HomeMy WebLinkAbout125 EVERGREEN WAY DEPARTMENT]DECISION APPLICATION FOR SPRINKLER PERMIT
PERMTf#
Applica' �s cre 1 TOWN OF SOUTH WMSOR ( 7O
BUR DING DEPARTMENT
APPROVED ; 1540 SULLIVAN AVENUE Bldg.p #
((*^ 644-2511 ext.230
�ildiog]nspcctor �
Application must be printed or typed
FEE SCHEIMLE Location of Job:
SO-S1,000-S15.00 Sweet No. LotNo.
Over$1,000-
$15.00 per S 1,000
or any fraotioo th=of Tenant Deaigoation Apt.No.
APPLICANT
APPLICANT ADDRESS ►b 1 i s Vj o I 1 �
,C 1n1,r,dsf r r T )C�;1 t-4-
APPLICANT PHONE# E
O*N ..I Fq OWNER . TI—ie— :SiUrp,
OWNER ADDRESS
OWNER PHONE i—>r t
ESTIMATBD COSTS 1 2- 4CQ l7n
IS THIS A CONTRACT COST? -[Yea —NO '
V FEE ENCLOSED S I Ct�J•DO
SOR•Co�ta4' TYPE OF JOB:
New 1"Uttation
Alteratiov/AdditioWRepair
Revised 4MI112002
APPLICATION FOR SPRINKLER PERMIT(Continued from reverse side)
TYPE OF BUILDING E OF CONSTRUCTION USE GROUP NO.OF STORIES
0 RESIDENTIAL �—
BUSINESS IS TIM APPLICATION ASSOCIATED WITH A
0 ASSEMBLY BUILDING PERMIT APPLICATION? O YES ONO
alaRCANTILE
❑EDUCATIONAL CURRENT USE AND OCCUPANCY _
❑INSTITUTIONAL
❑FACTORY FUTURE USE AND OCCUPANC
❑STORAGE .l
❑GARAGE ENGINEER'S NAME 1 HV
O MIXED USE ILA PHO
(( //
(Other Please specify) ADDRESS
STATE r ZIP
KIND OF INSTALLATION
SIZE OF MAIN DRAIN QL _ WATER PRESSURE AT STREET(PSr) '7
ARE SPRINKLER HEADS ALTERED? O YES QrNO
IF YES,CHECK ALL THAT APPLY: 0 ADDED ❑DELETED O ALTERED
IF MORE N 3 HEADS ARE ADDED HYDRAULIC CALCULATIONS ARE PROVIDED BY(CHECK ONE)
PROFESSIONAL IN GEER ❑INSURANCE COMPANY
WATER FLOW 4 i WATER PRESSURE AT SPRINKLER HEADS(PSI)
ARE PUMPS REQUIRED? ❑YES IYNO IF YES,CHECK ALL THAT APPLY:
. Ulm ❑BOOSTER ❑OTHER
ARE STANDPIPES PROVIDED? ❑YES IJNO IS/A�SPRIN�ER SYSTEM PROVIDED? DYES ONO
SPRINKLER SYSTEM MAIN WATER SUPPLY RATING —/ [- GPM
TOTAL DYNAMIC HEAD(TDH)OF FIRE PUMP PSI
DESCRIPTION OF WO
14 ( � �!P— S S�-en1
�• e f c OerS
UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO
OMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE
ERFORMANCE OF SUCH WORK.
EV-
CONTRACTORS LICENSE NO TYPE STATE
SIGNATURE OF APPLICANT C/7
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
TOWN OF SOUTH WINDSOR PERMIT
Application is hereby:
BUILDING DEPARTMENT
APPR 1540 SULLIVAN AVENUE Bldg.Permit#
644-2511 ext. 230
Date Building Inspector
Application must be printed or typed
FEE SCHEDULE -Z< Location of Job:
`- Eves-Gt ee✓ k/AL/ 0 9
$0-$1,000=$15.00 Street No. Street Lot No.
Over$1,000=
$15.00 per$1,000 T,r!/-L d7zke
or any fraction thereof Tenant Designation Apt.No.
APPLICANT Lri.ridicy r�G cr�. ✓,.,�[s9T/o-vJ, L.L. �.
APPLICANT ADDRESS 4f I e-o 7-k, 2d
Loc.//-J� ca c�Go9 G
APPLICANT PHONE# 8-6o) �.9.Z
�0WN St OWNER L 5','V-4E OWNER ADDRESS /6/ is vl'x(r�L a e.,, i--►q y
C107 a OWNER PHONE
C ESTIMATED COST$ /, C)v o ,
•� IS THIS A CONTRACT COST? c/Yes _No
FEE ENCLOSED$ /S
S O�y�� TYPE OF JOB:
OR-C V"New Installation
_Alteration/Addition/Repair
Revised 4/01//2002
APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
BUILDING PERMIT APPLICATION? 3'YES ❑NO
❑RESIDENTIAL
O BUSINESS CURRENT USE AND OCCUPANCY
❑ASSEMBLY
❑MERCANTILE FUTURE USE AND OCCUPANCY
❑EDUCATIONAL
❑INSTITUTIONAL
❑FACTORY ENGINEER'S NAME PHONE
❑ STORAGE
❑GARAGE ADDRESS
❑MIXED USE
CITY STATE ZIP
(Other please specify)
TYPE OF INSTALLATION/WIRING METHOD
SIZE OF SERVICE SIZE OF MAIN CONDUCTORS
NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS
NUMBER OF PANELS REMOTE DISCONNECT REQUIRED? ❑YES ❑NO
NUMBER OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS
NUMBER OF SWITCHES NUMBER OF OUTLETS
NUMBER OF LIGHT FIXTURES NUMBER OF HEAT CIRCUITS
NUMBER OF A/C CIRCUITS
SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED.
DESCRIPTION OF WORK
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO
COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
/o s-7 7 r r-( eT
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT DATE l�z3/O y
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
TOWN OF SOUTH WINDSOR PERMIT#
App ' t s here G ' I
BUILDING DEPARTMENT I
APPROVE 1540 SULLIVAN AVENUE Bldg.Permit#
OCT 9 644-2511 ext. 230
Date Building Insp
Application must be printed or typed
FEE SCHEDULE E --
Location of Job:
$0-$1,000=$15.00 Street Lot No.
Over$1,000=
$15.00 per$1,000 1(�or any fraction thereof gnation I Apt.No.
� �
APPLICANT [-1/Tr1 0r-,j AL ALAfwv(- a1Z )
APPLICANT ADDRESS 2k5- cD
�ivt�3 CST C>COG(L
APPLICANT PHONE# - 3(fo- [(r->G(
OWN SF OWNER 31l t CIeD ��Tpg- atii►b�1CY JL�3
OWNER ADDRESS {t-{Q Nozmo yicuo Z,Y zuy, tor-3
A1Ntr—, Ca
4 i Z)z
o ,r OWNER PHONE E318 - 569-ziwzo X �=-
C ESTIMATED COST$ 2,000. 00
IS THIS A CONTRACT COST? '9-Yes _No
FEE ENCLOSED$ 30 . C?D
s o TYPE OF JOB:
R C x New Installation
Alteration/Addition/Repair
Revised 4/01//2002
APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
El RESIDENTIAL BUILDING PERMIT APPLICATION? ElYES ElNO
❑BUSINESS CURRENT USE AND OCCUPANCY {36A)
❑ASSEMBLY
❑MERCANTILE FUTURE USE AND OCCUPANCY T?iZ] AL'--
❑EDUCATIONAL
❑INSTITUTIONAL
❑FACTORY ENGINEER'S NAME PHONE
❑ STORAGE
❑GARAGE ADDRESS
❑MIXED USE
CITY STATE ZIP
(Other please specify)
TYPE OF INSTALLATION/WIRING METHOD LQ—�u Yn�-7E-- -Bor<y,
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
��Z— Cam' '►- P'ti7zt�v �t�5
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO
COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
t 0---Rs 1 US CT
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT �'c ..12_ _ _� �' ��— DATE 3l O�l
DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT
PERMIT#
Applicati
TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
RO 1540 SULLIVAN AVENUE Bldg.Permit#
644-2511 ext. 230 CR -7
Date Building In r
Application must be printed or typed
Location of Job:
FEE SCHEDULE F
$0-$1,000=$15.00 Street Lot No.
Over$1,000=
$15.00 per$1,000or any fraction thereof gnation Apt.No.
�MrY APPLICANT
APPLICANT ADDRESS
APPLICANT PHONE#
O W N S f q OWNER L
OWNER ADDRESS
U »: OWNER PHONE
C ESTIMATED COST$ OlJ
IS THIS A CONTRACT OST? _Yes _ o
FEE ENCLOSED$
TYPE:;e
:
S R-Co w Installation
_Alteration/Addition/Repair
Revised 4/01//2002
t
APPLICATION FOR PLUMBING PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
BUILDING PERMIT APPLICATION? ❑ YES ❑NO
❑RESIDENTIAL
❑BUSINESS CURRENT USE AND OCCUPANCY
❑ASSEMBLY
MERCANTILE FUTURE USE AND OCCUPANCY
❑EDUCATIONAL
❑INSTITUTIONAL ,, ,, I
❑FACTORY ENGINEER'S NAME Ste— ,�� 7L1! PHONE
❑ STORAGE
❑GARAGE ADDRESS �� —
❑MIXED USE
CITY STATE ZIP
(Other please specify)
TYPE OF INSTALLATION = IZE OF MAIN DRAIN
NO.OF TOILETS STYLE O.URINALS STYLE �—
NO.OF BATHTUBS --. NO.OF SHOWERS ----'NO.OF LAVATORIES
/ 1l�
NO.OF CONDUCTORS SIZE � NO.OF STACKS --SIZE
AREA _-t—
AREA OF ROOF NO.OF CATCH BASINS NO.OF FLOOR DRAINS
NO.OF OTHER FIXTURES KIND
ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW ❑YES ❑NO
SIZE OF W IF NONE C.F.M.OF VEN
SIZE OF DUCT SEWER O /
SIZE OF WATER MAIN / SIZE OF WATER PIPING&RISER
WATER HEATER: TYPE MANUFACTURER
DESCRIPTION OF WORK
THE UNDERSIUNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND 19TU—
COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
ON k CTO LICE SE NO. TYPE ;A,
SIGNATURE OF APPLICANT DATE
CREST MECHANICAL SERVICES, INC.
-1841 Broad Street
P.O.Box 340683 TEL(860)724-3431
Hartford,CT 06134-0683 FAX(860)251-7132
II
17;11-r
Connecticut License Numbers 391112,203561,F10140
www.crestmechanical.com
' iilf OF CO �IEGIICti pEP RTME15i OF'.COIVSUIlI PROTECTION
rid i':=;dr 4Y�f r:' '•.--r:;���:e:.•.: .,:i .-•t p�s..ta':'>.
STATE OF CONNECTICUT+DEPARTMENT OF CONSUMER PROTECTION
,:,;,�,•-,_.'�• '%=Y.:.•PATTl:I;?,I3ItFG�I•
Be it bmown that .....
PAUI;J BREGLIO '�'_.• :.:�'� :�.��
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' ' • 0' 1es bi6dt ceiu$ed the a E
208 EEGEELAND ST .,�. ,.1 t:,, �3•; x.. -P - Prolxtiob u
R!ETHERSFEI h-cro6E09 ,". ,' •FIi2E'pR0 CTt• I)Ct0 OR
has been certified by the Department of t onauiner P n as licensed
LIMITED SBEE•r ME AL CO CTOR
TXPE:SM
J License # 318 Effective trolnoo3
' Expireearin�t: :r:
Effective:09/inm 'if04 .T.
Expires:00931 ----- '..�_..__ •a.: _ r�u Fkn�q�Cm! siar
2004 T.FW,«..�'mC*1
STATE OF CONNECTICUT+DEPARTM OF CONSUMER PROTECTION
Be it —that
pA J BREGLIO
47
P T(�tjI'o7`C�1N�Ul�IER�I�UTECPIO}i 2081AGEII.ANDST•
3$TATh OF 9NNEGTICUI � r h o r y, r WE Fm 06109
,r•i'-.2t�.e. -,,.:+','.:'. sI'.-'LT�i--s•{.�,•..p�/`l,.^a�'�* r'... .eP °t a protectionasaEiwLxd
ed by'' !?':Ay '.;r.y,Y� ,• :. .�:d'P(1J 11 U:�iS++.VJ�i�''�..'i r.. °.: hubeen PoeD of n5!nn R
f Y.,•:�T: A z,..r�► s• u;' G131NLIAIITED CONT
DaIna;ca #:c'`" BEATING PING&CQOI.IIY
;i u a { n 'retecbon a heensed
ea°b'`"'° ,;- o1vT1t�#CTQR License #" 391112.
r
?� �;`•• `±PLUN�BING :'IP- TiC �•>
-•^ •..,}y .r '�;,{« y�t�$.I �•« 01.;• t Effective:09ro1n003 --
t:' ; Ice
�s�•"`+a`; -t:. .• Expires:08/31 •._._
2004 i. a. -low
!�f Effec$Ve;1/IBIltt10l - ' .
^,yi.ExpueY:ltV3lri� ",'.. t. �y•.y•
2004.' J.., ,
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
PERMIT#
TOWN OF SOUTH WINDSOR
Applicat' 1 ,9 0(p-57
BUILDING DEPARTMENT
PROVE 1540 SULLIVAN AVENUE Bldg.Permit#
y O 2W f V z 644-2511 ext. 230 3 d 0-7a
W
Date /l ,ld,n r
Application must be printed or typed
FEE SCHEDULE Location of Job:
1
$0-$1,000=$15.00 Street No. Street Lot No.
Over$1,000=
$15.00 per$1,000 3,T,11
or any fraction thereof Tenant Designation Apt.No.
APPLICANT S�w►c.c� �(e�Tu,
APPLICANT ADDRESS 20. OS ox3
New [T66 a
APPLICANT PHONE# g e0 - 22!�—O TQ0 - e-K77? -7
O W N S i , OWNER
OWNER ADDRESS
U) a F� OWNER PHONE
C ESTIMATED COST$ S�T�TO .
.r
* � IS THIS A CONTRACT COST? kYes _No
t�
FEE ENCLOSED$ $� 5S
r��sO. ON� TYPE OF JOB:
R C ✓New Installation
Alteration/Addition/Repair
Revised 4/01//2002
1
APPLICATION FOR ELECTRICAL PERMIT (continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
❑RESIDENTIAL BUILDING PERMIT APPLICATION? ElYES ❑ NO
2tUSINESS CURRENT USE AND OCCUPANCY
❑ASSEMBLY
❑MERCANTILE
❑EDUCATIONAL FUTURE USE AND OCCUPANCY Qom,
❑ INSTITUTIONAL
❑FACTORY ENGINEER'S NAME PHONE
❑ STORAGE
❑GARAGE ADDRESS
❑MIXED USE
(Other please specify) CITY STATE ZIP
TYPE OF INSTALLATION/WIRING METHOD C C.dle
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 OFF WORK
I NSTw�/ A^'.0 lnJ�,c. ALf' D Wnt.., ��dv.��c.0 t el 15A 71-" 0 �►ow�+ �}
/wr i;T. Rl� P,-,, )4-/u ..4 ,..rT /t tc w7�i—/,�
�2e,- 06cA.4s rgti 5/e.
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.
Jy v63 (::::� 7—
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLIC e �,� DATE
DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT
Application is hereby: TOWN OF SOUTH WINDSOR PERMIT#
BUILDING DEPARTMENT 3 L
APPROVE11,1 1540 SULLIVAN AVENUE
:Q 2 0 644-2511 ext. 230 Bldg.Permit#
Date uilding Inspe r
Application must be printed or typed
FEE SCHEDULE Location of Job:
F
$0-$I,000=$15.00 treet Lot No.Over$1,000=
$15.00 per$1,000
or any fraction thereof gnation Apt.No.
lD
APPLICANT c //y C
APPLICANT ADDRESS 32
T i c''6 o y o
APPLICANT PHONE# n ^ 4e 3 Z, y 2-
0 N SFq OWNER T- Tl (,vF2/RK,,'/1/ GvA-L K
OWNER ADDRESS
aSO v 7f w/ti.0 D ot e_-
e OWNER PHONE
C ;D ESTIMATED COST$ 1 of. nD O
.� IS THIS A CONTRACT COST? _Yes _No
L� �C FEE ENCLOSED$
1� TYPE OF JOB:
�SO R COS �New Installation
Alteration/Addition/Repair
Revised 4/01/nnn?
APPLICATION FOR HVAC PERMIT (Continued from reverse side)
TYPE OF SYSTEM: TYPE OF BUILDING:
'HEATING ❑RESIDENTIAL
WaC *WCOMMERCIAL
VENTILATION ❑INDUSTRIAL
HEATING
❑STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS.
O HYDRONIC ❑WARM AIR O UNIT RADIANT HEATER
EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION
DESIGN TEMP. OUTSIDE OF INSIDE OF DIFFERENCE OF
TOTAL HEAT LOSS(BTUH) OF(HEAT LOSS SHEET MUST ACCOMPANY
APPLICATION)
DESCRIBE ALL HEATING EQUIPMENT(INCLUDING MAKE&MODEL NO.)
E'e, T2Ic lfN( r dgtf- Jf F—LFG7-7e n h'ZA"af
GROSS HEATING CAPACITY(INPUT—BTUH) NET RATING(OUTPUT—BTUH)
TYPE OF FUEL
0 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 2 COOLING CAPACITY(BTUH)
VENTILATION
DESCRIBE ALL AIR HANDLING EQUIPMENT(INCLUDING KITCHEN EXHAUST EQUIPMENT)
91,00 F 72 P v,4,-,e Ts .►�/ «R/i s - �c� o i 2.dies
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 35;- Z3 T'
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT DATE A 2v O
Heating ■ Air Conditioning ■ Refrigeration ■ Sheetmetal ■ GeothE fmal
NUTMEG
,
MECHANICAL SERVICES INC.
June 18, 2004
Mr. Paul Blake
Providence Contractors, LLC
374-F Morrison Road
Columbus, OH 43213
Re: J Jill Evergreen Walk, South Windsor, CT, Quote number 046011, Revised
Dear Mr. Blake,
Thank you for the opportunity to quote the above referenced project.
We propose to install the HVAC as shown on the prints you sent to my office.
Included in this quote is the following:
• 2 Lennox 7.5 ton RTUs with curbs and economizers
• Electric unit heater, exhaust fans,elec. baseboard heaters and zone damper.
• Rigging
• All sheet metal and diffusers and returns.
• All labor to install above
NOT included in this quote:
• Electrical wiring
• Any cutting, patching of walls or roof
• Any steel or dunnage work
• Any structural steel work.
Our price for all the above is $28,650.00.
Thank you for this opportunity to quote solutions to your needs. I look forward to
working with you on this project.
Best regards,
C `
John C. FitzGerald
Commercial Sales
130-3 UTOPIA ROAD MANCHESTER, CT 06040 • (860) 643-2042 • FAX (860) 643-1753
AN INDEPENDENT LENNOX,DEALER
r
UJ
.gin
i
lint lint JAI I
STATE OF CONNECTICUT + DEPARTMENT OF CONSUMER PROTECTION
Be it known that
HENRY R WIERZBICRI 3R
208 REIDY HILL RD
AMSTON,CT 06231
has been certified by the Department of Consumer Protection as a licensed
HEATING, PIPING & COOLING UNLIMITED CONTRACTOR
TYPE:S1
License # 303523
Effective: 09/01/2003
Expires: 08/31
2004 Jam s T. Fleming,commissioner
s +
APPLICATION FOR BUILDING PERMIT
Electric # 1`f01C�S
Plumbing# 11 w 5 Date: 8_1 CH
HVAC # IZ7_31-1 1_5 EN.xargree^ Way
Sprinkler# 13 7 0 30907
Estimated Cost $ ,3101 h o p
FINAL APPROVALS - --------_-. -+
Building COMPLETE RED BOXED AREAS Permit Fee $ 3 q ITOccupancy
Fee $ to
Engineering TYPE OR PRINT ONLY Eng.Insp. Fee $
Affidavit for CO. SIGN ON REVERSE SIDE Total Fee $ 39
TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $
The undersigned hereby applies to do work acc din o the followi2g:
Applicant PX, '/n J.J, t Location of Work Spy Lot No.
Applicant's Address i 32-7 eo<i- Av A— Sv1.1a N Tel.# -310-3Z- 63cA x Ins
Town —i oc-e-W c>< Q Zip 4o i Z Lic.#
Owner Raj Architect Wj"-* - CUFF C-fA4.r_
Owner's Address Architect's Address ?G.3 S,,_st,-4MA a AJ
Zip xis N._ za-g y -iabc�Zip 07 ti 17
Sq. Ft. New Area: 1 st FI. yo ZL 2nd FI. 3rd Fl. Total New Area
Purpose of this permit IrM(��t rjf" LAcN-�h �ti �✓�r��r��n, I..,AC. (_-
City Watero Well❑ Septic Systemo Sewer❑
Ins: HO SP Cert. Area Basement Garage
Approved by Date Use Group Construction Type
Revised W02
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 k)cated the proper distance from all street lines,side yard lines,and required
distances from all other zones and is located in which this building and its use is allowed.
Signed
I hereby apply for a Certificate of Occupancy for the work described in this application for the permd
Signed
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
-f U � -aco
U L 11 --PC,1' l �r,
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
-------------------------------------------------------------------------------
**-30907-B 261,000
E02 UNDERGROUND 08/15/04 CJD A
B03 FRAMING (ROUGH) 08/15/04 CJD A
B04 INSULATION O8/15/04 CJD A
B03 FRAMING (ROUGH) 08/20/04 CJD A
E03 ROUGH 08/20/04 CJD A
B04 INSULATION 08/20/04 CJD A
B03 FRAMING (ROUGH) 08/30/04 CJD A
E03 ROUGH 08/30/04 CJD A
P03 ROUGH 08/31/04 CJD A
E03 ROUGH 09/09/04 CJD A CEILING
B03 FRAMING (ROUGH) 09/09/04 CJD A DROP CEILING GRID
E01 SERVICE 10/06/04 PJP A W/ELECTRICIAN,NO LIGHTING CIRCUITS
PO4 GAS TEST 09/13/04 CJD A 5LB GAS TEST
B10 FINAL 10/20/04 PJP D WATER CLOSET NOT INSTALLED,SIGNAGE, CK RTU
OUTLET,LIGHTING RTU
B10 FINAL 10/26/04 CJD A OK FOR CO
B10 FINAL O1/07/05 CJD A CLOSEOUT
**-12234-H 29,000
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
-------------------------------------------------------------------------------
**-1370-S 12,400
**-19065-E 56,850
E02 UNDERGROUND 08/06/04 CJD A LIGHT POLES
E02 UNDERGROUND 08/09/04 CJD A SEMAC TRAILER
**-11659-P 7,500
**-19125-E 1,000
**-19144-E 20,000
l II
BUILDING INSPECTION DEPARTMENT
TOWN of SO H-WTRDS—d 10-0 N�ECCTICUT
C E R T I EN A N C Y
x `
ZONE: q, • �`X N. anuary 7 2005
Y 1
l YJ i•t t.
This is to certif i� X'2���3ER � t�.Iy;,., �e� p mit
No. 30907 confor a sub a'� 11 to �$ r quire `tt,j f the Connecticut
Basic Building c a own o
South Windsor a .` �. �a roar' r r ��is' i Wca ed below
Approved for Oc uedfiA U D �f � SPAC �
Use Group M
Constr. Type 2C �, .,-• ;
&din6Official
Notice If this cer f at)e i as a z`p3/ a,; duplicate should
be obtained im d � �• tie`Ou id Department
{ s
Any change or extension o erein approved requires
a new certificate of occupancy.