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Home My WebLink About239 EVERGREEN WAY DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT AppIicatio by PERMIT# : TOWN OF SOUTH WINDSOR 1 E a BUILDING DEPARTMENT O 1540 SULLIVAN AVENUE Bldg.Permit# N 644-2511 ext. 230 Date Building Insp for Application must be printed or typed FEE SCHEDULE �� Location of Job: �OL e e-w L,�.)cal K- $0-$1,000=$15.00 Street No. Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT k L APPLICANT ADDRESS ;,eC- Aklovy C� dGc)r� APPLICANT PHONE# g(o 761 q S1 t �0W N SFq OWNER J6rL 6-4C2 OWNER ADDRESS co� .0 ,r OWNER PHONE O C �D ESTIMATED COST$ Y. �' " v x IS THIS A CONTRACT COST? 1 fes _No FEE ENCLOSED$ ,1 v2 r� i•/ TYPE OF JOB:: bSO R.C 0 1, ew Installation _Alteration/Addition/Repair Revised 4/01//2002 APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED�T A BUILDING PERMIT APPLICATION? &YES ❑NO 0 L3yXSIDENTIAL BUSINESS CURRENT USE AND OCCUPANCY ❑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/WIRING METHOD ` SIZE OF SERVICE /a) 14.H02 SIZE OF MAIN CONDUCTORS_ t:+ 3 NUMBER OF METERS— NUMBER OF DISCONNECTS AND RATINGS NUMBER OF PANELS_�` REMOTE DISCONNECT REQUIRED? 4a. S ❑NO NUMBER OF LIGHT CIRCUITS ! J NUMBER OF POWER CIRCUITS l J NUMBER OF SWITCHES�— NUMBER OF OUTLETS NUMBER OF LIGHT FIXTURES j� 0_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. 2 31517 51 E Y C -1- CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT DATE I v DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT Application is hereb TOWN OF SOUTH WINDSOR PERMIT#BUILDING DEPARTMENT 2<7 T 2 V 1540 SULLIVAN AVENUE Bldg. Permit# 644-2511 ext. 230 3 �, Date Building Inspec Application must be printed or typed FEE SCHEDULE Location of J9b: $0-$1,000=$15.00 Street No. Street Lot No. Over$1,000= $15.00 per$1,000 `�r 5ti,�,�. C,7 I11r4-4.Slr1) or any fraction thereof Tenant Designation Apt.No. APPLICANT k av—<. L Cx M e c-t,0"�l c u APPLICANT ADDRESS L-1-) `�.Lr�-�, 1 ,)r-O a.� ��d o /k C 06d /1 APPLICANT PHONE# ,Sn�G - 'L -7 - 4 3 6 Q OYr N S p OWNER OWNER ADDRESS e , OWNER PHONE C ESTIMATED COST$ v G .�, IS THIS A CONTRACT COST? _Yes _No FEE ENCLOSED$ J� l��s O�� TYPE OF JOB: �R C XNew Installation Alteration/Addition/Repair ttevi-M 4101 innm 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 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.) TONNAGE COOLING CAPACITY(BTUH) VENTILATION DESCRIBE ALL AIR HANDLING EQUIPMENT(INCLUDING KITCHEN EXHAUST EQUIPMENT) +(3 L, b P--- 1 , 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 l �e 9 q g( s l c. -�-- CONTRACTORS LICENSE NO. E STATE SIGNATURE OF APPLICANT DATE DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT PERMIT# Applica ereby: TOWN OF SOUTH WINDSOR f �o,7-7 BUILDING DEPARTMENT APPROVE 1540 SULLIVAN AVENUE Br1 2 9 644-2511 ext. 230 Bldg.Permit# Date wilding Inspec 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$1,000 / c- 1 �� I I r f 4. l7 5 or any fraction thereof Tenant Designation Apt.No. APPLICANT o✓-w I�C �^- APPLICANT ADDRESS L( -7 i� , - � 1� �occ c APPLICANT PHONE# ((?6 Z 2 SOW N 3F,q OWNER OWNER ADDRESS Ob OWNER PHONE C ESTIMATED COST$ IS THIS A CONTRACT COST? Yes _No (✓ FEE ENCLOSED$ TYPE OF JOB: SOR.Co New 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 El EDUCATIONAL FUTURE USE AND OCCUPANCY ❑INSTITUTIONAL ❑FACTORY ENGINEER'S NAME PHONE ❑STORAGE ❑GARAGE ADDRESS ❑MIXED USE (Other please specify) Cam' 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 I I HE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND ITT7- 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 2 g b DEPARTMENT DECISION APPLICATION FOR SPRINKLER PERMIT # Applic ' n-ishereby: TOWN OF SOUTH WINDSOR 4_. / O PERMIT# BUILDING DEPARTMENT D 1540 SULLIVAN AVENUE ` B14g.Permit# 644-2511 ext. 230 N 1 Date Buil i g Spector Application must be printed or typed FEE SCHEDULE Location of Job: $0-$1,000=$15.00 Street No. (� _ 1 6'b Street _ ' �'�-a(or Lot No. Over$1,000= " $15.00 per$1,000 l v ( — �� q6b - � E or any fraction thereof Tenant Designations D a p� * a 1'�- S � � `'Apt.No. So t - f APPLICANT Flo( QIzS� F re (17367)n APPLICANT ADDRESS ffkl k a to Ile CT APPLICANT PH NE# �m_ 510ON-!q S 9 W F ONER S S �O• q , * OWNER ADDRESS ill D p4 ( H 12 <3 " I,, '950 OWNER PHONE 96 - .`7Lo C ♦, ESTIMATED COST$ ,QA (2 2 Q C�$ ' IS THIS A CONTRACT COST? Yes _No _ ti { FEE ENCLOSED$ 17 �� J 1jsoR. TYPE OF J ,New Installation _Alteration/Addition/Repair Revised 4/01in002 APPLICATION FOR SPRINKLER PERMIT (Continued from reverse side) TYPE OF BUILDING TYPE OF CONSTRUCTION qQy USE GROUP aaL.&0.OF STORIES ❑RESIDENTIAL IW BUSINESS IS THIS APPLICATION ASSOCIATED WITH A ❑ASSEMBLY BUILDING PERMIT APPLICATION? ❑ YES ❑NO ❑MERCANTILE ❑EDUCATIONAL CURRENT USE AND OCCUPANCY Mecr .,,. &— SA-V'r+GS ❑INSTITUTIONAL ❑FACTORY FUTURE USE AND OCCUPANCYMr, ❑STORAGE UGARAGE ❑MIXED USE ENGINEER'S NAME 0( PHONE Q60 38Z-N TY (Other please specify) ADDRESS XYIpjtA S 4- CITY Tc('r•.r v �c STATE C 1 ZIP C)6? KIND OF INSTALLATION SIZE OF MAIN DRAIN Z WATER PRESSURE AT STREET(PSI)_ O ARE SPRINKLER HEADS ALTERED? ❑YES 2NO IF YES,CHECK ALL THAT APPLY: ❑ADDED ❑DELETED ❑ALTERED IF MORE TfflAN 3 HEADS ARE ADDED HYDRAULIC CALCULATIONS ARE PROVIDED BY(CHECK ONE) PROFESSIONAL ENGINEER ❑INSURANCE COMPANY WATER FLOW Zfo WATER PRESSURE AT SPRINKLER HEADS(PSI) Z6 ARE PUMPS REQUIRED? ❑YES JYf4O IF YES,CHECK ALL THAT APPLY: ❑FIRE ❑BOOSTER ❑OTHER ARE STANDPIPES PROVIDED? ❑YES aNO 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 w \-)•j a rG a— ce2k tco1c�j 5:T rv-ta-, s' rn•os 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 T— DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT PERMIT# Application is hereby: TOWN OF SOUTH WINDSOR 1 a 32, BUILDING DEPARTMENT 2 OVED 1540 SULLIVAN AVENUE Bldg.Permit# 2644-2511 ext. 230 Date ng Application must be printed or typed FEE SCHEDULE / Location of Job: �V I �� Pam' n p S �6 $0-$1,000=$15.00 Street No. Street 6LoNo Over$1,000= $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT Se-m 0,c, E APPLICANT ADDRESS D sox APPLICANT PHONE# � as 9- y Wo 0 �� 3 3 3 00 SOWN St OWNER Sr`u OWNER ADDRESS OWNER PHONE C ESTIMATED CAST$ LQ O. 06 a ' .*` U •� IS THIS A CONTRACT COST? Yes —No t� �! FEE ENCLOSED$ / 3 5, 00 ��`SOR CO�� TYPE OF JOB: New Installation Alteration/Addition/Repair Revised 4/0 y//2002 1 ' APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A ❑RESIDENTIAL BUILDING PERMIT APPLICATION? ❑YES El No ❑BUSINESS CURRENT USE AND OCCUPANCY ❑ASSEMBLY ippt e,f—q ❑MERCANTILE❑ eA& EDUCATIONAL FUTURE USE AND OCCUPANCY ❑INSTITUTIONAL ❑FACTORY ENGINEER'S NAME PHONE ❑ STORAGE 0 GARAGE ADDRESS ❑MIXED USE (Other please specify) CITY STATE ZIP TYPE OF INSTALLATION/WIRING METHOD ► re. Gl IA lM lam% SIZE OF SERVICE SIZE OF MAIN CONDUCTORS NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS NUMBER OF PANELS REMOTE DISCONNECT REQUIRED? O YES O 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 ► � I n a� fin! w � 0. 11 ,ti c��.r�. S s/51��, U S �� 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. 10316 3 T _ CONTRACTORS LICENSE NO. 'TYPE STATE SIGNATURE OF APPLIC a DATE ? 7 d '!tee TeL << DEPARTMENT DECISION APPLICATION FOR SPRINKLER PERMIT TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: Lq � Z. �_ BUILDING DEPARTMENT APPROVED 1540 SULLIVAN AVENUE DECi g 644-2511 ext. 230 Bldg.D Date Bu ding Inspector Application must be printed or typed FEE SCHEDULE F Location of Job: c,e4,� W±J - Svi rE 211$0-$1,000=$15.00 Street Lot No. Over$f,000= $15.00 per$1,000or any fraction thereof gnation Apt.No. 0 \ APPLICANT��---.s L .J.&.q gL �� ±a-,7.TE APPLICANT ADDRESS ADDRESS P 17-y- Z 35-zz, aL�f-'o�A, GT oVI¢� APPLICANT PHONE# 8t.�0- Z4-G- 1V W N $e'Q OWNER aKld.�{-7o�-I Coy c.Ec-yt$t�S r, OWNER ADDRESS ' OWNER PHONE O C ESTIMATED COST$ $��• IS THIS A CONTRACT COST? ✓fes _No FEE ENCLOSED$ 9� 40, S, O�� TYPE OF JOB: R C ---New Installation Alteration/Addition/Repair Revised 4/01//2002 ti 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)WTTH A ❑ASSEMBLY BUILDING PERMIT APPLICATION? QdYES ❑NO U'kiERCANTILE ❑EDUCATIONAL CURRENT USE AND OCCUPANCY �j EniL :!i- t ❑INSTITUTIONAL ❑FACTORY FUTURE USE AND OCCUPANCY ❑STORAGE ❑GARAGE ENGINEER'S NAME PHONE ❑MIXED USE (Other please specify) ADDRESS CITY STATE ZIP KIND OF INSTALLATION SIZE OF MAIN DRAIN 2- WATER PRESSURE AT STREET(PSI) G7 ARE SPRINKLER HEADS ALTERED? ❑YES a NO IF YES,CHECK ALL THAT APPLY: ❑ADDED ❑DELETED ❑ALTERED IF MORE THAN 3 HEADS ARE ADDED HYDRAULIC CALCULATIONS ARE PROVIDED BY(CHECK ONE) Q'fPROFESSIONAL ENGINEER ❑INSURANCE COMPANY WATER FLOW %"$ WATER PRESSURE AT SPRINKLER HEADS(PSI) /(6. s7 ARE PUMPS REQUIRED? ❑YES aNO IF YES,CHECK ALL THAT APPLY: ❑FIRE ❑BOOSTER ❑OTHER ARE STANDPIPES PROVIDED? ❑YES U-90 IS A SPRINKLER SYSTEM PROVIDED? O'TES ❑NO SPRINKLER SYSTEM MAIN WATER SUPPLY RATING /y oo GPM TOTAL DYNAMIC HEAD(TDH)OF FIRE PUMP _ PSI DESCRIPTION OF WORK Ak ry 17 �r= Tr- 7- rQF-' Ic a srS # A-=5 S vd—rTI 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. �s9 C-T CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT •ym fog DATE A �� ALLSTATE PO. Box 2350 Hartford, Connecticut 06146 FIRE SPRINKLER (860) 246-771 1 ■ FAX (860) 246-7707 INC. November 5, 2004 Town of South Windsor South Windsor, CT Attn: Building Official Re: Application for Permit Job#7544 Gentlemen: In accordance with the Public Act 91-95,this letter authorizes the below named agent to sign the above referenced application for Thomas L. Jacquel (License# F10590) Fire Sprinkler Contractor-Allstate Fire Sprinkler, Inc. P.O. Box 2350 Hartford, CT 06146 Project Name: Brighton Collectibles @ Evergreen Walk Location: 201 Evergreen Way - Suite 211 Authorized Agent: David K. Thompson Thank you for your cooperation, Thomas L. Jacqffel President Certified Small Business Enterprise ,;,� "CMMW_ Conn. Contractor's License #F10590 `, r.Jhp` APPLICATION FOR BUILDING PERMIT Electric # 1`1d0(r Plumbing# 11 tocl7 239 Evergreen Way Date: ` HVAC # i 2.z li b Sprinkler# I Li I a, 31 fl1 Q 25 Estimated Cost dam' FINAL APPROVALS Permit Fee Building OMPLETE RED BOXED AREAS Occupancy Fee Engineering TYPE OR PRINT ONLY Eng. Insp. Fee $ Affidavit ON REVERSE SIDE Appr. for CO. [10:�PSIGN -- — — -- -- --- Total Fee TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ The undersigned hereby applies to do work according to the following: 6veLiareno Applicant 2r+ -i Location of WorkT he- ve.r r 6et N SP. 2.11 Applicant's ddress l� -�� 'ate `� Tel.# & 'L�o--�! Town n� �12�1� Zip Lic.# Owner Q� ` Architect So�.me s T. N ak Kozo lC o` Os Address c� (y - lei�` o w Architect's Address lo39 O 5&4o, 1Aon'%c. 131Y4 . wwn ��Y t-� zip�fo Los Anae. e c, . CA Zip goo25 Sq. Ft. New Area: 1 st FI. 15 O O s 2ne FF � Total New Areal S 00 Purpose of this permit -� � rv.n rov r M\A ij City Water[] Well❑ Septic System❑ Sewer[] Ins: HO SP Cert. Area Basement Garage Approved by Date Use Group Construction Type RvAssd 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 atterati in the plans or specifications of the Building for which this permit is asked,and agree that this building is to be per dis ce from all street lines,side yard lines,and required distances from all other zones and is located ich this buil ng and use owed. Sig I hereby apply for a Certificate of pancy for t work abed in this application for a permit. Signe DO 6 T WRITE BELOW THIS LINE INSPECTION COMMENTS Inspection / Approval Date By Appl Code Description Due Whom Code Comment ------------------------------------------------------------------------------- **-31025-B 150,000 P02 UNDERGROUND 09/24/04 CJD A E03 ROUGH 10/12/04 PJP D MECH CONNECT GROUNDS,SERVICE NOT READY REVIEW @ INT WALL INSPECTION B03 FRAMING (ROUGH) 10/14/04 PJP A DEMISING WALL INT WALL ADD DIAGNAL BRACING, E01 SERVICE 10/20/04 PJP A P03 ROUGH 10/14/04 CJD A E03 ROUGH 10/14/04 CJD A H03 ROUGH 10/25/04 PJP A PO4 GAS TEST 11/04/04 PJP A B10 FINAL 11/12/04 CJD D NOT READY B10 FINAL 10/28/04 CJD A B10 FINAL O1/12/05 CJD A CLOSEOUT **-1412-5 5,900 **-12296-H 2O,000 **-11697-P 10,000 **-19206-E 14,500 **-19232-E 8,420 BUILDING INSPECTION DEPARTMENT TOWN ofy SOUTHxiPitIDSOR;°ICONNECTICUT C E R T I I CAA T E ;0 F `O C;C U<<P, A N C Y ZONE: . •r aG„ j;`< !, >::<;�;'} i'aF.< i '?"> Y`� oanuary 12 2005 This is to certify that! 139;EVERfa490bf NXY RALTSRi undera permit No. 31025 conforms su sEaiiEially to the requirements. �,f�Ehe�Connecticut Basic Building cmde.<and";Che:.zoni.ng,te,— i6ns ZoV,Che^<town of South Windsor and sa tier b ` `X y ,n a y,approrr c `fbr ocpupanc ,,was nc( cat#ed below "x:•+..�' ^�:s�ah-`j� .sr^:, '�_�":sra°s� a' a»ko'�* ;,.,,..,. 3 for <: •:. ? .s : . :�n:�� rti.,#�, z Approved Occuparicy•=IBUILD PUT_Z,'dR';3YI-G TON STORE:;] A Use Group: Constr. T 4- ` �, •" \ .„ ?fi °� V�11 Bu dii}g Of <,,,:. . k Notice If this cerC'ificate. is liGV;�:or.�de trQiq!d' a duplicate should be obtained immediatel' �,oia the'RBuj'1`di,y < �} p<J Department Any change or extension of'the-use herein approved requires a new certificate of occupancy. BUILDING INSPECTION DEPARTMENT TOWN of SOUTH NINDSOR-;"ccNNECTICUT C E R T I F'"I T 'Eb :0 F 0 C:-'.0 U<`P, A N C Y � ZONE: `° ;"`�`. �•`' xTyt. �,;<: �<, 'January 12 2005 This i „`� ;�'. >•` s.. ', ;,.:: '; s to certify tkiat 2`39,$VEIiGR EIT..WAY;,ALTERED Binder:'.permit ... No. 31025 conforms substant3a11y to ,theF requirements.,of`the'.Connecticut Basic Building cod e:.<and,the �.zou ng%.i.egu]ations.:of;'the-,Town of South Windsor and is'Hereby; ag prove&,fGr" occupancy. as 'Ind Gated below Approved for Occupancy 1 BUILD ¢UI«F,pRR B?iSGFiTON SxORE::! " ^� �:3. �i. �§ F�ro""M,�' c`Y'Zi• 'fl'D " £'.:.E:A'�''€ }^.u:,N 4 Use Group: .3F ;%a'.<z:'y ti> S°lop/ Constr. Type -�•...-�"�� ..w:, v>::.: 4 a:s' ;' :�• :• 4� s':" s pu <"s. '_.• ''� Bu ding Official Notice If this z.;• � .-.:';'' s;'�:".;r'.�;'';-4: :<,Mw<• n.:�:. ,` . certifiei&' .,is°`los.C::ar >destrayea ab duplicate should be obtained immediately�f;om the'Bu lding'Department Any change or extension �of'the-use"I erein approved requires a new certificate of occupancy. 0L. 17 3.8 PAGE 6 5 RECORDING REQUESTED BY: Arnett Construction AND WHEN RECORDED MAIL TO: Arnett Construction (NAME) 4010 Morena Blvd Suite 108 (STREET)ADDRESS) San Diego CA 92117 04848 (CITY,STATE AND ZIP) SPACE ABOVE THIS LINE FOR RECORDER'S USE NOTICE OF COMPLETION (Notice pursuant to Civil Code Section 3093,must be recorded within 10 days after completion) This form complies with professional standards in effect January 1-December 31,2004 Notice is Hereby Given That: 1. The undersigned is an owner or agent of an owner of the interest or estate stated below. 2. The full name of the owner is BRIGHTON RETAIL, INC. DBA BRIGHTON COLLECTIBLES 3. The full address of the owner is 200 NORTH WILLOW STREET CITY OF INDUSTRY, CALIFORNIA 91746 4. The nature of the interest or estate of the owner is;in fee. (if other than fee,strike"in fee"and insert,for example,"Purchaser Under Contract of Purchase,"or Lease") 5. The full names and full addresses of all co-owners,if any,who hold any title or interest with the above-named owner in the property are: N/A NAMES ADDRESSES 6. A work of improvement on the property hereinafter described was completed on October 30, 2004 (Date) The work done was: demo,concrete,carpentry,drywall,windows,acoustical ceiling,paint,flooring,plumbing,electric,fire protection 7. The name of the contractor,if any,for such work of improvement is ARNETT CONSTRUCTION 9/14/2004 (If no Contractor for work of improvement,insert"none") (Date of Contract) 8. The street address of said property is The Shops at Evergreen Walk 201 Evergreen Way Sp. 201 So.Windsor CT 06074 (If no street address has been assigned,insert"none") 9. The property on which said work of improvement was completed is in the city of South Windsor County of Hartford State of Connecticut DATE: ULIJ y r'a2, O 05 X [gnauure 01 owner or agent of owner named in Paragraph 2) Curtis B. Arnett VERIFICATION I,undersigned,say: I am the Agent of ("President,""Owner,""Partner,""Manager,"etc.) the declarant of the foregoing Notice of Completion;I have read said Notice of Completion and know the contents thereof;the same is true of my own knowledge. I declare under penalty of perjury that the foregoing is true and correct. Executed on California. (Date of Signature) (City where Signed) All = (Personal signor a of the dividual who is swearing that the contents of the notice of completion are RECEIVED FOR RECORD: fie) DATE _T1ME '-00 N Curtis B.Arnett TOWN CLERK, SOUTH WINDSOR. cl-