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HomeMy WebLinkAbout175 OAKLAND RD BUILDING 3 Electric # APPLICATION FOR BUILDING PERMIT Plumbing# HVAC# aig bL yoaylcl �GrLd gk r . 3 Date: Q Sprinkler# PPROVAI.S Estimated Cost $ as 04 610 Building _ COMPLETE RED BOXED AREAS Permit Fee $ Engineering Occupancy Fee $ 3b Affidavit TYPE OR PRINT ONLY Eng. Insp. Fee $ Appr.forCo. ► SIGN ON REVERSE SIDE t Total Fee $ TO THE Bull DING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ The undersigned hereby applies to do work according to the following: Applicant St✓!tC-ti nr LocationofWork 1-75 Oa•I_Ic rd `Rcod Lot No.13L&fdi Applicant's Address Tel # $60.614. 5 Town pq q T zip D 60 3.z Lic.# K40. 09 oc--)LfA4 Owner e_vvt �a+Ch 1T- . LL j2_ Architect ©SSc7Cj abed flVcAji gec -FS Owner's Address F�e�„�1;�,�2 &i�12 lob Architect's Address �3-1 �UV�-lam Sri ye No bfm" nd7-041 . CT __Zip.D6032 'pWnvi He, e-T zip of.OG Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area Purpose of this permit Bt>ulcli n� �['rrn�-f City Water I Well > Septic System J Sewer)a 2 0 t-1 b 1417 Ins: HO SP Area Basement Garage Approved by « Date it ► 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 hich his building and its use is allowed. Signed � 4 1e�1,C) �i`CC+ PG`i"5e�-, I hereby apply for a Certificate of Occupancy for the work described iq this application for the permit. Signed ��Cu h OJrJ 4y,'f Cj� DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS = 4 Document G704r" - 2017 Certificate of Substantial Completion PROJECT:(name and address) CONTRACT INFORMATION: CERTIFICATE INFORMATION: Oakland Road Contract I or:General Construction Certificate Number: Oakland Road Building Three Units: 301 Date: Date: through 308 OWNER:(name and address) ARCHITECT:/name and address) CONTRACTOR:(name and address) Berry Patch III,LLC Associated Architects,LLC Metro Construction Corporation The Work identified below has been reviewed and found,to the Architect's best knowledge,information,and belief,to be substantially complete.Substantial Completion is the stage in the progress of the Work when the Work or designated portion is sufficiently complete in accordance with the Contract Documents so that the Owner can occupy or utilize the Work for its intended use.The date of Substantial Completion of the Project or portion designated below is the date established by this Certificate. (Identify-the Work,or portion thereof,that is substantially completed) Associated Architects, I.LC 9Y _Charles R.Nyberg Zd !� 1'D toll ARCHITECT(Firm Name) IGNATURE I PRINTED NAME AND TITLE DATE OF SUBSTANTIAL COMPLETION WARRANTIES The date of Substantial Completion of the Project or portion designated above is also the date of commencement of applicable warranties required by the Contract Documents,except as stated below: (Identify warranties that do not commence on the date of Substantial Completion,if any,and indicate their date of commencement.) WORK TO BE COMPLETED OR CORRECTED A list of items to be completed or corrected is attached hereto,or transmitted as agreed upon by the parties,and identified as follows: /Identify the list of Work to be completed or corrected) The failure to include any items on such list does not alter the responsibility of the Contractor to complete all Work in accordance with the Contract Documents.Unless otherwise agreed to in writing,the date of commencement of warranties for items on the attached list will be the date of issuance of the final Certificate of Payment or the date of final payment,whichever occurs first.The Contractor will complete or correct the Work on the list of items attached hereto within ( )days from the above date of Substantial Completion. Cost estimate of Work to be completed or corrected: S The responsibilities of the Owner and Contractor for security,maintenance.heat,utilities,damage to the Work,insurance,and other items identified below shall be as follows: (Note:Owner's and Contractor's legal and insurance counsel should review insurance requirements and coverage.) The Owner and Contractor hereby accept the responsibilities assigned to them in this Certificate of Substantial Completion: Metro Construction /� y fwU i ew `, I" U✓l U J et^ Corporation a 5 � M e�,C) prd c� �-- vl CONTRACTOR(Firm SIGNATURE PRINTED NAME AND TITLE DATE A'ame) Berry Patch III,LLC FRRY PATCH III, LLC OWNER(Firm Name) SIGNATURE I rerlf, Geoffrey W.Sager,Managing Mem er AIA Document G704T1"—2017.Copyright 0 1963,1978,1992,2000 and 2017 by The American Institute of Architects.All rights reserved.WARNING:This AIAe Document is protected by U.S.Copyright Law and International Trestles.Unauthorized reproduction or distribution of this AIA`Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent possible under the law.This document was produced by AIA software at 13:03:17 ET on 0 212 0/2 0 1 9 under Order No.3713501247 which expires on 06/26/2019,and is not for resale User Notes: (389ADA44) I *t- j,AIA Document G704'" - 2017 Certificate of Substantial Completion PROJECT:(name and address) CONTRACT INFORMATION: CERTIFICATE INFORMATION: Oakland Road Contract For:General Construction Certificate Number: Oakland Road Building Three Units. 301 Date: Date: through 308 OWNER:(name and address) ARCHITECT:(name and address) CONTRACTOR:(name and address) Berry Patch 111,LLC Associated Architects,LLC Metro Construction Corporation The Work identified below has been reviewed and found,to the Architect's best knowledge,information,and belief,to be substantially complete.Substantial Completion is the stage in the progress of the Work when the Work or designated portion is sufficiently complete in accordance with the Contract Documents so that the Owner can occupy or utilize the Work for its intended use.The date of Substantial Completion of the Pmject or portion designated below is the date established by this Certificate. (Identify the Work,or portion thereof,that is substantially complete) Associated Architects, _- LLC . Charles R.Nyberg ARCHITECT(Firm Name) VGNAWTUREO PRINTED NAME AND TITLE DATE OF SUBSTANTIAL COMPLETION WARRANTIES The date of Substantial Completion of the Project or portion designated above is also the date of commencement of applicable warranties required by the Contract Documents,except as stated below: (identify warranties that do not commence on the date of Substantial Completion,if any,and indicate their date of commencement.) WORK TO BE COMPLETED OR CORRECTED A list of items to be completed or corrected is attached hereto,or transmitted as agreed upon by the parties,and identified as follows: (Identify the list of Work to be completed or corrected.) The failure to include any items on such list does not alter the responsibility of the Contractor to complete all Work in accordance with the Contract Documents.Unless otherwise agreed to in writing,the date of commencement of warranties for items on the attached list will be the date of issuance of the final Certificate of Payment or the date of final payment,whichever occurs first.The Contractor will complete or correct the Work on the list of items attached hereto within ( )days from the above date of Substantial Completion. Cost estimate of Work to be completed or corrected: S The responsibilities of the Owner and Contractor for security,maintenance,heat,utilities,damage to the Work,insurance,and other items identified below shall be as follows: (Note:Owner's and Contractor's legal and insurance counsel should review insurance requirements and coverage.) The Owner and Contractor hereby accept the responsibilities assigned to them in this Certificate of Substantial Completion: t Metro Construction ` eH/ p U eh Corporation ►�5 � 6A�A e� (1, �-01 CONTRACTOR(Firm SIGNATURE PRINTED NAME AND TITLE DATE Name) ERRY PATCH 111, LLC Bent'Patch III,LLC ttiA OWNER(Firm Name) SIGNATURE ,eoffrey W.Sager,Managing Member AIA Document G704T"—2017.Copyright O 1963,197a,1992,2000 and 2017 by The American institute of Architects.All rights reserved.WARNING:This AIA Document s prat a to I seven r s o copyright Law an d I���si Treaties.Unauthorized reproduction or distribution of this AIM Document,or any po oN � l document was produced by AIA software at 13:03:17 ET on 02I202019 under Order No.37113 47 xl��35012 which e poselbM undo the law.This User Notes: expiress on on OB/28r2019,and is not for (3BBA69ADA44) �tprlM tt,`� 710v� - Sou1� ?dzr� e � ca ' m 1540 SULLIVAN AVENUE•SOUTH WINDSOR; CT 06074 1c�hoSo`,co TELEPHONE(8601 644-2511 AN ACT CONCERNING CONCRETE FOUNDATIONS: Section 1(Public Act No.16-45)(NEW)(Effective October 1,2016)Prior to the isstmw of a Ca ficate of Occupancy for anew residential or commercial building for which a cone m foandatioa was installed on or after October 1,2016,the applicant shall provide the Building Official with written documentation of the name of the individual or entity that supplied the concrete and the name of the mdiv&d or entity that installed the cmncre" copies of such do or shall be marntamed in the retards of the office of the Building Official for Dot I= than fifty(50)years. Please fill the information in and submit to the Building Department: Date of information received/filed: �/ �_0) q liv��►�5�� G fi Project location:J 7 00410h1 P0' J---50—fA /t,, Job description: Complex- 7 K U hi '✓L CONCRETE SUPPLIER CONCR fM INSTALLER] Name: + �hL Name: NaV'17V,.k CohGvak (Please Print) (Please Print) Address: 110 INe 5� Ma I vl S Address: L10_or 151 P1VJC,V; II e. (J 0, �17q NuVt ycP Coop G l�5 Phone/Contact: _&0 2 4f q 6 7 4- Phone Contact: 0 7 g y y�y APPLICANT/CONTRACTOR Wormatlan: Nam: AA I!,*y toil 54V U t,VO (Tease mint) � �V��-� Mai f I�5�.1, �-G v 15 v��J Address:, 6 . l e L cl r e- Phone/Contact: � ` c V a ►Nl l�l h E-mait:,� 1 bt u F w5 Date: Signature: FIRE ALARM SYSTEM RECORD OF COMPLETION Name of protected property: 175 OAKLAND RD (BUILDING#3 ) Address: 175 OAKLAND RD SOUTH WINDSOR Representative of protected property(name/phone): METRO REALITY ED MAJAWSKI 860-250-2977 Authority having jurisdiction: Address/telephone number: 1. Type(s)of System or Service NFPA 72, Chapter 3 —Local If alarm is transmitted to location(s)off premises,list where received: NFPA 72, Chapter 3 —Emergency Voice/Alarm Service Quantity of voice/alarm channels: Single: Multiple: Quantity of speakers installed: Quantity of speaker zones: Quantity of telephones or telephone jacks included in system: 2 NFPA 72, Chapter 6—Auxiliary Indicate type of connection: Local energy Shunt X Parallel telephone Location of telephone number for receipt of signals: INSIDE FACP PANEL (Building 1) NFPA 72, Chapter 5—Remote Station Alarm: Supervisory: NFPA 72, Chapter 5 —Proprietary If alarms are retransmitted to public fire service communications centers or others,indicate location and telephone numbers of the organization receiving alarm: Indicate how alarm is retransmitted: NFPA 72, Chapter 5—Central Station Prime contractor: INTEGRATED SYSTEM SERVICES LLC Central station location: Means of transmission of signals from the protected premises to the central station: MCCulloh Multiplex One-way radio X Digital alarm communicator Two-wayradio Others Means of transmission of alarms to the public fire service communications center: (a) DISPATCH (b) System location: (NFPA Record of Completion 1 of 4) Organization name/phone Representative name/phone Installer BLOOMFIELD ELECTRIC NATHAN 860-430-5588 Supplier INTEGRATED SYSTEMS SERVICES STEVE FRASER Service organization Location of record(as-built)drawings: Location of owners manuals: NEXT TO FA PANEL Location of test reports: OFFICE A contract,dated ,for test and inspection in accordance with NFPA standard(s) No(s). ,dated is in effect. 2. Record of System Installation (Fill out after installation is complete and wiring checked for opens,shorts,ground faults,and improper branching,but prior to conducting operational acceptance tests.) This system has been installed in accordance with the NFPA standards as shown below was inspected by STEVE FRASER on 2-18-19 ,includes the devices shownbelo%v, and has been in service since 2-18-19 NFPA 72, Chapters 1 2 3 4 5 6 7 (circle all that apply) NFPA 70, National Electrical Code, Article 760 X Manufacturer's instructions _Other(specify): Signed: Date: Organization: INTEGRATED SYSTEM SERVICES LLC 3. Record of System Operation All operational features and functions of this system were tested by STEVE FRASER and found to be operating properly in accordance with the requirements of: _NFPA 72, Chapters 1 2 3 4 5 6 7 (circle all that apply) NFPA 70, National Electrical Code, Article 760 _Manufacturer's instructions _Other(specify): Signed: Date: 2-18-19 Organization: INTERGRATED SYSTEM SERVICES 4. Alarm-Initiating Devices and Circuits Quantity and class of initiating device circuits(see NFPA 72, Table 3-5) Quantity: -6-Style: 4 Class: 13 MANUAL (a) 0 Manual stations Noncoded,activating Transmitters Coded (b) Combination manual fire alarm and guard's tour coded stations AUTOMATIC Coverage: Complete: Partial: (a) 1 Smoke detectors Ion X Photo (b) Duct detectors Ion Photo (c) Heat detectors FT RR FT/RR RC (NFPA Record of Completion 2 of 4) (d) 1 Sprinkler waterflowswitches: Transmitters Noncoded,activating Coded (e) X Other(list): TAMPER FLOW 5. Supervisory Signal-Initiating Devices and Circuits(use blanks to indicate quantity of devices) GUARD'S TOUR (a) Coded stations (b) Noncodedstations, activating transmitters (c) Compulsory guard tour system comprised of transmitter stations and intermediate stations Note: Combination devices are recorded under 4(b) and 5(a). SPRINKLER SYSTEM (a) Coded valve supervisory signaling attachments Value supervisory switches,activating transmitters (b) Building temperature points (c) Site water temperature points (d) Site water supply level points Electric fire pump: (e) Fire pump power (f) Fire pump running (g) Phase reversal Engine-driven fire pump: (h) Selector in auto position (i) Engine or control panel trouble 0) Fire pump running Engine-driven generator: (k) Selector in auto position (1) Control panel trouble (in) Transfer switches (n) Engine running Other supervisory function(s)(specify): 6. Alarm Notification Appliances and Circuits Quantity and class(see NFPA 72, Table 3-7) of notification appliance circuits connected to the system: Types and quantities of notification appliances installed: Quantity: 4 Style: 4 Class: B (a) Bells Inch (b) Speakers (c) Horns (d) Chimes (e) X Other. HORN STROBE (NFPA Record of Completion 3 of 4) (f) X Visual signals Type: HORN STROBE with audible w/o audible (g) Local annunciator 7. Signaling Line Circuits Quantity and class(see NFPA 72, Table 3-6) of signaling line circuits connected to system: Quantity: 1 Style: 4 Class: B 8. System Power Supplies (a) Primary (main): 120 V Nominal voltage: 120 Current rating: 20 AMP Overcorrect protection: Type: CIRCUIT BREAKER Current rating: 20 AMP Location: PANEL# (b)Secondary(standby): -XL-Storage battery: Amp-hour rating: 7 All Calculated capacity to drive system,in hours: 2 24 60 Engine-driven generator dedicated to fire alarm system: Location of fuel storage: (c)Emergency or standby system used as backup to primary power supply,instead of using a secondary power supply: Emergency system described in NFPA 70,Article 700 Legally required standby system described in NFPA 70, Article 701 Optional standby system described in NFPA 70, Article 702, which also meets the performance requirements of Article 700 or 701 9. System Software (a) Operating system software revision level(s): 3.4 (b)Application software revision level(s): (c)Revision completed by: (name) (firm) 10. Comments: (signed)for central station or alarm service company or installation contractor/supplier (title) (date) Frequency of routine tests and inspections,if other than in accordance with the referenced NFPA standard(s): System deviations from the referenced NFPA standard(s)are: (signed)for central station or alarm service company or installation contractor/supplier (title) (date) Upon completion of the system(s)satisfactory test(s)witnessed(if required by the authority having jurisdiction): (signed)representative of the authority having jurisdiction (title) (date) (NFPA Record of Completion 4 of 4) 201900117 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER CERTIFICATE OF OCCUPANCY DATE: 02/27/2019 FEE: GIS ID:65700175 ZONE: MUNIS APPLICATION# 201701417 THIS IS TO CERTIFY THAT <'1*75 OAKLAND ROAD UNDER APPLICATION NUMBER 201701417 CONFORMS SUBSTANTIALLY TO THE REQUIREMENTS OF THE CONNECTICUT BASIC BUILDING CODE AND THE ZONING REGULATIONS OF THE TOWN OF SOUTH WINDSOR AND IS HEREBY APPROVED OF OCCUPANCY AS INDICATED BELOW: APPROVED FOR OCCUPANCY:.p - BUILDING PERMIT FOR APARTMENTS.BUILDING 3. SPECIAL CONDITIONS P.. :.` . NOTICE: IF THIS CERTIFICATE IS LOST OR DESTROYED,A DUPLICATE SHOULD BE OBTAINED IMMEDIATELY FROM THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDIf OFFICIAL 2/272019 10:53 AM ANY CHANGE OR EXTENSION OF THE USE HEREIN APPROVED REQUIRES A NEW CERTIFICATE OF OCCUPANCY APPLICATION FOR HVAC PERMIT DEPARTMENT DECISION TOWN OF SOUTH WENDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT AP P 1540 SULLIVAN AVENUE B l g.P►y t 7'��/ tl; 644-2511 ext. 230 Bldg.Permit# Date Building Inspector Application must be printed or typed FEE SCHEDULE Location of Jobs $041,000=$15.00 F 6'AlaI& A.G'CfG�Over$1,000= Street o. $15.00 per$1,000 � 5 gip./ —&off'or any fraction thereof signation Apt,No. /� � ✓ T APPLICANT APPLI/CAnNT ADDRESS 4 _e- e-_� -7 C, APPLICANT'S PHONE# OWNER [x✓YG� �L � L.C_� •SOW N S'N OWNER ADDRESS 6 8Xeew�'ve_ 2)ove, /oy OWNER PHONE ESTIMATED COST$ _3 5 2L 7 4 5 C � �j V IS THIS A CONTRACT COST? Yes No FEE ENCLOSED$ tI TYPE OF JOB: + OR-co -'blew Installation Alteration/Addition/Repair Revised 03/05/10 APPLICATION FOR HVAC PERMIT(Continued from ieverse side) TYPE O SYSTEM: TYPE OF BUILDING: �EATING RESIDENTIAL A/C ❑ COMMERCIAL ❑ VENTILATION ❑ INDUSTRIAL HEATING U STEAM LOW PRESS(M LI IIT LBS. HIGH PRESSURE LIMIT LBS. /HYDRONIC WARM AIR ❑ UNIT RADIANT.HEATER EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION DESIGN TEMP.OUTSIDE _�7—°F INSIDE —� -,-7 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 ❑ PIL-GPM OIL TANK LOCATION: ❑ INSIDE ❑ OUTSIDE CAPACITY O/GAS-INPUT LPG TANK CAPACITY ELECTRIC-KW AIR CONDITIONING DESIGN TEMP: OUTSIDE S°F INSIDE -7 2- OF DIFFERENCE OF TOTAL HEAT GAIN(BTUH) (HEAT GAIN SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL COOLING EQUIPMENT(INCLUDING MAKE&MODEL NO.) e TONNAGE COOLING CAPACITY(BTUH) �c VENTILATION DESCRIBE ALLAIR 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. �� # 3 b 3 6 3 5/17 CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT _ DATE r DEPARTMENT DECISION APPLICATION FOR SPRINKLER PERMIT TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT APPR VED 1540 SULLIVAN AVENUE Bldg. Permit# 644-2511 ext. 230 I'"loa"702 Date Building Insp Application must be printed or typed FEE SCHEDULE F Location ofJob:$0-$1,000=$15.00 Street t No. Over$1,000$15.00 per$1,000 dw/5fsor any fraction thereof gnation Apt.No. APPLICANT i m— -k w APPLICANTAD SS d AG � 01 APPLICANT PHONE# =- 0 1%0W N S t OWNER '1'Y�t, ~APCk-t Ch �� OWNER ADDRESS �o �xCC_w-3n� - 1 ►CIF w u0 �$ 1 n4-t�n �7► 04O�`�32 0 OWNER PHONE C5• C ESTIMATED COST$ _I y a IS THIS A CONTRACT COST? _Yes _le410 �r o �� FEE ENCLOSED$ �n�C TYPE OF JOB: SOR•Co ✓New Installation Alteration/Addition/Repair A�20i ` blylj . Revised 4/01//2002 APPLICATION FOR SPRINKLER PERMIT (Continued from reverse side) TYPE OF BUILDING TYPE OF CONSTRUCTION USE GROUP SE!? NO.OF STORIES ;&RESIDENTIAL ❑BUSINESS IS THIS APPLICATION ASSOCIATED WITH A ❑ASSEMBLY BUILDING PERMIT APPLICATION? 0 YES U NO ❑MERCANTILE ❑EDUCATIONAL CURRENT USE AND OCCUPANCY /9"9-Z- ❑INSTITUTIONAL 0 FACTORY FUTURE USE AND OCCUPANCY ❑ STORAGE ❑GARAGE ENGINEER'S NAME G-W(je P;,e , PHONE 86c`. 2y�. l ❑MIXED USE (Other please specify) ADDRESS 10 KA u,y321, , P=:Qo ,( CITY ket✓f 4>f�I STATE ZIP KIND OF INSTALLATION SIZE OF MAIN DRAIN — 1 WATER PRESSURE AT STREET(PSI) ARE SPRINKLER HEADS ALTERED? ❑YES ❑NO IF YES,CHECK ALL THAT APPLY: ❑ADDED ❑DELETED ❑ALTERED IF MORE THAN 3 HEADS ARE ADDED HYDRAULIC CALCULATIONS ARE PROVIDED BY(CHECK ONE) ❑PROFESSIONAL ENGINEER ❑INSURANCE COMPANY WATER FLOW WATER PRESSURE AT SPRINKLER HEADS(PSI) ARE PUMPS REQUIRED? ❑YES �AgO IF YES,CHECK ALL THAT APPLY: O FIRE ❑BOOSTER ❑OTHER ARE STANDPIPES PROVIDED? U YES )§)NO IS A SPRINKLER SYSTEM PROVIDED? AIYES ❑NO SPRINKLER SYSTEM MAIN WATER SUPPLY RATING GPMt'`� *�� TOTAL DYNAMIC HEAD(TDH)OF FIRE PUMP PSI I jr DESCRIPTION OF WORK 13iZ 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. 5 CONTRACTORS LICEN TYPE STATE - / SIGNATURE OF APPLIC DATE 110 Murphy Rood encore Hartford,CT 06114 WEBSITE: HOLDINGS www.EncoreHoldingsCo.com PHONE: 1.860.246.7711 February 5, 2018 Town of South Windsor South Windsor, CT t Attn: Building Official / Fire Marshal Re: Application for Permit Gentlemen: In accordance with Public Act 91-95, this letter authorizes the below named agent to sign the above referenced application for Jeremiah C. O'Connor (License # F0011511-F1). Fire Sprinkler Contractor- Encore Fire Protection 110 Murphy Road Hartford, CT 06114 Project Name: 175 Oakland Road Building 3 Location: 175 Oakland Road Authorized Agent: Tyler Satalino Thank you for your cooperation. Sin v f emiah C. O'Connor FSSGFIRE SUPPRESSION encore encore I ALLSTATE u.s. Fire Group SYSTEMSOROUP ELECTRIC SUPPRESSION l�►I FIRE%YSTEMS DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT PERMIT# Application is hereby: TOWN OF SOUTH WINDSOR ,, �3-7 BUILDING DEPARTMENT APPROVED 1540 SULLIVAN AVENUE Bldg.Permit# 1l b Lk:i�4 644-2511 EXT.230 1-100-10?- (Date) (Building Insp Application must be printed or typed FEE SCHEDULE Location of Job: $0-$1,000=$15.00 Street No. Street of No. Over$1,000- $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT APPLICANT ADDRESS 6E1 w APPLICANT PHONE# W N S OWNER OWNER ADDRESS 11 14_ _ OOWNER PHONE 1 7y. :h�'�iL7 ESTIMATED COST $ C DG o e O 0 IS THIS A CONTRACT COST? YES 1---NO FEE ENCLOSED$ �6 TYPE OF JOB: 0 •COS ✓New Installation Alteration/Addition Repair -*,2ai-70 1y Revised 12/22/11 APPLICATION FOR PLUMBING PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A P9 RESIDENTIAL BUILDING PERMIT APPLICATION? ;0 YES ❑ NO O BUSINESS CURRENT USE AND OCCUPANCY 00 O ASSEMBLY hes ��1 na O MERCANTILE FUTURE USE AND OCCUPANCY O EDUCATIONAL O FACTORY 0 STORAGE ENGINEER'S NAMEI& / �Sr�/�i%� ,�/,G'. PHONE0 GARAGE J 02,E• 'yam O MIXED USE ADDRESS (Other please specify) CITY Y y %% �/' STATE 67- ZIP TYPE OF INSTALLATION T k" 'kA tpinc SIZE OF MAIN DRAIN 6 NO. OF TOILETS STYLE J 8 NO.URINALS STYLE NO. OF BATHTUBS C% NO.OF SHOWERS NO.OF LAVATORIES V NO.OF CONDUCTORS SIZE _ NO.OF STACKS Z SIZE 3 AREA OF ROOF (6 NO.OF CATCH /BASINS NO.OF FLOOR DRAINS NO.OF OTHER FDCTURES KIND �I A44L/S ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW OYES ONO SIZE OF WINDOW IF NONE C.F.M.OF VENTILATOR e P- SIZE OF DUCTS SEWER OR SEPTIC TANK LJL�' SIZE OF WATER MAIN SIZE OF WATER PIPING&RISER /• I 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. .ZUa--,22— CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT DATE/U �� 7 APPLICATION FOR ELECTRICAL PERMIT DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT APPR 1540 SULLIVAN AVENUE N1nspftGfd-' 644-2511.ext. 230 Bldg:Permit# Buf 7 Q Ind- Date Application most be printed or typed FEE SCHEDULE Location of Job: $0-$1,000=$15.00 1-75 ©aklar,cl Toed Over$1,000= Street No. Street Lotto. $15.00 per$1,000 WIS or any fraction thereof Tenant Designation Apt:No. APPLICANT \ ;,�&;�� 4.\e�kc•c- CA. APPLICANT ADDRESS APPLICANT'S PHONE# 43ba•�13a 5 SgR OW N S F,q OWNERC r✓ �C�-�C,1-� L_(� OWNERADDRESS � � r,�;`�P �Y; `�Q� �wt� 100 O OWNER PHONE C. ESTIMATED COST$ r�'y C)Lf) Q D U IS THIS A CONTRACT COST? Yes ✓No FEE ENCLOSED,$ . 7 L Cd ° TYPE OF JOB: SOR-00 ✓New Installation Alteration/Addition/Repair 61y17 Revised 03/05/10 APPLICATION FOR ELECTRICAL PERAUT(Continued from reverse side) 7 YPE of BUILDING IS THIS APPLICATION ASSOCLATED WITH A BUILDING PERMIT APPLICATION? BYES ❑ NO RESIDENTIAL CURRENT USE AND OCCUPANCY ❑ BUSINESS ❑. ASSEMBLE' FUTURE USE AND OCCUPANCY A f 0-A ❑ EDUCATIONAL ❑ INSTITUTIONAL ENGINEER'S NAME C ni e tnS 1 j� PHONE: . 2 3 b.y ❑ FACTORY ❑ STORAGE ADDRESS a4Dy ,, ❑ GARAGE ❑ MDCED USE CITY STATE LT 21P.L Lo 95 (Other Please specify) TYPE OF INSTALLATION/WIRING IIIETHOD3�� SIZE OF SERVICE koca A ►-La 1ZyA V SIZE OF MAIN CONDUCTORS 1' 1 Sc;Z NUMBERS OF METERS NUMBERS OF DISCONNECTS AND RATINGS NUMBERS OF PANELS q 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: 1. NUMBER`OF A/C CIRCUITS SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED. DESCRIPTION OF WORK �► ve. nes., cPof�rk.+v���.,�� �/ Q\..�5 e��1� • nc�,vd.,e S,et v�ce.��.KG\c.r n. � w�\t�S TV c Sl�� L.i t.re Wr;� R�� �onne ,c S4Rc�Jk� co--t_ .., THE 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 / % DATE \\• Z �1