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Home My WebLink About225 OAKLAND RD UNIT 201 DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT Applicatio ' hereby: TOWN OF SOUTH WINDSOR PERMIT# BUILDING DEPARTMENT // F(P( CACPROVI� 1540 SULLIVAN AVENUE Bldg.Permit#644-2511 ext. 230 3 s�U i C � Date 134i'llfing Inspector Application must be printed or typed FEE SCHEDULE Location of Job: $0-$1,000=$15.00 Street No. Street I of No. Over$1,000= $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT APPLICANT ADDRESS - APPLICANT PHONE# � �0* N S Fq OWNER A/C-71/T��'2% -1 -P,4,e OWNER ADDRESS OWNER PHONE C = ESTIMATED COST$ w x * IS THIS A CONTRACT COST? ✓ Yes _No !t �C� FEE ENCLOSED$ d C�0 1� � TYPE OF JOB: �S�R C O� 4ZNew Installation _Alteration/Addition/Repair Revised 4/01//2002 APPLICATION FOR PLUMBING PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION? ❑ YES 0 NO 0 RESIDENTIAL O BUSINESS CURRENT USE AND OCCUPANCY O ASSEMBLY ❑MERCANTILE FUTURE USE AND OCCUPANCY ❑EDUCATIONAL ❑INSTITUTIONAL ❑FACTORY ENGINEER'S NAME PHONE ❑ STORAGE ❑GARAGE ADDRESS ❑MIXED USE CITY STATE ZIP (Other please specify) TYPE OF INSTALLATION SIZ:- OF MAIN DRAIN NO.OF TOILETS��STYLE NO.URINALS STYLE NO.OF BATHTUBS NO.OF SHOWERS j 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 N 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 DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. e37� T CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT DATE 5 v p S DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT 1"2 APPROV D 1540 SULLIVAN AVENUE Bldg. Permit# 644-2511 ext. 230 1 ,570 Date Building In Aor Application must be printed or typed FEE SCHEDULE Location of Job: F;Yenant L4$0-$1,000=$15.00 Street a ; Lot No. Over$1,000$15.00 per$1,000 or any fraction thereof gnation Apt.No. APPLICANT Z4�4vY &J—,&�s APPLICANT ADDRESS lZe 4r I S7 /<� APPLICANT PHONE# O W N S Fq OWNER �v�r/�4 7.-, Z ll�G OWNER ADDRESS aZ 7 SyMh lt�2. uJr 7CIO D2 Cam s rat"6,c O 6 d 33; + OWNER PHONE SSG U Fs C ESTIMATED COST$ •� * IS THIS A CONTRACT COST? _Yes �No L� �G FEE ENCLOSED$ S • . O TYPE OF JOB: OR C New Installation _Alteration/Addition/Repair Revised 4/01//2002 APPLICATION FOR PLUMBING PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION? U YES O NO ❑RESIDENTIAL ❑BUSINESS CURRENT USE AND OCCUPANCY ❑ASSEMBLY ❑MERCANTILE FUTURE USE AND OCCUPANCY O EDUCATIONAL ❑INSTITUTIONAL ❑FACTORY ENGINEER'S NAME PHONE El STORAGE ❑GARAGE ADDRESS ❑MIXED USE (Other please specify) CITY STATE ZIP TYPE OF INSTALLATION l/jV fD z GQNir/P SIZE OF MAIN DRAIN NO.OF TOILETS Gf 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 4,- KIND ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW ❑YES C NO SIZE OF WINDOW IF NONE C.F.M.OF VENTILATOR SIZE OF DUCTS SEWER OR SEPTIC TANK SIZE OF WATER MAIN Z SIZE OF WATER PIPING&RISER 3lSl WATER HEATER: TYPE MANUFACTURER DESCRIPTION OF WORK DESCRIBEDVNP THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT To PERFORM THE WORK AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. '2 j93 7z-,K,- — CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT z DATE 1 c DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT TOWN OF SOUTH WINDSOR PERMIT# Applicatio BUILDING DEPARTMENT /y S�3 APPROVE 1540 SULLIVAN AVENUE Bldg.Permit# l , 644-2511 ext. 230 to L ilding Insp r Application must be printed or typed FEE SCHEDULE Location of Job: $0-$1,000=$15.00 Street No. Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof Tenant Designation j�f�C Apt.No. APPLICANT APPLICANT ADDRESS -- nd j/2 S oN 7 33 APPLICANT PHONE# 7 - O( c e V — oF_5_6-;ZR? 0 W N Se. OWNER ea W y r-%- OWNER ADDRESS o/y Ui Z OWNER PHONE (�� 3 3 - f/-2 Y CT = ESTIMATED COST$ 75-76�)- Gy x IS THIS A CONTRACT COST? _Yes _No LL 0 FEE ENCLOSED$ 1��5 O�� TYPE OF JOB: R-C k New Installation _Alteration/Addition/Repair Revised 4101//2002 APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A ❑RESIDENTIAL BUILDING PERMIT APPLICATION? D YES ElNO t BUSINESS CURRENT USE AND OCCUPANCY ❑ASSEMBLY ❑MERCANTILE D EDUCATIONAL FUTURE USE AND OCCUPANCY D INSTITUTIONAL ❑FACTORY ENGINEER'S NAME PHONE ❑ STORAGE D GARAGE ADDRESS D MIXED USE (Other please specify) CITY STATE ZIP TYPE OF INSTA.LLATIONMAMING METHOD SIZE OF SERVICE SIZE OF MAIN CONDUCTORS NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS NUMBER OF PANELS REMOTE DISCONNECT REQUIRED? D 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 Z)a t� 2�icc 7-iz A 11 e P-_ 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 APPLICANT DATE 7 -Z 7 ' J DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT APPRO / 1540 SULLIVAN AVENUE ' 644-2511 ext. 230 Bldg.Permit# 3 i"Dhte (ding Inspect - Application must be printed or typed FEE SCHEDULE Location of Job: $0-$1,000=$15.00 Street No. Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT APPLICANT ADDRESS G(J ice/ APPLICANT PHONE# 7 Z — T 70 �o W N 3 F,Q OWNER G?(��P*rIOYv 2 / A,1G OWNER A QDRESS O , OWNER PHONE (G J C ESTIMATED COST$ 7 • ° .M IS THIS A CONTRACT COST? _Yes No l�f a �G FEE ENCLOSED$ �J 5 SO R•C O�� TYPE OF JOB: 11 V/New Installation Alteration/Addition/Repair Revised 4/01//2002 APPLICATION FOR PLUMBING PERMIT (continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION? ❑ YES ❑NO ❑RESIDENTIAL ❑BUSINESS CURRENT USE AND OCCUPANCY ❑ASSEMBLY ❑MERCANTILE FUTURE USE AND OCCUPANCY D EDUCATIONAL 0 INSTITUTIONAL ❑FACTORY ENGINEER'S NAME PHONE ❑ STORAGE ❑GARAGE ADDRESS ❑MIXED USE CITY STATE ZIP (Other please specify) TYPE OF INSTALLATION_ SIZE OF MAIN DRAIN NO.OF TOILETS_�STYLE NO.URINALS STYLE NO.OF BATHTUBS NO. OF SHOWERS NO.OF LAVATORIES NO.OF CONDUCTORS SIZE NO.OF STACKS SIZE AREA OF ROOF NO. OF CATCH BASINS NO.OF FLOOR DRAINS NO.OF OTHER FIXTURES KIND ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW 0 YES 6'NO SIZE OF WINDOW IF NONE C.F.M.OF VENTILATOR SIZE OF DUCTS SEWER OR SEPTIC TANK SIZE OF WATER MAIN l K SIZE OF WATER PIPING&RISER WATER HEATER: TYPE(pG-fL tZCe- MANUFACTURER 1igeX1CW�(/ DESCRIPTION OF WORK THE UNDERSIGNED 14EREBY APPLIES FOR A PER IT 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 N TYPE STATE SIGNATURE OF APPLICANT DATE / DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT TOWN OF SOUTH WINDSOR PERMIT# Applicatio BUILDING DEPARTMENT PROV,E') 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 Date i ing In§pelt Application must be printed or typed FEE SCHEDULE Location of Job: F $0-$1,000=$15.00 Street Lot No. Over$1,000= $15.00 per$1,000or any fraction thereof gnation Apt.No. APPLICANT APPLICANT ADDRESS 376 APPLICANT PHONE# �V } 3 O W F N S OWNER � ,/YAj q� OWNER ADDRESS o 03 CIO F. OWNER PHONE A;Z — R� C ESTIMATED COST$ IS THIS A CONTRACT COST? Y—Yes _No o ( �G FEE ENCLOSED$ SO• 0 TYPE OF JOB: R•C -plew Installation Alteration/Addition/Repair Revised 4/01//2002 APPLICATION FOR HVAC PERMIT (Continued from reverse side) TYPE F YSTEM: TYPE OF BUILDING: AWEATING O RESIDENTIAL )Q.A/C ,.COMMERCIAL ❑VENTILATION O INDUSTRIAL HEATING ❑STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS. ❑HYDRONIC ❑WARM AIR 0 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 ALLJlEATING EQUIPMENT(INCLUDING MAKE&MODEL NO.) 15asA3 L*�"6 c— 01�0 —&J. l 2to SFr, 6-ef-S GROSS HEATING CAPACITY(INPUT-BTU CCO NET RATING(OUTPUT-BTU /-Z oo O TYPE OF FUEL OIL-GPM OIL TANK LOCATION:0 INSIDER OUTSIDE CAPACITY %LQAS-INPUT-j-ki,!j&'4 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 qNCLUDING MAY&MODEL O.) 7rz, �2 O Oc) Iz[l /�1C��fcl #� � /�'- 1 4�9 / TONNAGE �/ O�r� COOLING CAPACITY(BTUH) aao 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. CONTRACTORS LICENSE NO E STATE SIGNATURE OF APPLICANT DATE 7— / - on S DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT Application is hereby: TOWN OF SOUTH WINDSOR PERMIT# BUILDING DEPARTMENT ROV 1540 SULLIVAN AVENUE Permit#ldg. 644-2511 ext. 230 Bldg. �y Date Application must be printed or typed FEE SCHEDULE �"a Location of Job: $0-$1,000=$15.00 Street No. Street Lot No. Over$1,000= $15.00 per$1,000 Q-20/ or any fraction thereof Tenant Designation Apt.No. APPLICANT J) f/Yl �1L�G�"rLtiG r APPLICANT ADDRESS F J/10 (fi p APPLICANT PHONE# & 0 0 S 7—g 161 0 W Ni S j , OWNER 2- OWNER ADDRESS * OWNER PHONE O { ESTIMATED COST$ x IS THIS A CONTRACT COST? _Yes _No FEE ENCLOSED$ s,O' . O�� TYPE OFF JOB: R C /\ New Installation Alteration/Addition/Repair Revised 4/01//2002 APPLICATION FOR ELECTRICAL PER-MT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A O RESIDENTIAL BUILDING PERMIT APPLICATION? ❑YES O NO . BUSINESS CURRENT USE AND OCCUPANCY �Ce ce O ASSEMBLY O MERCANTILE FUTURE USE AND OCCUPANCY O EDUCATIONAL O INSTITUTIONAL O FACTORY ENGINEER'S NAME PHONE ❑ STORAGE ❑GARAGE ADDRESS ❑MIXED USE (Other please specify) CITY STATE ZIP TYPE OF INSTALLATION/WEUNG METHOD gyc SIZE OF SERVICE 106 SIZE OF MAIN CONDUCTORS Z NUMBER OF METERS d NUMBER OF DISCONNECTS AND RATINGS NUMBER OF PANELS REMOTE DISCONNECT REQUIRED? O YES ❑NO NUMBER OF LIGHT CIRCUITS,,R- NUMBER OF POWER CIRCUITS NUMBER OF SWITCHES NUMBER OF OUTLETS_ 3 6 NUMBER OF LIGHT FIXTURES A�� 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. Zo y73s CONTRACTORS LICENSE NO. TYPE STATE c SIGNATURE OF APPLICANT DATE Inspection / Approval Date By Appl Code Description Due Whom Code Comment ------------------------------------------------------------------------------- **-31859-B 5,000 B10 FINAL 09/12/05 PJP D W/JEFF SECURE GAS LINE,CAP DWV,LABEL MAIN D/C PAD METAL QFP FOR GASLINE,SECURE PULL DOWN GB **-12664-H 5,870 **-12009-P 4,500 **-19784-E 6,000 Total Est Value 21,370 Dwelling 1,350 67,837 50 /1 Basement 0 0 00 Garage 0 0 00 Smoke Det 7 525 00 O Q n 2 BOCA Value 68,403 00 Difference 47,033 00 l O APPLICATION FOR PERMANENT SIGN PERMIT .Zoning Approval: b 13 05 225 Oakland Road Ref. Est. Cost: $ 3C�0 0 Final Ins otions: No. 31776 Permit Fee: $_ Bu Epp - Z ing— -- Applicant/Business Name G (AY-ffi�-Ijv R-Ar k� Address 21 S Jul AWW C T N . Phone 606'902 :j 8'S Location of Sign 21, ' OA>i!d.Afj P XD Zone &-1glQW 6 SS TYPE of SIGN: ❑ Wall or Free-standing New or❑ Replacement Illuminated? Yes ❑ No Proposed Sign Size(square feet) 316 Sign Height J111 No.of Existing signs on site O Free-standing cl Wall Description of sign materials and lighting: t iN ArA-W ATTACH �� u DIAGRAM OF SIGN INCLUDING I have read, understand and agree to abide by the South Windsor Zoning Regulations, Signs. 22 DIMENSIONS Applicant Date AJ Q s Property Owner EAR ( 41 / A C Date 2'-5 3/4" Wentworth Park - 225 Oakland Road 1--f t STANDING SEAM ROOFING 2'-0" BRICK VENEER cr 8" HOLLOW CORE CONCRETE BLOCK M FINISH GRADE I III III III I IJILIJLIJ I i'-1" I III III III I IJILLLU I I I III III III I _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _�- _ _ _ -iALLLillJ _ E I CONCRETE FOOTING - - - - - - - - - - - - - - - - - - - - - - - - - - - -I L - - - - - - - - I 3'—O" �Ofi - � 3 � EDGE OF PAVEMENT OAKLAND ROAD (�).92 SIGH °}DISTANCE 1 , 'f SIGHT DISTANCE �J00'� �2 ;INV: 11875 Q PROPOSED STOP BAR AND STOP SIGN X 1 4' CONC. N42 "wg - -- ��, 410. 1 1 E?IT CU B(TY .) hk 27,00 PROP ENTRANCE 1S31C�N 0 off- — 15" HDPE S=0.57 - 1 u:119.35 c'6 0 50' S" HD • S_0.5% " iz 3 X TF: 126.45 X 00 z Q TYPE C CBkol � O �� N cn � N TF. 12 INV: 12 2.0 0 06/10/2005 14: 11 FAX 8605483549 ®004/005 SLS SERIES LAMP TYPES: Metal Halide,High Pressure Sodium,and Halogen. HOUSING:SLS is die-cast aluminum,featuring a multi-tadiused shape with Integral cooling ribs around the back and a.125"minimum wall thickness.One-piece silicone gasket seals door frame to housing and Is concealed when lurninaire is closed. DOOR FRAME:Die-cast alurdnum with.125"minimum will thickness,which mates with housing to create a continuous mufti-radiused shape.Secured to housing by lour captive,stainless steel Torx T-30 screws. Door frame hinges with tyro internal (concealed)stainless steel hinge brackets.3116"thick clear tempered glass lens is sealed to door frame by one-piece silicone gasket and retained by ten black zinc plated clips.Eight holes provided for attachment of Barn Door,Glare Shield,or Polyarbonate Shield accessories. KNUCKLE MOUNT:Heavy-duty,three-piece die-cast assembly with 3/4'NPSM male thread mount allows up to 210'range of motion.Locking plate and swivel arm allow till/aiming in 7.5'increments.Alignment arrow and Indicator lines allow positive,error- free aiming.Set screw with 3/32"allen-head locks luminalre orientation on mounting device. OPTICS: Six interchangeable reflectors are available.Horizontal,Vertical,and Medium DIMENSIONS Flood optics feature dltfuse and specular hammertone components mounted to a black aluminum chassis.Horizontal Spot uses specular hammertore finish on components, —7-1 ��—11" New specular hydroformed axial spot reflector is available with 15'or 25'degree beam angles.Spot optics have internal source shields to minimize late and provide optimum •''"i " beam control.Optic assemblies are retained by four quarter-turnfasteners.Tool-less 9 t/r `' E 121l1' quick connectors allow easy changes in the field and rapid access to the ballast. ? LAMPHOLDERS:Glazed porcelain,medium base,4KV pulse rated with spring center • contact BALLAST:HID Ballast is high power factor designed for-20'operation. AIMING RANGES WIRING:Hectrical components are factory mounted and pro-wired.Optional photocell is 210 internally mounted with sensor in right-hand side of luminaire housing. FINISH:Available in bronze,black,white,and satin verde green EXTRA VALUE FEATURES: •Choice of six interchangeable reflectors. •Rugged die cast housing. •Captive hardware, •Heavy duty 314"mounting stem is standard. SLS Series Roodlights follow the Greenlee tradition of providing high performance optics C �L in a solid package.Attention to detail is apparent in the new Axial Spot optics and Internal Source Shields.The sturdy 3/4"knuckle and captive stainless steel fasteners ensure that LWM wk laaaloa SLS Series luminalres will survive to provide trouble free performance for years OPTICS HF HS 81325 OR SP15 MH 70,100,150,175 MH 70.100.150.175 MH 70,100.150,175 MV 75,100,175 MV 75,100,175 MV 75,100, 175 HPS 70,100,ISO HPS 70,100,150 HPS 70.100.150 7H X 7V :< 6H X IV r 4H X 4V or 9H x 3V B#k1.1 fY MF MH 70,100,150,175 * MH 70,100.150,175 MV75,100,175 MV 75,100,175 HPS 70,100,150 HPS 70,100,ISO 1,{L'r� :1 �sM1• 6Hx7V '�,�:;x,jr'*`' �. GH X 4V .rr. sar.. •� 0 M LSI INDUISTRIES INC. 1r :(, ,I Is-L_S-&5-DILL< 06/10/2005 14: 11 FAX 8605483549 16 005/005 SLS SERIES $0.70.IDO.150.175!MN 9lS M.Im.IN HPs MI Hom"Flood DRZ-Drop CFX-0of Rim? 100,160,50.ING' IT-TO Tap Hs-HO1 MI spot K-INK LL-loss Ump(LIMP sW110afd) T4 DC BNyI W Bait 4d0(100 s 175 MF-Moomm Fbw -Sale Vase Cnen Je-ArChkapinl J-Iloti h rgsten Hebpen "a MMNI spit-IV ArW som WHT-Whka Ki-so"type Flbloalp Halide only.) SP21-25'Aft Spi Ps-PfXyQ6N me sNW(CNNr1 VF-vvmi Fbq 63-GMN$1110 I10-Ilan 0M TA-RM Ad*W Vr(NO 1k1leN SON4•SUMpr ouaru IWIr a Do* SAT'-3n1Mby OwU Time Delay 8LS 175MH MT HF VDG BD SLS Pr-PHI Too Admill, aRZ-BrM29 5MC-Slaecnlon MOUIR KK-Slick WM-WIN MOunl SVG-Sohn Verde Green WHT-WNW 1 13 L. SLS SMC B Z 1.Iraiiiissa rn lamps nbI Inciaded.1,10 LAMPS INCIUDFD SH LUM 09101 for aNN M 3.PMNocell mounded In hml*SpeeNy WVJ womalbn 4 50 Oplbn avaNAbla with HID MF,HF wrtlge,or VF Op,ICe ply, 2.FaIrLod sae Rom Coml pope 17 or IN am0g,web eM or MMIY IN 00 ACCESSORIES/OPTIONS BARN DOORS(BD):Extrudedalurninum doors STANCHION MOUNT(SMC):3'OD x.250'x with anti-reflection baffles.Each door hinged 18'cast aluminum with 3/4'NPSM fixture ! with extruded aluminum clamps(two per mount.Wring and Internal ground lug door)-locks by a set screw.Doors an accessible through hand hole.Available in individually removable.Assembly mounts to __ standard finishes. die-cast doorframe holes.Caution:Not recommended for ground-mounted fixtures in vandal-prone areas.Available In standard finishes. � JO"'GLARE SHIELD(GS):Formed16ga.steel. r WALL MOUNT(IMIIN):Aluminum mounting plate Mounts to die-cast door frame holes and y ;! adapts to standard 4'octagonal J-boxes(by .^ be used with Polycarbonate Shield option. others).Fixture threads to mounting plate. / Available In standard finis Available in standard finishes. POLYCARBOMATE SHIELD(PS):1/a'Cie ar, convex,W stabilized,thermoformed polycarbonate.Mounts to die-cast door frame �r/� POSTTOPADAPTOR(PT):In One-piece Cast holes.May be used with Glare Shield N' aluminum—mounts on pole with 2'pipe tenon accessory.Caution:Use only when vandalism (2-3/8'O.D.x 2-1/2'min.length or 2.1/2' ' is anticipated.Useful life Is limited by IN pipe tenon(2-7/8"O.D.x 3-1/2'min.length). discoloration front sunlight,HPS or MH lamps Fixture threads into adaptor and attaches to pole with allen set screws.Past Top Adaptor AACHITECTURALJUNCTION BOX(JB):Cast allows mounting of one or two fixtures and 360" y; aluminum body and extruded matching horizontal adjustment. cover.One-piece EPDM cover gasket. Internal ground screw provided.3/4'NPSM 1/2'THREAD ADAPTOR(TA):Machinedaluminum fixture mount with sealing locknut and two + pipe reducer adapts 3/4'pipe thread(f-stem)to 1/2'NPSM for conduit entries.For above o I 1/2'pipe thread(by others). grade installation only.Available in standard finishes. M OW LSl INDUSTRIES INC Pfew Name Fifte type Shirley Wilhelm-CRS Approval Confirmation: Request No.423611 Page 1 From: <clpsvc@nu.com> To: <WILHEL@SOUTHWINDSOR.ORG> Date: 4/27/05 1:14PM Subject: CRS Approval Confirmation: Request No.423611 Your approval of the following CRS Request has been successfully processed. CRS Work Request M 423611 House No: 225. 11 Lot No: Street Name: OAKLAND RD Town Name: SOUTH WINDSOR, CT Inspector: CHRISTOPHER DOUGAN Approval Date: Apr 27, 2005 This e-mail, including any files or attachments transmitted with it, is confidential and intended for a specific purpose and for use only by the individual or entity to whom it is addressed. Any disclosure, copying or distribution of this e-mail or the taking of any action based on its contents,other than for its intended purpose, is strictly prohibited. If you have received this e-mail in error, please notify the sender immediately and delete it from your system. Any views or opinions expressed in this e-mail are not necessarily those of Northeast Utilities, its subsidiaries and affiliates(NU). E-mail transmission cannot be guaranteed to be error-free or secure or free from viruses, and NU disclaims all liability for any resulting damage, errors, or omissions. DR. CLARENCE WELTI, P.E., P.C. GEOTECHNICAL ENGINEERING 227 Williams Street • P.O. Box 397 Glastonbury,CT 06033 (860)633-4623/FAX(860)657-2514 Novem ber 14, 2005 Mr. Jeffrey R. Sawyer Generation 2 Inc. 27 Summersweet Drive Glastonbury, CT 06033 Re: Proposed Building KB"at 225 Oakland Road, South Windsor,CT Site Visit of 8 Novem ber 2005 to Inspect Excavation Bottom In Preparation for Placement of Compacted Fill in North Half of Building Dear Mr. Sawyer: This is to confirm observations and recommendations made during a above site visit. The area was excavated below the fill and organic material and was suitable for placement ofthe layre of stone. The compacted gravel layer can be placed over the stone. The south half of the building was previously inspected with test pits. Footings shall be carried to natural soil below any topsoil or subsoil. The slab on grade will not require excavation If you have any questions,please call me. Very truly �1l1!lCtl►jr Al"llll ANC7//z v � di"'' f Gam C V larence Welti PhD,P. E. President Dr. Clarence Welti;P E.,P. C `CI TEp <�;SS�Q ECG ti STATE OF CONNECTICUT FILE# DEPARTMENT OF PUBLIC SAFETY OFFICE OF THE STATE BUILDING INSPECTOR P. O. BOX 2794 MIDDLETOWN, CT 06457-9294 TELEPHONE: (860) 685-8310 FAX: (860) 685-8365 REQUEST FOR MODIFICATION OF THE STATE BUILDING CODE FOR OFFICE USE ONLY 1 Name and Location of Building: Wentworth Park Street Address:'225 Oakland Road" Town: South Windsor State: CT Zip Code: 06074 2. Building Owner: Generation 2, Inc. 3. Applicant's Name: Tom Manning Applicant's Telephone: (860) 568-4030 Applicant's Street Address: 19 Silver Lane Applicant's Town: East Hartford State: CT Zip Code: 06118 (include Firm Name if Applicable): FLB Architecture & Planning, Inc. Name of Person to Contact: Thomas A. Manninq Telephone: (860) 568-4030 (For information if required) 4. A. Date of Application for Building Permit: May 2005 B. Applicable Code (Title and Date): 1999 SBC as amended April 2000 & September 2004 5. Use Group: B A. Was there a change of occupancy: ❑ Yes ® No B. If yes from to 6. Building Construction Classification: 5B 7. Square Foot Area of Building (Total): 31,200 (8 buildings in 4 structures) Largest Square Foot Area per Floor: 2,613 8. Number of Stories: 2 9. Check Applicable Designation: ® New Building ❑ Existing ❑ Addition ❑ Other(Explain) 10. Fire Protection at subject premises (Check appropriate headings) ® Smoke Detection ❑ Heat Detection ® Extinguishers ❑ Sprinklers ❑ Standpipes ❑ Other (identify): 11. Describe alarm system(s) at premises: Smoke detection on first floor activates alarm on second floor to permit a single exit from the second floor per the Connecticut State Fire Safety Code. 12. Building Code Section that modification is requested from: 707.6.3. which permits continuity of a fire wall to the roof deck under certain conditions. 13. Modification Sought: Permit application of Exception No. 4 to 705.6 in the 2003 IBC. 14. Reason Modification is Sought: Newly accepted concept in protection. 15.Applicant's Signature • Q. t Date Signed br r3 Zo-� 16. Important Requirement Failure to provide the following information will delay modification process. The Building Official must comment below on the modification request as per Connecticut General Statute 29-254 (b). *Note: Must be signed by Chief Building Official, Acting Building Official or Provisional Building Official. XSupport Request ❑ Do Not Support Request ❑ The decision on this request is left to the Office of the State Building Inspector. ❑ Please contact the undersigned. Building Official's written comments, if desired. JA Building Official (Printed) Town Buildin O6iciaYSrhff5`rDate Signed Building Official's Telephone Number Best Time to Contact ❑ The Office of the State Building Inspector cannot accept this form electronically. Please mail a paper copy of the signed form, with the Building Official's written comments, to the Office of the State Building Inspector. MODAPP_NET Rev. 11/20/03 21-0' TYP OF 2 BAYS EA SIDE 2X31ED6 SI EATHI% 5/8'61^B TYPE X ROOF TRUx 24R FIRE YVALL NALL SECTION 116" (TOP) a SCAM 5/4' = V-0' 8 N tn Co O N cn Q JOB NAME cc CD FLB HENTWORTH PARK Q' 225 OAKLAND RD SOUTH KND50K CT architecture & _ SKETCH TITLE Plug' FIRE WALL AT DEGK Mc* COMPLIANCE PER 150 2003 'i05bX*4 g SCALE JOB NO. N 19 silver lane A5 NOTED 0414a.20 east hartford, ct 06118 DATE BY READ WITH DWG.A-307 (860) 568-4030 05/13/05 TAM SKETCH NO. a a 06/06/2005 MON 10:09 FAX 860 644 7280 South Windsor Town Hall 2001 ttttttttttttttttttttt *** FAX TX REPORT *** ttttttttttttttttttttt TRANSMISSION OR JOB NO. 4322 DESTINATION ADDRESS 918606858365 PSWD/SUBADDRESS DESTINATION ID ST. TIME 06/06 10:08 USAGE T 01' 14 PGS. 3 RESULT OR STATE OF CONNECTICUT FILE# DEPARTMENT OF PUBLIC SAFETY OFFICE OF THE STATE BUILDING INSPECTOR P.0.BOX 2794 MIDDLETOWN,CT 06457-9294 TELEPHONE:(860) 685-8310 FAX: (860)685-8365 REQUEST FOR MODIFICATION OF THE STATE BUILDING CODE FOR OFFICE USE ONLY i. Name and Location of Building:Wentworth Park Street Address:225 Oakland Road Town: South Windsor State:CT Tip Code:06074 2. Building Owner:Generation 2. Inc. 3. Applicant's Name:Tom Manning Applicants Telephone:(860)568-4030 Applicant's Street Address: 19 Silver Lane Applicant's Town: East Hartford State: CT Tip Code:06118 (include Firm Name if Appficabley FLB Architecture$Planning, Inc. Name of Person'to Contact: Thomas A. Manning Telephone:(860) 568-4030 (For k4ormakn if required} 4. A.Date of Application for Building Permit May 2005 B.Applicable Code(Title and Date): 1999 SBC as amended April 2000&September 2004 5. Use Group:B A. Was there a change of occupancy: ❑Yes ® No B. If yes from to 6. Building Construction Classification:513 7. Square Foot Area of Building (Total):31.200(8 buildings in 4 structures) Largest Square Foot Area per Floor.2.613 8. Number of Stories:2 Chris Dougan-FW: Generation 2/Yobst Project No.04149.31 Page 1 From: "Thomas Manning"<tmanning@flbarch.com> To: "CHRIS DOUGAN"<dougan@southwindsor.org> Date: 2/1/06 4:10PM Subject: FW: Generation 2/Yobst Project No. 04149.31 Message from Chris Laux being forwarded to you as we discussed. Thomas A. Manning, AIA FLB Architecture & Planning, Inc. 19 Silver Lane East Hartford CT 06118 phone (860) 568-4030 fax (860) 568-5129 e-mail tmanning@flbarch.com web <http://home.att.net/-archflb> http://www.flbarch.com -----Original Message----- From: Christopher laux [mailto:Christopher.Laux@po.state.ct.usj Sent: Wednesday, February 01, 2006 11:32 AM To: tmanning@flbarch.com Subject: Re: Generation 2/Yobst Project No. 04149.31 1 left a message for Dougan that in my opinion it was not a health care provider. Christopher Laux ----- Original Message----- From: Thomas Manning <mailto:tmanning@flbarch.com> To: Christopher.Laux@po.state.ct.us Sent: Tuesday, January 31, 2006 4:31 PM Subject: Generation 2/Yobst Project No. 04149.31 The project in question is a two-story unit in an office condominium at 225 Oakland Road in South Windsor. The project was designed with accessibility on the first floor but not the second floor per C.G.S. 29-274, and using the various single exit exceptions so that a buyer RECEIVED SITE COMPLIANCE CHECKLIST S EP y 2005 TOWN of SOUTH WINDSOR, CONNECTICUT SOUTH WINDSOR 225 OAKLAND ROAD LOT_# Reviewed By F> (Engineering) GENERATION 2 INC. Date Reviewed 9 Denied 27 SUMMERSWEET DRIVE,GLASTONBURY,CT Reviewed By _ Planning) �;. BP_#_31510_ Ph_# 982-4085 Date Reviewe coT enied Date Submitted 00/00/00 ***** FOR f O As required in the Zoning and/or Subdivison Regulations, no Certificate of Occupancy shall be issued until grading plans have been complied with and approved by the Town Engineer. The minimum requirements shall include: Approved Denied N/A ✓ 1. Approved building permit plan 2. Finish grading per approved building permit plan 3. Site work; i.e. trees, shrubs, dumpsters, required parking 4 . Utility location; a. sanitary sewer/septic system b. foundation drain L� C. electrical & telephone d. water —f7c'�— e. otterG,�S 5. Sewer connection charge paid 6. Appropriate certification 7. Bonding 8. Planning & Zoning/ Inland Wetlands Considerations A. Lighting B. Signage Freestanding Wall C. Fee in lieu of Open Space Sewer Permit No. Pav Exc # 1 r COMMENTS: F.'..;A grad vg f S�uI/N Status: 7�� s �+ ICt/rlt� f Skow/rw Sa.a SCwry Ck.L. O� ill Fr✓ oT gu y ri oA s«k1t� S 1 Electric# APPLICATION FOR BUILD NG PERMIT Plumbing# Date: �5 3 HVAC # 225 Oakland Road Sprinkler# 32436 _ __ ___ . �d FINAL APPROVALS Estimated Cost — -- — ------------- - �� Permit Fee $ Building '�6'�7 COMPLETE RED BOXED AREAS Occupancy Fee $ Affdavitnng TYPE OR PRINT ONLY Eng. Insp.Fee $ Appr. for CO. , ► SIGN ON REVERSE SIDE Total Fee $ - J TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ The undersigned hereby applies to do work according to the following: Applicant (�J Location of Work 22.E ON Lot No. Applicant's Address 2- SJ Jq)gV4LAJ5?!�,tf- Tel.# 86 — 103 -1124 Town 446p NN&M Zip d G o 33 Lic.# t f>i' Owner Architect Owner's Address 70WzArchitect's Address Zip p Sq. Ft. New Area: 1st FI._ 2nd FI. 3rd FI. Total New Area N Purpose of this permit t vj A City Water❑ Z!ell❑ Septic System❑ Sewer❑ Ins: HO SP Cert. ea Basement Garage Approved Date - " Use Gro Construction Ty Revised e102 I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town of South Windsor and to notify the Building Inspector of any alteration in the plans or specifications of the Building for which this permit is asked,and agree that this building is to be located the proper distance from all street lines,side yard lines,and required distances from all other zones and is located in which this building and its use is allowed. Signed I hereby apply for a Certificate of Occupancy for the work described in this application for the permit. Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS Electric # 1W1- APPLICATION FOR BUILDING PERMIT Plumbing# /,200 5 225 Oakland Road Unit 201 Date: ( 61 HVAC # /.2<o(o q I I I —-- Sprinkler# 31859 FINAL APPROVALS -- - - - -- - - Estimated Cost $ 00• 00 �- - -- - - - - —, Permit Fee $ 5 Building COMPLETE RED BOXED AREAS Occupancy Fee $ /C Engineering TYPE OR PRINT ONLY Eng.Insp. Fee $ Apprafor CO.Affidv Sit ► SIGN ON REVERSE SIDE ! Total Fee $ i - - - - - -- - TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ The undersigned hereby applies to do work according to the following: Applicant GUWnjj3CW Z tNC Location of Work Lot No. Applicant's Address Z? 5V1A Rt4S 1z&F DQ Tel.# 8'Ex�J982 Town— ,i. lad G1 ct- Zip O( 3 3 Lic.#PZA Owner Q.�C iT_ Cx Architect Fk--b_&gm1 m c m Owner's Address Architect's Address /q 510142 utog �RSThIh�T � Zip Zip 6_�8 Sq. Ft. New Area: 1st FI. (�50 2nd FI. —� 3rd FI. N + Total New Area N�� Purpose of this permit TYN A+J-r N i i-0 P✓T f _ City Wat Well❑ Septic SystemO Sew6� Ins: HO SP Cert. V Area Basement Garage__ Approved by Date Use Group 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 Town of South Windsor and to notify the Building Inspector of any alteration in the plans or specifications of the Building for which this permit is asked,and agree that this building is to be located the proper distance from all street lines,side yard lines,and required distances from all other zones and is located in which this building and its a is allowed. Signed 1 hereby apply for a Certificate of Occupancy for the work d d 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 ------------------------------------------------------------------------------- **-31859-B 5,000 B10 FINAL 09/12/05 PJP D W/JEFF SECURE GAS LINE,CAP DWV,LABEL MAIN D/C PAD METAL @FP FOR GASLINE,SECURE PULL DOWN GB **-12664-H 5,870 **-12009-P 4,500 **-19784-E 6,000 @-,A1A TM Document G704 - 2017 Certificate of Substantial Completion PROJECT:(name and address) CONTRACT INFORMATION: CERTIFICATE INFORMATION: Oakland Road Contract For:General Construction Certificate Number: Oakland Road Building#2 Units: 201 Date: Date: through 214 OWNER:(name and address) ARCHITECT:(name and address) CONTRACTOR:(name and address) Berry Patch 111,LLC Associated Architects,LLC Metro Construction Corporation The Work identified below has been reviewed and found,to the Architect's best knowledge,information,and belief,to be substantially complete.Substantial Completion is the stage in the progress of the Work when the Work or designated portion is sufficiently complete in accordance with the Contract Documents so that the Owner can occupy or utilize the Work for its intended use.The date of Substantial Completion of the Project or portion designated below is the date established by this Certificate. (Identify the Work,or portion thereof,that is substantially complete.) Associated Architects, gnu LLC . Charles R.Nyberg April 23,2019 ARCHITECT(Firm Name) SIGNATURE PRINTED NAME AND TITLE DATE OF SUBSTANTIAL COMPLETION WARRANTIES The date of Substantial Completion of the Project or portion designated above is also the date of commencement of applicable warranties required by the Contract Documents,except as stated below: (Identify warranties that do not commence on the date of Substantial Completion,if arty,and indicate their date of commencement.) WORK TO BE COMPLETED OR CORRECTED A list of items to be completed or corrected is attached hereto,or transmitted as agreed upon by the parties,and identified as follows: (Identify the list of Work to be completed or corrected.) The failure to include any items on such list does not alter the responsibility of the Contractor to complete all Work in accordance with the Contract Documents.Unless otherwise agreed to in writing,the date of commencement of warranties for items on the attached list will be the date of issuance of the fnal Certificate of Payment or the date of final payment,whichever occurs first.The Contractor will complete or correct the Work on the list of items attached hereto within ( )days from the above date of Substantial Completion. Cost estimate of Work to be completed or corrected: S The responsibilities of the Owner and Contractor for security,maintenance,heat,utilities,damage to the Work,insurance,and other items identified below shall be as follows: (Note:Owner's and Contractor's legal and insurance counsel should review insurance requirements and coverage) The Owner and Contractor hereby accept the responsibilities assigned to them in this Certificate of Substantial Completion: Metro Construction Corporation CONTRACTOR(Firm SIGNATUREY PATCH III, ��C ATE Name) Berry Patch Ill,LLC arm Glen Mans ement, LLC `{AA OWNER(Firm Name) SIGNATURE MembPFE AIA Document G704T —2017.Copyright O 1963,1978,1992,2000 and 2017 by The American Institute of Architects.All rights reserved.WARNING:This AIAe Document is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AIA*Document,or any portion of it,may result In severe civil and criminal penalties,and will be prosecuted to the maximum extent possible under the law.This document was produced by AIA software at 13:41:03 ET on 0424/2019 under Order No.3713501247 which expires on 0 6126/20 1 9,and is not for resale. User Notes: (3B9ADA47) . •. '1.•e.�'itrt by r t { FIRE ALARM SYSTEM RECORD OF COMPLETION Name of protected property: 175 0AKLAND RD (BUILDING#2) Address: 175 OAKLAND RD SOUTH WTNDSOR Representative of protected property(name/phone): METRO REALITY ED MAJAWSKI 860-250-2977 Authority having jurisdiction: Address/telephone number: 1. Type(s)of System or Service NFPA 72, Chapter 3—Local If alarm is transmitted to location(s)off premises,list where received: NFPA 72, Chapter 3—Emergency Voice/Alarm Service Quantity of voice/alarm channels: Single: Multiple: Quantity of speakers installed: Quantity of speaker zones: Quantity of telephones or telephone jacks included in system: 2 NFPA 72, Chapter 6—Auxiliary Indicate type of connection: Local energy Shunt X Parallel telephone Location of telephone number for receipt of signals: INSIDE FACP PANEL (Buildine 1) NFPA 72, Chapter 5—Remote Station Alarm: Supervisory: NFPA 72, Chapter 5—Proprietary If alarms are retransmitted to public fire service communications centers or others, indicate location and telephone numbers of the organization receiving alarm: Indicate how alarm is retransmitted: NFPA 72, Chapter 5—Central Station Prime contractor: INTEGRATED SYSTEM SERVICES LLC Central station location: Means of transmission of signals from the protected premises to the central station: McCulloh Multiplex One-way radio X Digital alarm communicator Two-wayradio Others Means of transmission of alarms to the public fire service communications center: (a) DISPATCH (b) System location: (NFPA Record of Completion 1 of 4) • Organization name/phone Representative name/phone Installer BLOOMFIELD ELECTRIC NATHAN 860-430-5588 Supplier INTEGRATED SYSTEMS SERVICES STEVE FRASER Service organization Location of record(as.built)drawings: Location of owners manuals: NEXT TO FA PANEL Location of test reports: OFFICE A contract,dated ,for test and inspection in accordance with NFPA standard(s) No(s). dated is in effect. 2. Record of System Installation (Fill out after installation is complete and wiring checked for opens,shorts,ground faults,and improper branching,but prior to conducting operational acceptance tests.) This system has been installed in accordance with the NFPA standards as shown beloY4 was inspected by STEVE FRASER on 2-18-19 includes the devices shown below and has been in service since 2-18-19 NFPA 72, Chapters 1 2 3 4 5 6 7 (circle all that apply) NFPA 70, National Electrical Code, Article 760 X Manufacturer's instructions _Other(specify): Signed: Date Organization: INTEGRATED SYSTEM SERVICES LLC 3. Record of System Operation All operational features and functions of this system were tested by STEVE FRASER and found to be operating properly in accordance with the requirements of: NFPA 72, Chapters 1 2 3 4 5 6 7 (circle all that apply) _NFPA 70, National Electrical Code, Article 760 Manufacturer's instructions _Other(specify): Signed: Date: 2-18-19 Organization: INTERGRATED SYSTEM SERVICES 4. Alarm-Initiating Devices and Circuits Quantity and class of initiating device circuits(see NFPA 72, Table 3-5) Quantity: 6 Style: 4 Class: B MANUAL (a) 0 Manual stations Noncoded,activating Transmitters Coded (b) Combination manual fire alarm and guard's tour coded stations AUTOMATIC Coverage: Complete: Partial: (a) 1 Smoke detectors Ion X Photo (b) Duct detectors Ion Photo (c) Heat detectors FT RR FT/RR RC (NFPA Record of Completion 2 of 4) (d) 2 Sprinkler waterflowswitches: Transmitters Noncoded,activating Coded (e) X Other(list): TAMPER FLOW 5. Supervisory Signal-Initiating Devices and Circuits(use blanks to indicate quantity of devices) GUARD'S TOUR (a) Coded stations (b) Noncodedstations, activating transmitters (c) Compulsory guard tour system comprised of transmitter stations and intermediate stations Note: Combination devices are recorded under 4(b) and 5(a). SPRINKLER SYSTEM (a) Coded valve supervisory signaling attachments Value supervisory switches,activating transmitters (b) Building temperature points (c) Site water temperature points (d) Site water supply level points Electric fire pump: (e) Fire pump power (f) Fire pump running (g) Phase reversal Engine-driven fire pump: (h) Selector in auto position (i) Engine or control panel trouble 0) Fire pump running Engine-driven generator: (k) Selector in auto position (1) Control panel trouble (m) Transfer switches (n) Enginerunning Other supervisory function(s)(specify): 6. Alarm Notification Appliances and Circuits Quantity and class(see NFPA 72, Table 3-7) of notification appliance circuits connected to the system: Typesand quantities of notification appliances installed: Quantity: 4 Style: 4 Class: B (a) Bells Inch (b) Speakers (c) Horns (d) Chimes (e) X Other: HORN STROBE (NFPA Record of Completion 3 of 4) l (f) X Visual signals Type: HORN STROBE with audible w/o audible (g) Local annunciator 7. Signaling Line Circuits Quantity and class(see NFPA 72, Table 3-6) of signaling line circuits connected to system: Quantity: 1 Style: 4 Class: B 8. System Power Supplies (a) Primary (main): 120 V Nominal voltage: 120 Current rating: 20 AMP Overcorrect protection: Type: CIRCUIT BREAKER Current rating: 20 AMP Location: PANEL# (b)Secondary(standby): X Storage battery: Amp-hour rating: 7 AH Calculated capacity to drive system,in hours: 2 24 60 Engine-driven generator dedicated to fire alarm system: Location of fuel storage: (c)Emergency or standby system used as backup to primary power supply,instead of using a secondary power supply: Emergency system described in NFPA 70, Article 700 Legally required standby system described in NFPA 70, Article 701 Optional standby system described in NFPA 70, Article 702, which also meets the performance requirements of Article 700 or 701 9. System Software (a) Operating system software revision level(s): 3.4 (b)Application software revision level(s): (c)Revision completed by: (name) M—) 10. Comments: (signed)for central station or alarm service company or installation contractor/supplier (title) (date) Frequency of routine tests and inspections,if other than in accordance with the referenced NFPA standard(s): System deviations from the referenced NFPA standard(s)are: (signed)for central station or alarm service company or installation contractor/supplier (title) (date) Upon completion of the system(s)satisfactory test(s)witnessed(if required by the authority having jurisdiction): (signed)representative of the authority having jurisdiction (title) (date) (NFPA Record of Completion 4 of 4)