Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
200 EVERGREEN WAY BLDG 800 B
DEPARTMENT DECISI N APPLICATION FOR HVAC PERMIT TOWN OF SOUTH WINDSOR PERMIT# Applicatio y: BUILDING DEPARTMENT J I 1 9 ' VED 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 36 3 0�l i Iry Date Buil ing pector 7 Application must be printed or typed FEE SCHEDULE Location of Job: Evergreen Walk Buckland Road Building $0-$1,000=$15.00 Street No. Street Lot No. Over$1,000= $15.00 per$1,000 N/A or any fraction thereof Tenant Designation Apt.No. APPLICANT New England Mechanical Services , Inc. APPLICANT ADDRESS 166 Tunnel Road Vernon, CT 06066 APPLICANT PHONE# ( 8 6 0 ) 8 71-1111 ,%OWN g�q OWNER Poag and Mcewen Lifestyles < OWNERADDRESS 6410 Poplar Avenue, Tower2 . Suite 850 Memphis , TN 38119 OWNERPHONE ( 901 ) 761-7604 O C ESTIMATED COST$ F7 3 C,5 O U IS THIS A CONTRACT COST? Yes _No FEE ENCLOSED$ 10 5 . 0 0 1� TYPE OF JOB: dSO 0� New Installation Alteration/Addition/Repair Revised 4/01/12002 APPLICATION FOR HVAC PERMIT (Continued from reverse side) TYPE OF SYSTEM: TYPE OF BUILDING: HEATING ❑ RESIDENTIAL A/C 0 COMMERCIAL Q2 VENTILATION ❑ INDUSTRIAL HEATING ❑ STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS. ❑HYDROMC ❑ 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.) All work will be in exact accordance with Elkus/Manfredi Architect drawings 110.11 , HO. 12 , HO.13 , H2 . 10 , M2 . 11 , H4 10 ,M4 11 , M8 .10, M8 . 11 dated November 21 , 2003 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) AD11SworkAwL11Obe exaING ct accordance cLeING h Elkus/Manfredi&M Architect drawings HO.11 , HO. 12 , HO. 13, H2 .10 , M2 . 11 , H4 . 10 , M4 . 11 , M8 . 10 , M8 .11 dated November 21 , 2003 TONNAGE COOLING CAPACITY(BTUH) VENTILATION DESCRIBE ALL AIR HANDLING EQUIPMENT(INCLUDING KITCHEN EXHAUST EQUIPMENT) All work will be in exact accordance with Elkus/Manfredi Architect drawings HO. 11 , HO. 12 , HO. 13 , H2 . 10 , M2 . 11 , H4 . 10 , M4 . 11 , M8 . 10 , M8 .11 dated November 21 , 2003 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. Heating, Piping, & 302974 ronl ;ng - $1 _ ronnecti�ut CONTRACTORS LICENSE NO_ TYPE ST TE SIGNATURE OF APPLICANT c J DATE / r Contractor's Material & Test Certificate for Aboveground Piping Additional printed copies of this form are available to insureds form: Customer Services,FM Global, 1151 Boston Providence Turnpike,P.O.Box 9102,Norwood,MA 02062 Procedure:Upon completion of work,inspection and tests shall be made by the contractor's representative and witnessed by an owner's representative.All defects shall be corrected and system left in service before contractor's personnel finally leave the job. A certificate shall be filled out and signed by both representatives.Copies shall be prepared for approving authorities,owners and contractor. It is understood the owner's representatives signature in no way prejudices any claim against the contractor for faulty material,poor workmanship or failure to comply with approving authority's requirements or local ordinances. Property I.D. Property Name:EVERGREEN WALK PHASE 3 Date:3/30/07 Property Location: SOUTH WINDSOR,CT Plans: Accepted By Approving Authority's Name(s) SOUTH WINDSOR FIRE DEPT Address:SOUTH WINDSOR,CT Instructions: Has person in charge of fire equipment been instructed as to the location of control ®Yes LJ No valves and the care and maintenance of this new equipment? If no,explain: Have copies of appropriate instructions and care and maintenance charts been left on premises? ®Yes ❑No If no,explain: Location: Supplies Buildings: BUILDING B Sprinklers: Year of Temperature Make Model Manufacture Orifice Size Quantity Rating TYCO TY-B Zoos i- 3 1550 0 0 0 0 Pipe and Fittings: Pipe conforms to NFPA 13 Standard ®Yes ❑No Fittings conform to NFPA 13 Standard ®Yes ❑No If no,explain: Alarm Valve or Flow Indicator: Alarm Device Maximum Time to O erate Through Test Pipe Type Make Model Min. Sec. Dry Pipe Operating Test Dry Valve Q.O.D. Make Model I Serial Number Make Model Serial Number Dry Pipe Operating Test Continued Time to Trip Trip Point Air Time Water Reached Alarm Operated Through Test Pie Water Pressure Air Pressure Pressure Test Outlet Pro erl Min. I Sec. PSI PSI PSI Min. I ec. Min. I Sec. 01998 Factory Mutual Insurance Company EMV 85A ENGINEERING 8/99 • Contractor's Material & Test Certificate for Aboveground Piping I Without Q.O.D. With Q.O.D. If no,explain: Delu a and Pre-action Valves: Operation: Lj Pneumatic Lj Electric Hydraulic I PipingSu ervised? ❑Yes U No Detecting Media Supervised? ❑Yes ❑No I Does valve operate from manual trip and/or remote control? ❑Yes No Is there an accessible facility in each circuit for testing? 0 Yes 0 No If no,explain: Does each circuit operate Does each circuit operate Maximum time to operate Make Model supervision loss alarm? valve release? release Yes No Yes I No Min. Sec. Test Description: Hydrostatic:Hydrostatic tests shall be made at not less than 200 psi(13.6 bars)for two hours or 50 psi(3.4 bars)above static pressure in excess of 150 psi(10.3 bars)for two hours.Differential dry-pipe valve clappers shall be left open during test to prevent damage.All above- ground piping leakage shall be stopped. Pneumatic:Establish 40 psi(2.7 bars)air pressure and measure drop which shall not exceed 1-1/2 psi(0.1 bars)in 24 hours.Test pressure tanks at normal water level and air pressure and measure air pressure drop which shall not exceed 1-1/2(0.1 bars)in 24 hours. Tests: All piping hydrostatically tested at psi for hrs. D inpneumatically tested? 0 Yes El No Equipment operates properly? ®Yes Lj No I If no,reason: Drain Test I Reading of gage located near water supply test pipe: Residual pressure with valve in test pipe wide open? psi. Under round mains and lead-in connections to system risers shall be flushed before connection made to sprinkler piping Verified by copy of 856? ®Yes No I Other: Flushed by installer of underground sprinkler piping? ®Yes No I Explain: Blank Testin Gaskets: Number Used: Locations: Number Removed: Welding Welded Piping? ®Yes ❑No If yes: Do you certify as the sprinkler contractor that welding procedures comply with the ®Yes No requirements of at least AWS D10.9.Level AR-3? Do you certify that the welding was performed by welders qualified in compliance ®Yes ❑No with the requirements of at least AWS D10.9,Level AR-3? Do you certify that welding was carried out in compliance with a documented quality ®Yes ❑No control procedure to insure that all discs are retrieved,that openings in piping are smooth,that slag and other welding residue are removed,and that internal diameters of piping are not penetrated? Hydraulic Data Nameplate: Nameplate provided? ®Yes ❑No If no,explain: Remarks(Date left in service with all control valves open): Signatures: Name of installing Contractor: n at F' rotection,Inc. p For Property Owner(Signed): Title: ie apIK ` If�—Date: / O .Y_ /;/��� For Ins ing ntractor(Signed): Title Data:©1998 Factory Mutual Insurance Company EMV 85A ENGINEERING 8/99 4 =5� u Apri127, 2005 APR 2 Christoper Dougan uth Chief Building Inspector BUILDING Windsor. South Windsor Building Department DEPARTMENT 1540 Sullivan Avenue South Windsor, CT 06074 Re: The Shops at Evergreen Walk Chris: This letter confirms that we intend to pursue the recommendation set forth in Len Getz's letter to you dated March 22,2005,regarding PVC/Fypon joint repair.Additionally, we are investigating the roof ponding issue at Building 300 you advised us of during today's meeting. We expect this situation to be corrected by the tenant. Thank you for today's issuance of all certificates of occupancy. erely, Ro ert L. Rogers,Jr. Senior Vice Presiden and General Counsel 6410 Poplar Avenue.Suite 850 ; Memphis TN 38119 1 901-761-7604 ! Fax 901-761-5325 �.� ..�• e . �.�,�� ``µ. —^! aA � �� y Y ��� �! — ..6 'y..... ]Electri,# C� APPLICATION FOR BUILDING PERMIT Plumbing# 11 Sto Q `/ 200 Evergreen Date: 14 1103 HVAC # '-"k\ Sprinkler# %" 30324 Estimated Cost $ J -750 GCo O FINAL APPROVAL FOO- SIGN Building Permit Fee $En neerin PLETE RED BOXED AREAS Occupancy Fee $ toAffidavit g TYPE OR PRINT ONLY Eng. Insp. Fee $A r. for CO. ON REVERSE SIDE pp - - Total Fee $ TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ The undersigned hereby applies to do work according to the following: Applicant�OAK C,0NJS-TXMCT101Q Location of Work and &n-LI FQ-I ' �1 +, Lot No. Applicant's Address Z M�7R� x I�R.tV� Tel.# 205- 42.3-ZZ'So Town �,At_ Zip 3T201 Lic.#MC-0 101717 Owner &"c -* Mg-EwAm 4F0%T',&E CzPj rERsArchitect .KLt�/tVdasF�Et�� AeSU4lfEc=T� Owner's Address!04lo FonA2 av& Sut-rF- 85o Architect's Address 15.50 AT�..AKC1e- AvE T,owEm. Z. Y amp-tim p-rd Zip 3gl(7 [bN�MA Zip OZZI o Sq. Ft. New Area: 1st FI. 374.3/S 2nd FI. 3rd FI. Total New Area Purpose of this permit SHc,&c, C"k-.ji Mj plutw i.v G So O s City Watex Well❑ Septic System❑ Sewer{, Ins: HO SP Cert. Area Basement Garage Approved by Date�_� _ Use Group Construction Type c Revised 6l02 I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town of South Windsor and to notify the Building Inspector of any alteration in the plans or specifications of the Building for which this permit is asked,and agree that this building is to be located the proper distance from all street lines,side yard lines,and required distances from all other zones and is located in which this building and its use is allowed Signed I hereby apply for a Certificate of Occupancy for the work described in this application for the permit. Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS Inspection / Approval Date By Appl Code Description Due Whom Code Comment ------------------------------------------------------------------------------- **-30324-B 175,000 BO1 FOOTING 02/13/04 JFF PREPARING WEST AN NORTH FOOTINGS NOT READY FOR POUR BO1 FOOTING 03/01/04 JFF A E LINE 1TO MID 10 TO108 1 LINE ETO 104 ELINE TO El E1 TO D4 BO1 FOOTING 02/27/04 PJP EXCUV ONLY WITH BLANKETS NO FORMS IN PLACE B02 FOUNDATION 03/10/04 PJP A E LINE 1-MID2 ,E LINE 1- C LINE 2 B02 FOUNDATION 03/11/04 PJP A LINE 1 D.4 - LINE 3 B BO1 FOOTING 03/18/04 CJD A INTERIOR PADS (13) P02 UNDERGROUND 04/08/04 JFF A UG 4IN SANITARY ONLY WITH STEVE E02 UNDERGROUND 05/07/04 CJD A BLDG 800B W/PAUL. SITE LGHTNG REAR PRKNG LOT BLDNG 400, "A" FTNGS GRND RODS OK E09 OTHER OS/19/04 JFF A GRDING AN BONDING 11 COPPERWATER RISERS SPRIN KLER GRD ROD CAD WELDED 3 OUGHT WIRE E02 UNDERGROUND 06/15/04 JFF A SITE LIGHTING REAR OF ALL 8005 TAPE IN PLACE GRD ROD EACH BASE NOS CAD WELDED E02 UNDERGROUND 06/23/04 JFF A SECONDARY CONDUIT TRASFORMER PAD GRD RODS 2 AN TAPE IN PLACE WITH PAUL E03 ROUGH 07/01/04 PJP A W/PAUL SEMAC ELEC ROOM ONLY Inspection / Approval Date By Appl Code Description Due Whom Code Comment ------------------------------------------------------------------------------- E02 UNDERGROUND 07/27/04 JFF A SITE LIGHTS WITH SEMAC CHRIS LIGHTPOLES E02 UNDERGROUND 07/23/04 CJD A E02 UNDERGROUND 07/22/04 PJP A TRENCH,WARNING TAPE, SEASONAL LIGHTING E02 UNDERGROUND 07/22/04 PJP A SITE LIGHTING W/CJ SEMAC E02 UNDERGROUND 08/10/04 JFF A SEASONAL LIGHTING FRONT OF 800B WITH CHRIS OF SEMAC E02 UNDERGROUND 08/11/04 PJP A W/PAULSEMAC SITE LIGHTING ,WRNG TAPE B03 FRAMING (ROUGH) 03/01/05 CJD N/A B04 INSULATION 03/01/05 CJD N/A B10 FINAL 04/27/05 CJD A CLOSED OUT. **-1352-S 17,400 **-11568-P 37,913 **-1376-S 25,000 **-12211-H 6,365 **-18884-E 95,000 t i HOAR CONSTRUCTION Two Metroplex Drive Suite 400 Birmingham,AL 35209 April 25, 2005 205 803 2121 (T) 205 423 2323 (F) Mr.Chris Dougan Town of South Windsor 1540 Sullivan Avenue South Windsor, CT 06074 RE: Building 800E To the Commissioner,Town of South Windsor Building Department: I state that I, or my authorized representative, have periodically observed the work associated the above referenced building in accordance with Permit No. 30324,dated December 31,2003, located at 200 Evergreen Way and that to the best of my knowledge, information,and belief the work has been done in conformance with the permit and plans approved by the South Windsor Building Department and with the provisions of the Connecticut State Building Code. Stacey Berthon Hoar Construction, LLC-Aftc6e President Two Metroplex Drive, STE 400 Birmingham AL 35029 Address 205/803-2121 Phone Then personally appeared the above-named Stacey Berthon and made oath that the above statement is true. Before me, My Commission expires 1/I $16 Date www.hoarllc.com birmingham houston nashville orlando ELKUS MANFREDI ARCHITECTS April 27,2005 ARCHITECTURAL FINAL AFFIDAVIT To the Commissioner,Town of South Windsor Building Department: I state that 1,or my authorized representative,have periodically observed the work associated with Permit No.30324,dated December 31,2003,locus 200 Evergreen Way(Building 800b) and that to the best of my knowledge, information,and belief the work has been done in conformance with the permit and plans approved by the South Windsor Building Department and with the provisions of the Connecticut State Building Code. \\\\t����t��ut►ill►lup(��j����� David P.Manfredi,#7719 CO!VAI, Architect—CT.Reg.No. / a 530 Atlantic Avenue,Boston,MA 02210 Address r;\ 617.426.1300 Phone !f(I!lllltl►Ul Then personally appeared the above-named David P.Manfredi and made oath that the above statement is true. Before me, My Commission expires October 17, 2008 Date ELKUS MANFREDI ARCHITECTS LTD [.dd. ,j 530ATLANTIC AVENUE BOSTON MASSACHUSETTS 022101h11 617 426 1300 1w0 WWW.ELKUS-MANFREDI-COM ELKUS MANFREDI ARCHITECTS April 27, 2005 Mr. Christopher J. Dougan Chief Building Inspector Town Of South Windsor 1540 Sullivan Avenue South Windsor, CT 06074 Re: Statutory Completion Certification— The Shops at Evergreen Walk Building 800b Permit No. 30324 Dear Mr. Dougan: In our professional opinion we affirm that the completed construction of the base building referenced above(exclusive of tenant improvements which are not the subject of this certification)is in substantial compliance with the approved plans and design specifications. (CT General Statues, Sec 29-276b (c)) In our professional opinion we affirm that the completed structure of the base building referenced above(exclusive of tenant improvements which are not the subject of this certification) is in substantial compliance with the approved plans and design specifications on file with the Town of South Windsor Building Department. (CT General Statues, Sec 29-276c (b)) The above represents an expression of the professional opinion of the undersigned, and is made to the best of the undersigned's knowledge, information and belief,based upon the undersigned's performance of services under the Architect's agreement for architectural services with the owner of the project referenced above, in accordance with generally accepted practice. As such, the opinions expressed herein constitute neither a guarantee nor warranty, expressed or implied. Sincerely, �"�'aOQ�tERMgti�� A ELKUS / ANFREDI ARCHITECTS LTD ,•• /. a i • pv o Al BVidjMareydi,�AIA, Principal ARG 'p�\`\` 1:/02049/letters Building 800b TSW.doc ELKUS MANFREDI ARCHITECTS LTD [.dd—d 530 ATLANTIC AVENUE BOSTON MASSACHUSETTS 02210 [t,11 617 426 1300 [w.b] WWW.ELKUS-MANFREDI.COM 1 FINAL AFFIDAVIT CONSTRUCTION CONTROL PERMIT NUMBER: 30324 PROJECT TITLE: The Shops at Evergreen Walk PROJECT LOCATION: The Shops at Evergreen Walk,Bldg 800B,South Windsor,CT NAME OF BUILDING: Building 800B NATURE OF PROJECT:Retail Space IN ACCORDANCE WITH SECTION 116.0 OF THE CONNECTICUT STATE BUILDING CODE,I Daniel A. Campia,PE REGISTRATION NO. 14987 BEING A REGISTERED PROFESSIONAL ENGINEER HEREBY CERTIFY THAT I HAVE PREPARED OR DIRECTLY SUPERVISED THE PREPERATION OF ALL DESIGN PLANS,COMPUTATIONS AND SPECIFICATION CONCERNING: ENTIRE PROJECT ARCHITECTURAL STRUCTURAL X MECHANICAL FIRE PROTECTION _ELECTRICAL OTHER(SPECIFY) FOR THE ABOVE NAMED PROJECT AND THAT TO THE BEST OF MY KNOWLEDGE,SUCH PLANS, COMPUTATIONS AND SPECIFICATIONS MEET THE PROVISIONS OF THE CONNECTICUT STATE BUILDING CODE,ALL ACCEPTABLE ENGINEERING PRACTICES AND ALL APPLICABLE LAWS AND ORDINANCES FOR THE PROPOSED USE AND OCCUPANCY.I FURTHER CERITFY THAT I OR MY OR MY AUTHORIZED REPRESENTATIVE SHALL PERFOM THE NECESSARY PROFESSIONAL SERVICES AND BE PRESENT ON THE CONSTRUCTION SITE ON A REGULAR PERIODIC BASIS TO DETERMINE THAT THE WORK IS PROCEDDING IN ACCORDANCE WITH THE DOCUMENTS APPROVED FOR THE BUILDING PERMIT AND SHALL BE RESPONSIBLE FOR THE FOLLOWING SPECIFIED IN THE CONNECTICUT STATE BUILDING CODE. THE PROJECT IS COMPLETE AND READY FOR OCCUPANCY. Seal p�:C Ni A. co, �� ` • No. 14987 ��•'� � 4u A + N 're ,s' •. Q4o"S/ONA L SNGpa,``.c SUBSCRIBED AND SWORN TO BEFORE ME THIS 27" DAY OF April 2005. ENE /y NOTARY PUBLIC MY COMMISSION EXPRIRE �1 0. z 20 ,!sPcH`?`' ;�tjtr 'qnY Vv FINAL AFFIDAVIT CONSTRUCTION CONTROL PERMIT NUMBER: 30324 PROJECT TITLE: The Shops at Evergreen Walk PROJECT LOCATION: The Shops at Evergreen Walk,Bldg 800B,South Windsor,CT NAME OF BUILDING: Building 800B NATURE OF PROJECT:Retail Space IN ACCORDANCE WITH SECTION 116.0 OF THE CONNECTICUT STATE BUILDING CODE,I Daniel A. Campia,PE REGISTRATION NO. 14987 BEING A REGISTERED PROFESSIONAL ENGINEER HEREBY CERTIFY THAT I HAVE PREPARED OR DIRECTLY SUPERVISED THE PREPERATION OF ALL DESIGN PLANS,COMPUTATIONS AND SPECIFICATION CONCERNING: ENTIRE PROJECT ARCHITECTURAL STRUCTURAL _MECHANICAL X FIRE PROTECTION _ELECTRICAL OTHER(SPECIFY) FOR THE ABOVE NAMED PROJECT AND THAT TO THE BEST OF MY KNOWLEDGE,SUCH PLANS, COMPUTATIONS AND SPECIFICATIONS MEET THE PROVISIONS OF THE CONNECTICUT STATE BUILDING CODE,ALL ACCEPTABLE ENGINEERING PRACTICES AND ALL APPLICABLE LAWS AND ORDINANCES FOR THE PROPOSED USE AND OCCUPANCY.I FURTHER CERITFY THAT I OR MY OR MY AUTHORIZED REPRESENTATIVE SHALL PERFOM THE NECESSARY PROFESSIONAL SERVICES AND BE PRESENT ON THE CONSTRUCTION SITE ON A REGULAR PERIODIC BASIS TO DETERMINE THAT THE WORK IS PROCEDDING IN ACCORDANCE WITH THE DOCUMENTS APPROVED FOR THE BUILDING PERMIT AND SHALL BE RESPONSIBLE FOR THE FOLLOWING SPECIFIED IN THE CONNECTICUT STATE BUILDING CODE. THE PROJECT IS COMPLETE AND READY FOR OCCUPANCY. FCONt FC'" Q ......... Seal ��,•'`��A s0 92�,�G `0 No. 14997 �&4 all, Signature 'o`S��NAL E Jo 4jiai,v r m e n n n n n n u 4 a SUBSCRIBED AND SWORN TO BEFORE ME THIS 27"' DAY OF April 2005. PEEN.- NOTARY PUBLIC MY COMMISSION EXPRIRES 5/ P.•� ssi�a o: ; 20 F, < / `-7-4 Y` �5. _ b s pT: ssy`c�` 'CRY P�'' y' FINAL AFFIDAVIT CONSTRUCTION CONTROL PERMIT NUMBER: 30324 PROJECT TITLE: The Shops at Evergreen Walk PROJECT LOCATION: The Shops at Evergreen Walk,Bldg 800B,South Windsor,CT NAME OF BUILDING: Building 800B NATURE OF PROJECT:Retail Space IN ACCORDANCE WITH SECTION 116.0 OF THE CONNECTICUT STATE BUILDING CODE,I Kevin T. Jensen.PE REGISTRATION NO.22544 BEING A REGISTERED PROFESSIONAL ENGINEER HEREBY CERTIFY THAT I HAVE PREPARED OR DIRECTLY SUPERVISED THE PREPERATION OF ALL DESIGN PLANS,COMPUTATIONS AND SPECIFICATION CONCERNING: ENTIRE PROJECT ARCHITECTURAL STRUCTURAL MECHANICAL FIRE PROTECTION X ELECTRICAL OTHER(SPECIFY) FOR THE ABOVE NAMED PROJECT AND THAT TO THE BEST OF MY KNOWLEDGE,SUCH PLANS, COMPUTATIONS AND SPECIFICATIONS MEET THE PROVISIONS OF THE CONNECTICUT STATE BUILDING CODE,ALL ACCEPTABLE ENGINEERING PRACTICES AND ALL APPLICABLE LAWS AND ORDINANCES FOR THE PROPOSED USE AND OCCUPANCY.I FURTHER CERITFY THAT I OR MY OR MY AUTHORIZED REPRESENTATIVE SHALL PERFOM THE NECESSARY PROFESSIONAL SERVICES AND BE PRESENT ON THE CONSTRUCTION SITE ON A REGULAR PERIODIC BASIS TO DETERMINE THAT THE WORK IS PROCEDDING IN ACCORDANCE WITH THE DOCUMENTS APPROVED FOR THE BUILDING PERMIT AND SHALL BE RESPONSIBLE FOR THE FOLLOWING SPECIFIED IN THE CONNECTICUT STATE BUILDING CODE. THE PROJECT IS COMPLETE AND READY FOR OCCUPANCY. Go/V hj Seal ri .53377 Q j� G Signature %% ONAL SUBSCRIBED AND SWORN TO BEFORE ME THIS 27'h DAY OF April 2005. f4 E~� ,Z.���\� NOTARY PUBLIC MY COMMISSION EXPRIRES 5/18/ :Vot,�`v �',oy F�IT� FINAL AFFIDAVIT CONSTRUCTION CONTROL PERMIT NUMBER: 30324 PROJECT TITLE: The Shops at Evergreen Walk PROJECT LOCATION: The Shops at Evergreen Walk,Bldg 800B,South Windsor,CT NAME OF BUILDING: Building 800B NATURE OF PROJECT:Retail Space IN ACCORDANCE WITH SECTION 116.0 OF THE CONNECTICUT STATE BUILDING CODE,I Daniel A. Campia,PE REGISTRATION NO. 14987 BEING A REGISTERED PROFESSIONAL ENGINEER HEREBY CERTIFY THAT I HAVE PREPARED OR DIRECTLY SUPERVISED THE PREPERATION OF ALL DESIGN PLANS,COMPUTATIONS AND SPECIFICATION CONCERNING: ENTIRE PROJECT ARCHITECTURAL STRUCTURAL —MECHANICAL FIRE PROTECTION _ELECTRICAL Plumbing_OTHER(SPECIFY) FOR THE ABOVE NAMED PROJECT AND THAT TO THE BEST OF MY KNOWLEDGE,SUCH PLANS, COMPUTATIONS AND SPECIFICATIONS MEET THE PROVISIONS OF THE CONNECTICUT STATE BUILDING CODE,ALL ACCEPTABLE ENGINEERING PRACTICES AND ALL APPLICABLE LAWS AND ORDINANCES FOR THE PROPOSED USE AND OCCUPANCY.I FURTHER CERITFY THAT I OR MY OR MY AUTHORIZED REPRESENTATIVE SHALL PERFOM THE NECESSARY PROFESSIONAL SERVICES AND BE PRESENT ON THE CONSTRUCTION SITE ON A REGULAR PERIODIC BASIS TO DETERMINE THAT THE WORK IS PROCEDDING IN ACCORDANCE WITH THE DOCUMENTS APPROVED FOR THE BUILDING PERMIT AND SHALL BE RESPONSIBLE FOR THE FOLLOWING SPECIFIED IN THE CONNECTICUT STATE BUILDING CODE. Y. oa payn�umuew�ry° THE PROJECT IS COMPLETE AND READY FOR OCCUPANCO N CO ° �► Seal ,a`�P•``��/ co • It No. 14987 A•�;'. SID ignature ""IA daucun4011 SUBSCRIBED AND SWORN TO BEFORE ME THIS 27"' DAY OF Apri12005. NE NOTARY PUBLIC MY COMMISSION EXPRIRES 51 tl o� 4k'�SSACNV�'� AgRY Pve' 1 01/1212004 02:15 16173976990 SCDT PACE 03 i i STRUCTURAL CONSULTING DESIGN TEAM INC, January 6,2004 Mr. Mark Grambergs �'-` Poag&McEwen.Lifestyle Centers 6410 Poplar Avenuet'dr Memphis,TN 38110 Re:The Shops Evergreen Walk ' is South Windsor,CT i•�•`' Peer Review Subject: Independent Structural Peer Review Buildings#100,200,300,400,600,800A #300C Dear Mr. Clramberg: We have concl tided otir threshold review of the permit document submission for the above referenced project. The purpose of our task was to review the Primary structural component and systems of the superstructure for compliance with the Connecticut state building code/ 1999 edition. We have performed independent structural calculations using the following documents received from McNamara/Salvia,Inc. as the basis of our review: • Structural Dravvi gs S0.00, Sl.00,S2.10,S2.20,S3.10,S3.20, S4.00,S6.10, S6.20, S7.10, S7.20, SSA.00, M.01,S313.02, S8C.00, S9.10, S9.20,S9.30, S9.40, S10.10, S10.20, SI0.30, S10.40,S10.50, and S10.60. • Subsurface Investigation and Geotechnical engineering report prepared by Professional Service Industries,Inc., dated November 27,2002. Our review is complete,and we find no outstanding issues. If you have any questions,please feel free to call me. p cordN Sincerely, ca b t* ' - No. 20771 % N, ih tn R. H�mouri, P.E. `r��NAi. NRH/mh/Poag&McEwinpeerrevi ew2.doe 165 Chelsea Street, Everett, MA 02149 * Telephone: 617-381-6990 * Fax: 617-387-6990 0111212LA04 09:15 1617+976990 SCDT PACE 02 STATE OF CONNECTICUT DEPARTMENT OF CONSUMER PROTECTION LICENSE SERVICES DIVISION 165 Capitol Avenue Room 110 + Hartford Connecticut 06106 RENEWAL NOTICE 2004 Online Renewal Access PIN# 2605761 Receipt for your records: NAZEIH HAMMOUflI Chockk 126 DARTMOUTH ST Date ma'tetr 2 i a °3 EVERETT,MA 02149 te<k PEN.20771 Credevrtrat type I• PROFESSIONAL ENGINEER +. Your license wdt expire on 01/31/2004. Checks made payable tof"Treasurer, State of Connecticut' PAY_MEIYT OPTION 1) By mail-sign the form below and mail it with the noted fee in the enclosed envelope 2)Via the intemat-renew on-Inc using an Internet connection and a Visa or Mastercard for payment by going to DCP's E-commerce website at: www dcpaccess.state.c4u and select the "Ucense Renewal" option LATE FEES 1)if you pay by mail,a late fee of$22.50 wM be due on all renewals received after February 29, 2004 2)If you pay via the internet,a late fee of$22.50 will be due.on*all payments made after January3l,2004 "If you wish to request retiree status,do not send in this(renewal,contact(960)713-6142 for instructions. Visit the Department of Consumer Protection's website: _ as�_s r;f a ct.&Vdclp Your license will not be issued if you fail to answer the question and/or sign the renewal form below. Detach along perforation below and enclose renewal notice with your payment. STATE OF CONNECTICUT + .DEPARTMENT OF CONSUMER PROTECTION • • i WEN R HMOURI FEE RENEWAL AM 225.00 DATE: 01/31/2004 126 DARTMOUTH ST G J 71 MSETT,MA 02149 VWR News, 4A..NAwe PEN20771 • Gir 9r"ts. Lv Goy Have You been convicted of a lel fie date of your last Ikense application? YES a Nt3� If yes,attach date(s)and nature of cornrUw(s). � 1 Sigtrat Date: PEN000207Z320040131002250000247500 ,7. STATE OF CONNECTICUT IM DEPARTMENT OF O C NS[TMER PRQTECTIQN 165 Capitol Avenue + Hartford Connecticut 06106 Attached is your license. Such license shall be shown to any properly interested person on request. No such license shall be transferred to or used by any other person other than the person to whom the license was issued. To sport an address change,please contact the Department of Consumer Protection,Licensing 01vision at(860)713-6=. Visit our web address: www.dcR,s at . t.jj";cpct_ ne/for information and applications. STATE OF CONNECTIC LIT FROr'ESSCONAL ENCtrMFR NAZEIH R HAMMOURI NAZEIH HAMMOURI 126 DAR'I'1r OtMi 5T 12G DARTMOUTH ST I Ev1ER417.MA 0.149 EVERE1T,MA 02149 U 1,90 No. EFff fIYE EXPIRES 20771 �. OZ/01/2003 _01/31/2004 • r SK3NED STATE OF CONNECTICUT + DEPARTMENT OF CONSUMER PROTECTION • Be it knovi n that NA.ZEIH R HAMMOURI 126 DARTMOUTH ST EVn. A 02149. has been certified by the Depart nt of o. rucr Protection as a licensed. ` PROF4§S� r NGINEER :?RANST�j•�y�t. ''f ExpiresQl•/31� . "•I:° Z04J T.Fleming,Comm oner f *!1' Ik �. bt! "r.lr'f A. "4,i,+i ti+a�" �f ++' ,,►fi I b0 331tid 1QJ5 0569L9ELT31 S1:50 t'00L/ZT/10 August 20, 2004 MECHANICAL DESIGN AFFIDAVIT To the Building Commissioner of South Windoor, CT. Re: Evergreen Walk Life Safety Vacant Spaces South Windsor, CT (Address) I certify that to the best of my knowledge, information and belief,the plans and computations are in accordance with the requirements for the Connecticut State Building Code and all other pertinent laws and ordinances. Daniel A. Campia <,G << sf Engineer—Connecticut Reg.No. 14987 AHA Consulting Engineers, Inc. 10 Maguire Road, Suite 310 Lexington, MA 02421 Phone: 781-372-3000 Fax: 781-372-3100 G:\Pr6jects\2003-Boston\Evergreen Walk 3-181-M-05Wffidavits\Design\design aff mechanical 8-20-04.doc August 20,2004 FIRE PROTECTION DESIGN AFFIDAVIT To the Building Commissioner of South Windosr, CT. Re: Evergreen Walk Life Safety Vacant Spaces South Windsor, CT (Address) I certify that to the best of my knowledge, information and belief,the plans and computations are in accordance with the requirements for the Connecticut State Building Code and all other pertinent laws and ordinances. C� saw a Daniel A. amply -0 f] No. 14937 1L7 Engineer—Connecticut Reg.No. 14987 `�s���� 4 c' 4yy AHA Consulting Engineers, Inc. 10 Maguire Road, Suite 310 Lexington,MA 02421 Phone: 781-372-3000 Fax: 781-372-3100 G:\Projects\2003-Boston\Evergreen Walk 3-181-000-05Wf'fdavits\Design\design affFP 8-20-04.doc STRUCTURAL ENGINEERS Final Report of Special Inspections COALITION CONNECTICUT ENGINEERS IN PRIVATE PRACTICE Project: The Shops at Evergreen Walk— Building 800B Location: Buckland Road — South Windsor, Connecticut Owner: Poag & McEwen Lifestyle Centers — Connecticut, LLC Owner's Address: 6410 Poplar Avenue, Tower 2, Suite 850 Memphis, TN 38119 Architect of Record: Elkus / Manfredi Architects Structural Engineer of Record: McNamara / Salvia, Inc. To the best of my information, knowledge and belief, the Special Inspections required for this project, and itemized in the Statement of Special Inspections submitted for permit, have been performed and all discovered discrepancies have been reported and resolved other than the following: Comments: • Two 6" roof penetrations are not reinforced. • Two 8" roof penetrations are not reinforced. • Framing is missing from one 12" ductwork roof penetration. • JGI has not received documentation regarding approval of one 12" roof penetration with no framing. This Final Report of Special Inspections applies only to construction observed before or on October 20, 2004. We understand that following this date tenants moving into this building may modify the structural components of the building. JGI makes no claims regarding the acceptability of modifications subsequent to October 20, 2004. Interim reports submitted prior to this final report form a basis for and are to be considered an integral part of this final report. Respectfully submitted: Special Inspector .P``�0 01%, c.� Ryan R. Roy (type or print name) r pp .2 Its NAL HMO Ao- Z _o Y ""um" Signature Date Design Professional Seal SEC/CT Form 102 • Statement of Special Inspections • ©SEC/CT 1999 „.� t. :� V `. SAY s� i .� 'F .,�. , \ ' `� .� 3 1 � � _ �J� •��..1”' STRUCTURAL ENGINEERS Statement of Special Inspections COALITION CONNECTICUT ENGINEERS IN PRIVATE PRACTICE J., Project: The Shops at Evergreen Walk-Building 8008 Location: Buckland Road-South Windsor, Connecticut Owner: Poag &McEwen Lifestyle Centers -Connecticut, LLC r Owner'sAddreSS: 6410 Poplar Avenue, Tower 2, Suite 850 Memphis, TN 38119 Architect of Record: Elkus I Manfredi Architects Structural Engineer of Record: McNamara/Salvia, Inc. This Statement of Special Inspections is submitted as a condition for permit issuance in accordance with the Special Inspection requirements of the BOCA National Building Code. It includes a Schedule of Special Inspection Services applicable to this project as well as the name of the Special Inspector and the identity of other approved agencies Intended to be retained for conducting these inspections. The Special Inspector shall keep records of all inspections and shall furnish inspection reports to the Building Official, Structural Engineer and Architect of Record. Discovered discrepancies shall be brought to the immediate attention of the Contractor for correction. If such discrepancies are not corrected, the discrepancies shall be brought to the attention of the Building Official, Structural Engineer and Architect of Record. The Special Inspection program does not relieve the Contractor of his or her responsibilities. Interim reports shall be submitted to the Building Official,Owner,Structural Engineer and Architect of Record. A Final Report of Special Inspections documenting completion of all required Special Inspections and correction of any discrepancies noted in the inspections shall be submitted prior to issuance of a Certificate of Use and Occupancy. Job site safety and means and methods of construction are solely the responsibility of the Contractor. Interim Report Frequency: or[]per attached schedule. Prepared by: Joseph A. Salvia, P.E. (type or print name) 0. 11102 •P -'GISTO', S1 re Date Design Professional Seal Own 's Auth ion: Building Official's Acceptance: V" ;"I z b3 Sign, ture D to Signaturg Date SEC/CT Form lOICT * Statement of Special Inspections a @SEC/CT1999 Sheet 2 of 10 Project: The Shops at Evergreen Walk Schedule of Special Inspection Services The following sheets comprise the required schedule of special inspections for this project. The construction divisions which require special inspections for this project are as follows: ® Soils and Foundations ® Cold-Formed Steel Framing ® Cast-in-Place Concrete ® Spray Fire Resistant Material ❑ Precast Concrete ❑ Wood Construction ® Masonry ® Exterior Insulation and Finish System ® Structural Steel ❑ Special Cases Inspection Agents Firm Address 1. Special Inspector Eastern Materials Testing Lab 114 Woodlawn Road Division Berlin, CT 06037 2. Testing Laboratory Eastern Materials Testing Lab 114 Woodlawn Road Division Berlin, CT 06037 3. Testing Laboratory 4. Other McNamara/Salvia, Inc. 160 Federal Street Boston,MA 02110 Note: The qualifications of all personnel performing Special Inspection activities are subject to the approval of the Building Official. The inspection and testing agent shall be engaged by the Owner or the Owner's Agent, and not by the Contractor or Subcontractor whose work is to be inspected or tested. An conflict of interest must be PY disclosed to the Building Official, prior to commencing work. The credentials of all Inspectors and testing technicians shall be provided if requested. It is recommended that the person administering the Special Inspections program be a Professional Engineer experienced in the design of buildings. • Key for Minimum Qualifications of Inspection Agents where indicated on Schedules PE Professional Engineer EIT Engineering in Training ACI American Concrete Institute Certified Concrete Field Testing Technician AWS American Welding Society Certified Welding Inspector ASNT American Society of Non-Destructive Testing- Level 11 or III Qualifications of inspection agents may be indicated on the Schedule in instances where the Structural Engineer deems such requirements are appropriate. SEC/CT Form 101CT • Statement of Special Inspections • ©SEC/CT 1999 Schedule of Special Inspection Services Sheet 3 of 10 Solis and Foundations Project: The Shops at Evergreen Walk Item Agent No. Scope (Oualif.) 1 Shallow Foundations I Preperation of spread footing on earth. Check preperation as required in geotecchnical report of prepared sections receiving foundations. Interim reports of inspection. 2. Controlled Structural Fill I Check preperation as required in geotechnical report of prepared 1705.7 sections receiving foundations. Interim reports of inspections Review for conformance to the specification. 3. Deep Foundations N/A 1705.8; 1705.9; 1816.13 4. Other SEC/CT Form 101 CT Statement of Special Inspections • OSEC/CT 1999 Schedule of Special Inspection Services Sheet 4 of 10 Cast-in-Place Concrete Project: The Shops at Evergreen Walk Item Agent No. Scope (Qualif.) 1 Mix Design 1,4 Review mix designs 1705.4.1 2. Material Certification 1,4 Review for conformance to specification 1705.4.1 3. Reinforcement Installation 1 Inspect reinforcing steel for size, quantity,condition and 1705.4.2 placement. 4. Post-TensioningOperations' N/A 1705.4.5 5. Batching Plant N/A 1705.4.4 6. Formwork Geometry 1 Inspect form sizes. CT 1705.4.3 7. Concrete Placement5 I Observe concrete placement operations. 1705.4.4 Verify conformance to specifications including cold weather placement procedures. Perform slump,density and air content tests at point of discharge. 8. Evaluation of Concrete I Test and evaluate in accordance with the specifications. Strengths 1705.4.4 9. Curing and Protection I Observe procedures for conformance to the specifications. 1705.4.4 10. Other SEC/CT Form 101CT Statement of Special Inspections • OSEC/CT 1999 Schedule of Special Inspection Services Sheet 5 of 10 Masonry Project: The Shops at Evergreen Walk Item Agent No. Scope (Qualif.) 1. Material Certification 1,4 Review for conformance to specifications 1705.5 2. Mixing of Mortar and Grout 1 Inspect field-mixing procedures for conformance to the 1705.5 specifications. 3. Installation of Masonry 1,4 Inspect placement for conformance to the specifications. 1705.5 4. Reinforcement Installation 1 Inspect reinforcing steel for size, quantity condition and placement 1705.5 for conformance to SER approved submittals and contract documents. Inspect welding of reinforcement and review welder's certifications. 5. Grouting Operations 1 Inspect grouting procedures for conformance with the 1705.5 specifications. Inspect cells prior to grouting. 6. Weather Protection I Inspect protection for cold and hot weather for conformance with 1705.5-- the specifications. 7. Evaluation of Masonry 1,4 Verify strength in accordance with the specifications. Strength14 1705.5 8. Anchors and Ties'-51,4 Inspect anchorage of masonry to other construction for 1705.5 conformance to the contract documents. 9. Other SEC/CT Form 101CT 9 Statement of Special Inspections 9 ©SEC/CT 1999 Schedule of Special Inspection Services Sheet 6 of 10 Structural Steel Project: The Shops at Evergreen Walk Item Agent No. Scope (Qualif.) 1. Fabricator Certification/ 1,4 Review each Fabricator's quality control procedure Quality Control Procedures 1705.2, 1705.3.1 2. Material Certification 1,4 Review for conformance to the specifications 19, 1705.3.2 3. Open Web Steel Joists 1,4 Inspect for size,placement, bridging, bearing and connection to structure, visually inspect all welds of a minimumof 5%of the joists, randomly selected. 4. Bolting I Test and inspect bolted connections in accordance with 1705.3.3.1 specification. Verify bolt size and grade. 5. Welding 1 Check welder qualifications. Visually inspect fillet welds and test 1705.3.3.2 full penetration field welds in accordance with specifications. 6. Shear Connectors22 I Inspect for size and placement. Test for proper weld attachment. 7. Structural Details 114 Inspect for size,grade of steel,camber, installation and 1705.3.3.3 connection details. 8. Metal Deck 1. 4 Verb gage, width and type. Inspect placement laps, welds sidelap attachment and screws or other mechanical fasteners. Check welder qualifications. 9. Other SEC/CT Form 101CT . Statement of Special Inspections • ©SEC/CT 1999 Schedule of Special Inspection Services Sheet 7 of 10 Cold-Formed Steel Framing Project: The Shops at Evergreen Walk Item Agent No. Scope (Qualii.) 1 Member Sizes 1.4 Inspect and verify members for size in accordance to the SER approved submittals and contract documents. 2. Material Thickness 1, 4 Inspect gage, width and material thickness in accordance SER approved submittals and contract documents. 3. Material Properties I Review materials properties in the accordance to the SER approved submittals and contract documents. 4. Mechanical Connections 1 Inspect for size and placement and grade and connection to framing structure. 5. Welding 1 Check welder qualifications. Visually inspect fillet welds in accordance with specifications. 6. Framing Details 1, 4 Inspect members for size,grade of steel, installation and connection details. 7.Other SEC/CT Form 101CT • Statement of Special Inspections . ©SEC/CT 1999 Schedule of Special Inspection Services Sheet 8 of 10 Spray-Applied Fire Resistant Material Project: The Shops at Evergreen {Valk Item Agent No. Scope (Qualif.) 1. Material Specifications 2 Review manufacturer's material specification for conformance to the contract documents and that the material can obtain the required rating in the thickness specified. 2. Laboratory Tested Fire I Review manufacturers test data for conformance with Resistance Design specifications. 3. Schedule of Thickness 1 Review manufacturer's schedule of thickness for required fire ratings of structural elements. 4. Surface Preparation 2 Inspect surfaces to receive fire proofing for conformance with 1705.12.1 approved fire resistance design and the manufacturer's written instructions,prior to the application of specified material. 5. Application 2 Verify the application is in accordance with the approved 1705.12.2 manufacturer's written instructions. 6. Curing and Ambient Condition 2 Verify the substrate is not below the minimum ambient 1705.12.2 temperature before and after the application as specified in the approved manufacturer's written instructions. Verify the area of application is ventilated during and after the application. 7. Thickness 2 Verify the thickness of sprayed fire resistive material is not less 1705.12.3 than the thickness required by the approved fire resistance design. Sample shall be selected in accordance with BOCA Section 1705.12.3.1 and 1705.12.3.2. 8. Density 2 Verify the density of sprayed fire resistivematerial is not less than 1705.12.4 the thickness required by the approved fire resistance design. Sample shall be selected in accordance with BOCA Section 1705.12.3.1 and 1705,12.3.2. 9. Bond Strength 2 Verify the cohesive/adhesive bond strength of sprayed fire resistive 1705.12.5 material is not less than the bond strength required by the approved fire resistance design. The cohesiveladhesive bond strength sample shall be selected in accordance with BOCA 10. Other 2 Section 1705.12.3.1 and 1705.12.3.2. SEC/CT Form 101CT • Statement of Special Inspections 9 ©SEC/CT 1999 Schedule of Special Inspection Services Sheet 10 of 10 References Project: The Shops at Evergreen Walk 1. ACI 318-95, Building Code Requirements for Structural Concrete, Chapter 3. 2. ACI 318-95, Building Code Requirements for Structural Concrete, §7.4,7.5, 7.6 and 7.7. 3. ACI 318-95, Building Code Requirements for Structural Concrete, § 18.18. 4. ACI 318-95, Building Code Requirements for Structural Concrete, Chapter 4 and§5.2, 5.3, 5.4 and 5.8. 5. ACI 318-95, Building Code Requirements for Structural Concrete, §5.9 and 5.10. 6. ACI 318-95, Building Code Requirements for Structural Concrete, §5.6. 7. ACI 318-95, Building Code Requirements for Structural Concrete, §5.11,5.12 and 5.13. 8. ACI 530.1 /ASCE 6/TMS 602-95, Specifications for Masonry Structures, §2.3. 9. ACI 530.1 /ASCE 6/TMS 602-95, Specifications for Masonry Structures, §2.6. 10. ACI 530.1 /ASCE 6/TMS 602-95, Specifications for Masonry Structures, §3.2. 11. ACI 530/ASCE 5/TMS 402-95, Building Code Requirements for Masonry Structures, Chapter 8. 12. ACI 530.1 /ASCE 6/TMS 602-95, Specifications for Masonry Structures, §3.5. 13. ACI 530.1 /ASCE 6/TMS 602-95, Specifications for Masonry Structures, § 1.8. 14. ACI 530.1 /ASCE 6/TMS 602-95, Specifications for Masonry Structures, § 1.4. 15. ACI 530/ASCE 5/TMS 402-95, Building Code Requirements for Masonry Structures, §4.2 and 5.14. 16. AISC ASD-89, Specification for Structural Steel Buildings-Allowable Stress Design and Plastic Design, §A3.4 and A3.6. 17. AISC LRFD-93, Load and Resistance Factor Design Specification for Structural Steel Buildings, §A3.3 and A3.5. 18. ASTM A6-95c, Specification for General Requirements for Rolled Steel Plates, Shapes, Sheet Piling, and Bars for Structural Use. 19. ASTM A568-95, Specification for Steel Sheet, Carbon and High-Strength, Low-Alloy,Hot-Rolled and --Cold Rolled,-General Requirements For. 20. RCSC-85(88), Specification for Structural Joints Using A325 orA490 Bolts, §9. 21 AWS D1.1 -92, Structural Welding Code-Steel,§6. 22. AWS 131.1 -92, Structural Welding Code-Steel, §7.8. SEC/CT Form 101 CT 9 Statement of Special Inspections • ©SEC/CT 1999 JAN-05-2004 02:34PM FROM—HOAR CONSTRUCTION 205-423-2323 T-207 P-003/003 F-741 w �1r ��N: '. ERTIFiGAT ., UT _�. Pnopp06n .. .....,., .,.,.. ... •. •... ,_...........•._,.... - �,1�►4:�..;::::. 1I051 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION J31AMINGHAM ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE NGGp1fF. SfIDELS AND WILLIAMS HOLDER, THIS CERTIFICATE DOES NOT AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED QY THE POLICIES BELOW. P.O. aa% 10265 I COMPANIES AFFORDING 90Vt;RAGE BIRNINGHAY AL 35202.0265 CXP�ANY 1205) 252-9871 1 A ST. PAUL FIRE 1 YARINE --INsulfaD -. COMPANY ----- / Hoar Construction, LLG 0 _ 11MCM;TF,R FIRE INS CO P. 0. Boa EW40000MPANY V llirminoh4m. AL 25266-0400 C AC16 INSURANCE COMPANY cnuI+ANY .._..... .._._.r _... ..... n ..... ..........r..,.............. D LANDMARK ANFAICAN INS. CO. .,r.r,,r.,.,...,.•.v...•.! .,I.Jr i•..�•.,..•1•.w.i...n....... ......,r•n.r.••,...•r.v,...,..,,>,Kn,.n �i rlri.....•......•.. .....r...r,•..•...•..•.•...1...:i •••••• THIS ISTOCERTIFY THATTHEPOLICIESOFI NSURANClw LISTEDBELOW HAVESEEN ISSUFDTO THE INSUTTEpNAMED ASOVEFORTHEPOLICY 13011100 "ICATED.NOT WITHSTANUINGANYREOUIREMBNT,TERMORCONDITIONOFANYCONTRACT OAOTHEIiDOCUMENT WITHRFSPECT T'O WrI1C11TMS CERTIFICATE MAY 13E ISSUED OR MAY PERTAIN.THE INSURANCE AFFORDED RY THE.POLICIES DESCRIBED HEREIN IS SUBJCCT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF OUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCCO OY PAID CLAIMS• co f TITc OF INsVnANee POLICY NYMOriA I Pof,1Q1'L�rRPT1YR i POLIGY alflgl/1T10 _ 4TR i 1 DATC(MM MOfrY) ! DATE(ItlW aorrY) LIMITS A !°wGI11u'biABN.RY ICKO060110 10101183 10/01/04 C7hWENAL AGOFCOATC 11 2.000,000 X CUk01WI+C1ALOCHERALLIAI'HL11Y� j Pi9x=TS-CCW/0R Alai f 21000,000 ` 0.AM MA(A;n C�•�� ! ( PBR4ANAI i AOV IIiLIitY ! 1,000, OQ" D owM:Trs a coN1RACIaIT:,aI1a1! 1 � EACH OCCI S 1.000.00D I ( raw DAM ME(Ard om fire) S 100.000 1 i MF0 A AUTO 611P(Any one parson) R108LELGBRdTY 1�0680110 I 10/01/03 10/O1/04 IX ANY AUTO ! GOl,RITCD :.M41.6 LIMIT S ALL 47WMU AUIUwa I iDODILY INJIXtY 1 SCttUtGtU AUltk! i (NVr ;*--n) >( � !t:ICID4 Y IN.AJRY X N0N4XWNM AIAC4 I(Por acairl«II) ...r_�...�.�_r.. ,PROrCATY DAMAOE j •--.. GAAAGSLIASLRT I AWO CAM.Y•L•A ACCOeNI i ANY AUTO j OTKFI TIKN AUTO OWLY _._.....__._. EA( I--...... T ` I I 7i 1It;Ctp[NT�j I AtcI�Lu1E I S B L0CESSLIASRJTY CIAN7798780 t0/01/07 1Q/D1l04 R"ACH CKCu71eMC6�wJS_25,OOa,aDa Mom. .. ...... .. II �t111NIgL1,1.A roIIM i i AIX1Ft[CIATTc j s 45,000,wa I G11ttR IMAM tA1C11iCLu Iti.A,l I f C W0111(EM C11MPfN1<AT10T1 AND C .^,TAIU 011r CMPLOYSIIA•uAen.tTY � �GD0300271/WCR0300130 6/01103 t 4ro7/0A ,�.IOHY.LIMtJTi`..1tH._ ,._..y,. . :. . 1 EACK ACCwt:Nf _�t n 600,000 iNR PRVIF10F1i ) , i FI gl,'1FASi 1W*MY I Iml I !S 500,000 FARAKRStuCI�rC1tC[tRIV[ - - Orrtexx. ARE: C9CL EL DliiABE-CA Hral.OnE j S a0o.0c0 OTHCA 1) Contractors Equipment LN0371151 j 10/01/03 10101/04 Owned >;pu)p: an Pilo with Company Leased/Roatod: S500.000 Per Itom $1.000.000 Occ OCRQRa'TIQN OI OPPRATIORB .QUATONafvsmw;LxampLOIAL ITAMa Job Name: The Shops at Evergreen Valk; Job Location: South Windsor, CT, Job limber 3316 �•:C�I�GAT�FibCLiER:%::,;,; :;K1'..•"i:;"..:w,j�:•:.:.�.•.:`:ti�:w:.'� . J'tiArlf:E �:.•� .. •.............+.•....._... .w...r......... ..�:....,. SHOULD ANr OF THE ASDVF OESCRMM POLICIES 8(ii CANCCIZO WYORE THE Tewn of South WIA4ter COMATION GATE TMCRVC F,THC I"UWa COMPANY WILL 6NOCAYOR TO MAX. 1S40 Sul I Ivan Avoawo 90 DAYI WIUTTEN NOTICCTO TILE COIT7F7CAft NOI,OCA NAM9O to tHE LEPT, Sovih Windsor, CT 05074 ;a FA"It TO MAIL SUCH NOTICE 4IMAU.IMPOSE NO 00>,.IDATWN On LIAYam 00 ANY KIND UPON THE COMPANY, 1T4 AOENTa OR REP49412I1TATlrES. A OR R 6N' TIVU ' Ro, ld R. 51odrosloh . .. . ....�.r. . . . ••••• . ••••••.•••••.••••• - .:.'r' �,.,,,• "'7CGORC):CUFT80R71T1G�'t'1.488 CEPTIFICATE' 020/0011 OU92 12/30/2003 14: 44 9017615325 PAGE 10!11 STRUCTURAL F iv GINEERS Statement of Special Inspections T • COALITION CONNECTICUT ENGNI EERS IN PRIVATE PRACTICE Project: The Shops at Evergreen Walk-Building 8008 Location: Ruckland Road- South Windsor, Connecticut Owner: Poag &McEwen lifestyle Centers • Connecticut, LLC Owner's Address: 6410 Poplar Avenue, Tower 2, Suite 850 Memphis, TN 38119 Architect of Record: Elkus/Manfredi Architects Structural Engineer of Record: McNamara/Salvia, Inc. This Statement of Special Inspections is submitted as a condition for permit issuance In accordance with the Special Inspection requirements of the BOCA National Building Code. It includes a Schedule of Special Inspection Services applicable to this project as well as the name of the Special Inspector and the identity of other approved agencies intended to be retained for conducting these inspections. The Special Inspector shall keep records of all inspections and shall furnish inspection reports to the Building Official, Structural Engineer and Architect of Record. Discovered discrepancies shall be brought to the immediate attention of the Contractor for correction_ It such discrepancies are not corrected, the discrepancies shall be brought to the attention of the Building Official, Structural Engineer and Architect of Record. The Special Inspection program does not relieve the Contractor of his or her responsibilities. • Interim reports shall be submitted to the Building Official, Owner, Structural Engineer and Architect of Record. A Final Report of Special Inspections documenting completion of all required Special Inspections and correction of any discrepancies noted in the inspections shall be submitted prior to Issuance of a Certificate of Use and Occupancy. Job site safety and means and methods of construction are solely the responsibility of the Contractor. Interim Report Frequency. or ❑ per attached schedule. Prepared by: ��P*ten' �OF GDNryF �iy�ICE" Joseph A. Salvia, P.E. (type or print name) 4` °j �� <_, a e :O x D� �F �Ic,nT'a�0rr�''V 'as -O -7 ( N Ik 's��LMtll��� Slg re Date Design Professional Seal Own s Auth ion: Building Official's Acceptance: �-u 436103 Signz ture D to Signature Date SEC/CT Form 101 CT . Statement of Special Inspections • OSEC/CT 1999 _ 160 Federal Street,5th Floor Boston,MA 02110 USA 617-737-0040 617-737-0042 Fax Robert J.McNamara,P.E. McNamara/Salvia,Inc. Joseph A.Salvia,P.E. Consulting Engineers March 30,2005 Christopher J. Dougan Chief Building Inspector Town of South Windsor 1540 Sullivan Avenue South Windsor,CT 06074 RE: The Shops at Evergreen Walk—South Windsor,CT Statutory Completion Certification—Building 800b Permit No.30324 MclSal Project No 22109.00 Dear Mr. Dougan, In our professional opinion we affirm that the completed construction of the base building referenced above (exclusive of tenant improvements which are not the subject of this certification)is in substantial compliance with the approved plans and design specifications.(CT Genera/Statues,Sec 29.276b(c/1 The above represents an expression of the professional opinion of the undersigned,and is made to the best of the undersigned's knowledge,information and belief,based upon the undersigned's performance of services under the Architect's agreement for architectural services with the owner of the project referenced above,in accordance with generally accepted practice.As such,the opinions expressed herein constitute neither a guarantee nor warranty,expressed or implied. Very truly yours, McNamaralS via,Inc. Joseph A.Salvia, P.E. Chief Executive Officer of Co/V�'F�l c . P yy 34< �,: ,Q �fr'Qp EaF",,II�'�� p ..air �� ♦♦ ��+ SlUNAI '� ��♦ JASImr Tnwnnf9nwhWindenrMn3-I TR-The Shnns at Evernreen Walk-Stalutnry rmmnletinn Certification April 13,2004 ELECTRICAL DESIGN AFFIDAVIT To the Building Commissioner of South Windosr,CT. Re: The Shops at Evergreen Walk Building South Windsor, CT (Address) I certify that to the best of my knowledge, information and belief,the plans and computations are in accordance with the requirements for the Connecticut State Building Code and all of rtinent laws and ordinances. �F c0IVNFO -4 k co Kevin T. Jen n,P.E. j�, No.s33n ���� �� O QCENS�� to- 1t ,&/ON At Engineer—Connecticut Reg.No. 22544 AHA Consulting Engineers, Inc. 10 Maguire Road, Suite 310 Lexington,MA 02421 Phone: 781-372-3000 Fax: 781-372-3100 G:1Projects\2003-Boston\Evergreen Walk 3-181-000-05\Affidavits\Designldesign aff elec.doc i i April 13,2004 PLUMBING DESIGN AFFIDAVIT To the Building Commissioner of South Windosr, CT. Re: The Shops at Evergreen Walk Building South Windsor, CT (Address) I certify that to the best of my knowledge, information and belief,the plans and computations are in accordance with the requirements for the Connecticut State Building Code and all o ertinent laws and ordinances. CON NFtx 11 i A� �T J ENS F G AT y Kevin T. Jense P.E. y N0.5337T O IICEHS 9 Engineer—Connecticut Reg.No. 22544 ��tiSS�ONAV. AHA Consulting Engineers, Inc. 10 Maguire Road, Suite 310 Lexington,MA 02421 Phone: 781-372-3000 Fax: 781-372-3100 G:\Projects\2003-Boston\Evergreen Walk 3-181-000-05Wf1idavits\Design\design affplurr doc j �. RECEIVED SITE COMPLIANCE CHECKLIST FEB 2 3 2004 TOWN of SOUTH WINDSOR, CONNECTICUT SOUTH WINDSOR PLANN�NG DEPT. 200 EVERGREEN WAY LOT_# Reviewed By (Engineering HOAR CONSTRUCTION Date Reviewed 2/a3 oy j LA_pp`F5ve /Denied 2 METROPLEX DRIVE,BIRMINGHAM,AL Reviewed By Planning) BP # 30324 Ph_# 205-423-2230 Date Reviewe / 0 pprove /Denied Date Submitted 12/31/03 ***** FO B I ING PERMIT *** In accordance with the Zoning and/or Subdivision Regulations, prior to the building of any structure on a lot, a Topographic Plot Plan shall be submitted for approval. The minimum requirements shall include: Approved Denied N/A 1. Name, address & phone number of owner/applicant ✓ 2. Name, address & phone number of plan preparer 3. Zoning Information - i.e. zone, open space, floodway, street address. ✓ 4. Plot Plan at 1" = 40' scale J� a. Subdivision reference, abutting properties, etc b. Easements of record p C. Lot description, bearings, building lines, i distances, area, etc. d. Contours, existing & proposed, 1 or 2 ft. interval where appropriate e. Building location with dimensions. Elevations of proposed finish floor, garage floor & centerline of road at driveway f. Elevations of gravity drainage systems, sanitary & foundation drain at the house and the street v- g. Tentative utility location (gas, water, / electric, septic system, etc.) y h. Title block with name and address of preparer, date, appropriate certification, live seal and live signature consistent with the Board of Registration requirements. (P.E. & L.S.) 5. Sedimentation and erosion control 6. Special Planning & Zoning, Inland/wetlands considerations (Plans on file w/Town Clerk) COMMENTS: 4.0 1 6� F,.hl.�- /2�lI Q / con ✓7LC�isry ?ZPTaT Sw✓� S!�✓�" I�i4&4t A-4 iD Ol /�2iO DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT PERMIT# Appli on�i ereby: TOWN OF SOUTH WINDSOR iq$1�; y BUILDING DEPARTMENT APPR 1540 SULLIVAN AVENUE Bldg.Permit# 5 200 644-2511 ext. 230 3 6 Ga Date Building Inspe r G Application must be printed or typed FEE SCHEDULE FT7enant vo-r rem^ Location of Job: / OD $0-$1,000=$15.00 Street Lot No. Over$1,000= $15.00 per$1,000 _ or any fraction thereof gnation Apt. No. APPLICANT s Srnwa APPLICANT ADDRESS r , LJ• �[I�d A(M) &Z'tj Y7 CZ 0&66-0 APPLICANT PHONE# ( &e ,?c9 / -eWLQ D W N S F,q OWNER L OWNER ADDRESS D U) o ,r OWNER PHONE II C ESTIMATED COST$ . r � IS THIS A CONTRACT COST? Yes ^No o �s✓ FEE ENCLOSED$ f�Os O�� TYPE OF JOB: �R C _k/ NewInstallation _Alteration/Addition/Repair Revised 4/01//2002 APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATE WITH A BUILDING PERMIT APPLICATION? YES O NO IDENTIAL �YS SINESS❑ASSEMBLY T-CURRENT USE AND OCCUPANCY oQ - O MERCANTILE FUTURE USE AND OCCUPANCY O EDUCATIONAL O INSTITUTIONAL O FACTORY ENGINEER'S NAME PHONE - ❑STORAGE - ❑GARAGE ADDRESS {� O MIXED USE zip. CITY / ) STATE ZIP (Other please specify) Yv 1121N6" p Al60 PVC TYPE OF INSTALLATION/WIRING METHODL � S. C� - SIZE OF SERVICE J.2004 *27-* --,rSIZE OF MAIN CONDUCTORS_ 3s•� 6d0 .�.�... .�..�✓�c—+� NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS NUMBER OF PANELS REMOTE DISCONNECT REQUIRED? ❑YES ❑NO NUMBER OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS NUMBER OF SWITCHES NUMBER OF OUTLETS NUMBER OF LIGHT FIXTURES NUMBER OF HEAT CIRCUITS NUMBER OF A/C CIRCUITS SEPARATE BEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED. DESCRIPTION OF WORK ipf'oyide r Q r THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLIC _ , DATE O DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: ---�- BUILDING DEPARTMENT APPROVED , 1540 SULLIVAN AVENUE Bldg.Pecnut# 644-2511 ext. 230 A Date Building Inspe r Application must be printed or typed FEE SCHEDULE a U U t✓� t' J 0,91 on of Job: 31 s- 151 BL k l and Road 800 B $0-$1,000=$15.00 Street No. Street Lot No. Over$1,000= $15.00 per$1,000 Tr) RP Dpr-i dPd or any fraction thereof Tenant Designation Apt.No. APPLICANT New England M cliani cal Services , Inc. APPLICANT ADDRESS 1 6 6 Tii n n P l gnarl VPrnont CT 06066 APPLICANT PHONE# ( 1860 ) $71 -1 1 1 1 �0 N SF,q OWNER Poaq and Mcewen Lifestyle Centers OWNER ADDRESS 5100 Poplar Avenue Memphis Tennessee 38137 0 t OWNER PHONE ( 2 0 5 ) 8 0 3-2121 C ESTIMATED COST$ 37 , 913 . 00 IS THIS A CONTRACT COST? x Yes _No �l (� FEE ENCLOSED$ 570 . 00 TYPE OF JOB:SpR•C0 XX New Installation _Alteration/Addition/Repair Revised 4/01//2002 APPLICATION FOR PLUMBING PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION? 13 YES ❑NO ❑RESIDENTIAL ®BUSINESS CURRENT USE AND OCCUPANCY NSA ❑ASSEMBLY O MERCANTILE FUTURE USE AND OCCUPANCY Retail 0 EDUCATIONAL ❑INSTTIUTIONAL ❑FACTORY ENGINEER'S NAME AHA PHONE ( 7 81 ) 3 7 2—3 0 0 0 0STORAGE ❑GARAGE ADDRESS 1 o Maqu i rP gnarl r Sn i f e 31 0 O MDCED USE CITY Lexington STATE MA ZIP 02420 (Other please specify) TYPE OF INSTALLATION SIZE OF MAIN DRAIN NO.OF TOILETS STYLE NO.URINALS STYLE NO.OF BATHTUBS NO.OF SHOWERS NO. OF LAVATORIES NO.OF CONDUCTORS SIZE NO.OF STACKS SIZE AREA OF ROOF NO.OF CATCH BASINS NO.OF FLOOR DRAINS NO.OF OTHER FIXTURES KIND ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW ❑YES ❑NO SIZE OF WINDOW IF NONE C.F.M.OF VENTILATOR SIZE OF DUCTS SEWER OR SEPTIC TANK SIZE OF WATER MAIN SIZE OF WATER PIPING&RISER WATER HEATER: TYPE MANUFACTURER DESCRIPTION OF WORK Plumbing work =Pr F.1 kng.ZMAnfrarli Arnhi teCtS draWingc e P1 . 1 , P2 . lA, P2 .1B, P3 . 1 , P4 . 1 , P6 . 1 , P7 . 1A, P8 . 1 , P8 . 11A, P8 . 11B, & P8 . 12 dated November 21 , 2003 . Work also includes the rough-in of a below-grade sanitary system and water pipe . THE UNDERSIGNED HER BY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND ISTO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. 203519 Plumbing and Piping Connecticut CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT `:J DATE t C� 1 DEPARTMENT DECISION APPLICATION FOR SPRINKLER PERMIT TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: 133e-::kl BUILDING DEPARTMENT APPROVED 1540 SULLIVAN AVENUE Bldg.Permit# 7 _ 644-2511 ext. 230 -z. o3a I Date uilding In r Application must be printed or typed FEE SCHEDULE F �v2f�r�en� o ation of Job: S-/ $0-$1,000=$15.00 Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof gnation Apt.No. APPLICANT APPLICANT ADDRESS APPLICANT(PHONE# W N St OWNER OWNER ADDRESS U) F, OWNER PHONE C ESTIMATED COST$ 1"1.4•0O IS THIS A CONTRACT COST? ✓ Yes _No FEE ENCLOSED$ TYPE OF JOB: r��SUR-Co ✓ New Installation Alteration/Addition/Repair Revised 4/01//2 APPLICATION FOR SPRINKLER PERMIT (Continued from reverse side) TYPE OF BUELDING TYPE OF CONSTRUCTION USE GROUP �-A_ NO. OF STORIES ❑RESIDENTIAL ❑BUSINESS IS THIS APPLICATION ASSOCIATED WITH A ❑ASSEMBLY BUILDING PERMIT APPLICATION? 21TS ❑NO Gr'MERCANTILE ❑EDUCATIONAL CURRENT USE AND OCCUPANCY ❑ INSTITUTIONAL ❑FACTORY FUTURE USE AND OCCUPANCY ❑ STORAGE ❑GARAGE ENGINEER'S NAME PHONE 30 ❑MIXED USE \ (Other please specify) ADDRESS \��(��5���� CITY k,vc�,�a� STATE kNN ZIP Oda\ KIND OF INSTALLATION SIZE OF MAIN DRAIN �~ WATER PRESSURE AT STREET(PSI) ARE SPRINKLER HEADS ALTERED? ❑YES Q'1 O 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 ?kAff ' WATER PRESSURE AT SPRINKLER HEADS(PSI) V \ ARE PUMPS REQUIRED? ❑YES N(NO IF YES,CHECK ALL THAT APPLY: ❑FIRE ❑BOOSTER ❑OTHER ARE STANDPIPES PROVIDED? ❑YES 1"'NO IS A SPRINKLER SYSTEM PROVIDED? ❑YES UrNO SPRINKLER SYSTEM MAIN WATER SUPPLY RATING \-- o GPM TOTAL DYNAMIC HEAD(TDH)OF FIRE PUMP PSI DESCRIPTION OF WORK THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLIC DATE 5-��- ALLSTATE P.O. Box 23SO ■ Hartford, Connecticut 06146 FIRE SPRINKLER (860) 246-771 1 ■ FAX (860) 246-7707 INC. May 27, 2004 Town of South Windsor South Windsor, CT Attn: Building Official Re: Application for Permit Job#6614 Gentlemen: In accordance with the Public Act 91-95, this letter authorizes the below named agent to sign the above referenced application for Thomas L. Jacquel (License#F10590) Fire Sprinkler Contractor-Allstate Fire Sprinkler, Inc. P.O. Box 2350 Hartford, CT 06146 Project Name: The Shops @ Evergreen Walk Location: Buckland Road-Bldg. 800B Authorized Agent: David K. Thompson Thank you for your cooperation, Thomas L. Z6�el President Certified Small Business Enterprise ` AMOCIATWSUNAM .W Conn. Contractor's License #F 10590 c DEPARTMENT DECISION APPLICATION FOR SPRINKLER PERMIT PERMIT# Applicati TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT AP ROVED 1540 SULLIVAN AVENUE Bldg.Permit# OCT 1 644-2511 ext. 230 Date i ding Inspect o Application must be printed or typed FEE SCHEDULE Location of Job: $0-$1,000=$15.00 Street No. Street :—No. o. Over$1,000= $15.00 per$1,000 or any fraction thereof Tenant Designation A APPLICANT 1�&-S WE- �, �� ���eu !-s.�C• APPLICANT ADDRESS Z� APPLICANT PHONE# �O w N S 4e OWNER Cc.c.4 OWNER ADDRESS .et/�-.2 O ♦ F, OWNER PHONE C ESTIMATED COST$ 67y IS THIS A CONTRACT COST? _Yes —No f (� FEE ENCLOSED$ yzr ,v ��� TYPE OF JOB: SpR.COr New Installation Alteration/Addition/Repair Revised 4/01112002 I APPLICATION FOR SPRINKLER PERMIT (Continued from reverse side) TYPE OF BUILDING TYPE OF CONSTRUCTION USE GROUP NO.OF STORIES ❑RESIDENTIAL ❑BUSINESS IS THIS APPLICATION ASSOCIATED WITH A ❑ASSEMBLY BUILDING PERMIT APPLICATION? ❑YES ❑NO (A MERCANTILE ❑EDUCATIONAL CURRENT USE AND OCCUPANCY ❑INSTITUTIONAL ❑FACTORY FUTURE USE AND OCCUPANCY ❑STORAGE LIGARAGE ❑MIXED USE ENGINEER'S NAME PHONE & ??/l (Other please specify) ADDRESS lam' Z S.,D CITY STATE ZIP Cs�ylf�lo KIND OF INSTALLATION SIZE OF MAIN DRAIN WATER PRESSURE AT STREET(PSI) ARE SPRINKLER HEADS ALTERED? ❑YES %NO IF YES,CHECK ALL THAT APPLY: ❑ADDED ❑DELETED ❑ALTERED IF MOREN 3 HEADS ARE ADDED HYDRAULIC CALCULATIONS ARE PROVIDED BY(CHECK ONE) -0 PROFESSIONAL ENGINEER ❑INSURANCE COMPANY WATER FLOW ?J-Z) WATER PRESSURE AT SPRINKLER HEADS(PSI) ARE PUMPS REQUIRED? ❑YES >'N0 IF YES,CHECK ALL THAT APPLY: ❑FIRE ❑BOOSTER . ❑OTHER ARE STANDPIPES PROVIDED? ❑YES ❑NO IS A SPRINKLER SYSTEM PROVIDED? ❑YES ❑NO SPRINKLER SYSTEM MAIN WATER SUPPLY RATING AQ)- GPM TOTAL DYNAMIC HEAD(TDH)OF FIRE PUMP PSI DESCRIPTION OF WORK NauC ) 5�.21�ktad_. �ySh�u= THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. CONTRACTORS LICENSE NO. TYP �) STATE SIGNATURE OF APPLIC DATE ALLSTATE PO. Box 2350 Hartford, Connecticut FIRE SPRINKLER (860) 246-771 1 FAX (860) 246-7707 66 INC. August 23,2004 Town of South Windsor South Windsor,CT Attn: Building Official Re: Application for Permit Job#7354 Gentlemen: In accordance with Public Act 91-95, this letter authorizes the below named agent to sign the above referenced application for Thomas L. Jacquel (License # F10590). Fire Sprinkler Contractor- Allstate Fire Sprinkler, Inc. P. O. Box 2350 Hartford, CT 06146 Project Name: Cold Water Creek Location: Evergreen Walk BLDG 800B Authorized Agent: James H. Forristall Thank you for your cooperation. Sincerely, Thomas Jacquel President -4r *40CCertified Small Business Enterprise ASSOCMM AW ',M„W- Conn. Contractor's License #F 10590 Lam;