HomeMy WebLinkAbout2400 TAMARACK AVE BONANNO DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT
TOWN OF SOUTH WINDSOR PERMIT#
Application is hereby: BUILDING DEPARTMENT lao 0 /&t
APPR VE 1540 SULLIVAN AVENUE Bldg. Permit#
4pq
644-2511 ext. 230
•1�- � ��o c a�2 o f
Date — Building Ins r
Application must be printed or typed
FEE SCHEDULE 1, Location of Job:
$0-$1,000=$15.00 Street No. Street Lot No.
Over$1,000= n
$15.00 per$1,000 DR. IJ(J ANO
or any fraction thereof Tenant Designation Apt.No.
APPLICANT Tk e)&a r %owmi CO
APPLICANT ADDRESS P 0, &A so
'BI.EI M Hama Cr_ D 6gd2
APPLICANT PHONE# ZbQ- 2�2-ZOSo
OW N S t.4 OWNER __ om�'Si'1e l-4 As$OCS. L+c.
OWNER ADDRESS goo 6,sqlan, 64 ,
Av-a r4 _ c-T• U6co 1
OWNER PHONE 36o
C ESTIMATED COST$ 9 _�(,b co
ItIS THIS A CONTRACT COST? Yes _No
L� o '_" �� FEE ENCLOSED$ 3
S o TYPE OF JOB:
�R C X New Installation
_Alteration/Addition/Repair ��d b I a 5
Revised 4/01//2002
APPLICATION FOR PLUMBING PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
❑RESIDENTIAL BUILDING PERMIT APPLICATION? ElYES ElNO
J(BUSINESS CURRENT USE AND OCCUPANCY t4Q . Qom, 60&,
❑ASSEMBLY
❑MERCANTILE❑EDUCATIONAL FUTURE USE AND OCCUPANCY
❑ INSTITUTIONAL
❑FACTORY ENGINEER'S NAME PHONE
❑ STORAGE
❑GARAGE ADDRESS
❑MIXED USE
(Other please specify) CITY STATE ZIP
TYPE OF INSTALLATION_ OR w rlAL SIZE OF MAIN DRAIN
NO.OF TOILETS STYLE S/J- NO.URINALS O STYLE a
NO.OF BATHTUBS 0 NO.OF SHOWERS O NO. OF LAVATORIES 2
NO.OF CONDUCTORS O SIZE O NO.OF STACKS O SIZE O
AREA OF ROOF O NO.OF CATCH BASINS O NO.OF FLOOR DRAINS O
NO.OF OTHER FIXTURES iZ KIND 1 N smgmNms 9.W.
ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW ❑YES ANO
SIZE OF WINDOW IF NONE C.F.M.OF VENTILATOR
SIZE OF DUCTS EWER R SEPTIC TANK
� y �SIZE OF WATER MAIN J SIZE OF WATER PIPING&RISER — q
lam_
WATER HEATER: TYPE Q*atODIK a iw MANUFACTURER
DESCRIPTION OF WORK
/A)"ni, PW►,„bW6- FaA L rbl Lrs Z 010AM IES
THr UNDERSIGNED HEIMBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED
AND TTT7—
COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
02-02017 P- CT
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT DATE I/A11�/Z
APPLICATION FOR ELECTRICAL PERMIT
DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT#
Application is hereby: BUILDING DEPARTMENT
APPR vp__ 1540 SULLIVAN AVENUE
Bldg.Permit#
.� �� ,� 644-2511 ext. 230
Date Building Inspector
Application must be printed or typed
FEE SCHEDULE _ Location of Job•
$0-$1,000=$15.00 590.0 C
Over$1,000= Street No. Street Lot No.
$15.00 per$1,000 1)fL, LD t2 bra vw
or any fraction thereof Tenant Designation Apt.No.
APPLICANT
APPLICANT ADDRESS 3 d lS
3 zjyo( ®Go ly --
APPLICANT'S PHONE# T-4 U SF-f
OWNER
OWNER ADDRESS
vy� G 67601 y
`f OWNER PHONE
O ESTIMATED COST$ eve.
C -
,.� * V IS THIS A CONTRACT COST? Yes No
FEE ENCLOSED$ 7D
�Gf TYPE OF JOB: ' S�6
�bso R•C0 k/ New Installation
Alteration/Addition/Repair
��� 2oblZs
Revised 03/05/10
APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
BUILDING PERMIT APPLICATION? crits ❑ NO
❑ RESIDENTIAL CURRENT USE AND OCCUPANCY
Q,"BUSINESS
❑ ASSEMBLY FUTURE USE AND OCCUPANCY
❑ EDUCATIONAL
❑ INSTITUTIONAL ENGINEER'S NAME PHONE
❑ FACTORY
❑ STORAGE ADDRESS
❑ GARAGE
❑ MIXED USE CITY STATE ZIP
(Other please specify)
TYPE OF INSTALLATION/WIRING METHOD
SIZE OF SERVICE SIZE OF MAIN CONDUCTORS
NUMBERS OF METERS NUMBERS OF DISCONNECTS AND RATINGS
NUMBERS OF PANELS NUMBERS OF DISCONNECTS REQUIRED? ❑ YES ❑ NO
NUMBERS OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS
NUMBER OF SWITCHES NUMBER OF OUTLETS
NUMBER OF LIGHT FIXTURES NUMBER OF HEAT CIRCUITS
NUMBER OF A/C CIRCUITS
SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED.
f n DESCRIPTION OF WORK � f
7-erl/Y✓l F�t c a /ems /�l2 ic7 V'j k S�-L I.v► �(-�-e'�
THE UNDERSIGNED HEARBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO
COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFOR-
MANCE OF SUCH WORK
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT DATE
DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT
TOWN OF SOUTH WINDSOR PERMIT#
Application is hereby:
BUILDING DEPARTMENT
APPROVED 1540 SULLIVAN AVENUE
Bldg.Permit#
644-2511 ext. 230
I' Q_
Date Building Ins
Application must be printed or typed
FEE SCHEDULE Location of Job:
$0-$1,000=$15.00 F
Street Lot No.
Over$1,000=
$15.00 per$1,000 R'l1 A—k) Dor any fraction thereof gnation Apt.No.
APPLICANT jZX4, I c. 2A2Y—)1
APPLICANT ADDRESS
APPLICANT PHONE# �� v1
OWN S F OWNER � rj f — �(.� Pi✓ f�CS�. !��
q< OWNER ADDRESS �S'7 _
b OWNER PHONE 976� )
C ESTIMATED COST$ �DZone—
IS THIS A CONTRA COST? _Yes _No
FEE ENCLOSED �C1t/ e
SO TYPE OF JOB: �J 34-LI17
R•CO New Installation
_
Alteration/Addition/Repair
Revised 4/01//2002
APPLICATION FOR HVAC PERMIT (Continued from reverse side)
TYPE OF STEM: TYPE OF BUILDING:
ATING Cl I ESIDENTIAL
a,yc WCOMMERCIAL
U'VENTILATION ❑INDUSTRIAL
HEATING
Cl 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) OF(HEAT LOSS SHEET MUST ACCOMPANY
APPLICATION)
DESCRIBE ALL HEATING EQUIPMENT(INCLUDING MAKE&MODEL NO.)
S co — r�i✓i� �i3�r�-r ��tl�r- �y- �,—.
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 �1V'1 r,i � �
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.
D3966yy S- � �r
CONTRACTORS LICENSE NO. PE `TAATE
SIGNATURE OF APPLICANT DATE cl000l;-;7 ��
DEPARTMENT DECISION APPLICATION FOR SPRINKLER PERMIT
Application is hereby: TOWN OF SOUTH WINDSOR PERMIT#
/,2000o1 O
BUILDING DEPARTMENT
1540 SULLIVAN AVENUE Bldg.Permit#
644-2511 ext. 230
Date Bu' ing Inspector
Application must be printed or typed
FEE SCHEDULE �� Location f Job:
�ou �Q nc�i rq ra .�
$0-$1,000=$15.00 Street No. Street Lot No.
Over$1,000=
$15.00 per$1,000 C. -�j A-q n y`p
or any fraction thereof Tenant Designation Apt.No.
APPLICANT EC W r7o LAD
APPLICANT DRESS , •O 9 fG 3 J (7 -- -
4 C) (0
APPLICANT PHONE#
'(OWN S F,q OWNER G /
OWNER ADDRESS
U) c �, F OWNER PHONE
(T! ESTIMATED COST$ I-3qw). ® c7
e
x IS THIS A CONTRACT COST? ZYes —No
FEE ENCLOSED$ 3 O i -'
TYPE OF JOB: �as41
�SO R C O� _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
❑ SIDENTIAL
Q'BUSINESS IS THIS APPLICATION ASSOCIATED WITH A
❑ ASSEMBLY BUILDING PERMIT APPLICATION? ❑ YES ❑NO
❑MERCANTILE
❑EDUCATIONAL CURRENT USE AND OCCUPANCY C>Fc cf �
❑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 _ 1 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
R `
DESCRIPTION OF WORK� �15"k rIV)Y'1e/ uJs / y1J10 110 L.J
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.
N0g(o5 FI C I
CONTRACTORS LICENSE NO. TYPE STATE/
SIGNATURE OF APPLICANT DATE ! — 1 0 7 Z--
Electric# 2y 00 Tama rack APPLICATION FOR BUILDING PERMIT
avenue
Plumbing# 12000201 Date:
HVAC # If I
Sprinkler#
FINAL APPROVAL - - _ Estimated Cost $
-- � ': Permit Fee $
Building COMPLETE RED BOXED AREAS Occupancy Fee $
Engineering TYPE OR PRINT ONLY Eng. Insp. Fee $
Affidavit ► SIGN ON REVERSE SIDE
Appr. for CO __ _ _ _ - _ i Total Fee $�
TO THE BUI DING DEPART MIENT, \
-- -- - --- - - - --- --- - --- P�j *�3o o n 2/9 It 2
ENT,TOWN OF SOUTH WINDSOR, CT (Addition to
$ - o `t to'Zn
The undersigned hereby applies to do work according to the following: , D ages -4 q{ -OG
r.
Applicant Location of Work,gtk '714-t,i«,Ic /4E . . .J t Lot No.
Applicant's Address kx-- Tel.# &C / 7G 1,11 _
Town A1L.,,e j Zip GG Lic.# e4.,r%, G"CCtk�;_l
Owner f`A ±jA cr, L4Z Architect`?',,w A d . SPA, A-14 ( 1_4:R 444t, CA, P) _
Owner's Address Architect's Address AOc.-) �>.Zi u4_
It J r.r` Zip 66c'e ! A-yc .. c-_r Zip 64,eel�
Sq. Ft. New Area: 1st FI. 2nd FI. l7�-C� 3rd FI. Total New Area
Purpose of this permit -% PZ4 F ✓/Q> �'�— -G1`—
�- �o
City WaterMl Well❑ Septic System❑ Sewerw o'
Ins: HO SP Cert. Area Basemen Garage
Approved b Date Use Group J _ Construction Type
Revised 8/02
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 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
i
INSPECTION COMMENTS
• INSPECTION FIELD SHEET 05/21/12
Printed by Peart, Dayshell 08 56 18
INSPECTION: 46202 FOOTING PERMIT:
STATUS:
APPLICATION: 201200125
LOCATION: 2400 TAMARACK AVENUE
ECHN II
SOUTH WINDSOR
PROPERTY ID: 89302400
OWNER: EVERGREEN MEDICAL ASSOCIATES II LLC
CONTRACTOR:
REQUEST BY:
DESCRIPTION: GENERAL BLDG. PERMIT FOR INITIAL BUILD OUT OF TENANT SPACE
WORK ORDER:
INSPECTOR: ROSE RESULT: N/A
REQUESTED: PRIORITY:
SCHEDULED: COMPLETED: 05/03/12
UNPAID FEES: 00 Date Time
TIME: TRAVEL ONSITE
COMMENTS
ALL INSPECTIONS:
INSPECTED INSPECTOR RESULT INSP DESCRIPTION
05/03/12 ROSE N/A B002 FOUNDATION
02/22/12 DOUG PASS B003 FRAMING (ROUGH)
03/07/12 DOUG PASS B003 FRAMING (ROUGH)
03/22/12 DOUG PASS B003 FRAMING (ROUGH)
05/03/12 ROSE N/A B004 INSULATION
04/23/12 DOUG PASS BO10 FINAL
05/03/12 ROSE N/A E001 ELECTRIC SERVICE
05/03/12 ROSE N/A E002 ELECTRIC UNDERGROUND
05/03/12 ROSE N/A E003 ELECTRIC ROUGH
03/21/12 SUMM PASS F005 FM PENETRATIONS/SEPERATION
03/21/12 SUMM PASS FO10 FM ABOVE CEILING
04/23/12 SUMM PASS F015 FM FIRE ALARM TEST
04/23/12 SUMM PASS F025 FM EMERGENCY/EXIT LIGHTING
04/23/12 SUMM PASS F035 FM EXITS
04/23/12 SUMM PASS F040 CO -FIRE MARSHAL INSPECTION
05/03/12 ROSE N/A H002 HVAC UNDERGROUND
05/03/12 ROSE N/A H003 HVAC ROUGH
05/03/12 ROSE N/A P002 PLUMBING UNDERGROUND
02/22/12 DOUG PASS P003 PLUMBING ROUGH
05/03/12 ROSE N/A P004 PLUMBING GAS TEST
INSPECTION FIELD SHEET 05/21/12
Printed by Peart, Dayshell 08 56 18 -
05/03/12 ROSE N/A S003 SPRINKLER ROUGH
05/03/12 ROSE N/A S005 HYDRO TEST
04/27/12 LIPE PASS Z003 CO PLANNING INSPECTION