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HomeMy WebLinkAbout248 EVERGREEN WAY DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT TOWN OF SOUTH WINDSOR PERMIT# Appli ere It BUILDING DEPARTMENT D 1540 SULLIVAN AVENUE Bldg.Permit# 141 644-2511 ext. 230 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$1,000 /V Dl or any fraction thereof Tenant Des'gnation Apt.No. APPLICANT ,Q,/V, l r14dd0 /�t✓(�CIG �L-(_�, APPLICANT ADDRESS 2 6 Y /Jro�9Di- /✓��ip1/7�� APPLICANT PHONE# 203-6 3 a-O$' e/! 20 -S' r7—/rZ O W N g j , OWNER _�?Ap rP1C L-L C OWNER ADDRESS �_ x, CjLp� a - OWNER PHONE K/9— ?d 2 C ESTIMATED COST$ Z:),6oK=, , } IS THIS A CONTRACT COST? Yes _No FEE ENCLOSED$ DSO l�Os O�� TYPE OF JOB: R-C 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 Aj ❑ASSEMBLY ❑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/WIRING METHOD �0///WC SIZE OF SERVICE .ffR/ SIZE OF MAIN CONDUCTORS_ r/ CCJpDP/ NUMBER OF METERS�_ NUMBER OF DISCONNECTS AND RATINGS 1_2r'&A h p NUMBER OF PANELS REMOTE DISCONNECT REQUIRED? ❑YES �io NUMBER OF LIGHT CIRCUITS !P'd NUMBER OF POWER CIRCUITS NUMBER OF SWITCHES 6 NUMBER OF OUTLETS 9_ NUMBER OF LIGHT FIXTURES /6 9 NUMBER OF HEAT CIRCUITS NUMBER OF A/C CIRCUITS / SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED. DESCRIPTION OF WORK filkk G /Ye rQ 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/ q �/c���:e I (C /roc,/o� Cr CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT DATE G i FDEPARTMENT DECISION • APPLICATION FOR ELECTRICAL PEST Application is here : TOWN OF SOUTH WINDSOR PERMIT# pR4. _ BUILDING DEPARTMENT 1540 SULLIVAN AVENUE 644-2511 ext. 230 Date Bldg.Permit# Building Inspector Application must be printed or typed F • FEE SCHEDULE Location of Job: $0 1,000=$15.00 Over$1,000= F ,2(,�tr $15.00 per$1,000 tLot No.or any fraction thereof ignation Apt.No. APPLICANT ' 1 1 APPLICANT ADDRESS 1,07 APPLICANT PHONE# o 2 .� O I N 3F,q OWNER OWNER ADDRESS C - OWNER PHONE ESTIMATED COST$ 00 IS THIS A CONTRACT COST? ' Yes _No FEE ENCLOSED$ C O�4 TYPE OF JOB: ✓ New Installation Alteration/Addition/Repair • Reviarii d/!1 i innn, ' APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side) J • - TllrE QF BUII.DING IS TH15 APPLICATION ASSOCIATED WITH A Cl RESIDENTIAL BUILDING PERMIT APPLICATION? C] YES Cl NO Cl BUSINESS O ASSEMBLY CURRENT USE AND OCCUPANCY R (r O MERCANTILE Cl EDUCATIONAL FUTURE USE AND OCCUPANCY . ❑INSTITUTIONAL ❑FACTORY ENGINEER'S NAME PHONE 0 STORAGE O GARAGE ADDRESS ❑MIXED 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 r/4 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. • �� 16 3 � I C i CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICAly • — - c DATE p DEPARTMENT DECISION APPLICATION FOR SPRINKLER PERMIT PERMIT# Applicati TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT APPRO 1540 SULLIVAN AVENUE Bldg.Permit# jU {` 644-2511 ext. 230 6 �� Date wilding I spec i' Application must be printed or typed FEE SCHEDULE Location of Job: $0-$1,000=$15.00 Street No. —T^ Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. - 1 APPLICANT C ICfA d�J _ APPLICANT ADDRESS ( I - Sy, \4) ( "i SOt7 , lit ObQZK APPLICANT PHO # ��SL 0 W N S i , OWNER 64 /O L�D-t OWNER ADDRESS a - e --- C l' M. OWNER PHONE C ESTIMATED COST$ IS THIS A CONTRACT COST? ZYes _No �r �G FEE ENCLOSED$c;k 70, �O TYPE OF JOB: SOR'Cod ZNew Installation Alteration/Addition/Repair Revised 4/01//2002 APPLICATION FOR SPRINKLER PERMIT (Continued from reverse side) TYPE OF BUILDING TYPE OF CONSTRUCTION USE GROUP NO.OF STORIES ❑RESIDENTIAL ❑BUSINESS IS THIS APPLICATION ASSOCIATED WITH A ❑A EMBLY BUILDING PERMIT APPLICATION? ❑ YES ❑NO RCANTILE ❑EDUCATIONAL CURRENT USE AND OCCUPANCY ❑ INSTITUTIONAL ❑FACTORY FUTURE USE AND OCCUPANCY ❑ STORAGE LIGARAGE ❑MIXED USE ENGINEER'S NAME ("D QCQ PHONE S) $ �y 8 (Other please specify) ADDRESS 101 4� '-A"'d CITY -Co, �; Cy'e— STATE zip D&a 2 1V KIND OF INSTALLATION SIZE OF MAIN DRAIN C; � WATER PRESSURE AT STREET(PSI) —/ ARE SPRINKLER HEADS ALTERED? ❑YES _,ONO IF YES,CHECK ALL THAT APPLY: ❑ADDED ❑DELETED ❑ALTERED IF MORE TjiAN 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 Z-11O IF YES,CHECK ALL THAT APPLY: ❑FIRE ❑BOOSTER ❑OTHER ARE STANDPIPES PROVIDED? ❑YES PITO IS A SPRINKLER SYSTEM PROVIDED? ZrYES ❑NO SPRINKLER SYSTEM MAIN WATER SUPPLY RATING GPM TOTAL DYNAMIC HEAD(TDH)OF FIRE PUMP PSI DESCRIPTION OF WORK le'(Aj fb s --e SL,,b104 ; flew jo— ? rV S � �� C5 f ry S ,D ec 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 N TYPE STATE SIGNATURE OF APPLICANT DATE q--1 / —0?" DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT PERMIT# Application is hereby: i BUILDING DEPARTMENT I 1540 SULLIVAN AVENUE �. Bldg. �glu /Y- 644-2511 ext. 230 Date Bu' or Application must be printed or typed FEE SCHEDULE 'Z 1-4 g Location of Job: -- - $0-$1,000=$1QQ� Street No. Street Lot No. ve , $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT Gy ro'-r-4f y-vi ci9Tia-v r 1•L ►e �� Z. S-•.,i 4 APPLICANT ADDRESS ? 3 C)L l eo u.•,,r� Xj. j4-t✓I c u rc-, L_ e c le 3 C�7- edi a f'L APPLICANT PHONE# Lg s - iu G L( �0Y�1 N SFq OWNER OWNER ADDRESS a co� o OWNER PHONE C ESTIMATED COST$ FFrj b •� ; IS THIS A CONTRACT COST? '-Yes _No FEE ENCLOSED$ 5 V G s O�� TYPE OF JOB: R C --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? ElYES ❑NO O BUSINESS CURRENT USE AND OCCUPANCY ❑ASSEMBLY U MERCANTILE FUTURE USE AND OCCUPANCY ❑EDUCATIONAL ❑INSTITUTIONAL ❑FACTORY ENGINEER'S NAME PHONE ❑STORAGE ❑GARAGE ADDRESS O MIXED USE CITY STATE ZIP (Other please specify) 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? 0 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. fery71 CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT _ DATE ���-��b lJ Uslill"I � i i F XCTMCALr.71MI D CONTRACTOR s.,-• � " �S„ IT&', GARy' � 2556 ,,. , WIND OR• i 096 u d1140_ - - 1 / �U4 Sty l U9� 5 y SIGNED DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT Applic TOWN OF SOUTH WINDSOR PERMIT# BUILDING DEPARTMENT 9 )14 tP PRO 1540 SULLIVAN AVENUE Bldg.Permit# (� � 644-2511 ext. 230 3 d G 1J fL t;,CJ(J Building Insp or C� Application must be printed or typed FEE SCHEDULE L4 Location of Job: ILI EVET 1c f� WAY $0-$1,000=$15.00 Street No. Street Lot No. Over$1,000= $15.00 per$1,000 (3`-i 1 or any fraction thereof Tenant Designation Apt.No. APPLICANT IV Art ONE. A�Ao�••� F fZz7 APPLICANT ADDRESS 2-4SO TZ�51Z1/OcSz- AYE TR-yAAE-rx Qx CX r,,L 1 APPLICANT PHONE# ago - 3((o [(O(o( D W N g F,q OWNER Abm Ta[4 1p r OWNER ADDRESS Hitt � SrRFOc CXa 1 CO) o OWNER PHONE aC: -934 - (26 Q 14 (6-7 O C ESTIMATED COST$ 1 , (pd .,0K=) d } IS THIS A CONTRACT COST? Yes No o o — !� �G FEE ENCLOSED$ 30. ©o l� 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 BUILDING PERMIT APPLICATION? ❑ YES ❑NO ❑RESIDENTIAL ❑BUSINESS CURRENT USE AND OCCUPANCY TZeFP tL. ❑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 L..aw YyL:TAg ,AAS?I*0/ S 5VA-4, 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 STATE SIGNATURE OF APPLICANT —j �' �"� DATE DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT TOWN OF SOUTH WINDSOR PERMIT# Appli at o ere BUILDING DEPARTMENT APPROVED 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 Date w g Inspector Application must be printed or typed FEE SCHEDULE L cation of Job: E ZO'V ✓ n $0-$1,000=$15.00 Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof gnatio Apt.No. 1 APPLICANT S ��;�50-9-9�5,4 L L C. APPLICANT ADDRESS q-j JK QQ,C- t A)ap- A c S ToMAStay-, C t' 0(n,-7 $-1 APPLICANT PHONE# GO — Z8'Z —1 17 (� O VI N S'e. OWNER 'q, OWNER ADDRESS &0) OWNER PHONE C C ESTIMATED COST$ * IS THIS A CONTRACT COST? ✓Yes _No J L� ICJ FEE ENCLOSED$ �a O�� TYPE OF JOB: OR C New Installation Alteration/Addition/Repair Re.visexi 4/01/0009 APPLICATION FOR HVAC PERMIT (Continued from reverse side) TYPE OF>WSTEM: TYPE OF BUILDING: QZ ATING ❑ASIDENTIAL u0ec UCOMMERCIAL E VENTILATION ❑ INDUSTRIAL HEATING ❑ STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS. ❑HYDRONIC ❑WARM AIR ❑ UNIT RADIANT HEATER EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION DESIGN TEMP. OUTSIDE °F INSIDE OF DIFFERENCE OF TOTAL HEAT LOSS(BTUH) OF(HEAT LOSS SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL HEATING NQUIPMENT,(INCLUDING MAKE&MODEL NO.) v 2ra 1 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 E UIPMENT(INCLUDING MAKE&MODEL NO.) J flew I:r� �`_Q— O� 1►�� � e..c.P ,c oy.,j TONNAGE' ZZ COOLING CAPACITY(BTUH) VENTILATION Cac7 DESCRIBE ALL AIR HANDLING EQUIPMENT(INCLUDING KITCHEN EXHAUST EQUIPMENT) l� A, c ICJ !�k-� o.�i� ,!c};LC� cN �cp�w.rLC-+rL TOTAL SIZE OF SYSTEM(CFM) FRESH AIR INTAKE(CFM) �Q (PLANS MUST ACCOMPANY APPLICATION) $ j 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. 1 Z -Z q Sw� Grt- CONTRACTORS LICENSE TYPE STATE SIGNATURE OF APPLICANT DATE 'R_Zy—GPI DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT TOWN OF SOUTH WINDSOR PERMIT# Application is her BUILDING DEPARTMENT PRO 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 l� 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$1,000 & Ci- r L or any fraction thereof Tenant Designation Apt.No. •al !� APPLICANT l APPLICANT ADDRESS /�,1 e ti¢ APPLICANT PHONE# 0W N S4.q OWNER w La OWNER ADDRESS OWNER PHONE 0 C ESTIMATED COST$ qG 00 W-i� IS THIS A CONTRACT COST? o�Q Yes _No ` FEE ENCLOSED$f - 11r�S ��� TYPE OF JOB: OR-co New Installation Alteration/Addition/Repair Revised 4/01//2002 APPLICATION FOR PLUMBING PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A ❑RESIDENTIAL � BUILDING PERMIT APPLICATION? *YES ❑NO ❑BUSINESS CURRENT USE AND OCCUPANCY &eyA,y- ❑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 tQe cy-' SIZE OF MAIN DRAIN `T � NO.OF TOILETS Z STYLE F(00 NO.URINALS STYLE NO.OF BATHTUBS NO.OF SHOWERS NO.OF LAVATORIES Z NO.OF CONDUCTORS — SIZE NO.OF STACKS SIZE AREA OF ROOF NO.OF CATCH BASINS — NO.OF FLOOR DRAINS Z- NO.OF OTHER FIXTURES KIND AM- ��95/ 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 3 SEWER OR SEPTIC TANK SIZE OF WATER MAIN SIZE OF WATER PIPING&RISER WATER HEATER: TYPE Fde MANUFACTURER S � ! . DESCRIPTION OF WORK THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESC UBED AND1977- COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFORMANCE OF SUCH WORK.7-02533 — � C/- - CONTRACTORS LICENSE NO. E STATE SIGNATURE OF APPLI DATE 17-0 The J PV Design Group Architecture Planning Design Town of South Windsor 1540 Sullivan Avnue South Windsor, CT 06074 RE: Ann Taylor Loft Shoppes at Evergreen Walk Via fax to site: 860 432-3484 October 18,2004 To whom it may concern: The demising partitions should be revised to show that a one hour separation is not required for this space. Therefore, penetrations will not be required to be rated either. Please accept this letter as a formal revision to the construction documents. Yours truly, Step n A. Lamb, R.A. of C 0 N rVr�lf 01 A 23 i The Empire State Building,Ste 7301 350 Fifth Avenue New York,NY 10118-0019 Tel.(212)563-7303 Fax(212)563-6745 l-tl1 n ­I �4 or L�,�1- ' Electric# 9Cb i L c,- `t'�'3 APPLICATION FOR BUILDING PERMIT Piumbing# 111,b C e � HVAC # 1 1-7111 248 Evergreen Way Date: O D Z 0 -J Sprinkler# 17 5Q814_ ov+ FINAL APPROVALS _ _ - Estimated Cost $ I o e, BuildingPermit Fee $ 1Sbo COMPLETE RED BOXED AREAS Occupancy Fee $ Engineering TYPE OR PRINT ONLY Eng. Insp. Fee $ _ ___ Affidavit SIGN ON REVERSE SIDE 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: � � 4 Applicant Location of Work -.9*6 6Je4(/Z.t`AJ LeLf Lot No. Applicant's Address 1912, 6AODU44 IM Fc2- Tel.# Z/Z S� �/9.5' Town oil, Zip j! (a Lic.# Owner ad'f✓ Architect P ZIZ 36 Owner's Add SSQ a (te ue- &te4lq Architect's Address a F0 F,14 6 'L N 9 w I z �td Tu Zip zip Sq. Ft. New Area: 1 st FI. �.S 2nd FI. 3rd FI. Total New Area Purpose of this permit s14M "7.ell d,- LAL 4 City Watern" Well❑ Septic System❑ Sewers" Ins: HO Area Basement Garage Approved Date Use Group Construction Type Revised 6102 I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town of South Windsor and to notify the Building Inspector of any alters'on in the plans or specifications of the Building for which this permit Is asked,and agree that this building is to be the pr distance from all street lines,side yard lines,and required distances from all other zones and is located i this but its is allowed. Si ed G I hereby apply for a Certificate of Occu work �,n is application for the permit Yl �Q, 1 �� �'J IN', Signed P `�W l e,( DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS —FA- or Lc4t L U Inspection / Approval Date By Appl Code Description Due Whom Code Comment . ------------------------------------------------------------------------------- • **-30810-B 100,000 B03 FRAMING (ROUGH) 08/25/04 CJD A E03 ROUGH 08/25/04 CJD A P02 UNDERGROUND 08/30/04 PJP A B03 FRAMING (ROUGH) 08/16/04 PJP N/A INSPECTION REQUEST CANCELLED BY JIM P03 ROUGH 09/15/04 JFF A WITH CONTRACTOR MALCOLM ARNOLD PO4 GAS TEST 10/12/04 JFF A AIR TEST OK NEED SLEEVE AT WALL PO4 GAS TEST 10/13/04 JFF A WITH SUPER LEFT APPROVAL NOTICE E01 SERVICE 09/28/04 CJD A B09 OTHER 10/21/04 PJP N/A W/JIM ND HVAC ABOVE CEILIN,FM SIGNED OFF,GAS PIPING NEEDS TO BE INDENTIFIED E01 SERVICE 10/15/04 CJD A B10 FINAL 10/21/04 PJP D ID PIPING,PROVIDE LETTER RE:DEMISING WALL, NEED FM SIGN OFF COMPLETE B10 FINAL 10/28/04 PJP A B10 FINAL 10/27/04 TAM D B10 FINAL 10/26/04 PJP D B03 FRAMING (ROUGH) 10/26/04 PJP D ABOVE CEILING H03 ROUGH 10/15/04 CJD A Inspection / Approval Date By Appl Code Description Due Whom Code Comment ------------------------------------------------------------------------------- P03 ROUGH 09/14/04 JFF D NEED AIR OR WATER TEST B04 INSULATION 09/27/04 CJD A B03 FRAMING (ROUGH) 09/27/04 CJD A DROP CEILING B10 FINAL O1106105 PJP A CLOSEOUT **-12293-H 38,000 **-1375-5 17,360 **-19067-E 30,000 **-11660-P 9,600 **-19106-E 14,500 **-19123-E 880 **-19146-E 1,100 BUILDING INSPECTION DEPARTMENT TOWN of S I T'ff°XINDSO , IDDWECTICUT C E R T I Al N ! , C UN A N C Y ZONE: ter. y x, y �£ anuary 6 2005 x � i:• This is to certif tv 34'8r `E�ERsR it �a AP mit No. 30810 confor s sub tgxit`.Illy t ulre a/• f'wthe Connecticut Basic Building i i' , s tS Ax -,on o South Windsor a d� e a pro" r c e Sica ed below f Approved for Oc u Yi CI Do CE LOR Use Group M r r Ea Constr. Type 2C YP x Wt di g Official Notice If this cer 'f 1Ia� is 9b duplicate should be obtained im sdi2 �t}�e u I'd g Department Any change or extension o e herein approved requires a new certificate of occupancy.