED MANCHESTER CT 06040 202 SPILLS WEST MIDDLE TPKE NON GC 200206859/CLOSED MANCHESTER CT 06040 249 SPILLS I-84 EB BETWEEN EXIT 62&63 NON GC 9606245/CLOSED MANCHESTER CT 06040 259 SPILLS WEST CENTER ST NON GC 912249/CLOOSED MANCHESTER CT 06040 258 SPILLS MAIN ST NON GC 947180/CLOSED MANCHESTER CT 06040 257 SPILLS NO MAIN ST NON GC 94181/CLOSED MANCHESTER CT 06040 256 SPILLS HALE RD/CENTER ST NON GC 933973/CL.OSED MANCHESTER CT 06040 255 SPILLS TOLLAND TNPK NON GC 953636/CLOSED MANCHESTER CT 06040 254 SPILLS OLCOTT ST NON GC 9706808/CLOSED MANCHESTER CT 06040 253 SPILLS WEST MIDDLE TPKE STRIP MALL NON GC 9800283/CLOSED MANCHESTER CT 06040 252 SPILLS I-84 BETWEEN EXITS 62&63 NON GC 9800546/CLOSED MANCHESTER CT 06040 224 SPILLS NORTH MAIN ST. NON GC 200009096/CLOSED MANCHESTER CT 06040 250 SPILLS BUCKLAND HILLS DRIVE NON GC 96909/CLOSED MANCHESTER CT 06040 192 SPILLS DENNISON AND AVERY NON GC 200300169/CLOSED MANCHESTER CT 06040 Environmental FirstSearch Sites Summary Report TARGET SITE: 9 BUCKLAND ROAD JOB: 200048IP20 SOUTH WINDSOR CT 06074 1-15 BUCKLAND RD AND 395 SMITH ST TOTAL: 269 GEOCODED: 13 NON GEOCODED: 256 SELECTED: 1 ID DB Type Site Name/ID/Status Address Dist/Dir Map ID 248 SPILLS BUCKLAND HILLS DRIVE NON GC 9700554/CLOSED MANCHESTER CT 06040 247 SPILLS WEST MIDDLE TURNPIKE BETWEEN M NON GC 9705510/CLOSED MANCHESTER CT 06040 232 SPILLS PAVILLION ROAD NON GC 9806995/CLOSED MANCHESTER CT 06040 231 SPILLS BUCKLAND STREET NON GC 9807491/CLOSED MANCHESTER CT 06040 230 SPILLS HACKAMATACK ST NON GC 9808113/CLOSED MANCHESTER CT 06040 229 SPILLS CENTER ST NON GC 95484/CLOSED MANCHESTER CT 06040 228 SPILLS WETHERELLE ST NON GC 9906006/CL.OSED MANCHESTER CT 06040 227 SPILLS EAST MIDDLE TPKE NON GC 9907555/CLOSED MANCHESTER CT 06040 251 SPILLS TOLLAND ST NON GC 200207554/CLOSED MANCHESTER CT 06040 238 SPILLS RING RD NON GC 9805241/CLOSED MANCHESTER CT 06040 246 SPILLS SPENCER STREET NON GC 200000755/CLOSED MANCHESTER CT 06040 245 SPILLS BUCKLAND HILLS DR. NON GC 9800163/CLOSED MANCHESTER CT 06040 244 SPILLS 1-84 WB EX 62-63 NON GC 943893/CLOSED MANCHESTER CT 06040 194 SPILLS 384 WEST NON GC 200208705/CLOSED MANCHESTER CT 06040 243 SPILLS SHELDON RD NON GC 934283/CLOSED MANCHESTER CT 06040 176 SPILLS WEST MIDDLE TNPK NON GC 924704/CLOSED MANCHESTER CT 06040 242 SPILLS BUCKLAND ST NON GC 9802340/CLOSED MANCHESTER CT 06040 241 SPILLS 194 EXIT 62-63 NON GC 9804228/CLOSED MANCHESTER CT 06040 261 SPILLS GREEN RD NON GC 915475/CL.OSED MANCHESTER CT 06040 239 SPILLS FERN ST NON GC 9804877/CLOSED MANCHESTER CT 06040 Environmental FirstSearch Sites Summary Report TARGET SITE: 9 BUCKLAND ROAD JOB: 200048IP20 SOUTH WINDSOR CT 06074 1-15 BUCKLAND RD AND 395 SMITH ST TOTAL: 269 GEOCODED: 13 NON GEOCODED: 256 SELECTED: 1 ID DB Type Site Name/ID/Status Address Dist/Dir Map ID 266 LUST KENNEDY RD NON GC 9706110/CLOSED SOUTH WINDSOR CT 06074 237 SPILLS BUCKLAND HILLS DRIVE NON GC 9805255/CLOSED MANCHESTER CT 06040 175 SPILLS SPRING ST/LOWER RD NON GC 92841/CLOSED MANCHESTER CT 06040 217 SPILLS 2000 SOUTH MAIN STREET NON GC 200000351/CLOSED MANCHESTER CT 06040 218 SPILLS 384 WEST BETWEEN EXIT 34 NON GC 9908690/CLOSED MANCHESTER CT 06040 233 SPILLS TOLLAND TRPE NON GC 9806155/CLOSED MANCHESTER CT 06040 234 SPILLS PAVILLLON ROAD NON GC 9806024/CLOSED MANCHESTER CT 06040 235 SPILLS BUCKLAND STREET NON GC 9805836/CLOSED MANCHESTER CT 06040 ' 240 SPILLS TOLLAND TPKE NEAR CHAPEL RD NON GC 9804677/CLOSED MANCHESTER CT 06040 236 SPILLS HENRY ST NON GC 9805481/CLOSED MANCHESTER CT 06040 128 SPILLS ALLIANCE ENERGY PLEASANT VALLEY ROAD NON GC 200205763/CLOSED MANCHESTER CT 06040 24 SPILLS ANDRE CHARBEAU RT 5 NON GC 91873/CLOSED SOUTH WINDSOR CT 06074 129 SPILLS APOLLO MOTOR EXPRESS OI.COTT ST TO 1-84 EXIT 60-61 A NON GC 9806413/CLOSED MANCHESTER CT 06040 25 SPILLS C&P MACHINE COMMERCE AVENUE,C&P MACHINE NON GC 200207940/CLOSED SOUTH WINDSOR CT 130 SPILLS C.L&P BRIARWOOD DRIVE NON GC 9908566/CLOSED MANCHESTER CT 06040 26 SPILLS CLIP ARNOLD WAY NON GC 9908112/CLOSED SOUTH WINDSOR CT 06074 28 SPILLS CL&P GRUTEN RD PAD#816 NON GC 200009135/CLOSED SOUTH WINDSOR CT 06074 27 SPILLS CLAP GAIL LA PADS#160&161 NON GC 200001889/CLOSED SOUTH WINDSOR CT 06074 29 SPILLS CONN DOT LONG HILL.RD NON GC 923805/CLOSED SOUTH WINDSOR CT 06074 16 ERNS CONN.LIGHT&POWER CLARK ST NON GC 459900/UNKNOWN SOUTH WINDSOR CT 06074 Environmental FirstSearch Sites Summary Report TARGET SITE• 9 BUCKLAND ROAD JOB: 200048IP20 SOUTH WINDSOR CT 06074 1-15 BUCKLAND RD AND 395 SMITH ST TOTAL: 269 GEOCODED: 13 NON GEOCODED: 256 SELECTED: 1 ID DB Type Site Name/ID/Status Address Dist/Dir Map ID 15 ERNS CONN.LIGHT&POWER TOLLANDSTAGE ROAD NON GC D60131/0THER SOUTH WINDSOR CT 06074 17 ERNS CONNECTICUT LIGHT&POWER FORREST STREET NON GC 580012MVKNOWN MANCHESTER CT 06040 19 STATE DOT GRAVEL PIT I-84 NON GC 408/INVENTORY SOUTH WINDSOR CT 06074 131 SPILLS DR BROTZ I-84 WB EX 60-62 NON GC 933657/CLOSED MANCHESTER CT 06040 20 STATE EDB IMPACTED PROPERTIES VARIOUS NON GC 2332/SUSPECTED SOUTH WINDSOR CT 06074 30 SPILLS GISLERS SUPERMARKET GISLERS SUPERMARKET 318 BROAD NON GC 9700160/CLOSED SOUTH WINDSOR CT 06074 263 LUST GISLERS SUPERMARKET GISLERS SUPERMARKET 318 BROAD NON GC 9700160/CLOSED SOUTH WINDSOR CT 132 SPILLS GLENN DRILLING CO. HILLSTOWN RD. NON GC 9706975/CLOSED MANCHESTER CT 06040 31 SPILLS GRASS MASTERS PLEASANT VALLEY RD AT WEST EDG NON GC , 200206117/CLOSED SOUTH WINDSOR CT 32 SPILLS IMPERIAL OIL PARKVIEW DRIVE NON GC 200108983/CLOSED SOUTH WINDSOR CT 06074 267 LUST JOSEPH RUSSO 5557 NORTH ELM STREET NON GC 200008281/CLOSED MANCHESTER CT 06040 133 SPILLS JOSEPH RUSSO 5557 NORTH ELM STREET NON GC 200008281/CLOSED MANCHESTER CT 06040 33 SPILLS KASCHETA 15 GOSWITH NON GC 9707224/CLOSED SOUTH WINDSOR CT 06074 34 SPELLS KEARW AUTOMOTIVE OFF RAMP ONTO 291 NON GC 200201744/CLOSED SOUTH WINDSOR CT 06074 264 LUST LEE STEVENS 334 SLATER RD NON GC 200306295/CLOSED SOUTH WINDSOR CT 06074 35 SPELLS LEE STEVENS 334 SLATER RD NON GC 200306295/CLOSED SOUTH WINDSOR CT 134 SPELLS S M D C 50 MURPHY RD NON GC 933183/CLOSED MANCHESTER CT 06040 36 SPELLS M&S SEAL COAT OAKLAND ST(RTE 30),NEAR#151 NON GC 200305904/CLOSED SOUTH WINDSOR CT 135 SPILLS M.V.A I-84 WEST BOUND NEAR THE MAN NON GC 9906395/CLOSED MANCHESTER CT 06040 136 SPELLS M.V.A SPENSER STREET NEAR I-84 NON GC 200002516/CLOSED MANCHESTER CT 06040 Environmental FirstSearch Sites Summary Report TARGET SITE: 9 BUCKLAND ROAD JOB: 200048IP20 SOUTH WINDSOR CT 06074 1-15 BUCKLAND RD AND 395 SMITH ST ' TOTAL: 269 GEOCODED: 13 NON GEOCODED: 256 SELECTED: I ID DB Type Site Name/ID/Status Address Dist/Dir Map ID 137 SPILLS MICHAEL GRANT 55 MORRIS ST NON GC 9901208/CLOSED MANCHESTER CT 06040 268 LUST MICHAEL GRANT 55 MORRIS ST NON GC 9901208/CLOSED MANCHESTER CT 06040 138 SPILLS MIKE TORATY-M]ELECTRIC OLCOTT STREET NON GC 200307595/CLOSED MANCHESTER CT 06040 37 SPILLS MILL RIVER CONDOS ELLINGTON RD NON GC 911714/CLOSED SOUTH WINDSOR CT 06074 139 SPILLS MMH UNION ST NON GC 9902736/CLOSED MANCHESTER CT 06040 140 SPILLS MOTOR VEHICLE ACCIDENT 1291 W EXIT 59 ON RAMP NON GC 200100982/CLOSED MANCHESTER CT 06040 38 SPILLS MOTOR VEHICLE FIRE RT 5 AT 1291 EXIT 4 OFF RAMP NON GC 200308652/CLOSED SOUTH WINDSOR CT 144 SPILLS MVA BUCKLAND HILLS DRIVE NON GC 200107736/CLOSED MANCHESTER CT 06040 143 SPILLS MVA I-384 WESTBOUND BETWEEN EXIT NON GC 200301623/CLOSED MANCHESTER CT 06040 142 SPILLS MVA I-384 WESTBOUND AT HOV TO 84 NON GC 200100764/CLOSED MANCHESTER CT 06040 40 SPILLS MVA RT 5 AT STRONG ROAD NON GC 200308651/CLOSED SOUTH WINDSOR CT 141 SPILLS MVA WEST MIDDLE TPKE NON GC 200009068/CLOSED MANCHESTER CT 06040 39 SPILLS MVA SULLIVAN AVE NON GC 200307239/CLOSED SOUTH WINDSOR CT 145 SPILLS MVA-TWO CAR 84 WEST BOUND EXIT 58-60 NON GC 9908221/CLOSED MANCHESTER CT 06040 146 SPILLS NEIGHBOR OAKLAND STREET-LOT#70 NON GC 200005411/CLOSED MANCHESTER CT 06040 41 SPILLS NOLA JOHANNSEN SULLIVAN AVENUE-FORMERLY A B NON GC 9603646/CLOSED SOUTH WINDSOR CT 06074 49 SPILLS NORTHEAST UTILITIES CLARK ST NON GC 956288/CLOSED SOUTH WINDSOR CT 06074 47 SPILLS NORTHEAST UTILITIES LAWRENCE ROAD NON GC 9603380/CLOSED SOUTH WINDSOR CT 06074 46 SPILLS NORTHEAST UTILITIES TWIN CIRCLE DRIVE NON GC 961201/CLOSED SOUTH WINDSOR CT 06074 45 SPILLS NORTHEAST UTILITIES BUCKLAND/SOUTH ST NON GC. 932816/CLOSED SOUTH WINDSOR CT 06074 Environmental FirstSearch Sites Summary Report TARGET SITE: 9 BUCKLAND ROAD JOB: 2000481P20 SOUTH WINDSOR CT 06074 1-15 BUCKLAND RD AND 395 SMITH ST TOTAL: 269 GEOCODED: 13 NON GEOCODED: 256 SELECTED: 1 ID DB Type Site Name/ID/Status Address DisVDir biap ID 44 SPILLS NORTHEAST UTILITIES MCGRATH RD NON GC 951397/CLOSED SOUTH WINDSOR CT 06074 42 SPILLS NORTHEAST UTILITIES JOHN FITCH BLVD NON GC 926673/CLOSED SOUTH WINDSOR CT 06074 50 SPILLS NORTHEAST UTILITIES CINNAMON SPRINGS NON GC 9604471/CLOSED SOUTH WINDSOR CT 06074 43 SPILLS NORTHEAST UTILITIES PLEASANT VALLEY RD NON GC 941297/CLOSED SOUTH WINDSOR CT 06074 147 SPILLS NORTHEAST UTILITIES GARDNER ST NON GC 945010/CLOSED MANCHESTER CT 06040 48 SPILLS NORTHEAST UTILITIES CLARK RD NON GC 957114/CLOSED SOUTH WINDSOR CT 06074 148 SPILLS OMNI TRUCKING I-84 NON GC 921508/CLOSED MANCHESTER CT 06040 21 STATE PARTRIDGE ROAD DRUM SITE PARTRIDGE ROAD NON GC 2263/SUSPECTED SOUTH WINDSOR CT 06074 51 SPILLS PAVEMENT RESOURCES INC CLARKE ST NON GC 9705135/CLOSED SOUTH WINDSOR CT 06074 149 SPILLS PRIVATE MOTOR VEHICLE 2000 CAMP MEETING ROAD NON GC 200000035/CLOSED MANCHESTER CT 06040 151 SPILLS PRIVATE VEHICLE TOLL AND TURNPIKE NON GC 200300015/CLOSED MANCHESTER CT 06040 150 SPILLS PRIVATE VEHICLE MAIN&SUMMIT STREET NON GC 9701237/CLOSED MANCHESTER CT 06040 152 SPILLS PRIVATE VEHICLE 184 WB X63-62 NON GC 200307600/CLOSED MANCHESTER CT 06040 153 SPILLS PRIVATE VEHICLE WEST CENTER ST. NON GC 9908101/CLOSED MANCHESTER CT 06040 52 SPILLS R J M SULLIVAN INC SULLIVAN AVE NON GC 921515/CLOSED SOUTH WINDSOR CT 06074 262 SWL RECYCLER S INC 600 NUTMEG ROAD NON GC CTSW-PE-01-128/PERMIT SOUTH WINDSOR CT 154 SPILLS RELIABLE REFUSE OAKLAND ST NON GC 925801/CLOSED MANCHESTER CT 06040 53 SPILLS RELIABLE REFUSE-WASTE MANAGEMENT RYE STREET PARK NON GC 9906795/CLOSED SOUTH WINDSOR CT 06074 155 SPILLS RESIDENT 37 ACLAID RD NON GC 953000/OPEN MANCHESTER CT 06040 156 SPILLS SAA MIDDLE TURNPIKE WEST NON GC 9807530/CLOSED MANCHESTER CT 06040 i Environmental FirstSearch Sites Summary Report II ' TARGET SITE: 9 BUCKLAND ROAD JOB: 200048IP20 SOUTH WINDSOR CT 06074 1-15 BUCKLAND RD AND 395 SMITH ST TOTAL: 269 GEOCODED: 13 NON GEOCODED: 256 SELECTED: I _ID _DB Type Site Name/ID/Status Address Dist/Dir Map ID 55 SPILLS SAA BRADLEY INTERNATONAL,BUILDING NON GC 200206560/CLOSED SOUTH WINDSOR CT ' 56 SPILLS SAA 524 SOUTHINGTON AVE NON GC 200302230/CLOSED SOUTH WINDSOR CT 57 SPILLS SAA GREEN LANE NON GC 200201480/CLOSED SOUTH WINDSOR CT 06074 58 SPILLS SAA NEVERS ROAD NON GC 200005412/CLOSED SOUTH WINDSOR CT 06074 59 SPILLS SAA BURGES RD NON GC 9704618/CLOSED SOUTH WINDSOR CT 06074 60 SPILLS SAA SOUTH STREET AND SOUTH MAIN ST NON GC 200306761/CLOSED SOUTH WINDSOR CT 54 SPILLS SAA SOUTH WINDSOR SEWAGE TREATMENT NON GC 200101562/CLOSED SOUTH WINDSOR CT 63 SPILLS SAME SANDSTONE RD,UNDER POWER LINE NON GC 200200313/CLOSED SOUTH WINDSOR CT 06074 158 SPILLS SAME 1-84 EAST IN HOV LANE WEST OF NON GC 990492I/CLOSED MANCHESTER CT 06040 157 SPILLS SAME MANCHESTER NON GC 9900915/CLOSED MANCHESTER CT 06040 159 SPILLS SAME OLCOTT ST NON GC 200104448/CLOSED MANCHESTER CT 06040 64 SPILLS SAME STRONG RD NON GC 9803842/CLOSED SOUTH WINDSOR CT 06074 62 SPILLS SAME CADBURY ST. NON GC 200201775/CLOSED SOUTH WINDSOR CT 06074 65 SPILLS SAME RT 5 POLE#2584 NON GC 200306145/CLOSED SOUTH WINDSOR CT 61 SPILLS SAME PLEASANT HILLS CONDOS. WHEE NON GC 200002962/CLOSED SOUTH WINDSOR CT 160 SPILLS SANITARY SERVICES ORCHARD STREET NON GC 9706888/CLOSED MERIDEN CT 06040 269 LUST SHELL STATION TALCOTTEVII.L.E ROAD NON GC 1297-1299/NO MANCHESTER CT 06040 66 SPILLS SHOW INDUSTRIES OAKLAND ST NON GC 936226/OPEN SOUTH WINDSOR CT 06074 67 SPILLS SITE CONTACT.JANET PRIOR FLAX HELL ELDERLY HOUSING,FOS NON GC 200008442/CL.OSED SOUTH WINDSOR CT 22 STATE SOUTH WINDSOR AUTO BODY&SALES INC 1546 JOHN FITCH BLVD NON GC 5601/SUSPECTED SOUTH WINDSOR CT 06074 Environmental FirstSear h Sites Summary Report , TARGET SITE: 9 BUCKLAND ROAD JOB: 2000481P20 SOUTH WINDSOR CT 06074 1-15 BUCKLAND RD AND 395 SMITH ST TOTAL: 269 GEOCODED: 13 NON GEOCODED: 256 SELECTED: 1 ID DB Type Site Name/ID/Status Address Dist/Dir Map ID , 161 SPILLS ST OF CT MANSFIELD PRE RELEASE CTR RT 44/NEW GYMNASIUM CONST SITE NON GC 91712/CLOSED MANCHESTER CT 06040 265 LUST STEVEL RESIDENCE 45 DONNELL ROAD NON GC 4717/YES SOUTH WINDSOR CT 06074 68 SPILLS SIT, STP,VIEBERT ST NON GC 200306693/CLOSED SOUTH WINDSOR CT 69 SPILLS STRAW BRIDGES CONDOS ELLINGTON RD NON GC 911251/CLOSED SOUTH WINDSOR CT 06074 , 23 STATE SYLVESTER SEPTIC SERVICE NON GC 807/SUSPECTED SOUTH WINDSOR CT 06074 70 SPILLS THIBIDEAU PROP MGMNT MILLPOND DR/STRAWBRIDGE CONDO NON GC 913706/CLOSED SOUTH WINDSOR CT 06074 162 SPILLS TLC WATER DEPARTMENT PROPERTY ON F NON GC 9907468/CLOSED MANCHESTER CT 06040 71 SPILLS TOBACCO VALLEY TOBACCO VALLEY SANITATION NON GC 9803004/CLOSED SOUTH WINDSOR CT 72 SPILLS TOBACCO VALLEY SANITATION ELL.INGTON RD TO EIDENT RD NON GC 200308296/CLOSED SOUTH WINDSOR CT 164 SPILLS TOWN OF MANCHESTER MANCHESTER LANDFILL NON GC 200205630/CLOSED MANCHESTER CT 06040 163 SPILLS TOWN OF MANCHESTER NEW STATE ROAD NON GC 9704668/CLOSED MANCHESTER CT 06040 73 SPILLS TOWN OF S.W. CLARK STREET NON GC 9701669/CLOSED SOUTH WINDSOR CT 06074 76 SPILLS TOWN OF SOUTH WINDSOR RT 30/PIERCEIFOSTER/BURGES RD NON GC 935084/CLOSED SOUTH WINDSOR CT 06074 77 SPILLS TOWN OF SOUTH WINDSOR PLEASANT VALLEY RD NON GC 935063/CLOSED SOUTH WINDSOR CT 06074 75 SPILLS TOWN OF SOUTH WINDSOR AUSTIN CIRCLE NON GC 200302944/CLOSED SOUTH WINDSOR CT 06074 t 74 SPILLS TOWN OF SOUTH WINDSOR FOSTER ST NON GC 925896/CLOSED SOUTH WINDSOR CT 06074 165 SPILLS TRANSPORTATION 184 EAST HALF MILE EAST OF EXI NON GC 200006342/CLOSED MANCHESTER CT 06040 14 RCRANLR TRIUMPH MFG CO PO BOX 905 NON GC CTD052538378/NL.R MANCHESTER CT 06040 166 SPILLS UNK SPENCER STREET COMUTER LOT NON GC 200208040/CLOSED MANCHESTER CT 06040 78 SPILLS UNK SOUTH SATALIGHT RD NON GC 9900135/CLOSED SOUTH WINDSOR CT 06074 Environmental FirstSearch ' Sites Summary Report TARGET SITE: 9 BUCKLAND ROAD JOB: 2000481P20 SOUTH WINDSOR CT 06074 1-15 BUCKLAND RD AND 395 SMITH ST TOTAL: 269 GEOCODED: 13 NON GEOCODED: 256 SELECTED: 1 ID DB Type Site Name/ID/Status Address Dist/Dir Map ID 167 SPILLS UNK MV TOL.LAND TPKE NON GC 200006149/CLOSED MANCHESTER CT 06040 79 SPILLS UNK. RTE 5 NON GC 9902472/CLOSED SOUTH WINDSOR CT 06074 80 SPILLS UNK. SAND HILL RD. NON GC 9906823/CLOSED SOUTH WINDSOR CT 06074 170 SPILLS UNKNOWN WEST MIDDLE TPK NON GC 9702418/CLOSED MANCHESTER CT 06040 169 SPILLS UNKNOWN RT.384 EAST AND WEST NON GC 9705840/CLOSED MANCHESTER CT 06040 171 SPILLS UNKNOWN 419 WEST MAIN ST NON GC 200000043/CLOSED MANCHESTER CT 06040 172 SPILLS UNKNOWN WESTMIDDLE TURNPIKE NON GC 9800747/CLOSED MANCHESTER CT 06040 168 SPILLS UNKNOWN RTE 291 EAST NON GC 9605929/CLOSED MANCHESTER CT 06040 82 SPILLS UNKNOWN VIBERT RD NON GC 200007061/CLOSED SOUTH WINDSOR CT 06074 18 ERNS UNKNOWN UNKNOWN STREAM OFF NORTH SCHOO NON GC 426647AJNKNOWN(EPA REGIONS MANCHESTER CT 06040 83 SPILLS UNKNOWN SLATER ST.END OF CULDESAC(D NON GC 200002012/CLOSED SOUTH WINDSOR CT 06074 81 SPILLS UNKNOWN ROUTE 5 COMMUTER PARKING LOT NON GC 200004966/CLOSED SOUTH WINDSOR CT 84 SPILLS UNKNOWN MOTORIST RT 291,PRIOR TO RIVER NON GC 200300715/CLOSED SOUTH WINDSOR CT 06074 173 SPILLS UNKNOWN MOTORIST I-84 ON-RAMP AT EXrr 6 NON GC 200207796/CLOSED MANCHESTER CT 06040 174 SPILLS UNKNOWN TRUCK OAKLAND STREET NON GC 9901207/CLOSED MANCHESTER CT 06040 85 SPILLS VILLAGE TRAILER PARK 35 MAIN STREET TRAILER F-8 NON GC 200305817/CLOSED SOUTH WINDSOR CT EnvironmentalFirstSear h Site Detail Report , TARGET SITE: 9 BUCKLAND ROAD JOB: 200048IP20 SOUTH WINDSOR CT 06074 1-15 BUCKLAND RD AND 395 SMITH ST STATE SPILLS SITE SEARCH ID: 98 DIST/DIR: NON GC MAP ID: NAME: REV: 3/13/01 ADDRESS: SMITH ST IDI: 931984 SOUTH WINDSOR CT ID2: STATUS: CLOSED CONTACT: PHONE: SITE INFOR11fATION , INSPECTOR S BADGE NUMBER: NR REPORT DATE: 04/26/93 REPORT TIME: ACTUAL TIME: REPORTER: POLICE DEPT WORK PHONE: 203 644 2551 HOME PHONE: POLE NUMBER: INCIDENT TYPE: CHEMICAL DISCHARGED: CHLORINE CYLINDEWOIL GALLONS: YARDS: POUNDS: CON: DRUMS: FEDRAL: CERCLA: ACROSS PROPERTY LINES: EMERGENCY CLEANUP: REP QUAN: TOTAL POUNDS: DESCRIPTION: DATE: 04/26/93 DATE UNKNOWN: CONTINUOUS SPILL: SPELL TLiiE: RELEASE TERMINATED: ONGOING RELEASE: UNKNOWN: CONTAINED: ADDITIONAL INFORMATION: WATERBODY: RIVER: LIS: TRIBUTARY: CATCH BASIN: POND: AIR: SURFACE WATER: GROUND WATER: GROUND SURFACE: Y INSIDE BUILDING: OTHER AREA: TOTAL IN WATER: TOTAL RECOVERED FROM WATER: TOTAL RECOVERED: RESPONSIBLE PARTY: PHONE: ACCEPT RESPONSIBILITY: POLLUTER UNKNOWN: CLEANUP ACTION TAKEN: DUN BRAD: NOTIFIED FEDERAL GOVERNMENT: NOTIFIED COAST GAURD: NOTIFIED FIRE MARSHALL: Y NOTIFIED LOCAL FIRE DEPT: Y NOTIFIED POLICE: -Continued on next page- Selected Site Details Page-I , Environmental FirstSearch ' Site Detail Report TARGET SITE: 9 BUCKLAND ROAD JOB: 200048IP20 SOUTH WINDSOR CT 06074 1-15 BUCKLAND RD AND 395 SMITH ST STATE SPILLS SITE SEARCH ID: 98 DIST/DIR: NON GC MAP ID: ' NAME: REV: 3/13/01 ADDRESS: SMITH ST IDI: 931984 SOUTH WINDSOR CT ID2: STATUS: CLOSED CONTACT: PHONE: NOTIFIED ATTORNEY GENERAL: NOTIFIED AQUACULTURE: NOTIFIED STATE DOHS: NOTIFIED STATE WATER BUREAU: NOTIFIED STATE AIR BUREAU: NOTIFIED STATE WASTE BUREAU: ' NOTIFIED WEED HAZ WASTE: NOTIFIED WEED SOLID WASTE: PERMITTING NOTIFIED: NOTIFIED UST UNIT: NOTIFIED SOLID WASTE RECOVERY: NOTIFIED ENVIRONMENTAL CONSERVATION: NOTIFIED P-F: NOTIFIED F-W: ' NOTIFIED OPS: NOTIFIED OTHER: NOTIFIED STATE AGENCIES: NOTIFICATION DATE: 04/26/93 NOTIFICATION TIME: DISCHARGE CLASS: COMMERCIAL CAUSE: FIRE DUMPING CORRECTIVE ACTION TAKEN: CONTAINED/REMOVED CONTRACTOR: CONT NAME: DID DEP HIRE CONT: HIRE DATE: WHEN CONT REQUESTED: SECOND REQUEST: ARRIVED: ARRIVED SECOND TIME: RECEIVED BY: GOTHBERG BADGE NUMBER: ASSIGNED DATE: 04/26/93 ASSIGNED TIME: NOT 911 EMERGENCY: NOTIFICATION STATUS: CT EMERGENCY SPILLFUND USED: CASE NUMBER: CASE NUMBER 2: FED GOV PAID: PIN: COST RECOVERY EXPENDITURE: INC CODE: PROPERTY OWNER: OTHER OWNER: PROP NAME: WAS POLLUTER A TRUCK: WAS POLLUTER A TRAILER: OWNER OF TRUCK/TRAILER. OWNERS NAME: OPERATORS NAME: MAKE OF VEHICLE: VEHICLE MODEL: TRUCK REGISTRATION: TRAILER REGISTRATION: UPDATED WITH INSPECTORS REPORT: DATE UPDATED: COPY: W ' QUAN FET: MISCELLANEOUS INFORMATION: Selected Site Details Page-2 Environmental FirstSearch i Federal Databases and Sources ASTM Databases: , CERCLIS: Comprehensive Environmental Response Compensation and Liability Information System. The EPA's database of current and potential Superfund sites currently or previously under investigation. Source: Environmental Protection Agency. Updated quarterly. CERCLIS-NFRAP (Archive) : Comprehensive Environmental Response ' Compensation and Liability Information System Archived Sites The Archive designation means that, to the best of EPA's knowledge, assessment at a site has been completed and that EPA has determined no further steps will be taken to list this site on the National Priorities List (NPL) This decision does not necessarily mean that there is no hazard associated with a given site; it only means that, based upon available information, the location is not judged to be a potential NPL site. Updated quarterly. ERNS: Emergency Response Notification System. The EPA's database of ' emergency response actions Source: Environmental Protection Agency. Data since January, 2001, has been received from the National Response ' Center as the EPA no longer maintains this data. Updated quarterly. FINDS: The Facility Index System. The EPA's Index of identification numbers associated with a property or facility which the EPA has investigated or has been made aware of in conjunction with various regulatory programs Each record indicates the EPA office that may have files on the site or facility. Source Environmental Protection Agency. Updated semi-annually. NPL: National Priority List. The EPA's list of confirmed or proposed Superfund sites Source: Environmental Protection Agency. Updated quarterly. RCRIS: Resource Conservation and Recovery Information System. The EPA's database of registered hazardous waste generators and treatment, storage and disposal facilities. Included are RAATS (RCRA Administrative Action Tracking System) and CMEL (Compliance Monitoring & Enforcement List) . Source: Environmental Protection Agency. RCRA TSD: Resource Conservation and Recovery Information System Treatment, Storage, and Disposal Facilities. The EPA's database of RCRIS sites which treat, store, dispose, or incinerate hazardous waste. This information is also reported in the standard RCRIS detailed data. r ASTM Databases (continued) : ' RCRA COR: Resource Conservation and Recovery Information System Corrective Action Sites The EPA's database of RCRIS sites with reported corrective action. This information is also reported in the standard RCRIS detailed data tRCRA GEN: Resource Conservation and Recovery Information System Large and Small Quantity Generators. The EPA's database of RCRIS sites that create more than 100kg of hazardous waste per month or meet other RCRA requirements Included are RAATS (RCRA Administrative Action Tracking System) and CMEL (Compliance Monitoring & Enforcement List) . RCRA NLR: Resource Conservation and Recovery Information System sites No Longer Regulated.. The EPA's database of RCRIS sites that create less than 100kg of hazardous waste per month or do not meet other RCRA requirements All RCRA databases are Updated quarterly � III i S Environmental FirstSearch , Federal Databases and Sources Non-ASTM Databases: , EMIRS: Hazardous Materials Incident Response System. This database contains information from the US Department of Transportation regarding materials, packaging, and a description of events for tracked incidents. Updated quarterly. a NCDB: National Compliance Database. The National Compliance Data Base System (NCDB) tracks regional compliance and enforcement activity and manages the Pesticides and Toxic Substances Compliance and Enforcement program at a national level The system tracks all compliance monitoring and enforcement activities from the time an inspector conducts and inspection until the time the inspector closes or the case settles the enforcement action. NCDB is the national repository of the 10 regional and Headquarters FIFRA/TSCA Tracking System (FTTS) Data collected in the regional FTTS is transferred to NCDB to support the need for monitoring national performance of regional programs. Updated quarterly NPDES: National Pollution Discharge Elimination System. The EPA's database of all permitted facilities receiving and discharging effluents. Source: Environmental Protection Agency. Updated semi-annually. i NRDB: National Radon Database. The NRDB was created by the EPA to distribute information regarding the EPA/State Residential Radon Surveys and the National Residential Radon Survey. The data is presented by zipcode in Environmental FirstSearch Reports. Source: National Technical Information Service (NTIS) Updated Periodically Nuclear: The Nuclear Regulatory Commission's (NRC) list of permitted nuclear facilities. Updated Periodically , PADS: PCB Activity Database System The EPA's database PCB handlers (generators, transporters, storeys and/or disposers) that are required to notify the EPA, the rules being similar to RCRA. This database indicates the type of handler and registration number. Also included is the PCB Transformer Registration Database. Updated semi-annually. Receptors: 1995 TIGER census listing of schools and hospitals that may house individuals deemed sensitive to environmental discharges due to their fragile immune systems Updated Periodically Non-ASTM Databases (continued) : ' RELEASES: Air and Surface Water Releases. A subset of the EPA's ERNS database which have impacted only air or surface water. Updated semi-annually. Soils: This database includes the State Soil Geographic (STATSGO) data for the conterminous United States It contains information regarding soil characteristics such as water capacity, percent clay, organic material, permeability, thickness of layers, hydrological characteristics, quality of drainage, surface, slope, liquid limit, and ' the annual frequency of flooding. Source United States Geographical Survey (USGS) . Updated quarterly ' TRIS: Toxic Release Inventory System. The EPA's database of all facilities that have had or may be prone to toxic material releases. Source: Environmental Protection Agency. Updated semi-annually. i 1 1 1 1 1 1 1 Environmental FirstSearch Connecticut Databases and Sources , 1. State Sites Inventory and Suspected Hazardous Waste Sites. , The Department of Environmental Protection Agency's database of known and suspected waste sites maintained by the Bureau of Waste Management Updated Quarterly. 2. Spills: The Department of Environmental Protection Agency's ' database of emergency response actions and spill releases maintained by the Oil and Chemical Spill Response Division of the Bureau of Waste Management Updated quarterly. 3. Solid Waste Landfills The Department of Environmental Pro- tection Agency's database of active solid waste landfill fac- ilities maintained by the Solid Waste Program of the Bureau of Waste Management. Updated annually. h De of Environmental Protection Agency's , 4. Permits: T e Department p database CPOCS (CT Permits and Order Compliance System) main- tained by the Bureau of Water Management. Notices of Viola- tions are included. Updated semi-annually. S. UST: Underground Storage Tanks. The Department of Environ- mental Protection Agency's database of registered underground storage tanks maintained by the Underground Storage Tank En- forcement Program of the Bureau of Waste Management. Updated semi-annually. 6. LUST: Leaking Underground Storage Tanks. The Department of , Environmental Protection Agency's database of leaking under- ground storage tanks maintained by the Underground Storage Tank Enforcement Program of the Bureau of Waste Management. Updated quarterly. 7. PWS: Public Water Supplies. The Department of Environmental , Protection Agency's public water supply locations maintained by the Bureau of Environmental Services Updated annually. ' h Environmental FirstSearc Street Name Report for Streets within .25 Mite(s) of Target Property TARGET SITE• 9 BUCKLAND ROAD JOB: 200048IP20 SOUTH WINDSOR CT 06074 1-15 BUCKLAND RD AND 395 SMITH ST Street Name Dist/Dir Street Name Dist/Dir Buckland Hills Dr 0.16 SE Buckland Rd 0.02 SE Buckland St 0.03 SE Burnham St 0.14 SE Pleasant Valley Rd 0.16 SE Smith St 0.02 NE Environmental FirstSearch 1 Mile Radius qv FIRSTS ASTM Map: NPL, RCRACOR, STATE Sites 9 BUCKLAND ROAD, SOUTH WINDSOR CT 06074 0 V. 6 ilroad Source.1999 U.S.Census TIGER Files Target Site(Latitude:41.808624 Longitude:-72.555375).._.._ Identified Site,Multiple Sites,Receptor........ .._.. .._ in NPL,Solid Waste Landfill(SWL)or Hazardous Waste...._._......_..._._.... Railroads_....._._........_.___»._._. .._._........................................... Black Rings Represent 1/4 Mile Radii; Red Ring Represents 500&Radius 1 Environmental FirstSearch .5 Mile Radius FIRSrs ' ASTM Map:CERCLIS, RCRATSD, LUST, SWL 9 BUCKLAND ROAD, SOUTH WINDSOR CT 06074 i 1 1 i 1 1 1 1 1 i i i 1 'Source:1999 U.S.Census TIGER Files Target Site (Latitude:41.808624 Longitude:-72.555375)....„.. Identified Site,Multiple Sites,Receptor_.»._ . »......__ NPI.,Solid Waste Landfill(SWL)or Hazardous Waste .„_. ..„._....„._ 1 Railroads............................„.._....„.......„.._...„..........„„..................„» Black Rings Represent 114 Mile Radii; Red Ring Represents 500 ft.Radius Environmental FirstSearch e .25 Mile Radius IF ASTM Map:RCRAGEN, ERNS, UST 9 BUCKLAND ROAD, SOUTH WINDSOR CT 06074 �a woad tiva��e r plea Source.1999 U.S. Census TIGER Files Target Site(Latitude:41.808624 Longitude:-72.555375)....... Identified Site,Multiple Sites,Receptor..»...»..»...»......... NPL,Solid Waste Landfill(SWL)or Hazardous Waste...........»»»..»...._ Black Rings Represent 1/4 Mile Radii; Red Ring Represents 500 ft.Radius 1 Environmental FirstSearch .25 Mile Radius FIR Non-ASTM Map: RCRANLR 1 � ate 9 BUCKLAND ROAD, SOUTH WINDSOR CT 06074 i 1 1 1 1 1 1 � 1 1 13 10 8 � d 1 1 'Source:1999 U.S.Census TIGER Files Target Site (Latitude:41.808624 Longitude:-72.555375)........ Identified Site,Multiple Sites,Receptor.......................... NPL,Solid Waste Landfill(SWL)or Hazardous Waste.....»....»..».....»..» National Historic Sites and Landmark Sites. .» ».........».......... Railroads. © r ..»...»..»».»»......»....»........» »....»»....... ....»».....».... Black Rings Represent 1/4 We Radii; Red Ring Represents 500 ft.Radius � I � E ' Fuss&O'Neill ' Fuss&O'Neill Inc. APPENDIX E TOWN FILE INFORMATION ' F.\P2000\481\P20\Archive\10\ESA_RRK042004.doc Comes. Io ll�l tj 1 Y, 1 � �f4P �� 2tsr ,QoP��Ep v za, 0/41 ` �•50 ,z.yr'`,.__ s�'t 9 0 iL,-v,,v s..�� 1 ;� cKAO /OZ 0 7- "4-0/c*, C-Zlle��aleAO Wl .177 oor t3V, -OoeA-- ctIV17 d 1 Z_ 0 9 BUCKLAND ROAD N1 II OLD STREET LINE EDGE,QF TTjJ►VEIED WAY , -TI a NEW STREET LINE P.T. 110,± o R= 2020.00 o Y u 1V OLD BUILDING LINE N V NEW BUILDING LINE fL Q HOUSE # 9 Q I � *r Q m - a co W _ a J Q: Q Q UJI I U NEW LOT AREA =20,900 t S.F. j OLD LOT AREA=22,220 t S.F. I Z 3/94 co ;o 2 1 I10�± 1 1 PLOT PLAN SHOWING LAND OF ' 13UCKLAND ROAD ' OLD STREET LINE (EDGE OF TRAVELED WAY o NEW STREET LINE I10'± / R = 2020.00' o / OLD BUILDING LINE ' NEW BUILDMG LINE Y ' W 0 LtJ � HOUSE # 15 v) 1 44 ~ ' 0 c - rn J W ' � 2 cl) NEW LOT AREA z 20,900± S.F. 1—U— OLD LOT AREA = 21,710±S.F. f 4/ 94 �- Z ' 110�± ' PLOT PLAN SHOWING LAND OF CHARLES M. � MARY A. VARRICK Ilk ' � � �s�� ' III Ica /Yp FOR BUILDING PURPOSES ONLY C 0 .r. In e r Fuss&O'Neill Inc. APPENDIX F SITE PHOTOGRAPHS r r r I 1 1 FAP2000\481\P20\Amhive\10\ESA RRK042004.doc Corres. r 1 1 1 1 1 1 1 1 1 1 1 1 1 Fuss&O'Neill Inc. r - 1 View of 1 Buckland Road residence looking southwest. 1 r r _ r Wood debris in basement garage of 1 Buckland Road residence. ' FAP2000\48I\P20\Archive\10\ESA_RRK042004.doc Corres. 1 1 1 1 1 1 t 1 1 1 1 1 1 1 1 1 1 1 1 Fuss&O'Neill Inc. View of 9 Buckland Road residence looking northwest. r _ _ - - - - r View of 15 Buckland Road residence looking west. F:\P2000\48 l\P20\Archive\l 0\ES A_RRK042004.doc Comes. i 1 1 1 1 1 1 1 1 1 1 1 1 1 t 1 1 i � G ' Fuss & O'Neill t i f 1 f 1 1 1 1 1 ' Fuss&O'Neill Inc. 1 1 1 APPENDIX G LEAD PAINT INSPECTION REPORTS F.\P2000\481\P20\Archive\10\FSA_RRK042004.doc Comes. 7 t testing asbestos`mold lead consulting D�af� l ' e n v i r o m e n t a l a 1 LEAD PAINT i 1 INSPECTION REPORT i LEADSAFE INC. LICENSE # CC000647 1 FOR STRUCTURE(S) LOCATED AT: 1 Buckland Road South Windsor CT. April 19, 2004 Offices in CT and NY• 800-392-6468 29 Bank Street • Stamford, Connecticut 06901 • Fax: 203-921-4145 47 Spring Street • Newington, Connecticut 06111 • Fax: 860-232-5703 2840 Broadway, Suite 323 • Newyork, NY 10025 • Fax: 845-566-6913 0 1 1 1 1 1 i 1 1 1 1 i testing asbestos .;mold lead consulting L M A Die 5 LIA-UMFE ' e n v i r o m e n t a l Mr. Bob Kovach 4-21-04 Fuss and O'Neill Leadsafe ID #337893 146 Hartford Road Manchester, CT. 06040 Dear Mr. Kovach, Leadsafe Environmental has conducted an on-site screening for the detection of lead based paint at 1 Buckland Road, South Windsor, CT. on 4-19-04. All rooms/spaces were tested using the HUD Chapter 7 Guidelines for Lead Base Paint Inspection, 1997 Revision. This methodology requires testing of representative components in each room/space, for example walls, ceilings, windows, doors, baseboards etc. The testing was performed by a ' licensed lead inspector/.risk assessor, Peter Shannon (Lic. #002122)with a MAP 4 spectrum analyzer instrument. Summary of Findings There was no lead paint identified at this site above the action level of 1.0 milligrams per square centimeter. See attached XRF results for components identified. iThe measurements taken at this site are on the spreadsheet pages. (Please read the page titled"How to Read The Test Report Data Sheets" to understand these pages.)The Map ' 4 tests for lead concentrations at two levels, the K-shell and the L-shell. The K-shell represents the total amount of lead in all the paint layers, while the L-shell represents the amount of lead which is in the paint closest to the surface. The test results are based on an ' "action level"is determined by the HUD guidelines. The shaded Areas of the report indicate where the lead concentration is confirmed above ' the action level (taking into account the precision of the equipment). These locations are shown as POS in the last column. An inconclusive(INCL)result indicates the concentration of lead is in the vicinity of the action level within the boundaries of the ' precision.of the Map 4. Inconclusive measurements can be qualified by taking paint chip samples and analyzing them at a laboratory. Due to additional expense, paint chip samples are only taken when authorized by the client. ' Offices in CT and NY• 800-392-6468 29 Bank Street • Stamford, Connecticut 06901 • Fax: 203-921-4145 47 Spring Street • Newington, Connecticut 06111 • Fax: 860-232-5703 2840 Broadway, Suite 323 • New York, NY 10025 • Fax: 845-566-6913 1 1 1 1 1 1 1 1 1 1 i 1 t 1 1 1 1 testingasbestos mold lead consulting 9 LEAD". -- AFE ' e n!E;l m e n t a l i This inspection report is for the exclusive private use of our client. The report provided to the client is confidential and is not to be copied or disseminated to any party other than the ' property owner,buyer, insurance carrier or tenant without the express written consent of the inspector. Use of all disclosures contained in this report is specifically restricted to the transaction for which the inspection was performed. Use of or reliance upon the report by ' other parties, or for other transactions is strictly prohibited.None of these test results or reports developed through the inspectors performance of the work are intended or represented to be suitable for reuse by the client or others as presenting an accurate description of the property or its condition beyond that existing on the date of the performance of the inspection. Use of said test results or reports or other materials by ' client without written permission or adaptation by the inspector for the specific purpose intended shall be at the user's sole risk, without liability on the inspector's part, and the client agrees to indemnify and hold the inspector harmless from all claims, damages and ' expenses, including attorney's fees, arising out of such unauthorized us. All renovations which interrupt lead based paint must be done in compliance with applicable Federal, State and local laws and regulations. We recommend the use of a professional, licensed abatement contractor for the interruption or removal of hazardous levels of lead based paint and other lead contaminated materials. Keep in mind that "shop ' vacuums" and ordinary vacuums do not have adequate filtration systems for collection and containment of hazardous materials and may aggravate lead dust conditions. A high efficiency particulate arresting (HEPA)vacuum and special detergents are needed to tremove lead contaminated dust and debris. Leadsafe can provide consulting services, including abatement and management plans, to ' help you with any lead condition which may have been identified. Please call our office for further information or any questions you may have regarding this report. Thank you for ' using Leadsafe. Sincerely, I Peter Shannon ' Offices in CT and NY• 800-392-6468 29 Bank Street • Stamford, Connecticut 06901 • Fax: 203-921-4145 47 Spring Street • Newington, Connecticut 06111 • Fax: 860-232-5703 2840 Broadway, Suite 323 • New York, NY 10025 • Fax: 845-566-6913 1* testing asbestos mold lead consulting LEm "n DSAFE ' e n v i r o m e n t a l ' Report Disclaimer THE INFORMATION PROVIDED IN THIS REPORT IS LIMITED BY THE SCOPE OF THE ' INSPECTION REQUESTED BY THE CLIENT. NOT ALL INSPECTIONS YIELD INFORMATION REGARDING THE PRESENCE OF LEAD AND THE EXISTENCE OF LEAD HAZARDS IN ALL MEDIA. YOU ARE ADVISED TO CLARIFY THE SCOPE OF THE INSPECTION PROVIDED WITH THE ' INSPECTOR. It is generally acknowledged that the condition of the lead based paint("LBP")in or on a residential structure will determine the extent of the hazard arising out of such LBP. Accordingly, any change in the condition of the LBP in the property in question will alter the validity of the test results provided herewith. The accuracy of any lead hazard evaluation performed is, therefore, limited to the condition of the property at the time the investigation reported herewith was conducted. The inspector assumes no responsibility for retesting or reinvestigating the property to determine changed conditions. Any and all changes in the premises or it's condition may result ' in the creation of lead based paint hazards not in existence at the time of the inspection. Client is advised that results which are reported as negative or inconclusive are not indicative of ' the total absence of lead in surface coating materials. Such results indicate that lead is not present in concentration levels defined by federal, state or local regulations as lead based paint. Client is notified that care should be taken in the event of an accidental or intentional disturbance of or the ' undertaking of activities which could affect surfaces coated with paints or coverings containing any amount of lead. Not all surfaces were tested or were accessible for testing. The inspector makes no representation with respect to the presence of lead-based paint or the condition of any surfaces which were ' inaccessible. Surfaces which were not tested may, if tested,yield results which indicate the presence of lead in greater or lesser concentrations than those tested, due to variability in ' application, paint quality, usage or other factors. The Client is advised to take such factors into account when undertaking any activities which may have an impact upon such surfaces. This report is intended only for the benefit of the Inspector and the Client and does not create any rights in any third parties. ' Offices in CT and NY• 800-392-6468 29 Bank Street • Stamford, Connecticut 06901 • Fax: 203-921-4145 47 Spring Street • Newington, Connecticut 06111 • Fax: 860-232-5703 2840 Broadway, Suite 323 • New York, NY 10025 • Fax: 845-566-6913 testing asbestoXmold lead consulting /A-\ [F E LIE . Lr-U v r oe n m e n t a l How to Read the Test Report Data Sheets The standard test report data sheets in the XRF Test Results section of the report have thirteen columns of , information. An explanation of each column is detailed below: 1) # All of the measurements taken at the site are numbered sequentially. ' 2) Site The number in this column is the identification number for this job site. 3) Room-Tested Each room/space tested is identified in this column. When more than one similar type of room/space is tested they are numbered sequentially as shown in column 4.Each , room/space,as identified in the test data,is shown on the floor plan. 4) # The number in this column is coupled with column 3 (Room-Tested)to distinguish similar room types. For example:Bedroom 1,Bedroom 2,etc.as shown on the floor , plan. 5) Wall The walls in each room/space are identified to show on which wall surface in the room each measurement was taken. The wall numbers are shown on the floor plan. 6) Component This column identifies the type of building component where the measurement was taken. The location of each measurement is randomly selected on that component. ' 7) Condition The paint condition at the time of testing is listed in this column. 8) Substrate The material that the building component is made of is called the substrate. , 9) K-Shell(mg/cm5 The K-Shell is the measurement that evaluates the lead content in all layers of paint ' dowri to the substrate material.The measurement is in milligrams per square centimeter. 10) L-Shell(mg/em5 The L-Shell is the measurement that evaluates the lead content in surface layers of paint. 11) Map# Identification number of the MAP instrument used for this test. ' 12) Result The result of the measurement is related to the action level(allowable lead level)and adjusted for the level of precision used for that measurement. (Pos) Positive result > Action Level+precision level , (Incl) Inconclusive range = Action Level+/-precision level. (Neg) Negative result < Action Level-precision level , 1 Offices in CT and NY• 800-392-6468 , 29 Bank Street • Stamford, Connecticut 06901 • Fax: 203-921-4145 47 Spring Street • Newington, Connecticut 06111 • Fax: 860-232-5703 2840 Broadway, Suite 323 • Newyork, NY 10025 • Fax: 845-566-6913 ' s LEADWfID ' AWLEADSAFEINC.COM 71 rlrf,mmm",as 1 II 1 ti'�INCt�W L� 1 OIL;.(QCt1m clsesh Ot iA Wei-) ,�sm� tn�ESt�CU A$ is to thi;�tri� 1 ti 1 ST,�iRC 1VYA�= , s S1►q:1441n � Too ' hIWIL POST Rj R 1 � 1 1 1 1 i 1 testing asbestos +mold lead consulting - A D'. LIEM '13A[FIE e n v i r o m e n t a l ' FLOOR PLAN ' 1 BUCKLAND ROAD SOUTHWINDSOR,CL Bed 3 11 ath 2 Bed 4 Kitchen , Bath Ij 1 1-E 1 Hall 1 Living ' room red Z Bed 1 1 , Exterior Side#I-Street Side ' Note-Wall#1 is identified in each room.Wall numbers 2,3,4 Follow in a clockwise rotation.If a i conVonentwas notpainted,stainedorvarnished,it was not tested.. Offices in CT and NY- 800-392-6468 , 29 Bank Street - Stamford, Connecticut 06901 - Fax: 203-921-4145 47 Spring Street - Newington, Connecticut 06111 - Fax: 860-232-5703 ' 2840 Broadway, Suite 323 - New York, NY 10025 - Fax: 845-566-6913 Leadsafe XRF Results s Customer: Leadsafe Environmental Project Name: Fuss&O'Neill Site Name: 1 Buckland Road 4-19-04 South Windsor, CT. Action Level 1.000 mg/cm2 Lab 1.000 mg/cm2 Total Assays Reported 69 # Site Room Tested # Wall Component Substrate Paint K-Shell L-Shell Map Condition m cm2 m cm2 # Lab Result 91084 1111 Calibration * * * * * 0.000 X 0.000 X 0 91085 1111 Living Room 1 1 Wall Wallboard Intact 0.063 K 0.284 L 0 Neg 91086 1111 Living Room 1 1 Door Wood Intact 0.045 K 0.010 L 0 Neg 91087 1111 Lining Room 1 1 Door Jamb Wood Intact 0.070 K 0.237 L 0 Neg 91088 1111 Living Room 1 1 Window Well Wood Intact 0.036 K 0.146 L 0 Neg 91089 1111 Living Room 1 1 Window Sash Wood Varnish -0.023 K -0.122 L 0 Neg 91090 1111 Living Room 1 3 Wall Wallboard Intact 0.162 K 0.038 L 0 Neg 91091 1111 Living Room 1 4 Wall Wallboard Intact 0.472 K 0.282 L 0 Neg 91092 1111 Living Room 1 4 Ceiling Wallboard Intact 0.029 K 0.092 L 0 Neg 91093 1111 Living Room 1 4 Floor Wood Varnish 0.034 K -0.168 L 0 Neg 91094 1111 Kitchen 1 1 Wall Wallboard Intact 0.141 K 0.152 L 0 Neg 91095 1111 Kitchen 1 1 Radiator Thin Metal Intact 0.119 K 0.298 L 0 Neg 91096 1111 Kitchen 1 3 Wall Wallboard Intact 0.062 K 0.145 L 0 Neg 91097 1111 Kitchen 1 1 Window Well Wood Intact 0.087 K 0.062 L 0 Neg 91098 1111 Kitchen 1 4 Ceiling Wallboard Intact -0.408 K -0.088 L 0 Neg 91099 1111 Kitchen 1 4 Door Jamb Wood Intact -0.464 K 0.188 L 0 Neg 91100 1111 Kitchen 1 4 Ceiling Wallboard Intact -0.351 K -0.014 L 0 Neg 91101 1111 Hallway 1 3 Door Jamb Wood Varnish -0.025 K -0.342 L 0 Neg 91102 1111 Hallway 1 2 Wall Wallboard Intact 0.233 K 0.139 L 0 Neg F91103 1111 Hallway 1 3 Door Wood Varnish 0.219 K -0.159 L 0 Neg 91104 1111 Bedroom 1 1 Wall Wallboard Intact -0.097 K 0.130 L 0 Neg Page 1 of 4 Limit Set:0 Coding Set: 1 No Averaging Selected Leadsafe XRF Results Customer: Leadsafe Environmental Project Name: Fuss&O'Neill Site Name: 1 Buckland Road 4-19-04 South Windsor, CT. Action Level 1.000 mg/cm2 Lab 1.000 mg/cm2 Total Assays Reported 69 # Site Room Tested # Wall Component Substrate Paint K-Shell L-Shell Map Condition m cm2 m cm2 # Lab Result 91105 1111 Bedroom 1 1 Window Sill Wood Varnish 0.235 K 0.218 L 0 Neg 91109 1111 Bedroom 1 1 Window Well Wood Intact -0.067 K -0.112 L 0 Neg 91107 1111 Bedroom 1 2 Wall Wallboard Intact 0.274 K 0.122 L 0 Neg 91108 1111 Bedroom 1 3 Wall Wallboard Intact 0.154 K 0.162 L 0 Neg 91109 1111 Bedroom 1 4 Wall Wallboard Intact 0.272 K 0.131 L 0 Neg 91110 1111 Bedroom 1 4 Ceiling Wallboard Intact -0.079 K 0.107 L 0 Neg 91111 1111 Bedroom 2 1 Wall Wallboard Intact 0.039 K -0.114 L 0 Neg 91112 1111 Bedroom 2 1 Window Well Wood Intact 0.058 K -0.108 L 0 Neg 91113 1111 Bedroom 2 1 Window Sash Wood Varnish -0.148 K -0.456 L 0 Neg 91114 1111 Bedroom 2 2 Wall Wallboard Intact -0.153 K -0.116 L 0 Neg 91115 1111 Bedroom 2 3 Wall Wallboard Intact -0.085 K 0.187 L 0 Neg 91116 1111 Bedroom 2 4 Wall Wallboard Intact -0.308 K 0.244 L 0 Neg 91117 1111 Bedroom 2 4 Ceiling Wallboard Intact 0.037 K -0.122 L 0 Neg 91118 1111 Bedroom 2 4 Floor Wood Varnish 0.441 K 0.001 L 0 Neg 91119 1111 Bedroom 2 4 Floor Wood Varnish 0.307 K -0.008 L 0 Neg 9112 1111 Bedroom 3 1 Wall Wallboard Intact -0.081 K -0.016 L 0 Neg 91121 1111 Bedroom 3 2 Wall Wallboard Intact -0.196 K -0.028 L 0 Neg 9112 1111 Bedroom 3 3 Wall Wallboard Intact -0.109 K 0.194 L 0 Neg 9112 1111 Bedroom 3 3 Window Well Wood Intact 0.239 K -0.197 L 0 Neg 9112 1111 Bedroom 3 4 Ceiling Wallboard Intact -0.068 K 0.200 L 0 Neg 91111 1111 Bathroom 1 1 Wall Wallboard Intact 0.211 K -0.010 L 0 Neg [Page 2 of 4 Limit Set:0 Coding Set: 1 No Averaging Selected Leadsafe XRF Results Customer: Leadsafe Environmental Project Name: Fuss&O'Neill Site Name: 1 Buckland Road 4-19-04 South Windsor, CT. Action Level 1.000 mg/cm2 Lab 1.000 mg/cm2 Total Assays Reported 69 Paint K-Shell L-Shell Map # Site Room Tested # Wall Component Substrate Condition m cm2 m cm2 # Lab Result 9112 1111 Bathroom 1 2 Wall Wallboard Intact 0.181 K 0.137 L 0 Neg 91127 1111 Bathroom 1 2 Door Case Wood Varnish 0.161 K -0.146 L 0 Neg 91128 1111 Bathroom 1 3 Wall Wallboard Intact -0.030 K 0.114 L 0 Neg 91129 1111 Bathroom 1 3 Window Sash Wood Varnish -0.120 K -0.316 L 0 Neg 91130 1111 Bathroom 1 4 Ceiling Wallboard Intact -0.776 K 0.061 L 0 Neg 91131 1111 Bathroom 2 1 Wall Wallboard Intact -0.500 K 0.086 L 0 Neg 91132 1111 Bathroom 2 3 Wall Wallboard Intact 0.167 K 0.116 L 0 Neg 91133 1111 Bathroom 2 4 Wall Wallboard Intact 0.227 K 0.252 L 0 Neg 91134 1111 Bedroom 4 1 Wall Wallboard Intact 0.166 K -0.036 L 0 Neg 91135 1111 Bedroom 4 1 Door Case Wood Varnish 0.344 K -0.098 L 0 Neg 91136 1111 Bedroom 4 3 Wall Wallboard Intact 0.217 K -0.246 L 0 Neg 91137 1111 Bedroom 4 3 Window Well Wood Intact 0.085 K -0.190 L 0 Neg 91138 1111 Bedroom 4 4 Wall Wallboard Intact 0.028 K 0.112 L 0 Neg 91139 1111 Bedroom 4 4 Ceiling Wallboard Intact 0.131 K -0.003 L 0 Neg 91140 1111 Bsmnt Stair 1 3 Stair Tread Wood Intact 0.052 K 0.132 L 0 Neg 91141 1111 Bsmnt Stair 1 3 Stair Riser Wood Intact 0.551 K -0.140 L 0 Neg 91142 1111 Exterior 1 1 Door Wood Intact 0.138 K 0.362 L 0 Neg 91143 1111 Exterior 1 1 Door Jamb Wood Intact 0.452 K -0.271 L 0 Neg 91144 1111 Exterior 1 1 Siding Wood Intact -0.044 K 0.226 L 0 Neg 91145 1111 Exterior 1 1 Shutters Wood Poor 0.479 K 0.692 L 0 Neg 9114 1111 Exterior 1 1 1 Window Sill Wood Poor -0.225 K 0.301 L 0 Neg Page 3 of 4 Limit Set: 0 Coding Set: 1 No Averaging Selected Leadsafe XRF Results Customer: Leadsafe Environmental Project Name: Fuss&O'Neill Site Name: 1 Buckland Road 4-19-04 South Windsor, CT. Action Level 1.000 mg/cm2 Lab 1.000 mg/cm2 Total Assays Reported 69 # Site Room Tested # Wall Component Substrate Paint K-Shell L-Shell Map Condition m cm2 m cm2 # Lab Result 91147 1111 Exterior 1 1 Window Case Wood Intact -0.170 K -0.270 L 0 Neg 91148 1111 Exterior 1 2 Siding Wood Intact 0.268 K -0.188 L 0 Neg 9114 1111 Exterior 1 3 Siding Wood Intact 0.339 K -0.072 L 0 Neg 91150 1111 Exterior 1 3 Garage Door Wood Intact -0.312 K 0.273 L 0 Neg 91151 1111 Exterior 1 1 3 j Door Wood Intact 0.356 K -0.120 L 0 Neg 91152 1111 Exterior 1 3 1 Window Sash Wood Intact -0.198 K 1 -0.092 L 1 0 1 Neg FPge 4 of 4 Limit Set: 0 Coding Set: 1 No Averaging Selected 1 testing asbestos ,mold lead consulting LELM L UF 1 e n v i r o m e n t a l 1 1 1 LEAD PAINT 1 i INSPECTION REPORT 1 1 LEADSAFE INC. LICENSE # CC000647 1 FOR STRUCTURE(S) LOCATED AT: 1 9 Buckland Road 1 South Windsor CT. 1 1 1 April 19, 2004 1 ----------------- 1 1 Offices in CT and NY• 800-392-6468 29 Bank Street • Stamford, Connecticut 06901 • Fax: 203-921-4145 47 Spring Street• Newington, Connecticut 06111 • Fax: 860-232-5703 1 2840 Broadway, Suite 323 • New York, NY 10025 • Fax: 845-566-6913 f testing asbestos ,:mold lead consulting L D' .. !, envi ro mental Mr. Bob Kovach 4-21-04 Fuss and O'Neill Leadsafe ID #337884 146 Hartford Road Manchester, CT. 06040 Dear Mr. Kovach, Leadsafe Environmental has conducted an on-site screening for the detection of lead based paint at 9 Buckland Road, South Windsor, CT. on 4-19-04. All rooms/spaces were tested using the HUD Chapter 7 Guidelines for Lead Base Paint Inspection, 1997 Revision. This methodology requires testing of representative components in each room/space, for example walls, ceilings, windows, doors, baseboards etc. The testing was performed by a licensed lead inspector/.risk assessor, Peter Shannon (Lic. # 002122) with a MAP 4 spectrum analyzer instrument. Summary of Findings There was no lead paint identified at this site above the action level of 1.0 milligrams per square centimeter. See attached XRF results for components identified. The measurements taken at this site are on the spreadsheet pages. (Please read the page titled"How to Read The Test Report Data Sheets"to understand these pages.) The Map 4 tests for lead concentrations at two levels, the K-shell and the L-shell. The K-shell represents the total amount of lead in all the paint layers, while the L-shell represents the amount of lead which is in the paint closest to the surface. The test results are based on an "action level"is determined by the HUD guidelines. The shaded Areas of the report indicate where the lead concentration is confirmed above ' the action level (taking into account the precision of the equipment). These locations are shown as POS in the last column. An inconclusive(INCL) result indicates the concentration of lead is in the vicinity of the action level within the boundaries of the ' precision.of the Map 4. Inconclusive measurements can be qualified by taking paint chip samples and analyzing them at a laboratory. Due to additional expense, paint chip samples are only taken when authorized by the client. Offices in CT and NY• 800-392-6468 29 Bank Street • Stamford, Connecticut 06901 • Fax: 203-921-4145 47 Spring Street• Newington, Connecticut 06111 • Fax: 860-232-5703 2840 Broadway, Suite 323 • New York, NY 10025 • Fax: 845-566-6913 testing asbestNtimoid lead consulting LrA L E A` D.5 Au e n v i r o m e n t a l This inspection report is for the exclusive private use of our client. The report provided to the client is confidential and is not to be copied or disseminated to any party other than the property owner, buyer, insurance carrier or tenant without the express written consent of the inspector. Use of all disclosures contained in this report is specifically restricted to the transaction for which the inspection was performed. Use of or reliance upon the report by other parties, or for other transactions is strictly prohibited. None of these test results or reports developed through the inspectors performance of the work are intended or represented to be suitable for reuse by the client or others as presenting an accurate description of the property or its condition beyond that existing on the date of the performance of the inspection. Use of said test results or reports or other materials by client without written permission or adaptation by the inspector for the specific purpose intended shall be at the user's sole risk, without liability on the inspector's part, and the client agrees to indemnify and hold the inspector harmless from all claims, damages and ' expenses, including attorney's fees, arising out of such unauthorized us. All renovations which interrupt lead based paint must be done in compliance with applicable Federal, State and local laws and regulations. We recommend the use of a professional, licensed abatement contractor for the interruption or removal of hazardous levels of lead based paint and other lead contaminated materials. Keep in mind that "shop vacuums" and ordinary vacuums do not have adequate filtration systems for collection and containment of hazardous materials and may aggravate lead dust conditions. A high efficiency particulate arresting(IEPA) vacuum and special detergents are needed to remove lead contaminated dust and debris. Leadsafe can provide consulting services, including abatement and management plans, to help you with any lead condition which may have been identified. Please call our office for further information or any questions you may have regarding this report. Thank you for using Leadsafe. Sincerely, a� Peter Shannon Offices in CT and NY• 800-392-6468 29 Bank Street • Stamford, Connecticut 06901 • Fax: 203-921-4145 47 Spring Street • Newington, Connecticut 06111 • Fax: 860-232-5703 2840 Broadway, Suite 323 9 New York, NY 10025 • Fax: 845-566-6913 1 1 1 1 1 1 I 1 1 1 1 1 1 1 testing asbestos`:mold lead consulting LEI DD L I C e n v i r o m e n t a l Report Disclaimer THE INFORMATION PROVIDED IN THIS REPORT IS LIMITED BY THE SCOPE OF THE wINSPECTION REQUESTED BY THE CLIENT. NOT ALL INSPECTIONS YIELD INFORMATION REGARDING THE PRESENCE OF LEAD AND THE EXISTENCE OF LEAD HAZARDS IN ALL MEDIA. YOU ARE ADVISED TO CLARIFY THE SCOPE OF THE INSPECTION PROVIDED WITH THE INSPECTOR. It is generally acknowledged that the condition of the lead based paint ("LBP")in or on a residential structure will determine the extent of the hazard arising out of such LBP. Accordingly, any change in the condition of the LBP in the property in question will alter the validity of the test results provided herewith. The accuracy of any lead hazard evaluation performed is, therefore, limited to the condition of the property at the time the investigation reported herewith was conducted. The inspector assumes no responsibility for retesting or reinvestigating the property to determine changed conditions. Any and all changes in the premises or it's condition may result ' in the creation of lead based paint hazards not in existence at the time of the inspection. Client is advised that results which are reported as negative or inconclusive are not indicative of the total absence of lead in surface coating materials. Such results indicate that lead is not present in concentration levels defined by federal, state or local regulations as lead based paint. Client is notified that care should be taken in the event of an accidental or intentional disturbance of or the undertaking of activities which could affect surfaces coated with paints or coverings containing any amount of lead. Not all surfaces were tested or were accessible for testing. The inspector makes no representation with respect to the presence of lead-based paint or the condition of any surfaces which were inaccessible. Surfaces which were not tested may, if tested, yield results which indicate the presence of lead in greater or lesser concentrations than those tested, due to variability in application, paint quality,usage or other factors. The Client is advised to take such factors into account when undertaking any activities which may have an impact upon such surfaces. This report is intended only for the benefit of the Inspector and the Client and does not create any rights in any third parties. Offices in CT and NY- 800-392-6468 29 Bank Street - Stamford, Connecticut 06901 - Fax: 203-921-4145 ' 47 Spring Street a Newington, Connecticut 06111 - Fax: 860-232-5703 2840 Broadway, Suite 323 - New York, NY 10025 - Fax: 845-566-6913 s testing asbestos ,smold lead consulting LEAD �� E e n v i r o m e n t a l ' How to Read the Test Report Data Sheets The standard test report data sheets in the XRF Test Results section of the report have thirteen columns of information. An explanation of each column is detailed below: 1) # All of the measurements taken at the site are numbered sequentially. 2) Site The number in this column is the identification number for this job site. 3) Room-Tested Each room/space tested is identified in this column. When more than one similar type of room/space is tested they are numbered sequentially as shown in column 4.Each room/space,as identified in the test data,is shown on the floor plan. 4) # The number in this column is coupled with column 3 (Room-Tested)to distinguish similar room types. For example:Bedroom 1,Bedroom 2,etc. as shown on the floor plan. 5) Wall The walls in each room/space are identified to show on which wall surface in the room each measurement was taken. The wall numbers are shown on the floor plan. 6) Component This column identifies the type of building component where the measurement was taken. The location of each measurement is randomly selected on that component. 7) Condition The paint condition at the time of testing is listed in this column. 8) Substrate The material that the building component is made of is called the substrate. 9) K-Shell(mg/cm� The K-Shell is the measurement that evaluates the lead content in all layers of paint down to the substrate material.The measurement is in milligrams per square centimeter. 10) IrShell(mg/cm� The L-Shell is the measurement that evaluates the lead content in surface layers of paint. 11) Map# Identification number of the MAP instrument used for this test. 12) Result The result of the measurement is related to the action level(allowable lead level)and adjusted for the level of precision used for that measurement (Pos) Positive result > Action Level+precision level (Incl) Inconclusive range = Action Level+/-precision level. (Neg) Negative result < Action Level-precision level Offices in CT and NY• 800-392-6468 ' 29 Bank Street • Stamford, Connecticut 06901 • Fax: 203-921-4145 47 Spring Street • Newington, Connecticut 06111 • Fax: 860-232-5703 2840 Broadway, Suite 323 • Ne-.vYork, NY 10025 • Fax: 845-566-6913 1 1LEADWA� ft AWLEADSAFRINCCOM W,-NCOW,,WA 000 r f i. LYti+O.L(acc 1 Crush Ctf in ids Wil.) JiCn= TnrSSHO� �14 afnQi it filii�il�to thi;tmb 1 STAOCAS! WAJI.: �p SAD NIW!:.POSY ! r r r r 1 1 testing asbestos'�xmold lead consulting L MAR - EI` DSAFE e n v : r o m e n t a l , FLOOR PLAN 9 BUCKLAND ROAD SOUTH WMDSOR,CL Dining Kitchen Bath Bed Z :room I I 1 I I Hall Bed 4 1 Lmng Bed 1 room Bed 3 1 Exterior Side#1-Street Side Note-Wall#1 is identified in each room Wall numbers 2,3,4 follow in a clockwise rotation.Na componentwas notpainted,stainedorvwmished,it was not tested. Offices in CT and NY• 800-392-6468 29 Bank Street • Stamford, Connecticut 06901 • Fax: 203-921-4145 47 Spring Street • Ne-*%ington, Connecticut 06111 • Fax: 860-232-5703 ' 2840 Broadway, Suite 323 • Ne-*vYork, NTY 10025 • Fax: 845-566-6913 0 as = M M = W Leadsafe XRF Results Customer: Leadsafe Environmental Project Name: Fuss&O'Neill Site Name: 9 Buckland Road 4-19-04 South Windsor, CT. Action Level 1.000 mg/cm2 Lab 1.000 mg/cm2 Total Assays Reported 78 # Site Room Tested # Wall Component Substrate Paint K-Shell L-Shell Map Condition m /cm2 m cm2 # Lab Result 91154 1111 Calibration * * * * 0.000 X 0.000 X 0 91155 1111 Calibration * * * * * 1.033 K 0.809 L 354 Incl 91156 1111 Living Room 1 1 Wall Wallboard Intact 0.245 K 0.074 L 354 Neg 91157 1111 Living Room 1 1 Door Wood Varnish 0.072 K -0.101 L 354 Neg 91158 1111 Living Room 1 1 Door Case Wood Varnish -0.614 K 0.071 L 354 Neg 9115 1111 Living Room 1 1 Window Sill Wood Varnish 0.224 K -0.143 L 354 Neg 91160 1111 Living Room 1 1 Window Sash Wood Varnish 0.106 K -0.161 L 354 Neg 91161 1111 Living Room 1 1 Window Well Wood Intact 0.338 K 0.256 L 354 Neg 91162 1111 Living Room 1 2 Wall Wallboard Intact 0.062 K 0.131 L 354 Neg 91163 1111 Living Room 1 3 Wall Wallboard Intact 0.253 K 0.074 L 354 Neg 91164 1111 Living Room 1 4 Wall Wallboard Intact 0.188 K 0.053 L 354 Neg 91165 1111 Living Room 1 4 Baseboard Wood Varnish 0.246 K -0.172 L 354 Neg 91166 1111 Living Room 1 1 Door Jamb Wood Intact 0.972 K 0.541 L 354 Incl 91167 1111 Living Room 1 1 Door Jamb Wood Intact 0.552 K 0.307 L 354 Neg 91168 1111 Living Room 1 4 Ceiling Wallboard Intact 0.382 K -0.018 L 354 Neg 91169 1111 Dining Room 1 2 Wall Wallboard Intact 0.100 K 0.293 L 354 Neg 91170 1111 Dining Room 1 2 Window Sill Wood Varnish -0.629 K -0.156 L 354 Neg 91171 1111 Dining Room 1 2 Window Case Wood Varnish 0.465 K -0.367 L 354 Neg 91172 1111 Dining Room 1 2 Window Well Wood Intact 0.557 K 0.269 L 354 Neg 91173 1111 Dining Room 1 4 Wall Wallboard Intact -0.569 K 0.433 L 354 Neg 91174 1111 Dining Room 1 3 Wall Wallboard Intact -0.514 K 0.000 L 354 Neg Page 1 of 4 Limit Set: 0 Coding Set: 1 No Averaging Selected Leadsafe XRF Results Customer: Leadsafe Environmental Project Name: Fuss&O'Neill Site Name: 9 Buckland Road 4-19-04 South Windsor, CT. Action Level 1.000 mg/cm2 Lab 1.000 mg/cm2 Total Assays Reported 78 # Site Room Tested # Wall Component Substrate Paint K-Shell L-Shell Map Condition m cm2 m cm2 # Lab Result 91175 1111 Dining Room 1 3 Radiator Thin Metal Intact 0.220 K 0.551 L 354 Neg 91176 1111 Dining Room 1 4 Ceiling Wallboard Intact -0.082 K 0.251 L 354 Neg 91177 1111 Kitchen 1 1 Wall Wallboard Intact 0.271 K 0.141 L 354 Neg 91178 1111 Kitchen 1 3 Wall Wallboard Intact -0.137 K 0.125 L 354 Neg 91179 1111 Kitchen 1 3 Door Wood Varnish 0.050 K -0.218 L 354 Neg 9118 1111 Kitchen 1 3 Door Jamb Wood Intact 1.080 K 0.659 L 354 Incl 91181 1111 Kitchen 1 3 Door Jamb Wood Intact 1.107 K 0.592 L 354 Incl 91182 1111 Kitchen 1 3 Door Jamb Wood Intact 0.714 K 0.375 L 354 Neg 91183 1111 Kitchen 1 4 Wall Wallboard Intact -0.170 K 0.504 L 354 Neg 91184 1111 Kitchen 1 1 Wall Wallboard Intact -0.152 K -0.127 L 354 Neg 9119 1111 Kitchen 1 4 Ceiling Wallboard Intact 0.127 K 0.247 L 354 Neg 9118 1111 Hallway 1 1 Wall Wallboard Intact 0.129 K 0.162 L 354 Neg 91187 1111 Hallway 1 3 Wall Wallboard Intact -0.428 K -0.101 L 354 Neg 91188 1111 Hallway 1 4 Ceiling Wallboard Intact 0.346 K 0.130 L 354 Neg 9118 1111 Bathroom 1 1 Wall Wallboard Intact -0.452 K 0.069 L 354 Neg 91190 1111 Bathroom 1 1 Door Jamb Wood Varnish -0.085 K -0.418 L 354 Neg 91191 1111 Bathroom 1 3 Wall Wallboard Intact -0.168 K 0.152 L 354 Neg 91192 1111 Bathroom 1 3 Window Sash Wood Varnish 0.274 K -0.383 L 354 Neg 91193 1111 Bathroom 1 4 Wall Wallboard Intact -0.300 K 0.217 L 354 Neg 91194 1111 Bathroom 1 4 Ceiling Wallboard Intact 0.544 K 0.088 L 354 Neg 91195 11111 Bedroom 1 1 Wall Wallboard Intact 0.092 K 0.157 L 354 Neg [Page 2 of 4 Limit Set:0 Coding Set: 1 No Averaging Selected Leadsafe XRF Results Customer: Leadsafe Environmental Project Name: Fuss&O'Neill Site Name: 9 Buckland Road 4-19-04 South Windsor, CT. Action Level 1.000 mg/cm2 Lab 1.000 mg/cm2 Total Assays Reported 78 # Site Room Tested # Wall Component Substrate Paint K-Shell L-Shell Map Lab Result Condition m cm2 m cm2 # 91196 1111 Bedroom 1 1 Door Wood Varnish -0.283 K 0.055 L 354 Neg 91197 1111 Bedroom 1 2 Wall Wallboard Intact 0.335 K -0.019 L 354 Neg 91198 1111 Bedroom 1 3 Window Well Wood Intact 0.077 K 0.094 L 354 Neg 911 1111 Bedroom 1 3 Radiator Thin Metal Intact 0.099 K 0.237 L 354 Neg 91200 1111 Bedroom 1 4 Wall Wallboard Intact 0.460 K 0.109 L 354 Neg 91201 1111 Bedroom 1 4 Ceiling Wallboard Intact -0.339 K 0.557 L 354 Neg 91202 1111 Bedroom 2 1 Wall Wallboard Intact -0.068 K 0.295 L 354 Neg 91203 1111 Bedroom 2 2 Wall Wallboard Intact -0.336 K 0.056 L 354 Neg 91204 1111 Bedroom 2 2 Door Case Wood Varnish 0.299 K -0.029 L 354 Neg 91205 1111 Bedroom 2 3 Wall Wallboard Intact 0.326 K 0.197 L 354 Neg 912 1111 Bedroom 2 3 Window Sash Wood Varnish -0.246 K -0.183 L 354 Neg 91207 1111 Bedroom 2 4 Ceiling Wallboard Intact 0.033 K 0.272 L 354 Neg 91208 1111 Bedroom 3 1 Wall Wallboard Intact 0.436 K 0.182 L 354 Neg 912 1111 Bedroom 3 1 Window Case Wood Varnish 0.303 K -0.066 L 354 Neg 91210 1111 Bedroom 3 3 Wall Wallboard Intact -0.115 K 0.013 L 354 Neg 91211 1111 Bedroom 3 3 Door Case Wood Varnish -0.339 K 0.003 L 354 Neg 91212 1111 Bedroom 3 4 Wall Wallboard Intact 0.337 K 0.083 L 354 Neg 91213 1111 Bedroom 3 4 Window Well Wood Intact 0.180 K 0.237 L 354 Neg 91214 1111 Bedroom 3 4 Window Sash Wood Varnish 0.143 K -0.086 L 354 Neg 91215 11111 Bedroom 3 4 Ceiling Wallboard Intact 0.009 K -0.037 L 354 Neg 9121 1111 Bedroom 4 1 Wall Wallboard Intact 0.146 K 0.110 L 354 JNeg Page 3 of 4 Limit Set: 0 Coding Set: 1 No Averaging Selected Leadsafe XRF Results Customer: Leadsafe Environmental Project Name: Fuss&O'Neill Site Name: 9 Buckland Road 4-19-04 South Windsor, CT. Action Level 1.000 mg/cm2 Lab 1.000 mg km2 Total Assays Reported 78 # Site Room Tested # Wall Component Substrate Paint K-Shell L-Shell Map Condition m cm2 m cm2 # Lab Result 91217 1111 Bedroom 4 1 Window Sill Wood Varnish -0.198 K -0.160 L 354 Neg 91219 1111 Bedroom 4 1 Window Sill Wood Varnish 0.024 K -0.292 L 354 Neg 91219 1111 Bedroom 4 2 Wall Wallboard Intact 0.126 K -0.028 L 354 Neg 91220 1111 Bedroom 4 3 Wall Wallboard Intact 0.311 K 0.213 L 354 Neg 91221 1111 Bedroom 4 4 Wall Wallboard Intact 0.059 K 0.088 L 3541 Neg 91222 1111 Bedroom 4 4 Ceiling Wallboard Intact 0.278 K 0.071 L 354 Neg 91223 1111 Basement 1 1 Wall Wallboard Intact 0.181 K 0.207 L 354 Neg 91224 1111 Basement 1 2 Ceiling Wallboard Intact 0.237 K 0.082 L 354 Neg 91225 1111 Basement 1 3 Wall Wallboard Intact 0.149 K 0.110 L 354 Neg 91226 1111 Exterior 1 1 Siding Wood Intact -0.452 K 0.043 L 354 Neg 91227 1111 Exterior 1 1 Shutters Wood Intact 0.347 K 0.070 L 354 Neg 91228 1111 Exterior 1 1 Window Sill Wood Poor 0.012 K -0.239 L 354 Neg 91229 1111 Exterior 1 2 Siding Wood Poor 0.351 K -0.136 L 354 Neg 91230 1111 Exterior 1 3 Siding Wood Intact 10.151 KI 0.117 L 354 Neg 91231 1111 Exterior 1 3 Door Case Wood Intact 0.052 K 1 -0.099 L 1 354 Neg Page 4 of 4 Limit Set:0 Coding Set: 1 No Averaging Selected s = = M r so � s aw W �s rr as rr r i 1 1 1 1 1 1 1 1 1 1 1 i 1 l 1 1 1 1 1 1 1 1 testing asbestos# mold lead consulting LEA D-'--SL/fA-\ FE e n v i r o m e n t a l MM LEAD PAINT INSPECTION REPORT LEADSAFE INC. LICENSE # CC000647 FOR STRUCTURE(S) LOCATED AT: 15 Buckland Road South Windsor CT. 1 1 April 19, 2004 1 Offices in CT and NY• 800-392-6468 29 Bank Street • Stamford, Connecticut 06901 • Fax: 203-921-4145 ' 47 Spring Street • NeAington, Connecticut 06111 • Fax: 860-232-5703 2840 Broadway, Suite 323 9 New York, NY 10025 • Fax: 845-566-6913 1 1 1 1 1 1 1 1 1 1 1 1 1 testing asbestos +mold lead consulting LEA D e n v i r o m e n t a l Mr. Bob Kovach 4-21-04 ' Fuss and O'Neill Leadsafe ID #337885 146 Hartford Road Manchester, CT. 06040 Dear Mr. Kovach, Leadsafe Environmental has conducted an on-site screening for the detection of lead based paint at 15 Buckland Road, South Windsor, CT. on 4-19-04. All rooms/spaces were tested using the HUD Chapter 7 Guidelines for Lead Base Paint Inspection, 1997 Revision. This methodology requires testing of representative components in each room/space, for example walls, ceilings, windows, doors, baseboards etc. The testing was performed by a licensed lead inspector/.risk assessor, Peter Shannon (Lic. #002122) with a MAP 4 spectrum analyzer instrument. Suminary of Findin-as There was lead paint identified at this site above the action level of 1.0 milligrams per square centimeter on the exterior siding and window sill. See attached NRF results for components identified. The measurements taken at this site are on the spreadsheet pages. (Please read the page ' titled"How to Read The Test Report Data Sheets"to understand these pages.) The Map 4 tests for lead concentrations at two levels, the K-shell and the L-shell. The K-shell represents the total amount of lead in all the paint layers, while the L-shell represents the amount of lead which is in the paint closest to the surface. The test results are based on an "action level"is determined by the HUD guidelines. The shaded Areas of the report indicate where the lead concentration is confirmed above level (taking into account the recision of the equipment). These locations are the action ( g p shown as POS in the last column. An inconclusive (INCL) result indicates the concentration of lead is in the vicinity of the action level within the boundaries of the precision of the Map 4. Inconclusive measurements can be qualified by taking paint chip samples and analyzing them at a laboratory. Due to additional expense, paint chip samples are only taken when authorized by the client. i ' Offices in CT and NY• 800-392-6468 29 Bank Street • Stamford, Connecticut 06901 • Fax: 203-921-4145 47 Spring Street • Newington, Connecticut 06111 • Fax: 860-232-5703 2840 Broadway, Suite 323 • New York, NY 10025 • Fax: 845-566-6913 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 ', 1 '', 1 1 1 testing asbestos ?mold lead consulting L A//AA-- 5 e n v i r o m e n t a l , 1 This inspection report is for the exclusive private use of our client. The report provided to the client is confidential and is not to be copied or disseminated to any party other than the property owner, buyer, insurance carrier or tenant without the express written consent of the inspector. Use of all disclosures contained in this report is specifically restricted to the transaction for which the inspection was performed. Use of or reliance upon the report by other parties, or for other transactions is strictly prohibited. None of these test results or reports developed through the inspectors performance of the work are intended or represented to be suitable for reuse by the client or others as presenting an accurate description of the property or its condition beyond that existing on the date of the performance of the inspection. Use of said test results or reports or other materials by client without written permission or adaptation by the inspector for the specific purpose intended shall be at the user's sole risk, without liability on the inspector's part, and the ' client agrees to indemnify and hold the inspector harmless from all claims, damages and expenses, including attorney's fees, arising out of such unauthorized us. All renovations which interrupt lead based paint must be done in compliance with applicable Federal, State and local laws and regulations. We recommend the use of a professional, licensed abatement contractor for the interruption or removal of hazardous levels of lead based paint and other lead contaminated materials. Keep in mind that "shop vacuums" and ordinary vacuums do not have adequate filtration systems for collection and containment of hazardous materials and may aggravate lead dust conditions. A high efficiency particulate arresting(HEPA) vacuum and special detergents are needed to remove lead contaminated dust and debris. Leadsafe can provide consulting services, including abatement and management plans, to help you with any lead condition which may have been identified. Please call our office for 1 further information or any questions you may have regarding this report. Thank you for using Leadsafe. Sincerely, Peter Shannon i ' Offices in CT and NY• 800-392-6468 29 Bank Street • Stamford, Connecticut 06901 • Fax: 203-921-4145 47 Spring Street • Newington, Connecticut 06111 • Fax: 860-232-5703 2840 Broadway, Suite 323 • New York, NY 10025 • Fax: 845-566-6913 0 1 1 1 1 1 1 1 1 1 . 1 1 1 1 1 1 1 1 i 1 testing asbestos mold lead consulting L011\M D)SAFE e n v i r o m e n t a l 1 Report Disclaimer THE INFORMATION PROVIDED IN THIS REPORT IS LIMITED BY THE SCOPE OF THE INSPECTION REQUESTED BY THE CLIENT. NOT ALL INSPECTIONS YIELD INFORMATION REGARDING THE PRESENCE OF LEAD AND THE EXISTENCE OF LEAD HAZARDS IN ALL MEDIA. YOU ARE ADVISED TO CLARIFY THE SCOPE OF THE INSPECTION PROVIDED WITH THE INSPECTOR. It is generally acknowledged that the condition of the lead based paint C'LBP") in or on a residential structure will determine the extent of the hazard arising out of such LBP. Accordingly, any change in the condition of the LBP in the property in question will alter the validity of the test results provided herewith. The accuracy of any lead hazard evaluation performed is, therefore, limited to the condition of the property at the time the investigation reported herewith was conducted. The inspector assumes no responsibility for retesting or reinvestigating the property to determine changed conditions. Any and all changes in the premises or it's condition may result in the creation of lead based paint hazards not in existence at the time of the inspection. Client is advised that results which are reported as negative or inconclusive are not indicative of the total absence of lead in surface coating materials. Such results indicate that lead is not present in concentration levels defined by federal, state or local regulations as lead based paint. Client is notified that care should be taken in the event of an accidental or intentional disturbance of or the undertaking of activities which could affect surfaces coated with paints or coverings containing any amount of lead. Not all surfaces were tested or were accessible for testing. The inspector makes no representation with respect to the presence of lead-based paint or the condition of any surfaces which were inaccessible. Surfaces which were not tested may, if tested, yield results which indicate the presence of lead in greater or lesser concentrations than those tested, due to variability in application, paint quality, usage or other factors. The Client is advised to take such factors into account when undertaking any activities which may have an impact upon such surfaces. This report is intended only for the benefit of the Inspector and the Client and does not create any rights in any third parties. Offices in CT and NY• 800-392-6468 29 Bank Street • Stamford, Connecticut 06901 • Fax: 203-921-4145 ' 47 Spring Street • Newington, Connecticut 06111 • Fax: 860-232-5703 2840 Broadway, Suite 323 • New York, NY 10025 • Fax: 845-566-6913 testingasbestos�moid lead consulting 9 L E A DO'S A IF E e n v i r o m e n t a I How to Read the Test Report Data Sheets report The standard test re rt data sheets in the XRF Test Results section of the report have thirteen columns of information. An explanation of each column is detailed below: 1) # All of the measurements taken at the site are numbered sequentially. 2) Site The number in this column is the identification number for this job site. 3) Room-Tested Each room/space tested is identified in this column. When more than one similar type of room/space is tested they are numbered sequentially as shown in column 4.Each room/space,as identified in the test data,is shown on the floor plan. 4) # The number in this column is coupled with column 3 (Room-Tested)to distinguish similar room types. For example:Bedroom 1,Bedroom 2,etc.as shown on the floor ' plan. 5) wall The walls in each room/space are identified to show on which wall surface in the room each measurement was taken. The wall numbers are shown on the floor plan. 6) Component This column identifies the type of building component where the measurement was taken. The location of each measurement is randomly selected on that component. , 7) Condition The paint condition at the time of testing is listed in this column. 8) Substrate The material that the building component is made of is called the substrate. 9) K-Shell(mg/cm2) The K-Shell is the measurement that evaluates the lead content in all layers of paint down to the substrate material.The measurement is in milligrams per square centimeter. 10) L-Shell(mg/cm2) The L-Shell is the measurement that evaluates the lead content in surface layers of paint. 11) Map# Identification number of the MAP instrument used for this test. 12) Result The result of the measurement is related to the action level(allowable lead level)and adjusted for the level of precision used for that measurement. (Pos) Positive result > Action Level+precision level (Incl) Inconclusive range = Action Level+/-precision level. (Neg) Negative result < Action Level-precision level Offices in CT and NY- 800-392-6468 ' 29 Bank Street • Stamford, Connecticut 06901 • Fax: 203-921-4145 47 Spring Street • Newington, Connecticut 06111 • Fax: 860-232-5703 ' 2840 Broadway, Suite 323 • New York, NY 10025 • Fax: 845-566-6913 LEADW'�& ft 1 r7i7i Yvw.L; (acrm 0110 Of +A f�l Wil.) Jsr� Tr�iES�l4t'� rho�inIIt �: fssisnfd to t�li�yfij� 1 N!°W!L;;CST RI !R testing asbestos .mold lead consulting ' L E LIrA-\u, - -"-25)A F E e n v i r o m e n t a l ' FLOOR PLAN 15 BUCKLAND ROAD SOUTH WINDSOR,CL Kitchen Bath Beall 1 Hall I Bed Z Wit; mom Bed 1 ' Fxierior Side#1- Street Side Note-Wall#1 is identified in each mom Wall numbers 2,3,4 follow in a clockwise rotation.If a component was not painted,stained or varnished,it was not tested. Offices in CT and NY• 800-392-6468 , 29 Bank Street • Stamford, Connecticut 06901 • Fax: 203-921-4145 47 Spring Street • Ne"ington, Connecticut 06111 • Fax: 860-232-5703 ' 2840 Broadway, Suite 323 • New York, NY 10025 • Fax: 845-566-6913 Leadsafe XRF Results Customer: Leadsafe Environmental Project Name: Fuss&O'Neill Site Name: 15 Buckland Road 4-19-04 South Windsor, CT. Action Level 1.000 mg/cm2 Lab 1.000 mg/cm2 Total Assays Reported 56 # Site Room Tested # Wail Component Substrate Paint K-Shell L-Shell Map Condition m /cm2 m cm2 # Lab Result 91233 1111 Calibration * * * 0.000 X 0.000 X 0 91234 11111 Living Room 1 1 Wall Wallboard Intact -0.749 K -0.003 L 0 Neg 91235 1111 Living Room 1 1 Door Jamb Wood Intact 0.581 K 0.150 L 0 Neg 91236 1111 Living Room 1 1 Door Wood Varnish 0.134 K -0.240 L 0 Neg 91237 1111 Living Room 1 2 Wall Wallboard Intact -0.257 K 0.248 L 0 Neg 91238 1111 Living Room 1 2 Window Sash Wood Varnish -0.225 K -0.099 L 0 Neg 91239 1111 Living Room 1 2 Window Case Wood Varnish 0.008 K 0.129 L 0 Neg 912 1111 Living Room 1 2 Window Well Wood Poor 0.579 K 0.091 L 0 Neg 91241 1111 Living Room 1 3 Wall Wallboard Intact -0.047 K 0.414 L 0 Neg 91242 1111 Living Room 1 3 Wall Plaster Intact -0.665 K 0.481 L 0 Neg 91243 1111 Living Room 1 4 Ceiling Wallboard Intact -0.828 K 0.169 L 0 Neg 912 1111 Kitchen 1 1 Wall Wallboard Intact -0.178 K 0.007 L 0 Neg 91245 1111 Kitchen 1 2 Wall Wallboard Intact -1.168 K -0.049 L 0 Neg 912 1111 Kitchen 1 2 Door Case Wood Varnish 0.223 K 0.364 L 0 Neg 91247 1111 Kitchen 1 3 Radiator Thin Metal Intact 0.543 K 0.200 L 0 Neg 91248 1111 Kitchen 1 3 Window Sash Wood Varnish -0.137 K -0.114 L 0 Neg 91249 1111 Kitchen 1 3 Window Well Wood Intact 0.526 K 0.196 L 0 Neg 91250 1111 Kitchen 1 4 Ceiling Wallboard Intact -0.166 K 0.138 L 0 Neg 91251 1111 Bathroom 1 i Wall Wallboard Intact -0.594 K 0.397 L 0 Neg 91252 1111 Bathroom 1 3 Wall Wallboard Intact -0.461 K 0.377 L 0 Neg 91253 1111 Bathroom 1 3 1 Window Sash Wood Varnish 0.212 K -0.135 L 0 Neg Page 1 of 3 Limit Set: 0 Coding Set: 1 No Averaging Selected Leadsafe XRF Results Customer: Leadsafe Environmental Project Name: Fuss&O'Neill Site Name: 15 Buckland Road 4-19-04 South Windsor,CT. Action Level 1.000 mg/cm2 Lab 1.000 mg/cm2 Total Assays Reported 56 # Site Room Tested # Wall Component Substrate Paint K-Shell L-Shell Map Condition m cm2 m cm2 # Lab Result 91254 1111 Bathroom 1 3 Window Well Wood Intact -0.309 K 0.042 L 0 Neg 9125 1111 Bathroom 1 4 Ceiling Wallboard Intact -1.483 K 0.073 L 0 Neg 91256 1111 Bedroom 1 1 Wall Wallboard Intact -0.142 K -0.254 L 0 Neg 91257 1111 Bedroom 1 2 Wall Wallboard Intact -0.612 K -0.010 L 0 Neg 9125 1111 Bedroom 1 2 Door Jamb Wood Varnish -0.584 K -0.519 L 0 Neg 9125 1111 Bedroom 1 3 Wall Wallboard Intact 0.026 K 0.286 L 0 Neg 91260 1111 Bedroom 1 4 Wall Wallboard Intact -0.053 K 0.215 L 0 Neg 91261 1111 Bedroom 1 4 Radiator Thin Metal Intact -0.280 K 0.675 L 0 Neg 91262 1111 Bedroom 1 4 Window Well Wood Intact 0.537 K 0.264 L 0 Neg 91263 1111 Bedroom 1 4 Ceiling Wallboard Intact 0.041 K 0.339 L 0 Neg 91264 11111 Bedroom 2 1 Wall Wallboard Intact -0.302 K 0.140 L 0 Neg 91265 1111 Bedroom 2 3 Wall Wallboard Intact 0.021 K 0.586 L 0 Neg 91266 1111 Bedroom 2 4 Wall Wallboard Intact -0.898 K 0.020 L 0 Neg 91267 1111 Bedroom 2 4 Window Sill Wood Varnish 0.422 K -0.136 L 0 Neg 91268 1111 Bedroom 2 4 Piling Wallboard Intact 0.285 K 0.265 L 0 Neg 91269 1111 Bedroom 2 2 Baseboard Wood Varnish 0.190 K 0.084 L 0 Neg 91270 1111 Bedroom 3 1 Wall Wallboard Intact 0.109 K 0.329 L 0 Neg 91271 1111 Bedroom 3 1 Window Well Wood Intact 0.471 K 0.113 L 0 Neg 91272 1111 Bedroom 3 1 Window Sill Wood Varnish -0.349 K -0.490 L 0 Neg 91273 1111 Bedroom 31 2 1 Wall Wallboard Intact -0.025 K -0.002 L 0 Neg 91274 1111 Bedroom 3 3 1 Wall Wallboard Intact -0.756 K 10.484 L 0 Neg [Page 2 of 3 Limit Set:0 Coding Set: 1 No Averaging Selected r� rr rr r r� rr rr r s� rr r rr rr rr rr r rr �r rr Leadsafe XRF Results Customer: Leadsafe Environmental Project Name: Fuss&O'Neill Site Name: 15 Buckland Road 4-19-04 South Windsor, CT. Action Level 1.000 mg/cm2 Lab 1.000 mg/cm2 Total Assays Reported 56 # Site Room Tested # Wall Component Substrate Paint K-Shell L-Shell Map Condition m cm2 m cm2 # Lab Result 91275 1111 Bedroom 3 3 Door Wood Varnish 0.193 K -0.071 L 0 Neg 91279 1111 Bedroom 3 4 Ceiling Wallboard Intact 0.193 K 0.435 L 0 Neg 91277 1111 Bedroom 3 3 Floor Wood Varnish -0.255 K -0.037 L 0 Neg 91278 1111 Exterior 1 1 Door Wood Intact -0.246 K 0.118 L 0 Neg 91279 11111 Exterior 1 1 Soffit lWood Intact 0.834 K 0.342 L 0 Neg 9128 1111 Exterior 1 1 Soffit Wood Intact 0.375 K 0.435 L 0 Neg p .; o f•3 � � a � 9120 1111 Exterior 1 2 Siding Wood Poor 1.075 K 0.380 L 0 Incl 91284 1111 Exterior 1 2 Shutters Wood Poor 0.815 K 0.312 L 0 Neg 91285 1111 Exterior 1 2 Shutters Wood Poor 1.108 K 0.261 L 0 Incl 9128 1111 Exterior 1 2 Shutters Wood Poor 1.104 K 0.079 L 0 Incl 91287 1111 Exterior 1 2 Shutters Wood Poor 0.489 K 0.096 L 0 Neg a ` a Page 3 of 3 Limit Set:0 Coding Set: 1 TNo Averaging Selected f 1 1 1 1 1 1 1 � � r■� a� � �■ � � r � � � � � r� �w � � � 1 testing asbestos - mold lead consulting e n v i r o m e n t a l 1 1 LEAD PAINT i 1 INSPECTION REPORT 1 ' LEADSAFE INC. LICENSE # CC000647 FOR STRUCTURE(S) LOCATED AT: 395 Smith Street South Windsor CT. i 1 April 1912004 1 ' Offices in CT and NY• 800-392-6468 29 Bank Street • Stamford, Connecticut 06901 • Fax: 203-921-4145 47 Spring Street • Newington, Connecticut 06111 • Fax: 860-232-5703 ' 2840 Broadway, Suite 323 • New York, NY 10025 • Fax: 845-566-6913 t 1 1 1 1 1 1 , 1 '' 1 '. testing asbestos'Q!mold lead consulting LEADUAFE ' e n v i r o m e n t a l Mr. Bob Kovach 4-21-04 ' Fuss and O'Neill Leadsafe ID #337886 146 Hartford Road Manchester, CT. 06040 Dear Mr. Kovach, ' Leadsafe Environmental has conducted an on-site screening for the detection of lead based paint at 395 Smith Street, South Windsor, CT. on 4-19-04. All rooms/spaces were tested ' using the HUD Chapter 7 Guidelines for Lead Base Paint Inspection, 1997 Revision. This methodology requires testing of representative components in each room/space, for example walls, ceilings, windows, doors, baseboards etc. The testing was performed by a ' licensed lead inspector/.risk assessor, Peter Shannon (Lic. #002122)with a MAP 4 spectrum analyzer instrument. Summary of Findinzs There was lead paint identified at this site above the action level of 1.0 milligrams per square centimeter on the interior bathroom window well. See attached XRF results for ' components identified. The measurements taken at this site are on the spreadsheet pages. (Please read the page titled "How to Read The Test Report Data Sheets" to understand these pages.)The Map 4 tests for lead concentrations at two levels, the K-shell and the L-shell. The K-shell represents the total amount of lead in all the paint layers, while the L-shell represents the amount of lead which is in the paint closest to the surface. The test results are based on an "action level"is determined by the HUD guidelines. ' The shaded Areas of the report indicate where the lead concentration is confirmed above the action level (taking into account the precision of the equipment). These locations are shown as POS in the last column. An inconclusive(INCL)result indicates the ' concentration of lead is in the vicinity of the action level within the boundaries of the precision of the Map 4. Inconclusive measurements can be qualified by taking paint chip samples and analyzing them at a laboratory. Due to additional expense, paint chip samples ' are only taken when authorized by the client. Offices in CT and NY• 800-392-6468 29 Bank Street • Stamford, Connecticut 06901 • Fax: 203-921-4145 47 Spring Street• Newington, Connecticut 06111 • Fax: 860-232-5703 2840 Broadway, Suite 323 • New York, NY 10025 • Fax: 845-566-6913 testing asbestos. mold lead consulting LE D La i [ ' e n v i r o m e n t a l This inspection report is for the exclusive private use of our client. The report provided to ' the client is confidential and is not to be copied or disseminated to any party other than the property owner,buyer, insurance carrier or tenant without the express written consent of ' the inspector. Use of all disclosures contained in this report is specifically restricted to the transaction for which the inspection was performed. Use of or reliance upon the report by other parties, or for other transactions is strictly prohibited. None of these test results or ' reports developed through the inspectors performance of the work are intended or represented to be suitable for reuse by the client or others as presenting an accurate description of the property or its condition beyond that existing on the date of the ' performance of the inspection. Use of said test results or reports or other materials by client without written permission or adaptation by the inspector for the specific purpose intended shall be at the user's sole risk, without liability on the inspector's part, and the client agrees to indemnify and hold the inspector harmless from all claims, damages and expenses, including attorney's fees, arising out of such unauthorized us. All renovations which interrupt lead based paint must be done in compliance with applicable Federal, State and local laws and regulations. We recommend the use of a professional, licensed abatement contractor for the interruption or removal of hazardous levels of lead based paint and other lead contaminated materials. Keep in mind that "shop vacuums" and ordinary vacuums do not have adequate filtration systems for collection and containment of hazardous materials and may aggravate lead dust conditions. A high ' efficiency particulate arresting (HEPA)vacuum and special detergents are needed to remove lead contaminated dust and debris. ' Leadsafe can provide consulting services, including abatement and management plans, to help you with any lead condition which may have been identified. Please call our office for ' further information or any questions you may have regarding this report. Thank you for using Leadsafe. ' Sincerely, el ' Peter Shannon Offices in CT and NY- 800-392-6468 29 Bank Street - Stamford, Connecticut 06901 - Fax: 203-921-4145 'I ' 47 Spring Street o Newington, Connecticut 06111 - Fam 860-232-5703 2840 Broadway, Suite 323 - New York, NY 10025 9 Fax: 845-566-6913 testing asbestos mold lead consulting ' L I E LIrl-lux D�5�25 A IF E e n v i r o m e n t a l Report Disclaimer , THE INFORMATION PROVIDED IN THIS REPORT IS LIMITED BY THE SCOPE OF THE INSPECTION REQUESTED BY THE CLIENT. ' NOT ALL INSPECTIONS YIELD INFORMATION REGARDING THE PRESENCE OF LEAD AND THE EXISTENCE OF LEAD HAZARDS IN ALL MEDIA. YOU ARE ' ADVISED TO CLARIFY THE SCOPE OF THE INSPECTION PROVIDED WITH THE INSPECTOR. condition of the lead based paint 'LBP" in or on a ' It�s generally acknowledged that the p ( ) residential structure will determine the extent of the hazard arising out of such LBP. Accordingly, any change in the condition of the LBP in the property in question will alter the validity of the test results provided herewith. The accuracy of any lead hazard evaluation performed is, therefore, limited to the condition of the property at the time the investigation reported herewith was conducted. The inspector assumes no responsibility for retesting or reinvestigating the property to determine changed conditions. Any and all changes in the premises or it's condition may result in the creation of lead based paint hazards not in existence at the time of the inspection. ' Client is advised that results which are reported as negative or inconclusive are not indicative of the total absence of lead in surface coating materials. Such results indicate that lead is not present , in concentration levels defined by federal, state or local regulations as lead based paint. Client is notified that care should be taken in the event of an accidental or intentional disturbance of or the undertaking of activities which could affect surfaces coated with paints or coverings containing , any amount of lead. Not all surfaces were tested or were accessible for testing. The inspector makes no representation , with respect to the presence of lead-based paint or the condition of any surfaces which were inaccessible. Surfaces which were not tested may, if tested, yield results which indicate the ' presence of lead in greater or lesser concentrations than those tested, due to variability in application, paint quality, usage or other factors. The Client is advised to take such factors into account when undertaking any activities which may have an impact upon such surfaces. ' This report is intended only for the benefit of the Inspector and the Client and does not create any , rights in any third parties. Offices in CT and NY• 800-392-6468 ' 29 Bank Street • Stamford, Connecticut 06901 • Fax: 203-921-4145 47 Spring Street • Newington, Connecticut 06111 • Fax: 860-232-5703 ' 2840 Broadway, Suite 323 • New York, NY 10025 • Fax: 845-566-6913 testing Dasbestos'±mold lead consulting L AAAA E SA IF E e n v i r o m e n t a l ' How to Read the Test Report Data Sheets The standard test report data sheets in the XRF Test Results section of the report have thirteen columns of information. An explanation of each column is detailed below: f the measurements taken at the site are numbered sequentially. 1) # Al1 o ' 2) Site The number in this column is the identification number for this job site. 3) Room-Tested Each room/space tested is identified in this column. When more than one similar type ' of room/space is tested they are numbered sequentially as shown in column 4.Each room/space,as identified in the test data,is shown on the floor plan. 4) # The number in this column is coupled with column 3 (Room-Tested)to distinguish ' similar room types. For example:Bedroom 1,Bedroom 2,etc. as shown on the floor plan. ' 5) Wall The walls in each room/space are identified to show on which wall surface in the room each measurement was taken. The wall numbers are shown on the floor plan. 6) Component This column identifies the type of building component where the measurement was taken. The location of each measurement is randomly selected on that component. 7) Condition The paint condition at the time of testing is listed in this column. 8) Substrate The material that the building component is made of is called the substrate. 9) K-Shell(mg/cm2) The K-Shell is the measurement that evaluates the lead content in all layers of paint down to the substrate material.The measurement is in 4 per milligrams square centimeter. g P ' 10) L-Shell(mg/em2) The L-Shell is the measurement that evaluates the lead content in surface layers of paint. ' 11) Map# Identification number of the MAP instrument used for this test. 12) Result The result of the measurement is related to the action level(allowable lead level)and adjusted for the level of precision used for that measurement. (Pos) Positive result > Action Level+precision level (Incl) Inconclusive range = Action Level+/-precision level. ' (Neg) Negative result < Action Level-precision level ' Offices in CT and NY• 800-392-6468 29 Bank Street • Stamford, Connecticut 06901 • Fax: 203-921-4145 ' 47 Spring Street • Newington, Connecticut 06111 • Fax: 860-232-5703 2840 Broadway, Suite 323 • New York, NY 10025 • Fax: 845-566-6913 LEAD W-�' f 41 W"lEADSAFEINC•.caR W'NCCW w48 COCA H OCOR rT-T jl /10,�- 1 , - - -- I i YANCOw lip' .L.�(M.0m, orlas+ t+;s to 1�1 wgi.) Jirn� to^ESK04.3' , ', '�+� nEn�i �t fs�tinid to th�;�mb S7: RC�S� WALL BALLU rcP N W-I POST R! R 11, testing asbestos mold lead consulting L AD 5 A F E ' e n v i r o m e n t a ' FLOOR PLAN 393 Sb=STRM SOUTH WINDSOR,CT. ' IGtehen Bath 1 Bed 1 Hall Bed 2 Living ' room Bed 3 1 Exterior Side#1-Street Side ' Note-Wall#1 is identified in each room Wall numbers 2,3,4 follow in a clockwise rotation.If a component was not painted,stained or varnished,it was not tested. ' Offices in CT and NY- 800-392-6468 29 Bank Street - Stamford, Connecticut 06901 - Fax: 203-921-4145 47 Spring Street - Newington, Connecticut 06111 o Fax: 860-232-5703 2840 Broadway, Suite 323 o New York, NY 10025 - Fax: 845-566-6913 0 Leadsafe XRF Results Customer: Leadsafe Environmental Project Name: Fuss&O'Neill Site Name: 395 Smith Street 4-19-04 South Windsor, Action Level 1.000 mg/cm2 Lab 1.000 mg/cm2 Total Assays Reported 70 # Site Room Tested # Wall Component Substrate Paint K-Shell L-Shell Map Condition m cm2 m cm2 # Lab Result 91290 1111 Calibration * * * * * 0.000 X 0.000 X 0 91291 1111 Living Room 1 1 Wall Wallboard Intact 0.213 K 0.123 L 0 Neg 91292 1111 Living Room 1 1 Door Wood Intact -0.027 K 0.427 L 0 Neg 91293 1111 Living Room 1 1 Door Jamb Wood Intact 0.233 K 0.179 L 0 Neg 91294 1111 Living Room 1 3 Wall Wallboard Intact -0.222 K 0.356 L 0 Neg 91295 1111 Living Room 1 1 Window Sash Wood Varnish 0.295 K -0.218 L 0 Neg 91296 1111 Living Room 1 1 Window Sill Wood Varnish 0.077 K -0.002 L 0 Neg 91297 1111 Living Room 1 1 Window Well Wood Intact 0.170 K -0.138 L 0 Neg 91298 1111 Living Room 1 2 Wall Wallboard Intact -0.225 K 0.799 L 0 Neg 91299 1111 Living Room 1 2 Radiator Thin Metal Intact 0.382 K 0.145 L 0 Neg 91300 1111 Living Room 1 4 Ceiling Wallboard Intact 0.306 K -0.024 L 0 Neg 91301 1111 Kitchen 1 1 Wall Wood Paneling -0.142 K 0.294 L 0 Neg 91302 11111 Kitchen 1 2 Wall Wood Paneling -0.350 K 0.016 L 0 Neg 91303 1111 Kitchen 1 3 Door Wood Intact -0.304 K -0.103 L 0 Neg 91304 1111 Kitchen 1 3 Door Jamb Wood Intact 0.459 K -0.113 L 0 Neg 91305 1111 Kitchen 1 3 Door Case Wood Varnish -0.389 K 0.259 L 0 Neg 91306 1111 Kitchen 1 3 Window Well Wood Intact -0.006 K -0.351 L 0 Neg 91307 1111 Kitchen 1 4 Cabinet Door Wood Intact -0.022 K -0.275 L 0 Neg 91308 1111 Kitchen 1 4 Ceiling Wallboard Intact 0.354 K -0.053 L 0 Neg 91309 1111 Hallway 1 1 Wall Wallboard Intact 0.279 K -0.287 L 0 Neg 9131 1111 Hallway 1 2 Wall Wallboard Intact -0.320 K 0.016 L 0 Neg Page 1 of 4 Limit Set: 0 Coding Set: 1 No Averaging Selected Leadsafe XRF Results Customer: Leadsafe Environmental Project Name: Fuss&O'Neill Site Name: 395 Smith Street 4-19-04 South Windsor, Action Level 1.000 mg/cm2 Lab 1.000 mg/cm2 Total Assays Reported 70 # Site Room Tested # Wall Component Substrate Paint K-Shell L-Shell Map# Lab Result Condition m cm2 m cm2 91311 1111 Hallway1 2 Door Jamb Wood Varnish -0.290 K -0.153 L 0 Neg g 91312 1111 Bathroom 1 1 Wall Wallboard Intact 0.169 K -0.212 L 0 Neg 91313 1111 Bathroom 1 1 Door Wood Varnish -0.332 K 0.182 L 0 Neg 9131 1111 Bathroom 1 3 Wall Wallboard Intact 0.131 K 0.009 L 0 Neg 91317 1111 Bathroom 1 4 Wall Wallboard Intact -0.273 K -0.193 L 0 Neg 9131 1111 Bathroom 1 3 Window Case Wood Varnish 0.492 K -0.091 L 0 Neg 9131 1111 Bathroom 1 4 Ceiling Wallboard Intact -0.202 K 0.229 L 0 Neg 91320 1111 Bedroom 1 1 Wall Wallboard Intact -0.540 K -0.215 L 0 Neg 91321 1111 Bedroom 1 2 Wall Wallboard Intact -0.411 K 0.238 L 0 Neg 91322 11111 Bedroom 1 3 Wall Wallboard Intact -0.718 K 0.265 L 0 Neg 91323 1111 Bedroom 1 3 Window Sill Wood Varnish 0.078 K 0.022 L 0 Neg 9132 1111 Bedroom 1 3 Window Well Wood Intact -0.714 K 0.177 L 0 Neg 91325 1111 Bedroom 1 3 Window Well Wood Intact -0.663 K -0.346 L 0 Neg 91326 11111 Bedroom 1 4 Wall Wallboard Intact -0.577 K 0.046 L 0 JNeg 91327 1111 Bedroom 1 4 Radiator Thin Metal Intact -0.126 K 0.293 L 0 Neg 91328 1111 Bedroom 1 4 Ceiling Wallboard Intact -0.641 K 0.235 L 0 Neg 91329 1111 Bedroom 2 1 Wall Wallboard Intact -0.418 K 0.339 L 0 Neg 91330 1111 Bedroom 2 1 Window Sash Wood Varnish 0.257 K 0.283 L 0 Neg 91331 1111 Bedroom 1 2 1 Window Case Wood Varnish 0.251 K 0.259 L 0 Neg Page 2 of 4 Limit Set: 0 Coding Set: 1 No Averaging Selected Leadsafe XRF Results Customer: Leadsafe Environmental Project Name: Fuss&O'Neill Site Name: 395 Smith Street 4-19-04 South Windsor, Action Level 1.000 mg/cm2 Lab 1.000 mg/cm2 Total Assays Reported 70 # Site Room Tested # Wall Component Substrate Paint K-Shell L-Shell Map Condition m cm2 m cm2 # Lab Result 91332 1111 Bedroom 2 1 Window Well Wood Intact 0.186 K 0.135 L 0 Neg 91333 1111 Bedroom 2 3 Wall Wallboard Intact 0.088 K -0.130 L 0 Neg 91334 1111 Bedroom 2 3 Door Case Wood Varnish -0.431 K -0.592 L 0 Neg 91335 1111 Bedroom 2 4 Wall Wallboard Intact 0.451 K 0.084 L 0 Neg 91336 11111 Bedroom 2 4 Ceiling Wallboard Intact 0.115 K -0.027 L 0 INeg 91337 1111 Bedroom 3 1 Wall Wallboard Intact 0.235 K -0.346 L 0 Neg 91338 1111 Bedroom 3 1 Window Case Wood Varnish 0.348 K -0.128 L 0 Neg 91339 1111 Bedroom 3 1 Window Well Wood Intact -0.010 K -0.136 L 0 Neg 913 1111 Bedroom 3 2 Wall Wallboard Intact -0.153 K 0.167 L 0 Neg 91341 1111 Bedroom 3 3 Baseboard Wood Varnish 0.317 K -0.190 L 0 Neg 91342 1111 Bedroom 3 3 Floor Wood Varnish -0.937 K 0.086 L 0 Neg 91343 1111 Bedroom 3 3 Door Case Wood Varnish -0.258 K -0.144 L 0 Neg 91344 1111 Bedroom 3 4 Wall Wallboard Intact 0.393 K -0.059 L 0 Neg 91345 1111 Bedroom 3 4 Ceiling Wallboard Intact 0.118 K -0.209 L 0 Neg 91346 1111 Bsmnt Stair 1 2 Wall Wallboard Intact 0.279 K 0.310 L 0 Neg 91347 1111 Bsmnt Stair 1 4 Wall Wallboard Intact -0.321 K -0.644 L 0 Neg 913,011111 Bsmnt Stair 1 2 Beam Wood Intact 0.045 K -0.216 L 0 Neg 91349 1111 Bsmnt Stair 1 4 Ceiling Wallboard Intact 0.290 K -0.016 L 0 Neg 91350 1111 Exterior 1 1 Siding Wood Intact 0.093 K 0.036 L 0 Neg 91351 1111 Exterior 1 I 1 I Soffit I Wood JIntact 0.106 K 1 -0.143 L 0 Neg 91352 1111 Exterior 1 i 1 Window Sill I Wood Poor 0.406 K -0.083 L 0 Neg Page 3 of 4 Limit Set: 0 Coding Set: 1 No Averaging Selected Leadsafe XRF Results Customer: Leadsafe Environmental Project Name: Fuss&O'Neill Site Name: 395 Smith Street 4-19-04 South Windsor, Action Level 1.000 mg/cm2 Lab 1.000 mg/cm2 Total Assays Reported 70 # Site Room Tested # Wall Component Substrate Paint K-Shell L-Shell Map Condition m cm2 m cm2 # Lab Result 91353 1111 Exterior 1 1 Shutters Wood Intact 0.332 K -0.152 L 0 Neg 91354 1111 Exterior 1 2 Siding Wood Intact 0.118 K 0.091 L 0 Neg 91355 1111 Exterior 1 2 Window Case Wood Intact -0.645 K -0.027 L 0 Neg 91356 1111 Exterior 1 3 Door Wood Intact 0.006 K -0.159 L 0 JNeg 91357 1111 Exterior 1 4 Siding Wood Intact 0.216 K 0.037 L 0 Neg 91358 1111 Exterior 1 4 Garage Door Wood Intact 0.089 K 0.107 L 0 Neg 91359 1111 Calibration * * * * * 1.194 K 0.817 L 354 Incl Page 4 of 4 Limit Set: 0 Coding Set: 1 No Averaging Selected 1 � � � �i � � � � � � � � � � S � � � � C �. i I 1 1 tFuss&O'Neill Inc. APPENDIX H ASBESTOS SITE SURVEY REPORTS F.\P2000W81\P20\Archive\10\FSA_RRK042004.doc 1 Correa. r r ' testing asbestos .mold lead consulting L AN M/%A-N 0. e n v i r o m e n t a l r ASBESTOS SITE SURVEY PERFORMED BY: LEADSAFE ENVIRONMENTAL LICENSE # 000164 FOR STRUCTURE(S) AT: 1 BUCKLAND ROAD SOUTH WINDSOR, CT. April 19, 2004 Offices in CT and NY• 800-392-6468 29 Bank Street • Stamford, Connecticut 06901 • Fax: 203-921-4145 1 47 Spring Street • Newington, Connecticut 06111 • Fax: 860-232-5703 2840 Broadway, Suite 323 • New York, NY 10025 • Fax: 845-566-6913 1 1 ' 1 1 1 1 1 1 1 1 i 1 1 1 1 1 1 testing asbestos''�mold lead consulting LE�aV'2;a[FE env i r o m e n t a l April 25, 2004 Mr. Bob Kovach Fuss &O'Neill Inc. 146 Hartford Road Manchester, CT. 06040 Re: Pre-Demolition Asbestos Site Survey 1 Buckland Road Manchester, CT. Leadsafe ID# 337834 ' Dear Bob, Leadsafe Environmental has conducted a site inspection for the detection of asbestos containing materials (ACM)at the above referenced location on April 19,2004.All accessible rooms/spaces were inspected which involved identifying and sampling suspect asbestos-containing materials materials.The inspection was in accordance with EPA(AHERA&NESHAPS)sampling guidelines found in 40 CFR 763 and 40 CFR 61 respectively.The inspection was accomplished by a CT licensed Asbestos Inspector,Peter Shannon(Lic#000164). M .Summary of Findings Ten(10)homogeneous types of suspect materials were collected and analyzed for a total of twenty- eight(28)bulk samples. The following suspect materials (Chimney flue patch&joint compound) indicated positive for asbestos content. Please refer to Table A. for analytical results and location of asbestos-containing materials. rj If any questions arise regarding this report,please call anytime at 1-800-392-6468.Thank you for using Leadsafe Environmental. IPeter Shannon Offices in CT and NY• 800-392-6468 29 Bank Street • Stamford, Connecticut 06901 • Fax: 203-921-4145 47 Spring Street • Newington, Connecticut 06111 • Fax: 860-232-5703 2840 Broadway, Suite 323 • New York, NY 10025 • Fax: 845-566-6913 1 1 1 1 1 . t ' 1 � 1 1 li 1 � I 1 testing asbestos?,mold lead consulting LEARSAA. FE ' e n v i r o m e n t a l General Asbestos Information Asbestos,a Greek term that literally means inextinguishable, is a naturally occurring mineral that has been used in 3,000-4,000 types of materials. The Greeks actually referred to it as the"miracle mineral." The term was inherent of the mere properties of the substance. It varies in structure from other minerals of a similar type with its long,thin fibers that are bound together to form tight tmatrices. Although asbestos minerals are separated into six different types,there were three which were most commonly used. The most common type of asbestos found is Chrysotile which comprised about 95%of the asbestos material used and is often called white asbestos. The second most common type is Amosite,generally known as brown asbestos. The third asbestos mineral used in common practice is Crocidolite,known as blue asbestos. It was not until the late 1800s,however,that asbestos became a widely used resource. It was ' primarily mined in areas such as Canada, South Africa,and China. A large deposit was found in Canada and its proximity to the United States allowed the entrepeneurs of this country to begin manufacturing and selling asbestos for its many uses. Its use was attributed to its characteristics, ' some of which were its strength,resistance to chemicals,heat,fire,and sound. Some common locations and materials in which asbestos may be found within a building include wall plaster, sprayed on ceilings,pipe insulation, floor tiles,fire curtains,and siding. These potential locations are separated into three primary categories: (1) Surfacing materials(2)Thermal system insulation (TSI)and(3)Miscellaneous materials. These categories are then separated into friable and non- friable materials. Friable ACM are materials that can be crushed or crumbled by hand pressure, where as non friable materials can not be. Non friable materials have a more tightly bound matrix where the potential for fiber release is generally less. ' The reason that many sites are tested for the presence of asbestos containing material is because of the many health risks associated with asbestos exposure. If asbestos materials are disturbed,fibers may be released into the air. The fibers can remain airborne for a period of up to 80 hours. The inhalation or ingestion of these fibers can cause serious health effects. Some of the health risks i associated with inhalation include lung cancer,mesothelioma(cancer of the lining of the pleural sac)and asbestosis which is also known as"white lung disease." If the fibers are ingested,there is a greater risk of contracting stomach cancer,intestinal cancer,and colon cancer. Smokers may have a much greater risk for contracting an asbestos related disease. Asbestos exposure and smoking have a synergistic effect and can interact to increase the probability of lung cancer approximately 50-90 times. A common and possibly disturbing characteristic of asbestos related illnesses is that from the time of initial exposure,there may be a latency period ranging between 15-40 years. Stated simply, in most cases there are no symptoms of asbestos related disease until 15-40 years after initial exposure. Offices in CT and NY• 800-392-6468 29 Bank Street • Stamford, Connecticut 06901 • Fax: 203-921-4145 47 Spring Street • Newington, Connecticut 06111 • Fax: 860-232-5703 2840 Broadway, Suite 323 • New York, NY 10025 • Fax: 845-566-6913 f testing asb-e�'t'x mold lead consulting LIELaD,1�A IF E e n v i r o m e n t a l , Bulk Sampling Procedures The method used to collect material that is suspect to contain asbestos is called bulk sampling. Bulk samples are taken in areas based on the professional judgment of the inspector in conjunction with the EPA recommended bulk sampling protocol. Sections are designated as homogeneous sampling areas based on similar appearance,estimated date of application,and color. For , example,all bedrooms may contain similar wall plaster. Therefore,the wall plaster in those rooms would collectively be considered one homogeneous sampling area. Presented below is a brief summary of the actual sample collection procedure. 1.)A general walk through is conducted to assess potential asbestos containing materials. 2.) Based on the scope of the work as requested by the client, sample locations are selected. 3.)A disposable plastic sheet is placed below where the sample is being taken. 4.)The sample number is recorded on the sample bag and the sample location on the field sheet. 5.)The surface where the sample is being taken from is sprayed with a liquid solution to prevent dust generation at the time the sample is taken. 6.)The sample is extracted using a razor blade,knife, coring device,etc. 7.) Based on the clients request,the area may be repaired and cleaned. 8.)All samples are then packaged and sent to the laboratory. Methods of Analysis Samples are analyzed using the methods requested by the inspector and/or client. The analysis is a process to determine the concentration of asbestos in the samples which were extracted. The laboratory records the results for asbestos bulk samples in percentage by weight. One positive result within a group of samples per homogeneous material indicates that the material is ACM unless further sampling is requested by the client. Therefore,the laboratory is instructed to stop analyzing samples of a given homogenous area when one sample comes up positive.A sample is considered ACM when it has a level above 1% by weight. In some circumstances, if the sample is found to be in the approximate range of 11/o,further analysis may be necessary based on the judgment of the laboratory, inspector,and client. Offices in CT and NY• 800-392-6468 29 Bank Street • Stamford, Connecticut 06901 • Fax: 203-921-4145 47 Spring Street • Ne«ington, Connecticut 06111 • Fax: 860-232-5703 2840 Broadway, Suite 323 • New York, NY 10025 • Fax: 845-566-6913 testing asbestos mold lead consulting L IfAAA1 EAD" L1_U ' e n v i r o m e n t a l tl Two of the most common types of bulk sample analysis are PLM (Polarized Light Microscopy) and TEM(Transmission Electron Microscopy). ' Samples for this project were analyzed using the EPA-endorsed PLM-600IR-931116 method. This approved method, however, may sometimes fail to determine actual asbestos concentrations in certain materials (e.g., vinyl floor tiles). Therefore, if results yield< 1% (trace)or non-detected, it is recommended that confirmatory analysis be performed using TEM. Inspection Summaries A pre-demolition asbestos inspection was conducted at 1 Buckland Road, Manchester, CT. The purpose of the inspection was to identify suspect materials which may contain asbestos and would be impacted by future renovation/demolition activities.It is required that the qualified contractor verify quantities for cost estimate purposes Results The following suspect material indicated positive for Asbestos Content: TABLE 1. ACM TYPE SAMPLE#s LOCATION QUANTITY RESULTS ' Chimney flue 337883-11 Basement —2 SF 20 % patch insulation Chrysotile Joint compound 337883- 12, Throughout Unknown 3 % Chrysotile 1 applied to 12A sheetrock The following materials indicated negative for asbestos content: 12x12 floor tiles&mastics Linoleum flooring&paper backing Asphalt roof shingle Window glazing Vapor barrier board Offices in CT and NY• 800-392-6468 29 Bank Street • Stamford, Connecticut 06901 • Fax: 203-921-4145 47 Spring Street • Newington, Connecticut 06111 • Fax: 860-232-5703 2840 Broadway, Suite 323 • New York, NY 10025 • Fax: 845-566-6913 testing asbestos mold lead consulting LEA WAFE e n v i r o m e n t a l Appendix B Bulk Sample Results (Laboratory Report) Offices in CT and NY• 800-392-6468 29 Bank Street • Stamford, Connecticut 06901 • Fax: 203-921-4145 47 Spring Street • Newington, Connecticut 06111 • Fax: 860-232-5703 , 2840 Broadway, Suite 323 • New York, NY 10025 • Fax: 845-566-6913 SCHNEIDER LABORATORIES INCORPORATED 2512 W. Cary Street- Richmond,Virginia-23220-5117 804-353-6778. 800-785-LABS (5227) - (FAX) 804-353-6928 Excellence in Service and Technology AIHA/ELLAP 100527, NVLAP 101150-0, NYELAP/NELAC 11413, CAELAP 2078, NC 593 LABORATORY ANALYSIS REPORT Asbestos Identification by EPA Method 600/R-93/116 ACCOUNT: 2310-04-860 DATE COLLECTED: 4/19/2004 CLIENT: Leadsafe Inc. DATE RECEIVED: 4/22/2004 ADDRESS: 29 Bank Street DATE ANALYZED: 4/23/2004 Stamford, CT 06901 DATE REPORTED: 4/26/2004 PO NO.: PROJECT NAME: 1 Buckland Rd PROJECT NO.. 337883 JOB LOCATION: South Windsor, CT Client SLI Sample Asbestos Sample Sample Sample/ Identification/ Detected Description No. Layer ID Layer Name (Yes/No) 337883-9 27176951 Floor Tile Layer 1. Floor Tile No Dark Red, Organically Bound 100% Non-Asbestos NON FIBROUS MATERIAL 100% 337883-9A 27176952 Mastic Layer 1 Mastic No Clear, Soft 100% Non-Asbestos NON FIBROUS MATERIAL 100% 337883-96 27176953 Floor Tile Layer 1: Floor Tile No Dark Red,Organically Bound ' 100%Non-Asbestos NON FIBROUS MATERIAL 100% 337883-9C 27176954 Mastic Layer 1 Mastic No Clear, Soft 100%Non-Asbestos NON FIBROUS MATERIAL 100% 337883-91) 27176955 Floor Tile Layer 1 Floor Tile No Dark Red,Organically Bound 100%Non-Asbestos NON FIBROUS MATERIAL 100% 337883-9E 27176956 Mastic Layer 1: Mastic No Clear, Soft 100%Non-Asbestos NON FIBROUS MATERIAL 100% Samples analyzed by the EPA Test Method are subject to the inherent limitations of light microscopy including interference by matrix components. Gravimetric reduction and correlative analyses are recommended for all non-friable, organically bound materials. For calibrated visual estimate, 1%is the concentration at which there is a quantitative uncertainty. This report relates only to the items tested,must not be reproduced except in full wdh the approval of the lab, and must not be used to claim NVLAP or other govemment agency endorsement. ACCOUNT-WORKORDER: 2310-04-860 Page 2 (Continued) , Client SLI Sample Asbestos Sample Sample Sample/ Identification/ Detected Description No. Layer ID Layer Name (Yes/No) 337883-10 27176957 Linoleum , Layer 1 Lino/Paper Bkg/Mstc No Yellow/Green/Brown,Organically Bnd,Fibrous,Brittle 100%Non-Asbestos CELLULOSE FIBER 35%, NON FIBROUS MATERIAL 55%, SYNTHETIC FIBER 10% ' Unable to separate individual layers. 337883-10A 27176958 Paper Backing Layer 1 Lino/Paper Bkg/Mstc No Yellow/Green/Brown,Organically Bnd,Fibrous,Brittle 100%Non-Asbestos CELLULOSE FIBER 35%, NON FIBROUS MATERIAL 55%, SYNTHETIC FIBER 10% Unable to separate individual layers. 337883-10B 27176959 Linoleum Layer 1 Lino/Paper Bkg/Mstc No Yellow/Green/Brown,Organically Bnd,Fibrous,Brittle 100%Non-Asbestos CELLULOSE FIBER 35%, NON FIBROUS MATERIAL 55%, SYNTHETIC FIBER 10% Unable to separate individual layers. 337883-10C 27176960 Paper Backing e Layer 1 Lino/Paper Bkg/Mstc No Yellow/Green/Brown,Organically Bnd,Fibrous,Brittle 100%Non-Asbestos CELLULOSE FIBER 35%, NON FIBROUS MATERIAL 55%, SYNTHETIC ' FIBER 10% Unable to separate individual layers. 337883-11 27176961 Chimney Flue Patch Layer 1 Flue Patches Yes White/Beige, Hard, Fibrous 20%Asbestos CHRYSOTILE 20% 80%Non-Asbestos CELLULOSE FIBER< 1%, MINERAUGLASS WOOL 60%, NON FIBROUS MATERIAL 20% Unable to separate individual layers. 337883-11A 27176962 Chimney Flue Patch , Layer 1 Flue Patch Yes Beige, Fibrous < 1%(Trace)Asbestos CHRYSOTILE< 1% 100%Non-Asbestos FOAMED GLASS 10%, MINERAUGLASS WOOL 80%, NON FIBROUS MATERIAL 10% Sample possibly contaminated from associated materials. 337883-12 27176963 Sheetrock/Jnt Cmpd Layer 1: Sheetrock No Off White,Powdery 100%Non-Asbestos CELLULOSE FIBER 10%, NON FIBROUS MATERIAL 90% Layer 2: Joint Compound Yes Off White,Granular 3%Asbestos CHRYSOTILE 3% 97%Non-Asbestos NON FIBROUS MATERIAL 97% i Samples analyzed by the EPA Test Method are subject to the inherent limitations of light microscopy including interference by matrix components. Gravimetric reduction and correlative analyses are recommended for all non-liable, organically bound materials. For calibrated visual estimate, 1%is the concentration at which there is a quantitative uncertainty. This report relates only to the items tested,must not be reproduced except in full with the approval of the lab, and must not be used to claim NVLAP or other government agency endorsement. ' ACCOUNT-WORKORDER: 2310-04-860 Page 3 (Continued) Client SLI Sample Asbestos Sample Sample Sample/ Identification/ Detected Description No. Layer ID Layer Name (Yes/No) ' 337883-12A 27176964 Sheetrock/Jnt Cmpd Layer 1 Sheetrock No Off White, Powdery 100%Non-Asbestos CELLULOSE FIBER 15%, NON FIBROUS MATERIAL 85% ' Layer2: Joint Compound Yes Off White, Granular 3%Asbestos CHRYSOTILE 3% 97%Non-Asbestos NON FIBROUS MATERIAL 97% ' 337883-12B 27176965 Sheetrock/Jnt Cmpd Layer 1 Sheetrock No Off White, Powdery 100%Non-Asbestos CELLULOSE FIBER 10%, NON FIBROUS MATERIAL 90% Layer 2: Joint Compound Yes Off White,Granular 3%Asbestos CHRYSOTILE 3% 97%Non-Asbestos NON FIBROUS MATERIAL 97% 337883-13 27176966 Window Glazing 1 Layer 1 Glazing No Beige, Granular 100% Non-Asbestos NON FIBROUS MATERIAL 100% 337883-13A 27176967 Window Glazing Layer 1 Glazing No Beige, Granular 100% Non-Asbestos NON FIBROUS MATERIAL 100% ' 337883-14 27176968 Asphalt Roof Shingle Layer 1 Shingle No Black/White, Bituminous 100% Non-Asbestos CELLULOSE FIBER 12%, NON FIBROUS MATERIAL 88% 337883-14A 27176969 Asphalt Roof Shingle Layer 1 Shingle No Black, Bituminous ' 100%Non-Asbestos CELLULOSE FIBER 12%, NON FIBROUS MATERIAL 88% 337883-14B 27176970 Asphalt Roof Shingle Layer 1. Shingle No Black/Gray, Bituminous ' 100% Non-Asbestos CELLULOSE FIBER 12%, NON FIBROUS MATERIAL 88% 337883-15 27176971 Vapor Barrier Board Layer 1 Vapor Barrier No Brown, Fibrous 100% Non-Asbestos CELLULOSE FIBER 90%, NON FIBROUS MATERIAL 10% ' 337883-15A 27176972 Vapor Barrier Board Layer 1 Vapor Barrier No Brown, Fibrous 100% Non-Asbestos CELLULOSE FIBER 90%, NON FIBROUS MATERIAL 10% Samples analyzed by the EPA Test Method are subject to the inherent limitations of light microscopy including interference by matrix components. Gravimebic reduction and correlative analyses are recommended for all non-friable, organically bound materials. For calibrated visual estimate, 1%is the concentration at which there is a quantitative uncertainty. This report relates only to the items tested,must not be reproduced except in full with ' the approval of the lab, and must not be used to claim NVLAP or other government agency endorsement. ACCOUNT-WORKORDER: 2310-04-860 Page 4 (Continued) Client SLI Sample Asbestos Sample , Sample Sample/ Identification/ Detected Description No. Layer ID Layer Name (Yes/No) 337883-15B 27176973 Vapor Barrier Board , Layer 1 Vapor Barrier No Brown, Fibrous 100%Non-Asbestos CELLULOSE FIBER 90%, NON FIBROUS MATERIAL 10% i 1 1 1 1 1 ANALYST: KATHERINE M. CHARLES Total no. of pages in report= REVIEWED BY Beverly A.Schrage, Analyst Samples analyzed by the EPA Test Method are subject to the inherent limitations of light microscopy including interference by matrix components. Gravimetric reduction and correlative analyses are recommended for all non-friable, organically bound materials. For calibrated visual estimate, J%is the concentration at which then:is a quantitative uncertainty. This report relates only to the items tested,must not be reproduced except in full with the approval of the lab, and must not be used to claim NVLAP or other government agency endorsement. , i 1 1 1 1 1 1 i 1 1 1 1 1 1 1 A i 1 1 1 testing asbestos mold lead consulting L E A ARE e n v i r o m e n t a l 1 1 ASBESTOS SITE t SURVEY ' PERFORMED BY: ' LEADSAFE ENVIRONMENTAL LICENSE # 000164 1 FOR STR UCTURE(S) AT. 9 BUCKLAND ROAD ' SOUTH WINDSOR, CT. 1 April 19, 2 004 Offices in CT and NY- 800-392-6468 29 Bank Street • Stamford, Connecticut 06901 - Fax: 203-921-4145 47 Spring Street - Newington, Connecticut 06111 • Fax: 860-232-5703 2840 Broadway, Suite 323 - New York, NY 10025 • Fax: 845-566-6913 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 testing asbestos''?'•mold lead consulting e n v i r o m e n t a l ' April 25,2004 ' Mr.Bob Kovach Fuss&O'Neill Inc. 146 Hartford Road ' Manchester, CT.06040 Re: Pre-Demolition Asbestos Site Survey 9 Buckland Road South Windsor, CT. Leadsafe ID# 337884 ' Dear Bob, ' Leadsafe Environmental has conducted a site inspection for the detection of asbestos containing materials (ACM)at the above referenced location on April 19, 2004. All accessible rooms/spaces were inspected which involved identifying and sampling suspect asbestos-containing materials ' materials.The inspection was in accordance with EPA(AHERA&NESHAPS)sampling guidelines found in 40 CFR 763 and 40 CFR 61 respectively.The inspection was accomplished by a CT licensed Asbestos Inspector,Peter Shannon(Lic# 000164). Summary of Findings ' Twelve(12)homogeneous types of suspect materials were collected and analyzed for a total of twenty-two(22)bulk samples. The following suspect asbestos-containing material (Joint ' Compound) analyzed indicated negative for asbestos content. If any questions arise regarding this report,please call anytime at 1-800-392-6468. Thank you for using Leadsafe Environmental. Sincerely, Peter Shannon 1 ' Offices in CT and NY• 800-392-6468 29 Bank Street • Stamford, Connecticut 06901 • Fax: 203-921-4145 ' 47 Spring Street• Newington, Connecticut 06111 • Fax: 860-232-5703 2840 Broadway, Suite 323 • New York, NY 10025 • Fax: 845-566-6913 testing asbestost mold lead consulting L EAD5 A F � e n v i r o m e n t a l i General Asbestos Information ' Asbestos,a Greek term that literally means inextinguishable, is a naturally occurring mineral that has been used in 3,000-4,000 types of materials. The Greeks actually referred to it as the"miracle mineral." The term was inherent of the mere properties of the substance. It varies in structure ' from other minerals of a similar type with its long,thin fibers that are bound together to form tight matrices. Although asbestos minerals are separated into six different types,there were three which were most commonly used. The most common type of asbestos found is Chrysotile which comprised about 95%of the asbestos material used and is often called white asbestos. The second most common ' type is Amosite,generally known as brown asbestos. The third asbestos mineral used in common practice is Crocidolite,known as blue asbestos. ' It was not until the late 1800s,however,that asbestos became a widely used resource. It was primarily mined in areas such as Canada, South Africa,and China. A large deposit was found in Canada and its proximity to the United States allowed the entrepeneurs of this country to begin ' manufacturing and selling asbestos for its many uses. Its use was attributed to its characteristics, some of which were its strength, resistance to chemicals,heat,fire,and sound. Some common locations and materials in which asbestos may be found within a building include wall plaster, ' sprayed on ceilings,pipe insulation, floor tiles,fire curtains,and siding.These potential locations are separated into three primary categories: (1) Surfacing materials(2)Thermal system insulation (TSI)and(3)Miscellaneous materials. These categories are then separated into friable and non- friable materials. Friable ACM are materials that can be crushed or crumbled by hand pressure, where as non friable materials can not be. Non friable materials have a more tightly bound matrix where the potential for fiber release is generally less. ' The reason that many sites are tested for the presence of asbestos containing material is because of the many health risks associated with asbestos exposure. If asbestos materials are disturbed, fibers ' may be released into the air. The fibers can remain airborne for a period of up to 80 hours. The inhalation or ingestion of these fibers can cause serious health effects. Some of the health risks associated with inhalation include lung cancer,mesothelioma(cancer of the lining of the pleural sac)and asbestosis which is also known as"white lung disease." If the fibers are ingested,there is a greater risk of contracting stomach cancer, intestinal cancer,and colon cancer. ' Smokers may have a much greater risk for contracting an asbestos related disease. Asbestos exposure and smoking have a synergistic effect and can interact to increase the probability of lung cancer approximately 50-90 times. A common and possibly disturbing characteristic of asbestos related illnesses is that from the time p Y g of initial exposure,there may be a latency period ranging between 1540 years. Stated simply,in most cases there are no symptoms of asbestos related disease until 1540 years after initial exposure. ' Offices in CT and NY• 800-392-6468 29 Bank Street • Stamford, Connecticut 06901 • Fax: 203-921-4145 47 Spring Street • Newington, Connecticut 06111 • Fax: 860-232-5703 2840 Broadway, Suite 323 • NevvYork, NY 10025 • Fax: 845-566-6913 testing asbestos mold lead consulting LEAD"'SAFE-9 e n v i r o mental Bulk Sampling Procedures The method used to collect material that is suspect to contain asbestos is called bulk sampling. , Bulk samples are taken in areas based on the professional judgment of the inspector in conjunction with the EPA recommended bulk sampling protocol. Sections are designated as homogeneous , sampling areas based on similar appearance,estimated date of application,and color. For example, all bedrooms may contain similar wall plaster. Therefore,the wall plaster in those rooms would collectively be considered one homogeneous sampling area. Presented below is a brief summary of the actual sample collection procedure. 1.)A general walk through is conducted to assess potential asbestos containing materials. 2.)Based on the scope of the work as requested by the client, sample locations are selected. 3.)A disposable plastic sheet is placed below where the sample is being taken. ' 4.)The sample number is recorded on the sample bag and the sample location on the field sheet. , 5.)The surface where the sample is being taken from is sprayed with a liquid solution to prevent dust generation at the time the sample is taken. , 6.)The sample is extracted using a razor blade,knife,coring device, etc. 7.)Based on the clients request,the area may be repaired and cleaned. , 8.)All samples are then packaged and sent to the laboratory. Methods of Analysis Samples are analyzed using the methods requested by the inspector and/or client. The analysis is a , process to determine the concentration of asbestos in the samples which were extracted. The laboratory records the results for asbestos bulk samples in percentage by weight. One positive result within a group of samples per homogeneous material indicates that the material is ACM unless further sampling is requested by the client.Therefore,the laboratory is instructed to stop analyzing samples of a given homogenous area when one sample comes up positive.A sample is considered ACM when it has a level above 1% by weight. In some circumstances,if the sample , is found to be in the approximate range of 1%,further analysis may be necessary based on the judgment of the laboratory, inspector,and client. I Offices in CT and NY• 800-392-6468 29 Bank Street • Stamford Connecticut 06901 • Fax: 203-921-4145 , 47 Spring Street • Ne«zngton, Connecticut 06111 a Fax: 860-232-5703 2840 Broadway, Suite 323 • New York, NY 10025 • Fax: 845-566-6913 testing asbestos�.mold lead consulting L E '-D* -'.-1 5 A F E e n v i r o m e n t a l Two of the most common types of bulk sample analysis are PLM(Polarized Light Microscopy) ' and TEM(Transmission Electron Microscopy). Samples for this project were analyzed using the EPA-endorsed PLM-600IR-931116 method. This approved method, however, may sometimes fail to determine actual asbestos concentrations in ' certain materials(e.g., vinyl floor tiles). Therefore, if results yield< 1%(trace) or non-detected, it is recommended that confirmatory analysis be performed using TEM. ' Inspection Summaries A pre-demolition asbestos inspection was conducted at 9 Buckland Road, South Windsor, CT. ' The purpose of the inspection was to identify suspect materials which may contain asbestos and would be impacted by future renovation/demolition activities.It is required that the qualified contractor shall verify quantities for cost estimate purposes Results The following suspect material indicated positive for Asbestos Content: TABLE 1. ACM TYPE SAMPLE#s LOCATION QUANTITY RESULTS Joint compound 337884-1B & Throughout Unknown 3 % Chrysotile 1C ' The following materials indicated negative for asbestos content: ' Linoleum flooring&paper backing Wall plaster&skimcoat Sheetrock ivall/ceiling ' Window glazing Asphalt roof shingles Cove base&mastic ' Underlying felt paper Vapor barrier board ' Offices in CT and NY• 800-392-6468 29 Bank Street • Stamford, Connecticut 06901 • Fax: 203-921-4145 47 Spring Street • Newington, Connecticut 06111 • Fax: 860-232-5703 2840 Broadway, Suite 323 • New York, NY 10025 • Fax: 845-566-6913 testing asbestAmold lead consulting , L EtAA- DO,S JRU IF IE e n v i r o m e n t a l , Appendix B Bulk Sample Results (Laboratory Report) i Offices in CT and NY• 800-392-6468 ' 29 Bank Street • Stamford, Connecticut 06901 • Fax: 203-921-4145 47 Spring Street • Newington, Connecticut 06111 • Fax: 860-232-5703 ' 2840 Broadway, Suite 323 • New York, NY 10025 • Fax: 845-566-6913 SCHNEIDER LABORATORIES ' INCORPORATED 2512 W. Cary Street- Richmond,Virginia- 23220-5117 804-353-6778 - 800-785-LABS (5227) - (FAX) 804-353-6928 ' Excellence in Service and Technology AIHAIELLAP 100527, NVLAP 101150-0, NYELAP/NELAC 11413,CAELAP 2078,NC 593 LABORATORY ANALYSIS REPORT Asbestos Identification by EPA Method 600/R-93/116 ACCOUNT: 2310-04-858 DATE COLLECTED: 4/19/2004 ' CLIENT: Leadsafe Inc. DATE RECEIVED: 4/22/2004 ADDRESS: 29 Bank Street DATE ANALYZED: 4/23/2004 Stamford, CT 06901 DATE REPORTED: 4/26/2004 PO NO.. PROJECT NAME: 9 Buckland Rd PROJECT NO.: 337884 ' JOB LOCATION: South Windsor, CT Client SLI Sample Asbestos Sample Sample Sample/ Identification/ Detected Description No. Layer ID Layer Name (Yes/No) 337884-1A 27176867 Sheetrock/Jnt Cmpd Layer 1 Sheetrock No White, Powdery 100% Non-Asbestos CELLULOSE FIBER 10%, NON FIBROUS MATERIAL 90% Layer 2: Joint Compound Yes Off-White,Granular 3%Asbestos CHRYSOTILE 3% 97% Non-Asbestos CELLULOSE FIBER 2%, NON FIBROUS MATERIAL 95% ' No White Joint Compound Found 337884-1 B 27176868 Sheetrock/Jnt Cmpd Layer 1 Sheetrock No White, Powdery ' 100%Non-Asbestos CELLULOSE FIBER 10%, NON FIBROUS MATERIAL 90% Layer 2: Joint Compound No White,Granular ' 100% Non-Asbestos CELLULOSE FIBER 2%, NON FIBROUS MATERIAL 98% Layer 3: Joint Compound Yes Off-White,Granular 3%Asbestos CHRYSOTILE 3% ' 97%Non-Asbestos NON FIBROUS MATERIAL 97% 337884-1C 27176869 Sheetrock/Jnt Cmpd Layer 1 Sheetrock No White, Powdery 100% Non-Asbestos CELLULOSE FIBER 12%, NON FIBROUS MATERIAL 88% Samples analyzed by the EPA Test Method are subject to the inherent limitations of light microscopy including interference by matrix components. Gravimetric reduction and correlative analyses are recommended for all non-friable, organically bound materials. For calibrated visual estimate, I%is the concentration at which there is a quantitative uncertainty. This report relates only to the items tested,must not be reproduced except in full with the approval of the lab, and must not be used to claim NVLAP or other government agency endorsement. ACCOUNT-WORKORDER: 2310-04-858 Page 2 (Continued) ' Client SLI Sample Asbestos Sample ' Sample Sample/ Identification/ Detected Description No. Layer ID Layer Name (YeslNo) Layer2: Joint Compound Yes Off-White, Granular , 3%Asbestos CHRYSOTILE 3% 97% Non-Asbestos CELLULOSE FIBER< 1%,NON FIBROUS MATERIAL 97% No White Joint Compound Found ' 337884-2A 27176870 Asphalt Roof Shingle Layer 1: Shingle No Black/Gray, Bituminous 100% Non-Asbestos CELLULOSE FIBER 15%,NON FIBROUS MATERIAL 85% ' 337884-26 27176871 Asphalt Roof Shingle Layer 1- Shingle No Black/Gray, Bituminous ' 100%Non-Asbestos CELLULOSE FIBER 15%, NON FIBROUS MATERIAL 85% 337884-3A 27176872 Window Glazing , Layer 1 Glazing No White,Granular 100% Non-Asbestos CELLULOSE FIBER< 1%,NON FIBROUS MATERIAL 100%,TALC< 1 337884-313 27176873 Window Glazing ' Layer 1 Glazing No White, Granular 100% Non-Asbestos NON FIBROUS MATERIAL 100% 337884-4 27176874 Linoleum Layer 1 Linoleum/Paper Back No White/Light Gray,Organically Bound, Fibrous 100% Non-Asbestos CELLULOSE FIBER 30%, MINERAUGLASS WOOL 15%, NON FIBROUS ' MATERIAL 55% Unable to separate individual layers. 337884-4A 27176875 Paper Back , Layer 1- Linoleum/Paper Pack No White/Light Gray,Organically Bound, Fibrous 100% Non-Asbestos CELLULOSE FIBER 30%, MINERAUGLASS WOOL 15%, NON FIBROUS MATERIAL 55% ' Unable to separate individual layers. 337884-46 27176876 Linoleum , Layer 1 Linoleum/Paper Back No White/Light Gray, Spongy, Fibrous 100%Non-Asbestos CELLULOSE FIBER 30%, MINERAUGLASS WOOL 15%, NON FIBROUS MATERIAL 55% Unable to separate individual layers. , 337884-4C 27176877 Paper Back Layer 1: Linoleum/Paper Back No White/Light Gray,Spongy, Fibrous ' 100%Non-Asbestos CELLULOSE FIBER 30%, MINERAUGLASS WOOL 15%,NON FIBROUS MATERIAL 55% Unable to separate individual layers. ' Samples analyzed by the EPA Test Method are subject to the inherent limitations of light microscopy including interference by matrix components. Gravimetric reduction and correlative analyses are recommended for all , non-friable, organically bound materials. For calibrated visual estimate, 1%is the concentration at which there is a quantitative uncertainty. This report relates only to the items tested, must not be reproduced except in full with the approval of the lab, and must not be used to claim NVLAP or other government agency endorsement. ACCOUNT-WORKORDER: 2310-04-858 Page 3 (Continued) Client SLI Sample Asbestos Sample Sample Sample/ Identification/ Detected Description No. Layer ID Layer Name (Yes/No) 337884-5 27176878 Linoleum Layer 1 Linoleum/Paper Back No White/Light Gray,Spongy, Fibrous 100% Non-Asbestos CELLULOSE FIBER 45%, NON FIBROUS MATERIAL 55% ' Unable to separate individual layers. 337884-5A 27176879 Paper Back Layer 1 Linoleum/Paper Back No White/Light Gray,Spongy, Fibrous ' 100% Non-Asbestos CELLULOSE FIBER 45%, NON FIBROUS MATERIAL 55% Unable to separate individual layers. 337884-513 27176880 Linoleum Layer 1 Linoleum/Paper Back No White/Light Gray,Spongy, Fibrous 100% Non-Asbestos CELLULOSE FIBER 45%,NON FIBROUS MATERIAL 55% ' Unable to separate individual layers. 337884-5C 27176881 Paper Back ' Layer 1 Linoleum/Paper Back No White/Light Gray, Spongy, Fibrous 100% Non-Asbestos CELLULOSE FIBER 45%, NON FIBROUS MATERIAL 55% Unable to separate individual layers. ' 337884-6 27176882 Covebase Layer 1 Cove Base No White, Rubbery 100% Non-Asbestos NON FIBROUS MATERIAL 100% 337884-6A 27176883 Mastic Layer 1 Mastic No Yellow, Rubbery ' 100% Non-Asbestos NON FIBROUS MATERIAL 100% 337884-7 27176884 Felt Paper Layer 1 Felt Paper No Black, Fibrous 100%Non-Asbestos CELLULOSE FIBER 90%, NON FIBROUS MATERIAL 10% 337884-7A 27176885 Felt Paper ' Layer 1 Felt Paper No Black, Fibrous 100%Non-Asbestos CELLULOSE FIBER 90%, NON FIBROUS MATERIAL 10% ' 337884-8 27176886 Vapor Barrier Board Layer 1 Vapor Barrier No Brown,Fibrous 100%Non-Asbestos CELLULOSE FIBER 90%, NON FIBROUS MATERIAL 10% 337884-8A 27176887 Vapor Barrier Board Layer 1- Vapor Barrier No Brown,Fibrous 100% Non-Asbestos CELLULOSE FIBER 90%,NON FIBROUS MATERIAL 10% I Samples analyzed by the EPA Test Method are subject to the inherent limitations of light microscopy including ' interference by matrix components. Gravimetric reduction and correlative analyses are recommended for all non-friable, organically bound materials. For calibrated visual estimate, 1%is the concentration at which there is a quantitative uncertainty. This report relates only to the items tested, must not be reproduced except in full with ' the approval of the lab, and must not be used to claim NVLAP or other government agency endorsement. ACCOUNT-WORKORDER: 2310-04-858 Page 4 (Continued) Client SLI Sample Asbestos Sample ' Sample Sample/ Identification/ Detected Description No. Layer ID Layer Name (Yes/No) 337884-8B 27176888 Vapor Barrier Board ' Layer 1 Vapor Barrier No Brown, Fibrous 100% Non-Asbestos CELLULOSE FIBER 90%, NON FIBROUS MATERIAL 10% ANALYST: KATHERINE M. CHARLES ' Total no.of pages in report= REVIEWED BY Samples analyzed by the EPA Test Method are subject to the inherent limitations of light microscopy including interference by matrix components. Gravimetric reduction and correlative analyses are recommended for all ' non-friable, organically bound materials. For calibrated visual estimate, 1%is the concentration at which there is a quantitative uncertainty. This report relates only to the items tested, must not be reproduced except in full with the approval of the lab, and must not be used to claim NVLAP or other government agency endorsement. � i � '� 1 1 1 1 1 1 1 1 1 1 1 ' testing asbestos ,mold lead consulting D.2; fA� IF E L Et ,A-- Lrlu ' e n v i r o m e n t a l ASBESTOS SITE 1 SURVEY i 1 PERFORMED BY: ' LEADSAFE ENVIRONMENTAL LICENSE # 000164 1 FOR STR UCTURE(S) AT: 1 15 BUCKLAND ROAD 1 SOUTH WINDSOR, CT. 1 i 1 April 19, 2004 1 Offices in CT and NY• 800-392-6468 29 Bank Street • Stamford, Connecticut 06901 • Fax: 203-921-4145 47 Spring Street • Newington, Connecticut 06111 • Fax: 860-232-5703 2840 Broadway, Suite 323 • New York, NY 10025 • Fax: 845-566-6913 testing asb:e",t1*.oX mold lead consulting L Af- E6%1D)SAFE e n v i r o m e n t a l ' April 25, 2004 ' Mr. Bob Kovach Fuss&O'Neill Inc. 146 Hartford Road Manchester, CT. 06040 Re: Pre-Demolition Asbestos Site Survey 15 Buckland Road South Windsor, CT. Leadsafe ID#337885 ' Dear Bob, ' Leadsafe Environmental has conducted a site inspection for the detection of asbestos containing materials(ACM)at the above referenced location on April 19,2004. All accessible rooms/spaces were inspected which involved identifying and sampling suspect asbestos-containing materials ' materials. The inspection was in accordance with EPA(AHERA&NESHAPS)sampling guidelines found in 40 CFR 763 and 40 CFR 61 respectively.The inspection was accomplished by a CT licensed Asbestos Inspector, Peter Shannon(Lic#000164). .Summary of Findinp-s ' Nine(9)homogeneous types of suspect materials were collected and analyzed for a total of sixteen (16)bulk samples.All suspect materials analyzed indicated negative for asbestos content. ' If any questions arise regarding this report,please call anytime at 1-800-392-6468.Thank you for using Leadsafe Environmental. ' S- ely, iPeter Shannon 1 ' Offices in CT and NY• 800-392-6468 29 Bank Street • Stamford, Connecticut 06901 • Fax: 203-921-4145 47 Spring Street • Newington, Connecticut 06111 • Fax: 860-232-5703 2840 Broadway, Suite 323 • New fork, NY 10025 • Fax: 845-566-6913 0 ' testing asbestos mold lead consulting L F= r U-L-'**' ' e n v i r o m e n t a l General Asbestos Information Asbestos,a Greek term that literally means inextinguishable,is a naturally occurring mineral that has been used in 3,0004,000 types of materials. The Greeks actually referred to it as the"miracle mineral." The term was inherent of the mere properties of the substance. It varies in structure from other minerals of a similar type with its long,thin fibers that are bound together to form tight matrices. Although asbestos minerals are separated into six different types,there were three which were most 1 commonly used. The most common type of asbestos found is Chrysotile which comprised about 95%of the asbestos material used and is often called white asbestos. The second most common type is Amosite,generally known as brown asbestos. The third asbestos mineral used in common Ipractice is Crocidolite,known as blue asbestos. It was not until the late 1800s,however,that asbestos became a widely used resource. It was ' primarily mined in areas such as Canada, South Africa,and China. A large deposit was found in Canada and its proximity to the United States allowed the entrepeneurs of this country to begin manufacturing and selling asbestos for its many uses. Its use was attributed to its characteristics, some of which were its strength,resistance to chemicals,heat,fire,and sound. Some common locations and materials in which asbestos may be found within a building include wall plaster, sprayed on ceilings,pipe insulation,floor tiles, fire curtains,and siding. These potential locations are separated into three primary categories: (1) Surfacing materials(2)Thermal system insulation (TSI)and(3)Miscellaneous materials. These categories are then separated into friable and non- friable materials. Friable ACM are materials that can be crushed or crumbled by hand pressure, ' where as non friable materials can not be. Non friable materials have a more tightly bound matrix where the potential for fiber release is generally less. The reason that many sites are tested for the presence of asbestos containing material is because of the many health risks associated with asbestos exposure. If asbestos materials are disturbed,fibers may be released into the air. The fibers can remain airborne for a period of up to 80 hours. The inhalation or ingestion of these fibers can cause serious health effects. Some of the health risks associated with inhalation include lung cancer,mesothelioma(cancer of the lining of the pleural sac)and asbestosis which is also known as"white lung disease." If the fibers are ingested,there is a greater risk of contracting stomach cancer, intestinal cancer,and colon cancer. Smokers may have a much greater risk for contracting an asbestos related disease. Asbestos exposure and smoking have a synergistic effect and can interact to increase the probability of lung cancer approximately 50-90 times. A common and possibly disturbing characteristic of asbestos related illnesses is that from the time of initial exposure,there may be a latency period ranging between 1540 years. Stated simply,in most cases there are no symptoms of asbestos related disease until 1540 years after initial exposure. Offices in CT and NY• 800-392-6468 29 Bank Street • Stamford, Connecticut 06901 • Fax: 203-921-4145 47 Spring Street • Newington, Connecticut 06111 • Fax: 860-232-5703 2840 Broadway, Suite 323 • New York, NY 10025 • Fax: 845-566-6913 testing asbestos -mold lead consulting L A IF E e n v i r o m e n t a l ' Bulk n Sam li Procedures ' p � The method used to collect material that is suspect to contain asbestos is called bulk sampling. Bulk samples are taken in areas based on the professional judgment of the inspector in conjunction with the EPA recommended bulk sampling protocol. Sections are designated as homogeneous sampling areas based on similar appearance,estimated date of application,and color. For ' example,all bedrooms may contain similar wall plaster. Therefore,the wall plaster in those rooms would collectively be considered one homogeneous sampling area. Presented below is a brief summary of the actual sample collection procedure. 1 1.)A general walk through is conducted to assess potential asbestos containing materials. 2.) Based on the scope of the work as requested by the client, sample locations are selected. 3.)A disposable plastic sheet is placed below where the sample is being taken. 4.)The sample number is recorded on the sample bag and the sample location on the field sheet. 5.)The surface where the sample is being taken from is sprayed with a liquid solution to prevent dust generation at the time the sample is taken. 6.)The sample is extracted using a razor blade,knife,coring device,etc. 7.)Based on the clients request,the area may be repaired and cleaned. , 8.)All samples are then packaged and sent to the laboratory. Methods of Analysis , Samples are analyzed using the methods requested by the inspector and/or client. The analysis is a ' process to determine the concentration of asbestos in the samples which were extracted. The laboratory records the results for asbestos bulk samples in percentage by weight. One positive result within a group of samples per homogeneous material indicates that the material is ACM unless further sampling is requested by the client. Therefore,the laboratory is instructed to stop ' analyzing samples of a given homogenous area when one sample comes up positive.A sample is considered ACM when it has a level above 1%by weight. In some circumstances,if the sample is found to be in the approximate range of 1%, further analysis may be necessary based on the judgment of the laboratory, inspector,and client. Offices in CT and NY• 800-392-6468 29 Bank Street • Stamford, Connecticut 06901 • Fax: 203-921-4145 47 Spring Street • Newington, Connecticut 06111 • Fax: 860-232-5703 2840 Broadway, Suite 323 • NewYork, NY 10025 • Fax: 845-566-6913 1 testing asbestos'_+mold lead consulting e. LEA� Lru li 1 envir0 me ntal 1 Two of the most common types of bulk sample analysis are PLM(Polarized Light Microscopy) and TEM (Transmission Electron Microscopy). lil 1 Samples for this project were analyzed using the EPA-endorsed PLM-600IR-931116 method. This approved method, however, may sometimes fail to determine actual asbestos concentrations in certain materials(e.g., vinyl floor tiles). Therefore, if results yield< 1%(trace) or non-detected, 1 it is recommended that confirmatory analysis be performed using TEM. Inspection Summaries III Apre-demolition asbestos inspection was conducted at 15 Buckland Road,South Windsor, CT. The purpose of the inspection was to identify suspect materials which may contain asbestos and 1 would be impacted by future renovation/demolition activities.It is required that the qualified contractor shall verify quantities for cost estimate purposes 1 Results 1 The following materials indicated negative for asbestos content: backing Linoleum floorin g& a er p p g Wall plaster&skimcoat Sheetrock walUceiling Window glazing Asphaltroof shingles Chimney flue patch i 1 1 ' 1 1 Offices in CT and NY• 800-392-6468 29 Bank Street • Stamford, Connecticut 06901 • Fax: 203-921-4145 47 Spring Street • Newington, Connecticut 06111 • Fax: 860-232-5703 1 2840 Broadway, Suite 323 9 Newyork, NY 10025 • Fax: 845-566-6913 testing asbestos mold lead consulting L E ADD',2 A IF F= e n v i r o m e n t a l 1 ApD end&A Bulk Sampling Data 1 (Chain Of Custody) 1 1 1 1 1 1 Offices in CT and NY• 800-392-6468 1 29 Bank Street • Stamford, Connecticut 06901 • Fax: 203-921-4145 47 Spring Street • NeivtiZngton, Connecticut 06111 • Fax: 860-232-5703 1 2840 Broadway, Suite 323 • New York, NY 10025 • Fax: 845-566-6913 s U4/Zb/2Ud4 lb;4J YU'ZiTZ1414b LEADSAFE PAGE 04 Sent By: SCHNEIDER LASS; 4,8343530778 Apr-28-04 11:14AIA; pvga 415 oq - 2,Z LEAS' PEtWtCt.tDD �1' ST.�TE• S= ZIP Com.' .. � TY©L�'�G l 13 HOL'IE ' � I SCAT Orl p 00% n OTREP .................. WATO A Typc oir IMIA DATI TTYC IAMPLM T51. "WE Oo wit —TA,tr SAMPU WNNIM tin PC I).' All 0 A k 1--;- T.I t t .11 oio it 041,4 A ' p,� 6L- -1 kS A. AY, st" -�Ilppm�WMMWWAWMWM S14" LILIM Tol VW ZW ZrJ')14 L 0;413 cu37z14140 t 8#nt BY: SDHNEIDLR LABS; 18043628778 Apr-28-04 i1:14AM; Pago 615 AD MEOW 1� 11rAR7.14 ENFF! P%407ICT aDDRLSv f J! r� R Yi?tO�L ' sun cm 91 CMIC "' , 11 SD AI 1, CLLIST w 0 WA"R , A -n"OF AM UNIPLE INFOR-MAT10% UTZ 7F—pi T Type —31tvnm -t4v-I TN. TIM wmx tftx"*4- sor TDL Kit :tiQa r* � .i ' r T, t r � , T .... ........ 46 L IALP I 1104 MEMO— NAM �ervty eY: , . � , tsvoics The 0 Ra"T"ID, testing asbestos�;mold lead consulting IE A L fill fA D'�5? A F IE ' e n v i r o m e n t a l II ' Appendix B ' Bulk Sample Results (Laboratory Report) Offices in CT and NY• 800-392-6468 29 Bank Street • Stamford, Connecticut 06901 • Fax: 203-921-4145 47 Spring Street • Newington, Connecticut 06111 • Fax: 860-232-5703 ' 2840 Broadway, Suite 323 NewYork, NY 10025 Fax: 845-566-6913 SCHNEIDER LABORATORIES INCORPORATED , 2512 W.Cary Street- Richmond, Virginia - 23220-5117 804-353-6778 - 800-785-LABS (5227) - (FAX) 804-353-6928 Excellence in Service and Technology , AIHAIELLAP 100527,NVLAP 101150-0, NYELAP/NELAC 11413, CAELAP 2078, NC 593 LABORATORY ANALYSIS REPORT Asbestos Identification by EPA Method 600/R-93/116 ' ACCOUNT: 2310-04-859 DATE COLLECTED: 4/19/2004 CLIENT: Leadsafe Inc. DATE RECEIVED: 4/22/2004 ' ADDRESS: 29 Bank Street DATE ANALYZED: 4/23/2004 Stamford, CT 06901 DATE REPORTED: 4/26/2004 PO NO.: ' PROJECT NAME: 15 Buckland Rd PROJECT NO.: 337885 JOB LOCATION: South Windsor, CT Client SLI Sample Asbestos Sample Sample Sample/ Identification/ Detected Description , No. Layer ID Layer Name (Yes/No) 337885-16 27176910 Linoleum Layer 1: Linoleum/Paper Back No Gray, Organically Bound, Fibrous 100% Non-Asbestos CELLULOSE FIBER 20%, NON FIBROUS MATERIAL 55%, SYNTHETIC FIBER 25% Unable to separate individual layers. ' 337885-16A 27176911 Paper Back Layer 1 Linoleum/Paper Back No Gray, Organically Bound, Fibrous 100%Non-Asbestos CELLULOSE FIBER 20%, NON FIBROUS MATERIAL 55%, SYNTHETIC FIBER 25% Unable to separate individual layers. ' 337885-17 27176912 Linoleum Layer 1: Linoleum/Paper Back No Gray, Organically Bound, Fibrous ' 100%Non-Asbestos CELLULOSE FIBER 20%, NON FIBROUS MATERIAL 55%, SYNTHETIC FIBER 25% Unable to separate individual layers. 337885-17A 27176913 Paper Back Layer 1: Linoleum/Paper Back No Gray, Organically Bound, Fibrous 100% Non-Asbestos CELLULOSE FIBER 20%, NON FIBROUS MATERIAL 55%, SYNTHETIC ' FIBER 25% Unable to separate individual layers. Samples analyzed by the EPA Test Method are subject to the inherent limitations of light microscopy including interference by matrix components. Gravimetric reduction and correlative analyses are recommended for all , non-friable, organically bound materials. For calibrated visual estimate, 1%is the concentration at which there is a quantitative uncertainty. This report relates only to the items tested, must not be reproduced except in full with the approval of the lab, and must not be used to claim NVLAP or other government agency endorsement. ' 1ACCOUNT-WORKORDER: 2310-04-859 Page 2 (Continued) ' Client SLI Sample Asbestos Sample Sample Sample/ Identification/ Detected Description No. Layer ID Layer Name (Yes/No) 337885-18 27176914 Mastic on Cer Tile Layer 1: Mastic No Yellow, Brittle 337885-19 27176915 Wall Plaster Layer 1: Plaster No Brown,Granular 100%Non-Asbestos CELLULOSE FIBER 2%,NON FIBROUS MATERIAL 98% ' 337885-19-1 27176916 Skimcoat Layer 1: Skim Coat No White, Granular 100%Non-Asbestos NON FIBROUS MATERIAL 100% ' 337885-19B 27176917 Wall Plaster Layer 1 Plaster No Brown, Granular ' 100% Non-Asbestos CELLULOSE FIBER 2%, NON FIBROUS MATERIAL 98% 337885-196-1 27176918 Skimcoat ' Layer 1: Skim Coat No White, Granular 100%Non-Asbestos NON FIBROUS MATERIAL 100% 337885-20 27176919 Sheetrock Wall Layer 1- Sheetrock No White, Powdery 100%Non-Asbestos CELLULOSE FIBER 10%,NON FIBROUS MATERIAL 90% ' 337885-20A 27176920 Sheetrock Wall Layer 1- Sheetrock No White, Powdery 100%Non-Asbestos CELLULOSE FIBER 10%, NON FIBROUS MATERIAL 90% 337885-20B 27176921 Sheetrock Wall Layer 1 Sheetrock No White, Powdery ' 100%Non-Asbestos CELLULOSE FIBER 10%, NON FIBROUS MATERIAL 90% 337885-21 27176922 Chimney Flue Patch Layer 1: Flue Patch No Gray, Hard 100%Non-Asbestos MINERAUGLASS WOOL< 1%, NON FIBROUS MATERIAL 95%, WOLLASTONITE 5% 1 337885-22 27176923 Asphalt Roof Shingle Layer 1: Shingle No Black, Bituminous 100%Non-Asbestos MINERAUGLASS WOOL 10%, NON FIBROUS MATERIAL 90% ' 337885-22A 27176924 Asphalt Roof Shingle Layer 1: Shingle No Black, Bituminous 100%Non-Asbestos MINERAUGLASS WOOL 10%, NON FIBROUS MATERIAL 90% Samples analyzed by the EPA Test Method are subject to the inherent limitations of light microscopy including ' interference by matrix components. Gravimetric reduction and correlative analyses are recommended for all non-friable, organically bound materials. For calibrated visual estimate, 1%is the concentration at which there is a quantitative uncertainty. This report relates only to the items tested,must not be reproduced except in full with ' the approval of the lab, and must not be used to claim NVLAP or other govemment agency endorsement. ACCOUNT-WORKORDER:2310-04-859 Page 3 (Continued) ' Client SLI Sample Asbestos Sample Sample Sample/ Identification/ Detected Description No. Layer ID Layer Name (Yes/No) 337885-23 27176925 Window Glazing Layer 1: Glazing No Off White, Granular 100%Non-Asbestos NON FIBROUS MATERIAL 100% ANALYST: KATHERINE M. CHARLES Total no. of pages in report= REVIEWED BY Beverly A.Schrage, Analyst Samples analyzed by the EPA Test Method are subject to the inherent limitations of light microscopy including interference by matrix components. Gravimetric reduction and correlative analyses are recommended for all ' non-friable, organically bound materials. For calibrated visual estimate, 1%is the concentration at which there is a quantitative uncertainty. This report relates only to the items tested, must not be reproduced except in full with the approval of the lab, and must not be used to claim NVLAP or other government agency endorsement. t t � ', � �I t 1 testing asbestos s%mold lead consulting 1 e n v i r o m e n t a l 1 i ASBESTOS SITE 1 ''I SURVEY 1 ' PERFORMED BY: ' LEADSAFE ENVIRONMENTAL LICENSE # 000164 FOR STR UCTURE(S) AT: 1 395 SMITH STREET 1 SOUTH WINDSOR, CT. 1 i 1 April 19 2004 1 1 Offices in CT and NY• 800-392-6468 29 Bank Street • Stamford, Connecticut 06901 • Fax: 203-921-4145 47 Spring Street • Newington, Connecticut 06111 • Fax: 860-232-5703 2840 Broadway, Suite 323 9 New York, NY 10025 • Fax: 845-566-6913 testing asbesto.Nmold lead consulting L EG°-D12GU\ F E e n v i r o m e n t a l April 25, 2004 ' Mr.Bob Kovach Fuss& O'Neill Inc. 146 Hartford Road Manchester, CT. 06040 ' Re: Pre-Demolition Asbestos Site Survey 395 Smith Street South Windsor, CT. Leadsafe ID#337886 ' Dear Bob, Leadsafe Environmental has conducted a site inspection for the detection of asbestos containing materials(ACM)at the above referenced location on April 19,2004. All accessible rooms/spaces were inspected which involved identifying and sampling suspect asbestos-containing materials materials.The inspection was in accordance with EPA(AHERA&NESHAPS)sampling guidelines found in 40 CFR 763 and 40 CFR 61 respectively.The inspection was accomplished by a CT licensed Asbestos Inspector, Peter Shannon(Lic# 000164). Summary of Findings ' Thirteen (13)homogeneous types of suspect materials were collected and analyzed for a total of twenty(20)bulk samples. The following suspect asbestos-containing materials (Underlying red ' floor tiles, mastic& textured ceiling coat) indicated positive for asbestos content. If any questions arise regarding this report,please call anytime at 1-800-392-6468.Thank you for ' using Leadsafe Environmental. Sincerely, ' Peter Shanno Offices in CT and NY- 800-392-6468 29 Bank Street - Stamford, Connecticut 06901 o Fax: 203-921-4145 47 Spring Street o Newington, Connecticut 06111 - Fax: 860-232-5703 2840 Broadway, Suite 323 o New York, NY 10025 o Fax: 845-566-6913 testing asbestos-..;mold lead consulting L D _U 1EA - ShRIFE e n v i r o m e n t a l ' General Asbestos Information , Asbestos,a Greek term that literally means inextinguishable, is a naturally occurring mineral that ' has been used in 3,000-4,000 types of materials. The Greeks actually referred to it as the"miracle mineral." The term was inherent of the mere properties of the substance. It varies in structure from other minerals of a similar type with its long,thin fibers that are bound together to form tight , matrices. Although asbestos minerals are separated into six different types,there were three which were most ' commonly used. The most common type of asbestos found is Chrysotile which comprised about 95%of the asbestos material used and is often called white asbestos. The second most common type is Amosite,generally(mown as brown asbestos. The third asbestos mineral used in common ' practice is Crocidolite, known as blue asbestos. It was not until the late 1800s,however,that asbestos became a widely used resource. It was ' primarily mined in areas such as Canada, South Africa, and China. A large deposit was found in Canada and its proximity to the United States allowed the entrepeneurs of this country to begin manufacturing and selling asbestos for its many uses. Its use was attributed to its characteristics, ' some of which were its strength, resistance to chemicals,heat,fire,and sound. Some common locations and materials in which asbestos may be found within a building include wall plaster, sprayed on ceilings,pipe insulation,floor tiles,fire curtains,and siding.These potential locations , are separated into three primary categories: (1)Surfacing materials(2)Thermal system insulation (TSI)and(3)Miscellaneous materials. These categories are then separated into friable and non- friable materials. Friable ACM are materials that can be crushed or crumbled by hand pressure, ' where as non friable materials can not be. Non friable materials have a more tightly bound matrix where the potential for fiber release is generally less. The reason that many sites are tested for the presence of asbestos containing material is because of , the many health risks associated with asbestos exposure. If asbestos materials are disturbed, fibers may be released into the air. The fibers can remain airborne for a period of up to 80 hours. The ' inhalation or ingestion of these fibers can cause serious health effects. Some of the health risks associated with inhalation include lung cancer,mesothelioma(cancer of the lining of the pleural sac)and asbestosis which is also known as"white lung disease." If the fibers are ingested,there is a greater risk of contracting stomach cancer,intestinal cancer,and colon cancer. , Smokers may have a much greater risk for contracting an asbestos related disease. Asbestos exposure and smoking have a synergistic effect and can interact to increase the probability of lung ' cancer approximately 50-90 times. A common and possibly disturbing characteristic of asbestos related illnesses is that from the time ' of initial exposure,there may be a latency period ranging beriveen 1540 years. Stated simply,in most cases there are no symptoms of asbestos related disease until 1540 years after initial exposure. Offices in CT and NY• 800-392-6468 ' 29 Bank Street • Stamford, Connecticut 06901 • Fax: 203-921-4145 47 Spring Street • Ne«ington, Connecticut 06111 • Fax: 860-232-5703 2840 Broadway, Suite 323 • Newlork, NY 10025 • Fax: 845-566-6913 ' testing asbe-lt-x,mold lead consulting LE A®r L-U[F E ' e n v i r o m e n t a l Bulk Sampling Procedures The method used to collect material that is suspect to contain asbestos is called bulk sampling. ' Bulk samples are taken in areas based on the professional judgment of the inspector in conjunction with the EPA recommended bulk sampling protocol. Sections are designated as homogeneous sampling areas based on similar appearance, estimated date of application,and color. For example,all bedrooms may contain similar wall plaster. Therefore,the wall plaster in those rooms ' would collectively be considered one homogeneous sampling area. Presented below is a brief summary of the actual sample collection procedure. 1.)A general walk through is conducted to assess potential asbestos containing materials. 2.)Based on the scope of the work as requested by the client,sample locations are selected. ' 3.)A disposable plastic sheet is placed below where the sample is being taken. ' 4.)The sample number is recorded on the sample bag and the sample location on the field sheet. 5.)The surface where the sample is being taken from is sprayed with a liquid solution to prevent ' dust generation at the time the sample is taken. 6.)The sample is extracted using a razor blade,knife,coring device,etc. ' 7.)Based on the clients request,the area may be repaired and cleaned. ' 8.)All samples are then packaged and sent to the laboratory. Methods of Analysis ' Samples are analyzed using the methods requested by the inspector and/or client. The analysis is a process to determine the concentration of asbestos in the samples which were extracted. The ' laboratory records the results for asbestos bulk samples in percentage by weight. One positive result within a group of samples per homogeneous material indicates that the material is ACM unless further sampling is requested by the client.Therefore,the laboratory is instructed to stop ' analyzing samples of a given homogenous area when one sample comes up positive.A sample is considered ACM when it has a level above 1% by weight. In some circumstances,if the sample is found to be in the approximate range of 1%,further analysis may be necessary based on the judgment of the laboratory, inspector,and client. I Offices in CT and NY• 800-392-6468 29 Bank Street e Stamford Connecticut 06901 Fax: 203-921-4145 ' 47 Spring Street a Newington, Connecticut 06111 a Fax: 860-232-5703 2840 Broadway, Suite 323 • New York, NY 10025 • Fax: 845-566-6913 testing asbestos$+.mold lead consulting ' L El 'A DS A IF E e n v iy mental ' Two of the most common typessample of bulk analysis are PLM(Polarized Light Microscopy) , P Y and TEM(Transmission Electron Microscopy). .f project this or Sam les 'ect were analyzed using the EPA-endorsed PLM-600IR-931116 method. This ' P approved method, however, may sometimes fail to determine actual asbestos concentrations in certain materials(e.g., vinyl floor tiles). Therefore, if results yield< 1%(trace) or non-detected, ' it is recommended that confirmatory analysis be performed using TEM. Inspection Summaries , A pre-demolition asbestos inspection was conducted at 395 Smith Street, South Windsor, CT. The purpose of the inspection was to identify suspect materials which may contain asbestos and would be impacted by future renovation/demolition activities.It is required that the qualified contractor shall verify quantities for cost estimate purposes , Results The following suspect material indicated positive for Asbestos Content: TABLE 1. ' AC11I TYPE SAMPLE#s LOCATION QUANTITY RESULTS Red floor tiles 337886-24,25 Kitchen/hall/ 350 SF 4-6 % (under linoleum) Dining room Chrysotile Mastic applied 337886- Kitchen/hall/ 350 SF 7-8 % , to floor tiles 24A,25A Dining room Chrysotile Textured ceiling 337886-27, Kitchen 250 SF 34 % , coat 27A Chrysotile The following materials indicated negative for asbestos content: ' Linoleum flooring&paper backing Sheetrock wall/ceiling ' Joint compound Chimney flue patch lVindow glazing Asphalt roof shingles Underlying felt paper , Offices in CT and NY• 800-392-6468 ' 29 Bank Street • Stamford, Connecticut 06901 • Fax: 203-921-4145 47 Spring Street • Ne«zngton, Connecticut 06111 • Far: 860-232-5703 2840 Broadway, Suite 323 • Newlork, NY 10025 • Fax: 845-566-6913 ' ' testing asbesto"x mold lead consulting L F=A D 5G�F [ ' e n v i r o m e n t a l Appendix A ' Bulk Sampling Data P g ' (Chain Of Custody) ' Offices in CT and NY• 800-392-6468 29 Bank Street • Stamford, Connecticut 06901 • Fax: 203-921-4145 ' 47 Spring Street • Newington, Connecticut 06111 • Fax: 860-232-5703 2840 Broadway, Suite 323 * New fork, NY 10025 • Fax: 845-566-6913 t74/Lb/;03k34 lb;4d Yb4y'L1414b LLA115AFE PAGE 06 gent By: HNEIDER LABS; 004 359 9882; Apr-26.04 9:10AM; Page 4/5 , i �ATtnw aC .T. , ERA LEAD"* ' mhppFl7. 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V a•. r c e.j pr4=cT.aDD �7L ZIP i t VMM OR — ' IIlSLLT3 M8 EE AllNOktta?N.; Yi gpk,x. --- -s � a s bat• Fd.Lonl G L'yIT�Crti18wn6 ri �. p 841fi:(1ftwe la 7ti by 1 DASYWATSA ' p a!R JRASltl Is t) OTHER,—— i! T1?E ot< ' MEpkA GATT AXILLNSl$ g lftti•£D: SA1iP M 'iYPft r TSL T119 f rRBYfibO TlT6 Tiwc RATE g,�►1PLY Yl1taIR litl6TLE snfidnY.a >. .A. ' f ••w ON 0 T I tPMI�. n j K511 ,y091 • � s x r T Y T ' 0 a c • � � P It i r T � ec f Ze ti cn C� 8 f a i smut ' sty sr. N t�£CEiVEGliY: tlL oY: i f ' ilLBt LIB TO: � testing asbestos mold lead consulting a LEa D 2 GJ GF I E e n v i r o m e n t a l 1 Appendix B Bulk Sample Results (Laboratory Report) Offices in CT and NY• 800-392-6468 ' 29 Bank Street • Stamford, Connecticut 06901 • Fax: 203-921-4145 47 Spring Street • Nevi ington, Connecticut 06111 • Fax: 860-232-5703 ' 2840 Broadway, Suite 323 • New York, NY 10025 • Fax: 845-566-6913 SCHNEIDER LABORATORIES I ' INCORPORATED 2512 W. Cary Street- Richmond,Virginia -23220-5117 804-353-6778. 800-785-LABS (5227) - (FAX)804-353-6928 ' Excellence in Service and Technology AIHA/ELLAP 100527, NVLAP 101150-0,NYELAP/NELAC 11413,CAELAP 2078, NC 593 LABORATORY ANALYSIS REPORT Asbestos Identification by EPA Method 600/R-93/116 ACCOUNT: 2310-04-861 DATE COLLECTED: 4/19/2004 CLIENT: Leadsafe Inc. DATE RECEIVED: 4222004 ADDRESS: 29 Bank Street DATE ANALYZED: 4232004 Stamford, CT 06901 DATE REPORTED: 4252004 PO NO.: PROJECT NAME: 395 Smith Street PROJECT NO.: 337886 JOB LOCATION: South Windsor, CT Client SLI Sample Asbestos Sample Sample Sample/ Identification/ Detected Description No. Layer ID Layer Name (Yes/No) ' 337886-23 27176988 Kitchen Layer 1: Linoleum/Paper Back No Beige, Spongy, Fibrous 100% Non-Asbestos CELLULOSE FIBER 40%, NON FIBROUS MATERIAL 55%, SYNTHETIC FIBER 5% Unable to separate individual layers. 337886-23A 27176989 Kitchen Layer 1: Linoleum/Paper Back No Beige, Spongy, Fibrous 100% Non-Asbestos CELLULOSE FIBER 40%, NON FIBROUS MATERIAL 550%, SYNTHETIC ' FIBER 5% Unable to separate individual layers. ' 337886-23B 27176990 Kitchen Layer 1: Mastic No Yellow, Brittle 100% Non Asbestos CELLULOSE FIBER 2%, NON FIBROUS MATERIAL 98%, SYNTHETIC FIBER< 1% ' 337886-24 27176991 Floor Tile Layer 1: Floor Tile Yes Red, Organically Bound ' 4% Asbestos CHRYSOTILE 4% 96% Non-Asbestos NON FIBROUS MATERIAL 96% Samples analyzed by the EPA Test Method are subject to the inherent limitations of light microscopy including ' interference by matrix components. Gravimetric reduction and correlative analyses are recommended for all non-friable, organically bound materials. For calibrated visual estimate, 1%is the concentration at which there is a quantitative uncertainty. This report relates only to the items tested, must not be reproduced except in full with ' the approval of the lab, and must not be used to claim NVL4P or other govemment agency endorsement. ACCO UNT-WORKORDER:2310-04-861 Page 2 (Continued) Client SLI Sample Asbestos Sample Sample Sample/ Identification/ Detected Description , No. Layer ID Layer Name (Yes/No) 337886-24A 27176992 Mastic ' Layer 1• Mastic Yes Black, Bituminous 7% Asbestos CHRYSOTILE 7% 93% Non Asbestos CELLULOSE FIBER 3%, NON FIBROUS MATERIAL 90% ' 337886-25 27176993 Floor Tile Layer 1: Floor Tile Yes Red, Organically Bound 6%Asbestos CHRYSOTILE 6% ' 94% Non-Asbestos NON FIBROUS MATERIAL 94% 337886-25A 27176994 Mastic ' Layer 1: Mastic Yes Black, Bituminous 8% Asbestos CHRYSOTILE 8% 92% Non-Asbestos CELLULOSE FIBER 2%, NON FIBROUS MATERIAL 90% ' 337886-26 27176995 Sheetrock/Jnt Cmpd Layer 1: Sheetrock/Joint Cmpd Yes Off White, Powdery, Granular ' < 1% (Trace)Asbestos CHRYS011LE < 1% 100% Non Asbestos CELLULOSE FIBER 8%, NON FIBROUS MATERIAL 92% 337886-26A 27176996 Sheetrock/Jnt Cmpd ' Layer 1: Sheetrock/Joint Cmpd Yes Off White, Powdery,Granular < 1% (Trace)Asbestos CHRYSOTILE< 1% 100% Non-Asbestos CELLULOSE FIBER 8%, NON FIBROUS MATERIAL 92% ' 337886-26B 27176997 Sheetrock/Jnt Cmpd Layer 1: Sheetrock/Joint Cmpd Yes Off White, Powdery, Granular ' < 1% (Trace)Asbestos CHRYSOTILE < 1% 100% Non Asbestos CELLULOSE FIBER 8%, NON FIBROUS MATERIAL 92% 337886-27 27176998 Kitchen , Layer 1: Textured Ceiling Yes Off White,Granular 41/6 Asbestos CHRYSOTILE 4% 96% Non-Asbestos CELLULOSE FIBER 1%, NON FIBROUS MATERIAL 95% , 337886-27A 27176999 Kitchen Layer 1 Textured Ceiling Yes Off White,Granular ' 31/6 Asbestos CHRYSOTILE 3% 97% Non-Asbestos NON FIBROUS MATERIAL 97% Samples analyzed by the EPA Test Method are subject to the inherent limitations of light microscopy including interference by matrix components. Gravimetric reduction and correlative analyses are recommended for all non-friable, organically bound materials. For calibrated visual estimate, 1%is the concentration at which there is a quantitative uncertainty. This report relates only to the items tested, must not be reproduced except in full with the approval of the lab, and must not be used to claim NVLAP or other government agency endorsement. ACCOUNT-WORKORDER:2310-04-861 Page 3 (Continued) ' Client SLI Sample Asbestos Sample Sample Sample/ Identification/ Detected Description No. Layer ID Layer Name (Yes/No) 337886-28 27177000 Exterior Layer 1: Glazing No White, Rubbery 100% Non-Asbestos NON FIBROUS MATERIAL 100% ' 337886-29 27177001 Exterior Layer 1: Flue Patch No Gray, Hard ' 100% Non Asbestos NON FIBROUS MATERIAL 90%,WOLLASTONITE 10% 337886-30 27177002 Exterior Layer 1: Shingle No Black, Bituminous 100% Non Asbestos CELLULOSE FIBER 15%, NON FIBROUS MATERIAL 85% ' 337886-30A 27177003 Exterior Layer 1: Shingle No Black, Bituminous 100% Non-Asbestos CELLULOSE FIBER 15%, NON FIBROUS MATERIAL 85% 33788 6-31 27177004 Exterior Layer 1: Felt No Black, Fibrous 100% Non-Asbestos CELLULOSE FIBER 90%, NON FIBROUS MATERIAL 10% Sample Labeled 31A 337886-31A 27177005 Exterior ' Layer 1: Felt No Black, Fibrous 100% Non-Asbestos CELLULOSE FIBER 90%, NON FIBROUS MATERIAL 10% Sample Labeled 32B 337886-32 27177006 Exterior Layer 1: Shingle/rar No Black, Bituminous 100% Non-Asbestos MINERAUGLASS WOOL 12%, NON FIBROUS MATERIAL 88% Sample Labeled 32A Unable to separate individual layers. ' 337886-32A 27177007 Exterior Layer 1: Shinglefrar No Gray/Black, Bituminous 100% Non-Asbestos MINERAUGLASS WOOL 12%, NON FIBROUS MATERIAL 88% ' Sample Labeled 32B Unable to separate individual layers. ANALYST: KATHERINE M.CHARLES Ili ` Total no. of pages in report= REVIEWED BY Beverly A.Schrage, Analyst Samples analyzed by the EPA Test Method are subject to the inherent limitations of light microscopy including ' interference by matrix components. Gravimetric reduction and correlative analyses are recommended for all non-friable, organically bound materials. For calibrated visual estimate, 1%is the concentration at which there is a quantitative uncertainty. This report relates only to the items tested, must not be reproduced except in full with the approval of the lab, and must not be used to claim NVLAP or other government agency endorsement. 1 yo ap, • �, I Z� 1 ` � r��rrE.Yiy c l e��Tor 1 of c Zle�Fi�✓,E fAv✓!� te. O •I I 1 � /�Y6iC'.5'GL�' f�E'k'G"CLi9<''/�/✓ Af I /70 _ Z_ 1 T Gum lT iv0 zOiViNlr Yt fGlJ�iyT/oivs Y,-'.��;"G.o fOciTt/ VY'iiV.O-f�v/;' _'. ,�, GwI�/ .r 4 I 't � �� .,1 J � � ;� �� i � �-�� t � � � � n• ti _ � t '� -. .r -,'. Yankee Gas Senices Company Yankeegas ]l2 Prospect 11i11 Road ..y.. .._. .'._. .. .._ East Windsor,CT 06088 The Northeast Utilities System April 20, 2004 Folsom Construction LLC ATTN: Michael Weinzimmer 138 Rye Street South Windsor, CT 06074 RE: Demolition Activities 1 Buckland Road South Windsor, CI' Dear Mr. Weinzimmer, This letter is in reference to the above mentioned address. Please be advised that Yankee Gas does not have any facilities at this location. If you have any further questions or concerns you may contact me at (860) 292-2241. Si nc cly, ?)L,17-,�) Steve Morris Meter & Service Supervisor SOC South CEP P`Z MENT BU,L�,NG D 4818 REV.1-01 I HrK lb euuq 10•DJ rK 5I`t l 1 Kul.. l u bb0eJW1J31b I .171 April 16, 2004 To Whom It May Concern: This letter is to inform you that the telephone equipment, cables, wires and attachments have been removed and/or are not attached to the addresses listed below. 1 Buckland Road South Windsor, Ct. This job was performed prior to April 16, 2004 in response to a request to demolish the above address by: Michael Weinzimmer, Project Manager Folsom Construction LLC. If you have any questions,please feel free to contact me. Sincerely, .lo Laub MAY 19 201i� General Office Associate South Windsor BUILDING DEPARTMENT SBC, Network Dispatch Center;84 Deerfield Lane-Room 2C2; Meriden, Connecticut 06450 Phone: (203) 420-2857; Fax: (203) 238-0434 you TOTAL PAGE.01 ** ^ 04/20/2004 11 17 WX 801 PARKER 4 2909316 NO.920 D001 k1 t14-004 r_,9: _4 FROM: T0:8c:,u -4'12' FOLSOM CONSTRUCTION LLC V 138 RYE STREET SOUTH WINDSOR,CT 06074 (860)528.8928 FAX(860)290-9316 April 14.2004 COX Communications 170 litopia Road Manchester.CT 06045 Attention: Kenneth Strout Subject:Building Demolition, I Buckland Road; South Windsor Dcar Mr. Strout 1~oLsorn Construction LLC has been contraued to demolisb a building located at 1 Buckland Road;in South Windsor,CT. We are requcsti.ng that you disconnect and remove all service and equipment at your earliest possible convenience. Upon completion of the removal,please fax us a letter of disconnect to(860)290-9316. 1 f there is no service,please fax us a letter stating that there is no service. Your cooperation in this matter is greatly appreciated. Sincerely: Ulic:hael Weinzimmer Project Manager p �gIIf Folsom Construction LLC tiI rAY 19 20v4 Cc:Job rile William McFarland—Hoar Construction South Windsor BUILDING DEPARTMENT APR. 23. 2004 10 49AM CONNECTICUT WATER CO NO. 398 P. 1 The Connecticut Water Company Cuflapapikoffiffflir 25 North Road +...�-.. P.O.Box 857 East Windsor,CT 06088-0857 Office:860.623.3355 Fax:860.654.1903 Customer sevice:800286.5700 April 23, 2004 Michael Weinzlmtuer Folsom Construction 138 Rye Street South Windsor, CT 06074 Re: Water Service Abandonments: 1 Ruckland Rd, 15 Buckland Rd and 395 Smith St. - South Windsor I recently received your letter requesting service disconnection for building demolition. According to our records The Connecticut Water Company does not provide water service to the above referenced addresses. Please contact me if I can be of further assistance at 1-860-623-3355 ext. 9savu ��( 19 r1c;u4 Sincerely, Sovth W end T MENT Kevin J. Tait BUt, D1NG pEp AR Field Service Supervisor i - • MAY-17-2004 MON 10:46 AM CLU TOLLAND FAX NO. 860 871 3324 P. 02 \ Connecticut The CunneCTieut Light wd Pnwer C:omP,ury 11t�� Light&Power Tsvan�clToUandsosn$4oaa Ile Nnrtbeavt"hies System May 17, 2004 Folsom Construction LLC 138 Rye Street South Windsor, CT 06074 Subject: Demolition of property at 1, 9 and 115 Buckland St, South Windsor Dear Mr. Weinzimmer: This is reference to your letter of May 7, 2004, regarding the demolition of the subject building. Please be advised that all Connecticut Light &Power electric facilities to this building have been removed as of May 13, 2004. If I can be of further assistance regarding this matter, please contact me at (860) 871- 3442. Very Truly Yours, Robert Woiciak Customer Operations Manager Ref: #1 Buckland St, SW 5T460687 — CRS#339324 �� #9 Buckland St, SW 5T460686— CRS#339325 #15 Buckland St, SW 5T460689— CRS#339327 South Windsor BUILDING DEPARTMENT US018 My..10-94 Electric# APPLICATION FOR BUILDING PERMIT Fiumbing# 1 Buckland Road HVAC # 3 0 6 5 3 Date: �'/T 61 Sprinkler# NO' FINAL APPROVALS Estimated Cost $ o 0 0, 00 Building =TSIGNON ED AREAS Permit Fee $ 872 Engineering ONLY Occupancy Fee $ Affidavit E SIDE Appr.for CO. Total Fee $ l`a TO BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR,CT (Additional Cost) $ The undersigned hereby applies to do work according to the following specifications: Job Location 2 # 15 'ea cr'l,+ Lot No. Side of Street Zone Applicant 1V C lC f/C(-L ,A S.SAC:_L�f/C • Tel# NO AY 9—10©0 Address Vo A(zoon f2f1,t\ CT. SCE, jil1Alp5m ciZip 6607V Lic.# R.17 C /asr 4 Owner f416/1696bo&)A/c K Address .l1.0-A Dlo;r Architect Address IF S% Ft.New Area: 1st FL 2nd FL 3rd FL Total New Area #Rooms #Lavatories #Bathrooms #Garages Purpose of this permit:_ 1 b ZJF 010L.rS f/ /'?jF jn oY r f hx c EOSj a r (3) S i✓l4 S. S.L V 6G1,e r=Am ZL�1 i,4�ODA S TR(a c7&&�� City Water 0 ell` Septic System Sewer El Ins. H.O. S.P. Cert. Area Basement Garage Approved by Date - ` _L l Use Group ---Construction Type —� Revised 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 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 pro r distance from all street lines,side yard lines,and required distances from all other zones and is located in whi t buildi d its use is all Signed I hereby apply for a Certificate of Occupancy f he work described in this application for the permit Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS S APPLICATION FOR HVAC PERMIT TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074 (PHONE) 860-644-2511 EXT. 230 DEPARTMENT DECISION PERMIT NUMBER: APPLICATION IS HEREBY: APPROVED: BLDG.PERMIT NUMBER: 1�• �C) 0�� DATE INSPECTOR LOCATION OF WORK: c1C APPLICANT: OWNER: TYPE OF STRUCTURE: 014W BUILDING NAME: ❑ADDITION PHONE NUMBER: C)\Q p PHONE NUMBER. - 1 D -� �41 ❑EXISTING BUILDING ADDRESS: ADDRESS: S^O ►�e2C� TYPE OF USE: S� l� �nJ. sow ❑RESIDENTIAL AiCOMMERCIAL HYAC INFORMATION: .�,,` FURTHER DESCRIPTION OF WORK: l TYPE OF SYSTEM: ❑HEATING ❑A/C �lO�\Yeti �� C? �� HEATING: TOTAL HEAT LOSS(BTUIT) °F (HEAT LOSS SHEET REQUIRED) J M�IJ� eJ DESCRIBE ALL HEATING EQUIPMENT(INCLUDE MAKE AND MODEL NO.): 5\`��\ ESTIMATED COST:S C J� AIR CONDITIONING: DESIGN TEMP:OUTSIDE °F INSIDE °F DIFFERENCE F' FEE ENCLOSED:S ` C� TOTAL HEAT GAIN(BTUH) (HEAT GAIN SHEET REQUIRED) DESCRIBE ALL COOLING EQUPMENT(INCLUDE MAKE AND MODEL NO.): FEE SCHEDULE:$18 PER$1,000 OF THE ESTIMATED COST. ROUND UP TO THE NEXT THOUSAND ONCE THE PROJECT IS $1.00 OVER. (.26 CENT EDUCATIONAL FEE INCLUDED AS PART OF THE PERMIT FEE) THE UNDERSIGNED NEARBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFOMANCE OF SUCH WORK CONTRACTORS LICENSE NO.: 0 TYPE: S- ` STATE: SIGNATURE OF APPLICANT: DATE: a. �o� a APPLICATION FOR HVAC PERMIT TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074 (PHONE) 860-M4-2511 EXT. 230 DEPARTMENT DECISION PERMIT NUMBER: APPLICATION IS HEREBY: 11006�7 APPROVED: BLDG.PERMIT NUMBER: i��• 1 �� DATE INSPECTOR LOCATION OF WORK: APPLICANT: OWNER: TYPE OF STRUCTURE: �___{ /�EW BUILDING NAME: Vf \ NAME: lJ�\Cr /�J -1�C� ❑ADDITION PHONE NUMBER:�� - -C)(61 PHONE NUMBER: b "� l b - I� 1 o EXISTING BUILDING ADDRESS: \ ��scJ 2�� ADDRESS:- ) ^� TYPE OF USE: 11❑RESIDENTIAL PCOMMERCIAL HVAC INFORMATION: FURTHER DESCRIPTION OF WORK: TYPE OF SYSTEM: CHEATING x&A/C HEATING: Ij c-- TOTAL HEAT LOSS(BTUIo27 72T (HEAT LOSS SHEET REQUIRED) DESCRIBE ALL HEATING EQUIPMENT(INCLUDE MAKE AND MODEL NO.): ESTIMATED COST:S KO 9 o AIR CONDITIONING: DESIGN TEMP:OUTSIDE-Zr-°F�/INSIDE�°F DIFFERENCE 6 F' FEE ENCLOSED:S TOTAL HEAT GAIN(BTUH)All-v HEAT GAIN SHEET REQUIRED) DESCRIBE ALL COOLING EQUPMENT(INCLUDE MAKE AND MODEL NO.): ^ FEE SCHEDULE:SIS PER SI,000 OF THE ESTIMATED COST. ROUND UP TO THE NEXT THOUSAND ONCE THE PROJECT IS A �� r SI.00 OVER (16 CENT EDUCATIONAL FEE INCLUDED AS PART }''� OF THE PERMIT FEE) THE UNDERSIGNED HEARBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFOMANCE OF SUCH WORK. ^� CONTRACTORS LICENSE NO.: -Z -2j� _ TYPE: _ STATE: C- SIGNATURE OF APPLICANT• (� DATE: O l APPLICATION FOR PLUMBING PERMIT TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074(PHONE) 860-644-2511 EXT.230 DEPARTMENT DECISION PERMIT NUMBER. APPL HEREBY: U( 7 APPRO BLDG.PERMIT NUMBER: 01 , DATE ECTOR LOCATION OF WORK: �/�—/VIS APPLICANT: OWNER: TYPE OF STRUCTURE: ❑NEW BUMDING NAME: 494Y NAME:_ ❑ADDITION PHONE NUMBER: `�" G � PHONE NUMBER: oATSTING BUILDING ADDRESS: ADDRESS: SRy�� ' TYPE OF USE: ❑RESIDENTIAL o COMMERCIAL PLUMBING INFO TION: FURTHER DESCRIPTION OF WORK: TYPE OF INSTALLATION: ��/I%�N7� NO.OF TOILETS: STYLE: NO.OF BATHTUBS: NO.OF SHOWERS: NO.OF LAVATORIES: NO.OF CATCH BASINS: NO.OF FLOOR DRAINS: _ ARE TO AR S VENTILATED TO OUTER AIR BY WINDOW? o�J ESTIMATED COST: S /b? /VV SITE OF W: SIZE OF DUCTS: SEWER OR SEPTIC TANK: r� �i FEE ENCLOSED:S � �v w SIZE OF WATER PIPING AND RISER: v 2- 0 WATER HEATER: TYPE `�� G f MANUFACTURER FEE SCHEDULE:$18 PER S1,000 OF THE ESTIMATED COST. ROUND UP TO THE NEXT THOUSAND ONCE THE PROJECT IS $1.00 OVER (.26 CENT EDUCATIONAL FEE INCLUDED AS PART OF THE PERMIT FEE) THE UNDERSIGNED HEARBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFOMANCE OF SUCH WORK. CONTRACTORS LICENSE NO.: �G STATE: SIGNATURE OF APPLICANT• � DATE:- APPLICATION FOR PLUMBING PERNUT TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074(PHONE) 860-644-2511 EXT. 230 DEPARTMENT DECISION PERMIT NUMBER: APPLICATION IS HEREBY: AP PR BLDG.PERMIT NUMBER: /Z tr DA PECTOR LOCATION OF WORK: �/ G C /�� AZJ �/N f 7- 2 APPLICANT: OWNER: TYPE OF STRUCTURE: ❑NEW BUILDING NAME: , /"` Y NAME: ❑ADDITION PHONE NUMBER l_ PHONE NUMBER: kk STING BUILDING ADDRESS: 3 ! � ADDRESS: TYPE OF USE: ❑RESIDENTIAL ❑COMMERCIAL PLUMBING INFORMATION: n/ FURTHER DESCRD'TION OF WORK: TYPE OF INSTALLATION: i W / ^, NO.OF TOIIEM:_�STYLE: NO.OF BATHTUBS: 4:/7 NO.OF SHOWERS: NO.OF LAVATORIES: v" �� v NO.OF CATCH BASINS NO.OF FLOOR DRAINS: _ ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY WINDOW? DYES ESTIMATED COST: f SIZE OF WINDOW: SIZE OF DUCTS: SEWER OR SEPTIC TANK: C V — FEE ENCLOSED:f SITE OF WATER PIPING AND RISER: Q WATER HEATER: TYPE rGG /_ MANUFACTURER I/D 15/0/ FEE SCHEDULE:$18 PER$1,000 OF THE ESTIMATED COST. ROUND UP TO THE NEXT THOUSAND ONCE THE PROJECT IS $1.00 OVER. (.26 CENT EDUCATIONAL FEE INCLUDED AS PART OF THE PERMIT FEE) 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 PERFOMANCE OF SUCH WORK. CONTRACTORS LICENSE NO.: TYPE:T STATE: G SIGNATURE OF APPLIC7� DATE IPTI : 01 U�59 N ONE BUCKLAND CENTER � Q � Q � P a.sErlwefce..m-E i E.1,4 17 PRorecr PLANNERS I NEW ENGLAND DESIGN u I I I+•ot.w �...M�-rMw p PROJECT ARCtITECT Kul NOEIau MhEcen.LLC `J fM�-�YrY4Rma SMUCYURAL ENGINEER Girard dad Coup" Lt I I I I EO�sr.ww,�E1<RYYT .:yr I I PROPOSED TENANT PROPOSED TENANT PF OPOSED TENANT EXISTING TENANT-TEMPUR PEDIC Oo 1,545 SF 1,428 SF 1,212 SF 3,000 SF - - -fglSlMiIE EXR I fOP SIMiIE ENR F011 SINGlf EXft_- 6 MA%IMUMOOOHANTEOW" MACIMUM OCC 1.LOAD 19 MMIMUMOCCUPMTID 0 _JMUMTMVELOWAWATOEWT]S' MAXIMUM 1MVE1 01STANCE TO E X11 M IMUMIMMOOTANCETOW75' O I I 5 I I I I ! I 0 O I I I Oo15-N1 UTILfTV 207 SF 14__ _ —_ _ _ _ IEL I I I I BUILDING#1 7,381 Sf PROPOSED TEN ANT E BUILDING Nl FLOOR PLAN +E w'aa A-0 Electric # APPLICATION FOR BUILDING PERMIT Plumbing# HVAC# ��IK�Cfr1CI ICI. Date: Sprinkler# � (N� ��-�� I C Estimated Cost $ 20,GAO FINAL APPROVALS Permit Fee $ /So Buildin g COMPLETE RED BOXED AREAS Occupancy FeeUK $ •` ' Engineering TYPE OR PRINT ONLY Eng. Insp. Fee $ Affidavit Appr.forCO. I SIGN ON REVERSE SIDE A Total Fee $ IL 10 TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ The undersigned hereby applies to do work according to the following: Applicant i G O oZ Ex cc^. Location of Work �►� ur+ N� u o. "ham Applicant's Address 71 (�f ��aW"s �` V Tel # \� Town W- hc•S-a1— Zip 0(07q Lic.# A<A,e-dIa9 Owner tC O y- — 1r6►, ✓cam Architect Owner's Address Architect's Address OC— ( I-�1 Zip. (p'7 nn Zip Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd Fl. Total New Area d'7 7O �Purpose of this permit 0 )` Fes""%t. l� t/ i0a 5 e City Water 4 Well ❑ Septic System Sewer J Ins: HO SP Cert. V Area Base t Garage Approved by Date Use Group Construction Type ao15c ac;qq Revised 1108 I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town of South Windsor and to notify the Building Inspector of any alteration in the plans or specifications of the Building for which this permit is asked,and agree that this building is to be located the proper distance from all street lines,side yard lines,and required distances from all other zones and is located in which this building and its use is allowed. Signed I hereby apply for a Certificate of Occupancy for the work described in this application for the permit. Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS 1 APPLICATION FOR ELECTRICAL PERMIT TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074(PHONE)860-644-2511 EXT.230 DEPARLIQENT DECISION PERMIT NUMBER. APPLICATION IS HFRF 3Y: 00 0 7 APPROVED. BLDG.PER,MITNUMBER: LA1.4 INSPECTOR 31 Buckland Hills Dr, Manchester, Connecticut 06042 LOCAnON ON WORK: APPLICANT: OWNER: TYPE OF STRUCTURE: Paul Howell Loves OTW B=ING NAME: NAME: 0 ADDMON — 7707723418 PHONE NUMBER: (860) 644-7220 PHONL NUb'IDER: ❑L}ASTIIdG BUII.DING ADDRESS: 2050 Marconi Drive ADDREss --- -- --- - — - Suite 100 Alpharetta, GA 30005 TYPE of USE: o FXME T AI, o CoMMMCIAL ELECTRICAL INFORMATION: FURTHER DESCRIPTION OF WORK TYPE OF INSTALLATION: Disconnect, Relocate& Reinstall power in SIZE OF S6RVICfi: kitchen and design center. SIZE OF MALN SPRVICE: NUMBER OPME1EItS; -------------------`-- NIIMBFR OF PANELS: NUMBER OF I,10HT CIRCUITS:_ ESTIMATED COST:S 20,850 — — NUMBER OF SWITCIJES: 378.26 NUMBER OF LIGI l T FLYTURE$: FEE ENCLOSED:$ NUMBER OF A1C CIRCUCS: FEE SCHEDULE:SIB PER S1,000 OF THE ESTIMATED COST. NUMBER OF POWER CIRCUITS: ROUND UP TO THE NEXT MOUS.ANND ONCE THE PROJECT � IS SL O OVER (26 CEI1T EDUCATIONAL FEE LtyCLIIAED AS NUMMER OF OUTLETS: PART OF THE PERMIT FEE) THE UNDERSIGNED HEARBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINAI<CES AND STATE OF CONNECTICUT BUILDING CODES IN THE PE FO.MANCB OF SUCH 1AME CONTRACTORS LIC:ENSF.NO.: F.I.C.0191315-F,1 TYPE: STATE: 1 I r" SIGNATURE OF APPLICANT: 'A"U r�Y- ri��L DATE: 4/3/2020 �Oa coo 5) r a APPLICATION FOR ELECTRICAL PERMIT TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 (PHONE) 860-644-2511 EXT. 230 DEPARTMENT DECISION PERMIT NUMBER: APPLICATION IS HEREBY: APPROVED: BLDG.PERMIT NUMBER: ild ca0 �a DATE INSPECTOR LOCATION OF WORK: of APPLICANT: OWNER: TYPE OF STRUCTURE: �( 0 NEW BUILDING NAME: l NAME: solKe-- ❑ADDITION PHONE NUMBER 7 PHONE NUMBER PiZaSTING BUII.DING ADDRESS: (tLQ ADDRESS: TYPE OF USE: IDENTI❑RESAL COMMERCIAL ELECTRICAL INFORMATION: FURTHER DESCRIPTION OF WORK: TYPE OF INSTALLATION: yt°1J {"�/� 5 �� hQ/L S SIZE OF SERVICE: e !f SIZE OF MAIN SERVICE: caxvtd NUMBER OF METERS: hf�ff� NUMBER OF PANELS: NUMBER OF LIGHT CIRCUITS: ESTIMATED COST:S � v NUMBER OF SWITCHES: NUMBER OF LIGHT FIXTURES: FEE ENCLOSED:$ NUMBER OF A/C CIRCUITS: NUMBER OF POWER CIRCUITS: FEE SCHEDULE:$18 PER$1,000 OF THE ESTIMATED COST. ROUND UP TO THE NEXT THOUSAND ONCE THE PROJECT IS$1.00 OVER. (16 CENT EDUCATIONAL FEE INCLUDED AS NUMBER OF OUTLETS: PART OF THE PERMIT FEE) THE UNDERSIGNED HEARBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFOMANCE OF SUCH WORK. �s CONTRACTORS LICENSE NO.: �j�7�F TYPE:E C - STATE: T SIGNATURE OF APPLICANT: DATE: og' / aolq 2(091 CIec4i•zj , S WA So r APPLICATION FOR PERMANENT SIGN PERMIT Zoning Permit Fee: $ of S Sign Permit# 96 q . Est. Cost: $ o o _ New Sign$251 Replacement$10 Bldg Permit F e: 3 Zoning Approval: Final Inspe tions: Approved: Date: al Zoning q-0 Building Electrical Permit# L-f -7 ao i Applicant: Business Name: Skim I Y) Applicant Address: 37,q (Aoyp�rym ")+Ceo Phone: q6p" Q� lS�� U�tL1 end �nG . V4I�► s r (-T g�� ► , N►,r Address of Proposed Sign(s): � S � 0 � Zone: TYPE of SIGN: Wall or❑ Free-standing ❑ New or❑ Replacement Illuminated?❑ No Yes (electric I Rermit reRpired) •eteLtvlc¢ by of e r5 Proposed Free-standing Sign: Size (sq ft): Sign Height: Sq Ft of Existing signs on site: Free-standing: Wall. Proposed Building Sign: Building Frontage(ft): `/I 'y " Sign Size(sq ft): 1 0•5 Description of sign materials and lighting: CkinY1gA -Q'��[y 4� a RGiC_Gu/0Lk�' � 5P ATTACH V t,� i 11VM 1 nGfi0Y1 DIAGRAM OF SIGN I have read, understand and agre o abide by the South Windsor Zoning Regulations, Signs. INCLUDING DIMENSIONS AApplicant: Date: AND MAP WITH PP C SIGN LOCATION ON PROPERTY Property Owner: Date: a�t9oa�39 LANDLORD/ PROPERTY OWNER LETTER OF AUTHORIZATION DATE -- K)L )3119 Please accept this letter as authorization for Hartford Signs Or any of their agents tsobt in sy necessary permits for new signage at: 19v(-kt(AkJ Gtr, ,cam kT U�+ Property Owner Info: L)V)-e-7-13 U dda a LL 1 13aJc a,Ley (Zc)ekS.W,vid scn. bbt)--)� Owner Name: J CO# Lp- 0�`(-- ur� `3uc k6od k�Street Address: •�DX 7�`� 1 I b L� ��''' �' Q tx�c-�a �i) Contact Tel. #: ��p -��j - a.�3 a 3 Block# Lot# Signature: Date: t Printed Name: G-erAs UVA94 (�PY1't'ram: �-CiVI /Y k L Y Ac CERTIFICATE OF LIABILITY INSURANCE °12/06/0 9' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the pollcy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER CONTACT Franco Q. Cianfagiione,State Farm Insurance NAME: Robert Hilliard 1913 Silas Deane Hwy. PUV NONE ssasss-72as F�"moi.-660-529-9300 Re Rocky Hill, CT 06067 nDDRESS:robert.hilliard.dW statefarm.com INSURER(S)AFFORDING COVERAGE NAIC A INSURER A;State Farm Fire and Casualty Company 43 INSURED Hartford Sign&Design INSURER B:State Farm Mutual Automobile Insurance Company 25178 328 Governor St INSURER a:State Farm Fire and Casualty Company 25143 East Hartford, CT 06108 INSURER 0: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LJTR TYPE OF INSURANCE A D POLICY NUMBER MMOLICY EFF fQDIYYYYI MPOIJCDY EXP LIMITS A GENERAL UABILITY Y Y 97-BA-1-1988.6 01n912019 01119/2020 EACH OCCURRENCE S 1.0w.000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea occtxrenee S CLAIMS-MADE FRI OCCUR MED EXP am person) $ 5,000 X deductible$500 PERSONAL d ADV INJURY S 1.000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPUESPER: PROOLICTS-COMP/OP AGO S 2,000,OCO ICY X PRo- L� FIRE DAMAGE 3 300,000 SNGLE B AUTOMOBLEuaenmr Y Y 039 8124-BOS47 ON5/2019 07J0512020 Ea o de° I LIMIT S 1.000.000 XANY AUTO BODILY INJURY(Per peracr0 $ 1.000,000 ALL OWNED SCHEDULED BODILY INJURY(Per awdwQ S 1,000,000 AUTOSXU-0WNED PROPERTY DAMAGE AUTOS (Rdnri S 1.000,000X AUTOS S A 1 X UtaBRE1 I A UAB 1 X OCCUR 97-BA-A797.4 04/0112019 04/01/2020 EACH OCCURRENCE S 3,000,000 X EXCESS U A13 CLAIMSWADE9 AGGREGATE S 3.000,000 DED RETENTIONS $ A WORKERS COMPENSATION V11C STATU- X OTH- AND EMPLOYERS'U ABIUTY ANY PROPRIETOR/PAR TNER/EXECUTIVE YIN EJ_EACH ACCIDENT S 1.000.000 OFFICEAAEMBEREXCLUDED? NIA Y 97-BC-G689-5 05/11/2019 03111/2020 (Nandatory in NH) E L DISEASE-EA EMPLOYEE S 1,000,000 It yes,describe under E.LDISEASE-POLICYUMIT S 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,H mom space Is requked) CERTIFICATE HOLDER CANCELLATION Town Of South Windsor SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1640 Sullivan Ave ACCORDANCE WITH THE POLICY PROVISIONS. South Windsor CT 06074 AUTHORIZED REPRESENTATIVE .��. - �J. PROJECT PLANNERS NEW ENGLAND _ -- EUIGN PROJECT nLc K LC ME]ii iu IBM N////a ■/LD _YY�YY�C i IYY�Y; ' �. YIDaIC CNIDION101 ° ------------ STOREFRONT SCHEDULE WINDOW SCHEDULE ITIZI:I I EAST I LE V A T1 ON o o o cir "Lur :a. i��NN>•N�//N>•N.N>_NN>•N_�-NN>•N�_N1N�%N-N�.� II rrY��YY�YY■G YYY■�IY�J YYY■�_��=�YYY�G YYIyYY■�Y� Y�� , Rin .�� -- BUILDING I EXTERIOR�!ILD NORTH&EAST ELEVATIONS OD APPROVALS: El CUSTOMER DEPOSIT PAID LANDLORD SIGN TOWNCESION-FAagIC ATION INSTALLATION Signature required to begin production Date 860-293-1824 _4 040AIuminumretums -. 4• a jPower shut pB switch___ _._—� Exfstirlg well 4 080 aum;num deckers 3116'Trans acrAic lace w/ - -� l i HP trans vinyl applied to 1 st surface lrotors to be determined) 318'X 4 Mechanical fasteners --�' .063 Aluminum raceway CURRENTLY peinlaid to match building spml PVC bushings I Bright white UL listed LEDs �I Electrical power to sign location by others All wiring and fabrication is UL approved UL File#E325015 76" 20" Cool Gray 10 Pantone 284 Blue REGISTERED COPYRIGHT DESIGN -Wilcox Construction -Jerry -12/3/19 -Channel Letters on Raceway C, 2007-2020 Hartford Sign&Design PROJECT NAME: WORK PHONE: START. -30 Minute Hit - _ These images are the Property of Hartford Sign&Dggn, PROJECT LOCATION: CELL PHONE: LAST REVISION: They are provided for customer viewing only until pDject -One Buckland Center -860-690-7249 is awarded and receipt of deposit.Any other use is 1 Buckland Road, Bldg.1/unit4,S.Windsor,CT EMAI.: DUE: legally forbidden.Rights may be purchased for -wilcoxexc@aol.com a minimum fee of$500. @ FILE NAME: Wilcox thirty minute_south Windsor proof choice_final DRAWN BY:-LCAVANNA `APPROVALS: !, [� CUSTOMER DEPOSIT PAID 71 - . r LANDLORD T�/w --Y DESIGN FABRICATION lfis A ATIo +T _ ,.^. ..•-•--- Signature required to begin production Date 860-293-1824 NMI Loli-w-1--1 040 Aluminum returns 4• 3 Power shut of switch - - _ Existing wall 080 Aluminum backers 3/16'Trans acry is face w/—-- P HP trans vinyl applied to 1 sl surface (colors to be dete—nedj • 3/8'x 4'Mechanical fasteners �l ^ ^■.� .063 Aluminum raceway CURRENTLY painted to match hooding sofa PVC bushings -----�— Bright white UL listed LEDs — -- Electrical power to sign location by others. All wiring and fabncation is UL approved �- - LIL File#E325015 7611 20" �/�� Cool Gray 10 Pantone 284 Blue REGISTERED COPYRIGHT DESIGN -Wilcox Construction 48" -12/3/19 -Channel Letters on Raceway .2007-2020 Hartford Sign&Design PROJECT NAME: WORK PHONE: START: -30 Minute Hit - These images are the Property of Hartford Sign&Design. PROJECT LOCATION: CELL PHONE: LAST REVISION: They are provided customer viewing only until project is awarded and receipt of deposit.Any other use is -One Buckland Center -860-690-7249 - legally forbidden.Rights may be purchased for 1 Buckland Road, Bldg.1/Unit 4,S.Windsor,CT ENIA1 : DUE: - -wilcoxexc@aol.com _ a minimum fee of$500. @ FILE NAME: Wilcox thirty minute_south Windsor proof choice_final DRAWN BY:ACAVANNA STATE OF CONNECTICUT ♦ DEPARTMENT OF CONSUMER PROTECTION i Be it known that f ! HARTFORD SIGN & DESIGN LLC i 328 GOVERNOR ST EAST HARTFORD CT 06108-3925 � Y has satisfied the qualifications required bV law and is hereby registered as a HOME IMPROVEMENT CONTRACTOR Registration # HIC.0629205 ! Effective: 12/01/2018 Expiration: 11/30/2019 ! Michelle Seagull,Commluioner o- 4 a4 ILL N 8:q DRAWING LIST s�Ex oEnw�ws Kw rovrt a6 Koucf pavaeErmrnEEfp sEwcruFuaavlEwE sm sE6lcruw xs6rEar. ONE BUCKLAND CENTER . ii, IOAWrbMftCrtlKS BUILDING SHELL BID PACKAGE ill rouEOEap.sFcnal6 1,9& 15 Buckland Road �� Ena4ww�w6[EK6 South Windsor Connecticut E\{ > Issued for Permit 4,� «„,�t\xEElldt°1,M6 4u n,lax�lax4mcwv6 BUILDING FOUNDATIONS AND SITE WORK COMPLETED UNDER PREVIOUS PERMIT "' °�°"{E'•"w°"°" is""°oa°.w"°' 4! a1flO11r31\x.DOE.W6 41A nAIAM I.6.Ew\EKE fF RIM-06 4iE WYG116 ifaVMaWESELEI[\iM ELLEMTNNS 4ix IIPlPK 3FKr•lWEw[[R6g1f1rMIW6 c � - '. - - .. {3x tuEpKxIDl1E«\wFEI FxtERIM ELLvfip6 V. .�t,:v^� E .. •• �:.r�+a-== s'�` � MO MIDIN I{xlrKNffCT611 �� W 9[ErMM YRNLS tirKf .- 4S6 EbKtlUtEI:NOR.VgE1Nh1 . _ , s �, arr�� i_ ° •, wtn luln+sl\xnurxannan,EK 41.1 tElnmss l\2RW.N8\TE'.[°1.M nuE..{swfoun.�xm.m.lEo oEruEs ..y,:1 .a0 runo.slefoEutlo. �D uslc 0 6p u li t-7 '7 nR recw.culriEx.6E l.,1.. 4f •..I ��, j��e��j1 rvx uanwmxax uFEr6�E.mcnw6 ' Mla alYlltEllBl ix AE[OWIfJt 16d NIJ6 - .. i K>d EaL1MVKK6FIK3MK10rtWE6 _� t _ - .. FlK1{KAEgMWI.61 • _. ��'< .��^ "-... -. .- E-x6 E�16f45°[MC TId6 EdA (:LLSINiWIff ILIA teMAlKEI\xftxl'IaCKIM.hIK ROdIRN6 fLLI Ni1[M6K1\xEltl'E.Qf U6Mf1Ig1EMRAp _ [FlD W1lNlml{xftFEE1KY roW�.ROO\R,11d E411 ItP1P1rt61{]ELLl'EMG4roWE11.EEEK rlallE Eexy M1aEl9E1■1ElECElOCY 10WEI1 qpI°Wr6 �� Euta anlmuErww � r , I BUILDING TWO — I BUILDING ONE r 1 , I r l _ - L�__—' 5UCKIAND ROAD KEY PLAN CES-Consulting Engineering Services,Inc. New England Design,Inc. Karl Norton Architect LLC Girard&Company LLP MEP Engineer Project Planners Project Architect Project Structural Engineer nE vEu�.°...riwl..a«EEr+ 25 LedWbr6.k Drh.,M-11.1 i,CT 06250 25 Lrdarb—k Drive,M.neaeld,CT 06250 10 W.tereb.ee Drive,R.eky HIa,CT tK007 PERMITS/INSP PAYMENT RECPT# 20909263 TOWN OF SOUTH WINDSOR 1540 SULLIVAN AVENUE SOUTH WINDSOR CT 06074 DATE: 12/09/19 TIME: 14 41 CLERK: laurenlza DEPT: CUSTOMER# 0 PARCEL: CHG: PZ PLANNING AND ZO 25 00 AMOUNT PAID: 25 00 PAID BY: HARTFORD SIGN & DESI PAYMENT METH: CHECK 10909 REFERENCE: 30 MINUTE HI AMT TENDERED: 25 00 AMT APPLIED: 25 00 CHANGE: 00 G�f'� r STATE OF CONNECTICUT ♦ DEPARTMENT OF CONSUMER PROTECTION 0 r°v "� �.. ,, ��c� .*"°"'�' ��,-`� BeltkllOtVII that HARTFORD SIGN & DESIGN LLC 328 GOVERNOR ST r . EAST HARTFORD, CT 06108-3925 '✓ has satisfied the qualifica s required by and is hereby`registered as a HOME IMPROVEMENT CONTRACTOR. " f Registration # HIC.0629205 Effective: 12/01/2018 Expiration: 11/30/2019 Michelle Seagull,Comemisyioaer i Cr. j- a21 PERMITS/INSP PAYMENT RECPT# 20909298 TOWN OF SOUTH WINDSOR 1540 SULLIVAN AVENUE SOUTH WINDSOR CT 06074 DATE: 12/10/19 TIME: 14 00 CLERK: morganami DEPT: CUSTOMER#: 632735 HARTFORD SIGN & DESIGN PARCEL: CHG: BLDPRM BUILDING PERMIT 234 00 AMOUNT PAID: 234 00 PAID BY: HARTFORD SIGN & DESI PAYMENT METH: CHECK 10908 REFERENCE: 1 BUCKLAND R AMT TENDERED: 234 00 AMT APPLIED: 234 00 CHANGE: 00 APPLICATION FOR PERMANENT SIGN PERMIT Zoning Permit Fee: $ Sign Permit# U Est. Ccst. New Sign$251 Replacement$10 _. Bldg Permit Fe : $ Sq. Zoning Approval: _��u� Final Inspections: Approved. __ l-Y� )9 Date: Zoning �21-2 c Building Electric Permit# Applicant: Business Business Name: Applicant Address: :bUti( \ a—AkW�+0 (�050 1 Phone: �� 831 �31� Address of Proposed Sign(s): A- S'_3UG\,-/A0n PCA _ Zone: TYPE of SIGN: ,Nall or❑ Free-standing KNew or❑ Replacement Illuminated?❑ No Wes(electrical permit required) Proposed Free-standing Sign: Size(sq ft): Sign Height: ___ Sq Ft of Existing signs on site: Free-standing: Wall: Proposed Building Sign: Building Frontage(ft): O 5 4 1 Sign Size(sq ft): I`i - S9 5q.(\-V . Description of sign materials and lighting: /I Se'r yL m�ontrcA ATTACH cha�n�e� Ie•wcrs C• IOG[) 1(CX_\ . Qace_1,f`% A MCxX tf DIAGRAM OF SIGN INCLUDING I have read, understand and agree to abide by the South Windsor Zoning Regulations, Signs. DIMENSIONS AND MAP WITH SIGN Applicant:, _ Date:J2d4 _ LOCATION ON PROPERTY Property Owner. Date: LETTER OF AGENCY RE: PIN# /; Project name: U[,oi)J 10p S Property ddress: J!'� �U�� "� L Z^. S u/ PropertyOwner: Qi// t"govhird 1,�fm4�'-r In connection witl i the referenced property,I hereby give my permission for the business listed below to act as an agent for the purpose of submitting a sign permit application for review. /Ish I�ea An&,az /-rkt6 l n guy / Authorize Agent: -191 OXI f o`/J' d Me'li, 6/'O�CYhr/�f Agent/Business Address: Z. �- ` VMd D ikJc.%CL't^�%U' CT Agent/Business;Telephone Number: 0 50--SCM+ Witness Property Own a tint Full Name) Property Owner Signature Date T000n000z IVxH ZMISZ099 XM NJ LT ZT 610Zi0T/Z1 ■■■■■N ■■■ ■■■ OSTE N1 New Sign N1 New proposed sign ■■ S G R O O M I N G C E N T E R r N2-New Sign ■■■■.� R1 -Refaced Rl Existing sign to be refaced ■■■■■I Buckland Center N3 Front door vinyl Ai Awnings ■■■ 1 Buckland Rd . Description■■■ South Windsor, CT. 06074 _ ■■■ CODE DESCRIPTION: CODE/LL CRITERA PROPOSED ::: Height X Width X 7%(19.70 sq.ft.) Front:19.70 sq.ft. Front:14.59 sq.ft. Back:19.70 sq.ft. Back:14.59 sq.ft.■■■ ■■■ Milli wr Mom_ o ■■■ _ N ■■■ ■■■■ ■■■■ it ■■■■ NO CURRENT SITE PHOTO MMMM rl! 1.1 ■■■■■■■F I� - --- VIciiI Plan Yakima Office 10574 Paul Gen0e' November 12, 2019 1 l 1 Approved This original artwork is protected This drawing is Intended to provide a T 2323 W.Washington Are Cunomer Number Salesperson Date t I Approved With Changes Noted under Federal CoconCopyright taws. reasonablerepresentationproe .Fst r the final ROOSTERS Make no reproduction of this manufactured article.Fasteners and seams i Yakima,WA 98902 177477 Chris Sills design concept without permission in materials may not be represented 1 of 5 509.469.8186 Oume Number Drawn By wo—Siynature Landlord Signature exactly as they will be fabricated. Buckland Center from Tube Art Group. 1 Buckland Rd TUBE ART GROUP 800.562.2854 RST17240•SouthwimlsorCT477 Colors on prints may not accurately depict South Windsor,CT. 06074 Fat 509.469.8211 File Name Checked By Revisions D Date specific colors. 7'-11 1/2" 61/8i 7'-4" laid B0 0 N T COT ! MEN ' S GROOMING CENTER= Elevation- RST-L-14-W-RW (14.59 sq.ft.) Scale:1/2" Ni Manufacture and install (1) set of LED illuminated channel letters and logo icon. Raceway mounted. Q "Roosters"to have 5".040 stock Black alum.coil stock returns with 1"stock Black trim cap. 3/16"White acrylic faces with White SLOAN LED illumination. © "MGC"to be.125 flat alum.panel with 1"square tube frame.Panel and frame paint to Black with opaque White vinyl overlay.Panel attached to upper letters/raceway with exposed 1"square tubes as required.Exposed square tubes paint match to raceway © "Logo Icon"to have 5".040 stock Black alum.coil stock returns with 1"stock Black trim cap. 3/16"White acrylic faces with White SLOAN LED illumination and vinyl 20'-5"Lease Fascia Area overlay.Vinyl color:Tom Red(3630-43) r 11'-101/2"Sign Area I Raceway and exposed square tubes paint match to:SW 7562"Roman Column" I"rD. Ea All components are U.L.listed items with installation conforming to U.L.standards. 8' 5' aluminum returns r Trimcap 3/16'acryk N Ed low 063 alumYwm backs -- • LEDs � r T it Led Power Supply Disconnect Switch tube support bars e -.125 flat alum.panel PtRRQ Rfr,.•120 g with 1'sq.tube frame ' Fasteners asreal„rea Existing Conditions New NTS NTS Yakima OMce 10534 paw Genoa' November 12, 2019 1 []Approved This original artwork is protected This drawing is Intended to provide a T 2323 W.Washington Ave Customer Number Salesperson Dale f]Approved With Changer Noted under Federal Copyright Laws. maspnffite ed articmation of the final ROOSTERS Make no reproduction of ais manufactured reianst Fasteners fin seams i Yakima,WA 98902 137477 Chris Silk in materials may ill ef represented 509.469.8186 Quote Drawn By Customer Signature LandlordSignalure dgionTugn Tube roue.tperrniuion evacthastheywillbelaMWted. IBuc land 2 0�5 from Tldte Art Group. 1 Buc k land Rd TUBE ART GROUP 800.562—ISM RST33240•SovUwkldsorCTI77 Colors on prints may am accurately depict Fas 509.469.8211 File Name Checked By Revisions Date Date specific Colors. South Windsor,CT. Oh07a 591/2°(vo) 7�----------- / I N R o OS MEN ' S GROOMING CENTER Tenant Display Scale:3/4°=1 r Rl Manufacture and install qty(1) sets of new vinyl graphics for existing d/f ilium. display Tomato Red (3630-43)and Black vinyl,apply to existing in-field panels. ' TEMP1JR-PEDIC- URGENT CARE TEMPER-PF.w. URGENT c ARE SPACE AVAILABLE SFACEAVAILA.1E SPAMAOAIIAOIE P ROOSTERS. 1160-916-1747 860-916.1747 960-916-1741 keN 9RO0MIN4 ciNieR k Existing Conditions New NTS NTS Yakimm Office 10534 Paul Serve, November 12, 2019 1 []Approved This original artwork is pied This drawing is interMed to provide a 2323 W.Washington Ave Customer Number Salesperson Date I]Approved With Changes Noted udder Federal reproduction o laws. manufactured representation of the final ROOSTERS Make no reproduction of this manufactured article.Fasteners fin seams 1 a Yakima.Will 98M 137417 Chris Sills in materials may not be represented /� t 509.469.8136 Quote Number Drawn By Customer Signature Landlord Signature design concept without permission exactly as they will he fabricated. Buckland Center 4 o 5 from Tube Art Group. 1 Buckland Rd TUBE ART GROUP 800.562-2854 RST13240•SoothalndsorCT4177 Colas on prints may not accurately depict sonthWind—.CT. 06074 Fax 509.469.8211 File Name Checked By Revisions Dale Date specific colors. 22" I. 22"RD J — m 4s MEWS GROOMING CENTER ® MEWS GROOMING CENTER T N N 9:00-7:00 0:00-4:00 st(Amday 9:00-4:00 Store Front Door Graphics (double doors,left side door) Store Front Door Graphics (rlpht side door) Scale:1 1/2'=1' Scale:1 1/2'=1' Manufacture and install qty(1)first N3 Manufacture and install qty(1) first surface vinyl door graphics. surface vinyl door graphics. Dusted Crystal(7725-314)vinyl. Dusted Crystal(7725-314)vinyl. Bottom of"T"in Roosters to be Bottom of"E"in Roosters to be at 5"(feet)above finished floor(AFF). at 5"(feet)above finished floor(AFF). Y.ndw,-r.•taap 8:00•8:00 U. 9 00-4 00 CD as t N �C N CD O a tv c O r 11� Store Front Window Graphics (sample layout only Yakima Office 10534 Paul Genge' November 12, 2019 1 11 Approved This original artwork is protected This drawing is Intended to provide a 2323 W.Washington Ave Customer Number Salesperson Date [J Approved With Changes Noted under Federal Copyright Laws. reasonable representation of 6 a for the final se ROOSTERS Make so reproduction of this manufactured article. ams Yakima.WA 98902 137477 Chris Sillsdesign concept without permission in materials may not be represemed 5 of 5 509.469.8186 Quote Number Drawn By Customer Signature Landlord Signature exactly as they wlll be fabricated. Buckland Center from Tube Art Group. 1 Buckland Rd TUBE ART GROUP B00.56=854 RST1324o-sa"thwindwrCTen Colors on prints may not accurately depict South Windsor,CT. 06074 Fax 509.469.8211 He Name Checked By Revisions Date Date specific colors. DATE(MM/DD/YYYY) ACOORO CERTIFICATE OF LIABILITY INSURANCE F12/1112019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTANAME:CT James B.OStrove Northern Fairfield Insurance PHONENo, 203-791-2897 FAX 203-791-1273 6 Mill Plain Road E-MAILADDRESS:nfijim@yahoo.com A/c No Danbury CT 06811 INSURERS AFFORDING COVERAGE NAIC1f INSURER A:Main Street America Group(NGM Ins Co) INSURED INSURER B:Progressive Joseph Andrews dba The Sign Guy INSURER C 32 Rocky Glen Rd INSURER D Danbury CT 06810 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDLSTYPE OF INSURANCE Um POLICYNUMBER MM/DDYEFF MMIDD EXP LIMITS LTR COMMERCIAL GENERAL LIABILITY 7/ EACH OCCURRENCE $2,000,000 Iff- CLAIMS-MADE �✓ OCCUR PREMISES Ea occurrence $500,000 A MED EXP(Any one person) $10,000 MPU3048K 05/14/2019 05/14/2020 PERSONAL&ADV INJURY $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $4,000,000 ✓ POLICY❑✓ JET LOC PRODUCTS-COMP/OP AGG $4,000,000 OTHER: I $ AUTOMOBILE LIABILITY �/ EeaCOMBINED tSINGLE LIMIT $1,000,000 ANY AUTO BODILY INJURY(Per person) $ B ✓ AOWNED UTOS ONLY SCHEDULED 06634061-1 10/15/2019 10/15/2020 BODILY INJURY(Per accident) $ AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident uninsured motorist $1,000,000 UMBRELLA LIAR OCCUR LJ Li EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN STATUTE ERH ANYPROPRIETOR/PARTNER/EXECl1TIVE E.L.EACH ACCIDENT $ OFFICER/MEMBEREXCLUDED? ❑ NIA (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ Hs ID DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Those usual to the Insured's operations. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of South Windsor THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 1540 Sullivan Avenue South Windsor,CT 06074 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD ACORO� DATE(MM/DD/Y " CERTIFICATE OF LIABILITY INSURANCE 12/11/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTANAME:CT James B.Ostrove Northern Fairfield Insurance PHONE 203-791-2897 FA 203-791-1273 6 Mill Plain Road -MAID nfijim@yahoo.com ahoo.com A/c No ADDRESS: I @Y Danbury CT 06811 INSURERS AFFORDING COVERAGE NAIC# INSURER A:Main Street America Group(NGM Ins Co) INSURED INSURER B:Progressive Joseph Andrews dba The Sign Guy INSURER C: 32 Rocky Glen Rd INSURER D Danbury CT 06810 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I�TR TYPE OF INSURANCE DDL UBR WVD POLICY NUMBER MM/DD EFF POLICY EXP LIMITS COMMERCIAL GENERAL LIABILITY Lvi EACH OCCURRENCE $2,000,000 CLAIMS-MADE �✓ OCCUR PREMISES Ea occurrence $500,000 A MED EXP(Any one person) $10,000 MPU3048K 05/14/2019 05/14/2020 PERSONAL BADVINJURY $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000 ✓ PRO— LOC PRODUCTS-COMP/OP AGG $4,000,000 POLICY�✓ OTHER: $ AUTOMOBILE LIABILITY Ee aBINEDtSINGLE LIMIT $1,000,000 ANY AUTO BODILY INJURY(Per person) $ B ✓ OWNED AUTOS NLY AUTOS U�D 06634061-1 10/15/2019 10/15/2020 BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Par accident uninsured motorist $1,000,000 UMBRELLALIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICERIMEMBEREXCLUDED? ❑ NIA (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ N yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If mom space Is required) Those usual to the insured's operations. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of South Windsor THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 1540 Sullivan Avenue South Windsor,CT 06074 AUTHORIZED REPRESENTATIVE 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD PERMITS/INSP PAYMENT RECPT# 20909404 TOWN OF SOUTH WINDSOR 1540 SULLIVAN AVENUE SOUTH WINDSOR CT 06074 DATE: 12/19/19 TIME: 10:25 CLERK: laurenlza DEPT: CUSTOMER# 0 PARCEL: CHG: PZ PLANNING AND ZO 25 00 AMOUNT PAID: 25 00 PAID BY: DOWNS ASHLEA PAYMENT METH: CHECK 5175 REFERENCE: ROOSTERS AMT TENDERED: 25 00 AMT APPLIED: 25.00 CHANGE: 00 �J PERMITS/INSP PAYMENT RECPT#: 20909407 TOWN OF SOUTH WINDSOR 1540 SULLIVAN AVENUE SOUTH WINDSOR CT 06074 DATE: 12/19/19 TIME: 10 44 CLERK: morganami DEPT: CUSTOMER# 718406 ASHLEA ANDREWS PARCEL: CHG: BLDPRM BUILDING PERMIT 54 00 AMOUNT PAID: 54 00 PAID BY: ASHLEA ANDREWS PAYMENT METH: CHECK 5174 REFERENCE: ROOSTERS BAR AMT TENDERED: 54 00 AMT APPLIED: 54 00 CHANGE: 00 f F ' w,w asor APPIICATIOREOR PE�II ANENT SIGN PERMIT u�.qt Ong Awmal: a© 1 1a Cy-I am Q o" esr-cost grml hrs d Y sign # 11 b 0 fo3� Pew Feed a 5 �� Zoning ao 'T� a Elearic�t PerTrrit# AW%ant T'CLhq,'e_ jLL G Busi Name: Applicant A drm: SO Phone:S/6 7 y l-may Address of sws): ls6tl._.Rj cvi-A /„r cer zone: TYPE of SItoN: ,ff Wall or❑Fretslxu Wg Ej New or❑Rapb m6rlt Ipumirrabed. ❑No ❑Yes(eWbtcal permit required) Proposed Fred rrdirg Sign: Size(sq M: Sigh i Sq Ft of 6dstirg signs on sibs:Fme-aia xft:�Watt: Proposed Wng iSigrt: Bcn k g Frontage(ft): '/'a So Sine(sq V. Desaiption of*n ma0 fWs and fighting:Ala m ATTACH DIAGRAM OF SIGN I haul nW4, and agree b abide S0VthxW&Qr Zoning Regviatjons,Srgs INCLUDING ONS AND MAP WITH Applicant Datie SIGN LOCATION ON PROPet'rY - ...............'-------------------------------------------------------------- �- APPLICATION FOR PERMANENT SIGN PERMIT Zoning Appm%W: Est.Cost $ DO : Permit Fee:$ Rul InapecOms: sign Permit o Approved: Bwl 4 ' Ere *Permit# Zoning 1 Applicant I�P i C ►ra Btu Name: �?�'he n l Appiic W tAdity.Z'Z_,�..�S M&nos �✓z �t1,, z + & My#SGI Phone It � Address of Pmposied Sign(s) L1 4 Wi, (O,- _ zone., TYPE of SIGN: b: wd or ff Fmwm&v E jt w or Q Replacement illumin9W❑No Q Yes(e%cVW pem*required) Proposed FM-dffd%Sid: Sb(sq fQ: %n� iWht Sq Ft of Basting signs on she:Fre"bndinQ:—Wall: Proposed 13uid q iSqL &Aft Fronde(tt): Sign Sire(sq ft):y Z Desuiption of sig11 materials and lrgt►ting: ALAI=✓�. x T1`. '�'rj ATTACH DIAGRAM OF SM INCLUDING I have read, and agree to by the South Regniaft s.Sens. DIMEAtSIONS AND MAP WtM SM Ap t Oab. LOCATION ON PROPEff Y pmp"Owner- cLCM/6 33 3 Individually lit push through channel letters on aluminum raceway in 69 on surface applied translucent vinyls llln raceway painted to match building facade: CCS Hartford 6,. ElGQHealth 'V. HealthCare L 6racKet5 D c istant Gray 143-75 on 3" screw5 into ��an CS R"lap and 561 5 in wall TCARE � 1 Hartford URGENT CARJE]GoHealth HealthCare C I » — I ' I , 91 1n ease 7-- window graphics interior installation 332 Sag—A—MW-1A NY,115M DATE: 11.07.17 ADDRESS:Southington Connecticut cuarpMEA eeouesreo navrsnw APPROVAL DESIGNER: PAGES: T:5 6-742-8469 CUSTOMER: Hartford HealthCareGohealth rr5 Dustin St of am: 00.00.00 ate' oo.00.00 0UST011ER810N"TM1E Arthur F.516-742-328+1 CONTACT: MalSanderleaf EMAIL:Mal.Sandeneaf®goheaehuc.corn ozda : 00.00.00 1 05m: 00.00.00 SALES REP: min o • v n INVOICE#: I PHONE:516.695.8422 oo M, 00.00.00 1 oesr: 00.00.0D APPROVAL WE Tom "Thb drawing retrains the exclusive property of Mineola Awnings d Signs.Presented Drawings rosy not be copied In whole or In pert,altered or exhibited In any manner without the permission of Mineola Awning&Singe. Exceptlorlt we previously copyrighted artwork supplied by the client.All colors are representational anises otherwise noted, w.w w..•�s>..w nwww sue,._ 3 Individually lit push through channel letters on aluminum raceway surface applied translucent vinyls raceway painted to match building facade: CHartford i„ ■�} GQHealth CS -TT CN HealthCare q L DraCKetS Distant Gray 0C":s 143.75 on 3" screws into an rURGEd 5"la anJ 5161 s in wall N T I CARE Hartford HealthCare U R G E N T CAR 0 GoHealth I .. C It � I 1 - I window graphics interior installation s32ssamorea Nv.11501 DATE: 11.07.17 ADDRESS:SouthingtonConectlM CUSfON11iACOUESTEDREVISIONS APPROVAL DESIGNER: PAGES: T:516-742-8469 CUSTOMER: Hartford HealthCare Gohealth 775 Dusan St of dw OO.W 00 ware 00.00.00 CUSTO ERSIONATURE Arthur F 51 6-742-3281 CONTACT: MatSanderleat EMAIL:Mal.Sanderleal®goheaehuc.com Wdate: 00.0000 its— 00,00.00 SALES REP: 1�1 e I e s INVOICE#: PHONE:518.eg5.B422 osderr, 00,00,00 osdsle: 00.00,00 APPROVAL DATE. TOM IMAkq dte exclusive property of Mineola Awnings&Signs.Presented Drawings may not be copied In whole or in part,altered or exhibited in any manner without the permission of Mineola Awning&Sings.Exceptions are previously copyrighted artwork supplied by the alien.All colors are representational unless otherwise toted. w.o M•q•4•N ryr..air 3 Individually lit push through channel letters on aluminum raceway — 69 in ( 69 in surface applied translucent vinyls .� - L 6racKet5 raceway painted to match building facade: HartfOrCl L t �� GOHealth screws into Fan HealthCare Distant Gray J* 5" lags and shields in wall 1143-75 in URGENT CA.................. RE ........... -------- ----------------------------- r �1. L _. - - !i Hartfordi17ONT CARE OG-Health HealthCare AT AAA tA 1 • : 332 S.gemoro Avonue"'""a NY-1150 1 DATE: 11,07.17 ADDRESS:25eucklandrd OVSTOMEA REQUESTED REVISIONS APPROVAL DESIGNER: PAGES: T 516-742-8469 CUSTOMER: Hartford HealthCareGohealth South Windsor Connecticut ofd.. oo.00.go 04d.t.: 00.00.00 cusTDNEnWiChrVRE Ann., F 516—742-3281 CONTACT: Mat Sanderleaf EMAIL:Mat Sanderleal0goneanhue core mftw 00.00.00 1 00 W.. 00.00 W 515 SALES REP: g 1�1 • n INVOICE#: PHONE: sg5.sa22 osa.lc r tJQ,Qg,Qg Ofi E.1.-. OO,OO,W APPROVAL DATE Tom i —This drawing remains the exclusive properly of Mineola Awnings M Signs.Presenled Drawings may not be copied In whole or in part,altered or exhibited In any manner without the permission of Mineola Awning 3 Singe.Exceptions we previously copyrighted artwork supplied by the client.All cobra are representational unless otherwise noted, re...vr+v�Na....�... 3 Individually lit push through channel letters -T1- on aluminum raceway 69 In 69 in II surface applied translucent vinyls �+ L 6racKet5 raceway painted to match building facade: Hartford�„ E] GoHealth 3" screws into an Distant Gray HealthCare 5" lags and 561 5 in wall 143-75 In - a. URGENT CARE t if- :. - - - '--�t r xartfordi: U R G ii �� ARE ["]GoFlealth HealthCare Cn I - ]bR s.a.mor.Mwme Mil—W.NX11501 DATE: 11.07.17 ADDRESS:25 Buckland rd CUST0r.1Ea REa,esTEOREVIsx1B APPROVAL DESIGNER: PAGES: T:516-742-8469 CUSTOMER: Hartford HealthCare Gohealth South Windsor Connecticut 01�• oo.00.00 «... 00,00.00 "'9101'1ER810M iTLvW Arthur F'516-742-3281 CONTACT: Mat Sander eat EMAIL:Malsende ktattagoneanhuacom 02 da": oo.00 00 os a.r. 00 00 00 SALES REP: 1�� o I �g n INVOICE#: PHONE:516.695.8422 wain 00,00.00 1 06w 00.00.00 JAPPROVALGATE Tom "This droving remains the exclusive property of Miracle Awnings 3 Signs.Presented Drawings may not be copied in whole or in pan,altered or exhibited in any manner without the permission of Mineola Awning&Sings.Exception are previously copyrighted artwork supplied by the client.All colors are representational unless otherwise noted. i APPLICATION FORfERMANENT SIGN PERMIT 1 14LUar-1 oc d Zoning Permit Fee: $ Sign Permit# Est. Cost: $ zap New Sign$25/Replacement$10 Bldg Permit Fee: VV oa V4 Zoning Approval: ��Lto Final Inspections: Approved: Date: is- Zoning o Building Electric Permit# Lt Applicant: ,1i�c � -��i'1 12�)�K�-° 'V Business Name: - Applicant Address: ��3 �� l.�i� �l,/ D�y9z Phone:7 Address of Proposed Si (s): clC R Zone: /'G-C TYPE of SIGN: Wall or❑ Free-standing Q New or❑ Replacement Illuminated? ,No Yes(electrical permit required) 9 9 ( q ) 9 4 9 .g L g A— Proposed Free in Si n: Size s ft ei ht: S Ft of Existing si n o ite: Free-standing: Wall: Proposed Building Sign: Building Frontage(ft): Sign Size(sq ft): Descripti n of sign materials and lighting: 1' - !q /V ATTACH _ _ _ �� f+ Z{ DIAGRAM OF 40 (,) SIGN INCLUDING I have read,understan and to abi e e South Windsor Zoning Regulations,Signs. DIMENSIONS AND MAP WITH SIGN Applicant: Date: �Z 7� LOCATION ON PROPERTY Property Owner: Date: �XNt1o�"I NON-ILLUMINATED LOGO FIGURE 8 FACE LIT CHANNEL LETTERS ■■ J IJ nnnrnnirunumu I��j' 'j j�� ,rnnirnr�au�inw nrnm- �mm�� unr• •uu .nunuunm. ,rnm unrn. ,aimruu unnriu.. unrnmrn iruniunn. © niinnirnnu nrmnrmeir, Tyr .iinuuuniruur 'I unrumrunirn,. Tyr .,�iunrnnunnumi - uunrununuunn�. ri TI 0 E3 EE E3E M ED EE33 E 1: .nuunuunniuunu�.....:.,.....inmunuunuiruni.. ..mrnniruuunuunuuamruuiruuirnuunnuuwrmnri.. O O O ■ © iL-tn q ® [ice� � ® ■ G� I • ai EO r 6 �� ! h � I �q 1 !PM- M !4 r— _� = eU� — ■ter=�..�r_r �, EXTERIOR STOREFRONT ELEVATION FRONT ELEVATION SCALE:as noted TEMPUR—PEDIC Winr CT • • � formansign l . . . FIGURE&FACE LIT CHANNEL LETTERS �o M 1 � 1 2,UH--H I,sI� y�. M M II'-�• M M �.1. M a,�1. M y.-.1. m FB E3-M. E T TEMPUR-PEDiC ® F 1!9 [ EXTERIOR STOREFRONT ELEVATION (FRONT - PARKING) FRONT ELEVATION SCALE:311W-T-V LOGTION: SCALE:as noted PG iota nwle- i,��3n� n+..,,.,ao•,�.,,.,.�� Ureiwlek MtoC. x @y forman-I4. NON-ILLUMINATED LOGO FIGURE&FACE LIT CHANNEL LETTERS Store front sign: -LOGO-non-illuminated flat cut out 1/2"acrylic pinned off of wall -"Tempur-Pedic"-internally illuminated channel letters flush mounted wl remote power supplies 11' - 2" TEMPUR PEDIC QTY 1 PER ELEVATION L 5' 4 1,4" 1 / QTY 2 PER ELEVATION ; L/ / SCALE: 1"= 1'-0" 51GN AREA: (2)11"x5'-41W=10.2cq.ft. 1'-2"x11'-2"=13 eq.ft. TOTAL:33.4 9q.ft. Windsw CT LOCATION. SCALE:as noted FG: 1 oN � +++eo•in+»+w,.. eE�rr� on�w"ev Forman nm wo....., • 1 LOGO FIGURE&FACE LIT CHANNEL LETTERS METAL STUD Z La Galvanized bolt&Snaptoggle TYPICAL INSTALLATION DETAIL- METAL —r - ALUMINUM PLATE LETTER STUD II nts 3l4"PLYWOOD J-� 3,4•PLYWOOD SHEATHING SUBSTRATE INSULATION INSULATION 1)Trim Cap-WHITE BOARD BOARD � S wl Low Profile Pan Head Screw REINFORCING Painted to Match trim cap MESH IN BASE 2)Case(w/X"weepholes)- COAT REINFORCING Painted to Match_WHITE MESH EMBEDDED 3)Face-3/16"Acrylic_WHITE w/VINYL '. IN BASE COAT 4)LEDs-_WHITE G"x 5"Galvanized lag bolt i 5)3/8"x 5"Galvanized lag-bolts: into walls stud or blocking min of 3)per letter (or as required) f 6)Remote power supply; METAL STUD CORROSION RESISTANT in metal box w/cut-off switch 3/4"PLYWOOD SLEEVED GROMMET Class II low voltage wiring to letters sHEAnNGw 2 WITH SEALANT AROUND 120 volt primary service in conduit ADDITIONAL GROMMET FLANGE 7)Wall- EIFS BLOCKING atUtlllQl INSULATION BOARD '3 CORROSION RESISTANT 3 REINFORCING FASTENER&SLEEVE 5 MESH w T E SET IN SEALANT i COAT BEFORE INSERTING FASTENERS /,'Galvanized lhru bolt w/"Sleeper" spanning adjacent wall studs 6 METAL STUD 4 5n 3l4"PLYWOOD SHE 1)Ya"thick aluminum letter drilled&tapped t�s" — for studs,attached to wall w/silicone INSUUTION i BOARD REINFORCING adhesive in holes drilled Into • MESH IN BASE_. COAT masonry wall for studs On letter FACE-LIT LED CHANNEL LETTER WITH REMOTE TRANSFORMER ON E.I.F.S. WALLM 2)2%"S/S 10/24 studs w/1"alum,spacers minimum of 3)per letter or as required LOGO COLORS 3)Wall-EIFS ■ PAINTED ALUM.PLATE"FIGURE"-PAINT COLOR-PMS#280C — —--- TRANSLUCENT CHANNEL LETTER FACE-PMS#280C 3M 3630"BLUE" A RYLIC LOGO "FIGURE" w/ I" SPACERS TRANSLUCENT CHANNEL LETTER FACE-PMS#368C 3M 3630-106"BRILLIANT GREEN" LOCATION. PG; do14 nAiF 11+1L17 nsuoasoo a� rt�1••oHblc wmal Cr m•t•t DRAWN•,- forman s l n n s � TO: The'rown of South Windsor Permit Department Zoning and Building Permits Rc: T'ca Pur-Pedic Onc Buckland Road,Unit 1 A South Windsor,Cr TO Whom It May Concern: Please be advised that Tempur Retail Stores,LLC d/b/a'rempur--Pedic is applying for sign permits to be installed at the above referenced location. i I the(leasing agent/owner)authorize Armco Sign Company to apply for sign permits and install sign(S)at the above referenced location. Tenant conform t and Armco Sign Co.arc to � o all laws,codes,and regulations b al 13W y 1 agencies required for this 1 3 eq nstallat�on. Should you have any questions,please feel free to con tact me. Sincerely, T000/T0001M IV3M 100PUTDOO ZVI XV MOT OTOT/81/10 APPLICATION FOR PLUMBING PERMIT TOWN OF SOUTH WINDSOR BUELDING DEPARTMENT 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074(PHONE)W444-2511 EXT.230 PERMPf NUMBER: DEPARTMENT DECISION rf� APPLICATION IS HEREBY: 00L+1 APPROVED: BLDG.PERMIT NUMBER i 4A�TE� R LOCATION OF WORK: ! U L APPLICANT: OVi NFJ : TYPE OF STRUCTURE: ❑NEW BUILDING NAME:_I/Ct l l�L� G fQ 0 JC, NAME: ❑AD MOM t L PHONE NUMBER �p EMSTING BUILDING PHONE NUMBER- 1' ADDRESS: „ ADDRESS: bis &)11 r(J (CAI-In-TYPE OF USE: o RESIDE TITAL ACOf�[ERC:AL I- FLUWfMG 114FORMATION: FURTBrR DES(RIYI'ION OF WOBY: TYPE OF INSTALLATION:J T L `� _ 5� v a s / '(l NO.OF TOILETS: STYLE: NO.OF BATHTIUBS: / NO.OF SHOWERS: NO.OF LAVATORIES: NO.OF CATCH BASINS: NO.OF FIAOR DRAINS: ARE TOILET COWARTMPL rS VENTILATED TO OUTER AIR BY WINDOW? DYES ONO SSTIMATEDCOST- S C>� SUE OF WINDOW: SI7b`OF DUCTS: SEWER OR SEPTIC TANIC FEE ENCLOSED:S SI7M OF WATERPIPING AND RISER WATER HEATER:TYPE MANUFAC UM FEE SCHEDULE:S16 PER 514000 OF THE R.SPIMATED COST. ROUND UP TO THE NEXT THOUSAND ONCE THE PROJECT IS $1.00 0VFJ L (.26 CENT EDUCATIONAL FEE gV��,p AS PART OF THE PERMIT FEE) THE UNDERSIGNED FWARBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND S TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNB(TICUT BUILDING CODES IN THE PERFOMANCE OF SUCH WORK. -7 CONTRACTORS LICENSE NO.: TYPE-2STATE: (— SIGNATURE OF APPLICANT: DATE: J 6/15/2021 .to ON seI Town of South Windsor Building Department II• e� �V R.CON�v Plumbing Permit: PLMB-21-82 APPLICANT NAME: Tyler Rickert EMAIL ADDRESS: tyler@accratemp.com ADDRESS: 40 Chelton Ave West Hartford, CT 06110 LOCATION ADDRESS: 1 BUCKLAND RD South Windsor CT 6074 OWNER: ONE BUCKLAND CENTER LLC 110 LAVENDER LANE ROCKY HILL CT 6067 DESCRIPTION OF WORK: (1)New 6 Gal Hot water heater, (1)new water closet-floor mount, (1)new lav sink and faucet, Connect Domestic/WasteNent to existing piping, Pipe insualtion. May 16, 2021 BUILDING OFFICIAL DATE SIGNED -ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT" "'PERMIT ONLY VALID IF SIGNED BY BUILDING OFFICIAL- 6/15/2021 yy � Town of South Windsor Building Department Electrical Permit: ELEC-21-212 APPLICANT NAME: Keith Schmelter EMAIL ADDRESS: keith@leict.com ADDRESS: 227 Shunpike Rd Cromwell , CT 06416 LOCATION ADDRESS: 1 BUCKLAND RD South Windsor CT 6074 OWNER: ONE BUCKLAND CENTER LLC 110 LAVENDER LANE ROCKY HILL CT 6067 DESCRIPTION OF WORK: Cigar shop Install 75 KVA Transformer and Panel Wire new Bathroom for space k„ May 11, 2021 BUILDING OFFICIAL DATE SIGNED -ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT-" --PERMIT ONLY VALID IF SIGNED BY BUILDING OFFICIAL- I I 201700438 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER CERTIFICATE OF OCCUPANCY DATE: 12/08/2017 GIS ID: 15300001 FEE: 10.00 MUNIS APPLICATION# 201700634 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: WILCOX EXCAVATING CONSTRUCTION ADDRESS: 1 BUCKLAND ROAD ADDRESS: 71 WILLOW STREET,-.,., OWNER: ONE BUCKLAND CENTER LLC SOUTH WINDSOR,CT,06074 110 LAVENDER LANE s ROCKY HILL,CT 06067 DESCRIPTION OF WORK: BUILDING OF STRUCTURE. BUILDING 2 . ro SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: AjAw� OCCUPANCY GROUP: loOMM&Y FJ F F I C AL 12/8/2017 10:02 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE Ar 201700439 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER CERTIFICATE OF OCCUPANCY DATE: 12/08/2017 GIS ID: 15300001 FEE: 10.00 MUNIS APPLICATION# 201700633 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: WILCOX EXCAVATING CONSTRUCTION ADDRESS: 1 BUCKLAND ROAD ADDRESS: 71 WILLOW STREET; OWNER: ONE BUCKLAND CENTER LLC SOUTH WINDSOR,CT 06074 110 LAVENDER LANE ROCKY HILL,CT 06067 DESCRIPTION OF WORK: BUILDING OF STRUCTURE. BUILDING 1. SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING OFFICIAL 12/8/20I7 10:18 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 201800074 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER CERTIFICATE OF OCCUPANCY DATE: 02/16/2018 GIS ID: 15300001 FEE: 30.00 MUNIS APPLICATION# 201701596 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: PLAN-IT CONSTRUCTION USA INC. ADDRESS: 1 BUCKLAND ROAD ADDRESS: 4949 COTE VERTU ST-LAURENT OWNER: ONE BUCKLAND CENTER LLC QUEBEC, H4S IEl 110 LAVENDER LANE ROCKY HILL,CT 06067 DESCRIPTION OF WORK: TENANT FINISH TO BECOME TEMPUR-PEDIC. WORK INCLUDES NEW WALLS,FINISHES AND FIXTURES. SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING OFFICIAL 2/16/2018 9:57 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 202000070 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER CERTIFICATE OF OCCUPANCY DATE: 01/22/2020 FEE: GIS ID: 15300001 ZONE: MUNIS APPLICATION# 201902594 THIS IS TO CERTIFY THAT 1 BUCKLAND ROAD UNDER APPLICATION NUMBER 201902594 CONFORMS SUBSTANTIALLY TO THE REQUIREMENTS OF THE CONNECTICUT BASIC BUILDING CODE AND THE ZONING REGULATIONS OF THE TOWN OF SOUTH WINDSOR AND IS HEREBY APPROVED OF OCCUPANCY AS INDICATED BELOW: APPROVED FOR OCCUPANCY ROUGH FRAMING FOR NEW DEMISING WALLS FOR CLOSETS, BATHROOMS, -AND CHANGING AREAS-"30 MIN QUICK HIT" SPECIAL CONDITIONS NOTICE: IF THIS CERTIFICATE IS LOST OR DESTROYED,A DUPLICATE SHOULD BE OBTAINED IMMEDIATELY FROM THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING OFFICIAL 1/22/2020 2:05 PM ANY CHANGE OR EXTENSION OF TILE USE HEREIN APPROVED REQUIRES ANEW CERTIFICATE OF OCCUPANCY 202000642 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER CERTIFICATE OF OCCUPANCY DATE: 01/05/2021 FEE: GIS ID: 15300001 ZONE: RURAL RESIDENTIAL MUNIS APPLICATION# 201902691 THIS IS TO CERTIFY THAT I BUCKLAND ROAD UNDER APPLICATION NUMBER 201902691 CONFORMS SUBSTANTIALLY TO THE REQUIREMENTS OF THE CONNECTICUT BASIC BUILDING CODE AND THE ZONING REGULATIONS OF THE TOWN OF SOUTH WINDSOR AND IS HEREBY APPROVED OF OCCUPANCY AS INDICATED BELOW: APPROVED FOR OCCUPANCY TENANT FINISH OUT FOR ROOSTERS BARBER SHOP(UNIT B) SPECIAL CONDITIONS NOTICE: IF THIS CERTIFICATE IS LOST.OR DESTROYED,A DUPLICATE SHOULD BE OBTAINED IMMEDIATELY FROM THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING OFFICIAL 1/5/2021 2:05 PM ANY CI IANGE OR EXTENSION OF THE IE USE HEREIN APPROVED REQUIRES ANEW CERTIFICATE OF OCCUPANCY 1700488 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER BUILDING PERMIT DATE: 09/18/2017 GIS ID: 15300001 FEE: 1412.00 MUNIS APPLICATION # 201701141 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: PERMIT ADVISORS ADDRESS: I BUCKLAND ROAD ADDRESS: 8370 WILSHIRE BLVD. OWNER: ONE BUCKLAND CENTER LLC BEVERLY HILLS,CA 90211 110 LAVENDER LANE ROCKY HILL,CT 06067 DESCRIPTION OF WORK: TENANT IMPROVEMENT FOR GOHEALTH URGENT CARE. SCOPE OF WORK INCLUDES NEW WALLS, DOORS,RESTORROMS AND INTERIOR FINISHES. SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: 13UILDING OFFICIAL 9/18/2017 3:15 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCI IARGE 1700637 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER SIGN PERMIT DATE: 1 l/15/2017 GIS ID: 15300001 FEE: 252.00 MUNIS APPLICATION# 201701633 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: MINEOLA SIGNS ADDRESS: I BUCKLAND ROAD ADDRESS: 332 SAGAMORE AVENUE OWNER: ONE BUCKLAND CENTER LLC MINEOLA,NY 11501 110 LAVENDER LANE ROCKY HILL,CT 06067 DESCRIPTION OF WORK: NEW ALUMINUM WALL SIGN AND NEW ALUMINUM FREE-STANDING SIGN BOTH WITH PLEXI LETTERS AND LED LIGHTING.SIGNS FOR URGENT SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING OFFICIAL 1 1/15/2017 3:42 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1700667 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER BUILDING PERMIT DATE: 12/05/2017 GIS ID: 15300001 FEE: 2754.00 MUNIS APPLICATION# 201701596 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: ARC VISION INC. ADDRESS: 1 BUCKLAND ROAD ADDRESS: 1950 CRAIG ROAD OWNER: ONE BUCKLAND CENTER LLC SUITE 300 110 LAVENDER LANE ST.LOUIS,MO 63146 ' ROCKY HILL,CT 06067 DESCRIPTION OF WORK: TENANT FINISH TO BECOME TEMPUR-PEDIC. WORK INCLUDES NEW WALLS,FINISHES AND FIXTURES. SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING OFFICIAL 12/5/2017 9:54 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1800151 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER SIGN PERMIT DATE: 04/13/2018 GIS ID: 15300001 FEE: 126.00 MUNIS APPLICATION# 201701884 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: ARNCO SIGN CO.INC. ADDRESS: 1 BUCKLAND ROAD ADDRESS: 1133 SOUTH BROAD ST OWNER: ONE BUCKLAND CENTER LLC WALLINGFORD,CT 06492 110 LAVENDER LANE ROCKY HILL,CT 06067 DESCRIPTION OF WORK: NEW ILLUMINATED AND NON-ILLUMINATED WALL SIGNS FOR NEW TEMPUR PEDIC STORE. SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS/APPROVED BY THE/ BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING OFFICIAL 4/13/2018 12:01 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1600362 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER BUILDING PERMIT DATE: 06/09/2016 GIS ID: 15300001 FEE: 800.00 MUNIS APPLICATION# 201600548 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: SCOTT LEONARD ADDRESS: l BUCKLAND ROAD ADDRESS: 110 LAVENDAR LANE OWNER: LEONARD SCOTT ROCKY HILL,CT 06067 110 LAVENDER LANE ROCKY HILL, CT 06067 DESCRIPTION OF WORK: FOOTING AND FOUNDATION. SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING OFFICIAL 6/9/2016 1:37 PM THE FEE ABOVE INCLUDES A$0.26 PAR THOUSAND CT STATE EDUCATION SURCHARGE 2000286 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER SIGN PERMIT DATE: 06/17/2020 GIS ID: 15300001 FEE: 90.00 MUNIS APPLICATION# 202000930 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: HARTFORD SIGN&DESIGN ADDRESS: I BUCKLAND ROAD ADDRESS: 328 GOVERNORS STREET OWNER: ONE BUCKLAND CENTER LLC 110 LAVENDER LANE EAST HARTFORD,CT 06108 DESCRIPTION OF WORK: MOVE SMALL PYLON SIGN FROM ONE LOCATION TO ANOTHER ON SAME P ROPERTY/NEW STONE BASE PILLARS FOR POSTS SPECIAL CONDITIONS: ALL WORK TO 13E DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING OFFICIAL 6/17/2020 8:24 AM TIIE FEE ABOVE INCLUDES A$0.26 PER TI IOUSAND CT STATE EDUCATION SURCHARGE 1600525 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER BUILDING PERMIT DATE: 08/18/2016 GIS ID: 15300001 FEE: 3520.00 MUNIS APPLICATION# 201601023 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: SCOTT LEONARD ADDRESS: 1 BUCKLAND ROAD ADDRESS: 110 LAVENDAR LANE OWNER: LEONARD SCOTT ROCKY HILL,CT 06067 110 LAVENDER LANE ROCKY HILL,CT 06067 DESCRIPTION OF WORK: RETAINING WALL CONSTRUCTION. SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING OFFICIAL 8/18/2016 4:09 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1700309 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER BUILDING PERMIT DATE: 07/06/2017 GIS ID: 15300001 FEE: 11935.00 MUNIS APPLICATION# 201700633 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: WILCOX EXCAVATING CONSTRUCTION ADDRESS: 1 BUCKLAND ROAD ADDRESS: 71 WILLOW STREET OWNER: ONE BUCKLAND CENTER LLC SOUTH WINDSOR,CT 06074 110 LAVENDER LANE ROCKY HILL,CT 06067 DESCRIPTION OF WORK: BUILDING OF STRUCTURE. BUILDING 1. SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING OFFICIAL 7/6/2017 9:23 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1700310 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER BUILDING PERMIT DATE: 07/06/2017 GIS ID: 15300001 FEE: 15845.00 MUNIS APPLICATION# 201700634 BUILDING DESCRIPTION: APPLICANT - LOCATION NAME: WILCOX EXCAVATING CONSTRUCTION ADDRESS: I BUCKLAND ROAD ADDRESS: 71 WILLOW STREET , OWNER: ONE BUCKLAND CENTER LLC SOUTH WINDSOR,CT 06074 110 LAVENDER LANE ROCKY HILL,CT 06067 F n a DESCRIPTION OF WORK: BUILDING OF STRUCTURE. BUILDING 2 y b SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING OFFICIAL 7/6/20 1 7 9:23 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1900677 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER HVAC PERMIT DATE: 11/04/2019 GIS ID: 15300001 FEE: 558.00 MUNIS APPLICATION# 201902502 BUILDING DESCRIPTION: APPLICANT_ LOCATION NAME: HIPOINT HEATING,&COOLING,INC. ADDRESS: I BUCKLAND ROAD ADDRESS: 71 EDWIN ROAD ;° OWNER: ONE BUCKLAND CENTER LLC 110 LAVENDER LANE SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: INSTALL 2 GAS FURNACES AND 2 AC SYSTEMS SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WITH TIIE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING OFFICIAL 11/4/2019 8:59 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1900678 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER HVAC PERMIT DATE: I 1/04/2019 GIS ID: 15300001 FEE: 162.00 MUNIS APPLICATION# 201902503 BUILDING DESCRIPTION: APPLICANT. LOCATION NAME: HIPOINT HEATING&COOLING,INC. ADDRESS: 1 BUCKLAND ROAD ADDRESS: 71 EDWIN ROAD OWNER: ONE BUCKLAND CENTER LLC " 110 LAVENDER LANE SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: INSTALL OF DUCT FIT OUT SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY TI IE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING OFFICIAL 11/4/2019 9:01 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1900737 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER HVAC PERMIT DATE: I 1/26/2019 GIS ID: 15300001 FEE: 144.00 MUNIS APPLICATION# 201902691 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: HIPOINT HEATING&COOLING,INC. ADDRESS: 1 BUCKLAND ROAD ADDRESS: 71 EDWIN ROAD OWNER: ONE BUCKLAND CENTER LLC 110 LAVENDER LANE SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: TENANT FINISH OUT FOR ROOSTERS BARBER SHOP SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING OFFICIAL 11/26/2019 10:14 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1700464 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER HVAC PERMIT DATE: 10/04/2017 GIS ID: 15300001 FEE: 1422.00 MUNIS APPLICATION# 201700634 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: HIPOINT HEATING&COOLING,INC. ADDRESS: 1 BUCKLAND ROAD ADDRESS: 71 EDWIN ROAD OWNER: ONE BUCKLAND CENTER LLC SOUTH WINDSOR,CT 06074 1 IO LAVENDER LANE ROCKY HILL,CT 06067 DESCRIPTION OF WORK: HEATING AND A/C INSTALLATION FOR LANDLORD WORK ONLY. BUILDING 2 SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING OFFICIAL 10/4/2017 3:20 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1700463 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER HVAC PERMIT DATE: 10/04/2017 GIS ID: 15300001 FEE: 954.00 MUNIS APPLICATION# 201700633 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: HIPOINT HEATING&COOLING,INC. ADDRESS: 1 BUCKLAND ROAD ADDRESS: 71 EDWIN ROAD OWNER: ONE BUCKLAND CENTER LLC SOUTH WINDSOR,CT 06074 110 LAVENDER LANE ROCKY HILL,CT 06067 DESCRIPTION OF WORK: HEATING AND A/C INSTALLATION FOR LANDLORD WORK ONLY. BUILDING 1. SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING OFFICIAL 10/4/2017 3:18 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1700462 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER HVAC PERMIT DATE: 10/04/2017 GIS ID: 15300001 FEE: 1422.00 MUNIS APPLICATION# 201700634 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: HIPOINT HEATING&COOLING,INC. ADDRESS: 1 BUCKLAND ROAD ADDRESS: 71 EDWIN ROAD OWNER: ONE BUCKLAND CENTER LLC SOUTH WINDSOR,CT 06074 110 LAVENDER LANE ROCKY HILL,CT 06067 DESCRIPTION OF WORK: HEATING AND A/C INSTALLATION FOR LANDLORD WORK ONLY. SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING OFFICIAL 10/4/2017 3:04 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1700456 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER HVAC PERMIT DATE: 10/04/2017 GIS ID: 15300001 FEE: 900.00 MUNIS APPLICATION# 201701141 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: HIPOINT HEATING&COOLING,INC. ADDRESS: I BUCKLAND ROAD ADDRESS: 71 EDWIN ROAD , OWNER: ONE BUCKLAND CENTER LLC SOUTH WINDSOR,CT 06074 110 LAVENDER LANE ROCKY HILL,CT 06067 DESCRIPTION OF WORK: TENANT FITOUT--DUCTWORK PLAN ON FILE. SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING OFFICIAL 10/4/2017 2:06 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 2000033 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER SIGN PERMIT DATE: 02/03/2020 GIS ID: 15300001 FEE: 54.00 MUNIS APPLICATION# 201902902 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: ASHLEA ANDREWS ADDRESS: 1 BUCKLAND ROAD ADDRESS: P.O BOX 841 OWNER: ONE BUCKLAND CENTER LLC I10 LAVENDER LANE BETHEL,CT 06801 DESCRIPTION OF WORK: I SET OF LED ILLUMINATED CHANNEL LETTERS AND LOGO ICON. RACE WAY MOUNTED SIGN 14.59 SQ FT SIGN FOR ROOSTERS BARBER SHOP SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING OFFICIAL 2/3/2020 11:54 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1800034 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER HVAC PERMIT DATE: 01/17/2018 GIS ID: 15300001 FEE: 324.00 MUNIS APPLICATION# 201701596 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: AIR TEMP MECHANICAL ADDRESS: I BUCKLAND ROAD ADDRESS: 360 CAPTAIN LEWIS DRIVE OWNER: ONE BUCKLAND CENTER LLC SOUTHINGTON,CT 06489 110 LAVENDER LANE ROCKY HILL,CT 06067 DESCRIPTION OF WORK: DUCTWORK. SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING OFFICIAL 1/17/2018 10:07 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1700282 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER SIGN PERMIT DATE: 06/19/2017 GIS ID: 15300001 FEE: 150.00 MUNIS APPLICATION# 201700713 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: WILCOX EXCAVATING CONSTRUCTION ADDRESS: I BUCKLAND ROAD ADDRESS: 71 WILLOW STREET' OWNER: ONE BUCKLAND CENTER LLC SOUTH WINDSOR,CT.06074 110 LAVENDER LANE ROCKY HILL,CT 06067 DESCRIPTION OF WORK: NEW ILLUMINATED FREE-STANDING SIGN. SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING OFFICIAL 6/19/2017 2:11 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 2000072 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER ELECTRICAL PERMIT 2 DATE: 03/16/2020 GIS ID: 15300001 FEE: 180.00 MUNIS APPLICATION# 201902691 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: EON ELECTRICAL L•LC. ADDRESS: 1 BUCKLAND ROAD ADDRESS: 466 BARBER HILL ROAD OWNER: ONE BUCKLAND CENTER LLC 110 LAVENDER LANE SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: TENANT FINISH OUT FOR ROOSTERS BARBER SHOP(UNIT B) SPECIAL CONDITIONS: INSTALLING PWR FOR DISPLAY STATIONS AND ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING OFFICIAL 3/16/2020 11:1 l AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1600272 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER ELECTRICAL PERMIT DATE: 06/01/2016 GIS ID: 15300001 FEE: 30.00 MUNIS APPLICATION# 201600691 BUILDING DESCRIPTION: APPLICANT ':x LOCATION NAME: THOROGOOD ELECTRIC,LLC. ADDRESS: I BUCKLAND ROAD ADDRESS: 20 CLEVELAND STREET OWNER: LEONARD SCOTT ENFIELD,CT 06082 '" 110 LAVENDER LANE ROCKY HILL,CT 06067 DESCRIPTION OF WORK: TEMP SERVICE WITH 2 GFCI PLUGS. r ,P SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING OFFICIAL 6/1/20 1 6 4:10 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1600492 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER ELECTRICAL PERMIT DATE: 10/18/2016 GIS ID: 15300001 FEE: 45.00 MUNIS APPLICATION# 201601514 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: THOROGOOD ELECTRIC,LLC. ADDRESS: 1 BUCKLAND ROAD ADDRESS: 20 CLEVELAND STREET OWNER: ONE BUCKLAND CENTER LLC ENFIELD,CT 06082 110 LAVENDER LANE ROCKY HILL,CT 06067 DESCRIPTION OF WORK: UNDERGROUND PIPING ONLY FOR NEW FUTURE TWO BUILDING SITE. NO WIRING SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING OFFICIAL 10/18/2016 3:31 PM THE FEE ABOVE INCLUDES A$0.26 PER TI IOUSAND CT STATE EDUCATION SURCHARGE 1700360 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER ELECTRICAL PERMIT DATE: 10/19/2017 GIS ID: 15300001 FEE: 1080.00 MUNIS APPLICATION# 201700633 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: THOROGOOD ELECTRIC,LLC. ADDRESS: I BUCKLAND ROAD ADDRESS: 20 CLEVELAND STREET OWNER: ONE BUCKLAND CENTER LLC ENFIELD,CT 06082 110 LAVENDER LANE ROCKY HILL,CT 06067 DESCRIPTION OF WORK: ELECTRICAL FOR BUILDING 1. SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING OFFICIAL 10/19/2017 10:36 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1700361 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER ELECTRICAL PERMIT DATE: 10/19/2017 GIS ID: 15300001 FEE: 1080.00 MUNIS APPLICATION# 201700634 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: THOROGOOD ELECTRIC,LLC. ADDRESS: 1 BUCKLAND ROAD ADDRESS: 20 CLEVELAND STREET OWNER: ONE BUCKLAND CENTER LLC ENFIELD,CT 06082 110 LAVENDER LANE ROCKY HILL,CT 06067 DESCRIPTION OF WORK: ELECTRICAL FOR BUILDING 2. SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING OFFICIAL 10/19/2017 10:36 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1700388 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER ELECTRICAL PERMIT DATE: 11/13/2017 GIS ID: 15300001 FEE: 810.00 MUNIS APPLICATION# 201701141 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: THOROGOOD ELECTRIC;LLC. ADDRESS: 1 BUCKLAND ROAD ADDRESS: 20 CLEVELAND STREET OWNER: ONE BUCKLAND CENTER LLC ENFIELD,CT 06082: „: 110 LAVENDER LANE ROCKY HILL,CT 06067 DESCRIPTION OF WORK: ELECTRICAL WORK PER PLANS RELATED TO GO HEALTH URGENT CARE. SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED By THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: , OCCUPANCY GROUP: BUILDINY OFFICIAL 11/13/2017 11:39 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1800014 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER ELECTRICAL PERMIT DATE: 01/17/2018 GIS ID: 15300001 FEE: 360.00 MUNIS APPLICATION# 201701596 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: THOROGOOD ELECTRIC,LLC. ADDRESS: I BUCKLAND ROAD ADDRESS: 20 CLEVELAND STREET OWNER: ONE BUCKLAND CENTER LLC ENFIELD,CT 06082 -- 110 LAVENDER LANE ROCKY HILL,CT 06067 DESCRIPTION OF WORK: ELECTRICAL HIGH VOLTAGE WORK PER PLANS. SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING OFFICIAL 1/17/2018 10:08 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1700288 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER PLUMBING PERMIT DATE: 07/17/2017 GIS ID: 15300001 FEE: 225.00 MUNIS APPLICATION# 201700634 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: G&R VALLEY INC._ ADDRESS: 1 BUCKLAND ROAD ADDRESS: 350 CHAPEL ROAD :n OWNER: ONE BUCKLAND CENTER LLC SOUTH WINDSOR,CT 06074 110 LAVENDER LANE ROCKY HILL,CT 06067 DESCRIPTION OF WORK: WORK PER THE PLANS FOR PLUMBING,GAS AND STORM. BLDG.2 BUILDING 2 SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING OFFICIAL 7/17/2017 2:23 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1900943 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER SIGN PERMIT DATE: 12/18/2019 GIS ID: 15300001 FEE: 234.00 MUNIS APPLICATION# 201902839 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: HARTFORD SIGN &DESIGN ADDRESS: I BUCKLAND ROAD ADDRESS: 328 GOVERNORS STREET OWNER: ONE BUCKLAND CENTER LLC 110 LAVENDER LANE EAST HARTFORD,CT 06108 DESCRIPTION OF WORK: CHANNEL LETTERS ON A RACEWAY-LED ILLUMINATION SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WITII THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING OFFICIAL 12/18/2019 3:28 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1700287 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER PLUMBING PERMIT DATE: 07/17/2017 GIS ID: 15300001 FEE: 180.00 MUNIS APPLICATION# 201700633 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: G&R VALLEY INC. ADDRESS: I BUCKLAND ROAD ADDRESS: 350 CHAPEL ROAD OWNER: ONE BUCKLAND CENTER LLC SOUTH WINDSOR,CT 06074 110 LAVENDER LANE ROCKY HILL,CT 06067 i' DESCRIPTION OF WORK: BUILDING OF STRUCTURE. BUILDING 1. WORK PER THE PLANS FOR PLUMBING,GAS AND STORM. BLDG. I SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING OFFICIAL 7/1 7/20 17 2:20 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1700454 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER PLUMBING PERMIT 2 DATE: 10/04/2017 GIS ID: 15300001 FEE: 54.00 MUNIS APPLICATION# 201700633 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: G&R VALLEY INC., ADDRESS: 1 BUCKLAND ROAD ADDRESS: 350 CHAPEL ROAD OWNER: ONE BUCKLAND CENTER LLC SOUTH WINDSOR,CT 06074 110 LAVENDER LANE ROCKY HILL,CT 06067 DESCRIPTION OF WORK: BATHROOMS.(TEMPUR PEDIC SPACE.) SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING OFFICIAL 10/4/2017 1:46 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1700453 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER PLUMBING PERMIT DATE: 10/04/2017 GIS ID: 15300001 FEE: 396.00 MUNIS APPLICATION# 201701141 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: G&R VALLEY INC. ADDRESS: 1 BUCKLAND ROAD ADDRESS: 350 CHAPEL ROAD OWNER: ONE BUCKLAND CENTER LLC SOUTH WINDSOR,CT 06074 110 LAVENDER LANE ROCKY HILL,CT 06067 DESCRIPTION OF WORK: BATHROOMS,EXAM ROOM,SINKS AND DRINKING FOUNTAIN. SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING OFFICIAL 10/4/2017 1:46 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1900773 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER PLUMBING PERMIT DATE: 12/13/2019 GIS ID: 15300001 FEE: 360.00 MUNIS APPLICATION# 201902594 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: G&R VALLEY,INC. ADDRESS: I BUCKLAND ROAD ADDRESS: 350 CHAPEL ROAD OWNER: ONE BUCKLAND CENTER LLC 110 LAVENDER LANE SOUTH WINDSOR.-CT 06074 DESCRIPTION OF WORK: ROUGH FRAMING FOR NEW DEMISING WALLS FOR CLOSETS,BATHROOMS, AND CHANGING AREAS SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING OFFICIAL 12/13/2019 1:07 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 2000143 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER PLUMBING PERMIT 2 DATE: 04/03/2020 G1S ID: 15300001 FEE: 54.00 MUNIS APPLICATION# 201902691 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: G&R VALLEY,INC. ADDRESS: I BUCKLAND ROAD ADDRESS: 350 CHAPEL ROAD OWNER: ONE BUCKLAND CENTER LLC 110 LAVENDER LANE SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: TENANT FINISH OUT FOR ROOSTERS BARBER SHOP(UNIT B) SPECIAL CONDITIONS: HOOK UP 6 SHAMPOO SINKS AND ONE KITCHEN ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING OFFICIAL 4/3/2020 9:12 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1800035 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER PLUMBING PERMIT DATE: 01/17/2018 GIS ID: 15300001 FEE: 54.00 MUNIS APPLICATION# 201701596 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: NOLCO PLUMBING ADDRESS: I BUCKLAND ROAD ADDRESS: 366 COPPER LANE; OWNER: `ONE BUCKLAND CENTER LLC COVENTRY,CT 06238 1 10 LAVENDER LANE ROCKY HILL,CT 06067 DESCRIPTION OF WORK: ROUGH'AND FINISH FOR 1 DRINKING FOUNTAIN. SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING OFFICIAL 1/17/2018 10:07 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1900920 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER BUILDING PERMIT DATE: 12/13/2019 GIS ID: 15300001 FEE: 1350.00 MUNIS APPLICATION# 201902691 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: BRITNEY BENNETT ADDRESS: I BUCKLAND ROAD ADDRESS: 10755 SANDHILL ROAD OWNER: ONE BUCKLAND CENTER LLC 110 LAVENDER LANE DALLAS,TX 75238 DESCRIPTION OF WORK: TENANT FINISH OUT FOR ROOSTERS BARBER SHOP SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING OFFICIAL 12/13/2019 1:26 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1900919 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER BUILDING PERMIT DATE: 12/13/2019 GIS ID: 15300001 FEE: 180.00 MUNIS APPLICATION# 201902594 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: WILCOX EXCAVATING CONSTRUCTION ADDRESS: 1 BUCKLAND ROAD ADDRESS: 71 WILLOW STREET' OWNER: ONE BUCKLAND CENTER LLC 110 LAVENDER LANE SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: ROUGH FRAMING FOR NEW DEMISING WALLS FOR CLOSETS,BATHROOMS, AND CHANGING AREAS SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING OFFICIAL 12/13/2019 1:03 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1900513 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER ELECTRICAL PERMIT DATE: 11/26/2019 GIS ID: 15300001 FEE: 216.00 MUNIS APPLICATION# 201902601 BUILDING DESCRIPTION: APPLICANT; LOCATION NAME: THOROGOOD ELECTRIC,LLC. ADDRESS: I BUCKLAND ROAD ADDRESS: 20 CLEVELAND STREET OWNER: ONE BUCKLAND CENTER LLC -- 110 LAVENDER LANE ENFIELD,CT 06082 DESCRIPTION OF WORK: NEW 100 A 4800 DISCONNECT,75KVA XFMR,200A 1200/208 MAIN PANEL SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING OFFICIAL 11/26/2019 9:37 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1900514 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER ELECTRICAL PERMIT DATE: 11/26/2019 GIS ID: 15300001 FEE: 324.00 MUNIS APPLICATION# 201902691 BUILDING DESCRIPTION: APPLICANT; LOCATION NAME: THOROGOOD ELECTRIC,LLC. ADDRESS: 1 BUCKLAND ROAD ADDRESS: 20 CLEVELAND STREET OWNER: ONE BUCKLAND CENTER LLC -- 110 LAVENDER LANE ENFIELD,CT 06082 DESCRIPTION OF WORK: TENANT FINISH OUT FOR ROOSTERS BARBER SHOP SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING OFFICIAL 11/26/2019 9:40 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 201700440 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER CERTIFICATE OF OCCUPANCY DATE: 12/08/2017 GIS ID: 15300001 FEE: 10.00 MUNIS APPLICATION# 201701141 BUILDING DESCRIPTION: APPLICANT- LOCATION NAME: PERMIT ADVISORS ADDRESS: I BUCKLAND ROAD ADDRESS: 8370 WILSHIRE BLVD. OWNER: ONE BUCKLAND CENTER LLC BEVERLY HILLS,CA 90211 110 LAVENDER LANE ROCKY HILL,CT 06067 DESCRIPTION OF WORK: TENANT IMPROVEMENT FOR GOHEALTH URGENT CARE. SCOPE OF WORK INCLUDES NEW WALLS,DOORS,RESTORROMS AND INTERIOR FINISHES. SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPRO2;t THE B ENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING OFFICIAL 12/8/2017 I0:30 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE