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Home My WebLink About1540 SULLIVAN AVE APPLICATION FOR ELECTRICAL PERMIT DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT AP O 1540 SULLIVAN AVENUE Bldg:Permit# 644-2511.ext. 230 Date Building Ins ec r ApF dcation must be printed or typed FEE SCHEDULE Location of Job: 'A - $0-$1,000 $15.00 ��/Q StAl II yA� ht�¢ iUQ-- Over$1,000= ll Street No. Street Lot No. $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT F,6*441r'" I CAyt {2aCTO fit, C. APPLICANT ADDRESS 3 b!D Nlc3 r N 4r G'T olo/Zo APPLICANT'S PHONE# OW N SF OWNER TOWN 4� OWNER ADDRESS C OWNER PHONE FW — 6L/y — ZG1 ! C ESTIMATED COST$ 7 OCR �1 U IS THIS A CONTRACT COST? Yes No Nd FEE ENCLOSED$. °�� TYPE AT!rNew 1 VI 1 y•CD Installation Alteration/Addition/Repair J017oi42-7. Revised 03/05/10 APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side) TYPE OF BUri;DINc IS THIS APPLICATION ASSOCIATED WITHVNO BUILDING PERMIT APPLICATION? ❑ YES O RESIDENTIAL CURRENT USE AND OCCUPANCY oy.*j 0 BUSINESS / J O ASSEMBLY FUTURE USE AND OCCUPANCY 7o�/�J t4cl [ 1 ❑ EDUCATIONAL❑ ,,pp 'r INSTITUTIONAL ENGINEER'S NAME DAD PHONE 6�7' 9�j�t '� ❑ FACTORY 1� cc- O STORAGE ADDRESS _ 22t- 0!9 k(.QoJ Roc Jl Slife- ❑ GARAGE J. O MIXED USE CITY You r`I/1 (�,�� St'�/1 _ STATE iIP Oba"7 Lf (Other please specify) TYPE OF INSTALLATION/WIRING METHOD SIZE OF SERVICE SIZE OF MAIN CONDUCTORS NUMBERS OF METERS NUMBERS OF DISCONNECTS AND RATINGS NUMBERS OF PANELS NUMBERS OF DISCONNECTS REQUIRED? ❑ YES ❑ NO NUMBERS OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS NUMBER OF SWITCHES. NUMBER OF OUTLETS NUMBER OF LIGHT FIXTURES NUMBER OF HEAT CIRCUITS NUMBER-OF A IC CIRCUITS SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE-SUBNffMD. DESCRIPTION OF WORK 5 Q M« 4 pu THE UNDERSIGNED HEARBY 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 PERFOR- MANCE OF SUCH WORK 010 2 660 <s"f C CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICAN DATE /D 1 State Lie#102800, 3510 Blain Street Hartford CT 06120 (860)549-2822 Fax(860)549-7948 Info@EClncorporated.com 10/9/17 Town Of South Windsor 1540 Sullivan Avenue Building Department To whom it may concern: In accordance with Public Act 91-95 I, Louis J. Bona, of Electrical Contractors, Inc., E-1 License #102800, hereby authorize Bill Flynn to act as my agent to secure an electrical permit for the job listed below: Install New Fire Alarm System at Town Hall The Start Date of These project will be 10/16/17 Sincerely, Louis J. Bona President Electrical Contractors, Inc. MAservice\sahmis6office docs\permitletter W.'em 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: APPROVED: BLDG.PERMIT NUMBER: DATE INSPE TOR LOCATION OF WORK: APPLICANT: OWNER: TYPE OF STRUCTURE: / / ( ❑NEW BUILDING NAME: V Qll�cJ C y Mr+ d— J t� C_ NAME: I U W n O� S l V ❑ADDITION PHONE NUMBER:f-GU gaf v2?�y PHONE NUMBER: EXISTING BUILDING ADDRESS: 3� l v-,, S ADDRESS: TYPE OF USE: ❑RESIDENTIAL eOMM RCIAL ELECTRICAL INFORMATION: FURTHER DESCRIPTION OF WORK: TYPE OF INSTALLATION: L.0 ��— '� A Ct,,II (, J ,L SIZE OF SERVICE: t Cc,M o... DA f _ SIZE OF MAIN SERVICE: NUMBER OF METERS: y C/I 4-1 r L <<.I C0 0,1- NUMBER OF PANELS: NUMBER OF LIGHT CIRCUITS: ESTIMATED COST:S C 1 NUMBER OF SWITCHES: NUMBER OF LIGHT FIXTURES: FEE ENCLOSED:S NUMBER OF A/C CIRCUITS: FEE SCHEDULE:$18 PER$1,000 OF TIlE 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 PERMTP FEE) THE UNDERSIGNED HEARBY 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.: rl - loft kO TYPE: El- STATE: C' SIGNATURE OF APPLICANT: DATE: .-2 / 1 State of Connecticut Department of Administrative Service Office of State Fire Marshal JUL I 1 2011 APPLICATION FOR REQUEST FOR MODIFICATION OF A REQUIREMENT OF A IRE EGULATION } ADOPTED PURSUANT TO CHAPTER`541 OF THE CONNECTICUT G NERAL STATUTES Yo, Facility Name: South Windsor Town Hall Facility Address: 1540 Sullivan Ave South Windsor CT 06074 Numbsr 5b..t Q7 Ss,b Zo Facility owner. Town of South Windsor Telephone: 860-644-2511 Owner's Address: 1540 Sullivan Ave South Windsor CT 06Q74 Numb« S"01 aWa LP Applicant's Name: DRA Architects Inc. Telephone: 860-644-8300 Applicant's Address: 225 Oakland Road Suite 205 South Windsor CT Nur"Or uY State ZP Applicant's e-mail: acahill@draws.Com Contact Person: Angela D. Cahill, AIA 1 Telephone: 860-644-8300 Type of Facility: Office ODb a 6uadln0.LP-C—Buis Rsm.A,,4w atv.s«.r<.SL.bm%s, 1 ^ This Facility is: ❑ New; 0 Existing; ❑ Renovation: ❑ Addition; ❑ Change of Use/Occupancy: from to O Date of Construction: 1968 Date of Present Use/Occupancy: 1968 (�� Date of Application for the Building Permit: July 2017 W QJ Previous Modifications for this Facility:❑ Unknown; ❑ No; m Yes, Modification Number(s): year 2010 FM-v 313-10 J� (� ❑ Check if a Modification Request to the State Building Code is being submitted to the Office of State Building Inspector. OI,the above named applicant,being a lawful agent of the owner,request modification/relief from a requirement of the Connecticut: r i m State Fire Safety Code pursuant to CGS§29-296; ❑ State Fire Prevention Code pursuant to CGS§29-291b Applicable Edition of the Code: 2016 CT Fire Safety CC For the requirement as prescribed In: (Part)/Section Number. Fart IV 7-1.3.2.10O)Q)AMD Referenced Standard and Section: Of APPRubsj NFPA 13.NFPA 30,NFPA Ty ale request this modificatlonlrelief due to the following reasons: m Practical Difficulty ❑ Unnecessary Hardship ❑ Requirements Unwarranted Ons"d area 0C n0ffi4&.Tr a W r 01 As IMOP Wa MQL"D^Ds brown 4 die L:ctw,and a bn.r desawbn wRY cvds dbinpllan"fIl.f«be aeN—vd,fpsofy d.Mnaana as aP_-tksD4 � We are in the process of upgrading lighting and door hardware in the facility. Exit stairs and office space share HVAC ductwork in existing conditions. We request the OSFM approve the use of duct smoke detectors with automatic shutoff of the building's central air handling unit upon activation of the smoke detectors and/or activation of the fire alarm. ❑ Separate Sheet Attached i I ab 1M7 I • iqP Intend to provide the following safeguards)as an alternative measure to secure public safety in lieu of strict compliance with the requirement noted above: We will add safeguards as follows: Supplement the notification system by adding smoke detectors in the office areas, add horn/strobes, and upgrade the fire alarm system. We are also upgrading the exit lighting. Separate Sheet m P t Attached In addition the following are endorsed ❑Plans/Drawings/Sketches; ®Photographs; ❑Product Data Sheets ❑Supplement Information Sheet ❑Other as necessary for Carification of the information provided. AFFIDAVIT I certify at,to the est of my knowledge and belief,the foregoing statements are true and made In good faith. 7-27-17 Appdnnr� Oats FoR Loco Fig MARSHAL Use 1, m Support, ❑Do NOT Support, this Request for Modification to the Connecticut ©State Fire Safety Code; ❑State Fire Prevention Code as identified above to(Part)/Section: because of the following reasons: ❑ Separate Sheet Attached/� Walter Summers✓ .. e Marshal 860-282-0669 7_27-17 Fn Msnhal / Rsviawels Sipnawrs l Titla Teleptwne Number Oats ❑ Contact me regarding this Request. STATE FIRE MARSHAL The response of the,Commissioner of Public Safety/State Fire Marshal to this request in accordance with Connecticut General . 2 Statutes§29_ 6 is attached on a separate sheet 0 supvtipx a lauwta Sae 2d3 APPLICATION FOR REQUEST FOR MODIFICATION OF A REQUIREMENT OF A FIRE SAFETY REGULATION SUPPLEMENT INFORMATION SHEET If Modification request is for a building or structure,please complete the following: Date of Construction: 1 Ubb Date Of Occupancy for Present Use; I y0t3 Number of Stories(Above grade) L Dimension I Area Per Floor: :1,UUU ST Attic; ❑ Full Basement—#of Levels: 1 Q Full ❑ Finished ❑ Partial 0 None m Partial ❑ Storage s ❑ None ❑ Crawl Space Type of Occupancy (Check all that apply) ❑ New ® Existing ❑ Addition ❑Renovation ❑Change of Use/Occupancy: From to ❑ Assembly A- ❑ Detention I- ❑ Residential Board ❑ Hotel/Motel R- Occupant Load: persons ❑ Condition 11 ❑ Large ❑ Small ❑ ❑ Lodging/Roo ming R--_ Educational 1 E ❑ Condition Ill ❑ Prompt ❑ Bed&Breakfast Ga Business IS ❑ Condition IV ❑ Slow Q� ❑ 1 &2 Family/R-3 Single Tenant ❑ Condition V ❑ Impractical ❑Industrial F- ❑ Multiple Tenant ❑ Apartment I Dorm R- ❑Storage S- ❑ Mercantile I M No. of Units: ❑ Health Care I_ ❑High Rise ❑ Class A ❑ Day Care E I I-_ ❑ Hospital ❑Underground ❑ Class S ❑Adult ❑ Nursing Home ❑Windowless ❑ Class C ❑Family ❑ Ambulatory ❑Other: ❑ Covered Mail ❑Group ❑ Limited ❑Other. Type of Construction per. ❑ NFPA 220 0 Connecticut Building Code ❑Type I m Type if ❑Type 111 ❑Type IV ❑Type V ❑1(443) ❑II(222); IS ❑111(211); IIIA ❑(21-11-1); HT ❑ ❑V(111); VA I{332}; IA ❑II(111); IlA ❑111(200); IIIB ❑V(000); VB (�it(000); 118 Approved Systems Provided(Check all that apply): ❑Automatic Sprinklers (,Zj Fire Alarm ❑NFPA 13 ❑Throughout the Building ❑Manual Activation m Occupant Notification ❑NFPA 13R ❑Partial:Location 0 Automatic Activation 0 General ❑Zoned ❑NFPA 13D ❑Electrically Supervised m Throughout the Building g ❑Voice Evacuation ❑CSFSC 903.3.5.1.1 19.7.1.2(6 heads or fewer) ❑ Partial Location: Location: ❑ Water Flow ❑ Special System: 0 Emergency Lighting ❑Kitchen Hood System ❑CtherActivation Means: j�Smoke Control ❑Standpipe; Class: ❑ Other Systems: Other Information I I I 1 I S463d7 t i �lD ---------- -"10-SA- NEM DOOR nrH NEN FRAME H-2 vcv-P.KITH NE"rr,*mE ifol Ilk AIN LEVEL FLOOR PLAN A STATE OF CONNECTICUT a, wy.a Department of Administrative Services •. f7 n.yn ice^ Office of State Fire Marshal �= MODIFICATION REQUEST # FM-0238-17 PROJECT NAME: SOUTH WINDSOR TOWN HALL ADDRESS: 1540 SULLIVAN AVENUE TOWN: SOUTH WINDSOR STATE FIRE MARSHAL In accordance with Section 29-296 of the Connecticut General Statutes,the decision of the Office of the State Fire Marshal in this matter is: This request seeks relief from the Connecticut State Safety Code (CSFSC) effective October 1, 2016 Part IV Section 39.2.1.1 that references Part IV Section 7.1.3.2.1 (10) 0) that in part addresses the requirements for penetrations of the exit separation by duct work required for ventilation of the exit enclosure. It specifically seeks relief to permit an existing condition of allowing common duct to serve the offices as well as the stair enclosures to remain. With consideration of the existing building conditions and constraints, the upgrading of the fire alarm system to include the addition of smoke detectors to the office areas and duct smoke detectors in the associated duct work either, of which in addition of sounding the buildings occupant notification signals will shut down the HVAC system(s) is ACCEPTABLE. Reviewed by: �.� ►1 /1� ` .e Joseph. Kingston Decision endorsed by: William Abbott State Fire Marshal Date: 4u;4, -S T 7 i 7 "In accordance with Connecticut General Statute 29-309, any person determined to have the right to appeal may appeal the decision of the State Fire Marshal in this matter to the State Codes&Standards Committee within thirty(30)days after receipt." State Codes&Standards Committee 450 Columbus Blvd„Suite 1303,Hartford CT 06103 Tel:860-713-5900 Fax:860-920-3038 APPLICATION FOR.ELECTRICAL PERMIT DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT APP ov 1540 SULLIVAN AVENUE 644-2511.ext. 230 Bldg:Permit# Date Building nspector Application must be printed or typed FEE SCHEDULE Location of Job: $0-$1,000=$15.00 f s'Ci c'7 �O I I I �l�t-yJ il-✓ Over$1,000= Street No. Street Lot No. $15.00,per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT IECTLI Lt l !->C -Ce , L L t` APPLICANT ADDRESS 7 7 aff L LD A yr- APPLICANT'S PHONE OWNER �qy!t�J LI��,s '%O% 3 OWNER ADDRESS —� tre( 5 6`( h-C(Z� ' /CX�i✓I�7 J , (7)l"pU�21 C/j * OWNER PHONE F ESTIMATED COST$ C � IS THIS A CONTRACT CO T? `Yes No s FEE ENCLOSED-$ ° TYPE OF JOB: �SOR•COS New Installation t &-61teration/Addition/Repair Revised 03/05/10 APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION? ❑ YES ❑ NO ❑ RESIDENTIAL CURRENT USE AND OCCUPANCY O BUSINESS ❑ ASSEMBLY FUTURE USE AND OCCUPANCY ❑ EDUCATIONAL ❑ INSTITUTIONAL ENGINEER'S NAME PHONE. ❑ FACTORY ❑ STORAGE ADDRESS ❑ GARAGE ❑ MDCED USE CITY STATE ZIP (Other please specify) TYPE OF INSTALLATION/WIRING METHOD SIZE OF SERVICE SIZE OF MAIN CONDUCTORS NUMBERS OF METERS NUMBERS OF DISCONNECTS AND RATINGS NUMBERS OF PANELS NUMBERS OF DISCONNECTS REQUIRED? ❑ YES ❑ NO NUMBERS OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS NUMBER OF SWITCHES. NUMBER OF OUTLETS NUMBER OF LIGHT FIXTURES NUMBER OF HEAT CIRCUITS NUMBEROF A IC CIRCUITS SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED. DESCRIPTION OF WORK 7 THE UNDERSIGNED HEARBY 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 PERFOR- MANCE OF SUCH WORK CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT DATE /O 9 l 7 BUILDIIJG PERMIT /7D R STATE OF CONNECTICUT WORKERS'C.OMPENSATlO$COh&ffSSION BaiIft Permit AlSdavit for Property Owners or Sole Proprietors (Corm.-Gmr.Stale§312M) Property located at_ /5"�O So 1 I j♦✓A-,J A y c. In the town of ,_Sntol� L'OOKI SOr ` Nameofbuildingpmmitappllcant M�,GT.GJ cier tS Piece check one: 1.+I am the owner of>he above property. I vI'sm the sole props eft ofa business. 2A.Name of budaess /-4(2q,S E fc�L U44 Cg o an' -, L C 2B.Fedmal Bmplgyya'Ems' restki Number(FARE N.1..•1...................1...1.....1....................N......N...•.1N....11............I.III.i.......1i1M... Pursuant to i 3I--28W"a.property awuex oC sole proprietor[who]fid0n la tQ act as a goaaal " CaOutorarpiwWemqdoyerniaypovidod&wamdfficaftofwo&dcompmdim insarsmea or.a Nwocd n*dWd dolirit....stating Oahe WE Mpire proof of warders" oomrpenation mamuw far all*W anployetl on&ebb sibs is a=dsme wi&this ebapber." Please check one: 1. �-1 do not intend to ad is a general contractpr or principal employer. —[Sign and sbp bare . of SIPP.H689 2._I fift#to not ass g"aL contutWor principal employer.Applii aut must Dither • p ovidb a owe cf*rodmW compmatim insurance or sign the affidavit bblaw. ....1.1................1.1....N...........................................N..1.....II.......I..I.I.....I.....M..1 AfMawit I hereby swear and attest that I wiq rec l&o proof of warders'oopapmssation houvooe for every contrrscbor, or other aaodmr.before holdo engsges is wo*oaa flee above property in aococdanoe wrth 6a'Wodaas't�ampemdion Act((�tatSb>h. I UA=tmd Chit ps noant 31-iU CAS4 offiotrs of:coq=ztion and partum is a — ---—__-- dad to be*ocobWW fr m.oavaage�bY_firmg_awaiveivAh appeopd4 District Of&%ad flat a sole proprietor ofs.business is not required to'have ooversgo unless he �----- - ----------miles-hie-intent-to•acoopt oovarage.. ____.----- ---_._-------.----- - --------_ —._..-_.- Stash"of maimt Subomi-bed and swan to before me this day of ,200 (Notary Pablid Commissioner of the Superior Court) APPLICATION FOR HVAC PERMIT DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT n063, 7 APPRO D 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 Date Building Inspector Application must be printed or typed FEE SCHEDULE 15y v SLq) v an �r c- Location of Job: $04$1,000=$15.00 ��N O'(� L-- Over$1,000= Street No. Street Lot No. $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT l�"'� — �^J`r��-L✓ )�— APPLICANT ADDRESS APPLICANT'S PHONE# ��-- OWNER <1�),V"e 0*OW N 3 Fq< OWNER ADDRESS � OWNER PHONE � ESTIMATED COST$ I �^ U IS THIS A CONTRACT COST? Yes No FEE ENCLOSED$ /• a 1 ° a TYPE OF JOB: co 5H d$OR Co New Installation Alteration/Addition/Repair Revised 03/05/10 APPLICATION FOR HVAC PERMIT(Continued from ieyerse side) TYPE OF SYSTEM: TYPE OF BUELDING: ❑ HEATING ❑ RESIDENTIAL ❑ A/C ❑ COM EERCIAL, p9134ENT][LATION ❑ INDUSTRIAL HEATING ❑ STEAM LOW PRESSURE LB41T LBS. HIGH PRESSURE LIMIT LBS. ❑ HYDRONIC ❑ WARM AIR ❑ UNIT RADIANT.HEATER EXISTING RADIATION ADDITIONAL RADIATTON TOTAL RADIATION DESIGN TEMP.OUTSIDE °F INSIDE °F DIFFERENCE °F TOTAL HEAT LOSS(BTU" OF(HEAT LOSS SHEET MUST ACCOMPAN 'APPLICATION) DESCRIBE ALL HEATING EQUIPMENT(INCLUDING MAKE&MODEL NO.) GROSS BEATING CAPACITY•(IIKPUF BTUH). NET RATING(OUTPUT BTUH) TYPE OF FUEL ❑ OIL-GPM OIL TANK LOCATION:❑ INSIDE l7 OUTSIDE CAPACITY ❑ GAS-INPUT LPG TANK CAPACITY ELECTRIC-KW AIR CONDITIONING DESIGN TEMP: OUTSIDE OF INSIDE °F DIFFERENCE °F TOTAL HEAT GAIN(BTU") (HEAT GAIN SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL COOLING EQUIPMENT(INCLUDING MAKE&MODEL NO.) TONNAGE COOLING CAPACITY(BTUH) IENTILATION DESCRIBE ALL-AIR HANDLING EQUIPMENT(INCLUDING KITCHEN EXHAUST EQ�, 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. CONTRACTORS LICENSE NO. E / STATE SIGNATURE OF APPLICANT DATE / 7 RECISION MECHANICAL LLC Estimate PO Box 8118 Manchester, CT 06040-0 1 1 8 Date Estimate# 7/5/2017 674 Name/Address Town of South Windsor Attn:Finance Dept. 1540 Sullivan Avenue South Windsor,CT 06074 Project Tech Mark Strickland Item Qty Description Rate Total Job Location:SW Tox%m Hall -Installation of 6 Nutone RN120 bathroom fans -Electrical by others Municipal Non-Contract Se... 24 Labor 110.00 2,640.00 Municipal Non-Contract Se... I Fans&Misc.materials 1,275.00 1,275.00 Subtotal $3,915.00 Sales Tax (6.35%) $0.00 Total $3,915.00 Phone# E-mail 860-878-7927 lbrown as precisionmechanicalllc.com Signature Y � Jw N uTo n e SPECIFICATION SHEET ULTRA PROTm SERIES FANS +E ,i{' A MODELS RN80, RN110 Quick Installation and Quiet Operation DIMENSIONS(Inches) FEATURES UltraQuickT"Installation Technology • Unique telescoping mounting frame fits through retrofit drywall opening to allow easy installation from the room side. No attic , access needed! • Captive mounting frame screws allow for easy new construction installation • Mounting frame positioning tabs provide easy vertical positioning for 5 new construction • Works with any type of joist or truss system • Duct connector and electrical knockout plate mount to outside or 3 inside of housing,providing flexibility for new construction and 101 I\ $ SPANS 14 TO retrofit applications 24 ON-CENTER \�• Easy to insert and remove snap-in housing and blower FRAMING QStreamT"Sound Technology \ • Airflow-smoothing baffles reduce turbulence \ CIFIowT"Damper Technology \ • �\ When fan is on,damper position in the airstream is minimized to reduce static pressure and noise 3 • When fan is off,damper provides a tight seal to prevent back drafts Blower • Plug-in,permanently lubricated motor,engineered for continuous use Housing • Height allows for installation in 2"x 8"(nominal)construction r, Grille & • Polymeric construction,innovative designy?• U.L.Listed for use over bathtubs and showers when connected to a GFCI-protected branch circuit(ceiling mount only) Use an ON/OFF switch,timer,or speed control to operate this ventilator. Use of speed control other than the Broan 78V and 78W may cause a motor humming noise. 3 Year Warranty Broan-NuTone LLC Hartford,Wisconsin www.nutone.com 888-336-3948 REFERENCE CITY. REMARKS Project Location Architect Engineer Contractor Submitted by Date 41F 99045215E PERFORMANCE SPECIFICATIONS l,i O n l ULTRA PROTm SERIES FANS HVI PERFORMANCE ELECTRICAL &WEIGHT 0.1 Ps-Static Pressure(inH2O) 0.25 Ps Shipping Model Airflow Sound Power Efficacy Airflow Model Volts Hz Amps Weight (CFM) (Sones) (Watts) (CFM/Watt) (CFM) RN80 80 <0.3 27.4 2.9 60 RN80 120 60 0.3 12.0 RN110 110 0.6 29.8 3.6 91 RN110 120 60 0.3 12.0 HVI-2100 CERTIFIED RATINGS comply with new testing technologies and procedures prescribed by the Home Ventilating Institute,for off-the-shelf products, HV' as they are available to consumers.Product performance is rated at 0.1 in.static u CERTIFIED pressure,based on tests conducted in a state-of-the-art test laboratory.Sones are a measure of humanly-perceived loudness,based on laboratory measurements. Model RN80 0.s m :' 0.5 t;7 m a� �i z6 0.4 Q)3: M . o a 0.3 U pyj �U � C 60.2 C 0.1 0.0 0 10 20 30 40 50 60 70 80 90 100 Airflow(CFM-Cubic Feet per Minute) Model RN110 0.8 o, 0.7 0.6 :3M U-3: 0.5 0216 (L o 0.4 �U � 0.3 O N 0.2 0.1 0.0 0 10 20 30 40 50 60 70 80 90 100 110 120 130 Airflow(CFM-Cubic Feet per Minute) NuTone SPECIFICATION SHEET ULTRA PROTm SERIES FANS MODELS RN80, RN110 \\\\ Quick Installation and Quiet Operation DIMENSIONS(Inches) FEATURES UltraQuickT"Installation Technology li•''I • Unique telescoping mounting frame fits through retrofit drywall opening to allow easy installation from the room side. No attic , access needed! • Captive mounting frame screws allow for easy new construction installation • Mounting frame positioning tabs provide easy vertical positioning for S new construction \�8 • Works with any type of joist or truss system • Duct connector and electrical knockout plate mount to outside or 101 �I� 116 SPANS 14 TO inside of housing,providing flexibility for new construction and 2�.1✓ 24 ON-CENTER retrofit applications TTT \FRAMING • Easy to insert and remove snap-in housing and blower QStreamT""Sound Technology \ • Airflow-smoothing baffles reduce turbulence \ QFIowTM Damper Technology• \ �\\ When fan is on,damper position in the airstream is minimized to I � IA, reduce static pressure and noise 3 • When fan is off,damper provides a tight seal to prevent back drafts Blower • Plug-in,permanently lubricated motor,engineered for continuous use Housing • Height allows for installation in 2"x 8"(nominal)construction Grille • Polymeric construction,innovative design U.L.Listed for use over bathtubs and showers when connected to a GFCI-protected branch circuit(ceiling mount only) Use an ON/OFF switch,timer,or speed control to operate this ventilator. Use of speed control other than the Broan 78V and 78W may cause a motor humming noise. 3 Year Warranty Broan-NuTone LLC Hartford,Wisconsin www.nutone.com 888-336-3948 REFERENCE QTY. REMARKS Project Location Architect Engineer Contractor Submitted by Date 41F 99045215E P-E B A R R Y Domex l DX DX13 I DIRECT DRIVE �- Material Gag s Dimensions Est Model Alum. Galv. Hood/ L Ship DX13V/S/R 0.064" 16 ga. 0.064" 21 7116 14% 18%x 18% 11%x11% 361bs H DX130 0 064" 16 ga 0 064" 21 716 14% 18%x 18 M. 11'/2 x11% 43 lbs All dimensions are in inches 'Outside dimension of curb should be 1%"less than"E"dimension. I�Esa- Nominal Tip 000 1 i 1 11 1 1 000 1 Model Max Speed I HP RPM FPM DX13V 1/20 92 1050 3221 661 44 479 3.1 341 2.8 262 3.6 207 4.3 161 5.1 115 5.9 79 6.6 44 7.4 DX13S 1/12 120 1300 3988 869 8 749 64 632 5.3 510 54 418 6 349 64 290 6 7 226 7 158 74 - - DX13R 1/6 201 1550 4755 1054 10.5 988 9.9 917 9.2 839 8.9 736 8.5 651 8.2 579 7.9 510 7.9 428 8 191 8.5 DX13Q 1/4 314 1725 5292 1280 16 1226 15.3 1170 14.6 1112 14 1053 13 A 995 13 936 12.5 868 12 796 11 5 630 11 Performance shown is for installation Type A Free Inlet.Free Outlet. Speed(RPM)shown is nominal. Performance is based on actual speed of test. The sound ratings shown are for loudness values in fan cones at 5'0"(1-5m)in a hemispherical free field per AMCA Standard 301. Values shown are for installation Type A free inlet hemispherical sone levels.Performance ratings do not include the effects of appurtenances in the air stream Domex fans are only one component of a total system As such,fan performance is directly affected by the system.It is critical that system designers determine the actual system loss to ensure that the actual flow is specified in the system design. DX16 & DX18 I DIRECT DRIVE L Material Gages Dimensions Est. DXI6V/S/R.01&Q2 0.064" 16 ga. 0.064" 28% 22% 20%x 20 X. 16 x 16 56 Ibs H DX18V 0.080" 14 ga. 0064 39 31 28'/: 20 78 Ibs All dimensions are in inches 'Outside dimension of curb should be 1%"less than"E"dimension EsQ Nominal Tip 000 1 i 1 00 1 1 000 Model Speed HP 1 Max RPM FPM DX16V 1/6 453 1050 3788 1738 9.9 1489 8 1256 6.6 1032 6.1 884 6.6 772 7.1 682 7.9 598 9.9 529 10.1 392 10.2 DX16S 1/3 510 1300 4690 2021 12 1822 106 1637 9.5 1428 8 7 1256 8 4 1094 8 5 943 9.3 850 102 775 11 606 123 DX16R 113111 574 1550 5592 2346 13.8 2176 12.8 2014 12 1853 11.3 1685 10.7 1532 10.4 1384 10.1 1247 10 1115 10.4 881 12.4 DX16Q1 1/2 688 1650 5953 2701 16.9 2576 164 2465 15.9 2352 15.5 2228 15 20% 14.4 1966 14 1839 13.6 1700 135 1401 135 DX1602 3/4 866 1725 6223 3016 17.7 2921 17.1 2829 16.7 2747 16.3 2665 15.9 2575 15-5 2484 15 2371 146 2256 14.2 2005 13.3 DX18V 3/4 964 1075 6029 4561 21 4395 19.8 4230 19.1 4053 18.5 3865 179 3671 169 3454 164 3237 164 2995 16A 2405 16.4 (1)TE motor is 112 Hp. Performance shown is for installation Type A:Free Inlet,Free Outlet Speed(RPM)shown is nominal.Performance is based on actual speed of test. The sound ratings shown are for loudness values in fan sones at 5'0'(1.5m)in a hemispherical free field per AMCA Standard 301 Values shown are for installation Type A:free inlet hemispherical sone levels.Performance ratings do not include the effects of appurtenances in the air stream. Domex fans are only one component of a total system As such,fan performance is directly affected by the system.It is critical that system designers determine the actual system loss to ensure that the actual flow is specified in the system design. www.PennBarry.com I Moving Your Way I uTone PERFORMANCE SPECIFICATIONS NULTRA PROTm SERIES FANS HVI PERFORMANCE ELECTRICAL &WEIGHT 0.1 Ps-Static Pressure(inH2O) 0.25 Ps Shipping Model Airflow Sound Power Efficacy Airflow Model Volts Hz Amps Weight (CFM) (Sones) (Watts) (CFM/Watt) (CFM) I (lbs.) RN80 80 <0.3 27.4 2.9 1 60 RN80 120 60 0.3 12.0 RN110 110 0.6 29.8 3.6 91 RN110 120 601 0.3 12.0 ® �� HVI-2100 CERTIFIED RATINGS comply with new testing technologies and procedures prescribed by the Home Ventilating Institute,for off-the-shelf products, 01000196 NV' as they are available to consumers.Product performance is rated at 0.1 in.static u CERTIFIED pressure,based on tests conducted in a state-of-the-art test laboratory.Sones are a measure of humanly-perceived loudness,based on laboratory measurements. Model RN80 0.6 m 0.5 m C7 m am 5 m 0.4 ma a 0.3 60.2 C 0.1 0.0 0 10 20 30 40 50 60 70 80 90 100 Airflow(CFM-Cubic Feet per Minute) Model RN 110 0.8 o, 0.7 �? 0.6 0.5 �o 0.4 �U 0.3 O N 0.2 0.1 0.0 0 10 20 30 40 50 60 70 80 90 100 110 120 130 Airflow(CFM-Cubic Feet per Minute) APPLICATION FOR ELECTRICALPERMIT DEPARTMENT DECISION TOWN OF SOUn.1 VaNDSOR PERMIT# Applica by: BUILDING DEPARTMENT ApPRO . 1540 SULLIVAN AVENUE. 644-2511.ext. 230 Big`P`*# DateOWnlding Inspector Application must be printed or typed FEE SCHEDULE Location of Job: $0-$11,000=$15.00 Over$1,000= Street No. Street Lot No. $15.00 per$1,000 or any fraction thereof Tenant Designation —� Apt.No. o re- APPLICANT. w� �/ c�� c c J C L C APPLICANT AD RE S 3�� /1/l a;n S�• t- ,� APPLICANT'S PHONE!# Er-C D ' I Z-23 C-42 �Vil N S F OWNER �o �r .I o•-.�G. l/✓i vo o✓ A 4< OWNER ADDRESS 152f o_ S-�• /�,�✓� /�.e O OWNER PHONE 0 ESTIMATED COST$y5�D. 0 b IS THIS A CONTRACT COST? xYes No FEE ENCLOSED$ ._/-3(:> -�Qd� r� ° TYPE OF JOB: #42q g- �SOR-COS New Installation Alteration/Addition/Repair 0�2 �2 Revised 0310540 APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side) TYPE OF BLU,DING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION? ❑ NO ❑ RESIDENTIAL CURRENT USE AND OCCUPANCY �� .,r✓` . / ❑ BUSINESS [I ASSEMBLY FUTURE USE AND OCCUPANCY /Or / ❑ EDUCATIONAL; ❑ INSTITUTIONAL ENGINEER'S NAME PHONE. ❑ FACTORY 0.STORAGE ADDRESS ❑ GARAGE O MIXED USE CTTy STATE ZIP (Other please specify) TYPE OF INSTALLATION/WIRING METHOD SIZE OF SERVICE SIZE OF MAIN CONDUCTORS NUMBERS OF METERS NUMBERS.OF DISCONNECTS AND RATINGS NUMBERS OF PANELS NUMBERS OF DISCONNECTS REQUIRED? ❑ YES ❑ NO NUMBERS 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. DESCRE TTON OF WORK 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 PERFOR- MANCE OF SUCH WORK CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT DATE 6 Z 3Z/2 APPLICATION FOR ELECTRICAL PERMIT DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT ,7 Q 0 07—q APPRO ED 1540 SULLIVAN AVENUE .dY L f�� 644-2511 ext. 230 Bldg.Permit# Date Building Ins ector Application must be printed or typed FEE SCHEDULE Location of Job: $0-$1,000=$15.00 /Nn c5-u I I,-u,:nti Over$1,000= I Street No. Street Lot No. $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT 6�c ,LdjC �vf �?j,LS .7�C- fi� APPLICANT ADDRESS _s3570 Mc: -6ct- S:�,rck C-C n 6 l -z o APPLICANT'S PHONE# (R(nQ i5yq - 7,F?,9_ OWNER IO wi�1 n F �O � '1 �►4��Sv/L OW N St OWNER ADDRESS s cSC t UC/V eAbP OWNER PHONE AJh _ O ESTIMATED COST$CT / (j IS THIS A CONTRACT COST? 4Yes No x FEE ENCLOSED$ TYPE OF JOB• S •R.Co New Installations I Alteration/Addition/Repair as 176 va�a Revised 03/05/10 APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATTnIn�ON? ❑ YES ❑ NO ❑ ESIDENTIAL CURRENT USE AND OCCUPANCY Qt"r.CA5, BUSINESS _ ❑ ASSEMBLY FUTURE USE AND OCCUPANCY O C� ❑ EDUCATIONAL ❑ INSTITUTIONAL ENGINEER'S NAME /U! PHONE ❑ FACTORY ❑ STORAGE ADDRESS ❑ GARAGE ❑ MIXED USE CITY STATE ZIP (Other please specify) TYPE OF INSTALLATION/WIRING METHOD IYIC Qc--blp SIZE OF SERVICE SIZE OF MAIN CONDUCTORS NUMBERS OF METERS NUMBERS OF DISCONNECTS AND RATINGS NUMBERS OF PANELS NUMBERS OF DISCONNECTS REQUIRED? ❑ YES ❑ NO NUMBERS 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 c 2 L` f4�A.t�D C THE UNDERSIGNED HEARBY 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 PERFOR- MANCE OF SUCH WORK o/o z g 00 C C? CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT DATE I f 23 State Lic#102800, 3510 Alain Street Hartford CT 06120 (860)549-2822 Fax(860)549-7948 Info@ECIncorporated.com 1/23/17 Town Of South Windsor 1540 Sullivan Avenue Building Department To whom it may concern: In accordance with Public Act 91-95 I, Louis J. Bona, of Electrical Contractors, Inc., E-1 License #102800, hereby authorize Steve Waldie to act as my agent to secure an electrical permit for the job listed below: 1540 Sullivan Avenue Install new circuit and plug mold for IT department The Start Date of These project will be 1/23/16 Sincerely, Louis J. Bona President Electrical Contractors, Inc. MAservice\saBniisc\office docs\permidetter Plumbing Company I'L.M.0286385-PI February 28, 2017 To Whom It May Concern: I give Mark Strickland to pull a permit on my behalf for: Town of South Windsor Town Hall 1540 Sullivan Avenue South Windsor, CT Should you have any question, do not hesitate to contact me at 860-681-5210. Sincerely Michael Reilly, Owner R Plumbing Company 386 Main Street•Manchester CT 06040 ■Phone: 860.288.4094•mike@rplumbingusa.com Plumbing Estimate Company Date Estimate# 386 Main Street Manchester,CT 06040 11/29/2016 62a Name/Address Town of South Windsor 1540 Sullivan Avenue South Windsor,Connecticut 06074 Project Item Qty Description Rate Total Job Location:Town Hall -Remove all existing sinks that have not been changed in bathrooms(discussed with Clay).Replace shut off valves, install new sinks and faucets with trap covers.We will dispose of all waste on site with customer supplied dumpsters 14 Plumbing 1 Labor 2,645.00 2,645.00 14 Plumbing 1 Materials 2,125.79 2,125.79 14 Plumbing 1 Sink disposal 150.00 150.00 "Received PO 17070165-00 CT sales tax 6.35 6.35% 0.00 Total $4,920.79 Phone# E-mail 860-288-4094 laura@rplumbingusa.com Signature APPLICATION FOR PLUMBING PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A O RESIDENTIAL BUILDING PERMIT APPLICATION? ❑ YES NO O BUSINESS CURRENT USE AND OCCUPANCY O ASSEMBLY O MERCANTILE FUTURE USE AND OCCUPANCY O EDUCATIONAL O FACTORY O STORAGE ENGINEER'S NAME PHONE O GARAGE O MIXED USE ADDRESS (Other please specify) CITY STATE ZIP TYPE OF INSTALLATION SIZE OF MAIN DRAIN NO.OF TOILETS STYLE NO.URINALS STYLE NO. OF BATHTUBS NO. OF SHOWERS NO. OF LAVATORIES NO.OF CONDUCTORS SIZE NO.OF STACKS SIZE AREA OF ROOF NO.OF CATCH BASINS NO.OF FLOOR DRAINS NO.OF OTHER FIXTURES_� KIND L o-i S;.a t,L5 ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW O YES O 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 QD(4 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 DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT' PERMIT# Application is hereby: TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT 17l��b9?� APPROVED 1540 SULLIVAN AVENUE 3 ,r- "P—� 644-2511 EXT.230 Bldg.Pernvt# (Date) (Building Inspecto Application must be printed or typed FEE SCHEDULE Lexation of Job: $041,000=$15.00 Street No. Street Lot No. Over$1,000- $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANTD — APPLICANT ADDRESS t* APPLICANT PHONE# OW N SF OWNER V-) 11C 2; f c — '� OWNER ADDRESS 3:9-6 1Mla rK i 4 [► OWNER PHONED C ;D ESTIMATED COST $ U IS THIS A CONTRACT COST? YES NO FEE ENCLOSED$ TYPE OF JOB: A-- (2-�A S0 •co _New Installation A Alteration/Addition Repair 1► �1 `7 Revised 12/22/11 Electric # 1\D OCR APPLICATION FOR BUILDING PERMIT Plumbing# 1540 Sullivan Avenue HVAC# 11000023 FDate: —ZA6 Sprinkler# Estimated Cost $ FINA P OVALS Permit Fee $ Building COMPLETE RED BOXED AREAS Occupancy Fee $ Engineering TYPE OF PRINT ONLY Eng. Insp. Fee $ Affidavit Appr.forCO. Poo- SIGN ON REVERSE SIDE A Total Fee $SEE TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ The undersigned hereby applies to do work according to the following: Applicant 7 V7U4e--",1 Z d / LocationofWork / U t-ztw LL4f/ LotNo. Applicant's Address 3q Tel # '`>//3 . 7 Town rU IVA Zip 011 6'�'l Lic.# 177Co • 0 20W 747/ Owner Architect O" er's Addre, 75yd � / Architect's Address c'17. Zip U 0 '7,y Zip Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area Purpose of this permit ��'G ale City Water Well 0 Septic ystem Sewer Ins: HO SP er .. Area Basement Garage Approved by Date f - I Use Group Construction Type Revised 1108 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 whic his building an is use is allowed. Signe 2�/ I hereby apply for a Certificate of Occupancy for the work describ-ad in this application for the permit. Signed / DO NOT WRITE BELOW THIS LI E INSPECTION COMMENTS fk INSPECTION FIELD SHEET 02/24/16 Printed by Peart, Dayshell 09 41 28 INSPECTION: 37711 FOOTING PERMIT: STATUS APPLICATION: 201100061 LOC: 1540 SULLIVAN AVENUE SOUTH WINDSOR PROPERTY ID 87301540 OWNER: SOUTH WINDSOR TOWN OF CONTRACTOR: REQUEST BY: PROJ DESC: RECONFIGURE EXISTING PROBATE & REGISTRARS OFFICES BY WORK ORDER: INSPECTOR: ROSE RESULT: N/A REQUESTED: PRIORITY: SCHEDULED: COMPLETED: 09/23/11 UNPAID FEES: 00 Date Time MILEAGE: 00 TIME: TRAVEL ONSITE COMMENTS ALL INSPECTIONS: INSPECTED INSPECTOR RESULT INSP DESCRIPTION 09/23/11 ROSE N/A B002 FOUNDATION 09/23/11 ROSE N/A B003 FRAMING (ROUGH) 09/23/11 ROSE N/A B004 INSULATION 09/23/11 ROSE N/A B005 FIREPLACE / CHIMNEY 09/23/11 ROSE N/A B006 WOOD GAS STOVE 09/-23 t11lmnFD0UG P�,"r.B0_L-0717FINAVA LAURA @ 413-737-6100 09/23/11 ROSE N/A E001 ELECTRIC SERVICE 09/23/11 ROSE N/A E002 ELECTRIC UNDERGROUND 09/23/11 ROSE N/A E003 ELECTRIC ROUGH 09/23/11 SUMM N/A F005 FM PENETRATIONS/SEPERATION 09/23/11 SUMM N/A FO10 FM ABOVE CEILING 09/23/11 SUMM N/A F015 FM FIRE ALARM TEST 09/23/11 SUMM PASS F040 CO -FIRE MARSHAL INSPECTION 09/23/11 ROSE N/A H002 HVAC UNDERGROUND 09/23/11 ROSE N/A H003 HVAC ROUGH 09/23/11 ROSE N/A P002 PLUMBING UNDERGROUND 09/23/11 ROSE N/A P003 PLUMBING ROUGH 09/23/11 ROSE N/A P004 PLUMBING GAS TEST 09/23/11 ROSE N/A S002 SPRINKLER UNDERGROUND 09/23/11 ROSE N/A 5003 SPRINKLER ROUGH ' l INSPECTION FIELD SHEET 02/24/16 Pried by Peart, Dayshell 09 41 28 09/23/11 ROSE N/A S005 HYDRO TEST 09/23/11 ROSE N/A 5006 TRIP TEST 09/23/11 ROSE N/A 5007 MAIN DRAIN 04/24/13 LIPE PASS Z003 CO PLANNING INSPECTION 09/23/15 SUMM PASS F025 FM EMERGENCY/EXIT LIGHTING 09/23/15 SUMM PASS F035 FM EXITS APPLICATION FOR ELECTRICAL PER MIT DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT 1�665tq APPR 1540 SULLIVAN AVENUE 644-2511.ext. 230 Bldg:Permit# Date Building Inspe , Application must be printed or typed FEE SCHEDULE Location of Job: $0-$1,000=$15.00 G L/O S"L LiV ftN VL tJc Over$1,000= Street No. Street Lot No. $15.00 per$1,000 or any fraction thereof Tenant Designation Apt:No. APPLICANT V EN L-"* AX^ APPLICANT ADDRESS ?7 r11P�ti 1 s i 1yli�na_Scx/ t C'� � 39 APPLICANT'S PHONE# OWNER Call 8 CARD c k 'OWN S Fq< OWNER ADDRESS s �� 4,c, At em OWNER PHONE C ESTIMATED COST$ o O .•1 IS THIS A CONTRACT COST? Yes No FEE ENCLOSED-$ . I5 �p o� �o TYPE OF JOB: cG S 1� S OR•CO New Installation Alteration/Addition/Repair 2o� V a ,�yr Revised 03/05/10 APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A� BUILDING PERMIT APPLICATION? ❑ YES NO ❑ RESIDENTIAL CURRENT USE AND OCCUPANCY ❑ BUSINESS []. ASSEMBLY FUTURE USE AND OCCUPANCY ❑ EDUCATIONAL ❑ INSTTI'U I ONAL ENGINEER'S NAME PHONE ❑ FACTORY Q. STORAGE ADDRESS ❑ GARAGE ❑ MIXED USE CITY STATE ZIP (Other please specify) TYPE OF INSTALLATION/WIRING,METHOD. SIZE OF SERVICE SIZE OF MAIN CONDUCTORS NUMBERS OF METERS NUMBERS.OF DISCONNECTS AND RATINGS NUMBERS OF PANELS NUMBERS OF DISCONNECTS REQUIRED? ❑ YES ❑ NO NUMBERS OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS NUMBER OF SWITCHES. NUMBER OF OUTLETS NUMBER.OF LIGHT FIXTURES NUMBER OF HEAT CIRCUITS NUMBEWOF A/C CIRCUITS SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED. DESCRIPTION OF WORK �'✓ v2 2 A.a/�VG. GJI-;.. l A8 i E :74 cam, c.9rvt�a� AA THE �► sNnvt� /gym Ccr,� N� o�� 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 PERFOR- MANCE OF SUCH WORK ItF- -J�7_ ( 21p�� L �, CONTRACTORS LICENSE NO. E STATE SIGNATURE OF APPLIC DATE !.,al(g �� DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT PERMIT# Application is hereby: TOWN OF SOUTH WINDSOR d G� BUILDING DEPARTMENT APPR VE 1540 SULLIVAN AVENUE 644-2511 EXT.230 Bldg.Permit# (Date) (Building Inspector) Application must be printed or typed FEE SCHEDULE Location of Job: i5,10 .SUeL-1VAN AVE��u� $0-$1,000=$15.00 Street No. Street Lot No. Over$1,000- $15.00 per$1,000 T6WIV 669/GE1 or any fraction thereof Tenant Designation Apt.No. APPLICANT B- G �1EC14p/yl Cap- -Se4V,(E /ABC. APPLICANT ADDRESS J Z SEC ,,w A y�cly Ce CRIC6PeC _ MA 6I020 APPLICANT PHONE# 1-113 - 8 6 b 1500 OW N S£q OWNER T o4.JN ;S er eiI7u W Ajos,,t OWNER ADDRESS I lJL(./V44) A VirlVa C J. Vl/N'0 S or C T O�o 6 7'-/ OOWNER PHONE �60 loyy Z�S// C = ESTIMATED COST $ IS THIS A CONTRACT COST? YES NO FEE ENCLOSED$ t' TYPE OF JOB: UZ Li c �L SOR•CD New Installation Y Alteration/Addition Repair Revised 12/22/11 APPLICATION FOR PLUMBING PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A O RESIDENTIAL BUILDING PERMIT APPLICATION? ❑ YES d NO O BUSINESS CURRENT USE AND OCCUPANCY � O ASSEMBLY OW AI r//0LL O MERCANTILE FUTURE USE AND OCCUPANCY SAME O EDUCATIONAL O FACTORY O STORAGE ENGINEER'S NAME DFs16A! Assc[ 1,,VCPHONE 86 •0 qj k3 c, O GARAGE O MIXED USE ADDRESS S 0 4Lp /LtAi�tJ /72 EET S�'i 2 0 Z (Other please specify) CITY R 0 Cr Y 91 i-L STATE T ZIP 66,04 -7 TYPE OF INSTALLATION &it Ekkd0,,, ��£N�'JAI7d.�SIZE OF MAIN DRAIN AIIA NO. OF TOILETS STYLE N NO. URINALS N A STYLE t/14 NO. OF BATHTUBS NO. OF SHOWERS L NO. OF LAVATORIES /V Ir NO.OF CONDUCTORS SIZE NO.OF STACKS SIZE AREA OF ROOF NO.OF CATCH BASINS �l fA NO.OF FLOOR DRAINS NO.OF OTHER FIXTURES 0 KIND ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW O YES O NO AIIA SIZE OF WINDOW IF NONE C.F.M.OF VENTILATOR SIZE OF DUCTS /✓�i4 SEWER OR SEPTIC TANK MIA SIZE OF WATER MAIN Sl, SIZE OF WATER PIPING&RISER V WATER HEATER: TYPE I TOC Ee.L. WO MANUFACTURER M e s s Ma nvl DESCRIPTION OF WORK IN ftMq / C4ij 6 i3dl��,PJ <S AGE i tIt 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 q CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT r DATE APPLICATION FOR HVAC PERMIT DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT 1 y 0 0 �)� APPCT7� 1540 SULLIVAN AVENUE !4 644-2511 ext. 230 Bldg.Permit# Date Building Inspec Application must be printed or typed FEE SCHEDULE `` Location of Job: $041,000=$15.00 Fi&4—ree-t—N-o�. c�41-1-i✓,4>ti A v�1V 4 C Over$1,000= Street Lot No. $15.00 per$1,000 IOWA; &4, or any fraction thereof Tenant Designation Apt.No. APPLICANT C? /lid CKL SE,&0CF /N"C APPLICANT ADDRESS 12- YfCO,--JjQ AVF1V"C CK7C-aPCE MA Q/ a 20 APPLICANT'S PHONE# q j 3 - 41a0 15•/s Uy OWNER /Z a,-J 41� d'O v�� LV/&IAf eR .SOWN S fq< OWNER ADDRESS 4,,* ty OWNER PHONE 2 S// ESTIMATED COST$ IS THIS A CONTRACT COST? _ Zfes No FEE ENCLOSED$ a 3 6 TYPE OF JOB: 02, 4 b Z SO CO New Installation ✓ Alteration/Addition/Repair Revised 03/05/10 APPLICATION FOR HVAC PERMIT(Continued from reverse side) TYPE OF YSTEM: TYPE OF BUILDING: 13 HEATING ❑ SIDENTIAL ❑ A/C 3 COMMERCIAL ❑ VENTILATION ❑ INDUSTRIAL HEATING ❑ STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS. El ❑ WARM AIR ❑ 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.) ( 20 V aODENs 2a0-W I32NA • 1SD w. 44W tars ne—AaCe � c4rcjgdf c tj GROSS HEATING CAPACITY(INPUT-BTUH)46kO Q ET RATING(OUTPUT-BTUH) B f f TYPE OF FUEL ❑ OIL-GPM OIL TANK LOCATION: ❑ INSIDE ❑ OUTSIDE CAPACITY C3"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. 14E_(f- ocjc) llqo -46-f c7- CONTRACTORS LICENSE NO. E STATE SIGNATURE OF APPLICANT - DATE �b 3 I APPLICATION FOR ELECTRICAL PERMIT DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT# Application is ereby: BUILDING DEPARTMENT d�acp AP Ov 1540 SULLIVAN AVENUE Bldg.Permit# 1096 1 644-2511 ext. 230 Date Building Inspector Application must be printed or typed FEE SCHEDULE Location of Job: $0-$1,000=$15.00 F,Te-nant Over$1,000= N Street Lot No. $15.00 per$1,000 or any fraction thereof Designation Apt.No. APPLICANT APPLICANT ADDRESS XCC rx.11n fA,� eT d4Cd37 47 APPLICANT'S PHONE# z 2 Q OW N OWNER S F4� OWNER ADDRESS C F OWNER PHONE C ESTIMATED COST$ 2 VIM, Do ►-� � IS THIS A CONTRACT COST? X Yes No /.IV FEE ENCLOSED$ e_7p G TYPE OF JOB: SOR-co New Installation Alteration/Addition/Repair ZDIc.f 014�( Revised 03/05/10 APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION? a YES ❑ NO ❑ RESIDENTIAL CURRENT USE AND OCCUPANCY —ro.VN JjAt-.L. ❑ BUSINESS ❑ ASSEMBLY FUTURE USE AND OCCUPANCY ❑ EDUCATIONAL ❑ INSTITUTIONAL ENGINEER'S NAME PHONE ❑ FACTORY ❑ STORAGE ADDRESS ❑ GARAGE ❑ MIXED USE CITY STATE ZIP (Other please specify) TYPE OF INSTALLATION/WIRING METHOD G'CT riG�,�� " /ti c, SIZE OF SERVICE SIZE OF MAIN CONDUCTORS NUMBERS OF METERS NUMBERS OF DISCONNECTS AND RATINGS NUMBERS OF PANELS NUMBERS OF DISCONNECTS REQUIRED? ❑ YES ❑ NO NUMBERS OF LIGHT CIRCUIT'S NUMBER OF POWER CIRCUITS NUMBER OF SWITCHES NUMBER OF OUTLETS NUMBER OF LIGHT FIXTURES NUMBER OF HEAT CIRCUITS NUMBER OF A IC CIRCUITS SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED. DESCRIPTION OF WORK Se'On-il�- �o. /c/I.r o 2- re- /4 t e t i,?eh 94, fv ev✓ ��/lC n. TEE UNDERSIGNED HEARBY 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 PERFOR- MANCE OF SUCH WORK -/ Id 3 3z / CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT DATE Zd/5/ f Connecticut Department of Energy & Environmental Protection Bureau of Materials Management & Compliance Assurance Emergency Response & Spill Prevention Division Notification for Underground CPPU USE ONLY Storage Tanks App#: Please complete this form, in accordance with the instructions Doc#: (DEEP-UST-INST-001) to ensure the proper handling of your notification. Print or type unless otherwise noted. Check#: Submit one notification form per site. Part I: Notification and Fee Type Program: UST Check the appropriate box(es) identifying the notification type. 1. LOCATION of UST(s) Name of site: Town of South Windsor-Town Hall Street Address or Location Description: 1540 Sullivan Avenue City/Town: South Windsor State: CT Zip Code: 06074 2. Site ID Number: 132-2302 - - = No. of Fee `No. of 3. This notification Is for. exempt Tanks Total i or iv Fee tanks ($0) excluding (b) Fee= choose i, ii (a) (b) (c) (a x c) ❑ i) first time site notification $100.00/ entire application) tank (Complete PP ) � ❑ ii) annual notification with NO $100.00/ modifications tank (Complete Parts I and VII only) ❑ iii) annual notification _ with $100.00/ modifications, (specify modifications under iv tank below) (Complete Parts I and VII and modifications only) ® iv) a to an existing notification-, check any of the following to specify. (Complete Parts I and VII only) ❑ adding new UST system (Part IV) $100.00/ tank DEEP-UST-NOT-001 1 of 12 Rev.01/02/14 Part I: Notification and Fee Type (continued) No.of Fee - *No.of exempt Tanks Total 3. (modifications continued) Fee tanks($0) excluding (b) Fee= (a) (b) (c) (a x c) Ll adding an orphan UST system (newly $100.00/ discovered) (Part IV) tank ❑ update/correction to Part II: $0 .R owner/operator info/financial responsibility ❑ transfer of ownership (Part II) $0 ❑ update/correction to Part III: record info $0 { i ❑ update/correction to Part IV: UST system $0 } info ® Permanent Closure of an UST system $0 1 0 (Part V) " Compartmentalized tanks are counted as one tank. 0 *Manifolded or interconnected tanks count as separate tanks *Total Fee *For municipalities, the 50% discount applies. The notification will not be processed without the fee. The fee shall be non-refundable and shall be paid by check or money order to the Department of Energy and Environmental Protection. Part II: Owner/Operator Information • *If an Owner/Operator is a corporation, limited liability company, limited partnership, limited liability partnership, or a statutory trust, it must be registered with the Secretary of State. If applicable, the applicant's name shall be stated exactly as it is registered with the Secretary of State. Please note, for those entities registered with the Secretary of State, the registered name will be the name used by DEEP. This information can be accessed at the Secretary of State's database (CONCORD). (www.concord-sots.ct.gov/CONCORD/index.wsp) • If an Owner/Operator is an individual, provide the legal name(include suffix)in the following format.First Name, Middle Initial;Last Name; Suffix (Jr, Sr., 11, lll, etc.). 1. UST Owner Name: This affiliate is the registrant (check if true): ❑ Mailing Address: City/Town: State: Zip Code: Business Phone: ext.. Contact Person: Phone: ext. *E-mail: *By providing this e-mail address you are agreeing to receive official correspondence from the department, at this electronic address, concerning the subject application. Please remember to check your security settings to be sure you can receive a-mails from"ct.gov"addresses. Also, please notify the department if your e-mail address changes. DEEP-UST-NOT-001 2 of 12 Rev.01/02/14 Part II: Owner/Operator Information a) Business Type(check one): ❑ individual ❑ federal agency ❑ state agency ❑ municipality ❑ **tribal ❑ *business entity(*If a business entity complete i through ii): i) provide Secretary of the State business ID#: This information can be accessed at the Secretary of State's database(CONCORD). (www.concord-sots.ct.gov/CONCORDrindex.isp) ii) ❑ Check here if your business is NOT registered with the Secretary of State's office. *'Notification or fee is NOT required for UST systems located on tribal lands. 2. UST Operator, if different than UST owner Name: Mailing Address: City/Town: State: Zip Code: Business Phone: ext.: Contact Person: Phone: ext. *E-mail: a) Business Type(check one): ❑ individual ❑ federal agency ❑ state agency ❑ municipality ❑ *"tribal ❑ *business entity(*If a business entity complete i through ii): i) provide Secretary of the State business ID#: This information can be accessed at the Secretary of State's database(CONCORD). (www.concord-sots.ct.gov/CONCORD/index.isp) ii) ❑ Check here if your business is NOT registered with the Secretary of State's office. **Not cation or fee is NOT required for UST systems located on tribal lands. ❑ Check if any co-owners/operators. If so,attach additional sheet(s)with the required information as requested above. 3. Billing contact,if different than UST owner or operator Name: Mailing Address: City/Town: State: Zip Code: Business Phone: ext.: Contact Person: Phone: ext. E-mail: 4. Primary contact,if different than UST owner Name: Mailing Address: City/Town: State: Zip Code: Business Phone: ext.: Contact Person: Phone: ext. *E-mail: *By providing this e-mail address you are agreeing to receive official correspondence from the department,at this electronic address,concerning the subject application. Please remember to check your security settings to be sure you can receive a-mails from'ct.gov"addresses.Also, please notify the department if your e-mail address changes. DEEP-UST-NOT-001 3 of 12 Rev.01/02/14 Part II: Owner/Operator Information (continued) 6. Property Owner, if different than UST owner Name: Mailing Address: City/Town: State: Zip Code: Business Phone: ext: Contact Person: Phone: ext. E-mail: 6. Class A Operator must be the individual who was trained. Name: Mailing Address: CitylTown: State: Zip Code: Business Phone: ext: E-mail: Company Name, if applicable: Approved Training Course: Training Date: ❑ initial or biennial training OR ❑ retraining ordered for non-compliance Certification Expiration Date: Class A Operator's Signature: 7. Class B Operator must be the individual who was trained. Name: Mailing Address: City/Town: State: Zip Code: Business Phone: ext: E-mail: Company Name,if applicable: Approved Training Course: Training Date: ❑ initial or biennial training OR ❑ retraining ordered for non-compliance Certification Expiration Date: Class B Operator's Signature: DEEP-UST-NOT-001 4 of 12 Rev.01/02/14 Part II: Owner/Operator Information (continued) 8. Financial Mechanism(s): Complete the table below identifying the financial assurance mechanism(s) used to demonstrate financial responsibility as specified in the Federal Register. Use the list of surety types below. If an 'other method' is chosen, please specify the method in the table. A Self Insurance E. Guarantee I. Trust Fund B. Commercial Insurance F. Surety Bond J. *State Fund C. Risk Retention Group G. Letter of Credit K. Other Method (specify in D. Local Government H. Bond Rating Test table below) Financial Test *Pursuant to section 262 of Public Act 12-1 of the June 121" Special Session, the state fund (UST Petroleum Clean-Up Program)will cease to serve as a financial responsibility mechanism on: • October 1, 2012, for those who own or operate USTs on more than five separate sites, and • October 1, 2013 for municipalities and for those who own or operate USTs on five or less separate sites Name of Insurer, Policy# i Surety Type Amount I Period of (insert letter of Coverage from list Coverage, above or specify) Owners/Operators shall complete the attached "Certification of Financial Responsibility Form" and maintain such completed form at the facility where the storage tank system(s)are located. THIS FORM DOES NOT NEED TO BE SUBMITTED but must be updated to reflect any changes. Part III: Record Information Off-Site Storage of Records at a Centralized Location Does the owner/operator of more than 10 facilities with UST systems request to store certain records at a centralized location? ❑ Yes ❑ No If yes, provide the central location address below. Name of Location: Address: City/Town: State. Zip Code: Such records must be immediately available for inspection by the commissioner or the commissioner's designee at any such central location. Please refer to section 22a-449 q CGS, for storage of underground storage tank system records that may be kept at a centralized location or that must be kept on site. DEEP-UST-NOT-001 5 of 12 Rev.01/02/14 Part IV: Underground Storage Tank Information Complete for all tanks and piping at the subject location Begin by labeling tanks(including compartments, if applicable). Label tanks as required by the instructions. . If you have more than 5 tanks in one location, reproduce this section and complete for additional tanks. You must read the instructions(DEEP-UST-INST-001)in order to properly complete this Part. Tank Identification Number(see instructions) Tank No.: Tank No.: Tank No.: Tank No.: Tank No.: Al R1 Part of a compartmentalized tank ❑ ❑ ❑ ❑ ❑ Part of a manlfolded or Interconnected tank El ❑ El ❑ ❑ Complete items 9 through 5 for the entire tank-you do not have to complete the,columns labeled fqr compartments. 1. Status of Tank Currently in Use ❑ ❑ ❑ ❑ ❑ Temporarily Closed ;: ❑ ❑ ❑ ❑ ❑ Date Temporarily Closed Permanently Closed (check here and skip to Part Vj ® ❑ ❑ ❑ ❑ 2. Date of Installation of Tank(month,year) 3. Life Expectancy of Tank(years) 4. Material of Construction-Tank-check one per tank Asphalt Coated or Bare Stee i ❑ ❑ ❑ ❑ ❑ Coated and Cahodically Protected Steel (STI-P3) 1 ❑ ❑ ❑ ❑ ❑ Composite(Steel dad with Fiberglass) ❑ ❑ ❑ ❑ ❑ Jacketed(Steel with Plastic Jacket; ❑ ❑ ❑ ❑ ❑ Composite(Steel with Urethane) ❑ ❑ ❑ ❑ ❑ Fiberglass Reinforced Plastic .` ❑ ❑ ❑ ❑ ❑ Outer(e.g, concrete, etc) (please specify;+ `5. Construction Type—Tank—check sfi thaf apply -- -- Lined Interior w h Epoxy-Cuing ❑ ❑ - ❑ ❑ El Excavation Liner . ❑ ❑ ❑ ❑ ❑ Double Walled ❑ ❑ ❑ ❑ ❑ Single Wailed ❑ ❑ ❑ ❑ ❑ Tank Manufacturer _Check box if tank has eve,been repai ❑ ❑ ❑ ❑ ❑ Complete the 6. Emergency Generator Use ❑ ❑ ❑ ❑ ❑ T. Estimated Total Capacity (gailons) ---- Farm Use ❑ ❑ ❑ ❑ ❑ DEEP-UST-NOT-001 6 of 12 Rev.01/02/14 i Part IV: Underground Storage Tank Information (continued) Tank Identification Number(see instructions) Tank No.: Tank No.: Tank No.: Tank No.: Tank No.: Part of a compartmentalized tank ❑ ❑ ❑ ❑ ❑ Part of a manifolded or interconnected tank ❑ ❑ ❑ ❑ ❑ 8. Substance Currently Stored(or last stored in the case of closed compartnierhis flanks) check one per compartme'n0ank Gasoline;, ❑ ❑ ❑ ❑ ❑ Diesel ❑ ❑ ❑ ❑ ❑ Kerosene(for resale)- ❑ ❑ ❑ ❑ ❑ Kerosene(on-site consumption)" ❑ ❑ ❑ ❑ ❑ Heating Olt(on-.site consumption)- ❑ ❑ ❑ ❑ ❑ Heating Oil (for resale), El El ❑ ❑ El Used Oil- ❑ ❑ ❑ ❑ ❑ Sodiesel:_ ❑ ❑ ❑ ❑ ❑ E-85 ❑ ❑ ❑ ❑ ❑ E15 ❑ ❑ ❑ ❑ ❑ If Other,please specify here. Hazardous Substance,- ❑ ❑ ❑ ❑ ❑ CERCtA name CAS Nu. 9. Primary Release Detection -checkorieper' rrpartment/tank Annual Precision Tightness Testing ❑ ❑ ❑ ❑ ❑ `anK Tightness Test with Inventory Control; ❑ ❑ ❑ ❑ ❑ Cor.Unuous(Electronic)Interstitial Monitoring;": ❑ ❑ ❑ ❑ ❑ ATG-CSLD—Continuous-with inventory El El El El El _` ATG Statc wi h Inventor y Reconciliation Control-' El El El ❑ ❑ Monthly GroundwaterNapor Monitoring;; ❑ ❑ ❑ ❑ ❑ Manaat Tank Gauging;r ❑ ❑ ❑ ❑ ❑ Monthly Visual interstitial Monitoring;; ❑ ❑ ❑ ❑ ❑ No release detection required(see instructions) ❑ ❑ ❑ ❑ ❑ If Other Method. please specify here DEEP-UST-NOT-001 7 of 12 Rev.01/02/14 Part IV: Underground Storage Tank Information (continued) Tank Identification Number Tank No.: Tank No.: Tank No.: Tank No.: Tank No.: Part of a compartmentalized tank ❑ ❑ ❑ ❑ ❑ Part of a manifolded or Interconnected tank ❑ ❑ 7] ❑ Piping Construction 10. Piping Installation Date 11. Piping Material -check one per compartment4ank Bare Steel ❑ ❑ ❑ ❑ ❑ Galvanized Steel ❑ ❑ ❑ ❑ ❑ Epoxy Coated Steel ❑ ❑ ❑ ❑ ❑ Flexible Plastic'' ❑ ❑ ❑ ❑ ❑ No Piping associated with Tank or Above Ground Only_ ❑ ❑ ❑ ❑ ❑ Fiberglass Reinforced Plastic ' ❑ ❑ ❑ ❑ ❑ Semi-Rigid Plastic ❑ ❑ ❑ ❑ ❑ Copper ❑ ❑ ❑ ❑ ❑ If Other. please specify here _ 12. Piping—Secondary Containment—check ail that app+'y Containment Sumps at Dispensers Li ❑ j ❑ ❑ Containment Sumps at Tanks ❑ 13. Pipe Fitting check one per compartmenttank Metallic Fitting lso;ated from Soil and Water ❑ ❑ ❑ Metallic Fit-ng Cathodicaily Protected ❑ ❑ ❑ ❑ ---------- 14. Construction Type-Piping—check all that apply Cathodica,ly Protected u u Double Waled l ❑ ❑ ❑ ❑ ❑ Metallic Piping lsolated form S61 and Water ❑ ❑ ❑ ❑ ❑ Single Waled__ ❑ ❑ ❑ ❑ ❑ Unknown ❑ ❑ ❑ ❑ ❑ 15. Piping Type-check one per compartmen0ank ❑ El ❑ El ElPressure`` `U.S' Suction(valve at tank) El El El El Gravity Feed Only i ❑ ❑ ❑ ❑ ❑ `Safe' Suction(no valve at tank; ❑ ❑ ❑ O ❑ If Other, please specify here Check box if piping has ever been repaired ❑ ❑ ❑ ❑ ❑ DEEP-UST-NOT-001 8 of 12 Rev.01/02/14 Part IV: Underground Storage Tank Information (continued) Tank Identification Number Tank No.: Tank No.: Tank No.: Tank No.: Tank No.: Part of a compartmentalized tank ❑ ❑ ❑ ❑ ❑ Part of a manifolded or interconnected tank !-1 ❑ ❑ C7 ❑ 16. Primary Release Detection-Piping-check one per compartmei►tnk Annual Precision Line Tightness Testing ❑ ❑ ❑ ❑ ❑ Precision Line Tightness Testing Every 3 years ❑ ❑ ❑ ❑ ❑ Continuous(Electronic) Interstitial Monitoring ❑ ❑ ❑ ❑ ❑ Monthly Visual Interstitial Monitonng ❑ ❑ ❑ ❑ ❑ Groundwater/Vapor Monitoring ❑ ❑ ❑ ❑ ❑ PLLD-Annual .1gph Leak Test ❑ ❑ ❑ ❑ ❑ PLLD—Monthly Elec. 0.2gph Leak Testing ❑ ❑ ❑ ❑ ❑ No release detection required (see instructions) ❑ ❑ ❑ ❑ ❑ If Other Method, please specify here 1 17. If piping type is pressure-check one per compartmen0ank. Electronic Auto Line Leak Detectors j ❑ I ❑ ❑ ❑ ❑ Mechanical Auto Line Leak Detectors 18. Spill and Overfill Protection—check all that apply Audible Alarm ❑ ❑ ❑ ❑ ❑ Ball Float Device i ❑ ❑ ❑ ❑ ❑ Flapper Device ❑ ❑ ❑ ❑ ❑ None ❑ ❑ ❑ ❑ ❑ Spill Prevention Device installed ❑ ❑ ❑ ❑ ❑ Part V: Permanent Tank Closure Tank Identification Number Tank No.: Tank No.: Tank No.: Tank No.: Tank No.: Part of a compartmentalized tank ❑ ❑ ❑ ❑ ❑ Part of a manifolded or interconnected tank ! ❑ ❑ ❑ ❑ ❑ 1. General Information of Closed Tank Date of Installation(monthvyear) ' Estimated Total Capacity(gallons) Estimated date tank dosed(month/day!year) (check one per tank): Tank was removed from ground ' ❑ ❑ ❑ ❑ Tank was dosed in ground ❑ ❑ ❑ ❑ ❑ Tank filled with inert material ❑ ❑ ❑ ❑ ❑ Describe the inert fill material here DEEP-UST-NOT-001 9 of 12 Rev.01/02/14 Part V: Permanent Tank Closure (continued) Tank Identification Number Tank No.: Tank No.: Tank No.: Tank No.: Tank No.: AlR1 Part of a compartmentalized tank ' ❑ ❑ ❑ ❑ ❑ Part of a manifolded or interconnected tank ❑ ❑ ❑ ❑ ❑ 2. Estimated date the UST was last used for 7/17/14 storing regulated substances(month/day/year) 3. Site Assessment Required Site Assessment Completed ® ❑ ❑ ❑ ❑ f Yes.provide consultant1contractor information below) Fuss&O'Neill, Inc. Cons uitant/Contractor Name(s) 146 Hartford Road Consultant/Contractor Addresses(s)+ Manchester, CT 06040 860-646-2459 Consultant/Contractor Phone(s) Soil Samples Collected and Analyzed for one or more of ® El ❑ El El following: VOCs.SVOCs.Metals.ETPH Groundwater Encountered During Assessment `' ❑ ❑ ❑ ❑ ❑ Groundwater Samples Collected and Analyzed for one or ❑ ❑ ❑ ❑ ❑ more of the following; VOCs SVOCs,Metals.ETPH . `Soil Samples had Constituents of Concern above the following RSR Criteria: — check all that apply GA PMC ❑ ❑ ❑ ❑ ❑ GB PMC I ❑ ❑ ❑ ❑ ❑ Res DEC ❑ ❑ ❑ ❑ ❑ UC DEC ❑ ❑ ❑ ❑ ❑ 'If any boxes were checked above, include a table summanzing the data and highlighting the exceedances (See R.C.SA.Sector*22a- 133k-1 through 3 for definitions) `Groundwater Samples had Constituents of Concern above the following RSR Criteria: —check all that apply GWPC ❑ ❑ ❑ ❑ ❑ `WPC '' ❑ ❑ ❑ ❑ ❑ Res GVJVC ❑ ❑ ❑ ❑ ❑ 1/C GWVC ❑ ❑ ❑ ❑ ❑ If any boxes were checked above.tnc€ude a table summarizing the data and highlighting the exceedances (See R.C.SA.Sections 22a- 133k-1 through 3 for definitions). Remedial Actions Recommended by Environmental r Consuitant/Contractor ❑ ❑ ❑ ❑ ❑ It box is checked,a closure repW must be submitted to the LUST Coordination Program for evaluation. Remedial Actions Completed If box Is checked.a closure report most be submitted to the ❑ ❑ ❑ ❑ ❑ LUST Coordination Program for evaluation. DEEP-UST-NOT-001 10 of 12 Rev.01/02/14 I Part VI: Certification of Installation Complete within 30 days of installing an UST or adding an UST system to an existing notification. If you have more than 5 tanks in one location, reproduce this part and complete for additional tanks. Tank Identification Number Tank No.: Tank No.: Tank No.: Tank No.: Tank No.: Part of a Compartmentalized Tank ❑ ❑ ❑ ❑ ❑ Part of a manifolded or interconnected tank ❑ ❑ ❑ ❑ ❑ Installer of tank and piping must check all that apply Installer certified by tank and piping manufacturers ❑ ❑ ❑ ❑ ❑ Installation inspected by a registered engineer ❑ ❑ ❑ ❑ ❑ Installation inspected and approved by implementing El El El El Elagency Manufacturer's installation checklists have been ❑ ❑ ❑ El ❑ completed If Other Method,.please specify here Provide signature of UST Installer to certify proper installation of subject UST System. Company Name: License Type: Mailing Address: City/Town: State: Zip Code: Business Phone: ext.: Name of UST Installer: Title: E-mail: Phone: ext.: Signature of UST Installer Date DEEP-UST-NOT-001 11 of 12 Rev.01/02/14 i Part VII: Owner/Operator Certification The owner/operator and the individual(s)responsible for actually preparing the notification must sign this part.A notification will be considered incomplete unless all required signatures are provided. "I have personally examined and am familiar with the information submitted in this document and all attachments thereto,and I certify that based on reasonable investigation, including my inquiry of the individuals responsible for obtaining the information, the submitted information is true,accurate and complete to the best of my knowledge and belief. 1 understand that a false statement in the submitted information may be punishable as a criminal offense, in accordance with section 22a-6 of the General Statutes, pursuant to section 53a-157b of the General Statutes, and in accordance with any other applicable statute. I certify that I have completed a Certification of Financial Responsibility Form and such completed form is maintained on-site. I also certify that this underground storage tank notification is on complete and accurate forms as prescribed by the commissioner without alteration of the text." Signature of Owner/Operator Date Matthew B. Galligan Town Manager Town of South Windsor Name of Owner/Operator(print or type) Title(if applicable) i 8A Zol4 Signat Preparer(if different than above) Date Russell T.Ward P.E. Sr. Environmental Engineer,Fuss&O'Neill Inc. Name of Preparer(print or type) Title(if applicable) ❑ Check here if additional signatures are required. If so, please reproduce this sheet and attach signed copies to this sheet. Note: Please submit a completed Underground Storage Tank Notification and all Supporting Documents to: CENTRAL PERMIT PROCESSING UNIT DEPARTMENT OF ENERGY AND ENVIRONMENTAL PROTECTION 79 ELM STREET HARTFORD, CT 06106-5127 A copy of all completed Notification Forms must be maintained on site and the most recent completed form must also be forwarded to the local fire marshal, If you have any questions, please contact the UST Program at 860-424-3374 or by e-mail (DEEP.USTFee0_)ct.gov) DEEP-UST-NOT-001A 1 of 2 Rev.01/02/14 ,Electji•# APPLICATION FOR BUILDING PERMIT Plumbing# HVAC# kS o Sullivat Aven" Date: Sprinkler# 13C�60 3(a FINAL APPROVALS Estimated Cost $ coo Permit Fee $ 2 3 Building COMPLETE RED BOXED AREAS Occupancy Fee $ Engineering TYPE OR PRINT ONLY Eng. Insp. Fee $_ Affidavit ► SIGN ON REVERSE SIDE Appr.forCO. � Total Fee $J .,3 Y TO THE BUILDING DEPARTMENT TOWN (Additional Cost) $ -�l O OF SOUTH WINDSOR, CT The undersigned hereby applies to DEPARTMENT, according to the following: Applicant tion of Work Lot No. Applicant's Ad e Tel # Town Zip Lic.# �. a Owner d .SO0 A 604 Architect Owner's Address Architect's Address /� e, (�y Zip T Zip Sq.Ft.New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area Purpose of th!',§ permit del kz City Water Well UI Septic System 0 Sewer -k 13616 21 Ins: HO SP Cert. " Area Base nt Garage Approved by Date �� "�3 Use Group _Construction Type ---- Revised 1108 I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town of or ' 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 buildinL o be loc the proper dist from all street lines,side yard lines,and required distances from all other zones and is locatwhic hi wilding a d its is allowed. Signe I hereby apply for a Certificate of Occupancy for th ork describ d in this application for the permit. Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS INSPECTION FIELD SHEET O1/31/14 Printed by Peart, Dayshell 11 22 22 4INSPECTION: 59949 FOOTING PERMIT: i STATUS: APPLICATION: 201301021 LOC: 1540 SULLIVAN AVENUE SOUTH WINDSOR PROPERTY ID: 87301540 OWNER: SOUTH WINDSOR TOWN OF CONTRACTOR: REQUEST BY: PROJ DESC: INSTALL NEW PARTITIONS MIRRORS IN THE MENS AND WOMENS WORK ORDER: INSPECTOR: ROSE RESULT: N/A REQUESTED: PRIORITY: SCHEDULED: COMPLETED: 01/31/14 UNPAID FEES: 00 Date Time MILEAGE: 00 TIME: TRAVEL ONSITE COMMENTS ALL INSPECTIONS INSPECTED INSPECTOR RESULT INSP DESCRIPTION O1/31/14 ROSE N/A B002 FOUNDATION O1/31/14 ROSE N/A B003 FRAMING (ROUGH) O1/31/14 ROSE N/A B004 INSULATION O1/31/14 ROSE N/A B005 FIREPLACE / CHIMNEY O1/31/14 ROSE N/A B006 WOOD / GAS STOVE O1/31/14 ROSE N/A B009 OTHER 07/24/13 DOUG PASS BO10 FINAL LAURA @ 1-413-737-6100 a Electric # APP C TION FOR BUIL IN PERMIT Plumbing# 1540 Sullivan e HVAC# 13000228 Date: 3O Sprinkler# FINAL APPROVALS Estimated Cost $ Building -)L-1 COMPLETE RED BOXED AREAS Permit Fee $ 12 Occupancy Fee $ Engineering TYPE OR PRINT ONLY Eng. Insp. Fee $ Affidavit Appr.forCO. SIGN ON REVERSE SIDE t Total Fee TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cos $ �qy� The undersigned hereby applies to do work according to the following: k�e a`fp t)l• Applicant_ a Location of Work Lot No. hC , Applicant's A ress �Y Tel # .1113—� Town /7/i(/ Zip Lic.# lye.�/ 7c�71 Owner U Architect N Owne ' A,, / Address �s fl ldlrY w WVZ Architect's Address Address�� e T Zip 0 74 Zip Sq. Ft.New Area: 1 st FI. 2nd FI. 3rd Fl. Total New Area Purpos,q of this p rmit City Water Well 0 Septic System ❑ Sewer g ;—)0 Ins: HO SP Cert. Area Base n Garage Approved by Date Z� �3 Use Group r2/construction Type Revised 1106 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 locate the proper distance from all street lines,side yard lines,and required distances from all other zones and is located�in which t ilding and its is allowed. Signed �� I hereby apply for a Certificate of Occupancy for the work described in this application for the permit. Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS INSPECTION FIELD SHEET 09/30/13 Printed by Peart, Dayshell 09 52 34 INSPECTION: 58187 FOOTING PERMIT: STATUS: A � LOC: 1540 SULLIVAN AVENUE PPLICATION: 201300647 dP WORK BEING DONE FOR TOSW RUNNING DATA SOUTH WINDSOR PROPERTY ID: 87301540 OWNER: SOUTH WINDSOR TOWN OF CONTRACTOR: REQUEST BY PROJ DESC: REPLACE DOOR FRAME AT SIDE DOOR. REPLACE SLATE AND WORK ORDER: INSPECTOR: ROSE RESULT: N/A REQUESTED: PRIORITY: SCHEDULED: COMPLETED: 09/30/13 UNPAID FEES 00 Date Time MILEAGE: 00 TIME TRAVEL ONSITE COMMENTS ALL INSPECTIONS INSPECTED INSPECTOR RESULT INSP DESCRIPTION 09/30/13 ROSE N/A B002 FOUNDATION 09/30/13 ROSE N/A B003 FRAMING (ROUGH) 09/30/13 ROSE N/A B004 INSULATION 09/30/13 ROSE N/A B005 FIREPLACE / CHIMNEY 09/30/13 ROSE N/A B006 WOOD / GAS STOVE 09/30/13 ROSE N/A B009 OTHER 09/24/13 DOUG PASS BO10 FINAL APPLICATION FOR ELECTRICAL PERMIT DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT APPROV D 1540 SULLIVAN AVENUE I 3l� yam_ 644-2511 ext. 230 Bldg. Permit# Date Building Inspector -- Application must be printed or typed FEE SCHEDULE Location of Job: $041,000=$15.00 /`�� cs�'`l l;y c✓u AUe k) U-c— Over$1,000— I Street No. Street Lot No. $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT �f,�%Cvt Coa-i,' C&7 t2-S APPLICANT ADDRESS 36-(C5 APPLICANT'S PHONE# fej S- (''F-- 2F 2-Z eScf 2q 2 OWNER low>v 0 � cSo� W;j jc� �W N S�q< OWNER ADDRESS Cn z OWNER PHONE ESTIMATED COST$ Z,Gbb IS THIS A CONTRACT COST? es No FEE ENCLOSED$ — �f �,� TYPE OF JOB: CAS SQR.co New Installation Alteration/Addition/Repair Revised 03/05/10 APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION? ❑ YES _*NO ❑ SIDENTIAL CURRENT USE AND OCCUPANCY Pert Z.%-f LD BUSINESS ❑ ASSEMBLY FUTURE USE AND OCCUPANCY eea/-Ci ._S (moo ❑ EDUCATIONAL ❑ INSTITUTIONAL ENGINEER'S NAME k) �&+ PHONE ❑ FACTORY ❑ STORAGE ADDRESS ❑ GARAGE ❑ MIXED USE CITY STATE ZIP (Other please specify) TYPE OF INSTALLATION/WIRING METHOD PVVC CooU) --Lt f" VA) wi-t: SIZE OF SERVICE SIZE OF MAIN CONDUCTORS NUMBERS OF METERS NUMBERS OF DISCONNECTS AND RATINGS NUMBERS OF PANELS NUMBERS OF DISCONNECTS REQUIRED? ❑ YES ❑ NO NUMBERS 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 HEARBY 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 PERFOR- MANCE OF SUCH WORK 6r62 90 d CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT DATE �/(! I(3 r " DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT PERMIT# Applic �re , TOWN OF SOUTH WINDSOR 3po30 BUILDING DEPARTMENT PP 1540 SULLIVAN AVENUE 644-2511 EXT.230 1 3 Bldg.0 o Permit# (Date) LIguilding Inspector) Application must be printed or typed FEE SCHEDULE tion of Job: SU-�-f1V#A)L7/54Dve, $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 ADDRE 3 q Su&6 vd#'t APPLICANT PHONE# ,32"6 O O 0\4 N St OWNER OWNER ADDRESS O@ OWNER PHONE �(p — 65 — C = ESTIMATED COST $ 1, 900 , 00 IS THIS A CONTRACT COST? YES NO FEE ENCLOSED$ o c — — 1 TYPE OF JOB: Cad 1 SOR•co _New Installation VAlteration/Addition Repair 0 `1� Revised 12/22/11 APPLICATION FOR PLUMBING PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A O RESIDENTIAL BUILDING PERMIT APPLICATION? YES ❑ NO O BUSINESS O ASSEMBLY CURRENT USE AND OCCUPANCY /OIC A O MERCANTILE C3 EDUCATIONAL FUTURE USE AND OCCUPANCY O FACTORY O STORAGE ENGINEER'S NAME�� PHONE O GARAGE O MIXED USE ADDRESS (Other please specify) CITY 4,1 STATE /! ZIP TYPE OF INSTALLATION SIZE OF MAIN DRAIN NO. OF TOILETS STYLE NO. URINALS STYLE NO. OF BATHTUBS NO.OF SHOWERS NO. OF LAVATORIES NO.OF CONDUCTORS SIZE NO.OF STACKS SIZE 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 O YES O 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 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. er CONTRACTORS LICENSE NO. STATE SIGNATURE OF APPLICANT DATE APPLICATION FOR ELECTRICAL PERMIT DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT I'304a-Z( APP OV 1540 SULLIVAN AVENUE 644-2511 ext. 230 Bldg. Permit# Da Building Inspector Application must be printed or typed FEE SCHEDULE Location of Job: $0-$1,000=$15.00 � S-y° Su 11, 4 V F Over$1,000= Street No. Street Lot No. $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT V�'ry� ��,,,,,.. -f- rc� APPLICANT ADDRESS 36L APPLICANT'S PHONE# �Go 502 d-,?Xty OWNER /oS� �(OW N s yFq< OWNER ADDRESS (-S ►-10 SLt P I i 12�y� AtM l Z, r tis. OWNER PHONE ESTIMATED COST$ C IS THIS A CONTRACT COST? Yes No VX' S FEE ENCLOSED$ 4' ° C TYPE OF JOB: Y� ��.SO12•COS New Installation ----:� llteration/Addition/Repair �o��doiy7 Revised 03/05/10 APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION? ❑ YES ❑ NO ❑ RESIDENTIAL CURRENT USE AND OCCUPANCY ❑ BUSINESS ❑ ASSEMBLY FUTURE USE AND OCCUPANCY ❑ EDUCATIONAL ❑ INSTITUTIONAL ENGINEER'S NAME PHONE ❑ FACTORY ❑ STORAGE ADDRESS ❑ GARAGE ❑ MIXED USE CITY STATE ZIP (Other please specify) TYPE OF INSTALLATION/WIRING METHOD SIZE OF SERVICE SIZE OF MAIN CONDUCTORS NUMBERS OF METERS NUMBERS OF DISCONNECTS AND RATINGS NUMBERS OF PANELS NUMBERS OF DISCONNECTS REQUIRED? ❑ YES ❑ NO NUMBERS 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�-- THE UNDERSIGNED HEARBY 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 PERFOR- MANCE OF SUCH WORK � Z - 1�3i-,I, f/ C4__ CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT —c/ DATE �2 ! / /3 . r APPLICATION FOR ELECTRICAL PERMIT DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT /"200001 APPR 1540 SULLIVAN AVENUE 11 "�:� 644-2511 ext. 230 Bldg.Permit# ate 1 Building Inspec Application must be printed or typed FEE SCHEDULE Location of Job: $0 $1,000=$15.00 /6`/0 Over$1,000= Street No. Street Lot No. $15.00 per$1,000 OvJ 1J to(- or any fraction thereof Tenant Designation Apt.No. APPLICANT C. hd/';C W dlu��C:7W7 , -lam �d� JI?�9 lL/LSII1-1 APPLICANT ADDRESS 35/0 Me-,-A) S-free t pe�v-f-40 -rc 0--r 0(4 APPLICANT'S PHONE# 9(oO`"SX1�l - Z ry Z 2- OWNER �oM1 N SFq< OWNER ADDRESS SOS-`I"V1 �19 �C�ScNI_ e2l: Flo 7 OWNER PHONE 8(pO 1p44.1 ZS/ ESTIMATED COST$ 3i �OQcSa C ,.I ! U IS THIS A CONTRACT COST? ✓Yes No V%mw FEE ENCLOSED$ 1 low,f ' TYPE OF JOB: SO -co ZA w Installation eration/Addition/Repair 26/laisya Revised 03/05/10 APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPnLICATION? ❑ YES *140 ❑ SIDENTIAL CURRENT USE AND OCCUPANCY l r M4 10"n'/ BUSINESS ASSEMBLY FUTURE USE AND OCCUPANCY Ci N0 1 1 r✓� lOf��z ❑ EDUCATIONAL ` ❑ INSTITUTIONAL ENGINEER'S NAME PHONE ❑ FACTORY ❑ STORAGE ADDRESS ❑ GARAGE ❑ MIXED USE CITY STATE ZIP (Other please specify) TYPE OF INSTALLATION/WIRING METHOD Z' l°VC Cw dsA d d- Fbc t 6 L Cc to Q, SIZE OF SERVICE SIZE OF MAIN CONDUCTORS NUMBERS OF METERS NUMBERS OF DISCONNECTS AND RATINGS NUMBERS OF PANELS NUMBERS OF DISCONNECTS REQUIRED? ❑ YES ❑ NO NUMBERS 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 1N 544 0 NQ--Lj 2" Pis C- Co,AJCk.S- ; t w l�iA 4 SfiTr-,Pj cl rvt•A+� d �� Ins-- ao+� C,�!uE 75a-� THE UNDERSIGNED HEARBY 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 PERFOR- MANCE OF SUCH WORK C/a 2'&CQ C / (2% CONTRACTORS LICENSE NO E STATE SIGNATURE OF APPLICANT DATE l2/2? / I I w TOWN L 113RA Y HALL 00 EX IS 1 TEL/DATA ,� 00 E MR-C ICAL 2 - N.ToS - -ED► - 12/27/1-1 -- - --- APPLICATION FOR HVAC PERMIT DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT I l D U C)��3 r APPROVED 1540 SULLIVAN AVENUE 644-2511 ext. 230 Bldg.Permit# Date Building Inspector Application must be printed or typed FEE SCHEDULE Location of Job: $0-$1,000=$15.00 1540 Sullivan Avenue,South Windsor,CT Over$1,000= I Street No. Street Lot No. $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT Fred A.Wish APPLICANT ADDRESS 76 Rivergate Lane,East Berlin,CT 06023 APPLICANT'S PHONE# (860)953-8800 OWNER Environmental Systems Corporation Ow N S t,4< OWNER ADDRESS 18 Jansen Court,Wst Hartford,CT 06110 � OWNER PHONE (860)953-8800 O ESTIMATEDCOST$ 75,825.00 ,C IS THIS A CONTRACT COST?I —x Yes No Cd FEE ENCLOSED$�� W�6,ie4 C fkc+-ea ,rt TYPE OF JOB: �# dSOR•Co New Installation x Alteration/Addition/Repair o2ol( a000� Revised 03/05/10 APPLICATION FOR HVAC PERMIT(Continued from reverse sine) TYPE OF SYSTEM: TYPE OF BUQ.DING. ❑ HEATING ❑ RESIDENTIAL U A/C Cx COMMERCIAL- ❑ VENTILATION ❑ INDUSTRIAL' HEATING ❑ STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LB41T LBS. ❑ HYDRONIC ❑ WARM AIR ❑ UNIT RADIANT HEATER . EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION DESIGN TEMP.OUTSIDE OF INSIDE OF DIFFERENCE* OF TOTAL HEAT LOSS(BTUH) °F(HEAT LOSS SHEET MUSTACCOMPANYAPPLICATION) DESCRIBE ALL HEATING EQUIPMENT(INCLUDING MAKE&MODEL NO.) 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 N • AIR CONDITIONING DESIGN TEMP: OUTSIDE OF INSIDE OF DIFFERENCE Of TOTAL HEAT GAIN(BTUH) (MEAT GAIN SHEET MUST ACCOMPANYAPPLICATION) DESCRIBE All COOLING EQUIPMENT(INCLUDING MAKE&MODEL NO.) Carrier Chiller.Model-30MPA04554-01155 Carrier Condensing Unit-Model-09DPM05054-06104 R-410A I Replacement is Like for Like-Unit specifications in original Bid documents) TONNAGE 45 Tons COOLING CAPACITY(BTUH) VENTILATION DESCRIBE ALLAIR HANDLING EQUIPMENT(INCLUDING KITCHEN EXHAUST EQUIPMENT) TOTAL SIZE OF SYSTEM(CFM) FRESH AIR INTAKE(CFM) (PLANS MUST ACCOMPANYAPPLICATION) FURTHER DESCRIPTION OF WORK Replace existing 45 Ton Chiller and Condensing Unit 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. HTG.0303399-51 Heating,Piping&Cooling Unlimited Connecticut CONTRACTORS LICENSE NO. X STATE SIGNATURE OF APPLICANT DATE JA NUA R y 03,20 1 APPLICATION FOR ELECTRICAL PERMIT DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT �an,g- App v 1540 SULLIVAN AVENUE Bldg. Permit# 644-2511 ext. 230 'Date 1 I Building Inspec or Application must be printed or typed FEE SCHEDULE c% Locations of Job: $041,000=$15.00 / v w'�� Over$1,000= Street No. Street Lot No. $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT APPLICANT DRESS o ��v APPLICANT'S N OWNER OWNER A DRESS D 01VCI�-2� OWNER PHONE 0 j ESTIMATED COST$ Is 5 f V IS THIS A CONTRACT COST? Yes No FEE ENCLOSED$ 2. OU TYPE OF JOB: CA,11/� r SOR-Co New Installation C2.0 116 D D 1 L Alteration/Addition/Repair Revised 03/05/10 APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION?� YES ❑ NO ❑ RESIDENTIAL CURRENT USE AND OCCUPANCY ` ❑ BUSINESS ❑ ASSEMBLY FUTURE USE AND OCCUPANCY C Qitl'�J ❑ EDUCATIONAL ❑ INSTITUTIONAL ENGINEER'S NAME PHONE ❑ FACTORY ❑ STORAGE ADDRESS ❑ GARAGE ❑ MIXED US CITY STATE ZIP (Other pleak specify) TYPE OF INSTALLATION/WIRING METHOD SIZE OF SERVICE SIZE OF MAIN CONDUCTORS NUMBERS OF METERS NUMBERS OF DISCONNECTS AND RATINGS N� NUMBERS OF PANELS 7 NUMBERS OF DISCONNECTS REQUIRED? ❑ YES .0'NO NUMBERS OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS�O _ NUMBER OF SWITCHES 3 NUMBER OF OUTLETS ID NUMBER OF LIGHT FIXTURES CD NUMBER OF HEAT CIRCUITS N� NUMBER OF A/C CIRCUITS N� SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED. DESCRIPTION OF WORK 17? Altj 7/4 40 7.euJ THE UNDERSIGNED HEARBY 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 PERFOR- MANCE OF S H WORK / 0e 9'7 61 L�" CONTRACTORS LICENSE NO. PE STATE SIGNATURE OF APPLICANT DATE .I TOWN OF SOUTH WINDSOR STAFF SITE CHANGE FOR SITE & SUBDIVISION GENERAL: CHANGE ORDER CONTACT PERS Phone No. Address Site Name P&Z No. Owner Phone No. Contractor r Signature of Owner Date: Signature of Design Engr. Date: CHANGE: (Describe location and nature of change. Include Four (4 ) copies of plan/profile of Change. ) L it ti Reason for Change: (Why is change required) APPROVALS: (As Required) Dir. Of Planning Date: Town Engineer Date: Dir. of Public Works Date: Other: Date: STAFF COMMENTS: White - Town Engineer Yellow - Applicant Pink - Director of Planning Goldenrod - Engineering Department ,,. .,,, _. ,,r._ ._�- �� _ __ _ �.,, .� I PHOINIX I ND 1-_1 ' 1 1 "�> Cam! model PHGL Application Phoenix Gla Luminaire ,tyP ,.irl r dd Wit'i--ega-'.cc a? ar:`, I.!Y Irat e t;v ,r eC - - - - - � leis rg add tb,, o ary-caouray ar pa',v;g,ot t Wit. ,ts:r"lact,l,cc i-�ec Curves a^-r;9hiy functi0r:al that 0MV-llc; :T?axi".";1^ 1:!i7er,outpJ1 Whi'e er'surl^.g n am(1r!;f iT.:ly t'2 c Vr1 arc functic^:a:erc togetner to br;^g ti,e"" de' as a o, !r err' Oarway rioting Fxture Features • '!�`atK Sky"F ierlcl t-Jl!Out c1t. !nierratcnal DarK Sky Asso tion Sea o. Approval for darK sky frier ,y, .J0 W1 OTT 1Jminalres • 5rrep act7Or door latch for total-less r;ntry c Ul i, • L,'.e:;ast a'u-mum const,uction. uaTee • Sta;nless steel external hardware ` • I urged tloor ' • Generator rnourded directly to hcu ing • Standard Slip 0 Filter • I-In;sh Baked polyester powder coalMCD - • I fi::, ILA Ful Cult-Off Hs • St-rcard coirr; Is bronze.Ccrrtact factory for finishes - m n n; 0 ' " Q m K Accessories — COMPLIANT m Pholcceil bracket Wa'I Mount Adapter Pole Mount Adapter ORDERING INFORMATION: Example: (PHGL-150-50.120SL-GR-PC) PHGL Large G4ad'e 35-3500k PM-Po'e Mount PC Photocell' Roadway Luminaire 41-4100k SL-T 0 Slip Filter ?C-Po!ycarbonate Lense Guard 50 5000k WM Wen Mount 80 80W 120-120V 129 120W 220.220Y lEft 150 150W 240 240V BZ•Bronze 200 200W 271 211V CU Custom Graftsmansoip - Environment • Savings Uuahiy ©2008 t'hoen!x Induction ightir�g PNQEI�X Revised 4/01//2002 DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT AFF TOWN OF SOUTH WINDSOR PERMIT# � BUILDING DEPARTMENT b-kjp�/ , 1540 SULLIVAN AVENUE -�j fs,r �- r 644-2511 ext. 230 Bldg.Permit# Date lding Inspector Y, �o Application must be printed or typed FEE SCHEDULE Location of Job: FStreet owo Bu�Id�N�S - zooq io/o FicA/ ye9n. $0-$1,000=$15.00 NO vjaL h Street Lot No. Over$1,000$15.00 per$1,000 or any fraction thereof gnation Apt.No. CLiF)-,9RA L.AleLsoN APPLICANT 41-e'c s"/ 0oniY/b.4c7'D-r S, -TNe— APPLICANT ADDRESS 3570 f04i-v;r h gnrlmQc CT- pb/ln APPLICANT PHONE# T462- .sY9. 28 L z- O W N S Fq OWNER -7—ofivA✓ a-,4 Soar// p/�,✓o�so�- - OWNER ADDRESS O/e- lt/ �GT. O&V 7`1 Sour-N rev s0�. ( a OWNER PHONE 0,9K /Y/ATG1n- C ;D ESTIMATED COST$ IS THIS A CONTRACT COST? Yes ✓No FEE ENCLOSED$ ----- ' f/y TYPE OF JOB: �Sp R•C o _New Installation ✓Alteration/Addition/Repair 1 APPLICATION FOR ELECTRICAL 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 ❑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 Pen-1 nwl VO4,114US MIS,,. Iepg,ti s 4 -t 1191z1vw5 7pw.✓ ow,vrol A S Ne-r ale& - 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. 1034 3 3 14F/ 67— CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT DATE S-/2 Revised 4/01//2002 4 N DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT PERMI"T# Applicat' y: TOWN OF SOUTH WINDSOR —, BUILDING DEPARTMENT - APPROVED-' 1540 SULLIVAN AVENUE l 644-2511 ext. 230 Bldg. Permit# Date uilding Inspector Application must be printed or typed FEE SCHEDULE Location of Job: _ l/ FT-e—nantDesignation 1DU1A1 RAi jSi�GS - 2007- 2003 FI-5-CAL 7Eq/Z $0-$1,000=$15.00 Street Lot No. Over$1,000= $15.00 per$1,000 or any traction thereof Apt.No. CL I FPO X L• n/e"LSO N APPLICANT EL&cT7Z1 co9L CQ,v7R�gcTDIZS, LNG APPLICANT ADDRESS 3S/O M,91^1 '57 1714 a rrO iZ c7 , CT o6/zo APPLICANT PHONE# _ g6 Q-Sy q-Z 8 Z Z O W N S F,q OWNER /O N DF Sd a 7w I OWNER ADDRESS Sad LL IVAAl }4/e- t�-�f �:. SoUr� cyN�/so1 CT o�07y _ U a Er OWNER PHONE el-,9 Y /Ng7O1Z — Ya,/ ' ZS// EX T. 2-1& C ESTIMATED COST$ xb IS THIS A CONTRACT COST? _Yes ✓No a �(� FEE ENCLOSED$ TYPE OF JOB: G �R C New Installation ✓-Al teration/Addition/Repair APPLICATION FOR ELECTRICAL 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 ❑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 ?e,-L4m n VARIav5 iMrj/Drz -R20gIns Ar Iiga,,Du5 ID .el O! "ea/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. /036 3 3 CONTRACTORS LICENSE NO. TYPE STATE/q SIGNATURE OF APPLICANT DATE 7 / / UNDERGROUND STORAGE 1pG. of 11i STATE OF CONNECTICUT Department of Environmental Protection EPHM-6 NEW 10,'85 QI FACILITY NOTIFICATION 2' UNDERGROUND STORAGE FACILITIES PROGRAM , 3. FOR STATE A_SITE LD - HAZARDOUS MATERIALS MANAGEMENT UNIT AGENCY USE ONLY Z 165 Capitol Avenue,Hartford,CT 06106 O FIRST ` ` B.DATE RCVD BY D.E.P C.DATE ENTERED H la. NOTIFICATION - -- TEL. 556-4630 wOR SITE LD. - w r�r reef' N SUBSEQUENT 1/checked, PLEASE TYPE. ALL THREE COPIES MUST BE LEGIBLE! �" VDGRID COORDINATES E DOES FACILITY MEET NEW REQUIREMENTS? b. ❑ NOTIFICATION enter No.) Refer to INSTRUCTIONS FOR FILING NOTIFICATION before completing form. Y ❑YES ❑NO LOCATION SITE NAME NO.AND STREET NEAREST INTERSECTING STREET CITY OR TOWN STATE 5AATITOUDE :LONGITUDE T� 4. OF FACILITYM11114vanPaid— 72 41— 49 45 ' 33 14 BUSINESS NAME AND NAME NO AND STREET CITY OR TOWN STATE ZIP CODE TELEPHONE 6. MAILING ADDRESS 7bwn of South Wi.Tidsar _ 540 Sullivan Ave. _ _ South Windsor_ CT 06074 on NAME NO.AND STREET CITY OR TOWN STATE ZIP CODE TELEPHONE 7. FACILITY OWNER S Sam 1 sama U N 8. TYPE OF OWNER ❑ PRIVATE ❑ STATE fXJ MUNICIPAL ❑ FEDERAL(G.S.A. No. OPERATOR/CONTACI NAME NO AND STREET CITY OR TOWN STATE ZIP CODE TELEPHONE 9. PERSON Ricbar$ Bmx1re ult 1540 Sullivan Ave. South Windsor CT 06074 1203 644-2511 10. I la. llb. 12a. 12 b.STATUS 13. TYPE OF 14. CONTENTS- 15.CONSTRUCTION 16.PROTECTION 17. INTEGRAL > DATE CONTENTS MATERIALS o.INT RNAL b. EXTERNAL PIPING SYSTEM 18, 19. FAILURE TOTAL TANK ID. DATE OF z p ( EST.QUANTITY s CHEMICAL NAME OF PRINCIPAL a. b. DATE OF MONITORING DETERMINATION INSTALLATION ,m CAPACITY Z v l LEFT STORED p TANK U o Q V O p l!Z SUBSTANCE w Z z INSTALLA710N (Mo.;Yr.) X o IGalz.) O a > LAST M O U (not trade name.) w _ O v o a- 0 O �_=m OR SYSTEM CONDUCTED. w p I (if on L9 O ti _ t-a O U w �_� v a a (If"YES",enter DATE' Z Y) O USED a s f p (En►er C.A.S. No. If known) w W z aE w ~ Q a E <� = REPLACEMENT w� Z co I (Gals.) w (Mo./Yr.) -\' =O ' m Zzi a OH a Z Z V 3 Q O O'Ls $ ZO (Specify type and attach resultsl- Q 1 �/ w o_ U a (Mo./Yr.) from list 81 If"NO",enter"NO") P 5/75 30 5000 X X Heating fuel#2 X X H 5 5/75 U NO Example P 7/60 - 8000 X 8/78 X I'l'I' CASTI#79016ne X X Examle E 7 7/60 U I - J U o A-1 1969 5 13000 X 9/88 X Heating Oil #2 X X H 7/69 U NO N �l 1988 0 3000 X X Heating Oil #2 X H 9/88 U NO 20, HAVE YOU ATTACHED SKETCH OF TANKS AND LOCATION? ❑ YES 22.CERTIFICATION: I certify under penalty of low that I have personally 22c, SIGNATURE 22b.DATE SIGNED examined and am familiar with the information submitted in this and oil attached X Z 21. COMMENTS: documents and that based on my inquiry of those individuals immediately responsible O for obtaining the information,1 believe that the submitted information is true, _ U accurate and complete.Penalties:any owner who knowingly foils to notify shall be 22d.OFFICIAL TITLE(of owner or authorized U subject to a civil penalty not to exceed S10,000 for each tank for which notification representative). W I P h 22c.NAME(Type or Prmt! p In is not given or for which false information is submi"e . ��,,,,�,„�� 16Lii7�iL DN{JsiLas�iLt Public Bldg. Supt. SEND TO LOCAL FIRE MARSHAL UNDERGROUND STORAGE PG. of STATE OF CONNECTICUT Department of Environmental Protection EPHM-6 NEW 10/85 a FACILITY NOTIFICATION 2 I ' UNDERGROUND STORAGE FACILITIES PROGRAM 3. FOR STATE A SITE I D. HAZARDOUS MATERIALS MANAGEMENT UNIT AGENCY USE ONLY Z 165 Capitol Avenue,Hartford,CT 06106 O FIRST _ -_ B DATE RCVD BY D.E P C.DATE ENTERED H la. NOTIFICATION TEL. 556-4630 U SITE LD. a�v N OR PLEASE TYPE.ALL THREE COPIES MUST BE LEGIBLE! �v."" rX GRID COORDINATES E DOES FACILITY MEET NEW REQUIREMENTS? b. ❑ SUBSEQUENT (If checked, NOTIFICATION enter No.l Refer to INSTRUCTIONS FOR FILING NOTIFICATION before completing form. _ Y ❑YES ❑NO LOCATION SITE NAME NO.AND STREET NEAREST INTERSECTING STREET CITY OR TOWN STATE 5. T TOUDEE rE t LONGITUDE 4. OF FACILITY QW f4 HALL- I�JND �LL %v,, f Avg , or, �9 y5y5 1 0 BUSINESS NAME AND NAME NO AND STREET CITY OR TOWN STATE ZIP DE TELEPHONE -�+ 6. MAILING ADDRESS owr4 OF W1140-,cZ- FjG240 �ULLINAI-1 aQT--- • W-K-10602- G 7 CeSC74 (&3) 124y-��7�� Do NAME NO.AND STREET CITY OR TOWN STATE ZIP CODE TELEPHONE 7. FACILITY OWNER 'SAWX e— �. 1+^� r✓�1�t. J�Mf�- t ►.�i� U w 8. TYPE OF OWNER ❑ PRIVATE El STATE MUNICIPAL El FEDERAL(G.S.A.No. u7 OPERATOR/CONTACI NAME NO.AND STREET A CITY OR TOWN STATE ZIP CODE TELEPHONE '/ 9. PERSON L�pNfJ �l�►1�A1ZfJ�5 l voL1 VAt-1 f av E . '50UTVA wt 00-�L CT 06C)7- Z65j) &4 "25/) 10. I la. I1b. 12o. 12 b. STATUS 13. TYPE OF 14. CONTENTS- 15.CONSTRUCTION 16.PROTECTION 17 INTEGRAL r DATE CONTENTS MATERIALS N RNAL b. EXTERNAL PIPING SYSTEM 18. 19. FAILURE TOTAL f a. b. DATE OF DATE OF i_ o I EST.QUANTITY CHEMICAL NAME OF PRINCIPAL z MONITORING DETERMINATION TANK ID. F w TANK u _ o v Z o CAPACITY Z 0 SUBSTANCE w O v_ Z Z _ INSTALLATION INSTALLATION U e v l LEFT STORED o p o J v U ,a o- o w O >m o o SYSTEM CONDUCTED? u O a w LAST a a not trade name. � w O w a -„ " OR Mo.!Yr. a— (Gals.) w 0 if an ~O V J O O ^ = y_ w =w o O V = Z w (If"YES",enter DATE" 1 xo o I ( y) O w� o o LLa o ? as w d- wa N n_ I (Gals.) w USED o a u,- (Enter C.A.S. No. If known) LLw m z J O�o Z Z Q O < O�c i`o - REPLACEMENT (Specify type 7) a Z � w n O S ecrf a and attach results Z a I (Mo./Yr.) O W U d w LL V a V 3 U a (Mo./Yr.) from list 81 ("NO enter"NO") X X Heating feel#2 X X H 5 5/75 1 1 NO Example 5/75 30 5000 v •7 J V p 7/60 8000 X 8/78 v I/hlr CrASI#790t1h6 ne X X E 7 7/60 U Example I o0X x 0 N 0 Z O ---- U LU to 20. HAVE YOU ATTACHED SKETCH OF TANKS AND LOCATION? YES 22.CERTIFICATION: I certify under penalty of low that I hove personally 22a SIGNATURE 22b DATE SIGNED Q examined and am famlrar with the information submitted in this and all attached Q G Z 21.. COMMENTS: documents and that based on my inquiry of those individuals immediately responsible �� /'" ,/ / 119S 0 for obtaining the information,I believe that the submitted information is true, F-- accurate and complete.Penalfies:any owner who knowingly fails to notify shall be 22d OFFICIAL TITLE(of owner or authorized U subject to a civil enal not to exceed S10,000 for each tank for which notification LLJ I P * 22c.NAME(Type or^Print' T(1�&G1,�i�repr tivel. to ty. is not given or for which false information is submitted. �oBE�r AZ-5r f-la V4-T, V 21.1 C. 1,4 fb COPY 2 : SEND TO LOCAL FIRE MARSHAL K� Electric# APPLICATION FOR BUILDING PERMIT Plumbing# 1540 Sullivan Ave Date: (2T. 2842003 H VAC # - Sprinkler# - 30180 FINAL R - — Estimated Cost ; q �00. Buildin F1�0"' SIGN_ON PLETE RED BOXED AREAS Permit Fee ; )AZ VE D En nee Occupancy Fee ; — TYPE OR PRINT ONLY En Insp. Fee ; — Affidafor CO. REVERSE SIDE Total Fee ; TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR,CI' (Additional Cost) ;The undersigned hereby applies to do work according to the following- Applicant WEW 81z iTAttil i2odr tm6 Co. Location of Work 1540 5- AwArU AV& (TOWN IAA u) Lot No. Applicant's Address 135 nN STI?EeT Tel.# Town N EW 04&TON r r T Zip O(n I I( Lic.# 900 3 78 C+wner u)N o� Sourlj WI N n nQ R Architect GAR LA N O Cp. Owner's Address)5 4D 11%yAto AVE Architect's Address iab G(eait MaIJDW W S•iL)IWowlz_ CT Zip O(oo`l WI~TNERSFIF-LD , CT Zip owol Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area Purpose o,this permit 2E-&nF TowN 14ALL- City Water[:) Well[-] Septic System❑ Sewer❑ Ins: HO SP Cert. Area Basement Garage Approved by C'��Date/C)-��3 Use Group - -� Construction Type - ReAwd GM2 I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the rown of South Windsor and to notify the Building Inspector of any alteration in the plans or specifications of the Building for which this permit is asked,and agree that this building is to be located the proper distance from all street lines,side yard lines,and required distances from all other zones and is located in which this building apd its use is allowed. Sig ned -� � 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 DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT PERMIT Applicati ere y: TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT ? P 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 Date Buildin Vspector Application must be printed or typed FEE SCHEDULE Location of Job: $0-$1,000=$15.00 Street No. Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT 1Jr U n O C Q�USO n APPLICANT ADDRESS _<1 `� �-C\P M h 5-1 On V� Al (� C d Q �n(-2 3 APPLICANT PHONE# �Q O)N N S F-4 OWNER OWNER ADDRESS c � o OWNER PHONE O C.� C = ESTIMATED COST$ IS THIS A CONTRACT COST? _Yes _No FEE ENCLOSED$ (t)A i Ue f/�O �• � TYPE OF JOB: S O R•C o New Installation ✓Alteration/Addition/Repair Revised 4/0 t//2002 APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A ❑RESIDENTIAL BUILDING PERMIT APPLICATION? ElYES QVf4O ❑BUSINESS CURRENT USE AND OCCUPANCY To i,cJ ❑ASSEMBLY MERCANTILE❑EDUCATIONAL FUTURE USE AND OCCUPANCY 0 INSTITUTIONAL ❑FACTORY ENGINEER'S NAME PHONE ❑STORAGE ❑GARAGE ADDRESS ❑MIXED USE (Other please specify) CITY STATE ZIP TYPE OF INSTALLATION/WIRING METHOD -Ter y e c t l U►2 e C o✓oll I w, 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. I E l c CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT!::�� DATE / - ;��O —� DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT TOWN OF SOUTH WINDSOR PERMIT# Application is b BUILDING DEPARTMENT ROVE 1540 SULLIVAN AVENUE Bldg.Permit# `ra 644-2511 ext. 230 Date Building Inspect Application must be printed or typed FEE SCHEDULE Location of Job: // $0-$1,000=$15.00l FTenant Street I.ot No. Over$1,000= $15.00 per$1,000 or any fraction thereof gnation Apt.No. ` APPLICANT A L a •^ APPLICANT ADDRESS q-2 ec9 Zd,4-4, 9 4 C��nsSr r-�cy So• G a �a .t a« - _ APPLICANT PHONE# O W N Se OWNER �OGG✓l O ,Sn�cf h G�/� �S'd y OWNER ADDRESS �� IS Kd Sic//. y a-t. A✓ -e OWNER PHONE Cv l�Y—a s/� ��.7�(6 O -- C = ESTIMATED COST$ ,S IS THIS A CONTRACT COST? _Yes _No o ems✓ FEE ENCLOSED$ 1� TYPE OF JOB: �S�R C New Installation _Alteration/Addition/Repair Revised Oro v/2002 APPLICATION FOR ELECTRICAL PERMIT (continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A ❑RESIDENTIAL BUILDING PERMIT APPLICATION? ❑YESANO ❑BUSINESS CURRENT USE AND OCCUPANCY �c>u •� �� SEMBLY MERCANTILE FUTURE USE AND OCCUPANCY ❑EDUCATIONAL ❑INSTITUTIONAL ❑FACTORY ENGINEER'S NAME PHONE ❑STORAGE ❑GARAGE ADDRESS /S S`U S� ��i t/ �" �i i/2 ❑MDG✓D USE Crry,. STATE ZIP D,6 0 7 5K (Other please specify) TYPE OF INSTALLATION/WIRING METHOD SIZE OF SERVICE -�4A5' '_ SIZE OF MAIN CONDUCTORS_3�0 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 BEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED. DESCRIPTION OF WORK /vim►-L S�P� .S'e,��TCh �'ccy / 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. E STATE SIGNATURE OF APPLICANT r DATE i J. R. Higgins Electric Div of Higgins Enterprises, Inc. P. O. Box 258 East Hampton, CT 06424 860-267-7644 E1-122293 Date: Permission Slip to pull Permits To Whom it may Concern: 1 , JOHN R. HIGGINS of HIGGINS ENTERPRISES INC gives permission for ��d �� kc�� to pull a Permit on this day; / - V- 0-:5'- For job Location: sou-)'k V oP'.ie''`'- lJ Signature: JOHN R. HIGGINS Expiration 1.- r n' t Notary: % Date f:':�' <'i; - "MIX/ds S i Page uuz ACORP. CERTIFICATE OF LIABILITY INSURANCE 06/08/2o PRODUCCR (860)343-9025 FAX (860)343-7565 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION McCut cheon Burr 8t Sons ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 282 Main Street' Extension HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Box 1206 Middletown, CT 06457 INSURERS AFFORDING COVERAGE NAIC N iN'uE LX LCLITT 1 V C IWERIORS CONSTRUCTION, LLC ItJSUxkA Travelers Insurance Group 1082 Farmington Ave. IJslN?fk8 Kensington, CT 06037 IIJSLN?fItC ItJSUfd-k U OVERAGES IJS'U{1L3tE THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR NSR D' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION MOD" LIMITSN M GENERAL LIABILITY I6808216C627IND06 11/15/2006 11/15/2007 EACHOCCUIOTLNCE s 1,000,00c X COMMERCIAL GENERAL LIABILITY DAMAGE.TOkLNILD s 300,00 CLAIMS MADE X OCCUR MLO An or* ❑ ExP l v Person) s 5,00c . A PLRSONAL d ADV INJURY S 1 000 DO GEIkkAI AGGREGATE $ 2,000,DO GENL AGGREGATE LIMIT APPLIES PER I PRODUCTS-COMP/OP AGG $ 2,000,DO POLICY JFCT LOC AUTOMOBILE LIABILITY BA8218C40006SEL 11/15/2006 11/15/2DO7 COMGIIJLD SINGLE LIMIT X AEJY AUTO (Ee ecaderd) _ 1,000,00 ALL OWIJED AMOS BODILY INJURY S A SCIiEDULED AUTOS (Pet Ptxson) HIRED AUTOS BODILY ItJ,JUFTY S NON-OV0JED AUTOS (Per elderd) PROPERTY DAMAGE S (Per ecaderd) GAl GE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN FAACC $ ALTO MY: AGG $ EXCESSATMBRELLALIABILITY ISFCUP5213Y953IND06 11/15/2006 11/15/2007 EACH OCCURRENCE s 2 000 DO XEl A OCCUR CLAIMS MADE AGGREGATE S 2,000,0O DEDUCTIBLE s s X RETENTION i 10,00c = WORKERS COMPENSATION AND IACRUBS218CI9606 11/15/2006 11/15/2007 X I WCSTA T OTF} EMPLOYERS'LIABILITY A ANY PROPRIETOELPART ER/EXECUTIVE E.L.EACH ACCIDENT $ 500,000 OFF ICERIMEMBER EXCLUDED?It yes,describe under El.DISEASE-EAEMPLOYE $ 500,00 SPECIAL PROVISIONS below E.L.DISEASE•POLICY LIMIT S 500,000 OTHER DESCRIPTION OF OPERATIONS(LOCATIONS I VE HICLES I EXCLUSIONS ADDED BY ENDORSEMENTI SPECIAL PROVISIONS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 1 O DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Town of South Windsor BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 1540 Sul l i van Avenue OF ANY KIND UPON THE INSURER ITS AGENTS OR REPRESENTATIVES. South Windsor, CT 06074 AUTHORIZED REPRESENTATIVE [Judy Kerri an/JUDY 9 ACORD 25(2001/08) FAX: (860)644-7280 OACORD CORPORATION 1988 JUN 13 Z007 South Windsor BUILDING DEPARTMENT 10 THE j3U11D{I 4G DEPT. TCwN of WUTH NINDSOP This certified that this Wan and speclfiaations are"us copies d the proposed building or alterstfons to be erected at IC'( ,scree: together with amendments stated in appileatlon am filed with plan and 1 agree to comply with all zoning t3uilding and state laws ar.d such orders as shall b. issued by the Building Department during pendency of this application and fir issuance of a bulldinli permit. Signed This plan approved subject to the condition that orders •n ordlnences regulating building shaft be compiled with. These filed with Conditionally ADDravad Ciao Buiidine Inspector 'wfw - No. ' a11jW0ah3Aa7. E C E �A k ATION FOR BUILDING PERMIT Electric#Plumbin #g 1540 Date: Wal HVAC # Sprinkler# South W indsor $9 6 FINAL APPROVALS --- Estimated Cost $ - - Building COMPLETE RED BOXED AREAS Permit Fee Engineering Occupancy Fee Affidavit TYPE OR PRINT ONLY Eng. Insp. Fee $ Appr. for CO. SIGN ON REVERSE SIDE Total Fee $ ` TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ The undersigned hereby applies to do work according to the following: Applicant Locati of Work _ Lot No. Applicant's Address Tel.# - 2 — Town Zip_6YgV,57 Lic.# Owner _Architect Owner's Address Architect's Address Zip Zip- -Sq. Ft. New Area: 1 st Fl. 2nd FI. 3rd FI. Total New Area Purpose of this permit • i City Water❑ Well❑ Septic System❑ Sewer❑ Ins: HO SP Cert. Area Basement Garage Approved b Dat Rin Use Grou Construction Type N� — 1-/ — I Revised 6/02 f l 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 locate he pr p r distance from all street lines,side yard lines,and required distances from all other zones and is located in which t ild' d its use is allowed. Signed I hereby apply for a Certificate of Occupan f the wort cribed in this application for the permit. Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS f c I a Pzf " `'/f'T�G srz�s G� $�F;,D;v tr3oTr� Siar 7 ��ss' ;kiss -6�ss 8 Executive Interiors Construction 1082 Farmington Avenue Kensington,Ct. 06037 Voice: 860-829-9990 ' Fax: 860-829-9991 s Revised 4101,/2002 DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT PERMIT TOWN OF SOUTH WINDSOR # Applic ,,re8"Ty� O 9 BUILDING DEPARTMENT sq APPRO 1540 SULLIVAN AVENUE Bldg.Permit 644-2511 ext. 230 Date �Idilnspector Application must be printed or typed FEE SCHEDULE Location of Job: E Sv//vA.I$0-$1,000=$15.00 Street Lot No. Over$1,000= $15.00 per$1,000 Lor any fraction thereof gnation Apt.No. CLlFFOR.O L• iv6'Gtoiv APPLICANT C, APPLICANT ADDRESS 35-10 iYlgi.�si f/gnT � C7— O�l7�0 APPLICANT PHONE# 5=-60 - S`>/�'-Z P L Z Ow N SF,q OWNER w.✓a/So t- OWNER ADDRESS SoNTy ldiN Aso--� G i 0607`� OWNER PHONE CIg GYy- ZS// x 2`1 C ESTIMATED COST$2 700. DO ✓IS THIS A CONTRACT COST? Yes No TQ �� FEE ENCLOSED$��} 401, O�� TYPE OF JOB: OR C New Installation ✓Alteration/Addition/Repair Revisers 4MR2002 APPLICATION FOR ELECTRICAL 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 L113/24tzY ❑ASSEMBLY❑ I MERCANTILE FUTURE USE AND OCCUPANCY / &Z In,Y ❑EDUCATIONAL 9INSTITUTIONAL ❑FACTORY ENGINEER'S NAME PHONE ❑STORAGE ❑GARAGE ADDRESS ❑MIXED USE CITY STATE ZIP (Other please specify) TYPE OF INSTALLATION/WIRING METHOD EN1 r 6N a/wi T 4- An C elf I3/e- SIZE OF SERVICE SIZE OF MAIN CONDUCTORS -4f/7— 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 Z 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 �� •rrg// �z.) Low 1/u&ra&e- /MR16 12eCes5; Lr6//l-75 /Av 60A174,^nAbrc t-ZCA Tr O Ci^c ai T Ali 7W nn PlowAII.y(r SG�iTc /j/Y 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. 10.3633 CT" CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT DATE /107- CONTACT AT CONTACT AT TOWN OF SOUTH WINDSOR AT&T LIC FIBERTECH NETWORKS TOWN OF SOUTH WINDSOR TOWN HALL 24-1968 PRINT 1 OF 1 DOUG GILBERT SCOTT ROBERTS 1540 SULLIVAN AV REVISION l 0i?:::u PROJECT MGR OFC 860-644.2511 X288 SOUTH WINDSOR,CT MATERIAL OIy.{L-��,� } LL CELL 860-543-3944 CA L � I�l.,� s 4 %:ID! JOB#08-9224 24CT 1099'-96F CABLE 1099' (USED) TOTAL 73'-STRAND BLDG AND LATERAL ONLY 1—U GUARD 1—FTP,RACK MT 119'—PLENUM INNERDUCT TOWN OF SOUTH WINDSOR i TOWN HALL t3sr�r _ 1540 SULLIVAN AV a DATA R+1 `"RSMT^ I SOUTH WINDSOR, CT THIS PRINT OFC SSMT FAN Rot g RW N..L..:R.H a•l-TqqA 1 'r BbWT THRU DUC HALL SSMT r• I TFl R!A j _ IN WALL A A a w THIS PRINT LATERAL SNET }•'� c� POLE 5008 X z z 4 w t' SULLIVAN AV SEE HFD MKT X 196' X 207' X 101, X 166' X j SEGMENT LA 166 MAP 1 J «•�.�::,, x..: ®.. y t EXISTING-"--• SNET }y' `SNET __.SNET- ...,._ SNET_-- EXISTING SNET.. 65 64 63 62 60 DLG 1012/08 ti f SHU 454l,vQ,, Av.e SCO DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT TOWN OF SOUTH WINDSOR PERMIT# Applica ' BUILDING DEPARTMENT APP 1540 SULLIVAN AVENUE 644-2511 ext. 230 Bldg. Permit# -Date B ding Inspector Application must be printed or typed FEE SCHEDULE Location of Job: SO-$1,000-$15.00 Viz/ouS IotuN LA D1-6s - 20i01zz rc4 / vlewy Over S 1,000- Street No. `SyAto �� ` Street Lot No. S 15.00 per S 1,000 or any fraction thereof Tenant Designation Apt.No. Low� s. T3 c.vA APPLICANT CoA1TIZAG7-Oa5 =,v - -APPLICANT ADDRESS 35-10 IVNq/N 57- AA4, 7_4 t G-r. 0& 1 Z0 APPLICANT PHONE# ft 0 - Sy 9- LS �- OW N S t OWNER �ui�✓ o� souT/� Gf/,✓�Sart�- OWNER ADDRESS 15 -:2 Sou rH k11.11 015 o 1 �T. OlO O 7 Ll O ' ' . OWNERPHONE (f/gy 0- 6 5- 2-5-11 X 7-0�-( C ESTIMATED COST$ x r IS THIS A CONTRACT COST? _Yes ✓No AL G FEE ENCLOSED S SO' TYPE OF JOB:e-CO Gmw�a —Now Installation �Alteration/Addition/Repair Rovised 4/01//2002 APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side) TYPE OF BUILD- IS THIS APPLICATION ASSOCIATED WITH A ING BUILDING PERIAIT APPLICATION? ❑YES❑NO ❑RESIDENTIAL CURRENT USE AND OCCUPANCY V RIQUc Io Aj I d►n�(�5 ❑BUSINESS ❑ASSEMBLY FUTURE USE AND OCCUPANCY ❑MERCANTILE ❑EDUCATIONAL INSTITUTIONAL ENGINEER'S NAME PHONE ❑FACTORY ❑STORAGE ADDRESS ❑GARAGE ❑MIXED USE CITY STATE ZIP (Other please specify) TYPE OF INSTALLATION/WIRING METHOD SIZE OF SERVICE SIZE OF MAIN CONDUCTORS NUMBER OF INTERS NUMBER OF DISCONNECTS AND RATINGS REMOTE NUMBER OF PANELS ROTE DISCONNECT REQUIRED? YES ❑NO NUMBER OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS NUMBER OF SWITCHES NUMBER OF OUTLETS NUMBER OF LIGHT FDMJRES NUMBER OF HEAT CIRCUITS NUMBER OF A/C CIRCUITS SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED. /1 DESCRIPTION OF WORK 'PPn4r-,Vj ✓4 iZ/ ou 5 /y/ /On. -,2opA1-1 S 4 r- r/41LIOUIS TOW"-, OwNcc 3ui�d/nibs AS NeeQe� { 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. loz860 C17- CONTRACTORS LICENSE N TYPE STATE SIGNATURE OF APPLEC DATE G O DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT TOWN OF SOUTH WINDSOR PERMIT Appli BUILDING DEPARTMENT R D Ub APPRO 1540 SULLIVAN AVENUE 0 ` 644-2511 ext. 230 Bldg.Pe[mic# Date it Ong napector Application must be printed or typed FEE SCHEDULE Location of Job: TWA/ #4/1 FTenamntDesignation $0-$1,000=$15.00 StreetOver$1,000= Lot No. $15.00 per$1,000 or any fraction thereof Apt.No. APPLICANT.jELccrn.icn/ C0njT72RG7-0.LS APPLICANT ADDRESS 35-/0 /y.41AI 57 p b I Zp APPLICANT PHONE# z- ,,O W N $F,q OWNER //e�w.v .� 5-ow rH G!/.•�p/3 oti OWNER ADDRESS 41/114N Awe, �iperT/� �,✓p/S Oti c�. 000 OWNER PHONE 0'9 y �i9 So.1 �bo- Toys- z Si/ x z o y C ;D ESTIMATED COST$ Z5760.ov � V IS THIS A CONTRA COST? —Yes ✓No �" FEE ENCLOSED$ TYPE OF JOB: OSpR.Cps _Now Installation ✓Alteration/Addition/Repair Revised 4/01//2002 APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side) TYPE OF BUILD- IS THIS APPLICATION ASSOCIATED WITH A ING BUILDING PERMIT APPLICATION? ❑ YES 0 NO ❑RESIDENTIAL CURRENT USE AND OCCUPANCY WAI O BUSINESS O ASSEMBLY FUTURE USE AND OCCUPANCY —7GYa, 1 ❑MERCANTILE O EDUCATIONAL INSTITUTIONAL, ENGINEER'S NAME PHONE ❑FACTORY ❑STORAGE ADDRESS O GARAGE O MIXED USE CITY STATE ZIP (Other please specify) TYPE OF INSTALLATION/WHUNG METHOD 7NHA/ 14114 e --" F41 T el'I du -r SIZE OF SERVICE 2-Y0gMe SIZE OF MAIN CONDUCTORS 8 ToqHA(I NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS `46 .401P NUMBER OF PANELS REMOTE DISCONNECT REQUIRED? kYES ONO 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 LASS AND A/C CALCULATIONS MUST BE SUBMITTED. L4$"rt7�T DESCRIPTION OF WORK 7114//�2, �ilO An�p 5i•�a/� �tigse 9.jal CZ� +��or..T, '2,04mo , <f s -7V N09C' L4A/iT5 -Po.. =T ,zoorvt f THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUF BUILDING CODES IN THE PERFORMANCE OF SUCH WORK /D Z8D0 CONTRACTORS LICENSE N TYPE STATE �7 SIGNATURE OF APPUC -PL.,• DATE 7 I 5&4* • ! 4Ci State Lic# 102800, 3510 Main Street Hartford CT 06120 (860)549-2822 Fax(860)549-7948 7/6/10 Town of South Windsor Building Department 1540 Sullivan Avenue South Windsor CT 06074 To whom it may concern: In accordance with Public Act 91-95 I, Louis Bona , of Electrical Contractors, Inc., E-1 License#102800, hereby authorize Cliff Nelson. to act as my agent to secure an electrical permit for the jobs listed below: Minor Repairs Various Town Buildings 2010/2011 Fiscal Year Wire 2 HVAC Units 2-40 amp 208 Volt single phase feeds 2-20 amp 208 Volt single phase feeds for IT room at Town Hall The start date of this project will be 7/6/2010 Sincerely, -9j1 -R"' - Louis Bona President Electrical Contractors,Inc. MAservic6sahinis6bftice docs\permidetter DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT PERMIT# Application is hereby: TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT 100 ` APPROVEIDK 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 Date Building Inspector Application must he printed or typed FEE SCHEDULE Location of Job: 9 $0-$1,000=$15.00 Street No. Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT e!22f-C; /�,� P_ vl re G APPLICANT ADDRESS -2/ h/ls/ L!�ZK Z z& APPLICANT PHONE# PK-0 O W N S F,q OWNER OWNER ADDRESS 69 i OWNER PHONE a tj 0 - 04Y- 22 X 20 V C = ESTIMATED COST$ �D -]D O.O z� . r x IS THIS A CONTRACT/COST?-1 X Ye _No FEE ENCLOSED$ � AMin I -` any TYPE OF JOB:� ' -^SO R•COC � New Installation l JV�L� ' _Alteration/Addition/Repair Revised 4/01//2002 APPLICATION FOR RVAC PERlMT (Continued from reverse side) TYPE OF SYSTEM: TYPE OF BUILDING: ❑ HEATING Cl RESIDENTIAL _A/C 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 DESIGN TEMP. OUTSIDE OF INSIDE OF DIFFERENCE OF TOTAL HEAT LOSS(BTUH) °F(HEAT LOSS SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL HEATING EQUIPMENT(INCLUDING MAKE&MODEL NO.) 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.) O 36 TONNAGE 3 COOLING CAPACITY(BTUH) 3 6,00 0 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. -i �,0M33 Co ��V �'i CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT DATE s APPLICATION FOR ELECTRICAL PERMIT DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT# Applic ' y: BUILDING DEPARTMENT to OOr-)�6 p D 1540 SULLIVAN AVENUE O'li)f 644-2511 ext. 230 Bldg. Permit# Date tuilding Inspector Application must be printed or typed FEE SCHEDULE Location of Job: $041,000=$15.00 r5u0 JurlIvan A\),P Over$1,000= Street No. Street Lot No. $15.00 per$1,000 _ or any fraction thereof Tenant Designation Apt.No. APPLICANT _� P t'1l 1 l'J 1�,;:,� nvi�QX I nc APPLICANT ADDRESS y c, 1 n�► (Y i Q I �a,r K Rrncl C� u.0 CT (0(p014'e APPLICANT'S PHONE# 7j (c&-S OWNER CA) SE)L,ff\ A OWNER ADDRESS (S'lp S(, 1 li vG n OWNER PHONE CO ESTIMATED COST$ 4a, 952,o 41 IS THIS A CONTRACT COST? Yes No FEE ENCLOSED$ TYPE OF JOB: cCII�C[ti` ' SO R.C0 New Installation D4 Alteration/Addition/Repair Revised 03/05/10 r APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION? ❑ YES ❑ NO ❑ RESIDENTIAL CURRENT USE AND OCCUPANCY "T��n �U ® BUSINESS ❑ ASSEMBLY FUTURE USE AND OCCUPANCY -1Fo wn Hg. I ❑ EDUCATIONAL ❑ INSTITUTIONAL ENGINEER'S NAME PHONE ❑ FACTORY ❑ STORAGE ADDRESS ❑ GARAGE ❑ MIXED USE CITY STATE ZIP (Other please specify) TYPE OF INSTALLATION/WIRING METHOD SIZE OF SERVICE SIZE OF MAIN CONDUCTORS NUMBERS OF METERS NUMBERS OF DISCONNECTS AND RATINGS NUMBERS OF PANELS NUMBERS OF DISCONNECTS REQUIRED? ❑ YES ❑ NO NUMBERS 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 LnFc-cic�u (inhli nci c_)nGrct4-- (amps arid Irn1lck-"t to lcfiu(, Sei i�rT rrl CIe(Z; C L_ t5 kc jm(F HFno .. ".c x t S-�cq_r�,f r THE UNDERSIGNED HEARBY 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 PERFOR- MANCE OF SUCH WORK zf,1 - 1�30`la �leC}rrcQ I C'I CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT DATE 7-� •alp/p ✓PERMITS/INSP PAYMENT RECPT# 20434584 TOWN OF SOUTH WINDSOR 1540 SULLIVAN AVENUE SOUTH WINDSOR CT 06074 s DATE: 07/28/10 TIME: 15 37 CLERK: aliceakeh DEPT: CUSTOMER# 0 PARCEL: CHG: BLDPRM BUILDING PERMIT 458 00 AMOUNT PAID: 458 00 PAID BY CONSER INC PAYMENT METH: CHECK 7229 REFERENCE A1540 SULLIV AMT TENDERED: 458 00 AMT APPLIED: 458 00 CHANGE: 00 C a APPLICATION FOR ELECTRICAL PERMIT TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074 (PHONE) 860-644-2511 EXT. 230 NUMBER:� DEPARTMENT DECISION E I / APPLICATION IS HEREBY: C� APPROVED: BLDG.PERMIT NUMBER: Z� .0 DATE INSPECTOR LOCATION OF WORK: 150y uAt.) /2o``T^ LA Iu,-,,.Qs6 A— IM AMA(st& 5 A�2CA, APPLICANT: OWNER: TYPE OF STRUCTURE: o NEW BUILDING NAME: f .5'e c-on-2 0K �/ NAME: ❑ADDITION PHONE NUMBER-U�'� ��c2 ?�/ PHONE NUMBER: 9t5<STING BUILDING ADDRESS: 3 Z! .n ll-wu S ADDRESS: TYPE OF USE: r4n31-,�Lsy�l �' ©fin Z.3 9 ❑RESIDENTIAL ❑CONL%4ERCIAL ELECTRICAL INFORMATION: t "��FURTHER DESCRIPTION OF WORK: TYPE OF INSTALLATION:A t C-csS CoN rAo( Diu 5 / L®w -"L�c-Te SIZE OF SERVICE: C,3'`> fe L 9 N tt4,j N R Co E2S SIZE OF MAIN SERVICE: /4�'Ld A q" (S) ��*� s 4 NUMBER OF METERS: Ufa-+�J Il t '�+-'C e Q'``P^��✓ NUMBER OF PANELS: NUMBER OF LIGHT CIRCUITS: ESTIMATED COST:S 204 S-0 o y NUMBER OF SWITCHES: C / NUMBER OF LIGHT FIXTURES: FEE ENCLOSED:S v NUMBER OF A/C CIRCUITS: 57r,4-(- FEE SCHEDULE:$18 PER$1,000 OF THE ESTIMIATWOST. 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 HEARBY 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.: 12-2/S-6 TYPE: STATE: C SIGNATURE OF APPLICANT: DATE: ao�go�sas o S - c "Y- c at;GIN,l ( lye C��tc� APPLICATION FOR ELECTRICAL PERMIT DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT APPRQ��jr. 1540 SULLIVAN AVENUE 644-2511 ext. 230 Bldg.Permit# i�•13 iC Date Building Inspector Application must be printed or typed FEE SCHEDULE Location of Job: $041,000=$15.00 ��w�. .�1 I 40 SjLan Ave-, Over$1,000= I Street No. treet Lot No. $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT �Z/1 �J�� un,..• , 1- S¢��,�,t'y APPLICANT ADDRESS APPLICANT'S PHONE# OWNER O W N St OWNER ADDRESS a� --� OWNER PHONE ESTIMATED COST$ IS THIS A CONTRACT COST? Yes No FEE ENCLOSED$ L� TYPE OF JOB: I)$OR,CQN r 4 ew Installation C7 0 1 Alteration/Addition/Repair Revised 03/05/10 &yy 7dJG APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION? ❑ YES ❑ NO ❑ RESIDENTIAL CURRENT USE AND OCCUPANCY ❑ BUSINESS ❑ ASSEMBLY FUTURE USE AND OCCUPANCY ❑ EDUCATIONAL ❑ INSTITUTIONAL ENGINEER'S NAME PHONE ❑ FACTORY ❑ STORAGE ADDRESS ❑ GARAGE ❑ MIXED USE CITY STATE ZIP (Other please specify) TYPE OF INSTALLATION/WIRING METHOD SIZE OF SERVICE SIZE OF MAIN CONDUCTORS NUMBERS OF METERS NUMBERS OF DISCONNECTS AND RATINGS NUMBERS OF PANELS NUMBERS OF DISCONNECTS REQUIRED? ❑ YES ❑ NO NUMBERS 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 Lc u L., l cg ..,,ire V." 6�I,..j /FJr,,_Lc e,k i3�w"", VI alrl �ii `Grrk�C.l C/"• THE UNDERSIGNED HEARBY 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 PERFOR- MANCE OF SUCH WORK iJUL, I k6l i t�t A- GT— CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT 4� >� DATE 16 l`• S e0afteow, 490w, State Lic#102800, 3510 Main Street Hartford CT 06120 (860)549-2822 Fax(860)549-7948 Info@ECIncorporated.com ECIncorporated.com 6/11/19 Town Of South Windsor 1540 Sullivan Avenue Building Department To whom it may concern: In accordance with Public Act 91-95 I, Louis J. Bona, of Electrical Contractors, Inc., E-1 License #102800, hereby authorize Bill Flynn to act as my agent to secure an electrical permit for the job listed below: Wapping School Installing Telephone Data Wiring The Start Date of this project will be 6/12/19 incerely, �� Louis J. Bona / President Electrical Contractors, Inc. M:\service\salzmiscbffice docs\pennitletter M a ♦ �h 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: 19 0OLi$7 APPROVED: BLDG.PERMIT NUMBER DATE [IN SPEC R LOCATION OF WORK: �"�^ L A—e, /S" S✓f A I v ct n /9v.e- APPLICANT: OWNER: TYPE OF STRUCTURE: ua,��"rk �� L C- ❑NEW BUILDING NAME: / (/ �/ NAME:�ZQl.p� / O�u ❑ti ADDITION PHONE NUMBER: (J L b �� d 2a PHONE NUMBER: f(OG 9-2 �W KEXLSTING BUILDING ADDRESS: ADDRESS: 06 a TYPE OF USE: ❑RESIDENTIAL AMMERCIAL ELECTRICAL INFORMATION: FURTHER DESCRIPTION OF WORK: TYPE OF INSTALLATION: kt l�2 LAczi r rd.'Jr d� r(/F 4�Al^ SIZE OF SERVICE: SIZE OF MAN SERVICE: NUMBER OF METERS: NUMBER OF PANELS: NUMBER OF LIGHT CIRCUITS: ESTIMATED COST:S G NUMBER OF SWITCHES: NUMBER OF LIGHT FIXTURES: FEE ENCLOSED:S ek 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 HEARBY APPLIES FOR A PEWNUT 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.: TYPE: STATE: C.f- SIGNATURE OF APPLICANT: DATE: 911611 ,9 APPLICATION FOR ELECTRICAL PERMIT DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT# Applica ' BUILDING DEPARTMENT PP V 1540 SULLIVAN AVENUE r 644-2511 ext. 230 Bldg. Permit# Date B i ing Inspector Application must be printed or typed FEE SCHEDULE Location of Job: $0-$1,000=$15.00 T°"^ KN\` Over$1,000= I Street No. Street Lot No. $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT VeATUr4- + $ ,�r cr5e APPLICANT ADDRESS 344- t7�n C-x- D G 4 -q APPLICANT'S PHONE# 9111 y 00�y OWN 3F OWNER S I e Go rd,,, . l( q< OWNER ADDRESS OWNER PHONE ESTIMATED COST$ C - � IS THIS A CONTRACT COST? Yes o ;. 16* FEE ENCLOSED$ QC) TYPE OF JOB: SO R C^ ONE New Installation • P-eff—*Iteration/Addition/Repair Revised 03/05/10 APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION? ❑ YES ❑ NO ❑ RESIDENTIAL CURRENT USE AND OCCUPANCY ❑ BUSINESS ❑ ASSEMBLY FUTURE USE AND OCCUPANCY ❑ EDUCATIONAL ❑ INSTITUTIONAL ENGINEER'S NAME PHONE ❑ FACTORY ❑ STORAGE ADDRESS ❑ GARAGE ❑ MIXED USE CITY STATE ZIP (Other please specify) TYPE OF INSTALLATION/WIRING METHOD SIZE OF SERVICE SIZE OF MAIN CONDUCTORS NUMBERS OF METERS NUMBERS OF DISCONNECTS AND RATINGS NUMBERS OF PANELS NUMBERS OF DISCONNECTS REQUIRED? ❑ YES ❑ NO NUMBERS 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 E �A yn�t�6 En,nl��,t E �' D,) � �- .. T t ,;Ls re 1%,t A-,_, Tn SLR Ti�ti o r 3o SQcaro� a►d a1sc, be. tie cl,�,.;�..` op,�j �- l+.-\d) Dov^- THE UNDERSIGNED HEARBY 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 PERFOR- MANCE OF SUCH WORK CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT DATE 11 ,f k APPLICATION FOR PERMANENT SIGN PERMIT 1540 Sullivan Ave ionin Approva(: Est. Co$t $LJ 3 0 (Wapping Park-Ellington deer ' R No. 30563 � App ved: _ Final Insgns: 7&5 C iork- 5'c 5 i�"� Electric Permit p�tj BuildNg Zoning &_ v 3 ApplicanV Business Name T O W N nF SOVI H W)tJ 0 0 K CI e- ltlow4es r9ryT Address J!j L/0 5 vl l iz i, AJPn ve Phone ObO 6 q s 63 6& Cr�JSS v,-�- Location of Sign i'.WWoVN "AV -- iln Zone TYPE of SIGN: ❑ Wall or X Free-standing (K New or❑ Replacement Illuminated?❑Yes )KNo Proposed Sign Size(square feet) 7-0 Sign Height 4 No. of Existing signs on site 7- Free-standing Wall Y-AT Description of sign materials and lighting: W 001? ATTACH DIAGRAM OF SIGN INCLUDING I have read, understand and agree to abide by the South Windsor Zoning Regulations, Sign. DIMENSIONS �/� Applicant s Q hA n �✓i 5 vim✓ 21bl!G IVW(c S(Jbate 5[)4 103 Property Owner To t✓rl OF Sy U I'd W/AJJDS V 1- Date 15�/Ll/d 3 1 COOMMATN VCP 6G .TOWN OF SOUTH WIND-50P, SrA7 OF.CONNECTICUT DEPARrmle T of 9VVOtONtW!IYX MC07$Crtcw f� OM4 iPAMI#JD WAnR94fD tAWO hdV PROGRAM A^A /4. ' �� i �. \ s y 1.• � ' �1. `i kk WE, 000 U. +• 'w. �".Ei / J�17i1, .y',... ,� ti ! � 7p:.� .�} +�!a �•i ij.n- i 7�'i NS a •q�j' �� 'i. &57- ,i � t. It •' � r•. \ a• � •�tII � l7 tj � � '�.i y. ' '� }Y � G�- .. //. f ,� r r •1 � l.; �.r }{� iS . t ,�,•.,; �a,�1 '. `�,; §'•lR'�;. M. I lid i,. *,,•� �'` 1' - � � ��+ .:�Y L °�,'4�" �. )Ic-. �..'$ ,*,rM..aw i1111 �AI' `f�di• � P� �i �?, 4 C ! , a '.� .i -t^� ) Y + /,y�l!, �r + y 'e,rlSrli� ��2�. •r.;�+4. ��1. 7}} '�, � r� y .. 1` A A y�l ��' `at • !`i', ` a.- r � R' ��,� a✓ �i. _ �f tY••4�,+ •H�c .4i q"7 �. S!1 "{�+ t4�✓��r .� "� �..� �r,.'��/,'r&��).�d �i;'F � y,�. \.. �1X l�"�{� . �. ' y l�y ""r)�y.tyyy�� W.r _•^3 4 - •,#�L/'Ni'frj'�. �"•. ,\ ;�y�� .� �tV1 '[H<` . .f r f;y, t fy�j, ��+:aT � � �h p a_��777y/�R��1Fr� 1�� - .� � •`� Y�_'.w��j'• _ x m 4 APPLICATION FOR PERMANENT SIGN PERMIT oni Approv I: . q-4 0 Est. Cost: $41AI V-Eb !�D 71(29 No. 3 DSI� Permit Fee: $ Approved: _ Final Inspectigns: —7(05-c i"k- �S'J�`� Electric Permit# Building Zoning Applicant/BusinessNam TOWN DF NVTN h/)/VQS0r?- pu&4c wa4ic-S /)CPT Address If VO -SO i, ✓" AV&N yj �PPhhone Location of Sign Corney- d 7 be m,Yta, KA t CLGIl It �bne TYPE of SIGN: ❑Wall or Free-standing New or❑ Replacement Illuminated?❑ Yes Proposed Sign Size(square feet)_„O Sign Heig rt No.of Existing signs on site L Free-standing Wall J X'_/ Description of sign materials and lighting: WOOD ATTACH DIAGRAM OF SIGN INCLUDING I have read, understand and agree to abide by the South Windsor Zoning Regulations, Signs. DIMENSIONS Applicant�Ln LQ VLf,Ja l QJbI Le l�lai t`s SUM ✓.,vr Date Property Owner 1] A n y r S OJrH W,NoS 0l_ Date Electric # lAPPI�Iq� FOR BUILDING PERMIT 4p Plumbing# 15 Sul iva HVAC# 11000606 Date: Sprinkler# FINAL APPROVALS Estimated Cost $ O Building COMPLETE RED BOXED AREAS Permit Fee $ !D ya. Occupancy Fee $ Engineering TYPE OF PRINT ONLY Eng. Insp. Fee $ Affidavit Appr.for CO. ► SIGN ON REVERSE SIDE / Total Fee TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) Fie Wc",,e6b The undersigned hereby applies to do work according to the following: ,p,Fdu • fee- cei eclp+ Applicant Me Location of Work ovf Lot No. Applicant's Address %yL S/7 e,,a c� c61 Tel # Towe, /-c. ts Zip el&77n Lic.#ACO. 0`100/rf� Owner T0<"'+ v 1` /d f 1, /i✓r n�S d✓ Architect Owner's Address 13 If u✓4 Architect's Address Zip Zip Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area Purpose of this permit keL'loc< o"-.kc,a u.^,;l rle fe-6yt u✓e'u s D e^ .S/c. >C ii, City Water Well LI Septic System ❑ Sewer 0 aollbf Ins: HO SP Cert. Area Basement Garage Approved by Date`/40--V Use Grou onstruction Type FF if Revised 1108 I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town of South Windsor and to notify the Building Inspector of any alteration in the plans or specifications of the Building for which this permit is asked,and agree that this building is to be located the proper distance from all street lines,side yard lines,and required distances from all other zones and is located in which this building and its use is allowed. Signed �y`� _` CZcuc�u✓�/ /�C�c:P� I hereby apply for a Certificate ccupancy for the work described in this application for the permit Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS - - - P 'FR- PA 17-176 AND Electric # ( (APPLICATION FOR BUILDING PERMIT Plumbin v5�5or � l an Ave Date: Z� S 69 14VAC # Sprinkler#A - --- �Q IJ- -�DDfl---- --- Estimated Cost $ FINAL Building r COMPLLSTEIREDcBOXED AREAS Permit Fee $ Engineer / BI �C �� 1dl �y Occupancy Fee $ Affidavit �� (� � ' Eng. Insp. Fee $ Appr. for CO. SIGN ON REVERSE SIDE Total Fee $ i TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ The undersigned hereby applies to do work according to the following: Applicant J C l c -r-- Location of Work Lot No. Applicant's Address_A o . /jam Tel.# Town k-,2 , J Zip Lic.# Owner k 4i( Architect Owner's Address Architect's Address Zip Zip Sq. Ft. New Area: 1st FI. 2nd FI. 3rd FI. Total New Area Purpose of this permit L C 1-16 le -rI City Watero Well❑ Septic System❑ Sewero Ins: HO SP Cert. ly ea Basement age Approved by Date l Use Group Construction Typ Revised 6102 o OM179s- I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town of South Windsor and to notify the Building Inspector of any alteration in the plans or specifications of the Building for which this permit is asked,and agree that this building is to be located the proper distance from all street lines,side yard lines,and required distances from all other zones and is located in which this building and its,use is allowed. Signed I hereby apply for a Certificate Occupancy for the work described in this application for the permit. Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS Electric # I ., APP I ATIOjq FOR BUILDING PERMIT Plumbing# u, HVAC# V ate: Sprinkle:n Estimated Cost $��d � FINAL APPROVALS Permit Fee $ I Building COMPLETE RED BOXED AREAS Occupancy Fee $ Engineering TYPE OR PRINT ONLY Eng. Insp. Fee $ Affidavit Appr.forCO. SIGN ON REVERSE SIDE A T '� ef'Qj n' $ a TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Addihonal�CCos�t) $ The undersigned hereby applies to do work according to the following: Applicant 1 t LocationofworkL Lot No. Applicant's Address D tmw Tel # 'C71i• �5� Town 1P�f _k U4./� T Zip d&0&-7 Lic.# .r Owner 1 Q-WIJ r?f-�4?jj j LN j&IJ j Architect - Owner's Address t�7A� 4;11k,c.tVA-, k a•S& Architect's Address 4yolu \**4lt4V*0e 6-, Zip D�oO�L}� - Zip Sq. Ft. New Area: 1 st Fl. 2nd FI. 3rd FI. Total New Area Purpose of this permit AC -To�l1S Fi"(4t4EE-W ©5:VLci-ei< City Water J Well J Septic System J Sewer J Ins: HO S Cert. Area Basement Garage Approved by Date Use Group Construction Type � pro2y Revised 1108 5 y I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town of South Windsor and to notify the Building Inspector of any alteration in the plans or specifications of the Building for which this permit is asked,and agree that this building is to be located the proper distance from all street lines,side yard lines,and required distances from all other zones and is located in which this building and its use is allowed. Signed I hereby apply for a Certificate of Occupancy for the work described in this application for the permit. Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS Electric # APPLICATION FOR BUILDING PERMIT Plumbing# HVAC# Date: Sprinkler# Estimated Cost $ �O FINAL APPROVALS Permit Fee $ Building COMPLETE RED BOXED AREAS Occupancy Fee $ Engineering TYPE OR PRINT ONLY Eng. Insp. Fee $ Affidavit - ► SIGN ON REVERSE SIDE / \ Appc forCO. Total Fee $ 5. 6-4 TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ The undersigned hereby applies to do work according to the following: Applicant S_I�Cochpnca, Location of Work Lot No._ Applicant's,Address Tel # Qnj0-1376—i S4 15- Town QA-f\DY1 , (_ Zip C60(0(o Lic.#_ Owner & 19 l l k A b f Architect � c-• Owner's Address Architect's Address Zip Zip Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area Purpose of this permit ' e r-- N ` N&Me qk� 2 0 City Water J Well J Septic System J Sewer.J Ins: HO SP Area Basement Garage Approved by ±fnt Date Use Group Construction Type a 01 9 01 t,a3 Revised 1108 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 his building and its us allowed. Signed _ I hereby apply for a Certificate ccupancy for the work escribdd in this`�pplication o he permit Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS I-�d f"i <" Electric # APPLICATION FOR BUILDING PERMIT Plumbing# HVAC# Date: — Sprinkler# Estimated Cost $ FINAL AP'I�OVALS � Permit Fee $ Building_ _ COMPLETE RED BOXED AREAS Occupancy Fee $ Engineering TYPE OR PRINT ONLY Eng. Insp. Fee $ Affidavit Appr.forCO. ► SIGN ON REVERSE SIDE Total Fee TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Addition;;k The undersigned hereby applies to do work according to the following: � Applicant RV& Location of Work_I_ � � �►r LotNo. Applicant's Address Lf�V!_QQ_Q a 64M TPI a Town � Mkt W C� Zip p�a� LJc.a IA4,o Owner , ,0" NN►f,4 Architect Owner's Address -1-6L ( 1i� VAK� Architect's Address Zip_ Zip Sq. Ft. New Area: 1 st FI. _2nd FI. _ _ _ _ 3rd FI. Total New Area Purpose of this permit 9CIW44TIFI C'P jTt]lOU-1 l" liNN& 920rwilL-lb� City Water J Well J Septic System J Sewer J Ins: HO S Cert. Area Basement Garage Approved by T Dat Use Group Constrz yp Q d 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 alter in the plans or specifications of the Building for which this permit is asked,and agree that this building is to be local he r per distan all street lines, side yard lines,and required distances from all other zones and is located h buildi and its se is allowed. t Signed I hereby apply for a Certificate of Oc upancy for the work described in this application for the permit Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS Electric # APPLICATION FOR BUILDING P RMIT Plumbing# 1540 Sullivan Avenue HVAC# 1�nnn�t�Q Date: Sprinkler# Estimated Cost $ FINAL APPROVALS Building COMPLETE RED BOXED AREAS Permit Fee $ .(,`6 Engineering Occupancy Fee $ Affidavit TYPE OR PRINT ONLY Eng. Insp. Fee $ Appr.forCO. SIGN ON REVERSE SIDE / 4.�S Total Fee $ TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ The undersigned hereby applies to do work according to the following: 17td vx- Ce.e Applicant Locationof Work / LotNo. Applicant's ddress ✓ Tel # Town zip Lic.# D o21 Owner Architect /� Owner's Zss QK,� Architect's Address Zip �D �� Zip Sq. Ft. New Area: 1 st FI. 2nd Fl. 3rd FI. J &jrAr a Purpose of this permit 1 nL C i T1u1�a l City Wate Well J Septic System Sewer Jj� Ins: HO SP Cert. Area Basement Garage Approved b Date ' Use Group� '�=— Construction Type Revised 1108 I hereby agree to conform to all the requirements of the Laws of the State ofQpnnecticut and the Ordinances of the Town of South Windsor and to notify the Building Inspector of any alteration in ther4KS or specifications of the Building for which this permit is asked,and agree that this building is to be l9epted the proper d nce from all street lines,side yard lines,and required distances from all other zones and is Zn:e is buildi g and use is allowed. S I hereby apply for a Certificate of Occupancy f he work described in this application for the permit Signed - — — DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS 1 Electric # APPLICATION FOR BUILDING PERMIT Plumbing# HVAC# I 5qb 5j j Date: Sprinkler# 7DD 3° FINAL APPROVALS Y Estimated Cost $ 3� � �$4 Permit Fee $ 9.f02 Building COMPLETE RED BOXED AREAS Occupancy Fee $ Engineering TYPE OR PRINT ONLY Eng. Insp. Fee $ Affidavit Appr.forCO. - ► SIGN ON REVERSE SIDE A �Z Total Fee $ 9 TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ The undersigned hereby applies to do work according to the following: Applicant 10kehnow— (Z-1 d<<5 l-c. LocationofWork 1s40- "C --m Ajc. LotNo.___ Applicant's Address 5 o t—e-d (L-A Tel # r66o -s 11 - Town N�tk CT Zip 0(,0(7 Lic.# Owner Tcuh o3 5... y.J, Architect Owner's Address 1 S4C Xr,v%J(r Architect's Address Zip —Zip— Sq. Ft. New Area: 1 st FI. N A 2nd FI. 0)�- 3rd FI. Total New Area Purpose of this permit w.o-L Ca J%r. kAv- o r. w.�ck- ,. ro,kc� G¢►1.�-� �a-,� c.�► �.�In ��.� . L�,o.�^ a..,-e� ,�,�rr' c�:�r�St.�. City Water '7 Well J Septic System J Sewer J .261 Ins: HO SP Cert. Area Basement Garage Approved by Date Use Group Construction Type Revised 1108 I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town of South Windsor and to notify the Building Inspector of any alteration in the plans or specifications of the Building for which this permit is asked,and agree that this building is to be located the proper distance from all street lines,side yard lines,and required distances from all other zones and is located in which this building and its use is allowed. Signed I hereby apply for a Certificate of Occupancy for the work described in this application for the permit. Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS Electric # APPLICATION FOR BUILDING PERMIT Plumbing# HVAC# 15 � ✓�� Ayr— Date: Sprinkler# Estimated Cost $ LLIL I L) FINAL APPROVALS Permit Fee $ 11t) Building COMPLETE RED BOXED AREAS Occupancy Fee $ Engineering TYPE OR PRINT ONLY Eng. Insp. Fee $ Affidavit ► SIGN ON REVERSE SIDE Appr.forCO. Total Fee $ TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ -A- OOy��'c_ The undersigned hereby applies to do work according to the following: Applicant c.oGt,� \� LocationofWork o LotNo. Applicant's Address1C11 Tel #!i j n —VL7y Town -I Zip L"�F�OE�4 Lic.#t CAD - 0ct,u7-353 Owner ` '!G Architect Owner's Address LjjL{r-%(�'a ��c�_ ) — Architect's Address Z_Zy CJ L'-vL Zip o'?1-k 6j&z r Zip obU 7� Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area c Purpose of this permit ^ VAf City Water 7 Well J Septic System J Sewer J Ins: HO SP Cert. �`rea Base a Garage Approved by Date�,, Use Group Construction Type Revised 1108 I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town of South Windsor and to notify the Building Inspector of any alteration in the plans or specifications of the Building for which this permit is asked,and agree that this building is to be located the proper distance from all street lines,side yard lines,and required distances from all other zones and is located in which this buil and use is Ilowe ` Signed dL v I hereby apply for a Certificate of Occu cy for the de cr ed in is appli Torn for th� m it. Signed DO NOT WRITE BELO HIS LINE INSPECTION COMMENTS Statement of Special Inspections Project: South Windsor Town Hall—Elevator Renovations Location: 1540 Sullivan Avenue South Windsor, Connecticut Owner: Town of South Windsor Structural Engineer of Record: Michael Horton Associates, Inc. This.Sfafemenf;of$pedal Inspec.Botts is submitted°as a tonditfon for permit.'issuarice irx accordance With'the, Zai al„Inspection .and StructuralTestingrequirements of ttie 9uitdirigCade: 11 includes a schedule of lnspectlort services.applicable to' this. prol'ect 'as well a`S-the,name of the Spec Gaordinator and Elie tdenty of:other approved agencies to be_retained for cortducing these inspections and tests. This Statement of Special Inspectfans-oncompass the follotiving:disciplines: ® Structural ❑ Mechanical/Electrical/Plumbing ❑ Architectural ❑ Other: Tate Special Inspection Coordinator shad keep records of all inspections and shall.furs sh`inspbction.reports.to the the_l3uildthd Official and the.Structural Etigirieer of Record. Discovered discrepancies shall be brought to the immediate attention of the Contactor for .correction: if- such discrepancies are,Plot corrected, discrepancies-shall be brought to the.isttention-of the Building*Of and the_Structurat Engineer of Record. The Special Inspectioh;program does,not relieve the Contractor of his or her responsit?itities. Interim reports shall be submitted to the Building Official and the Structural Engineer of Record. A Final Report of Special Inspections documenting completion of all required Special Inspections,testing and correction of any discrepancies noted in the inspections shall be submitted prior to issuance of a Certificate of Use and Occupancy. Job site safety and means and methods of construction are solely the responsibility of the Contractor. Interim Report Frequency: Monthly or❑per attached schedule. Prepared by: ��itc►r�r rrii►i Paul J.Sheehan, P.E `�v, • .4( (type or print name) '4 j i " yy, , ~Ti Z II �., $ign re Date '�'�f�rgrrittt►tN��`�. Professl6n4 Seal Owner's Authorization: Buildi O ial' Acceptance: tgnature a ure Date f CASE Forth 101 • Statement of Special Insp tins ©CASE 2004 i Page 2 of 8 Schedule of Inspection and Testing Agencies This Statement of Special Inspections!Quality Assurance Plan includes the following building systems: ® Soils and Foundations ❑ Spray Fire Resistant Material ® Cast-in-Place Concrete ❑ Wood Construction ❑ Precast Concrete ❑ Exterior Insulation and Finish System ® Masonry ❑ Mechanical&Electrical Systems ® Structural Steel ❑ Architectural Systems ❑ Cold-Formed Steel Framing ❑ Special Cases Special Inspection A encies Firm Address.-Telephone,e-mail 1. Special Inspection Fuss&O'Neill, Inc. 146 Hartford Road Coordinator Manchester,CT 06040 860-646-2469 2. Inspector 3. Inspector 4. Testing Agency Independent Materials Testing 57 N. Washington Street Laboratories, Inc Plainville, Connecticut 06062 860-747-1000 5. Testing Agency 6. Other Note: The inspectors and testing agencies shall be engaged by the Owner or the Owner's Agent, and not by the Contractor or Subcontractor whose work is to be inspected or tested. Any conflict of interest must be disclosed to the Building Official,prior to commencing work. I I CASE Form 101 • Statement of Special Inspections • ©CASE 2004 Page 3 of 8 Quality Assurance Plan Quality Assurance for Seismic Resistance Seismic Design Category B Quality Assurance Plan Required (Y/N) N Description of seismic force resisting system and designated seismic systems: Existing Structure Quality Assurance for Wind Requirements Basic Wind Speed(3 second gust) 125(Vulr) 97(Vasd) Wind Exposure Category B Quality Assurance Plan Required(Y/N) N Description of wind force resisting system and designated wind resisting components: Existing Structure Statement of Responsibility Each contractor responsible for the construction or fabrication of a system or component designated above must submit a Statement of Responsibility. 1 f i i CASE Form 101 . Statement of Special Inspections * ®CASE 2004 i r L t Page 4 of 8 Qualifications of Inspectors and Testing Technicians ,The qualifications of all personnel performing Special Inspection and testing activities are subject to the approval of the Building Official. The credentials of all Inspectors and testing technicians shall be provided if requested. Key for Minimum Qualifications of Inspection Agents: When the Registered Design Professional in Responsible Charge deems it appropriate that the individual performing a stipulated test or inspection have a specific certification or license as indicated below, such designation shall appear below the Agency Number on the Schedule. PE/SE Structurat Engineer—a licensed SE or PE specializing in the design of building structures PE/GE Geotechnical Engineer—'a licensed PE specializing in soli mechanics and foundations EIT Englineer-in-Training—a graduate engineer who has passed the Fundamentals of Engineering examination American Concrete Institute(ACI)Certification ACI-CFTT Concrete Field Testing Technician—Grade 1 ACI-CCI Concrete Construction Inspector ACI-LTT Laboratory Testing Technician—Grade 1&2 ACI-STT Strength Testing Technician American Welding Society (AWS)Certification AWS-CWI Certified Welding Inspector AWS/AISC-SSI Certified Structural Steel Inspector American Society of Non-Destructive Testing(ASNT)Certification ASNT Non-Destructive Testing Technician—Level II or III. International Code Council(ICC)Certification ICC-SMSI Structural Masonry Special Inspector ICC-SWSI Structural Steel and Welding Special Inspector ICC-SFSI Spray-Applied Fireproofing Special Inspector ICC-PCSI Prestressed Concrete Special Inspector ICC-RCSI Reinforced Concrete Special Inspector National Institute for Certification in Engineering Technologies(NICET) NICET-CT Concrete Technician—Levels I, 11,111 &IV NICET-ST Soils Technician-Levels I, It, III &IV NICET-GET Geotechnical Engineering Technician-Levels 1,II, 111&IV Exterior Design Institute(EDI)Certification EDI-EIFS EIFS Third Party Inspector Other i CASE Form 101 • Statement of Special Inspections • ©CASE 2004 Soils and Foundations Page 5 of 8 Item Agency# Scope (Qualif.) 1. Shallow Foundations 2 Inspect soils below footings for adequate bearing capacity and PFIGE consistency with geotechnical report. Inspect removal of unsuitable material and preparation of subgrade prior to placement of controlled fill 2.Controlled Structural Fill 4 Perform sieve tests(ASTM D422&D1140)and modified Proctor tests(ASTM DI557)of each source of fill material. Inspect placement, lift thickness and compaction of controlled fill. Test density of each lift offill by nuclear methods(ASTM D2922) Verify extent and slope of fi11 placement. 3. Deep Foundations 4. Load Testing I 4. Other: CASE Form 101 • Statement of Special Inspections • ©CASE 2004 Cast-in-Place Concrete Page 6 of 8 Item Agency# Scope (Qualif.) 1. Mix Design Review concrete batch tickets and verify compliance with 4 approved mix design. Verify that water added at the site does not exceed that allowed by the mix design. 2. Material Certification 3. Reinforcement Installation Inspect size,spacing,cover,positioning and grade ofreinforcing 4 steel. Verify that reinforcing bars are free of form oil or other deleterious materials.Inspect bar laps and mechanical splices. Verify that bars are adequately tied and supported on chairs or bolsters 4. Post-Tensioning Operations 5. Welding of Reinforcing Visually inspect all reinforcing steel welds. Verify weldability of 4 reinforcing steel.Inspect preheating of steel when required. AWS-CWI 6. Anchor Rods Inspect size,positioning and embedment of anchor rods. Inspect 4 concrete placement and consolidation around anchors. ACI 7. Concrete Placement Inspect placement ofconcrele. Verify that concrete conveyance 4 and depositing avoids segregation or contamination. Verify that ACI concrete is properly consolidated. 8. Sampling and Testing of Test concrete compressive strength(ASTMC31& C39),slump Concrete 4 (ASTMC143),air-content(ASTMC231 or C173)and temperature ACI (ASTM C1064). 9. Curing and Protection Inspect curing,cold weather protection and hot weather 4 protection procedures. ACI 10. Other 4 Inspect that drilled and epoxied anchors are the proper size and are installed per the manufacturer's recommendations CASE Form 101 • Statement of Special Inspections • ®CASE 2004 i I Masonry Required Inspection Level: ❑A ®B ❑C Page 7 of 8 Item Agency# Scope (Qualif.) 1. Material Certification 2. Mixing of Mortar and Grout 4 Inspect proportioning,mixing and retempering of mortar and ACI grout. 3. Installation of Masonry 4 Inspect size,layout,bonding and placement of masonry units. ACI 4. Mortar Joints 4 Inspect construction of mortar joints including tooling and filling ACI of head joints. 5. Reinforcement Installation 4 Inspect placement,positioning and lapping of reinforcing steel. ACI 4 Inspect welding of reinforcing steel. Aws 6. Prestressed Masonry None 7. Grouting Operations 4 Inspect placement and consolidation ofgrout.Inspect masonry ACI clean-outs for high-lift grouting. 7. Weather Protection 4 Inspect cold weather protection and hot weather protection ACI procedures. Verify that wall cavities are protected against precipitation. 9. Evaluation of Masonry 4 Test compressive strength of mortar and grout cube samples Strength ACI (ASTMC780). Test compressive strength of masonry prisms(ASTjV C1314). 10. Anchors and Ties 4 Inspect size, location,spacing and embedment of dowels,anchors ACI and ties. 11. Other: 4 Inspect that drilled and epoxied anchors are the proper size and are installed per the manufacturer's recommendations CASE Form 101 : Statement of Special Inspections • ©CASE 2004 Structural Steel Page 8 of 8 Item Agency# Scope (Qualif.) 1. Fabricator Certification/ 4 Review shop fabrication and quality control procedures. Quality Control Procedures ❑Fabricator Exempt 2. Material Certification d Review,certified mill test reports and identification markings on wide-flange shapes, high-strength bolts,nuts and welding electrodes 3. Open Web Steel Joists None Not Required 4. Bolting 4 Inspect installation and tightening of high-strength bolts. Verify AWSIAISC- that splines have separated from tension control bolts. Verily proper tightening sequence.Continuous inspection of bolls in slip- critical connections. 5. Welding Visually inspect all welds. Inspect pre-heat,post-heat and surface 4 preparation between passes. Verify size and length of fillet welds. AJ S Ultrasonic testing of all full penetration welds. 6. Shear Connectors Not Required None t 1 ame or compliance 7. Structural Details 4 Inspect s ee fr with contract documents,j including bracing,member configuration and connection details. 8. Metal Deck None Not Required 9. Other: CASE Form 101 • Statement of Special Inspections • ©CASE 2004 1900487 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER ELECTRICAL PERMIT DATE: 11/13/2019 GIS ID: 87301540 FEE: 12.22 MUNIS APPLICATION# 201902026 BUILDING DESCRIPTION: APPLICANT I LOCATION NAME: VENTURE COMMUNICATION AND ADDRESS: 1540 SULLIVAN AVENUE ADDRESS: 321 MAIN STREET OWNER: , SOUTH WINDSOR TOWN OF 1540 SULLIVAN AVENUE DANIELSON,CT 06239,;. t DESCRIPTION OF WORK: REPLACEMENT OF FIRE ALARM SYSTEM AT TOWN LIBRARY 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 11/13/2019 1:36 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1600677 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER BUILDING PERMIT DATE: 10/18/2016 GIS ID: 87301540 FEE: 9.10 MUNIS APPLICATION# 201601528 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: THE ROCKFALL COMPANY LLC. ADDRESS: 1540 SULLIVAN AVENUE ADDRESS: 25 COLUMBUS AVENUE OWNER: SOUTH WINDSOR TOWN OF MERIDEN,CT 06451 1540,SULLIVAN AVENU SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: REPAIR CONCRETE ENTRY,REPLACE ENTRY DOORS AND REPAIR BEAM IN ENTRY. 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 10/18/2016 2:55 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 14000438 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER BUILDING PERMIT DATE: 08/29/2014 GIS ID: 87301540 FEE: 4.68 MUNIS APPLICATION# 201401132 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: EVERGREEN CONSTRUCTION ADDRESS: 1540 SULLIVAN AVENUE ADDRESS: 39 SULLIVAN ST .,"; OWNER: SOUTH WINDSOR TOWN OF SPRINGFIELD,MA 01104 1540 SULLIVAN AVENU SOUTH WINDSOR,CT 06074 �Y p DESCRIPTION OF WORK: REPLACE/REPAIR FRONT STAIRS TO TOWN HALL: SPECIAL CONDITIONS: x: s ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS,APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING OFFICIAL 8/29/2014 3:49 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 13000369 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER BUILDING PERMIT DATE: 07/26/2013 GIS ID: 87301540 FEE: 2.34 MUNIS APPLICATION# 201301021 BUILDING DESCRIPTION: APPLICANT -< , LOCATION NAME: EVERGREEN CONSTRUCTION ADDRESS: 1540 SULLIVAN AVENUE ADDRESS: 39 SULLIVAN ST ,1,r', 6 OWNER: SOUTH WINDSOR TOWN OF SPRINGFIELD,MA Ol 104,•' „' `:1540 SULLIVAN AVENU SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: INST4, LUzNEW PARTITIONS MIRRORS IN THE MENS AND WOMENS RESTROONt ON THE MAIN FLOOR,' 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 7/26/2013 2:32 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 13000228 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER BUILDING PERMIT DATE: 05/21/2013 � GIS ID: 87301540 .. Y FEE: 3.12 MUNIS APPLICATION# 201300647 „4— "T 'i BUILDING DESCRIPTION: APPLICANT .= ; M}�^' "'' LOCATION '4 NAME: EVERGREEN CONSTRUCTION " ADDRESS: 1540 SULLIVAN AVENUE ADDRESS: 39 SULLIVAN ST x "4n OWNER SOUTH.WINDSOR TOWN OF SPRINGFIELD,MA 01104 t,-' . 1540,SULLIVAN AVENU SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: REPS ACE DOOR FRAME AT SIDE DOOR. REPLACE SLATE AND r e i .wj s CONCRETE IN FRONT OF THE SIDE DOOR.,,, 1; &" Y F. a.,. . f 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 5/21/2013 10:22 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1700304 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER BUILDING PERMIT DATE: 06/22/2017 GIS ID: 87301540 FEE: 9.62 MUNIS APPLICATION# 201700726 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: MILLENNIUM BUILDERS INC. ADDRESS: 1540 SULLIVAN AVENUE ADDRESS: 50 INWOOD ROAD OWNER: SOUTH WINDSOR TOWN OF ROCKY HILL,CT 06067. 1540 SULLIVAN AVENU SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: REMOVE 2ND FLOOR ACCOUSTICAL CEILING31LES, SUPPORTING GRID AND LIGHTING. INSTALL TEMPORARY LIGHTING.CLEAN AND PAINT DIFFUSERS. 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 6/22/2017 1 1:47 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1400511 _ TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER HVAC PERMIT DATE: 11/06/2014 G1S ID: 87301540 FEE: 22.36 MUNIS APPLICATION# 201401481 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: B-G MECHANICAL SERVICE,INC. ADDRESS: 1540 SULLIVAN AVENUE ADDRESS: 12 SECOND AVENUE' OWNER: SOUTH WINDSOR TOWN OF CHICOPEE,MA 01020 1540 SULLIVAN AVENU SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: INSTALLATION OF TWO BOILERS AND INDIRECT WATER HEATER. 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 1 1/6/2014 1 1:03 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1700357 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER HVAC PERMIT DATE: 08/11/2017 GIS ID: 87301540 FEE: 1.04 MUNIS APPLICATION# 201700869 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: PRECISION MECHANICAL LLC. ADDRESS: 1540 SULLIVAN AVENUE ADDRESS: 9 BRADWAY POND ROAD OWNER: SOUTH WINDSOR TOWN OF STAFFORD SPRINGS,CT 06076 1540 SULLIVAN AVENU SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: INSTALL EXAUST FAN--I PER BATHROOM. TIED INTO EXISTING DUCTWORK. 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 8/1 1/201 7 2:55 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1000241 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER HVAC PERMIT DATE: 07/06/10 GIS ID:87301540 FEE: 2.42 MUNIS APPLICATION# 200700884 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: STAFFORD MECHANICAL SERVICES,INC. ADDRESS: 1540 SULLIVAN AVENUE ADDRESS: 71 C WEST STAFFORD ROAD OWNER SOUTH WINDSOR TOWN OF STAFFORD SPRINGS,CT 06076 ' 1540 SULLIVAN AVENU DESCRIPTION OF WORK: NEW WALL/HVAC IS FOR AC SOUTH WINDSOR,CT 06074 HVAC FOR IT AC 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 7/6/2010 9:49 AM THE FEE ABOVE INCLUDES A$0.22 PER THOUSAND CT STATE EDUCATION SURCHARGE 1100037 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER HVAC PERMIT DATE: 01/27/11 GIS ID: 87301540 FEE: 20.00 MUNIS APPLICATION# 201100007 - BUILDING DESCRIPTION: ,= 10 APPLICANT wb. LOCATION NAME: ENVIRONMENTAL SYSTEMS° ADDRESS: 1540'SULLIVAN AVENUE ADDRESS: 76 RIVERGATE LANE` -, ' -OWNER: SOUTH WINDSOR TOWN OF EAST BERLIN,CT 06023 Q+ r' ' I540 SULLIVAN AVENU SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: REPLACE EXISTING 45 TON CHILLER AND CONDENSING UNIT. SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WITH THE"APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT. '4 5. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING OFFICIAL 1/27/2011 3:36 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1400406 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER ELECTRICAL PERMIT DATE: 10/28/2014 GIS ID: 87301540 FEE: 0.78 MUNIS APPLICATION# 201401481 BUILDING DESCRIPTION: APPLICANTq- LOCATION NAME: BIGELOW ELECTRIC _ ADDRESS: 1540 SULLIVAN AVENUE ADDRESS: 292 NEW BRITAIN ROAD OWNER: SOUTH WINDSOR TOWN OF KENSINGTON,CT 06037 0 1540 SULLIVAN AVENU i SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: DISCONNECT BOILER FOR REPLACEMENT AND RECONNECT NEW BOILER. SPECIAL CONDITIONS: rA ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING OFFICIAL 10/28/2014 9:59 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 201600056 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER CERTIFICATE OF OCCUPANCY DATE: 02/24/2016 GIS ID: 87301540 FEE: 0.00 MUNIS APPLICATION# 201100061 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: EVERGREEN CONSTRUCTION ADDRESS: 1540 SULLIVAN AVENUE ADDRESS: 39 SULLIVAN ST 'a OWNER: SOUTH WINDSOR TOWN OF SPRINGFIELD,MA 01104 1540 SULLIVAN AVENU SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: RECONFIGURE EXISTING PROBATE&REGISTRARS OFFICES BY REARRANGING EXISTING PORTABLE FLOOR TO COVERED WALLS. 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 2/24/2016 10:03 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1900021 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER ELECTRICAL PERMIT DATE: 01/16/2019 GIS ID: 87301540 FEE: 11.44 MUNIS APPLICATION# 201802471 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: VENTURE COMMUNICATIONS&SECURITY ADDRESS: 1540 SULLIVAN AVENUE ADDRESS: 321 MAIN STREET OWNER: SOUTH WINDSOR TOWN OF 1540 SULLIVAN AVE DANIELSON,CT 06239,1', DESCRIPTION OF WORK: 1 ACCESS CONTROL 2 CAMERAS ADDS,3 INTERCOM SYSTEM EACH FLOOR SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILIP6 OFFICIAL 1/16/2019 10:18 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE Ln ELECTRICAL PERMIT DATE: 07/29/2019 GIS ID: 87301540 FEE: 5.46 MUNIS APPLICATION# 201901525 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: VENTURE COMMUNICATION AND ADDRESS: 1540 SULLIVAN AVENUE ADDRESS: 321 MAIN STREET OWNER: SOUTH.WINDSOR TOWN OF 1540 SULLIVAN AVENUE DANIELSON,CT 06239 DESCRIPTION OF WORK: INSTALL LOW VOLTAGE ACCESS CONTROL TO MANAGERS AREA FOR 5 DOORS 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 7/29/2019 1:06 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1900306 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER ELECTRICAL PERMIT DATE: 07/29/2019 GIS ID: 87301540 FEE: 5.46 MUNIS APPLICATION# 201901525 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: VENTURE COMMUNICATION AND ADDRESS: 1546 SULLIVAN AVENUE ADDRESS: 321 MAIN STREET OWNER: SOUTH WINDSOR TOWN OF 1540 SULLIVAN AVENUE DANIELSON,CT 06239 DESCRIPTION OF WORK: INSTALL LOW VOLTAGE ACCESS CONTROL TO MANAGERS AREA FOR 5 DOORS 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 7/29/2019 1:06 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1600589 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER ELECTRICAL PERMIT DATE: 12/21/2016 GIS ID: 87301540 FEE: 1.56 MUNIS APPLICATION# 201601845 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: VENTURE COMMUNICATION AND ADDRESS: 1540 SULLIVAN AVENUE ADDRESS: 321 MAIN STREET r . OWNER: SOUTH WINDSOR TOWN OF DANIELSON,CT 06239'-1 ~',1540 1 SULLIVAN AVENU SOUTH WINDSOR,CT 06074 •:) . DESCRIPTION OF WORK: ADDING'3 CAMERAS TO THE TOWN HALL.2 EXTERIOR AND 1 INTERIOR RUNNING CAT 6 CABLE TO EACH CAMERA:LOCATION FROM IT SERVER ROOM.'(GROUND FLOOR) SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT. •--' r CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING OFFICIAL 12/21/2016 1:29 PM TIIE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1700272 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER ELECTRICAL PERMIT DATE: 08/16/2017 GIS ID: 87301540 FEE: 0.26 MUNIS APPLICATION# 201700869 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: MARTIN LEWIS ADDRESS: 1540 SULLIVAN AVENUE ADDRESS: 77 CAMPFIELD AVENUE OWNER: SOUTH WINDSOR TOWN OF HARTFORD,CT 06114 1540 SULLIVAN AVENU SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: WIRE BATHROOM EXHAUST FANS. 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 8/16/2017 9:27 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1700371 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER ELECTRICAL PERMIT DATE: 10/26/2017 G1S ID: 87301540 FEE: 12.48 MUNIS APPLICATION# 201701427 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: ELECTRICAL CONTRACTORS,INC. ADDRESS: 1540 SULLIVAN AVENUE ADDRESS: 3510 MAIN STREET . OWNER: SOUTH WINDSOR TOWN OF HARTFORD,CT 06120 1540 SULLIVAN AVE SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: INSTALL BRAND NEW FIRE ALARM SYSTEM AND FEMOVE EXISTING SYSTEM. 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 10/26/2017 3:56 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1700024 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER ELECTRICAL PERMIT DATE: 01/24/2017 GIS ID: 87301540 FEE: 0.26 MUNIS APPLICATION# 201700060 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: ELECTRICAL CONTRACTORS,INC. ADDRESS: 1540 SULLIVAN AVENUE ADDRESS: 3510 MAIN STREET, OWNER: SOUTH WINDSOR TOWN OF HARTFORD,CT 06120 1540 SULLIVAN AVENU SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: INSTALL NEW 20 AMP CIRCUIT AND PLUG MOLD FOR IT DEPARTMENT. 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 1/24/2017 3:05 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1700198 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER ELECTRICAL PERMIT DATE: 07/13/2017 GIS ID: 87301540 FEE: 1.30 MUNIS APPLICATION# 201700726 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: HADDEN ELECTRICAL SERVICES,LLC ADDRESS: 1540 SULLIVAN AVENUE ADDRESS: P.O. BOX 801 OWNER: SOUTH WINDSOR TOWN OF EAST WINDSOR,CT 06088 1540 SULLIVAN AVENU SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: DEMO EXISTING LIGHTING AND INSTALL LIGHTING 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 7/13/2017 2:19 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1300071 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER ELECTRICAL PERMIT DATE: 02/20/2013 GIS ID: 87301540 FEE: 0.26 MUNIS APPLICATION# 201300147 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: VENTURE COMMUNICATION AND ADDRESS: 1540 SULLIVAN AVENUE ADDRESS: 368 KILLINGLY ROAD, OWNER: SOUTH WINDSOR TOWN OF POMFRET CENTER,CT 06259` 1540 SULLIVAN AVENU N SOUTH WINDSOR,CT 06074 k DESCRIPTION OF WORK: REWIRE ELECTRIC LOCKS ON EMPLOYEE ENTRANCE DOOR--TOWN HALL. SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED 13Y THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING OFFICIAL 2/20/2013 11:25 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1300407 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER ELECTRICAL PERMIT DATE: 09/24/2013 �,� `� GIS ID: 87301540 FEE: 0.52 MUNIS APPLICATION# 201301362 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: ELECTRICAL CONTRACTORS, INC. > ADDRESS: 1540 SULLIVAN AVENUE ADDRESS: 3510 MAIN STREET OWNER: SOUTH WINDSOR TOWN OF HARTFORD,CT 06120 __. 1540 SULLIVAN AVENU SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: REPAIR SITE LIGHTING AT TOWN HALL. RUN NEW CONDUIT TO SITE LIGHTING AND REWIRE. ALSO REPLACE PARKING LOT LIGHT HEADS. SPECIAL CONDITIONS: _, ? ALL WORK TO BE DONE IN ACCORDANCE WIT1i THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING OFFICIAL 9/24/2013 9:56 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1900007 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER BUILDING PERMIT DATE: 01/07/2019 GIS ID: 87301540 FEE: 1.04 MUNIS APPLICATION# 201802432 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: MILLENNIUM BUILDERS INC. ADDRESS: 1540 SULLIVAN AVENUE ADDRESS: 50 INWOOD ROAD OWNER: .-SOUTH WINDSOR TOWN OF 1540 SULLIVAN AVE ROCKY HILL,CT 06067 DESCRIPTION OF WORK: RECONSTRUCT TOWN ENGINEER OFFICE-, SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY B ING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILD G OFFICIAL 1/7/2019 8:14 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE PERMIT NUMBER SOUTH WINDSOR, CT ELECTRICAL PERMIT DATE: 01/03/12 GIS ID: 87301540 MUNIS APPLICATION# 201101540 FEE: 1.04 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: ELECTRICAL CONTRACTORS,INC. ADDRESS: 1540 SULLIVAN AVENUE ADDRESS: 3510 MAIN STREET OWNER: SOUTH WINDSOR TOWN OF HARTFORD,CT 06120 r 1540 SULLIVAN AVENU SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: INSTALL;NEW PVC CONDUIT WITH 6 STRAND MULTIMODE FIBER OPTIC LINE BETWEEN TOWN HALL AND LIBRARY BUILDINGS W/TERMINATIONS 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 1/3/2012 4:29 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1000168 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER ELECTRICAL PERMIT DATE: 07/12/10 Y, GIS ID: 87301540 �.� « " FEE: .00 MUNIS APPLICATION# 201000834 `'" BUILDING DESCRIPTION: M1 APPLICANTS 4 LOCATION NAME: ELECTRICAL CONTRACTORS,INC. ADDRESS: 1540^SOLLIVAN AVENUE ADDRESS: 3510 MAIN STREET i` j t"` :,OWNER""(..SOUTH WINDSOR TOWN OF HARTFORD,CT 06120 g" a�a �:�,., ; `r 1540 SULLIVAN AVENU �� "SOUTH,WINDSOR,CT 06074 DESCRIPTION OF WORK: WIRING FOR HVAC UNIT " SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE`WITH.THE"APPLICATION AND PLANS, PROVED BY THE BUILDING DEPARTMENT. T r CONSTRUCTION TYPE: OCCUPANCY GROUP: , ,.°.,d BUILDING OFFICIAL 7/12/2010 9:00 AM THE FEE VE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1000170 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER ELECTRICAL PERMIT DATE: 07/12/10 r r �1 'Pr•• "<4 GIS ID: 87301540 FEE: .00 MUNIS APPLICATION# 201000832 BUILDING DESCRIPTION: APPLICANT.e' y "' ,a* j :9': LOCATION NAME: SOUTH WINDSOR TOWN OFF` ADDRESS: 1540'SULLIVAN AVENUE ADDRESS: 1540 SULLIVAN AVENU OWNER' ��.SOUTH WINDSOR TOWN OF SOUTH WINDSOR,CT 06074 ,*..�.�' b,. a..:°-, r- '"1540 SULLIVAN AVENU �` SOUTH,WINDSOR,CT 06074 TTTIII 4wy Y DESCRIPTION OF WORK: VARIOUS MINOR REPAIRS AT,VARIOUS TOWN BLDS.2010/2011 AS NEEDED �'_ , .I SPECIAL CONDITIONS: "� ALL WORK TO BE DONE IN ACCORDANCE"WITH.THE'APPLICATION AND PLANS'APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: aY.. ,. fM'.,y. BUILDING OFFICIAL 7/12/2010 9:08 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1000243 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER ELECTRICAL PERMIT DATE: 08/27/10 GIS ID: 87301540 FEE: .00 MUNIS APPLICATION# 201000956 BUILDING DESCRIPTION: APPLICANT e LOCATION NAME: CONSERV INC. ADDRESS: 1540 SULLIVAN AVENUE ADDRESS: 45 INDUSTRIAL PARK ROAD OWNER: SOUTH WINDSOR TOWN OF TOLLAND,CT 06048 1540 SULLIVAN AVENU A SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: LIGHTING UPGRADES LAMPS AND BALAST MOTION SENSORS AND OUTSID E POLE HEAD/EDUCATION FEE ONLY EDUCATION FEE 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 8/27/20(0 3:36 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1000302 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER ELECTRICAL PERMIT DATE: 10/13/10 GIS ID: 87301540 FEE: 1.30 MUNIS APPLICATION# 201001387 BUILDING DESCRIPTION: APPLICANT "` LOCATION NAME: VENTURE COMMUNICATION AND ADDRESS: 1540 SULLIVAN AVENUE ADDRESS: 368 KILLINGLY ROAD, OWNER: SOUTH WINDSOR TOWN OF POMFRET CENTER,CT 06259 1540 SULLIVAN AVENU " - SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: INSTALLATION OF LOWKVOLTAGE WIRE TO CENTRAL MAIN ENTRANCE AND NOTH STAIRWELL ENTRANCE OF BLDG.FOR AUTO LOCK AND UNLOCK 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 10/13/2010 3:31 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1100012 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER ELECTRICAL PERMIT DATE: 01/27/11 GIS ID: 87301540 FEE: 1.56 MUNIS APPLICATION# 201100061 BUILDING DESCRIPTION: APPLICANT ;`; LOCATION NAME: EVERGREEN CONSTRUCTION ADDRESS: 1540 SULLIVAN AVENUE ADDRESS: 39 SULLIVAN ST ;w ;` OWNER: SOUTH WINDSOR TOWN OF SPRINGFIELD,MA 01104•/ r 1540 SULLIVAN AVENU SOUTH WINDSOR,CT 06074 u , DESCRIPTION OF WORK: RECONFIGURE EXISTING PROBAT/REGISTRAR OFFICES BY REARRANGING EXISTING PORTABLE FLOOR TO COVERED WALLS. 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 1/27/2011 3:24 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1700093 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER PLUMBING PERMIT DATE: 03/06/2017 GIS 1D: 87301540 FEE: 1.30 MUNIS APPLICATION# 201700164 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: R PLUMBING COMPANY LLC. ADDRESS: 1540 SULLIVAN AVENUE ADDRESS: 386 MAIN STREET OWNER: SOUTH WINDSOR TOWN OF MANCHESTER,CT 06040 1540 SULLIVAN AVENU ' SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: REPLACE ALL 6 SINKS IN TOWN HALL LAVS--MENS AND WOMENS WITH ADA SCALD GUARD PROTECTION, 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 3/6/2017 3:08 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1300307 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER PLUMBING PERMIT DATE: 07/31/2013 GIS ID: 87301540 ""' " " W.� _ _' '''` FEE: 0.52 MUNIS APPLICATION# 201301021 $'" K "``°>" BUILDING DESCRIPTION: tJ S-f'r' •• APPLICANT` , atf ,-z ,.� LOCATION NAME: EVERGREEN CONSTRUCTION <, �„ ADDRESS!. 1540"Ad - NAME: AVENUE ADDRESS: 39 SULLIVAN ST }r " OWNER: f,-SOUTH WINDSOR TOWN OF SPRINGFIELD,MA 0 l =N -' -s1540"SULLIVAN AVENU SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: INSTALL; &'PARTITIONS MIRRORS IN THE MENS AND WOMENS RESTROOM OMTHE MAIN FLOOR. :""f'7;;w1 r %f CAP TWO TOILET.SUPPLY;;'AND DRAIN LANES.IREPLACE WITH NEW. SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE-W1TIi.THE'APPLICATION"AND'PLwANS`APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: ''""`�-• - ` BUILDING OFFICIAL 7/31/2013 3:39 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1400508 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER PLUMBING PERMIT DATE: 11/06/2014 GIS ID: 87301540 FEE: 3.90 MUNIS APPLICATION# 201401481 BUILDING DESCRIPTION: APPLICANT, LOCATION NAME: B-G MECHANICAL SERVICE,INC. ADDRESS: 1540 SULLIVAN AVENUE ADDRESS: 12 SECOND AVENUE OWNER: SOUTH WINDSOR TOWN OF CHICOPEE,MA 01020 1540 SULLIVAN AVENU SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: INSTALL TWO NEW CONDENSING BOILERS AND DIRECT HOT WATER STORAGE TANK. 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 11/21/2014 4:13 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1900192 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER BUILDING PERMIT DATE: 04/18/2019 GIS ID: 87301540 FEE: 1.00 MUNIS APPLICATION# 201900592 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: MILLENNIUM BUILDERS INC. ADDRESS: 1540 SULLIVAN AVENUE ADDRESS: 50 INWOOD ROAD OWNER: SOUTH WINDSOR TOWN OF 1540 SULLIVAN AVENUE ROCKY HILL,CT 06067 DESCRIPTION OF WORK: REPLACE PARTITION IN TAX OFFICE 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 4/18/2019 3:00 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1900572 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER BUILDING PERMIT DATE: 08/02/2019 GIS ID: 87301540 FEE: 5.20 MUNIS APPLICATION# 201901623 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: NAEK CONSTRUCTION_ CO INC ADDRESS: 1540 SULLIVAN AVENUE ADDRESS: 27 NAEK ROAD OWNER: SOUTH WINDSOR TOWN OF 1540 SULLIVAN AVENUE VERNON,CT 06108 DESCRIPTION OF WORK: REMOVE AND REPLACE TAX OFFICE COUNTER SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WITH TILE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING OFFICIAL 8/2/2019 8:45 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1900572 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER BUILDING PERMIT DATE: 08/02/2019 GIS ID: 87301540 FEE: 5.20 MUNIS APPLICATION# 201901623 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: NAEK CONSTRUCTION CO INC ADDRESS: 1540 SULLIVAN AVENUE ADDRESS: 27 NAEK ROAD OWNER: SOUTH WINDSOR TOWN OF 1540 SULLIVAN AVENUE VERNON,CT 06108 DESCRIPTION OF WORK: REMOVE AND REPLACE TAX OFFICE COUNTER F S 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 R 8/2/2019 8:45 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATIONSU C SURC HARGE 11000023 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER BUILDING PERMIT DATE: 01/27/11 GIS ID: 87301540 FEE: 2.60 MUNIS APPLICATION# 201100061 BUILDING DESCRIPTION: APPLICANT;= "'— LOCATION NAME: EVERGREEN CONSTRUCTION ADDRESS: 1540 SULLIVAN AVENUE ADDRESS: 39 SULLIVAN STJ r_ - b� OWNER: SOUTH WINDSOR TOWN OF SPRINGFIELD,MA 011041 --'1540 SULLIVAN AVENU SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: RECONFIGURE EXISTING PROBAT/REGISTRAR OFFICES BY REARRANGING EXISTING PORTABLE FLOOR TO COVERED WALLS. SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCOR-DANCE•WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING OFFICIAL 1/27/2011 3:24 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1500285 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER BUILDING PERMIT DATE: 06/24/2015 GIS ID: 87301540 FEE: 16.64 MUNIS APPLICATION# 201500154 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: ROCKWELL BUILDERS, INC. ADDRESS: 1540 SULLIVAN AVENUE ADDRESS: 217 OLD POST ROAD' OWNER: SOUTH WINDSOR TOWN OF TOLLAND,CT 06084 1540 SULLIVAN AVENU SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: TOWN HALL CODE UPGRADES. J 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 6/24/2015 12:57 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 11000606 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER BUILDING PERMIT DATE: 11/30/11 GIS ID: 87301540 FEE: 10.92 MUNIS APPLICATION# 201101319 BUILDING DESCRIPTION: APPLICANT y LOCATION NAME: NEW ENGLAND MASONRY-&ROOFING CO. ADDRESS: 1540 SULLIVAN AVENUE ADDRESS: 146 SHERIDAN DRIVE., ,r OWNER: SOUTH WINDSOR TOWN OF NAUGATUCK,CT 06770 ) , ,'e 1540 SULLIVAN AVENU SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: REPLACE DAMAGE AND DEFECTIVE AREAS ON SLATE TILE ROOF. 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 11/30/2011 8:35 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE