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124 WOODLAND DR
APPLICATION FOR BUILDING PERMIT Electric # 15 We gewood Lane Plumbing# 731220 Date: O 30 d 7 HVAC # Sprinkler# _ _ FINAL YPR - Estimated Cost $Building`l �L COMPLETE RED BOXED AREAS Permit Fee $ f�S Enginee g TYPE OR PRINT ONLY Occupancy Fee $ Affidavit I Eng. Insp. Fee $ Appr. for CO. SIGN ON REVERSE SIDE ; Total Fee TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cos $__ta____ The undersigned hereby applies to do work according to the following: (31 Applicant s C. Location of Work 4.Je geto;;d Z4. Lot No. Applicant's Address CJ,er,- - Tel.# 2q2 --9790 Town IF— u c Zip 0610?, Lic.# Owner Architect Owner's Address S r� Architect's Address Zip o 0 Zip_. Sq. Ft. New Area: 1st FI. 2nd FI. 3rd FI. Total New Area Purpose of this permit Cr�oc� c°i,s`hi►c, lx l'Y S�iirr� Ett. ,s�-nl I YtCk1 �� 30y City Water❑ Well❑ Septic System❑ Sewer❑ Ins: HO SP Cert. � Area Basement Garage Approved llate� U Use Gro Construction Type Revised 6/021��� 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 stre t lines,side yard lines,and required distances from all other zones and is located in whic�uildinngg and its a 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 ............ ...... i0� 0 W*i 0', 4 O'k Bulletin 006 P&vA A er T Co.— I I- Temp Model RFC43 Concealed Ic _:Jq� V� 1WF174 FN4 gWz�; .......... Residential Sprinkler L A I .......... %-:4 V I I 4 Installation Data I-r�l 4? �If '.�o I, % J 4 Minimum Required Sprinkler Vimwn Mir,,urn Sprinkler Discharge A Concealed Residential xl, T 4,;;1 Spacing 1'1v�tance Distanc*-4*tween 1A Thread Size K inch(mm) Factor Sprinkler engineered for a ft. (m) to WAII ft. (m) sprink,� (m) Flow P ess. minimum design density 'Y J� zi_ gpm(Lpm) psi Z~� 4. (bar) -4 r !1'e(1 5mm) 4.3 12 x 12(3.W.6) 1.83 8 �t"(1-5Mm) 4�3 41) (44 5� 54, 13 kt requirements. - 'A*0 5mm) 4.3 16 x 16(4,9x4 9): 2.4" 8 13 14 x 14(4.3x4 31, 2.1,' t.,j 12 of 0.05 gpm/ft' with low GPM C-1 49) 44 _5 18 X 18(5.5X5 51 1 '2.74 i 63). 8 18�68) '4r�j 1 5mm) 4.3 ZO x D(6.0x(5.0) 3 015', 8 21 �79) .23 P CL Features approvais and warrat ow requirements. X 'N' 2. '/2" (13mm) Total adjustment. -r r �A v--v-v 9,r r-.,0 n e,,,ir-A n M. . L_ 1-r I I �0 4�, 1 Very low water fl 3. Push-un/ I hread-Off I- X 11Z MLL)UCING TEE OR E.180w A:, cover attachment option. 4. Smooth aesthetic ceiling profile. 'S 5. Available in brass, chrome and M; DIA. _71_�?� .7m DIA HOLE JV A black plated or painted finishes. ---------- maR Lamb CUP 7 Scot Z 2 [50,8rn ml WX 10 FACE -771 FACE OF FIMNG Listings & Approval OF CEILING r DIMENSION isted by Underwriters Laboratories, CEILING and certified by UL for Canada (CULus) 2' 12.7m m] AA AX. COVEJ? ADJUSTMENT 7F, __ .1y UL Listing Categories COVER PLATE (84.Im 7 1 1 Residentiai Automatic Sprinklers ASSEMBL Y SPRINKLER- UL Guide Number' VKKW CL COVER P1 A TE: I Z2. �17 m I ADJLTLTA1FAi T L Product Description 1 4"- Aft W"del RFC43 Concealed Residential Spirklers are fast 7�* RFC43 6 a UL Lrsted Residential Sprinkler to be response residential fusible solder link aulu-natic sphnkiers. hStaW in the residential POrbOnS Of any Occupancy in Residential sprinklers differ from standard sprinklers primarily, accardIance with NFPA 13, 13R, & 13D. in their response tirr�e and water cjistr�ibution patterns. 41 VA Model RFC43 Boom sprinklers discharge water in a nipples. The threaded cover plate assar6y can be adjusted hemispherical pattern below the sprinkler deflector, T"he WC43 ran reduce the need for precise cutting of drop Residential distribution pattems are higher and generally prokK*on t w4W bols to fit accurately aigakv ft ceiling. The fire 4�, I Res 4.9 CL contain a fiw droplet size dian standard sprinkler patterns. The combination of speed Of Operation and high discharge pa Itern required for residential sprinklers has demonstrated, 0n in tire 0 A lication and installation Sys em need no hut dr%,,,n & 58 Pendent t be s to adjust or remove the cmier plate assembly. I Q C. tesfing, an ability for controlling resid f��e RFC43,for residential installatuis. uses a 165-F(74-C) and upants. ential fires, occ thereby providing significant evacuation time for fusibie Solder link in a tuning fork st*Sprinkler frame with a The RFC43 Sprinkler provides the best form of fire drop-clomc deflector. This assembly.is recessed into the Protection by combining an attractive appearance and 1/�" cekV and Concealed by a flat cover piale. The cover plate is (13mm) of cover adjustment for ease of installation. The attacfed to ft skirt,using 135OF(57*C)ordinary temperature sniall diameter cover plate is easily and Positively attached cLLSillication older. When the ceiling temperature rises, the and blends into the ceiling.concealing.the most dependable sokier holding the cover plate releases the cover allowng the fire Protection available, an automatic sprinkler system, deflector to drop into position and exposing the spdnkler The Reliable Automatic §prinkler Co., Inc., 525 North MacQuA66wiParkway. Mount Vernon, N 1 ..........'T LD ew York 10552 D Noll' 4 C�ULR71,0� -all UA L L L 4 S VF-51 P Z.� 1A C.1 4 , e,'"1'5 CIO L A 4 ei, Deflector-to -ceilim Maximum V (25, to 4" 0 00mm) on Spacing essure 'A_�o 3; 0 - 6 Max.Sprinkler Sprinkler Flow Identificati Pr gpri (Lp psi (bar) er Numb L2 x .1-2 10�48) 1 14 x 14(4.3x4,3' ' _8 16 x 16(4.-Jx4.9) i T Ilk 11S�49) 70LQ+ID R3516 2 0 20 x 20(6 (75 7) 16.7 LAU L? -zALEA lip ,4,6. _T Alf Iq CL 4 7,, CIL>11 I�4 IVI -f-4 L C_ "T -T1, �7? 40 L C CA Wit. 58 I F1 Res 44 & 58 HSW Model F1 Res 44 & 2 Recessed HSW/F L\ _P�,L_E-,: I L)51Pk1?1 L C�C-,a (Ito, 0`7 E_Ur-�6LL VAODE X I(, 0 It-t 21W OP17 D f:.N'T L Q \N 4 k, 1 4 C, F2 escutcheon, X!" 13mm) adjustmen W 07F_ Z .44 occu�r\t� 1 Qt� 1511 12�U LIC V,E VO �J_T C,2) 0 (5T �Loo 12-__�o &E- C9 VC FL,� Sllrk C_ V t t� Icr W tl)A C?V C O'D 0 tl L IKI �A_PIONI ": , I I i4rata: F1 Res 44 HSW & HSW/F2 ec n Imp _Ly ��Jcr LL P 4) P� Escutcheqn F2 Data: Face of Fftfing 9 tQ IN sf-K ip_wil� -to 6 yx�0 Adjustment Sprinkler Max. Max Ambient to wall Sprinkler Type r re Rati Temp. Inch, Pressu ac L k read Temp. Th K LGIngth Inch(mrn) SiZe F lor wich psi(bar) K�CJ C_L_U b 0,�3 - 17. �_o��'T kfrvTl) ; -F 01c OF (4.7 DATE SYM., REVISION RECORD DRAWN 100 -14 75 1 CE I LI M A Contractors Lic. #00 1519 CT Contractors Lic. #F 11484 155 1 68 1 2) V)S i 75 1 79 15C 6"NPrT 245(62) _�T L 11 Ls W WED lb'� qL 1:7 PA, H F P CORPORATION 41 P.O. BOX 5087 HOLYOKE. MASSACHUSETTS 01041 Tel: (413) 568-4709 Fax: (413) 562-7298-4rr .�A *Mir "A" N.I.C.E.T. Cert. #066695 Max.Sprinkler Deflector Ceiling-tc>- Sprinkler Temp. spacing Flow Pressu Rahm gpm(Lpm) psi(bar) '4� -F Nu ft(m) 681�175(7 12(45.4) 1 7 5(0.52)49� Inch(mm) 155 (101-152) 16 �60.6) 1 13. 155 (68) 175(79)I x 14(4.3x4.3) t R ..�:5" THIS DRAWING IS PREPARED BY HFP CORPORATION FO ,L* 16 x 16'%4.9x4.9) -6 16 x 18(4.9x5 5) 155(68) 17 �(79) 18(68.1) 16.8(1.16) . 155(68) 175(79) V4 14(53.0) 102(0.71) 4 3(0.92) USE IN CONJUNCTION WITH THIS PROJECTAND IS FOR USE VO4 U SUCH PROJECT HFP CORPORATION RETAINS ALL COMMON 27.4 18 X TH-18(5.5x5.5) 15 87(129) SOLELY WITH RESPECT TO HFP CORPORATION'S WORK ON 16 x 20(4.9x6.1) 156(68) 75(79) 23(87.1) (1-89) : R3531 LAW,STATUTORY AND OTHER RESERVED RIGHTS INCLUDING ���(68 -17§ 7 14(53 g 10.2(0 71) 12 x 12(3.6x3.6 I COPYRIGHT THIS DRAWING AND ASSOCIATED CALCULAT1ONS 68L 75 79 6(60.6) 13.3(0.92) SHALL NOT BE USED BY OTHERS ON OTHER PROJECTS OR L 15 14 x 14(4 3x4.31 I b- )x4. ?1 175(79 7(64.4) 15.0 1. 16 x 16 4. (152 DRAWN CHECKED UNDERWRITER JOB FOR PERFORMANCE, COMPLETION, OR ADDITION TO THIS .70 175(79) 7) 120 7(1.43)155(68 BY 16 X 1 .5) 2C(75 PROJECT BY OTHERS EXCEPT BY AGREEMENT OF HFp BY h,-TV NO. 16 20(4.9,x6.1) L X 27.4(1 155(68) 1 175(79) 23(87.1) CORPORATION IN WRITING AND WITH APPROPRIATE SCALE DATE SHEET F�"i 6A 16 COMPENSATION TO HFP CORPORATION. NO. rFl6FI Oro, Bulletin 006 Re,,A Sprinkler Cover Plate Max. m Ambient Model RFC43 Concealed 135'Fr'S7°C - o p'o O0 Fi38 C lab Residential Sprinkler (SIN RA0612) Installation Data �Jet � Y�,t���\ n __- -- -- -- ---- -- - -- - - - - - - - _ i , - - ---- -- - -- _.�_ Minimum ftequlred A Concealed Residential Thread Size K Sprinkler Maximum Minir um SpriMrfer Aischat$e Sprinkler engineered fora inch(mm) Factor Spacing Distance Distance )etween --- -- -- ft.(m) to Wall ft.(m) sprinkle= ft.(m) Flew ! Pres*. minimum design density _ _ gpm(�) psi(tor) o - (15+nmj 4.3-12 x 12(3.6x3£t -6{1.83) I 8 2 +3 1 -of 0.05 gpm/ft2 with low GPM l;�x i� .�� ;� 15rnm 4.3 ( ) 2( 5) 7 8!C ,4) ( 1 14 x 14(4.3x4.3) 7(2.13) 8(2 i3) 13 fi $.i (u ) requirements. - -- A.(15mm) a 3 16 x 16 4.9x4.9) 8(2,43) I 8(2 Q) 13 49 9.1 (0 y Y Wa,Q 'r:•(15mm) 4.3 18 x 18�5.5x5 5), 9(2.74) 8 2 43 , - --- y 1_ /2, 15mm) 4 3 20 x 20(6.OxC,01 10(3.05) 8(2 .3) 18 f - au21 � Features `"4' 'J^� ' ` '"^ approvals and warrot LodI 1 Very low water flow requirements. . 2. t/2" (13mm) Total adjustment. -- - -- - ---� �. --- - K►TC.NE-� ,`' x I 13 t2o ot-'t r i 3. Push-On/Thread-Off TEE OR ELSGwuCING �, --- -- � �' } cover attachment option. - - -- - - N#'` _ - - - ' 1A' 1iG 4. Smooth aesthetic ceiling profile. - -- - -_- - t r --J i i 5. Available in brass, chrome and 20- .6.7mm] 04A. 24" 158.7mm7 D14 - ' HOLE Pv CEILING ! } black plated or painted finishes. i CUP 1 i 2 [50. -04X. - - h I ! FACE OF FIrr^4G cL i 1 Listings & Approval ... . , TO FACE OF C94/AC - - - - -- - - _ -- - -------- ...I DIMENSION ! Listed by Underwriters Laboratories, - � n - :' , 1 and certified UL or Canada (cULus) L£uroc i y • , p i I .. 1iXG��� --------- ---- --�f- -- --- - --- -------- --- --__ Rai I __ ------- _-- --r-- -- - b f i 2'" �12.7mm] MAX. TJI 16 ` I - y UL Listing Categories ____-- - -- -- i COVERVER JPLL.S�T£ENT [34 lmm] (4.BmmJ C] 1 I t i _ �6 ► Residential Automatic Sprinklers ASSEMBLY ----T'-- --- ----- -1 - -- - i _ _ --- } UL Guide Number sPRuvx� a� COWER PLATE: 1/2" [12 7mm7 A -LUSTMENT .o... 1.,� Product Description f Model RFC43 Concealed Residential Sprinklers are fast The RFC43 is a UL Listed Residential Sprinkler to be v _ response residential fusible solder link automatic sprinklers. installed in the residential y m Portions of an i Residential Sprinklers differ from standard sprinklers primarily accordance with NFPA 13, 13R, & 13D. - tU r_CDO t� } i ! in their response time and water distribution patterns. The RFC43 can reduce the need for precise cutting of drop - _ I �•� �o� Model RFC43 sprinklers discharge water in a nipples. The threaded cover plate assembly can begadjusted _ I hernspherical pattern below the sprinkler deflector. Wthout tools to fit accurately against the ceiling. The fire Residential distributlorl pa[IgmS art? hinher a�nci rr,xwrol6, ram,,.+:. es 4� $c 58 Pen t2aPst�l . y r pr0l�,utanot1YIEli7fi,'i r i N dent ' .., c�,cu, y'SICr�i i ICeI] pe SnUt dC)Wrl i0 adjust Or rerTlOVe CL contain a finer droplet size than standard sprinkler patterns. the cover plate assembly. r ----- ! 8-v The combination of speed of operation and high discharge pattern required for residential sprinklers has demonstrated, APPlication and Installation M x in fire testing, an ability for controlling residential fires, and Ne- RFC43•for residential installations,uses a 165OF(74°C) I I thereby providing significant evacuation time for occupants. le solder link in a tuning fork style sprinkler frame with a p fusible _ The RFC43 Sprinkler provides the best form of fire dref--down deflector. This aysem into the ____ -- __-- - _ _ _ ---_ --- _ -_--. _-__ - - -- _-- ______ ------ _-_...__--_� __ -•- _ -------- . _-_. _ _ __. - ---___---__ __.-- _-_-- - _ _------ _---- protection by combiningan attractive appearance ��-� cei and concealed flat by.is re�essed .• appe ante and ,z � by a at cover piste. The cover plate is --- - --- - - - - (13mm) of cover adjustment for ease of installation. The attaches to the skirt.using 135OF(57°C)ordinarytemperature small diarrleter cover late is easily and t , p ly positively attached CL -Acation solder. When the ceiling tem;:�aature rises, the and blends into the ceiling,concealing the most dependable ceding the cover plate releases the cover Mowing the fire protection available, an automatic sprinkler system. deflector to drop into position and exposing the sprinkler r The Reliable Automatic Sprinkler Co., Inc., 525 North MacQuesten Parkway, Mount Vernon, New York 10552 �_ _ • ! - N Z ql J�- �� 5�ter T l iVt Ch LC-v L_R-TtO>�1 - - ---- -------' - --REU F L lZrC43 CC�►10 �i� 1� PF �1p� T 5P1: )� i � K - 4 . 3 G 155° w �-550 w1-11-T CO VU_ (fi7F f(� xlcn� M�.x 5,eAC1ll`A _ �? i F�- _ ;p_5 _....._.__...._w-_�..- "ti?�rtA�l� �' t%�K, i;t� { �7-ts�.t�i'►�Cr�� Deflector-to -ce►1�ng M_ aximur� 1" (25m:nt to a-' �-;nn,•,•,•,� Max.Sprinkler ---- - f: Sprinkler Spacing identification Flow Pressure - --- t2 x�3.6x3.6)_ pt3 tam m psi (bar)I ps' Number SINS, 4 x 14 4 4 - 1 (p-�r'I' -z� - CL er. 16x16(49xa.g,iL t3 4) 4I 18 } l � I i } � - ��`\•�-'� � � 20x20(6.1x6.1L1 - 20�57) i \ U!`t ��1.,k _ ED Y� 1 i LAv N_ -- f i ---�--•--� +✓ 1 E \ i IT �t fix, T,�tc, Z� Z� `� a ' I uw `+fJ tl~ {� ;rS.1�t 1E }► Ir4w'_ 7-0J C, tl� i �� i ► - • 5To2At� -(o°aC.t.l4T� i --`.. _ 4 CL .t.. ....ass.._......... `.� tl t.r rev z G 1�T �l _ , r� i �- �.t'l .(.JLA7fO�JI� Model F1 Res 44 & 58 HSW Model HSW F2 8 f 1- -�L E-ALE �LOO 1�. k�1t!__ r()1~ at':�t +'. +�! 1 Via, y __ �.__._ M� N` L S 1 r\1►�L E. K= 15 i'..�° �t -tt�x c�1 a_ _ ��-� tZ F C,4-� � ��>I�� _ �-�- 1 �S I�.. �T/7 LA`1� f71`)•-t ItFt P,1 rt ��. .-.... __Y• - � - Z_.-_ "• �/\/tea _ r�bU,w MODEL. 1 l�t<..� 44 tNt�f�- �of����Z- I�r�.w �.�. 59 Mt V L6-5 t�_ 4 L, t5�° �c 5s WAi-Tr_ Nis r � , F2 escutcheon, Ya" (13mm) adjustment E rtt ' �tC_ eti�1>�G ITN C,1DVC �ITT 114G S • Y it i{-tG �v (� r .. _ r' _- - ►41i. ->✓�i'1-t_tvl..h Uht i�i.'o�t�_ E_X1 ._�T1i.J(� t� - ; <.Y_ E_,Le Ca-S I , �.vtt} EXI��"1rJG ��1SI�L�'TIOI.�,-, A�l`� r D'��'; �Ot �.� _1f\15/,A tR- IONti Technical Data: F1 Res 44 HSW & HSW/F2 -- -- �1 lay Sv,.•tk.0 :�t ; t;� I Atl1`�_ 'CC eJC J>✓tlF DUt_:� 4i� t�(Ac.x_ �f -c:L �'I i' Iti tI1 r1r�G-S r . --'- - - _ Escutcheon, t ,. -_ Ptl�� �i�•Srt���1�'T -fi0 �► - �74�b���i7 > Escu eon, F2 Data: ►1. h t.. -- -- _=V • :=_ -:.-_ Sprinkler Max. Sprinkler Adjustment to Face of Fitting Thread Temp. Max. Ambient K Type Inch(mm) inch(mm) ? p 5 r' t�► �t/�* a• Pressure 14�1 :! � e o ___ psi(bar) Temp. Factor Inch(mm) ___. - -.-:,max_.����ln�-.__,,._ -��.__�.... __. _• .• ,: NPT 155 I 68 I �, 100 � C _ .- - - � DATE SYM. DRAWN REVISION RECORD a a :5 62) -- MA Contractors Lic. #001519 CT Contractors Lic. #Fl 1484 �iw` r �.r fIYvli� 3.4 �r�l• � � . . L(.11� 1 j C��N Y I✓ (R', 175 79 I 175(12 1 ! _�Y -- -- --. . _ _a�, .'f L_"Y= ) 2 ( K 15, ))4C�r. C:EI t_It.)G P Y > . - G�Lc�=t - T1G► _I> - k� '� �l PP\ t3 !rJ LATi HFP CORPORATION P.U. BOX 5087 HOLYOKE, MASSACHUSETTS 0'1041 --- -,- ice.; �. Tel: (413) 568-4709 Fax: (413) 562-7298 .A„ _ -�.__ _-_ • - - N.LC.E.T. Cert. #066695 M�Springnkler Ming-to- Sprinkler Fkrnr Pressure Identification Deflector ft(m) Deflector Ing gI�(Lpm) psi(�) Number(SIN) Inch(mm) - T( 12 x 12(;6x3.6! 155 6t3 175 79�! 12 45 4) 7.5(052)___ __ - - .._ __ _ -14 x 14 4.3x4-3)_ 155 68 1175(79) 14 533 0.2(o.711 THIS DRAWING IS PREPARED BY HFP CORPORATION FOR ` - (y E - 16M 16 a.9x4.9 a_6 t55(68) 175(79) �16�.6) t3.3 i0 92) ---- USE IN CONJUNCTION WITH THIS PROJECT AND IS FOR USE _ _ __ _i_-Z i- ----{-1;-- - 5---� SOLELY WITH RESPECT TO HFP CORPORATIONS WORK ON ---_ 16 x 18 4.9x5.5 (1Ct-152) 155 68 175 79 18(68.1)- 16 8 1.16 1 i�18;K 16(5.5x5.5)' 155(68) 17-5(79� 19�oJ 1a.7 1.29) SUCH PROJECT. HFP CORPORATION REMAINS ALL COMMON t _ � CT. is x 20{4,9x6.1) ;` 155(68) 175(791 2.�(t37.1�27.4(1.89) 1 1 R3531 LAW,STATUTORY AND OTHER RESERVED RIGHTS INCLUDING 12 x 12 3.64.6 155 68 ! 1_'75(_72 14 5( 3.0) ! c 2 0.71 COPYRIGHT. THIS DRAWING AND ASSOCIATED CALCULATIONS 14 x 14(a 3tc- a-3) �55(ss) 175 i9 -�'6(6os) ' 13.3 0>92 SHALL NOT BE USED BY OTHERS ON OTHER PROJECTS OR Z 16 x 16(4,9x4.9) (152 ) 1s5 ss ! 175(79)- 17(s4•a) i 15.0 1•oa FOR PERFORMANCE, COMPLETION, OR ADDITION TO THIS DRAWN CHECKED UNDERWRITER JOB 16 x 18(4,9x5.5) ! 155 68 ' 175!79 _20 75.7 1 20.7 1.43 () -�� PROJECT BY OTHERS EXCEPT BY AGREEMENT OF HFP eY M-r�if;-C4 BY NO. i 16x20(4.%*.1) ; _ 1+ 55 ss) , 175(79)1?s 87.1- 27.a 1s9 -4 CORPORATION IN WRITING AND WITH APPROPRIATE SCALE DATE SHEET , 1✓�33 j Q COMPENSATION TO HFP CORPORATION. \ KIC .G> -1' ��` No. -_ - G RO Uxiro OM E 124 WOODLAND DRIVE SOUTH \A/INDSOR, CT Architect: Client: Blue Moon Design Community Residences, inc. 168 Main Street 732 West Street, Suite 12 Terryville, CT 06786 Southington, CT 06489 860-582-2225 860-621 -7600 CODE INFORMATION GENERAL NOTES SCOPE OF WORK DRAWING INDEX Applicable Referecnes: Tor ovide a 5 erson(excludin em to ees) qroue home. A-1 FIRST FLOOR PLANS International Building Code 2003 Construction classification of R-4 carries a sim-flay hazard Connecticut 2005 Supplements classification as a one and two familyy use. No HCP accessibility Connecticut 2003 International Fir. ccde has been provided per section 1669.1 existing buildings. Existing use c1roup home. Provide the addition of one bedroom and o rr � dace. 3082 USE GROUP CLASSIFICATION: R-4, Residential Care/Assisted Living. 5 person. `: xi� .:� he6ti;-,2 system to remain. Extend zone into renovated 310.1 -4-4. R-4 to follow R-3 construction requirements sec I. 503T WEIGHT/AREA LiMITA?IONS: R-4: 4073st/unlimited s.f. (allowed) Provide shop drawings for sprinklers for Building Department 2072at12,900 s.f. (actual) revi(:;, and permitting requirements. 601T TYPES OF CONSTRUCTION: TYPE VB (unprotected) Structural frame 0 hr. Bearing walls Exterior 0 hr. Interior 0 hr. Nonbearing interior walls 0 hr. Floor construction 0 hr. Roof construction 0 hr. 1012 SHAFT ENCLOSURES: 0 HR, Exc. I Not required for openings On an individual dwelling unit and connecting 4 stories or less. 803.5 INTERIOR FINISHES: Sprinklered Vert.exit 4 passageways C Exit access corridors 4 other exitways C Rooms and enclosed spaces C 9032.1 AUTOMATIC SPRIK�LERS: Required for all R(residential)uses.NFPA 13D. 906.1 PORTABLE FIRE E'JINGUISHER& Provided as shown on plans. 901D FIRE ALAW t DEi+.:CTION: Fire alarm not required but provided. 9012.10 MULTIPLE-STATION SMOKE OFT.: Required and provided. 901.9.1 VISIBLE ALARMS: Not required but provided. 912.1 CARBON MONOXIDE DETECTORS: Provided. 1006.1 EMERGENCY LIG�;`."�!�: Exc.03,not required for dwelling units and sleeping units in the R-3 use but provided. 1001.1 ACCESSIBLE MEANS OF EGRESS: Exc. I Accessible means of egress are not required in alterations to existing buildings. 1009.11 HANDRAILS: Exc.02 Stairways within a dwelling unit require one handrail- 1009.11.5 HANDRAIL EXTENSIONS: Handrail extensions to be provided at exterior stairs. See plans for more information. 1011.1 EXIT SIGNS: Not required per exc. 03. 1019'1 VERTICAL OPENINGS: Not required per 1019.1,exc. f1(occupant load less than 10), "3(R-3 use). 1`M�r yfprllpl� _ ♦*p �0 0 Revisions: �7f ys -.moaao '� ���OAgtlC�9M u' CV N N N • 00 0 CO y CO 3046 a ress Insulate wall w/ J N J N C:VR-13insulation. 0 °' °A� Insulate cell.w/ bA � R-30 (nsul. ® 0 0 Lj E o Provide new E E N D E All renovated sprinkler heads )� " /new bedrm.walls iri new rooms. �Il �YUa shall be C 2" V,Ip. V, � �V L plywood. appe Exist. Jolnts and Finish }�p� �-a PB Indicates manual pull box 00-0 _ 100 s.f. I UU X4'-(oo" 4'-6" 11� 4'-4" w E;terror S Indicates emergency strobe energ. Tight ❑ light bifo11 ld. Indicates AC/DC smoke Provide lever S detector handles on new — —a' — LE — — 36" doors. Annunciator Panel N AP 3'-0" 36" ai� News rinkler head (location bifold. approx.) ® Exist. Office AG/DC Emergency light X New X s 111 f^! 1 OFire extinguisher i U Fur floor with sle ers as needed Q� to I vel Floor.Shim w/ p.t.shims. Insulate FI or cavity%" CDX • — su�floor. Frame-in door Side o match existing. Exist. ^^'' IL 3046 egress Pour up to match existingq foundation • �' hqt.COR-in waterstop. s- `- DDaampproof exterior'. ® U i O UO R R5T FLOOR FLAN � 00 ` s SCALE: 1/4"=1'-0" 0 *-' N O U Genera I Notes: la Due to the nature of existinqconditions, the General Contractor small v, field verify all dimensions anZI exist. conditions and shall notify owner of any discrepancies or new information prior to start of construction. o. 2) The contractor shall comply with all local, state and federal M regulations. t� 3.) Contractor shall be responsible for securing all necessary permits 0 and fees, a u O Framing Notes: _ o 1.) All floor,ceilinq 4 roof firamincl lumber to be Douglas Fir-Larch 02 cr N u better or HemFTF (North)02 or*better 2.) All framing shall be spaced at 16" oc.unless noted otherwise. Date: 6-11-08 3) Provide cross bridging at 8'-0" oz.maximum within all horizontal framing. Revisions: 4) All Micro-Lam. beams shall have a minimum allowable bending stress of 2600 p s.i,and a maximum moisture content of 1996. 8.) typical door and window headers shall be 2-2x8's unless noted otrerwiss. ba Provide sold blocking at all columns ancvor posts*ty tra,afer to structure below. 1.) Provide metal .foist hangers at all flush framing conditions.Exterior e , • Joist hangers shall be galvanized. �� -`rrr'` fir` '• 8,) Provide double ,jsts. or rafters 6 all sides of all openings in floors 4 roofs 9.) Install all engineered lumber per manuf. instructions. - �a .47 1, gtis�0 A a O.- tzs _ a° L.. o o — s J all o°Oj� fir `o y S s f� 41v 1 GROUP OME 124 WOODLAND DRIVE. SO [ )TH WINDSOR, CT - - - Architect: Client: Blue Moon Design Community Residences, Inc. 168 Main Street 732 West Street, Suite 12 Terryville, CT 06786 Southington, CT 06489 860-582-2225 860-621 -76.00 CODE INFORMATION GENERAL NOTES SCOPE OF WORK DRAWING INDEX Applicable Rererecnes: to provide a 5 person excludinct employees) group home. A-i FIRST FLOOR PLANS International Building Code 2003 Construction classification of R 4 carries a similar hazard Connecticut 2005 supplements classification as a one and two famlly use. No HCP accessibility Connecticut 2003 International Fire Code has been provided per section h01.l existing buildins. Existing use is group home. Provide the addition of one bedr9om and of rice pace. 3052 USE GROUP CLA551FiCATION: R-4, Residential Care/Assisted Living.5 person. Existing heating system to remain. Extend zone into renovated 310.1 -4-4: R-4 to follow R-3 construction requirements section. 503T HEIGHT/AREA LIMITATIONS: R-4: 4073st/unlimited s.r.(allowed) Provide shop drawings for sprinklers For Building Department 2072stAWO s.r.(act:aU review and permitting requirements. 601T TYPES OF CONSTRUCTION: TYPE VB (unprotected) Structural frame 0 hr. Bearing wallsExterior 0 hr. .i.:er,Or 0 hr. Norbearing interior walls 0 hr. Floor construction 0 hr. Roof construction 0 hr. 1012 SHAFT ENCL05URES: 0 HR.,Exc. *1 Not required for openings Win an individual dwelling unit and connecting 4 stories or less. W3.5 INTERIOR FINISHES: Sprinklered Vert.exit # passageways C Exit access corridors t other exitways C . Rooms and enclosed spaces C 9032.1 AUTOMATIC 5PRINKLER5: Required for all R(residential)uses.NFPA 13D. 906.1 PORTABLE FIRE EXTINGUI5HER5: Provided as shown on plans. 901.0 FIRE ALAW t DETECTION: Fire alarm not required but provided. 9012.10 MULTIPLE-STATION SMOKE DET: Required and provided. 9013.1 VISIBLE ALARMS: Not required but provided. S12.1 CARBON MONOXIDE DETECTORS: Provided. 1006.1 EMERGENCY LIGHTING: Exc. 13,not required for dwelling units and sleeping units in the R-3 / use but provided. 1001.1 ACCESSIBLE MEANS OF EGRE55: Exc.I Accessible means of egress are not required in alterations to existing buildings. 1009.11 HANDRAILS: Exc. 02 Stairways within a dwelling unit require one handrail 1009.11.5 HANDRAIL EXTENSIONS: Handrail extensions to be provided at exterior stairs.See plans for more information. 1011.1 EXIT SIGNS: Not required per exc. *3. 1019.1 VERTICAL OPENINGS: Not required per 1019.1,exc. 01(occupant load less than 10),03(R-3 use). �.� F A„NN Revisions: SFD A�C��,d -- — _ f i` N LO .L_..___....—. (V • �� 00 1 l � Q 3046 a ress III- f � N ■lta ' �._4 N Insulate wall w/ ti ao-R R-13 Insulation, c 0 O o Insulate cell.w/ = N R 30 Insul. •� $ C E oProvide ° All renovated 6 heads :;E " °s /new bedrm,wa Ile iri new rooms. rm, � @- shall be qGY� V.IR ^ l ,_, r� _ Plywood.tape Exist. V� v Joints and 5edrm. PB Indicates manual pull box � Fes- U ](00 S.F. �'� U X 41 611 4 611 41-411 Q � Ext�rlA emerg.light Ight tme aanergancy etroba biFold. S Indicates AC/DC smoke `7 Provide lever 5 detector handles on new doors. AP Amunctator Panel pr a News (rrcler head (location bu " irold. Exist. • apprx) Office 1ce ® AC=Emergency light New LU ❑S ,,��II � OFire extinguisher V Fur floor with slWU ers as needed to !evel Floor.Shim w/ pt shims. Insulate PI or cavity.%" CDX s floor. Frame-in door LA as needed. Side to match — — — existing. Exist. 3046 egress pour up to match j existinq Foundation h�qqt.Cu-t-in waterstop. y U Dampproof exterior o FIRS' FLOOR FLAN 0 SCALE: 1/4°=V-011 ,0 i+ Genera 1 Notes: 1) Due to the nature of existingq�conditions,the General Contractor shall field verify all dimensions anti exist.conditions and shall notify owner of any discrepancies or new information prior to start of construction. 2) The contractor shall complq with all local,state and federal regulations. 3) Contractor shall be responsible for securing all necessary permits .2 . and fees. a' U ;J Fram in Notes: r) II a� N 1J All floor,ce�ilinq t rooF framinnqq lumber to be Douglas Fir-Larch n or I L u better or HemFlf (North)*1 or better L 2) All framing shall be spaced at IW oc.unless noted otherwise. )ate: 6-11-08 3-) Provide cross bridging at V-0" oz.maximum within all horizontal framing. `revisions: 4) All Micro-Lam. beams shall have a minimum alL,iable bending strew.• 2600 p s.i.and a maximum moisture content of I$%, 5J Topical door and window headers shall be 2-2x8'5 unless noted otherwise. ba provide solid blocking at all columns and/or posts to transfer loads to structure below. Drawn By: TC/CH la Provide metal joist hanqers at all flush framing conditions.Exterior ,..,..�...f ,joist hangers shall be g1lvanized. 4M,y�� J RR/IIi� � f 8) Provide double,jets.or rafters a all sides of all openings in floors t �/�,+oo roofs :0 W Install all engineered lumber per manuf. instructions. c� hp 47d�; .rwe•rM State of Connecticut DDS Department of Developmental Services Moma A. Murray,J-D Dannel P.Malloy Commissioner Governor Jordan A. Scheff Deputy Commissioner Mr.caul xosin April 18,2017 Community Residences,Inc. 50 Rockwell Rd. Newington,CT 06111 RE Woodland Drive R-1042 124 Woodland Drive South Windsor Dear Mr. Rosin Based on a review of documentation provided by your agency,the Department of Developmental Services has established your facility's"Evacuation Difficulty Score"(E-Score"),under the 2003 NFPA 101,Life Safety Code.This score and related information is detailed below. This"E-Score"is valid only as long as the information listed below is still valid, and only for the clients listed below, provided there are no changes in their physical or mental condition, since the survey date.It is your responsibility to notify this office of any new clients not listed below, or of changes in client conditions or staffing levels that have changed since the date of the survey. Please contact Fire Chief Timothy E.Baldwin at Southbury Training School Fire Department,P.O. Box 872, Southbury,CT 06488-0901. Telephone: 203-586-2638/Fax: 203-586-2722. This documentation, along with a copy of the survey provided by your agency, should be kept in your files to be made available for the fire marshal's use during the annual licensure inspection of your facility. E-Score Evaluation Date:March 17,2017 DDS Region:NR DMR Number Client Individual E-Score Evacuation Capability:Prompt 00049507 JONES, ANDRE 1 E-Score Status:Annual Vertical Distance:0.8-All bedrooms on floors with direct exits DC939044 VITALI, NICHOLAS 1 Staff Score:40-2 staff immediately available 00042993 TYLER, TIM JR. 1 Provider Survey By:Claire Williamson 00054798 VARGAS,W KEVIN 1 E-Score Evaluator:Rasmussen 00043881 BROWN, ALLEN 1 E-Scores are calculated using the following formula: E-Score: 0.1 Sum of all individual e-scores times the vertical distance divided by the staff score. Sincere w ln, ehief T�t try E.Baldwin, Dept.of Developmental Services cc: Fire Marshal Regional Director File FIRE MARSHAL PLEASE NOTE:DDS must comply with the Healthcare Insurance Portability and Accountability Act of 1996(HIPAA). This law provides for the privacy and security of healthcare information and has regulations which'covered entities'such as DDS must follow. The sharing or disclosure of information is allowed only as required and permitted bylaw,or when an individual has given DDS permission.The privacy rule includes information that can be used to identify individuals,such as but not limited to name,DDS number,locations or addresses. You are not covered by HIPAA but we ask that you help us respect the rights of the consumers we serve and therefore request that you keep the identities of individuals released in this report confidential. h Ar State of Connecticut� DIDS �• � "� Department of Developmental Services WR/Southbury Training School M.Jodi Rell J Peter H. O'Meara Governor Commissioner Mr. Paul Rosin April 17,2010 Kathryn du Pree Community Residences.Inc. Deputy Commissioner 732 West Street Suite 12 Southington,CT 06489 Eugene Harvey RE Woodland Drive R-1042 124 Woodland Drive South Windsor Director Dear Mr.Rosin Based on a review of documentation provided by your agency,the Department of Developmental Services has established your facility's,"Evacuation Difficulty Score"(E-Score"),under the 2003 NFPA 101,Life Safety Code. This score and related information is detailed below. This"E-Score"is valid only as long as the information listed below is still valid,and only for the clients listed below, provided there are no changes in their physical or mental condition, since the survey date.It is your responsibility to notify this office of any new clients not listed below,or of changes in client conditions or staffing levels that have changed since the date of the survey. Please contact Fire Chief Timothy E. Baldwin at Southbury Training School Fire Department,P.O. Box 872, Southbury, CT 06488-0901. Telephone: 203-586-2638/Fax: 203-586-2722. This documentation,along with a copy of the survey provided by your agency, should be kept in your files to be made available for the fire marshal's use during the annual licensure inspection of your facility. E-Score Evaluation Date:March 25,2010 DDS Region:NR DMR Number Client Individual E-Score Evacuation Capability:Prompt DCF00124 SMITH, SCOTT 1 E-Score Status:Annual 00055078 RIVERA, CARMELO 1 Vertical Distance:0.8-All bedrooms on floors with direct exits Staff Score:40-2 staff immediately available 00048717 KNIGHT, ALEXANDER 1 Provider Survey By:W.Painter 00052988 LOPEZ, ANTHONY 1 E-Score Evaluator:Marshall 00054798 VARGAS,W KEVIN 1 E-Scores are calculated using the following formula: E-Score: 0.1 Sum of all individual e-scores times the vertical distance divided by the staff score. Sin Timothy E. Baldwin, Fire Chief Dept. of Developmental Services cc: Fire Marshal Regional Director File FIRE MARSHAL PLEASE NOTE:DMR must comply with the Healthcare Insurance8loUth a;CRiHiMtSUbOD(b1PAA). This law provides for the privacy and security of healthcare information and has regulations which'covered entities's (� fp}tg� pg s e @�Jgy�Qpp + rmi I pr individual has given DMR permission.The privacy rule includes information that can iCenlifihUtiigo sc �s C�tl n im�te h{i�{i)SeNldct' s`dr dre �' e u`dv�IIPAA but we ask that you p elp us respect the rights of the consumers we serve and therefore request that yoRe th$ioxtttaVairmivgoft leg¢feu is®ppAmNo io-06488 ww-,v.ct.gov/dds • e-mail: ddsct.westna ct.gov An Equal Opportunity Empl yer DEPARTMENT DECISION APPLICATION FOR SPRINKLER PERMIT TOWN OF SOUTH WINDSOR PERMIT# Application is by: L BUILDING DEPARTMENT PROVED 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 Date Building Inspector Application must be printed or typed FEE SCHEDULE Location of Job: F Psi vPe$0-$1,000=$15.00 Street Lot No. Over$1,000= $15.00 per$1,000 or any&action thereof gnation Apt.No. APPLICANT #T e S I w � ' O F 664?—A 6a�D V i L,&C-. (NC, i APPLICANT ADDRESS /000 c//2or'i- 1"/4— !it/7Sy2 APPLICANT PHONE# '&U - 6 z 7—6�f 9 0 powN St OWNER �d2PG� -nUN r-U2 OWNER ADDRESS 3 C) f o 2T)A n/ &--q rvd-- OWNER PHONE kb O C ESTIMATED COST$ A ��y IS THIS A CONTRACT COST? Yes _No FEE ENCLOSED$ �- 1�r x TYPE OF JOB: New Installation _Alteration/Addition/Repair Revised 4/01//2002 APPLICATION FOR SPRINKLER PERMIT (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?,AYES ❑ NO ❑MERCANTILE ❑EDUCATIONAL CURRENT USE AND OCCUPANCY S (y c„ ( (,2u LAP "}-o cy,'�) ❑ INSTITUTIONAL ❑FACTORY FUTURE USE AND OCCUPANCY ❑ STORAGE ❑GARAGE ENGINEER'S NAME PHONE ❑MIXED USE (Other please specify) ADDRESS CITY STATE ZIP KIND OF INSTALLATION NIL- SIZE OF MAIN DRAIN WATER PRESSURE AT STREET(PSI) CL O 51 � S��j r►'1 ARE SPRINKLER HEADS ALTERED? ❑YES ❑NO IF YES,CHECK ALL THAT APPLY: ❑ADDED ❑DELETED ❑ALTERED IF MORE THAN 3 HEADS ARE ADDED HYDRAULIC CALCULATIONS ARE PROVIDED BY(CHECK ONE) ❑PROFESSIONAL ENGINEER ❑INSURANCE COMPANY WATER FLOW WATER PRESSURE AT SPRINKLER HEADS(PSI) ARE PUMPS REQUIRED? YES ❑NO IF YES,CHECK ALL THAT APPLY: ❑FIRE ❑BOOST/ER, `OTHER ARE STANDPIPES PROVIDED? ❑YES ❑NO IS A SPRINKLER SYSTEM PROVIDED? ❑YES ❑NO SPRINKLER SYSTEM MAIN WATER SUPPLY RATING_-�_O 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. �7__ CONTRACTORS LICENSE NO. /, T E STATE SIGNATURE OF APPLICANT '- DATE _l x N 660-28'-50" W J I.P. 5 DRAINAGE EASEMENT V79,15.173 125.00' � f � 9,c I o W LOT 12 f 3 - V.266 , P. 30 o 4m 40' R.Y. AREA - - - -- 0 J W rn 19901.25 S.F. M a 0.46 AC. - w N Q N - �N N 0 V) Ito O — _ O I - 0 LOT I I a iN I I :34. Q Z COVERED OPEN PORCH rE O 72.6' 10.2' 0 LOT 13 1 HOUSE e � N N 10.99 i 4 59.S' 7WALK 24.2'4 B.L. GRAVEL C DRIVEWAY , N ( a SUBJECT TO CLPCO \ \ EASEMENTS; V.T7,P.147 d 148 \ \ 125.00' 1.P. 1 P \ S 66 -22W-50"E 1 SNET 3548 WOODLAND DRIVE JUL 17 1992 South Windsor BUILDING DEPARTMENT TO THE BUILDING DEFT. TOWN OI S"Altli This rertiflad that this Dian and speciflcntic, - col>bs of the proposed building or alteratInr: r.; oractod at C;Ll f u0o 0(' p 5W tngether with amendments stated in application rlled with plan and I agree to comply with all 7nr: :oilding and state laws and such orders as •.nmi '-,auad by the Bul"nR Department during penda I this application and final issuance of • bulldi permit.—d pus Pian Is appro subject to the condition thr .>rdors and ordinances regulating building shelf bt —plied with. Conditionally Approved These filed with puildins Inapecto( Clark �G 09 L .................................. ................ ............... ........... J ........... ............. ........... P.F P R I N.k;-9-F: c 0 10 C-0 0 LO' C OJ T CI.,;,. _NU`S I-R 1,C K'S C'T ............. .................................. Y ..................... q p 'T C y 2,2] T' IL O A ........... ................................... ...... .......... LIC.N 5 STATE HE Im JAMES M.LAWRENCE y 71 DOW ZVI- 30 ARCD TE 2/ A .W 1 MI &Noon WS —A AF, 1.1 m i r, 1,1A t VE MD42 Eis" AEF. ow P F; Pt Ru. E W" F R 1 C 0 N L -1 E S Y RIAT qu pi Q psi pi QIT h. Hqu h0mg anph %:9 Filt hen FAS 100 OR WE M.32 1.R Ms MW 40: W 420 2KE WE 4 1 DS 0 -L 1,z'U :6.� I 1W 131 11 .01 M S: 410 ).A "K K 1.0 222D 2E 27.74 43.P 0.M L M Q ME i,E 110 002 26.f W I Q 15: M 76 A0 U1 100 E T 22.hi 51.63 0.136 MGO U 2:1 5._; 70 ;Y3 �( US 0M 142 L it 13 04 -01 2f.0 LE2T 7 1..3 1 �*"D 0.00 "410 :10 26.f 5.5. 6.5LEO AC 20 1 47 AT! 1 M 3.27 157 0. 62 4.2W 0 1 70 0 103 FID 205 to A -011 -03 Zvi! Rh 1.A 40, Q.W 0.M imh 1:1 4.3 4.- Vol 5h 04 X h -Q.:5 3: 2.47 T-i 7.52 W) EF L 0,',, 24.Cl 0.0=7 ,,i.-0 1:) 2-,.E 411.1 1EX0 SOL .3.1 11 VP 113 EM 1hou Y.EO E 13.17 2UP 0.030 "101 Q 13.0 W, 24 7 r, j 4 4- E' -:.-i L 2 r. 21.77 '7.71 1:1 2 1 Z 44 2CT '27 -5 % 2- T ��_-- C*b F Cµ t ,N I...- OCR YIIW X_ G U N"'"N -,z r .:N... : ="4- 11.114 II._.:N Q:...:U Co IL_tl"=fit N"•N N...:.T N. :u If';t E %/ N=- H�;...•k 1° 1 L--- ..:N_ ""1;A'- SOUTHWINDSOR CT. -------------------------------------------------------------------------------- HFP SPRINKLER CORP. 1000 OLD COUNTY CIRCLE WINDSOR LOCKS CT. -------------------------------------------------------------------------------- Design Specifications Water Supply Information System Demand --------------------- -------------------------- ------------- Density . 0.050 42.00 psi @ 0.00 gpm 20.31 psi Design Area: 0.00 42 00 psi @ 50.00 gpm 27.0 gpm -V,r. a -N':.._-u. 'JI_ C'>u;�_I:d..u_u..i�4 ir�w r:N .. :a:*":��' .. +C a p q;a'u u r d;=11 ;2 nwu _ , °!'M .::N_ 3.. -m" a.. Notes: List of Fitting Abbreviations Example: "E2TC" = one Std. Elbow, two Std. Tee and one Check Va Code:Description Code:Description Code:Description Code:Description A Alarm Va H . 0 . V . B ; Butt° flyVa I : P ; W : C Check Va J . Q . X D DryPipeVa K : R : y : E Std Elbow L ; LongTurnEl S : Z : F Deluge Va_ M T : Std. Tee G Gate Va N U : Calcs By: M.TURCOTTE Checked; 12/29/04 Page: 1 Ser:*310156* Hypercalc Program by Crowley Design Group, (215)-337-7060 y e N.....II N..fl..11 I1"fl"U...:iN U'. y , i: : U... _. Nir fl"Ni ;�i n_11 " r 4. 'w: 3_ dz.],11,"up Job No: 124 WOODLAND DRIVE HOME 13D Design density: .05 Supplied flow and pressure is based on 20.31 psi available at supply ( 42.00 psi is actually available ) Ref. PRESSURE K FLOW Percent Ref. Pt. Pt Pv Pn Factor Actual Minimum Excess Pt. SO1� M9.41 �MTT^ �9.414 =MM4.40 N 13.5 �y^13.5 0.0% S01 S02 9.47 9.47 4.40 13.5 13.5 0.05% 302 Calcs By: M.TURCOTTE Checked: 12/29/04 Page: 2 Ser:*310156* Hypercalc Program by Crowley Design Group, (215)-337-7060 o:.::; Job No: 124 WOODLAND DRIVE HOME 13D Elev. REF, Flow Pt Pf Pe Pt REF. Elev. FRIC TION L 0 S S C A L C U L A T I O N S Velocity ft. POINT gpm psi psi psi psi POINT ft. Length Fitting Length Total Pf/ft Diam C Flow fps 7.50 A04 << 27.0 << 16.40 0.30 0.00 16.70 RT1 7.50 2.50 E 13.27 15.77 0.019 1.602 150 27.0 4.3 7.50 A04 » 27.0 >> 16.40 -5.98 0.00 10.42 TO1 7.50 14.50 2ET 37.64 52.14 0.115 1.109 150 27.0 9.0 1.00 FPD » 27.0 » 20.31 -0.11 0.00 20.20 R81 1.00 4.00 4.00 0.028 1.610 120 27.0 4.2 1.00 RBI » 27.0 >> 20.20 -0.68 -2.82 16.70 RT1 7.50 6.00 CGT 18.00 24.00 0.028 1.610 120 27.0 4.2 7.50 SO1 << 13.5 << 9.41 1.01 0.00 10.42 T01 7.50 4.00 2E 27.74 31.74 0.032 1.109 150 13.5 4.5 7.50 S02 << 13.5 << 9.47 0.95 0.00 10.42 T01 7.50 2.00 2E 27.74 29.74 0.032 1.109 150 13.5 4.5 Ca1cs By: M.TURCOTTE Checked: 12/29/04 Page: 3 Ser:*310156* Hypercalc Program by Crowley Design Group, (215)-337•--7060 Path Summary Printout for 124 WOODLAND DRIVE HOME 13D Job No: 12/29/04 System: l Drawing: FP 1OF1 lz 0-11 1"'.1 C3 m.u-p(:..:N .. e...ai 8•--0 K.'a Principal path Feeds Path:2 at Pt:T01 -- ------------------------------------------------------- Ref Elev. Pressure (psi) K Flow (gpm) Veloc Diam. Actual Fitting Fitting Total Frict.Loss Elev. Loss Next Ref Pt. ft. Pt Pv Pn Factor Added Total fps in. Length Summary Length Length per.ft Total Psi (ft.) Press Pt. (C:150) S01 7.50 9.41 9.41 4.40 13.5 13.5 4.47 1.109 4.00 2E 27.74 31.74 0.032 1.01 10.42 T01 T01 7.50 10.42 10.42 13.5 27.0 8.96 1.109 14.50 2ET 37.64 52.14 0.115 5.98 16.40 A04 A04 7.50 16.40 16.40 27.0 4.29 1.602 2.50 E 13.27 15.77 0.019 0.30 16.70 RT1 (C:120) RT1 7.50 16.70 16.70 27.0 4.25 1.610 6.00 CGT 18.00 24.00 0.028 0.68 2.82 ( 6.50 )20.20 R81 RBI 1.00 20.20 20.20 27.0 4.25 1.610 4.00 4.00 0.028 0.11 20.31 FPD FPD 1.00 20.31 - Path K--Factor = 6 00 DL 1,.1 1E- -Fed-by-path-No.1- - ------------------------------------------------------------------------------------------------------------------------------ Ref Elev. Pressure (psi) K Flow (gpm) Veloc Diam. Actual Fitting Fitting Total Frict.loss Elev. Loss Next Ref Pt. ft. Pt Pv Pn Factor Added Total fps in. Length Summary Length Length per.ft Total Psi (ft.) Press Pt. (C:150) S02 7.50 9.47 9.47 4.40 13.5 13.5 4.48 1.109 2.00 2E 27.74 29.74 0.032 0.95 10.42 T01 T01 7.50 10.42 """""" AAAAA Path K-Factor = 4. 19 I Calcs By:M TURCOTTE Checked By: Page: P-01 Ser:*310156* Hypercalc Program by Crowley Design Croup, (215)-337-7060 DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT PERMIT# Applicatio y: TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT APPROVE 1540 SULLIVAN AVENUE Bldg.Permit# AN 2644-2511 ext. 230 -3 Date wilding In Application must be printed or typed FEE SCHEDULE Locations of Job: $0-$1,000=$15.00 Street No. Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT APPLICANT ADDRESS APPLICANT PHONE# o (o D W N S f OWNER -4< OWNER ADDRESS ^Q CIO c OWNER PHONE C = ESTIMATED COST$ b IS THIS A CONTRACT COST? Yes FEE ENCLOSED$ I"� S O�� TYPE OF JOB: R C New Installation teration/Addition/Repair Revised 4/01//2002 APPLICATION FOR PLUMBING PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED A _-RESIDENTIAL BUILDING PERMIT APPLICATION? et�O NO U ❑BUSINESS CURRENT USE AND OCCUPANCY r+Z 5•`0.?iy t�C ❑ASSEMBLY ❑MERCANTILE❑ 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 kQ& �Q SIZE OF MAIN DRAIN NO.OF TOILETS STYLE NO.URINALS STYLE NO.OF BATHTUBS NO.OF SHOWERS �_ NO.OF LAVATORIES l NO.OF CONDUCTORS SIZE NO.OF STACKS SIZE AREA OF ROOF NO.OF CATCH BASINS NO.OF FLOOR DRAINS NO. OF OTHER FIXTURES r KIND 110 6 4 Div �i'y�(� �"U /C !fy w ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW ❑YES ❑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 -kit C o ti C-F I HE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT DATE c2 f � i DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT TOWN OF SOUTH WINDSOR +PERMIT# Applic is hereby �1 BUILDING DEPARTMENT APPROVE 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 Date Building Inspect Application must be printed or typed FEE SCHEDULE Location of Job: aa�� 1�� )66d 1G 1114 $0-$1,000=$15.00 Street No. Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. ,O APPLICANT61JVrJI-Yl APPLICANT ADDRESS /,3 U emu )-N) i no to� ��Cll 7 D��y � APPLICANT PHONE# 860 " 5I1I �Ow N s t OWNER o(a Dry &rl i i17 � �d e� L IV,(7Q OWNER ADDRESS OWNER PHONE C ;D ESTIMATED COST$ 5000 IS THIS A CONTRACT COST? - Yes _No FEE ENCLOSED$ r1 S -• O�� TYPE OF JOB: �R C _�terationjAddition/Repair tallation Revised 4/01//2002 Y 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 ❑ASSEMBLY ❑MERCANTILE❑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 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 f.Ulre mo i�rl rfrom on-d -Fomdq room a'ab6k f rG Jdd l horo W1r� f-a 1h r�(r) a)l th l� ����i i/ ��SfU �l fi11 oafltofs on kI f h a n (1 o nt 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. TYPE STATE // SIGNATURE OF APPLICANT � ) //��/� DATE 1 Z Z e`1� FORQUAIM OLIVA'S ELECTRIC LLC � EI,ECfRICAL , 137 Fox Run Drive SERV[CES Southington, CT 06489 TEL: 860-224-6699 10 FAX: 860-426-1967 RE: December 1 , 2004 124 Woodland Drive South Windsor, CT To Whom It May Concern: I'm writing this letter giving my wife, Beth Oliva the authority to sign for an electrical permit for the above listed address. I have enclosed a copy of my Connecticut E-1 license. If you have any questions please feel free to contact me. Sincerely, U4 `r,�A Robert Oliva-owner CT # 123449 MA # E50460 Electric# 1a►"I APPLICATION FOR BUILDING PERMIT Plumbing# .11273 124 Woodland Drive HVAC # 7-71 Sprinkler# `'I I y 31174 FINAL APPROVALS - - -—- - Estimated Cost Building COMPLETE RED BOXED AREAS Permit Fee $ Engineering TYPE OR PRINT ONLY Occupancy Fee $ Eng. Insp. Fee $ Affidavit SIGN ON REVERSE SIDE 1 6D Appr. for CO. -- Total Fee $ 3o, TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ The undersigned hereby applies to do work according to the following: Applicant Tc b, 1. Ai,cs location of Work 1 a WcO,_-)lc nt-) b r- Lot No. Applicant's Address 329 1 l- 'TeI.# 1GG � 7• d2 f'r %0 Town r U 4 CkJ ;/1___r -6 T Zip o e,-7 9-7 `d ic.# SD Owner Architect Owner's Address /2 c/ kk,,4 ,L��f (2. Architect's Address Zip Zip- Sq. Ft. New Area.- 1 st FI. 2nd FI. 3rd FI. Tot I New Area Purpose of this permit c N/� City Water❑ Well❑ Septic System❑ Sewer❑ Ins: HO er .. Area Basement Garage Approved by Use Grou Construction Type Revised 6102 r 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 ;c-htmh s Wilding and its use is allowed. Signed I hereby apply for a Certificate of upanc for the work described his application for the permit. Signed DO OT WRITE B Izz W THIS LINE INSPE ION COMMENTS Inspection / Approval Date By Appl - Code Description Due Whom Code Comrtsnt ------------------------------------------------------------------------------- **-31174-B 28,000 B03 FRAMING (ROUGH) 12/02/04 PJP A W/JOHN E03 ROUGH 12/13/04 CJD A P03 ROUGH 12/22/04 PJP A PRESSURE TEST AIR H03 ROUGH 12/22/04 PJP A PRESSURE TEST HEAT LOOP AIR B09 OTHER 12/22/04 PJP N/A NO SPRINKLER YET?LEFT MESSAGE W/PLUMBER TO HAVE GC CALL OFFICE B10 FINAL 02/16/05 PJP D GFI BATH NOT WORKING,SINGLE RECEP WASHER, EXT BCK GFI NOT WORKING,SEP GAR 5/8 GYP B10 FINAL 02/25/05 PJP D NO ACCESS TO GARAGE,WASHER OUTLET NEEDS SINGL CONTRC WORKING ON SPRINKLERNO FM APPROVAL B10 FINAL 03/02/05 CJD A CLOSED OUT. **-1416-S 11,750 **-12422-H 1,500 **-11873-P 3,500 **-19420-E 2,800 ! - 1 DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT TOWN OF SOUTH WINDSOR PERMIT# Applica ' eby: as \\ BUILDING DEPARTMENT a` APPROV 1540 SULLIVAN AVENUE 20 644-2511 ext. 230 Bldg. Perm(iit(# Date Building Insp r Application must be printed or typed FEE SCHEDULE G Location of Job: $0-$1,000=$15.00 Stree`No. Street� Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof Tenant Designation Apt. No. APPLICANT APPLICANT ADDRESS APPLICANT PHONE# V OYr N St OWNER o-F c OWNER ADDRESS OWNER PHONE 0 C ESTIMATED COST$ IS THIS A CONTRACT COST? _Yes FEE ENCLOSED$ r��s O�� TYPE OF JOB: �R C _New Installation teration/Addition/Repair Revised 4/0I/000 J r APPLICATION FOR HVAC PERMIT (Continued from reverse side) TYPE OF SYSTEM: TYPE OF BUILDING: GATING UHMSIDENTIAL O A/C ❑COMMERCIAL ❑VENTILATION ❑ INDUSTRIAL HEATING ❑ STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS. akgYDRONIC ❑WARM AIR ❑UNIT RADIANT HEATER EXISTING RADIATION :�--Q� ADDITIONAL RADIATION -2 2 • TOTAL RADIATION/b 7 DESIGN TEMP. OUTSIDE__O�__°F INSIDE 7(_°F DIFFERENCE OF TOTAL HEAT LOSS(BTUH) °F(HEAT LOSS SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL HEATING EQ IPMENT(INCLUDING MAKE&MODEL NO.) GROSS HEATING CAPACITY(INPUT—BTUH) NET RATING(OUTPUT—BTUH) TYPE OF FUEL O 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) n ,/ 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. _30 ff&-5-7 S' 3 cT CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE 0F APPLIC DATE 12/01/04 07: 25 PH EST F. N. !Hebb Company via AutoFax Page 2 of 3 #089015 E W. WEBB COMPANY RESIDENTIAL EAT LOS GAIN CALCULATIONS /d'Ll 0001( 9N� PREPARED BY JOE BONEY BR25 7 PROJECT # 159835 BY SLS156 ENTERED 12/01/04 BLDG 1. NAME FRED' S SERVICES GAIN BTU: 4035 2. LOCATION : 124 WOODLAND S. WINDSOR GAIN CMF: 135 3. HI DESIGN TMP: 70 8 GRND TEMP 50 LOSS BTU: 15567 4. LO DESIGN TMP: 0 9. COOL AIR TMP: 50 LOSS CFM: 294 5. ROOM TEMP 71 10. WARM AIR TMP: 120 BASEBRD' : 27 6. LEEWAY 10 TONNAGE 0. 3 7. # OF PEOPLE 5@400 ------------------------------------------------------------------------------- ROOM # 1 OF 3 41 WALL G DELTA -1 12. ROOM NAME : DEN/BEDRM 42. WALL L DELTA 71 43. FLOOR G DELTA -1 44. FLOOR L DELTA 71 45 CEILNG G DLTA -1 46. CEILNG L DLTA 71 47. BELW GRO DLTA 21 35. MISC BTU GAIN 13. EXT WALL LEN 33 24. FLOOR R-FACTOR: 19 36. MISC BTU LOSS 14. EXT WALL HGT 8 25. HEAT/CL BELOW : N 37. BASEBD BTU/FT 600 15. WALL R-FCTR 15 26. CEILING R-FCTR: 19 38. PEOPLE BTUS 400 16. WINDOW SO FT 47 27. HEAT/CL ABOVE?: N 39. MOIS TURE 23 17. WINDOW GLASS : 0 28. SKY LGHT SO FT: 0 40. ZONE 1 18. 00OR SO FT 11 29. SKY LGHT TYPE : 0 ***TOTALS FOR ROOM**+ZONE 19. DOOR R-FCTR 2 30. AIR CHGS/HOUR 50 * GAIN BTU: 1399 2035 20. N, NE, E, SE. N 31 EXTRA PEOPLE * GAIN CFM: 47 68 21 WIN. SHADING N 32. LIGHTS (WATTS) * LOSS BTU: 9169 15567 22. : BELOW GRADE: 0 33. KITCHEN (Y/N) N * LOSS CFM: 173 294 23. FLOOR SO FT 400 34. 13ATH (Y*N) N * BASEBRD' 16 27 ------------------------------------------------------------------------------- ROOM # 2 OF 3 41. WALL G DELTA -1 12. ROOM NAME BACK BEDRM 42. WALL L DELTA 71 43. FLOOR G DELTA -1 44. FLOOR L DELTA 71 45. CEILNG G DLTA -1 46. CEILNG L DLTA 71 47. BELW GRO DLTA 21 35. MISC BTU GAIN 13. EXT WALL LEN 18 24. FLOOR R-FACTOR: 19 36. MISC BTU LOSS 14. EXT WALL HGT 8 25. HEAT/CL BELOW N 37 BASEBO BTU/FT 600 15. WALL R-FCTR 15 26. CEILING R-FCTR: 19 38 PEOPLE BTUS 400 16 WINDOW SO FT 10 27. HEAT/CL ABOVE?: N 39. MOIS TURE 23 17. WINDOW GLASS S 28. SKY LGHT SO FT: 0 40. ZONE 1 18. DOOR SO FT 21 29. SKY LGHT TYPE 0 ***TOTALS FOR ROOM***ZONE 19. 00OR R-FCTR 2 30 AIR CHGS/HOUR 50 * GAIN BTU: 428 2035 20. N, NE, E, SE. N 31 EXTRA PEOPLE * GAIN CFM: 14 68 21. WIN. SHADING N 32. LIGHTS (WATTS) * LOSS BTU: 4008 15567 22. % BELOW GRADE: 0 33. KITCHEN (Y/N) N * LOSS CFM: 76 294 23. FLOOR SO FT 124 34. BATH(Y*N) N * BASEBRO' 7 27 ------------------------------------------------------------------------------- HJROOM # 3 OF 3 41. WALL G DELTA -1 12. ROOM NAME : BATH 42. WALL L DELTA 71 43. FLOOR G DELTA -1 44 FLOOR L DELTA 71 45. CEILNG G DLTA ; -1 46. CEILNG L DLTA 71 47. BELW GRO OLTA 21 35. MISC BTU GAIN 13. EXT WALL LEN 9 24. FLOOR R-FACTOR: 15 36. MISC BTU LOSS : 14. EXT WALL HGT 8 25. HEAT/CL BELOW N 37. BASEBD BTU/FT 600 15. WALL R-FCTR 15 26. CEILING R-FCTR: 19 38. PEOPLE BTUS 400 T r 12/01/04 07: 25 PH EST F. N. Webb Company via AUtaFax Page 3 of 3 $899015 E 16. WINNOW SO FT 4 27 HEAT/CL ABOVE?: N 39 MOIS TURE 23 1,7. WINDOW GLASS S 28. SKY LGHT SO FT: 0 40. ZONE 1 18. 000R SO FT 0 29. SKY LGHT TYPE D ***TOTALS FOR RODM***ZONE " 19. 000R R-FCTR 2 30. AIR CHGS/HOUR 50 * GAIN BTU: 208 2035 20. N, NE, E, SE. N 31 EXTRA PEOPLE 7 8 21. WIN. SHADING N 32. LIGHTS (WATTS) * LOSS BTU: 239 1556 22. % BELOW GRADE: 0 33. KITCHEN(Y/N) N * LOSS CFM: 45 294 23. FLOOR SO FT 86 34. BATH (Y*N) Y * BASEBRO' 4 27 ------------------------------------------------------------------------------- ldc/ tjo0cQ/,Z�l DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT PERMIT# Application is hereby: TOWN OF SOUTH WINDSOR 6 1 Id /, BUILDING DEPARTMENT (APPROV 1540 SULLIVAN AVENUE Bldg. Permit# 5 ✓ 644-2511 ext. 230 Date 6tuilding Ins or Application must be printed or typed FEE SCHEDULE �:, ,-, � � I Lo atlion of Job: $0-$1,000=$15.00 Street No. Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT l S e,L u r l S APPLICANT ADDRESS 1 d11 APPLICANT PHON #n y� Ow N S F,q OWNER �1 `� I ► fly C OWNER ADDRESS Y �r( 6 OWNER PHONE C = ESTIMATED COST$ IS THIS A CONTRACT COST? Yes _No FEE ENCLOSED$ . gy ri 1��5 O�� TYPE OF JOB: OR C 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 ❑ASSEMBLY — ❑MERCANTILE FUTURE USE AND OCCUPANCY ❑ EDUCATIONAL ❑ INSTITUTIONAL ❑FACTORY ENGINEER'S NAME PHONE ❑ STORAGE ❑GARAGE ADDRESS ❑MIXED USE (Other please specify) CITY STATE ZIP TYPE OF INSTALLATION/WIRING METHOD on ! SIZE OF SERVICE SIZE OF MAIN CONDUCTOR NUMBER F 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 Tn cW I f)Pw i t i h� Orm rr j OY� y e l 01A pbv- 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. /K--)5'�F� y CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICAN , DATE/-15272y Electric # APPLICATION FOR BUILDING PERMIT Plumbiir.g# 124 Woodland Drive Date:'7/1Din L HVAC # Sprinkler# 2 9 0 5 4 FINAL O -_ _-- Estimated Cost $�L o o Buildin ° ti Permit Fee $ /�20 COMPLETE RED BOXED AREAS Occupancy Fee $ Enginee ' TYPE OR PRINT ONLY Ong. Insp. Fee $ Affidavit POP" SIGN ON REVERSE SIDE Appr. for Co. Total Fee $4y)-o, r- TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ The undersigned hereby applies to do work according to the following: ApplicantTNonn,)a thai-her,, Location of Work 1-4 y w6uoQ_e, 4� W,. , Lot No. Applicant's Address 5 2 7 7 c-v,4I--A Apt, Li,: , hr P-, C, T Tel.# 14 2 3' q Q q 0 Town Zip 0 b y Lic.# �L `Z 4�-� OwnerCyr?-r-),(Jti tj,,rnCjah Architect Owner's Address I z 4 K oc 4 L sj Architect's Address S ZipO b2i- Zip Sq. Ft. New Area: 1 st Fl. 2nd Fl. 3rd Fl. Total New Area Purpose of this perrmitl S Tr,f — F# b ld( /L,• ,, J tq !( .�cc s����r I i �'•-I"r� ��1�tee, T� Aie�- � y* City Watero Well❑ Septic System❑ Sewer❑ Ins: HO SP Cert. Area Basement Garage Approved by Date d-t1 2— Use Group I Construction Type �— Revhwd GM2 I hereby agree to conform to all the requirements of the Laws of the State of Connecticut an 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 wh ch this building And its use is allowed Signe d'h fJ �i; ry 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 Duewhom Code Comment ----------------- ------------ ----------------- **-29054-B 7,600 B10 FINAL 12/30/03 JFF A B10 FINAL 12/30/03 JFF A CLOSEOUT Department of Public Safety Division of Fire, Emergency& Building Services Office of State Fire Marshal STATE OF CONNECTICUT On 3-6-06, the South Windsor Office of the Fire Marshal conducted an inspection of Corporation for Independent Living located at 124 Woodland Dr. in the City/Town of South Windsor to determine the degree of compliance with the fire safety requirements of Connecticut General Statutes Chapter 541 as authorized by Section 29- 305 of the statutes. This facility was evaluated as a existing Residential Board and Care as classified by the CONNECTICUT FIRE SAFETY CODE. Asa result of this inspection, the following conditions were found: I. At the time of inspection, no code violations were identified, Certificate of approval recommended. ❑ II. At the time of inspection, conditions were discovered to be contrary to the minimum requirements of these codes. An acceptable plan of correction was submitted. (See attached information) Certificate of approval recommended. ❑ III. At the time of inspection, conditions were discovered to be contrary to minimum requirements of these codes. No approved plan of correction was submitted. (See attached information) Certificate of approval NOT recommended. ❑ IV. Based on the extreme hazard to public safety discovered at the time of inspection, this office is currently seeking an injunction from the court through our Town/City Attorney for the purpose of closing or restricting usage of this facility by the public. (See attached information) Certificate of approval NOT recommended. March 6,2006 Val Summers, Fire Marshal Date City or Town: South Windsor DIGITAL COMMUNICATOR INC. Four Aaron Way East Hampton,Connecticut 06424 267.8069 $ On our company inspected and tested the fire alarm system. Aect Name: C Address: ��`�- �G✓a ���";,? Phone Number: r` urn The Following tests were performed: 0 Cleaned and tested smoke detectors 0--tested Detector sensitivity [T Checked signals to Central Station Inspected heat detectors ❑ Checked emergency lights ❑ Annual full function test performed E311`�I_nspect Fire extinguishers III—Kitchen 0—Hallway ❑ Bathroom Uvingroom ©�Boiler room ❑ Other Bedrooms [—Laundry room ❑ 2nd floor 13' Foyer 0--Basement Q-- office areas Q' Den ❑ Attic Problems/Suggestions: Parts used: le X j y 1 y r Signed: Signed:,,-". --�.�. HFP Corporation HFP Sprinkler of Hazardville,Inc. HFP Sprinkler of Natick,Inc. 32 Char Drive 1000 Old County Circle#112 6 Airport Road Westfield,MA 01085 Windsor Locks,CT 06096 Hopedale,MA 01747 (413)568-4709 •(413)562-7298 Fax (860)627-6490•(860)627-6459 Fax (508)478-8080•(508)478-7070 Fax Backflow Prevention Device Inspection and Maintenance Report Form Owner of Property Date Mailing Address Examined by,`j��`"; 4�`a Certificate# (Town) MP) Contact Person RPZ bDCVA ❑ PVB ❑ Property Name J % 3,,' ,7 �;��:° ^, 7f Bronze ❑ Iron b. St. Steel ❑ Property Address °°�=1 C,1 /,rfFi?;�1 � i s t� �'_.�x? (Town) (�P) HFP Job# Exact Device Location 1'"!1LC'- ;t Make V 3 �" ~_ Model No. ='1 ✓ Size / '/ Serial No. -7�:i(1,-� Reduced Pressure Backflow Preventer Double Check Valve Assembly Pressure Vacuum Breaker Check Valve No. 1 Check Valve No.2 Relief Valve Check Valve Air Inlet Closed Tight- Closed Tight ` }— Opened at Closed Tight ❑ Opened at Initial Test Leaked ❑ Leaked ❑ L� a' PSID Leaked ❑ PSID r�r 'PSID 'PSID Did Not Open ❑ PSID Did Not Open ❑ Repairs Test After Repairs Closed Tight ❑ Closed Tight ❑ Opened at Closed Tight ❑ Opened at PSID PSID PSID PSID PSID Condition of No. 2 Shutoff Valve :,aEj Closed Tig jJ ❑ Leaked Witnessed by: El FAIL t !/ Remarks er Agent _ Water Works Official ` State cial` r Certified Tester DEPARTMENT DECISION APPLICATION FOR SPRINKLER PERMIT PERMIT# Application is hereby: TOWN OF SOUTH WINDSOR Qt�Ul a BUILDING DEPARTMENT APPRO D 1540 SULLIVAN AVENUE Bldg.Permit# + d k 644-2511 ext. 230 �a a Date Building Inspector Application must be printed or typed Location of Job: FEE SCHEDULE $0-$1,000=$15.00 Street No. Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT APPLICANT ADDRESS 1000 1, � Z APPLICANT PHONE# � N S F OWNER 4:501-7 ,q OWNER ADDRESS fI 3 2 � Q Os OWNER PHONE ESTIMATED COST$ IS THIS A CONTRACT COST? l/ Yes _No G FEE ENCLOSED$ sO�� TYPE OF JOB: OR'C New Installation _ vAlterahon/Addition/Repair Revised 4/01//2002 APPLICATION FOR SPRINKLER PERMIT (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?DES ❑NO ❑MERCANTILE ❑EDUCATIONAL CURRENT USE AND OCCUPANCY tDY my— ❑INSTITUTIONAL V ❑FACTORY FUTURE USE AND OCCUPANCY ❑STORAGE ❑GARAGE ENGINEER'S NAME PHONE ❑MIXED USE (Other please specify) ADDRESS CITY STATE ZIP / KIND OF INSTALLATION SIZE OF MAIN DRAIN ! WATER PRESSURE AT STREET(PSI) ARE SPRINKLER HEADS ALTERED? ❑YES q NO IF YES,CHECK ALL THAT APPLY: 6g�ADDED ❑DELETED ❑ALTERED IF MORE T PAN 3 HEADS ARE ADDED HYDRAULIC CALCULATIONS ARE PROVIDED BY(CHECK ONE) l &OFESSIONAL ENGINEER ❑INSURANCE COMPANY WATER FLOW WATER PRESSURE AT SPRINKLER HEADS(PSI) ARE PUMPS REQUIRED? OYES ❑NO IF YES,CHECK ALL THAT APPLY: AzIRE ❑BOOSTER ❑OTHER ARE STANDPIPES PROVIDED? ❑YES <NO IS A SPRINKLER SYSTEM PROVIDED? YES ❑NO SPRINKLER SYSTEM MAIN WATER SUPPLY RATING 4`0 GPM TOTAL DYNAMIC HEAD(TDH)OF FIRE PUMP PSI DESCRIPTION OF WORK 10 S 2216 //;2 s THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. 4fCVJO7 CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT DATE 1=1 UY M won iq IV, "v" 1:3 F-0 woo U 1.. 1 4C70 2 -4 vvl J-A C3 P1 Er 1 Z5 SOUTHWINDSOR CT. -------------------------------------------------------------------------------- !::--B -L--- F.FF EFRIMi:".E`Z COIR;P. 1000 OLD C0UNfY CIRCLE WINDSOR LECKS CT. ------------------------------------------------------------------------ Design SpasiVications Water Supply information System Dgmand --------------------- -------------------------- Density 1 0. 050 42. 00 psi @ 0. 00 gpm 30. 48 psi Design Arean 0.00 42. 00 psi & 50.00 gpm 28. 5 qpm K C=y K aa 1. .11LD rx-5 !1-1 n. :2 Pa IT GM J.. 'EM. 'r:M rz",fl— i 1 J"L Notesu ---------------------------------------------------------------------------------- LIC N 00025 TATEOF( KNECTIM LAARENCE List a+ Fitting Abbreviations EmImplag E2TC" = one Std Elbow, two Md. Tee and one Check Va CadeMescription CodmaDescription CodegDescription CodeMescriptio.-, A : Alarm Va H 0 V B ; Butt flyva 1 P C i Check Va 0 X D orypirlava R Y E Std. Elbow L t Lang"urrEl 8 Z F i Deluge Ua_. a Md. Tea Cal=s By; N. TURCUTTE Chuckzw: 12/29/04 Paga2 Awn'"10 PYO—Am hv P-1mv noninn Mnm"m . F:--' 2-r-ro nr'. -p, V-1 1,:,.: 1 r-1 R-A imb NusF-104% 124 WOODLAND DRIVE HOME KD Desigr densitv: . 05 Eupplimd flow and prassure :a basad cm 30 48 psi availab a at supp 4 42.00 psi is actually available Rat . PRESSURE! K FLOW Percent Rai . Pt. pt PV Fm Fact=r Actual Minimum Excess Pt. Sol 9. 14 9. 14 4.30 13 0 11. 0 0. 0% 601 S02 9. B."]; 5.03 4.30 13.5 13. 0 3. 9% S02 Caics By: M. TURCOTTE Cneckadt ....... 12/29/04 Page; 2 Q=w am WjAn A—m—Ir PrmnpAm mv romw1mv Dmximn Oroun . (215) -337-7060 llh,� ZZA U 4:J Ta"P- -.E.E. -ES.`2S 1,1-k V S75'LA C 1 71 zti 1 2 4 Wl G 0 1)L A D T D i:. V E H M E 3 0 F 4 9 2 r I ow p;. zli C- 0 N L L C U T 1 0 N S - I F� RU. E' H � 3 ps -4 " M ; s � , n n Q�a tKpi ri 5, 14Ti. nq t4g qt l PVi J. r .3.(Y) 91) < 2 6,Z 15.32 1.75 01.00 17.0i A 0 2' 13.0 t) 4.00 2 7 2-E 4 5. E 49.7H 0.0 Z", 1.4 0'0' 15-13' 6.5 'j 12.00 A101 ) 2i.5 )> 15.712 -5.43 0.00 9.23 802 3.Tj 2 2 1 C!"O 2c_ 27.74 49.74 0.1.10 1,109 1"i 213:.5 .3.13 AA 3 2 26.5 17."'a 1,2 4.rZ6 22.76 AO 4 9.7,5JO Vv ET 22.Ili 741.69 0.036 1:400 1"N 26.5. .Ao 4;:�? 7.5 0' .4 Ol 3 2 6,.5 <( 2221.7 6 3,4 2 0.0"0 2 6.1 E, A 0 4 7,50 2'-j V .-L; 71.31 1 ib.31 0.OZ6 1.4100 150 2 6.5; 7,50 A.fj 4 26.5 CC 26.19 0.23 0.00 26.47 RU 1.50 2,50 E 13,27 15.77 0.018 11.602 150 26.5 9.2 0.OA V FFU '41 > -.,0 17 it'8 -0.11 - ,43 29.qA R 3 1 1.00 4 4.010 0.027 1,610 120 26,5 4,2 1,"J'"O RD it, 2 6�5 )> 2c.94 -0.�',5 1..3 2, 26.47 1 7.50 6 Oj CP Cn) "4.00. 0.O'�,7 1,610 It 2 0 21.�z L -, u . S - . 9 t - SO 2 0' 9.5 2 27 109 5 13.H0 .0 1 9. 3 0 E . . 0. . 0 4.3 E',.-es� cm 3rci-to 2 1 5 fw Jcb J Q 4 1 ;I=:, REf Lev. Prasvuz ipsil K F I (ap-7.0 Mac Dills. Actual F2r"l-in-7, Divt n.g c 4C-a' Elev. L.-S-z N e'.t Sot Pt. try P;� v Fn iddid T d'a" FPS i Suvairy L;n4h Lanq+h -ar.:+ •Total Psi +it.) PreEs i 13.00 'f.i4 9.114 4.30 13.0 13.0 4.31 1.1G7 9..50 E: Ot.87 MIN 0,03{3 0.69 9.93 302 5 26,5 8.77 I.B� 22.00 27.74 49.74 0 10 5.43 32 ACI D2 1 0 9.8 S R.93 4.7 jZ.5 4 IIV '2 -2 -;.79 -.33 0,0'7- 1.75 17.OS A02 '1104 1118."C'0 15.12 26.5 '15-El 1.400 4.001 F-7c- 4. - 49 -.�a 0 2 18.0 01 !7.flip, 7.!"1' .1 I'll..4 0 -,I z,i 0.".6 J.t7l 4,56 H0.50 M.76 `03 2:).5 5.551 11.400 �.10�01 IT V A 10 7.N 272. 6 2M&4 Q'U --f 17 2 .5; .55.51 1.10 2 5.V0 I J. 96,31 0.t)' 3.42 13 A04 -0 6 i-2 5-1 E !� 1- 0.10 1;.47 R74 4,t ! 7, 26.2 1, 5 j, 41 .77 0.01E 4, 4Z I A I ,5 C R T 1 7.tO 26 47 2�4.47 26 4.I3 1,E-0 0 -T 18.00 24.00 0.027 M5 2.82 i LUC )29.cA R 3 1 RBi I.oul 2.17,.f-ull Milt 26.5 4.1*6 1.t, 4,00 4.^V 14 Oc-CN27 0.11 0.4Z 1.00 }30.172- F D FFD 3.fj.4 3 XA.,AAA AA,,r. S 0' a h ..........*ov M ; I i.- F P4r� 7 t -------------------------------------------------------------------------------- `3' 4_.9 1II 1".1 u=u FZ "e* C:) 1__ F" d2Jt F :L. ate'•.:q.. %1110 4Z)10,r-'b IL 0-4 I'R r-:) 01 if-Z...IL: N/ I:` I-I L-3 1-1 I" .1. r 01 SOUTHWINDSOR CT. -------------------------------------------------------------------------------- HFP SPRINKLER CORP. 1000 OLD COUNTY CIRCLE WINDSOR LOCKS CT. -------------------------------------------------------------------------------- Design Specifications Water Supply Information System Demand --------------------- -------------------------- ------------- Density 0.050 42 00 psi @ 0.00 gpm 20.31 psi Design Area: 0.00 42.00 psi @ 50.00 gpm @ 27 0 gpm .-IL rra fl W-11 CA �;R 7. .. Cw w � �=:h II 9 0 1C:-E-41 n:_"'0 — a; ::IL r p w_, .._:u. —IC`1�:. itM CNN' _I �E s1t q= 1 w.o:w,n r' ,. ;.2 JI_ ,. 6 tFE'G Notes.• List of Fitting Abbreviations Example: "E2TC" = one Std. Elbow, two Std. Tee and one Check Va Code:Description Code:Description Code:Description Code:Description A Alarm Va H , 0 V . B : Butt' flyVa I : P : W : C Check Va J , Q X : D DryPipeVa It : R Y : E Std. Elbow L : LongTurnEl S ; Z : F Deluge Va_ M : T : Std. Tee G Gate -Va N : U : Calcs By: M.TURCOTTE Checked: 12/29/04 Page: 1 Ser:*310156* Hypercalc Program by Crowley Design Group, (215)-337-7060 ,'�'� A..q N`q"N q"1`il -=1L Cr h �; q•.� ]I_ q q �"M �L Fry° q +:✓�. q^N F.Q Q—�ids .F�ls F Job No: ;124 WOODLAND DRIVE HOME 13D i Design density: .05 20.31 psi available at supply Supplied flow and pressure is based on ( 42.00 psi is actually available ) K FLOW Percent Ref. Ref PRESSURE Factor Actual Minimum Excess Pt. Pt. � -Pt--- -Pv-- -Pn--- =__�_�� =-i�-� = r13.5 T^^�.0! SO1 SOl 9.41 9 .41 S02 9.47 9.47 4.40 13.5 13.5 0.0o S02 Calcs By: M.TURCOTTE Checked: 12/29/04 Page: 2 Ser:*310156* Hypercalc Program by Crowley Design Group, (215)-337-7000 � � d'"�''�'w�_'+• A� B""' [:J �.=•n A,...II IIVII IrN'9.`.•.�:i6 0"`.Yip,. - - Cell' jl Ir" W124 WOODLAND DRIVE HOME 13D Job No: Pe pt REF. Elev. F R I C T I O N ' Ohs Total CPf/ftC A I O Diam C Flow velocity r Elev. REF. Flow Psi psi psi psi POINT ft. length Fitting lengt ft. POINT gpm p 13.27 15.77 0.019 1.602 150 27.0 4.3 2.50 E 9.0 14.50 2ET 37.64 52.14 0.115 1,109 150 27.0 4.2 7.50 A04 « 27.0 « 16.40 0.30 0.00 1b.10 RT1 7.50 4.00 0.028 1.610 120 27.4 7.50 A04 » 27.0 » 16.40 -5.98 0,00 10.42 T01 7.50 4.00 4.2 82 20.20 R81 1.50 6.00 CGT 18.00 24.00 0.028 1.610 120 1 .0 1.00 FPD » 27.0 » 20.31 -0.68 2.82 16.20 R81 7.50 21.74 31.74 0.032 1.109 150 13.5 4.5 20.20 0. 2E 4.5 1.00 R81 » 27.0 » 4.00 1 1.01 0.00 10.42 TO1 7.50 2.00 2E 27.74 29.74 0.032 1.109 150 13. 7.50 SO1 « 13.E <C 99;41 1.01 0.00 10.42 TO1 7.50 1.50 S02 « 13. ---------------------------- ---- 12/29/04 Page: 2 Calcs Sy-• M.TURCOTTE Checked:--leyGroup, ( 15)-337-7060 by Crowley -path Summary Printout for 124 WOODLAND DRIVE HOME 13D Drawing• FP 10F1 12/2 / Job No: r �.r;��"q�.�� q^^�q�r;,n wq_ q�.. Fro�-q�.�::�. .i:.���� a...a q�." q� Principal path -------------------===--==-=-----==- Feeds Path:2 at Pt:T01 Elev. Loss Next Ref Pressure (Psi) - K - Flow (gpm) Veloc Diam. Actual Fitting Fitting Total Frict.loss ft__ Press Ref Elev. Pre (P in. Length Summary Length Length per-ft Total_-Psi - _(_--) -- t. ft. Pt Pv Pn Factor Added Total fps g - - --- ---------=--------------'- 10.42 T01 13.5 13.5 4.47 1.109 4.00 2E 27.74 31.74 0.032 1.01 16.40 A04 9.41 4.44 Sol 7.50 9.41 104 14.50 2ET 37.64 52.14 0.115 5.98 16.70 RT1 TOl 7.50 10.42 10.42 13.5 27,0 4.29 27.0 8.96 1.I. 02 2.50 E 13.27 15.77 0.019120.30 A04 7.50 16.40 16.40RIBI 16.70 27.0 4.25 1.610 6.00 CGT 18.00 24.00 0.028 0.11 2.82 ( 6.50 )20.31 FPD RT1 7.50 16.70 27.0 4.25 1.610 4.00 R81 1.00 20.20 20.20 AAAAAA FPD 1.00 20.31 AAAAA Path K-Factor = 6.00 oss Elev. loss Next Ref �- K Flow (gpm) Veloc Diam. Actual Fitting Fitting Total FefcftLTotal Psi (ft.) Press Pt. Ref Elev. Pressure (psi} Factor Added Total fps in. Length Summary length length p - :- Pt. ft. Pt Pv Pn -- --- - - --------==-=----=----==-------------------------=-=--- - --- -- - - - - - - -- - ---=------ (C:150) 29.74 0.032 0.95 10.42 T01 9.4 S02 7.50 9.47 7 4.40 13.5 13.5 4.48 1.149 2.00 2E 27.74 AAAAAA T01- 7.50 10.42 AAAAA Path K-Factor = 4. 19 -- -------- ------------------- - page: P-01 Checked By:_-__---- (215)- 337-7060 CalcS By:M .TURCOTTE by Crowley Design Group, Ser:*310156* Hypercalc Program ------------------------------------------ M 13 !F=" 4 3 us to 94 ZZ-fE ]C"'. 3- liJ! 1H I SOUTHWINDSOR CT ---------------------------------------------------------------------------------- F.F,-- COU'. 100Q, 00 COUNf)f CIRCU �.IRDSCR Loa's CT. --------------------------------------------------------------------------------- Design Spari icat ons Water Supply information SYStSM %Mand --------------------- -------------------------- ---------------- Dansity R 0.050 42. 00 psi @ 0. 00 gpM 30.48 psi Design Areau 0.00 42. 00 psi @ 50. 00 gpm Q'15. 26. 5 qpm J!'Z". 14-11 C_J 42� 7-2';;q:-1, - .4it2_-!• J4. r;E"j.c:::: ..;'c c--;,H I. al. . 1-1-2S, �13L. T�_I. JI.. Notes ---------------------------------------------------------------------------------- A UC N 00025 E F( HINGICMUT AXEMUNRENCE List of Fitting Abbreviations Emamp ea E2TC" one Std . Elbow, two Md. Tee n and one Check Va Ccda: Oescription Ccda Descriptior Codeg %mcriptior Ccdez Dr?s=ripticn A : Alarm Va H 0 V 8 : 3utt Uyva 1 P % C 4 Mack Va X D : nrvPimaVa V E i G d. Elbow L. Long"vrM S Z F a Delugn Va T Md . Me Cal= By TORMTTE Gheckm: 12/29/0 Pagai 7=w 07 WFAN Awn=-"A 7 Pror-AM K" r-rWav nxninn S-M"M . 7 5 OTOL—M— ATE) " =nCIE uw ;snu ralm-0 A" wolu6 wi=wnwum *wd ;U h, Z MEW M/6ZIM ------- Melm"M 31103PPIN SAE ZOE %S "2 T W6 29 6 ZOE WE %0 "0 OWT O "RT 0 2 T ".6 VT "6 TOS l4d ssam, wnwlulW len;my j=qney U d .1y " ARd ;Uanjay it 0 EAMES38d n as- alquIlvAn Allmn;=w sl Isd 00 -y7 dons in qVITsAw TSd So 02 Un mseq z amssa"d pup mo + mollddnS go - ; lisma UBTssa 011 BWOh 3MIG 1.A1'.V70000 IZ'.,: ROW-& !% AM ,E'Z,., '..C7.1'-D 11,�F.- ., . CMP emp m :1 1-4 4:� U"-- C-=P 1E]i'L-1.CF.4,774-E--%T-- imb Nu: F-1040:2 124 WOGOLAND DRIVE HOME 1W) Elan REF. Flew P. Pf Fe Pt REV Key. FRIC T 1 0 N L 0 S S CALCULATI 5 N a VeIzzity it. PUINT g;a psi psi psi psi FORT ft. Lonqth Fitting Angth ToUl Pfqt Nam C Flu fps 1100 AN K 21.Z U 15.32 1.73 100 !LOS A02 1100 COO 2T2E 45A 49.78 0,0 Z 6 1.4 00 150 26.5; L 1840 AOI )) 05 A 1L 32 -149 100 9.23 U2 il 00 2.2,0 0 2E 27.74 49.74 0.110 1 a 110 i 1ZO Z3.5 0.. 1&00 A02 W 0 1LU 1.13 C56 2L76 A03 LSO LOO ET 22.67 31,69 C.036 1 z 40 1 S-0 2 5.---; .15 W 03 0 2&5 44 22.76 &42 100 2L 18 A04 L50 2L 00 4EZT 71,3i 96.U 0.036 4400 150 26.5 3.] L50 A04 4( 2&5 C 2410 125 0.00 B.47 Rif L50 L50 E 13.27 15.77 0.012 1.602 ItO 26..:;' 4.2 100 F?D 2&5 SOAS -111 A 43 2194 R31 W 4.00 UA 0.027 L610 120 26.5 4.2 140 RBI AS 29A4 -115 A82 26A7 RU 7.50 6.01 EST 0.00 2CH 0.027 1210 120 26.5 4.2 Wo Sol 1LO A L 14 15? Y.13 3 7-102 Wo 150 E 13.37 WU 0.030 L 109 130 13.0 4.3 i2/29 04 Pagag 3 P=-u *T1n15A> AvnPrrWm PrrnrAm Kv 1 .rnw1mv Basson Grouc . (2j5) -3Z--T0K.:, Path Summary Prirtout icr 1.24 WODE�AND OR YE HOME 13D Jab %W-104?e 29/04 SYAMM4I Drawingt % !OF! R E f E I ay. Prassure 40) K Flow Qn) iliac Hui. -.Ac1-,,Ei Fitting Fitting Total Fridloss He, Los Not W Pt. it. Pt Pv Fn Fadur Ajd�td Total fps tn Swiu in. Leqv Length Length puit Tkal PM W has Pt. 'C=150) s01 11.3.0 Q 1?.14 9.,;'. 4.70 13.0 0.0 4.31 i.10? Y150 E 13,87 23.37 O.OD 0.69 9.83 U11 E02 ILOO L83 W W 05 05 L77 "iU 2L 00 2E 27j4 W4 0,HO 5.47 15.32 AG! Hi ILCO 15A LLK 215 151 1 Au 4,00 2T2,--- 45.38 4,3.H 0.0Z� 1.7b !LOS A02 A02 ILOO 1746 W3 2L5 L31 1A00 100 ET 22A9 303 0.036 i.13 C56 Q150 12L76 A 0-3 A03 L 50 2L 76 2L76 2&5 W !AN 25.00 4E2T 71.31 95.31 0.036 3.42 26W A04 AOI L51 26AB 2013 2&5 C 20 1 A-2 2.25-, E 1Z.27 15.77 0.C.12 0.2q 2&47 RE. 0120) RTI LEO A 47 2 K 47 05 C16 1210 i4U CU 12.00 24.00 0.027 165 2A2 t 610 12174 Ril RBI W 2314 2L 44 26,. 4.:z' 4.00 4.C 3 C.-,0 0.11 0.43, t I.PQ0 )30.43 F,-P 5 FFD 30.43 �AAW. Path K-Factur 4. EO CaIcs By: & YURCUTYE Chackad Q4 ....... Paqea F-01 .0 1 *31 E6 H"Parcalc Program Q Crawley Dnsiqn srcup , 215) -337-7W) -------------------------------------------------------------------------------- II~-➢ 'u" ➢„Cn ➢=��k. u"=-'u Il_.n ➢._. :1L �::.. II=' I U ➢ry; II,14 10(...)Co t__gC4 ➢`*➢➢--> ➢D- IN�11 X N?1' iEr. IF-➢C3 1-1 ➢:'.� J.. .*��➢...), SOUTHWINDSOR CT. -------------------------------------------------------------------------------- HFP SPRINKLER CORP. 1000 OLD COUNTY CIRCLE WINDSOR LOCKS CT. -------------------------------------------------------------------------------- Design Specifications Water Supply Information System Demand --------------------- -------------------------- ------------- Density 0.050 42 00 psi @ 0.00 gpm 20.31 psi Design Area: 0.00 42.00 psi @ 50.00 gpm @ 27.0 gpm _➢+ a ➢:. ➢..•'b lf;:..'f r ru. 11 W-1'C Q .. r21 .7 ... Cy C II ➢,:5 11 U C Q:'91 ,n� � +� _�L ➢. k'-�• �I •;. y, �:i_ "It a; y:Ir'Ir'u ...:u. .➢:::,r;: ;; 'It '' �➢'..:u. ..➢_.�; n Ir— .. :71_ .. 46. ::a_ If��• Notes. List of Fitting Abbreviations Example : "E2TC" = one Std. Elbow, two Std. Tee , and one Check Va Code:Description Code Description Code:Description Code:Description A Alarm Va H 0 . V B : Butt° flyVa I - P : W = C Check Va J Q X D DryPipeVa K R Y : E Std. Elbow L : LongTurnEl S Z P Deluge Va_ M : T : Std. Tee G Gate Va N . U . Calcs By: M.TURCOTTE Checked: 12/29/04 Page: 1 Ser:*310156* Hypercalc Program by Crowley Design Group, (215)-337-7060 'r N. 18"I"II I1"I"II„ .R I "4r r l rJ 1` i ; 0::"p II.r. ::]I.. 1—h 1--c . - ;k:=".t I...... :E-il, m c--g 0-1,C7l F 3- Nam,v-1,11 a. Job No: 124 WOODLAND DRIVE HOME 13D Design density: .05 Supplied flow and pressure is based on 20.31 psi available at supply ( 42.00 psi is actually available ) Ref. PRESSURE K FLOW Percent Ref. Pt. P't Pv Pn Factor Actual Minimum Excess Pt. Sol T9.41 r�rr� 9.41 4.40 13.5 13.5 0.090- Sol S02 9.47 9.47 4 40 13 5 13.5 0.0- S02 Calcs By: M TURCOTTE Checked: 12/29/04 Page: 2 Ser:*310156* Hypercalc Program by Crowley Design Group, (215)-337-7060 It=- 3- vil a::.9 ;f=" u.. ns U _w::_w u a.a r-11: Es., n,..n rin rin G u._.. �,�. Job No: 124 WOODLAND DRIVE HOME 13D Elev. REF. Flow Pt Pf Pe Pt REF. Elev. FRIC TION L 0 S S CALCULATIONS Velocity ft. POINT gpm psi psi psi psi POINT ft. Length Fitting Length Total Pf/ft Diam C Flow fps 7.50 A04 « 27.0 << 16.40 0.30 0.00 16.70 RT1 7.50 2.50 E 13.27 15.77 0.019 1.602 150 27.0 4.3 7.50 A04 >> 27.0 >> 16.40 -5.98 0.00 10.42 TO1 7.50 14.50 2ET 37.64 52.14 0.115 1.109 150 27.0 9.0 1.00 FPD >> 27.0 >> 20.31 -0.11 0.00 20.20 R81 1.00 4.00 4.00 0.028 1.610 120 27.0 4.2 1,00 R81 >> 27.0 >> 20.20 -0.68 -2.82 16.70 RT1 7.50 6.00 CGT 18.00 24.00 0.028 1.610 120 27.0 4.2 7.50 SO1 << 13.5 << 9.41 1.01 0.00 10.42 T01 7.50 4.00 2E 27.74 31.74 0.032 1.109 150 13.5 4.5 7.50 S02 << 13.5 << 9.47 0.95 0.00 10.42 T01 7.50 2.00 2E 27.74 29.74 0.032 1.109 150 13.5 4.5 Calcs By: M TURCOTTE Checked: 12/29/04 Page: 3 Ser:*310156* Hypercalc Program by Crowley Design Group, (215)-337-7060 Path Summary Printout for 124 WOODLAND DRIVE HOME 13D - Job No: 12/29/04 System: l Drawing: FP 10F1 I-U-11 W'.JI-It::.ciii:' !IES. 9_U u p uw,p 3- :"-O. Principal path Feeds Path:2 at Pt:T01 -- ------------------------------------------------------------------- Ref Elev. Pressure (psi) K Flow (gpm) Veloc Diam. Actual Fitting Fitting Total Frict-.Loss Elev. Loss Next Ref Pt. ft. Pt Pv Pn Factor Added Total fps in. length Summary Length length per.ft Total Psi (ft.) Press Pt. (C:150) Sol 7.50 9.41 9.41 4.40 13.5 13.5 4.47 1.109 4.00 2E 27.74 31.74 0.032 1.01 10.42 T01 T01 7.50 10.42 10.42 13.5 27.0 8.96 1.109 14.50 2ET 37.64 52.14 0.115 5.98 16.40 A04 A04 7.50 16.40 16.40 27.0 4.29 1.602 2.50 E 13.27 15.77 0.019 0.30 16.70 RT1 (C:120) RT1 7.50 16.70 16.70 27.0 4.25 1.610 6.00 CGT 18.00 24.00 0.028 0.68 2.82 ( 6.50 )20.20 R81 RBI 1.00 20.20 20.20 27.0 4.25 1.610 4.00 4.00 0.028 0.11 20.31 FPD FPD 1.00 20.31 """""" Path K-Factor = 6 00 a.-.�� 1r-- ::u.. 'c 1 N..._. : -fit-bq-oath-No-:1------- -------------------- - - -- -------------------------------------------------------------- Ref Elev. Pressure (psi) K Flow (gpm) Veloc Diam. Actual Fitting Fitting Total Frict.Loss Elev. Loss Next Ref Pt. ft. Pt Pv Pn Factor Added Total fps in. Length Summary Length Length per.ft Total Psi (ft.) Press Pt. ------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------ (C:150) S02 7.50 9.47 9.47 4.40 13.5 13.5 4.48 1.109 2.00 2E 27.74 29.74 0.032 0.95 10.42 T01 T01 7.50 10.42 "" AAAAA Path K-Factor = 4. 19 Calcs By:M.TURCOTTE Checked By: Page: P-01 Ser:*310156* Hypercalc Program by Crowley Design Group, (215)-337-7060 i DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: �a d� BUILDING DEPARTMENT APPROVED 1540 SULLIVAN AVENUE Bldg.Permit# '-� 644-2511 ext. 230a D' ate Building Inspector Application must be printed or typed FEE SCHEDULE Q t/ Location of Job: I $0-$1,000=$15.00 treet No. Street Lot No.Over$1,000= $15.00 per$1,000 or any fraction thereof enant Designation Apt.No. APPLICANT Ta'" i &ch Ce 4,G- of APPLICANT ADDRESS y ro h s �v4 7 APPLICANT PHONE# SOW N St OWNER C�i�i. u•t,T.Y /1rscQ�ti[cS , �a c OWNER ADDRESS _? li�/t S 1 S'%►^�T �� %c 2, �ou7l�t`��on Z-% G Gei'Pq OF OWNER PHONE C ESTIMATED COST$s-CTCI !Z. IS THIS A CONTRACT COST? 4—Yes _No FEE ENCLOSED$ I 1�b5 ���� TYPE OF JOB: Ci ' R C New Installation Y Alteration/Addition/Repair Revised 4/01//2002 APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A C�RESIDENTIAL BUILDING PERMIT APPLICATION? 8 'ES ElNO ❑BUSINESS CURRENT USE AND OCCUPANCYs !lam "� e• ❑ASSEMBLY -�- ❑MERCANTILE FUTURE USE AND OCCUPANCY ❑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 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 � '1 $/a `� �' S'p•t�l� �eTee✓�rS //�'/f� Le-7, T �h �✓t+y� (Ze�va?laGl THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLIC -- DATE 1 DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT APPRO D 1540 SULLIVAN AVENUE / 644-2511 ext. 230 i# Date Building Inspector Application must be printed or typed FEE SCHEDULE Location of Job: 2-4 D r i vim. $0-$1,000=$15.00 Street No. Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT (MQ 5 nu APPLICANT ADDRESS ' rI �X TALI n 1)1') Vc- APPLICANT PHONE# 2 2 q' L Ow N SF-4 OWNER G rn M I C ---S OWNER ADDRESS Ia n d rr1 vc-- � T, o F OWNER PHONE C ESTIMATED COST$ I CO .� } IS THIS A CONTRACT COST? X Yes _No o �� FEE ENCLOSED$ 3b r��sO O�� TYPE OF JOB: a-�7rr R C _New Installation V /V Alteration/Addition/Repair Revised 4/01//2002 APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side) w TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A PRESIDENTIAL BUILDING PERMIT APPLICATION?)WYES ❑NO ❑BUSINESS CURRENT USE AND OCCUPANCY ❑ASSEMBLY ❑MERCANTILE❑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 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 i r(-- hid rab n anal G-F{i�P add���►-� THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. CONTRACTORS LICENSE NO. /TYPE STATE SIGNATURE OF APPLICANT / DATE r7/ Rs 6 8 FOR QUALITY Oliva ' s Electric LLC ELECTRICAL 1 SERVICES 137 Fox Run Drive Southington, CT 06489 Tel: 860-224-6699 Fax: 60-426-1967 CT Lic. No.: 123449 Mass. Lic. No.: E50460 Job Address: Date: July 15, 2008 124 Woodland Drive South Windsor, CT To Whom It May Concern: I am writing this letter giving my wife, Beth Oliva, the authority to sign for an electrical permit on our behalf, for the above listed address. I have enclosed a copy of my Connecticut E1 license. If you should have any questions please feel free to call me. Sincerely, Robert Oliva (Owner) DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT TOWN OF SOUTH WINDSOR Application is hereby: Q PERMIT# BUILDING DEPARTMENT cEp �� 4lUUB 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 South wu usor o1- .� BUILDING DEPARTME T ate i ding Inspector Application must be printed or typed FEE SCHEDULE Location of Job: F $0-$1,000=$15.00 Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof gnation Apt.No. APPLICANT ����(X�,A;G� dA 1) APPLICANT ADDRESS /1',G2.'!r(fi Cr t27C0 c(S I APPLICANT PHONE+# � O 35 �9 Y 7 65 /7 OWNER C_J jd/�'jrJ i ? s oezY e C-e LL- �D Yd N S F'9 r7 LJ r 5 5%—OWNER ADDRESS % --/3� +o # OWNER PHONE ESTIMATED COST$ �2"ro , C,-A3 b .� IS THIS A CONTRACT COST? L,"'S'es _No FEE ENCLOSED$ SOR.Co�� TYPE OF JOB: 'IaZ1) S (5q c�r New Installation 4,, lteration/Addition/Repair Revised 4/01//2002 APPLICATION FOR HVAC PERNHT (Continued from reverse side) TYPE OF S}OTEM: TYPE OFF B�DING: f7HEATING UK SIDENTIAL ❑A/C Cl COMMERCIAL ❑VENTILATION 0 INDUSTRIAL HEATING ❑ STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS. QITYDRONIC O WARM AIR ❑UNIT RADIANTAEATER EXISTING RADIATION L O " ADDITIONAL RADIATION TOTAL RADIATION lOj DESIGN TEMP. OUTSIDE OF INSIDE 70 OF DIFFERENCE OF TOTAL HEAT LOSS(BTUH) OF(HEAT LOSS SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL HEATING EQUIPMENT(INCLUDING MAKE&MODEL NO.) 5 � ,A" GROSS HEATING CAPACITY(INPUT-BTUH) _6'00NET RATING(OUTPUT-BTUH)/UDLUU C� TYPE OF FUEL jElGQIL-GPM OIL TANK LOCATION :0 INSIDEO OUTSIDE CAPACITY AS-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.) Afle 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. 30 w, .�' ? S'3 c ( CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLIC DATE \[e 4 � i � y f a i dsc - i S ��y'� a � ,C/yry t� .,G�.� /V,� "' �/a c// Tf,• �iv o so .F, ���1/, C. .w�? /� Y•G`+F' �/ i'T c' Est �'" �� v �`iy' �/N O SO es, O /�!/?t` //•'�► � �f �"/�I i ,�c�✓ t���,�' /'' /7� / i/�/Q+'+/7�?' ram, C-�� ..��'c� �l'C'. '% �,a- .O� ^ ,(r�'�I� '�� /�7 ��' /j�-i�-..r'i:.9' .rt�. �i-i:i•vc��(� �.�J�-�. �q(•Q''�F'• ems"/,, 1'�r i R t . , STATE OF CONNECTICUT ®�R DEPARTMENT OF MENTAL RETARDATION WEST REGION M.JODI RELL Peter H.O'Meara GOVERNOR COMMISSIONER Mr.Paul Rosin March 06,2006 Kathryn duPree Community Residences,Inc. DEPUTYCOMMISSIONER 732 West Street Suite 12 Southington, CT 06489 RE Woodland Drive R-1042 124 Woodland Drive South Windsor Dear Mr. Rosin Based on a review of documentation provided by your agency,the Department of Mental Retardation has established your facility's"Evacuation Difficulty Score"(E-Score"),under the 1997 NFPA 101,Life Safety Code. This score and related information is detailed below. This"E-Score"is valid only as long as the information listed below is still valid, and only for the clients listed below, provided there are no changes in their physical or mental condition, since the survey date.It is your responsibility to notify this office of any new clients not listed below, or of changes in client conditions or staffing levels that have changed since the date of the survey. Please contact Acting Fire Chief Thomas P.Bowolick at Southbury Training School Fire Department,P.O.Box 872, Southbury,CT 06488-0901. Telephone: 203-586-2638/Fax:203-586-2722. This documentation, along with a copy of the survey provided by your agency, should be kept in your files to be made available for the fire marshal's use during the annual licensure inspection of your facility. E-Score Evaluation Date:February 07,2006 DMR Region:NR Evacuation Capability:NIA-<4 E-Score Status:New License Vertical Distance:0-not yet entered Staff Score:0-not yet entered Provider Survey By: E-Score Evaluator:Baldwin E-Scores are calculated using the following formula: Sum of all individual e-scores times the vertical distance divided by the staff score. Sincere Thomas Bowolick;Acting Fire Chief Department of 6ntal Retardation cc: Fire Marsh Regional Director File FIRE MARSHAL PLEASE NOTE:OMR must comply with the Healthcare Insurance Portability and Accountability Act of 1996(HIPAA).This law provides for the privacy and security of healthcare information and has regulations which'covered entities'such as DMR must follow. The sharing or disclosure of information is allowed only as required and permitted by law,or when an individual has given DMR permission. The privacy rule includes information that can be used to identify individuals,such as but not limited to name,DMR number,locations or addresses. You are not covered by HIPAA but we ask that you help us respect the rights of the consumers we serve and therefore request that you keep the identifies cgMyj", q i,e r rgpStfci06Ttial. Phone:(203)586-2000;TDD:(203)586-2001;Fax:(203)586-2700 An Equal Opportunity Employer pp- 1 STATE OF CONNECTICUT ®�R DEPARTMENT OF MENTAL RETARDATION WEST REGION M.JODI RELL Peter H.O'Meara GOVERNOR COMMISSIONER Kathryn duPree RE: WOODLAND DRIVE, 124 Woodland Drive, So. Windsor, CT R-1042 DEPUTY COMMISSIONER Date: March 6, 2006 To Whom It May Concern: Based on a review of documentation provided by your Agency and subsequent discussions with staff, in accordance with the 1997 NFPA 101 Life Safety Code, we are unable to establish an "Evacuation Difficulty Score (E-Score)"at this time. A basic tenet of establishing E-Scores is that certain criteria detailed in NFPA 101A (1995 Edition) must be met before establishing an E-Score. The criteria that was NOT met by facility this facili is: The Connecticut Life Safety Code requires that evacuation scores be determined for Board and Care Facilities with four or more residents. To properly evaluate the facility, all four of the residents need to have participated in at least six fire exit drills. At this time not all residents have participated in at least six drills, or there are less than four residents. When you have 4 residents and / or have completed six drills with all residents (maximum 6 months time), please contact Fire Officer Timothy Baldwin at (203) 586-2444, or E Mail at timothy.baidwin@)i3o.state.ct.us, to begin the evacuation score process. If I can be of any further assistance, please do not hesitate to contact me. \. . \ L Thomas R Bowolick, Actin f State of Connecticut, Dept o! i al Retardation Southbury Training School Department of Fire and Emergency Medical Services Voice 203-586-2638, Fax 203-586-2722 Thomas.BowolickCabpo.state.ct.us cc: Susanna Lennon—DMR Licensing, Fire Marshal, File Forml-etter 2 No E-Score due to need 4 residents w 6 drills each.doc Southbury Training School Phone:(203)586-2000;TDD: (203)586-2001;Fax: (203)586-2700 An Equal Opportunity Employer STATE OF CONNECTICUT R DEPARTMENT OF MENTAL RETARDATION WEST REGION M.JODI RELL Peter H. O'Meara GOVERNOR COMMISSIONER To: Fire Marshall William Lanning,South Windsor Vol. Fire Dept., Drawer"RKathryn duPree South Windsor,CT 06074 DEPUTY COMMISSIONER Date: Wednesday,January 25,2006 Re: 124 Woodland Drive,South Windsor,CT DMR R-1042 The Office of the State Fire Marshal and the State of Connecticut, Department of Mental Retardation are providing an"Outreach Program" for Residential Board and Care Facilities throughout the State of Connecticut. A site visit was recently conducted at the referenced Private Residential Board and Care Facility in your jurisdiction,and a report of issues identified is attached for your information. This site visit was also conducted as part of the Department of Mental Retardation's Program to determine accurate and consistent Evacuation Scores, for use by the local Authority Having Jurisdiction and / or DMR Licensing Inspectors. These site visits are conducted for facilities upon initial licensing by DMR, and are conducted on a random basis to assure accurate and consistent Evacuation Scores throughout the state. The site visit was conducted by a Southbury Training School Fire Officer who has completed the Department of Public Safety Fire Marshal / Inspector Certification course. In addition, the local Authority Having Jurisdiction was also contacted and may have accompanied the STS Fire Officer, as well as possibly,a representative from the State Fire Marshal's Field Services Division. The purpose of this site visit was to meet with the facility staff to assure they understand the evacuation score process and to assure the"building aspects"of the evacuation score are accurate(i.e.: bedrooms on level of exit discharge, etc...). In completing the survey, our evaluator also conducted a fire safety inspection and may have conducted a Fire Evacuation Drill. A summary of Issues noted is attached for your information. Facility staff and administrators have been encouraged to correct any issues that are easily corrected (i.e.: use of extension cords) but are also encouraged to consult with their local fire marshal before directly addressing any of the other issues in the attached report. They have also been reminded that their local fire marshal is the authority havine jurisdiction, and should be consulted on all issues relative to fire code compliance. If you have any questions or concerns please feel free to contact us. Sincerely, OmMg ,E. Saes xdpfi e. mian Timothy E.Baldwin, Fire Chief Ralph C. Miller,Supervisor State of CT Department of Mental Retardation Office of State Fire Marshal Southbury Training School Field Services Section Department of Fire and EMS Services Bureau of Engineering Phone : (203)586-2638 Phone: (860)685-8350 Email : timothy.baldwin(a?po.state.ct.us Email : Ralph.miller(upo.state.ct.Lis Cc: Agency Director Carmen Onalfo—DMR Licensing file Southbury Training School Phone: (203)586-2000;TDD: (203)586-2001; Fax: (203)586-2700 An Equal Opportunity Employer STATE OF CONNECTICUT DEPARTMENT OF MENTAL RETARDATION OUP ,St Nf .l9'MS tf.(.T iVEST REGION M.JODI RELL Peter H.O'Meara GOVERNOR COMMISSIONER Kathryn duPree DEPUTY COMMISSIONER MEMORANDUM TO: LOCAL FIRE MARSHALS FROM: TIMOTHY BALDWIN,'FIRE CHIEF,SOUTHBURY TRAINING SCHOOL SUBJECT: 2006 EVACUATION SCORE SITE VISITS DATE: 10/19/2006 CC: RALPH MILLER,OSFM Good Day, Enclosed you will find a site visit report generated from a site visit in your town over the last year. Due to changes within our department we have experienced a delay in submitting these reports to your office. Thank you for your understanding. If you have any questions about these reports, feel free to contact me at 203-586-2638. Southbury Training School Phone:(203)586-2000;TDD:(203)586-2001;Fax:(203)586-2700 An Equal Opportunity Employer State of Connecticut Department of Mental Retardation Southbury Training School Department of Fire and EMS Services DMR Evacuation Score Determination Site Visit Issues Noted Summary Facility Name: Woodland Drive DMR License# R-1042 Address: 124 Woodland Drive, DMR Region: North South Windsor Agency: Community Residences Date of Site Visit: 1-25-06 E-Score: Prompt Site Visit Inspector: Baldwin Reason For Visit: New Home LOCATION CT STATE FIRE SAFETY CODE ISSUE NOTED COMMENTS NFPA 101 OTHER CODES C.P. sleeping room PartIV-33- "Doors shall meet the following Door will not latch 2.3.6.4 requirements: (1) doors shall be rovided with latches........" M.E. sleeping Partly-33- "Doors shall meet the following Door will not latch room 2.3.6.4 requirements: (1) doors shall be rovided with latches........" Note: at the time of the site visit,the census in the home was consistent of the definition of Board and Care. Since that time,the census has dropped below four residents, and as such,the e-scores developed at this site visit do not apply, and the home does not have an occupancy classification of board and care. These issues noted refelect Board and Care, and they also coincide with best practices for a 1-2 family dwelling Evacuation Score Verification Results Evacuation Score of Prompt Dated Verified om N/A-New Home METHOD: AT APPROXIMATELY HRS A FIRE EVACUATION DRILL WAS CONDUCTED AND OCCUPANTS WERE EVACUATED IN APPROXIMATELY MINUTE(S).IN ADDITION,EVACUATION SCORE INFORMATION PROVIDED BY THE FACILITY IN MAILED-IN SURVEY WAS VERIFIED.THIS INFORMATION INCLUDES STAFFING LEVELS AND TRAINING,OCCUPANTS INDIVIDUAL EVACUATION CAPABILITY AND BUILDING FEATURES. 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: g�;U q 71 APPROVED: BLDG.[PERMIT NUMBER: f i ', DATE INSPECTOR � 1 LOCATION OF WORK: APPLICANT: OWNER: TYPE OF STRUCTURE: T "NEW BUILDING NAME: / `���J �r ti C NAME: ����+k� ��/9� I�FJ l�r��C�J /4 f ❑ADDITION PHONE NUMBER::'�'G C�<c 7 YCC*9 PHONE NUMBER: C,�/ 7�c C EXISTING BUILDING ADDRESS: yYA141'0%l S /.i�/ ADDRESS: S—C // f9%��/ LJ C`G y c� -'`yTe�1 c% r(:;/!/ TYPE OF USE: 11❑RESIDENTIAL SPMMERCIAL ELECTRICAL INFORMATION: FURTHER DE�TION OF WORK: TYPE OF INSTALLATION: /I`7w,1 OF "a I2-U, SIZE OF SERVICE: f/c���lc L< r4 .,/J ��'�Jtirci /C SIZE OF MAIN SERVICE: �X JT! fi /=1�e ��..,� /-o�— /CJ c/Z iz.•�C ci NUMBER OF METERS: !`c/c4:h cpc�l rQc?[rri�tefl NUMBER OF PANELS: NUMBER OF LIGHT CIRCUITS: ESTIMATED COST:S NUMBER OF SWITCHES: NUMBER OF LIGHT FIXTURES: FEE ENCLOSED:S �tl�J S d1 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 IS$1.00 OVER. (16 CENT EDUCATIONAL FEE INCLUDED AS NUMBER OF OUTLETS: 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.: 7? TYPE:,f L_ STATE: C� SIGNATURE OF APPLICANT: •--- f 62 DATE: a01�aa ssa 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: W)6 9 APPROVED: BLDG.PERMIT NUMBER: 0 INSPtCTOR LOCATION OF WORK: APPLICANT: OWNER: TYPE OF STRUCTURE: ❑NEW BUILDING NAME: (T/4fle.T Qc'zLe NAME: mu+vh��' /2carye ,cc-j ❑ADDITION PHONE NUMBER: FC c' 7 gC6� PHONE NUMBER: F,' CZl 9 Coe-, [XE)MING BUILDING ADDRESS: ADDRESS: G 2yc�i'Wc!/Q� ✓ ��_t�/17Gr1 LI /(/z�✓"�lT�r� C? GI"G l G/ TYPE OF USE: IDE T AL ❑COhIIVIERCIAL ELECTRICAL INFORMATION: FURTHER DESC TION OF WORK: TYPE OF INSTALLATION: �n.f%4�!4!<`5 �/= (`f �'j!•%���.,r•�"� SIZE OF SERVICE: Llrj(�}'"ctx`vvt' SIZE OF MAIN SERVICE: NUMBER OF METERS: NUMBER OF PANELS: G'o'o C NUMBER OF LIGHT CIRCUITS: ESTIMATED COST:S C\4 NUMBER OF SWITCHES: NUMBER OF LIGHT FIXTURES: FEE ENCLOSED:S ` 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 IS$1.00 OVER. (.26 CENT EDUCATIONAL FEE INCLUDED AS NUMBER OF OUTLETS: 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.: CY2 2J A' TYPE: 1,'l STATE: C7- SIGNATURE OF APPLICANT: fit — DATE: j APPLICATION FOR BUILDING PERMIT Electric# 124 Woodland Drive Plumbing# 800322 Date: 2-) 0 - HVAC # Sprinkler# FINAL APPROVALS - --- Estimated Cost $ �. 5��' cr - - -- --- - --— - Permit Fee $� Building COMPLETE RED BOXED AREAS ' Engineering 1 I Occupancy Fee $ iy TYPE OR PRINT ONLY I Eng. Insp. Fee $ Affidavit SIGN ON REVERSE SIDE Appr. for CO. Total Fee,// TO THE BUILDING DEPART Y �� $ 5 DEPARTMENT,TOWN OF SOUTH WINDSOR,CT (Additional tost) $ The undersigned hereby applies to do work according to the following: Applicant ._h n Lnµ f Location of Work j 2q Lot No. Applicant's Address 3 W - f f�,� C,./ Tel. #_ t Town ackw a jA__9 C % _Zip ,6,79-7 Lic. # tl SOVe Owner C 9-E Architect_(�I� RY ,. f b:4 Owner's Address?31 �.� f t- Architect's Address i G 5r S -: Zip Ol y Zip 6 Sq. Ft. New A ea: 1 st FI. 2nd FI. 3rd FI. Total New Area Purpose of this permit A X ,,,"Ati Ad. c. f 44 6z City Water❑ Well❑ Septic System❑ Sewer❑ Ins: HO SP Cert._ ilArea Basement Garage Approved by Date �Z 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 th building and its use is wed Signed I hereby apply for a Certificate of cupancy for t ork described in this application for the permit Signed ? DO OT WRITE BELOW THIS LINE INSPECTION COMMENTS INSPECTION FIELD SHEET O1/29/21 , Printed by Middleton, Morgan 08 18 56 INSPECTION: 15275 FINAL PERMIT: STATUS APPLICATION: 200800928 LOC: 124 WOODLAND DRIVE SOUTH WINDSOR PROPERTY ID: 96900124 OWNER: CIL REALTY INC CONTRACTOR: REQUEST BY: PROJ DESC: RENOVATION TO THE GARAGE GROUP HOME WORK ORDER: INSPECTOR: DOUG RESULT: PASS REQUESTED: 09/04/08 PRIORITY: SCHEDULED: 09/09/08 AM COMPLETED: 09/10/08 UNPAID FEES: 00 Date Time MILEAGE: 00 TIME: TRAVEL ONSITE COMMENTS JOHN @ 203-232-8437 ALL INSPECTIONS: INSPECTED INSPECTOR RESULT INSP DESCRIPTION 09/10/08 ROSE N/A B001 FOOTING 07/22/08 DOUG PASS B003 FRAMING (ROUGH) 09/10/08 ROSE N/A B004 INSULATION 07/25/08 ROSE PASS B004 INSULATION WALLS/PARTIAL CEILING. ATTIC INSUL-TO COMPLY WITH DRAWING 09/10/08 ROSE N/A B005 FIREPLACE / CHIMNEY 09/10/08 ROSE N/A B006 WOOD / GAS STOVE 09/10/08 ROSE N/A E001 ELECTRIC SERVICE 09/10/08 ROSE N/A E002 ELECTRIC UNDERGROUND 07/22/08 DOUG PASS E003 ELECTRIC ROUGH 09/10/08 ROSE N/A P001 WATER HEATER REPLACEMENT 09/10/08 ROSE N/A P002 PLUMBING UNDERGROUND 09/10/08 ROSE N/A P003 PLUMBING ROUGH 09/10/08 ROSE N/A P004 PLUMBING GAS TEST 1900471 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER ELECTRICAL PERMIT DATE: 11/08/2019 GIS ID:96900124 FEE: 180.00 MUNIS APPLICATION# 201902552 BUILDING DESCRIPTION: APPLICANT' , ' LOCATION NAME: DIGITAL COMMUNICATOR,INC. ADDRESS: 124,WOODLAND DRIVE ADDRESS: 4 AARONS WAY r. OWNER: CIL REALTY INC 157 CHARTER OAK AVE 3RD F EAST HAMPTON,CT 06424 DESCRIPTION OF WORK: INSTALL"4 DELAY EGRESS ELECTRIC LOCKS AND CONNECT TO FIRE ALARM FOR AUTOMATIC RELEASE OPEN SPECIAL CONDITIONS: s ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION'AND PLANS APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING OFFICIAL 11/8/2019 9:56 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 2000064 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER ELECTRICAL PERMIT DATE: 03/11/2020 GIS ID:96900124 FEE: 54.00 MUNIS APPLICATION# 202000372 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: DIGITAL COMMUNICATOR, INC. ADDRESS: 124 WOODLAND DRIVE ADDRESS: 4 AARONS WAY OWNER: CIL REALTY INC 157 CHARTER OAK AVE 3RD F EAST HAMPTON,CT 06424 DESCRIPTION OF WORK: INSTALLATION OF 5 EXIT/EMERGENCY LIGHT 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 3/1 1/2020 2:55 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE