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HomeMy WebLinkAbout1440 JOHN FITCH BLVD 1900305 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER BUILDING PERMIT DATE: 05/23/2019 GIS ID:47701440 FEE: 540.00 MUNIS APPLICATION# 201901014 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: DZEN SHEET METAL-CONTRACTORS,INC. ADDRESS: 1440 JOHN FITCH BLVD ADDRESS: 74 RANNEY STREET' OWNER: REDLAND BRICK INC PO BOX 160 EAST HARTFORD,'CT 06108 DESCRIPTION OF WORK: REMOVE&RE-ROOF FRONT 2 BUILDINGS SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY T BUILDING DEPARTMENT. a CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILD OFFICIAL 5/23/2019 10:11 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE �- °s v Q Jul/15, 2008 C Welch Roofing Company 1030 Tolland Street East Hartford, CT 06108 Dear Madam/Sir: Re: Open Permit#32333 — 1440 John Fitcndsor It has come to our attention that there is an outstanding building permit dated February 16, 2006. State Building Codes require the issuance of a Certificate of Use prior to using the proposal to install a new roof. Please contact our office for a final inspection. All permits should be closed by August 15, 2008. Should you have any problem meeting this date, please send our office a letter stating the reasons. If the proposal is being used without the benefit of a Certification of Use, a caveat may be placed in the land records stating a Building Code Violation exists on your property. Please call Alice at 644-2511 ext. 230, should you have any questions regarding this letter or to schedule the necessary inspections. Our office hours are 8:00 a.m. to 4:30 p.m. Very truly yours, Christopher Dougan Chief Building Official CJD/pmm Enclosure Electric # �� � APPLICATION FOR BUILDING PERMIT Plumbing# 1440 John Fitch Blvd Date: HVAC # Sprinkler# _ 32333 - FIN ---- - — -- Estimated Cost $ 1 q. !3 7.0/ ariv�✓'(� - --- - - Permit Fee $ 2J,5••�70 Buildin COMPLETE RED BOXED AREAS Occupancy Fee $ Enidavi TYPE OR PRINT ONLY Eng.Insp. Fee $ Affidavit Appr. for CO. SIGN ON REVERSE SIDE Total Fee $ 2.2 S••LiD�� TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ The undersigned hereby applies to do work according to the following: Applicant WE t C W RooriN G Co- Location of Work l I V0 .7rMN Fi-rCH )3e-✓D. Lot No. Applicant's Address i o-3 o - o L L H/U 0 S:2 Tel.# eGc)- Z 8 r- &f ST Town _ghs;- Fv2D Zip 0&,,0 8 Lic. Owner RCb`A^JD 'ZkICK iNc - KF t AfTArchitect Owner's Address /4P/0 7_eN.1J fi:e� L Vim• Architect's Address 5ot<.TI4 wi,vD so& Zip r7 b i., t1 Zip Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area Purpose of this permit 7EMo,c ALL oZ4O RooF',ov6 - ,.v%rft4 RIPCiO i.uSuiATiov oufk Ror�,of a£c,k-i�ls:�4tc /Cl�tft'C��-A5S apS£ s yfLT U✓Fk /AUSa, /Arl A)- 1uSt4[t 5/nOsi H SKkFAC£ $$S Acj)f r fb &At e.v l+bT ASPNatr- 1,uSr4j-t. 1f?frAL Gb6iN6- C_o:4r ry,rM Atu, ,yum 9,6;3 Pj0 co.47-rA�,4 City Watero Wello Septic System❑ Sewero Ins: HO SP Cert. Area Basement Garage Approved by N, Date-A'0(- Use Group_ construction Type IV Revised 6102 I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town of South Windsor and to notify the Building Inspector of any afteration in the plans or specifications of the Building for which this permit is asked,and agree that this building is to be bcated the proper distance from all street Naas,side yard lines,and required distances from all other zones and is k)cated in which this building and its use is allowed. Signed I hereby apply for a Certificate of Occupancy for the work described in this application for the permit. Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS APPLICATION FOR PERMANENT SIGN PERMIT Zoning Approv I: 1440 John Fitch Blvd. Est. Cost: k3ef. j ::. Final Inspections: No. 730777 Permit Fee: $ Buildin Approved: Zoning $ Electric Permit# Applicant/Business Name ���\�N� ���C�L ��►C Address 1 s C 1 eNc S A('�N cz a�& Phone 0 I _' �7 10 v Location of Sign 2—O� �0 CNK('k_U"4' - Zone TYPE of SIGN: ❑ Wall or 0 Free-standing ( New or❑ Replacement Illuminated?Oyes ❑ No Proposed Sign Size(square feet)�Sign Height No.of Existing signs on site Free-standing Wall Description of sin materials and lighting: Vi C_ ATTACH DIAGRAM OF SIGN / INCLUDING I have rea Windsor Zoning Regulations, Signs. DIMENSIONS Applicant Zo hS Date P Date cg(p4 ^ J 131 FJ1� Property Owner _.f STATE OF CONNECTICUT DEPARTMENT OF ENVIRONMENTAL PROTECTION oAra= �t16u�T 1 b� i 98� G. - '57157 tRom: Department of Environmental protection 165 Capitol Avenue Bartford, Conn. 06106 SUBJECT: Life Expectancy of underground Storage Tanks pursuant to subsection (h) of the DEP's regulations on underground Storage Wanks, life expectancy is as follovs= FIBERGLASS REINFORCED PLASTIC - manufacturers' corrosion warranty period. CATBODICAI.L7 ppoTWTM EXTER WZY COATED STEEL - same as above or calculated anode life. Existing facilities not either of the above - 15 years from date of installation. on your notification form you failed to indicate the life expectancy for the tank (s) listed below, therefore, we are assuming your life expectancy (&) to be 15 Tears. If you have documentation that indicates otherwise, please contact us at 566-6630. *,V- 5 sincerely yours, Al 6 C3 c4 tlaanor A. Tovksbury Field Inspectot cc= Local Fire Rarsball ._ vc..arx—s-..w ova.-.x�rr->.-�.�xw.�-.so-:sr�r.._.:�c:,c:..:�z+n4..tixra^��:.cry-...�'-r-c°'`x++=<r:.c: -o.«—...._.J. _� yx^G S:YJSIv�WCAS.to>-..��n����.�v,.]:.s:R�trr_A.�_t+���w..r..'..�_.ice.vta+.ML:icr-"rY�-�s•.a_.�i'��^(.-���.a. 1 j �• REAR YARD TYPICAL 25* loch 52/7 llj�onilN #uO2 30- PUM STA �n pw v D 1 0 /0 ABANDONED \ \ CLAY PIT >'?h ED MIXING PR 1r � ! •` ::•• ••" BUILDING LIMIT OF CONSTRUCTION/^ / i C 7- I I MAIN PLANT \ ��.�...— n 12L n = t' :.�' ice►.'• •'�.f.t:.i.ry yl '0 t..!•w� - ! �`•� ����� �� :• (7 ; I W -;t�L �:s -�y�.''7j"_'•:r'•� �::;:•%7' .. . ., _ ..ww�r,•gJ�}t i ��..�.� . Z AVA LOADING AREA OFFICE CE PARKING AREA ` �.,,,,��, ��• BIT PVMT, s{ .� e y �._ '� i ..�g"�i^ '� •' .-4,_' Q �� ice,, his tr �t ,i ,-r F,' . ,G ��• ie �i t 1' Y �?,'�R�� ik' w •i +t � .�f 1 �It'i'. to ` t � •, � `��, AG � RKIN r f� t 1990 South Windsor BUILDING DEPARTMENT 10 THE BUiLJM DEFT. li *N OF SOUM SVin�x This certified that this plan and specifications are true coplea of the proposed building or alteration$ to be erected at a,#Aj'j-rlc'Jl ,(3LY�? Street together with amendments Stated In application an,, filed with plan and i agree to comply with all zoning. Building and state laws and such orders AS shall be Issued by the Building Department during pendency of this application and final Issuance of a building permit. �( Signed "k./— �� this"IT Is approved subject to the condition that orders and ordinances regulating building shall be complied with. Conditionally Approved These filed with Building Inspector Clerk Uate No...L�fa6 _ I 1 A M � lV 0 1 y - � s�..� •j f � � 1 h s o0 •1 l. t�__ ^ ry � r i a I ( n Qop i I r Arl, I h pis i r � 1 I , DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT PERMIT# Application is hereb TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT APPROVED 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 Date Budding Inspector 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$1,000 or any fraction thereof gnation Apt.No. APPLICANT -; -+A N 6 Gh a rn i C o-L Cn r,i r-ct C 1 air S Stitt G, APPLICANT ADDRESS I S o '2t)P,t So ,J '�k . APPLICANT PHONE# R(n 0 - O W N $ OWNER F. r ic-K q< OWNER ADDRESS 1--1 i-12 Eo k, F i fc k t3 L V C-+ 06,C r7 H OWNER PHONE s,e - 5 a - 13 r t~ = ESTIMATED COST$ 5 Hf(o 8 IS THIS A CONTRACT COST? _Yes r/--,/No b I . . s, . ' �� FEE ENCLOSED$ ®I e! K 3 3 TYPE OF JOB: S O R-c o ✓New Installation _Alteration/Addition/Repair APPLICATION FOR HVAC PERMIT (Continued from reverse side) TYPE OF SYSTEM: TYPE OF BUILDING: ,%HEATING ❑RESIDENTIAL ❑A/C A COMMERCIAL ❑VENTILATION ❑ INDUSTRIAL HEATING ❑ STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS. ❑HYDRONIC ❑WARM AIR *"UNIT RADIANT HEATER EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION /00 M81 f DESIGN TEMP. OUTSIDE <D _°F INSIDE -7 C7 F DIFFERENCE OF TOTAL HEAT LOSS(BTUH) OF(HEAT LOSS SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL HEATING EQUIPMENT(INCLUDING MAKE&MODEL NO.) S,.Per,c�L ' !1' i by (t�t� A1814 �.vn �tit�de f t�X IS A/,2n t GROSS HEATING CAPACITY(INPUT—BTUH) NET RATING(OUTPUT—BTUH) TYPE OF FUEL ❑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) 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 3 3 3y d V 3� 7 CONTRACTORS LICENSE NO. / p TYPE STATE SIGNATURE OF APPLICANT J /L DATE 01`/6 zO _ 1 t i I , i' 4 :101 oil Yw .. .,17 .. '4 aR 4 r Rates 40,000 to 220,000 BTU/HR Hinged service cover on UA Natural Gas and LPG , Jet Stream Burner Configurations of U and L - improved heat distribution - horizontal or 451 - better combustion * Separated Controls Compartment Heavy Duty Couplings - electronics out of air stream - no leaks - burner can run during servicing - cannot be over tightened . Self diagnostic ignition module • Operating Status Light • Parabolic Aluminum Reflectors • UX model features - most efficient in the industry - totally enclosed construction • Direct Spark Ignition - 10 year warranty on optional Vented or unvented aluminized heat exchanger /JA\- �t'�n,�A �'Ri1Fl� , t SPECIFICAT �1l , VR S s� 9 t k So UA and UX In r MODEL RATE BTU/HR SHIP WT. STD.LENGTH ELECTRICAL RATING GAS CONNECTION (Nat.Gas or LPG) Ft 120 VAC 60 Hz 1 A 1/2" NPT UA(X) -40 40,000 80 Ibs (37 kg) 10 plug connector UA(X) -60 60,000 120 Ibs(55 kg) 20 UA(X) -80 80,000 120 Ibs (55 kg) 20 Extension UA(X) -100 100,000 120 Ibs (55 kg) 20 - - Options UA(X) -125 125,000 160 Ibs(73 kg) 30 Available TUBE DIAMETER MINIMUM GAS INLET UA(X) -150 150,000 200 Ibs(91 kg) 40 UA(X) -175 175,000 240 Ibs(109 kg) 50 Combustion air 4" Nat gas W.C. UA(X) -205 205,000 280 Ibs(127 kg) 60 Flue 4° LPG 11" W.C. UA(X) -220 220,000 280 Ibs(127 kg) 60 STANDARD EQUIPMENT INCLUDES OPTIONAL EQUIPMENT • Burner housing assembly • U or L bends for specific layouts • Aluminized combustion tube with gasket • Side reflector and brackets • Combustion air inlet collar • Lower shield and brackets • Turbulators when required • Thermostats, 24v or 120v • All tube, reflectors, coupling and hanging accessories • Termination vent per specified length Hot rolled or aluminized tube � xt DIMENSIONS '` -�- END SIDE TOP 1t3" 15" 14" 120" typical •U configuration may be unequal length •maximum flue vent length allowed,30ft. •L configuration available to fit 12 O 16" 36" sI I.c 12 i{ NOT TO SCALE CLEARANCESb. MODEL UA or UX UA or UX UA or UX UA or UX UA or UX UA or UX 60 100 125 175 205 220 Configuration Top Side Below Top Side Below Top Side Below Top Side Below Top Side Below Top Side Below Straight - Horizontal 2 25 58 2 30 67 4 33 71 6 40 78 6 44 80 6 46 83 Straight - 450 Tilt 4 4-46 50 4 4-58 67 6 4-63 70 8 4-67 74 8 4-72 78 8 4-77 81 U-Tube Horizontal 2 25 59 2 30 71 4 34 74 6 40 78 6 45 82 6 46 88 • Other layout configurations are approved • Lower clearances are allowable at 25'from burner • Side reflectors and lower shields are available • See installation manual for complete information SUPERIOR RADIANT PRODUCTS LTD. DISTRIBUTOR 428 Millen Rd., Stoney Creek,ON L8E 3N9 Phone: (905) 664.8274 Toll Free: 1.800-527-HEAT (4328) t " Fax: (905) 664.8846 ' 1 ' ' • illrol&11 Website: www.superiorradiont.com Email: soles@superiorradiant.com All rights reserved.This document or part thereof may not be reproduced or copied in any form or by any means without the written consent of Superior Radiant Products Ltd. r1 The information grren is current a;the time of printing,but is subject to change without notice LTUo11woo�T/ <-----------------------_w----------------------------------------> TT -VENT ^ I I GARAGE BAY DOOR ^ I SAMPLE kBURNER1I I CUT I I I I ROOM I I I I II I I II I I 11 I I 11 I I II I I II I I IlllilII I I BRICK UPPER PLATFORM I I CLEANER I X X <-------------------------------------------------------------------> Titan Mechanical Contractors, Inc. 150 Batson Drive Manchester,CT 06042-1694 v:860-645-1105 Data January 12, 2007 t:860-645-1176 www.titanmechanical.com City of: South Windsor Department of Licenses & Inspections 1540 Sullivan Ave South Windsor, CT 06074 ATTN: Building Official RE: Application For: HVAC,Trade Permit Description: Install Radiant Heat Gentlemen: In accordance with Public Act 91-95, this letter authorizes the below named agent to sign the above referenced permit application. 1.Project Name: K.F. Brick Radiant Heat 2. Location:1440 John Fitch Boulevard. 3. Starting Date: Approximately Jan 24, 2007 4. Licensed Contractor's Name: Gene Chadwell 5. Licensed Contractor's Trade License No: 303334 6. Name of Agent: Kenneth R Kelley 7. License numbers of all contractors involved in the work If applicable: Sincerely, Signature of Licensed Contractor Required By Public Act 91-95 %5{Ijj ppl a PPL company CT License P-1#279991 S-1 #303334 t�-----c,••t R:-�'- -S&"�•.e...z_,�.% � .�.,- .=_s_::s�:a� �.F+ ..� -..� -=_�T. .,....-.-fe.a-a.a�r�f.�...�'.�-.=sty._::..s.._-7�e f�t 'T Or y (:TI CU`T DPAINTF ( 15 it;lyi6'9i�it` hat ' �. �r - ,R r r a` _ t pq�, �.��� ����•��� tr a�r. r •,,,,C�� �', � '.ts F r.- � ! `a �`e r r a �J 1 #t. tu"1• -7 r t _- '4 I 'r r '"• ' i J , - FrN f MI S�� � � .�;�^ 'l t.. f A� t 1". �.g, .cn 4 .+ _r r.,r• '} . f'� �1- -' v r i� r!' �fwC •Lb:h+' e`r ', rr, i•9 �'' "p7 r�p-yJ•, 4+,is ri }r.*�' rt�•u.�, t' f y Y, '}� ?-q_'{•, a}(, fImMi•} J `a� ty���M1� Ord( {ri!f :r �� .y � d+•� } 6v f L�R�'������[,• �*'� �d[ /,.K �rl' ,t ,�t}y if� f, +.v),q•C 0' S �-k6f T XT ..••.Fa�'F.ti 1y.�j. h'f' P f%�.' 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"-�^ =ff...y.r� 'f y 'X`• .`_'i''�+�`�'S.. ."�. . 3 fr C y,wf','� •+( 'aY t �'-+i.:�', .' y� i 4. .. �•... r �A• ` y3- i of' �. :1;:•kr �j„Y',{. _Z••'��5. �',��•;'y:.'t'Y"' i• �a.v�rt.,• p 1, � �`�e 4tr�_.r y�` .'?�.�. s�++.o.�`�i«'•`• S fir;1�t'Ji,"' � _ � qb'. .. `i•.t�w��:.. .���..<, 'fr,j'-�y .y*_•k..�'�� ..a Y`' 'ti,a• • .n, r^i �;ty., ,� �� �� r� i` yi Y:',• .�`'{ �. .R sa; f:r- 't. .,�.� �x ,.' J)r ram"-^-qrT.'?1..��.z:ttlr'�"'?"' Y.-i. :ram•,-•�,7-f � 'r "�•s�-�.�--�zt. .i j.�•-•-e:�'. Jan 11 07 09:08a (860) 528-9539 p.2 KF Brick South Windsor, CT Heat loss based on 0°F outside temp 70OF inside temp Infiltration based on 2 air changes per hour 1 Name of Room Work Area 2 Running Ft of Exposed Wall 30 3 Room Dimensions Ft 30 x 30 4 Ceiling Ht 18 Type HTM Area Btuh Of Or Exposure Htg Cl- Length Htg Cig 5 Gross 360 Exposed Walls and Partitions 6 Windows North 50.8 23 0 and Glass 1E&W 50.8 72 0 Doors South 50.8 38 0 7 Other 20.3 1 6.8 0 8 O/H Doors 42.6 13.9 160 6816 9 Net 4.9 2.1 200 980 Exposed 0 Walls and 0 Partitions 0 10 Ceilings 3.7 3.2 900 3330 0 it Floors 56.7 30 1701 0 12 Infiltration 2.52 1 0.36 16200 40824 13 Sub Tot Btuh Loss/gain= 53651 6+7+8+9+10+11+12 14 Duct Btuh 10% 5365 Loss/Gain 15 People Gain 30 16 Efficincy Loss 25% 13413 17 Latent Load 30% 18Total Loss/Gain= 13+14+15+16+17 72429 PPLENER-03 RIMI ACORD, CERTIFICATE OF LIABILITY INSURANCE DATE(MMro 511712006 PRODUCER (215)567-6300 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION he Graham Company ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR The Graham Building ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 1 Penn Square West Philadelphia,PA 19102 INSURERS AFFORDING COVERAGE NAIC# INSURED Titan Mechanical Contractors,Inc. INSURER A:American Home Assurance Company 9380 150 Batsen Drive INSURERB:National Union Fire Ins.Co.of Pittsburgh,P19445 Manchester,CT 06040 INSURER C: INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHS ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS 0 POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR NDU'L POLICY NUMBER POLIC YE FFEDCTIVE POLICY EXPIRATIONTYPE OF INSURANCE LIMITS GENERAL LIABILITY EACHOCCURRENCE $ 1,000,00 A X COMMERCIAL GENERAL LIABILITY GL6432724 3/31/2006 3/31/2007 PREMISES Eaoccurence E 11000,000 CLAIMS MADE FRI OCCUR MED EXP one person) $ 10,00 PERSONAL d ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG S 2,000,00 POLICY X PROJECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,00 A X ANY AUTO CA7595284 3/31/2006 3/31/2007 (Eaacadent) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Pef P�-) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTYDAMAGE S (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO EA ACC $ OTHER THAN AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ 5,000,00 B X1 OCCUR CLAIMSMADE BE2681441 3/31/2006 3/31/2007 AGGREGATE $ 5,000,00 S DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND X I WC STATU- OTH- A EMPLOYERIETORILITY C7209109 3/31/2006 3/31/2007 E.L.EACH ACCIDENT $ 1,000,00 ANY PROPRIETORlPARTNER/EXECUTNE OFFICERIMEMBEREXCLUDED? E.L DISEASE-EAEMPLOYEE $ 1,000,00 If yes,desoibe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,00 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS VEHICLES EXCLUSIONS ADDED BY ENDORSEMENT SPECIAL PROVISIONS Automobile Liability Includes Massachusetts Policy#CA 7595285. Rediand Brick,Inc.is included as an Additional Insured on a primary basis as respects the General Liability Coverage if required by written contract. Prior to loss,and If required by written contract,Waiver of Subrogation is provided In favor of the Additional Insureds on the bove General Liability Coverage if permissible by state law. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Rediand Brick P.O,Box 160 DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30_DAYSWRrrTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL 15718 Clear Spring Road Williamsport,MD 21795- IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25(2001108) ©ACORD CORPORATION 1988 PPLENER-03 RIMI IMPORTANT If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s),authorized representative or producer,and the certificate holder,nor does it affirmatively or negatively amend,extend or alter the coverage afforded by the policies listed thereon. ACORD 25(2001/08) i 7 O cu EXISTING ACCESS DRIVE BRICKYA D POND p -. --- --------- ----------- ZON Q) I ❑ O I P o A ------------- 1 Electric # APPLICATION FOR BUILDING PERMIT Plumbing# 1440 John Fitch Blvd. Date: f(-N ��. HVAC # Sprinkler# FINAL AP VALS 7 Z� Estimated Cost $�s �o Building COMPLETE RED BOXED AREAS Permit Fee $ Occupancy Fee $ Engineering TYPE OR PRINT ONLY Eng. Insp. Fee $ pp ► SIGN ON REVERSE SIDE 1 1 Affidavit A r. for CO. Total Fee $ _ TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ The - ---igned hereby applies to do work according to the following: Applicant �Nc� r C (- Location of Work 1 zk o �J N UC Lot No. Applicant's Address 1 ` O 3h\*j Town U \ Zip O� I Lic.# Owner P,� Architect Owner's Address t S`t C t' %�_ t-;LK _Architect's Address L)JiN c fin ZipZ Zip_ Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area Purpose of this permit C���C1 '<_ ' a �.� C\�Z7 `A-�. W \ City Watero Well❑ Septic System❑ Sewero Ins: HO SP Cert. Area Basement Garage Approved by Date Use Group Construction Type Revised 6102 Q 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 It a Building for which this permit is asked,and agree that this building is to be located the proper distance from all street lines,-.ide 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 foi the permit. Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS O�LDU- Electric # APPLICATION FOR BUILDING PERMIT Plumbing# I �j� 1` �^ y� HVAC# Date: ♦ Sprinkler# FINAL APPROVALS Estimated Cost $ ��Oob AllQuilding Permit Fee $ 0- 'hed�.�— COMPLETE RED BOXED AREAS Occupancy Fee $ Engineering TYPE OR PRINT ONLY Eng. Insp. Fee $ Affidavit Appr.forCO. ► SIGN ON REVERSE SIDE 4 Total Fee $ TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ The undersigned hereby applies to do work according to the following: C1,1_ LI5 I R0-1-, C Applicant e-- C� !r v Location of Work lifqo __ vl 1 C Lot No. Applicant's Address?K `�RC-Ane,�r Tel # 1?(00 5041--el a Town AQL4— Zip 06/0 S' Lic.# 1*-) 99'7 _ Owner ReAktra r�L Architect Owner's Address jq(td 36 n KIVCJ Architect's Address 5c,c,cA Zip Zip Sq. Ft. New Area: 1 st FI. 2nd FI. c 3rd Fl. _ Total New Area 4>0 O S Purpose of this permit 6 1 J 5 �A _ SSit io G 6d ,�`/ iter V?11 f—o a F S i-k— v� wm DecAk ,, f"t r/15ccl��fr'1 n�er � � City Water J Well J Septic System J Sewer J Ins: HO ISP Cert. Area Basement Garage Approved by �I l Date �L AlU e Group Construction Type ,.p A1ht 0 l�G� ()�i+� . LoM� ���f' tJ� d oe 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 b to t e he proper distance from all street lines,side yard lines,and required distances from all other zones and is located i c is building n s use is allowed. Signed _ I hereby apply for a Certifica of Occupancy for the work described in this application for the permit. igned DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS INSPECTION FIELD SHEET 03/13/23 Printed by Middleton, Morgan 11 39 33 INSPECTION: 117431 FINAL PERMIT: STATUS: APPLICATION: 201901014 LOC: 1440 JOHN FITCH BLVD PROPERTY ID: 47701440 OWNER: REDLAND BRICK INC CONTRACTOR: REQUEST BY: PROJ DESC: REMOVE & RE-ROOF FRONT 2 BUILDINGS WORK ORDER: INSPECTOR: WS-B RESULT: PASS REQUESTED: PRIORITY: SCHEDULED: COMPLETED: 03/13/23 UNPAID FEES: 00 Date Time MILEAGE: 00 TIME: TRAVEL ONSITE COMMENTS: INSPECTED BY VALERIE MUSZYNSKI