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HomeMy WebLinkAbout221 EVERGREEN WAY DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT TOWN OF SOUTH WINDSOR PERMIT# Application' / �BUILDING DEPARTMENT l PROVED 1540 SULLIVAN AVENUE Bldg.Permit# 2 644-2511 ext. 230 ,3 Z Date Building Inspector Application must be printed or typed FEE SCHEDULE Location of Job: Z Z FTeA�antD I -2o1 6'yerg(-e-e� ,d� . face$0-$1,000=$15.00 Street Lot No. Over$1,000= $15.00 per$1,000or any fraction thereof gnation Apt.No. APPLICANT APPLICANT ADDRESS /'��a&,, C'r 06�Is'Q APPLICANT PHONE# �Z je�- Kfik) O W N 3 F,q OWNER f�l/�i°q/GPi°✓ W,d�it� Lsf y�� �rr✓�Pi LL(�` OWNER ADDRESS 06 I�oUI� d/ yl fc 6t-6 ��e ,, 3p/z 9 QOWNER PHONE C ] ESTIMATED COST$ U ".� IS THIS A CONTRACT COST? Yes _No FEE ENCLOSED$ f Y�SOR.CO1y� TYPE OF JOB: 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?�J YES ❑NO ❑RESIDENTIAL ❑BUSINESS CURRENT USE AND OCCUPANCY � 1 , AA1� ❑ASSEMBLY $l MERCANTILE FUTURE USE AND OCCUPANCY ❑EDUCATIONAL s(fMP 4% R?�GV� ❑INSTITUTIONAL ❑FACTORY ENGINEER'S NAME PHONE lr7f-93y-2F55' ❑ STORAGE ❑GARAGE ADDRESSP15-ey ❑MIXED USE CITY � ,dvrn� STATE �7' ZIP �5/-(, (Other please specify) TYPE OF INSTALLATION/WIRING METHOD 1111e, SIZE OF SERVICE /CCU A/hP ?,go✓ SIZE OF MAIN CONDUCTORS #'2 NUMBER OF METERS�_ NUMBER OF DISCONNECTS AND RATINGS NUMBER OF PANELS 2 REMOTE DISCONNECT REQUIRED? YES ❑NO NUMBER OF LIGHT CIRCUITS 6 NUMBER OF POWER CIRCUITS NUMBER OF SWITCHES /() — NUMBER OF OUTLETS NUMBER OF LIGHT FIXTURES 60 NUMBER OF HEAT CIRCUITS NUMBER OF A/C CIRCUITS I SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED. ` ll f DESCRIPTION OF WORK �• lam'//n/� 6� �rr�✓J�7 C� /JS �� �.G�INI% C��C C��iNoi f//� 6 ol 4, F/yr, , 5-{rc.1-4� sYs�� ��C,a�Nc V,r/� wJrJ�VA 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. /2/S09 l Cr CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT DATE rS U DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT PERMIT# A ' TOWN OF SOUTH WINDSOR pplica BUILDING DEPARTMENT 'i!� PROVED 1540 SULLIVAN AVENUE O 00 29 l 644-2511 ext. 230 B31P�ut� T Date ilding Inspect Application must be printed or typed FEE SCHEDULE ) Location of Job: F y� z ^ nr� 1vo$0-$1,000=$15.00 Street Lot No.Over$1,000= $15.00 per$1,000 or any fraction thereof ion Apt.No. APPLICANT ' I,I 0 I cv l� f M 1'6 f7 a�j j 1,6 APPLICANT ADDRESS �/7 ,,,u /Z�, /3 J r, n k 64— APPLICANT PHONE# 260 6 Z"7 — 4) 370 S OW N St OWNER OWNER ADDRESS &07 OWNER PHONE C ESTIMATED COST$ IS THIS A CONTRACT COST. Yes _No o �G FEE ENCLOSED$ du �C). SO CO TYPE O JOB: R ew Installation Alteration/Addition/Repair Revised 4/01 H2002 APPLICATION FOR PLUMBING 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 FUTURE USE AND OCCUPANCY ❑EDUCATIONAL ❑INSTITUTIONAL ❑FACTORY ENGINEER'S NAME PHONE ❑ STORAGE ❑GARAGE ADDRESS ❑MIXED USE (Other please specify) CITY STATE ZIP 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 THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRI EDANDisTU-- COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. 2ro Li?-I z �,- I c4- 9 1 z CONTRACTORS LICENSE NO. TYPE -STATE SIGNATURE OF APPLICANT �� DATE q kg b `I DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT A lic s TOWN OF SOUTH WINDSOR PERMIT# pp BUILDING DEPARTMENT ROVE 1540 SULLIVAN AVENUE Bldg.Permit# 2 9 644-2511 ext. 230 -s/ 1 Date Building Inspec r Application must be printed or typed FEE SCHEDULE -7 Location of Job: ZC� J t U e r t r.j Lj e.-j $0-$1,000=$15.00 Street No. Street Lot No. Over$1,000= $15.00 per$1,000 yL}Y/4) or any fraction thereof Tenant Designation Apt.No. APPLICANT - V h e /j9 f N) e APPLICANT ADDRESS Lf 1 P D--'4-,, l4 �� APPLICANT PHONE# o6D 6 O W N S F-4 OWNER OWNER ADDRESS r ,r OWNER PHONE C (77! ESTIMATED COST$ �y �� > .•� * U .� t IS THIS A CONTRACT COST? Yes _No L� G FEE ENCLOSED$ c2o)S 1�OS 0 TYPE OF JOB: �R C ZNew Installation Alteration/Addition/Repair Revised 4101 N000? APPLICATION FOR HVAC PERMIT (Continued from reverse side) TYPE OF SYSTEM: TYPE OF BUILDING: ❑HEATING ❑RESIDENTIAL ❑A/C ❑ COMMERCIAL ❑VENTILATION ❑ INDUSTRIAL HEATING ❑ STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS. ❑HYDRONIC ❑WARM AIR ❑UNIT RADIANT HEATER EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION DESIGN TEMP. OUTSIDE °F INSIDE OF DIFFERENCE OF TOTAL HEAT LOSS(BTUH) °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.) 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. 3el qc-5� 5 4� (- CONTRACTORS LICENSE NO. ,/ TYPE STATE SIGNATURE OF APPLICANT �/ DATE DEPARTMENT DECISION APPLICATION FOR SPRINKLER PERMIT TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: 3 D BUILDING DEPARTMENT APP D 1540 SULLIVAN AVENUE Bldg.Permit# V 644-2511 ext. 230 Date Buildin spector Application must be printed or typed FEE SCHEDULE Location of Job: Aorp,5o le e 5 hvcx e &j-�err en CsV - $0-$1,000=$15.00 Stree Street Lot No. Over$1,000= $15.00 per$1,000 �tu or any fraction thereof enant ignation Apt.No. APPLICANT -Y)Y)a M{')1�_ S Y N 1 , .1t APPLICANT ADDRESS L YY " . LaeW, o D APPLICANT PHONE# SOWN 3 F,q OWNER Ae. OWNER ADDRESS OWNER PHONE C ESTIMATED COST$ ho0 a.� * IS THIS A CONTRACT COST? /Yes _No x G FEE ENCLOSED$ 4 5.O O r1V�so��w TYPE OF JJ B: O R•C ✓ New Installation Alteration/Addition/Repair Revised 4/01//2002 APPLICATION FOR SPRINKLER PERMIT (Continued from reverse side) TYPE OF BUILDING TYPE OF CONSTRUCTION USE GROUP NO. OF STORIES ❑RESIDENTIAL ❑BUSINESS IS THIS APPLICATION ASSOCIATED WITH A ❑A SEMBLY BUILDING PERMIT APPLICATION? ❑ YES ❑ NO (MERCANTILE ❑EDUCATIONAL CURRENT USE AND OCCUPANCY K o,n-e— ❑INSTITUTIONAL ❑FACTORY FUTURE USE AND OCCUPANCY &c, M e rC 0.n�n te- ❑STORAGE ASSoc, S►r-c. U GARAGE ❑MIRED USE ENGINEER'S NAME f onliPd,The rmod N via yxWONE (Other please specify) ADDRESS. ma f?7 -ShnCC-t% CITY eo STATE Le T zip n&2 3 KIND OF INSTALLATION SIZE OF MAIN DRAIN WATER PRESSURE AT STREET(PSI) ARE SPRINKLER HEADS ALTERED? ❑YES ❑NO IF YES,CHECK ALL THAT APPLY: ❑ADDED ❑DELETED ❑ALTERED IF 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 ❑NO IF YES,CHECK ALL THAT APPLY: ❑FIRE ❑BOOSTER ❑OTHER ARE STANDPIPES PROVIDED? ❑YES ❑NO IS A SPRINKLER SYSTEM PROVIDED? ❑YES ❑NO SPRINKLER SYSTEM MAIN WATER SUPPLY RATING GPM TOTAL DYNAMIC HEAD(TDH)OF FIRE PUMP PSI 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. //50�- �r� ary #rchor� CT CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT �7 DATE a J DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT TOWN OF SOUTH WINDSOR PERMIT# Applicatio ^ BUILDING DEPARTMENT APPROVE , 1540 SULLIVAN AVENUE Bldg.Permit# 1�` v 2 644-2511 ext. 230 3 ' Q� Iv Date Building Inspect Application must be printed or typed ' ZI FEE SCHEDULE �\ �^ Location of IJob: (, C y Lr r'een WGV '��7 $1,000=$15.00 Street No. r Street Lot No. l Over$1,000= $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT 2 e—o-c- r,/��eL fn c, APPLICANT ADDRESS PO IJ o x C 3 8 e w n,A.`„ CT APPLICANT PHONE# 1540 a 4- 0 �p0 0 W N S Fq OWNER A e ra so /CS T , 4 OWNER ADDRESS 10 , �. OWNER PHONE �/ C ESTIMATED COST$ L, o GB V —: IS THIS A CONTRACT COST? Yes —No FEE ENCLOSED$ 75, 0 0 �S TYPE OF JOB:OR C0� _New Installation Alteration/Addition/Repair • Revised 4/01H2002 l APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APP.-14CATION ASSOCIATED WITH A ❑RESIDENTIAL BUILDING PERMPI APPLICATION? ElYES ❑NO Ll BUSINESS ll ❑ASSEMBLY CURRENT USE AND OCCUPANCY ❑MERCANTILE 0 EDUCATIONAL FUTURE USE AND OCCUPANCY R e f 6l. 0 INSTITUTIONAL ❑FACTORY ENGINEER'S NAME PHONE ❑STORAGE ❑GARAGE ADDRESS ❑MIXED USE (Other please specify) CITY STATE ZIP TYPE OF INSTALLATION/WIRING METHOD r;,Ce G alh (.Ji t n q 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 ,r Li S4-CM US n O �e/ t21Gcn S and �O�'s, �,�u� � n 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. CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLIC ,. DATE tJ 3d /\EROSOLES Direct dial. (732)645-4484 Fax: (732)393-0378 E-mail:mrosano@aerosoles.com VIA FEDERAL EXPRESS q� Town of South Windsor l �- 1540 Sullivan Avenue South Windsor, CT 06074 Attn: Building Dept. RE: AEROSOLES STORE NO. 123 The Shops at Evergreen Walk Invoice No.. 0816347-IN Dear Sir or Madam: Enclosed please find copy your invoice and check in the amount $1,000.00 for Building, Mechanical, Plumbing and Electrical Review fees. Upon receipt, please contact me directly at the phone number above as to when a Certificate of Occupancy will be issued. Should you have any questions or comments, please do not hesitate to contact me. ---,,V,e�y'truly yours, l Mirella Rosano Manager, Lease Administration Encl: as above Aerogroup International Inc. 201 Meadow Road Edison NJ 08817 t 732-645-4496 f 732-985-3697 www.aerosoles.com 01/13/05 14:11 N0.787 P002/002 MO 644 7260 Oi/13/2005 TtIU 9 31 PAX 860 644 7280 South Windsor Town 11all Z 001/001 tOW M ��1 p r S u 1S40 SULLIVAN AVENUE • SOUTH WINDSOR, CONN. 06074 Oa-CON AREA CODE 8601 644-2511 X230 SA,% 3 a- 4 33 - 'IYso )C-� Check Payable to: INTERNATIONAL CODE COUNCIL, INC- Remit to:. Town of South Windsor 1540 Sullivan Avenue 1 South Windsor, CT 06074 ATTN: Building Dept. I I III f INVOICE NUMDElt INVOICE DATE CUSTOMER NUMBER TOTAL AMO 0$16347-1N UNI'DUE 09/07/2004 5133743 1,000.00 TO ENSURE PROPER(=REDITPLEASE RETURN ! , S'rUB WITEi YOUR PAYMENT, SOLD TO WE AYPRECLATE YOURI3USINL;SS Aerosoles Town 0 South Windsor REMIT TO; ❑ CHECK OR MO _VEY ORDER ENCLOSED �� f RNA'ITONAL CODE COUNCIL,INC (MAKE PAYA13LE rO 1CC;U.S.3 ONLY) ACCOUNTS RECEIVABLE ❑ CHARGE TO CREDIT CARD '4051 WEST FLOSSMOOR KOAD COUNTRY CLUB HILLS,IL 60478-5795 ❑_ ❑ ❑ DISCO CREDIT CARD PAYMF'MrS ALSO MAY BE MADE BY. FCPIZ12cq N MASTERCARD visa rnscrov� PHONp 1.800-214-4221.E-XT.371 FAX 1-900-214-7167 CARD 0 F.!CP HATE I SIONATURE ` 6 F7� 3 k F i C 1 ; rro S�� �es Electric* 141159 , 11.131 APPLICATION FOR BUILDING PERMIT Plumbing# i 144 1 221 Evergreen Way Date: -45 V HVAC # j z-zecs Sprinkler# 13 89 31002 FINAL APPROVALS - — Estimated Cost $ Uqov Building COMPLETE RED BOXED AREAS Permit Fee $ 1(1 2S. -- Engineering TYPE OR PRINT ONLY Occupancy Fee $� to - Affidavit Eng. Insp. Fee $ Appr. for CO. I SIGN ON REVERSE SIDE / Total Fee $ /Y3� TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR,CT (Additional Cost) $ The undersigned hereby applies to do work according to the following: Applicant /7) TK Location of Work.M/ d-c(c,,4 o *t/c uti ) a� Lot No. Applicant's Address ,�o ,ac w ,4,r Tel.# 7�-J4�-�0 8� Town Z i )-T L� 5.z- &-r-�. Av j _ Zip U»3.X Lic.#o;2 332 e/72 3 Owner I i&jma& -4 Architect a4:eP6-a_ 12ss©e Owner's Address ')&/ MZ'&o 4esi ,C Architect's Address O v A.0,5." NT Zip C*?/? G Zip a2's/6 Sq. Ft. New Area: 1st FI. I` 00 2nd FI. 3rd FI. Total New Area --Purpose of this permit j A,,.z&,.e f, T o, f City Water❑ Well❑ Septic System❑ Sewer❑ Ins: HO SP Cert. V Area Basement Garage Approved by Date - Use Group A Construction Type Revised 6102 I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Tam of South Windsor and to ratify 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 ocated the proper distance from all street lines,side yard lines,and required distances from all other zones and is located in which this building and its use is allowed. Signed I hereby appty 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 ------------------------------------------------------------------------------- **-31002-B 95,000 P02 UNDERGROUND 09/15/04 PJP A W/CONTRACTOR P03 ROUGH 09/23/04 PJP A PRESSURE TEST DWV&COPPER, NEED MID STORY STRP B03 FRAMING (ROUGH) 09/24/04 CJD A E03 ROUGH 09/24/04 CJD A B03 FRAMING (ROUGH) 10/06/04 JFF A STOREFRONT SOFFIT E03 ROUGH 10/06/04 JFF A STOREFRONT SOFFIT B03 FRAMING (ROUGH) 09/30/04 CJD A B03 FRAMING (ROUGH) 09/29/04 CJD A E03 ROUGH 09/29/04 CJD A E01 SERVICE 10/11/04 PJP D NOT READY E01 SERVICE 10/14/04 PJP A PO4 GAS TEST 10/13/04 PJP A PRESSURE TEST B03 FRAMING (ROUGH) 10/25/04 JFF A ABOVE CEILING OK TO DROP PADS E01 SERVICE 10/21/04 JFF A B10 FINAL 10/28/04 CJD A B10 FINAL O1/12/05 CJD A CLOSEOUT **-1389-5 3,000 **-12295-H 14,500 Inspection / Approval Date By Appl Code Description Due Whom Code Comment ------------------------------------------------------------------------------- **-11699-P 11,500 **-19159-E 1,500 **-19231-E 4,868 i BUILDING INSPECTION DEPARTMENT TOWN of SOUTH WINDSOR, CONNECTICUT C E R T I F lo.; O F. ° Cy C'�,iI P A N C Y ZONE: � `�, rr� January 12 2005 This is to certify h4kt. 2i-:EYER G� is PiY t14;� ERBD 0nde*permit No. 31002 conforms subs it'iaxT r�gpQ �s.:• fr" be%Connecticut Basic Building code and. �%e.,..,onin e`u� ions o the4,,_ own of Av. . : , T South Windsor and'(9°�Peief g`rosr �' #xpaaC dic t d below 2 .0 Approved for Occpant} ,- ENAIfiT A. Use Group341 � s'� ti :•,ZS3 Constr. Type s.: 'u. 41SIIgf ficial A:: Notice If this cert,ificate'x�b tlirgt ' Y� ens oyedpwa d1dplicate should �`be obtained mme at�l +"froaaµthe Builtii}�g" .apartment Any change or extensioa�nf he. se bixeih approved requires a new certifice't�of�occupancy.