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HomeMy WebLinkAbout2400 TAMARACK AVE ECHN II Electric # ,oE�Ss !D PPLICATION FOR BUILDING PERMIT Plumbing# 2400 Tamarack Street Date: , -CZ HVAC # 5 Sprinkler# BUILDING DEPA T FINAL APPROVALS - - Estimated Cost $ Gleye Building COMPLETE RED BOXED AREAS Permit Fee $ ��Ce"� Engineering ! Occupancy Fee $ TYPE OR PRINT ONLY Eng. Insp. Fee $ ��pp . SIGN ON REVERSE SIDE Total Fee $ r for CO. � - - - -- --- - - _ - - _, davit TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ The undersigned hereby applies to do work according to the following: Applicant %ram 6ASt,� r�a7c,Qanc.,► Location of Work��{�� �t .c 4✓oj ✓E- Lot No. Applicant's Address o2 0 0 Tel.# &C- (� 74—9oyc Town—&O") , C:T Zip ,C30 I Lic.# !700 2 S`� Owner rchitect XW A +4+�.a+TU-;'VaA - v"yP Owner's Address 4:v :rs:f 2 D�vi>� Architect's Address 4e C) +-r<s►+� �a-►va AwyL j , C;—, Zip "Ic i A-Vt tij. GT' Zip D&CA0 L Sq. Ft. New Area: 1st FI. 7&0 2nd FI. D 3rd FI. Total New Area �m���'�o Purpose of this permit 2tC ft-0 ( r City Water[a� Well❑ Septic System❑ Sewer Ins: HO SP Cert. Area Basemen% Garage Approved by Date Use Group_ Construction Type Revised e/02 _may I hereby agree to conform to all the requirements of the La of the St 6onnecticut and the Ordinances of the Town of South Windsor and to notify the Building Inspector of any teration i he plans or specifications of the Building for which this permit is asked,and agree that this building is to be to the pro distance from all street lines,side yard lines,and required distances from all other zones and is located in which�tbfs bui ding an its use is allowed. Signed i I hereby apply for a Certificate of Occyi y f heya described in this application for the permit. Signed �J DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS I ��y1N Sf1 y Tov� 0-P Sou V&U&ot o z � 1540 SULLIVAN AVENUE • SOUTH WINDSOR, CT 06074 kI�OSOA•co TELEPHONE(860) 644-2511 December 15,2008 The Castle Corporation 200 Fischer Drive Avon,CT 06001 Re:2400 Tamarack Avenue/ permit# 731289 My field observation for the above mentioned building satisfies the criteria appropriate for issuance of a Partial Certificate of Occupancy,as stipulated in Section 110.5 of the 2003 International Building Code.Please prepare an affidavit of costs for the above building prior to your request for the Certificate of Occupancy. (Architects statement of completion and final costs) The Fire Marshall,Planning/Zoning and Engineering have arrangements in place with you to resolve any outstanding issues unrelated to life safety. This letter represents a Partial Certificate of Occupancy for 2400 Tamarack Avenue. S'f.` yyours, c t her Dougan Chief uilding Official RECEIVED SITE COMPLIANCE CHECKLIST TOWN OF SOUTH WINDSOR,CONNECTICUT ***** FOR C OF O***** SG Al Al ; SOUTH WIND�Oa PLANNING DEPT. ADDRESS-"O LOT/UNIT# Reviewed bylb_(Engineering) CONTACT/DEV CO_SIf�C��2 A. Date Reviewed Ia S Approv PH# Reviewed by, (Planning) Date Submitted /07 OR Date Reviewed I 1 v� Ap� 5-6 Date Reviewed Approved/Denied(Health) As required in the Zoning and/or Subdivision Regulations, no Certificate of Occupancy shall be issued until grading tans have been complied with and approved P P b the Town Engineer. The minimum requirements PP Y 9 eq is shall include: Approved Denied N/A —�� I. Approved building permit plan 2. Finish grading per approved building permit plan 3. Site work; i.e.trees,shrubs, / dumpsters,required parking �L 4. Utility location; ✓ a. sanitary sewer/septic systems b. foundation drain C. electrical&telephone —a d. water e. 4"erl efo 5. Sewer connection charge paid 6. Appropriate certification 7. Bonding 8. Planning&Zoning/ © Inland Wetlands Considerations ►ri vllW I"$ Mom`.- ` a. Lighting b. Signage •j p �D T° awl Freestanding Wall yp C. Fee in lieu of Open Space 4.0400 COMMENTS: / a rc� frr S e r ✓L ' c Ill s/engineering/molloy/site compliance checklist ✓/�5 oQS�•urnir�COVIY\.eG01 CX/s_t nq .J (D " d sw't 3 s- i:..s._,_.- �_. � ^;=3'�..ri'�-._r.oj�c•.=r�_:3_'=:�'-s- __ _ rra.,-�:._�; =•.',i-.,.xo-.- _ ___ _ -�.i?_,sc.�Electric & MGConstruction, Inc. CT license k04807.31 Lois Street•Bristol,CT 06010•Voice(860)589-2422•Fax(860)589-3753•Email:mgelect@megahits.com December 07, 2010 The Casle Corporation Avon Park North 200 Fisher Drive Avon, CT. 06001 Attn: Paul Duran Re: ECHN at Evergreen Walk 2600 Tamarack Ave Building #3 Dear Paul: This letter is to confirm that the above mentioned project outside lighting was installed as per plan. If I can be of further assistance please don't hesitate to call. Very truly yours, nthony Michaud 1 1 1 1 1' '1 ■rira�wr�rr�i�w�■ ■rrwrirrrrrrrrrrr■ iriiii�iiii�i ■ir�ririiilririiii irrriiririr�►iiririrwiirrliiiiiiir ■rriiiiiiwir■ ►+1 iiirii ■ ■l�iH!'ri�iiii■ ■iiiiNl�iiiii■ ■cirri ■ ■'a"' liririir ■iiiriiii■ ■rriiiii rmrs ■iiwi■ mmmoommoom ■rriiiriiii�iii�iriiiirr�iirriir ■irriiriiii■iirri9;�iiiriir■■ ■iri■ irrriiiiiii�riii/iitriiri■■r ■irt■ ■iriwririi�r�rrr�:wirr�rr���r�erirr■ ■riiiiirrir��wr��►■ri■ i��r��irriiiir ■iiwiiii�riL ii� ■ii■ ■iiirriirrr■ ■rrw�zw �rir■ rM ■r■Nrrrirriwrii ■iiiii®riiiiir�r!!!!!R�!!l�iriiiiilfiir■ ■riiiiiiir ii/�1rf�1/r�ririiriirilli■ ■riiiiii��,� �/�.�Irri■®riiirirrrrir ■iiiiiri. it�+1[�rririiriiiiiirrriir■ ■ URI I / / 'i 11' ' 1 �V / 7' a THE CASLE CORPORATION 200 Fisher Drive AVON, CONNECTICUT 06001 DATE / _ D JOB NO. G 7 (860) 674-9000 ATTEA FAX (860) 676-9576 RE: TO ;?W AJ or— tJTI1• tjwbw g-. B01LMWt_ �Cjr 0 sou l-k l-T 04470 WE ARE SENDING YOU ❑ Attached ❑ Under separate cover via the following items: ❑ Shop drawings ❑ Prints ❑ Plans ❑ Samples ❑ Specifications ❑ Copy of letter ❑ Change order X__T4WFfijf2 57}1.b1[. Z;JSr: 60yl6e , ri'/ALt, 'PAIM.Ed COPIES DATE NO. DESCRIPTION THESE ARE TRANSMITTED as checked below: ❑ For approval ❑ Approved as submitted ❑ Resubmit copies for approval ❑ For your use ❑ Approved as noted ❑ Submit copies for distribution hueAs requested ElReturned for corrections ❑ Return corrected prints ❑ For review and comment ❑ ❑ FORBIDS DUE ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS COPY TO SIGNED: If enclosures are not as noted,kindly notify us at once. r _. . � _ w l r,� s ... �! _ - - -•�' ,- _ + �; S �. L c Statement of Special Inspections Project: ECHN Medical Building at Evergreen TValk-Bldg. 2 Location: 2400 Tamarack Ave. -South IVindsor, Connecticut Owner: Evergreen Medical Associates H,,LLC-200 Fisher Drive-Avon, CT 06001 Design Professional in Responsible Charge: Szewczak Associates Consulting Engineers This Statement of Special Inspections is submitted as a condition for permit issuance in accordance with the Special Inspection and Structural Testing requirements of the Building Code. It includes a schedule of Special Inspection services applicable to this project as well as the name of the Special Inspection Coordinator and the identity of other approved agencies to be retained for conducting these inspections and tests. This Statement of Special Inspections encompass the following disciplines: ® Structural ❑ Mechanical/Electrical/Plumbing ❑ Architectural ❑ Other: The Special Inspection Coordinator shall keep records of all inspections and shall furnish inspection reports to the Building Official. Discovered discrepancies shall be brought to the immediate attention of the Contractor for correction. If such discrepancies are not corrected, the discrepancies shall be brought to the attention of the Building Official. The Special Inspection program does not relieve the Contractor of his or her responsibilities. Interim reports shall be submitted to the Building Official. A Final Report of Special Inspections documenting completion of all required Special Inspections, testing and correction of any discrepancies noted in the inspections shall be submitted prior to issuance of a Certificate of Use and Occupancy. Job site safety and means and methods of construction are solely the responsibility of the Contractor. Interim Report Frequency: Report to be issued for each day of inspection. or❑ per attached schedule. Prepared by: pF�CON... Alan R. Chandler, P.E. � � � �% (type or print name) �9p'••.l�CENS�' 8117107 ''iilsS%OIVAL Sigffiaiure Date Design Professional Seal Owner's Authorization: Building Official's Acceptance: Signature Date Signature Date CASE Form 101 • Statement of Special Inspections • ©CASE 2004 Page of Final Report of Special Inspections Project: ECHN Medical Building at Evergreen Walk-Bldg. 2 Location: 2400 Tamarack Ave. -South Windsor, Connecticut Owner: Evergreen Medical Associates 11, LLC Owner's Address: 200 Fisher Drive Avon, CT 06001 Architect of Record: JWM Architectural Group Structural Engineer of Record: Alan R. Chandler, P.E. SzewczakAssociates Consulting Engineers To the best of my information, knowledge and belief, the Special Inspections required for this project, and itemized in the Statement of Special Inspections submitted for permit, have been performed and all discovered discrepancies have been reported and resolved other than the following: Comments: (Attach continuation sheets if required to complete the description of corrections.) Interim reports submitted prior to this final report form a basis for and are to be considered an integral part of this final report. Respectfully submitted, Special Inspector (Type or print name) Signature Date Licensed Professional Seal CASE Form 102 • Final Report of Special Inspections • ©CASE 2001 i Schedule of Inspection and Testing Agencies This Statement of Special Inspections/Quality Assurance Plan includes the following building systems: ® Soils and Foundations ❑ Spray Fire Resistant Material ® Cast-in-Place Concrete ❑ Wood Construction ❑ Precast Concrete ❑ Exterior Insulation and Finish System ® Masonry ❑ Mechanical & Electrical Systems ® Structural Steel ❑ Architectural Systems ❑ Cold-Formed Steel Framing ❑ Special Cases Special Inspection Agencies Firm Address,Telephone,e-mail 1. Special Inspection SzewczakAssociates 200 Fisher Drive Coordinator Consulting Engineers Avon, CT 06001 860-677-4570 Phone 860-676-0814 Fax alan@szewczakassociates.com (Alan R. Chandler. RE) 2. Testing Agency 3. Other Geotechnical Engineer 4. Other 5. Other 6. Other Note: The inspectors and testing agencies shall be engaged by the Owner or the Owner's Agent, and not by the Contractor or Subcontractor whose work is to be inspected or tested. Any conflict of interest must be disclosed to the Building Official, prior to commencing work. CASE Form 101 • Statement of Special Inspections • ©CASE 2004 Page 3 of 10 Qualifications of Inspectors and Testing Technicians The qualifications of all personnel performing Special Inspection and testing activities are subject to the approval of the Building Official. The credentials of all Inspectors and testing technicians shall be provided if requested. Key for Minimum Qualifications of Inspection Agents: When the Registered Design Professional in Responsible Charge deems it appropriate that the individual performing a stipulated test or inspection have a specific certification or license as indicated below, such ear designation shall a below the A Number on the Schedule. 9 PP Agency Y PE/SE Structural Engineer—a licensed SE or PE specializing in the design of building structures PE/GE Geotechnical Engineer—a licensed PE specializing in soil mechanics and foundations EIT Engineer-In-Training—a graduate engineer who has passed the Fundamentals of Engineering examination American Concrete Institute(ACI) Certification ACI-CFTT Concrete Field Testing Technician—Grade 1 ACI-CCI Concrete Construction Inspector ACI-LTT Laboratory Testing Technician—Grade 1&2 ACI-STT Strength Testing Technician American Welding Society(AWS) Certification AWS-CWI Certified Welding Inspector AWS/AISC-SSI Certified Structural Steel Inspector American Society of Non-Destructive Testing (ASNT) Certification ASNT Non-Destructive Testing Technician—Level II or III. International Code Council(ICC) Certification ICC-SMSI Structural Masonry Special Inspector ICC-SWSI Structural Steel and Welding Special Inspector ICC-SFSI Spray-Applied Fireproofing Special Inspector ICC-PCSI Prestressed Concrete Special Inspector ICC-RCSI Reinforced Concrete Special Inspector National Institute for Certification in Engineering Technologies(NICET) NICET-CT Concrete Technician—Levels I, II, III & IV NICET-ST Soils Technician-Levels I, II, III & IV NICET-GET Geotechnical Engineering Technician-Levels I, II, III & IV Exterior Design Institute(EDI) Certification EDI-EIFS EIFS Third Party Inspector Other CASE Form 101 • Statement of Special Inspections • ©CASE 2004 Soils and Foundations Page 4 of 10 Item Agency# scope (Qualif.) 1. Shallow Foundations 2 Observe preparation of existing subgrade. Verify compliance with IBC 2003 requirements of the Contract Documents. 1 Inspect final footing subgrades and bearing surfaces to confirm adequate bearing capacity and compliance with the Contract Documents. 2 Observe removal of unsuitable material and preparation of subgrade prior to placement of controlled fill. 2. Controlled Structural Fill 2 Perform sieve tests(ASTMD422&D1140)and modified proctor IBC 2003 1704.7 tests(ASTM D1 SS7)of each source of fill material. 2 Inspect placement, lift thickness and compaction of controlled fill. 2 Test density offll by nuclear methods(ASTMD2922). 2 Verify extent and slope of fill placement. 3. Deep Foundations - (Not applicable) 4. Load Testing - (Not applicable) 4. Special Inspection 1 Observe work and inspections at frequency noted below. Verb Coordination PE that the assigned inspection agencies are conducting the inspections required. Verb inspection agent qualifications. [Perform observations at least once every two weeks during earthwork operations.] CASE Form 101 • Statement of Special Inspections • ©CASE 2004 Cast-in-Place Concrete Page 5 of 10 Item Agency# Scope (Qualif.) 1. Reinforcement Installation 2 Inspect size,spacing, cover,and positioning of reinforcing steel in (Including rebar, tendons, ACI-CC[ accordance with the requirements of the Contract Documents and and post-tensioning ducts) reviewed Shop Drawings. [Provide periodic inspection at IBC 2003 Table 1704.4 Item 1 frequency required to verify all placement and conditions of all reinforcing.] 2 Verify that reinforcement is accurately placed and adequately A Cl-CCI supported before concrete is placed, and is secured against displacement within tolerances listed above. (AC1318 Sect. 7.5.1) 2 Verb that reinforcing bars are free from mud, oil, concrete from AC[-CC[ previous placements, or other deleterious materials. (A CI 318 Sect. 7.4.1 and 7.4.2) 2 Verb that bar lap splice dimensions and mechanical splices have A CI-CC! been provided in accordance with the requirements of the Contract Documents and reviewed Shop Drawings. 2. Reinforcing Steel Welding - (Not applicable-welding of reinforcing steel is not permitted.) IBC 2003 Table 1704.4 Item 2 3. Anchor Rods and Other 2 Inspect size,positioning, and quantity of embedments. Observe Embedments A CI-CCI concrete placement and verify proper consolidation around IBC 2003 Table 1704.4 Item 3 embedments. 4. Use of Approved Concrete 2 Review concrete batch tickets and verify compliance with Mix Design A CI-CCI approved mix design. IBC 2003 Table 1704.4 Item 4 1. Verify that water added at the site does not exceed that allowed by the approved mix design. 2. Review admixtures on concrete batch tickets and verify compliance with approved mix design. Verb that quantities added do not exceed that allowed by the approved mix design. [Provide periodic inspection-at least once per placement for each class of concrete,and any time that mix appears to be different from other batches.] 5. Sampling and Testing of Samples for strength tests shall be taken in accordance with ASTM Concrete and Shotcrete C172(ACI318 Sect. 5.6.3.1)at frequency noted in Project IBC 2003 Table 1704.4 Item 5 Specifications. 2 Test concrete slump(ASTM C143),air-content(ASTM C231 or A CI-CFTT C173)and temperature(ASTM C1064)each time that concrete is sampled for strength tests. 2 Test concrete compressive strength(ASTM C31 &C39). ACI-STT CASE Form 101 • Statement of Special Inspections 9 ©CASE 2004 Cast-in-Place Concrete (continued) Page 6 of 10 Item Agency# Scope (Qualif.) 6. Concrete and Shotcrete 2 Verify that concrete is conveyed and deposited in accordance with Placement ACI-CCI IBC 2003 Sections 1905.9, 1905.10 and Project Specifications. IBC 2003 Table 1704.4 Item 6 7. Curing and Protection Concrete: IBC 2003 Table 1704.4 Item 7 2 Verb that concrete is cured and temperature maintained in A CI-CCI accordance with Project Specifications and ACI 318:5.11-5.13 [Observe protection procedures at least twice within the first 72 hours ofplacement.] 8. Prestressed Concrete - (Not applicable-no pre-stressed concrete on this project.) IBC 2003 Table 1704.4 Item 8 9. Structural Precast Concrete - (Not applicable-no structural precast concrete on this project.) IBC 2003 Table 1704.4 Item 9 10. In-situ Concrete Strength - (Not applicable) IBC 2003 Table 1704.4 Item 9 11. Formwork Geometry 2 Verb that forms conform to shapes, lines and dimensions of the IBC 2003 Table 1704.4 Item 10 ACI-CFTT members as required by the Contract Documents. 12 Non-Shrink Grout 2 Tests: Test non-shrink grout specimens in accordance with the A CI-CFTT following: 1. ASTM C 1107-02 Article 12.1 Consistency 2. ASTM C 1107-02 Article 12.5 Compressive Strength: a. Test three cubes for compressive strength at each age(1, 3, 7 and 28 days). [Make at least one set of grout specimens for each day that grout is placed] 13 Special Inspection 1 Observed work and inspections atfrequency noted below. Verb Coordination PE that the assigned inspection agencies are conducting the inspections required. Independently verify the items specified in this Statement of Special Inspections during site observations. Verb inspection agent qualifications. [Perform observations at least once every two weeks during concreting operations.] CASE Form 101 • Statement of Special Inspections 9 ©CASE 2004 Masonry Required Inspection Level: ® 1 ❑2 Page 7 of 10 Item Agency# Scope (Qualif.) 1. Material Certification 1 Obtain material certificates for materials used in masonry ACI 530-02 Table 1.14.2 EIT construction,and verify compliance with the Contract Documents. 2. Mixing of Mortar and Grout 2 Inspectproportioning, mixing and retempering ofsite prepared IBC 2003 Table 1704.5.1 Item 1 a A CI-CCI mortar and grout. Verify conformance with approved mix design. and 3c [Inspect at least once per week.] 3. Mortar Joints 2 Inspect construction of mortar joints including tooling and filling IBC 2003 Table 1704.5.1 Item 1 b A CI-CCI of head joints. Verb conformance with the Contract Documents. and 3d [Inspect at least once per week.] 4. Reinforcement Location 2 Inspect all placement,positioning, lapping, and securing of IBC 2003 Table 1704.5.1 Item 1 c A CI-CCI reinforcing steel, connectors and anchorages. 2c and 3b 5. Prestressing Technique - [Not applicable] IBC 2003 Table 1704.5.1 Item 1d 6. Grade and Size of - [Not applicable] Prestressing Tendons and Anchorages IBC 2003 Table 1704.5.1 Item 1 e 7. Installation of Masonry 2 Inspect size, layout, bonding and placement of masonry units. IBC 2003 Table 1704.5.1 Item 2a ACI-CCI 7. Anchors and Ties 2 Inspect size, location,spacing and embedment of dowels, anchors IBC 2003 Table 1704.5.1 Item 2b A CI-CCI and ties. 9. Reinforcment Size, Grade 2 Verb that sizes,grades, and types of reinforcing comply with the and Type A CI-CCI requirements of the Contract Documents and reviewed Shop IBC 2003 Table 1704.5.1 Item 2c Drawings. [Inspect continuous full time inspection.] 10.Welding of Reinforcing Bars - No welding. IBC 2003 Table 1704.5.1 Item 2d 11 Weather Protection 2 Inspect cold weather protection and hot weather protection IBC 2003 Table 1704.5.1 Item 2e ACI-CCI procedures. Verify conformance with approved submittal. Verb that wall cavities are protected against precipitation. CASE Form 101 • Statement of Special Inspections • ©CASE 2004 Masonry (continued) Page 8 of 10 Item Agency# Scope (Qualif.) 12. Grouting Operations 2 Inspect grout space for cleanliness. Observe proportions of site- IBC 2003 Table 1704.5.1 Item 3 AC[-CC[ prepared grout, and verify compliance with Contract Documents. Inspect placement and consolidation of grout. Inspect masonry clean-outs for high-lift grouting. 13. Evaluation of Masonry 1 Review submittals and necessary masonry field strength tests for Strength compliance. IBC 2003 Table 1704.5.1 Item 5 and ACI 530-02 Table 1.14.2 2 Test masonry strength using "Unit Strength Method"ofACI530.1, AC[-CC[ Sec. 1.4. 14. Special Inspection 1 Observe work and inspections at frequency noted below. Verb Coordination PE that the assigned inspection agencies are conducting the inspections required. Independently verify the items specified in this Statement of Special Inspections during site observations. Verify inspection agent qualifications. CASE Form 101 • Statement of Special Inspections • ©CASE 2004 Structural Steel Page 9 of 10 Item Agency# Scope (Qualif.) 1 Fabricator Certification/ 2 Verify that the fabricator maintains detailed fabrication and Quality Control Procedures AWS-CWI quality control procedures that provide a basis for inspection IBC 2003 1704.2.1 control of the workmanship and the fabricator's ability to conform to approved construction documents and referenced standards. Review the procedures for completeness and adequacy relative to the code requirements for the fabricator's scope of work. (1704.2.1) Alternatively,for AISC Certified Fabricators,obtain current evidence that fabricator is exempt from Special Inspections as provided for in IBC 2003 Section 1704.2.2. [For Non-RISC Certified Fabricators: Make one shop visit during fabrication of members for this project.] [ForAISC Certified Fabricators: Review of the Fabricator's Certification/Quality Control Procedures may be waived.] 2. Material Certification 1 Review mill certificates for steel and ASTM certificates for bolts IBC 2003 Table 1704.3 and weld material. Items 1 b,3b,4b I Review material certifications for bolts, nuts and washers. 2 Review material certificates for weld fill materials. AWS-CWI Review material cert fcates for shear connectors. 3. Open Web Steel Joists I Review installation, alignment, bridging and connections ofjoist PE installation. 2 AWS-CWI 4. Bolting 2 Review bolting operation and proper pretensioning of bolts IBC 2003 Table 1704.3 utilized. Items 1 a and 2 2 Review fastener ASTM identification markings. 5. Welding 2 Review welder's certifications. IBC 2003 Table 1704.3 AWS-CWI Test critical welds with non-destructive methods for AWS Items 5a.1 through 5a.5 compliance. 6. Shear Connectors 2 Field inspection of installed connectors. IBC 2003 Table 1704.3 AWS-CWI CASE Form 101 • Statement of Special Inspections • ©CASE 2004 Structural Steel (continued) Page 10 of 10 Item Agency# Scope (Qualif.) 7. Structural Details 2 Review field installation of steel for conformance with Contract Documents. 8. Metal Deck 2 Field inspection of installed deck and connection to structure and IBC 2003 Table 1704.3 AWS-CWI side lap connections. Item 5a.5 9. Special Inspection I Observe work prior to decking installation and when nearly Coordinator PE complete for conformance to the Contract Documents. Independently verify the items specified in this Statement of Special Inspections during site observations. Verify inspection agent qualifications. CASE Form 101 • Statement of Special Inspections • ©CASE 2004 w 0,0 Nark 'IUSOR•Guv C mmercial/Industrial Site Compliance Checklist Date Submitted: 0 Applicant: Applicant Address: (U (0 7 a8� Applicant Phone: o t' Job Location: a*O ,''C( hl GIS PIN Prior to the issuance of a building permit, the following items shall be addressed: APPROVED DENIED N/A Planning and Zoning complete set of final plans submitted, including ` landscaping plan and architectural elevations Mylars filed P &Z bond IWA/CC bond Deeds ands easements Other _ 1 Pre-construction meeting held a 12-1 d 7 (date) Architectural elevations submitted to Building Dept are as approved by PZC WPCA approval received (date) WPCA fees received $ Fire Marshal Construction drawings/specs submitted (date) Site plan with location of hydrants and water mains Flow test completed Plan review completed 1,� %date) Response received from architect for Plan Review scicIri7 Sign-offs: Date IWA/CC AUJA-, aI Comment: Zoning Comment: Engineering _t11 t30 Comment: WPCA Comment: Public Works Comment: Fire Marsha � e t Comment: Building Permit#assigned H Electric# APPLICATION FOR BUILDING PERMIT Plumbing# �;"P 6 liS ! HVAC # Sou Date: Sprinkler# BUILDING DEPARTMENTFIN Estimated Cost $ I� L'�'v Building APPROVALS Permit Fee $�� i ©cam En nee in COMPLETE RED BOXED AREAS Occupancy Fee $ f t) Affidavit g TYPE OR PRINT ONLY Eng.Insp.Fee $ Appr.for CO. SIGN ON REVERSE SIDE Total Fee $ 1 P TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR,CT (Additional Cost) $ The undersigned hereby applies to do work according to the following: Applicant (f-4c-cZ- („Q7o0,x-rtc,l Location of work of %'d 44*&4e e- 4✓E0✓6. Lot No. Applicant's Address c200 Tel.# 8La ��-9odc Town. AVOAJ 1 el-r Zip 44.06 1 Lic.# Owner ,tit zigu- Ali- cr arz,11[144rchitect ;a"LfAl 44"I'T'1r.CM4At.- &AryP Owner's Address 9b a a,2,vr-. Architect's Address p2bo f:tQ4-C�4- -Cv-)v1- A&/tr:1 GT ZipOl ,nl A-Yc;y, G'T Zip P-6—W L Sq. Ft.New Area: 1st FI. 2nd FI. !�� '.Z D 3rd FI. Total New Area o2f;. �h'a Purpose of this permit 2tC H IJ City WaterG7-00" Well❑ Septic System❑ Sewer® Ins: HO SP Cert. Area Basement Garage Approved by Date Use Group Construction Type Revised 6102 164) 'oe j'B1Ef*11ERS' 1 1 1 Distributors of Propane, Petroleum Products, & Industrial Gases Date: �. 1 1� Gentlemen: This letter is my authorization for Brad Messenger to secure a building /zoning permit for work to be performed at the following address: The License Holder is: Bruce J. Berner The License Number is: 307280 Sincerely, Bruce J. Berner President BEMER PETROLEUM CORPORATION 210 Commerce Street, Glastonbury, CT 06033 • Tel. (860) 659-3515 Fax (860) 659-4326 CT License No.: 307280 f f/ C ♦C mom 00 I U 11117 � --� R O6 SPACES TO BE DEFERRED p d O sow O 24' 24� ING ALL PRIOR TO ,�, w ���```�• r,<�, S BASED ON THE BEST E AND ALL UTILITIES RE YOU DIG' ( MUCTION IWITS ;'�- ```'�� x __...... _ 1 SPACE TO BE DEFERRED `� �'� � . ~` •• :� �~ I FF 120.0 • 1110 lol O-- C N 4 SPACES TO • BE DEFERRED t i I �� w r♦t♦ �w �w r.w�� � �. war_ w �� w w �� f M&2) ,r. r r � - - dOo 1 t r vv c '• STATE OF CONNECTICUT . DEPARTMENT OF PUBLIC SAFETY 1111 Country Club Road Middletown, CT 06457-2389 April 2, 2008 Building Official, Town Of South Windsor 1540 Sullivan Ave South Windsor, CT 06074-2734 Contractor/installer: Otis Elevator Company RE: ECHN Building 2 2700 Tamarack Ave South Windsor,CT 06074 To All Contractors: We are returning your Blueprint No. 239341,submitted on 04/02/2008, for one Passenger Elevator (State# 132-0035)to be located at the above address. These drawings have been reviewed, found to be in compliance with requirements, and are hereby approved for construction. Please note that no deviations from the approved plans are allowed without prior approval from this office. Scheduling new acceptance inspections should be made at least 5 working days prior to the required date. Very truly yours, 7( 0-Q �Qc' Nancy C. DiMitruck, State Elevator Inspections Supervisor Approved by: 4Q�-e�w A�-� Enclosure DPS-0852-C Rev 03/06 An Equal Opportunity Employer OTIS-200(12/95)DIA F ,� NOTE: HOISTWAY FASCIA IS NOT SELF-SUPPORTING FOR REFUGE NOTE 1: TYPICAL PIT REFUGE 24"x48"x24'H REVI510N5 LONG CONTINUOUS RUNS VOID OF ENTRANCES.ADEQUATE REFER TO ASME A17.1-2000,SEC. 3.4 SUPPORT FOR THE FASCIA MUST BE PROVIDED BY OTHERS. S• NOTE 9 CONTRACT NUMBER 239341 RAIL BRACKET SUPPORT REO'D. CONTRACT 239341 0MACHINE 5620 S WITHIN 6"Of THIS DIMENSION. STEEL SAFETY BEAM FOR A MINIMUM 80 TANK DIMENSIONS a MOTOR HP. 20 4' 8-3 8" NET LIVE LOAD OF 5000# (2168KG) WIDTH DEPTH HEIGHT w 3 - 80 (NOT BY OTIS). o 0 211 2H 42.25' 19.12 40.50' = S PLATFORM CONTROLLER DIMENSIONS - ACA2400ON ~_� - ACA24000N MOTH DEPTH HOGHT u�OF - SIZE - 1-1 2 0 12 iv 37.13 11.36 36.00'1 4.5" BUFFERS - 1 - SPRING BUFFER STROKE 1.75- OIL TOT GALS,ORDERED 105 9'-0" ma o_ N 0 A n :na M� 1 SHUT-OFF a I n r o VALVE ESTIMATED WEIGHIS(LOS.)(PER CAR Z 4' 0' FFIN L HALL FIXTURE CUTOUT DETAIL TOTAL CAR ENCLOSURE230D CLR. MAINLINE & 4-0' O1 HALL FIXTURE 0 ALL FLOORS. PLUNGER WEIGHT 1 154D o 2 i LIGHT SWITCH CLR. v �- HALL FIXTURES 0 " IS SURFACE MOUNT GROSS LOAD 6108 _ Z (NOT BY 011S) W/ 1.25"(32mm) to 1.38'(35mm) MAX CLEARANCE HOLE z a O2 S.E.S. PHASE 1 KEY SWITCH 0 FLOOR'1"ONLY. w " o= CUTOUT SIZE: 9.78' X 2.26' K POWER: 480 V. 3 PH. 4 W. 60 HZ. LIGHT 120 V. HALm NOTE A O RFACEE MOUNT SrrION NW/1.5'(32DICATOR 0 mm) toOOR 11.38"(35mm) MAX CLEARANCE HOLE DATA REWIRED BY ANSI/ASME A17.1 WORKING PRESSURE = 519 P.S.I. FULL U2 RUPTURE REM NOMINAL R D R:"'[:"WALL THICKNESS o VALVE PLUNGER 2.840ILI ` REFUGE NOTE 1 CYLINDER 4.50 7 F e 'N RE AGE TkF PIPE 2 2.375 54 i i HYDRAULIC PIPE TO CONFDRM31WM A53,4UE E.GRAD DETAIL"A' W_ DIMENSIONAL DATA ON I 4YOWdCOMPLIES ASME0+4 a =_ AND OR LOCAL CODE, S ZONE 0NE2 x _ _ IMPORTANT NOTES; GENE RAIJEOUIREkKS BY OWS I.PNOPERLY FRAMED LEGAL nD IIIGL11pINIF NG AS a M W o W S L11 MITI SW I �( L2 2.ADEQUATE SUPPORT REQUIRED Iff THE R"I"c OBE AND RLS�i�Ep .Rs z� L "roi o i _ -�•—X- NSrW.MRMN THE SPACING 51NMM-0N THESE TOR WHENEVER POSSIBLE MAINTAIN A 4'MINIMUM �; z L3 / l4 eEAM WHERE RE [� CLEARANCE BETWEEN TANK AND MACHINE ROOM WALLS. a. N - a - L — J t PRONR70NS FOR PRDrECYPRE HOISIWAY 0 CONsmuCFG j', MACHINE ROOM PLAN - - mBE DRETD,MH ` OTHER �; < ..ALL RwmNc DR PA AxOYMODA OI INSTK�M �. w MACHINE ROOM LOCATED 0 = FLOOR WITH A CLEAR = n ^ a0 I t Mgrs1NN1r INN IS ARE dHED D M DANCE Q CEDJNG HEIGHT OF NOT LESS THAN 7' 6"&A e H n TC THE REOORED RRE WFE "ETPAIEO er TOR w I FIXTURE BOXES AND ADE NING$TD Y VENT PROVIDED FOR A HEAT RELEASE OF JM BTU/HR. "; m I ASSEMBLIES.E VE THE A Hgtlt PFORT N BE PRMOE01fY C ESTIMATED AMOUNT OF TO& FROM OIL PIPING o o . 239341 FNNE TAs"ESE aLi,TH E E "MUL FM SUPPORT FLL4;UUsr Mat 9E G $ REQUIRED_70''=Q—OF PIPE _�7 ELBOWS. �I SEE NOTES C°"smuC ED wm A"° sEr' 0 10& 13 t OPEPE N:Ero"FANE IOR PRECAST �a 7 AID uRrm---� ro P�107.SURABLE "EDRE RoesB�y TOPERA �nNN"Eo e=Eli ai°' SILL ASSEMBLY BY OTIS) AND+oOF.REUTTYE�OrT1"TT ro :xax�AG FOR w FROM nurxc YENOn ro AND' "ANG E"IS 11HOSE GROUTING IF REQUIRED 9 OPNG.0 FL S. SHOWN AB02 AEF CONFRMAi cx 'I z BY OTHERS 1 2 t SUITABLE LIGHT a a GFC.L�HINE ROOM WIFH THEa FIN.FLOOR o " "E�Mop ro THE Lnr�„yy9 SIDE m F 1 ^ z 1' -1 OPNC. 9.FOR EACH ETFAT A TIES PHASE FIR LL A N $ i HALL BUTTON SEPARATE Eou PEF°�r cRaL"axlc mNa cm D A sNaE 21 TELL UGHHTNC SUPPLY. EACH WITH A FUSED cT SWTC H RcuIT . T 4 ' RREAuaa MFG ro EACH CONTROLLER. Q T iIL D.B.G. 10.N TLH Nr A sEPwA1E CRANE"oRart FTxio9NrE"ENa cFCI.QURET. v+ a L CT11 F IN1uRE WITH tCHr SWrta ADL C THE WPITC LADDER i o a GROUT STOP 11.ALL ELECTRIC POAER FOR IATIT ORNNC ERECTOR AS N e z n SILL CANE DOOR SPACE _ WELL AS ELECOC CLIPoEIT SGRATG A I ' SEE PLAN VIEW -1 CLOP, 12.DRY PIT REINFORCED ro Su R cnL sOyrnL,� LDes snAN OR E a FRONT WALL UNE 1HESE NGS NQUDE ASLU CE FOR w.T A5 NOTED). Q� THE ACCIIWLATION OF WATER MUST BE PR DETAIL IF A TI - LT.A FRIED ARINAL s 1EL LADDER ro PR NO A'0T1219v)ABOVE THE Rf }. su a THE BOTTOM E1TPNICE AS LOOTED N THE VIEW.LADDER WIDTH AND PROECTCN FROM WALL PER LOCAL COOEIF PR DEPTH rs GREATER THAN ADEQUATE SUPPORT AT ALL FASTENING POINTS OF ENTRANCE 9'1014000,n)A PIT ACCESS DOOR rs REQUIRED. ASSEMBLY REQUIRED. MUST WITHSTAND A HORIZONTAL PULL-OUT u.PIT}LwR BENEATH BUFFERS WHIRATH CYUNDERS AM BERS 10 BE FLAT AND LEVEL i FORCE OF 140 LBS. 0 EA. FASTENING POINT (8 0 EA ENTRANCE) -5 - 4' TF 8- V0 FLU WIDTH a HHOS11HAY.CLrTDU 5 AND PATCHING OF FLOOR NOT BY OFF. INCLUDING SUPPORT FOR, CENTER SILL SUPPORT BRACKET, ELEVATOR CAR FLODMNG MUST NOT EXCEED A 1HCIN6$OF 5/1C. ELEVATION VIEW o (NOT BY OTIS). it ORE 1t DEEDZTED OLFTSIDE TELEPHONE LINE ro THE ELEVATOR MACHINE CONTRACT No. 239341 m NOTE:IF ENTRANCE WAILS ARE NOT LOAD BEARING THEN THEY -1 4" B.C. -1 TELEPHONE 1 ��B.TELEPHONE caxErnw ro EACH CONTROLLER. .o MUST NOT BE CONSTRUCTED UNTIL AFTER THE FRAMES&SILLS 17.AP 12S VEST Is OR 2O AMA SINGE PW�RECEPTACLES INSTALLED IN z ARE INSTALLED.IF ENTRANCE WALLS ARE LOAD BEARING THEN 3-1 2' 3-1 2' PIS MACHINC R00M5 OR MACHINERY SPACES,SHML HAVE GROUND-FAULT- COORDINATE WITH OTIS CONSTRUCTION SUPERINTENDENT. cRcur INrEFFD P FR(CIF W PTO ECTIOR. ENTRANCE ARRANGEMENT It SMOKE LOCATED AS RED RED NTH WRING FROM 1£SENSING DE\ICFS ro A LER DEvcwLTEO dr OTIS. ERECTOR NOTE: FLOOR ARRGMT. WALL DEPTH C H AY PR FOR EACH CROUP a O E DETECTOR PROVIDE T A NORMALLY CLOSED CpfGCf RER EACH UP SMOKE RTES. R VI THE OFRMALLY RETURN LANDING. DIMENSION TO TOP OF CYLINDER BASE PLATE. F/ R F/R F/R ALAI EACH GROUP OF FLOATED PROVIDE.NORMALLY CLOSED HIRECON D REPRESENIMG ALL SMOKE E SMOKE RECTOR IN LONdES,NOISTWAYS DR MACHINE Y V/ NfT NOT llE SMOLE DETECTOR AT 11E DEAGHUTED REAMRN LANDING SEE IF UNABLE TO MAINTAIN THIS DIMENSION, I --- M2 --- 11.000 0.000 OR THE SMOKE DETECTORS AS DESCRIBED IN A A 9 BELOW: REFER TO DATA ON DRAWING fA4A22502A0 A F A SMOKE DETECTOR 6 LOCATED IN THE H06TWAY AT OR BELOW THE LOW 2 --- M2 --- 11.000 0.000 PLAN VIEW NO„AL Y C RECALL LAHXNGS IT E SMOKE E WIREDETEZ7 To ACATED THE ENE NORMALLY CLOSED CONTACT THE SMOKE DETECTOR LOCATED N THE 10BB7 A7 THE DOWER OF THE TWO RECALL ED AT PLUNGER LENGTH - 182,000• FINAL LAYOUT FOR INSTALLATION) B)F MOKE E ROOMS ARE loulTH AT THE DESIGNATEDBWIRED RETURF ACTIVATE THEDETECTOR SAME CYLINDER LENGTH = 178.750' VY SUMP OR DRAIN IF REQUIRED IN PR(N07 BY OTIS) NonMALLY CLOSED CONTACT AS THE SMOKE DEFECTOR AT THE DESCNATED Uwwc. INSERT SKETCH TH FOR A SINGLE UNIT OR GROUP OF ELEVATORS HAVING ONE COMMON MACHINE P/C BOTTOM CLEARANCE = 0.625• LOCATION TO BE COORDINATED WI OTIS TO ROOM NO ONE C66WN HOSTWAY,PROVIDE ONE ADDITCNAL NORMALLY CLOSED RAIL FORCE DETAIL AVOID ELEVATOR COMPONENTS AND ACCESS AREA INSERTS THAT OCCUR IN A BLOCK WALL SHALL BE LVM 3500E IF THE REPRESENTING ALL MAD INN NE A110 Y,ANDr(NSTWA DETECTORS SET IN COURSES OF BRICK (NOT BY OTIS). F THE CRow carTHNs MORE THAN ONE HasTWAr A"D IHasrWAr SMOKE NOTE 20 •THS FORCE INCLUDES IMPACT ANTED DETECTORS ARE OmMLEO 0R F THE GROW HAS IRORE THAN ORE MA04K ROOM.PROADE ONE ADOYgNAL NORMALLY CLOSED CONTACT FOR EACH FACTORY TO SUPPLY(4� 5/8"WEDGE ANCHORS SEE NOTES 2& 12 TECHNOLOGIES NORTHEAST E EVATM THE CONTACT rs ro REPRESENT THE SMOKE DETECTOR N THE WITH 2-1/4"MIN. EM DMENT. OTIS ELEVATOR AREA MACHINE ROOM FOR THAT PARCUAR ELEVATOR MY SMOKE DEFECTORS CAR: VX = 630 ClTHE HKISTMr HX)NTANMC THAT PARTICULAR ELMTOM. T 1 VY= 315 VXe = 111 TYPE CONTRACT NI 239341 )PRO CLASS CLASS ABC FIRE EXTINGUISHER N MACHINE ROOM. NOTE 2 . ONE(1) PASSENGER 19. SPRINKLERS ARE INSTALLED IN THE THO&IWAr,MACHINE ROOM OR SNAG GUARDS ARE REQUIRED IF THE TRAVELING 0n' IF SPACES THE Lax CODE MAY REQUIRE A MEANS To AUTOMATCALLY CABLE LOOP BELOW THE HATCH JUNCTION BOX TYPE a"Na EON BUILDING 2 DISCONNECT THE MAN LINE POWER SUPPLY OF THE AFFECTED FLEXOR I g0R IS WITHIN 36" HORIZONTALLY OF SNAG POINT. MACHL LVM MODEL TO THE NfLXATI N a INTER(CONFIRM W"LOCAL COOS OTCMLL SMOKE *EACH BUFF. IMPACT LOAD = 16427 LOCADW 2/00 TAMARACK AYE S2rnH WMOSOR Ct DGo7A DETECTORS SMALL NO SP USED ro ACTIVATE DISCO SPRINECT KI THE N MpE ibis wAUPPL NOTE 22: OF INSERT afED Lao: 3500 f Cara.INN: CASLE CORPORATION R0016 2i MAGWERY SPACES CLR ro DISCONNECT THE MAIN LINE POWCR SUPPLY. TO AND FROM PIPING SHALL NOT CROSS SEISMIC. -EACH CYL IMPACT LOAD = 67871met CASLE CORPORATION AND SAFETY VALVE IN ACCORDANCE MAXIMUM BRACKET SPACING RATEDyEEO 1DO F.P.M. SIT=WITH THE A.N.S.I.A17-1981 PARAGRAPH F305.5. CABLE CORPORATION CAR = 14 0' OPmTNG SPEED IN 100 F.P.M. NOTE A:TWO(2)6'.0 CUTOUTS LOCATED 0 29 AND 7'D'ABOVE MACHINE ROOM THE DOWN NRECTIO6 alMToc JASON KIDWELL QULD 01-31-IDES FLOOR(tlIMENSIONS FROM FINISHED FLOOR TD BOTTOM OF CUTOUTS). NOTE-DO NOT SALE TIES DRAWING REFER TO DWG'S. NO. DWG. NO. 239341 - PN r r L A . . .� �. . _ . _ _. v .- . _� �+E 1 ...�_.,.......,�. r.._ .... ....� ...._ ,....ter..._r.-....�..�....•.,,�......7i..i'J V�'Crb APPLICATION FOR BUILDING PERMIT g# 2 4 0 0 Tamarack AvenueDate:# pr# _ 1000243 - -- Estimated C¢¢st ;y �C� FINAL APPROVALS Permit Fee �7 I�`� Building - �W — COMPLETE RED BOXED AREAS Engineering TYPE OR PRINT ONLY Occupancy Feelfl $ %D. 0� �� Eng. Insp. $ Z , ► SIGN ON REVERSE SIDE ' Affidavit Appr. for CO. - - - --- - - - - - Total Fee $ TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $� The undersigned hereby applies to do work according to the following: Applicant co-, ?. Location of Work E-. Lot No. Applicant's Address aQ0 FIST! J4 Tel.# gw -67,1.�w Town Zip 0YP0Q_ / _Lic.# .MGQ. 090� .S9 Owner /4&> At, 4.%oc_4mz& .ff LLC— Architect __-_S_tZAk Owner's Address w2c�ho Architect's Address acx) F�.SrE-/ciC- P.l�+ �(✓ At)oj, 1 Zips Avo, 1 G-r- Zip Dlocx>> Sq. Ft. New Area: 1st FI. 2nd FI. 3rd Fl. Total New Area , Purpose of this permit wit ) -r Az__ t3i-vt�u r U� T T MCAi��c oGF. City Water Well❑ Septic System❑ Sewerul___� Ins: HO SP Cert. Area Basement Garage Approved by Date "/O Use Group Construction Type Revised 6102 I hereby agree to conform to all the requirements of the L of the Stat necticut and the Ordinances of the Town of South Windsor and to notify the Building Inspector of an Iteration he plans specifications of the Building for which this permit is asked,and agree that this building is to be to the pr r distanc rom all street lines,side yard lines,and required distances from all other zones and is located in whi s b ing nd its us is allowed. Signed Cu I hereby apply for a Certificate of Oc+u ncy woZdribed in this application for the permit. Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS INSPECTION FIELD SHEET 10/20/10 Printed by Peart, Dayshell 15:45 16 INSPECTION: 31771 FOOTING PERMIT: STATUS , ' APPLICATION: 201000583 LOCATION: 2400 TAMARACK AVE. ECHN II SOUTH WINDSOR PROPERTY ID: 89302400 OWNER: EVERGREEN MEDICAL ASSOCIATES II LLC CONTRACTOR: REQUEST BY DESCRIPTION: TENANT BUILD OUT MEDICAL OFFICE SPACE/PRIMARY CARE 2ND FLOOR WORK ORDER: INSPECTOR: ROSE RESULT: N/A REQUESTED PRIORITY: SCHEDULED: COMPLETED: 10/20/10 UNPAID FEES 00 Date Time TIME: TRAVEL ONSITE COMMENTS ALL INSPECTIONS INSPECTED INSPECTOR RESULT INSP DESCRIPTION 10/20/10 ROSE N/A B002 FOUNDATION 06/30/10 ROSE PASS B003 FRAMING (ROUGH) 07/15/10 DOUG PASS B003 FRAMING (ROUGH) 10/20/10 ROSE N/A B004 INSULATION 09/09/10 DOUG PASS BO10 FINAL 10/20/10 ROSE N/A E001 ELECTRIC SERVICE 10/20/10 ROSE N/A E002 ELECTRIC UNDERGROUND 08/16/10 DOUG PASS E003 ELECTRIC ROUGH 09/10/10 SUMM N/A F005 FM PENETRATIONS/SEPERATION 09/10/10 SUMM N/A FO10 FM ABOVE CEILING 09/10/10 SUMM PASS F015 FM FIRE ALARM TEST 09/10/10 SUMM PASS F025 FM EMERGENCY/EXIT LIGHTING 09/10/10 SUMM PASS F035 FM EXITS 09/10/10 SUMM PASS F040 CO -FIRE MARSHAL INSPECTION 10/20/10 ROSE N/A H002 HVAC UNDERGROUND 10/20/10 ROSE N/A H003 HVAC ROUGH 10/20/10 ROSE N/A P002 PLUMBING UNDERGROUND 07/13/10 DOUG PASS P003 PLUMBING ROUGH 10/20/10 ROSE N/A P004 PLUMBING GAS TEST 10/20/10 ROSE N/A S003 SPRINKLER ROUGH INSPECTION FIELD SHEET 10/20/10 Printed by Peart, Dayshell 15 45 16 10/20/10 ROSE N/A S005 HYDRO TEST 10/2D/10 LIPE PASS Z003 CO PLANNING INSPECTION APPLICATION FOIIR�I�PERMANENT SIGN PERMIT Zoning Approval:i�K r�'�'v� ]p 1� E U ,� Ref. _ _ DEC 4 2008 Est. Cost: $ j 600 Final Inspections: N . 900534 Permit Fee: $ 60 Building ,a yo Sout�i Approved: BUILDING DEPARTMENT Zoningytc, Electric Permit# .� q'�g ApplicantBusinessName i ©� �I ILIA' ��ca''� (ee,� cV�C I S vc�����' 02� LLC (Owlxer) Address '�66 dP &J r�Cl 066 Phone 6y9"-(9SV Location of Sign 24 itv✓1arac-`CAve_ Zone &,,ejdad C, evjay TYPE of SIGN: Wall or❑Free-standing ❑New or❑Replacement Illuminated?❑Yes [A No Proposed Sign Size(square feet) 63 Sign Height ' a 7 e t No.of Existing signs on site Free-standing C-7" Wall Description of sign materials and lighting: rc' 'Elfl-e(S b✓t—'/II0/k,.Via �til(�ti 1C'ca 6 (�- /1 Ra Pvel o^ Ee2( ATTACH DIAGRAM OF SIGN INCLUDING I have read,aA'stand a o abid by the South �W(indsor Zoning Regulations, Signs. DIMENSIONS Applicant Date �� d I Property Own Dale ------------------------------------------------------------------------------ APPLICATION FOR PERMANENT SIGN PERMIT ' E Zoning Approval: Est.Cost $ t,,,t is 5 oa DEC oo42008 Permit Fee: $ 60 533 Ref. NO' S� QSIIr— Approved: _ Final Inspectio s BUILDING DEPARTMENT Electric Permit# Building � a Zoning ApplicantBusiiness Name rt lrlGlS LGC . , kc-,Or lCr /B ,'�IP�cC4I,rI�Sc�C'4 fe5 a� L LC (c) w�� Address 1 S �PNC �414.1eul'S if C QG6 9 Phone � �� 9Location of Sign (ct-w'lA� Zone4ZA C e w a TYPE of SIGN: M Wall or❑Free-standing ❑New or❑Replacement Illuminated?❑Yes No Proposed Sign Size f4are feet) 63_Sign Height ' 7'v ( No.of Existing signs on site C-- Free-standing n Wall Description of sign materials and lighting: i'Z1t C J�tc'+r5 I(LkC&P 40 f es ATTACH tX ( C V� Ol/\ SPC' CIE DIAGRAM OF SIGN INCLUDING I have read, I erst and to ide by the South Vifndsor Zoning Regulations,Signs. DIMENSIONS Applicant C � � Date I G Property Owner / Date Z z; m w�U a m<0 rUU< d' Q� CASLE 4.MMM 4LAVM 9'V a O Q O O la 577 O ^i TNI OFQ IO pu'O,[Crtllr � vLIImUIL caoe Io u+�cr ea«r FRONT ELEVATION v w ry V'y I r r- LU W� O O O O 7i _ V ! z cc ] n 2w HOOK - O Y b <8 $ b _ RIGHT ELEVATION LU �wa-L JwAf •it. O Architect rch � ArchireLvuml KEY PLAN Group 4-04-07 rn M I > /a r— rn r'n r— < rn z & z L iL I I� - 71-1 11 !1 Inniff it V, I ER z hO ELEVATIONS THE 5cA —1— ECHN at Eve j-.040" Wczzk > CORP CASLE CORE- ORAN CONNE—UT moicc, GL11 M DESIGN BUILDER r i i p. East 46i,, A .._..--- -- 153.551 in - 5 . .c r- cn ' cy { .97.109 in - f L J 49.761 in - o6 �- - K.P ZX- �Na r Tri • 7 ¢ e . jov ea th t I 1t i : S � i E J l J, i i • i r, 3; t ,ti 1 ' e t h � i f �' PERMITS/INSP PAYMENT RECPT# 20313495 TOWN OF SOUTH WINDSOR 1540 SULLIVAN AVENUE SOUTH WINDSOR CT 06074 DATE: 12/05/08 TIME 10 38 CLERK: aliceakeh DEPT: CUSTOMER# 0 PARCEL: CHG: BLDPRM BUILDING PERMIT 60 00 AMOUNT PAID: 60 00 PAID BY: SIGNS OF ALL KINDS L PAYMENT METH: CHECK 15949 REFERENCE: A2400 TAMARA AMT TENDERED: 60 00 AMT APPLIED: 60 00 CHANGE 00 J PERMITS/INSP PAYMENT RECPT# 20313493 TOWN OF SOUTH WINDSOR 1540 SULLIVAN AVENUE SOUTH WINDSOR CT 06074 DATE: 12/05/08 TIME: 10 37 CLERK: aliceakeh DEPT: CUSTOMER# 0 PARCEL: CHG: BLDPRM BUILDING PERMIT 60 00 AMOUNT PAID: 60 00 PAID BY: SIGNS OF ALL KINDS L PAYMENT METH: CHECK 15949 REFERENCE: A2400 EVERGR AMT TENDERED: 60 00 AMT APPLIED: 60 00 CHANGE: 00 DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT PERMIT# Application is hereby: TOWN OF SOUTH WINDSOR � C 1 BUILDING DEPARTMENT APPROVED I 1540 SULLIVAN AVENUE Bldg. Permit# 644-2511 ext. 230 D to Building Inspector Application must be printed or typed FEE SCHEDULE Locatiqp of Job: $0-$1,000=$15.00 Street No. Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANTG' APPLICANT )ADDRESS /0 ��° (,tiJ Cf j'V�s✓ �1✓r- J�1 ✓v►' �i ��0� 7� APPLICANT PHONE# �J �g` 1�2 7 7 OWN S OWNER 0 q� OWNER ADDRESS yy� %Ly9't�Z OWNER PHONE C ESTIMATED COST$ r� IS THIS A CONTRACT COST? _ es _No FEE ENCLOSED$ 3® � O 1� TYPE OF JOB: �SOR-CO� ,'--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 FUTURE USE AND OCCUPANCY ❑EDUCATIONAL ❑INSTITUTIONAL ❑FACTORY ENGINEER'S NAME PHONE ❑STORAGE ❑GARAGE ADDRESS ❑MDC D USE (Other please specify) CITY 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. CONTRACTORS LICENSE NO. TYPE STA SIGNATURE OF APPLICANT DATE / O IN air . 3 alit Contractor's Material and Test Certificate for Aboveground Piping PROCEDI,RE Upon corrVtetion of work rspectipn and tests snail be.. by Vie contractor's rep eseranpve and witnessed by an owners representative_ An defects sttaf be rested and system left in service oelore corarackr's personnel finally leave the join_ A certificam shall be floc out and signed by bah mpresentadKs. Copies snag be prepared for approving acrtiorloes.ow nets-and cor►trar�or. It is understood the owner s representative s s9natre in no way prejudices any claim aga»st conVaclor to laulty material,poor wodmmfnngL Of bi ire k comply with approvng&Ahonty s iequirecihents or kcal ordinances Property name E-/ `,L)-4 Z O„f[ , O . Property address 2-400 -ice M AQA C.K U + S. W, n C M approving augicv ies(names)" Address Plans titstaeatiori cornlonos to accepted purrs .Yn No Egiiwnem used is approved YUa NO n no,explain devumc m Has person in charge of fine equipamm been insbucted as lees _No to location of caved valves and care and maintenance of this new equOrntent? g no.Main? fnsiructions a Have copies of the knowing been left on the premises? _ Yes _ No 1. Systern components instructions _ Yes _ No 2 Care and maintenarce instructions _ Yes _ No 3. 25 _ Yes _ No Location of Supplies buidngs Z system ["L F Year of Orrice TemperaWre Melce Model ithanulacture size rating 9 — ICU Pipe and Type at pipe f�tZ"S` 4�J SCit� Z= (o f✓ O Q'b fittings Type of lilli gs I Alarm mo n=irrte tD operate valve or Alan device - � - tlirorfgtn test CorrteCtion flow Tppe Make mom Minutes Seconds indicawr Dry valve Maine Model Serial no- Matte Model Serial no. Dry pipe Time to trip Tme water Alarm operamtg twough tint Water Air Trip point ruched operated tes: oorrter7fon' pressure pressure air pitessure lest outletI lfnites Seconds psi psi psi Wm. Seconds Yes No Q CL VAIN ir no.explain Measured from time inspectors VW confection is opened Reprred with Permission from NFPA 13.hUftileOon of Sprinil ter Sysfatms;CgWdgW C1SW Ntegonat Fire Protection Association.Ctincy.MA 02269. This Mprirtted material is not fie compute and olliaal position of the Nadarid Fire Profac M Meoci�on.on the ref mvXd subject wt :h is repress only by the standard in its mWety- American Fire SWw*der Association 12959 Jupiter Road,Suite 142,Dallas Terns 75MB AFSA Faris#AFM DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT PERMIT# TOWN OF SOUTH WINDSOR Ap ereby: BUILDING DEPARTMENT 1540 SULLIVAN AVENUE Bldg.Perna r G. 644-2511 ext. 230d��l�� Date B i ng inspectors/a�j Application must be printed or typed (J FEE SCHEDULE Location of Job: 4r0 ram►�qjc!Z $0-$1,000=$15.00 Street No. Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT A l (rj� gle /4-4L APPLICANT ADDRESS Sf 6-7-, o6 o iy APPLICANT PHONE# P-6 8 DW N S F4 OWNER C f-� i:l �i �P2 S'�N�•2 �C. - OWNER ADDRESS ,�� /�r�$"�i t0. /-)a , 4- OWNER PHONE O ESTIMATED COST$ IS THIS A CONTRACT COST? �s —No tG o �G FEE ENCLOSED$_U56 1� TYPE OF JOB: 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 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 -P 10Q e— zhl C /, jc!C 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 Af 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. 10q P07- . CONTRACTORS LICENSE NO. TYPE STATE r SIGNATURE OF APPLICANT %� DATE TOWN OF SOUTH WINDSOR AFFIDAVIT OF ACTUAL COSTS PERMIT NO: �J� DATE —C7 The undersigned, being a duly authorized representative of,_ -g o/, G do by this statement, certify that the actual costs shown below, of the project referenced by the Permit Number shown above, are true and accurate. This statement is being made pursuant to the Town of South Windsor Ordinance, Article II, Section 14-31, (a)thru(e), (see attached). understand that verification for accuracy of actual costs may be made at any time by the Building Official through an appraisal of the work at the expense of the property owner. hereby certify that the actual cost of the work performed under this permit is: $ / --? O 01 Signature of Permit Holder: v Name(Please Print) D►,�.-, /�i//f �/ . Date: ................................................................................. State of Connecticut] ] ss South Windsor Date: County of Hartford] Personally appeared , as aforesaid, Signer and sealer of the foregoing instrument and acknowledged the same to be his/her free act and deed, before me. Notary Public Commissioner of the Superior Court My commission expires on BUILDINGS AND BUILDING REGULATIONS §14-31 ARTICLE I. IN GENERAL cable utility shall be submitted to the building official prior to the issuance of the demolition Secs. 14-1-14-30. Reserved. permit. (h) Signs. The permit fee for signs shall be ARTICLE H. BUILDING CODE $15.00 per thousand, or fraction thereof, of the estimated cost of the sign and its installation. Sec. 14-31. Construction and alteration fees. (i) Engineering inspection fees. Where an engi- (a) Generally. The building permit and trade neering inspection is necessary to establish com- permit fees shall be $15.00 per thousand, or pliance with an approved sitelplot plan for the fraction thereof, of the cost of the construction. issuance of a certificate of occupancy according to f occupancy. The certificate of the zoning and subdivision regulations,an inspec- (b) Certif icate o occu a lion fee of $35.00 shall be assessed when the occupancy fee shall be $10.00. request for a site inspection is made. (c) Cost of project. Building and trade permit (Code 1978, §§ 10-201, 10-203-10-205; Ord.No. fees shall be based upon the cost of construction 127,11-9-90;Ord.No.139,§§10-201,10-203-10- and the materials to be supplied in conjunction 205,10-10-96;Ord.No.156,§10-201,7-6-99;Ord. with the project described in the permit. The No. 165,§§ 10-200-10-205,3-4-02;Ord.No. 166, owner or contractor shall supply the building 6-17-02) official with an estimate of the total job covered under the permit. All trade permits shall have individual costs and fees. (d) Accepted value. The cost of materials and i labor of a project accepted by the building official shall, in no case, be less than the guidelines offered for Connecticut in the latest building valuation data report published by BOCA[Build- ing Officials Conference of America] Interna- tional. (e) Affidavit. An affidavit under oath under penalties of false statement of actual final cost for all new structures and major additions shall be signed by the owner, agent or contractor for the project prior to the issuance of a certificate of occupancy; and the fee shall then be appropri- ately adjusted. Affidavits for other construction permit costs may be required by the building official. W Moving of buildings. The permit fee for moving a building shall be $15.00 per thousand, or fraction thereof, of the estimated cost of the move.Any additional costs,such as traffic control or newspaper advertising, shall be paid by the applicant in addition to the permit fee. (g) Demolition. The permit fee for the demoli- tion of buildings shall be$15.00 per thousand,or fraction thereof, of the estimated cost of the demolition.Letters of disconnect from any appli- Supp.No.1 CD14:3 DEPARTMENT DECISION APPLICATION FOR SPRINKLER PERMIT TOWN OF SOUTH WINDSOR PERMIT# Application is.hereby: MOMS � BUILDING DEPARTMENT - PRO 1540 SULLIVAN AVENUE Bldg.Permit# Lt 644-2511 ext. 230Date ing Inspector Application must be printed or typed _ Location of Job: FEE SCHEDULE Z 6 /AgmAzCA,- /`'��11/I- - $0-$1,000=$15.00 Street No. Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT4- APPLICANT ADDRESS fi�7r4 �' APPLICANT PHONE# O W N S F,q OWNER "1�e/Sh.J OWNER ADDRESS Z C07 * OWNER PHONE C ESTIMATED COST$ ems,•�"`� IS THIS A CONTRACT COST? Yes _No G FEE ENCLOSED$ f7S`0. �j 'w 5 O�� TYPE OF JOB: ,� OR'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 Z NO. OF STORIES ❑RESIDENTIAL MBUSINESS IS THIS APPLICATION ASSOCIATED WITH A ❑ASSEMBLY BUILDING PERMIT APPLICATION? ❑ YES ❑NO ❑MERCANTILE ❑EDUCATIONAL CURRENT USE AND OCCUPANCY ❑ 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 Z 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) -0-PROFESSIONAL ENGINEER ❑INSURANCE COMPANY WATER FLOW Zg2 -'> WATER PRESSURE AT SPRINKLER HEADS(PSI) ARE PUMPS REQUIRED? ❑YES O'910 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-4/97 GPM TOTAL DYNAMIC HEAD(TDH)OF FIRE PUMP PSI DESCRIPTION OF WORK ��!S�e.�.. /Se l,►.� S,�iz..s N-G i2_ S�,s f'a.r - .fls �o•Z. �[.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. CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLIC DATE Z-LY D ALLSTATE P.O. Box 2350 Hartford, Connecticut 06146 FIRE SPRINKLER (860) 246-771 1 FAX (860) 246-7707 INC. January 28, 2008 Town of South Windsor South Windsor, CT Attn: Building Official Re: Application for Permit Job #5457 Gentlemen: In accordance with 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: ECHN2 Location: ECHN2 @ Evergreen Walk Authorized Agent: James H. Forristall Thank you for your cooperation. Sincerely, C��,44W ri Thomas Jacquel President Al i1c Certified Small Business Enterprise AND CMIrMACrOft A$SOCL4M&JXDM Conn. Contractor's License #F10590 _. TOWN OF SOUTH WINDSOR AFFIDAVIT OF ACTUAL COSTS D PERMIT NO: DATE FEA 14onpD South Winasur BUILDING DEPARTMENT The undersigned, being a duly authorized representative of, C-.r,c.eE 0 'Z"rl&X4;2, do by this statement, certify that the actual costs shown below, of the project referenced by the Permit Number shown above, are true and accurate. This statement is being made pursuant to the Town of South Windsor Ordinance, Article II, Section 14-31, (a)thru (e), (see attached). I understand that verification for accuracy of actual costs may be made at any time by the Building Official through an appraisal of the work at the expense of the property owner. I here y certify that the actual cost the r d under this permit is: $ w r perfo s p pa m Signature of Permit Hold Name (Please Print)Date: State ................................................................................. State of Connecticut] ] ss South Windsor Date: County of Hartford] Personally appeared , as aforesaid, Signer and sealer of the foregoing instrument and acknowledged the same to be his/her free act and deed, before me. Notary Public Commissioner of the Superior Court My commission expires on BUILDINGS AND BUILDING REGULATIONS §14-31 ARTICLE I. IN GENERAL cable utility shall be submitted to the building official prior to the issuance of the demolition Secs. 14-1-14.30. Reserved. permit. (h) Signs. The permit fee for signs shall be ARTICLE II. BUILDING CODE $15.00 per thousand, or fraction thereof, of the estimated cost of the sign and its installation. Sec. 14-31. Construction and alteration fees. (i) Engineering inspection fees.Where an engi- (a) Generally. The building permit and trade neering inspection is necessary to establish com- permit fees shall be $15.00 per thousand, or pliance with an approved sitelplot plan for the fraction thereof, of the cost of the construction. issuance of a certificate of occupancy according to the zoning and subdivision regulations,an inspec- (b) Certificate of occupancy. The certificate of tion fee of $35.00 shall be assessed when the occupancy fee shall be $10.00. request for a site inspection is made. (c) Cost of project. Building and trade permit (Code 1978, §§ 10-201, 10-203-10-205; Ord.No. fees shall be based upon the cost of construction 127,11-9-90;Ord.No.139,§§10-201,10-203-10- and the materials to be supplied in conjunction 205,10-10-96;Ord.No.156,§10-201,7-6-99;Ord. with the project described in the permit. The No. 165,§§ 10-200-10-205,3-4-02;Ord.No. 166, owner or contractor shall supply the building 6-17-02) official with an estimate of the total job covered under the permit. All trade permits shall have individual costs and fees. (d) Accepted value. The cost of materials and labor of a project accepted by the building official shall, in no case, be less than the guidelines offered for Connecticut in the latest building valuation data report published by BOCA[Build- ing Officials Conference of America] Interna- tional. (e) Affidavit. An affidavit under oath under penalties of false statement of actual final cost for all new structures and major additions shall be signed by the owner, agent or contractor for the project prior to the issuance of a certificate of occupancy-, and the fee shall then be appropri- ately adjusted. Affidavits for other construction permit costs may be required by the building official. (f) Moving of buildings. The permit fee for moving a building shall be $15.00 per thousand, or fraction thereof, of the estimated cost of the move.Any additional costs,such as traffic control or newspaper advertising, shall be paid by the applicant in addition to the permit fee. (g) Demolition. The permit fee for the demoli- tion of buildings shall be$15.00 per thousand,or fraction thereof, of the estimated cost of the demolition. Letters of disconnect from any appli- Supp.No. 1 CD14:3 APPLICATION FOR PLUMBING PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A ❑RESIDENTIAL BUILDING PERMIT APPLICATION?0 YES ❑NO /1,�� ,Q BUSINESS CURRENT USE AND OCCUPANCY A41Fbi(ft wf-j CF ! G ❑ASSEMBLY ❑MERCANTILE❑EDUCATIONAL FUTURE USE AND OCCUPANCY El INSTITUTIONAL ElFACTORY ENGINEER'S NAME PHONE ❑ STORAGE p ❑GARAGE ADDRESS ❑MIXED USE CITY STATE CT. ZIP D60U-L (Other please specify) TYPE OF INSTALLATION— NM,. SIZE OF MAIN DRAIN NO.OF TOILETS STYLE NO.URINALS STYLE NO.OF BATHTUBS NO.OF SHOWERS NO.OF LAVATORIES N NO.OF CONDUCTORS SIZE 1— NO.OF STACKS 8 SIZE 3 AREA OF ROOF NO.OF CATCH BASINS NO.OF FLOOR DRAINS I 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 MAINLY SIZE OF WATER PIPING&RISER WATER HEATER: TYPE N A MANUFACTURER (� DESCRIPTION OF WORK &C-7 8U ILDtn1G S")DL+ Q LJOUnNlr STUt" NAIAJP" COLD �--/Ar"- ME 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. --�� 7420IZ CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT DATE M Revised 4/01//2002 DEPARTMENT DECISION APPLICATI ING PERMIT _ (� M PERMIT# Application is hereby: TB � I Hr WIN ENT 15 U C tM APPROVED 1540 SULLIVAN AVENUE 644-2511 ext. 230 NOV 2 0 2007 Bldg.Permit# South Windsor Date Building Inspect BUILDING DEPARTMENT Application must be printed or typed FEE SCHEDULE Location of Job: p TR�►nAn� $0-$1,000=$15.00 Stree o. Street t_ot No. Over$1,000= $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT r�1C�!p�l? Sien1 a*. ; APPLICANT ADDRESS r' O. 60-A S09 &OPMERM CA-, APPLICANT PHONE# "O O W N 3 F,q OWNER CVeR 11e0J "is m P1SS UMS I LL(- OWNER ADDRESS ZUU 6 Sri-'t•- Cork o OWNER PHONE O — C = ESTIMATED COST$ f-M IS THIS A CONTRACT COST? X Yes _No ohs✓ FEE ENCLOSED$ (zo , DD S �jO:://�� TYPE OF JOB: L D� R C New Installation _Alteration/Addition/Repair y ;0e i Yr ,100.04 \ \ ///x 10270 // 104. 04AG x 102.89`` --102--X 10244 ,103.22 wpOb£b x 103.8f1 // x 105;p1 06.49 r / 70 kip- ,/, ,10432 / C T / U / 3 /' �0 106.8 = 0682 - ` - , 7" rr s ��,•�ry ,x406.02 UJ 106.09 hYp / r 70 44 G` x 10425 107.41 ( � �2*/0651 7A x m �+ z / LT C TO x 10452 x 106.75 // _ /� 0715 //^^ F rTl / x]u/2ro � ,/40- 107. IUDJM job-- �Mp 11 \ r � 1 £�Ip327 // / /�° �\ / e3 107.s6 10 /Is x 108.n 08.60 x 107.7i - 1 \ / pp S \ 108A7 08.81 \ 106J6'� //VG 1 4 0851 x108.12 /4'. 10 08.61 fl MP 108.79AMP / 1og42 1 xl409 30 15 O 30 60 q0 x•,�2s/ / /x uon / OT l0887x 10g1 2 1 7 10917 II 108. x106�4 /ELEG 11002 B x ilo q, / x \ u0 10962 7"IO x IM47 TELO �� _�, 10992 109% zp6 Scale in Feet x 1 ` 1_-- 1a 1 UO Q- C T � 110.4 v 0� \ 11229 /i1140 x""•c' / titi 1�351 J�0 x 11285 r � x 112-58 LT 1 17264 / / � H5.30 � 3 37 11 x 11424 f T 69x / 13 x -Fla 113.41 4A'o \,, _ rdJ x 110.4 x ll?z74 - J DU 114.62 x 115.18 /' ' .73 £/yCfOST , l /uN C�f // 114.84 ( 116. ,0,73'10 103.77 103.79 m x 1 \ pAD�13.78 / /114.09 .\ .47 GENERAL NOTES = 3G'RGP / FL=103.84 ,RIP-RAP. 1 57 6 0 / ,` �W 01\_ x 1�2 T'= \\ % T B I (/ �"" 11168 �, \ \\ I O(TI 8�2 11654 `'165.1 16. \ / - 47 iXri191 > \ \ F4, op Gy u4`8 I ]i6.92 1. THIS SURVEY HAS BEEN PREPARED PURSUANT TO THE REGULATIONS 10189 103.4 116 9 1 \ 49 C(+ pFF 1 4 84 ob 6/T pAk I `�qT\C� OF CONNECTICUT STATE AGENCIES SECTIONS 20-300b-20 AND THE x109,gi £gyp ,H£ 'STANDARDS FOR SURVEYS AND MAPS IN THE STATE OF CONNECTICUT' 1172 �`/ ry `1641 RIP-Rdl' 1 1uO \ x� \\ 4T 4. ( AR�-g. I AS ADOPTED BY THE•GONNEGTICUT A550CIATION OF LAND 36 RCP `11172 x,1999 Tl� ( 1 11610C `� SURVEYORS. INCORPORATED ON SEPTEMBER 2G. 1g9G. `, FL=105.71 x11268 \ £A/r OF IBE / ll7 P ~~K \\ F xl� I \`� 3. BOUNDARY DETERMINATION CATEGORY = DEPENDANT2. TYPE OF SURVEY = IMPROVEMENT LOCATION YRE-SURVEY 7.66 �/ / r 11L73 1 x 11281 x 11344 CFA 117. �^' / x 11244 \1�3.gD\ pFjs 4. UNDERGROUND UTILITY. STRUCTURE AND FACILITY LOCATIONS =v 117.73 x / \ �\ \ 116.71 \� DEPICTED AND NOTED HEREON HAVE BEEN COMPILED. IN PART. FROM 7.43 TEL �� ` x113.00 \ x11G \ \L£A/r pFF 84 / I �� RECORD MAPPING SUPPLIED BY THE RESPECTIVE UTILITY COMPANIES 1109!\ !'1P C!\\/FPAIMPAIT AI A!`CAIr'ICG CO/1M oAol TC!'.TIM/ IV \ r uecv ( \ vl uvvLl�nl IutilriL H\.aLIwIL.7. I ICVI'1 FIANUL ILD111'IVI'11 AND FROM OTHER SOURCES. THESE LOCATIONS ARE APPROXIMATE AND OTHER 117 GV �x72 I e/T / I �� SUCH FEATURES MAY EXIST UNKNOWN TO DUFOUR SURVEYING x 116.00 12z 11726 ll749 GV \\ CT \\ ( ,g `� \ ��` - ASSOCIATES. THE 51ZE. LOCATION AND EX15TENCE OF ALL SUCH x OELEG �� xll5�5\ 118 I'� l•03 �` FEATURES MUST BE FIELD DETERMINED AND VERIFIED BY THE OELEGi17 tt 71 z8��� ` / �� 163 ]21�L60 APPROPRIATE: AIJTHORITIES PRIOR 'O CONSTRUCTION. I -x115A4 '�� - G�:_L BEF7RE 1 1ZIZg 'OU L IG 800-g22.-4455. Wp \Jr Ob9 ]21t.9 ~ ptn?6�6. i:._C:"'I'^.E:,i .. :+•? ' 117 L- r jr R1P-RAP !'` x \_ x L //. 16.91 O 117.47 pb£p \\\->c12108 -_ CT II44ObEb 7� U710 q E 120 \ x]2\ pUT 17 x v x118.40 \ 116. r �r x118 x11833 11 .83x U r \ �Q= \ \ X118.45i \\ � �\ I 7.19 117.39 `� x11117,Y° MAP REFERENCES = x o x ll6� TF=114.84 G�� FL=111.79 Gp0 1. "EGHN 2 AT EVERGREENWALK. 2700 TAMARACK AVENUE. BUGKLAND ROAD / 22x pe��' SOUTH WINDSOR. CONNECTICUT. FINAL DEVELOPMENT PLAN. APRIL 9. 2007 / I 116.89 c F�gE� REVISED G/20/07 AND 7/16/07." 115 /' I� � /� TD=117.45 FUSS + O'NEILL. CONSULTING ENGINEERS FL=114.25 u5 115.0 2. "LOT LINE REVISION MAP. EASTERN CT HEALTHCARE NETWORK SOUTH WINDSOR. CONNECTICUT, SCALE=1'=100'. APRIL 4. 2004.' u5.%x 6 1]638 SHEET G5.1.4. FUSS + O'NEILL. CONSULTING ENGINEERS LAWRENCE R. GEISSLER. JR. - L.5.#12327 ' 6.04 114. uc 115. LT 'Z 116.05 O o / CB TF=114.80 V U522 115.42 FL=111.80 x 11531 GL-GB 26 \ 116.19 TF=117.35 115.67 FL=111.30 x 118A8 C / 3 x 11554 II pHC wA<116.91 ' I / �� x 120.68 114. /I 17:66 / V 115.13 1 p / 1?210 _ '0 / 115.47 6 x 116.48 117.95 / ^Y // R 24•39 x / YD ! / y `�x 416 GB 114.90 / HYD C(/�'6 117M v TF=117.G2 / / /114 0 �1�17I TF=114.70 x 11529 116.42 llL72 FL=114.G2 SE / FL=111.90 114. \ 2•TRE x 117Z1 FL=114.32 SW / / `xj12187 2'TREE \ 1ll$2 / x]22 76 3 11715 x v ti x 1i553 / / / / \ I ll7.98 YD 114 2 115.70 3 GL GB 117.38 xll7.7 118 110 TF=117.78 TF--113.17 o i Cp C FL=114.78 S£ GAS n� 0 'Ix114.93 FL=110.G7 x11oD 2'TREE, 1 94 /��g. q � HC CbpiyC FL=114.32 NW GV / 123.77 11527 TEL mil 1 // ' '6 ,�/ xll858 Re11110�Q1 11g93 ' x / x115.46 114.75 ' BUSH 2•TREE / / J�ry /' /x 121.44 4 114120.13 .£ x 113.5 �13.62 415.91 u7.90 /vim. LT� 117.73 ' 8.13/ / / / x ll8.9z 1 \ RAMP / / // x 12159 x 123.n _ 115.85 3 / d / / % �`0 117.8* `0 �// r / x 37 ( •, J b B/T , xt .89 / // r / //• 0TV \ /�j CI �G ,� 11926 x Q YD 6 X 141 16 x / 18.03"TREE j 2 / `oe�„'•48 O� TF=117.90 /// / 40�/ BU5H/ 2 T BU5H FL=115.10 5E / �` / i 11554 LT U 1\ ' \ / �v1 '~ 118 llq 11919 u SAN MH / / / q x ,i / EASTERN CT HEALTHCARE NETWORK 2 / x 11517 8•05 m ll8.34 118. P FL=115.10 NW TF=118.46 / / // f / x]21.19 / I x / G x o C£ PIGAFiJ ll8.7 q37 193 INV=113.56 // / 20 / /a/ x 115.77 114.85 / / 11822 U / .... � lf4/ 115 x l 2 107.88 S' �� TF=11 6 O llgll rj TO MY KNOWLEDGE AND BELIEF. THIS MAP 15 SUBSTANTIALLY l / l N L 2"TP>��� / ,. =vi3.06 E �� // / 11R5A O - O / Fyn 7.6i/ / i� / �Q_ / n f� n AS-BUILT PLOT PLAN / r / x»�^ i / r xlltl] / GvRRECI AS NOTED n�ICLirN. IrnS MAP AND 5inc'v�l 17uc`L cb kF 10.46 m / IZ . // / / _ /118.45 118.95 1g956llS94 11g0 TF=117.86 / / / �/v �126.12p 11588 / \ 110.46 S QT FL=115.GG / 53 / / � / PREPARED N ACCORDANCE WITH THE STANDARDS OF A CLA55 115.99 17.82 ] e vx 15/x4t�626 / 110.46 W 2 118 3 p4pL VO V*L � Cb / / / /iL� \ �/ 0 'i/,t� 11CLO, LT q ,E'e i / u , / / / A-2 r T-2 SURVEY AS DEFNED N THE CODE OF PRACTICE FOR PREPARED FOR. Tf-tF GASLE CORPORATION 1 .43 x ll9.04 liq 19 3 ll 9 \ 18.% L K-OF x 11887 I / /' �4;7'� /x 120.52 /' / STANDARDS OF ACCURACY OF SURVEYS AND MAPS. ADOPTED / 11�4 / \3 v / 8.14 118 7 '� \ PIG D / R / a SEPT. 2G. 199G AS AMENDED BY THE CONNECTICUT 2700-TAMARACK AVENUE SOUTH WINDSOR. CONNECTICUT 10824x / , / 90 24TR U855 I MP 90'I B/T 118.78 `' / / �''/ x 120di 4 r. , / ll8. 1953 = 119.42 ZU 119.08 C \ / / /i / i A5500IATION OF LAND 3URVEYCRS, AGORPORATED. x 11626 x 116.4r� 1'�7. 11814 // / / SCALE: 1"=30' APPROVED RONALD H. DUFOUR-L.S. #1231q 3.47 /G.37 ' / / /� 116. 1 x II71D .75 11 llg43 18.98 ` f / // 18.918.98 C /q •IR UO \� 1187 STOP .ry`\' / p� 1 .72 ll7' ( TORM MH 1 ph'C llg62 `� �q B SH BU SIGN xy ' d / DATE: 12-5-200B JOB NO: 07-38 FILE NO.3 \04-82 / o / / j / I TF=118.26 2'TRE q �q</t G2 x u925 / 118 3 118.43 1. / / 2-TREE / FL=109.16 Il982 /.� f 118.67 118. // r / xn �f� /f t x 108)5 / (y ti ~ FL=107.16 5 ll8. qr i1g8 11 .6 "TRE ll8 x 118.608 / / �-"�' - x / ' o o DUFOUR 5MVEYNG A55OCIATE5 Q3 / 'Y 1b927/ / °j 3 I FL=113.gG E 19. 118b / ,�88x / nl .� � 7'�O 1ig79 qrb x 119.07 3'GRAB o / 0 22 WEST HLL ROAD � llg7 \� 18. y / ,/x 120.01 / / RONALD H. DUFOUR - L.5. #1231q �' NEW HARTFORD. 4-02 06057 \ xY114ti / 116.76 "0 118.94 .T,S__ - / IT T / ( / 6 / / / 860-738-0222 p SKEET 1 11C „R,4 - NOT VALID WITHOUT EMBOSSED SEAL � Still I I I I I