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HomeMy WebLinkAbout108 EVERGREEN WAY DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT TOWN OF SOUTH WINDSOR PERMIT# Applicatio ere a S- BUILDING DEPARTMENT APPROVED 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 � Date C mg Application must be printed or typed FEE SCHEDULE Location of Job: F d/?r !o$0-$1,000=$15.00 Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof gnation Apt.No. 'Sa.3 APPLICANT LI ,G,:V e.f �a.�r.a v v r G�9Tr u-✓S L,G,C. APPLICANT ADDRESS 7) o G d G•�/�tse[t EGG/GS L%� d GOS C a APPLICANT PHONE# C VC. ) z 9 z—/6 4 e/ O)N N SF,q OWNER 7-0S. 4. i3r4. k CLaT� �a OWNER ADDRESS OWNER PHONE C ESTIMATED COST$ '900 . — *. U .� **w IS THIS A CONTRACT COST? Yes _No FEE ENCLOSED$ /5 , CD R C TYPE OF JOB: �, New Installation _Alteration/Addition/Repair Revised 4/01//2002 APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION? ❑ YES ❑NO ❑/RESIDENTIAL U BUSINESS CURRENT USE AND OCCUPANCY ❑ASSEMBLY ❑MERCANTILE El EDUCATIONAL FUTURE USE AND OCCUPANCY ❑ INSTITUTIONAL ❑FACTORY ENGINEER'S NAME PHONE ❑ STORAGE ❑GARAGE ADDRESS ❑MIXED USE (Other please specify) CITY STATE ZIP TYPE OF INSTALLATION/WIRING METHOD Low SIZE OF SERVICE SIZE OF MAIN CONDUCTORS NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS NUMBER OF PANELS REMOTE DISCONNECT REQUIRED? ❑YES ❑NO NUMBER OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS NUMBER OF SWITCHES NUMBER OF OUTLETS NUMBER OF LIGHT FIXTURES NUMBER OF HEAT CIRCUITS NUMBER OF A/C CIRCUITS SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED. DESCRIPTION OF WORK THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. /o s'J�?( T/ CT CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT DATE APPLICATION FOR PERMANENT SIGN PERMIT Sign Permit# Z r'Z(,`t N _ Zoning Permit Fee:$_IL,OD Final Inspections: Est. Cost:$ . o New Sign$25/Replacement 31 0 Zoning Building Bldg Permit Fee: 10 ,00 Zoning Approval: a , Approved: Date: x 0s .z 1 Electrical Permi # Applicant: Mark Marchisano Business Name: Costco Wholesale Applicant Address: 45940 Horseshoe Drive, Suite 150, Sterling, VA 20166 Phone: 571-528-0882 Email: mmarchi@costco.com Address of Proposed Sign(s):100 Evergreen Way, Suite 108, South Windsor, CT 06074 Zone: GD TYPE of SIGN: ®Wall or❑ Free-standing ®New or❑ Replacement Illuminated?® No ❑Yes(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): 40, 40 Sign Size(sq ft): 32132 sf Description of sign materials and lighting: Temporary color fabric banners to be hung on each side of ATTACH building ow hiring banner will be hung first then replaced with membership banner. DIAGRAM OF SIGN INCLUDING Please sio acknowledging compliance with sign restrictions. DIMENSIONS AND MAP WITH I have read, understand and agree to abide by the South Windsor Zoning Regulations,Signs. SIGN LOCATION I / ON PROPERTY Applicant: Date: 08/16/2021 Property Owner: A Date: C2IMAGING DATE RECEIVED: WO#: 8/23/21 CUSTOMER: Costco JOB DESCRIPTION: Custom-107 CbSTCO. REVISION#:2 DATE:8/23 =WfiiOiLMIME SIZE: 96"W x 48"H MATERIAL: 4mil Coroplast MEMBERSHIP CALLOUTS: PMS 186 PMS 286 INFORMATION �4 tither � i-' ®wllrr f. Sir - H��e custom107 MembershipCombo 96x48.pdf CUSTOMER APPROVAL X 1 202 . FOR CONTENT APPROVAL ONLY Not to be used for exact color matching PREPARED BY:Jill l ART P R E V I E Vh C2IMAGING DATE RECEIVED: WO#: 8/23/21 CUSTOMER: Costco JOB DESCRIPTION: Custom-115 C40ffff %�' REVISION#: DATE: m SIZE: E�ALE 96"W x 48"H MATERIAL: 4mil Coroplast CALLOUTS: PMS 186 NOWHIRIN 0 PMS 286 !� APPLY ONLINE @ << �'11i'r � O:h�e• WWW, COSTCO , COM Omer custom115 NowHiring 96x48.pdf CUSTOMER APPROVAL: X ! 202 1 FOR CONTENT APPROVAL ONLY Not to be used for exact color matching PREPARED BY:Jill aarwwr S I Ul I Banner location CEO Cm �t s 4 fie ` 56463 SIP Z 14,0. , r— I4 `, ❑ 32M SIF AVAILABLE1133 6:spa sIF `• � � ,}` ¢'��b���`` ,� � � F Is an 65- Banner location Costco temporary space 1 - , DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT PERMIT# Applicati er .. TOWN OF SOUTH WINDSOR 1 q I 1 I BUILDING DEPARTMENT PRO 1540 SULLIVAN AVENUE Bldg.Permit# OCT15 20 644-2511 ext. 230 Date 41" Building Inspector Application must be printed or typed FEE SCHEDULE Location of Job: DO ,. $0-$1,000=$15.00 Street No. Stre Lot No. Over$1,000= $15.00 per$1,000 , or any fraction thereof Tenant Designation Apt.No. APPLICANT S ca r`,Cx r el,a f APPLICANT ADDRESS P d 6o e 6 3 V APPLICANT PHONE# 2 02 r/ - O 50 0 OW N SF�4 OWNER L3 . A . 13s•► h s OWNER ADDRESS a OWNER PHONE C ESTIMATED COST$ / , a 0 6.00 "S+ IS THIS A CONTRACT COST? Yes _No FEE ENCLOSED$ 1-2 O. 0 0 0 r�Y�sO O�� TYPE OF JOB: R C X New Installation Alteration/Addition/Repair Revised 4/01//2002 APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A ❑RESIDENTIAL BUILDING PERMIT APPLICATION? ❑ YES ❑ NO ❑BUSINESS CURRENT USE AND OCCUPANCY PP_+u 11 ❑ASSEMBLY ❑MERCANTILE❑EDUCATIONAL FUTURE USE AND OCCUPANCY �e4u I ❑INSTITUTIONAL ❑FACTORY ENGINEER'S NAME PHONE ❑ STORAGE ❑GARAGE ADDRESS ❑MDMD USE CITY STATE ZIP (Other please specify) TYPE OF INSTALLATION/WIRING METHOD /'•�c �i �a��+ L, /Os SIZE OF SERVICE SIZE OF MAIN CONDUCTORS NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS NUMBER OF PANELS REMOTE DISCONNECT REQUIRED? ❑YES ❑NO NUMBER OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS NUMBER OF SWITCHES NUMBER OF OUTLETS NUMBER OF LIGHT FIXTURES NUMBER OF HEAT CIRCUITS NUMBER OF A/C CIRCUITS SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED. DESCRIPTION OF WORK Fro✓,1 je 10 a,/),rc, 0, ..� �.,.S 1 u 1� �,'� u"(-1, S AS}e A., a S new 42 fates 0.1 4 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. 1o .3163 EI G'T CONTRACTORS LICENSE NO. TVPE STAT SIGNATURE OF APPLIC r DATE !� `lam DEPARTAdENr]DECISION APPLICATION FOR SPRINKLER PERMIT PERMIT# APplica. TOWN OF SOUTH WINDSOR BURDING DEPARTMENT C � `;" , 1540 SULLIVAN AVENUE Bldg.Permit# 15 (;` 644-2511 ext.230 ?�()(0� Date auildintl i Application must be printed or typed FEESCM)ULE I Ug Location of Job: •FAQ ��(e�c-c�YP_P:--a lA�� $0-S1,000-$15.00 Street No. Street Lot No. Over$1,000- S15,00ycrS 1,000 or any fraction thereof Tcnaut Designation Apt.No. APPLICANT E: APPLICANT ADDRESS I1 APPLICANT PRONE# - '(O w N .�fq OWNER OWNER ADDRESS COWNER PHONE C ESTIMATED COSTS I �t�G�b L^JQ } IS THIS A CONTRACT COST? ✓Ya _No w` FEE ENCLOSED S ,2-J'C—AD TYPE OF J/OB: r�ds0. -co ►'Newiriatauation Alt a vAon/Additioa/Repau Revised VDu/= APPLICATION FOR SPRINKLER PERA1IIT(Continued from reverse side) TYPE OF BUILDING TYPE OF CONSTRUCTION USE GROUP NO.OF STORIES ❑RESIDENTIAL ❑BUSINESS IS THIS APPLICATION ASSOCIATED WITH A ❑ASSEMBLY BUILDING PERMIT APPLICATION? U YES O NO ❑MERCANTILE ❑EDUCATIONAL CURRENT USE AND OCCUPANCY ❑INSTITUTIONAL ❑FACTORY ARE USE AND OC C ❑STORAGE ❑CI GARAGE MDCF USE ENGINEER'S NAM jE� 0 1! PHONEC -L/C9CJ (Other please specify) ADDRESS,,(0 !-1� „ (r� ( ( 1 / (, crr-4 . W/ ,Y 1 Cow STATE _ZIP y�/O;e KIND OF INSTALLATION V I 4 SIZE OF MAIN DRAIN rr ��WATER PRESSURE AT STREET(PSI) ARE SPRINKLER HEADS ALTERED? ❑YES -eNO IF YES,CHECK ALL THAT APPLY: ❑ADDED ❑DELETED ❑ALTERED IF MORE TYAN 3 HEADS ARE ADDED HYDRAULIC CALCULATIONS ARE PROVIDED BY(CHECK ONE.) W]PROFESSIONAL ENGINEER ❑INSURANCE COMPANY WATER FLOW WATER PRESSURE AT SPRINKLER HEADS(PSI) ARE PUMPS REQUIRED? ❑YES Jd NO IF YES,CHECK ALL THAT APPLY: ❑FIRE ❑BOOSTER ❑7NO ARE STANDPIPES PROVIDED? ❑YES IS A S SYSTEM PROVIDED? 9xd U NO SPRINKLER SYSTEM MAIN WATER SUPPLY RATING LI GPM TOTAL DYNAMIC HEAD(TDI)OF FIRE PUMP PSI DESCRIPTION OF WORK THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM TIM WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. CONTRACTORS LICENSE TYPE STATE SIGNATURE OF APPLICANT 0 �y DEPARTMENT DECISION APPLICATION FOR SPRINKLER PERMIT TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: 13 SU BUILDING DEPARTMENT APPROVED 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 \�d S Date Building Inspector Application must be printed or typed FEE SCHEDULE Location of Job: s���� �s $0-$1,000=$15.00 F Street t No. Over$1,000= $15.00 per$1,000 or any fraction thereof gnation Apt.No. APPLICANT APPLICANT ADDRESS 2>0 Q T I V N(XO-u, 1 SO APPLICANT PHONE# --'SS Co g to".A 1 OBI N S f OWNER L ,q OWNER ADDRESS OWNER PHONE ESTATED COST$ 17 IM IS THIS A CONTRACT COST? _YeK No �G FEE ENCLOSED$ ~ TYPE OF JOB: R-C New Installation Alteration/Addition/Repair Revised 4/01//2002 y APPLICATION FOR SPRINKLER PERMIT (Continued from reverse side) , TYPE OF BUILDING TYPE OF CONSTRUCTION_ � USE GROUP!v�_ NO.OF STORIES ❑RESIDENTIAL I ❑BUSINESS IS THIS APPLICATION ASSOCIA D WITH A ASSEMBLY BUILDING PERMIT APPLICATION?YES ❑NO MERCANTILE EDUCATIONAL CURRENT USE AND OCCUPANCY ❑INSTITUTIONAL ❑FACTORY FUTURE USE AND OCCUPANCY ❑ STORAGEEIGARAGE ❑MIXED USE ENGINEER'S NAME�M — PHONE O (Other please specify) ADDRESS CITY WL C C.Q STATE O ZIP KIND OF INSTALLATION SIZE OF MAIN DRAIN WATER PRESSURE AT STREET(PSI) ARE SPRINKLER HEADS ALTERED? ❑YES ❑NO T IF YES,CHECK ALL THAT APPLY: ❑ADDED ❑DELETED VTERED IF MORE THAN 3 HEADS ARE ADDED HYDRAULIC CALCULATIONS ARE PROVIDED BY(CHECK ONE) ❑PROFESSIONAL ENGINEER ❑INSURANCE COMPANY WATER FLOW WATER PRESSURE AT SPRINKLER HEADS(PSI) ARE PUMPS REQUIRED? ❑YES ❑NO IF YES,CHECK ALL THAT APPLY: ❑FIRE ❑BOOSTER ❑OTHER ARE STANDPIPES PROVIDED? ❑YES ❑NO IS A SPRINKLER SYSTEM PROVIDED? ❑YES ❑NO SPRINKLER SYSTEM MAIN WATER SUPPLY RATING GPM TOTAL DYNAMIC HEAD(TDH)OF FIRE PUMP PSI DESCRIPTION OF WORK THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. CONTRACTORS LICENSE NO. TYPE STATE MOO SIGNATURE OF APPLICANT DATE i DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: u -93 BUILDING DEPARTMENT APPROVED 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 Date Building Inspector Application must be printed or typed FEE SCHEDULE Location of Job:E G�� �215Z��! C�, tLs $0-$1,000=$15.00 Str t Lot No. Over$1,000= ' C � $15.00 per$1,000 or any fraction thereof gnation Apt.No. APPLICANTS APPLICANT ADDRESS APPLICANT PHONE# ke � OW N St OWNER V`A�GS ( )� C \ ' S. � NV.S 11� q< OWNER ADDRESS CJ N `t �� I K � S r MOB Z (O�-�( • �, OWNER PHONE O - C C ESTIMATED COST$ 7 p 0 IS THIS A CONTRACT CO�S--T? _Yes No G FEE ENCLOSED$ TYPE OF JOB:SO R•C O New Installation _Alteration/Addition/Repair Revised 4/01//2002 APPLICATION FOR PLUMBING PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIA WITH A BUILDING PERMIT APPLICATION. S 0 NO ASSEMBLY O RESIDENTIAL ❑BUSINESS CURRENT USE AND OCCUPANCY L ,r� MERCANTILE FUTURE USE AND OCCUPANCY lr EDUCATIONAL O INSTITUTIONAL M PHONE O FACTORY ENGINEER'S NAME O STORAGE O GARAGE ADDRESS �'S� S��E36� ENO ❑MIXED USE CITY �u.-�- STATE ZIP O (Other please specify) TYPE OF INSTALLATION SIZE OF MAIN DRAIN NO.OF TOILETS 2 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 ❑YES VIOCNO 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 NEATER: TYPE MANUFACTURER DESCRIPTION OF WORK 'I I HE UNDERSIUNED HEREBY APPLIES FOR A PERMIT TO PER-FORM I'HE WORK DESCRIBED ANDiTT7-- COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. CONTRACTORS LICENSE NO. TYPE STATE �jl� SIGNATURE OF APPLICANT DATE AP, DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT PERMIT# Application is hereby: TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT - APPROVED 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 Date Building Inspector Application must be printed or typed FEE SCHEDULE Location of Job: ' (2p, $0-$1,000=$15.00 F Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof gnation Apt.No. APPLICANT APPLICANT ADDRESS 30 t9 5� APPLICANT PHONE# OWN S F,q OWNER l^CJ O OWNER ADDRESS O� �, Y„ OWNER PHONE l� Q Z 39 C ` Z) ESTIMATED COST$ x IS THIS A CONTRACT COST? _Yes CZ No FEE ENCLOSED$ w' 1��5 O�� TYPE OF JOB: �R C New Installation Alteration/Addition/Repair Revised 4/0182002 APPLICATION FOR HVAC PERMIT (Continued from reverse side) TYPE OF SYSTEM: TYPE OF BUILDING: ❑HEATING RESIDENTIAL A/C COMMERCIAL VENTILATION 'LlINDUSTRIAL HEATING D STEAM LOW P SURE LIMIT LBS. HIGH PRESSURE LIMIT LBS. ❑HYDRONIC AWARM AIR D UNIT RADIANT HEATER EXISTING RADIATIOW ADDITIONAL RADIATION TOTAL RADIATION DESIGN TEMP. OUTSIDE OF INSIDE OF DIFFERENCE OF TOTAL HEAT LOSS(BTUH) °F(HEAT LOSS SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL HEATING EQUIPMENT(INCLUDING MAKE&MODEL NO.) L Lf 5 0 ( as tfTIC)C* GROSS HEATING CAPACITY(INPUT-BTUH) NET RATING(OUTPUT-BTUH) TYPE OF FUEL D OIL--GPM OIL TANK LOCATION:D INSIDE❑OUTSIDE CAPACITY D GAS-INPUT LPG TANK CAPACITY ELECTRIC-KW AIR CONDITIONING DESIGN TEMP.OUTSIDE OF INSIDE OF DIFFERENCE OF TOTAL HEAT GAIN(BTUH) (HEAT GAIN SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL COOLING EQUIPMENT(INCLUDING MAKE&MODEL NO.) TONNAGE COOLING CAPACITY(BTUH) VENTILATION DESCRIBE ALL AIR HANDLING EQUIPMENT(INCLUDING KITCHEN EXHAUST EQUIPMENT) TOTAL SIZE OF SYSTEM(CFM) FRESH AIR INTAKE(CFM) (PLANS MUST ACCOMPANY APPLICATION) FURTHER DESCRIPTION OF WORK THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. 1 f5� CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT DATE DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT PERMIT# Application is hereby: TOWN OF SOUTH WINDSOR ya3 BUILDING DEPARTMENT APPROVED 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 Date Building Inspector Application must be printed or typed FEE SCHEDULE Location of Job: r Iv ` -p�, NK�� $0-$1,000=$15.00 Street No. Stieet Lot No. Over$1,000= $15.00 per$1,000 �2 or any fraction thereof Tenant Designation Apt.No. APPLICANT 44:=tQ i APPLICANT ADDRESS Q 19k DLL tQ NCsL�- _ , V--Y `/ 1 T ` 1 V 1 Aix �T-+-isV APPLICANT PHONE# 600S(,, r S� OW N 8F,q OWNER 5`C1 tJjU2�S OWNER ADDRESS Soo (:0) 40 # OWNER PHONE �� Z3� j�-C C = ESTIMATED COST$ (0 QA �•� IS THIS A CONTRACT COST? _Yes No Q �� FEE ENCLOSED$ /fU 1� TYPE OF JOB: DSO R•C O� New Installation Alteration/Addition/Repair Revised 4/01//2002 APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIAT D H A BUILDING PERMIT APPLICATION? ❑RESIDENTIAL S O NO ❑BUSINESS ASSEMBLY CURRENT USE AND OCCUPANCY ERCANTILE FUTURE USE AND OCCUPANCY Nj1j w - DUCATIONAL ❑ INSTITUTIONAL ❑FACTORY ENGINEER'S NAME ItiI' PHONE --Z ❑ STORAGE ` ❑GARAGE ADDRESS -950 P—JZCO K,-�Cxs ❑MIXED USE CITY UJ 111 STATE ' ZIP (Other Please Specify) TYPE OF INSTALLATION/WIRING METHOD SIZE OF SERVICE SIZE OF MAIN CONDUCTORS NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS NUMBER OF PANELS Z REMOTE DISCONNECT REQUIRED? ❑YES ❑NO NUMBER OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS NUMBER OF SWITCHES NUMBER OF OUTLETS NUMBER OF LIGHT FIXTURES NUMBER OF HEAT CIRCUITS NUMBER OF A/C CIRCUITS SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED. DESCRH'TION OF WORK THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE A PERFORMANCE OF SUCH WORK. CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT DATE DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT A eby_ TOWN OF SOUTH WINDSOR PERMIT MIT# BUILDING DEPARTMENT r PRO l 1540 SULLIVAN AVENUE Bldg.Permit# l �N(� 644-2511 ext. 230 p 3cxos� Date nsp r 7 Application must be printed or typed FEE SCHEDULE F=Tenant Location of Job: 0' /$0-$1,000=$15.00 treet Lot No. Over$1,000=$15.00 per$1,000 or any fraction thereof gnation ` /� /� Apt.No. �J Cl S /-1� ��Lf.GL"� p APPLICANT C, APPLICANT ADDRESS Vk 0"4 G APPLICANT PHONE# © ,Z. W N S F,q OWNER / OWNER ADDRESS a OWNER PHONE C ESTIMATED COST$ ( q, gg , •S IS THIS A CONTRACT COST? Ye _No FEE ENCLOSED$ SOR CO�y� TYPE OF JOB: ,/New Installation _Alteration/Addition/Repair Revised 4/01//2002 APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A ❑RESIDENTIAL BUILDING PERMIT APPLICATION? ElYES 0 NO ❑BUSINESS CURRENT USE AND OCCUPANCY ❑ASSEMBLY EDUCATIONAL CANTILE U FUTURE USE AND OCCUPANCY 0 EDUCATIONAL ❑ INSTITUTIONAL ❑FACTORY ENGINEER'S NAME PHONE ❑STORAGE ❑GARAGE ADDRESS ❑MIXED USE CITY STATE ZIP (Other please specify) TYPE OF INSTALLATION/WHUNG METHOD SIZE OF SERVICE 2 3�'14O 3 4AE OF MAIN CONDUCTORS A j/O -+ 1 —4 6 6Rw NUMBER OF METERS ( NUMBER OF DISCONNECTS AND RATINGS 1 6/0 A N� NUMBER OF PANELS REMOTE DISCONNECT REQUIRED? VI ❑NO NUMBER OF LIGHT CIRCUITS v NUMBER OF POWER CIRCUITSi NUMBER OF SWITCHES S NUMBER OF OUTLETS NUMBER OF LIGHT FIXTURES (� L NUMBER OF HEAT CIRCUITS NUMBER OF A/C CIRCUITS SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED. DESCRIPTIOjq OF WORK _ fTf�'�!S c,�vud,S VULA L ISCST, s wc" N LS �µ, �wt e,�r. �3 C •. �� � wt,S �' euc,Ged CAqA C&a-d,14x� A-A cA., rf-al THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. �-- 1 1Z35g3 5. 1 cT CONTRACTORS LICENSE NO. TYPE STA E SIGNATURE OF APPLICANT DATE F nk V.i ECrRi NTRACTOR I � • 3 �I T'YP El I 123543 _ - 19/30/2004 1 oui � !•81QNED oatle r amn W - - 00000-��� a plumbing • heating • a/c • electrical 306 Oxford Road, Connecticut 06478 (203)888-9528 (203)881-1515 Municipality �GY.eI�I ��U wCI &or- Job Name n S 4 AE"�S Starting Date 7— «r0 Job Description wi^e Per Public Act 91-95 This letter authorizes to sign the permit as an agent of Oatley Plumbing, Heating, A/C And Electrical for the above mentioned job and municipality. Applicable License: P-1 203291 S-1 302902 F-1 F11411 S-C 307879 M-1 1012 X E-1 123543 ----� Brad A. Oatley y J. Becier �orlectrical permits only) Subscribeoand sworn to before me this 1 St _da y of 20-CN— Signa Notary IDlic Date CommissionExpires: 8/31/2006 F:\Data\W IN W RD\LANNY\electrical permit release.DOC I DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT TOWN OF SOUTH WINDSOR PERMIT# Application is hereb BUILDING DEPARTMENT ROVED 1540 SULLIVAN AVENUE Bldg.Permit# c. 644-2511 ext. 230 0 (D5-"? rDate i ding Inskcto IflAApplication must be printed or typed FEE SCHEDULE 0C3 6,kQ4)qP A Q301 Location of Job: $0-$1,000=$15.00 [Tenant et No. Sjj�� Street Lot No. Over$1,000 $15.00 per$1,000 or any fraction thereof Designation Apt.No. APPLICANT /97�f3�1 •/ (�� �i/la APPLICANT ADDRESS �I(o ©.�>vrL 1� r2J APPLICANT PHONE#0� O W N 3 F,q OWNERlot OWNER ADDRESS OWNER PHO�� G�J��JP �r2-- C ESTIMATED COST$ IS THIS A CONTRACT COST? Yes _No FEE ENCLOSED$ TYPE OF JOB: ✓New Installation _Alteration/Addition/Repair Revised 4/01//2002 APPLICATION FOR PLUMBING PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION? ❑ YES ❑NO ❑RESIDENTIAL BUSINESS CURRENT USE AND OCCUPANCY ❑ASSEMBLY ❑MERCANTILE FUTURE USE AND OCCUPANCY ❑EDUCATIONAL ❑INSTITUTIONAL ❑FACTORY ENGINEER'S NAME PHONE ❑ STORAGE ❑GARAGE ADDRESS ❑MIXED USE CITY STATE ZIP (Other please specify) �J TYPE OF INSTALLATION SIZE OF MAIN DRAIN NO.OF TOILETS Z-- STYLE 1!*A V,-6 NO.URINALS STYLE NO.OF BATHTUBS_� NO.OF SHOWERS �V _ 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 G�•9r� �vl--fir ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW ❑YE�,WNO SIZE OF WINDOW IF NONE C.F.M.OF VENTILATOR SIZE OF DUCTS SEWER OR SEPTIC TANK cSGt/ i H � SIZE OF WATER MAIN �� SIZE OF WATER PIPING&RISER Z WATER HEATER: TYPE MANUFACTURER DESCRIPTION OF WORK -�/c�cl%,gGGvy Tile/ G7�— -�-- /��L�/ l�7'�ii'�LC,v/�—j✓ THE UNDERSIUNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRWED AND IS 10 /`%ate f'�.-��iL T=� r>2 ��/r✓!/�— , COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. CONTRACTORS LICENSE NO. E STATE SIGNATURE OF APPLICANT DATE / a � DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT Application is her TOWN OF SOUTH WINDSOR PERMIT# BUILDING DEPARTMENT ' 7 PROVE 1540 SULLIVAN AVENUE Bldg. Permit# 2Date644-2511 ext. 230 Building Inspe r Application must be printed or typed r Location of Job: FEE SCHEDULE 2 f,J 2�e u U; �'�y tops Ai- dytE ra--rz: WAt. tc$0-$1,000=$15.00 Street Lot No. Over$1,000= $15.00 per$1,000or any fraction thereof gnation Apt.No. APPLICANT OnrL.: y pt-ymj3j,,c tj&Ar,Alg f1t2 Cor�%at rLP,,L I#jCj Z L"Ltc 2iCA�. APPLICANT ADDRESS at, Ox Fo(�n d X 1FZX2 X a G`+ 7 9' APPLICANT PHONE# 2,t,-3 g 8 g !!S'a A OVI N St OWNER 'Eta-("IN e3raZ--.;y OWNER ADDRESS a a: ,r OWNER PHONE C C ;D ESTIMATED COST$ 2 S v o a Cie) .� IS THIS A CONTRACT COST? _Yes _No FEE ENCLOSED$ _ S �p 1��5 O�� TYPE OF JOB: OR-C X New Installation Alteration/Addition/Repair R vvked 4101//100? APPLICATION FOR HVAC PERMIT (Continued from reverse side) TYPE OF SYSTEM: TYPE OF BUILDING: WHEATING ❑RESIDENTIAL R A/C 'COMMERCIAL X(VENTILATION ❑INDUSTRIAL HEATING ❑STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS. ❑HYDRONIC (WARM AIR ❑ UNIT RADIANT HEATER EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION DESIGN TEMP. OUTSIDE °F INSIDE OF DIFFERENCE OF TOTAL HEAT LOSS(BTUH) °F(HEAT LOSS SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL HEATING EQUIPMENT(INCLUDING MAKE&MODEL NO.) k5 aA ACAA/5 dAf&ff, GROSS HEATING CAPACITY(INPUT—BTUH) NET RATING(OUTPUT—BTUH) TYPE OF FUEL ❑OIL—GPM OIL TANK LOCATION:❑INSIDE❑OUTSIDE CAPACITY k7 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.) AS PcS a RL -a 0 s d y V(.1 , 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 *5 pa /06A1n✓S 6^f &f-f- THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. S I 302gOZ C`lfnA! / A/6 as W4; cr CONTRACTORS LICENSE NO. fYPE STATE SIGNATURE OF APPLICANT ,� DATE���� Moatle z yplumbing heating air conditioning "co. 306 oxford road oxford, connecticut 06476 (203)888-9528 fax:(203)881-1515 www.oafley.com Municipality 1:2t,3&A F Job Name Sn S, R . tRs r�)Ic Starting Date -2-1 pq Job Description k i r_1 0 AVR5Z Per Public Act 91-95 This letter authorizes to sign the permit as an agent of Oatley Plumbing,Heating,A/C Co. for the above mentioned job and municipality. Applicable License: P-1 203291 A— S-1 302902 F-1 F11411 S-C 307879 M-1 1012 Brad A. Oatley Subscribed and sworn to before me this6iay of k 20 O' Nbtary Public Date Commission:E.xp14,CS:' S/31/2006 r t1 M&WOATFORMS.iNFOVOBS,SVC FORMSTERM BLANK LOGO 0104.DOC r STATE OF CONNECTICUT DEPARTVFNT OF CON� NEW HOME CONST� Q1►T CONTRACTOR FIRE PROTEC, ION IIM CONTRACTOR OATLEY PLUMBINGIEAiG&ALC CO , .�, e_ 306,0 RD �"BItAb A A'I7.T ► XF RD OXFORD 8 � LIC./REG NO, FE VE ri - EXPIRES 1451 1"/0112i i i 49/30/2005 LIC 11411 E w EXPIRES (ou► ,� 10/31/2004 _.. SIGNED --- —- - - --- --- ED �T - T I m C i o o 1. OF CONNECTICUTSTATE OF CONNECTICUT / / CONSUMER i Z O HEATING,PIPING&COOLING LDIMITED CONTRACTOR PLUMBING&PIPING IA,IMI'ED CONTRACTOR BRAD OATLEY BRAD AA 306 OXFORD RD OXFORD,CT 06478 I \om {! U 8 TYPE: SC �� ° O H T'R 1 YI `I �i r O LIC.I REG NO. O IV _ EXPIRES O .1 u o. PI f' wm y si 203291 - `.` _ j -- 10/31 2 4 $Gl� o�t���i�b`o� OZ�1/��04 ►� o � � / 00 SIGNED SIGNED-. l 77 _ - - i 00 _ _ ow STATE OF CONNECTICUT STATE OF CONNECTICUT ---.- DEPIRTMENTOFCONSI IIERPROTECTION MECHANICAL CONTRACTOR —_..--_-- _- __.- HEATING,PIPING do COOLING UNLIMrrED CONTRACTOR OATLEY PLUMBING HEATING AIR COND CO 306 OXFORD RD BRAD OATLEY { 306 OXFORD RD OXFORD,CT 06478 i OXFORD,CT 06478 TYPE: .Sl i I ' UC./REG NO. EFFECTIVE EXPIRES 1012 09/01/2003 08/31/2004 � 0������3 0M5804 SIGNED I SIGNED �/ ' ,� o S,e ph f}, _73 Anks Electric # bRdi 90o3 APPLICATION FOR BUILDING PERMIT Plumbing# I I bc)In 106 Evergreen Way Date: HVAC # 1 ZZ$-7 Sprinkler# 11 7 a 30657 -, Estimated Cost $ FINAL APPROVALS --F00' � —- ---- --- Building PLETE RED BOXED AREAS Permit Fee $_ O Occupancy Fee $ !m Engineering TYPE OR PRINT ONLY Eng. Insp. Fee $� Affidavit Appr. for CO. ON REVERSE SIDE / 6a - - -- - Total Fee w. TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ The undersigned hereby applies to do work according to the following: Applicant Location of Work 00 Lot No. Applicant's Address tq U--1 -30 Tel.# �eM'DSG-�� Town Zi '-fN"_DQ Lic.# Owner S C) P-*J rchitect Y-OKY 6 " fr% C Owner's AddressE00 fVrN0J6Q Architect's Address CSC ►3Cyt }elf STD i�.lD ZipZ�� CAA Iwl Zip Sq. Ft. New Area: 1st FI. !AZ Ct O 2nd FI. 3rd FI. Total New Area LA 2C-0 Purpose of this permit I S. 1r✓9 ►J - S City Watey Well❑ Septic System❑ Sewer❑ Ins: HO SP Cert. Area Basement Garage Approved by Date Use Group Construction Type Revised 6/02 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 appty for a Certificate of Occupancy for the work described in this application for the permit. Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS �3 K C l,J O S A � Grl U`�/11 of 5 �v o Allouc°ir- -P; k� i BUILDING INSPECTION DEPARTMENT TOWN of SOUTIf`� I D ORro;`CONNECTICUT V yy� � �a� .tt•,� ���,a C E R T 1'. V `C A T w,.Q O• f C.-U''P. A N C Y ZONE: GD �. sue` X y "" , •.,: ,January 12 2005 This is to certify tbat,:0�1�8`,�VkRGRIrENs:Wi 1€ AD3ERED'•under;.permit No. 30657 confor s subgtantlly,to;•;.the.a.Fp.quireMezt-s',.gf the?Connecticut Basic Buildingo 'G �� and rtk 0 Zonixig: e fiTat gna'..of"thP -her, own of South Windsor and.�is tgky-.'approved?fQF4occ't"paine a:slindica}t ed below 4 Approved for OcGttpancy, INERI61Y BUflY t}L1TOF RE AI c ri &� 'h '4iAS .SPA.CE'S�... .<n:%a g•ozr� r,:4�"R;�!'z 'aq�;% iJOS14.• <BANY< �� TtGItEF31:,WALK x ' Use Group: MWN Constr. Type: 2C ' a uildiiig Official /�i9>'. X "+ •� Notice: If this certifiCat`eq is `1"6'st'-oi destrojed,Ya duplicate should be obtained imrttediate}y' rpm the,Buil.di2ig Department Any change or extension of the use herein approved requires a new certificate of occupancy.