HomeMy WebLinkAbout1760 ELLINGTON RD APPLICATION FOR ELECTRICAL PERMIT
DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT#
Application is hereby: BUILDING DEPARTMENT I 6 0 0qq.
APP O . 1540 SULLIVAN AVENUE
Bldg:Permit#
is • .a(0 644-2511.ext. 230
Date Building Inspector
Application must be printed or typed
FEE SCHEDULE Location of Job:
$0-$1,000=$15.00 t 7dQ0
Over$1,000= Street No. S969 Lot No.
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT oeoni CO"
APPLICANT ADDRESS `t5 f rid o.Z hr ir, 1 Par K i 3cI r - �-
71p1 k o. Y) �-1 CT- 00002 y
APPLICANT'S PH
ONE# �Z
OWNER Q�c S
't OW N S Fq< OWNER ADDRESS
cT .
O OWNER PHONE g '0-GEL Co-1 3 n
C. ESTIMATED COST$
IS THIS A CONTRACT COAST? _ cZYes No
- ` FEE ENCLOSED$ 1
TYPE OF JOB:
dsOR•COS New Installation
Alteration/Addition/Repair
01U0
Revised 03/05/10
APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side) .
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH�
BUILDING PERMIT APPLICATION? ❑ YES ,ENO
Cl RESIDENTIAL CURRENT USE AND OCCUPANCY I tq S u r-a n C a9.et7 Cu
t BUSINESS �7
❑. ASSEMBLY FUTURE USE AND OCCUPANCY
❑ EDUCATIONAL
❑ INSTITUTIONAL ENGINEER'S NAME �- PHONE.
❑ FACTORY
O STORAGE ADDRESS
❑ GARAGE
O MIXED USE CITY STATE ZIP
(Other please`specify)
TYPE OF INSTALLATION!WIRING METHOD
e
l {.Ian p F�cods. ��
SIZE OF SERVICE SIZE OF MAIM 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
oLoo` �S
LED
b(,f 5!., Sig n
THE UNDERSIGNED HEAREYAPPLIES 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 �a/
Cw"'N
YOUR ENERGY CONSERVATION SPECIALIST IN NEW ENGLAND
Date: 1 a ba r3O 1(0
Town of UJ i m vm r
To Whom it May Concern:
_ P_Yl YJ i S , rlq ,an employee of Con Serv, Inc. has been authorized to sign the electrical permit
application necessary for the following project:
City or Town of: 't"v)LAVi c ,LNMSOY"
Municipality: No
Project Name: 11100
Expected Start Date:
Thank you,
Daryn Trudeau
Vice President/Master Electrician
CON SER p INC. www.coNsERv-iNc.com
P.O.BOX 539 WILLINGTON,CT 06279 (860)872-6651 FAX: (860)872-9025
CT.LICS ELC.0190970-El
CONSERV OP ID:TG
.4COR,o" DATE(MMIDDIYYYY)
CERTIFICATE OF LIABILITY INSURANCE 07/28/2016
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to
the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s)
PRODUCER CONTANAME: Tony Gorman,CPCU,CIC
Gorman Insurance Agency,Inc. PHo E FAX
223 East Center Street c No E ;860-043-1139 A/C No:860-645-7460
Manchester,CT06040 E-MAIL
Tony Gorman,CPCU,CIC
INSURER(S)AFFORDING COVERAGE NAIC/
INSURER A:Harleysville Insurance 26182
INSURED ConServ,Inc. INSURERB:
P.O.Box 539
Willington,CT 06279-0539 INSURER :
INSURER
SURER
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT 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.LIMITS SHOWN MAYHAVE BEEN REDUCED BY PAID CLAIMS.
INSLTR TYPE OF INSURANCE POLICY NUMBER MMIDDfYYYYI (MM/DDfYYYYI LIMITS
A X I COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,ODO,00
DAMAGE TO RENTEU
CLAIMS-MADE M OCCUR SPP00000097496U 02/01/2016 02/0112017 PREMISES Ea occurrence $ 300,00
MED EXP(Any one person) $ 15,00
PERSONAL F.ADV INJURY $ 1,000,00
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ $ooO,oO
POLICY a jECT LOC PRODUCTS-COMPIOP AGG S 2,000,00
OTHER: $
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1000 00
(Ea accident
A X ANY AUTO BA00000097495U 02/01/2016 02/01/2017 BODILY INJURY(Per person) $
ALL OWNED SCHEDULED BODILY INJURY(Per eccident) $
AUTOS AUTOS
NON OWNED PROPERTY DAMAGES
HIRED AUTOS ALTOS Per eccident
S
X UMBRELLA LIAR OCCUR EACH OCCURRENCE $ 5,000,00
A EXCESS LIAB CLAIMS-MADE CMBODCO0097497U 02MI12016 02/01/2017 AGGREGATE $ 5,000,00
DED I X I RETENTIONS 0 S
WORKERS COMPENSATION X STATUTE ER
AND EMPLOYERS'LIASILRI
A ANY PROPRIETORIPARTNERrEXEcimvE YIN NIA C00000098354U 02101/2016 02/012017 E.L.EACH ACCIDENT $ 1,000,00
OFFICER/MEMBER EXCLUDED?
(Mandatory In NH) E.L.DISEASE-EA EMPLOYEE f 1,000,00
It yes,describe under
DESCRIPTION OF OPERATIONS below E L.DISEASE-POLICY LIMIT $ 1,000,00
DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHCLES (ACORD 101,Additional Remarks Schedule,maybe attached a more space Is required)
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Con Serv,Inc. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
P.O.Box 539
Willington,CT 06279 AUTHORIZED REPRESENTATIVE
Tony Gortnan,CPCU,CIC
O 1988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD
� � r it
LJN�iVIITED CONTRACTOR
BLTcCT� AL D yN p TRUDEAU
73'IISO�LLE RDT 06255-1228 I
NORTH GROSVENORDALE,
C LCI ..
EXPIRES
16
c o. EFFECTIVE 09/30/201 7
/0190970- 10/Ol/20
SubstiTUBE° IPS LED T8
Compatible glass LED T8 for use with instant start and
select programmed rapid start electronic T8 ballasts
Key Features& Benefits
— Optimized glass optics available in: — 6 year limited system warranty with
—Dimmable on 0-1 OV 0/15.5W purchase of new OHE IS ballast
—Non-dimmable 0/12W,3ft/12W, (16(7 operation)
2ft/8.5W — 5 year limited lamp warranty
— Optimized plastics optics availabl( in: (24/7 operation)
—Non-dimmable 4ft/15.5W — No warm-up time,instant-on with
full light output and stable lamp to
— CCT:3000K,3500K,4100K,5000K lamp color
.., " — Beam angle:220°
— No W emission
— Compatible with instant start and
SyLVA IA select programmed rapid start — Suitable for dry and damp locations
` electronic T8 ballasts with input (cannot come in direct contact with
voltage of 120-277V and 347V water)
— THD<20%,power factor>0.90 — Maximize energy savings with
occupancy sensors
— G13 medium bi-pin base -_ Suitable for open and enclosed
SubstiTUBE IPS LED T8 lamps are an energy saving altemative,designed — Long life:50,000 hour life(LQ fixtures
to replace traditional fluorescent T8 lamps.These LED T8 lamps contain
no mercury,provide instant light and a uniform light distribution.
Engineered to operate on existing instant start and select programmed Product Offering
rapid start electronic T8 ballasts,these lamps minimize labor and recycling Length Color Temperature CRI
costs.Because the SubstiTUBE IPS LED T8 is not affected by switching 48in. 3000K,3500K,4100K,5000K 82
cycles,the use of occupancy or vacancy sensors can be installed with the 24in. 3000K,3500K,4100K,5000K 82
4in. 3000K,3500K,4100K,5000K 82
existing instant start ballasts for optimal energy savings.
Install a new OHE instant start ballast with the SubstiTUBE IPS LED T8
lamp for optimal performance and to take advantage of the QUICK 72SUB+
system warranty.(See website for details.)
Application Information
Applications Specifications and Certifications
— Cove lighting ,•• •.,
— Display case (� Q C 6 us�( �� ® �
— General illumination \ Ro S
— Parking garage
— Tunnels
LED496R4 10-16
Specification Data
Catalog it Type
Project
Comments
Prepared by
--- -- -------------------
Specifications
Energy Data Lighting Data
Ambient Operating Temperature:-4°F to 122'F(-20°C to 50°C) Lumen Output See specification table(output is dependent on operating ballast)
EMI/RFI:FCC Title 47 CFR,Part 18,Non-Consumer Lumens per Watt Up to 122
Max Case Temperature:LED15T8/L48=158°F(70°C), Correlated Color Temperature(CCT):3000K,3500K,41 OOK,5000K
LED 12T8/L48=149°F(65°C) Color Rendering Index(CRI):82
R9:Up to 14
-_ _ .._..__... .. .__...-...... .......__.. _.__. ..__.. .._.........._..---
Ordering Information
Item Ordering Lamp lamp Color Beam Package DLC
Number Abbreviation Length Power(W)' Lumens(Im)' Temp. CRI Angle Quantity (YIN)
Glass
75286 LED15T8/L48/DIM/830/SUB/G6 4ft 15.5 2100 3000K 82 220 10 Y
75287 LEDI5TB/L48/DIM/835/SUB/G6 4ft 15.5 2100 3500K 82 220 10 Y
f-Im LED154111AIIA! 'I 4111 15.5 2200 4100K 82 220 10 Y
75297 LED15T8/L48/DIM/850/SUB/G6 4ft 15.5 2200 5000K 82 220 10 Y
79526 LED12T8/L48/FG/830/SUB/G6 4ft 12 1650 3000K 82 220 10 Y
79527 LED12TB/L48/FG/835/SUB/G6 41t 12 1650 3500K 82 220 10 Y
79528 LED12T8/L48/FG/841/SUB/G6 41t 12 1650 4100K 82 220 10 Y
79529 LED12T8/L48/FG/850/SUB/G6 41111 12 1650 5000K 82 220 10 Y
75128 LED I 2TB/L36/FG/830/SUB/G6 3fl 12.5 1650 3000K 82 220 10 N/A
75129 LED12T8/L36/FG/835/SUB/G6 3ft 12.5 1650 3500K 82 220 10 N/A
76130. 1/StIB168 t aft 12.5 1650 4100K 82 220 10 N/A
75131 LED12T8/L36/FG/850/SUB/G6 aft 12.5 1650 5000K 82 220 10 N/A
75064 LED8T8/L24/FG/830/SUB/G6 2ft 8.5 1100 3000K 82 220 10 Y
75065 LED8T8/L24/FG/835/SUB/G6 2ft 8.5 1100 3500K 82 220 10 Y
7rf066 LEDIIT8/L?.0VI1141t&l18/GB 2ft 8.5 1100 4100K 82 220 10 Y
75070 LED8T8/L24/FG/850/SUB/G6 211 8.5 1100 5000K 82 220 10 Y
Plastic
75132 LED15T8/L48/FP/830/SUB/G6 4ft 15.5 2100 3000K 82 150 10
75133 LED15T8/L48/FP/835/SUB/G6 4tt 15.5 2100 3500K 82 150 10
75134 LED15T8/L48/FP/841/SUB/G6 Oft 15.5 2200 4100K 82 150 10
75135 LED15T8/L48/FP/850/SUB/G6 4ft 15.5 2200 5000K 82 150 10
1.Ar rig9 Lamp P v and Average Lamp Lumens mw m QHE2a32TB/UNV ISN.
____. ..__.. ...._._ ............. ................ _...._. _._... .........._. ...._._...... .-__ ._
Ordering Guide
LED 15 T8 ! L 48 / DIM / 8 41 / SUB / G8
LED Wattage Lamp Length 48 Inches DIM=frosted glass CRI=82 Color SubstiTUBE®IPS Generation
(ISN ballast) Type dimmable Temperature (Compatible LED T8 for
FG=frosted glass 41=4100K use with instant start and
non-dimmable 30=3000K select programmed rapid
FP=frosted plastic 35=3500K start T8 electronic ballasts)
non-dimmable 50=5000K
-- ----------------
Application Information
Application Notes
1. Due to numerous ballast designs and topologies,this lamp should be tested on existing ballasts before mass quantities are installed.
2. Not intended for use with older dedicated voltage(120V or 277V)ballasts.These ballasts have electronic components that degrade over time and may
become unsuitable for the new LED T8 lamp.
3. All installation,inspection,and maintenance of lighting fixtures should be done with the power to the fixture turned off.Lamps should be installed and
operated in compliance with the National Electrical Code(NEC),Underwriters Laboratories Inc.(UL)requirements,and all applicable codes and regulations.
4. Insert and align tubes properly in lamp holders.Partial insertion results in a poor or intermittent electrical contact that can result in short lamp life and arcing.
Arcing at the lamp holder can result in localized overheating.
5. For instant start ballasts,use lamp holders with an internal shunt or ensure that lamp holders are wired in a shunt configuration.
6. For Programmed Rapid Start ballasts,use rapid-start lamp holders(non-shunted lamp holders).
7. De-lamp is not allowed for ISH ballasts.For approved ISN and ISL ballasts,de-lamp is allowed for only 1 lamp so long as the ballast factor remains
below 1.20(for example,4 lamp ballast can de-lamp to 3 lamps).
QUICKTRONIC® T8 Instant Start UNIVERSAL VOLTAGE
Professional Series Low Ballast Factor
32W T8-OCTRON* SYLVANIA QUICKTRONIC
1 1-lamp QTP1x32T8 ISL-SC SYSTEM 32 UNV ISL(LP) }
2-lamp QTP2x32T8 ISL-SC operates OCTRON T8 lamps with
3-1amp QTP3x32T8 ISL-SC maximum efficacy and high lumen
4-lamp QTP4x32T8 ISL-SC output,and provides 35-45%
energy savings when compared to
9 Also operates: F34T12 magnetic systems.
FB032,FB031,F025,176024,;
F017,FB016,F030/SS(30W), New small can enclosure allows
I FB030/SS(30W),FBO29/SS for low profile fixture design and
(29",F028/SS(28"& application.New size provides C
F025/SS(25W) transportation,inventory and I
ergonomic benefits.Also
F040T8 operation: available in banded packaging
1 lamp on 2L ballast which replaces shrink-wrap '•"_; •s�
2 lamps on 3L ballast product for added benefits.'
3 lamps on 4L ballast
Parallel circuitry is utilized to t
Note:FO40T8 0°F Starting Temp. keep the remaining lamps lit if
one or more should go out.
Setting the standard for quality, Benefits of banded packaging include:
SYSTEM 32 ISL-SC-UNV is also •Distributor-friendly for easy stocking and individual ballast sales
Key System Features covered by our QUICK 60+0 •Contractor-friendly for easy handling
warranty,the first and most • Reduced waste
• New universal voltage(120-277) comprehensive lamp&ballast •Easily removable bands
• New small enclosure size system warranty in the industry. •No tangled wires
• 78%Ballast factor
35-45%
IrW
. Initlal System orgy.
9nergy in.starting Information I • ) Wattage Lumens LPW Lwneu Savings
temp.for OCTRON lamps F34T12-SW.Magnetic Ballast 82 4660 57 3960 Baseline
• 60"F(16"C)min.starting SYSTEM 32 UNV operates from E.S.Magnetic Ballast 72 4660 65 3960 12%
temperature with OCTRON 120V through 277V,eliminating
p F032/XP-OTP2x32T8/UNV-ISL-SC 51 4680 92 4445 38%
SUPERSAVER•lamps "wrong voltage"wiring errors
and reducing the number of
• <10%THD models in inventory by half.
F0281SS-0TP2x32T8A)W-ISL-SC 45 4250 94 4040 45%
• Virtually eliminates lamp flicker
QUICKTRONIC 32 ISL-SC-UNV
X Neledve Light 111ttQut(Mean Lumens)
uses instant start operation to 11111111 provide the highest system %SyeNmWetlpe(Porler)
efficacy and to assure low 110% Utz%
temperature starting capability.
Instant start also provides for 100% 100% fez%
maximum remote wiring 100%
distances. {
' Application Information 90%
QUICKTRONIC 32 ISL-SC-UNV
SYLVANIA electronic ballasts have very low
QUICKTROMC 32 UNV harmonic distortion(<10%THD) 8%
is ideally suited for: for high system performance.
£aergy
sAYbfgs
• Commercial Ballast operates at>42kHz to lox asps
• Retail reduce potential interference Eneiqy
• Hospitality with infrared control systems. 60%
• Institutional 55%
A complete OSRAM SYLVANIA
• New Construction System Performance Guide sox
• Retrofit showing performance character-
istics for all combinations of
lamps and ballasts is available �oSG
2-F34T12 2-fO32/I(PJFCO 24028/SUPENSAYHt
upon request. Ste.mawwtic BMW UTP 2x32 UNV iSL UTP 2x32 UNV ISL
ECS059R2
SEE THE WORLD IN A NEW LIGHT
Low Ballast Factor
VOLTAGET8 Instant Startl i
UNV
<10% THD Electronic T8 Fluorescent Systems
Input Input Rated Ballast Input System Performance Guide
Item Voltage Current Lamp Lumens No.of Factor System Wattage Efficacy
Number Description (VAC) (AMPS) Type (Im) Lamps (BF) Lumens (IN) (ImW Data shown based upon
49741 OTP1x32T8/UNV ISL-SC 120-277 0-22/0.10 F032/XP 3000 1 0.78 2340 28/26 84/90 SYLVANIA OCTRON"F032AP'
0.2210.09 F030/SS 2850 1 0.78 2220 26/24 86/93 lamp(s).QUICKTRONICI 321SL-
0.21/0.08 F028/SS 2725 1 0.78 2125 25123 a5/92 SC is also compatible with other
0.17/0.08 F025/SS 2475 1 0.78 1930 22/20 88/97 p
49743 OTP2x32T8/UNV ISL-SC 120-277 0.44/0.19 F032/XP 3000 2 0.78 4680 51 92 lamp manufacturers equivalent
0.41/0.18 F030/SS 2850 2 0.78 4445 48 93 lamp types that meet ANSI
0.38/0.17 F029/SS 2725 2 0.78 4250 45 94 specifications.
0.34/0.15 F025/SS 2475 2 0.78 3860 40 97
49745 OTP3x32TB/UNVISL-SC 120-277 0.65/0.27 F032/XP 3000 3 0.78 7020 75 94
0.60/0.26 F030/SS 2850 3 0.78 6670 71 94 All models will also operate F17,
0.57/0.25 F028/SS 2725 3 0.78 6380 67 95 F25 and F32(and the U-Bend
0.50/0.21 F025/SS 2475 3 0.78 5790 59 98 and SS equivalent)T8 lamps.
49747 OTP4x32T8/UNV ISL-SC 120-277 0.80/0.35 F032/XP 3000 4 0.78 9360 98 96 Complete performance data is
0.78/0.34 F030/SS 2850 4 0.78 8890 92 97 available in the QUICKSYSTEMS
0.73/0.32 F028/SS 2725 4 0.78 8500 86 99
0.63/0.28 F025/SS 2475 4 0.78 7720 77 100 section of the SYLVANIA
Products listed above are 10 packs Electronic Ballast Catalog.
New 10 Pack Banded Product replaces Shrink-wrapped Product SW PC Pallet Packs
49832 0TP1x32T8A11W-ISL-SG-13 replaces 49701 OTP1 x32T8/UNV-ISL-SG-SRNK 49742 OTP1 x32Ta/UNV-ISL-SC-PAL 49744 OTP2x32T8NNV-ISL-SC-PAL
49834 OTP2x32T8/UNV-ISL-SC-B replaces 49702 0TP2x32T8A1NV-ISL-SC-SRNK 49746 0TP3x32T8/ONV-ISL-SC-PAL 49748 0TP4x32T8/UNV-ISL-SC-PAL
49835 OTP3x32T AWISL-SC-B replaces 49703 OTP3x32T8A1NV-ISL-SC-SRNK
49836 0TP4x32T8A1NV-ISLSC-8 replaces 49704 0TP4x32T8NNV-ISL-SC-SRNK
Specifications'
Black/While az_
White BALLAST Blue Starting Method:Instant Start
Red Ballast Factor:0.78
Circuit Type:Parallel
Lamp Frequency:>40KHz
Lamp CCF:Less than 1.7
LAMP
Starting Temp:'
�,V—ul-k,� 1.COO-11 -20°F for OCTRON'T8 lamps;
QUICKTRONIC 1x32 QUICKTRONIC 2x32 60°F for SUPERSAVER•T8 lamps
0°F for F040T8
Input Frequency:50/60 Hz
Black Blue Low THD:<10%
White Blue Power Factor:>98%
Black Blue Yellow BALLAST Red Voltage Range:108-305V
White BALLAST Blue Yellow Red
Blue UL Listed Class P,Type 1 Outdoor
CSA Certified(where applicable)
LAMP 70°C Max Case Temperature
LAMP LAMP FCC 47CFR Part 18Nor-Consumer
LAMP Class A Sound Rating
LAMP ANSI C62.41 Cat A Transient Protection
LAMP LAMP Remote Mounting up to 20 feet'
Note-=«nw trip aprp"alien.t+n>r*_i auC lcw,FisiJ.ric to FAO wlt5. N«e:P.it—enp iirvk .,.p ar,—.w flr 1ea6 trst9e tc.�x i�wi�; 'Operation below 50°F may affect W oulput or lamp
QUICKTRONIC 3x32 QUICKTRONIC ill operabon-see-Low Temp.Starting"detimbon.
a
_ z
Dimensions: Packaging: System 3
Overall:9.5"L x 1.68"W x 1.18"H Quantity:10 pieces/840 pieces 'o
Mounting:8.90" Weight:1.6 Ibs each(approx) QUICKTRONIC products are covered
by our QUICK 60+e warranty,a a
comprehensive lamp and ballast o
m M
Nei ounb Wiring: system warranty. For additional
8 Length Leads only(no connectors provided) y
Length details,refer to our QUICK 60+
kn wh o warranty bulletin.
Item Number 49745 QTP 3 x 32T8/UNV ISLSC—Case Size Ordering
QUICKTRONIC PROFESSIONAL Starting/Ballast Factor Specifications subject to change
Number of Lamps Line Voltage(120-277V) without notice.
Primary Lamp Wattage
OSRAM SYLVANIA National Customer Service and Sales Center
1-800-LIGHTBULB (1-800-544-4828) the system solution'"'
www.sylvania.com
E.1
ULTRA LED RT5/6 and RT6 Gimbal
Recessed Downlight Kit Key Features&Benefits
— Lumen package: — Reduces energy consumption
—700 lumens up to 84%
—900 lumens — 120V input voltage
i 1200 lumens — Lasts up to 25 times longer than
[ — Replacement for up to 100W incandescent lamps
incandescent lamps
— No warm-up time,instant-on with
RT5/6 fits into most 5"and 6" full light output and stable lamp to
recessed downlight fixtures lamp color
— CCT:2700K13000K/4000K/5000K
— CEC compliant product meets
— CRI:90 and>80 CRI option California Title 24 fixture require-
Beam angle:80" ments for high efficacy luminaire
Dimmable down to 10/o'of full light — Integrated white trim,white baffle
output with compatible dimmers reflector socket adaptor pncluded)
— 50,000 hour life(1_7a for direct replacement
p — Suitable for indoor and outdoor — Adjustable Gimbal feature(30"tilt
dry,damp and wet locations and 360"rotation)
(Only applies to non-Gimbal types)
The SYLVANIA ULTRA RT5/6 is a 5"and 6"compatible LED recessed Perlomiaricemaywary eoaxid;nqonaanmar used,"implication.Different kidmodels(NAEDs,should ra
downli ht kit creating high performing white light and is optimized for new be mixed on the same dimmer circuit,performance may be affected.Please refer In Demmer Compatibility
9 9 9 P 9 9 P Lai(RETRO-OIM)for a list Of compatible dimmers a Nwt ynrw SYLYANIAXOWLEDNetroli.
construction and retrofit applications.Installation is done quickly and easily
in most standard 5"or 6"Insulated Ceiling 0C)housings,Airtight(AT)hous- Quality of Light
ings and non-IC housings.The adjustable gimbal features a smooth travel The SYLVANIA ULTRA RT Series provides excellent color rendering(82+and
from nadir to a 30"tilt,making it suitable for slanted ceilings and wall 90 CRI option),and a selection of color temperatures(2700K,3000K,4000K
wash.The gimbal's friction blade design allows the downlight to be in- and 5000K).LEDs have virtually no UV or infrared radiation to damage or fade
stalled in any position within the housing aperture and the 360"horizontal furnishings,art or other objects.
rotation capability of the gimbal head offers easy aiming and adjustment. Optical Design
Dimming Optical design efficiently directs light output in an 80"beam angle with
The SYLVANIA ULTRA RT Series recessed downlight kits are dimmable low glare.
down toll 0%of full light output with compatible dimmers. The minimum Accessories
dimming value is based on light output using compatible dimmers,and Assorted color retrofit trims,GU24 socket adaptor,push wire adaptor,
may not be an indication of the kit's full rated capability.In some cases, retrofit band.
standard Incandescent dimmers require a minimum load of typically>40
watts on the circuit for full range dimming performance(four LED modules). product Offering
For dimming with digital(smart)multi-location dimmers or when dimming
fewer than four LED modules,electronic low-voltage(ELV)dimmers are Lumen
Output Wattage Color Temperature
required(some ELV dimmers need a neutral connection in the walibox). 700 10 2700K,3000K,4000K,5000K
700 12 2700K,3000K,4000K
900 13 2700K,3000K,5000K
Application Information 1200 16 2700K,3000K,4000K
Applications Specifications and Certifications
— Healthcare
— HospitalityC
RoHS (611
® r:CV'"eomplirnt
— Office
— Property Management r"7 li htin
I
t:�
— Residential � . . 9 s
facts '
— Retail
SYLVANZA
LED169R20 12-16
Specification Data
Catalog# Type
Project
Comments
Prepared by
_ .____._._..---......_...__..._.__........_..___.._...------_._........_._........_
Specifications
Energy Data THO:<20% Lighting Data
Minimum Starting Temp:-40°F(-40°C) Input Power.10W,12W,13W&16W Lumen Output:700,900&1200
EMURFl:FCC Title 47 CFR,Part 15,Gass B Input Current 0.08A&0.1 A Color
Sound Rating:<24dBA Maximum AmlNent Operating Temperature Correlated Color Temperature(CCT):2700K,
Input Voltage:120V (Insulated Ceiling or Non-Insulated Calling): 104°F 3000K,4000K,5000K
Power Factor:>0.90 (40°C) Color Rendering Index(CRQ:Up to 90
Input Frequency:60Hz
.�._..-.__...__..__......-.._.__. .._.__......._........._.._.._._._.___—..........
-- ----
Ordering Information
Replaced Nominal Delivered Avg.
Hem Recessed Incandescent Wattage Light Output Color Rated
Number Ordering Abbreviation Housing Wattage (W) Om) Temperature CRI R9 Life(hrsr
74290 LED/RT/5/6/700/927/FL80 5 in.and 6 in. 65W 10 700 2700K 90 15 50,000
74291 LED/RT5/6/700/930/FL80 5 in.and 6 in. 65W 10 700 3000K 90 15 50,000
74M LED/RT/5/6/700/940/Ft80 5 in.and 6 in. 65W 10 700 4000K 90 15 50.000
74293 LED/RT/5/6/700/950/FL80 5 in.and 6 in. 65W 10 700 5000K 90 15 50,000
74294 LED/RT/5/6/900/927/FL80 5 in.and 6 in. 75W 13 900 2700K 90 15 50,000
74295 LED/RT/5/6/900/930/FL80 5 in.and 6 in. 75W 13 900 3000K 90 15 50,000
74296 LED/RT/5/6/900/930/RP 5 in.and 6 in. 75W 13 900 3000K 90 15 50,000
74297 LED/RT/5/6/900/950/RP 5 in.and 6 in. 75W 13 900 5000K 90 15 50,000
73466 LED/RT/5/6/G/900/827/FL80RP 5 in.and 6 in. 75W 13 900 2700K 84 15 50,000
73467 LED/RT/5/6/G/900/830 5 in.and 6 in. 75W 13 900 3000K 84 15 50,000
79750 LED/RT/5/6/1200/927 5 in.and 6 in. 10OW 16 1200 2700K 90 15 50,000
79751 LED/RT/5/6/1200/930 5 in.and 6 in. 100W 16 1200 3000K 90 15 50,000
79752 LED/RT/5/6/1200/93ORP 5 in.and 6 in. 100W 16 1200 4000K 90 15 50,000
79753 LED/RT/5/6/1200/940 5 in.and 6 in. 100W 16 1200 4000K 90 15 50,000
LED lamp life is defined as the number of hours when 50%of an average group of identical lamps reached 70%of its initial lumens.
—..------------
Ordering Guide
LED / RT5/6 ! G ! 900 / 8 30 CEC
LED Product Name:RT6 Gimbal Light Output CRI>80 Color Temperature CEC compliant,ships
5/6=tits 5'and 6'housing 900 Im 3000K with a GU24 base
Energy Savings
Watts RT6 RT6
Basic Product LED Saved Energy Life
Description Lumens Life Traditional Lamp Types Lumens Life With RT6 Savings* Benefit
RT5/6 10W 700 50.000 Incandescent 65WBR30 640 2000 55 $302 25X
RT5/6 13W 900 50,000 Incandescent 75WBR40 935 2000 62 $341 25X
RT5/616W 1200 50,000 Incandescent 10OWBR40 1600 2000 84 $462 25X
Based on$0.11/kWh over 50,000 hours life.
Application Information
Application Notes
1.Operating temperature range between-40°F and 104°F(-40°C and 40°C). 5.Not intended for use with emergency light fixtures or exit lights.
2.Suitable for indoor and outdoor dry,damp and wet locations(Non-Gimbal 6.For use in housings that can structurally support a lamp weighing one pound.
only).Suitable for indoor and outdoor dry,and damp locations(Gimbals only) 7.RT5/6 designed to install in standard 5"and 6"insulated and non-insulated
3.Suitable for dimmers or in housings controlled by a dimmer.For a list of housings.
compatible dimmers,please refer to www.sylvania.com. 8.For detailed warranty information,please refer to www.sylvania.com/RT6.
4.The SYLVANIA ULTRA RT Series recessed downlight kits are dimmable down g.Compatible with Philips Bodine model ELI-S-20 and IOTA model IIS-125
to 10%of full light output with compatible dimmers. The minimum dimming Emergency Lighting Inverters.
value is based on light output using compatible dimmers,and may not be an
indication of the kit's full rated capability.
'FFLED18 RAB
Project: Type:
F..F,
Prepared By: Date:
Driver Info LED Info
Type: Constant Current Watts: 18W
120V: 0.2A Color Temp: 5000K
208V: 0.15A Color Accuracy: 72 CRI
240V: 0.13A L70 Lifespan: 100000
277V: 0.11A Lumens: 2,310
Input Watts: 23W Efficacy: 100 LPW
Rectangular shaped LED floodlight designed to replace 70W Metal Halide.Patent Efficiency: 78%
Pending airflow technology ensures long LED and driver lifespan.Use for building
facade lighting,sign lighting,LED landscape lighting and instant-on security lighting.
Color.Bronze Weight:4.8 lbs
Technical Specifications
Listings Thermal Management Housing: Color Uniformity:
UL Listing: Die-cast aluminum housing,lens frame and mounting RAB's range of CCT(Correlated Color Temperature)
Suitable For Wet Locations.Suitable for ground arm. follows the guidelines of the American National
mounting. Mounting: Standard for(SSL)Products,ANSI C78.377-2015.
IESNA LM-79&LM-80 Testing: Heavy-duty mounting arm with'0"ring seat& Electrical
RAB LED luminaires have been tested by an stainless steel screw. Driver:
independent laboratory in accordance with IESNA LM- Reflector: Constant Current,Class 2,100-277V,50-60 Hz,100
79 and LM-80,and have received the Department of -277VAC 0.4 Amps.
Energy"Lighting Facts"label. Semi-specular anodized aluminum.
DLC Listed:
Gaskets: THD:
This product is on the Design Lights Consortium(DLC)
High-temperature silicone gaskets. 9.5%at 120V,9.9%at 277Y
Qualified Products List and is eligible for rebates from Finish: Power Factor:
DLC Member Utilities. 99.4%at 120V,96.2%at 277V
DLC Product Code:P0000170B Our environmentally friendly polyester powder coatings
O ticM are formulated for high-durability and long-lasting Surge Protection:
p__.__ .�_.__. _._..._.__.___.___._____.____ color,and contains no VOC or toxic heavy metals. 6kV
Lumen Maintenance: Green Technology: Other
100,000-hour LED lifespan based on IES LM-80 Mercury and UV free.RoHS compliant components.
results and TM-21 calculations. Polyester powder coal finish formulated without the Equivalency:
NEMA Type: use of VOC or toxic heavy metals. The FFLEDI8 is Equivalent in delivered lumens to a
NEMA Beam Spread of 7H x 6V
LED Characteristics 70W Metal Halide.
Construction LEDs: California Title 24:
See FFLEDI8/PC,FFLEDI8/PCS,FFLED181PC2 or
IP Rating: Multi-chip,high-output,long-life LEDs FFLEDI8lPCS2 for a 2013 California Title 24
Ingress Protection rating of IP66 for dust and water Color Consistency: compliant model.
Airflow: 7-step MacAdam Ellipse binning to achieve consistent Warranty:
Patent pending Airflow technology heat sink for fixture-to-fixture color. RAB warrants that our LED products will be free from
superior coding. Color Stability: defects in materials and workmanship for a period of
LED color temperature is warrantied to shift no more five(5)years from the date of delivery to the end user.
Ambient Temperature: than 200K in CCT over a 5 year period. inducting coverage of light output,color stability,driver
Suitable for use in 40°C ambient temperatures. performance and fixture finish.
Cold Weather Starting:
The minimum starting temperature is-40°C/-40`F
Need help?Tech help line:(888)RAB-1000 Email:sales@rabweb.com Website www.rabweb.com
Copyright C 2014 RAB Lighting Inc.All Rights Reserved Nate:Specifications are subjert to change at any time without notice
FFLED18 RAM
L I O H T I N O
Technical Specifications (continued)
Other American Bureau of Shipping(ABS):
Patents: For use on Mobile Offshore Drilling Units(MODU)and
The FFLED design is protected by U.S.Pat.D643,147, shipping vessels.
Canada Pat.140798,China Pat.ZL201130171304.1,
Mexico Pat.36757 and pending patent in Taiwan.
Dimensions Features
Ultra efficient LED and optical design
5 1/8" Replaces 70W MH floodlights
r 100,000 hour life based on LM-80 tests
NEMA type-7H x 6V
Air-flow technology heatsink
0 5-year warranty
7" O
8 sm"
Ordering Matrix
Family Watts Color Temp Finish Photocell
FFLED
Is=18W d'**=5000K(Cool) 'Stank=Bronze Blank=No Photocell
Y=3000K(Warm) W=White /PC=120V Button
N=4000K(Neutral) /PC2=277V Button
Need help?Tech help line.(888)RAB-1000 Email:sales@rabweb.com Website www.rabweb.com Page 2 of 2
Copyright, 2014 RAB Lighting Inc.All Rights Reserved Nate:Specihcaltons are subject to change at any time without notice
APPLICATION FOR HVAC PERMIT
DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT#
Applic re BUILDING DEPARTMENT
APPROV 1540 SULLIVAN AVENUE I Bldg.
. 2 3it
Ig.Permit#
/ 644-2511 ext. 230
Date uilding Inspector
Application must be printed or typed
FEE SCHEDULE
Location of Job:
�/
$0-$1,000=$15.00 + � L6ad
Over$1,000= Street No. j Street Lot No.
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT / �"�o�S O. Q 6-e7 S
APP ITT ADDRESS 136
APPLICANT'S PHONE# V,!�O - — 07 6 6'
OWNER
WN S
O Fq� OWNER! nADDRESS
OWNER PHONE KG - 9 --G
GO
ESTIMATED COST$
C IS THIS A CONTRACT COST? Yes e- No
FEE ENCLOSED$ CI l/0
TYPE OF JOB: (g/g
sOR•CO New Installation
Alteration/Addition/Repair
c.2o 6�q6
Revised 03/05/10
APPLICATION FOR I VAC PERNUT(Continued from reverse side)
TYPE OF SYSTEM: TYPE OF BUILDING:
❑ HEATING ❑ RESIDENTIAL
a--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 °F INSIDE OF DIFFERENCE OF
TOTAL HEAT LOSS(BTUH) OF(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)
1
DESCR�IBE ALL COOLING EQUIPMENT(INCLUDING MAKE&MODEL NO.)
Fv" a Mef-f �w�L �� /jly�� �" AQt4 i sIZZ- S3
TONNAGE COOLING CAPACITY(BTUH) �
VENTILATION
DESCRIBE ALL AIR HANDLING EQUIPMENT(INCLUDING KITCHEN EXHAUST EQUIPMENT)
TOTAL SIZE OF SYSTEM(CFM) FRESH AIR INTAKE(CFM)
(PLANS MUST ACCOMPANY APPLICATION)
FURTHER DESCRIPTION OF WORK
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO
COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
30 3 2- s/
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICAN ] GDATE y` ��
APPLICATION FOR ELECTRICAL PERMIT
DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT#
Applic BUILDING DEPARTMENT i YQ02-35-
R.O 1540 SULLIVAN AVENUE
644-2511 ext. 230 Bldg.Permit#
"Date ilding Inspector
Application must be printed or typed
FEE SCHEDULE Location of Job:
$0-$1,000=$15.00
Over$1,000= S&eet No. Street Lot No.
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT CA T L C
APPLICANT ADDRESS D C' ,c v
L-ja
APPLICANT'S PHONE# 20-S nZ`�� - O�? -]C
OWNER / ;r60
'tow N SF'4� OWNER ADDRESS
o OWNER PHONE -c3dV1 S tqA - - A? V 3
# j ESTIMATED COST$ 00
C �
4 IS THIS A CONTRACT COST? Yes No
FEE ENCLOSED$ S
TYPE OF JOB: a!S532-
�SOR°COS �'' New Installation G0 3 W l A3%P- KUf jlr- AlzL
Alteration/Addition/Repair
. Zc31yoo8�l
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
❑ OIDENTIAL CURRENT USE AND OCCUPANCY
®/BUSINESS
❑ ASSEMBLY FUSE USE AND OCCUPANCY
❑ EDUCATIONAL
❑ INSTITUTIONAL ENGINEER'S NAME PHONE
U 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 IC 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
L7/6 , 616666 C/
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT DATE 6 ��
APPLICATION FOR ELECTRICAL PERMIT
DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT#
Application is hereby: BUILDING DEPARTMENT N b p p(0 S
App 1540 SULLIVAN AVENUE
i• 2t
644-2511 ext. 230 Bldg.Permit#
Tlt:��4
Date Building Inspector
Application must be printed or typed
FEE SCHEDULE Location of Job:
$0-$1,000=$15.00 c-7 =Z /'JG/�
Over$1,000= Street No. Street Lot No.
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT /df,/,(/ , / /�j�.� ��•
APPLICANT ADDRESS
APPLICANT'S PHONE#
OWNER ,.v
Ow N S Fq< OWNER ADDRESS
O OWNER PHONE
C {. ESTIMATED COST$ p
U IS THIS A CONTRACT COST? Yes No
V FEE ENCLOSED$
�l TYPE OF JOB: IIPS
OR-CO XNew 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
,>Q:N0
❑ 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 C CTORS
NUMBERS OF METERS NUMB OF DISCONNECTS AND RATINGS
NUMBERS OF PANELS NUMBERS OF DISCONNECTS REQUIRED? ❑ YES ❑ NO
NUMBERS OF LIGHT CIRCUI NUMBER OF POWER CIRCUITS
NUMBER OF SWIT S NUMBER OF OUTLETS
NUMBER IGHT FIXTURES NUMBER OF HEAT CIRCUITS
BER OF A/C CIRCUITS
SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED.
DESCRIPTION OF WORK
00,
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
oo
CONTRACTORS LICENSE NO STATE
SIGNATURE OF APPLICANT ni DATE 2��.Oc:, /
APPLICATION FOR ELECTRICAL PERMIT
DEPARTMENT DECISI TOWN OF SOUTH WINDSOR PERMIT#
Appli ereb BUILDING DEPARTMENT 14Ot)mx
AP 1540 SULLIVAN AVENUE
644-2511 ext. 230 Bldg.Permit#
Date d g Inspector
Application must be printed or typed
FEE SCHEDULE Location of Job:
$0-$1,000=$15.00 R
Over$1,000= S el
No. Street Lot No.
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT L 2 -L 1p r, a, 'L 1. C
APPLICANT ADDRESS 1 rZ a _L e
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APPLICANT'S PHONE# <�7 b a Z
OWNER
A* N j�q� OWNER ADDRESS �a...�.
' ' OWNER PHONE
C ESTIMATED COST$ 0 O 0
•A U IS THIS A CONTRACT COST? Yes No
FEE ENCLOSED$ (i
TYPE OF JOB: --frI O ( Z
OROCO New Installation
.` Alteration/Addition/Repair
Revised 03/05/10
t `
APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
BUILDING PERMIT APPLICATION? ❑ YES ❑ NO
_P.VSIDENTIAL CURRENT USE AND OCCUPANCY
;JSBUSINESS
❑ ASSEMBLY FUTURE USE AND OCCUPANCY
❑ EDUCATIONAL
❑ INSTITUTIONAL ENGINEER'S NAME PHONE
O FACTORY
❑ STORAGE ADDRESS
❑ GARAGE
❑ MIXED USE CITY STATE ZIP
(Other please specify)
TYPE OF INSTALLATION/WIRING METHOD C 1 C,v 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 /
CONTRACTORS LICENSE O. TYPE STATE
SIGNATURE OFAPPLICANT I DATE 3
BUILDING PERMIT (L46 P�
STATE OF CONNECTICUT
• WORKERS'COMPENSATION COMMISSION
. Building Permit Affidavit for Property Owners or Sole Proprietors
'r (Conn.Gen.Stat. § 31-286b)
ti
Pioperty located at 60
�. � In the town of p ;_.r� S of k
q1k 4Y-
r r
I Name of building permit applicant: it
✓ Y
.° x ','�.: r`
' Please check one
I am the owner of the above property,
J n
2 I am the sole proprietor of a business �`` '�" �� �_:`� "`�".r-,�u�p��•�''� �� '�� "�$��F';#* /�,�,�
2A.Name of business � .
AM
2B.Federal Employer Identification um tion Number(FEIN) a Y ` .
4 } YJlxr.. �jJ f� yt 3
� -; , ' Pursuant to§31-286b, a property owner or sole proprietor[who]intends to act as a general
contractor or principal employer"may provide either a certificate of workers'compensation
'Klr4� ,• � t(r. ,r T j���.y y„r �4T fit',{ R.
t insurance or a"sworn notarized affidavit... stating
ting that he will require proof of workers
compensation insurance for all those employed on the job site in accordance with this chapter" , tF
t
Spi,F Please clink one.
-- P
< 1.—I do not intend to act as a general contractor or principal employer.
33 1 r
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g or principal employer.Applicant must either
provide a certificate of workers'compensation insurance or sign the affidavit `
P g below. ;.: r f x .
................................ ..............-- ...........................................
Affidavit
-:
`" r r I hereby swear and attest that I will require proof of workers'compensation insurance for every
contractor,subcontractor,or other worker before he/she engages in work on the above property in
" accordance with the Workers'Compensation Act(Chapter 568).
r 4 E I understand that pursuant to §31-275 C.G-S officers of a corporation and partners in a
' *f partnership may elect to be excluded from coverage by filing a waiver with the appropriate
District Office;and that a sole proprietor of a business is not required to have coverage unless he
4 files his intent t accept coverage
k k
Si ure of applicant
Subscribed and sworn to before me this +` 200..E z
(�cc?�G
day of -•
(Notary Public/Commissioner of the Superior Court)
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DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT
Apple
TOWN OF SOUTH WINDSOR PERMIT#BUILDING DEPARTMENT -IY3 U'3e>y
RO 1540 SULLIVAN AVENUE Bldg.Permit#
644-2511 ext. 230
J
Date ilding nspector
Application must be printed or typed Location of Job: 1 f
FEE SCHEDULE � �r - _\ � � �l �C�
$0-$1 000=$15.00 l� () i
Street No. Street Lot No.
Over$1,000
$15.00 per$1,000 !�
or any fraction thereof Tenant Designation Apt.No.
u.-
APPLICANT V�n S4�C.t (`I
APPLICANT ADDRESS �'0 •Z�Q X
APPLICANT PHONE# (-Q 0 li� 70 g-7 D
O w N St OWNER '1 y Q>1 �C�
OWNER ADDRESS 1
b: F, OWNER PHONE b LY�- L 172)
C ESTIMATED COST$ 0e)
* IS THIS A CONTRACT COST? ✓Yes _No
FEE ENCLOSED a
OR-C TYPE OF JO C5 -2-
$t y�z �r3
New Installation
n c�-
,.4-Alteration/Addition/Repair 0 (d cv�--Crt;--
APPLICATION FOR HVAC PERMIT (Continued from reverse side)
TYPE OF SYSTEM: TYPE OF BUILDING:
❑HEATING ❑RESIDENTIAL
&C'OMMERCIAL
❑VENTILATION Cl INDUSTRIAL
HEATING
❑ STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS.
❑HYDRONIC ❑WARM AIR O UNIT RADIANT HEATER
EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION
DESIGN TEMP. OUTSIDE OF INSIDE OF DIFFERENCE OF
TOTAL HEAT LOSS(BTUH) OF(HEAT LOSS SHEET MUST ACCOMPANY
APPLICATION)
DESCRIBE ALL HEATING EQUIPMENY(INCLUDING MAKE&MODEL NO.) �7
-
C cc�enser- y �r'1►9 3D3(p 0O►r4
GROSS HEATING CAPACITY(INPUT-BTUH) NET RATING(OUTPUT-BTUH)
TYPE OF FUEL
❑ OIL--GPM OIL TANK LOCATION :❑ INSIDE❑OUTSIDE CAPACITY
❑GAS-INPUT LPG TANK CAPACITY ELECTRIC-KW
AIR CONDITIONING
DESIGN TEMP.OUTSIDE OF INSIDE OF DIFFERENCE OF
TOTAL HEAT GAIN(BTUH) (HEAT GAIN SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL COOLING EQUIPMENT(INCLUDING MAKE&MODEL NO.)
TONNAGE COOLING CAPACITY(BTUH)
VENTILATION
DESCRIBE ALL AIR HA*TDLING EQUIPMENT(INCLUDING KITCHEN EX[?AUST EQUIPMENT)
n
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.
" b3q �i ot-0 S l c l
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT DATE •� '
a
Ewco
/, MT EmOn .11`y� h^1D0 L `C(CGtP�X.h�
` i
fit CC��
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SIGNSSCALE: APPROVED BY: DRA!►J BY
+ D REVISED
ART
ATE:
• #' Stu �..°x �/-7/y3
� '' eaWldr+l►SL�c ��r .
Ile,
ART VASSILOPOULOS;
s` 8 Middle Butcher Rd,
Q Rockville,CT Oo068 `•u: DRAWING NUMBER
871-8361
f :.
CEftT1i ICAMA OF ZONING COMPLIA"lua
-µHt Proposed building(s), uses) andjcr structur`"
f+ as shown on this plan appear(s) to be in
conformance with current South Winds
regulations. Variances and special exceptions SEP 1 3 1993
may apply. e
Date ._ 1131Q3 ,� South Windsor
BUILDING DEPARTMENT
TO THE BUILDING DEPT. TOWN Of SOUTH WINDSM
This certified that this plan and specifications are twin
copies of the proposed building or alterations to be
erected at
Street
together with amen ents stated in application ana
filed with plan and I agree to comply with all zoning.
Building and state laws and such orders as shall be
issued by the Building Department during pendency
of this application and final Issuance of a bu0sking
permit.
S i g n e
Z
This plan Is appro d subject to the condition tnat
orders and ordinances regulating building shall be
complied with.
Conditionally Approved Thew filed with
42� apectof CgasY
5 SN.: D Z/
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
PERMIT#
Application is hereby:
TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
APPROVED 1540 SULLIVAN AVENUE
644-2511 ext. 230 Bldg. Permit#
IJ
Date Building Inspector
Application must be printed or typed
FEE SCHEDULE Location of Job:
� G ll���f�jrN P, p
$0-$1,000=$15.00 Street No. Street Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT
APPLICANT ADDRESS 9 9 %1W w",p ,�
50,-.p n5 CA (7 (p y 71
APPLICANT PHONE# K�O V O 9 3 3
SOW N St. OWNER
OWNER ADDRESS r 2 (10
♦ OWNER PHONE
O :
C :D ESTIMATED COST$ / (q G 0
IS THIS A CONTRACT COST. _Yes �No
FEE ENCLOSED$ 30
5 0 TYPE OF JOB:
�R-C New Installation
Alteration/Addition/Repair
• Revised 4!0 1//2002 ,
APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side)
TYPE OF BUILD- IS THIS APPLICATION ASSOCIATED WITH A
ING BUILDING PERMIT APPLICATION? ❑YES ❑ NO
❑RESIDENTIAL CURRENT USE AND OCCUPANCY Qi C P
!(BUSINESS
Cl ASSEMBLY FUTURE USE AND OCCUPANCY
0 MERCANTILE
0 EDUCATIONAL
❑INSTITUTIONAL ENGINEER'S NAME PHONE
❑ FACTORY
❑STORAGE ADDRESS
0 GARAGE
0 MIXED USE CITY STATE ZIP
(Other please specify)
TYPE OF INSTALLATION/WIRIN E G a G METHOD c.. C!`VEC(° cAe S ('4c+lto
SIZE OF SERVICE G c- SIZE OF MAIN CONDUCTORS Z d A
NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS
NUMBER OF PANELS_� REMOTE DISCONNECT REQUIRED? ❑YES El 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
Over 0 C,,,. g Se-U/cc°
C' I f CP�-
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.
h06Y3 F 2 c �
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT DATE P / `� /d 9
0
Moo t-iI •9 1brl�tn7��
JNrzV9y0 ?taco +NQL►1
,z
i
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4
9
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HARTFO D HOSPITAL
History No.
i
i
�' -Z PROGRESS NOTES
Electric C APPLICATION FOR BUILDING PERMIT
Plumbing# Date: ��//—0 2—
HVAC # 1760 Ellington road
Sprinkler#
FINAL R 29148 Estimated Cost $ C7
Buildin 6 r COMPLETE RED BOXED AREAS Permit Fee $
Occupancy Fee $
Affidavit g 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 applieW do work according to the following:
Applicant z[ ,l/ Do cc Location of Work /7 6 O — c 2�- �► Lot No.
Applicants Address —?Lf R ^ e s Tel.# Z- d --'f 6 C d
Town . l� G Zip o C, l a r Lic.#
Owner Ly4.r -e n i(/e �r_r i Architect
Owner's Address f e Architects Address
Zip Zip
Sq.Ft.New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area
Purpose of this permit i—e- r-o mF on 51-"n� ..
City WaterO Well❑ Septic System❑ Sewer❑
Ins. HO Sp Cert. Area Basement Garage
Approved by 9h ate �/ ��' 1, Use Group Construction Type
J.,s- Revised 6/02
I hereby agree to conform to all the requirements of the laws of the Stale of Connecticut and the Ordinances of the Town of
South Windsor and to notify the Building Inspector of any ofaeration 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 dfahmx* all eet lines,side yard lines,and required
distances from all other zones and is located in which fhi ii Ig and f
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
( V
Inspection / Approval Date By Appl
Code Description Due whom Code Comment
------------------------------------------------------------••----------- ------
**-29148-B 600
B10 FINAL 08/06/03 JFF A
B10 FINAL O8/06/03 JFF A CLOSEOUT
DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT
PERMIT#
Application is hereby:
TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
APPRO D 1540 SULLIVAN AVENUE
Bldg.Permit#
644-2511 ext. 230
ate Building Inspector
Application must be printed or typed
FEE SCHEDULE F
Location of Job:
$0-$1,000=$15.00 Str� Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof gnation Apt.No.
APPLICANT�J 01-r1 t f a c4 O' 1
APPLICANT ADDRESS P. t7. I5O X —7 4
'�-- � i t n +vn CT y (-o0 -2-
APPLICANT PHONE#
O W N St OWNER
OWNER
/^ADDRESS ..,1
0 0 E� OWNER PHONE
C ESTIMATED COST$ D 3 0,O.Oy
xa
* IS THIS A CONTRACT COST? Yes —No
FEE ENCLOSED$�_�S, vS, U )
1��50. O�� TYPE OF JOB: j�-�
R-C New Installation /
_Alteration/Addition/Repair
Revised 4/01//2002
dc�oo5��
APPLICATION FOR HVAC PERMIT (Continued from reverse side)
TYPE OF SYSTEM: TYPE OF BUILDING:
❑HEATING `rRESIDENTIAL
UrA/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-BTUB) NET RATING(OUTPUT-BTUH)
TYPE OF FUEL
❑OIL-GPM OIL TANK LOCATION:O INSIDEO 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 COO ING EQUIPMENT(INCLUDING MAKE&MODEL NO.)
I
�Lya- OLA C-1 Az 1 Kg�-,C- ne trin ?,410
C t'
aj--i H cx-" 6p- r- ,Y\ 6 aa-I tt -4 ,ec 3FaL-A b i c�-5'E 3. 7 5 a lK
TONNAGE COOLING CAPACITY(BTUH) 'a N I I S4Sl
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.
39 l lC� S I c i
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT I DATE > I (O
RIGHT-J SHORT FORM
Entire House
Homestead Fuel Inc Job: 9-1-2009
100 West Road,Ellington,CT 06029 Phone:870-8700 Fax:870-7731 Email:jeffg@homesteadfuel.com Web:www homesteadfuel.com
Project • •
For: Newberry Insurance Agency
1760 Ellington Road, South Windsor, CT 06074
Phone: 648-6330
-Design Information
Htg Clg Infiltration
Outside db('F) 4 90 Method Simplified
Inside db('F) 70 70 Construction quality Average
Design TD ('F) 66 20 Fireplaces 0
Daily range - M
Inside humidity(%) - 50
Moisture difference(gr/lb) - 29
HEATING EQUIPMENT COOLING EQUIPMENT
Make Make
Trade Trade
Efficiency 80.0 AFUE Efficiency 0.0 EER
Heating input 0 Btuh Sensible cooling 0 Btuh
Heating output 0 Btuh Latent cooling 0 Btuh
Heating temperature rise 0 'F Total cooling 0 Btuh
Actual heating fan 800 cfm Actual cooling fan 800 cfm
Heating air flow factor 0.025 cfm/Btuh Cooling air flow factor 0.036 cfm/Btuh
Space thermostat Load sensible heat ratio 89 %
ROOM NAME Area Htg load Clg load Htg AVF Cig AVF
(ft2) (Btuh) (Btuh) (cfm) (cfm)
Office/Entry 238 6803 3828 169 139
Bath 42 934 383 23 14
Office 1 + 2 126 5852 5797 146 211
Tom 140 4300 4577 107 167
Office 3+4 165 3540 3656 88 133
Copy Room 100 4483 1494 112 54
Rear Entry 98 6201 2256 154 82
Entire House d 909 32113 21991 800 800
Ventilation air 0 0
Equip. @ 0.95 RSM 20892
Latent cooling 2580
TOTALS 909 32113 23472 800 800
Bold/italic values have been manually overridden
Printout certified by ACCA to meet all requirements of Manual J 7th Ed.
wri0htsoft Right-Suite Residential^'5.028 RSR27407 2009-Sep-01 12.06.17
A(;4:;k CTocuments and SettingsUeft\My Documents\Wrightsoft HVACWewberry rsr Page 1
0.1
STATE OF CONNECTICUT + DEPARTMENT OF CONSUMER PROTECTION
s
Be it known that
s ` DALE E GERBER
-109 SNIPSIC--'PAK RD '
ELLINGTON CT 0 929
has been certified by the=DeP �,( ^ 'ant fof Co sumer Protection as a
i ll" 4 tl. •�
HEATING, PIPI G-& COO 3I - . l' ITED CONTRACTOR
_F Licen e #'_HTG;;0 91166-S1
� rRgJYST
Effective: 09/01/2009
Expiration: 08/31/2010 _-
Fazre!,Jr. Cosioner
- J�m_a-us---�-J-
...::.....: ..:::::.....:..::::..... .::..: U _ . D ATE(MM DD YY 1tACORD >ICERTFIC F:.. LlA IL � RANG
1
11/12/09
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
FEDERATED MUTUAL INSURANCE COMPANY HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
Home Office: P.O. BOX 328 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Owatonna, MN 55060 COMPANIES AFFORDING COVERAGE
Phone: 1-888-333-4949 COMPANY FEDERATED MUTUAL INSURANCE COMPANY OR
A FEDERATED SERVICE INSURANCE COMPANY
INSURED 239-586-1 COMPANY
HOMESTEAD FUEL INC B
100 WEST RD
ELLINGTON CT 06029 COMPANY
C
COMPANY
D
COV A;GE5...
THIS IS TO CERTIFY THAT 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO POLICY EFFECTIVE POLICY EXPIRATION
LTR TYPE OF INSURANCE POLICY NUMBER DATE(MM/DD/YY) DATE(MM/DD/YY) LIMITS
GENERAL LIABILITY GENERAL AGGREGATE $ 2,000,000
X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $ 2,000,000
A CLAIMS MADE X OCCUR 9420090 11/16/09 11/16/10 PERSONAL&ADV INJURY $ 1,000,000
OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000
FIRE DAMAGE(Any one fire) $ 100,000
MED EXP(Any one person) $
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT $ 1,000,000 it
X ANY AUTO
ALL OWNED AUTOS
BODILY INJURY 8
A SCHEDULED AUTOS 9420090 11/16/09 11/16/10 (Per person)
X HIRED AUTOS
BODILY INJURY $
X NON OWNED AUTOS (Per accident)
PROPERTY DAMAGE $
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $
ANY AUTO OTHER THAN AUTO ONLY:
EACH ACCIDENT $
AGGREGATE $ j
EXCESS LIABILITY EACH OCCURRENCE $ 2,000,000
A X UMBRELLA FORM 9420091 11/16/09 11/16/10 AGGREGATE 8 2,000,000
OTHER THAN UMBRELLA FORM $
TATUWORKERS COMPENSATION AND X WC SLIMIT O R
EMPLOYERS'LIABILITY EL
EL EACH ACCIDENT 8 500 OOO
A THE PROPRIETOR/ INCL 942009 11/16/09 11/16/10 EL DISEASE.POLICY LIMIT $ 500,000
PARTNERS/EXECUTIVE
OFFICERS ARE: EXCL EL DISEASE•EA EMPLOYEE $ 500 OOO
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
:::::<::::C a: 'EIL . ....
G TE-HOLDER'
':; ANC ATION ::' :::.
CERTIF A. .. ...;><>`:`:':
2395861• TOWN OF SOUTH WINDSOR 18 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
BUILDING DEPT EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
1540 SULLIVAN AVE 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
SOUTH WINDSOR CT 06074 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE COMP ITS AG TS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIV
............I.............. .................................................:::::
�ES!q......:&:: lnn:n�'feae�ihn wh•IivM•:.�hnii"
Electric # APPLICATION FOR BUILDING PERMIT
Plumbing# 1760 Ellington Road
HVAC# I Date:
Sprinkler# 1000137 Estimated Cost $
FINAL APPROVALS Permit Fee $
Building COMPLETE RED BOXED AREAS Occupancy Fee $
tpc-
Engineering TYPE OF PRINT ONLY Eng. Insp. Fee $
Affidavit
Appr.for CO. - ► SIGN ON REVERSE SIDE
Total Fee $ :9F5-00
TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ `lC(
The undersigned hereby applies to do work according to the following:
Applicant Location of Work Lot No.
Applicant's Address Y Tel # -j 4Q q_
Town Zip DL40) Lic.#
Owner rchitect
Owner's Address kl�nQ rchitect'sc Address -'C�•
Zip `C rR• Rd 3
Sq. Ft.New Area: 1 st FI 2nd FI. 3rd FI. Total T rea 6
rpose of this permit
City Water 0 Well ❑ Septic System 0 Sewer 0
Ins: HO SP V Cert. Area Basement Garage
Approved by Date S Use Group-4r��onstruction Type zz
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 locate in which th�Ibuildind its use is allowed.
� Signeddt�li
_
I hereby apply for a Certificate of cupancy fort e wo described in this application for the permit.
AZ
Signed
DO NOT WRIT 4�0 THIS LINE
INSPECTION COMMENTS
J
Electric # APPLICATION FOR BUILDING PERMIT
Plumbing# 1760 Ellington Road
HVAC# Date:
Sprinkler# 1000120 Estimated Cost $
FINAL APPROVALS Permit Fee $ VT --
Building COMPLETE RED BOXED AREAS Occupancy Fee $
Engineering TYPE OF PRINT ONLY Engy. Insp. Fee $
AApprforCO. _ 0- SIGN ON REVERSE SIDE A
pp - Total Fee (Iib $
TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $
The undersigned hereby applies to do work according to the following:
Applicant Location of Work LotNo.
Applicant's Address7ZUC�J�kdlw- Tel # -
Town •0 • Zip (AC Lic.#
Owner Architect 0
Owner's Address Architect's Address
Zip Zip_
Sq. Ft.New Area: 1 st Fl. 2nd FI. 3rd FI. f {Total New Area_-
Purpose of this permit O unIn('J0 or!zt!' r)v\ 1,1.;L a_b(k� 1 C]trA4
City Water Well ❑ Septic System ❑ Sewer.,
Ins: HO SP Cert. Area Basement Garage
Approved by Date — C� 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 locate which this building and its use is allowed.
Signed
I hereby apply for a Certificate of Occupancy for the w rk described in this application for the permit.
Signed
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
INSPECTION FIELD SHEET 02/03/21
Printed by Middleton, Morgan 10 05 06
INSPECTION: 30739 FINAL PERMIT:
STATUS
APPLICATION: 201000369
LOC: 1760 ELLINGTON ROAD
SOUTH WINDSOR
PROPERTY ID: 30301760
OWNER: NEWBERRY WARREN M &
CONTRACTOR:
REQUEST BY:
PROJ DESC: ROOF REPLACEMENT ON 1/2 OF BUILDING
WORK ORDER:
INSPECTOR: DOUG RESULT: PASS
REQUESTED: PRIORITY:
SCHEDULED: COMPLETED: 04/12/10
UNPAID FEES: 00 Date Time
MILEAGE: 00 TIME: TRAVEL ONSITE
COMMENTS
-------------
--------- �- ��
-
0/4-j /-/
Ii
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ol
4
e,4 0
A'A
JOLLEY DESIGiV
l
it
-�g IWO
South Windsor
BUILDING DEPARTMENT
TO THE 6J;lMG DEFT. TOW,4 Cf S00d 4,,..._..
This certified that this plan and specifications are tro
copies of the oposed building or olt+rations o `
erected at (Fjo
7 & 111 A 1411 U All
11gcther with amendments stated in applie-,tl"n
tiled with plan and 1 agree to comply with .ill renl^
3uiiding and state laws and suoh oMera es 0,11
issued by the Building Department during pcnc+�i+•
„i this application anti final Issuance or a build',
permit.
s
Signed
this plan Is approved subject to the condition ill.
orders and ordinances regulating building shall LE
complied with.
Conditionally Approved These tiled with
J 2t
Building Inspector Clark
Date ���1 Q VR: �a+"•
m
CURVE DATA i m
ELLINGTON ROAD Ln
t r�+
J 0
w CV O
D =00-31'-15.14" W W
-
T = 110.953'
L = 221.899' t j
R =11000.000 N / F r \
RICHARD S. KELLY 2,+ Q D z
TAKING AREA = 0.033± ACRE I
LIMIT OF PROP. DRIVEb'�'1Y 240
RIGHT TO CONSTRUCT
DRIVEWAY ACOUIREDI IF r. r—
WARRE
?�' H. .
RIGHT AREA = 0.002_ ACRE � I STY
NEWBEP�Y ET AL. N 1 I BRICK
APPROX. SLOPt- ti�t CO 1 tt 1774 I
LIMIT — — — ��1 o
f STY ri
TAKING LINE 1 W.F. 2 1/2 STY JN
ssf 75 :r Aso 22'
�rhvK �
DIRECTIONAL LINE Ohs R-30' �.,� Z L_3 J
7 ± '� o� � W
I t co l
--�,{jGH VAY LINE ''"g,+ f ': -: ' Q 1 L _ HIGHvlAY LINE _J I
SNE 4 �,215 ET 214
1,04;0'S
I PRESENT E!�LI�'GTON ROAD co RTE. 30 TO MANCHESTER
46 1 47
48 49
N 362 000 +15. BASE LINE N 89'-39'.07.69" F f -II-89.5 ,
HIGHWAY LINE _ _ _ —i �LINE-, }
P. C. STA. 47+93.49 I
ROUTE 30 P. 0. C. STA. 48+34.06
COMMUNITY RD. P. 0. L. STA. 60+00.00
7y,i rQ .tl�l�� , �,� ty' +C` �y I HEREBY CERTIFY THAT THIS MAP AND SURVEY ARE TOWN �F SOUTH WINDSOR
W SV9STAN'!!!!LY CnwR:rT AND »rr,PF. PREPARED 'N ACCORDANCE
...
4-c-) vIQL�� "+�` fir•` WITH THE STANDARD:,OF A CLASS 0 SURVEY AS DEFINED IN THE MAP SHOWING LAND ACQUIRED FROM
No• r` CODE OF PRACTICE FOR STANDARDS OF ACCURACY OF SURVEYS
-�:; ��c� ,, .f'�,,.•'` AND NAPS, ADOPTED DECEMBER I0, I975 AS AMENDED BY THE WARREN H NEWBERRY ET AL.
CONNECTICUT ASSOCV.TION OF LAND SURVEYORS,INC, TO THE.,, BY
�''••• BEST OF MY KNOWLE')GE AND BELIEF, THE STATE OF CONNECTIC T
DATE REVISION RED. BY TOWN NO. 13� xLTr:in
CONN. RTE. 30 a COMMUNITY ROAD
Grawn B DP Date 8/23/90; �./.f-9/ �/m1,u V TcmI. G/,�4��>� M•�.,bf. PROJECT NO.lm`-- � � August 9 90
Checked By R.A.K. Date 8/24/90 - , s SCALE t " = 40
t
i'
� SERIAL NO. TITLE L - C Associates � Robert W. Gubala
T -r TrWlPrFr I ER - BUREAU OF HIGHWAYS
S EP 13 1993
South Windsor
BUILDING DEPARTMENT
xr*K WL roiav
TWO Certified that this Pia•and
Cop" of the propo� buildieR or :t:cr.i.- c as
•rotted at `
(76d
r i.a
together with amen ents state in Of s
filed with plan and 1 agree to eOtr P' !
Building and state laws and such ofe�r. r
issued by the Building Department dati.,8 �t
of this application and final issuance of a
permit.
Signed
This plan is app
ro d subject to the cow0ition th.�rt
orders and ordinances regulating building shall bOa
applied will*.
These f,Nd•-with
Q*"tgnal17 APprovAd
i
Hers`
1
k D
jolly
�
/ � -_:�••.- ".
1500762 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER BUILDING PERMIT
DATE: 11/24/2015
GIS ID: 30301760 FEE: 120.00
MUNIS APPLICATION# 201501733 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: OTAR CONSTRUCTION LLC. ADDRESS: 1760 ELLINGTON ROAD
ADDRESS: 74 SUMMERSET DRIVE OWNER: 1760 ELLINGTON ROAD LLC
EAST HARTFORD,CT 06118 1760 ELLINGTON ROAD
SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: PORCH RESTORATION--REMOVE EXISTING ROOF AND REPLACE WITH
TIMBERLINE 30 YR ARCH. INSTALL 9 NEW PIERS.
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
11/24/2015 11:38 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE
1000120 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER BUILDING PERMIT
DATE: 04/12/10
GIS ID: 30301760 FEE: 45.00
MUNIS APPLICATION# 201000369 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: HARTMANN HOMES ADDRESS: 1760 ELLINGTON ROAD
ADDRESS: 84 OXFORD DRIVE OWNER: NEWBERRY WARREN M&
SOUTH WINDSOR,CT 06074 1760 ELLINGTON ROAD
SOUTH,WINDSOR,CT 06074
DESCRIPTION OF WORK: ROOF REPLACEMENT ON 1/2 OF BUILDING
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
4/12/2010 10:04 AM THE FEE ABOVE INCLUDES A$0.22 PER THOUSAND CT STATE EDUCATION SURCHARGE
1000137 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER BUILDING PERMIT
DATE: 04/15/10
GIS ID: 30301760 FEE: 15.00
MUNIS APPLICATION# 201000383 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: JORCZAK JEFFREY S&MELISSA A ADDRESS: 1760 ELLINGTON ROAD
ADDRESS: 56 BREWSTER ROAD OWNER: NEWBERRY WARREN M&
SOUTH WINDSOR,CT 06074 1760,ELLINGTON ROAD
SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: BUILDING PLYWOOD FLOOR OVER STAIRCASE TO BE USED AS A
CLOSET/STORAGE.NO ELECTRIC OR PLUMBING.
SPECIAL CONDITIONS:
a i
ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT.
CONSTRUCTION TYPE:
OCCUPANCY GROUP: BUILDING OFFICIAL
4/15/2010 1 1:29 AM THE FEE ABOVE INCLUDES A$0.22 PER THOUSAND CT STATE EDUCATION SURCHARGE
1300309 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER HVAC PERMIT
DATE: 08/01/2013
GIS ID:30301760 a. "� �'% A FEE: 120.00
MUNIS APPLICATION# 201301052 �`p: BUILDING DESCRIPTION:
a ,
APPLICANTS /' a... .. „; g � LOCATION
NAME: HOMESTEAD FUEL INCh 'ADDRESS, 1760 ELLINGTON ROAD
ADDRESS: PO BOX 749 �'�' �. OWNER: f-�NEWBERRY WARREN M&
���roI760'ELI;INGTON ROAD
ELLINGTON,CT 06029
SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: EMERGENCY SECOND FLOOR REPLACEMENT F,A/C SYSTEM.
� ? �"'•.+.� "�. ..... .... .fix_ �` �
SPECIAL CONDITIONS: ki
ALL WORK TO BE DONE IN ACCORDANC8 W(TH,THE APPLICATION"AND¢,pL`ANS'APPROVED BY THE BUILDING DEPARTMENT.
��w�'��F �``` :,. ,,,,,,;,., +•„�tea. "fray`
CONSTRUCTION TYPE: r `
OCCUPANCY GROUP: '°$ :.�., .",�,,:•. w " ? BUILDING OFFICIAL
8/l/2013 9:20 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE
1600232 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER HVAC PERMIT
DATE: 06/01/2016
GIS ID:30301760 FEE: 60.00
MUNIS APPLICATION 0 201600690 BUILDING DESCRIPTION:
APPLICANT, , LOCATION
NAME: ANDREWS OIL CO. w ADDRESS: 1760 ELLINGTON ROAD
ADDRESS: 136 RYE STREET OWNER: 1760 ELLINGTON ROAD LLC
SOUTH WINDSOR,CT 06074 1760 ELLINGTON ROAD
SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: INSTALLATION OF A DUCTLESS HEAT PUMP.
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
6/1/2016 4:06 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE
1000178 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER HVAC PERMIT
DATE: 05/20/10
GIS ID:30301760 FEE: 135.00
MUNIS APPLICATION# 201000585 BUILDING DESCRIPTION:
APPLICANT - LOCATION
NAME: HOMESTEAD FUEL INC ADDRESS: 1760 ELLINGTON ROAD
ADDRESS: PO BOX 749 OWNER: NEWBERRY WARREN M&
ELLINGTON,CT 06029 1760'ELLINGTON ROAD
SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: CENTRAL AIR CONDITIONING
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
5/20/2010 11:00 AM THE FEE ABOVE INCLUDES A$0.22 PER THOUSAND CT STATE EDUCATION SURCHARGE
1400235 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER ELECTRICAL PERMIT
DATE: 06/30/2014
GIS ID: 30301760 FEE: 15.00
MUNIS APPLICATION # 201400861 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: ADT SECURITY ADDRESS: 1760 ELLINGTON ROAD
ADDRESS: 10 RESEARCH PARKWAYf- I y OWNER: NEWBERRY WARREN M&
WALLINGFORD, CT 06492 1760 ELLINGTON ROAD
SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: INSTALLATION OF LOW VOLTAGE BURGLAR ALARM.
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
6/30/2014 3:49 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE
1600599 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER ELECTRICAL PERMIT
DATE: 12/27/2016
GIS ID:30301760 FEE: 90.00
MUNIS APPLICATION# 201601869 BUILDING DESCRIPTION:
APPLICANT' LOCATION
NAME: CON SERV ADDRESS:' 1760 ELLINGTON ROAD
ADDRESS: 45 INDUSTRIAL PARK ROAD OWNER: 1760 ELLINGTON ROAD LLC
TOLLAND,CT 06084 1760 ELLINGTON ROAD
SOUTH WINDSOR,CT 06074
v
DESCRIPTION OF WORK: UPGRADING FROM FLOURESCENT LAMPS TO LED LAMPS IN EXISTING
FIXTURES:INSTALLATION OF 2 LED FLOOD FIXTURES TO SHINE UPON
BUSINESS SIGN.
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
12/27/2016 9:41 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE
1400065 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER ELECTRICAL PERMIT
DATE: 03/05/2014
GIS 1D: 30301760 'J; FEE: 45.00
MUNIS APPLICATION# 201400186 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: THE ALARM COMPANY ADDRESS: 1760 ELLINGTON ROAD
ADDRESS: I 1 DALE STREET 1 u OWNER. NEWBERRY WARREN M&
W HARTFORD,CT 06t07 s 1760 ELLINGTON ROAD
SOUTH WINDSOR CT 06074
DESCRIPTION OF WORK: INSTALL A LOW VOLTAGE FIRE 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
3/5/2014 3:39 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE