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201 EVERGREEN WAY BLDG 200
APPLICATION FOR HVAC PERMIT (Continued from reverse side TYPE OF SYSTEM: TYPE OF BUILDING: ) HEATING ❑ RESIDENTIAL A/C 21 COMMERCIAL 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) OF(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 HO. 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) DESCRIBE ALL COOLING EQUIPMENT(INCLUDING MAKE&MODEL NO.) All work will be exact accordance with Elkus/Manfredi Architect drawings HO. 11 , H0. 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 H0. 11 , H0. 12 , H0. 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 C'nnling - $1 �onnP�ti�ut CONTRACTORS LICENSE NO. T)TE ST TE SIGNATURE OF APPLICANT DATE ��/ DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT PERMIT# Appl' n _ y: TOWN OF SOUTH WINDSOR PE PE ZOO BUILDING DEPARTMENT APPROVED 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 3 Q3 Date i mg I ector Application must be printed or typed FEE SCHEDULE zot Location of Job: Evergreen Walk Buckland Road Building ��QO $0-$1,000=$15.00 Street No. Street Lot No. Over$1,000= $15.00 per$1,000 N/A or any fraction thereof Tenant Designation Apt.No. APPLICANT New England Mechanical Services , Inc . APPLICANT ADDRESS 166 Tunnel Road Vernon, CT 06066 APPLICANT PHONE# ( 8 6 0 ) 8 71-1111 ",0* N g�q OWNER Poag and Mcewen Lifestyles OWNERADDRESS 6410 Poplar Avenue, Tower2 . Suite 850 Memphis , TN 38119 C OWNERPHONE ( 901 ) 761-7604 C ESTIMATED COST$ Q 3 Co 5.0 U x IS THIS A CONTRACT COST? Yes _No FEE ENCLOSED$ 10 5 . 0 0 TYPE OF JOB: SOR.CO x New Installation _Alteration/Addition/Repair Revised 4/01//2002 Electn:,# APPLICATION FOR BUILDING PERMIT Plumbing# r 201 Evergreen Date: :44 1103 HVAC # - r Sprinkler# 30317 FINAL APPROVALS --- Estimated Cost $ (1o7450c0 Building Permit Fee $ AS-1 70 Engineering COMPLETE RED BOXED AREAS Occupancy Fee $ .x,io,o O Affidavit g TYPE OR PRINT ONLY Eng. Insp. Fee $ Appr. for CO. I SIGN ON REVERSE SIDE Total Fee $ TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ The undersigned hereby applies to do work according to the following: Applicant 90h& CA&STg"CT1o"1 Location of Work 'aO t Lot No. Applicant's Address-2 MUTec*n_F_x -t2rIve Tel.# 2.05—47-3-2.Z.30 Town '&MMIPJCA &L AL. Zip 7352.,001 Lic.# 01c_0 90170 OwnerTb G -- Memwma L4;;fssrm Gs , ftArchitect /MAN FAA l Agr-A►Ttct,"b- Owner's Address 4 4-1 o 'Pc'P,_Ar_ 06 SwT6 1960 Architect's Address 53 O AT ANT(c Avis TcmM%V- 2 . MEMWIS TN zip 37 19 "F3osr� . MA ZipOZZlo Sq. Ft. New Area: 1st FI. Q 900 2nd FI. 3rd FI. Total New Area Purpose of this permit SNGt_,L C0AxAd 1Ji�„ 6u11 Y)WV& 0100 City Water( Well❑ Septic System❑ Sewer Ins: HO SP Cert. Area Basement Garage Approved by �?AG � Date Use Group Construction Type A Rsvisod 6102 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 boated in which this building and use is altouved. 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 ------------------------------------------------------------------------------- **-30317-B 1,678,000 BO1 FOOTING 02/18/04 JFF A FOOTING LINE E 1TO6 LINE6 ETODS D5 TO7 7TOC C7 TOC9 BO1 FOOTING 02/19/04 JFF A C9 TOC12 LINE12 TO A TO JOG BO1 FOOTING 02/20/04 JFF A LINE Al A TO MID 4TO5 ALINE MID 8TO9 TO 12 INCLUDING JOG B04 INSULATION 02/23/04 JFF A WALL INSUL LINE1 A TO E LINE E 1TO4 WALL POURS ELINE 4TO6 ELINE 1TO4 CLINE 6TO7 BO1 FOOTING 02/18/04 PJP A E2 5-C9 FOOTING FINS REBAR BO1 FOOTING 02/19/04 PJP A C9-B12FOOTING, E2 5-C9WALLFORMS W/REBAR BO1 FOOTING 02/25/04 JFF INTERIOR PIERS EXCAVATED NOT FORMED BO1 FOOTING 02/26/04 PJP COL PIERS EXCUV NO FORMS BO1 FOOTING 02/27/04 JFF A A LINE 8 TO MID9 NEED ENG REPORT 12LINE C TO B OK 12 LINE TO A LINE B02 FOUNDATION 02/01/04 CJD N/A TOLD MCARTHY,HOAR AND DIC NOT TO POURLINE12-C NEED ENG.RPRT.AGAIN 2/1/04 POURED ANYWAYS B02 FOUNDATION 02/01/04 CJD N/A HAVE MTNG W/ENG FROM SALVIA-02022004 ON REBAR MORE DEFICIENT WORK AT LINE A 4-6 BO1 FOOTING 03/02/04 JFF A WALL POUR A LINE 2MID3 TO 3MID4 A LINE 4MID5 TO8MID9 Inspection / Approval Date By Appl Code Description Due Whom Code Comment ------------------------------------------------------------------------------- E02 UNDERGROUND 04/19/04 JFF A INTERIOR ONLY WITH SEMAC SUPER PAUL PRADETTO P02 UNDERGROUND 04/19/04 CJD A SEVERAL 4' HEADS/SANITARY E02 UNDERGROUND 04/04/04 CJD D NO WRNG TAPE TO VAULT E02 UNDERGROUND 05/05/04 PJP A 3 ROWS WARNING TAPE, CLEAN FILL, GRD RODS E09 OTHER 05/12/04 PJP A W/ PAUL SEMAC #15 WATER LINES 3/0 COPPER BOND E03 ROUGH 07/01/04 PJP A W/ PAUL SEMAC P02 UNDERGROUND 07/07/04 PJP A W/JEFF P03 ROUGH 07/07/04 PJP P02 UNDERGROUND 07/07/04 PJP B10 FINAL 04/27/05 CJD A CLOSED OUT. **-11575-P 30,000 **-1358-5 22,600 **-12205-H 6,365 April 27, 2005 D Christoper Dougan Chief Building Inspector South Windsor Building Department SO 1540 Sullivan Avenue SUIL01m;p P�dSOt South Windsor, CT 06074 ARrMENT 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. rely, Ro ert L. Rogers,Jr. Senior Vice Presiden and General Counsel 6410 Poplar Avenue,Suite 850 ; Memphis TN 38119 1 901-761-7604 1 Fax 901-761-5325 4r�f� ' ., "' " 1 �� �y..I --a<. a .. ' `_t 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 200 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. 30317, dated December 31,2003, located at 201 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 Z�Q Hoar Construction, LLC-- ice President Two Metroplex Drive, STE 400 Birmingham AL 35029 Address 2051803-2121 Phone Then personally appeared the above-named Stacey Berthon and made oath that the above statement is true. Before me, My Commission expires /1 /l 8/P J Date �U _ 015, '�CD S' 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.30317,dated December 31,2003, locus 201 Evergreen Way(Building 200) 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. \Ullulilt;t1t11///// �GON1y ////i/ David P. Manfredi,#7719 A�o• 'ER M cT y��� Architect—CT.Reg.No. "; 530 Atlantic Avenue,Boston,MA 02210 Address -0 1g �vv�� 617.426.1300 Phone 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 Wdnul530ATLANTICAVENUE BOSTONMASSACHUSETTS02210 [rrl) 617-426-1300 [mr6] WWW.ELKUS-MANFREDICOM 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 200 Permit No. 30317 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, ELKUS /MANFREDI ARCHITECTS LTD $ avid /Uing redi, AIA, Principal sFD qAG�����\���� 1:/02049/letters B0 TS W.doc ELKUS MANFREDI ARCHITECTS LTD Wd-d 530 ATLANTIC AVENUE BOSTON MASSACHUSETTS 02210 [-0 617426-1300 [.41 WWW.ELKUS-MANFREDI.COM FINAL AFFIDAVIT CONSTRUCTION CONTROL PERMIT NUMBER: 30317 PROJECT TITLE: The Shops at Evergreen Walk PROJECT LOCATION: The Shops at Evergreen Walk,Bldg.200,South Windsor,CT NAME OF BUILDING: Building 200 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. ea°�ft�FnuC O,NNFQ"� THE PROJECT IS COMPLETE AND READY FOR OCCUPANCY. ��•� "A;'C CT��s� Seal t 2 No. 14997 Dio r ~i'oOT �� �Q ••��or 4I,, CEO poloAll G���p MAL E�opo� Signature SUBSCRIBED AND SWORN TO BEFORE ME THIS 27'h DAY OF April 2005. G:'b•pY�s�2oo��r NOTARY PUBLIC MY COMMISSION EXPRIRES 51 /Q *CC v y� FINAL AFFIDAVIT CONSTRUCTION CONTROL PERMIT NUMBER: 30317 PROJECT TITLE: The Shops at Evergreen Walk PROJECT LOCATION: The Shops at Evergreen Walk,Bldg 200,South Windsor,CT NAME OF BUILDING: Building 200 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. ,ea"""'�°�N�6#, O �`'" • "N °'��'' A. "chi Seal �� 73 No. 14987 ; gignature N A C ° h//IV YClip Mo'- `51 SUBSCRIBED AND SWORN TO BEFORE ME THIS 27'h DAY OF Apri12005. �LENE M P.•••(ssio' NOTARY PUBLIC zo&41 MY COMMISSION EXPRIRES 18 of � cj �j;•.�sncw� •�� FINAL AFFIDAVIT CONSTRUCTION CONTROL PERMIT NUMBER: 30317 PROJECT TITLE: The Shops at Evergreen Walk PROJECT LOCATION: The Shops at Evergreen Walk,Bldg 200,South Windsor,CT NAME OF BUILDING: Building 200 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! CONNECTICUT STATE BUILDING CODE. i OF C p lv/v I1 THE PROJECT IS COMPLETE AND READY FOR OCCUPANCY. r`�� J�N jF\.�G+� Seal d '+e. r:o.533 7 T l,¢� +O�.c` ,CENSj��d� Signature SUBSCRIBED AND SWORN TO BEFORE ME THIS 27 h DAY OF April 2 5. �_'Ey Ea� NOTARY PUBLIC MY COMMISSION EXPRIRES 5/ QD O Y PU FINAL AFFIDAVIT CONSTRUCTION CONTROL PERMIT NUMBER: 30317 PROJECT TITLE: The Shops at Evergreen Walk PROJECT LOCATION: The Shops at Evergreen Walk,Bldg 200,South Windsor,CT NAME OF BUILDING: Building 200 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. �piwwrnror THE PROJECT IS COMPLETE AND READY FOR OCCUPANCY. 00 F.c0t41V A. Seal * : 7� No. 1498741 A a �o F ENS ,. lgnature oorarierrpAu aq�t6��"a SUBSCRIBED AND SWORN TO BEFORE ME THIS 27" DAY OF April 2005. NOTARY PUBLIC MY COMMISSION EXPRIRES 5/18/0 Q��-ENE M Off.O �}\j 810� p� OTqs..p��\V Y v �1i1l1F�04 E+°:15 1E173�7659N rLl PAraE 03 STRUCTURAL CONETING DESIGN TEAM, INTO January 6, 2004 Mr. Mark Grambergs Poag&McEwen Lifestyle Centers 6410 Poplar Avenue Memphis, TN 38110 Wl� }.Rom! ``J�� Re'The Shops @ Evergrean Walk South Windsor,CT } , Paer Review Subject: Independent Structural Peer Review Buildings#100,200,300,400,600,800A̠C Dear Mr. OTamberg: We have concluded our 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 "'onnecti.cu.t state building code/ 1999 edition. We have performed independent structural calculations using the following documents received from McNamara/Sal.via, Inc. as the basis of our review: • Structural Drawings 50.00. 51.00, 52.1.0, S2 20, 53.10,S3.20, 54.00, 56.10, 56.20, S7.10, 57.20, SSA.00, S85M, S813.02, S8C.00, 59.10, S9.20. 59.30, 59.40, S 10.10, S 10.20, S 10.30, S 10,40, $10.50, and S 10.60. • Subsurface Investigation and Geoteehnical 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. Sincemly J '��.j►� �'49 d vi IYO. 20771 CENSSI a'10 N. ih R. Han=ouri, P.E. CNAL. NRH/mh/Poag&McEwinpeerrevi ew2.doe 165 Chelsea Street, Everett, MA 02149 * Telephone: 617-381-6990 * Fax: 617-387-6990 01/12/2004 09:15 16179976990 SCDT PAGE 02 1 STATE OF CONNECTICUT t9n� DEPARTMENT OF CONSUMER PROTECTION LiCENSE SERVI cES DIVISION 165 Capitol Avenue -- Room 11.0 + Hartford Connecticut 06106 RENEWAL NOTICE 2004 Online Renewal Access PIN# 2601161 Receipt for your records: NAZEIH HAMMOURIj k.a 126 DARTMOUTH ST ate Ms,*d v .y I 03 EVERETT,MA 02149 a�derrrrar� PEN.20771 Cmdentud Type I� PRO FESSION&ENGINEER i Your license will expire on 01/31/2004. Cheeks made payable tof"Treasurer.state of Connecticut' PAYMENT OPT10P1 1) By mail- sign the form below and mail it with the noted fee in the enclosed envelope 2)Via the internet-renew on-line using an Internet connection and a Visa or Mastercard for payment by going to DCP's E-commerce website at: tvww.dcpaccess.state.ct, and select the "Vicense Renewal" option LATE FEES 1)if you pay by mail,a late fee of$22.50 will be due on all renewals received after February 29, 2004 2)if you pay via the intemet,a late fee of$22.50 will be due.on*all payments made after January31,2004 **If you wish to request retiree status,do not send in this renewal,contact(860)713-6142 for instructions. Visit the Department of Consumer Protection's website: _7MMEt0e ct.m dcp 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 NAZEIH R HAMMOURI FEENt Ewaf. 225.00 DATE: 01/3112004 t126 DDARR�l•?�A�OUAT�H♦S,T GY GnC t 1,MA uL 1'N :71 IF"IR NiwE Lw.r NWe PEN20771 7"Em Grp fires, LP Gar. Have you been convicted of a lelony the date of your last license molcation? YES❑ NO l./I a yes,attach date(s)and nature ofcorroction(s). Sigt>attxe__d6;rz� Date: ( ) I d0 t►ot Wish to renew \ PENO1)0207Z3200401310022500002475U0 174 STATE OF CONNECTICUT "M DEPARTMENT OF CONSUMER PROTECTION 165 Capitol Avcnuc + 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 pennon to whom the license was issued. To report an address change,please contact the Department of Consumer Protection,Licensing 01•vision at(860)713-6000. Visit our web address:www.dcp.state.ct.u,,/b= ctn /for information and applications. STNTE OF CONNECTICUT YP'OFESSIONAL ENCrimp-R NAZEIH R 14AMMOURI NAZEIH HAMMOURI 126 DARTMOtMj ST 12G DARTMOUTH ST I EVE P&;Tr.MA 02149 1 EVEM-TT,MA 02149 — U Z"90 4. EFFECTIVE EXPIRES 2077 02/01/2003 _01/31/2004 SIGNED f :r �►.1 i ,ri� ,+1 :+ �,• ! T� STATE OF CONNECTICUT + DEPARTMENT OF CONSUMER PROTECTION Be it known that it NA.ZE1 I R UAMMOUIU , 126 DARTMOUY"H ST E Rk.. 1ViA 02149. has been certified by the D.e ;ul ' ent of o; rner Protection as a licensed y� }> PROFFS� nT ��.' +ENGINEER :: ,� .y,•rr rl�,� ��lllll r�•i. t `� jR�s•=v�r W ctixe:;02/g112003. r• '•�, Fiipires Oh/31' • ..•.,:... S J 'f.Fleming,Comm over 1� � `T�. ♦.. .!_ fit. !/' '�:/ 'aw!', ry..l '�`'n,,/�" `'►:iyl �!*!«'' ./. b1..'' '.1� 1. r4..l:,f" '++.►.+i'� / '!+''''+.t'j' b0 37t7d IMS 0669LSELT3T ST:50 t00Z/ZT/T0 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. Daniel A. ampia `'� �`~`A�; b \ 5 .2 \1i \ \ > En ineer—Connecticut Re . No. 14987 �o L iC ,csr;s c g g 4 rs•- � ' �� c�';� 64 S �ni.iis �1 P9p'��aN�iro"+nra 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 3-181-000-05\Atfidavits\Design\design aff FP 8-20-04.doc August 20, 2004 MECHANICAL DESIGN AFFIDAVIT To the BuildingCommissioner of South Window 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. A. _ -v5^ No. ..337 e Engineer—Connecticut Reg.No. 14987 0 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 3-181-000-05Wffidavits\Design\design aff mechanical 8-20-04.doc STRUCTURAL ENGINEERS Final Report of Special Inspections COALITION CONNECTICUT ENGINEERS IN PRIVATE PRACTICE Project: The Shops at Evergreen Walk— Building 200 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: • Three 6" roof penetrations are not reinforced. 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 `���..��F GONN f�,t Ryan R. Roy =y (type or print name) _ l i p �s�ONALE� Signature Date Design Professional Seal SEC/CT Form 102 • Statement of Special Inspections • ©SEC/CT 1999 I fi it xti-C i STRUCTURAL p ENGINEERS p Statement of Special Inspections COALITION CONNECTICUr ENGINEERS IN PRIVATE PRACTICE )* t a Project: The Shops at Evergreen Walk-Building 200 Location: Buckland Road-South Windsor, Connecticut Owner: Poag&McEwen Lifestyle Centers - Connecticut, LLC Owner's Address: 6410 Poplar Avenue, Tower2, Suite 850 BUILDING DEPAP i'VIENIT 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. If such discrepancies are not corrected, the discrepancies shall be brought to the attention of the Building Official, Structural Engineer and Architect of r 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: ,'�dre►uiiiii �� Oq ---- oio P f cT . i'moo Joseph A. Salvia, P.E. ���°,� 4 - (type or print name) w ' < i z � No. 11102 Sig ure Date Design lrofessionbi Beal w ,er'IsnAutho ation: Building Official's Acceptance: A i41.1 UMII tZ 3a �3 Sig ature batd Signature Date SEC/CT Form lOI CT • Statement of Special Inspections 9 ©SEC/CT 1999 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 ® 9 ® 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 t 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. Any conflict of interest must be 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 II 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 101 CT • Statement of Special Inspections • ©SEC/CT 1999 Schedule of Special Inspection Services Sheet 3 of 10 Soils and Foundations Project: The Shops at Evergreen Walk Item Agent No. Scope (Qualif.) 1 Shallow Foundations 1 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 1 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 • ©SEC/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-Tensioning Operations 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 Placement 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 101 CT Statement of Special Inspections • ©SEC/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 I 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 I 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 I Inspect grouting procedures for conformance with the 1705.5 specifications.Inspect cells prior to grouting. 6. Weather Protection 1 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 1, 4 Inspect anchorage of masonry to other construction for 1705.5 conformance to the contract documents. 9. Other SEC/CT Form 101CT . Statement of Special Inspections • ©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 1 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 Connectors I Inspect for size and placement. Test for proper weld attachment. 7. Structural Details 1,4 Inspect for size,grade of steel, camber, installation and 1705.3.3.3 connection details. 8. Metal Deck 1.4 Verify gage, width and type. Inspect placement laps, welds sidelap attachment and screws or other mechanical fasteners. Check welder qualifications. 9. Other SEC/CT Form 101 CT • 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 (Qualif.) 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 1 Review materials properties in the accordance to the SER approved submittals and contract documents. 4. Mechanical Connections I Inspect for size and placement and grade and connection to framing structure. 5. Welding I 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 9 Statement of Special Inspections • OSEC/CT 1999 Schedule of Special Inspection Services Sheet 9 of 10 Exterior Insulation&Finish Systems(EIFS) Project: The Shops at Evergreen Walk Item Agent No. Scope (Glualif.) 1. Material Submittals Architect Verification samples:representative samples of each material that is to be exposed in the finished work,showing full range of color and finish variations expected. 12X12 finish sample of each type and color selected on I"think insulation board. 2. Condition of Substrate I Conduct periodic field review of substrate surface to establish 1705.13 conformance with contract and manufacturer's specifications. Report in writing to the Architect any variations,discrepancies and conditions that prevent satisfactory application of the work. 3. Application of Foam Plastic I Conduct periodic field review of liquid membrane and insulation Board board to establish conforance with contract and manufacturer's 1705.13 specifications. Report in writing to the Architect any variations, discrepancies and conditions that prevent satisfactory application of the work. 4. Application of Coatings I Conduct periodic field review of basecoat and finish coats to 1705.13 establish conformance with contract and manufacturer's specifications. Report in writing to the Architect any variations, discrepancies and conditions that prevent satisfactory application of the work. 5. Application of Mesh I Conduct periodic field review of reinforcing mesh to establish 1705.13 conformance with contract and manufacturer's specifications. Report in writing to the Architect any variations,discrepancies and conditions that prevent satisfactory application of the work. 6. Ambient Condition and Curing L Conduct periodic field review to—establish conformance with 1705.13 contract and manufacturer's specifications.Review construction managers daily weather log.Report in writing to the Architect any variations,discrepancies and conditions that prevent satisfactory application of the work. 7. Flashing and Joint Details 1 Conduct periodic field review to establish conformance with 1705.13 contract and manufacturer's specifications. Report in writing to the Architect any variations, discrepancies and conditions that prevent satisfactory application of the work. 8. Sealants/Caulks 1 Conduct field review of surface to receive sealant prior to 1705.13 installation and report in writing any surfaces that are not suitable for application of specified materials. In accordance with ASTM C804 and or ASTM C790 9. Other hfanuf Rep Bi-weekly inspections made by a representative of EIFS manufacturer to ascertain that the system has been installed according to the applicable manufacturer's specifications and details.Submit signed inspection reports. --------------- SEC/CT Form 101CT • Statement of Special Inspections • ©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. AC1318-95, 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 D1.1 -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 FROIJ-HOAR CONSTRUCTION 205-423-2323 T-207 P-003/003 F-741 AA �K^I�( ................ �TLQ,a.„.'_DER.,•#F4Gf :x:�.: S'�ii��� rTY� .V •�IR' oAT€�I�M�oari� ^VRoD1iGQR�.. ���_ .. ..:r•:.........i..i•r.:..-.r.. ...............r...«:.�'. ....... r... .r '...r •..'�... r--•a...•w,.-..- ... �:.. _l.'.•:,-+ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION aIAMIMCIIAM ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE MccplfF. St IOELS AND NILLIAYS HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR ALTER THE COVERAGE: AFFOF706D BY THE POLICIES BELOW. P.C. vOX 1026$ , COMPANIES AFFORDING JCOVIERAGE BIAl11NGRAY AL 352OZ-0265 C,�ANY 1205) 252-I1871 1 A ST. PAUL FIRE A MARINE CO WANY Hoar Constructlan. LLC _ 11 _ PtSTCHHSTF.R FIRE INS CO P. 0. Bon 6BD400 �"t ,�•lY Y / 8irminph4m. AL 9526E-0400 G AC16 INSURANCE COMPANY y C.ANI+ArJY D LANOM K AMERICAM INS. 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I IPPC=fl MAL&AWi GARAGSLIAOLITY I I AUTO CMN.rA ACCIDENT i ANY AUTO i I CR 71 f N AUTO ony. I EACH ACCIDCNT I j xxo; UAIG I S B EYCESSUABQJTY CUW773t780 ia101/03 I 10/01l04 EAKJt tK_Wi1tNCl J}i 25.000.OD0 X I WnRCV.A COlihd I ZNGTF�-• --"tom-45 Ofl0.000 I 0111CA THAN L"9< KLLA ItRbd C wT:N1PL0141 ComptN A on)AWD WC0030OZ71 fWCRO"300130 6/01103 I 4/07/04 C STAIU I aim n .: EL EACH ACCK"U �i 600.000 TAR PR0PFUF1CWCr4tMCL1T acl. I F.I p1.SFASP•YA1 ICY 11W I !S 500.000 PARTr<CT{;rCxCdlT1V[ J` _ OrrBXM ARC: CXCL EL DISEASE-EA irk".WEE Is 500.00o OTM[II = 0 Contractors Equipment LM0 21151 ! 10/71/03 10/01/04 owned Equip: On Fite with Company Leased/Raatad: SWO.000 P.r Isom S1.000.000 0cc OCCW 11rTION Or UPPRAT10Na0.00ATONelYEMIf+LEI SPLCIAL rr&Ma Job Name: The Shops at Evergreen Walk: Job Location: South Windsor, 91, Job IIoaL.r 331E .. ,....,.....:.•r,n:......•.r.,..,,.s:,;.:rt,.r.:...':w:.:::..:;:.'.:::..::�aNcE��aTIoN�•�;'�„ _::s��r�:_! ': .,_.�.r_-. ..:�:�:..:-.�n.::;,:.�. SHOULD ANr OF THE ABOVE M8011 lI10 POLICIES BG CANCCLLCD 917011E THE T.wn of South W104ter COMATION OATS TNCPtEOF.THE I"UINa COMPANY WILL ENDCAVOlk TO MAA. 1540 Sullivan Avonw4 23 DAY11 WRITTEN NOTICC TO TIrC M.11 FICILYY HOLO[n MAMBO TO SHE LEFT, South Windsor, CT 06074 OUT FA6Mr TO MAIL.SUCH NOTICC SHALL,W OOSE NO 01111JOATLON on LIASLITY DIr ANY KIND UPON THE COMPAxy, rm AQ;MTE all REMEOINTATIvEO, A 99L2 /e oR SFAI TIdE ...........1,,.•., L�.,.. ....n.n....n...... .......n.„n.. .„..„_.....rr....._.__„ .„.... '• A . _ scald B. NI•drosloh ,•1�',. «• r•rr. .,r,�' '�:iCCOitD;C'ARBOR7l-71GfJ�1.488^� CERTIFICATE: 020/0011 MR22 12/30/2003 14:44 9017615325 PAGE 03/11 • STRUCTURAL Statement of Special Inspections ENGINEERS COALITION coNNEC r1CUT ENGINEERS IN PRIVATE PRACTICE Project: The Shops at Evergreen Walk-Building 200 Location: Buckland Road- South. Windsor, Connecticut Owner: Poag cSc McEwen Lifestyle Centers - Connecticut, LLC Owner's Address: 6410 Poplar Avenue, Tower 2, Suite 850 Memphis, TN 38119 Architect of Record: Elkus/Manfredi Architects e Namara/Salvia Structural Engineer of Record: Mc , Inc. 9 s a condition for permit issuance in accordance with the This Statement of Special Inspections is submitted a 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: Jose h A. Salvia, P.E. �• 9< (type or print name) 4 No. 11102 *004I ��R ito Sig ure Date Design ro�essional Seal ers Autho ' ation: Building Official's Acceptance: tZ 3a �3 . Sig ature bate Signature Date SEC/CT Form 101CT Statement of Special inspections • ©SEC/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 200 Permit No.30317 MclSal Project N° 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 General Statues,Sec 29-276b(cJJ 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, McNamara/Salvia,Inc. 1211 seph A.Salvia,P.E. hief Executive Officer �t'a"COAIJV f H A. P i e2m� Y;1 4',G'�OfGf.ST Ea�0 �v',�� ��i� 3SIONAI JASImr TnwnofSauthWindsnr0503—LTR—The Shoos at Everoreen Walk—Statutory Completion Certification 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. gV- OF CON/yF�1�1 / Q tci F G i �� Y 2 Kevin T. Jense P.E. -o .53377 �v C !/CENgE� 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:\Projects\2003-Boston\Evergreen Walk 3-181-000-05\Affidavits\Design\design aff plum.doc J i �� C 'Yti2�� April 13,2004 ELECTRICAL DESIGN AFFIDAVIT To the Building Commissioner of South Windoor, 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 4neln rtinent laws and ordinances. �F CON/V �1 v��� J\� ,f NsF`�iG,t) � 2OWOq �� NO.53377 t��0 l��ENS I \��i 011 \\�/O AI-��G� 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:\Projects\2003-Boston\Gvergreen Walk 3-181-000-05Wffidavits\Design\design affelec.doc SITE COMPLIANCE CHECKLIST QId ZfiO TOWN of SOUTH WINDSOR, CONNECTICUT 201 EVERGREEN WAY LOT_# Reviewed By,a3'b (En sneering) HOAR CONSTRUCTION Date Reviewed Denied 2 METROPLEX DRIVE,BIRMINGHAM,AL Reviewed By (Planning) BP # 30317 Ph_# 205-423-2230 Date Review t/ pprov Denied Date Submitted 12/31/03 ***** FOR BUItryING PE ***** 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 a. Subdivision reference, abutting properties, etc b. Easements of record I/ c Lot description, bearings, building lines, / distances, area, etc d. Contours, existing & proposed, 1 or 2 ft. / interval where appropriate i/ a Building location with dimensions Elevations of proposed finish floor, garage / floor & centerline of road at driveway t/ f. Elevations of gravity drainage systems, sanitary & foundation drain at the house and the street g. Tentative utility location (gas, water, electric, septic system, etc ) C/g1Otl —l� 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: t� --- ff I Sa.4 $tWLt CaSPMfni�v4e Jae -fG F�4e�� z[d i.111-117, Si is 44 LoCcE�•'c c7� So ni�,� C�,�ncC�icv+ F44 pal' Sewt&t REcEivED FEB 0 2 2004 SOUTH WIND SOR ENGINEERING SOR DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT PERMIT# Application' Feb ; TOWN OF SOUTH WINDSOR Ig�$ BUILDING DEPARTMENT APP 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 �� b Date Building Inspect Application must be printed or typed FEE SCHEDULE F7Street �,y-Q_en VJ�1 Location of Job: UCKLAND STREET $0-$1,000=$15.00 Street 7Lot No. Over$1,000= $15.00 per$1,000or any fraction thereof gnation Apt.No. APPLICANT SEMAC ELECTRIC APPLICANT ADDRESS P.O. BOX 638 NEW BRITAIN, CT 06050-0638 APPLICANT PHONE# (860)229-0800 EXT. 333 �Ow N SFq OWNER EVERGREEN WALK LIFESTYLE CENTERS LLC OWNER ADDRESS 6410 POPPLAR AVE SUITE 850 MEMPHIS, TN 38119 co� .o OWNERPHONE 901-761-7604 O C ESTIMATED COST$ 88,000.00 IS THIS A CONTRACT COST? X Yes _No o r"l4k;� FEE ENCLOSED$ 1,320.00 TYPE OF JOB: X New Installation Alteration/Addition/Repair Revised 4/01H2002 APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION? ® YES❑NO ❑RESIDENTIAL 11BUSINESS CURRENT USE AND OCCUPANCY RETAIL ❑ASSEMBLY ❑MERCANTILE FUTURE USE AND OCCUPANCY ❑EDUCATIONAL ❑INSTITUTIONAL ❑FACTORY ENGINEER'S NAME AHA PHONE 781-372-3000 ❑STORAGE ❑GARAGE ADDRESS 10 MAGOINE ROAD SUITE 310 ❑MIXED USE CITY LEXINGTON STATE MA ZIP 02421 (Other please specify) TYPE OF INSTALLATION/WIRING METHOD- WIRING PER NEC — PVC UNDERGROUND — EMT FEEDERS — MC BRANCH SIZE OF SERVICE 1,2ooA J/10A77 SIZE OF MAIN CONDUCTORS_3 r ut600.,.� ,— PhwsP NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS NUMBER OF PANELS REMOTE DISCONNECT REQUIRED? ❑YES ❑NO NUMBER OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS NUMBER OF SWITCHES NUMBER OF OUTLETS NUMBER OF LIGHT FIXTURES NUMBER OF HEAT CIRCUITS NUMBER OF A/C CIRCUITS SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED. DESCRIPTION OF WORK PROVIDE WIRING AS SHOWN IN PROJECT DRAWINGS ON FILE. WORK INCLUDED NEW ELECTRICAL SERVICES, FIRE ALARM, BRANCH WIRING, LIGHTING. 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. 103163 E1 CT CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLIC �. s� 7--,` DATE 4/2 c� SITE COMPLIANCE CHECKLIST TOWN of SOUTH WINDSOR, CONNECTICUT Re+o.:�:erg wall ; 201 EVERGREEN WAY LOT_# Reviewed B (Engineering) HOAR CONSTRUCTION Date Reviewed a ! e 14 prove Denied 2 METROPLEX DRIVE,BIRMINGHAM,AL Reviewed By nning) BP_#_30326_ Ph_# 205-423-2230 Date Reviewe U Approved/D nied Date Submitted 12/31/03 ***** FOR B DING PE ** 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 a. Subdivision reference, abutting properties, etc b. Easements of record c Lot description, bearings, building lines, distances, area, etc t/ 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 g Y g Y x'Y & foundation drain at the house and the street g. Tentative utility location (gas, water, electric, septic system, etc.) 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 RECEIVED FEB 0 2 2004 ENGINEERING DEP7 DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: � "7 BUILDING DEPARTMENT PNBuildingInspec 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 y 3 (7 ate Application must be printed or typed FEE SCHEDULE F t" '��'�j fCal LocationofJob: Buckland Road 200 A & B $0-$1,000=$15.00 Street Lot No. Over$1,000= $15.00per$1,000 acidedor any fraction thereof gnation Apt.No. APPLICANT New England Mechanical Services, Inc. APPLICANT ADDRESS 166 Ti,nnpi Rnad VPrnnn, CT 06066 APPLICANT PHONE# ( pro ) 8 71 —1 1 1 1 SOW N SFq OWNER Poag and Mcewen Lifestyle Centers y OWNER ADDRESS 5100 Poplar Avenue Memphis Tennessee 38137 OWNER PHONE ( 2 0 5 ) 8 0 3—2121 O C ESTIMATED COST$ 30 , 000 IS THIS A CONTRACT COST? x Yes _No f FEE ENCLOSED$ 4 5 0 TYPE OF JOB: SO•• o�� XX R•C New Installation _Alteration/Addition/Repair Revised 410IH2002 1 APPLICATION FOR PLUMBING PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION? ia YES ❑NO ❑RESIDENTIAL ®BUSINESS CURRENT USE AND OCCUPANCY N/A ❑ASSEMBLY ❑MERCANTILE FUTURE USE AND OCCUPANCY Retail ❑ EDUCATIONAL INSTITUTIONAL UFACTORY ENGINEER'S NAME AHA PHONE ( 7 81 ) 3 7 2-3 0 0 0 ❑STORAGE ❑GARAGE ADDRESS hu i r P R n a rl , S n i f f 310 ❑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 zpr Flkng./MAnfrPHi Architects drawings ' P1 . 1 , P2 .lA, P2 . 113, 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. I HE UNDERS16NED HEREBY APPLIES FOR A PERMIT-10 PhIrMIZ=WORK DESCRIBED AND IS TO 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 � L 11L SIGNATURE OF APPLICANT J DATE r DEPARTMENT DECISION APPLICATION FOR SPRINKLER PERMIT TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT - APPRO D 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 �5 1-1 J—Djan44.�idi g In ctor Application must be printed or typed FEE SCHEDULE E f e"\ cation of Job: $0-$1,000=$15.00 Street Lot No. Over$1,000= $15.00per$1,000 2�or any fraction thereof gnation Apt.No. APPLICANT Q����CV.E-SD Q:��`c� * APPLICANT ADDRESS APPLICANT PHONE# _ ��y:�— c)A`n-'``` A \\ OW N SF OWNER (12�!CA ', q� OWNER ADDRESS E, OWNER PHONE 0 C •� ESTIMATED COST$ IS THIS A CONTRACT COST? Yes _No FEE ENCLOSED$f 3 y TYPE OF JOB: SOR-Cod ✓ New Installation _Alteration/Addition/Repair Revised 4/01//2002 APPLICATION FOR SPRINKLER PERNUT (continued from reverse side) TYPE OF BUILDING TYPE OF CONSTRUCTION 2iG USE GROUP M NO. OF STORIES ❑RESIDENTIAL ❑BUSINESS IS THIS APPLICATION ASSOCIATED WITH A O ASSEMBLY BUILDING PERMIT APPLICATION? DYES ❑NO 21 MERCANTILE ❑EDUCATIONAL CURRENT USE AND OCCUPANCY ❑INSTITUTIONAL ❑FACTORY ARE USE AND OCCUPANCY ❑ STORAGE ❑GARAGE ENGINEER'S NAME �\Ak PHONE' ❑MDCFD USE \ (Other please specify) ADDRESS\;�M���\�,�.��,-.x S�\ 3\) CITY STATE ZIP KIND OF INSTALLATION SIZE OF MAIN DRAIN �~ WATER PRESSURE AT STREET(PSI) lo`1Qs ARE SPRINKLER HEADS ALTERED? O YES &NO IF YES,CHECK ALL THAT APPLY: ❑ADDED ❑DELETED ❑ALTERED IF MORE THAN 3 HEADS ARE ADDED HYDRAULIC CALCULATIONS ARE PROVIDED BY(CHECK ONE) ❑PROFESSIONAL ENGINEER O INSURANCE COMPANY WATER FLOW 31n9.02 WATER PRESSURE AT SPRINKLER HEADS(PSI) \d r?S\ ARE PUMPS REQUIRED? ❑YES EfNO IF YES,CHECK ALL THAT APPLY: ❑FIRE ❑BOOSTER O OTHER ARE STANDPIPES PROVIDED? ❑YES E(NO IS A SPRINKLER SYSTEM PROVIDED? O YES VNO SPRINKLER SYSTEM MAIN WATER SUPPLY RATING \aCg) GPM TOTAL DYNAMIC HEAD(TDH)OF FIRE PUMP 441 PSI DESCRIPTION OF WORK `/o `c.._ 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. "';� \;Z)5C\0 N-\ Czl� CONTRACTORS LICENSE NO. „ TYPE STATE A SIGNATURE OF APPLICANT DATE ALLSTATE PO. Box 2350 ■ 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. 200 Authorized Agent: David K. Thompson Thank you for your cooperation, Thomas L. a el President Certified Small Business Enterprise " .� Conn. Contractor's License #F 10590 �— .CT-29-04 05 : 10 PM FLB. ARCHITECTURE. 8605685129 P. 01 FLB Architecture & Planning, Inc. 19 Silver Lane East Hartford CT 06118 (860)568-4030 fax: (860)568-5129 e-mail: fib@flbarch.com web: www.Ilbarch.com FAX TRANSMITTAL Confidentiality Note: The information contained in this facsimile message is legally privileged and confidential information intended only for the use of the individual or entity named below. If the reader of this message is not the intended recipient, you are hereby not"rfied that any dissemination, distribution or copying of this telecopy is strictly prohibited. If you have received this telecopy in error, please immediately notify us by telephone and return the original message to us at the address above via the United States Postal Service. Thank you. P:\Projects\04171.00\04171.15\Fax\Cd041028.Doc TO: Chris Dougan FAX NO.: 644-3781 FROM: Thomas A. Manning, AIA DATE: October 29, 2004 RE: South Windsor/Tenant Code Compliance Inspections FLB Project No. 04171.15 TOTAL NUMBER OF PAGES (including cover page): 3 MESSAGE: Memo re Building #200 roof inspection attached. I have already signed off on Aerosoles (257). White House/Black Market was already open. If there is a problem with this transmission, please call us. ACT-29-04 05 ' 10 PM FLE. ARCHITECTURE. 8605685129 P. O c ' I it r FLB Architecture & Planning, Inc. 19 Silver Lane East Hartford CT 06118 (860)568-4030 fax: (860)568-5129 e-mail: flb@flbarch.com web: www.flbarch.com TO: Chris Dougan, Building Official FROM: Thomas A. Manning, AIA DATE: October 29, 2004 RE: Evergreen Walk Tenant Inspections Project No. 04171.15 This is to report on my inspection of rooftop units on Building #200. Suite XXX (Talb_ot's • No sediment trap • No receptacle • No gas piping identification • No RTU identification Suite XXX JQAP • No sediment trap ` • No gas connection • No gas piping identification • No RTU identification • Condensate not piped at all Suite XXX_(White House/Black Market) • No sediment trap • No gas connection • No gas piping identification • No RTU identification • Condensate not piped at all Suite 225 (Jones New York) • No sediment trap • No gas piping identification QCT-29-04 05 : 11 PM FLB. ARCHITECTURE. 8605685129 P. 03 Suite 243 (Brighton Collectibles) • No sediment trap • No gas piping identification Suite XXX (Lux Bond & Green) • No sediment trap • No gas piping identification • No RTU identification Suite XXX (Strasburg Children) • No RTU found Suite XXX (L' te)— • No RTU found Suite 253 (Ecco) • No sediment trap • No receptacle • No gas piping identification • Vent pipe 5 feet from air intake Suite 257 (Aerosoles) • No sediment trap • No gas piping identification Suite 261 (Papyrus) • No sediment trap • No gas piping identification • No receptacle Suite XXX (Coldstone Creamery) • No sediment trap • No gas connection • No gas piping identification • No RTU identification • Condensate not piped at all • No receptacle Suite XXX (Optics) • No RTU found In addition to the above, there was a lot of debris to be removed. I was not able to match RTUs to suites perfectly absent the RTU identification number. The list represents my best guess. If you have questions, please call. c: file P.\Projects\04171.00\04171.1 5\Memo\Cd041029.Doc APPLICATION FOR PLUMBING PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A ❑RESIDENTIAL BUILDING PERMIT APPLICATION? ❑YES WNO ❑BUSINESS CURRENT USE AND OCCUPANCY "e" 61, ❑ASSEMBLY 6 MERCANTILE FUTURE USE AND OCCUPANCY l r GI 4k 014, 0 ❑EDUCATIONAL ❑INSTITUTIONAL J, ❑FACTORY ENGINEER'S NAME /Lla PHONE q ❑ STORAGE ❑GARAGE ADDRESS ❑MIXED USE CITY STATE ZIP (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 DE,SCCRIPTION OF P WORK GS° /1 Al 1° C 9 G S l d 100, 4-1 THE UNDE=ED HEREBY APPLIES FOR A PERMIT TO PERFORM'Mh WORK DESCRIBM AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. z;�-3 kiy P/ c�- CONTRACTORS LICENSE NO. YPE f STATE SIGNATURE OF APPLICANT DATE DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT TOWN OF SOUTH WINDSOR PERMIT# Applic reb ?M t+(p7, (� BUILDING DEPARTMENT w OVED � D 1540 SULLIVAN AVENUE Bldg.Permit# NOV 0 7 2008 644-2511 ext. 230 D Date jkdi�,�gl-,,pect,, South Windsor l5 l�J 15 U l5 O WILDING DEPARTMeNT r;'O`q 72008 Application must be printed,o r hyped bl.iL i,,iv u; ;,. FEE SCHEDULE Location of Job: F7Te—nantDesignat $0-$1,000=$15.00 Street Lot No. Over$1,000$15.00 per$1,000 or any fraction thereof ion Apt.No. APPLICANT _ f A&.0 e A APPLICANT ADDRESS '7'L J`— -14 �6'2 >� APPLICANT PHONE# S6'0 -7 �0* N St OWNER le"(40*ld 14 06t/At O OWNER ADDRESS 32-T- kGk e d .ems 44E- 4 cr 0 6,,! OWNER PHONE 9-d•U 1/*-,7 P p/; C ESTIMATED COST$ 3 4 O. O C) a •x, IS THIS A CONTRACT COST? —Yes X2No l� �G FEE ENCLOSED$ I S r O�� TYPE OF JOB: II�1 O R CO _New Installation Alteration/Addition/Repair Revised 4/0 t//2002 DEPARTMENT DECISION APPLICATION FOR SPRINKLER PERMIT PERMIT# Application is hereby: TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT �0�a�'°1 APPROVE 1540 SULLIVAN AVENUE 644-2511 ext. 230 Bldg.Permit# Date Building Inspecto Application must be printed or typed FEE SCHEDULE Location of Job: t=uPr4' D l,l..�. ( ) ,V:f $0-$1,000=$15.00 Street No. V Streef Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof Tenant Desigiiadon S Apt.No. APPLICANT S APPLICANT ADDRESS n6 4 71 APPLICANT PHONE# 6 7 Z — 96 �J N St OWNER C�-P r -Per lL t—- S � 4< OWNER ADDRESS ?, `An w SQ d cA 3 VSD ajo y-, 9h ,s -ram 3P-2116 (0) OWNER PHONE O C ESTIMATED COST$ 3 273 bo IS THIS A CONTRACT COST? '-Yes _No FEE ENCLOSED$ 60 TYPE OF JOB: — w 59 OR-CO N Installations Alteration/Addition/Repair Iq Revised 4/01//2002 APPLICATION FOR SPRINKLER PERMIT (Continued from reverse side) TYPE OF BUILDING TYPE OF CONSTRUCTION USE GROUP NO.OF STORIES ❑RESIDENTIAL USINESS IS THIS APPLICATION ASSOCIATED WITH A ❑ASSEMBLY BUILDING PERMIT APPLICATION? ❑ YES ❑NO ❑MERCANTILE T 1 ❑EDUCATIONAL CURRENT USE AND OCCUPANCY 1 ❑INSTITUTIONAL ❑FACTORY FUTURE USE AND OCCUPANCY (Z ; ❑ STORAGE LIGGE ❑MIXED USE ENGINEER'S NAME �i4c t Una PHONE 203 (Other please specify) ADDRESS CITY GHQ A( i; STATE c,T ZIP O 6 0 KIND OF INSTALLATION SIZE OF MAIN DRAIN WATER PRESSURE AT STREET(PSI) ARE SPRINKLER HEADS ALTERED? AYES ❑NO IF YES,CHECK ALL THAT APPLY: ❑ADDED ,DELETED L3 ALTERED IF MORE THAN 3 HEADS ARE ADDED HYDRAULIC CALCULATIONS ARE PROVIDED BY(CHECK ONE) ❑PROFESSIONAL ENGINEER ❑INSURANCE COMPANY WATER FLOW WATER PRESSURE AT SPRINKLER HEADS(PSI) ARE PUMPS REQUIRED? ❑YES aZIO IF YES,CHECK ALL THAT APPLY: ❑FIRE ❑BOOSTER ❑OTHER ARE STANDPIPES PROVIDED? ❑YES ENO IS A SPRINKLER SYSTEM PROVIDED? ❑YES ❑NO SPRINKLER SYSTEM MAIN WATER SUPPLY RATING GPM TOTAL DYNAMIC HEAD(TDH)OF FIRE PUMP PSI DESCRIPTION OF WORK kc'et�- 1-5 A J0 I "�O 447 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. / �P C70 4e,>6/0 -F1 G7— CONTRACTORS LICENSE NO. Typt STATE SIGNATURE OF APPLICANT DATE RED HAWK Fire & Security January 5, 2016 Town of South Windsor Building Department 1540 Sullivan Ave. South Windsor, CT 06074 Attn.. Building Official Re: Application for Permit Red Hawk Job #069207 Gentlemen, In accordance with Public Act 91-95,this letter authorizes the below named agent to sign the above referenced application of Ernest F. Stokes III. Fire Sprinkler Contractor: Red Hawk Fire& Security 55 Robinson Boulevard Orange, Connecticut 06477 Project Name: Francesca's at Evergreen Walk Suite#221 Fire Sprinkler Locations: 257 Evergreen Way Starting Date: 1/14/16 Authorized Agent: Paul J. Urso Thank you for your cooperation, est F Stokes III License#FRP.0040818-F 1 Offices Located at: 55 Robinson Boulevard,Orange,Cr 06477 32 Char Drive,Westfield,MA 01085 92 South Street,Hopkinton,Ma 01748 Tel: (800)888-5197/Fax:203-89 8858 Tel:(800)888-5197 Tel:(413)568-4709 Tel: (800)782-6555/Fax: (508)478-7070 Fax:(413)562-7298 MA SC#5864,Cr FRP#0040818-F1,RI FPM#374, MA FA#607C,Cr ELC#105916-L5,RI FA#9065 APPLICATION FOR PLUMBING PERMIT TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074(PHONE) 860-644-2511 EXT.230 PERMIT NUMBER: DEPARTMENT DECISION APPLICATION IS HEREBY: 0074 6 APPROVED: BLDG.PERMIT NUMBER: _ I cl o0 6 �1 DATE INSPE R LOCATION OF WORK: L -Pp�L`16 //e Li N e(/- io( 2 7 APPLICANT: OWNER: TYPE OF STRUCTURE: ❑NEW BUILDING NAME: /27� kd/ / GNP ��kG � NAME: O ADDITION PHONE NUMBER ��C�/ !7/2 ✓/iY PHONE NUMBER: EXISTING BUILDING ADDRESS:I-t,- /?V ADDRESS: /` TYPE OF USE: �T Gk t/',,��iY/W ry it /4", eT ❑RESIDENTIAL gaCOMN�2CIAL 0df S-& / PLUMBING INFORMATION: ` FURTHER DESCRIPTIONOF WORK: TYPE OF INSTALLATION: NO.OF TOILETS: STYLE: NO.OF BATHTUBS: !it/�/� ��Pole _ NO.OF SHOWERS: NO.OF LAVATORIES: NO.OF CATCH BASINS: NO.OF FLOOR DRAINS: ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY WINDOW? OYES aNO ESTIMATED COST: S 5 C)a O(/ SIZE OF WINDOW: SIZE OF DUCTS: SEWER OR SEPTIC TANK: FEE ENCLOSED:$ ea,&c, w SIZE OF WATER PIPING AND RISER: WATER HEATER: TYPE MANUFACTURER FEE SCHEDULE:$18 PER$1,000 OF THE ESTIMATED COST. ROUND UP TO THE NEXT THOUSAND ONCE THE PROJECT IS $1.00 OVER. (.26 CENT EDUCATIONAL FEE INCLUDED AS PART OF THE PERMIT FEE) THE UNDERSIGNED HEARBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFOMANCE OF SUCH WORK. CONTRACTORS LICENSE NO.: �& 3 ✓U PE:: STATE: �T SIGNATURE OF APPLICANT: "� DATE: aOl Soi 1-1 4 e APPLICATION FOR PLUMBING PERMIT TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074 HONE 860-644-2511 EXT.230 PERMIT NUMBER: DEPARTMENT DECISION APPLICATION IS HEREBY: 00 5 C1 } APPROVED: BLDG.PERMIT NUMBER: rIooG9y DATE I INSPECTOR LOCATION OF WORK: C GrC,/v- N �'`U�<( bit, APPLICANT: OWNER: TYPE OF STRUCTURE: ❑NEW BUILDING NAME: NAME: ❑ADDITION PHONE NUMBER:Jj6 0 72 y?/?t PHONE NUMBER: PE)aSTING BUILDING ADDRESS: L 2 S— � Ael-9 / ADDRESS: TYPE OF USE: ❑RESIDENTIAL ObII4ERCIAL 06'z PLUMBING INFORMATION:INFORMATION: / FURTHER DESCRIPTION OF WORK: TYPE OF INSTALLATION: /if /f<� �U ci ��G' ` 7 7-Ak Yr e 20,4141 NO.OF TOU ETS: STYLE: NO.OF BATHTUBS: NO.OF SHOWERS: NO.OF LAVATORIES: NO.OF CATCH BASINS: NO.OF FLOOR DRAINS: ARE TOELET COMPARTMENTS VENTILATED TO OUTER AIR BY WINDOW? OYES oNO ESTIMATED COST: S Jn a DO. O`f SIZE OF WINDOW: SITE OF DUCTS: SEWER OR SEPTIC TANK: FEE ENCLOSED:$ C% SIZE OF WATER PIPING AND RISER: WATER HEATER: TYPE MANUFACTURER FEE SCHEDULE:$18 PER$1,000 OF THE ESTIMATED COST. ROUND UP TO THE NEXT THOUSAND ONCE THE PROJECT IS $1.00 OVER. (.26 CENT EDUCATIONAL FEE INCLUDED AS PART OF THE PERMIT FEE) IL THE UNDERSIGNED HEARBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFOMANCE OF SUCH WORK. CONTRACTORS LICENSE NO.: 54 TYPE: STATE: c SIGNATURE OF APPLICANT: DATE: S- ;4Otgor9a0 (1 APPLICATION FOR PLUMBING PERMIT TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074 (PHONE)860-644-2511 EXT.230 PERMIT NUMBER: DEPARTMENT DECISION APPLICATION IS HEREBY: 1010015 4 1- APPROVED: BLDG.PERMIT NUMBER: I h00 &,I 5 7-D-AT-E-T INSPECTOR LOCATION OF WORK:_L`OT-y IG10, L-a/'t (.I N APPLICANT: OWNER: TYPE OF STRUCTURE: / o NEW BUILDING NAME:� kw)CA"'!N l�C NAME: ❑ADDITION PHONE NUMBER: aG© 7f- �1i � PHONE NUMBER: P EXISTING BUILDING ADDRESS:�I-f /�//��j�//Vol d �� A ADDRESS: TYPE OF USE: ❑RESIDENTIAL /b COMMERCIAL �SC/ PLUMBING INFORMATION: FURTHER DESCRIPTION OF WORK: TYPE OF INSTALLATION: /!r�/ /r/(/C/ /Nr(/ // Y,4- NO.OF TOILETS: STYLE: NO.OF BATHTUBS: NO.OF SHOWERS: NO.OF LAVATORIES: NO.OF CATCH BASINS: NO.OF FLOOR DRAINS: ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY WINDOW? OYES ONO ESTIMATED COST: $ 0. QC,' SIZE OF WINDOW: SIZE OF DUCTS: 3 SEWER OR SEPTIC TANK: FEE ENCLOSED:S Po,(")G SIZE OF WATER PIPING AND RISER: WATER HEATER: TYPE MANUFACTURER FEE SCHEDULE:$18 PER$1,000 OF THE ESTIMATED COST. ROUND UP TO THE NEXT THOUSAND ONCE THE PROJECT IS $1.00 OVER. (.26 CENT EDUCATIONAL FEE INCLUDED AS PART OF THE PERMIT FEE) THE UNDERSIGNED HEARBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFOMANCE OF SUCH WORK. CONTRACTORS LICENSE NO.: `L TYPE: STATE: T SIGNATURE OF APPLICANT: DATE: ff 'L 7-/0- dot ya'9a`t 10 U ,AM AM M' I'M AM AMI EX M _EX FE EXIST GWB TO REMAIN (EXTEND TO DEMISING WALLS S D S D AS REQ'D) `�'AR YAR t10'-0' AFF (VIF) DB DB DB DB DB DB S D S D fIE 13 cl .. [ -. • sig 1 APPA X NEW CLG-3 r Fna.„a t10'-6' AFF (VIE) .. e, .. S D S D :... :" : : .. .:....:: :. .:< ma m D6 : .••: ::. .•:.... . : :: ". i�..5.. ::... . .......:..... ... . .: .. .... :: :: 774 � 1 B DB 11 .:. . ....... B S RINKL R A D ,.. ... ....... _ . �1��-.. o A27 7SD S D ,I _ 4 I ,E R -0 DB DB DB B DB DB DB B A2 R O G j C-EA Al'EM 1 1 OE EX` , n T EXIST GWB TO KtMAIN f8'-o' AFF (MF) DESIGN AND GENERAL NOTES : K 1. OCCUPANCY : RETAIL STORE ( ORDINARY HAZARD GROUP 2 OCCUPANCY ) PER G NFPA 13, 2010 EDITION. NEW CLG-4 2. THERE IS AN EXISTING SPRINKLER SYSTEM INSTALLED IN THIS BUILDING. THE EXISTING SYSTEM IS oSS aL HIGH S DESIGNED FOR ORDINARY HAZARD GROUP II. .3. ALL NEW SPRINKLERS TO BE TAKEN FROM EXISTING OR NEW 1" OUTLETS. S D s D W 4. ALL WORK TO BE IN ACCORDANCE WITH NFPA 135 2010 EDITION. 6 1 F5 1 o o 5. ALL NEW AND EXISTING 1" PIPING IS SCHEDULE 40 BLACK STEEL PIPING STOCKRM 4-6 WITH THREADED ENDS AND CAST IRON FITTINGS. 0 6. STRUCTURAL LOAD BEARING ANALYSIS OF THE SPRINKLER SYSTEM AND ITS RELATED COMPONENTS HAS NOT BEEN INCLUDED AS PART OF THIS CONTRACT. C rc 7. ALL HANGERS TO BE LOCATED AND SIZED IN ACCORDANCE WITH NFPA #13 2002 EDITION. i i f f 7. PENDENT SPRINKLERS TO BE INSTALLED VISUALLY STRAIGHT. 8. ELECTRICAL OR ALARM WIRING IS NOT INCLUDED IN THE FIRE SPRINKLER CONTRACT. 9. ALL AREAS TO BE ADEQUATELY HEATED ( ABOVE 40 F ) PIPE IS FILLED WITH WATER AND MUST BE KEPT FROM FROM FREEZING. TENANT PLAN —V SPRINKLER LEGEND SYM CNT NAME MFG. MO)EL METAL K NPT ORIF TEMP ESCUT NEW RELOCATED PEND Qi 4 QUICK RESPONSE PENDENT RELIABLE G;i BRASS 5.6 1/2 1/2' 1557E WHITE CONCEALED RELOCATED EXIST PEND !; 3 QUICK RESPONSE PENDENT EXISTING BRASS 5.6 1/2 1/2 155'F WHITE CONCEALED EXIST PEND TO REMAIN 'i,E A QUICK RESPONSE PEND FNT FXI4TIN�� BRASS 5.6 1/2 1/2' 1557E WHITE CONCEALED REV.# DATE REVISION DR. BY RED HAWK www.RedHawkUS.com FIRE&SECURITY MA SC#5864,CT FRP#0040818-F1 55 ROBINSON BOULEVARD RI FPM#374,MA FA#607C ORANGE,CT 06477 RI FA#9065,CT ELC#I05916-L5 TEL 203-672-9675 FAX 203-891-8858 SYMBOL LEGEND THIS DRAWING IS PREPARED BY RED HAWK FIRE & FRA.NCE S CA'S ,. . . .� s-o CEILING HEIGHT SECURITY FOR USE IN CONJUNCTION WITH THIS PROJECT AND IS FOR USE SOLELY WITH RESPECT TO e EVERGREEN WALK - SUITE #221 CrX HYDRAULIC REFERENCE DIODE RED HAWK WORK ON SUCH PROJECT. RED HAWK Q= G 8 -0 PIPE ,ABOVE FINISH FLOOR(AFF) FIRE & SECURITY RETAINS ALL COMMON LAW, e 257 EVERGREEN WAY >:.�.k STATUTORY AND OTHER RESERVED RIGHTS � �y Main A MAIN FABRICATION TAG INCLUDING COPYRIGHT. THIS DRAWING AND oQ SOUTH WIND S OR, CT ASSOCIATED CALCULATIONS SHALL NOT BE USED BY n L01 BRANCHLI\IE FABRICATION TAG OTHERS ON OTHER PROJECTS OR FOR PERFORMANCE, S 5�AA FIRE PROTECTION PLAN NORTH COMPLETION OR ADDITION TO THIS PROJECT BY i� LONGITUDINAL SEISMIC BRACE (IF REQUIRED) � t DRAWN BY: CHECKED BY: UNDERWRITER: JOB # OTHERS EXCEPT BY AGREEMENT OF RED HAWK PN Piu X LATERAL SEISMIC BRACE (IF REQUIRED) IN WRITING AND WITH APPROPRIATE COMPENSATION SCALE: DATE: SHEET 2' 4' 6' 8' 10' 12' 14' 16' 18' N 4-WAY SEISMIC BRACE (IF REQUIRED) TO SUCH. AS NOTED 116116 NO- FP-1. OF 1 069707