Loading...
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 '�'_.• :.:�'� :�.�� r is'.x`.';.re•a't.''r.�,f'.'�•Y,Y �i 6EDQ.;',;.., ' ' • 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.