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201 EVERGREEN WAY SPACE 249
APPLICATION FOR ELECTRICAL PERMIT DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT /3yn-V,5— AP R ED 1540 SULLIVAN AVENUE Bldg. Permit# 644-2511 ext. 230 Date Building I Spector Application must be printed or typed FEE SCHEDULE �^ \Location of Job: $0-$1,000=$15.00 (d)-,q!y Over$1,000= Street No. Street Lot No. $15.00 per$1,000 S a L— Co n&S+ or any fraction thereof Tenant Designation Apt.No. APPLICANT (Qg-A e (`n cam /r APPLICANT ADDRESS 57— APPLICANT'S PHONE# JL03 Y6M - 2 7 OWNER /,< �(OW N S£q� ��OWNER ADDRESS �j�-�p �4—rN A OWNER PHONE ESTIMATED COST$ C a IS THIS A CONTRACT COST?/ Yes No FEE ENCLOSED$ 3qs- •' �4,G TYPE OF JOB: -� 113 �SOR.COS New Installation Alteration/Addition/Repair T�13a 1 Revised 03/05/10 APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION?A YES ❑ NO ❑ RESIDENTIAL CURRENT USE AND OCCUPANCY 1... ,aCBUSINESS _ ❑ ASSEMBLY FUTURE USE AND OCCUPANCY L, ❑ EDUCATIONAL � ��`` ❑ INSTITUTIONAL ENGINEER'S NAME L' .^ �' r v , �,SS�,1 PHONE7v� 7 ❑ FACTORY ❑ STORAGE ADDRESS 2C�Q2 U / ❑ GARAGE ❑ MIXED USE CITYj�.J ���� STATE ZIP (Other please specify) TYPE OF INSTALLATION/WIRING METHOD Pam. Q SIZE OF SERVICE SIZE OF MAIN CONDUCTORS NUMBERS OF METERS NUMBERS OF DISCONNECTS AND RATINGS NUMBERS OF PANELS NUMBERS OF DISCONNECTS REQUIRED? ❑ YES ONO NUMBERS OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS NUMBER OF SWITCHES NUMBER OF OUTLETS NUMBER OF LIGHT FIXTURES NUMBER OF HEAT CIRCUITS NUMBER OF A/C CIRCUITS SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED. DESCRIPTION OF WORK 1 THE UNDERSIGNED HEARBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFOR- MANCE OF SUCH WORK MCQ9/ E I c7_ CONTRACTORS LICENSE O. STATE SIGNATURE OF APPLICANT P DATE I' I`'� — 13 Ruggles SIGN J 93 Industry Drive / \ PO Box 349 Versailles,KY 40383 859.879.1199 -sl 4 L41 M[WER. mm Approved. STORE#1290 Glen W. Moon THE PROMENADE SHOPS AT EVERGREEN WALK 510-220-4787 LOVCSAC Charter Realty Et 201 EVERGREEN WAY Development 290 SOUTH W I N DSOR, CT 06074 10.14.22 spa e#2577 THE PROMENADE SHOPS AT EVERGREEN WAt, 201 EVERGREEN WAY SOUTH WINDSOR,CT 06074 This sign Is Intended to be Installed In accordance Mth the requirements of Article 600 T!CIN MAP NF._L H.EY PLAN of tine National Electrical Code andlor other appbcable local codes, firs Includes Proper q—nding and bonding of the sign. RUGGLES SIGN DOES NOT PROVIDE PRIMARY "' •""�""♦ r. ELECTRICAL TO SIGN LOCATION! C—D p.,♦ p,_ C UL US k ❑ Submittal Date: to/Danz �.....� .,.:n` ,-,,„..,.... Dessign nI Acter:er: xRr_r'nden ctmlry De PI TIe PFIa-010=1114m-._ rt: r7: /� `"�♦ ., E.ERGA MWAY r LCVTIsAC r2: r8: '....r..:..p +....+♦....�w..P C•. C E'!"Te fZE-W'AY .�1Ye 3 3UnE T xs- r3: r9: „00,_, saTM W PCSC,R,CT zmA r4: r10: r5: r11: r6: r12: PAGE: 1 N r�/7/a'L EXTERIOR STOREFRONT-ELEVATION Scale: 1/4"=1'0" Ruggles SIGN 93 Industry Drive ------- ---- --- ------ PO Box 349 Versailles,KY 40383 859.879.1199 �9. MEMGER LOV C SAC LL A •° Store#1290 -- --EQ EQ —l- ----- E Space#257 a — --a E THE PROMENADE SHOPS AT EVERGREEN WALK go 101 EVERGREEN WAY r � B p SOUTH WINDSOR,CT 06074 p N y This sign Is Intended to be Installed In accordance wIM the re4ulrements of Arllcle 600 I I 1 of the National Electncal Code and/or othK applicable local codes. This Includes proper Z grounding and bonding of the sign. RUGG.,SIGN DOES NOT PROVIDE PRIMARY I mi `I I I z ELECTRICAL TO SIGN LOCATION! Q c @us i I o °o m Submittal Date: 10r04172 I I AM Rep: Katie Durham Designer: drenden sceury t: • r1: r7: 1-2: r8: r3: r9: r4: 1-10: r5: rl1: r6: ri2: A LSACIIBL 8 LSAC BLD24 non ilium LSAC AWN Qty-1 O Qty-I O Qty-I PAGE: 2 A BACK-LIT CHANNEL LETTERS-ELEVATION BACK-LIT CHANNEL LETTERS-SECTION Scale: 1"=1' -0" Scale: N.T.S. _ L00 Y/ `ter Ru les Eij 0 ( 99 SIGN rj 93 Industry Drive PO Box 349 5.7 SQ FT Versailles,KY 40383 6'2 5/8" 2 6 859.879.1199 0 K Ing aMwxe 0 y1 SW 6942 At SPLASHY3 LOV C SAC RETURNS WHITE n FACES $ Store#1290 SIGN DETAILS ? Space# 257 O2"DEEP ALUMINUM LETTER RETURNS PAINTED TO MATCH SHERWIN WILLIAMS SW 6942"SPLASHY" &FACES PAINTED MATTE WHITE I THE PROMENADE EVERGREEN WALK p Y q 2 H EVERGREEN N WAY O BITRO BANTAM PLUS 3000K WHITE LED ILLUMINATION j sour WlNosoa,a ao» t10 O 3/16"THICK WHITE POLYCARBONATE LETTER BACKS 4 Two clan Is Intended to be Installed m accordance vAth the requirements of Article 600 of the National Electncal Code and/or other :r t-We local codes. ThN includes Proper 1. nding ®ALL INTERIOR LETTER SURFACES ARE PAINTED HIGH GLOSS WHITE 9RUGGLg a I N DOES of the nqn. 7 RUGGLES SIGN GOES NOT PROVIDE PRIMARY ELECTRICAL TO SIGN LOCATION! LETTERS WILL MOUNT 1"OFF STOREFRONT WITH 3/16"ALL THREAD ROD THREADED INTO RIVNUT suitable for 5 Wet Locations only IN LETTER BACKS 10.24 NUT ON BACKSIDE Of WALL,SPACERS PAINTED TO MATCH STOREFRONT C(S) US UL label tocated ©3/8"RIGID CONDUIT FOR LOW VOLTAGE PASS-THRU,WIRES RUN TO BITRO ASU-60-12U LED DRIVER on top of signs (120-277 VOLT)CONTAINED IN PAIGE 980054C SNAP 2 ENCLOSURE Submittal Date: 10/04177 BACKS SECURED TO RETURNS WITH CLIPS POP-RIVETED TO LETTER BACKS,RETURNS SECURED --� Acct Rep: ifatie Dun— TO TO CLIPS WITH SCREWS IN THE RETURN \` Designer: Brenden cteurf I r tt • 1 s rt: r7: Is � r2: r8: r3: r9: DEDICATED PRIMARY SIGN r4: r10: CIRCUIT AND DISCONNECT r5: r11: PROVIDED BY ELECTRICIAN r6_ - -. r12: LSACIIBL PAGE: 3 i NOW ILLUMINATED BLADE SIGN-ELEVATION Scale: 1/2"=1'-0" Ruggles SIGN A 93 Industry Drive PO Box 349 Versailles,KY 40383 8599.879.1199 8 - LIS O r— LOV C SAC • I Store#1290 Space# 257 -— THE PROMENADE SHOPS AT EVERGREEN WAI✓ 201 EVERGREEN WAY SOUTH WINDSOR•CT 06074 This tendnd to be installed In accordance with the rtt7uirements of Article 600 — - I of the National Eleclrcal Code and/or other W applicable local codes. Thn includes proper �OLA�B 40>!AlA _ s,� mny and nomm�R m the t gn RUGGLES SIGN DOES NOT PROVIDE PRIMARY 00 I ELECTRICAL TO SIGN LOCATION! O Z C @US Ot I Submittal Date: IGID4122 ACct Rep: Katie Durham Designer: areonen CEeury • H r2: r8: r3: r9: r4: r10: r5: r11: r6: r12 OLSAC11BL O LSAC BLD24 non ilium O LSAC AWN PAGE: 4 Qty•1 Qty-1 Qty•1 B NOW ILLUMINATED BLADE SIGN-ELEVATION SIGN-DETAILS NON- ILLUMINATED BLADE SIGN-SECTION Scale: 1 1/2"=1'-0'> Scale: 3"-1 ' O23 1/2"x 23 1/2"x 2 7/8"DEEP,FABRICATED ALUMINUM SIGN BOX WITH ROUTED COPY,BOX WILL SLIDE OVER MOUNTING FRAME, —►{ 3 1/2" ALL EXPOSED ALUMINUM WILL BE PAINTED TO MATCH PANTONE I 24" 320C"SPLASHY" (FINISHED SIGN SIZE SHOULD BE 24"SQUARE x 3 1/2"DEEP) Ruggles 1/8"THICK ALUMINUM FACE WILL HAVE 1/4"ALUMINUM BORDER ALL THE WAY AROUND THE FACE OF SIGN ON BOTH SIGN SIDES PAINTED TO MATCH PMS 320C"SPLASHY".REMAINING FACE AREA WILL BE PAINTED TO MATCH"WOOD PLANKS". 93 Industry Drive MOUNTED TO FRAME ON BOTH SIDES PO Box 349 5" 2 Versailles,KY 40383 O3 1/4"THICK,ROUTED ACRYLIC LETTERS WITH ONLY RETURNS PAINTED TO MATCH PMS 32DC"SPLASHY"AND FACE PAINTED MATTE 859.879.1199 • WHITE.LETTERS WILL MOUNT FLUSH TO BOTH SIDES OF BLADE WITH 3" 5" 24" TAPE AND SILICONE 3"x 3"x 6"LONG ALUMINUM TUBES WILL BE MOUNTED TO WALL 2 4 WITH 3/8"INTERNAL CAP WITH PRE-DRILLED HOLES TO ACCEPT THRU-BOLT FASTENERS OR OTHER REQUIRED MOUNTING METHOD. TUBES WILL BE WELDED TO 1/4"PLATE ON END OF SIGN BOX LO V C S AC 3„ PAINTED TO MATCH PMS 320C"SPLASHY" GC TO PROVIDE ADEQUATE BLOCKING TO HOLD SIGN 3 24" (2 LAYERS 5/8"PLYWOOD ATTACHED TO STUD RECOMMENDED) Store#1290 4 Space# 257 ILLUMINATED BLADE SIGN DETAILS n+EFROMENaDE TEVEacREENwA 2D1 EVV RGREERGREEN WAY Aimh SOUTH WINDSOR,CT 06074 Scale: 1 1/2"=1'-0" g ac lard me with nthe rregW to ofsArtide 600 a� or the National Electrical Cade and/or other e apphuble total coda. it Indwes proper :7 grounding and bonding of the sign. RUGGLES SIGN DOES NOT PROVIDE PRI"Y 11 NMI ELECTRICAL TO SIGN LOCATION! CC C UL US z U • z Submittal Date: gDfDaizz o • v -- Actt Rep: Katie Durham Designer: arenden Stewy • 011 r1: r7: r2: r8: - - -_ - I - -_ — r3: r9: r4: r10: r5: rtt: r6: r12:- LS BLD24 non illum PAGE: 5 C FABRIC AWNING-ELEVATION FABRIC AWNING- PROFILE Scale: 3/8"=-V 0" Scale: N.T.S. EQ Ruggles SIGN 93 Industry Drive PO Box 349 Versailles,KY 40383 859.879.1199 �9. MIMeER OPTIONAL AWNING OR SIGN 36"VIF CLOSED ENDS- LOV C SAC t 18'-4 3/4"VIF BLOCKING/ FRAMING 2 Store#1290 MMr PROJECTK*T.B.D. Space# 257 THE PROMENADE SHOPS AT EVERGREEN WALL 201 EVERGREEN WAY SOUTH WINDSOR,CT 06074 This sign H Intended to be Installed 1n _.,dame Wdh the requirements of Atticle 600 of the Nat—I ElettrKal Code and/or Wher applicable local codes. This inctudes proper grounding and bonding of the sign. RUGGLES SIGN DOES NOT PROVIDE PRIMARY AWNING DETAILS DAWNING-DETAILS ELECTRICAL TO SIGN LOCATION! OSUNBRELLA#4612-0000"ARUBA"AWNING MATERIAL OVER AWNING FRAME O2 02 O2 Ca&uS O 1"AWNING FRAME PAINTED TO MATCH"ARUBA"AWNING MATERIAL Submittal Date: gD/04/22 ACCt Rep: Katie Durham 3 Designer: arennm Steuv ALL MOUNTING HARDWARE PAINTED"ARUBA"TO MATCH FRAME 0 TEK SCREW/ANCHOR APPROPRIATE SIZE TO BE DETERMINEDCONTINUOUS BEAD • ® OF SILICONE WHERE AWNING(SILICONE SHOULD TRAVEL THE FULL LENGTH OFAWNING)WHEN REINSTALLED 3 Q rt: r7: Z-CLI"FABRIC ATTACHED WITH STAPLES" METH FRAME PROJECTION r2: r8: METHOD RAME ARM METHOD r3: r9: METHOD r4: r10: r5: rtt: r6: r12 LSAC AWN PAGE: 6 APPLICATION FOR PERMANENT SIGN PERMIT Zoning Approval: G(0 20M Evergreen Way Est. Cost: $ sou. o:- Date:_ia + Permit Fee. $ s,o o (p��P Final Inspections: Sign Permit#110 0 06 49 Approved: Building Electric Permit# Zoning &um � -7 la Applicant �L�ENC� S� 6 iiyl.UG� Business Name t C "�)Q-L) 4E-kE! Applicant Address-55.W 'l 1 I6`w &_CO k-Z�7• 8C12110 . C c �(D��1�7 Phone W Address of Proposed 5ign �ukiK Zone TYPE of SIGN: M Wall or❑ Free-standing Q New orK Replacement Illuminated?�dNo ❑ Yes(electrical permit required) Proposed Free-standing Sign: Size(sq ft) � Sign Height `I Sq Ft of Existing signs on site: Free-standing Wall Proposed Building Sign: Building Frontage(ft) Sign Size(sq ft) Description of sign materials and lighting: NOVX - i I I%.- ATTACH AI DIAGRAM OF ' k� '�� SIGN I have read, understand and agree to abide by the th Windsor Zoning Regulations, Signs. INCLUDING DIMENSIONS Applicant �-'6 'L1� Date 2. I AND MAP SIGN LOCATION Property Owner LKDate -lad t4q EDDIE BAUER NON-ILLUMINATED BLADE SIGN QUANTITY(1) OVERALL SIZE 36-X 35'X 3-DEEP(ACTUAL BLADE SIZE 29'x 29") • MOUNTED TO EXISTING STOREFRONT FACADE 1/8'ALUMINUM CONSTRUCTION,MATTE BLACK FINISH 1W TRANSLUCENT WHITE ACRYLIC LOGOS LOGO TO BE SCREEN PRINTED BLACK ON'%*ACRYLIC SIDE SECTION LOGO TO HAVE POLISHED EDGES SCALE 1'-1' DOUBLE SIDED BLADE SIGN SIDE ELEVATION SCALE 1'•1' ��� xMD infinitL 00 GROUP 1 r a• r MAIL:1168 GROVE STREET 0 0 r SHIP: 171 COIT STREET -' IRVINGTON. NJ 07111 K P 973.649.9950 F 973.649.9951 W PUSH THROUw WWW.INFINITESIGN.COM AC Myuc L000 wKwwM MauxrnD run PAPICATIMAWMINUM MADEMON er O 0 ��+!�+� NAME r EST. 1 920� DATE Fg. 0 0 ea,.w.R...ccrw. PROJECT NUMBER: 310621 KllvlpllRK�lDro�WS T WI�l K}IMiC N1 �pW�IJ OBI lIKKbA PROJECT NAME: FRONT ELEVATION uworowxaeH nerrmeucK 291' &" "`""YO11O1L1` EVERGREEN WALK SCALE 1'-1' CLIENT: EDDIE BAUER WALUM.MOUNTING PLATE K p wiyP DRAWN BY: JARED 3 ROUNOTUB SCHWARTZ /1/4 WALL/CAPPED MOUNT TBD UPON SITE SURVEY nwww.iwwrow AT END MOUNTED WITH TOGGLE OR ""411 BLACK" SCALE 1 3 1 ANCHOR BOLTS I'ROUND TUBE/118'WALL WELDED TOP&BOTTOM 'D'�^x w°N DATE 9/8/11 PauwaD rar W WHITE ACRYLIC LOGO ,nDDror wuw rarirep el.rx BEYOND rw i�a REVISION: __ .:7. Y' REV OATE:10/25/11 1/M ACRYLIC PANEL rwnuN uv� ISSUED: 1/8'ALUM FACE AND SIDES wAw�Hw way SIGN TYPE: FAB '...... EXISTING FACADE FRONT SECTION D RG N O. EB-P 02 SCALE 1'-1• EVERGREEN WALK EDDIE BAUER NON-ILLUMINATED BLADE SIGN QUANTITY(1) inFinif e GROUP MAIL:1188 GROVE STREET SHIP: 171 COIT STREET IRVINGTON, NJ 07111 P 973.849.9950 F 973.649.9951 WWW.INFINITESIGN.COM NAME DATE PROJECT NUMBER: 310621 Q Q PROJECT NAME: EVERGREEN WALK CLIENT: EDDIE BAUER DRAWN BY: JARED SCHWARTZ SCALE 1"=1' DATE 9/8/11 REVISION: NOTE:EXTERNAL LIGHTING SUPPLIED REV DATE:10/25/11 $INSTALLED BY EDDIE BAUER ISSUED: NON-ILLUMINATED BLADE SIGN SIGN TYPE: FAB DETAILS ON PAGE 2 DRG NO. EB.P.01 w Electric # APPLICATION FOR BUILDING PERMIT Plumbing# HVAC# 9b, E- en Wu 51 a Date: Sprinkler# Z57 � 5 ��d� Estimated Cost $O�W,100 FINAL APPROVALS _ Permit Fee $ q10 Building COMPLETE RED BOXED AREAS _ Engineering Occupancy Fee $ IO Affidavit TYPE OR PRINT ONLY Eng. Insp. Fee $ Appr.forCO. —� ► SIGN ON REVERSE SIDE 4 Total Fee $gW,00 TO THE BUILDIN TMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ The undersigned hereby applies to do work according to the followin 20 1 c Applicant - Location of Work Lot No. Applicant's Address.911 W CAA1� s'� Tel # Town�SyN •Ty '' ''rr Zip � 1� Lic.tR `Owner �� h y, LAD rU� txsNl�tQ..W4,,6hitect Owner's Address a-L 5 Architect's Address A14 W- kkm t ,tat-k C, 6IAWSCnj kll Zip Q1 R v Zip_�� 0 Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area Purpose of this permit Ik7 hl 1 g2Sx S � `"� _ 1� tT SP�.Gf'u City Water Well :.J Septic System ] Sewey �C15C�1`�%9 Ins: HO P Cert. A Base t Garage Approved by Date �! Use Group Construction Type . Revis 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 i which this building and its use is allowed. N Signed I hereby apply for a Certificate of OW for a work described in this application for the permit. Signed ___ DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS INSPECTION FIELD SHEET 03/24/16 Printed Peart, Dayshell 09 00 27 03�14/16 SUMM PASS F025 FM EMERGENCY/EXIT LIGHTING 03/14/16 SUMM PASS F035 FM EXITS _ 03/14/16 SUMM PASS F040 CO -FIRE MARSHAL INSPECTION 03/14/16 ROSE PENDING BO10 FINAL see text CAULK BASE OF WATER CLOSET &AROUND LAV. MISSING COAT HOOK ON DOOR,PAPER DISPENSERS FIXTURE LAYOUT TO STORE-INCOMPLETE. 03/24/16 ROSE PASS BO10 FINAL �03/24/16 LIPE PASS Z003 CO PLANNING INSPECTION �� i 0106- INSPECTION FIELD SHEET 03/24/16 Printcj by Peart, Dayshell 09 00 27 INSPECTION: 80485 FOOTING PERMIT: STATUS APPLICATION: 201501489 LOC: 201 EVERGREEN WAY SOUTH WINDSOR PROPERTY ID: 31300201 OWNER: EVERGREEN WALK LIFESTYLE CENTER LLC CONTRACTOR: REQUEST BY: PROJ DESC: RENOVATE EXISTING 1,428 S.F. RETAIL TENANT SPACE FOR WORK ORDER: INSPECTOR: ROSE RESULT: N/A REQUESTED: PRIORITY: SCHEDULED: COMPLETED: 03/10/16 UNPAID FEES 00 Date Time MILEAGE: 00 TIME: TRAVEL ONSITE COMMENTS ALL INSPECTIONS INSPECTED INSPECTOR RESULT INSP DESCRIPTION 02/03/16 ROSE PASS P002 PLUMBING UNDERGROUND JOE @ 860-883-6896 02/08/16 DOUG PASS B003 FRAMING (ROUGH) SAM @ 860-357-7909 02/11/16 ROSE PASS B003 FRAMING (ROUGH) 02/11/16 ROSE PASS P003 PLUMBING ROUGH JOE Q 860-883-6896/janitor,s sink 02/23/16 DOUG PASS B003 FRAMING (ROUGH) SAM @ 860-357-7909 03/10/16 ROSE N/A H002 HVAC UNDERGROUND 03/10/16 ROSE N/A H003 HVAC ROUGH 03/10/16 ROSE N/A B002 FOUNDATION 03/10/16 ROSE N/A P004 PLUMBING GAS TEST 03/10/16 ROSE N/A 5003 SPRINKLER ROUGH 03/10/16 ROSE N/A 5005 HYDRO TEST 03/10/16 ROSE N/A E001 ELECTRIC SERVICE 03/10/16 ROSE N/A E002 ELECTRIC UNDERGROUND 03/10/16 ROSE N/A E003 ELECTRIC ROUGH 03/14/16 SUMM N/A F005 FM PENETRATIONS/SEPERATION 03/14/16 SUMM N/A FO10 FM ABOVE CEILING 03/14/16 SUMM PASS F015 FM FIRE ALARM TEST 1 Electric # APPLICATION FOR BUILDING PERMIT Plumbing# 201 Evergreen Way S ac HVAC# 1 n n n a» P A Q e Date: 1l f Sprinkler# stimated Co $_� ! nbC FINAL APPROVALS ermit Fee $ 3zQs Building COMPLETE RED BOXED AREAS Engineering TYPE OR PRINT ONLY Occupancy Fee $ to Affidavit Eng. Insp. Fee $ Appr.forCO - - ► SIGN ON REVERSE SIDE t Total Fee $. TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ 2f0l5q The undersigned hereby applies to do work according to the following: Applicant SELECT 4:* FbZT Location of Work CY tr'pj VjALk---201 Lot No. 2141 Applicant's Address � j >iN 46, - NGNNEAF!gd ,M�l 56�1�{2 Tel # An --x5i•7CxjC-- TownLvt EVE-MeMW 14Y -51rW :-!* -'MWrg W-14450r,_= ZiD44007714 Lic.# Owner Pt-A L try5-ri LL- Architect I r>.A AL-h N. IAU KK/4,A I&�i�.�o•f:84-* Owner's Address 24F--� UASAAb OAr& 13LVb• Architect's Address 1090-'VALI n VIL�W ro.At�, -tIE 31s0 ty'It;MP►-IIS.?lf Zip.,6l_� &C4 %tAlme-, IAti1 ZipSs3 Sq. Ft.New Area: 1 st FI.26(3 2nd FI. 3rd FI. Total New Area Purpose of this permitTPr-ia-nt -Ott t :,<-,- r i A ZC# S 'e Dcn;4 1--q52--FzT-%1-7-7 (C nja� City Water Well 0 Septic System ❑ Sewer ] o % add g$q Ins: HO P Area Basement Garage Approved by i t. Date ?• 4 - Use Group Construction Type Revised 1108 I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town of South Windsor and to notify the Building Inspector of any alteration in the plans or specifications of the Building for which this permit is asked,and agree that this building is to be located the proper distance from all street lines,side yard lines,and required distances from all other zones and is located in ich this wilding and its use is allowed. )Q Signed I hereby apply for a Certificate of Occupancy for the wo described in this application for the permit. Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS j . INSPECTION FIELD SHEET 10/04/13 Printed by Peart, Dayshell 15 08:45 INSPECTION: 59391 FOOTING PERMIT: STATUS: APPLICATION: 201300889 LOC: 201 EVERGREEN WAY SOUTH WINDSOR PROPERTY ID 31300201 OWNER: EVERGREEN WALK LIFESTYLE CENTER LLC CONTRACTOR: REQUEST BY: PROJ DESC: TENANT FIT-OUT FOR THE SELECT COMFORT STORE. (SLEEP NUMBER) WORK ORDER: INSPECTOR: ROSE RESULT: N/A REQUESTED: PRIORITY: SCHEDULED: COMPLETED: 10/04/13 UNPAID FEES 00 Date Time MILEAGE: 00 TIME: TRAVEL ONSITE COMMENTS: ALL INSPECTIONS INSPECTED INSPECTOR RESULT INSP DESCRIPTION 10/04/13 ROSE N/A B002 FOUNDATION 08/30/13 DOUG PASS B003 FRAMING (ROUGH) PAT @ 1-919-792-7828 09/11/13 DOUG PASS B003 FRAMING (ROUGH) RENO @ 860-712-8159 (ABOVE CEILING.) 10/04/13 ROSE N/A B004 INSULATION 09/11/13 DOUG FAIL BO10 FINAL 10/04/13 DOUG PASS BO10 FINAL 10/04/13 ROSE N/A E001 ELECTRIC SERVICE 08/21/13 DOUG PASS E002 ELECTRIC UNDERGROUND 08/21/13 DOUG PASS E003 ELECTRIC ROUGH 09/12/13 SUMM PASS F005 FM PENETRATIONS/SEPERATION 09/12/13 SUMM N/A FO10 FM ABOVE CEILING 09/12/13 SUMM PASS F015 FM FIRE ALARM TEST 09/12/13 SUMM PASS F025 FM EMERGENCY/EXIT LIGHTING 09/12/13 SUMM PASS F035 FM EXITS 09/12/13 SUMM PASS F040 CO -FIRE MARSHAL INSPECTION 10/04/13 ROSE N/A H002 HVAC UNDERGROUND 10/04/13 ROSE N/A H003 HVAC ROUGH 08/22/13 DOUG PASS P002 PLUMBING UNDERGROUND ROGER @ 860-604-8827 INSPECTION FIELD SHEET 10/04/13 Printed by Peart, Dayshell 15 08 45 08/30/13 DOUG PASS P003 PLUMBING ROUGH 09/11/13 DOUG FAIL P004 PLUMBING GAS TEST faulty guage 09/13/13 DOUG FAIL P004 PLUMBING GAS TEST RENO Q 860-716-8159 09/23/13 DOUG PASS P004 PLUMBING GAS TEST RENO @ 860-716-8159 10/04/13 ROSE N/A S003 SPRINKLER ROUGH 10/04/13 ROSE N/A S005 HYDRO TEST 10/04/13 LIPE PASS Z003 CO PLANNING INSPECTION Electric# APPLICATION FOR BUILDING PERMIT Plumbing# 201 Evergreen Way HVAC # Date: SpFINALrinkler# ROVALS - - - - ---- ---_ .., Estimated Cost $ � Permit Fee Building COMPLETE RED BOXED AREAS I Occupancy Fee $ Engineering TYPE OR PRINT ONLY Eng. Insp. Fee $ Affidavit Appr. for CO. SIGN ON REVERSE SIDE -----! Total Fee .,Jo 6c- TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ The undersigned hereby applies to do work according to the following: Applicant f°^St►c--cJ-•c-. Location of Work aol E ye-'"rrz Cn t'-7 'S 1S'IRot No. Applicant's Address 9FIF aln t,4►-e Swt( to Tel.# 96c)' Town ��-S, " CA- Zip O 6e3 Lic.# Owner 'bP}G Ir C well _Architect I- E` ' Ars.V°' Owner's Address 10 I^c1-,r4^*) c3h4l) QUAD Architect's Address 10'?&i ✓u 1'`7 U''u' ifielrPA s 1 TW. Zip 5,//9 P Dew pia► r i e m h . -zip. S7 3'f r Sq. Ft. New Area: 1st FI. 2<< 3 C. 2nd FI. 3rd FI. Total New Area Z Y 3 C Purpose of this permit rn rS@ 0,--^'10 City Wat C� Well❑ Septic System❑ Seweru?` 3 c32_ Ins: HO SP Cert. ea Basemen Garage _ Approved by Date �� Use Group Construction T Revised 6/02 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 t proper distffince from all street lines,side yard lines,and required distances from all other zones and is located in which this ding a is allowed. Signed I hereby apply for a Certificate of Occupancy f Ae work de abed in this application for the permit. Signed ` DON WRITE BELOW THIS LINE INSPECTION COMMENTS INSPECTION FIELD SHEET 11/05/13 Printed by Peart, Dayshell 15:25 53 INSPECTION: 60031 FINAL PERMIT: STATUS: APPLICATION: 201301032 LOC: 201 EVERGREEN WAY SOUTH WINDSOR PROPERTY ID: 31300201 OWNER: EVERGREEN WALK LIFESTYLE CENTER LLC CONTRACTOR: REQUEST BY: PROJ DESC: MISE DEMO .WORK ORDER: INSPECTOR: DOUG RESULT: PASS REQUESTED: 07/31/13 PRIORITY: SCHEDULED: 08/01/13 AM COMPLETED: 08/01/13 UNPAID FEES 00 Date Time MILEAGE: 00 TIME: TRAVEL ONSITE COMMENTS BOB @ 860-712-7777 &M ASSOCIATES LTD TELE: 952-944-7576 LAKEVIEW BUSINESS CENTER 10907 VALLEY VIEW ROAD EDEN PRAIRIE, MN 55344 FAX: 952-944-7585 L fL. A SENT VIA: 0 EMAIL 0 USPS FED EX 0 MESSENGER DATE: 06/20/13 PROJ NO: SC1304.554 TO: TOWN OF SOUTH WINDSOR PROJECT: SELECT COMFORT 1540 SULLIVAN AVE. SOUTH WINDSOR, CT 06074 LOCATION: EVERGREEN WALK SUITE 249 ATTN: BUILDING DEPARTMENT TELE: 860.644.2511 EXT. 330 ADDRESS: 201 EVERGREEN WAY FAX: SOUTH WINDSOR, CT 06074 EMAIL: REFERENCE: PERMIT SUBMITTAL COPY: File ENCLOSED QTY ITEM(S) DESCRIPTION Reproducibles X Prints/Copies Contracts Samples 2 CARD APPLICATION FOR BUILDING PERMIT Specifications Shop Drawings Electronic Media Photos Other FOR: * Your Review 0 As Requested 0 Distribution 0 Your Signature/Approval 0 Return 0 Reviewed (') Your Use n Revise n Other COMMENTS: Enclosed are Applications for the permit submittal of the Select Comfort Construction Documents. Please let me know if you should need anything further. Thank You, SIGNED: DANIEL LOFTUS DIRECT: 952-828-8177 EMAIL: loftus@l-m.com ARCHITECTURAL DESIGN & PLANNING &M ASSOCIATES LTD TELE: 952-944-7576 LAKEVIEW BUSINESS CENTER 10907 VALLEY VIEW ROAD EDEN PRAIRIE, MN 55344 FAX: 952-944-7585 P R-2-EPR a^ .� SENT VIA: 0 EMAIL 0 USPS FED EX 0 MESSENGER DATE: 06/25/13 PROJ NO: SC1304.554 TO: TOWN OF SOUTH WINDSOR PROJECT: SELECT COMFORT 1540 SULLIVAN AVE. SOUTH WINDSOR, CT 06074 LOCATION: EVERGREEN WALK SUITE 249 ATTN: BUILDING DEPARTMENT TELE: 860.644.2511 EXT. 330 ADDRESS: 201 EVERGREEN WAY FAX: SOUTH WINDSOR, CT 06074 EMAIL: REFERENCE: PERMIT SUBMITTAL COPY: File ENCLOSED QTY ITEM(S) DESCRIPTION Reproducibles X Prints /Copies Contracts Samples 1 Check BUILDING PERMIT FEE: $3105.00 Specifications Shop Drawings Electronic Media Photos Other FOR: * Your Review 0 As Requested 0 Distribution 0 Your Signature/Approval 0 Return 0 Reviewed (') Your Use n Revise n Other COMMENTS: Enclosed is the check for building permit portion of the Select Comfort Construction Documents. Please let me know if you should need anything further. Thank You, SIGNED: DANIEL LOFTUS DIRECT: 952-828-8177 EMAIL: loftus@I-m.com ARCHITECTURAL DESIGN & PLANNING , &M ASSOCIATES LTD TELE: 952-944-7576 LAKEVIEW BUSINESS CENTER 10907 VALLEY VIEW ROAD EDEN PRAIRIE, MN_55344 FAX: 952-944-7585 Stt� f^ .� _ ra�st_ afi I� J�� f T [" Z$y,G S7W� tw. SENT VIA: 0 EMAIL 0 USPS * FED EX 0 MESSENGER DATE: 06/19/13 PROJ NO: SC1304.554 TO: TOWN OF SOUTH WINDSOR PROJECT: SELECT COMFORT 1540 SULLIVAN AVE. SOUTH WINDSOR, CT 06074 LOCATION: EVERGREEN WALK SUITE 249 ATTN: BUILDING DEPARTMENT TELE: 860.644.2511 EXT. 330 ADDRESS: 201 EVERGREEN WAY FAX: SOUTH WINDSOR, CT 06074 EMAIL: REFERENCE: PERMIT SUBMITTAL COPY: File ENCLOSED QTY ITEM(S) DESCRIPTION Reproducibles X Prints /Copies 3 BOND SIGNED AND SEALED SETS FOR PERMIT SUBMITTAL Contracts Samples 2 CARD APPLICATION FOR BUILDING PERMIT Specifications Shop Drawings 1 COPY LANDLORD LETTER OF APPROVAL Electronic Media Photos Other FOR: Q Your Review 0 As Requested 0 Distribution 0 Your Signature/Approval 0 Return 0 Reviewed (� Your Use Revise n Other COMMENTS: Enclosed are Applications and Signed and Sealed Drawings for permit submittal. Please let me know if you should need anything further. Thank You, SIGNED: DANIEL LOFTUS DIRECT: 952-828-8177 EMAIL: loftus@I-m.com ARCHITECTURAL DESIGN & PLANNING T6`ProM,ma.de, Sops at EVERGREEN WALK June 18, 2013 L&M Associates, Ltd. via email ATTN: Daniel Loftus daniel@I-m.com 10907 Valley View Road Eden Prairie, MN 55344-3730 952.944.7576 Reference: CONSTRUCTION DOCUMENT REVIEW—APPROVED AS NOTED TENANT NAME: Select Comfort SPACE#: 217 (201 Evergreen Way, Suite 249) CENTER NAME: Evergreen Walk South Windsor, CT Dear Daniel, We have completed a review of your permit documents, and they are approved as noted. Note that this review is for general criteria conformance and design intent only. One set of plans marked with review comments is enclosed for your records. Any and all permit review comments must be incorporated into the final construction set along with the attached Landlord comments with that final construction set sent to both me and the Shopping Center's General Manager. Your General Contractor serving as Tenants Representative is required to meet with the Landlord on site personnel in order to conduct a pre-construction check-in meeting. At this meeting your General Contractor will need to sign acceptance of one set of Landlord approved construction documents acknowledging that construction will proceed according to those documents unless otherwise directed by local building officials or written instruction from the Landlord. Tenant General Contractor shall also acknowledge space acceptance at this pre- construction meeting. Tenant General Contractor must also provide the Shopping Center General Manager with one hard copy of the final construction set before work begins. Refer to Tenant Criteria Manual for additional information on permits, insurance certificates, and/or any damage deposit which may be required prior to the start of construction—or call if we may offer assistance. Sincerely, Evergreen Walk Lifestyle Center, LLC By PM Lifestyle Shopping Centers, LLC, its Managing Agent Paul Reinke Enclosure(s) Copy: Center General Manager Leasing Tenant File Select Comfort Corp. 2650 Thousand Oaks Blvd. . Suite 3150 + Memphis,Tennessee 38118 . 901.761.7604 • 901.761.5325 Fax I ' COMcheck Software Version 3.9.2 Interior Lighting Compliance Certificate 2009 IECC Section 1: Project Information Project Type:New Construction Project Title Select Comfort Construction Site: Owner/Agent: Designer/Contractor: Evergreen Walk Select Comfort Ericksen Ellison and Associates 194 Buckland Hills Dr.Space 217 305 2nd Street NW suite 105 South Windsor,CT 06074 New Brighton,MN 55112 651-632-2300 Section 2: Interior Lighting and Power Calculation A B C D Area Category Floor Area Allowed Allowed Watts (ft2) Watts/ft2 (B x C) Retail 2536 1.5 3804 Total Allowed Watts= 3804 Section 3: Interior Lighting Fixture Schedule A B C D E Fixture ID Description/Lamp/Wattage Per Lamp/Ballast Lamps/ #of Fixture (C X D) Fixture Fixtures Watt. Retail(2536 sq.ft.) Compact Fluorescent 1:PD2:Twin Tube 24/26/27W:Electronic: 1 4 28 112 Compact Fluorescent 2:R1:Twin Tube 24/26/27W:Electronic: 1 10 28 280 Compact Fluorescent 3:R4:Twin Tube 24/26/27W:Electronic: 1 11 28 308 HID 1:R5:LED:Other.Standard: 1 6 13 78 Linear Fluorescent 1:F2:48"T8 32W:Electronic: 3 3 86 258 Linear Fluorescent 2:C2:48"T8 32W:Electronic: 2 2 59 118 Track lighting 1:Wattage based on current limiting device capacity 0 0 1015 1200 Incandescent 2:R2:Show Window Itg:Incandescent 35W: 1 18 35 Exempt Exemption:Retail Display Window Total Proposed Watts= 2354 Section 4: Requirements Checklist Interior Lighting PASSES- rcodt. Lighting Wattage: i] 1. Total proposed watts must be less than or equal to total allowed watts. Allowed Watts Proposed Watts Complies 3804 2354 YES Controls,Switching,and Wiring: 2. Daylight zones under skylights more than 15 feet from the perimeter have lighting controls separate from daylight zones adjacent to vertical fenestration. Lj 3. Daylight zones have individual lighting controls independent from that of the general area lighting. Project Title: Select Comfort Report date:04/12/13 Data filename:G:\5921.45\COMCHECK\REDO comcheck.cck Page 1 of 2 Exceptions: ❑ Contiguous daylight zones spanning no more than two orientations are allowed to be controlled by a single controlling device. ❑ Daylight spaces enclosed by walls or ceiling height partitions and containing two or fewer light fixtures are not required to have a separate switch for general area lighting. ❑ 4. Independent controls for each space(switch/occupancy sensor). Exceptions: ❑ Areas designated as security or emergency areas that must be continuously illuminated. ❑ Lighting in stairways or corridors that are elements of the means of egress. ❑ 5. Master switch at entry to hotel/motel guest room. ❑ 6. Individual dwelling units separately metered. ❑ 7. Medical task lighting or art/history display lighting claimed to be exempt from compliance has a control device independent of the control of the nonexempt lighting. ❑ 8. Each space required to have a manual control also allows for reducing the connected lighting load by at least 50 percent by either controlling all luminaires,dual switching of alternate rows of luminaires,aftemate luminaires,or alternate lamps,switching the middle lamp luminaires independently of other lamps,or switching each luminaire or each lamp. Exceptions: ❑ Only one luminaire in space. ❑ An occupant-sensing device controls the area. ❑ The area is a corridor,storeroom,restroom,public lobby or sleeping unit. ❑ Areas that use less than 0.6 Watts/sq.ft. ❑ 9. Automatic lighting shutoff control in buildings larger than 5,000 sq.ft. Exceptions: ❑ Sleeping units,patient care areas;and spaces where automatic shutoff would endanger safety or security. ❑ 10.Photocell/astronomical time switch on exterior lights. Exceptions: ❑ Lighting intended for 24 hour use. ❑ 11.Tandem wired one-lamp and three-lamp ballasted luminaires(No single-lamp ballasts). Exceptions: ❑ Electronic high-frequency ballasts;Luminaires on emergency circuits or with no available pair. Section 5: Compliance Statement Compliance Statement: The proposed lighting design represented in this do ment is consistent with the building plans,specifications and other calculations submitted with this permit application.The propose ighting system has been designed to meet the 2009 IECC requirements in COMcheck Verspn 3.9.2 and to corllply with the mandat ry requirements the equireme is Checklist. Name-Titip Signature Date Project Title: Select Comfort Report date:04/12/13 Data filename:G:\5921.45\COMCHECK\REDO comcheck.cck Page 2 of 2 COMcheck Software Version 3.9.2 Interior Lighting Compliance Certificate 2009 IECC Section 1: Project Information Project Type:New Construction Project Title Select Comfort Construction Site: Owner/Agent: Designer/Contractor: Evergreen Walk Select Comfort Ericksen Ellison and Associates 194 Buckland Hills Dr.Space 217 305 2nd Street NW suite 105 South Windsor,CT 06074 New Brighton,MN 55112 651-632-2300 Section 2: Interior Lighting and Power Calculation A B C D Area Category Floor Area Allowed Allowed Watts (ft2) Watts/ft2 (B x C) Retail 2536 1.5 3804 Total Allowed Watts= 3804 Section 3: Interior Lighting Fixture Schedule A B C D E Fixture ID Description/Lamp/Wattage Per Lamp/Ballast Lamps/ #of Fixture (C X D) Fixture Fixtures Watt. Retail(2536 sq.ft.) Compact Fluorescent 1:PD2:Twin Tube 24/26/27W:Electronic: 1 4 28 112 Compact Fluorescent 2:R1:Twin Tube 24/26/27W:Electronic: 1 10 28 280 Compact Fluorescent 3:R4:Twin Tube 24/26/27W:Electronic: 1 11 28 308 HID 1:R5:LED:Other.Standard: 1 6 13 78 Linear Fluorescent 1:F2:48"T8 32W:Electronic: 3 3 86 258 Linear Fluorescent 2:C2:48"T8 32W:Electronic: 2 2 59 118 Track lighting 1:Wattage based on current limiting device capacity 0 0 1015 1200 Incandescent 2:R2:Show Window Itg:Incandescent 35W: 1 18 35 Exempt Exemption:Retail Display Window Total Proposed Watts= 2354 Section 4: Requirements Checklist .. Lighting Wattage: ❑ 1. Total proposed watts must be less than or equal to total allowed watts. Allowed Watts Proposed Watts Complies 3804 2354 YES Controls,Switching,and Wiring: 2. Daylight zones under skylights more than 15 feet from the perimeter have lighting controls separate from daylight zones adjacent to vertical fenestration. O 3. Daylight zones have individual lighting controls independent from that of the general area lighting. Project Title: Select Comfort Report date:04/12/13 Data filename:G:\5921.45\COMCHECMREDO comcheck.cck Page 1 of 2 Exceptions: ❑ Contiguous daylight zones spanning no more than two orientations are allowed to be controlled by a single controlling device. ❑ Daylight spaces enclosed by walls or ceiling height partitions and containing two or fewer light fixtures are not required to have a separate switch for general area lighting. ❑ 4. Independent controls for each space(switchloccupancy sensor). Exceptions: ❑ Areas designated as security or emergency areas that must be continuously illuminated. ❑ Lighting in stairways or corridors that are elements of the means of egress. ❑ 5. Master switch at entry to hotel/motel guest room. ❑ 6. Individual dwelling units separately metered. ❑ 7. Medical task lighting or art/history display lighting claimed to be exempt from compliance has a control device independent of the control of the nonexempt lighting. ❑ 8. Each space required to have a manual control also allows for reducing the connected lighting load by at least 50 percent by either controlling all luminaires,dual switching of alternate rows of luminaires,alternate luminaires,or alternate lamps,switching the middle lamp luminaires independently of other lamps,or switching each luminaire or each lamp. Exceptions: ❑ Only one luminaire in space. ❑ An occupant-sensing device controls the area. ❑ The area is a corridor,storeroom,restroom,public lobby or sleeping unit. ❑ Areas that use less than 0.6 Watts/sq.ft. ❑ 9. Automatic lighting shutoff control in buildings larger than 5,000 sq.ft. Exceptions: ❑ Sleeping units,patient care areas;and spaces where automatic shutoff would endanger safety or security. ❑ 10.Photocell/astronomical time switch on exterior lights. Exceptions: ❑ Lighting intended for 24 hour use. ❑ 11.Tandem wired one-lamp and three-lamp ballasted luminaires(No single-lamp ballasts). Exceptions: ❑ Electronic high-frequency ballasts;Luminaires on emergency circuits or with no available pair. Section 5: Compliance Statement Compliance Statement. The proposed lighting design represented in Zrequirementsin is consistent with the building plans,specifications and other calculations submitted with this permit application.The propystem has been designed to meet the 2009 IECC requirements in COMcheck Version 3.9.2 and to comply with the man uiremen Checklist. I Ord I - • Name-T le U Sig ature Date Project Title:Select Comfort Report date:04/12/13 Data filename:G:\5921.45\COMCHECK\REDO comcheck.cck Page 2 of 2 COMcheck Software Version 3.9.2 Interior Lighting Compliance Certificate 2009 IECC Section 1: Project Information Project Type:New Construction Project Title Select Comfort Construction Site: Owner/Agent: Designer/Contractor: Evergreen Walk Select Comfort Ericksen Ellison and Associates 194 Buckland Hills Dr.Space 217 305 2nd Street NW suite 105 South Windsor,CT 06074 New Brighton,MN 55112 651-632-2300 Section 2: Interior Lighting and Power Calculation A B C D Area Category Floor Area Allowed Allowed Watts (ft2) Watts/ft2 (B x C) Retail 2536 1.5 3804 Total Allowed Watts= 3804 Section 3: Interior Lighting Fixture Schedule A B C D E Fixture ID Description/Lamp/Wattage Per Lamp I Ballast Lamps/ #of Fixture (C X D) Fixture Fixtures Watt. Retail(2536 sq.ft.) Compact Fluorescent 1:PD2:Twin Tube 24/26/27W:Electronic: 1 4 28 112 Compact Fluorescent 2:R1:Twin Tube 24/26/27W:Electronic: 1 10 28 280 Compact Fluorescent 3:R4:Twin Tube 24/26/27W:Electronic: 1 11 28 308 HID 1:R5:LED:Other.Standard: 1 6 13 78 Linear Fluorescent 1:F2:48"T8 32W:Electronic: 3 3 86 258 Linear Fluorescent 2:C2:48"T8 32W:Electronic: 2 2 59 118 Track lighting 1:Wattage based on current limiting device capacity 0 0 1015 1200 Incandescent 2:R2:Show Window Itg:Incandescent 35W: 1 18 35 Exempt Exemption:Retail Display Window Total Proposed Watts= 2354 Section 4: Requirements Checklist 'Interior Lighting PASSES:Design 38%better than .. Lighting Wattage: 1. Total proposed watts must be less than or equal to total allowed watts. Allowed Watts Proposed Watts Complies 3804 2354 YES Controls,Switching,and Wiring: ❑ 2. Daylight zones under skylights more than 15 feet from the perimeter have lighting controls separate from daylight zones adjacent to vertical fenestration. 3. Daylight zones have individual lighting controls independent from that of the general area lighting. Project Title:Select Comfort Report date:04/12/13 Data filename:G:15921.451COMCHECK\REDO comcheck.cck Page 1 of 2 Exceptions: ❑ Contiguous daylight zones spanning no more than two orientations are allowed to be controlled by a single controlling device. ❑ Daylight spaces enclosed by walls or ceiling height partitions and containing two or fewer light fixtures are not required to have a separate switch for general area lighting. ❑ 4. Independent controls for each space(switch/occupancy sensor). Exceptions: ❑ Areas designated as security or emergency areas that must be continuously illuminated. ❑ Lighting in stairways or corridors that are elements of the means of egress. ❑ 5. Master switch at entry to hotellmotel guest room. ❑ 6. Individual dwelling units separately metered. ❑ 7. Medical task lighting or art/history display lighting claimed to be exempt from compliance has a control device independent of the control of the nonexempt lighting. ❑ 8. Each space required to have a manual control also allows for reducing the connected lighting load by at least 50 percent by either controlling all luminaires,dual switching of alternate rows of luminaires,alternate luminaires,or alternate lamps,switching the middle lamp luminaires independently of other lamps,or switching each luminaire or each lamp. Exceptions: ❑ Only one luminaire in space. ❑ An occupant-sensing device controls the area. ❑ The area is a corridor,storeroom,restroom,public lobby or sleeping unit. ❑ Areas that use less than 0.6 Watts/sq.ft. ❑ 9. Automatic lighting shutoff control in buildings larger than 5,000 sq.ft. Exceptions: ❑ Sleeping units,patient care areas;and spaces where automatic shutoff would endanger safety or security. ❑ 10.Photocell/astronomical time switch on exterior lights. Exceptions: ❑ Lighting intended for 24 hour use. ❑ 11.Tandem wired one-lamp and three-lamp ballasted luminaires(No single-lamp ballasts). Exceptions: ❑ Electronic high-frequency ballasts;Luminaires on emergency circuits or with no available pair. Section 5: Compliance Statement Compliance Statement: The proposed lighting design represented in this docu ant is consistent with the building plans,specifications and other calculations submitted with this permit application.The proposed li ting system has been designed to meet the 2009 IECC re irements in COMcheck Version 3.9.2 and to cgmply with the mandato requireme in the a rements ecklist. G� • 3 ame-Tit Si at re Date Project Title: Select Comfort Report date:04/12/13 Data filename:G:15921.45\COMCHECK\REDO comcheck.cck Page 2 of 2 COMcheck Software Version 3.9.2 Mechanical Compliance Certificate 2009 IECC Section 1: Project Information Project Type:New Construction Project Title Select Comfort Construction Site: Owner/Agent: Designer/Contractor: Evergreen Walk Select Comfort Ericksen Ellison and Associates 194 Buckland Hills Dr.Space 217 305 2nd Street NW suite 105 South Windsor,CT 06074 New Brighton,MN 55112 651-632-2300 Section 2: General Information Building Location(for weather data): Windsor,Connecticut Climate Zone: 5a Section 3: Mechanical Systems List Quantity System Tvoe&Description 1 RTU-1 (Single Zone) Heating:1 each-Duct Furnace,Gas,Capacity=115 kBtu/h Proposed Efficiency=80.00%Ec,Required Efficiency=80.00%Ec Cooling:1 each-Rooftop Package Unit,Capacity=48 kBtu/h,Air-Cooled Condenser Proposed Efficiency=13.00 SEER,Required Efficiency=13.00 SEER Fan System: Unspecified 1 RTU-2(Single Zone) Heating:1 each-Duct Furnace,Gas,Capacity=115 kBtu/h Proposed Efficiency=80.00%Ec,Required Efficiency=80.00%Ec Cooling:1 each-Rooftop Package Unit,Capacity=37 kBtu/h,Air-Cooled Condenser Proposed Efficiency=13.00 SEER,Required Efficiency=13.00 SEER Fan System: Unspecified 1 Water Heater 1: Electric Storage Water Heater,Capacity:6 gallons Section 4: Requirements Checklist Requirements Specific To: RTU-1 ❑ 1. Equipment minimum efficiency: Duct Furnace(Gas): 80.00%Ec ❑ 2. Equipment minimum efficiency: Rooftop Package Unit: 13.00 SEER Requirements Specific To: RTU-2 ❑ 1. Equipment minimum efficiency: Duct Furnace(Gas): 80.00%Ec ❑ 2. Equipment minimum efficiency: Rooftop Package Unit: 13.00 SEER Requirements Specific To: Water Heater 1 ❑ 1. Water heating equipment meets minimum efficiency requirements: No efficiency requirements for water heater with storage capacity less than 20 gallons. 2. First 8 ft of outlet piping is insulated ❑ PP 9 ❑ 3. Hot water storage temperature controls that allow setpoint of 90"F for non-dwelling units and 110'F for dwelling units. ❑ 4. Heat traps provided on inlet and outlet of storage tanks Project Title:Select Comfort Report date: 06/18/13 Data filename:G:\5921.45\COMCHECK\comchecl elec.cck Page 1 of 3 46 Generic Requirements: Must be met by all systems to which the requirement is applicable: ❑ 1. Plant equipment and system capacity no greater than needed to meet loads Exception(s): ❑ Standby equipment automatically off when primary system is operating ❑ Multiple units controlled to sequence operation as a function of load ❑ 2. Minimum one temperature control device per system ❑ 3. Minimum one humidity control device per installed humidification/dehumidification system ❑ 4. Load calculations per ASHRAE/ACCA Standard 183. ❑ 5. Automatic Controls:Setback to 55°F(heat)and 85'17(cool);7-day clock,2-hour occupant override,10-hour backup Exception(s): ❑ Continuously operating zones ❑ 6. Outside-air source for ventilation;system capable of reducing OSA to required minimum ❑ 7. R-5 supply and return air duct insulation in unconditioned spaces R-8 supply and return air duct insulation outside the building R-8 insulation between ducts and the building exterior when ducts are part of a building assembly Exception(s): ❑ Ducts located within equipment ❑ Ducts with interior and exterior temperature difference not exceeding 15°F. ❑ 8. Mechanical fasteners and sealants used to connect ducts and air distribution equipment ❑ 9. Ducts sealed-longitudinal seams on rigid ducts;transverse seams on all ducts;UL 181A or 181 B tapes and mastics ❑ 10.Hot water pipe insulation: 1.5 in.for pipes<=1.5 in.and 2 in.for pipes>1.5 in. Chilled water/refrigerant/brine pipe insulation: 1.5 in.for pipes<=1.5 in.and 1.5 in.for pipes>1.5 in. Steam pipe insulation: 1.5 in.for pipes<=1.5 in.and 3 in.for pipes >1.5 in. Exception(s): ❑ Piping within HVAC equipment. ❑ Fluid temperatures between 55 and 105°F. ❑ Fluid not heated or cooled with renewable energy. ❑ Piping within room fan-coil(with AHRI440 rating)and unit ventilators(with AHRI840 rating). ❑ Runouts<4 ft in length. ❑ 11.0peration and maintenance manual provided to building owner ❑ 12.Thermostatic controls have 5°F deadband Exception(s): ❑ Thermostats requiting manual changeover between heating and cooling ❑ Special occupancy or special applications where wide temperature ranges are not acceptable and are approved by the authority having jurisdiction. ❑ 13.Balancing devices provided in accordance with IMC(2006)603.17 ❑ 14.Demand control ventilation(DCV)present for high design occupancy areas(>40 person/1000 ft2 in spaces>500 ft2)and served by systems with any one of 1)an air-side economizer,2)automatic modulating control of the outdoor air damper,or 3)a design outdoor airflow greater than 3000 cfm. Exception(s): ❑ Systems with heat recovery. ❑ Multiple-zone systems without DDC of individual zones communicating with a central control panel. ❑ Systems with a design outdoor airflow less than 1200 cfm. ❑ Spaces where the supply airflow rate minus any makeup or outgoing transfer air requirement is less than 1200 cfm. ❑ 15.Motorized,automatic shutoff dampers required on exhaust and outdoor air supply openings Exception(s): ❑ Gravity dampers acceptable in buildings<3 stories ❑ 16.Automatic controls for freeze protection systems present ❑ 17.Exhaust air heat recovery included for systems 5,000 cfm or greater with more than 70%outside air fraction or specifically exempted Exception(s): ❑ Hazardous exhaust systems,commercial kitchen and clothes dryer exhaust systems that the International Mechanical Code prohibits the use of energy recovery systems. ❑ Systems serving spaces that are heated and not cooled to less than 60"F. ❑ Where more than 60 percent of the outdoor heating energy is provided from site-recovered or site solar energy. ❑ Heating systems in climates with less than 3600 HDD. ❑ Cooling systems in climates with a 1 percent cooling design wet-bulb temperature less than 64°F. ❑ Systems requiring dehumidification that employ energy recovery in series with the cooling coil. Project Title: Select Comfort Report date:06/18/13 Data filename:G:\5921.45\COMCHECK\comchecl elec.cck Page 2 of 3 JJ Laboratory fume hood exhaust systems that have either a variable air volume system capable of reducing exhaust and makeup air volume to 50 percent or less of design values or,a separate make up air supply meeting the following makeup air requirements: a)at least 75 percent of exhaust flow rate,b)heated to no more than 2°F below room setpoint temperature,c)cooled to no lower than 3'F above room setpoint temperature,d)no humidification added,e)no simultaneous heating and cooling. Section 5: Compliance Statement Compliance Statement. The proposed mechanical design represented in this document is consistent with the building plans,specifications and other calculations submitted with this permit application.The proposed mechanical systems have been designed to meet the 2009 IECC requirements in COMcheck Version 3.9.2 and to comply with the mandatory requirements in the Requirements Checklist. Name-Title S' ure Date Section 6: Post Construction Compliance Statement ❑ HVAC record drawings of the actual installation,system capacities,calibration information,and performance data for each equipment provided to the owner. HVAC O&M documents for all mechanical equipment and system provided to the owner by the mechanical contractor. o Written HVAC balancing and operations report provided to the owner. The above post construction requirements have been completed. Principal Mechanical Designer-Name Signature Date Project Title: Select Comfort Report date:06/18/13 Data filename:GA5921.451COMCHECK\comchecl elec.cck Page 3 of 3 COMcheck Software Version 3.9.2 Mechanical Compliance Certificate 2009 IECC Section 1: Project Information Project Type:New Construction Project Title Select Comfort Construction Site: Owner/Agent: Designer/Contractor: Evergreen Walk Select Comfort Ericksen Ellison and Associates 194 Buckland Hills Dr.Space 217 305 2nd Street NW suite 105 South Windsor,CT 06074 New Brighton,MN 55112 651-632-2300 Section 2: General Information Building Location(for weather data): Windsor,Connecticut Climate Zone: 5a Section 3: Mechanical Systems List Quantity System Type&Description 1 RTU-1 (Single Zone) Heating:1 each-Duct Furnace,Gas,Capacity=115 kBtu/h Proposed Efficiency=80.00%Ec,Required Efficiency=80.00%Ec Cooling:1 each-Rooftop Package Unit,Capacity=48 kBtu/h,Air-Cooled Condenser Proposed Efficiency=13.00 SEER,Required Efficiency=13.00 SEER Fan System: Unspecified 1 RTU-2(Single Zone) Heating:1 each-Duct Furnace,Gas,Capacity=115 kBtu/h Proposed Efficiency=80.00%Ec,Required Efficiency=80.00%Ec Cooling:1 each-Rooftop Package Unit,Capacity=37 kBtu/h,Air-Cooled Condenser Proposed Efficiency=13.00 SEER,Required Efficiency=13.00 SEER Fan System: Unspecified 1 Water Heater 1: Electric Storage Water Heater,Capacity:6 gallons Section 4: Requirements Checklist Requirements Specific To: RTU-1 1. Equipment minimum efficiency: Duct Furnace(Gas): 80.00%Ec 2. Equipment minimum efficiency: Rooftop Package Unit: 13.00 SEER Requirements Specific To: RTU-2 1. Equipment minimum efficiency: Duct Furnace(Gas): 80.00%Ec 0 2. Equipment minimum efficiency: Rooftop Package Unit: 13.00 SEER Requirements Specific To:Water Heater 1 1. Water heating equipment meets minimum efficiency requirements: No efficiency requirements for water heater with storage capacity less than 20 gallons. 2. First 8 ft of outlet piping is insulated 3. Hot water storage temperature controls that allow setpoint of 90°F for non-dwelling units and 110"F for dwelling units. O 4. Heat traps provided on inlet and outlet of storage tanks Project Title:Select Comfort Report date:06/18/13 Data filename:G:\5921.45\COMCHECK\comched elec.cck Page 1 of 3 Generic Requirements: Must be met by all systems to which the requirement is applicable: ❑ 1. Plant equipment and system capacity no greater than needed to meet loads Exception(s): ❑ Standby equipment automatically off when primary system is operating ❑ Multiple units controlled to sequence operation as a function of load ❑ 2. Minimum one temperature control device per system ❑ 3. Minimum one humidity control device per installed humidification/dehumidification system ❑ 4. Load calculations per ASHRAE/ACCA Standard 183. ❑ 5. Automatic Controls:Setback to 55°F(heat)and 85°F(cool);7-day clock,2-hour occupant override,10-hour backup Exception(s): ❑ Continuously operating zones ❑ 6. Outside-air source for ventilation;system capable of reducing OSA to required minimum ❑ 7. R-5 supply and return air duct insulation in unconditioned spaces R-8 supply and return air duct insulation outside the building R-8 insulation between ducts and the building exterior when ducts are part of a building assembly Exception(s): ❑ Ducts located within equipment ❑ Ducts with interior and exterior temperature difference not exceeding 15°F. ❑ 8. Mechanical fasteners and sealants used to connect duds and air distribution equipment ❑ 9. Duds sealed-longitudinal seams on rigid ducts;transverse seams on all ducts;UL 181A or 181 B tapes and mastics ❑ 10.Hot water pipe insulation: 1.5 in.for pipes-1.5 in.and 2 in.for pipes>1.5 in. Chilled water/refrigerant1brine pipe insulation: 1.5 in.for pipes-1.5 in.and 1.5 in.for pipes>1.5 in. Steam pipe insulation: 1.5 in.for pipes-1.5 in.and 3 in.for pipes >1.5 in. Exception(s): ❑ Piping within HVAC equipment. ❑ Fluid temperatures between 55 and 105°F. ❑ Fluid not heated or cooled with renewable energy. ❑ Piping within room fan-coil(with AHRI440 rating)and unit ventilators(with AHRI840 rating). ❑ Runouts<4 ft in length. ❑ 11.Operation and maintenance manual provided to building owner ❑ 12.Thermostatic controls have 5`F deadband Exception(s): ❑ Thermostats requiring manual changeover between heating and cooling ❑ Special occupancy or special applications where wide temperature ranges are not acceptable and are approved by the authority having jurisdiction. ❑ 13.Balancing devices provided in accordance with IMC(2006)603.17 ❑ 14.Demand control ventilation(DCV)present for high design occupancy areas(>40 person/1000 ft2 in spaces>500 ft2)and served by systems with any one of 1)an air-side economizer,2)automatic modulating control of the outdoor air damper,or 3)a design outdoor airflow greater than 3000 cfm. Exception(s): ❑ Systems with heat recovery. ❑ Multiple-zone systems without DDC of individual zones communicating with a central control panel. ❑ Systems with a design outdoor airflow less than 1200 cfm. ❑ Spaces where the supply airflow rate minus any makeup or outgoing transfer air requirement is less than 1200 cfm. ❑ 15.Motorized,automatic shutoff dampers required on exhaust and outdoor air supply openings Exception(s): ❑ Gravity dampers acceptable in buildings<3 stories ❑ 16.Automatic controls for freeze protection systems present ❑ 17.Exhaust air heat recovery included for systems 5,000 cfm or greater with more than 70%outside air fraction or specifically exempted Exception(s): ❑ Hazardous exhaust systems,commercial kitchen and clothes dryer exhaust systems that the Intemational Mechanical Code prohibits the use of energy recovery systems. ❑ Systems serving spaces that are heated and not cooled to less than 60°F. ❑ Where more than 60 percent of the outdoor heating energy is provided from site-recovered or site solar energy. ❑ Heating systems in climates with less than 3600 HDD. ❑ Cooling systems in climates with a 1 percent cooling design wet-bulb temperature less than 64°F. ❑ Systems requiring dehumidification that employ energy recovery in series with the cooling coil. Project Title: Select Comfort Report date:06/18/13 Data filename:G:\5921.45\COMCHECK\comchecl elec.cck Page 2 of 3 • Laboratory fume hood exhaust systems that have either a variable air volume system capable of reducing exhaust and makeup air volume to 50 percent or less of design values or,a separate make up air supply meeting the following makeup air requirements: a)at least 75 percent of exhaust flow rate,b)heated to no more than 2°F below room setpoint temperature,c)cooled to no lower than 3"F above room setpoint temperature,d)no humidification added,e)no simultaneous heating and cooling. Section 5: Compliance Statement Compliance Statement: The proposed mechanical design represented in this document is consistent with the building plans,specifications and other calculations submitted with this permit application.The proposed mechanical systems have been designed to meet the 2009 IECC requirements in COMcheck Version 3.9.2 and to comply with the mandatory requirements in the Requirements Checklist. Name-Title Sig a Date Section 6: Post Construction Compliance Statement HVAC record drawings of the actual installation,system capacities,calibration information,and performance data for each equipment provided to the owner. HVAC O&M documents for all mechanical equipment and system provided to the owner by the mechanical contractor. Written HVAC balancing and operations report provided to the owner. The above post construction requirements have been completed. Principal Mechanical Designer-Name Signature Date Project Title: Select Comfort Report date: 06/18/13 Data filename:GA5921.45\COMCHECMcomchecl elec.cck Page 3 of 3 i COMcheck Software Version 3.9.2 Mechanical Compliance Certificate 2009 IECC Section 1: Project Information Project Type:New Construction Project Title Select Comfort Construction Site: Owner/Agent: Designer/Contractor: Evergreen Walk Select Comfort Ericksen Ellison and Associates 194 Buckland Hills Dr.Space 217 305 2nd Street NW suite 105 South Windsor,CT 06074 New Brighton,MN 55112 651-632-2300 Section 2: General Information Building Location(for weather data): Windsor,Connecticut Climate Zone: 5a Section 3: Mechanical Systems List Quantity System Type&Description 1 RTU-1 (Single Zone) Heating: 1 each-Duct Furnace,Gas,Capacity=115 kBtu/h Proposed Efficiency=80.00%Ec,Required Efficiency=80.00%Ec Cooling:1 each-Rooftop Package Unit,Capacity=48 kBtu/h,Air-Cooled Condenser Proposed Efficiency=13.00 SEER,Required Efficiency=13.00 SEER Fan System: Unspecified 1 RTU-2(Single Zone) Heating:1 each-Duct Fumace,Gas,Capacity=115 kBtu/h Proposed Efficiency=80.00%Ec,Required Efficiency=80.00%Ec Cooling:1 each-Rooftop Package Unit,Capacity=37 kBtu/h,Air-Cooled Condenser Proposed Efficiency=13.00 SEER,Required Efficiency=13.00 SEER Fan System: Unspecified 1 Water Heater 1: Electric Storage Water Heater,Capacity:6 gallons Section 4: Requirements Checklist Requirements Specific To: RTU-1 ❑ 1. Equipment minimum efficiency: Duct Furnace(Gas): 80.00%Ec ❑ 2. Equipment minimum efficiency: Rooftop Package Unit: 13.00 SEER Requirements Specific To: RTU-2 1. Equipment minimum efficiency: Duct Furnace(Gas): 80.00%Ec ❑ 2. Equipment minimum efficiency: Rooftop Package Unit: 13.00 SEER Requirements Specific To: Water Heater 1 ❑ 1. Water heating equipment meets minimum efficiency requirements: No efficiency requirements for water heater with storage capacity less than 20 gallons. 2. First 8 ft of outlet piping is insulated 3. Hot water storage temperature controls that allow setpoint of 90°F for non-dwelling units and 110"F for dwelling units. ❑ 4. Heat traps provided on inlet and outlet of storage tanks Project Title: Select Comfort Report date:06/18/13 Data filename:G:\5921.45\C0MCHECK\comchecl elec.cck Page 1 of 3 Generic Requirements: Must be met by all systems to which the requirement is applicable: ❑ 1. Plant equipment and system capacity no greater than needed to meet loads Exception(s): ❑ Standby equipment automatically off when primary system is operating ❑ Multiple units controlled to sequence operation as a function of load ❑ 2. Minimum one temperature control device per system ❑ 3. Minimum one humidity control device per installed humidification/dehumidification system ❑ 4. Load calculations per ASHRAE/ACCA Standard 183. ❑ 5. Automatic Controls:Setback to 55°F(heat)and 85°F(cool);7-day clock,2-hour occupant override,10-hour backup Exception(s): ❑ Continuously operating zones ❑ 6. Outside-air source for ventilation;system capable of reducing OSA to required minimum ❑ 7. R-5 supply and return air duct insulation in unconditioned spaces R-8 supply and return air duct insulation outside the building R-8 insulation between ducts and the building exterior when ducts are part of a building assembly Exception(s): ❑ Duds located within equipment ❑ Duds with interior and exterior temperature difference not exceeding 15°F. ❑ 8. Mechanical fasteners and sealants used to connect duds and air distribution equipment ❑ 9. Duds sealed-longitudinal seams on rigid ducts;transverse seams on all ducts;UL 181A or 181 B tapes and mastics ❑ 10.Hot water pipe insulation: 1.5 in.for pipes-1.5 in.and 2 in.for pipes>1.5 in. Chilled water/refrigerant/brine pipe insulation: 1.5 in.for pipes-1.5 in.and 1.5 in.for pipes>1.5 in. Steam pipe insulation: 1.5 in.for pipes-1.5 in.and 3 in.for pipes >1.5 in. Exception(s): ❑ Piping within HVAC equipment. ❑ Fluid temperatures between 55 and 105°F. ❑ Fluid not heated or cooled with renewable energy. ❑ Piping within room fan-coil(with AHR1440 rating)and unit ventilators(with AHRI840 rating). ❑ Runouts<4 ft in length. ❑ 11.0peration and maintenance manual provided to building owner ❑ 12.Thermostatic controls have 5'F deadband Exception(s): ❑ Thermostats requiring manual changeover between heating and cooling ❑ Special occupancy or special applications where wide temperature ranges are not acceptable and are approved by the authority having jurisdiction. ❑ 13.13alancing devices provided in accordance with IMC(2006)603.17 ❑ 14.Demand control ventilation(DCV)present for high design occupancy areas(>40 person/1000 ft2 in spaces>500 ft2)and served by systems with any one of 1)an air-side economizer,2)automatic modulating control of the outdoor air damper,or 3)a design outdoor airflow greater than 3000 cfm. Exception(s): ❑ Systems with heat recovery. ❑ Multiple-zone systems without DDC of individual zones communicating with a central control panel. ❑ Systems with a design outdoor airflow less than 1200 cfm. ❑ Spaces where the supply airflow rate minus any makeup or outgoing transfer air requirement is less than 1200 cfm. ❑ 15.Motorized,automatic shutoff dampers required on exhaust and outdoor air supply openings Exception(s): ❑ Gravity dampers acceptable in buildings<3 stories ❑ 16.Automatic controls for freeze protection systems present ❑ 17.Exhaust air heat recovery included for systems 5,000 cfm or greater with more than 70%outside air fraction or specifically exempted Exception(s): ❑ Hazardous exhaust systems,commercial kitchen and clothes dryer exhaust systems that the International Mechanical Code prohibits the use of energy recovery systems. ❑ Systems serving spaces that are heated and not cooled to less than 60"F. ❑ Where more than 60 percent of the outdoor heating energy is provided from site-recovered or site solar energy. ❑ Heating systems in climates with less than 3600 HDD. ❑ Cooling systems in climates with a 1 percent cooling design wet-bulb temperature less than 64'F. ❑ Systems requiring dehumidification that employ energy recovery in series with the cooling coil. Project Title: Select Comfort Report date:06/18/13 Data filename:G:\5921.451COMCHECKIcomchecl elec.cck Page 2 of 3 4 • 0 Laboratory fume hood exhaust systems that have either a variable air volume system capable of reducing exhaust and makeup air volume to 50 percent or less of design values or,a separate make up air supply meeting the following makeup air requirements: a)at least 75 percent of exhaust flow rate,b)heated to no more than 2°F below room setpoint temperature,c)cooled to no lower than 3°F above room setpoint temperature,d)no humidification added,e)no simultaneous heating and cooling. Section 5: Compliance Statement Compliance Statement: The proposed mechanical design represented in this document is consistent with the building plans,specifications and other calculations submitted with this permit application.The proposed mechanical systems have been designed to meet the 2009 IECC requirements in COMcheck Version 3.9.2 and to comply with the mandatory requirements in the Requirements Checklist. 4091—�P�s trAZ601 Name-Title natur Date Section 6: Post Construction Compliance Statement Lj HVAC record drawings of the actual installation,system capacities,calibration information,and performance data for each equipment provided to the owner. HVAC O&M documents for all mechanical equipment and system provided to the owner by the mechanical contractor. O Written HVAC balancing and operations report provided to the owner. The above post construction requirements have been completed. Principal Mechanical Designer-Name Signature Date Project Title: Select Comfort Report date: 06/18/13 Data filename:GA5921.451COMCHECK\comchecI elec.cck Page 3 of 3 DEPARTMENT DECISION APPLICATION FOR SPRINKLER PERMIT TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: 1- 30 po f q BUILDING DEPARTMENT - APPRO ED 1540 SULLIVAN AVENUE Bldg.Permit# �� 644-2511 ext. 230 3aC--)0117 —Date Building Inspect Application must be printed or typed FEE SCHEDULE Location of Job: _ ,may $0-$1,000=$15.00 street No S et Lot No. Over$1,000= _ $15.00 per$1,000 �p h°c �O✓�1 Po r- or any fraction thereof Tenant Designation Apt.No. APPLICANT 2 !L ir--e 4f APPLICANT ADDRESS 9L Vr,4 APPLICANT PHONE# -9 Z O W N S F,q OWNER `,,� /—^✓�u 4 OWNER ADDRESS 0 .a OWNER PHONE _ C ESTIMATED COST$ x * IS THIS A CONTRACT COST? Yes _No FEE ENCLOSED$ �- r�4DS - �`� TYPE OF JOB: OR CO New Installation Alteration/Addition/Repair o26 13o W Kq 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 ❑EDUCATIONAL CURRENT USE AND OCCUPANCY ❑INSTITUTIONAL ❑FACTORY❑ STORAGE FUTURE USE AND OCCUPANCY GE ❑MIXED USE ENGINEER'S NAME /9ti.t ��,,� PHONE S/� (Other please specify) ADDRESS 'a Z c 4,e— an CITY STATE ZIP KIND OF INSTALLATION SIZE OF MAIN DRAIN Z WATER PRESSURE AT STREET(PSI) ARE SPRINKLER HEADS ALTERED? OCCYES ❑NO IF YES,CHECK ALL THAT APPLY: WADDED ErDELETED Aff 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 ,n<NO 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 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. 4/y. CONTRACTORS LICENSE NO. / TYPE STATE SIGNATURE OF APPLICANT DATE L DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT PERMIT# Application is hereby: TOWN OF SOUTH WINDSOR 3DU3� BUILDING DEPARTMENT APP OV 1540 SULLIVAN AVENUE Bldg.Permit# $ V,�7 644-2511 EXT.230 12v t 7 (Date) (Building Inspec r) Application must be printed or typed FEE SCHEDULE Location of Job: � p/ t e���Vrc� �� �41 S /,a/c $0-$1,000=$15.00 Street No. Street Lot No. Over$1,000- $15.00 per$1,000 S2 sec+ �rr�—�brfi or any fraction thereof Tenant Designation Apt.No. APPLICANT APPLICANT ADDRESS ri5, AGO O APPLICANT PHONE# Ow N S F,q OWNER r OWNER ADDRESS OWNER PHONE C ESTIMATED COST $ y GD_ y IS THIS A CONTRACT COST? 2--YES NO FEE ENCLOSED$ o o TYPE OF JOB: •CO New Installation ,XAlteration/Addition Repair Revised 12/22/11 APPLICATION FOR PLUMBING PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A 0 RESIDENTIAL BUILDING PERMIT APPLICATION? ,Nt� YES ❑ NO BUSINESS CURRENT USE AND OCCUPANCY S '7`G Jr e, O ASSEMBLY O MERCANTILE FUTURE USE AND OCCUPANCY S- UV e O EDUCATIONAL 0 FACTORY O STORAGE ENGINEER'S NAME PHONE O GARAGE O MIXED USE ADDRESS (Other please specify) CITY STATE ZIP TYPE OF INSTALLATION /U In ��`i G� SIZE OF MAIN DRAIN NO. OF TOILETS STYLE C- NO. URINALS STYLE NO. OF BATHTUBS NO. OF SHOWERS NO. OF LAVATORIES NO.OF CONDUCTORS SIZE NO.OF STACKS r SIZE AREA OF ROOF NO.OF CATCH BASINS NO. OF FLOOR DRAINS NO.OF OTHER FIXTURES. KIND J;�. ^ /` �Gv t/ Ora . S ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW 0 YES P ..NO SIZE OF WINDOW IF NONE C.F.M.OF VENTILATOR SIZE OF DUCTS SEWER OR SEPTIC TANK ,f f L►�P I/" SIZE OF WATER MAIN / / SIZE OF WATER PIPING&RISER WATER HEATER: TYPE ��L, MANUFACTURER DESCRIPTION OF WORK C 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. OCr �O��U � G 7 CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT DATE APPLICATION FOR HVAC PERMIT DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT 1 3 d 3 y 2 APPROV 1540 SULLIVAN AVENUE 644-2511 ext. 230 Bldg.Permit# Date Building Inspect Application must be printed or typed FEE SCHEDULE Location of Job: $0-$1,000=$15.00 .2 Yg Over$1,000= I Street No. Street Lot No. $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT 0 . or V C 0 o fi 4 L APPLICANT ADDRESS •O• 1C3 J- _ �fl-ti)dtko o 06 2- APPLICANT'S HONE# JO&O OWNER OWNER ADDRESS .-. OWNER PHONE O * j ESTIMATED COST$ a rro,Do 0 C IS THIS A CONTRACT COST? /Yes No •-�i U FEE ENCLOSED$ 39D o O �Gl' �4' TYPE OF JOB: P?�$�R.COS New Installation y Alteration/Addition/Repair Revised 03/05/10 APPLICATION FOR HVAC PERMIT(Continued from reverse side) TYPE OF ,SYSTEM: TYPE OF BUILDING: U CREATING RESIDENTIAL C COMMERCIAL VENTILATION ❑ INDUSTRIAL HEATING ❑ STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS. ❑ HYDRONIC ❑ WARM AIR ❑ UNIT RADIANT HEATER EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION DESIGN TEMP. OUTSIDE OF INSIDE OF DIFFERENCE OF TOTAL HEAT LOSS(BTUH) OF(HEAT LOSS SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL -HEATING EQUIPMENT(INCLUDIN(G MAKE& MODEL NO.) GROSS HEATING CAPACITY(INPUT-BTUH) NET RATING(OUTPUT BTUH) TYPE OF FUEL ❑ OIL-GPM OIL TANK LOCATION: ❑ INSIDE ❑ OUTSIDE CAPACITY ❑ GAS-INPUT LPG TANK CAPACITY ELECTRIC-KW AIR CONDITIONING DESIGN TEMP: OUTSIDE OF INSIDE OF DIFFERENCE OF TOTAL HEAT GAIN(BTUH) (HEAT GAIN SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL COOLING EQUIPMENT(INCLUDING MAKE&MODEL NO.) TONNAGE COOLING CAPACITY(BTUH) VENTILATION DESCRIBE ALL AIR HANDLING EQUIPMENT(INCLUDING KITCHEN EXHAUST EQUIPMENT) TOTAL SIZE OF SYSTEM(CFM) FRESH AIR INTAKE(CFM) (PLANS MUST ACCOMPANY APPLICATION) 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. S/— 303-ZG3, S/ c/ CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT DATE 13