HomeMy WebLinkAbout215 EVERGREEN WAY DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
Application is hereby: TOWN OF SOUTH WINDSOR PERMIT#
BUILDING DEPARTMENT
O 1540 SULLIVAN AVENUE Bldg.Permit#
' 644-2511 ext. 230 cl-GS
D -!a Building Ins for
Application must be printed or typed
FEE SCHEDULE Location of Job: e /�
F-Designation
C) /-$0-$1,000=$15.00 Street Lot o.Over$1,000=$15.00 per$1,000
or any fraction thereof Apt.No.
APPLICANT o
APPLICANT ADDRESS
zG�/ riQst t4-4
APPLICANT PHONE# 06 q,Z Z 3 Z 3(y
O W N S F,q OWNER
OWNER ADDRESS
a
o
OWNER PHONE
C �l Z) ESTIMATED COST$ �, 7,7O
•� IS THIS A CONTRACT COST. -- Yes _No
FEE ENCLOSED$ 66. 0
r��s `O``��l'y� TYPE OF JOB:
R C b New Installation
_Alteration/Addition/Repair
Revised 4/01//2002
r APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse Side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
BUILDING PERMIT APPLICATION? ❑ YES ❑NO
❑RESIDENTIAL
❑BUSINESS CURRENT USE AND OCCUPANCY
❑AJ,SSEMBLY
MERCANTILE FUTURE USE AND OCCUPANCY
❑ EDUCATIONAL
❑INSTITUTIONAL
❑FACTORY ENGINEER'S NAME PHONE
O STORAGE
U GARAGE ADDRESS
❑MIXED USE
CITY STATE ZIP
(Other please specify)
TYPE OF INSTALLATION/WIRING METHOD `?
SIZE OF SERVICE SIZE OF MAIN CONDUCTORS
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
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.
� c ,5"" 7 `-,?
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT DATE /;;?-3 G
59oo North Meadows Drive
Grove City,off 431 23
Gap Inc. www.gapinc.com
Gap
Banana Republic
Old Navy
September 14, 2004
Mr. Christopher Dougan
Town of South Windsor
1540 Sullivan Avenue
South Windsor, CT 06074
Dear Mr. Dougan:
Thank you for your letter and inquiry about our charitable contributions.
Unfortunately, we must decline your request, as our Gap Foundation has
discontinued its T-shirt and GiftCard program for the calendar year 2004. For
further information about our donations, please refer to the "Social Responsibility"
section on our corporate Web site at http://gapinc.com.
We wish you much success with your important work and the valuable services
you provide to your community.
Sincerely,
r
Cody Jenkins
Gap Inc.
Customer Relations
i
l
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL ,PERMIT
Application is hereby: TOWN OF SOUTH WINDSOR PERMIT#
O� BUILDING DEPARTMENT
0 C 1 jr 200 r' 1540 SULLIVAN AVENUE
Da' to— -----_— 644-2511 ext. 230 31�Permit#
Building Inspector• �������-
Lor
Application must: be printed or typed
FEE SCHEDULE Location of Job:
$0-$1,000=$15.00Over$1,000= Street$15.00 per$1,000 Street Lot No.
any fraction thereof
Tenant Designation
Apt. No.
APPLICANT
l APPLICANT ADDRESS 0 3
APPLICANT PHONE# r —
O Yj N SF OWNER
OWNER ADDRESS
OWNER PHONE C?
ESTIMATED COST$
IS THIS A CONTRACT COST?
_Yes'_No
FEE ENCLOSED$ f
SO .C 014 TYPE OF JOB:
I ew Installation
l
Alteration/Addition/Repair
Revi.erA d/m/nnnn
APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side)
J
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
❑RESIDENTIAL BUILDING PERMIT APPLICATION? ❑ YES O NO
L3 BUSINESS
❑ASSEMBLY CURRENT USE AND OCCUPANCY o
❑ MERCANTILE
❑ EDUCATIONAL FUTURE USE AND OCCUPANCY e L
❑ INSTITUTIONAL
❑FACTORY ENGINEER'S NAME PHONE
❑ STORAGE
❑GARAGE ADDRESS
❑ MIXED USE
(Other please specify) CITY Y STATE ZIP
TYPE OF INSTALLATION/WIRING METHOD _
SIZE OF SERVICE SIZE OF MAIN CONDUCTORS
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
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.
C r
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPL — ,DATE
DEPARTMENT]DECISION APPLICATION FOR SPRINKLER PERMIT
PERMIT#
TOWN OF SOUTH WINDSOR 1 3 71
Appl;ca' eby BUILDING DEPARTMENT
IN 1540 SULLIVAN AVENUE Bldg.Permit#
644-2511 ext.230
Date Buildinglnspect
Application must be printed or typed
FEESCIEUULE Location of Job:
-,/P rQ iref'_n 1 A)a
$0-S1,000-$15.00 Street No. —Ij Suit Lot No.
ova$1,000
S15.00per$1.000
or any fraetim awmf Tenant Designation Apt.No.
APPLICANT
APPLICANT ADDRESS 1
Y
APPLICANT PHONE#
�DW N ::t� OWNER
OWNER ADDRESS
y F, OWNER PHONE
C
ESTIMATED COST S L D 1 •~L�
I ,* IS THIS A CONTRACT COST? )—/Yes —NO '
V FEE ENCLOSED S `7 r�.0C)
TYPE OF JOB:
SGR'C IA w Installation
Alteration/Addition/Repair
Revised 4/0t1rM2 '
APPLICATION FOR SPRINKLER PERMIT(Continued from reverse side)
TYPE O DIUDTNG TYPE OF CONSTRUCTION USE GROUP NO.OFSTORIES
❑RESIDENTIAL
❑BUSINESS IS THIS APPLICATION ASSOCIATED WITH A
❑ASSEMBLY BUILDING PERMIT APPLICATION? ❑YES ONO
❑MERCANTILE
❑EDUCATIONAL CURRENT USE AND OCCUPANCY
❑INSTITUTIONAL
❑FACTORY FUTURE USE AND OCCUPANCY
❑STORAGE
❑GARAGE ENGINEERSNAMEa2g COPQ)A40PHONE
O MDMD USE
(Other please specify) ADDRESS Ito l � iLl d
Y
CIT 0: �.l jt 1, f STATE C t— ZIP
KIND OF INSTALLATION G"
SIZE OF MAIN DRAIN WATER PRESSURE AT STREET(PSI) I
ARE SPRINKLER HEADS ALTERED? CI YES Q110
IF YES,CHECK ALL THAT APPLY: O ADDED O DELETED O ALTERED
IF MORE PJAN 3 HEADS ARE ADDED HYDRAULIC CALCULATIONS ARE PROVIDED BY(CHECK ONE)
ROFESSIONAL ENGINEER ❑INSURANCE COMPANTY
WATER FLOW 4 �� WATER PRESSURE AT SPRINKLER HEADS(Pp
ARE PUMPS REQUIRED? ❑YES Uifl IF YES,CHECK ALL THAT APPLY:
O FIRE ❑BOOSTER ❑OT ARE STANDPIPES PROVIDED? O YES O IS A SP ER SYSTEM PROVIDED? P�<W U NO
SPRINKLER SYSTEM MAIN WATER SUPPLY RATING 1- � GPM
TOTAL DYNAMIC HEAD(TDH)OF FIRE PUMP PSI
D�PCRIMON OF WO
� ���n, a e 2
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO
COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK. _
CONTRACTORS LICENSEN STATE
SIGNATURE OF APPLICANT ea��DATE
i
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
TOWN OF SOUTH WINDSOR PERMIT#
Application is ! C� ��
BUILDING DEPARTMENT L
PROVED 1540 SULLIVAN AVENUE Bldg.Permit#
CT 2 7 644-2511 ext. 230 0 =u
.D
Date o
4t Application must be printed or typed
FEE SCHEDULE �\ Location of Job:
FTenant
Fvercreen VJGy 5u;to 4-"-2> ��
$0-$1,000=$15.00 Street Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof gnation Apt.No.
� GC,
APPLICANT ! 'L E ec�r C
APPLICANT ADDRESS .0- fox 191 328 tAoC n 5tr ti
l�ee� lever, C i C)u%Ai-I
APPLICANT PHONE# B�DO- 52 Lo- t4 u 15
'C O W N Se OWNER ��SSGo, I n c
< OWNER ADDRESS _ a5 �urcr�ase. Sfireel
calls diver, M f� O
2� 20
OWNER PHONE 50a U l U-5 Z go
C ESTIMATED COST$ 28, 901 5l0
x IS THIS A CONTRACT COST? X Yes _No
FEE ENCLOSED$ 435 •°" —
fSO O � TYPE OF JOB:
R C X New Installation
Alteration/Addition/Repair
Revised 4/01//2002
APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
BUILDING PERMIT APPLICATION? I3 YES ❑NO
❑RESIDENTIAL
0 BUSINESS CURRENT USE AND OCCUPANCY N�R
❑ASSEMBLY
❑MERCANTILE
El EDUCATIONAL FUTURE USE AND OCCUPANCY Cornrne r ciG\ S}ore
❑INSTITUTIONAL
❑FACTORY ENGINEER'S NAME PHONE
❑ STORAGE
❑GARAGE ADDRESS
❑MIXED USE
CITY STATE ZIP
(Other please specify)
TYPE OF INSTALLATION/WIRING METHOD
SIZE OF SERVICE O0 SIZE OF MAIN CONDUCTORS
NUMBER OF METERS I NUMBER OF DISCONNECTS AND RATINGS
NUMBER OF PANELS 3 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 2-
SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED.
DESCRIPTION OF WORK
Cgrnp\zee W r 'nQ0� re�a.�\ S�c�ee w Baer \Gnu
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.
I2v131 Ir - 1 Conneci-1cu'r
CONTRACTORS LICENSE NO. STATE
SIGNATURE OF APPLICANT DATE O B 121A` 0`i
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
TOWN OF SOUTH WINDSOR PERMIT#
Applicatio
BUILDING DEPARTMENT
PROVE 1540 SULLIVAN AVENUE Bldg.Permit#
OfT 2 644-2511 ext. 230 b
Date Building Inspect
Application must be printed or typed
FEE SCHEDULE Location of Job:
�� SFTtenant
$0-$1,000=$15.00 Street Lot No.
Over$1,000= a�\$15.00 per$1,000
or any fraction thereof gnation Apt.No.
APPLICANT
APPLICANT ADDRESS /d QcG ' A C k P k(d
U)Px%L,-,C F�se-c/ C_++ Ohs ,y rz
APPLICANT PHONE#
'C D* N S F,q OWNER Cr R E' K,%'*-�, -#=
OWNER ADDRESS
a
b , F, OWNER PHONE
C ESTIMATED COST$
IS THIS A CONTRACT COST? _Yes _No
FEE ENCLOSED$
r�Y�sO TYPE OF JOB:
R C New Installation
Alteration/Addition/Repair
Revised 4/01//2002
APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
❑RESIDENTIAL BUILDING PERMIT APPLICATION? ❑ YES ❑NO
❑BUSINESS CURRENT USE AND OCCUPANCY
❑ASSEMBLY
❑MERCANTILE El EDUCATIONAL FUTURE USE AND OCCUPANCY
❑ INSTITUTIONAL
❑FACTORY ENGINEER'S NAME PHONE
❑ STORAGE
❑GARAGE ADDRESS
❑MIXED USE
CITY STATE ZIP
(Other please specify)
TYPE OF INSTALLATION/WIRING METHOD
SIZE OF SERVICE SIZE OF MAIN CONDUCTORS
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.
Q 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.
c-�-
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT DATE
t[�CO ADTSecuriryServiceS Inc
10 Research Parkway
Wallingford,CT 06492
Fire &
Tele:203 74140X
Security Fax:203294 1514
CTStateLic.# 105789 '
aor
Date:
I, Peter Eglinton give permission to AjVi soA G t S to obtain
a low voltage electrical permit for a M, \�-";;h S
on behalf of ADT Security Services, 10 Research Parkway,Wallingford CT 06492.
Sign
Lic. Type L=5 Lic# 105780
Job Cost '/' f 6b
Permit Cost
DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT
TOWN OF SOUTH WINDSOR PERMIT#
Application is hereby:
BUILDING DEPARTMENT
PROVED 1540 SULLIVAN AVENUE
Bldg.Permit#
In 20
644-2511 ext. 230 3
0 Buil ' g nspe or
Application must be printed or typed
FEE SCHEDULE 'L�) Location of Job:
C;p � Z y&V-4 G a Lj r.-, S"1, 2,0
$0-$1,000=$15.00 Street No. Street Lot No.
Over$1,000=
$15.00 per$1,000 �� //S-7 DA�
or any fraction thereof Tenant Designation Apt.No.
�-V APPLICANT WW c-&/ L L
APPLICANT ADDRESS
� � .1 da u✓ �Z r.,E, 0� 66o y.� --
APPLICANT PHONE# �
OWN $£ OWNER 4�-✓ /LS k
OWNER ADDRESS a6 l Z-V a A-9,r-ao" W✓a y ,'� •Z S
�� GiJ��.dJr Cr G6o�Y
v—K
Ois F OWNER PHONE
C ESTIMATED COST$ 3,.2�5
IS THIS A CONTRACT COST? _Yes✓ No
FEE ENCLOSED$ J 0 , 00
SOO�� TYPE OF JOB:
R'C !/lvew Installation
—Alteration/Addition/Repair
Revised 4/01//2002
APPLICATION FOR HVAC PERMIT (Continued from reverse side)
TYPE OF S§YSTEM: TYPE OF BUILDING:
ayEATING ❑RESIDENTIAL
3,E Jc ❑ COMMERCIAL
UyENTILATION ❑INDUSTRIAL
HEATING
❑ STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS.
❑HYDRONIC ❑WARM AIR ❑UNIT RADIANT HEATER
EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION
DESIGN TEMP. OUTSIDE OF INSIDE OF DIFFERENCE OF
TOTAL HEAT LOSS(BTUH) °F(HEAT LOSS SHEET MUST ACCOMPANY
APPLICATION)
DESCRIBE ALL HEATING EQUIPMENT(INCLUDING MAKE&MODEL NO.)
GROSS HEATING CAPACITY(INPUT—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.)
C,
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.
,5-- / 66203 /1 y S f re -
CONTRACTORS LICENSE NO. E STATE
SIGNATURE OF APPLICANT DATE �� oo
tyco ADTSecw;tySenvices Inc
10 Research Parkway
Wallmglord.CT 06492
Fire &
Security Te/e:203 7414"
Fax:203294 1514
ADT CTStatebc.# 105789
MUNICIPALITY:
JOB NAME: Cr�c f' 7/ S"ct
START DATE: �S�Z
JOB DESCRIPTION:
JOB COST:
PER PUBLIC ACT 91-95
THIS LETTER AUTHORIZES
TO SIGN PERMIT AS AN AGENT OF ADT SECURITY SERVICES,INC
FOR THE ABOVE MENTIONED JOB AND MUNICIPALITY
APPLICABLE LICENSE:
LICENSE # 00105789
SIGNED: - ��
APPLICATION FOR PERMANENT SIGN PERMIT �W4 -S101 Lnu 16
— -2-1-5 Evergreen Way �e
o Approval: - Est. Cost: $ oQO _
DL/ °fit (Wk Permit Fee: $�
f. 1 No. 31099 a15 --
App[oved:
Final Inspe s: Electric Permit#
Build -
Zoning 0
Applicant/Business Name
Address � /�3 <r t ✓1 J �a�� D6��� Phone (ZO3 23�J Zvi'
Location of Sign / f Zone
TYPE of SIGN:S [:Ruall or❑ Free-standing ❑ New or❑ Replacement Illuminated?❑ Yes ❑ No
Proposed Sign Size u�ar feet)3-5 +Sign Height�U f No. of Existing signs on site Free-standing Wall
I to
Description of sign materials and lighting: 14 ATTACH
DIAGRAM OF
4 .,j��F IL71Ci ci— _ = SIGN
f I(L" f � , INCLUDING
St' DIMENSIONS
;outh
I have read, understand and agree to abide by the Windsor Zoning Regulations, Signs.
Applicant Date i44
Property Owner Date �i
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f-17
DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT
TOWN OF SOUTH WINDSOR PERMIT#
Application is b�a
BUILDING DEPARTMENT
APPROVED 1540 SULLIVAN AVENUE
644-2511 ext. 230 Bldg.
,i?S-
Date 11 i g Inspector
Application must be printed or typed
FEE SCHEDULE F
Location of Job:
$0-$1,000=$15.00 Street Lot No.
Over$1,000$15.00 per$1,000 or any fraction thereof gnation Apt.No.
APPLICANT 'y,//oj
APPLICANT ADDRESS (,GLIB-re.—
/�i ,Ii
APPLICANT PHONE# P60-&70 .J�F6 -7
OWN S F,q OWNER (;Re
OWNER ADDRESS 50I awry 4�e
y,
o OWNER PHONE
C ESTIMATED COST$ /G, Sb a
IS THIS A CONTRACT COST? Yes _No
FEE ENCLOSED$.2 Sr_1-- -
1�OS O�� TYPE OY.,--
OR C Installation
_Alteration/Addition/Repair
Revised 4/01H2002
APPLICATION FOR PLUMBING PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
❑RESIDENTIAL
BUILDING PERMIT APPLICATION? OYES ❑NO
❑BUSINESS CURRENT USE AND OCCUPANCY
❑ASSEMBLY
CIWMERCANTILE /J
❑EDUCATIONAL FUTURE USE AND OCCUPANCY
❑INSTITUTIONAL PHONE 5 13—3b'-7—7G
❑FACTORY ENGINEER'S NAME �yrtNi
❑STORAGE
❑GARAGE ADDRESS 95lAO
❑MIXED USE
CITY STATE /I�3�i ZIP "Zz d
(Other please specify)
TYPE OF INSTALLATION ��+,Riffs- SIZE OF MAIN DRAIN 4 �(
NO.OF TOILETS_� STYLE TLT NO.URINALS STYLE
NO.OF BATHTUBS NO.OF SHOWERS NO.OF LAVATORIES Z
NO.OF CONDUCTORS SIZE NO.OF STACKS I SIZE ?
AREA OF ROOF NO.OF CATCH BASINS NO.OF FLOOR DRAINS Z
NO.OF OTHER FIXTURES Z KIND klq J¢2 dyo-,�
ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW E ES *1N-O
SIZE OF WINDOW IF NONE C.F.M.OF VENTILATOR
SIZE OF DUCTS SEWER OR SEPTIC TANK Seue-e
SIZE OF WATER MAIN 2 SIZE OF WATER PIPING&RISER
WATER HEATER: TYPE MANUFACTURER e//r/ fCfi�l7�
DESCRIPTION OF WORK
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THE UNDERSIUNED HER BY APPLIES FOR A PERMIT TO PERFORM THE WOI=SCRIBED AND ISTO
COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT �� DATE �A1.6 y
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
-------------------------------------------------------------------------------
**-30859-8 233,000
P02 UNDERGROUND 08/03/04 CJD A
B09 OTHER O8/10/04 JFF A CONCRETE POUR BATH AREA WIRE MESH POLY AN
DOWELS 2FT OC IN PLACE LEFT APPROVAL NOTICE
P02 UNDERGROUND 08/05/04 CJD A
BO1 FOOTING 08/09/04 CJD N/A FRONT CURB SLAB
B09 OTHER 08/16/04 CJD N/A
P03 ROUGH 09/10/04 PJP A
P03 ROUGH 09/16/04 PJP D 10 30 TEST FAIL,SPOKE W/PLUMBER WILL RETEST
3 OOPM TEST FAIL,WET SOLDER ON COPPER LINES
E03 ROUGH 09/24/04 CJD A ABOVE CEILING
B03 FRAMING (ROUGH) 09/22/04 CJD A
E03 ROUGH 09/22/04 CJD A ABOVE CEILINGS, WALLS OK
P03 ROUGH 09/20/04 CJD A
E01 SERVICE 10/07/04 CJD A
PO4 GAS TEST 10/20/04 PJP A PRESSURE TEST OK, ACCESS PANEL TO BE INSTALLE
0 SHUT OFF
PO4 GAS TEST 10/20/04 PJP A
B10 FINAL 10/28/04 CJD A
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
-------------------------------------------------------------------------------
B10 FINAL O1/12/05 CJD A CLOSEOUT
**-12254-H 25,250
**-1371-5 16,194
**-19140-E 28,907
**-11642-P 16,560
**-19150-E 4,800
**-19155-E 3,700
CAP APPLICATION FOR BUILDING PERMIT
Electric # ` I`V y U
Plumbing# l I(oH - Date:
HVAC # 215 Evergreen Way
Sprinkler# 1 3.7 1 30859
FINAL APPROVALS - --- - - Estimated Cost $
Building COMPLETE RED BOXED AREAS j Permit Fee $ 5 Lt o5
En ineerin Occupancy Fee $
Af davit g TYPE OR PRINT ONLY Eng. Insp. Fee $
A r. for CO. ► SIGN ON REVERSE SIDE
pp J J Total Fee $ 350�
TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $
The undersigned hereby applies to do work according to the follo
M6 ,16k ►5
Applicant�m he nk k-kVV-VY\R-,Location of Work e N of No.
Applicant's Address 1 Qj0 ':j-Xk'\)cf Z� Tel.
Town ip ), \1-c) Lic.#
Owner (� Architect
Owner s Addre ram'! 1 - ?_LD l Architect's Addressl_ l` 1
Zip Zi 1(
Sq. Ft. N a; 1 st F. 7C 2nd FI". 3rd Fl. Total*' *Area —( l�ID00
Purpose of this permit \VAkt k cV B t)\,kAA--C) k-� b� luk_ t 5()Ck C e .
City Watery Well❑ Septic System❑ Sewer❑
Ins: HO SP Cert. Area Basement Garage
Approved by Date Use Group Construction Type
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 the proper distance from all street lines,side yard lines,and required
distances from all other zones and is located in which this building nd its use is allowed.
Signed
I hereby apply for a Certificate of Occupancy for the work described in this application for the permit.
Signed
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
A
�ruu e e ; C(I y
i
BUILDING INSPECTION DEPARTMENT
TOWN of SOUTe' INDSORA CONLIPCTICUT
C E R T I CTCC'UFo-ANCY
r y�
ZONE: Y sKfy\Jz <q: q�,x ..�a@nuary 12 2005
1.114.. .....s.•f•x >\."
This is to certif tiaC 02�$ EVERGRE AY A7rT RED unsex petmit
No. 30859 confor 13 subsiint ialy, t�sz# equ.ire enta%: e onnecticut
s� .Basic Building cde "an : xe town,
South Windsor and s here, i roved
Y pp ccupaacy�riS3ridi_ca d below
:..,to
Approved I �, ^:f
pp for Occ pane% UILDOtJT IF. t Add- �ENANT� SPEC$ „
Use Group M 'A WA •z«a°.s' { s
Constr. Type 2C ~s^� •kx' Su,„ ;� ► s>
urioin Official
Notice If this cert icata-10�Ybst a de tzdyed, a duplicate should
be obtained immEdiaCe f oil€ the guildiAg' Department
Any change or extension o�he use herein approved requires
a new certificate of occupancy.