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Home My WebLink About2800 TAMARACK AVE SUITE 103 EEPAATMEvT DECISION A.P,3T IC; T a (}R -n- i L. ��EZ��fl i i L L' C ' ".abort' �y_ f0-VI OF SOU::i��%INt%:�GR Pu v�iIT ARO r _ 1540 S(J T?_XAN 644-2511 ext: 2'() i Tdg. Penuit t� � Date Et;ildiizg Inspector Ililt j zm-si be [sr liiYr:i e FEE SCHEDULE I:watimmnf Inr, € $0-$1,000=W 15.00 SLrodt No. __—Lm No. �_— O rer$1.000= $15.00 per$1'000 f S s s or any 11ncIiv^L thereof 7 e Test Destga,stici,. Apt.No ArYISCA?vi C. L�l _ a�GLIC�sAT'C:I:L'�'ZESS -- Pam. _��,L.� i_�;� __-_-__—___---- -• A-anjc.4uNr PHONE A., I —-- __0...=yam t�'.:�c, •^—�--i---`: .ar�=— OWNER O'Vt'NERADDU5� 9�7{�, -)NVN7ER IS TiIJ'i_ No 1TE ENCtOScU S /C,OU _- r . . ,v, TYPE OF JOIx S,pRo C0t z , Nc,,v IL'smilatio_f _� Alter;�iian/�=.J�titi,,i.i1?Cp�• R-wised 4!014.1191GZ APPLICATION FOR ELECTRICAL PERMIT (continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A ❑RESIDENTIAL BUILDING PERMIT APPLICATION? ElYES ❑NO ❑BUSINESS CUR11,ENT 1-,'SE AND OCCUPANCY❑ASSEMBLY ❑MERCANTILE ❑ EDUCATIONAL FL�uRE USE AND OCCijTANC I ❑INSTITUTIONAL ❑FACTORY ENGINEER'S_NAME PHONE ❑ STORAGE — ❑ GARAGE ADDRESS_ Cl MIXED USE -- - (Other please specify) CITY STATE ZIP — ----- — - TYPE OF INSTALLATION/WIRING METHOD SIZE OF SERVICE SIZE OF MAIN CONL'UCTORS NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS NUMBER OF PAINEI_S _ 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 BEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED. DESCRIPTION OF WORK 51 _ -'-- _� 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' ( 3 /6`3 CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLIC. i.,C� s ,L DATE D p DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT A lica ' TOWN OF SOUTH WINDSOR PERMIT# pp y BUILDING DEPARTMENT G APPROVED 1540 SULLIVAN AVENUE g # 644,-2511 ext. 230 - - =o Date Building Inspector Application must be printed or typed FEE SCHEDULE Location of Job: �c�GO $0-$1,000=$15.00 Street No. Street ]LotNo.Over$1,000= $15.00 per$1,000or any fraction thereof Tenant Designation Apt. APPLICANT Mope) { ,�,a.Lk t c r&.A— , APPLICANT ADDRESS Ca O t wd; APPLICANT PHONE# 7 7- Z Z L z-- ,OW N SFq OWNER C �SLL ��P�n -z�v✓ OWNER ADDRESS C. T. OWNER PHONE 6 Z` -- 2 -to-> C ESTIMATED COST$ 4 Z-41 c--' o c7 IS THIS A CONTRACT COST? ✓Yes _No �r _' ' ' . ' C► FEE ENCLOSED$ O�� TYPE OF JOB: 'l OR C New Installation Alteration/Addition/Repair `— Revised 4/01//2002 APPLICATION FOR HVAC PERMIT (Continued from reverse side) TYPE OF SYSTEM: TYPE OF BUILDING: 91iEATING ❑ RESIDENTIAL 9 A/C Q COMMERCIAL D'VENTILATION ❑INDUSTRIAL HEATING ❑ STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS. ❑HYDRONIC -WARM AIR ❑ UNIT RADIANT HEATER EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION DESIGN TEMP. OUTSIDE OF INSIDE OF DIFFERENCE OF TOTAL HEAT LOSS(BTUH) OF(HEAT LOSS SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL HEATING EQUIPMENT(INCLUDING MAKE&MODEL NO.) GROSS HEATING CAPACITY(INPUT-BTUH) _ NET RATING(OUTPUT-BTUH) TYPE OF FUEL ❑OIL-GPM OIL TANK LOCATION :❑ INSIDE❑OUTSIDE CAPACITY ❑ GAS-INPUT LPG TANK CAPACITY ELECTRIC-KW AIR CONDITIONING ✓ DESIGN TEMP.OUTSIDE OF INSIDE OF DIFFERENCE OF TOTAL HEAT GAIN(BTUH) (HEAT GAIN SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL COOLING EQUIPMENT(INCLUDING MAKE&MODEL NO.) TONNAGE COOLING CAPACITY(BTUH) VENTILATION DESCRIBE ALL AIR HANDLING EQUIPMENT(INCLUDING KITCHEN EXHAUST EQUIPMENT) TAP U yt-Z5 TOTAL SIZE OF SYSTEM(CFM) FRESH AIR INTAKE(CFM) (PLANS MUST ACCOMPANY APPLICATION) FURTHER DESCRIPTION OF WORK THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. 1 2 Swr - CONTRACTORS LICENSE NO. / T E STATE SIGNATURE OF APPLICANT DATE ' MODERN MECHANICAL SYSTEMS, INC. Public Act No. 91-95: An act concerning the requirement that licensed contractors as defined in Section 20-330 of the General Statutes, must personally sign each building permit application. Date: 11-21-05 Town of South Windsor Re: Application for HVAC Gentlemen: In accordance with Public Act 91-95,this letter authorizes the below named agent to sign the above reference permit application. 1. Project Name: ECHN—Medical Building @ Evergreen Walk EASTERN ORTHOPEDICS& SPORTS MEDICINE Pro1e-xt it 897-005 2. Location: 2800 Tamarack Road 3. Starting Date: 11/21/05 4. Licensed Contractor's Name: Jeffrey A. Clement 5. Licensed Contractor's Trade License No.: SM-1 #2896 6. Name of Agent: Edward Hlasyszyn 7. License Numbers of all Contractors involved in the work, if applicable: Sincerely, MODERN CAL SYSTEMS, INC. Jeffrey A. Clement President JAC:m 897-005penniWVAC 519 COOKE STREET • P.O. BOX 492 • FARMINGTON, CT 06034-0492 PHONE 660 / 677-2222 • FAX 860 / 676-B305 An Equal Opportunity Employer r .: .� ' STATE OF CONNECTICUT 49190 DEPARTMENT OF CONSUMER PROTECTION 165 Capitol Avenue ♦ Hartford Connecticut 06106 Attached is your license Such license shall be shown to any properly interested person on request.No such license shall be transferred to or used by any other person than the person to whom the license was issued. Visit our website at www.state.ct.us/dcn STATE OF CONNECTICUT DEPARTMENT OF CONSUMER PROTECTION LIMITED SHEET METAL CONTRACTOR SMl JEFFREY A CLEMENT JEFFREY A CLEMENT PO BOX 492 519 COOKE ST FARMINGTON, CT 06034-0492 FARMINGTON,CT 0664-0492 LIC./RE G NO, FE IVE EXPIRES 28S 09/01/2005,,`� 08/31/2006 AN:Pr1Ctr., SIGN - --- -----—-- r •( STATE OF CONNECTICUT ♦ DEPARTMENT OF CONSUMER PROTECTION Be it known that JEFFREY A CLEMENT i 519 COOKE ST FARMINGTQNia CT 06034-0492 } has been certified by the De artment Df C mer Protection as a LIMITED SHE 'TT ,CONTRACTOR License:#189G; . - Effective: 09/O1/2005 Expiration: 08/31/2006 a Edwin R Rodriguez,Commissioner CIA :.11 � •� �� W:S '^i.p� ,r� •Yyl' Y��S4 y� .�5 'i ry •U -Uri ��ryr �' , all" EckN SSPss i ffn s SPACE APPLICATION FOR BUILDING PERMIT Electric# ' ZZMr5�_ Plumbing# 2800 Tamarack Ave (10 3) Date: 0 Ol •dr HVAC # o Sprinkler# 32068 _ FINAL R _ _ — Estimated Cost $ 55 Building` ok COMPLETE RED BOXED AREAS Permit Fee $�5•._ Occupancy Fee $ L Engines ' TYPE OR PRINT ONLY Eng.Insp. Fee $ Affidavit SIGN ON REVERSE SIDE Appr. for CO G Total Fee $ TO THE B I NG DEPARTMEN0.T,TOWN OF SOUTH WINDSOR,CT (Additional Cost) $ The undersigned hereby applies to do work according to the following: Applicant T G r A� 74M Location of Work 1900 Toy a r t eiF 4mW Lot No. Applicant's Address 1Gb OG 34ei 4riYL Tel.# f+'GT D.672(—. PAso Town dwo Zip mtftp Lic.# �dOZS9 Owner ! Architect ✓W/7 /tr�L,`I�erli/w l �i/o Owner's Addrese 2Dd o624 r 0,o2y-e Architect's Address—goo A MW Zip //1 Zip 064e Sq. Ft. New Area: 1st FI. 2nd FI. 3rd FI. Total New AreaOre Purpose of this permit /a f Liib� 6gi/ s �„�sf�'r��fJla� I City Water Well❑ Septic System❑ SeweK Ins: HO SP Cent.` Area Basement ,,`` Garage Approved by Date Use Group Construction Type Revised 6/02 I hereby agree to confcrm 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 fob the work described in this application for the permit. Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS J Inspection / Approval Date By Appl Code Description Due Whom Code Comment ------------------------------------------------------------------------------- **-32068-B 55,000 E03 ROUGH 10/14/05 JFF A WITH ELECTRICIAN AND PAUL P03 ROUGH 10/17/05 JFF A WITH CONTRACTOR AND CHRIS D/W/V NOTE SHARED H HW HEATER WITH EASTERN ORTHO B04 INSULATION 11/07/05 JFF A PERIMETER WALLS R19 WITH PAUL E03 ROUGH 11/07/05 JFF A WITH JIM OF SEI4AC B09 OTHER O1/30/06 PJP D NEED RECHECK OF RECEPTION AREA B10 FINAL 04/12/06 JFF A WITH PAUL AND CHRIS **-19996-E 15,500 **-12905-H 24,000