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HomeMy WebLinkAbout11 KIMBERLY DR -- - - -------------------------- APPLICATION FOR PERMANENT SIGN PERMIT 11 Kimberly Drive r— Z�Fun pprova : - - Est. i;ost: $ Permit Fee: $ No. _ 7 310 21 � Approved: Final Inspections: Electric Permit Buildin Zonin l_C IvI . 1 TLC �`{� . �Cv`t-rf1L�Or Applicant/Business Name ^1 C-0 • C. Address Reecsq4 �-at Phone c2 /0 7O-5 7 Location of Sign e /�Ir`1 1/e ��/ ,lam. Zone TYPE of SIGN. ❑ Wall or Free-standing [ New or❑ Replacement Illuminated? ❑ Yes— ❑ No Proposed Sign Size(square feet)4rign Height S No. of Existing signs on site Free-standing Wall Description of sign materials and lighting: 1Dco w2 Si dQ� C!: (- � q)u ATTACH DIAGRAM OF SIGN INCLUDING I have read, and rsta n agrE id y the South Windsor Zoning Regulations, Signs. DIMENSIONS Ap icant ---- -- - -- Date 07 Property Owner (�q o Date II`�� H mouN B � R� Tq� N «CJ LANDSCAPE CONTRACTORS FREE ESTIMATES r' ' Z WALKS • PATIOS • WALLS • LANDSCAPES Call: 289 -1656 - - �oble Si� cl� CJ�2dc� I'{i) U. JC�c ry . _ it 3 z O \ ¢a \ ULa \ OILa < X O Q \ �\ Of \ SIGN D LIMIT \ alb STREET T w ECB SIGN \ \ TF.6758 � \ fc FL•62 63 JESMH \ \ HYD CLP i (18' �UTF:68.98 NO OUTLETFL:62.78 \ SIGN ' 1 ECB ` 8.15 ED H FL:6 \ 49 ` ` Z�4 (15' IN) 'RIGHT TURN ONLY III 1 �� C N SIGN I^, ECB PAR 44G__SIGN 13 TF 67.68 C7 I 2'PYRUS X69.0 � � FL-57.06(15') BUSINESS N. SE �\\SIGN _ C ' KI a� . xO.a o 11 -68_ O�HANG _ 1 I R=25 00;7~ ' tOo.3 46.77 o' � I ; L= 0.59 � � G I JEx. CB ' W 1 ' / TF:62. 2 0 l z I 41 FL:52.Y 6(36•) � O EXISTING RIALDING FF:67.56 o I , J r', o N w � 0 c , 6.5X �� Z 3 I"��1 x a PE z Z GUARD L 1�+•� M DOOR X 61, , I RAIL a(n Q(� 100.30' OVERH 1 Mo 1 X6b_S__- - -X6 q a• a�'6i o1 / R° 62.6IFADR(Pvc) � � iX65.2µ�� FE#3 _� 62 66.9� .9 O � �p _. _ _ I I� V r 3. RIP SMNE _9 59.44 c 1 °o ❑Box o ry - � LZ to ` v1 �FL16M5 ,QQ a <a 1-4 _ WrL WF 6 1 ��ALL� CHD MON. �P EXIS NG12`l , 5 8' 36' 5 4 /I / REBAR I I I S68'20'23"E SET 15.74 3 , THE ITEMS SO NOTED ON THIS PLAN HAVE BEEN VERIFlED IN THE L'IL'1 n AC TA 1 MAIV,AI CI r%IATIAAI AMn i+nuni APPLICATION FOR PERMANENT SIGN PERMIT 1 1 KTMBRRLY DRIVE on ng Ap roval: Est. Cost: S �n ti�•� Permit Fee: S No. 7 Approved: Final Inspections: Electric # Building Zoning `l- 1 Applicant Name Q o �,A,&X c SIA✓1 (D• I C r err) �-ff, JEco4h ,JQgiY 1) V �1 nt-� e-" � Phone d per.. ?& ` cG 1 Address -- Qk1-)CxSCC,,Vk _ ^�- Location of Sign -Z)f Zone .1._ 9W.s,-K 13,7- Sign Size (square feet) S Sign Height ig.? .k (is- # of signs on sited _Free-standing Wall TYPE of SIGN: %Wall or ❑ Free-standing ® New or ❑ Replacement Illuminated? ❑ Yes K No Description of sign materials and lighting: l)C— ATTACH DIAGRAM OF SIGN ( , .r IYICzI✓l t INCLUDING DIMENSIONS I have read, under tan cd agretoa ide by the South Windsor Zoning Regulations, Signs. SIGNATURE - Date Q C� 11 �f A RC TAI _ g� N INN- r.-Lanclscppe Construction Materials ■!■was wo , . own !!■ I BUILDING INSPECTION DEPARTMENT TOWN of SOUTH WINDSOR, CONNECTICUT C E R T I F I C A T.A.--O-•F-4 Q C C U P A N C Y ZONE g July 17 2006 This is to certify thod(,1i KIM .ERL'�''{�RL'W RE"CT$ under,,permit No 32122 conforms st�ib� an a ly om'tffar`Zequi 4Ments Of'! the Connecticut 14 Basic Building codgf axial th 2a.l.�n 'regC} aeibris} x --Jae �piv�of South Windsor and 4,s�hf -eby�"approved ft YYocc panty as %nd cAed below Approved for Occupancy,,-` A3NSW'$UILDx2C`5�� §� f' ' 9V '. .gyp^^•� yy,., ::,, .5 3 P.....M. � �' .` yr• «w.. F'f Use Group B � •ai ,"»`r, i 4 Constr. Type 3B 3, ! € � p ¢ " Ydd i�.����� ".u.F+M✓ B^gi4:fA.w`<L..'+�kLv''y§`.'y��'�'::1�.s;�d...5;t<.ae.5y Ys 5 ".�146.11,4 g O f i c i a l i p Notice If this cEri,ticete { ;Jcts�i �de9 �oy �$; .A�dupicate should be obtaine�d� mmtdla.;e�y, iLri tb B 3c21n pepa�rtment Any change or exte4 .Q dPV hie .use jhe�ejn,. appioved requires a new artllit•_ototcff .p.ccu arfz�y. Electric # 17/ APPLICATION FOR BUILDING PERMIT DY Plumbing# 11 Kimberly Drive Date: 11/04/05 HVAC # Sprinkler# 3 212 2 Oop. FINAL APPROVALS -- -- ------ ; Estimated Cost $ , Building ! COMPLETE RED BOXED AREAS j Permit Fee $ 0 75 Occupancy Fee $ Engineering TYPE OR PRINT ONLY IF Eng. Insp. Fee $ Affidavit for CO �� - - -- ------- ---- - - SIGN ON REVERSE SIDE � Pp ► _J Total Fee $ :50 tS TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ The undersigned hereby applies to do work according to the following: - �( Applicant ORLANDO ANNULLI AND SONS, INC.Location of Work 11 KIMBERLY DR1VE Lot No. Applicant's Address 147 HALE ROAD/P.O. BOX 610 Tel.# 860.644.2427 Town MANCHESTER, CT Zip 06045 LIc.#900118 Owner BIRCH MOUNTAIN EARTHWORKS Architect RUSSELL & DAWSON ARCH. & ENG. 'S Owner's Address 1265 JOHN FITCH BLVD. Architect's Address 330 ROBERTS ST. S. WINDSOR, CT Zip 06074 E. HARTFORD, CT Zip 06108 Sq. Ft. New Area: 1st FI. 6,000 2nd Fl. FUTURE 1,800 3rd FI. Total New Area 7.800 Purpose of this permit NEW BUILDING City Watery Well❑ Septic System❑ Sewero Ins: HO SP Cert. Area Basement Garage Approved by Date/-/O- c) 4 Use Group .S'/ Construction Type,-;Z C., Revised 6102 I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town of South Windsor and to notify the Building Inspector of any alteration in the plans or specifications of the Building for which this permit is asked,and agree that this building is to be located the per distance from all street lines,side yard lines,and required distances from all other zones and is located in whi i and its use is allowed. Signed I hereby apply for a Certificate of Occ n�y aLokdescribed in this application for the permit. Signed \'` DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS Location of Job: AFFIDAVIT Additional Fee S 9 0 0 . 0 0 State of Connecticut} } ss.South Windsor County of Iiartford } Q Owner �J I mot.. T. of i,-•J. {., [—e..lk +w AAgent for the building erected 'Contractor under Permit No. 3 212 2 issued by the Building Department of the Town of South Windsor being duly sworn,make oath and say that the actual cost of the completed work authorized under said permit did not exceed the most current accepted BOCA value of$ 3(1 1 3 0 _ 0 0 Signed -zZ Subscribed and sworn to before me this 7 day of ` yL`� A.D..49-(_ Estimated Cost S 2 0 5 .0 0 0 Y Difference: S 60,130. 00 Nota ublic Inspection / Approval Date By Appl Code Description -----------Due Whom Code Comment -------------------- --------------------------------------------- **-32122-B 205,000 BO1 FOOTING 12/20/05 JFF A FRONT MAIN FOOTING 3NOSCONTINOUS CORNER MATS �Oc�• 7NO5 6NO7 BIG MATS 4UPRIGHTS EACH PIER B01 FOOTING 12/21/05 JFF A F LINE 1TO6 THERMAL BLANKETS ON SITE 12202005 1 LINE ATO F Al BO1 FOOTING 12/28/O5 JFF A FOOTING Al TO A6 MATERIAL TESTING AT SITE B02 FOUNDATION 12/30/05 JFF A WALL POURS 1 LINE A TO F F LINE 1 TO 6 2 NO 5 T/B CONTIONOUS B02 FOUNDATION O1/05/06 JFF A A LINE ENTIRE 2NO5 T/B CONTINOUS WITH CONTRR Q�� CONTRACTOR / B04 INSULATION O1/05/06 JFF A PERIMETER SLAB INSULATION 21N R10 WITH CONTRA CONTRACTOR BO1 FOOTING O1/06/06 JFF A INTERIOR PADS FRONT 2EXT PADS REAR FOOTING WITH CONTRACTOR REBARS IN PLACE MAT TESTING B02 FOUNDATION O1/10/06 JFF A REAR WALL FRONT PIER CAPS B04 INSULATION O1110106 JFF A PERIMETER SLAB IN P02 UNDERGROUND 02/16/06 JFF A WITH CONTRACTOR BLAKE GUARANTEE MECH B09 OTHER 02/27/06 PJP A W/ORLANDO ANNULI, VAPOR BARRIER,MESH,REBAR FO SLAB, PERIMETER HORIZONAL INSULATIONIN PLACE E02 UNDERGROUND 03/07/06 PJP A TRENCH ,CONDUIT, B03 FRAMING (ROUGH) 03/14/06 JFF A WITH CONTRACTOR OFFICE AREA NEED TESTING LAB REPORTS E03 ROUGH 03/14/06 JFF A WITH DANIELS ELECT OFFICE AREA ONLY E01 SERVICE 03/20/06 JFF A WITH DANIELS ELECT OK TO RELEASE TO NU B03 FRAMING (ROUGH) 03/23/06 JFF A BATHS WITH CONTRACTOR BLOCKING IN PLACE B04 INSULATION 03/23/06 JFF A WALL BETWEEN OFFICES AND GARAGE R19 P03 ROUGH 03/23/06 JFF A BATHS DWV WITH CONTRACTOR B09 OTHER 04/25/06 JFF WITH MATHER WENT OVER REQUIREMENTS FOR COFO **-12956-H 9,250 **-12955-P 12,750 **-20171-E 15,000 Total Est Value 242,000 Dwelling 6,000 301,500 00 / Basement 0 0 00 Garage 0 0 00 Smoke Det 6 450 00 / BOCA Value 302,130 00 Difference 60,130 00 5; QO SITE COMPLIANCE CHECKLIST TOWN of SOUTH WINDSOR, CONNECTICUT 11 KIMBERLY DRIVE LOT_# Reviewed By PID (Engineering) ORLANDO ANNULLI & SONS Date Reviewed 2L D(o Win' f3 PO BOX 610,MANCHESTER,CT Reviewed By n ) BP # 32122 Ph_# 644-2427 Date Reviewed 6 A rov Date Submitted_00/00/00 , ***** FOR oy 0 ***** -'71 �b As required in the Zoning a l/or Subdivison Regulations, no Certificate of Occupancy shall be issued until grading plans have been complied with and approved by the Town Engineer. The minimum requirements shall include: Approved Denied N/A ✓ 1. Approved building permit plan i 2. Finish grading per approved building permit plan i 3. Site work; i.e. trees, shrubs, dumpsters, required parking 4. Utility location; a. sanitary sewer/septic system / ✓ b. foundation drain ✓ C. electrical & telephone d. water / v e. ether 6,45 ✓ 5. Sewer connection charge paid 6. Appropriate certification t/ 7. Bonding 8. Planning & Zoning/ Inland Wetlands Considerations A. Lighting B. Signage Freestanding Wall C. Fee in lieu of Open Space Sewer Permit No. Pav Exc # COMMENTS: ✓� �4 S a�^� Status CAL � ��C Nn� IZy�Q+1� 5cJeewS 0.1 '. FG- /34cK H12 r.4)c ANQQ o+ti Zvi^ z c arse o rC �,` C l� frog y�'�t� i - 1 id30 ONI'833NION3 _ oN 2JOS0NIM Hinos Zf tolosul EuiPlinfl __ 9ooZ Nnr P.,otadd Alt4"910udIj 411m Pall; 06041 'tilim Poltdwo� saoua.%Pto Pull ataPAO EulPlInq Eu11¢InBaJ a4olddv U¢Id s14.L aQ 11a4' uo a41 01 3�a1Qnc p p,�uets C�nl3� t¢41 uo111Pu �W tad Pu¢ uoll,olldda s141 ;o 1204 sulplln4 a ;o aouenasl vdaQ .tU Pansst E u!pt!n'3 9y3 uad bu!tnP 1u',w1 s u¢ EuiD *11 ng .louep �oltis PUe smcl alel P M pail; �4 17e4, se slapto 1 o a;:Yqe Duq veld 4;1 Adwoa 1 u-1,N te41a�O3 8utuoz Ile LIM* I -,�.,/.�,a, �,1zeslldde ul Pi1¢Is(/ ' / a• �s� a41 e oti su Wietelle .,•Sp 1,P�1`ret��ssod ladl+ P. •nil air s,.,;tlaoly'n;, 301 01 yOS+K M iA "_ RECEIVED JUN322006 JUN 21 f0� SOUTH WINDSOR ENGINEERING DEPT. South Windsor BUILDING DEPARTMENT ESMH CLP 6 -~ - TF:71.25 = ECB FL:61.20 " 68.70 HYp ^ CLP 5 / \ 36" RCP '� �- ELEC TOP:56.05 F 10" PVC SAN PVT ! I •AI i S=0.6. ��" •,� 10' GAS EASEMENT IN W\ I I ECB II 6$_ W LIGHT & POWER COMPANY �"� �. CLP 4 FAVOR OF CONNECTICUT ,R "- TF:68.51 � \ r =401,15 _ . -- FL:64.45 1::S 1 11-1 �. \ r I rTE M s` 1• _-. TF 68.33 +� I ECB G - - FL:59 73 �'"� I TF•65.45 .53 s ,� �. 9 ,. I I FL:52 10(36"OUT) 1_ r 52 42(36"IN) _ �= _ L= .?� �_ I r W 58.45(18"IN) /II i^ +.� `-- .� TF:65.45 58.36(18"IN) \ ' MON- L - - - / `-` IT; •"''�,_ �+.. =t5.i4 �. ` 1 .. I I FL.:58.88(18") \ ' 10- -'PINES �� It \ 1 n, i \ ,,\\ / -�,/I\� 1% c \\ Lm-38z.6 ��.pUC SA r Ir \ t. Ea ,Er:;F rT Irt_I I i c T - S--O-ft 66, I \ FaVCR nF r-Lb.P 09 _G +► � I ES '\ TRANS \ 0.97 EXISTING BIT. APRON .GAS EASEMENT -b6 -F :66.15_ \10' IN �-� -_� 18-6"4ES I �ry l z I \ CLP 3 \W I ` FAVOR OF CONNECTICUT �-. -_ j �, _I ,1 1 \ ` ♦ \ ly I LIGHT & POWER COMPANY MON WELL R=:_U % 111 I ���♦ A ♦ \ ♦ F 4=--1).94, - �;'>/rn SI00K4'a _- - / X70,4 - - _ .ss \ ` � �\ �� ♦ ♦ ♦ �� X70.4 / X69,6 -3 -\'�- F�_ a A= 0,, \ ♦ ♦ \W F s��O � 1 11 R-i.tsarz\\ 3 ♦ ♦ \WqR X70,00 O �L=20.:38 ♦ \ \�q/ ^�,i "�Ol SO OQ '9" T=<)9 ♦ \ \ CLP 2LOT 4 8" �' 64- t` F�I $ ♦ ♦ ` - - - - -68--- X69.3ti°So ro'yF,y �_ ` - -�2y;-k�„ � _ !v✓' �` ♦ `� � � o 6,7 ' I EXISTING GRAVEL AREA / �\ g�' \" s$J l \ ^\ 6 \� I\\ t \F�FC \ 0 X69.�" /� ,' ,' -y;O• 'WF 31 6,. ,56� ! �� \22Q DRRI EHS"LNQENT `` LARGE CONK BLOCK (! ! , ' / ' WF 32 - r 3'-- \ IN'FAVOR 0 THE-TQWi!\\ \ `� \ `� � ♦ \ �I3 RETANINO WALL F,'E \\ / , , rn S QF SOD w OR ON \ \ \ \ \ a o ��E 'iD1ST' NE I / !' 30' D IVEWAY EASEWNT � � ' , ' )' � LO1 �2 \ \ \ \ ` ' TEL `� � SPEED LIMIT i - -6g- - _ - -� i , RJ FAVOR,bF THE TOWN _� , \ \ \ _ _ T j SIGN W\ ECB SIGN ` - - - OF/SOUrTH WINDSOj2 ON ' `'�' r/r WF 34 \ ++ \ `� _ _ \'% c I r/ \ I STREET 5�8 - - - - - " ' ( - - / \ i' 1 ' ' �T 1/2 WF 44 i ,' \; ( ` \ \\ 1+ I\ ' 'I\\' ELEC \`�f, bl I \ \ TF:67 56 � ' r \ \ 7-6"PINES '���III ♦ F< FL.62163 REBAR i �` WF 4 , I� \ 7, \ FC HYD i X67,6 y \ r� \ + WF 43 t , i 1NF 35\ ` + m \ \ \ \ ESMH \ CLP 1 \ (18" UT) , r o / / ►z 1S"ca C.O. \ ' INV:53�D3 \ p \ \� " - \ , \ /TF:68.98 NO OUTLETS �\ RIP AP w �i + o N 61 �.\ 6\ I �r� 2"PVRus \ I.. a / SIGN -� ��1' O ' ` . A alq ECB WF 2 '/ ,' rL rn I r ' 1 �8- .n GV \ \ f' w1H FL:63.15 . \ `� r ,V- �. '�>1 �r ( LOT AREA �/ ,\i (L:63. X66.9 //,' - \ \ \ > / � z I ce `\ 264,210 S.F. 3S / r1�I 'c:�7.94 15" IN >, \ + I I t , ,I, 6.06 ACRES Fy f _� \ ��6, ♦ \ `m S67'11 24 E �\ V I FE'36" RCP I r I 80 I- y ' '1 IN .59.53(ta'CPP) \\\ �'�` T / �68. 64.6v ` - / \ \ E 51.54 WF 38 IREGIwLAiEID R6A, �I '65.5 F \ \\` I rr \ I 10.20 I \ / / \ "RIGHT TURN ONLY" r I t _ _ - - - - - _ _ Ex..Cad ' _ { I % 41 \ I r 1 ) I �' 1 r ' I 1 66\ - - \ / CAP `\ Tl�2N SIGN r I , 7:65.68 - / _ I 11-7"CEDARS INV:61.18(18"CPP) r I I /Ir r 1 1 X65.9" Ex CB#4 0.0•'? / / PARIN G�SIGN \ .1 3 ECB ' \ II I i ! I I ti TF:67.1z \ r TF:67.68 INV:63.52(18"CPP) \ I r 2'PVRus f 69,0 \ FL:57.06 15 EXISTING GRAVEL AREA I `67�'� 11 SE - ( ) \ II t 5.0 / / ` c� `�\ BUSINESS "STO 8IG )/ / ` _ - I t 6a.8x ` ( WF 40 `�,��Q �JF 3� r I t \ 1 � / \ �. ` � ': I� SIGN wF 63 `. rl 66 - - 0°Q ` - 6 9x I t \ , I I I ,It cv / r +\\ _ , �.� r r AVF 62 _ - , 4. , WF 39 I I ! I �I + \ _ -68-�� ` ✓ON.ISET / Y ,r -1, ,J�P /��� i 1 I h I \\ / r �, Q - _ ' ROOF I r -68- OVERHANG r WF'61/ WF 38 1 \fir I + / c ` = 0,06,�7" �tj Q t TIN BIT I 1. I� \ .. „653 R= 5.00 / \ � � i \ I I PANE. -1/' 100.30, 0 46.77' I r L= 0.59 WF- 2. \ . // 1 °�. ` �\ 2 OVERHEAD I G N/F \ t � \ I c? ' i DOOR WF 77 �6g Kdt6 REALTY. LLC ` + 1 ` 3��Q�� ' / I o + a r 1EX. CB #5 0 60 � \ \ `6 � I tj � �� _ � ` \ � \ A63\\`^� t ' '' w t ( 1 r TF:62. 2 ", � z AD ` DOOR EXISTING R!( FF 67.56 ILDING co WF 6 Ex.CS #3 OVERHEAD 5� \ F:65.73 I X0 ca N: 1.41�1a"CPPDOOR GUARDp DOOR z �164_ 16.5 a62 9)• WF 79 IMVE:61.5418"CPP� RAIL F 54 WF 56WF 58 WF 76 PED. OR OVRH z� 100.30 ` O ���P C PAD(] I��O 1 i WF 66 V WF 7 i 6 1 A �_� <O �- - - rah r,'-1 6 ROOF � \ \ \ !! S\ 2 1 1 `�4 1�` CONC. - ` - - `fib- d LEADER(PVC) I - 4 b _! , , i ' , \ - _ DuuPsmt �,-_ 64- - Nv:60.34- �I I - 6' , O LOT 5 i ' S W;J7' A v v ' _ rA����� ' / FE i3(18'-CPPT62WF --�-_ _�� LEGEND - � ' ' - 6 � ' - - �= \ r _ WF 79 Sq- I _ �. a NV 60.20 -(S1 I I� 1 _ TEL. �f_ _ -5k�, / - -/� _ ' \6'FOUNDATI ' _ ' \\ J `w"\V-^,RIP�F�IP- �:9 �} 59 4"" CO I to Oz BOX o �° `` ' ® EXISTING IRON PIN DRAIN(PVC) i s,y , _ -4 - _11 , to WF 53 `�ik .' ��`�o WF 67 /: �WF 74 \ _ / o EXISTING MONUMENT INvao.zo -Re \`\`62' , X _ _ 8 �� Co / 63.0- _ ° P9 !r - _52 / -52, _ - --e EXISTING UTILITY POLE -56 50-� P°° \ rr•. 5� WF so i ..- _=_ = EXISTING CATCH BASIN AND PIPE 54 S \ 3�_ _ T + 1< • 5- - 1 Iv.INt��7:33� td v. WF 2 -48� ` \ 1 i \ - -Os- - EXISTING SANITARY MANHOLE AND PIPE wF 6 \ _� ALL I y`\` \\��)`WF 68 , 73 / \ , 1 C) I, S1\q$- WF 83 - - EXISTING WATER MAIN AND HYDRANT rF{p ,Ifr a'S4.\sa Exls ING+2++ + + __ WF 1 WF 69 / �' 5/8 36" y 611 4� I , / , 4 !11�A8' r WF-82 w.® EXISTING WATER VALVE REBAR of d , � Wk�2 -_ _ - -_ S68'20'23"E t sET - -E- UNDERGROUND ELECTRICAL SERVICE + I 15.74 f WF so WF 70 WF 7i - -G- GAS SERVICE ' i 4t5.37 18-CPP / -S- SANITARY LATERAL (6" PVC SDR 35) / WF 49 -W- WATER SERVICE \\ WF 48 FALLS N OLS R CORNEBROOKR j WF 47 NOT ABLE TO SET. - 330 - EXISTING CONTOUR 1 wF 46 X61.95 EXISTING SPOT GRADE , / ^^ EXISTING TREELINE \ �44- - --46- � � / - EXISTING PROPERTY LINE / THE ITEMS SO NOTED ON THIS PLAN HAVE BEEN VERIFIED T THE S66'48'16"E \ ` I / FIELD AS TO LOCATION, ELEVATION, AND COMPLETENESS. THE FOLLOWING LISTED ITEMS ARE THE ONLY DEVIATIONS FROM THE 25.00' ♦♦ \\ \\,, \ r ' N d ORIGINAL PLANS APPROVED BY THE PLANNING AND ZONING N\ �`60O �N COMMISSION AND STAFF APPROVED CHANGE ORDERS. 56443♦ \�R.y \ \\ \ ;� Z STRUCTURE NUMBER PROPOSED EXISTING N F TOWN OF SOUTH WINDSOR ♦♦ / FE #1 INV:44.00 INV:45.37 \\`/ CB #1 TF:65.00 TF:65.68 FE #2 INV-.52.00 INV:53.03 N RALPH H. MOSHER CB #2 INV(18"):59.00 INV(18"):59.53 ANGLE IRON CB #3 TF:65.00 TF:65.73 CB #4 TF:66.00 TF:67.12 FF BUILDING FF:68.00 FF:67.56 NOTES: FE #3 INV:60.90 INV.60.20 1. PROPERTY IS LOCATED IN THE INDUSTRIAL (1) ZONE. OUTFALL #1 INV.61.00 INV.60.57 2. THIS MAP IS DEPENDENT' ON THE MAPS REFERENCED HEREON. DROP INV.IN:54.06 INV.IN:57.33 INV,OUT:52.06 INV.OUT:55.24 3. HORIZONTAL DATUM IS BASED ON NAD 83' OUTFALL #2 INV.52.00 INV.54.38 VERTICAL DATUM IS BASED ON NGVD 29' 4. UNDERGROUND UTILITY INFORMATION TAKEN FROM LIMITED FIELD SURVEY AND INFORMATION SUPPLIED BY THE CONTRACTOR. SURVEY NOTES: 5. ALL MONUMENTATION FOUND OR SET IS DEPICTED HEREON. 1. THIS SURVEY AND MAP HAS BEEN PREPARED IN ACCORDANCE WITH SECTIONS 20-300b-1 THRU 20-300b-20 OF THE REGULATIONS OF CONNECTICUT STATE AGENCIES - "STANDARDS FOR SURVEYS AND MAPS IN THE STATE OF CONNECTICUT, PREPARED AND ADOPTED BY THE CONNECTICUT ASSOCIATION OF LAND SURVEYORS, INC., SEPTEMBER 26, 1996. MAP REFERENCE: ♦ TYPE OF SURVEY IS AN IMPROVEMENT LOCATION SURVEY - RECORD - AND IS INTENDED TO DEPICT THE LOCATION OF �ti°i ErZ �t_ _ 12327 IMPROVEMENTS RELATIVE TO PROPERTY LINES. 1. TOPOGRAPHIC PLAN, PROPERTY SURVEY/RESURVEY PREPARED FOR: MACK PROPERTIES, LLC 11 KIMBERLY LAWRENCE R. GEISSLER, JR. LIC. No. DRIVE SOUTH WINDSOR, CONNECTICUT SHEET 4 OF 6 DATE:6-13-05 REVISED 1/26/06 SCALE 1 INCH = 40 FT. • THIS IS A DEPENDENT RESURVEY BASED ON MAP REFERENCE #1. BY DESIGN PROFESSIONALS, INC. • HORIZONTAL ACCURACY MEETS CLASS A-2 STANDARDS AND VERTICAL ACCURACY MEETS CLASS T-2 STANDARDS. z 11a 1. UNLESS OTHERWISE NOTED, EXISTING UTILITY REVISIONS 860.291 •8755 PREPARED FOR: SHEET Z LOCATIONS AS SHOWN, ARE BASED ON AVAILABLE TO THE BEST OF MY KNOWLEDGE AND BELIEF, THIS MAP IS SUBSTANTIALLY CORRECT AS NOTED HEREON. � y m INFORMATION. ALL EXISTING UTILITIES SHOULD GRAPHIC SCALE ,��; � � � � ��"u - �' MACK PROPER TIES, LLC BE FIELD VERIFIED PRIOR TO CONSTRUCTION. 40 0 20 40 80 I 2. ALL UTILITIES ARE TO BE STAKED IN THE FIELD g ■ BY A LICENSED LAND SURVEYOR PRIOR TO Cprofessionals, inc, �� ���{� °} j( � j����l�° qR dim CONSTRUCTION. 12327 ( IN ) DESIGN. DRAWN MHA CHECKED: LRG M Lbli\LISe JLJi E 3. THIS PLAN IS INVALID UNLESS IT BEARS THE I� 1 inch - 40 ft. it Civil Engineers • Planners • Surveyors Cis ✓OB ND.: 2140 DATE 6-6-06 Ifl IMPRESSION SEAL AND ORIGINAL SIGNATURE LAWRENCE R. GEISSLER, JR. LIC. No. �®lVrm� ����®�y �®1\71\71G���l�lV J1 •••... OF THE PROFESSIONAL ENGINEER/SURVEYOR. NO. DATE DESCRIPTION BY 1 65 south satellite road • south windsor • Connecticut 06074 DRAWING NO.: JOBS-SURREY 2140 2140-BASE-AS.DWG SOUTH iV STRUCTURAL Statement of Special Inspections ENGINEERS p COALITION CONNECTICUT ENGINEERS IN PRIVATE PRACTICE Project: Birch Mountain Enterprises Location: I Kimberly Drive, South Windsor, CT 06074 Owner: Birch Mountain Enterprises Owner's Address: 11 Kimberly Drive South Windsor, CT 06074 Architect of Record: Russell&Dawson, 330 Roberts St., East Hartford, CT 06108 Structural Engineer of Record: RobertM Dawson, III,PE. 330 Roberts St., East Hartford, CT 06108 This Statement of Special Inspections is submitted as a condition for permit issuance in accordance with the Special Inspection requirements of the BOCA National Building Code. It includes a Schedule of Special Inspection Services applicable to this project as well as the name of the Special Inspector and the identity of other approved agencies intended to be retained for conducting these inspections. The Special Inspector shall keep records of all inspections and shall furnish inspection reports to the Building Official, Structural Engineer and Architect of Record. Discovered discrepancies shall be brought to the immediate attention of the Contractor for correction. If such discrepancies are not corrected, the discrepancies shall be brought to the attention of the Building Official, Structural Engineer and Architect of Record. The Special Inspection program does not relieve the Contractor of his or her responsibilities. Interim reports shall be submitted to the Building Official, Owner, Structural Engineer and Architect of Record. A Final Report of Special Inspections documenting completion of all required Special Inspections and correction of any discrepancies noted in the inspections shall be submitted prior to issuance of a Certificate of Use and Occupancy. Job site safety and means and methods of construction are solely the responsibility of the Contractor. Interim Report Frequency: As required or❑ per attached schedule. Prepared by: Robert M. Dawson,III (type or print name) 12113105 Signaturff Date Design Professional.Seal Owner's Authorization: Building Official's Acceptance: Signature Date Signature Date SEC/CT Form 101CT Statement of Special Inspections 9 ©SEC/CT 1999 Sheet 2 of 6 Project: Birch Mountain Entrprises, S. Windsor, CT Schedule of Special Inspection Services p p �I The following sheets comprise the required schedule of special inspections for this project. The construction divisions which require special inspections for this project are as follows: ® Soils and Foundations ❑ Cold-Formed Steel Framing ® Cast-in-Place Concrete ❑ Spray Fire Resistant Material ❑ Precast Concrete ❑ Wood Construction ❑ Masonry ❑ Exterior Insulation and Finish System ❑ Structural Steel ❑ Special Cases Inspection A ents Firm Address 1 Special Inspector Russell and Dawson 330 Roberts Street Robert M. Dawson III East Hartford, CT 06108 2. Testing Laboratory Materials Testing Co. 200 Rowe Avenue Milford, CT 3. Testing Laboratory 4. Other Note: The qualifications of all personnel performing Special Inspection activities are subject to the approval of the Building Official. The inspection and testing agent shall be engaged by the Owner or the Owner's Agent, and not by the Contractor or Subcontractor whose work is to be inspected or tested. Any conflict of interest must be disclosed to the Building Official, prior to commencing work. The credentials of all Inspectors and testing technicians shall be provided if requested. It is recommended that the person administering the Special Inspections program be a Professional Engineer experienced in the design of buildings. Key for Minimum Qualifications of Inspection Agents where indicated on Schedules PE Professional Engineer EIT Engineering in Training ACI American Concrete Institute Certified Concrete Field Testing Technician AWS American Welding Society Certified Welding Inspector ASNT American Society of Non-Destructive Testing-Level II or III Qualifications of inspection agents may be indicated on the Schedule in instances where the Structural Engineer deems such requirements are appropriate. SEC/CT Form 101 CT • Statement of Special Inspections 9 ©SEC/CT 1999 Schedule of Special Inspection Services Sheet 3 of 6 Soils and Foundations Project: Birch Mountain Entrprise, S. Windsor, CT Item Agent No. Scope (Qualif.) 1 Shallow Foundations 2 Observe in-situ conditions where foundations are to be placed on existing virgin soil to verify adequacy ofsoil. Verb proper preparation of the footing bottom including dewatering when applicable in accordance with Contract Documents. 2. Controlled Structural Fill 2 A. Verify that all unsuitable foundation materials are removed. 1705.7 Sample each type of fill material to be used prior to placement. Conduct sieve analysis to determine compliance with specified standards, local code, and geotechnical report(rf applicable). B. Provide compaction test results based on representative Proctor tests. Test each day of fill activity with sufficient frequency to ensure proper placement. C. Refer to Contract Documents for additional test requirements if applicable. 3. Deep Foundations n/a n/a 1705.8, 1705.9, 1816.13 4. Other n/a n/a SEC/CT Form 101 CT • Statement of Special Inspections • ©SEC/CT 1999 Schedule of Special Inspection Services Sheet 4 of 6 Cast-in-Place Concrete Project: Birch Mountain Entrprises S. Windsor,CT Item Agent No. Scope (Qualif.) 1 Mix Design I Review mix design submittals for all classes of concrete specified 1705.4.1 for the building structure(foundations and slabs) within the Contract Documents. 2. Material Certification 2 Obtain and review material certificates for materials used in the 1705.4.1 mix designs. 3. Reinforcement Installation 2-ACI Inspect placement of reinforcement for all supported slabs, walls 1705.4.2 and foundations to insure that proper material has been installed, that proper quantity has been placed and that proper locations and coverage have been maintained in accordance with ACI 318, Contract Documents and shop drawines. 4. Post-Tensioning Operations n/a n/a 1705.4.5 5. Batching Plant n/a n/a 1705.4.4 6. Formwork Geometry 2 Verify that proper reinforcing clear cover and geometrical CT 1705.4.3 requirements are provided in accordance with Contract Documents. 7. Concrete Placement 2-ACI Perform:adequate field testing to insure that the concrete being 1705.4.4 placed and operation of concrete placement meets the requirements of the Contract Documents, and AC1318. Reference mix design submittal for appropriate concrete class. 8. Evaluation of Concrete 2-ACI Prepare adequate number of cylinders in accordance with ACI Strengths 318 and the Contract Documents. 1705.4.4 9. Curing and Protection 2-,4 CI Verify proper curing procedures in accordance with ACI 318. 1705.4.4 Note materials on site to facilitate curing. Report curing activity while at the project site for other activities. 10. Other n/a n/a SEC/CT Form 101CT • Statement of Special Inspections 9 ©SEC/CT 1999 Schedule of Special Inspection Services Sheet 5 of 6 References Project: Birch Mountain Enirprises S. Windsor,CT 1 ACI 318-95, Building Code Requirements for Structural Concrete, Chapter 3. 2. ACI 318-95, Building Code Requirements for Structural Concrete, §7.4, 7.5, 7.6 and 7.7. 3. ACI 318-95, Building Code Requirements for Structural Concrete, § 18.18. 4. ACI 318-95, Building Code Requirements for Structural Concrete, Chapter 4 and § 5.2, 5.3, 5.4 and 5.8. 5. ACI 318-95, Building Code Requirements for Structural Concrete, § 5.9 and 5.10. 6. ACI 318-95, Building Code Requirements for Structural Concrete,§ 5.6. 7. ACI 318-95, Building Code Requirements for Structural Concrete, §5.11, 5.12 and 5.13. 8. ACI 530.1 /ASCE 6/TMS 602—95, Specifications for Masonry Structures, §2.3. 9. AC1530.11 ASCE 6/TMS 602—95, Specifications for Masonry Structures, §2.6. 10. ACI 530.1 /ASCE 6/TMS 602—95, Specifications for Masonry Structures, § 3.2. 11 ACI 530/ASCE 5/TMS 402—95, Building Code Requirements for Masonry Structures, Chapter 8. 12. ACI 530.1 /ASCE 6/TMS 602—95, Specifications for Masonry Structures, §3.5. 13. ACI 530.1 /ASCE 6/TMS 602—95, Specifications for Masonry Structures, § 1.8. 14. ACI 530.1 /ASCE 6/TMS 602—95, Specifications for Masonry Structures, § 1.4. 15. ACI 530/ASCE 5/TMS 402—95, Building Code Requirements for Masonry Structures, §4.2 and 5.14. 16. AISC ASD—89, Specification for Structural Steel Buildings—Allowable Stress Design and Plastic Design, §A3.4 and A3.6. 17. AISC LRFD—93, Load and Resistance Factor Design Specification for Structural Steel Buildings, §A3.3 and A3.5. 18. ASTM A6—95c, Specification for General Requirements for Rolled Steel Plates, Shapes, Sheet Piling, and Bars for Structural Use. 19. ASTM A568—95, Specification for Steel Sheet, Carbon and High-Strength, Low-Alloy, Hot-Rolled and Cold Rolled, General Requirements For. 20. RCSC -85 (88), Specification for Structural Joints Using A325 or A490 Bolts, §9. 21 AWS 131.1 —92, Structural Welding Code—Steel, §6. 22. AWS D1.1 —92, Structural Welding Code—Steel, §7.8. SEC/CT Form 101CT • Statement of Special Inspections 9 ©SEC/CT 1999 • I 1 ' STRUCTURAL Final Report of Special Inspections ENGINEERS COALITION CONNECTICUT ENGINEERS IN PRIVATE PRACTICE Project: Birch Mountain Enterprises Location: I Kimberly Drive, South Windsor, CT 06074 Owner: Birch Mountain Enterprises Owner's Address: 11 Kimberly Drive South Windsor, CT 06074 Architect of Record: Russell&Dawson, 330 Roberts St., East Hartford, CT 06108 Structural Engineer of Record: Robert M. Dawson, III, P.E. 330 Roberts St., East Hartford, CT 06108 To the best of my information, knowledge and belief, the Special Inspections required for this project, and itemized in the Statement of Special Inspections submitted for permit, have been performed and all discovered discrepancies have been reported and resolved other than the following: Comments: (Attach continuation sheets if required to complete the description of corrections.) Interim reports submitted prior to this final report form a basis for and are to be considered an integral part of this final report. Respectfully submitted, Special Inspector Robert M. Dawson, Iff, P.E. (Type or print name) Signature Date Design Professional Seal SEC/CT Form 102 Final Report of Special Inspections ©SEC/CT 1999 Orlando Annulli and Sons, Inc. P.O.Box 610/147 Hale Road Manchester,Connecticut 06045-0610 860-644-2427/FAX 860-644-0505 TRANSMITTAL TO: BUILDING DEPT. PROJECT NAME: BIRCH MOUNTAIN EARTHWORKS FIRM: TOWN OF SO.WINDSOR Project M O.A.&Sons M 1888 STREET: SULLIVAN AVENUE ❑ FAXED ❑ MAIL ❑ FED EX CITY/ST: SOUTH WINDSOR,CT 06074 TOTAL# PAGES SENT: FAX# FROM: ERNIE BABINEAU TIME SENT DATE: December 14,2005 Herewith ❑ Under Separate Cover Via: HAND DELIVERED Drawing No. Date Description Code 3 A-1 11/14/2005 REVISED FLOOR PLANS AND CODE DATA H 1 12113/2005 STATEMENT OF SPECIAL INSPECTIONS H ACTION REQUESTED A. For Approval ❑ G. For Review and Comment ❑ B. Approved ❑ H.As Requested ❑ C. Approved as noted ❑ I.Job Distribution 191 D. Revise and Resubmit ❑ J. For Your Record ❑ E. Rejected ❑ K.Additional Information Attached ❑ F. Release for Fabrication ❑ L. For Processing ❑ M.To Attache To Permit Application I] DISTRIBUTION. © File Div. M 1888 ❑ ❑ ❑ ❑ ❑ ❑ ❑ 13 ❑ DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT Application is hereby: TOWN OF SOUTH WINDSOR /PERMIT# BUILDING DEPARTMENT APPROVED 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 l [),Ile Building Inspector Application must be printed c, -Yped Location of Job: FEESCHEDULE $0-$1,000=$13.00 Street No. Street Lot No. Over$1,000= $13.00 per$1,000 or any fraction thereof Tenant Designation :AWpNo. APPLICANT tt S\NIE.`rAn"\cat S. r\,:V )NC, APPLICANT ADDRESS 3 4 O c\ APPLICANT PHONE# to - (, Z-7 - 9 3 (a 0W Ni St OWNER B \ n c �a�� btr� `r�Y`�1J�v o�ZIZS LLC OWNER ADDRESS ) Z 1,S o\J N \ \ \3t\/f'), � a pi E.. OWNER PHONE G 6 — 2 C} C ;D ESTIMATED COST$ ) 2, '7 S a ,_— V IS THIS A CONTRACT COST?_---Q Yes 0 No Q o J �� FEE ENCLOSED$ l 95 I ' �y rSO R.C O�� TYPE OF JOB: 143 New Installation 0 Alteration/Addition/Repair Revised 8/99 APPLICATION FOR PLUMBING PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOC�TE�D WITH A BUILDING PERMIT APPLICATION*1 9 YES ❑ NO ❑RESIDENTIAL BUSINESS CURRENT USE AND OCCUPANCY L ❑ASSEMBLY ❑MERCANTILE FEE USE AND OCCUPANCY ❑ EDUCATIONAL ❑ INSTITUTIONAL ENGINEER'S NAME 1R �.s sett S. S H PHONE `5`I - I I o ❑ FACTORY El STORAGE❑ GARAGE ADDRESS ❑MIXED USE CITY STATE (Other please specify) TYPE OF INSTALLATION SIZE OF MAIN DRAIN L} NO. OF TOILETS STYLER S 3hy 3 102 NO.URINALS b -— STYLE NO. OF BATHTUBS y NO.OF SHOWERS "` NO. OF LAVATORIES �- NO. OF CONDUCTORS SIZE NO.OF STACKS SIZE 3 AREA OF ROOF to o NO.OF CATCH BASINS - NO.OF FLOOR DRAINS NO. OF OTHER FIXTURES 1 KIND St oe' y3i1-41, �S ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW ❑"S NO SIZE OF WINDOW IF NONE C.F.M.OF VENTILATOR SIZE OF DUCTS L� SEWER OR SEPTIC TANK SIZE OF WATER MAIN SIZE OF WATER PIPING&RISER WATER HEATER: TYPE MANUFACTURER �(VVX) 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 CONTRACTORS LICEN9EQ4Q. TYPE STATE SIGNATURE OF APPLICANT ��� s DATE \\ — ` V- O c DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT Application is hereby: TOWN OF SOUTH WINDSOR PERMIT#/ BUILDING DEPARTMENT APPROVED 1540 SULLIVAN AVENUE Bldg. Permit# 644-2511 ext. 230 3 1 a� Date Building Inspector Application must be printed or typed FEE SCHEDULE FtnanDesig Location of Job: DR. $0-$1,000=$13.00 Street Lot No. Over$1,000= $13.00 per$1,000 or any fraction thereof nation Apt.No. I APPLICANT G (tp�L,L �ZC�Au,\c`c�L S\:ri V 1 ti APPLICANT ADDRESS 4 7 Pi.r�,N Vta , \a-�-a RO, , PO B cox �3n.o�n � /oo►c � 6 �o i � APPLICANT PHONE# G O `p 2 3 SOW N SFq OWNER �3trtcU �0��1111-� 1>J�� P,k4 S LLC OWNER ADDRESS QS� ��l���u•x� Sorg c Ol�0-7y OWNER PHONE '%L Q C ESTIMATED COST$ x, IS THIS A CONTRACT((COST? '-®Yes 0 No Q �G FEE ENCLOSED$ SO O�� TYPE OF JOB: RC Original Installation 0 Alteration/Addition/Repair Revised 8/99 APPLICATION FOR HVAC PERMIT (Continued from reverse side TYPE OF SYSTEM: TYPE OF BUILDING: HEATING ❑ RESIDENTIAL �®A/C COMMERCIAL —9 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 C) OF INSIDE -? O OF DIFFERENCE_]Q_OF TOTAL HEAT LOSS(BTUH) OF(HEAT LOSS SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL HEATING EQUIPMENT(INCLUDING MAKE&MODEL NO.) )AOR.�z ant cz S F 1Rim`' 2 �3J �oD\Ml� O(Z Ltlti��t GAS �17L1� �N� \JL�L�S GROSS HEATING CAPACITY(INPUT—BTUH) NET RATING(OUTPUT—BTUH) � iz�,a 0 TYPE OF FUEL ,S�� I � ��� `�a �+.►�+� � ❑ OIL—GPM GAS—INPUT 2$,o a El ELECTRIC—KW OIL TANK SIZE&LOCATION ❑ INSIDE ❑OUTSIDE CAPACITY LPG TANK CAPACITY AIR CONDITIONING DESIGN TEMP. OUTSIDE cl-OF INSIDE -7 S—OF DIFFERENCE OF TOTAL HEAT GAIN(BTUH) (HEAT GAIN SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL COOLING EQUIPMENT(INCLUDING MAKE&MODEL NO.) S,P L:l7 S y t*� !� % c o i3►v./�, - �3�1'y 4 o� �4 uoL TONNAGE S COOLING CAPACITY(BTUH) VENTILATION DESCRIBE ALL AIR HANDLING EQUIPMENT(INCLUDING KITCHEN EXHAUST EQUIPMENT) TOTAL SIZE OF SYSTEM(CFM) 000 FRESH AIR INTAKE(CFM) o (PLANS MUST ACCOMPANY APPLICATION) FURTHER DESCRIPTION OF WORK Gas THE UNDERSIGNED HEREBY APPLIES OR 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.rl Z 5 4`i - CONTRACTORS LICEN TYPE STATE SIGNATURE OF APPLICANT �-'mil DATE DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT TOWN OF SOUTH WINDSOR PERMIT# A7APPRO cation is hereb : BUILDING DEPARTMENT 1540 SULLIVAN AVENUE 644-2511 ext. 230 Bldg. Date B ding Inspector Application must be printed or typed FEE SCHEDULE Location of Job: $0-$1,000=$15.00 FtD Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof tion Apt.No. APPLICANT Z)A iv S tL t cr A j C APPLICANT ADDRESS C/ J A N OILA Q/L -5 LU�aoscidt APPLICANT PHONE# SOW N SF�4 OWNER �iR�� /1�O��vT�i,✓ p2r�a-a/�c.s OWNER ADDRESS %C.- A6c vO OWNER PHONE o'f�'9-/G S 4 C ESTIMATED COST$ IS THIS A CONTRACT COST? —Yes ✓ No �G FEE ENCLOSED$ ��'J�a�— /f/.� 2 - sO. O�� TYPE OF JOB: R-C /New Installation _Alteration/Addition/Repair APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATE_D�ITH A BUILDING PERMIT APPLICATION? ®YES ❑NO ❑JRESIDENTIAL BUSINESS CURRENT USE AND OCCUPANCY Lroynm 6&t jr c_ ❑ASSEMBLY ❑ MERCANTILE FUTURE USE AND OCCUPANCY ❑ EDUCATIONAL ❑ INSTITUTIONAL❑FACTORY ENGINEER'S NAME /1p t SSt-I/ Pq I S°'^' PHONE ❑ STORAGE ❑GARAGE ADDRESS jec)/3F7c.rs -97 ❑MIXED USE CITY 'OE-1 I4�►A-T f b STATE C-T ZIP (Other please specify) TYPE OF INSTALLATION/WIRING METHOD LOCI,"u!% 1 N NN iVl G LAB Cr SIZE OF SERVICE `f ew A SIZE OF MAIN CONDUCTORS 6� NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS f .3 d A NUMBER OF PANELS REMOTE DISCONNECT REQUIRED? ❑YES U(NO NUMBER OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS 0 NUMBER OF SWITCHES 18 NUMBER OF OUTLETS .fC' NUMBER OF LIGHT FIXTURES -0 NUMBER OF HEAT CIRCUITS NUMBER OF A/C CIRCUITS SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED. DESCRIPTION OF WORK c� hl,A-IkQ OF /V�c� G6t-0G,,,v5 To �i�Gt.vp� Jc/tvirr�� 04T) ECEPr.4 S �' Nyjt)C- �VlRyA 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. T CONTRACTORS LICENSE NO. 4 TYPE STATE SIGNATURE OF APPLICANT 1.•-�, c DATE .3-/0-04 Electric # APPLICATION FOR BUILDING PERISIIT Plumbing# 11 Kimberly Drive Date: 01 HVAC # Sprinkler# , 30614 FINAL R - --- - - -— --- Estimated Cost Building1 r I -- - Permit Fee $ � 71000'- SIGN PLETE RED BOXED AREAS Occupancy Fee $ Enginee n YPE OR PRINT ONLY Eng. Insp. Fee $ Affidavit 1'�', ON REVERSE SIDEAppr. for CO. - - -- - -- ---� Total Fee $ . TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost $ The undersigned hereby applies to do work according to the following: Applicant (�;,�,L, (Ylw,•�ti;��,,r�+,�.d.k1 Location of Work Lot No. Applicant's Address-1 I K; Tel.# 'W( - �Sg - lt,S&P Town Sow U., w-La cT Zip ou o-I ti Lic.# Owner Architect Owner's Address Architect's Address Zip Zip Sq. Ft. New Area: 1 st FI. 2nd Ff. 3rd A. Total New Area Purpose of this permit C e-jz 0%s Wi J (firma C-e A,-,\ City Water❑ WeIIL Septic System❑ Sewer❑ Ins: HO SP Cert. Area Basement Garage Approved by 1)r I Date -0 Use GrougGConstruction Type Revised 6102 I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town of South Windsor and to notify the Building Inspector of any alteration in the plans or specifications of the Building for which this permit is asked,and agree that this building is 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 / Approval Date By Appl Code Description Due Whom Code Comment ------------------------------------------------------------------------------- *•-30614-B 2,000 B03 FRAMING (ROUGH) 01/11/07 JFF A CEILING OK TO DROP PADS WITH CONTRACTOR B10 FINAL O1/17/07 JFF A WITH OWNER • BUILDING PERMIT • STATE OF CONNECTICUT WORKERS'COMPENSATION COMMISSION Building Permit Affidavit for Property Owners or Sole Proprietors (Conn.Gen. Stat. § 31-286b) Property located at In the town of Name of building permit applicant: Please check one: 1. I am the owner of the above property. 2.�I am the sole proprietor of a business. 2A.Name of business 2B.Federal Employer Identification Number(FEIN) .................................................................................................................... Pursuant to § 31-286b,"a property owner or sole proprietor[who] intends to act as a general contractor or principal employer"may provide either a certificate of workers'compensation insurance or a"sworn notarized affidavit... stating that he will require proof of workers' compensation insurance for all those employed on the job site in accordance with this chapter." Please check one: 1. I do not intend to act as a general contractor or principal employer. [Sign and stop here] Signature of applicant 2._I intend to act as a general contractor or principal employer.Applicant must either provide a certificate of workers'compensation insurance or sign the affidavit below. Affidavit I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before he/she engages in work on the above property in accordance with the Workers'Compensation Act(Chapter 568). I understand that pursuant to §31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. Signature of applicant Subscribed and sworn to before me this day of ,200 . (Notary Public/Commissioner of the Superior Court)