HomeMy WebLinkAbout160 NUTMEG RD S APPLICATION FOR ELECTRICAL PERMIT
DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PgRI�ff#
Appli .� BUILDING DEPARTMENT AVENUE
I llJ�C�S l�
PROVED 1540 SULLIVAN
Z T 644-2511.ext. 230 slag.Permit#
Date B ding Inspector .
Application must be printed or typed
FEE SCHEDULE Location of Job:
$041,000—$15.00 _ 5h . wym
Over$1,000— Street No. Street Lot No.
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT C
APPLICANT ADDRESS
E, n� C-7 C)6gt) �
APPLICANT'S PHONE# 00
OWNER
OWN
SR.'4� OWNER ADDRESS (D U
obo--►W
O * OWNER PHONE
C ESTIMATED COST$ gT�soQ
a ` IS THIS A CONTRACT COST? ✓Yes No
VA GFEE ENCLOSED$.
l` o c
TYPE OF JOB:
�SOR-COS ✓New Installation
Alteration/Addition/Repair
' �I l0 017(oS
Revised 03/05/10
APPLICATION FOR ELECTRICAL PERNIIT(Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH
BUILDING PERMIT APPLICATION? ❑ YES VNO
❑ RESIDENTIAL CURRENT USE AND OCCUPANCY
BUSINESS
❑ ASSEMBLY FUTURE USE AND OCCUPANCY
❑ EDUCATIONAL
❑ INSTITUTIONAL ENGINEER'S NAME PHONE
❑ FACTORY
❑ STORAGE ADDRESS
❑ GARAGE .
❑ MIXED USE Cny STATE ZIP
(Other platse`gmifY)
TYPE OF INSTALLATION/WIRING METHOD. IN S1INnn Sb CX�hct V .C2�.�. 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 CIRCUrrS
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 SUBMTPTED.
DESCRIPTION OF WORK
Crave �'�`� N1T1 tns ice �r��rn
A-:4 bX� . PG` nv�►o v ne P c� �' the Lam' "
T�UNDERSIGNED HEARBYAPPLIES 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 A e N'� DATE 12 2 I
TOMORROW'S TECHNOLOGY TODAY
Com
Net
Communications
November 30, 2016
To Whom It May Concern:
I, Glenn Wagner, Vice President, ComNet Communications, LLC, authorize Vinny
Ferrucci, Project Manager, ComNet Communications, LLC, to use my CT Electrical
Limited Contractor License# ELC. 0184264-T1 on behalf of ComNet Communications,
LLC to pull a permit for a project located at The Hartford, 690 Asylum Avenue, Ramp
Garage, Lot 19 & 17, Hartford, CT.
Sincerely,
Glenn Wagner
Wagner
Vice President
Connecticut Electrical Limited Contractor T1 #184264
Berkshire Corporate Park- 1 Park Ridge Road,Suite 9,Bethel,CT 06801
Telephone. (203) 794-8040 (800)421-0389 Fax (203) 794-8063
www.comnetcomm.com
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FRITO-LAY
160 NUTMEG ROAD
SOUTH WINDSOR,CT 06074
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APPLICATION FOR ELECTR AL PERMIT(Continued from reverse side)
TYPE OF BUILDING IS THIS LICATION ASSOCIATED WITH�A�
BUILDING PERMIT APPLICATION? [I YES C!'N0
ll_YESIDENTIAL CURRENT USE AND OCCUPANCY
5 BUSINESS
❑ ASSEMBLY FUTURE USE AND OCCUPANCY
❑ EDUCATIONAL
❑ INSTITUTIONAL ENGINEER'S NAME PHONE
❑ FACTORY
❑ STORAGE ADDRESS
❑ GARAGE
❑ MIXED USE CITY STATE ZIP
(Other plem'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 DISCONI4F.M REQUIRED? ❑ YES ❑ NO
NUMBERS OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS
NUMBER OF SWITCHES. NUMBER OF OUTLETS
NUMBER OF LIGHT FIXTURES NUMBER OF HEAT CIRCUTPs
NUMBER`OF A/C CIRCUITS
SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMPITED.
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
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OFAPPLICANT DATE rl T
PPPP—
APPLICATION FOR ELECTRICAL PERMIT
DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT#
Application is hereby: BUILDING DEPARTMENT f.�p O r$.7
APP O D 1540 SULLIVAN AVENUE
4•�.i 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
Over$1,000= F
No. Street Lot No.
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
Mk
APPLICANT 1.O�i_S �i921�IC C 'Cd
APPLICANT ADDRESS .23 C—ft /e A Rc� -
APPLICANT'S PHONE# 660 •- :39'O- 06 5-7
OWNER
00,'%OW N S t
'4� OWNER ADDRESS
O OWNER PHONE
C ESTIMATED COST$ /i06 0
"1 U IS THIS A CONTRACT COST? ✓Yes No
FEE ENCLOSED$ G 0 .00
f� 0 kk TYPE OF'JOB:
s0R•C0 New Installation
_alteration/Addition Repair
�!o1760191�
Revised 03/05/10
APPLICATION FOR HVAC PERMIT
DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT#
Application is hereby: BUILDING DEPARTMENT l 1poo�13�
APPRO D 1540 SULLIVAN AVENUE Bldg.Permit#
It—, ,1> 644-2511 ext. 230
Date � Building Inspector
Application must be printed or typed
FEE SCHEDULE F
ILocation off Job:
$041,000=$15.00 �t'/Y►eq �� cso, ( �'Over$1,000= Street Lot No.
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT ( t o a 1
APPLICANT ADDRESS
C G 7
APPLICANT'S PHONE# Q00 -ee z Ci _ 6
OWNER Er. fp
qOW N SF4< OWNER ADDRESS
OWNER PHONE
ESTIMATED COST$
,.� U IS THIS A CONTRACT COST? X Yes No
FEE ENCLOSED$ 10 5
TYPE OF JOB: U I 'I
OSOR•COS New Installation
Alteration/Addition/Repair
Revised 03/05/10
APPLICATION FOR HVAC PERMIT(Continued from reverse side)
TYPE OF SYSTEM: TYPE OF BUILDING:
Y,HEATING ❑ 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) OF(HEAT LOSS SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL HEATING EQUIPMENT(INCLUDING MAKE&MODEL NO.)
60 ?& eat r f L{!e ry✓/U A-c-e
GROSS HEATING CAPACITYf(INPUT-BTUH) NET RATING(OUTPUT-BTUH)T
TYPE OF FUEL
❑ OIL-GPM OIL TANK LOCATION: ❑ INSIDE ❑ OUTSIDE CAPACITY
❑ GAS-INPUT LPG TANK CAPACITY ELECTRIC-KW
AIR CONDITIONING
DESIGN TEMP: OUTSIDE OF INSIDE OF DIFFERENCE OF
TOTAL HEAT GAIN(BTUH) (HEAT GAIN SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL COOLING EQUIPMENT(INCLUDING MAKE&MODEL NO.)
TONNAGE COOLING CAPACITY(BTUH)
VENTILATION
DESCRIBE ALL AIR HANDLING EQUIPMENT(INCLUDING KITCHEN EXHAUST EQUIPMENT)
TOTAL SIZE OF SYSTEM(CFM) FRESH AIR INTAKE(CFM)
(PLANS MUST ACCOMPANY APPLICATION) j
FURTHER DESCRIPTION OF WORK ��9'CQjrjsr
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.
? 03 121) .5-- l 06(A n
CONTRACTORS LICENSE NO. E STATE
SIGNATURE OF APPLICANT DATE �� d —��
STATE OF CONNECTICUT
V DEPARTMENT OF ENVIRONMENTAL PROTECTION
W
DATE: At5- 4, (a��
TO: F,-,to - L fy Sa(es 6 S4 cell ez-
S. LU�✓1�Svr. Or '607.4
�qwj ; S4l,oe 6?rfvl Q.t
FROM: Department of Environmental Protection
165 Capitol Avenue
Hartford, Conn. 06106
SUBJECT: Life Expectancy of Underground Storage Tanks
Pursuant to subsection (h) of the DEP's regulations on Underground
Storage Tanks, life expectancy is as follows:
FIBERGLASS REINFORCED PLASTIC - manufacturers' corrosion
warranty period.
CATEODICALLY PROTECTED EXTERNALLY COATED STEEL - same as
above or calculated anode life.
Existing facilities not either of the above - 15 years
from date of installation.
On your notification form you failed to indicate the life
expectancy for the tank(s) listed belowr therefore, we are
assuming your life expectancy(s) to be 15 years. If you have
documentation that indicates otherwise, please contact us at
566-4630.
Sincerely yours,
TC 4� C�
&M-414, 0 (L
Eleanor A. Tewksbury
Field Inspector
i
cc: Local Fire Xarsball
� Phone:
165 Capitol Avenue • Hartford,Connecticut 06106
An Equal Opportunity Employer
MONARCH/NEW ENGLAND
- 3a - 96`
( a
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,�Zi
HARTFORD BRANCH: BOSTON BRANCH:
CT WATS (800) 842-0136 MA WATS (800) 732-3350
NE WATS (800) 243-2845 NE WATS (800)225-3420
UNDERGROUND STORAGE PG. of STATE OF CONNECTICUT
Department of Environmental Protection EPHM-6 NEW 10/85 2. A.SITE LD.
FACILITY NOTIFICATION UNDERGROUND STORAGE FACILITIES PROGRAM 9. FOR STATE
L _ HA1 A5 DCOoUS MAT RIAL Hartford,MANAGEMENT UNIT
AGENCY USE ONLY
FIRST - 6 ! �v
B.DATE RCVD BY D.E.P C.DATE ENTERED
la.®NOTIFICATION - - TEL. 556-4630
SITE LD. ems.
v+
OR PLEASE TYPE. ALL THREE COPIES MUST BE LEGIBLE! r�vey'r D GRID COORDINATES E DOES FACILITY MEET NEW REQUIREMENTS?
b. ❑ SUBSEQUENT ;Hchecked,NOTIFICATION enter No.i 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 51ATITUDE �� t LONGITUCE r ��
O I O
4. OF FACILITY - 41
BUSINESS NAME AND NAME NO AND STREET CITY OR TOWN STATE ZIP CODE TELEPHONE
6. MAILING ADDRESS - (7 id ) -
'3 NAME NO.AND STREET CITY Ol TOWN STATE ZIP CODE TELEPHONE
7. FACILITY OWNER _
ECILD '- 2 r 1214
i 47¢1.:;
J
� 8. TYPE OF OWNER ® PRIVATE ❑ STATE ❑ MUNICIPAL ❑ FEDERAL(G.S.A. No.
n
OPERATOR/CONTAC7 NAME NO.AND STREET CITY OR TOWN STATE ZIP CODE TELEPHONE
9. PERSON 1 (2 r _
10. I la. I lb. 12o. 12 b.STATUS 13. TYPE OF 14. CONTE TS- 15.CONSTRUCTION 16 PROTECTION 17. INTEGRAL
> DATE CONTENTS MATERIALS N NAL b. EXTERNAL PIPING SYSTEM 18. 19. FAILURE
DATE OF Z M TOTAL p I EST. QUANTITY CHEMICAL NAME OF PRINCIPAL o. b.DATE OF MONITORING DETERMINATION
TANK ID. INSTALLATION m CAPACITY Z V I LEFT STORED p TANK o Q V D �O LJ Z z Z _ INSTALLATION
++ LAST 0 O a SUBSTANCE J ��„ o a p w o 0 >m o o SYSTEM CONDUCTED.
(Mo./Yr.) X o (Gals.' Q > t-O v (not trade name.) J OO N u+"u._ w O U �a. O t~1 W=_„ a < OR If"YES enter DATE"
w# N Z° I (et any). O USED i a (Enter C.A.S. No. If known) w i a E 0 t-- ¢ rw n E `< = REPLACEMENT
7 Q Z I (Gals. J w O r w m-a O`f Q Cl O O in i (Specify type and attach results).
LL yZ < I ) (Mo./Yr.) O W U Q LL it o ? V a V 3 V ce 0 g (Mo./Yr.) from list BI If"NO",enter"NO")
Example X X Heating fuel#2 X X H 5 5/75 U NO
Si75 30 5000
P X h hlr.CAS TrichI#790 6 ne X /� E 7 7/6 0 U
Example 7�60 — 8000 X 8�78
oSt. 10 E:���
c r
J
u
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20, HAVE YOU ATTACHED SKETCH OF TANKS AND LOCATION? KA YES 22.CERTIFICATION: I certify under penalty of law that I have personally o ATURE 22b.DATE SIGNED
examined and am familiar with the informaion submitted in this and all attached
Z 21. COMMENTS: 15. C or L s f r u c t T rr r� a t e f a 1 s U,(k ct uJ'! documents and that based on my inquiry of those individuals immediately responsible
O for obtaining the information,I believe that the submitted information is true,
F- ✓ accurate and complete.Pertaffies:any owner who knowingly fails to notify shall be 22d.OFFICIAL TLE(of owner or authorized
u # 1 i0. Pr ,of e c t i^Y! type I ►j w rL subject to a civil penalty not to exceed S 10,000 for each tank for which notification 22c NAME iType or Print) representative).
to / is not given or for which false information is submitt
IL
COPY 2 . SEND TO LOCAL FIRE MARSHAL
Frito-Lay,Inc.
May 7, 1986
Hazardous Materials Management Unit
Department of Environmental Protection
State Office Building
165 Capitol Avenue
Hartford, Connecticut U61U6
Re: Registration of Underground Tanks at Frito-Lay's Connecticut Facilities
Dear Sir or Madam:
Attached are the completed registration forms for the underground tanks at five
Frito-Lay facilities in Connecticut. These facilities are located in the
following cities:
o Dayville (2)
o Milford
o South Windsor
o Waterbury
If you have any questions concerning the information on these forms please
contact me at 214-353-4745.
Sincerely,
FRITO-LAY, INC.
'a"'t D. e od& *
David C. Ailor
Project Engineer
cc: Frito-Lay Facility Managers
Local Fire Departmentst
7701 CARPENTER ROAD • PLANO T_XAS 75024-4099 • (214) 353-3830 P.O- BOX 660634 • DALLAS. TEXAS 75266-0634
FL--4537
<.
itApr , Frito-Lay,Inc-
May 9, 1986
Hazardous 'Materials Management Unit
Department of Environmental Protection
State Office Building
165 Capitol Avenue
Hartford, Connecticut 06106
Re: Correction to May 7 Cover Letter regarding Frito-Lay's Tank Registration
Dear Sir or Madam:
On May 7 Frito-Lay submitted underground tank notification forms to the DEP for
six Frito-Lay facilities located in Connecticut. The cover letter which
accompanied this submittal only referenced five of these facilities- Dayville
(2), Milford, South Windsor, and Waterbury. The facility that was
inadvertently omitted from the cover letter is a Frito-Lay facility in
Norwich. Please note in your records that Frito-Lay's May 7 submittal did
contain a notification form for the Norwich facility, although it was not
referenced in the cover letter.
Please call me at (214)353-4745 if you have any questions.
Sincerely,
FRITO-LAY, INC.
�. ad
David C. Ailor
Project Engineer
cc: Frito-Lay Facility Managers
Local Fire Departments'
7701 CARPENTER ROAD • PLANO. TEXAS 75024-4099 • (214) 353-3830 • P.O. BOX 660634 • DALLAS. TEXAS 75266-0634
FL-4537
Pre-Cut
GableTrim� /Pre-Built Back&Front Gable Frames
/ r � Pre-Built Truss Halves
Pre-Cut Door Trim
Pre-Cut
Corner Trim
2 x 3 Pre-Built Sidewalls'�
Pre-Built
Cross-Buck Doors
�E Cut down wall frames for 12'building length
the Elm "Frame & Trim Kit" 12' x 12' or 12' x 16'
aJaH
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A L +rge Storage Building . . . the Elm
A Ready to Assemble
Pre-Built Package
You Can Erect Yourself!
P,
12 x12 or12 x16
BARN IN A BOX
Reynolds
Buildings
Systems,inc.
205 ARLINGTON DRIVE GREENVILLE,PA 16125
t Copyright 1987 Reynolds Building System,Inc.
. . . For a Small Budget! w ,
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the Elm's large door opening (8' wide x 6'-2" high) will provide
1 storage for your bigger items.
1 Fast & Easy; Apply the siding of your choice to our pre-built frames
1 and assemble.
Our components fit easily into place with no special tools or skills
BARN required.
4X
Material Supplied by Dealer
Material included in package Material *12' long 16' long
• Pre-Built Wall Frames Description Building Building
• Pre-Built Door Frames
• Pre-Cut White Pine Trim Exterior Siding 4 x 8 9 PCs. 10 PCs.
• Door Hinges, latch, barrel bolt Roof Sheathing 4 x 8 6 PCs. 8 PCs.
Roof Purlins 2 x 4-8'
• Nails—All except for shingles — 18 Pcs.
• Metal Purlin Hangers Roof Purlins 2 x 4-12' 9 Pcs. —
• Metal Door Stiffener Roof Shingles 7 Bdl. 10 Bdl.
• Step-by-Step Instructions Nails for Shingles 5 Lbs. 6 Lbs.
Important: Before you begin construction of this kit, *If a shorter building length is desirable,the
obtain a building permit and check all pertinent sidewalls of the 12' x 16' building kit can be
building code regulations. cutdown to a 12 foot length.
Suggested Foundation Systems
Gravel
Material Nominal Size
Description 12' x 12' 1 12' x 16'
Wood Deck Material
4 x 4 Treated Timbers 4 x 8 Flooring 5 PCs. 6 PCs.
4 x 4-12'Treated 7 PCs. 9 PCs.
a x e Flooring Galv. Flooring Nails 3 Lbs. 3 Lbs.
Gravel Foundation
4 x 4-12'Treated 4 PCs. 2 PCs.
4 x 4-16'Treated — 2 PCs.
Frorft \
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lldl�g
4 x 4Treated 'Deck length for 12' long building is 11'-11"
Timbers `Deck length for 16' long building is 15'-11"
24"on center.
TOWN OF SOUTH WINDSOR
STAFF SITE CHANGE
FOR SITE & SUBDIVISION
GENERAL:
CHANGE ORDER CONTACT PERSON7'- Phone No.
Address /Ln ,S //U7��n
Site Name P&Z No.
Owner Phone No.
Contractor
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. ) /�
This �� �JeC- f i,5 /�"�' �Qa�Se- 4 1, SeC-7/ 0 of H f,
y Pj- �oczd,n d �-h t a 5 7- ' o/e. �� Ni!?
D h� 4 O c k _�� p s �
x 11Otu iQ r m hi h Flo// Door
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 - ApplicSCANNED
Pink - Director of Planning
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-01
APPLICATION FOR SPRINKLER PERMIT
TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT
1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074 (PHONE) 860-644-2511 EXT. 230
DEPARTMENT DECISION PE IT NUMB
APPLICAT i �BY: (1
S2".-
APPROVED: BLDG.PERMIT N
�I
ATE PECTOR
I.00 4 TTON OF WORK: 160 N Q+(Yl ftQ_Zoa SC�u�h�Sw+h uj 10 c)Sc)( <.T.
APPLICANT: OWNER: TYPE OF STRUCTURE:
t��, ,,, (� ❑NEW BUILDING
NAME: E.( V I I) Ko A l i k NAME:Q d(11 Aq F(I�y"��I QV 3 Cl/W b L ❑ADDITION
PHONE NUMBER:`"q 3-�)33'33�$ PHONE NUMBER):ya! 33W ❑EXISTING BUILDING
ADDRESSID(i rJox 2-So ADDRESS:((DOlVOtrIQQ scy1�)
TYPE OF USE:
W<LS4 S f►ria���c1c� MG . jct,'�h VJ'n- k tT.
❑RESIDENTIAL COMMERCIAL
UtU�iO
SPRINKLER INFORMATION: FURTHER DESCRIPTION OF WORK:
SIZE OF MAIN DRAIN:�_ WATER FLOW:
ARE SPRINKLER HEADS ALTERED? ❑YES10 /
IF YES CHECK ALL THAT APPLY YADDED o DELETED ❑ALTERED
IF MORE THAN 3 HEADS ARE ADDED HYDRAULIC CALCULATIONS ARE
nRn%rfDrn BY-/PgOFESST0N kI FNrINF.FR n TNSI TRANCE COMPANY
WATER PRESSURE AT STREET(PSI):
ESTIMATED COST:
WATER PRESSURE AT SPRINKLER HEADS(PSo:
ARE PUMPS REQUIRED? ❑YES\NO c✓
FEE ENCLOSED:
IF YES,CHECK ALL THAT APPLY: ❑FIRE ❑BOOSTER ❑OTHER
ARE STANDPIPES PROVIDED?c YES\NO
IS A SPRINKLER SYSTEM PROVIDED? YES ❑NO
FEE SCHEDULE:S18 PER S1,000 THE ESTIMATED COST.
SPRINKLER SYSTEM MAIN WATER SUPPLY RATING GPM ROUND UP TO TILE NEXT THOUSAND ONCE THE PROJECT IS
S1.00 OVER. (.26 CENT EDUCATIONAL FEE INCLUDED AS
TOTAL DYNAMIC HEAD(TDH)OF FIRE PUMP PSI PART OF THE PERMIT FEE)
THE UNDERSIGNED NEARBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND
STATE OF CONNECTICUT BUILDING CODES IN THE PERFOMANCE OF SUCH WORK.
M�
CONTRACTORS LICENSE NO.: p0o5 CT TYPE: flk(Q STATE: C�
SIGNATURE OF APPLICANT: P 1 O'on/41 cc n4 rAl�r DATE:AY. 2..3 2.0(Cl
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