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HomeMy WebLinkAbout1735 ELLINGTON RDAPPLICATION FOR PLUMBING PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A O RESIDENTIAL BUILDING PERMIT APPLICATION. P YES NO BUSINESS CURRENT USE AND OCCUPANCY uACAAI-rOASSEMBLY O MERCANTILE O EDUCATIONAL FUTURE USE AND OCCUPANCY O FACTORY O STORAGE ENGINEER'S NAME PHONE O GARAGE 0 MIXED USE ADDRESS Other please specify) CITY STATE ZIP TYPE OF INSTALLATION SIZE OF MAIN DRAIN NO.OF TOILETS_,2— STYLE NO.URINALS_ STYLE NO.OF BATHTUBS NO. OF SHOWERS NO.OF LAVATORIES 2— NO.OF CONDUCTORS SIZE NO.OF STACKS SIZE AREA OF ROOF NO.OF CATCH BASINS NO.OF FLOOR DRAINS 1f NO.OF OTHER FIXTURES--.6-- KIND ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW O YES A NO SIZE OF WINDOW IF NONE C.F.M.OF VENTILATOR /GO SIZE OF DUCTS SEWER OR SEPTIC TANK Seoje SIZE OF WATER MAIN SIZE OF WATER PIPING&RISER 3 + 2 WATER HEATER: TYPE P I MANUFACTURER DESCRIPTION OF WORK 1 ti.4'7 y c7 L'nT 41 c ( 2) f7G-t l,rnotic c , i /I f: 1 Q/yMbinq Joel TNI-OGM-3 (IN /IPc"J LdC!Q1L . 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. G 2-.nit 3a ( P- / c r CONTRACTORS LIC O. TYPE STATE SIGNATURE OF APPLICANT DATE 9 7 DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT PERMIT# Application is hereby: TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT 1715 U 1 Y APPR VE 1540 SULLIVAN AVENUE 1 1 644-2511 EXT.230 I b Bldg. ygy# Date) Building Insp ctor) Application must be printed or typed 0-$ FEE SCHEDULE Location of Fl,000=$15.00 Street Lot No. Over$1,000-$ 15.00 per$1,000 or any fraction thereof nation Apt No. APPLICANT 1 AP LICANT ADDRESS 3 S J t!Q, 1 e, YX C S G Cf Q610 0 7 y/ APPLICANT PHONE# ?-L Z to OWNERVrNS q OWNER ADDRESS 17 V'l C-7 1 OWNER PHONE o - 6 y S/ `oo 76 C ESTIMATED COST $ V IS THIS A CONTRACT COST? YES x NO k FEE ENCLOSED$ TYPE OF JOB:L SO R•COS New Installation Alteration/Addition Repair Revised 12/22/11 APPLICATION FOR PERMANENT SIGN PERMIT Zoning Approval: 6:)a.0 1-735 F 11 WqA-zn IiCYi y Est. Cost: $ U Date: j-Permit Fee:$ j Final Inspections: Sign Permit# 1 1)0433 Approved: 1,11.Building-_ Electrical Permit# F Zoning 11-jj < Applicant: Business Name: Applicant Address: 1Cc t V1 1 Address of Proposed Sign(s): I V1 Zone: I TYPE of SIGN: aWall or[-free-standing New placement Illuminated?0 No Yes(electrical permit required) Proposed Free-standing Sign: Size(sq ft): Sign Height: Sq Ft of Existing signs on site: Free-standing: Wall: Proposed Building Sign: Building Frontage(ft): Sign Size(sq ft): Description of sign materials and lighting: 1244A I i L ATTACH DIAGRAM OF SIGN I have read, u and agree to abide by tbe-GouO Windsor Zoning Regu ins,Signs. INCLUDING Q DIMENSIONS Applicant: L..C.f 1 J—l Date: j AND MAP WITH m SIGN LOCATION ON PROPERTY Property Owner. Q"r -.Q Date: U 0 96(P vr f 00 Z1* 6, r Wet- d6( f ovxt) cy, 120`117" V. O. 6" RAD. EQ. 106 3/ 4" EQ. d ------------------------------------------------------------------------------------w l o Quest Diagnostics , w CUSTOM REPLACEMENT FACE QTY: 1 SCALE: 112"= 1'- 0" 12p• 4estDiagnost c;, EXISTING PROPOSED Drawing Prepared Dy Drawing prepared for'. Rev f: Regf: Dab: Re% : 0w Ravbton D— APtton: ae tie and m d ICCN. u" MW me a is M uon:Lad Prof f: Q A J t Niles Rav f: R Dab: Owe 1735 Ellington Rd 4232 u t,+ i South Windsor, CT 06074 L" f Fib Path: 4107 Diagnostics AcNveWC MWS0Quest DiagnaOMPoject 4232 RefreshV. ocati MA232- 4107_ South Windsor_ CT_ R—~ xxx a . 5 w u esEXISTING Dagnosdcs CUSTOM .. PROPOSED Drawng prepamc for t Q' 1:21 i G;:C:']6;01 01LI01 3:/:i:i J[ 'r Ellington1735 Location: Pro)0. 11 i'[IC,IaI]GITGSIbI)i i%`i: I:'tl[bUIu 51G;1I;1G:)1: Q n DiagnosticsFlitNil: 4107 I:T 1[TUI[I1GI 1GI 1=.xx7 Rey[[;I I](IID;Ii:l T1,`1 I:ti l![a.I U7UIi16I lIIlili7i i IRev )t[.0ID1OI]G.Tl0b1i0:0]:1',1;f1; 1:217.1[,,aaTdi]„ ,T]Glilf'1.EIE i;TI I TI:li3'i:i 3: AcbveW-COUNTSDQuestDkjlosbmftJW4232R*O$hU=MDM4232-41OLSouthV*tsof-CTJWSM r Stop&shop G 1 VS , UPTOWN k h_frlACyy llMNr.Nfrlr I6PN/ rL.. 11V rl?,_ 1 i'Yl it w"•,1 1rOJln;rrr;r ,t 45 3/4" 42 3/4" EQ. 3313/16" EQ. W EXISTING l Quest Diagnostics Ci CUSTOM REPLACEMENT SINTRA PANELTt QTY:2 SCALE:1"=1'-0" Stapashop PPV , UPTOWN lrY•N,N/r1rMY1I f rs rx/rNa!t v 1llIL1U flA:p' CusrunlncraNa h PROPOSED Drawing Prepared by Drawing prepared for. Rev M: IIIIIIIMI R90: Dab: Req Draral . Revision Description: ae ttie a ckwm of ICON. urour med uea a s rd Location: Prol t millic 1735 Ellington Rd 4232 Quest Noss t a SoA Windsor,CT 06074 L«•: Diagnostics Fib Path: 4107 Adive0CCQUNTS1QIQUW DognosticsftPict 4232 ReBeshV. Mbi( A232_4107_South Wndsor_CTJRehsh Pg. e CRAL;, I M® y LU EXISTING Quest Diagnostics CUSTOM REPLACEMENT SINTRA PANEL 1 StopaShop x' j UPTOWN iIcy PROPOSED SIGN 3 Q Q'a I:211i![Ibldddllbii vl II]ir`i i P7[%r.1735 Ellington i I:t1/l bbv l l l 1,1 1,1 11 tff1'1 1 1711![IIi,IRili)11 11)Ri1 It[IIIIIiIIII)G11L,IIII]i I: f[7r1I1:1115)[d1I(151N/1]:/:i i AcMACCOUNTSCAQuest D4iosbmftpd 4 r.u 1 i *• I: ! 11,1 IIIII)1,1 I,IlfII]`;+i:i i.:i We Brand Your Places & Spaces LANDLORD APPROVAL FOR SIGN DESIGN DOCUMENTS TO: Icon Identity Solutions RE: Quest Diagnostics 1735 Ellington Road South Windsor, CT 06074 LL Name: /fgD w n Un j Sb ik- V\.sor U—c, LLAddress: 11yy Eqllnk+m U-)ky-c cy C-7— 06,01)y J LL Phone: 0- LP q q - 911 I have reviewed the attached Sign Design Document and have initialed each page indicating my approval of the Sign Design Document as submitted. I have made notations on the sign design documents indication my concerns. I approve the Sign Design Document as noted in the package to be returned to ICON. I have attached a letter with additional requirements. In addition, hereby give notice to the sign permitting authority that I approve the Sign Design Documents as submitted. authorize the sign vendor, ICON, under contract with Quest Diagnostics, and their representatives to make application for and secure necessary permits, remove any existing signs and install the new approved signs. Aionq&6 LY ,D Name & Title (print e Date Icon 1247 N. Church Road, Suite 2 856-359-9512 Moorestown, NJ 08057-1153 www.iconid.com t h t' stopashop Q UPTOWN j qV C..,,•..,,,.,:•, er ntnw , 1+ tu+ ihw• JUf. ILQt[' 17Jt1 C. WIM, 1' 1.< I. r tin!', r" M• uw,.. 45 3/4" 42 314" Ea. 3313/ 16" EQ. w EXISTING tD a Quest Diagnostics CUSTOM REPLACEMENT SINTRA PANEL S aTv: z SCALE StopaShop CV UPTOWN armnc r" t/ irnarrr/ 1 a Y per , oe• w t 1 wY two PROPOSED Drawl prepared by Drawing nrepared for Rev p: RegM: Date: Rea. By: grini wa Loved we or M Location,. Prof fl: tiff note 1735 Ellington Rd 4232 Ques fP. IRMO South Windsor, CT06074 Lac9; 1 Diagnostics Fir Path 4101 AcMe1ACCOUNTS1a Quest DiagnosbcsTroject 4232 RefmhU_ mbonsVl232_ 4107_ South WirxlSor_ CT_ Refresh P e r• Sel V, Stop Shop UPTOWN r 111A I l:! 45 314" 42 3/4" EQ. 33 13116" EQ. a EXISTING Quest Diagnostics dUj CUSTOM REPLACEMENT SINTRA PANEL I OTY 2 SCALE.1"=1'-0" Stop Shop UPTOWN S r 61[1CIL4 PROPOSED Ouw ng prepared Drawing prepared to, Rave: Rage: Date: Req.By Dow or. Revision Descriptlow Dmw=se to q0ghe d wwatu e4uwor bnotwil Location: Prol/: NMI 000000ReyI Neya Rev/: Dow: ,pop 1735 Ellington Rd 4232 Quest South Windsor,CT06074 Lae: Diagnostics 4107 44Q Fb Path 1 Prove ACCOUNTS1QUiest Dognostzsftod 4232 RefieshlooatiomA232_4107_Swt Wtdsor_CT_Ret%h Rey 6 WON 1001Q0100 xxxP r 1 i lid. sl`7 I uesEXISTING Dianostics CUSTOM WINDOW VINYL WHITE I PROPOSED SIGN ZDrawing prepared lot 1 Dab:Q I' i " ' pral it. I:ti flRQbI rQl vib]i C*.VI. L[ 3 I: f 1.GLA&&LjUV1iMpLl 1/;:1:17 1:?lei/[:aa:T 1[QIQ!1 I 11O:]f iifi:m C 01 1 CT :i - Diagnostics Ial l l[U!7 I i l:G:16T 1fi:17:i3:a 1 t1111G d'i I 1GPG;dGS]a:1:i 1a I:eY4I LvId Til:u:1w:i:17:iT I:1 1[0:T0Id0I IfIT(hII IJf1:1 lLii I:tTl.[dTdhbl w.wbldbb] ?m1 4:1 13TiGJ[:nininInIn]IGH1GIdlId 1:+5, AdmOLCOATSOQuest DWWcdmPmJW 4232r i I:Jm7-F-0IT0IiT00) T/M00li7:/7iMY llrv.0. EQ. 106 Quest Diagnostics : CUSTOM REPLACEMENT FACE PROPOSEDEXISTING U"pmpavd W. Dwing orepwad tv ftmbf. yy I:r^iiG:rbirirUlGS!u:r ir:rli3:x i=..Wes I:t^f G'rLLirir]6lilir;r/irlr]i337i:1i I: /[rlr:r:4r1[rLlirir'irb]i'{:33:i 01 1Sw1h Ondsor,CT r.r Diagnostics• I:?Z'I1f:rUirIrbl r.r,lrr!irl]1{:ai:{37 I:L'd1:1[r'rT r:r:r][rIr](r:r ir:rli:{:f i: r I; i r,r r r r r]r r GIr!r,r 1:{7i'1:17 Ial'f 1G rlr.r:r7NlrHrlr.i.1i:{37:i:1:a 1: 7.1[r^rlrldr]r r.r:r!b'•7i737i a7 I:I ir7rriE]61r7G5!!dr]117 7{ Adv"WONTSCAOueg r 4232- M 4107 . , Wnd9or CTJWv9h 1:21R1[drbbTrlrlG r r rlirlr]i317i:1/7 Electric # APPLICATION FOR BUILDING PERMIT Plumbing# HVAC# lr? e Date: Sprinkler# I 00 Ca S Estimated Cost $ 30400-ggcpFINALAPPROVALS Building COMPLETE RED BOXED AREAS Permit Fee f Engineering Occupancy Fee $ ! Affidavit TYPE OR PRINT ONLY Eng. Insp. Fee $ Appr.forCO. SIGN ON REVERSE SIDE Total Fee TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $3L The undersigned hereby applies to do work according to the following: Applicant Owit-D r etlon of Work 4 or+ LotNo.. Applicant's Address &/ Wes t vn s l e Y- S I Tel # r6d- 99S'-7!So Town //4rTIG r-A 1n 7 Zip 66 //Z- Lic.# 05,86."g- Owner lgr Cn ct -5WV,-T Architect O'wne Address 95- FliL/e Dr- Architect's Address We%-/ Zip 6 //! Zip Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd FI.Total New Area Purpose of this permit Close fol le in w TIL T G 14 1: I wa J_I h o{"c Tk 170 r a r d G'1 iee ss add 40)e l M W-6-1 I Sgr..0 as de,'xs! I Ih.G City Water_] Well 'J Septic System J Sewer J 6, U Ins: HO SP Area Basement Garage Approved by Date - t I S Use Group Construction Type Revised 1108 I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town of South Windsor and to notify the Building Inspector of any alteration in the plans or specifications of the Building for which this permit is asked,and agree that this building is to be located the proper distance from all street lines,side yard lines,and required distances from all other zones and is located in which this building an its use is allowed. Signed C I hereby apply for a Certificate of Occu pricy for the work described in this application for the permit. Signed au" DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS INSPECTION FIELD SHEET 04/06/22 Printed by Middleton, Morgan 13 50 57 INSPECTION: 73575 FINAL PERMIT: STATUS: APPLICATION: 201500027 LOC: 1735 ELLINGTON ROAD SOUTH WINDSOR PROPERTY ID: 30301735 OWNER: TOWN CENTER OF SOUTH WINDSOR LLC CONTRACTOR: REQUEST BY: PROJ DESC: CLOSE IN EXISTING HOLE IN WALL WITH SAFETY GLASS ADD WORK ORDER: INSPECTOR: ROSE RESULT: PASS REQUESTED: 02/17/15 PRIORITY: SCHEDULED: 02/17/15 AM COMPLETED: 02/17/15 UNPAID FEES: 00 Date Time MILEAGE: 00 TIME: TRAVEL ONSITE COMMENTS: CURTIS ® 860-995-7150 ALL INSPECTIONS: INSPECTED INSPECTOR RESULT INSP DESCRIPTION B001 FOOTING B002 FOUNDATION B003 FRAMING (ROUGH) B004 INSULATION B005 FIREPLACE / CHIMNEY B006 WOOD / GAS STOVE B009 OTHER Electric # APPLICATION FOR BUILDING PERMIT Plumbing# HVAC# 735 EI I I ng }Un Date: Sprinklef# 1700 ScI 5 Estimated Cost $FINAL APPROVALS Permit FeeBuildingCOMPLETEREDBOXEDAREASOccupancy Fee $ 3c-Engineering TYPE OR PRINT ONLY Eng. Insp. Fee $Affidavit SIGN ON REVERSE SIDEAppr.forC Total Fee TO THE BU DING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ 4f 293' The undersigned hereby applies to do work according to the following: Applicant o Location of Work Lot No. Applicant's Address I1 y 1.1 It Tel is 53c0 Town Asbtcm W Zip 7 Lic.# Owntfr o-- W+' Architect t- Owner's Address 1 t Architect's Address 190 (L £ f 1 Lulv%4 0y , Zip Dta)"N Zip Sq.Ft. New Area: 1 st A. 2nd Fl. 3rd FI.Total New Area Purpose of this permit s t LA-+ 4e4,1'a., City Water Well J Septic System :3 Sewer I a1373 Ins: HO-SPlk Area Basement Garage Approved by Date 1, 3 l l Use Group Construction Type Revised 1108 I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town of South Windsor and to notify the Building Inspector of any alteration in the plans or specifications of the Building for which this permit is asked,and agree that this building is to be located the proper distance from all street lines,side yard lines,and required distances from all other zones and is located in hich this buildin and its use is allowed. Signe 6 I hereby apply for a Certificate of Occupa y for th ork described in this application for the permit. Signe DO NOT W TE BEL THIS LINE INSPECTION COMMENTS INSPECTION FIELD SHEET 11/21/17 Printed by Foreshaw, Dayshell 15 42 06 INSPECTION: 98798 FOOTING PERMIT: STATUS APPLICATION: 201701373 LOC:,l 1735 ELLINGTON ROAD SOUTH WINDSOR PROPERTY ID: 30301735 OWNER: TOWN CENTER OF SOUTH WINDSOR LLC CONTRACTOR: REQUEST BY: PROJ DESC: BUILD OUT TENANT SPACE FOR FITNESS STUDIO. WORK ORDER: INSPECTOR: ROSE RESULT: N/A REQUESTED: PRIORITY: SCHEDULED: COMPLETED: 11/16/17 UNPAID FEES 00 Date Time MILEAGE: 00 TIME: TRAVEL ONSITE COMMENTS ALL INSPECTIONS: INSPECTED INSPECTOR RESULT INSP DESCRIPTION 10/18/17 DOUG PASS P003 PLUMBING ROUGH 10/26/17 DOUG PASS E003 ELECTRIC ROUGH 11/16/17 ROSE N/A B002 FOUNDATION 11/16/17 ROSE N/A B003 FRAMING (ROUGH) 11/16/17 ROSE N/A B004 INSULATION 11/16/17 ROSE N/A E001 ELECTRIC SERVICE 11/16/17,,,,,,,,_ROSE N/A E002 ELECTRIC UNDERGROUND 011/20/17--DOUG< PASS..`.-;.: ; ;.-_ B010 FINAL 11/21/17 ROSE N/A P004 PLUMBING GAS TEST 11/21/17 ROSE N/A S003 SPRINKLER ROUGH 11/21/17 ROSE N/A S005 HYDRO TEST 11/21/17 FOLG PASS Z003 CO PLANNING INSPECTION 11/21/17 SUMM N/A F005 FM PENETRATIONS/SEPERATION 11/21/17 SUMM N/A F010 FM ABOVE CEILING 11/21/17 SUMM N/A F015 FM FIRE ALARM TEST 11/21/17 SUMM PASS F025 FM EMERGENCY/EXIT LIGHTING 11/21/17 SUMM PASS F035 FM EXITS 11/21/17 SUMM PASS F040 CO -FIRE MARSHAL INSPECTION 11/21/17 ROSE N/A H002 HVAC UNDERGROUND 11/21/17 ROSE N/A H003 HVAC ROUGH 11/21/17 ROSE N/A P002 PLUMBING UNDERGROUND APPLICATION FOR ELECTRICAL PERMITDEPARTMENTDECISIONTOWNOFSOUMWINDSOR PERMIT#Application is hereby:BUILDING DEPARTNIENT 1-7 00126APPR1540SULLIVANAVENUE W-2511 ext. 230 Bldg.Permit# Date Building Inspector t 7U C I Z Z Application must be printed or typed FEE SCHEDULE Location of Job: 0-$I,000—$15.00 C-1 Over$1,000= Street No. Street Lot No. 15.00 per$1,000 or any fraction thereoft Designation Apt.No. APPLICANT C4 v-. L APPLICANT ADDRESS 4 o APPLICANT'S PHONE# OWNER OWNER ADDRESS C OWNER PHONE Q ESTIMATED'COST$ y U U IS THIS A CONTRACT COST? o Yes No FEE ENCLOSED$ cj 0 0 TYPE OF JOB:q/b SOR'CO New Installation Alteration/Addition/Repair Revised 03/05/10 APPLICATION FOR ELECTRICAL PERAM(Continued from reverse side) TYPE of BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERmrr APPLICATION? YES NO RESIDENTIAL CURRENT USE AND OCCUPANCY 9 BUSINESS ASSEMBLE FUTURE USE AND OCCUPANCY(.J EDUCATIONAL INSTITUTIONAL ENGINEER'S NAME PHONE FACTORY 3_ STORAGE ADDRESS GARAGE MD=D USE CITY STATE ZIP Other please R)M*) TYPE OF INSTALLATION!WHUING METHOD C-- SIZE OF SERVICE SIZE OF MAIN CONDUCTORS NUMBERS OF METERS NUMBERS.OF DISCONNECTS AND RATINGS NUMBERS OF PANELS NUMBERS OF DISCONNECTS REQUIRED? I] YES NO NUMBERS OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS NUMBER OF SWITCHES NUMBER OF OUTLETS NUMBER OF LIGHT FIXTURES NUMBER OF.HEAT CIRCUITS NUMBER OF A/C CIRCUITS SEPARATE HEAT LOSS AND A/C CALCULATIONS MUSTBE SUBMITTED. DESCRIPTION OF WORK M a4 G.f .. ; J .P .ell L i THE UNDERSIGNED HEARBYAPFLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFOR- MANCE OF SUCH WORK CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OFAPPLICANT C DATE `- t 1`7-3S El I I n 9 d - COMcheck Software Version 4.0.5.1 Interior Lighting Compliance Certificate Project Information Energy Code: 2012 IECC Project Title:Urgent Care-South Windsor Project Type:Alteration Construction Site: Owner/Agent: vaaiynarr untrauor. 1735 Ellington Road Hartford Healthcare-Go Health Wilson Lee South Windsor,CT 06074 Urgent Care Management,LLC ACIES Engineering 5555 Glenridge Connector 3371 Olcott Street Suite*700 Santa Clara,CA 95054 Atlanta,GA 30342 408-522-5255 650-270-0595 wilson@acies.net Allowed Interior Lighting Power A B C D Area Category Floor Area Allowed Allowed Watts ft2) Watts/ft2 B X C) 1-WAITING/RECEPTION AREA(Common Space Types:Lobby) 300 1.10 330 11-HALLWAY(Common Space Types:Corridor/Transition) 439 0.70 307 2-WORK AREA I VITAL&SCALE(Healthcare Clinic lHospital:Nurse station) 75 1.00 75 3-EXAM ROOM 1 (Healthcare Clinic/Hospital:Examhreatment) 134 1.70 228 4-EXAM ROOM 2(Healthcare Clinic/Hospital:Exam/treatment) 109 1.70 185 5-EXAM ROOM 3(Healthcare CliniclHospital:Exam/treatment) 109 1.70 185 6-EXAM ROOM 4(Healthcare Clinic/Hospital:Exam/treatment) 109 1.70 185 7-TOILET ROOM #1(Common Space Types:Restroom) 61 1.00 61 8-TOILET ROOM#2(Common Space Types:Restroom)64 1.00 64 9-LOCK-UP ROOM(Healthcare Clinic(Hospital:Medical supplies)74 II AO 104 10-BREAKROOM(Healthcare Clinic/Hospital:Public and stafflounge) 73 0.80 58 12-Utility Area#1(Common Space Types:Electricallmechanical)62 1.10 68 13-Utility Area#2(Common Space Types:Electrical/mechanical)40 1.10 44 Total Allowed Watts= 1895 Proposed Interior Lighting Power A B C D E Fixture ID Description I Lamp/Wattage Per Lamp I Ballast Lamps/ #of Fixture (C X D) Fixture Fixtures Watt. WAITING/RECEPTION AREA(Common Space Types.Lobby 300 sq.ft.) Recessed LED:All:LED Recessed Downlight LED PAR 15W: 1 6 20 120 24"LED Panel:A2:24"LED Panel-14W:Other: 1 5 14 70 Pendant Light LED:G:Adjustable Ceiling LED:Other. 1 1 49 49 HALLWAY(Common Space Iynes.Comdor I Transition 439 sq.ft.) Cove Light,LED:H:12"LED Strip:Other. 1 99 3 297 6"Recessed LED:E:6"Recessed LED:Other. 1 15 26 390 WORK AREA /VITAL&SCALE(Healthcare Clinic/Hospital,Nurse station 75 sq.ft.) 2x2 Recessed LED:B:2x2 LED:LED Other Fixture Unit 36W. 1 1 40 40 6"Recessed LED:E:6"Recessed LED:Other: 1 1 26 26 Project Title: Urgent Care-South Windsor Report date: 03/10/17 Data filename: P:\MCG\Urgent Care\170194 Urgent Care,1735 Ellington Rd.,South Windsor, Page 1 of 10 CT\Electrical\ComCheck\UC Windsor,CT.cck r A B C D E Fixture ID:Description/Lamp/Wattage Per Lamp/Ballast Lamps/ #of Fixture (C X D) Fixture Fixtures Watt. EXAM ROOM 1 (Healthcare Clinic/HospitaLExam/treatment 134 sq.ft.) 2x2 Recessed LED:B:2x2 LED:LED Other Fixture Unit 36W: 1 4 40 160 Adjustable Ceiling LED:D:Adjustable LED:Other: 1 1 30 Exempt Exemption:Medical/Dental Procedure Lighting EXAM ROOM 2(Healthcare Clinic/HospitaLExam/treatment 109 sq.ft.) 2x2 Recessed LED:B:2x2 LED:LED Other Fixture Unit 36W: 1 3 40 120 EXAM ROOM 3(Healthcare Clinic/Hospital:Exam/treatment 109 sq.ft.) 2x2 Recessed LED:B:2x2 LED:LED Other Fixture Unit 36W: 1 3 40 120 EXAM ROOM 4(Healthcare Clinic/HosRjtal:Exam/treatment 109 sq.ft.) 2x2 Recessed LED:B:2x2 LED:LED Other Fixture Unit 36W: 1 3 40 120 TOILET ROOM #1 (Common Space Tvnes:Restroom 61 sgftl 24"LED Panel:A2:24"LED Panel-14W:Other: 1 3 14 42 6"Recessed LED:E:6"Recessed LED:Other: 1 1 26 26 TOILET ROOM#2(Common Space Types:Restroom 64 sq.ft.) 24"LED Panel:A2:24"LED Panel-14W:Other: 1 3 14 42 6'Recessed LED:E:6"Recessed LED:Other: 1 1 26 26 LOCK-UP ROOM(Healthcare Clinic/Hospital:Medical supplies 74 soft.) 4'Linear LED:F:4'Linear LED:Other: 1 2 42 84 BREAKROOM(Healthcare Clinic/Hospital:Public and staff lounge 73 sa.ft.) 2x2 Recessed LED:B:2x2 LED:LED Other Fixture Unit 36W: 1 2 40 80 Utility Area#1 (Common Space TyMs:Electrical/mechanical 62 sq.ft.) 4'Linear LED:F:4'Linear LED:Other. 1 1 42 42 Utility Area#2(Common Space Types:Electrical/mechanical 40 sq.ft.) Compact Fluorescent:CFL:Existing CFL:Spiral 26W:Electronic: 1 1 28 28 Total Proposed Watts= 1882 Interior Lighting PASSES Interior Lighting Compliance Statement Compliance Statement: The proposed interior lighting alteration project represented in this document is consistent with the building plans,specifications, and other calculations submitted with this permit application.The proposed interior lighting systems have been designed to meet the 2012 IECC requirements in COMcheck Version 4.0.5.1 and to comply with any applicable mandatory requirements listed in the Inspection cklist. Wilson Lee, PE Mp 03-22-2017 Name-Title Si nature Date Project Title: Urgent Care-South Windsor Report date: 03/10/17 Data filename: P:\MCG\Urgent Care\170194 Urgent Care, 1735 Ellington Rd.,South Windsor, Page 2 of 10 CT\Electrical\ComCheck\UC Windsor,CT.cck I 1 COMcheck Software Version 4.0.5.1 Mechanical Compliance Certificate Project Information Energy Code: 2012 IECC Project Title:Urgent Care-South Windsor Location: South Windsor,Connecticut Climate Zone: 5a Project Type:Alteration Construction Site: Owner/Agent: Designer/Contractor: 1735 Ellington Road Hartford Healthcare-Go Health Wilson Lee South Windsor,CT 06074 Urgent Care Management,LLC ACIES Engineering 5555 Glenridge Connector 3371 Olcott Street Suite*700 Santa Clara,CA 95054 Atlanta,GA 30342 408-522-5255 650-270-0595 wilson@acies.net Mechanical Systems List Quantity System Type&Description 2 Water Heater 1: Electric Storage Water Heater,Capacity:20 gallons w/Circulation Pump No minimum efficiency requirement applies Mechanical Compliance Statement Compliance Statement. The proposed mechanical alteration project represented in this document is consistent with the building plans,specifications,and other calculations submitted with this permit application.The proposed mechanical systems have been designed to meet the 2012 IECC requirements in COMcheck Version 4.0.5.1 and to comply with any applicable mandatory requirements listed in the Inspection Checklist. Wilson Lee, PE 03-22-2017 Name-Title Signature Date Project Title: Urgent Care-South Windsor Report date: 03/10/17 Data filename: P:\MCG\Urgent Care\170194 Urgent Care, 1735 Ellington Rd.,South Windsor, Page 3 of 10 CT\Electrical\ComCheck\UC Windsor,CT.cck COMcheck Software Version 4.0.5.1 Inspection Checklist Energy Code: 2012 IECC Requirements: 100.0% were addressed directly in the COMcheck software Text in the "Comments/Assumptions" column is provided by the user in the COMcheck Requirements screen. For each requirement, the user certifies that a code requirement will be met and how that is documented, or that an exception is being claimed. Where compliance is itemized in a separate table, a reference to that table is provided. Section Plan Review Complies?Comments/Assumptions Re .ID C103.2 Plans,specifications,and/or Complies Requirement will be met. PR3)1 calculations provide all information Does Not with which compliance can be determined for the service water [—]Not Observable heating systems and equipment and Not Applicable document where exceptions to the standard are claimed. Hot water system sized per manufacturer's sizing guide. C103.2 Plans,specifications,and/or Complies Requirement will be met. PR4]1 calculations provide all information Does Not with which compliance can be determined for the interior lighting Not Observable and electrical systems and equipment Not Applicable and document where exceptions to the standard are claimed. Information provided should include interior lighting power calculations,wattage of bulbs and ballasts,transformers and control devices. Additional Comments/Assumptions: 11 High Impact(Tier 1) 2 1 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Urgent Care-South Windsor Report date: 03/10/17 Data filename: P:\MCG\Urgent Care\170194 Urgent Care, 1735 Ellington Rd.,South Windsor, Page 4 of 10 Cl Electrical\ComCheck\UC Windsor,CT.cck Section Plumbing Rough-In Inspection Complies?Comments/Assumptions Re .ID C404.3 Temperature controls installed on Complies Requirement will be met. PL513 service water heating systems(110 F Does Not for dwelling units and lavatories in public restrooms and 90 F for other Not Observable occupancies.) Not Applicable C404.4 Automatic time switches installed to Complies Requirement will be met. PL3]1 automatically switch off the Does Not recirculating hot-water system or heat trace. Not Observable Not Applicable Additional Comments/Assumptions: 11 High Impact(Tier 1) 2 1 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3) Project Title: Urgent Care-South Windsor Report date: 03/10/17 Data filename: P:\MCG\Urgent Care\170194 Urgent Care, 1735 Ellington Rd.,South Windsor, Page 5 of 10 CT\Electrical\ComCheck\UC Windsor,CT.cck Section Mechanical Rough-In Inspection Complies?Comments/Assumptions Re .ID C403.2.8 ;Thermally ineffective panel surfaces of,OComplies :Requirement will be met. ME41]3 sensible heating panels have ODoes Not insulation>=R-3.5.ONot Observable; ONot Applicable C408.2.2. ;Air outlets and zone terminal devices .00omplies :Requirement will be met. 1 have means for air balancing. ODoes Not ME53]3 ONot Observable ONot Applicable C403.4.2 ;VAV fan motors>=7.5 hp to be driven,OComplies ;Requirement will be met. ME66]2 by variable speed drive,have a vane- ;ODoes Not axial fan with variable pitch blades,or have controls to limit fan motor ONot Observable demand. ONot Applicable ; Additional Comments/Assumptions: 111 High Impact(Tier 1) 2 1 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3) Project Title: Urgent Care-South Windsor Report date: 03/10/17 Data filename: P.\MCG\Urgent Care\170194 Urgent Care,1735 Ellington Rd.,South Windsor, Page 6 of 10 CT\Electrical\ComCheck\UC Windsor,CT.cck Section Rough-In Electrical Inspection Complies? Comments/Assumptions Re .ID C405.2.2. Automatic controls to shut off all Complies Requirement will be met. 1 building lighting installed in all Does Not EI22]2 buildings.Not Observable Not Applicable C405.2.1. Independent lighting controls installed Complies Requirement will be met. 1 per approved lighting plans and all []Does Not EL23]2 manual controls readily accessible and visible to occupants. Not Observable Not Applicable C405.2.1. Lighting controls installed to uniformly Complies Requirement will be met. 2 reduce the lighting load by at least Does Not EL15]1 50%. Not Observable Not Applicable C405.2.2. Daylight zones provided with Complies Requirement will be met. 3 individual controls that control the Does Not EL16]2 lights independent of general area Notlighting. Not Observable Not Applicable C405.2.3 Sleeping units have at least one Complies Exception: Requirement does not apply. EL17]3 master switch at the main entry door Does Not that controls wired luminaires and switched receptacles. Not Observable Not Applicable C405.2.2. Occupancy sensors installed in Complies Requirement will be met. 2 required spaces. Does Not EL18]1 Not Observable Not Applicable C405.2.2. Primary sidelighted areas are Complies Requirement will be met. 3 equipped with required lighting Does Not EL20]1 controls.Not Observable Not Applicable C405.2.2. Enclosed spaces with daylight area Complies Exception: Requirement does not apply. 3 under skylights and rooftop monitors Does Not EL21]1 are equipped with required lighting controls. Not Observable Not Applicable C405.2.3 Separate lighting control devices for Complies Requirement will be met. EL4]1 specific uses installed per approved Does Not lighting plans.Not Observable Not Applicable C405.3 fluorescent luminaires with odd Complies Exception: Requirement does not apply. EL19]3 numbered lamp configurations that Does Not are within 10 feet center to center(if recess mounted)or are within 1 foot Not Observable edge to edge(if pendant or surface Not Applicable mounted)shall be tandem wired. C405.4 Exit signs do not exceed 5 watts per Complies Requirement will be met. EL6]1 face. Does Not Not Observable Not Applicable C405.2.3 'Additional interior lighting power Complies Requirement will be met. EL8]1 allowed for special functions per the Does Not approved lighting plans and is automatically controlled and Not Observable separated from general lighting.Not Applicable Additional Comments/Assumptions: 111 High Impact(Tier 1) 2 1 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3) Project Title: Urgent Care-South Windsor Report date: 03/10/17 Data filename: P:\MCG\Urgent Care\170194 Urgent Care, 1735 Ellington Rd.,South Windsor, Page 7 of 10 CT\Electrical\ComCheck\UC Windsor,CT.cck 11 High Impact(Tier 1) 2 1 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3) Project Title: Urgent Care-South Windsor Report date: 03/10/17 Data filename: P:\MCG\Urgent Care\170194 Urgent Care,1735 Ellington Rd.,South Windsor, Page 8 of 10 CT\Electrical\ComCheck\UC Windsor,CT.cck Section Final Inspection Complies?Comments/Assumptions Re .ID C404.3 Public lavatory faucet water Complies Requirement will be met. FI11]3 temperature<=110°F. Does Not Not Observable Not Applicable C404.5 All piping in circulating system OComplies Requirement will be met. FI25]2 insulated Does Not Not Observable Not Applicable C404.6 Controls are installed that limit the Complies Requirement will be met. FI12]3 operation of a recirculation pump Does Not installed to maintain temperature of a Nottank. Not Observable, Not Applicable C408.2.5. Furnished as-built drawings for Complies Requirement will be met. 1 electric power systems within 30 days Does Not FI16]3 of system acceptance. Not Observable Not Applicable C303.3, Furnished O&M instructions for Complies Requirement will be met. C408.2.5. systems and equipment to the Does Not 2 building owner or designated FI17]3 representative. Not Observable Not Applicable C405.5.2 Interior installed lamp and fixture Complies See the Interior Lighting fixture schedule for values. FI18]1 lighting power is consistent with what Does Not is shown on the approved lighting plans,demonstrating proposed watts Not Observable are less than or equal to allowed Not Applicable watts. C408.3 Lighting systems have been tested to Complies Requirement will be met. FI33]1 ensure proper calibration,adjustment, Does Not programming,and operation.Not Observable Not Applicable C406 Efficient HVAC performance,efficient Complies Requirement will be met. F134]1 lighting system,or on-site supply of Does Not renewable energy consistent with what is shown the approved plans. Not Observable Not Applicable Additional Comments/Assumptions: 111 High Impact(Tier 1) 2 1 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3) Project Title: Urgent Care-South Windsor Report date: 03/10/17 Data filename: P:\MCG\Urgent Care\170194 Urgent Care, 1735 Ellington Rd.,South Windsor, Page 9 of 10 CT\Electrical\ComCheck\UC Windsor,CT.cck I Project Title: Urgent Care-South Windsor Report date: 03/10/17 Data filename: PAMCG\Urgent Care\170194 Urgent Care,1735 Ellington Rd.,South Windsor, Page 10 of 10 CT\Electrical\ComCheck\UC Windsor,CT.cck COMcheck Software Version 4.0.5.1 Interior Lighting Compliance Certificate Project Information Energy Code: 2012 IECC Project Title: Urgent Care-South Windsor Project Type:Alteration Construction Site: Owner/Agent: Designer/Contractor: 1735 Ellington Road Hartford Healthcare-Go Health Wilson Lee South Windsor,CT 06074 Urgent Care Management,LLC ACIES Engineering 5555 Glenridge Connector 3371 Olcott Street Suite*700 Santa Clara,CA 95054 Atlanta,GA 30342 408-522-5255 650-270-0595 wilson@acies.net Allowed Interior Lighting Power A B C D Area Category Floor Area Allowed Allowed Watts 1`111:2) Watts/ft2 B X C) 1-WAITING/RECEPTION AREA(Common Space Types:Lobby) 300 1.10 330 11-HALLWAY(Common Space Types:Corridor/Transition) 439 0.70 307 2-WORK AREA /VITAL&SCALE(Healthcare Clinic tHospital:Nurse station) 75 1.00 75 3-EXAM ROOM 1 (Healthcare Clinic/Hospital:Exam/treatment) 134 1.70 228 4-EXAM ROOM 2(Healthcare CliniGHospital:Exam/treatment) 109 1.70 185 5-EXAM ROOM 3(Healthcare Clinic/Hospital:Exam/treatment) 109 1.70 185 6-EXAM ROOM 4(Healthcare Clinic/Hospital:Exam/treatment) 109 1.70 185 7-TOILET ROOM #1 (Common Space Types:Restroom) 61 1.00 61 8-TOILET ROOM#2(Common Space Types:Restroom)64 1.00 64 9-LOCK-UP ROOM(Healthcare Clinic/Hospital:Medical supplies) 74 1.40 104 10-BREAKROOM(Healthcare Clinic/Hospital:Public and staff lounge) 73 0.80 58 12-Utility Area#1(Common Space Types:Electrlcal/mechanical)62 1.10 68 13-Utility Area#2(Common Space Types:Ele&icaVmechanical)40 1.10 44 Total Allowed Watts= 1895 Proposed Interior Lighting Power A B C D E Fixture ID Description I Lamp/Wattage Per Lamp I Ballast Lamps/ #of Fixture (C X D) Fixture Fixtures Watt. WAITING/RECEPTION AREA(Common Space Types.Lobby 300 sq.ft.) Recessed LED:All:LED Recessed Downlight:LED PAR 15W: 1 6 20 120 24"LED Panel:A2:24"LED Panel-14W:Other: 1 5 14 70 Pendant Light LED:G:Adjustable Ceiling LED:Other. 1 1 49 49 HALLWAY(Common Space Types.Comdor/Transition 439 sq.ft) Cove Light,LED:H:12"LED Strip:Other. 1 99 3 297 6"Recessed LED:E:6"Recessed LED:Other. 1 15 26 390 WORK AREA /VITAL&SCALE(Healthcare Clinic(Hospital.Nurse station 75 sq.ft.) 2x2 Recessed LED:B:2x2 LED:LED Other Fixture Unit 36W: 1 1 40 40 6"Recessed LED:E:6"Recessed LED:Other. 1 1 26 26 Project Title: Urgent Care-South Windsor Report date: 03/10/17 Data filename: P:\MCG\Urgent Care\170194 Urgent Care,1735 Ellington Rd.,South Windsor, Page 1 of 10 CT\Electrical\ComCheck\UC Windsor,CT.cck A B C D E Fixture ID:Description/Lamp/Wattage Per Lamp/Ballast Lamps/ #of Fixture (C X D) Fixture Fixtures Watt. EXAM ROOM 1 (Healthcare Clinic/Hospital:Exam/treatment 134 sq.f—) 2x2 Recessed LED:B:2x2 LED:LED Other Fixture Unit 36W: 1 4 40 160 Adjustable Ceiling LED:D:Adjustable LED:Other: 1 1 30 Exempt Exemption:Medical/Dental Procedure Lighting EXAM ROOM 2 l Healthcare ClinicJHospital:Exam/treatment 109 sg ) 2x2 Recessed LED:B:2x2 LED:LED Other Fixture Unit 36W: 1 3 40 120 EXAM ROOM 3(Healthcare CHMc/Hospital:Exam/treatment 109 so.ft.) 2x2 Recessed LED:B:2x2 LED:LED Other Fixture Unit 36W: 1 3 40 120 EXAM ROOM 4(Healthcare Clinic/Hospital:Exam/treatment 109 so.ft.) 2x2 Recessed LED:B:2x2 LED:LED Other Fixture Unit 36W: 1 3 40 120 TOILET ROOM #1 (Common Space Types:Restroom 61 sgft.) 24'LED Panel:A2:24"LED Panel-14W:Other: 1 3 14 42 6"Recessed LED:E:6"Recessed LED:Other: 1 1 26 26 TOILET ROOM#2(_Common Space Types:Restroom 64 sa.ft.) 24"LED Panel:A2:24'LED Panel-14W:Other: 1 3 14 42 6'Recessed LED:E:6"Recessed LED:Other: 1 1 26 26 LOCK-UP ROOM(Healthcare Clinic/Hospital:Medical supplies 74 sa.ft.) 4'Linear LED:F:4'Linear LED:Other. 1 2 42 84 BREAKROOM(Healthcare CliniclHospitalRublic and staff lounge 73 sq.ft.) 2x2 Recessed LED:B:2x2 LED:LED Other Fixture Unit 36W: 1 2 40 80 Utility Area#1 (Common Space Tvoes:Electrical/mechanical 62 sa.ft.) 4'Linear LED:F:4'Linear LED:Other. 1 1 42 42 Utility Area#2(Common Space Tvnes:Electrical/mechanical 40 sq.ft.) Compact Fluorescent:CFL:Existing CFL:Spiral 26W:Electronic: 1 1 28 28 Total Proposed Watts= 1882 interior Lighting PASSES Interior Lighting Compliance Statement Compliance Statement: The proposed interior lighting alteration project represented in this document is consistent with the building plans,specifications,and other calculations submitted with this permit application.The proposed interior lighting systems have been designed to meet the 2012 IECC requirements in COMcheck Version 4.0.5.1 and to comply with any applicable mandatory requirements listed in the Inspection cklist. Wilson Lee, PE 03-22-2017 Name-Title Si nature Date Project Title: Urgent Care-South Windsor Report date: 03/10/17 Data filename: P:\MCG\Urgent Care\170194 Urgent Care, 1735 Ellington Rd.,South Windsor, Page 2 of 10 CT\Electrical\ComCheck\UC Windsor,CT.cck i COMcheck Software Version 4.0.5.1 Mechanical Compliance Certificate Project Information Energy Code: 2012 IECC Project Title: Urgent Care-South Windsor Location: South Windsor,Connecticut Climate Zone: 5a Project Type:Alteration Construction Site: Owner/Agent: Designer/Contractor. 1735 Ellington Road Hartford Healthcare-Go Health Wilson Lee South Windsor,CT 06074 Urgent Care Management, LLC ACIES Engineering 5555 Glenridge Connector 3371 Olcott Street Suite*700 Santa Clara,CA 95054 Atlanta,GA 30342 408-522-5255 650-270-0595 wilson@acies.net Mechanical Systems List Quantity System Type&Description 2 Water Heater 1: Electric Storage Water Heater,Capacity:20 gallons w/Circulation Pump No minimum efficiency requirement applies Mechanical Compliance Statement Compliance Statement: The proposed mechanical alteration project represented in this document is consistent with the building plans,specifications,and other calculations submitted with this permit application.The proposed mechanical systems have been designed to meet the 2012 IECC requirements in COMcheck Version 4.0.5.1 and to comply with any applicable mandatory requirements listed in the Inspection Checklist. Wilson Lee, PE Aff... 03-22-2017 Name-Title Signature Date Project Title: Urgent Care-South Windsor Report date: 03/10/17 Data filename: P:\MCG\Urgent Care\170194 Urgent Care,1735 Ellington Rd.,South Windsor, Page 3 of 10 CT\Electrical\ComCheck\UC Windsor,CT.cck COMcheck Software Version 4.0.5.1 Inspection Checklist Energy Code: 2012 IECC Requirements: 100.0% were addressed directly in the COMcheck software Text in the "Comments/Assumptions" column is provided by the user in the COMcheck Requirements screen. For each requirement, the user certifies that a code requirement will be met and how that is documented, or that an exception is being claimed. Where compliance is itemized in a separate table, a reference to that table is provided. Section Plan Review Complies? Comments/Assumptions Re .ID C103.2 Plans,specifications,and/or Complies Requirement will be met. PR3)1 calculations provide all information Does Not with which compliance can be determined for the service water Not Observable heating systems and equipment and Not Applicable document where exceptions to the standard are claimed. Hot water system sized per manufacturer's sizing guide. C103.2 Plans,specifications,and/or Complies Requirement will be met. PR4)1 calculations provide all information Does Not with which compliance can be determined for the interior lighting []Not Observable and electrical systems and equipment Not Applicable and document where exceptions to the standard are claimed. Information provided should include interior lighting power calculations,wattage of bulbs and ballasts,transformers and control devices. Additional Comments/Assumptions: 111 High Impact(Tier 1) 12 1 Medium Impact(Tier 2) 13 1 Low Impact(Tier 3) Project Title: Urgent Care-South Windsor Report date: 03/10/17 Data filename: P:\MCG\Urgent Care\170194 Urgent Care, 1735 Ellington Rd., South Windsor, Page 4 of 10 CT\Electrical\ComCheck\UC Windsor,CT.cck Section Plumbing Rough-In Inspection Compiles?Comments/Assumptions Req.ID C404.3 ;Temperature controls installed on Complies :Requirement will be met. PL5]; service water heating systems(110 F ;Does Not for dwelling units and lavatories in public restrooms and 90 F for other Not Observable occupancies.) Not Applicable ; C404.4 ;Automatic time switches Installed to ;Complies :Requirement will be met. PL3]1 :automatically switch off the Does Not recirculating hot-water system or heat trace. Not Observable jDNot Applicable Additional Comments/Assumptions: 111 High Impact(Tier 1) 2 1 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3) Project Title: Urgent Care-South Windsor Report date: 03/10/17 Data filename: P:\MCG\Urgent Care\170194 Urgent Care,1735 Ellington Rd.,South Windsor, Page 5 of 10 CT\Electrical\ComCheck\UC Windsor,CT.cck Section Mechanical Rough-In Inspection Complies?Comments/Assumptions Re .ID C403.2.8 ;Thermally ineffective panel surfaces of,OComplies ;Requirement will be met. ME41]3 sensible heating panels have ODoes Not insulation>= R-3.5.ONot Observable Not Applicable C408.2.2. ;Air outlets and zone terminal devices ,OComplies ;Requirement will be met. 1 have means for air balancing. ODoes Not ME53]3 Not Observable ONot Applicable C403.4.2 ;VAV fan motors>=7.5 hp to be driven;OComplies :Requirement will be met. ME66]2 by variable speed drive,have a vane- ;ODoes Not axial fan with variable pitch blades,or have controls to limit fan motor pNot Observable demand. ONot Applicable ; Additional Comments/Assumptions: 1 I High Impact(Tier 1) 2 1Medium Impact(Tier 2) 3 1 Low Impact(Tier 3) Project Title: Urgent Care-South Windsor Report date: 03/10/17 Data filename: P:\MCG\Urgent Care\170194 Urgent Care,1735 Ellington Rd.,South Windsor, Page 6 of 10 CT\Electrical\ComCheck\UC Windsor,CT.cck Section Rough-In Electrical Inspection Complies?Comments/Assumptions Re .ID C405.2.2. Automatic controls to shut off all Complies Requirement will be met. 1 building lighting installed in all Does Not EL22]2 buildings.Not Observable Not Applicable C405.2.1. Independent lighting controls installed Complies Requirement will be met. 1 per approved lighting plans and all Does Not EL23]2 manual controls readily accessible and visible to occupants. Not Observable Not Applicable C405.2.1. Lighting controls installed to uniformly Complies Requirement will be met. 2 reduce the lighting load by at least Does Not EL15]1 50%.Not Observable Not Applicable C405.2.2. Daylight zones provided with Complies Requirement will be met. 3 individual controls that control the Does Not EL16]2 lights independent of general area lighting. Not Observable Not Applicable C405.2.3 Sleeping units have at least one Complies Exception:Requirement does not apply. EL17]3 master switch at the main entry door Does Not that controls wired luminaires and switched receptacles. Not Observable Not Applicable C405.2.2. Occupancy sensors installed in Complies Requirement will be met. 2 required spaces. Does Not EL18]1 Not Observable Not Applicable C405.2.2. Primary sidelighted areas are Complies Requirement will be met. 3 equipped with required lighting Does Not EL2011 controls.Not Observable Not Applicable C405.2.2. Enclosed spaces with daylight area Complies Exception: Requirement does not apply. 3 under skylights and rooftop monitors Does Not EL21]1 are equipped with required lighting controls. Not Observable Not Applicable C405.2.3 Separate lighting control devices for Complies Requirement will be met. EL4]1 specific uses installed per approved Does Not lighting plans.Not Observable Not Applicable C405.3 Fluorescent luminaires with odd Complies Exception: Requirement does not apply. EL19]3 numbered lamp configurations that Does Not are within 10 feet center to center(if Not Observablerecessmounted)or are within 1 foot edge to edge(if pendant or surface Not Applicable mounted)shall be tandem wired. C405.4 Exit signs do not exceed 5 watts per Complies Requirement will be met. EL6]1 face. Does Not Not Observable Not Applicable C405.2.3 Additional interior lighting power Complies Requirement will be met. EL8]1 allowed for special functions per the Does Not approved lighting plans and is automatically controlled and Not Observable separated from general lighting.Not Applicable Additional Comments/Assumptions: 111 High impact(Tier 1) 2 1 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3) Project Title: Urgent Care-South Windsor Report date: 03/10/17 Data filename: P:\MCG\Urgent Care\170194 Urgent Care, 1735 Ellington Rd.,South Windsor, Page 7 of 10 CT\Electrical\ComCheck\UC Windsor,CT.cck 11 High Impact(Tier 1) 2 1 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3) Project Title: Urgent Care-South Windsor Report date: 03/10/17 Data filename: P:\MCG\Urgent Care\170194 Urgent Care,1735 Ellington Rd.,South Windsor, Page 8 of 10 CT\Electrical\ComCheck\UC Windsor,CT.cck Section Final Inspection Complies? Comments/Assumptions Req.ID C404.3 ;Public lavatory faucet water Complies ;Requirement will be met. FI1113 temperature<=110°F. Does Not Not Observable Not Applicable j C404.5 All piping in circulating system Complies :Requirement will be met. FI2512 insulated Does Not Not Observable Not Applicable C404.6 ;Controls are installed that limit the :Complies ;Requirement will be met. FI12]3 :operation of a recirculation pump Does Not installed to maintain temperature of a storage tank. Not Observable Not Applicable C408.2.5. ;Furnished as-built drawings for Complies :Requirement will be met. 1 electric power systems within 30 days Does Not FI16]3 :of system acceptance.Not Observable Not Applicable C303.3, ;Furnished O&M instructions for Complies :Requirement will be met. C408.2.5. :systems and equipment to the Does Not 2 building owner or designated FI1713 ;representative. Not Observable ONot Applicable ; C405.5.2 ;Interior installed lamp and fixture Complies ;See the Interior Lighting fixture schedule for values. FI1811 :lighting power is consistent with what 'Does Not is shown on the approved lighting plans,demonstrating proposed watts Not Observable are less than or equal to allowed ;Not Applicable watts. C408.3 :Lighting systems have been tested to Complies :Requirement will be met. FI3311 ensure proper calibration,adjustment, Does Not programming,and operation.Not Observable Not Applicable C406 ;Efficient HVAC performance,efficient Complies ;Requirement will be met. FI3411 :lighting system,or on-site supply of ;Does Not renewable energy consistent with what is shown the approved plans. ! Not Observable Not Applicable Additional Comments/Assumptions: 111 High Impact(Tier 1) 2 1 Medium Impact(Tier 2) 3 1Low Impact(Tier 3) Project Title: Urgent Care-South Windsor Report date: 03/10/17 Data filename: P:\MCG\Urgent Care\170194 Urgent Care,1735 Ellington Rd.,South Windsor, Page 9 of 10 CT\E[ectrical\ComCheck\UC Windsor,CT.cck Project Title: Urgent Care-South Windsor Report date: 03/10/17 Data filename: P:\MCG\Urgent Care\170194 Urgent Care,1735 Ellington Rd.,South Windsor, Page 10 of 10 CT\Electrical\ComCheck\UC Windsor,CT.cck COMcheck Software Version 4.0.5.1 Interior Lighting Compliance Certificate Project Information Energy Code: 2012 IECC Project Title: Urgent Care-South Windsor Project Type:Alteration Construction Site: Owner/Agent:Designer/Contractor: 1735 Ellington Road Hartford Healthcare-Go Health Wilson Lee South Windsor,CT 06074 Urgent Care Management,LLC ACIES Engineering 5555 Glenridge Connector 3371 Olcott Street Suite*700 Santa Clara,CA 95054 Atlanta,GA 30342 408-522-5255 650-270-0595 wilson@acies.net Allowed Interior Lighting Power A B C D Area Category Floor Area Allowed Allowed Watts ft2) Watts/ft2 B X C) 1-WAITING/RECEPTION AREA(Common Space Types:Lobby) 300 1.10 330 11-HALLWAY(Common Space Types:Corridor/Transition) 439 0.70 307 2-WORK AREA /VITAL&SCALE(Healthcare ClinicJHospital:Nurse station) 75 1.00 75 3-EXAM ROOM 1(Healthcare Clinic/Hospital:Exam/treatment) 134 1.70 228 4-EXAM ROOM 2(Healthcare Clinic/Hospital:Exam/treatment) 109 1.70 185 5-EXAM ROOM 3(Healthcare Clinic/Hospital:Exam/treatment) 109 1.70 185 6-EXAM ROOM 4(Healthcare Clinic/Hospital:Exam/treatment) 109 1.70 185 7-TOILET ROOM #1(Common Space Types:Restroom) 61 1.00 61 8-TOILET ROOM#2(Common Space Types:Restroom)64 1.00 64 9-LOCK-UP ROOM(Healthcare Clinic/Hospital:Medical supplies) 74 1.40 104 10-13REAKROOM(Healthcare Clinic/Hospital:Public and staff lounge) 73 0.80 58 12-Utility Area#1(Common Space Types:ElectricaVmechanical)62 1.10 68 13-Utility Area#2(Common Space Types:ElectricaVmechanical)40 1.10 44 Total Allowed Watts= 1895 Proposed Interior Lighting Power A B C D E Fixture ID Description I Lamp I Wattage Per Lamp I Ballast Lamps/ #of Fixture (C X D) Fixture Fixtures Watt. WAITING/RECEPTION AREA(Common Space Types.Lobby 300 sq.ft.) Recessed LED:All:LED Recessed Downlight:LED PAR 15W: 1 6 20 120 24"LED Panel:A2:24'LED Panel-14W:Other: 1 5 14 70 Pendant Light LED:G:Adjustable Ceiling LED:Other. 1 1 49 49 HALLWAY(Common Space Types Corridor/Transition 439 sa.ft.) Cove Light,LED:H:12"LED Strip:Other. 1 99 3 297 6'Recessed LED:E:6'Recessed LED:Other. 1 15 26 390 WORK AREA /VITAL&SCALE(Healthcare CliniclHosnital.Nurse station 75 sq.ft.) 2x2 Recessed LED:B:2x2 LED:LED Other Fixture Unit 36W: 1 1 40 40 6"Recessed LED:E:6"Recessed LED:Other: 1 1 26 26 Project Title: Urgent Care-South Windsor Report date: 03/10/17 Data filename: P:\MCG\Urgent Care\170194 Urgent Care,1735 Ellington Rd.,South Windsor, Page 1 of 10 CT\Electrical\ComCheck\UC Windsor,CT.cck A B C D E Fixture ID :Description/Lamp/Wattage Per Lamp/Ballast Lamps/ #of Fixture (C X D) Fixture Fixtures Waft. EXAM ROOM 1 (Healthcare CliniclHospital:Exam/treatment 134 sgft.) 2x2 Recessed LED:B:2x2 LED:LED Other Fixture Unit 36W: 1 4 40 160 Adjustable Ceiling LED:D:Adjustable LED:Other. 1 1 30 Exempt Exemption:MedicaVDental Procedure Lighting EXAM ROOM 2(Healthcare Clinic/Hospital:Exam/treatment 109 sa^ft) 2x2 Recessed LED:B:2x2 LED:LED Other Fixture Unit 36W: 1 3 40 120 EXAM ROOM 3(Healthcare Clinic/Hosnital:Exam/treatment 109 sa.ft.) 2x2 Recessed LED:B:2x2 LED:LED Other Fixture Unit 36W: 1 3 40 120 EXAM ROOM 4(_Healthcare CliniclHospital:Exam/treatment 109 sa.ft.) 2x2 Recessed LED:B:2x2 LED:LED Other Fixture Unit 36W: 1 3 40 120 TOILET ROOM #1 (Common Space Tvnes:Restroom 61 sq.ft.) 24"LED Panel:A2:24"LED Panel-14W:Other: 1 3 14 42 6"Recessed LED:E:6"Recessed LED:Other: 1 1 26 26 TOILET ROOM#2(Common Space Tvoes:Restroom 64 sqU 24"LED Panel:A2:24"LED Panel-14W:Other: 1 3 14 42 6"Recessed LED:E:6"Recessed LED:Other: 1 1 26 26 LOCK-UP ROOM(Healthcare Clinic/Hospital:Medical supplies 74 sqft)) 4'Linear LED:F:4'Linear LED:Other. 1 2 42 84 BREAKROOM(Healthcare Clinic/HospitalRublic and staff lounge 73 sa.ft.) 2x2 Recessed LED:B:2x2 LED:LED Other Fixture Unit 36W: 1 2 40 80 Utility Area#1 (Common Space Tvnes:Electrical/mechanical 62 sgft.) 4'linear LED:F:4'Linear LED:Other. 1 1 42 42 Utility Area#2(Common Space Types:Electrical/mechanical 40 sq.ft.) Compact Fluorescent:CFL:Existing CFL:Spiral 26W:Electronic: 1 1 28 28 Total Proposed Watts= 1882 Interior Lighting PASSES Interior Lighting Compliance Statement Compliance Statement: The proposed interior lighting alteration project represented in this document is consistent with the building plans,specifications,and other calculations submitted with this permit application.The proposed interior lighting systems have been designed to meet the 2012 IECC requirements in COMcheck Version 4.0.5.1 and to comply with any applicable mandatory requirements listed in the Inspection cklist. Wilson Lee, PE 03-22-2017 Name-Title Si nature Date Project Title: Urgent Care-South Windsor Report date: 03/10/17 Data filename: P:\MCG\Urgent Care\170194 Urgent Care, 1735 Ellington Rd.,South Windsor, Page 2 of 10 CT\Electrical\ComCheck\UC Windsor,CT.cck COMcheck Software Version 4.0.5.1 Mechanical Compliance Certificate Project Information Energy Code: 2012 IECC Project Title: Urgent Care-South Windsor Location: South Windsor,Connecticut Climate Zone: 5a Project Type:Alteration Construction Site: Owner/Agent: Designer/Contractor. 1735 Ellington Road Hartford Healthcare-Go Health Wilson Lee South Windsor,CT 06074 Urgent Care Management,LLC ACIES Engineering 5555 Glenridge Connector 3371 Olcott Street Suite#700 Santa Clara,CA 95054 Atlanta,GA 30342 408-522-5255 650-270-0595 wilson@acies.net Mechanical Systems List Quantity System Type&Description 2 Water Heater 1: Electric Storage Water Heater,Capacity:20 gallons w/Circulation Pump No minimum efficiency requirement applies Mechanical Compliance Statement Compliance Statement: The proposed mechanical alteration project represented in this document is consistent with the building plans,specifications,and other calculations submitted with this permit application.The proposed mechanical systems have been designed to meet the 2012 IECC requirements in COMcheck Version 4.0.5.1 and to comply with any applicable mandatory requirements listed in the Inspection Checklist. Wilson Lee, PEAC2= 03-22-2017 Name-Title Signature Date Project Title: Urgent Care-South Windsor Report date: 03/10/17 Data filename: P:\MCG\Urgent Care\170194 Urgent Care,1735 Ellington Rd.,South Windsor, Page 3 of 10 CT\Electrical\ComCheck\UC Windsor,CT.cck COMcheck Software Version 4.0.5.1 Inspection Checklist Energy Code: 2012 IECC Requirements: 100.0% were addressed directly in the COMcheck software Text in the "Comments/Assumptions" column is provided by the user in the COMcheck Requirements screen. For each requirement, the user certifies that a code requirement will be met and how that is documented, or that an exception is being claimed. Where compliance is itemized in a separate table, a reference to that table is provided. Section Plan Review Complies? Comments/Assumptions R .ID C103.2 Plans,specifications,and/or OComplies Requirement will be met. PR3]1 calculations provide all information Does Not with which compliance can be determined for the service water Not Observable heating systems and equipment and Not Applicable document where exceptions to the standard are claimed. Hot water system sized per manufacturer's sizing guide. C103.2 Plans,specifications,and/or Complies Requirement will be met. PR4]1 calculations provide all information Does Not with which compliance can be determined for the interior lighting []Not Observable and electrical systems and equipment E]Not Applicable and document where exceptions to the standard are claimed. Information provided should include interior lighting power calculations,wattage of bulbs and ballasts,transformers and control devices. Additional Comments/Assumptions: 11 High Impact(Tier 1) 2 1 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Urgent Care-South Windsor Report date: 03/10/17 Data filename: P:\MCG\Urgent Care\170194 Urgent Care,1735 Ellington Rd.,South Windsor, Page 4 of 10 CT\Electrical\ComCheck\UC Windsor,CT.cck Section o Plumbing Rough-In Inspection Compiles?Comments/Assumptions Re .ID C404.3 ;Temperature controls installed on Complies :Requirement will be met. PL5]3 !service water heating systems(110 F Does Not for dwelling units and lavatories in public restrooms and 90 F for other []Not Observable occupancies.) UNot Applicable ; C404.4 ;Automatic time switches installed to Complies ;Requirement will be met. PL3]1 automatically switch off the Does Not recirculating hot-water system or heat trace. Not Observable: Not Applicable j Additional Comments/Assumptions: 111 High Impact(Tier 1) 2 1 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3) Project Title: Urgent Care-South Windsor Report date: 03/10/17 Data filename: P:\MCG\Urgent Care\170194 Urgent Care,1735 Ellington Rd.,South Windsor, Page 5 of 10 CT\Electrical\ComCheck\UC Windsor,CT.cck Section Mechanical Rough-in Inspection Complies?Comments/Assumptions 6e Re .ID' C403.2.8 Thermally ineffective panel surfaces of Complies Requirement will be met. ME4113 sensible heating panels have Does Not insulation >= R-3.5.Not Observable Not Applicable C408.2.2. Air outlets and zone terminal devices Complies Requirement will be met. 1 have means for air balancing. Does Not ME53)3 Not Observable Not Applicable C403.4.2 VAV fan motors>=7.5 hp to be driven Complies Requirement will be met. ME66]2 by variable speed drive,have a vane- Does Not axial fan with variable pitch blades,or have controls to limit fan motor Not Observable demand. Not Applicable Additional Comments/Assumptions: 111 High Impact(Tier 1) 2 1 Medium Impact Mer 2) 3 1Low Impact(Tier 3) Project Title: Urgent Care-South Windsor Report date: 03/10/17 Data filename: P:\MCG\Urgent Care\170194 Urgent Care, 1735 Ellington Rd.,South Windsor, Page 6 of 10 CT\Electrical\ComCheck\UC Windsor,CT.cck Section Rough-In Electrical Inspection Complies? Comments/Assumptions Re .ID C405.2.2. Automatic controls to shut off all Complies Requirement will be met. 1 building lighting installed in all Does Not EL22]2 buildings.QNot Observable Not Applicable C405.2.1. Independent lighting controls installed Complies Requirement will be met. 1 per approved lighting plans and all Does Not EL23]2 manual controls readily accessible and visible to occupants. Not Observable Not Applicable C405.2.1. Lighting controls installed to uniformly Complies Requirement will be met. 2 reduce the lighting load by at least Does Not EL1511 50%. Not Observable Not Applicable C405.2.2. Daylight zones provided with Complies Requirement will be met. 3 individual controls that control the Does Not EL16]2 lights independent of general area lighting. Not Observable Not Applicable C405.2.3 Sleeping units have at least one Complies Exception: Requirement does not apply. EL17]3 master switch at the main entry door Does Not that controls wired luminaires and switched receptacles. Not Observable Not Applicable C405.2.2. Occupancy sensors installed in Complies Requirement will be met. 2 required spaces. Does Not EL18]1 QNot Observable Not Applicable C405.2.2. Primary sidelighted areas are Complies Requirement will be met. 3 equipped with required lighting Does Not EL20]1 controls.Not Observable Not Applicable C405.2.2. Enclosed spaces with daylight area Complies Exception: Requirement does not apply. 3 under skylights and rooftop monitors Does Not EL21]1 are equipped with required lighting controls. Not Observable Not Applicable C405.2.3 Separate lighting control devices for Complies Requirement will be met. EL411 specific uses installed per approved Does Not lighting plans. Not Observable Not Applicable C405.3 Fluorescent luminaires with odd Complies Exception: Requirement does not apply. EL19]3 numbered lamp configurations that Does Not are within 10 feet center to center(if Not Observablerecessmounted)or are within 1 foot edge to edge(if pendant or surface []Not Applicable mounted)shall be tandem wired. C405.4 Exit signs do not exceed 5 watts per Complies Requirement will be met. EL6]1 face. Does Not QNot Observable Not Applicable C405.2.3 Additional interior lighting power Complies Requirement will be met. EL8]1 allowed for special functions per the Does Not approved lighting plans and is automatically controlled and Not Observable separated from general lighting.Not Applicable Additional Comments/Assumptions: 111 High Impact(Tier 1) 2 1 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3) Project Title: Urgent Care-South Windsor Report date: 03/10/17 Data filename: P:\MCG\Urgent Care\170194 Urgent Care, 1735 Ellington Rd.,South Windsor, Page 7 of 10 CT\Electrical\ComCheck\UC Windsor,CT.cck 11 High Impact(Tier 1) 2 1 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3) Project Title: Urgent Care-South Windsor Report date: 03/10/17 Data filename: P:\MCG\Urgent Care\170194 Urgent Care,1735 Ellington Rd.,South Windsor, Page 8 of 10 CT\Electrical\ComCheck\UC Windsor,CT.cck Section Final Inspection Complies?Comments/Assumptions Re .ID C404.3 Public lavatory faucet water Complies Requirement will be met. FI11]3 temperature<=110°F. Does Not Not Observable Not Applicable C404.5 All piping in circulating system Complies Requirement will be met. F125)2 insulated Does Not Not Observable Not Applicable C404.6 Controls are installed that limit the Complies Requirement will be met. FI12]3 operation of a recirculation pump Does Not installed to maintain temperature of a storage tank. Not Observable Not Applicable C408.2.5. Furnished as-built drawings for Complies Requirement will be met. 1 electric power systems within 30 days Does Not FI16]3 of system acceptance.Not Observable Not Applicable C303.3, Furnished O&M instructions for Complies Requirement will be met. C408.2.5. systems and equipment to the Does Not 2 building owner or designated FI17]3 representative. Not Observable Not Applicable C405.5.2 Interior installed lamp and fixture Complies See the Interior Lighting fixture schedule for values. FI18]1 lighting power is consistent with what Does Not is shown on the approved lighting plans,demonstrating proposed watts Not Observable are less than or equal to allowed Not Applicable watts. C408.3 Lighting systems have been tested to Complies Requirement will be met. FI3311 ensure proper calibration,adjustment, Does Not programming,and operation.Not Observable Not Applicable C406 Efficient HVAC performance,efficient Complies Requirement will be met. F13411 lighting system,or on-site supply of Does Not renewable energy consistent with what is shown the approved plans. Not Observable Not Applicable Additional Comments/Assumptions: 111 High Impact(Tier 1) 2 1 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3) Project Title: Urgent Care-South Windsor Report date: 03/10/17 Data filename: P:\MCG\Urgent Care\170194 Urgent Care,1735 Ellington Rd.,South Windsor, Page 9 of 10 CT\Electrical\ComCheck\UC Windsor,CT.cck Project Title: Urgent Care-South Windsor Report date: 03/10/17 Data filename: P:\MCG\Urgent Care\170194 Urgent Care,1735 Ellington Rd.,South Windsor, Page 10 of 10 CT\Electrical\ComCheck\UC Windsor,CT.cck COMcheck Software Version 4.0.5.5 Mechanical Compliance Certificate Project Information Energy Code:2012 IECC Project Title: Urgent Care-South Windsor Location: South Windsor,Connecticut Climate Zone: 5a Project Type:Alteration Construction Site:Owner/Agent: Designer/Contractor: 1735 Ellington Road Hartford Healthcare-Go Health Wilson Lee South Windsor,CT 06074 Urgent Care Management,LLC ACIES Engineering 5555 Glenridge Connector 3371 Olcott Street Suite*700 Santa Clara,CA 95054 Atlanta,GA 30342 408-522-5255 650-270-0595 wilson@acies.net Mechanical Systems List Quantity System Type&Description 1 FC/HP-1(Single Zone): Split System Heat Pump Heating Mode:Capacity=24 kBtu/h, Proposed Efficiency=8.00 HSPF,Required Efficiency=7.70 HSPF Cooling Mode:Capacity=23 kBtu/h, Proposed Efficiency=13.00 SEER,Required Efficiency: 13.00 SEER Fan System: FC-1 fan—Compliance(Motor nameplate HP method):Passes Fans: FAN 1 Supply,Constant Volume,800 CFM,1.5 motor nameplate hp 1 HVAC System 2(Single Zone): Split System Heat Pump Heating Mode:Capacity=47 kBtu/h, Proposed Efficiency=7.70 HSPF,Required Efficiency=7.70 HSPF Cooling Mode:Capacity=48 kBtu/h,,Air Economizer Proposed Efficiency=13.00 SEER,Required Efficiency: 13.00 SEER Fan System: FC-2 fan—Compliance(Motor nameplate HP method):Passes Fans: FAN 2 Supply,Constant Volume,1600 CFM,0.8 motor nameplate hp 2 Water Heater 1: Electric Storage Water Heater,Capacity:20 gallons w/Circulation Pump No minimum efficiency requirement applies Mechanical Compliance Statement Compliance Statement: The proposed mechanical alteration project represented in this document is consistent with the building plans,specifications,and other calculations submitted with this permit application.The proposed mechanical systems have been designed to meet the 2012 IECC requirements in COMcheck Version 4.0.5.5 and to comply with any applicable mandatory requirements listed in the Inspection Checklist. Wilson Lee, PE dz 03-22-2017 Name-Title Signature Date Project Title: Urgent Care-South Windsor Report date: 03/21/17 Data filename: P:\MCG\Urgent Care\2017\170194 Urgent Care, 1735 Ellington Rd.,South Windsor,Page 1 of 9 CT\Electrical\ComCheck\UC Windsor,CT.cck COMcheck Software Version 4.0.5.5 Inspection Checklist Energy Code: 2012 IECC Requirements: 100.0% were addressed directly in the COMcheck software Text in the "Comments/Assumptions" column is provided by the user in the COMcheck Requirements screen. For each requirement, the user certifies that a code requirement will be met and how that is documented, or that an exception is being claimed. Where compliance is itemized in a separate table, a reference to that table is provided. Section Plan Review Complies?Comments/Assumptions Re .ID C103.2 Plans,specifications,and/or Complies Requirement will be met. PR211 calculations provide all information Does Not with which compliance can be determined for the mechanical Not Observable systems and equipment and Not Applicable document where exceptions to the standard are claimed. Load calculations per acceptable engineering standards and handbooks. C103.2 Plans,specifications,and/or Complies Requirement will be met. PR3)1 calculations provide all Information Does Not with which compliance can be determined for the service water Not Observable heating systems and equipment and Not Applicable document where exceptions to the standard are claimed. Hot water system sized per manufacturer's sizing guide. Additional Comments/Assumptions: 111 High Impact(Tier 1) 12 1 Medium Impact(Tier 2) 13 1 Low Impact(Tier 3) Project Title: Urgent Care-South Windsor Report date: 03/21/17 Data filename: P:\MCG\Urgent Care\2017\170194 Urgent Care, 1735 Ellington Rd.,South Windsor, Page 2 of 9 C11Electrical\ComCheck\UC Windsor,CT.cck Section Footing/Foundation Inspection Complies?Comments/Assumptions Re .ID C403.2.4. :Freeze protection and snowrce Complies :Requirement will be met. 5 melting system sensors for future ;Does Not FO9]3 :.connection to controls. Not Observable:Location on plans/spec: M0.0 Not Applicable Additional Comments/Assumptions: I 1 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Urgent Care-South Windsor Report date: 03/21/17 Data filename: P:\MCG\Urgent Care\20171170194 Urgent Care,1735 Ellington Rd.,South Windsor,Page 3 of 9 CT\Electrical\ComCheck\UC Windsor,CT.cck Section Plumbing Rough-In Inspection I Complies? Comments/Assumptions Re .ID C404.3 ;Temperature controls installed on .Complies :Requirement will be met. PL5)3 service water heating systems(110 F :Does Not for dwelling units and lavatories in public restrooms and 90 F for other Not Observable occupancies.) ONotApplicable ; C404.4 ;Automatic time switches installed to Complies ;Requirement will be met. PL3)1 automatically switch off the Does Not recirculating hot-water system or heat trace. Not Observable Not Applicable Additional Comments/Assumptions: 111 High Impact(Tier 1) 2 1 Medium Impact(Tier 2) 3 1 Low Impact(Ter 3) Project Title: Urgent Care-South Windsor Report date: 03/21/17 Data filename: P:\MCG\Urgent Care\2017\170194 Urgent Care,1735 Ellington Rd.,South Windsor,Page 4 of 9 CT\Electrical\ComCheck\UC Windsor,CT.cck Section Mechanical Rough-In Inspection Complies?Comments/Assumptions Req.ID C403.2.3 HVAC equipment efficiency verified. Complies See the Mechanical Systems list for values. ME55]2 Does Not Not Observable Not Applicable C403.2.5. Demand control ventilation provided Complies Exception: Requirement does not apply. 1 for spaces>500 sq.ft.and >25 Does Not ME59]1 people/1000 sq.ft.occupant density and served by systems with air side Not Observable economizer,auto modulating outside Not Applicable air damper control,or design airflow 3,000 cfm. C403.2.7 HVAC ducts and plenums insulated. Complies Requirement will be met. ME60]2 Where ducts or plenums are installed Does Not in or under a slab,verification may Not Observable Location on plans/spec: M0.1needtooccurduringFoundation Inspection. Not Applicable C403.2.8 HVAC piping insulation thickness. Complies Requirement will be met. ME61]2 Where piping is installed in or under a Does Not slab,verification may need to occur Location on plans/spec: M0.1 during Foundation Inspection. Not Observable Not Applicable C403.2.8 HVAC piping insulation thickness. Complies Requirement will be met. ME61]2 Where piping is installed in or under a []Does Not slab,verification may need to occur []Not Observable Location on plans/spec: M0.1duringFoundationInspection.Not Applicable C403.2.8. Piping Insulation exposed to weather Complies Requirement will be met. 1 is protected from damage(due to sun, Does Not ME7]3 moisture,wind,etc.). Not Observable Location on plans/spec: M0.1 Not Applicable C403.2.8 Thermally ineffective panel surfaces of Complies Requirement will be met. ME41]3 sensible heating panels have Does Not insulation >= R-3.5.Not Observable Not Applicable C403.3.1. Total cooling capacity without Complies Requirement will be met. a economizers must be less than Does Not NA]0 %varMaxKBtuPerH%. Not Observable Location on plans/spec: M0.0 Not Applicable C403.2.7 Ducts and plenums sealed based on Complies Requirement will be met. IME1012 static pressure and location. Does Not Not Observable Location on plans/spec: M0.1 Not Applicable C403.2.7. Ductwork operating >3 in.water Complies Exception: Requirement does not apply. 1.3 column requires air leakage testing. Does Not ME11]3 Not Observable Not Applicable C403.2.7. Ductwork operating >3 in.water Complies Exception: Requirement does not apply. 1.3 column requires air leakage testing. Does Not ME11]3 Not Observable Not Applicable C403.3.1, Air economizers provided where Complies Requirement will be met. C403.3.1. required, meet the requirements for Does Not 1 design capacity,control signal, Location on plans/spec:M0.1 ME62]1 ventilation controls,high-limit shut-off, Not Observable integrated economizer control,and Not Applicable provide a means to relieve excess outside air during operation. 1 I High Impact(Tier 1) 2 1 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3) Project Title: Urgent Care-South Windsor Report date: 03/21/17 Data filename: P:\MCG\Urgent Care\2017\170194 Urgent Care, 1735 Ellington Rd.,South Windsor,Page 5 of 9 CT\Electrical\ComCheck\UC_Windsor,CT.cck Section Mechanical Rough-In Inspection Complies?Comments/Assumptions Req.ID C408.2.2. Air outlets and zone terminal devices Complies Requirement will be met. 1 have means for air balancing. Does Not ME5313 Not Observable Not Applicable C403.4.2 VAV fan motors>=7.5 hp to be driven Complies Exception: Requirement does not apply. ME6612 by variable speed drive,have a vane- Does Not axial fan with variable pitch blades,or have controls to limit fan motor Not Observable demand. Not Applicable C403.4.2 VAV fan motors>=7.5 hp to be driven Complies Exception: Requirement does not apply. ME66]2 by variable speed drive,have a vane- Does Not axial fan with variable pitch blades,or have controls to limit fan motor Not Observable demand. Not Applicable C403.4.2 VAV fan motors>=7.5 hp to be driven Complies Requirement will be met. ME66]2 by variable speed drive, have a vane- []Does Not axial fan with variable pitch blades,or have controls to limit fan motor Not Observable demand. Not Applicable C403.2.6 Exhaust air energy recovery on Complies ME57]1 systems meeting Table C403.2.6 Does Not Not Observable Not Applicable C403.2.11 Unenclosed spaces that are heated Complies Exception: Requirement does not apply. ME71]2 use only radiant heat. Does Not Not Observable Not Applicable Additional Comments/Assumptions: 111 High Impact(Tier 1) 2 1 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Urgent Care-South Windsor Report date: 03/21/17 Data filename: PAMCG\Urgent Care\2017\170194 Urgent Care, 1735 Ellington Rd.,South Windsor,Page 6 of 9 CT\Electrical\ComCheck\UC_Windsor,CT.cck Section Final Inspection Complies?Comments/Assumptions Req.ID C403.2.4. Heating and cooling to each zone is Complies Requirement will be met. 1 controlled by a thermostat control. Does Not FI47]3 Minimum one humidity control device Not Observable Location on plans/spec: M1.0perinstalled humidification/dehumidification Not Applicable system. C403.2.4. Heating and cooling to each zone is Complies Requirement will be met. 1 controlled by a thermostat control. Does Not FI47]3 Minimum one humidity control device Not Observable Location on plans/spec: M1.0perinstalled humidification/dehumidification Not Applicable system. C403.2.4. Thermostatic controls have a 5'F Complies Requirement will be met. 2 deadband.ODoes Not FI38]3 Not Observable Location on plans/spec: M0.1 Not Applicable C403.2.4. Temperature controls have setpoint Complies Requirement will be met. 2 overlap restrictions. Does Not F120]3 Not Observable Location on plans/spec: M0.1 ONot Applicable C403.2.4. Each zone equipped with setback Complies Requirement will be met. 3 controls using automatic time clock or Does Not F139]3 programmable control system. Not Observable Location on plans/spec: M0.1 Not Applicable C403.2.4. Automatic Controls:Setback to 55°F Complies Requirement will be met. 3 heat)and 85°F(cool); 7-day clock,2- Does Not F140]3 hour occupant override, 10-hour ONot Observable Location on plans/spec: M0.1backupONotApplicable C403.2.4. Systems include optimum start Complies Requirement will be met. 3.3 controls. Does Not F141]3 ONot Observable Location on plans/spec: M0.1 Not Applicable C403.2.4. Systems include optimum start Complies Requirement will be met. 3.3 controls. Does Not F141]3 Not Observable Location on plans/spec: M0.1 Not Applicable C403.2.4. Heat pump controls prevent Complies Requirement will be met. 1.1 supplemental electric resistance heat Does Not F142]3 from coming on when not needed. Not Observable Location on plans/spec: M0.1 Not Applicable C403.2.4. Heat pump controls prevent Complies Requirement will be met. 1.1 supplemental electric resistance heat Does Not F142]3 from coming on when not needed. Not Observable Location on plans/spec: M0.1 Not Applicable C408.2.5. Furnished HVAC as-built drawings Complies Requirement will be met. 1 submitted within 90 days of system Does Not FI7]3 acceptance.Not Observable. Not Applicable C303.3, Furnished O&M manuals for HVAC Complies Requirement will be met. C408.2.5. systems within 90 days of system Does Not 3 acceptance. F18]3 Not Observable ONot Applicable 11 High Impact(Tier 1) 2 1 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3) Project Title: Urgent Care-South Windsor Report date: 03/21/17 Data filename: P:\MCG\Urgent Care\2017\170194 Urgent Care, 1735 Ellington Rd.,South Windsor, Page 7 of 9 CT\Electrical\ComCheck\UC Windsor,CT.cck Section Ak Final inspection Complies?Comments/Assumptions R .ID C408.2.5. An air and/or hydronic system Complies Requirement will be met. 3 balancing report is provided for HVAC Does Not FI43]1 systems.Not Observable Not Applicable C408.2.3. HVAC control systems have been Complies Requirement will be met. 2 tested to ensure proper operation, Does Not F110]1 calibration and adjustment of controls. Not Observable Not Applicable C404.3 Public lavatory faucet water Complies Requirement will be met. F11113 temperature<=110°F. Does Not Not Observable Not Applicable C404.5 All piping in circulating system Complies Requirement will be met. FI25]Z insulated Does Not Not Observable Not Applicable C404.6 Controls are installed that limit the Complies Requirement will be met. FI12]3 operation of a recirculation pump Does Not installed to maintain temperature of a storage tank. Not Observable Not Applicable C403.2.2 HVAC systems and equipment Complies Requirement will be met. FI27]3 capacity does not exceed calculated Does Not loads.Not Observable Not Applicable C408.2.1 Commissioning plan developed by Complies Requirement will be met. F128]1 registered design professional or Does Not approved agency.Not Observable Not Applicable C408.2.4 Preliminary commissioning report Complies Requirement will be met. FI29]1 completed and certified by registered Does Not design professional or approved Notagency. Not Observable Not Applicable C408.2.5. Final commissioning report due to Complies Requirement will be met. 4 building owner within 90 days of Does Not F130]1 receipt of certificate of occupancy.Not Observable Not Applicable C408.2.3. HVAC equipment has been tested to Complies Requirement will be met. 1 ensure proper operation.Does Not FI31]1 Not Observable Not Applicable C408.2.3. Economizers have been tested to Complies Requirement will be met. 3 ensure proper operation.Does Not F132]1 Not Observable Not Applicable Additional Comments/Assumptions: 111 High Impact(Tier 1) 2 1 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3) Project Title: Urgent Care-South Windsor Report date: 03/21/17 Data filename: P:\MCG\Urgent Care\2017\170194 Urgent Care, 1735 Ellington Rd.,South Windsor,Page 8 of 9 CT\Electrical\ComCheck\UC Windsor,CT.cck Project Title: Urgent Care-South Windsor Report date: 03/21/17 Data filename: P:\MCG\Urgent Care\2017\170194 Urgent Care,1735 Ellington Rd.,South Windsor,Page 9 of 9 CT\Electrical\ComCheck\UC Windsor,CT.cck COMcheck Software Version 4.0.5.5 Mechanical Compliance Certificate Project Information Energy Code: 2012 IECC Project Title:Urgent Care-South Windsor Location: South Windsor,Connecticut Climate Zone: 5a Project Type:Alteration Construction Site: Owner/Agent: Designer/Contractor: 1735 Ellington Road Hartford Healthcare-Go Health Wilson Lee South Windsor,CT 06074 Urgent Care Management, LLC ACIES Engineering 5555 Glenridge Connector 3371 Olcott Street Suite*700 Santa Clara,CA 95054 Atlanta,GA 30342 408-522-5255 650-270-0595 wilson@acies.net Mechanical Systems List Quantity System Type&Description 1 FC/HP-1(Single Zone): Split System Heat Pump Heating Mode:Capacity=24 kBtu/h, Proposed Efficiency=8.00 HSPF,Required Efficiency=7.70 HSPF Cooling Mode:Capacity=23 kBtu/h, Proposed Efficiency=13.00 SEER,Required Efficiency: 13.00 SEER Fan System: FC-1 fan—Compliance(Motor nameplate HP method):Passes Fans: FAN 1 Supply,Constant Volume,800 CFM,1.5 motor nameplate hp 1 HVAC System 2(Single Zone): Split System Heat Pump Heating Mode:Capacity=47 kBtu/h, Proposed Efficiency=7.70 HSPF,Required Efficiency=7.70 HSPF Cooling Mode:Capacity=48 kBtu/h,,Air Economizer Proposed Efficiency=13.00 SEER,Required Efficiency: 13.00 SEER Fan System: FC-2 fan—Compliance(Motor nameplate HP method):Passes Fans: FAN 2 Supply,Constant Volume,1600 CFM,0.8 motor nameplate hp 2 Water Heater 1: Electric Storage Water Heater,Capacity:20 gallons w/Circulation Pump No minimum efficiency requirement applies Mechanical Compliance Statement Compliance Statement: The proposed mechanical alteration project represented in this document is consistent with the building plans,specifications,and other calculations submitted with this permit application.The proposed mechanical systems have been designed to meet the 2012 IECC requirements in COMcheck Version 4.0.5.5 and to comply with any applicable mandatory requirements listed in the Inspection Checklist. Wilson Lee, PE al 03-22-2017 Name-Title Signature Date Project Title: Urgent Care-South Windsor Report date: 03/21/17 Data filename: P:\MCG\Urgent Care\2017\170194 Urgent Care,1735 Ellington Rd.,South Windsor,Page 1 of 9 CT\Electrical\ComCheck\UC Windsor,CT.cck COMcheck Software Version 4.0.5.5 Inspection Checklist Energy Code: 2012 IECC Requirements: 100.0% were addressed directly in the COMcheck software Text in the "Comments/Assumptions" column is provided by the user in the COMcheck Requirements screen. For each requirement, the user certifies that a code requirement will be met and how that is documented, or that an exception is being claimed. Where compliance is itemized in a separate table, a reference to that table is provided. Section Plan Review Complies?Comments/Assumptions Req.1113 C103.2 Plans,specifications,and/or Complies Requirement will be met. PR2]1 calculations provide all information Does Not with which compliance can be Not Observabledeterminedforthemechanical systems and equipment and Not Applicable document where exceptions to the standard are claimed. Load calculations per acceptable engineering standards and handbooks. C103.2 Plans,specifications,and/or Complies Requirement will be met. PR3]1 calculations provide all information Does Not with which compliance can be determined for the service water Not Observable heating systems and equipment and Not Applicable document where exceptions to the standard are claimed. Hot water system sized per manufacturer's sizing guide. Additional Comments/Assumptions: 111 High Impact(Tier 1) 12 1 Medium Impact(Tier 2) 13 1Low Impact(Tier 3) Project Title: Urgent Care-South Windsor Report date: 03/21/17 Data filename: P:\MCG\Urgent Care\2017\170194 Urgent Care, 1735 Ellington Rd.,South Windsor,Page 2 of 9 CT\Electrical\ComCheck\UC Windsor,CT.cck Section Footing/Foundation Inspection Complies?Comments/Assumptions Re .ID C403.2.4. ;Freeze protection and snow/ice Complies :Requirement will be met. 5 melting system sensors for future ;Does Not FO9]3 :connection to controls. Not Observable:location on plans/spec: M0.0 Not Applicable Additional Comments/Assumptions: 111 High Impact(Tier 1) 2 1 Medium Impact(Tier 2) 3 1 Low Impact(Ter 3) Project Title: Urgent Care-South Windsor Report date: 03/21/17 Data filename: P:\MCG\Urgent Care\2017\170194 Urgent Care, 1735 Ellington Rd.,South Windsor, Page 3 of 9 CT\Electrical\ComCheck\UC Windsor,CT.cck Section Plumbing Rough-in Inspection Complies?Comments/Assumptions Re .ID C404.3 ;Temperature controls installed on Complies Requirement will be met. PL5)3 :service water heating systems(110 F ;Does Not for dwelling units and lavatories in public restrooms and 90 F for other ',Not Observable occupancies.) Not Applicable C404.4 ;Automatic time switches installed to Complies ;Requirement will be met. PL3)1 ;automatically switch off the Does Not recirculating hot-water system or heat: trace. Not Observable: Not Applicable Additional Comments/Assumptions: 111 High Impact(Tier 1) 2 1 Medium Impact(Tier 2) 3 1 Low Impact(Ter 3) Project Title: Urgent Care-South Windsor Report date: 03121/17 Data filename: P:\MCG\Urgent Care\2017\170194 Urgent Care,1735 Ellington Rd.,South Windsor,Page 4 of 9 CT\Electricat\ComCheck\UC Windsor,CT.cck Section 1, Mechanical Rough-In Inspection Complies? Comments/Assumptions Req.ID C403.2.3 HVAC equipment efficiency verified. Complies See the Mechanical systems list for values. ME5512 Does Not Not Observable Not Applicable C403.2.5. Demand control ventilation provided Complies Exception: Requirement does not apply. 1 for spaces>500 sq.ft.and >25 Does Not ME5911 people/1000 sq.ft.occupant density Not Observableandservedbysystemswithairside economizer,auto modulating outside Not Applicable air damper control,or design airflow 3,000 cfm. C403.2.7 HVAC ducts and plenums insulated. Complies Requirement will be met. ME60]2 Where ducts or plenums are installed Does Not in or under a slab,verification may Not Observable Location on plans/spec: M0.1needtooccurduringFoundation Inspection. Not Applicable C403.2.8 HVAC piping insulation thickness. Complies Requirement will be met. ME61]2 Where piping is installed in or under a Does Not slab,verification may need to occur Location on plans/spec: M0.1 during Foundation Inspection. Not Observable Not Applicable C403.2.8 HVAC piping insulation thickness. Complies Requirement will be met. ME61]2 Where piping is installed in or under a Does Not slab,verification may need to occur Not Observable Location on plans/spec: M0.1duringFoundationInspection. Not Applicable C403.2.8. Piping Insulation exposed to weather Complies Requirement will be met. 1 is protected from damage(due to sun, Does Not ME7]3 moisture,wind,etc.). Not Observable Location on plans/spec:M0.1 Not Applicable C403.2.8 Thermally ineffective panel surfaces of Complies Requirement will be met. ME41]3 sensible heating panels have Does Not insulation >= R-3.5.Not Observable Not Applicable C403.3.1. Total cooling capacity without Complies Requirement will be met. a economizers must be less than Does Not NA10 %varMaxKBtuPerH%. Not Observable Location on plans/spec: M0.0 Not Applicable C403.2.7 Ducts and plenums sealed based on Complies Requirement will be met. ME10]2 static pressure and location. Does Not Not Observable Location on plans/spec: M0.1 Not Applicable C403.2.7. Ductwork operating >3 in. water 'Complies Exception: Requirement does not apply. 1.3 column requires air leakage testing. Does Not ME11]3 Not Observable Not Applicable C403.2.7. Ductwork operating >3 in. water Complies Exception: Requirement does not apply. 1.3 column requires air leakage testing. Does Not ME11]3 Not Observable' Not Applicable C403.3.1, Air economizers provided where Complies Requirement will be met. C403.3.1. required,meet the requirements for Does Not 1 design capacity,control signal, Location on plans/spec: M0.1 ME62]1 ventilation controls,high-limit shut-off Not Observable integrated economizer control,and Not Applicable provide a means to relieve excess outside air during operation. 11 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3) Project Title: Urgent Care-South Windsor Report date: 03/21/17 Data filename: P:\MCG\Urgent Care\2017\170194 Urgent Care, 1735 Ellington Rd.,South Windsor,Page 5 of 9 CT\Electrical\ComCheck\UC Windsor,CT.cck Section Mechanical Rough-In Inspection Complies?Comments/Assumptions Re .ID C408.2.2. Air outlets and zone terminal devices Complies Requirement will be met. 1 have means for air balancing. Does Not ME53]3 Not Observable Not Applicable C403.4.2 VAV fan motors>=7.5 hp to be driven Complies Exception: Requirement does not apply. ME66]2 by variable speed drive,have a vane- Does Not axial fan with variable pitch blades,or have controls to limit fan motor Not Observable demand. Not Applicable C403.4.2 VAV fan motors>=7.5 hp to be driven Complies Exception: Requirement does not apply. ME66]2 by variable speed drive,have a vane- Does Not axial fan with variable pitch blades,or have controls to limit fan motor Not Observable demand. Not Applicable C403.4.2 VAV fan motors>=7.5 hp to be driven Complies Requirement will be met. ME66]2 by variable speed drive,have a vane- Does Not axial fan with variable pitch blades,or have controls to limit fan motor Not Observable demand. Not Applicable C403.2.6 Exhaust air energy recovery on Complies ME57]1 systems meeting Table C403.2.6 Does Not Not Observable Not Applicable C403.2.11 Unenclosed spaces that are heated Complies Exception: Requirement does not apply. ME71]2 use only radiant heat. Does Not Not Observable Not Applicable Additional Comments/Assumptions: 111 High Impact(Tier 1) 2 1 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3) Project Title: Urgent Care-South Windsor Report date: 03/21/17 Data filename: PAMCG\Urgent Care\2017\170194 Urgent Care,1735 Ellington Rd.,South Windsor, Page 6 of 9 CT\Electrical\ComCheck\UC_Windsor,CT.cck Section Final Inspection Complies?Comments/Assumptions Req.ID C403.2.4. Heating and cooling to each zone is DComplies Requirement will be met. 1 controlled by a thermostat control. Does Not F147]3 Minimum one humidity control device Not Observable Location on plans/spec: M1.0 per installed humidification/dehumidification Not Applicable system. C403.2.4. Heating and cooling to each zone is Complies Requirement will be met. 1 controlled by a thermostat control. Does Not FI47]3 Minimum one humidity control device Not Observable Location on plans/spec: M1.0perinstalled humidification/dehumidification Not Applicable system. C403.2.4. Thermostatic controls have a 5°F Complies Requirement will be met. 2 deadband.Does Not FI38]3 Not Observable Location on plans/spec: M0.1 Not Applicable C403.2.4. Temperature controls have setpoint Complies Requirement will be met. 2 overlap restrictions. Does Not F120]3 Not Observable Location on plans/spec: M0.1 Not Applicable C403.2.4. Each zone equipped with setback Complies Requirement will be met. 3 controls using automatic time clock or Does Not F139]3 programmable control system. Not Observable Location on plans/spec: M0.1 Not Applicable C403.2.4. Automatic Controls:Setback to 55°F Complies Requirement will be met. 3 heat)and 85°F(cool); 7-day clock,2- Does Not F140]3 hour occupant override, 10-hour Not Observable Location on plans/spec: M0.1backupNotApplicable C403.2.4. Systems include optimum start Complies Requirement will be met. 3.3 controls. Does Not FI41]3 Not Observable Location on plans/spec: M0.1 Not Applicable C403.2.4. Systems include optimum start Complies Requirement will be met. 3.3 controls. Does Not FI41]3 Not Observable Location on plans/spec: M0.1 Not Applicable C403.2.4. Heat pump controls prevent Complies Requirement will be met. 1.1 supplemental electric resistance heat Does Not FI42]3 from coming on when not needed. Not Observable Location on plans/spec: M0.1 Not Applicable C403.2.4. Heat pump controls prevent Complies Requirement will be met. 1.1 supplemental electric resistance heat Does Not FI42]3 from coming on when not needed. Not Observable Location on plans/spec: M0.1 Not Applicable C408.2.5. Furnished HVAC as-built drawings Complies Requirement will be met. 1 submitted within 90 days of system Does Not FI7]3 acceptance.Not Observable Not Applicable C303.3, Furnished O&M manuals for HVAC Complies Requirement will be met. C408.2.5. systems within 90 days of system Does Not 3 acceptance. F18]3 Not Observable; Not Applicable 11 High Impact(Tier 1) 2 1 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3) Project Title: Urgent Care-South Windsor Report date: 03/21/17 Data filename: P:\MCG\Urgent Care\2017\170194 Urgent Care, 1735 Ellington Rd.,South Windsor,Page 7 of 9 CT\Etectrical\ComCheck\UC Windsor,CT.cck Section Final Inspection Complies?Comments/Assumptions R .ID C408.2.5. An air and/or hydronic system Complies Requirement will be met. 3 balancing report is provided for HVAC Does Not IFI4311 systems. Not Observable Not Applicable C408.2.3. HVAC control systems have been Complies Requirement will be met. 2 tested to ensure proper operation, Does Not FI10]1 calibration and adjustment of controls. []Not Observable Not Applicable C404.3 Public lavatory faucet water Complies Requirement will be met. FI11]3 temperature<=110°F. Does Not Not Observable Not Applicable C404.5 All piping in circulating system Complies Requirement will be met. FI25]2 insulated Does Not Not Observable Not Applicable C404.6 Controls are installed that limit the Complies Requirement will be met. FI12]3 operation of a recirculation pump Does Not installed to maintain temperature of a storage tank. Not Observable Not Applicable C403.2.2 HVAC systems and equipment Complies Requirement will be met. F127]3 capacity does not exceed calculated Does Not loads.Not Observable Not Applicable C408.2.1 Commissioning plan developed by Complies Requirement will be met. F128]1 registered design professional or Does Not approved agency.Not Observable Not Applicable C408.2.4 Preliminary commissioning report Complies Requirement will be met. FI29]1 completed and certified by registered Does Not design professional or approved Not Observableagency.Not Applicable C408.2.5. Final commissioning report due to Complies Requirement will be met. 4 building owner within 90 days of Does Not F130]1 receipt of certificate of occupancy.Not Observable Not Applicable C408.2.3. HVAC equipment has been tested to Complies Requirement will be met. 1 ensure proper operation.Does Not F131]1 Not Observable Not Applicable C408.2.3. Economizers have been tested to Complies Requirement will be met. 3 ensure proper operation.Does Not FI32]1 Not Observable Not Applicable Additional Comments/Assumptions: 1 I High Impact(Tier 1) 2 1 Medium Impact(Tier 2) 3 1Low Impact(Tier 3) Project Title: Urgent Care-South Windsor Report date: 03/21/17 Data filename: P:\MCG\Urgent Care\2017\170194 Urgent Care, 1735 Ellington Rd.,South Windsor,Page 8 of 9 CT\Electrical\ComCheck\UC Windsor,CT.cck Project Title: Urgent Care-South Windsor Report date: 03121/17 Data filename: P:\MCG\Urgent Care\2017\170194 Urgent Care,1735 Ellington Rd.,South Windsor,Page 9 of 9 CT\Electrical\ComCheck\UC Windsor,CT.cck COMcheck Software Version 4.0.5.5 Mechanical Compliance Certificate Project Information Energy Code: 2012 IECC Project Title: Urgent Care-South Windsor Location: South Windsor,Connecticut Climate Zone: 5a Project Type:Alteration Construction Site: Owner/Agent: Designer/Contractor: 1735 Ellington Road Hartford Healthcare-Go Health Wilson Lee South Windsor,CT 06074 Urgent Care Management, LLC ACIES Engineering 5555 Glenridge Connector 3371 Olcott Street Suite*700 Santa Clara,CA 95054 Atlanta,GA 30342 408-522-5255 650-270-0595 wilson@acies.net Mechanical Systems List Quantity System Type&Description 1 FC/HP-1 (Single Zone): Split System Heat Pump Heating Mode:Capacity=24 kBtu/h, Proposed Efficiency=8.00 HSPF,Required Efficiency=7.70 HSPF Cooling Mode:Capacity=23 kBtu/h, Proposed Efficiency=13.00 SEER,Required Efficiency: 13.00 SEER Fan System: FC-1 fan—Compliance(Motor nameplate HP method):Passes Fans: FAN 1 Supply,Constant Volume,800 CFM,1.5 motor nameplate hp 1 HVAC System 2(Single Zone): Split System Heat Pump Heating Mode:Capacity=47 kBtu/h, Proposed Efficiency=7.70 HSPF,Required Efficiency=7.70 HSPF Cooling Mode:Capacity=48 kBtu/h,,Air Economizer Proposed Efficiency=13.00 SEER,Required Efficiency: 13.00 SEER Fan System: FC-2 fan—Compliance(Motor nameplate HP method):Passes Fans: FAN 2 Supply,Constant Volume, 1600 CFM,0.8 motor nameplate hp 2 Water Heater 1: Electric Storage Water Heater,Capacity:20 gallons w/Circulation Pump No minimum efficiency requirement applies Mechanical Compliance Statement Compliance Statement: The proposed mechanical alteration project represented in this document is consistent with the building plans,specifications,and other calculations submitted with this permit application.The proposed mechanical systems have been designed to meet the 2012 IECC requirements in COMcheck Version 4.0.5.5 and to comply with any applicable mandatory requirements listed in the Inspection Checklist. Wilson Lee, PE44( 03-22-2017 Name-Title Signature Date Project Title: Urgent Care-South Windsor Report date: 03/21/17 Data filename: P:\MCG\Urgent Care\2017\170194 Urgent Care, 1735 Ellington Rd.,South Windsor,Page 1 of 9 C11Electrical\ComCheck\UC Windsor,CT.cck COMcheck Software Version 4.0.5.5 Inspection Checklist Energy Code: 2012 IECC Requirements: 100.0% were addressed directly in the COMcheck software Text in the "Comments/Assumptions" column is provided by the user in the COMcheck Requirements screen. For each requirement, the user certifies that a code requirement will be met and how that is documented, or that an exception is being claimed. Where compliance is itemized in a separate table, a reference to that table is provided. Section Plan Review Complies?Comments/Assumptions Re .ID C103.2 Plans,specifications,and/or Complies Requirement will be met. PR211 calculations provide all information Does Not with which compliance can be determined for the mechanical Not Observable systems and equipment and Not Applicable document where exceptions to the standard are claimed. Load calculations per acceptable engineering standards and handbooks. C103.2 Plans,specifications,and/or Complies Requirement will be met. PR3)1 calculations provide all information Does Not with which compliance can be determined for the service water Not Observable heating systems and equipment and Not Applicable document where exceptions to the standard are claimed. Hot water system sized per manufacturer's sizing guide. Additional Comments/Assumptions: 111 High Impact(Tier 1) 2 1 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Urgent Care-South Windsor Report date: 03/21/17 Data filename: P:\MCG\Urgent Care\2017\170194 Urgent Care, 1735 Ellington Rd.,South Windsor,Page 2 of 9 CT\Electrical\ComCheck\UC Windsor,CT.cck Section Footing/Foundation Inspection Complies?Comments/Assumptions Re .ID C403.2.4. :Freeze protection and snow/ice Complies :Requirement will be met. 5 melting system sensors for future Does Not FO9]3 ;connection to controls. Not Observable:Location on plans/spec: M0.0 Not Applicable Additional Comments/Assumptions: 111 High Impact(Tier 1) 2 1 Medium Impact(Tier 2) 3 1Low Impact(Tier 3) Project Title: Urgent Care-South Windsor Report date: 03/21/17 Data filename: P:\MCG\Urgent Care\2017\170194 Urgent Care,1735 Ellington Rd.,South Windsor,Page 3 of 9 CT\Electricai\ComCheck\UC Windsor,CT.cck Section Plumbing Rough-In Inspection Complies?Comments/Assumptions Reg.ID C404.3 ;Temperature controls installed on Complies :Requirement will be met. PL5)3 :service water heating systems(110 F Does Not for dwelling units and lavatories In public restrooms and 90 F for other :Not Observable: occupancies.) Not Applicable ; C404.4 ;Automatic time switches installed to Complies :Requirement will be met. PL3)1 ;automatically switch off the Does Not recirculating hot-water system or heat trace. Not Observable: Not Applicable Additional Comments/Assumptions: 11 High Impact(Tier 1) 2 1 Medium Impact(Tier 2) 3 1Low Impact(Tier 3) Project Title: Urgent Care-South Windsor Report date: 03/21/17 Data filename: P:\MCG\Urgent Care\2017\170194 Urgent Care,1735 Ellington Rd.,South Windsor,Page 4 of 9 CT\Electrical\ComCheck\UC Windsor,CT.cck I Section Mechanical Rough-In Inspection Compiles?Comments/Assumptlons Req.ID C403.2.3 HVAC equipment efficiency verified. Complies See the Mechanical systems list for values. ME55]2 Does Not Not Observable Not Applicable C403.2.5. Demand control ventilation provided Complies Exception: Requirement does not apply. 1 for spaces>500 sq.ft. and>25 Does Not ME5911 people/1000 sq.ft.occupant density Not Observableandservedbysystemswithairside economizer,auto modulating outside []Not Applicable air damper control,or design airflow 3,000 cfm. C403.2.7 HVAC ducts and plenums insulated. Complies Requirement will be met. ME60)2 Where ducts or plenums are installed Does Not in or under a slab,verification may Not Observable Location on plans/spec: M0.1needtooccurduringFoundation Inspection.Not Applicable C403.2.8 HVAC piping insulation thickness. Complies Requirement will be met. ME61]2 Where piping is installed in or under a Does Not slab,verification may need to occur Location on plans/spec: M0.1 during Foundation Inspection. Not Observable Not Applicable C403.2.8 HVAC piping insulation thickness. Complies Requirement will be met. ME61]2 Where piping is installed in or under a []Does Not slab,verification may need to occur Location on plans/spec: M0.1 during Foundation Inspection. Not Observable Not Applicable C403.2.8. Piping Insulation exposed to weather Complies Requirement will be met. 1 is protected from damage(due to sun, Does Not ME7]3 moisture,wind,etc.). Not Observable Location on plans/spec: M0.1 Not Applicable C403.2.8 Thermally ineffective panel surfaces of Complies Requirement will be met. ME41]3 sensible heating panels have Does Not insulation>= R-3.5.Not Observable Not Applicable C403.3.1. Total cooling capacity without Complies Requirement will be met. a economizers must be less than Does Not NA]0 %varMaxKBtuPerH%. Not Observable Location on plans/spec: M0.0 Not Applicable C403.2.7 Ducts and plenums sealed based on []Complies Requirement will be met. ME10]2 static pressure and location. Does Not Not Observable Location on plans/spec: M0.1 Not Applicable C403.2.7. Ductwork operating>3 in.water Complies Exception: Requirement does not apply. 1.3 column requires air leakage testing. Does Not MEli]3 Not Observable' Not Applicable C403.2.7. Ductwork operating>3 in.water Complies 'Exception:Requirement does not apply. 1.3 column requires air leakage testing. Does Not ME1113 Not Observable' Not Applicable C403.3.1, Air economizers provided where Complies Requirement will be met. C403.3.1. required,meet the requirements for Does Not 1 design capacity,control signal, Not Observable Location on plans/spec: M0.1 ME62]1 ventilation controls,high-limit shut-off, Not Applicableintegratedeconomizercontrol,and pp provide a means to relieve excess outside air during operation. 111 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3) Project Title: Urgent Care-South Windsor Report date: 03/21/17 Data filename: P:\MCG\Urgent Care\2017\170194 Urgent Care, 1735 Ellington Rd.,South Windsor,Page 5 of 9 CT\Electrical\ComCheck\UC Windsor,CT.cck Section Mechanical Rough-In Inspection Complies? Comments/Assumptions 6 Req.ID C408.2.2. Air outlets and zone terminal devices Complies Requirement will be met. 1 have means for air balancing. Does Not ME53]3 Not Observable Not Applicable C403.4.2 VAV fan motors>=7.5 hp to be driven Complies Exception: Requirement does not apply. ME66]2 by variable speed drive,have a vane- []Does Not axial fan with variable pitch blades,or have controls to limit fan motor Not Observable demand. Not Applicable C403.4.2 VAV fan motors>=7.5 hp to be driven Complies Exception: Requirement does not apply. ME66]2 by variable speed drive,have a vane- []Does Not axial fan with variable pitch blades,or have controls to limit fan motor Not Observable demand. Not Applicable C403.4.2 VAV fan motors>=7.5 hp to be driven Complies Requirement will be met. ME66]2 by variable speed drive,have a vane- Does Not axial fan with variable pitch blades,or have controls to limit fan motor Not Observable demand. Not Applicable C403.2.6 Exhaust air energy recovery on Complies ME57]1 systems meeting Table C403.2.6 Does Not Not Observable Not Applicable C403.2.11 Unenclosed spaces that are heated Complies Exception: Requirement does not apply. ME71]2 use only radiant heat. Does Not Not Observable Not Applicable Additional Comments/Assumptions: 111 High Impact(Tier 1) 2 1 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3) Project Title: Urgent Care-South Windsor Report date: 03/21/17 Data filename: P:\MCG\Urgent Care\2017\170194 Urgent Care,1735 Ellington Rd.,South Windsor,Page 6 of 9 CT\Electrical\ComCheck\UC Windsor,CT.cck Section Final Inspection Complies?Comments/Assumptions Req.ID C403.2.4. Heating and cooling to each zone is Complies Requirement will be met. 1 controlled by a thermostat control. Does Not F147]3 Minimum one humidity control device Not Observable Location on plans/spec: M1.0perinstalled humidification/dehumidification Not Applicable system. C403.2.4. Heating and cooling to each zone is Complies Requirement will be met. 1 controlled by a thermostat control. Does Not F147]3 Minimum one humidity control device Not Observable Location on plans/spec: M1.0perinstalled humidification/dehumidification Not Applicable system. C403.2.4. Thermostatic controls have a 5'F Complies Requirement will be met. 2 deadband.Does Not F138]3 Not Observable Location on plans/spec: M0.1 Not Applicable C403.2.4. Temperature controls have setpoint Complies Requirement will be met. 2 overlap restrictions. Does Not F120]3 Not Observable Location on plans/spec: M0.1 Not Applicable C403.2.4. Each zone equipped with setback Complies Requirement will be met. 3 controls using automatic time clock or Does Not FI39]3 programmable control system. Not Observable Location on plans/spec: M0.1 Not Applicable C403.2.4. Automatic Controls: Setback to 55°F Complies Requirement will be met. 3 heat)and 85°F(cool); 7-day clock,2- Does Not F140]3 hour occupant override, 10-hour Not Observable Location on plans/spec: M0.1backupNotApplicable C403.2.4. Systems include optimum start Complies Requirement will be met. 3.3 controls. Does Not FI41]3 Not Observable Location on plans/spec: M0.1 Not Applicable C403.2.4. Systems include optimum start Complies Requirement will be met. 3.3 controls. Does Not F[41]3 Not Observable Location on plans/spec: M0.1 Not Applicable C403.2.4. Heat pump controls prevent Complies Requirement will be met. 1.1 supplemental electric resistance heat Does Not F142]3 from coming on when not needed. Not Observable Location on plans/spec: M0.1 Not Applicable C403.2.4. Heat pump controls prevent Complies Requirement will be met. 1.1 supplemental electric resistance heat Does Not FI42]3 from coming on when not needed. []Not Observable Location on plans/spec: M0.1 Not Applicable C408.2.5. Furnished HVAC as-built drawings Complies Requirement will be met. 1 submitted within 90 days of system Does Not FI7]3 acceptance.Not Observable Not Applicable C303.3, Furnished O&M manuals for HVAC Complies Requirement will be met. C408.2.5. systems within 90 days of system Does Not 3 acceptance. Not ObservableFI8]3 Not Applicable 11 High Impact(Tier 1) 2 1 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3) Project Title: Urgent Care-South Windsor Report date: 03/21/17 Data filename: P:\MCG\Urgent Care\2017\170194 Urgent Care, 1735 Ellington Rd.,South Windsor, Page 7 of 9 CT\Electrical\ComCheck\UC Windsor,CT.cck Section Final Inspection Complies?Cornments/Assumptions 6 R .ID C408.2.5. An air and/or hydronic system Complies Requirement will be met. 3 balancing report is provided for HVAC Does Not FI4311 systems.Not Observable Not Applicable C408.2.3. HVAC control systems have been Complies Requirement will be met. 2 tested to ensure proper operation, Does Not F11011 calibration and adjustment of controls.Not Observable Not Applicable C404.3 Public lavatory faucet water Complies Requirement will be met. Fl11]3 temperature<=110°F. Does Not Not Observable Not Applicable C404.5 All piping in circulating system Complies Requirement will be met. FI2512 insulated Does Not Not Observable Not Applicable C404.6 Controls are installed that limit the Complies Requirement will be met. FI1213 operation of a recirculation pump Does Not installed to maintain temperature of a storage tank. Not Observable Not Applicable C403.2.2 HVAC systems and equipment Complies Requirement will be met. F127]3 capacity does not exceed calculated Does Not loads.Not Observable Not Applicable C408.2.1 Commissioning plan developed by Complies Requirement will be met. F128]1 registered design professional or Does Not approved agency.Not Observable Not Applicable C408.2.4 Preliminary commissioning report Complies Requirement will be met. FI2911 completed and certified by registered Does Not design professional or approved Not Observable agency. Not Applicable C408.2.5. Final commissioning report due to Complies Requirement will be met. 4 building owner within 90 days of Does Not F13011 receipt of certificate of occupancy.Not Observable Not Applicable C408.2.3. HVAC equipment has been tested to Complies Requirement will be met. 1 ensure proper operation.Does Not FI3111 Not Observable Not Applicable C408.2.3. Economizers have been tested to Complies Requirement will be met. 3 ensure proper operation.Does Not FI3211 Not Observable Not Applicable Additional Comments/Assumptions: 11 High Impact(Tier 1) 2 1 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Urgent Care-South Windsor Report date: 03/21/17 Data filename: P:\MCG\Urgent Care\2017\170194 Urgent Care, 1735 Ellington Rd.,South Windsor,Page 8 of 9 CT\Electrical\ComCheck\UC Windsor,CT.cck Project Title: Urgent Care-South Windsor Report date: 03/21/17 Data filename: P:\MCG\Urgent Care\2017\170194 Urgent Care,1735 Ellington Rd.,South Windsor,Page 9 of 9 CT\Electrical\ComCheck\UC Windsor,CT.cck APPLICATION FOR ELECTRICAL PERMIT DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PFRAM# Application is hereby:BUILDING DEPARTMENT APPO 1540 SULLIVAN AVENUE h e i 6 644-2511 ext. 230 Bldg:Permit# Date Building Inspector Application must be printed or typed FEE SCHEDULE Location of Job: 0411000—$15.00 l 7 35 G(-to Tan/ Z. D Over$1,000 m Street No. Street Lot No. 15.00 per$1,000 5 p j 12.4-7 l av or any fraction thereof Tenant Designation Apt.No. APPLICANT IJ -7Jr La/t APPLICANT ADDRESS 2 A.;r V1JGC G APPLICANT'S PHONE# p- OWNER P nIl /lT roti, S . A O W N S t,4 OWNER ADDRESS 0 F OWNER PHONE C a ESTIMATED COST$l S U IS THIS A CONTRACT COST? L,-,Yes No FEE ENCLOSED$, TYPE OF JOB: A'3L7dsOR•COS New Installation L""A63ration/Addition/Repair Ce 73 Revised 03/05/10 APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION? YES NO RESIDENTIAL CURRENT USE AND OCCUPANCYBUSINESS ASSEMBLY FUTURE USE AND OCCUPANCY EDUCATIONAL Of INSTITUTIONAL ENGINEER'S NAME PHONE FACTORY STORAGE ADDRESS GARAGE MIXED USE CITY STATE ZIP Otherplease`Vmfy) TYPE OF INSTALLATION!WIRING WTHOD. SIZE OF SERVICE SIZE OF MAIN CONDUCTORS NUMBERS OF METERS NUMBERS OF DISCONNECTS AND RATINGS NUMBERS OF PANELS NUMBERS OF DISCONNECTS REQUIRED? YES NO NUMBERS OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS NUMBER OF SWITCHES. NUMBER OF OUTLETS NUMBER OF LIGHT FIXTURES NUMBER OF HEAT CIRCUIT'S NUMBER'OF A/C CIRCUITS SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED. DESCRIPTION OF WORK 0410 &QA P7pVe(- )7'Jb /o. 0U7(4r_ r S Fad'ff 7YIf- . bAesicK-S7 Tto,-/ TBE UNDERSIGNED NEARBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFOR- MANCE OF SUCH WORK Z/ G T CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OFAPPLICANTZ DATE // 3 a-/ 6 INSPECTION FIELD SHEET 02/19/15 Printed by Peart, Dayshell 08 31 39 INSPECTION: 60009 FOOTING PERMIT: STATUS: APPLICATION: 201301031 LOC: 1735 ELLINGTON ROAD SOUTH WINDSOR PROPERTY ID: 30301735 OWNER: TOWN CENTER OF SOUTH WINDSOR LLC CONTRACTOR: REQUEST BY: PROJ DESC: RENOVATE INTERIOR OF STORE FOR NEW TENANT. WORK ORDER: INSPECTOR: ROSE RESULT: N/A REQUESTED: PRIORITY: SCHEDULED: COMPLETED: 02/18/15 UNPAID FEES 00 Date Time MILEAGE: 00 TIME: TRAVEL ONSITE COMMENTS ALL INSPECTIONS: INSPECTED INSPECTOR RESULT INSP DESCRIPTION 02/18/15 ROSE N/A B002 FOUNDATION 02/18/15 ROSE N/A B003 FRAMING (ROUGH) 02/18/15_ROSE,,..ry,,_N/A B004—INSULATION) 0.8/26/13 DOUG .. . PASS.,_.......-..« _BO10._FINAL,..,.. SCOTT e -'8602504509 02/18/15 ROSE N/A E001 ELECTRIC SERVICE 02/18/15 ROSE N/A E002 ELECTRIC UNDERGROUND 02/18/15 ROSE N/A E003 ELECTRIC ROUGH SCOTT O8/29/13 MAUL N/A F005 FM PENETRATIONS/SEPERATION 08/29/13 MAUL N/A FO10 FM ABOVE CEILING 08/29/13 MAUL N/A F015 FM FIRE ALARM TEST 08/29/13 MAUL PASS F025 FM EMERGENCY/EXIT LIGHTING 08/29/13 MAUL PASS F035 FM EXITS 08/29/13 MAUL PASS F040 CO -FIRE MARSHAL INSPECTION 02/18/15 ROSE N/A H002 HVAC UNDERGROUND 02/18/15 ROSE N/A H003 HVAC ROUGH 02/18/15 ROSE N/A P002 PLUMBING UNDERGROUND 02/18/15 ROSE N/A P003 PLUMBING ROUGH 02/18/15 ROSE N/A P004 PLUMBING GAS TEST 02/18/15 ROSE N/A S003 SPRINKLER ROUGH INSPECTION FIELD SHEET 02/19/15 Printed by Peart, Dayshell 08:31 39 02/18/15 ROSE N/A S005 HYDRO TEST 02/19/15 FOLG PASS Z003 CO PLANNING INSPECTION Electric # APPLICATION FOR BUILDING PERMIT Plumbing# 1735 Ellington Road Store lA HVAC# 13000397 Date: Sprinkler#Estimated Cost $FINAL APPROVALS a D Building COMPLETE RED BOXED AREAS Permit Fee SdOccupancyFee $ iEngineeringTYPEOFPRINTONLYEng. Insp. Fee $Affidavit SIGN ON REVERSE SIDEAppr.for COC::a Total Fee b 0 TO THE BUI DING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ PqS1 The undersigned hereby applies to do work according to the following: Applicant G Location of Work Lot No. Appiicans s Address 17 G] Tel # e w 5t-g*7(e 1 Town tV W b nO J W G Zip o N Lic.# i0ox7 RS Owner d C t 1 o rchitect jQ 1d vi p aY Lal9 bt, wAy kzw- Owner's Address 10 Architect's Address 1 io&uyG zip bl(oDf)q zip Sq.Ft.New Area:1 st Fl. L2nd Fl. 3rd Fl.Total New Area 6D c Q Purpose of this permit YCn a_ l V],,rr 5 c Y nois y c. City Water Well O Septic System O Sewer 3a1o3 I Ins: HO SP Cert. Area Basement Garage Approved by in A Date Use Groin Construction 'Yype'- 1, Revised 1108 A I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town of South Windsor and to notify the Building Inspector of any alteration in the plans or specifications of the Building for which this permit is asked,and agree that this building is to be located the proper distance from all street lines,side yard lines,and required distances from all other zones and is located in hich gas alto ed. Sign I hereby apply for a Certificate of Occu ancin thris application for the permit. Signe DO NO W INSPECTION COMMENTS APPLICATION FOR HVAC PERMIT DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT# App b BUILDING DEPARTMENT o oy OVE 1540 SULLIVAN AVENUE Bldg.Permit#1p 644-2511 ext. 230 Date ding Inspector Application must be printed or typed FEE SCHEDULE Location of Job: 0-$1,000=$15.00FSti-r-eX!No. C (1; -)c,r• ?d Over$1,000= treet Lot No. 15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT APPLICANT ADDRESS /q T c APPLICANT'S PHONE# O- 6,2$ — 10 3 d OWNER 0W N Sj Fq OWNER ADDRESS OWNER PHONE ESTIMATED COST$ 10 Q 10C V IS THIS A CONTRACT COST? Yes No FEE ENCLOSED$ /SZi TYPE OF JOB: S • C0 New InstallationOR Alteration/Addition/Repair Revised 03/05/10 APPLICATION FOR HVAC PERNUT(Continued from reverse side) TYPE OF SYSTEM: TYPE OF BUILDING: HEATING RESIDENTIAL A/C COMMERCIAL VENTILATION INDUSTRIAL HEATING STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS. HYDRONIC WARM AIR UNIT RADIANT HEATER EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION DESIGN TEMP.OUTSIDE OF INSIDE OF DIFFERENCE OF TOTAL HEAT LOSS(BTUH) 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) TOTAL SIZE OF SYSTEM(CFM) FRESH AIR INTAKE(CFM) PLANS MUST ACCOMPANY APPLICATION) FURTHER DESCRIPTION OF WORK j 2 cs c,'to- 2 c S c, e• C Gn<< J244d (0.6-) 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. ID 1401-f G 3a 1 c CONTRACTORS LICENSE NO. TYPE STATE r SIGNATURE OF APPLICANT DATE Q r . j !- ae' , v1`' a ' 1' , '• j: r..•' s.:. 1i ' k N. , n .. 1 • (.' rf'• \ i• 1 IFb• 1, fr S• 1 • J'• l, a It M. - hv vox. ItA St MI j 1Y\, .•' s}' t1.- Ay • r z.. a• r. , ' t T', 1.• 1 j h i M At1 i ` V 11. 5 • .\' _ y .. P'•. 4-: j}( K' 7Y•' r'` Y, / , • .' . •' a F : J, e• t'.'' I a • 1•', • i:, i4r`?" 1. YYSS" ,, Lri4 ram— t '', 1`, •`"?. 1' Yt~ 1 f . F S 1?+ } s •+ S 1-, r k j ~ mil` 1 f. i. l • 3, t' rF v . S' IT lti yh. r-, a (...' d.+ 3.' y t! f .;? i... ry.. w4+ y,, yyaN". l` t '' 3 1:- - tJ x s. ; f a• 1 i: Y ,; Fe4'' F "` L'' Y'"' x „•" P ',''• r IPT• r I:' v •,' ••! y •! 1^,• rs• I 5 I i r•{ Y. ", l, I, i. i 7 Ws' 1 S l • r J•'. 1/. , ` 1 r I r I y.• I ti a 1•. S s• l Ir PIN AL- lIk o« rc .''`'• Imo..,. + ' r vim w! " jd4- a,, 1`*- ` M, ^ ly. J•. y i 7 a t,. 1. yam,, y - 1735 Ellington Rd South Windsor, CT- Google Maps Page 1 of 17 To see all the details that are visible on the Gaogle screen, use the"Print'link next to the map. i V ar r https://maps.google.com/maps?hl=en&tab=wl&output=classic&dg=brw 10/15/2014 co 3' 1 i i Li ED DEPARTMENT DECISION APPLICATION FOR SPRINKLER PERMIT TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT APPROVED 1540 SULLIVAN AVENUE Bldg.Pemut# 644-2511 ext. 230 2,pov,3 Date BuildingInspector-. Application must be printed or typed FEE SCHEDULE Isocation of Job: FTe-niam—nt 0-$1,000=$15.00 Street Lot No. Over$1,000= 15.00 per$1,000 or any fraction thereof gnation Apt.No. APPLICANT APP ANT ADDRESS S APPLICANT PHONE# gip Q Z' 3 0'4 0 044 N St OWNER OWNER ADDRESS a OWNER PHONE C ESTIMATED COST$ 2,660 IS THIS A CONTRACT COS Yes No FEE ENCLOSED$ TYPE OF JOB: SD R•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 NO.OF STORIES RESIDENTIAL BUSINESS IS THIS APPLICATION ASSOCIATED WITH A ASSEMBLY BUILDING PERMIT APPLICATION? O YES NO Id MERCANTILE EDUCATIONAL CURRENT USE AND OCCUPANCY Yo4 C-At t-r INSTITUTIONAL FACTORY FUTURE USE AND OCCUPANCY STORAGE GARAGE ENGINEER'S NAME PHONEMIXEDUSE Other please specify) ADDRESS CITY STATE ZIP KIND OF INSTALLATION rr SIZE OF MAIN DRAIN Z WATER PRESSURE AT STREET(PSI) ARE SPRINKLER HEADS ALTERED? ID YES NO IF YES,CHECK ALL THAT APPLY: ADDED 5 DELETED *ALTERED + IF MORE THAN 3 HEADS ARE ADDED HYDRAULIC CALCULATIONS ARE PROVIDED BY(CHECK ONE) PROFESSIONAL ENGINEER INSURANCE COMPANY WATER FLOW WATER PRESSURE AT SPRINKLER HEADS(PSI) ARE PUMPS REQUIRED? YES 'KNO IF YES,CHECK ALL THAT APPLY: FIRE BOOSTER OTHER ARE STANDPIPES PROVIDED? YES W NO IS A SPRINKLER SYSTEM PROVIDED? )4YES NO SPRINKLER SYSTEM MAIN WATER SUPPLY RATING` GPM G GTOTALDYNAMICHEAD(TDH)OF FIRE PUMP i PSI 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. FRPDal/ 512 -l F-/ CT CONTRACTORS LICENSE N TYPE v STATE SIGNATURE OF APPLICANT DATE Ofi-3 APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION? OYES NO RESIDENTIAL CURRENT USE AND OCCUPANCY Of BUSINESS ASSEMBLY FUTURE USE AND OCCUPANCY EDUCATIONAL INSTITUTIONAL ENGINEER'S NAME PHONE FACTORY STORAGE ADDRESS GARAGE MIXED USE CITY STATE ZIP Other please specify) TYPE OF INSTALLATION/WIRING METHOD SIZE OF SERVICE SIZE OF MAIN CONDUCTORS NUMBERS OF METERS NUMBERS OF DISCONNECTS AND RATINGS NUMBERS OF PANELS NUMBERS OF DISCONNECTS REQUIRED? YES NO NUMBERS OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS NUMBER OF SWITCHES NUMBER OF OUTLETS NUMBER OF LIGHT FIXTURES NUMBER OF HEAT CIRCUITS NUMBER OF A/C CIRCUITS SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED. DESCRIPTION OF WORK d-D D 3 Q sn vr/,(,7 S 7 o S ry/1 <_ , i9 a ) 9w -.l w'ITC G, THE UNDERSIGNED HEARBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFOR- MANCE OF SUCH WORK IM J ? E CONTRACTORS LICENSE NO. TYPE STATE ) — SIGNATURE OF APPLICANT DATE U" ` 30 APPLICATION FOR ELECTRICAL PERMIT DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT 1-5 3LeI APP OV 1540 SULLIVAN AVENUE Bldg. Permit# EjL 644-2511 ext. 230 a Date Building Inspect r Application must be printed or typed FEE SCHEDULE 7 Location of Job: 0-$1,000=$15.00 l / G CC y ill) S or1e Over$1,000=Street No. Street Lot No. 15.00 per$1,000 Ev92 or any fraction thereof Tenant Designation Apt. No. APPLICANT 9-0 Ad APPLICANT ADDRESS Q(C/}s d'i 7- oe ccc,Y /Z r' 3 C 7- 0 6o7 (s APPLICANT'S PHONE# OWNER —70 W (,Q..I r co 0 T/f U.!i'..1 5 Jul Ltrc, EMI N S f4< OWNER ADDRESS r/ fZ D Sok c7-0 6071 OWNER PHONE CO j ESTIMATED COST$ U IS THIS A CONTRACT COST? c/Yes No FEE ENCLOSED$ d TYPE OF JOB: Z.1 C4 U xr ' 40 OR,CO New Installation Alteration/Addition/Repair i3c fv3 Revised 03/05/10 Electric # APPLICATION FOR BUILDING PERMIT Plumbing# 1735 EllingtonRoad HVAC# Date: Sprinkler# 11000477 FINAL APPROVALS Estimated Cost $ Building COMPLETE RED BOXED AREAS Permit Fee Engineering TYPE OF PRINT ONLY Occupancy Fee $ /4 Affidavit Eng. Insp. Fee $ Appr.for CO. SIGN ON REVERSE SIDE 4 Total Fee 2zTOTHEBUILDINRTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ The undersigned hereby applies to do work according to the following: Applicant i) 6jA &rftf%+-0 ld Location of Work "1 226in SE,n1.es L1.0 Lot No. Applicant's AddrA''c11c ,,166'2•'rj- U M hgr5t Tel #ri39 -ZS'7 lc Town &CLV.`l.i/ . Zip in(do#O Lic.# Owner Architect Owner's Address 111wAja& U S•W,4VtArchitect's Address Zip Zip— Sq. Ft.New Area: 1 st FI. L0 sq,e4 9nri F1 Irr+FI Total New Area 1_-t Purpo of this permit _r 4a v rr L(S L _v O City Water Well Septic System Ll Sewer 0 a2006 10 .7 Ins: HO SIP Cert. Area Base t Garage Approved by Date — / Use Group t Construction Type Revised 1108 I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town of South Windsor and to notify the Building Inspector of any alteration in the plans or specifications of the Building for which this permit is asked,and agree that this buildin to be located the proper distance from all street lines,side yard lines,and required distances from all other zones and is to ed i which this bu g and its use is allowed. igne I hereby apply for a Ce ificate cc pancy for the work described in this application for the permit. gned —-- - DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS INSPECTION FIELD SHEET 06/19/13 Printed by Peart, Dayshell 08 34 59 INSPECTION: 42780 FOOTING PERMIT: STATUS APPLICATION: 201101067 LOC: 1735 ELLINGTON ROAD SOUTH WINDSOR PROPERTY ID 30301735 OWNER: TOWN CENTER OF SOUTH WINDSOR LLC CONTRACTOR: REQUEST BY: PROJ DESC: TENANT FIT OUT FOR YOGABORN STUDIOS LLC. ADDING NEW WALL WORK ORDER: INSPECTOR: ROSE RESULT: N/A REQUESTED PRIORITY: SCHEDULED: COMPLETED: 02/10/12 UNPAID FEES 00 Date Time MILEAGE: 00 TIME TRAVEL ONSITE COMMENTS ALL INSPECTIONS: INSPECTED INSPECTOR RESULT INSP DESCRIPTION 02/10/12 ROSE N/A B002 FOUNDATION 02/10/12 ROSE N/A B003 FRAMING (ROUGH) 02/10/12 ROSE N/A B004 INSULATION 10/07/11 ROSE PASS BO10 FINAL DAWN 860-938-2576//WALL BUILT 02/10/12 ROSE N/A E001 ELECTRIC SERVICE 02/10/12 ROSE N/A E002 ELECTRIC UNDERGROUND 02/10/12 ROSE N/A E003 ELECTRIC ROUGH 09/20/11 SUMM N/A F005 FM PENETRATIONS/SEPERATION 09/20/11 SUMM N/A FO10 FM ABOVE CEILING 09/20/11 SUMM N/A F015 FM FIRE ALARM TEST 10/13/11 SUMM PASS F025 FM EMERGENCY/EXIT LIGHTING 10/13/11 SUMM PASS F035 FM EXITS 12/22/11 SUMM PASS F040 CO -FIRE MARSHAL INSPECTION 02/10/12 ROSE N/A H002 HVAC UNDERGROUND 02/10/12 ROSE N/A H003 HVAC ROUGH 02/10/12 ROSE N/A P002 PLUMBING UNDERGROUND 02/10/12 ROSE N/A P003 PLUMBING ROUGH 02/10/12 ROSE N/A P004 PLUMBING GAS TEST 02/10/12 ROSE N/A S003 SPRINKLER ROUGH 02/10/12 ROSE N/A 5005 HYDRO TEST INSPECTION FIELD SHEET 06/19/13 Printed by Peart, Dayshell 08 34 59 12/22/11 FOLG PASS Z003 CO PLANNING INSPECTION Electric # APPLICATION FOR BUILDING PERMIT Plumbing# 1735 Ellington Road Date: L- \ — N, kHVAC# 1s086 4 Sp FINAL APPROVALS Estimated Cost $ S-6 0 C). L Building COMPLETE RED BOXED AREAS Permit Fee 7s -- Occupancy Fee $iG• --Engineering TYPE OF PRINT ONLY Eng. Insp. Fee $Affidavit Appr.forCO. to SIGN ON REVERSE SIDE / 1 Total Fee 1 TO THE BUILDING E RTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ c The undersigned hereby applies to do work according to the following: Applicant C^ LCCLocationofWork tOTITF Applicant's Address(; Tel # Town r Zip 060 y Z Lic.# OV 1 a owner Architect Owner's Address 7, 0 Architect's Address Zip Zip Sq. Ft. New Area: 1 st FI. Lit G 0 2nd FI. 3rd FI.Total New Area Purpose of this permit Zc^O V 4-rc Ir—A it 1 Vn. . S u t -e. Vo / v y eL.., ilk, It. S-, p T Q-A L1 Q w r4`L 14-1 4 O t S P I H w C City Water Ll Well U Septic System Sewer Ins: HO SP Cert. Area Basem nt Garage Approved by Date — Use Groupl Construction Type — Revised 1108 I hereby agree to conform to all the requirements of the Laws o the State of Connecticut and the Ordinances of the Town of South Windsor and to notify the Building Ins oWn in the plans or specifications of the Building for which this permit is asked,and agree that this buildin is to b roper distance from all street lines,side yard lines,and required distances from all other zones and is locat in w i and its use is allowed. Signed I hereby apply for a Certificate of Occupancy for the work described in this application for the permit. Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS r; INSPECTION FIELD SHEET 06/27/13 Printed by Peart, Dayshell 08 16 11 INSPECTION: 44642 FOOTING PERMIT: STATUS: APPLICATION: 201101434 LOC: 1735 ELLINGTON ROAD SOUTH WINDSOR PROPERTY ID 30301735 OWNER: TOWN CENTER OF SOUTH WINDSOR LLC CONTRACTOR: REQUEST BY PROJ DESC: RENOVATE EXISTING SUITE FOR NEW BIKE SHOP TENANT. HALF WORK ORDER: INSPECTOR: ROSE RESULT: N/A REQUESTED: PRIORITY: SCHEDULED: COMPLETED: 06/19/13 UNPAID FEES 00 Date Time MILEAGE 00 TIME TRAVEL ONSITE COMMENTS ALL INSPECTIONS: INSPECTED INSPECTOR RESULT INSP DESCRIPTION 06/19/13 ROSE N/A B002 FOUNDATION 06/19/13 ROSE N/A B003 FRAMING (ROUGH) 06/19/13 ROSE N/A B004 INSULATION O1/03/12 ROSE PASS BO10 FINAL WALLS 06/19/13 ROSE N/A E001 ELECTRIC SERVICE 06/19/13 ROSE N/A E002 ELECTRIC UNDERGROUND 06/19/13 ROSE N/A E003 ELECTRIC ROUGH 12/01/11 SUMM N/A F005 FM PENETRATIONS/SEPERATION 12/01/11 SUMM N/A FO10 FM ABOVE CEILING 12/01/11 SUMM N/A F015 FM FIRE ALARM TEST 11/16/12 SUMM N/A F025 FM EMERGENCY/EXIT LIGHTING 11/16/12 SUMM N/A F035 FM EXITS 11/16/12 SUMM N/A F040 CO -FIRE MARSHAL INSPECTION 06/19/13 ROSE N/A H002 HVAC UNDERGROUND 06/19/13 ROSE N/A H003 HVAC ROUGH 06/19/13 ROSE N/A P002 PLUMBING UNDERGROUND 06/19/13 ROSE N/A P003 PLUMBING ROUGH 06/19/13 ROSE N/A P004 PLUMBING GAS TEST 06/19/13 ROSE N/A 5003 SPRINKLER ROUGH 06/19/13 ROSE N/A S005 HYDRO TEST INSPECTION FIELD SHEET 06/27/13 Printed by Peart, Dayshell 08 16 11 06/25/13 FOLG PASS Z003 CO PLANNING INSPECTION DEPARTMENT DECISION APPLICATION FOR SPRINKLER PERMIT TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: fr 03BUILDINGDEPARTMENT APPROVED 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 Date Building Inspec Application must be printed or typed FEE SCHEDULE F; Location of Job: 0-$1,000=$15.00 Street Lot No. Over$1,000=$ 15.00 per$1,000e, or any fraction thereof gnation Apt.No. APPLICANT A t,S`Clu ) pc, ,' 1 1 rbf v APPLICANT ADDRESS S3 S ' APPLICANT PHONE# ILI? '34n 2i t t OW N SF4 OWNER 5#, L L`C 1R. 1.L L lA' OWNER ADDRESS Oa OWNER PHONE C ESTIMATED COST$ a-0CIL> - IS THIS A CONTRACT COST? _Yes _No s FEE ENCLOSED$ 6 40,TYPE OF Jl.S0R.C00 New Installation Alteration/Addition/Repair Revised 4/01//2002 APPLICATION FOR SPRINKLER PERMIT (Continued from reverse side) TYPE OF BUILDING TYPE OF CONSTRUCTION USE GROUP NO.OF STORIES UJLESIDENTIAL 21 BUSINESS IS THIS APPLICATION ASSOCIATED TH A ASSEMBLY BUILDING PERMIT APPLICATION? Q YES L7 NO MERCANTILE EDUCATIONAL CURRENT USE AND OCCUPANCY INSTITUTIONAL FACTORY FUTURE USE AND OCCUPANCY STORAGE GARAGE ENGINEER'S NAME PHONEMIXEDUSE Other please specify) ADDRESS CITY STATE ZIP KIND OF INSTALLATION SIZE OF MAIN DRAIN III WATER PRESSURE AT STREET(PSI) ARE SPRINKLER HEADS ALTERED? YES NO IF YES,CHECK ALL THAT APPLY: ADDED DELETED ALTERED IF MORE THAN 3 HEADS ARE ADDED HYDRAULIC CALCULATIONS ARE PROVIDED BY(CHECK ONE) PROFESSIONAL ENGINEER INSURANCE COMPANY WATER FLOW WATER PRESSURE AT SPRINKLER HEADS(PSI) ARE PUMPS REQUIRED? YES NO IF YES,CHECK ALL THAT APPLY: FIRE BOOSTER OTHER ARE STANDPIPES PROVIDED? YES NO IS A SPRINKLER SYSTEM PROVIDED? YES NO SPRINKLER SYSTEM MAIN WATER SUPPLY RATING GPM TOTAL DYNAMIC HEAD(TDH)OF FIRE PUMP PSI ESCRIPTION F WORK r S 'c vl l s C 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 AL-,v- DATE I l t I 1 5W7fi60 yr fUrr/^ 7 ; WlnoS; jjoy( l ywok,,) IM 3dld v) v7o S 7ds. A7YA !' dg p 372ZnN i l i Iy3. ryn 9 y, 2. 4y 7700 VO . 473Ht I^ - 39NbU III 1f Jl al J 1 e;; y III I I I I II 3 i I Sorg gene uc',.xeKt Pa. I 33 Forest St.,Middletown,CT 06457 860-347-2189 Fax:860-343-5479 CT Lie.F30004 MA Lie.001071 RI Lic.55J309AB i 22.9 J7,15 E,[[1,vG7cA.1 Ave Srx.,7'H Gv1ivDly1 CZ— o6 o 7`/ System Am ru4 bl L uAl Nozzles 7 Detectors J Gas Valve 11EC YllyICA L Microswitch 3P0 T ., sE rf A4AR rn S 2MI Y Al2 MAI Hood&Plenum Cooking Appliances(Left to Right) ACC 6Af 1 /LA.,vG E 5. 2. 6. 3. Fit rciC 7. 4. 8. Cylinder#Size Mfg Date Maintenance Record t 3 Gz A011 the fire suppression eystan is installed in accordance with the manufacturer's specifications,NFPA Standard 96,17,17A(current issue), and all applicable state and local codes. Inspector: .S (A&Y / , A u ER M License#: / 'jdx) -/ Date: SL Model Fusible Link - Identification Sheet Part No. 439085 Part No. 439086 Part No. 439087 Part No. 439088 Part No. 439089 A _ 4 1 fi.. j y T r. Temperature Rating: Temperature Rating: Temperature Rating: Temperature Rating: Temperature Rating: 165 °F (74 °C) 212 °F (100 °C) 280 °F (138 °C) 360 °F (182 °C) 450 °F (232 °C) Maximum Allowable Maximum Allowable Maximum Allowable Maximum Allowable Maximum Allowable Temperature Exposure: Temperature Exposure: Temperature Exposure: Temperature Exposure: Temperature Exposure: 100 °F (38 °C) 150 °F (66 °C) 225 °F (107 °C) 290 °F (143 °C) 360 °F (182 °C) Color of Link:Color of Link:Color of Link:Color of Link:Color of Link: Black White Blue Red Green Quantity: Quantity: Quantity: Quantity: Quantity: Pack of 25 Pack of 25 Pack of 25 Pack of 25 Pack of 25 Follow Detector placement requirements listed in your Restaurant Fire Suppression System Manual. 1.0 1 ANSUL. R-102Tm RESTAURANT SYSTEM DISTRIBUTION PIPING REQUIREMENTS SHEET Distribution Piping Requirements-1.5 Gallon(5.6 Liter)System Duct Plenum Appliance Requirements Supply Line Branch Line Branch Line Branch Line Pipe Size 3/8 in. 3/8 in. 3/8 in. 3/8 in. Maximum Length 40 ft(12.2 m) 6 ft(1.8 m)4 ft(1.2 m)10 ft(3 m) Maximum Rise 6 ft(1.8 m)4 ft(1.2 m)2 It(0.6 m) 2 ft(0.6 m) Maximum 90' Elbow 9 4 4 6 Maximum Tees 1 1 2 3 Maximum Flow Numbers 5' 2 2 3 Exceptions: 1. Six(6)flow numbers are allowed when a duct branch line is the last branch line on the piping network and no 1 N nozzles, Part No. 56930, are used to protect woks or griddles. 2. Six(6)flow numbers are allowed when six(6) 1 N nozzles, Part No.56930,are used and none of the nozzles are used to protect woks and griddles.Note:Only five(5)flow numbers are allowed if a 1 N nozzle is used for wok or griddle protection. 3. Six(6)flow numbers are allowed when only two(2)3N nozzles, Part No.76782,are used. Distribution Piping Requirements-1.5 Gallon(5.6 Liter)System 1. This option allows for duct protection, plenum protection,appliance protection,or any combination. 2. When using a combination of plenum and duct protection only,only one duct nozzle,either a 1W, 1100,or a 2W,may be used. 3. The maximum length between the start of the first branch line and the start of the last branch line must not exceed 8 ft(2.4 m). When the supply line is split,the combined total of both legs of the supply line(from the start of the first branch line to the start of the last branch line)must not exceed 8 ft(2.4 m). 4. The total length of all branch lines must not exceed 22 It(6.7 ni 5. Use a 3/8 in.union to connect the tank adaptor to the 3/8 in.supply line. Distribution Piping Requirements-3.0 Gallon(11.3 Liter)System Duct Plenum Appliance Requirements Supply Line Branch Line Branch Line Branch Line Pipe Size 3/8 in. 3/8 in. 3/8 in. 3/8 in. Maximum Length 40 ft(12.2 m) 8 ft(2.4 m)4 ft(1.2 m) 12 ft(3.7 m) Maximum Rise 6 ft(1.8 m)4 ft(1.2 m)2 It(0.6 m)2 ft(0.6 m) Maximum 90' Elbow 9 4 4 6 Maximum Tees 1 2 2 4 Maximum Flow Numbers 11'4 2 4 Exceptions: 1. Twelve (12)flow numbers are allowed in any one tank for hood and duct protection. 2. Twelve(12)flow numbers are allowed with any one tank using only two-flow appliance nozzles. 3. Twelve(12)flow numbers are allowed with any one tank using only three-flow appliance nozzles. Special Instructions: 1. Twelve(12)flow numbers are allowed when four(4) Dean Industries GTI Gas Fryers are protected at low proximity. 2. For certain McDonald's applications, 11.5 flow numbers are allowed when using a combination of one(1)2W duct nozzle,one(1) 1/2N electrostatic precipitator nozzle, one(1) 1N plenum nozzle, and four(4)two-flow appliance nozzles.Contact ANSUL Applications Engineering Department for additional information. Distribution Piping Requirements-3.0 Gallon(11.3 Liter)System 1. The maximum length between the start of the first branch line and the start of the last branch line must not exceed 24 It(7.3 m). When the supply line is split,the combined total of both legs of the supply line(from the start of the first branch line to the start of the last branch line)must not exceed 24 It(7.3 m). 2. The total length of all branch lines must not exceed 36 ft(10.9 m). 3. Use a 3/8 in.union to connect the tank adaptor to the 3/8 in.supply line. U ANSUL R-102TM RESTAURANT SYSTEM DISTRIBUTION PIPING REQUIREMENTS SHEET Distribution Piping Requirements-6.0 Gallon(22.7 Liter)Manifolded System Duct Plenum Appliance Requirements Supply Line Branch Line Branch Line Branch Line Pipe Size 3/8 in. 3/8 in. 3/8 in. 3/8 in. Maximum Length 32 ft(9.7 m) 8 ft(2.4 m)4 ft(1.2 m) 12 ft(3.7 m) Maximum Rise 6 If(1.8 m)4 ft(1.2 m)2 ft(0.6 m)2 It(0.6 m) Maximum 90'Elbow 8 4 4 6 Maximum Tees 2 2 2 4 Maximum Flow Numbers 22 4 2 4 Distribution Piping Requirements-6.0(22.7 Liter)Gallon System 1. The maximum length between the start of the first branch line and the start of the last branch line must not exceed 24 ft(7.3 m). When the supply line is split,the combined total of both legs of the supply line(from the start of the first branch line to the start of the last branch line)must not exceed 24 tt(7.3 m). 2. The total length of all branch lines must not exceed 36 ft(10.9 m). 3. Use a 3/8 in.union to connect the tank adaptor to the 3/8 in.supply line. Distribution Piping Requirements-9.0(34 Liter)Gallon System Duct Plenum Appliance Requirements Supply Line Branch Line Branch Line Branch Line Pipe Size 3/8 in. 3/8 in. 3/8 in. 3/8 in. Maximum Length 40 ft(12.2 m) 8 ft(2.4 m)4 It(1.2 m)12 If(3.7 m) Maximum Rise 6 It(1.8 m)4 If(1.2 m)2 ft(0.6 m)2 It(0.6 m) Maximum 90'Elbow 9 4 4 6 Maximum Tees 1 2 2 4 Maximum Flow Numbers 11' 4 2 4 Exceptions: 1. Twelve(12)flow numbers are allowed in any one tank for hood and duct protection. 2. Twelve (12)flow numbers are allowed with any one tank using only two-flow appliance nozzles. 3. Twelve(12)flow numbers are allowed with any one tank using only three-flow appliance nozzles. Special Instructions: 1. Twelve(12)flow numbers are allowed when four(4) Dean Industries GTI Gas Fryers are protected at low proximity. 2. For certain McDonald's applications, 11.5 flow numbers are allowed when using a combination of one(1)2W duct nozzle,one (1) 1/2N electrostatic precipitator nozzle, one(1) 1N plenum nozzle, and four(4)two-flow appliance nozzles.Contact ANSUL Applications Engineering Department for additional information. Distribution Piping Requirements-9.0(34 Liter)Gallon System 1. The maximum length between the start of the first branch line and the start of the last branch line must not exceed 24 It(7.3 m). When the supply line is split,the combined total of both legs of the supply line(from the start of the first branch line to the start of the last branch line)must not exceed 24 It(7.3 m). 2. The total length of all branch lines must not exceed 36 ft(10.9 m). 3. Use a 3/8 in.union to connect the tank adaptor to the 3/8 in.supply line. General Piping Requirements 1. All R-102 system piping is straight line.Therefore,the need for critical lengths and balancing is minimized. 2. Two 45`elbows count as one 90'elbow. 3. Each branch line includes the tee or elbow leading to it,and all fittings within the branch line itself. 4. The minimum piping length of Schedule 40,3/8 in.pipe from the tank outlet to any nozzle protecting a range,fryer, or wok must be 6ft(1.8m). 5. Pipe lengths are measured from center of fitting to center of fitting. 6. All distribution piping must be Schedule 40 black iron,chromeplated,or stainless steel.Do not use hot dipped galvanized pipe on the distribution piping. 7. All threaded connections located in and above the protected area must be sealed with pipe tape.Tape should be applied to male threads only.Make certain tape does not extend over the end of the thread,as this could cause possible blockage of the agent distribution. ANSU_INCORPORATED,ONE STANTON STREET,MARINETTE.VVI 54143-2542 715-735-7411 Form No.F-2005074-1 Copyright 02008 Ansul Incorporated itANSU R-102 RESTAURANT SYSTEML NOZZLE COVERAGE/OVERLAPPING SUMMARY SHEET A 7,co hrtnrnarronai Cc" ,, Width Length Nozzle Placement Min.Max. Nozzle Flow in. (cm) in. (cm) (See Manual Height Height Plenum Type Points Max.Side Max.Side for More Detail) in. (cm) In. (cm) Horizontal Protection Single Bank 1N 1 48 (122) 120 (305) 0 in.to 6 in. (0 to 152 cm) 2 (5) 4 (10) from end of plenum Perpendicular Protection Single Bank 1W 1 48 (122) 48 (122) See Manual for more detail 1 (2.5) 20 (51) Horizontal Protection V-Bank 2 x 1N 2 48 (122) 120 (305) 0 in.to 6 in. (0 to 15.2 cm) 2 (5) 4 (10) from end of plenum Horizontal Protection V-Bank 1 W 1 48 (122) 72 (183) 0 in.to 6 in. (0 to 15.2 cm)1/3 the height of filter from end of plenum Perpendicular Protection V-Bank 1W 1 1 48 (122) 1 48 (122) 1 See Manual for more detail 1 (2.5) 20 (51) Nozzle Placement Duct Nozzle Flow Perimeter Diameter See Manual Length Duct Type Points in. (cm) In. (cm) for More Detail) in. (cm) Single Nozzle 1 Flow Nozzle 1W 1 50 (127) 16 (41) See Manual for more detail Unlimited Single Nozzle 2 Flow Nozzle 2W 2 100 (254) 1 31 7/8 (81) See Manual for more detail Unlimited Multiple Nozzle 2W+1 W 1 3 135 (343) 48 (122) See Manual for more detail Unlimited Multiple 2W Nozzle 2W I - >135 (343) 1 >135 (343) I See Manual for more detail Unlimited R-102 OVERLAPPING PROTECTION I 1The245nozzle, Part No.419340,must be used for"end of zone"protection, and the 260 nozzle,Part No.419341,must be used for"zone"protection. t -12 IN COVER MUST NOT I 1 (0.305 mm) Appliance Type Maximum Cooking Hazard INTERFERE WITH EDGE OF Fryer 34 in.(864 mm)Deep x 5.8 ft2(5388 cm2) DISCHARGE I ? 40.45 IN Griddle 30 in.(762 mm)Deep x Unlimited Length PATTERN 1.1.1 m)/ Range 30 in.(762 mm)Deep x Unlimited Length I IfWok,Maximum 30 in.(762 mm)Diameter x 8 in.(203 mm)Deep 1 if Wok,Minimum 11 in.(279 mm)Diameter x 3 in.(76 mm)Deep r ZONE Braising Pan/Tilt Skillet' 34 in.(864 mm)Deep x Unlimited Length f Lava Rods Char-Broiler 26 in.(660 mm)Deep x Unlimited Length Charcoal Broiler 30 in.(762 mm)Deep x Unlimited Length 4 in.(102 mm)Maximum Fuel Depth) Mesquite Wood Broiler 30 in.(762 mm)Deep x Unlimited Length ZONE CENTER LINE 6 in.(152 mm)Maximum Fuel Depth) FIGURE 1 Gas Radiant Char-Broiler 36 in(914 mm)Deep x Unlimited Length Electric Char-Broiler 34 in.(864 mm)Deep x Unlimited Length See Figure 1 for nozzle location. Note:Group protection option is required for appliances on either side of an appliance(s)using dedicated protection—see manual for details. Overlapping System Piping Limitations Total Max.318 in. Max. Maximum System Flow Pipe No.of Elevation Cartridge Size Numbers Length Elbows Rise Size 3 Gal(11 L) 6 75 ft 25 loft LT-30-R 22.9 m) 3.1 m) 6 Gal(23 L) 12 75 It 25 loft Double Manifolded 22.9 m) 3.1 m)Tank 50 It(15.2 m)maximum pipe from first to last nozzle. 50 it(15.2 m)maximum pipe after the split on a split system. TYCO RRE PROTECTION PRODUCTS Copyrght C2011 Tyco Fire Prouctlon Products ONE STANTON STREET AN rfphts reserved. MARINETTE.WI 54143-2542 +1-715.735-7411 Form Na F-2005010-03 1 ANSUL R-102 RESTAURANT SYSTEM NOZZLE COVERAGE/OVERLAPPING SUMMARY SHEET A Tyco lntmnitgn lConpM4 Multiple Multiple Width Length Nozzle w/o Nozzle w/ Minimum Maximum Nozzle Flow In. (fart) in. (cm) Drip Board Drip Board Nozzle Ht. Nozzte Ht. Appliance Type Points Max.Side Max.Side Area in2 (cm2) Area in2 (cm2) in. (fart) in. (cm) Fryers without drip boards 230/290' 2 114 (36) 15 (38) - 27/13 (69/33) 47/16 (119141) PfOurriMSplit or No Split Vat 245/290' 2 14/14.5 (36/37) 15/14 (38/36) - 20/16 (51/41) 2727 (69/69) Fryers without drip boards 290 2 119.5 (50) 19 (48.2) - 13 (33) 16 (41) Non-Split Vat(ONLY) 3N 3 119.5 (50) 19 (48.2) - 21 (53) 34 (86) 3N 3 18 (45.7) 18 (45.7) - 25 (64) 35 (89) Fryers with drip boards 230290' 2 114 (36) 21 (53) 210 (1355) 294 (1897) 27/13 (69/33) 47/16 (119/41) Low Proximity Splitor No Split Vat' 245290` 2 14114.5 (36/37) 2126.5 (53/67) 210/203 (1355I1310) 294( I(189712479 20116 (51/41) 2727 (69/69) Fryers with drip boards' 290 2 19.5 (50) 25 318 (65) 370.5 (2390) 495 (3194) 13 (33) 16 (41) Non-Split Vat(ONLY) 3N 3 19.5 (50) 25 3/8 (65) 370.5 (2390) 495 (3194) 21 (53) 34 (86) 3N 3 18 (45.7) 27 3/4 (70.5) 324 (2090) 497 (3206) 25 (64) 35 (89) Tilt Skillet/Braising Pant Coverage limitation are based on fryer sizes including the drip boards. Exception:Tilt Skillets and Braising may exceed the maximum of 6 ft2 (0.56 m2) Longest Bide Max.Area Int(ant) Range 1N 1 12 (30.5) 32 (81) 384 (2477) - 30 (76) 40 (102) With or without back shelf" 1 N 1 18 (45.7) 24 (61)15 (38.1) 20 (50.8) Without back shelf 1F 1 112 (30.5) 28 (71) 336 (2168) - 30 (76) 50 (127) With back shelf I 1 112 (30.5) 28 (71) 336 (2168) - 40 (102) 48 (122) 245 2 124 (61) 28 (71) - 40 (102) 50 (127) Without back shelf 260 2 24 (61) 32 (81) 768 (4955) - 30 (76) 40 (102) With back shelf 260 2 112 (30.5) 32 (81) 384 (2477) - 30 (76) 40 (102) 2 x 290 4 36 (91) 28 (71) 1008 (6503) - 15 (38) 20 (51) Griddle 1 N/1 NSS 1 136 (91) 30 (76) - 35 (89) 40 (102) 290 2 130 (76) 24 (61) - 30 (76) 50 (127) 260 2 148 (122) 30 (76) - 30 (76) 50 (127) 290 2 48 (122) 30 (76) - 20 (51) 30 (76) 2120 2 48 (122) 30 (76) - 10 (25) 20 (51) Chain Broiler' 2 x 1W 2 34 (86) 30 (76) - 10 (25) 26 (66) Overhead Protection) Chain Broiler 2 x 1 N 2 31 (79) 43 (109) - Front edge;1 to 3 in. Horizontal Protection) 1 1 3 to 8 cm)above the chain Char Broiler Gas-Radiant 1N/1 NSS 1 24 (61) 36 (91) - 15 (38) 40 (102) Electric 1 N/1 NSS 1 20 (51) 34 (86) - 20 (51) 50 (127) Lava-Rock 1N/1NSS 1 13 (33) 24 (61) - 18 (46) 35 (89) Natural Charcoal' 1N/1NSS 1 12 (30.5) 24 (61) - 18 (46) 40 (102) Lava-Rock or Natural Charcoal' 3N 3 24 (61) 30 (76) - 14 (36) 40 (102) Wood Fueled' 3N 3 124 (61) 30 (76) - 14 (36) 40 (102) Upright Broiler 2 x 12N 1 30 (76) 32.5 (82.5) Front edge; Salamander Broiler 2 x 12N 1 30 (76) 32.5 (82.5) - above the grate IN 1 16 (41) j29 (74) - 1N nozzle location to be on the vertical edge 6 to 12 in.(15.2 to 30.5 cm)in front and 0 to 12 in.(0 to 30.5 cm)above the top of broiler See manual for nozzle location IF 1 31 (79) 115 (38) - I- Intemal Chamber IN 1 16 (41) 29 (74) - 6-12 in.above either end 15.2 to 30.5 cm) Wok 3.75 to 8 in. deep 260 2 14 to 30 in.(36 to 76 cm)diameter - 35 (89) 45 (114) 9.5 to 20.3 cm) 3 to 6 in.(7.6 to 15.2 cm)deep 1N/1NSS 1 11 to 24 in.(28 to 61 cm)diameter - 30 (76) 40 (102) For multiple nozzle protection of single fryers,see detailed '4 in.(10 cm)maximum fuel depth. She"can overhang bumer(s)by maximum of 11 In. information on pages 4-8 to 4-11 of manual. 16 in.(15 cm)maximum fuel depth. 28 cm)and height limitation of 18 in.(45.7 cm)from See Figure 1 for nozzle location.Shelf can overhang burner(s)by maximum of 11 in. bottom of lowest part of shelf to the top of burner grate. Minimum chain broiler exhaust opening-12 in.x 12 in. (28 cm)and height limitation of 20 in.(51 cm)from bottom Low Proximity 30.5 cm x 30.5 cm),and not less than 60%of internal of lowest part of shell to the top of burnergrate. A back-shed can only be utilized if the nozzle(s)Is broiler sae. installed below the shelf. 1:11ANSULI DISTRIBUTION • RESTAURANT FIRE • Data/Specifications i Tested and Listed for Use with ANSUL R-102 and PIRANHA Restaurant Fire Suppression Systems Through Underwriters l Laboratories(UL/ULC),and LPCB(Loss Prevention Certification Board) Hose Diameter of 1/2 in.(13 mm)and Length of 60 in. (1.5 m) Two Male NPT Swivels Assembled to Hose Ends for Easy Installation Includes 3 ft(0.9 m)Long Restraining Cable Includes Restraining Cable Hardware Kit for Various Mounting Options Offers Convenience of Rolling Out Castered Appliances for Cleaning Without Disconnecting Agent Piping a APPLICATION NFPA 17A Standard for Wet Chemical Extinguishing Systems requires that movable cooking equipment shall be provided with a means to ensure that it is correctly repositioned in relation to the appliance discharge nozzle during cooking operations. In many cases,the appli- ance discharge nozzle is hard piped to the appliance and renders the movement of the appliance difficult, requiring disconnection of the discharge piping. The Agent Distribution Hose is designed for use with commercial kitchen appliances manufactured with or resting on casters(wheels/ rollers)that have hard piped fire suppression systems. V DESCRIPTION The Agent Distribution Hose is a component of the suppression system that allows the appliance to be moved for cleaning purposes a, without disconnecting the appliance fire suppression discharge piping and ensures positive positioning of the appliance nozzle. The hose features 1/2 in. (13 mm)swivel connectors which reduce stress at both ends of the hose connector.An outer coating inhibits growth of bacteria. mold and mildew on the discharge hose. ooeem Underneath the covering,the hose is comprised of heavy-duty,flex- ible, corrugated 304 stainless steel tubing.A tightly woven stainless steel braid prevents corrugations from stretching as the appliance is ORDERING INFORMATION moved.The temperature range in which the agent distribution hose will function properly is 32 =F to 130°F(0 `C to 54°C).The hose must Part No. Description Shipping Weight not be kinked,twisted, or have sharp bends when installed or when 435982 Agent Distribution Hose and 3.5 Ib(1.6 kg)equipment is pulled away from the wall.The hose must also not be Restraining Cable Kit—concealed within or run through any wall,floor,or partition,and must Consists of a 5 ft(1.5 m)longnothaveanydirectexposuretoexcessiveheatorradiantflamefromAgentDischargeHose, a 3 ft(0.9 m) the cooking appliances. long Restraining Cable,and a The hose assembly includes a restraining cable kit to limit the appli- Restraining Cable Hardware Kit ance movement within the range (length)of the flexible hose.The agent discharge hose can be easily installed at initial installation or as a retrofit to your current fire suppression system. ii/CO Fire Protection One Stanton Street 1-715-735-7411 Copyngh1A2011 Tyco Fire nut"cps reserved. Products Marinette, WI 54143-2542 www.ansul.com Form No F-2010214-01 MECHANICAL SEALING ADAPTORS FOR RESTAURANT FIRE SUPPRESSION SYSTEMS DatalSpecifications Weld-tight seal ensures structural integrity and eliminates leakage Supply and detection lines with Surface nozzles in overhead Quik-Seal"version accepts threaded cut pipe or conduit pipe adaptor shown looking position with adaptor. down on top of hood. Compression-Seal' version is a straight-through design—eliminates r ..cutting and threading of pipe or conduit Tested and listed with Underwriters Laboratories Solid machined steel for maximum strength and tolerance of high temperatures Pressure tested to 5,000 psi(34,475 kPa) Chrome-plated for corrosion resistance and appearance Available in common sizes used in installation Simple and inexpensive to install The NFPA 96 Standard establishes minimum construction requirements 0073 007V9 for the hood and duct in commercial kitchen ventilating systems. One of the requirements states that all seams and joints shall be sealed by a liquid-tight, continuous external weld or listed mechanical devices ORDERING providing a liquid-tight seal. ANSUL4 mechanical Description Part No. GASKET LOCK sealing adaptors are WASHER 1/4 in."Quik-Seal"Adaptors(Package of 24) 78196 such a mechanical NUT 3/8 in. "Quik-Seal"Adaptors(Package of 24) 77285 means of producing 1/2 in. "Quik-Seal"Ada tors(Package of 24 77287 weld-like, liquid-tight ADAPTOR P ( 9 ) seals around pipe and 3/4 in. "Quik-Seal"Adaptors(Package of 24) 77289 conduit penetrations ui i'',, 1/4 in."Compression-Seal"Pipe Adaptors(Package of 24) 79149 when installing fire 3/8 in."Compression-Seal"Pipe Adaptors(Package of 24) 79151 suppression systems in 1/2 in. "Compression-Seal"Pipe Adaptors(Package of 24) 79147 hoods and ducts. PIPE 1/2 in."Compression-Seal"EMT Conduit Adaptors 79153 The"Quik-Seal"adaptor PIPE Package of 24) accepts cut pipe or DUCT conduit with threaded ends(Figure 1).The FIGURE 1 iiiii. Compression-Seal" 00f'6 adaptor is a straight through design requiring no cutting and threading GASKET LOCK HER of pipe or conduit COMPRESSION Figure 2). NUT GASKET NUT t These adaptors provide SEAL TOR the structural integrity BODY and stability of a welded oo4xa3 O :'Vi'1 joint without the cost or inconvenience of provid- QUICK-SEAL" COMPRESSION-SEALingforin-field welding. ADAPTORS ADAPTORSUnliketorchesand tanks,ANSUL mechani- PIPE cal sealing adaptors can DUCT be easily carried and FIGURE 2 install in minutes with 0042,7 standard wrenches. ANSUL is a trademark of Ansul Incorporated or its affiliates. Ansullncorporated 715-735-7411hA11L„ t1l Copyright C2008 Ansul Incorporated Marinette,WI 54143-2542 www.ansul.com Form No F-86173-3 1:11 ANSUL MODEL MODEL Data/Specifications MODEL SL FUSIBLE LINKS Tested and Listed for use with ANSUL R-102 and PIRANHA Restaurant Fire Suppression Systems,and the 1-101 Industrial Fire Suppression System through Underwriters Laboratories(UL/ULC) ti Manufactured and tested in accordance with the applicable stan- dards of Underwriters Laboratories Designed for straight pull load applications Fixed temperature releasing device Model SL Maximum continuous load of 50 lb(22.7 kg) y , rMinimumcontinuousloadof3lb(1.4 kg) t Color-coded for easy temperature rating identification Model HL Maximum continuous load of 40 lb(18.1 kg) 25C Minimum continuous load of 5 lb(2.3 kg) aoww MODEL HL FUSIBLE LINKS The Model SL and Model HL Fusible Links are fixed temperature releasing devices that are thermally actuated.They are tested and listed for use with ANSUL restaurant and industrial fire suppression systems through Underwriters Laboratories(UL/ULC). The fusible links are designed for straight pull load applications.The SL r link can withstand a maximum continuous load of 50 lb(22.7 kg)and a minimum continuous load of 3 lb(1.4 kg).The HL link can withstand a Y maximum continuous load of 40 lb(18.1 kg)and a minimum continuous load of 5 lb(2.3 kg). Both the SL and HL links operate in the same manner. When the fusible alloy melts due to exposure to heat,the fusible assembly compresses,allowing the assembly to release from between the two L U l halves of the fusible link.The two halves of the link are then separated USA by the tension force exerted by the continuous duty load. y 008993 The fusible links are installed over cooking appliances and in the ducts of kitchen cooking equipment in restaurant fire suppression systems. They are also installed in vehicle and open face paint spray booths, and in total flooding/local applications in industrial fire suppression systems. The links must be installed and maintained in compliance with the applicable standards of the National Fire Protection Association NFPA), in addition to any other authorities having jurisdiction. Failure to do so may impair the performance of these devices. Fusible links installed per NFPA 96,"Standard for Ventilation Control Fire Protection of Commercial Cooking Operations,"are to be inspected and replaced in accordance with NFPA 96. For installations other than per NFPA 96,the applicable NFPA Standard and supporting technical manual recommendations must be followed. Note: No attempt is to be made to disassemble, repair,or clean a Model SL or HL fusible link.The complete assembly must be replaced if there is any indication of potential malfunction. APPLICATION(Continued) MODEL SL FUSIBLE LINK Maximum Link Allowable Temperature Temperature Rating Exposure Part No. OF ('C) °F (°C) Color of Link 439241 165 (74) 100 (38) Black 439242 212 (100) 150 (66) White 439243 280 (138) 225 (107) Blue 439244 360 (182) 290 (143) Red 439245 450 (232) 360 (182) Green XXX'F XXX°C C ng),x IASSEMSLED N USA 1.59 4040 mmmm) 2.34 IN. 59 mm) ooexe MODEL HL FUSIBLE LINK Link Temperature Maximum Allowable Rating Temperature Exposure Part No. °F (IC) F (°C) 439234 165 (74) 100 (38) 439235 212 (100) 150 (66) 439236 280 (138) 225 (107) 439237 360 (182) 290 (143) 439238 450 (232) 360 (182) 439239 500 (260) 400 (204) 1.141N.0.31 IN. 29 mm)6 +) OC 0.76 1N. 19 mm)Pin ooeees 0.64 IN. 16 mm) amn 2.23 IN. 57 mm) - f CoPYc9htO2012 Tyco Fire Products LP.One Stanton Street 1-715-735-7411 AP rights reserved. Marinette,WI 54143-2542 www.ansul.com Form No.F-2011272 Specifications1:11ANSULI ANSULEX LOW pH LIOUID FIRE SUPPRESSANT PERFORMANCE Fast Flame Knock-Down and Securement of Grease-Related Fires When used in the ANSUL R-102 restaurant system,ANSULEX Low Provides a Cooling Effect Which Further Enhances Its Ability to pH Liquid Fire Suppressant is extremely effective on fires in restaurant Prevent Reflash ventilating equipment—hoods and ductwork,as well as in a variety of cooking appliances—deep-fat fryers,griddles, range tops,and several Designed for a Wide Variety of Restaurant Hazards types of broilers and char-broilers. Listed by Underwriters Laboratories, Inc. (UL)as Part of the R-102 As the agent is sprayed in fine droplets(atomized)onto an applianceRestaurantSystemgreasefire,it provides excellent flame knock-down,surface-cooling,and Ease of Recharge and Post-Fire Cleanup fire-securing capabilities.When the agent reacts with the hot grease, it Non-Corrosive forms a layer of foam on the surface of the fat.This soap-like blanket of foam acts as an insulator between the hot grease and the atmosphere, helping to prevent flammable vapors from escaping and reducing the chance for flame reignition. APPLICATIONPost-fire cleanup can be readily accomplished by flushing the area with water or steam. ANSULEX Low pH Liquid Fire Suppressant is designed for use only in ANSUL R-102 restaurant fire suppression systems.This`liquid"agent Because of the composition of ANSULEX Low pH Liquid Fire will combat grease-related fires as found in restaurant appliances and Suppressant,it is compatible with metals commonly found in restaurant ventilating equipment. It should not be used for fires involving energized kitchen environments(i.e.,stainless steel,aluminum,galvanized metal, electrical hazards. mild steel,copper and brass). APPROVALS AND LISTINGS ANSULEX Low pH Liquid Fire Suppressant is a specially-formulated, ANSULEX Low pH Liquid Fire Suppressant has been tested,and is aqueous solution of organic salts.The agent is pre-mixed,eliminating listed with Underwriters Laboratories, Inc.(EX-3470)as part of the the need for dilution before system charging.When used as an extin- ANSUL R-102 Restaurant Fire Suppression System. guishing agent,it will produce no toxic by-products. ii ORDERING INFORMATION ANSULEX Low pH Liquid Fire Suppressant is available in sealed Appearance. . . . ...... . ......Color-Coded Fluorescent Yellow-Green containers. Storage Life.. . . ...... .......12 Years Part No. 79694 1.5 gallon(5.7 L) Refractive Index .............1.4040 Part No. 79372 3.0 gallon(11.4 L) Freeze Point. . . ....... .. . . ..-40 IF(-40°C) Recharge services are available from authorized ANSUL distributors. Boiling Point . . . .... .. ... . .. .230 IF(110 IC) Specific Gravity... .. .... . . . ..1.32 Kinematic Viscosity. . .. ... . . ..5.26 centistokes pH .. . . . . . . . . . .. . . . . . .. . . ..7.7-8.7 Note: Care should be taken when handling the agent. If contact is made with the eyes or skin,flush with water. If the agent is swallowed, dilute with water or milk and contact a physician. Copyright 02010 Tyco Fire Suppression S Building Products Fire Suppression One Stanton Street 715-735-7411 All rights reserved. Building Products Marinette,WI 54143-2542 www.ansul.com Form No.F•9140-04 JAN 14 2013 South Windsor BUILDING DEPARTMENT 1 a 0 OVERLAPPING APPLIANCE ANSUL R-102 Fire Suppression Systems discharge ANSULEX= CUSTOMERS Liquid Fire Suppressant, quickly knocking down flames and cooling WHO BENEFIT PROTECTION FROM ANSUL. hot surfaces, while generating a tough vapor securing blanket R-102 SYSTEMS that helps prevent reflash. With a nearly neutral pH, ANSUL R-102 systems are exceptionally friendly to cooking equipment. DINERS FAST-FOOD CHAINS ANSUL R-102 systems are offered in two basic designs: appliance- RETAIL FOOD COURTS specific, in which nozzles are aimed at specific hazard areas of ANSULEX PROVENBASICDESIGNSWITH each appliance; and overlapping, where nozzles are arranged CONVENIENCE STORE to overlap and provide a "fire-free zone" throughout a group HOTEL KITCHENS DETECTION RELEASE SYSTEMS 0 STAINLESS STEEL ENCLOSURES of appliances. Depending on the kitchen line-up, your trained UL300, ULC, MEA,ABS AND CE APPRO SCHOOL,COLLEGE ANSUL distributor can design, install and service a system that AND UNIVERSITY ALONG WITH OTHER INTERNATIONAL APPROVAL AGENCIES 0 FIVE-YEAR LIMITED WARRANTY offers the ultimate protection for specific facilities. CAFETERIAS ANSUL K-GUARD. EXTINGUISHER FOR MANUAL BACKUP tl Exclusive to ANSUL restaurant fire suppression systems, the flexible agent distribution hose provides the freedom to clean beneath and APPLIANCE behind "castered" appliances without needing to disconnect fire suppression piping. The hoseSPECIFIC allows up to 3 ft. (0.9 m) of movementE.-Ind is V DESIGN supplied with restraining cable to help prevent over-extension r i The only agent-plus-water fire suppression hybrid on the market today, CUSTOMERS WHO ANSUL PIRANHA systems outperform all conventional single-agent BENEFIT FROM systems on a number of fronts. ANSUL PIRANHA systems attack ANSUL PIRANHA In today's commercial kitchens, higher temperature fire using the rapid flame knockdown and securing capabilities of SYSTEMS cooking oils and high-efficiency, slow-cooling PRXT" Liquid Fire Suppressant. Then, the superior cooling effects of CASUAL&FINE DINING appliances such as deep-fat fryers have combined water follow, quickly cooling the cooking media and further helping to prevent reflash. FAST-FOOD CHAINS to make fire suppression more challenging than in years past. But the fact remains: the need to CULINARY SCHOOLS In UL300 testing, the ANSUL PIRANHA system cooled hot grease protect people and property from fire is crucial. 15 times faster than single-agent wet systems, required 60% less SPORTS COMPLEXES& And the systems more foodservice operations km chemical agent, covered hazard areas better and provided a STADIUMS trust to do this? ANSUL R-102' and PIRANHA5.. Fire cost-effective means to protect the cooking equipment. FOUR-AND FIVE-STAR Suppression Systems. LODGING FACILITIES T tT ANSUL PIRANHA systems are available in various sizes that can be combined for multiple configurations to expand the suppression system coverage. Depending on your type of facility, your ANSUL PIRANHA distributor will design a system that offers you the The heart of an ANSUL Restaurant System is ultimate in fire protection.its ability to quickly detect and suppress fires. ANSUL R-102 and PIRANHA systems use advanced extinguishing agents to ensure rapid flame knock- down and vapor securement. Cooling these highTT z efficiency appliances after initial flame knockdown is critical to eliminating reflash and minimizing I restaurant downtime. j r > ONLY ONE NAME HAS BECOME SYNONYMOUS WITH FIRE SUPPRESSION THE WORLD OVER. ANSUL. yam i PIRANHA SYSTEMS PRX'" LIQUID FIRE SUPPRESSANT OVERLAPPING PROTECTION PROVEN FUSIBLE-LINK DETECTION AND RELEASE SYSTEMS HYBRID DUAL-AGENT CONCEPT STAINLESS STEEL ENCLOSURES APPROVED AND LISTED UL300 AND 2092; ULC C7254.6; ASSE 1001; AND IAPMO PS708-98 FIVE-YEAR LIMITED WARRANTY ANSUL K-GUARD. EXTINGUISHER FOR MANUAL BACKUP ANSUL R8 fire extinguishers use the same wet chemical agent as is usedR-102 Fire Suppression System. This agent is designed for6 commercial on fires that involve vegetable oil or animal fats in equipment. • • fire occur in the kitchen, the fire suppression be K aiiard extinguisheractivated first, and the K-GUARD hand portable as a •. • I I i tgCO Fire Suppression Building Products One Stanton Street 800-862-6785(United States,Canada) Marinette,WI 54143-2542 715-735-7411(International) USA www.ansul.com copyright< 2009 Tyco International Ltd. 2 ANSUL.R-102.PIRANHA,ANSULEX.PRX and K-GUARD are trademarks of Tyco International Ltd.or its affiliates. Form No.F-2005011-4 A TRODU E CONCE T OF AUTOMATIC R NT FIR PRESSIOI IN 1962, AT A TIME WHEN KI RES WERE ONE OF THE GREATEST CAUSES OF R NT LOSS. SINCE THEN, ADVANCES IN ENGINEERING A IALS TECHNOLOGY HAVE HELPED MAKE ANSUL R FIRE SUPPRESSIOIS SYSTEMS THE #1 F IRE PROTECTIOA SOLUTION IN THE WORLD. ik s R- 02T" and PIRANHA Restaurant Fire Suppression Systems 4011AIVSUL by Tyco fire Suppression&Building Products APPLICATION FOR HVAC PERMIT DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT 1.766goR APP OV 1540 SULLIVAN AVENUE Bldg.Permit#644-2511 ext. 230 Da a Building Inspector Application must be printed or typed FEE SCHEDULE l Lo ation of Job: 0-$1,000=$15.00 1?3 S l h 2C Over$1,000=Street /No. P Street Lot No. 15.00 per$1,000 ca S 2 Z-,j or any fraction thereof Tenant Designation Apt.No. APPLICANT Iq 1/5 e- 46e APPLICANT ADDRESS 1,cs're n'1,4 01'0 Kr- APPLICANT'S PHONE# OWNER 0 N 3 fq< OWNER ADDRESS OWNER PHONE O ESTIMATED COST$ 4S CU IS THIS A CONTRACT COST? Yes No FEE ENCLOSED$ :7 7 TYPE OF JOB: SOR•Co ew Installation Alteration/Addition/Repair Revised 03/05/10 APPLICATION FOR HVAC PERMIT(Continued from reverse side) TYPE OF SYSTEM: TYPE OF BUILDING: HEATING RESIDENTIAL A/C 3 COMMERCIAL P 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 EQUIPMEEN,T(INCLUDING KITCHEN EXHAUST EQUIPMENT) cr 4 Did TOTAL SIZE OF SYSTEM(CFM) C-10 FRESH AIR INTAKE(CFM) y 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. CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT /' DATE Z/Y//2 0 v DEPARTMENT DECISIONON APPLICATION FOR ELECTRICAL PERMITApplicationishereby: TOWN OF SOUTH WINDSOR PERMIT# BUILDING DEPARTMENT Q %APPR ED 1540 SULLIVAN AVENUE 1)644-2511 ext.230 Bldg.Permit# Datei Building nspector I IOp c Application must be printed or typed FEE SCHEDULE Lo tion of Jo 0-$1,000-$15.00 Street No. 1Over$1,000 Street Lot No.15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT iopl r k Q r ,, (P , o LI nAPPLICANTADDRESS0 APPLICANT PHONE# SCIN OW N St OWNER OWNER ADDRESS i 1 w FEE-+ OWNER PHONE V ESTIMATED COST$ 94OO OD IS THIS A CONTRACT COST? Yes _No, G FEE ENCLOSED$_ 'OD OR CO TYPE OF JOB:Z New Installation Alteration/Addition/Repair 2 1 Revised 4101/t20o2 ti.APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side) TYPE OF BUILD- IS TIES APPLICATION ASSOCIATED WITS A ING BUILDING PERMIT APPLICATION? 0 YESRNO WIDENTIAL CURRENT USE AND OCCUPANCY_ll SUSINESS rU ASSEMBLY FUTURE USE AND OCCUPANCY bus.UMCANITI.E EDUCATIONAL O INSTTTUIIONAL ENGINEER'S NAME PHONE O FACTORY STORAGE ADDRESS 0 GARAGE MIXED USE CITY STATE ZIP Other pkase spc L ) 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 to NO NUMBER OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS NUMBER OF SWITCHES NUMBER OF OUTLETS NUMBER OF EIGHT FIXTURES NUMBER OF HEAT CIRCUITS NUMBER OF A/C CIRCUITS SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED. DESCRIPTION OF WORT{ r rn tarw H o-nn a d ca 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 THEPERFORMANCEOFSUCHWORK, r CONTRACTORS LICENSE NO. E STATE SIGNATURE OF APPUC 4DATE Lf I II Electric# APPLICATION FOR BUILDING PERMIT Plumbing# I.1735 Ellington Road Store 19 Date: M&+'cl / / 3T `2HVAC # Sprinkler# 32401 FINAL APPROV Estimated Cost $ 1 f-' b Permit FeeBuildingCOMPLETEREDBOXEDAREASOccupancy Fee $Engineering TYPE OR PRINT ONLY Eng. Insp. Fee $Appr. f r E SIGN ON REVERSE SIDE Total Fee TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR,CT Additional Cost) $ The undersigned hereby applies to do work according to the following: Applican( j- Qw,) Ce ll4c v a-- Sp, u-," vy`location of Work 1-7')5 f/ n c r 114_ 9 Lot No. Applicant's ddress 17 J-( i n r fi. I Tell# R o— `l V-9`k, l Town l,t.J"yNc4 I Zip 0 1lY)---)(4 Lic.# UO 7 LLE- Owner- C LCArchitect TI.S0 co Owner's Address f 7`l`l FIj l m 6,n Ra_ Architect's Address A ocf a, Zip (a0.7 y C Zip Sq. Ft. New Area: 1st FI.2nd FI. 3rd FI. Total New Area d2k Purpose of this permit ck 4-F,,z S kL 0 V r, P3 " F yL LA Q 5 Cam 11 City Watery. Well Septic System Sewer4;-- Ins: HO SP Cert. Area Basement Garage Approved by Date / (, Use Group Construction Type Revised 6/02 I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town of South Windsor and to notify the Building Inspector of any alteration in the plans or specifications of the Building for which this permit is asked,and agree that this building is to be located the proper distance from all street lines,side yard lines,and required distances from all other zones and is located in which this building and its use is allowed. Signed 1 hereby apply for a Certificate of Occupancy r the work de abed in this application for the permit. Signed DO NOT BELOW T INE INSPECTION COMMENTS Inspection / Approval Date By Appl Code Description Due Whom Code Comment 32401-B 10,000 P02 UNDERGROUND 02/23/06 PJP A W/STEVE E03 ROUGH 03/16/06 PJP A W/SCOTT&JOE ORSINI DEMISING WALL ONLY 00/00/00 B10 FINAL 00/00/00 CJD A BUILDING INSPECTION DEPARTMENT TOWN of SOWo4st" INRSOR"C-11N TICUT vim, a C E R T I I.^C SAS T 0C."4 i} P"1 N C Yy XY JZONE: y Y ecember 31 1899 This is to certify/thit`" ?5,;.. Drurle ,permit No. 32401 conform subsl44`ntl re q—6k% the C pnnecticut Basic Building co . E n caw South Windsor an ,91 r . i rove > an s Q £ v o Cd scat below a Approved for Occ HEY NSRZi'1" " SHALL 'VDi A X" i Y FOP A NEW TENA T 54" 019 tt Use Group: B CL Constr. Type: IA 00 " 3 A)h Official Notice: If this certi14,,a ea s `Ib e= >cf 's r duplicate should be obtained imm41L } f.r the $rt} 'd3yd"Department.v Any change or extension of t" e erein approved requires a new certificate of occupancy. APPLICATION FOR BUILDING PERMITElectric# 1 f.7 %q Plumbing# ' ?i/z-,iL>-GG 1735 Ellington RD. Store 19 Date: HVAC # ',3n By Sprinkler#32571 Estimated Cost $ _`'FINAL APPROV S' Building COMPLETE RED BOXED AREAS Permit Fee a o Engineering TYPE OR PRINT ONLY Occupancy Fee $ Affidavit Eng. Insp. Fee $ Appr. for CO 6 SIGN ON REVERSE SIDE / Total Fee TO THE BUI DING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT Additional Cost) $ The undersigned hereby applies to do work according to the following: Applicant 7 Location of Work 1-7 3 S Lot No. Applicant's Address L C e67 Tel.# Ze3 )f 7G l5i Town 47Zip Lic.# 55-0 YDF3 owner ('e,iex-,o , CY.ft.c t Architect 2• Cd- Owner's Address /?Y f .4-6, 1Z.r Architect's Address Zip Zip Sq. Ft. New Area: 1 st Fl. n<rr- 2nd FI. 3rd FI. Total New Area Purpose of this permit 2s City Watery Well Septic System Sewer Ins: HO SP Cert. Area Basement Garage Approved by Date Use Group Construction Type SRO 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 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 71' s ing gd t se is allowed Sign-J/ I hereby apply for a Certificate of Occupancy for the work described in this application for the permit. Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS 13111- P 4, 200 12966- P 5, 000 P02 UNDERGROUND 02/ 23/ 06 PJP A W/ STEVE PIPETRAILS 20228- E 5, 000 32571- B 74, 000 PO4 GAS TEST 04/ 13/ 06 CJD A B03 FRAMING ( ROUGH) 05/ 03/ 06 CJD A E03 ROUGH 05/ 03/ 06 CJD A P03 ROUGH 05/ 03/ 06 CJD A B10 FINAL O5/ 17/ 06 CJD D EMERG. LIGHTS & EXIT SIGN REAR B10 FINAL 05/ 23/ 06 CJD A B03 FRAMING ( ROUGH)' 05/ 15/ 06 CJD A 20255- E 1, 800 BUILDING INSPECTION DEPARTMENT TOWN of SO,I Pr'WII DSOR, OkN (;TICUT C E R T I I. T. a C [ P N C Y ZONE: r / 3f1 7 Mach 28 2008 This is to certify h1*kt.'C e] :pe mit No. 32571 conforms aubst C1 re a"'25f the nnecticut Basic Building co e {i @ g Q1t n South Windsor and 1' ove Y an itate below Approved for Occ 3nc UT/"F' H . r S jNETTS R T' t Use Group: B t Constr. Type: 1B uk12# ng Official Notice: If this certi4ca , i;s s r duplicate should be obtained imm4ff B diDepartment. Any change or extension of ti eierein approved requires a new certificate of occupancy. BUILDING INSPECTION DEPARTMENT TOWN of S T1 IpSOR 69N'FQTICUT C E R T I.1";AC Qe ,, y OC I`P'-A N C Y v" ZONE: y ch 28 2008 This is to certifytht C [h ufttlelt'pe mit No. 30016 conform$' p,ubsOaAt' a re 6k, the donnecticut Basic Building coiekXA k.A§. 1 0 `n s of Ole .w f South Windsor anc s ?h P,1 #i rove or occupancy ad i'ccatid below r Approved for Occ44n OUT OF EXISTING SPACE FQ_ 1 KV F Q{ai$&S PREP KITC IEN WAS 3 2 8 15. @ rUseGroup: S oo Constr. Type: 5B a A u iric Official Notice: If this certi''f'ca'e,,iJs tf s duplicate should be obtained imm4¢ t }g? r tp Sd'i `Department. Any change or extension of t°Fi 'e" herein approved requires a new certificate of occupancy. APPLICATION FOR BUI ING PERMIT Electric# Plumbing#17 3 5 Date: HVAC # Sprinkler#2$16-- - Qf -------- 00 y FINAL AP ROVALS E000" SIGN Estimated Cost $ Permit FeeBuildingETEREDBOXEDAREASOccupancyFee $ Engineering PE OR PRINT ONLY Eng. Insp. Fee $ Appr.for CO. ON REVERSESIDEPPTotalFee7_3 !:F—, +- TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT Additional Cost) $ The undersigned hereby applies to do work according to the following:i Applicant ANiC ra4 Location of Work /#wN &,J4 Lot No.__ Applicant's Address 60V 613 Sou*'- 0 ^a S l t L T" Tel. Town Zip Lic.# Owner R SK k,01_1l v AT 11Y Architect Owner's Address atw 6J7 i:k Architect's Address u-f k Lim Zip OG o 4 Zip Sq. Ft. New Area: 1st FI.2nd FI. 3rd Fl. Total New Area Purpose of this permit o.> o F cC f{h e be 4 t - t k.'fi-at, +c C lzc•'1 S,o cc. Citil Water Well Septic System SeweU1___ 11, Ins: HO SP Cert. Area Basement-Garage ouApprovedbyDateUseGrp Construction Type Revised 6102 i I hereby agree to conform to all the requirements he Laws the State of nnecti and the Ordinances of the Town of South Windsor and to notify the Building Inspec r o any a r ti i the p or s ifications of the Building for which this permit is asked,and agree that this building is be I ca th ro er di nce all street lines,side yard lines,and uired distances from all other zones and is located hic is bu ing nd. use lowed. Signed I hereby apply for a Certificate of cu icy f the wor esc in t is a lication for the permit. Signed DO WR BELOW THIS LINE INSPECTION COMMENTS Inspection / Approval Date By Appl Code Description Due Whom Code Comment 30016-B 22,000 BO1 FOOTING 10/08/03 WNB A P02 UNDERGROUND 11/12/03 CJD A 00/00/00 E03 ROUGH 06/04/04 PJP A PO4 GAS TEST 04/28/04 PJP A B10 FINAL 12/02/04 PJP A 1287-5 1,000 11902-H 6,000 11390-P 5,000 18596-E 2,945 Revisal4r01,2002 DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT PERMIT# Application TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT ROV 1540 SULLIVAN AVENUE G 0 644-2511 ext. 230 Bldg.et# Date i g Inspector Application must be printed or typed FEE SCHEDULE Location of Job: Ffe-naLmDesignation c-cdh41-gh$ 0-$1,000=$15.00 treet Lot No. Over$1,000= 15.00 per$1,000 or any fraction thereof Apt.No. APPLICANT 1)UsC JAPPLICANTADDRESS3 > > `1, T- 14 -LL& —( CT c) APPLICANT PHONE# S, O W N Sc OWNER ti'/'1 S 1.bV V Y OWNER ADDRESS OWNER PHONE C ESTIMATED COST$C)U0` U V IS THIS A CONTRACT COST? P11-_Yes _No FEE ENCLOSED$ 75 TYPE OF JOB: 012g7 O`SOR•COS New Installation 1 Alteration/Addition/Repair APPLICATION FOR PLUMBING PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATEDYTH A RESIDENTIAL BUILDING PERMIT APPLICATION? OYES NO UtUSINESS CURRENT USE AND OCCUPANCY ASSEMBLY MERCANTILE FUTURE USE AND OCCUPANCYEDUCATIONAL INSTITUTIONAL FACTORY ENGINEER'S NAME PHONE STORAGE GARAGE ADDRESS MIXED USE Other please specify) CITY STATE ZIP TYPE OF INSTALLATION SIZE OF MAIN DRAIN 44 NO.OF TOILETS STYLE NO.URINALS STYLE NO.OF BATHTUBS NO.OF SHOWERS NO.OF LAVATORIES NO.OF CONDUCTORS SIZE NO.OF STACKS SIZE AREA OF ROOF NO.OF CATCH BASINS NO.OF FLOOR DRAINS NO.OF OTHER FIXTURES KIND ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW YES NO SIZE OF WINDOW IF NONE C.F.M.OF VENTILATOR SIZE OF DUCTS SEWER OR SEPTIC TANK SIZE OF WATER MAIN SIZE OF WATER PIPING&RISER WATER HEATER: TYPE MANUFACTURER DESCRIPTION OF WORK 441 L h i 4 t' /U yn j h /t 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. d 7 Z-L P C CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT ^/ C/ • `% DATE 3 f G 0per(gv DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT RbU # Application is hereby:TOWN OF SOUTH WINDSOR C000BUILDINGDEPARTMENT APPR VE 1540 SULLIVAN AVENUE Bldg.Permit#j.,5,t) 644-2511 ext. 230 Date Building Inspect6r 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$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT J C) y ?-S-,,1 -,l APPLICANT ADDRESS 2 jN(i w 1,3 S c, C C-) APPLICANT PHONE# OW N S j , OWNER F-S K.- iLL<c(-c-c} OWNER ADDRESS tlq OWNER PHONE C ESTIMATED COST$ w x IS THIS A CONTRACT ST? --Yes _No FEE ENCLOSED$ C{ f , SO- COv C TYPE OF JOB: cG+ R New InstallationC GT/ll G 2 Alteration/Addition/Repair Revisal 4/01//2002 Lem On Z .0 APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION? YES NO RESIDENTIAL 0 BUSINESS CURRENT USE AND OCCUPANCY 0 ASSEMBLY O MERCANTILE FUTURE USE AND OCCUPANCYOEDUCATIONAL O INSTITUTIONAL U FACTORY ENGINEER'S NAME PHONE STORAGE GARAGE ADDRESS MIXED USE CITY STATE ZIP Other please specify) TYPE OF INSTALLATION/WIRING METHOD SIZE OF SERVICE iU'? 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 2 oe 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 SyTA SIGNATURE OF APPLICANT DATE DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT TOWN OF SOUTH WINDSOR PERMIT# Applicatio reby: A BUILDING DEPARTMENT QpOa/1;0 RO 1540 SULLIVAN AVENUE Bldg. Permit#644-2511 ext. 230 SMOGL! Date Iding Inspector I Application must be printed or typed FEE SCHEDULE ocation of Job: FTenant 5$ 0-$1,000=$15.00 StreetENo.Over$1,000= 15.00 per$1,000 or any fraction thereof gnation APPLICANT W(xyQ "e— K-t iyt. 1,,. APPLICANT ADDRESS APPLICANT PHONE#26U-- O W N St-4t-4 OWNER 1-5 IL V-e OWNER ADDRESS I 144 Ell' VVal V C t3bU T OWNER PHONE o'4L'-B04o)0 ESTIMATED COST$ 141 pCVD•6c) IS THIS A CONTRACT COST? _Yes _No FEE ENCLOSED O TYPE OF JOB: a R C New Installation Aiteration/Addition/Repair LJ Revi,;M aintinnm APPLICATION FOR HVAC PERMIT (Continued from reverse side) TYPE OF SYSTEM: TYPE OF BUILDING: HEATING RESIDENTIAL a k/C COMMERCIAL 0 VENTILATION INDUSTRIAL HEATING U STEAM LOW PRE!J URE LIMIT LBS. HIGH PRESSURE LIMIT LBS. 0 HYDRONIC 3VARM 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) ,--4 - NET RATING(OUTPUT-BTUH)-)2J 4 TYPE OF FUEL Cl OIL--GPM OIL TANK LOCATION : INSIDEO OUTSIDE CAPACITY a<AS-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) 471 W 6165 VENTILATION DESCRIBE ALL AIR HANDLING EQUIPMENT(INCLUDING KITCHEN EXHAUST EQUIPMENT) TOTAL SIZE OF SYSTEM(CFM) FRESH AIR INTAKE(CFM) PLANS MUST ACCOMPANY APPLICATION) FURTHER DESCRIPTION OF WORK `I 'W*%A @iC 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.` } TYPR STATE SIGNATURE OF APPLICANT I 1/Ly 1 U=DATE -,, r(71CS DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT PERMIT# Applic hereby:TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT APPROVED 1540 SULLIVAN AVENUE Bldg.Permit# 3 644-2511 ext. 230 Date it ng Inspector Application must be printed or typed FEE SCHEDULE Location of Job: i3 S -C-C.1 t C- S Rom- 0-$1,000=$15.00 Street No. Street Lot No. Over$1,000= 15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No - APPLICANT APPLICANT ADDRESS ` APPLICANT PHONE# N00 S s G5 S O W N S F,q OWNER d k3 rU k- LLc OWNER ADDRESS 73 5 UC f/i fft t- OWNER PHONE 7! ESTIMATED COST$ SI DOO IS THIS A CONTRACT COST? _Yes _No G FEE ENCLOSED$ 40, TYPE OF JOB: SCR CO New Installation 5 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 O NO RESIDENTIAL BUSINESS CURRENT USE AND OCCUPANCY ASSEMBLY RCANTILE FUTURE USE AND OCCUPANCYEDUCATIONAL INSTITUTIONAL FACTORY ENGINEER'S NAME PHONE OSTORAGE GARAGE ADDRESS MIXED USE CITY STATE ZIP Other please specify) TYPE OF INSTALLATION/WIRING METHOD SIZE OF SERVICE Zi X( F 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 uaE- oot t 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. t( 10g t75 t:,-( oi-- CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT DATE 3- ` r• Construction Service LLC 198 West Main St.Vernon CT.06066(860)6554655 Scope of Work Job Location 1735 Ellington Road Store 1 Town Center (Rita's Water and Ice) Build store interior as per layout. Install electrical utility outlets and wire hot water heater, refrigerators, cooler cases, ice cream machines, lighting and wall outlets will use existing Using existing 200amp service 3 Ph Wire store signs. Install water lines and waste lines for all sinks to existing lines Install service counters. Install new VCT tiles on floors Construct all high lighted interior walls on per layout drawing with 3 5/8 metal studs with 5/8 dry wall paint or wallpaper. All wall in prep room will be FRP. HVAC, sprinkler system, electrical service, demising walls, store front and bath room by owner Ifneed more info please contact me, Angelo Giammarco 860-6554655 a° o7* Y+ mil NfIG Y SYY 1 v U UTI UTY ROOM w: arNa a OFFICE Y PATIO a SOUTHVVINDSORCT rwswswc (( . wawvYc QUEST 693 SF SERVICE 1718E PRODUCTION 4938F O 2.3.6 Is a typical interior wall section. Drawing is not set to scale. TT aF EXTEND SHEATHING MIN. 6'ABOVE HIGHER CEILING Q A.C.T. LAY-IN OILING ILES- SEE FINISH SCHEDULE FOR SPECIFICATIONS SMTOBEICO.C.ENMN010 011umm FRAMING(11(11: SM GN1AM AS PER WIMFAC1tFM SEE SCHEDULE FOR SIZE OF VERTICAL STUDS; WaMDOATM STUDS TO BE 16'O.C. UNLESS NOTED OTHETHYNSE. FOR TION D SRA WIT BASID ON MAX oE11EC1ioN aF t/240 PROAX RE WORCNG AND SOBFRNMNG FOR SHEATHINGSEE EDIAEFOR 1HICIO SS OF WALLBOARDS anis RO AS KAWZ t WALL NX CA814M UL AM BASE CARNETS AND SKM BULT-N WALL R FPORIED Il)& 4 HAM ALL SOW TO BE REGUAR G1P5TM WNIBUA EWT AS FOLLOWS HE=CM AT RAZED PARRRQIS BOOR RUNNER SECURED TO FLOOR STRUCTURE -WA1Ex-RESIs W M[WM AT BANOOMs WATER-FERSTANT FKCME GWB AT RATED BANOX WALL N ACCORDANCE W/RETERDW OL-ASZ6LY SC ENn BASE SEE FNI91 SofDUE GWB PARTITION 2.56 UNION INVIR WkI 5 CION RLta's•......,.. Updated 1.8.2008 60 2.3.0 Is a typical elevation and electrical detail of Wall "C," the Manufacturing Area view of the partition wall. 115 VAC 20 AMP DEDICATED LINE. OR GAS LINE FOR HOT WATER HEATER MARUTE FRP PANELS 40 GAL dO" W X 30" D WIRE STORAGE MIN. SHELVING HOT yt WATER HEATER 220 VAC 1-30 AMP 1-40 AM GAS or DEDICATED LINE. L I SINKr)' POST mizONT&S SUPPORT u u PRE—RINSE t UNIT y, 4ll WASHEI WALL OUNTED HANDBOXSINK An 4' COVE RNAFC SPEC FlBERGLASS DRAIN TO MOP CODESINK WASHER BOX: I 2— 1/2" COL) FEEDS PER MACHINE 2— DRAINS PER 1— INTO THE FLOOR DRAIN 1— INTO WASHER BOX DRAIN WAU, 2AC M*UAC11.KW6 WA L EQUrAM/ RAM/ UCIaCAL WCATM T, 7.i, r_Rit 1 pJatrd I x 2nUx 55 2.3.B - Rear Storefront Wall (Equipment/Plumbing/Electrical/Shelving Locations) CVHTAAD 01LATI rTAIJ"1Cm Klff D WMAXE zoo P1aD1EL11t7N 5M511`AA5 nlp 609( 51 t1 8A.kAd W epadled arewe RN C f+p kbta4r Tlrin 17raeAps W AIR D.Fr:Abtto`alb, I S I AY to b.d a,WA bAW Got saws o Cautr. Ilan Alaitta 22 r220 air f"far 5tm'o Una LYCI Lin* p v"rhea CrAff } C.F&W A#A"ad I A t/Y C.rv.s. 1/2'CMS AV tobrwdUu r rOn. WA dacivrr M" ream to dw FIB ow. 8 DF FREEZER 3/Nn 3/4-HOSE DRAIN WWI/ p ub Allk 2)t3t9r wtalS mw AAAam mom 5fmm brel,old runt 110 VAC 20 Add'MVCAlW M. 1-Horium w m thd", 220 VK 40 AMP M W LM. 2-MUM o at ACM 1/2"czw Wma SCRIALt, I-Sher SHOE-Awo be vWAo h thr ft&W OWL 3/4"HOSE`.W T 17M FM COVe I A,Cf,m V190M WA I, 2,38 5fOMRONf WAI,I, WWbMI pI,UWING/UCtM&/9WAN6 WCAT Ns R ti11 Vpdated 1.8.2008 54 2.3.A-2 Elevations (Front Inside Service Counter) ar um ua+ COLMror cow top L m,wwacam tmcam nraraadw uaruuar ffl" my ar viom 4"fmNa 40faWXLL nrWrern r cr MVVrWA 2,3,A-2 6abi" aside 5ervke Gaxier DEER t0 WN5 SM OF WORK FOR GMW 5MOFIGA' 06, $ N5fUf ON, WMR fO WN5 FIN15H SQfM/f 5COM Of WORK FOR FNft5 ff MAV& SWIGAfM. Updated M2008 52 FLOOR FINISH Descmrmott SAMPW souacr Vinyl Composite Tile FF-01 Armstrong Armstrong World Industries Manufacture Armstrong P.O. Box 3001 Lancaster, PA Product: Vint composite Tile; 17604 Standard EXCELON Imperial Texture Contact: Local Wholesaler, Product#: 51880 see wholesaler list Color: Marachio Thickness: 1/8" Size: 12"x12" Location: Customer Seating area; Bath and Service area optional Vinyl Composite Tile FF-02 Armstrong Armstrong World Industries Manufacturer: Armstrong P.O. Box 3001 Lancaster, PA Product: Vinyl Composite Tile; 17604 Standard EXCELON Imperial Contact: Local Wholesaler, TextureProduct#: 57508 see wholesaler list Color: Blue Dreams Thickness: 1/8" Size: 12"x12" Location: Customer Seating area; Bath and Service area optional Vinyl Composite Tile FF-03 Armstrong Armstrong World Industries Manufacturer: Armstrong P.O. Box 3001 Lancaster, PA Product: Vinyl Composite Tile; 17604 Standard EXCELON Imperial Contact: Local Wholesaler, Texture Product#: 51809 see wholesaler list Color: Desert Beige Thickness: 1/8" Size: 12"x12" Location: Customer Seating area; Bath and Service area optional WAIL BASE ODN sDuRU DEsUMM SWPWNGM Watt Base WB-01 JOHNSONITE Manufacturer: Johnsoite www.iohnsonite.com Description: 4" Rubber Base with lip Color: 192 Tide Water Color Palette C Contact: Do Brickweg Mfgr Location: Order counter and P: 513.560.1032 perimeter walls Camillus Musselman Rep P: 614.554.6005 Ritu"s Updated 1.8.2008 20 J k 7 Its Igyp7z r ce.custa WALL COVERING CODE SOURCE DESCRIPTION SAMPLE/NOTES WC-01 MARLITE FRP Panel 202 Harger Street, Dover Ohio 44622 Manufacturer: Marlite P: 330-343-6621 Product: Symmetrix www.marlite.com Part# Identifier: C 10OG44 Color: White Contact: Bill Mcdonald Panel size: 4'x8' or 4'x10' P: 973.831.8324 Panel Thickness: 3/32" C: 330.260.7628 Pattern: 4" squares E:bmcdonatd@marlite.co m Location: Behind Service Counter, restrooms below chair rail MARLITE FRP Panel WC-02 202 Harger Street, Dover Ohio 44622 Manufacturer: Marlite P: 330-343-6621 Product: Pebbled www.marlite.com Part# Identifier: P-199 Color: Brite White Contact: Bill Mcdonald Panel size: 4'x8' or 4'x10' P: 973.831.8324 Panel Thickness: 3/32" C: 330.260.7628 Finish: Pebble Surface E:bmcdonaLd@martite.co m Location: BOH/Kitchen Updated 11.20M 24 COUNTERTOP CODE SOURCE DESCRIPTION SAMPLE/NDTES Solid Surface CN-01 DUPONT Manufacturer: Conan corian.com Color: WHITECAP Contact: Dave Greening Edge: Bull nose Ohio Valley Supply Co. P: 800.6%.5608 X 6116 P: 614.759.7144 Location: Service Countertop F: 614.759.7144 Dave.greening@ovsco.com CEILING TILE CODE SOURCE DESCRIPTION SAMPIE/NOTEB CT-01 USG CEILINGS Manufacturer: USG 6603 RENWICK COURT Description: Frost ClimaPlus WEST CHESTER, OH 45069 Ceiling Panels, Fine textured, www.usg.com good acoustical properties Color: White Size: 2' x 2' x 3/4" CONTACT: MARTY HAAKE Product Number: 414 P: 513.907.6985 Profile: SLT shadow line tegular F: 312.214.6624 Edge: SQ Grid: Donn Brand T: 800.874.5219 X 8220 ZXLA; 15/16"; Flat White MHAKKECUSG.COM WWW.USG.COM Location: Customer/seating t area Note: Standard product in stock with a maximum of a 2 week lead time. Ri t d's t pdated 1.8.2008 28 FLORESCENT LIGHTING CODE SOURCE DESCRIPnoN SAMPIF/NOTES WESTERN EXTRALITE FL-01 COMPANY- distributer Description: Parabolic 2444 Northline Industrial Size: 2'x2' Maryland Heights, MO 63043 SEE LIGHTING PACKAGE FOR DETAILS Contact: Mark Kaner Location: Seating area P: 314.432.4560 C: 314.503.4790 SEE REFLECTED CEILING PLAN FOR EXACT F: 314.432.3877 LOCATIONS E:mkaner@westernextralite. com coordinate with Lighting rep on OR appropriate light specification per location. Note: 2 week lead Accusery time for in stock Louisville, KY 40218 fixture. Contact: Charlie Jacobs P: (877) 707-7378 cjacobs@accu-serv.com FL-02 WESTERN EXTRALITE COMPANY - distributer Description: Light troffer with prismatic 2444 Northline Industrial lens Maryland Heights, MO Size: 2'x4' 63043 SEE LIGHTING PACKAGE FOR DETAILS Contact: Mark Kaner P: 314.432.4560 Location: BOH Kitchen; service area only C: 314.503.4790 if required by health department F: 314.432.3877 E:mkaner@westernextralite. SEE REFLECTED CEILING PLAN FOR EXACT com LOCATIONS OR coordinate with Lighting rep on Accusery appropriate light specification per Louisville, KY 40218 location. Contact: Charlie Jacobs P: (877) 707-7378 c acobr>@accu-serv.com Rita Updated L&2008 36 i 3s i,,. u i Notes & G e nE 0 ny armi 5 Pj If any the Archite: intent befoi 42 41 4Q l 3 construcdo i NoCalculate E t Sc ce 7:E ,_ _ , for layout cC8) 2 0 MATEPJA MT store ="3 Stare #2 N SF i 1044 1003 11,500 c 15,C)o Loy) GzYl e r N 482 f 1 I i S tm a 1 35 0 12-0 I -0 404 oc,,0/74 L 1 CA 1 Revised DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT PERMIT# Application ishereby:TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT P 1540 SULLIVAN AVENUE 1 / Bldg.Permit# 644-2511 ext. 230 Date ilding Inspector 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$1,000 s r C or any fraction thereof Tenant Designation Apt. No. APPLICANT D ij A ti ( tt v rS L- APPLICANT ADDRESS I) 3 S 4 N qv f Fje4 C f cj c( U APPLICANT PHONE# YG a — S'l OYrN 3f,q OWNER 5 lh e c1S nth L a OWN AR ADDRESS te L OWNER PHONE C ESTIMATED COST$ V • U xr IS THIS A CONTRACT COST? _Yes _No FEE ENCLOSED$_(&7 1 5 O TYPE OF JOB: OR.C e"New Installation t Alteration/Addition/Repair I APPLICATION FOR PLUMBING PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A E BUILDING PERMIT APPLICATION? 0 YES NO0SIDENTIAL BUSINESS CURRENT USE AND OCCUPANCYASSEMBLY MERCANTILE EDUCATIONAL FUTURE USE AND OCCUPANCY O INSTITUTIONAL FACTORY ENGINEER'S NAME PHONE D STORAGE GARAGE ADDRESS 0 MIXED USE Other please specify) CITY STATE ZIP TYPE OF INSTALLATION SIZE OF MAIN DRAIN L{ NO.OF TOILETS t STYLE T NO.URINALS STYLE NO.OF BATHTUBS NO.OF SHOWERS NO.OF LAVATORIES t NO.OF CONDUCTORS SIZE NO.OF STACKS SIZE AREA OF ROOF NO.OF CATCH BASINS NO.OF FLOOR DRAINS NO.OF OTHER FIXTURES KIND ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW YES NO SIZE OF WINDOW IF NONE C.F.M.OF VENTILATOR SIZE OF DUCTS SEWER OR SEPTIC TANK SIZE OF WATER MAIN SIZE OF WATER PIPING&RISER WATER HEATER: TYPE '' I t L fr-c MANUFACTURER DESCRIPTION OF WORK T h S yc.l( k hsT_h C;4-h TU 1 4, 4 l 5 y Y 4 jr THE UNDERSIGNED HEREBY APPLIES rOR A PERMIT TO PERFORM THE WORK DESCRI EDANDISTO 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 i-DATE DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: ZOBUILDING Zfj--DEPARTMENT APROy 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 j1 Date abMing Inspector T Application must be printed or typed Location of Job:FEE SCHEDULE q 0-$1,000=$15.00 F;Te—nant Street Lot No. Over$1,000= 15.00 per$1,000 or any fraction thereof gnation Apt.No. APPLICANT -SCJC!5- CJ 5I NI APPLICANT ADDRESS 2-! C r APPLICANT PHONE# t0 — Z>- D pl N S F OWNER S tC I ae[L C0 q OWNER ADDRESS IV Ile Lzu,--I M OWNER PHONEO C ESTIMATED COST$ IS THIS A CONTRACT COST? es _No FEE ENCLOSED$ TYPE OF JOB: OSOR-Co Ncwlnstallation Alteration/Addition/Repair APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WTH A BUILDING PERMIT APPLICATION? 5 YES NO DENSTIAL USIINES CURRENT USE AND OCCUPANCYASSEMBLY MERCANTILE FUTURE USE AND OCCUPANCYEDUCATIONAL INSTITUTIONAL FACTORY ENGINEER'S NAME PHONE STORAGE GARAGE ADDRESS MIXED USE CITY STATE ZIP Other please specify) TYPE OF INSTALLATION/WERIIN,,G METHOD SIZE OF SERVICE Z-G4d "fSIZE OF MAIN CONDUCTORS % /41—u I'y 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 N STti'4C(, . 02C-)rJ D Q I t_ L-J L 'r?f 1.LL772 f, 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 7/0,SIGNATURE OF APPLICANT vCr— DATE DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT PERMIT# TOWN OF SOUTH WINDSORApplicationishereby: BUILDING DEPARTMENT APPRO 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 uil ing Inspector Application must be printed or typed FEE SCHEDULE Lo ation of Jo 1 cyf 0-$1,000=$15.00 Street No. Street Lot No. Over$1,000= 15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT C APPLICANT ADDRESS 06 ?q APPLICANT PHONE# 0 D O W N S F4 OWNER Z OWNER ADDRESS OWNER PHONE OESTIMATED COST$ IS THIS A CONTRACT COST? Yes No FEE ENCLOSED$Z:E t TYPE OF JOB: OR-Co New Installation Alteration/Addition/Repair APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION? VYES NO LJJ_4ESIDENTIAL BUSINESS CURRENT USE AND OCCUPANCY 1/ ` 1 -1 . 1 ASSEMBLY MERCANTILEFUTURE USE AND OCC ANCY L4EDUCATIONAL FACTORYONAL ENGINEER'S NAME 5-Q- Cj' J PHONE STORAGE GARAGE ADDRESS J'f 15: 61 4 `J j Sl}i D 3 MIXED USE( Other please specify) CITY 9ALi A STATE ZIP 06 TYPE OF INSTALLATION/WIRING METHOD 0 C SIZE OF SERVICE SIZE OF MAIN CONDUCTORS NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS NUMBER OF PANELS REMOTE DISCONNECT REQUIRED? YES NO NUMBER OF LIGHT CIRCUITS _NUMBER OF POWER CIRCUITS NUMBER OF SWITCHES NUMBER OF OUTLETS J NUMBER OF LIGHT FIXTURESC;ANUMBER OF HEAT CIRCUITS NUMBER OF A/C CIRCUITS SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED. DESCRIPTION OF WORK t Sf; THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. 5-6 3 Q i CONTRACTORS LICENSE NO. T STATE SIGNATURE OF APPLICANT DATE—_ b x(rnv8 DEPARTMENT DECISION APPLICATION FOR SPRINKLER PERMIT E Application is hereby:TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT APPROVE 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 S Date Buil nspector Application must be printed or typed FEE SCHEDULEF Location of Job: in tn r$ 0-$1,000=$15.00 Street Lot No. Over$1,000= 15.00per$1,000 or any fraction thereof gnation Apt.No. APPLICANT n 1 l wt;xer uv of k APPLICANT ADDRESS P 290115 63"A 0- 0 612.9 -0115 APPLICANT PHONE# 7 33— 0 Z7 t1° O W NihS OWNER TOw CEnPQr OT n W M pr q OWNER ADDRESS C107 . OWNER PHONE C C ESTIMATED COST$ IS THIS A CONTRACT COST? Yes —No FEE ENCLOSED$ 3- C, Cl 6 TYPE OF JOB: SOR•CO New Installation Alteration/Addition/Repair Revised 4/01//2002 /„ APPLICATION FOR SPRINKLER PERMIT (Continued from reverse side) TYPE OF BUILDING TYPE OF CONSTRUCTION USE GROUP NO. OF STORIES RESIDENTIAL BUSINESS IS THIS APPLICATION ASSOCIATED WITH A ASSEMBLY BUILDING PERMIT APPLICATION? 16 YES NO W MERCANTILE EDUCATIONAL CURRENT USE AND OCCUPANCY S IZE INSTITUTIONAL FACTORY FUTURE USE AND OCCUPANCY SrORf STORAGE GARAGE ENGINEER'S NAME PHONE MIXED USE Other please specify) ADDRESS CITY STATE ZIP KIND OF INSTALLATION SIZE OF MAIN DRAIN WATER PRESSURE AT STREET(PSI) ARE SPRINKLER HEADS ALTERED? YES NO IF YES,CHECK ALL THAT APPLY: ADDED DELETED ALTERED IF MORE THAN 3 HEADS ARE ADDED HYDRAULIC CALCULATIONS ARE PROVIDED BY(CHECK ONE) PROFESSIONAL ENGINEER INSURANCE COMPANY WATER FLOW WATER PRESSURE AT SPRINKLER HEADS(PSI) ARE PUMPS REQUIRED? YES NO IF YES,CHECK ALL THAT APPLY: FIRE BOOSTER OTHER ARE STANDPIPES PROVIDED? YES NO IS A SPRINKLER SYSTEM PROVIDED? YES NO SPRINKLER SYSTEM MAIN WATER SUPPLY RATING GPM TOTAL DYNAMIC HEAD(TDH)OF FIRE PUMP PSI DES RIPTION OF WORK h'EaJS Prorn Sf.ed q`,e 5 S Ivv+. head to new Ce'dlna 66 Kt 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. yozs ) F C. CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT JIM Q r DATE y Electric # APPLICATION FOR BUILDING PERMIT Plumbing# 1735 Ellington Road Date: U HVAC # Sprinkler# V0 FINAL ROB Estimated Cost $ Buildin / e?r i j Permit Feeg 'I I COMPLETE RED BOXED AREAS Enginee ' I I TYPE OR PRINT ONLY I Occupancy Fee $ Affidavit Appr. for C SIGN ON REVERSE SIDE Eng. Insp. Fee $ Total Fee TO THE B ILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT Additional Cost) The undersigned hereby applies to do work according to the following: Applicant 5LL Location of Work i d S of No. Applicant's Address 1 -7 Ut d.Tel.# Town w t1. Zip C C^ '-)Lic.#?VL( ,/Li (osc OU 3-7F Owner I jiwiir LA- Architect t t Owner's Address 1 r rchitect's Address - I q Wv Zip Olaf)-I`f TC ( ti -;—rT zi -- Sq. Ft. New Area; 1 st Fl. — 2nd Fl. 3rd Fl. Total New Area Purpose of this permitj z- c{ a MA rTle.Ck—rL.Sec--b L City Watero- Well Septic System Sewergi- Ins: HO SP Cert. Area Basement Garage Approved by Date D(O Use Grou 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 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 whi h this building and its use is/allowed. Signed L l 1 I hereby apply for a Certificate of Occu ncy or the work described in this application for the permit. Signe DO NOT W E BELOW THIS LINE INSPECTION COMMENTS Electric # APPLICATION FOR BUILDING PERMIT Plumbing# 1735 Ellington Road Date: Z7 6Z HVAC # Sprinkler# 29116 FINAL P Estimated Cost ;- Buildings. / =L ' '^"`'" Permit Fee En nee ' COMPLETE RED BOXED AREAS Occupancy Fee ; 10 Affidavit g TYPE OR PRINT ONLY Eng. Insp. Fee ; Appr. for Cot 041 yam. SIGN ON REVERSE SIDE Total Fee TO THE UI ING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT Additional Cost) ; The undersigned hereby applies to do work according to the following: Applicant 6-Alco `{- Location of Work Lot No. Applicant's Adt__t) ss 1 Y- P 1 " ' Tel.# 6Y`/- J-2-E/ Town Cr- CJf Zip C*G?L'Lic.# Owner as I co r Architect 1 11 vr,s 4.10& Owner's Address Architect's Address _If 7 Pl--Tr"' Q.-- Zip TA1.-A r;r Zip a&, Sq. Ft. New Area: 1 st Ff.2nd Ff. 3rd Ff. Total New Area Purpose of this permit eA, a t S'Ipc_,c''n-• S S City Water[] Well Septic System Sewer[] Ins: HO SP Cert. Area Basement Garage Approved by IIJNC Date E 21 a L- Use Group_ J Construction Type Revi"d GN2 I hereby agree to conform to all the requirements of tha Laws of the Stab of Connecticut and the Ordinances of the Tam of South Windsor and to notify the Building Inspector of arty alteration in ttt•plans or specifications of the Building for which this permit is asked,and agree that this building is to be Vw pi*adsbnce from all street lines,side yard lines,and required distances from all other zones and is located in which ItIff allowed. Signed I hereby apply for a Certificate of in this application for the permit. Signed DO T WRITE BELOW IS LINE INSPECTION COMMENTS Inspection / Approval Date By Appl Code Description Due Whom Code Comment 29116-B 5,000 BO1 FOOTING 08/30/02 WNB A 6 PIERS WITH CONTRACTOR B10 FINAL O1/24/06 JFF A Electric # APPLICATION FOR BUILDING PERMIT Plumbing# 1735 Ellington Road Date: Ip lp5 HVAC # Sprinkler# 3217157L) r;r-- 5N . FINAL APPROVALS s ated Cost $ J GG Permit Fee rU Wad Building COMPLETE RED BOXED AREAS Occupancy Fee $ !t46EngineeringTYPEORPRINTONLYEng. Insp. Fee $Affidavit SIGN ON REVERSE SIDEAppr, for CO. 0-d Total Fee I'O THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR,CT Additional Cost) $ The undersigned hereby applies to do work according to the following: Applicant'wwn (eiAg iL Location of Work 1-1 -46 "t!2 E6,• VELA - Store 186 Lot No. Applicant's Address h` 1 Ll F_(A t nc'Tel.# Lip- (aye-[hAo Town or Zip t)I.a-)`A Lic.# Owner o--R 6, W v --kx1 Architect "'k - eg:4 Owners Address 1-1-1-4 611u Rd Architect's Address Meter a-J " W V-y c r- LT- Zips?r1{ 011 G.,r• cr Zip Sq. Ft. New Area: 1 st FI. a'50( s.-C 2nd FI. 3rd FI. Total New Area -I Soo c Purpose of this permit -X Ce rn of e.( &,,A s-h nc S so__-_ n u r a._4- City Waterp_/ Wells Septic System Sewer[Y Ins: HO SP Cert. Area Basement Garage Approved by Date- -d Use Group Construction Type R""d 6102 I hereby agree to conform to all the requireffw is of the Laws of the Stab 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 whigh this building and Rs use is allowed. Signe I hereby apply for a Cw0ftete of work ribed in this application for the permit. Signed, DO NOT WRIT BELOW THISea INSPECTION COMMENTS Inspection / Approval Date By Appl Code Description Due Whom Code Comment 32171-B 10,000 Electric # APPLICATION FOR BUILDING PERMIT Plumbing# 1735 Ellington Road Date: arcs HVAC # Sprinkler# 3 2 3 8 4 FINAL APPROVALS Estimated Cost $ Building y G 7 COMPLETE RED BOXED AREAS i Permit Fee Engineering TYPE OR PRINT ONLY Occupancy Fee $ Eng. Insp. Fee $Affidavit for CO. SIGN ON REVERSE SIDEpp 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 W r U./i v, ocation of Work I LtLl n 9t No. Applicant's ddress r r Tel.#-ZL Town b Zip 0,?4 Lic.# 4 - ^ C) Owner tt,K- Architect' 1\-/t 2C Owner's Address I Architect's Address Kt 1 15 -,VY u1 Zip_ 7> ` T Zip Sq.Ft. New Area: 1 st FI.2nd A. 3rd FI. Total New Area Purpose of this permit Lev Cf e 1 0 L:Yl G ecj c n V)Lui i nc City Waterer Well Septic System Sewerg;.— Ins: HO SP Cert. Area Basement Garage Approved b Date V Use Group Construction Typ*- - 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 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 t is building and its use is allowed. Signed E. I hereby apply for a Certificate of Occupan y r the work des ,bed in this application for the permit. Signed, DO NOT WRI BELOW THI E INSPECTION COMMENTS Inspection / Approval Date By Appl Code Description Due whom Code Comment 32384-B 11,000 r APPLICATION FOR BUILDING PERMITElectric # Plumbing# 1735 Ellington Road Date: a 7 HVAC # a I Sprinkler# 730725 FINAL AP OV S Estimated Cost i I Permit Fee tiBuilding Engineering COMPLETE RED BOXED AREAS Occupancy Fee $TYPE OR PRINT ONLY Eng. Insp. Fee $Affidavit for SIGN ON REVERSE SIDEAr. for CO.Total Fee 0 TO THE BUILDI?GDEPARTMENT,TOWN OF SOUTH WINDSOR, CT Additional Cost) $ The undersigned hereby applies to do work according to the following: Applicant PIC-71—u k)c w coo jb 41 l Location of Work 1 7 3 S 211,r.j,L Nj Lot No._1 Applicant's Address '5-38 i C9,Lk_,1L cT Tel.# gam- 4SQ,-S S Town (&Lk -NM Zip Lic.# Owner fin ZS IL- I Q.l c Architect Owner's Address i 7 Uy 11NQTUNJ izA Architect's Address G-.tilt, LT Zip- -t,07Y4 Zip— Sq. Ft. New Area: 1 st FI.2nd FI. 3rd FI. Total New Area Purpose of this permit a t— City Water Well Septic System Sewer Ins: HO S pert. ea Basement Garage Approved by Dat ' Use Group Construction Type Revised 8/02 1- I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town of South Windsor and to notify the Building Inspector of any alteration in the plans or specifications of the Building for which this permit is asked,and agree that this building is to be located the proper distance from all street lines,side yard lines,and required distances from all other zones and is located in which this building and its use is allowed. SignedX I hereby apply for a Certificate of Occupancy for the work described in this application for the permit. Signe6C DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS APR-02-2007. 03:50 PM KELLEY 8606445650 P. 02 Town Center of South Windsor LU RSKington Road, Inc. 1744 Ellington Tel: 860-644-8761 /644-814017 South Windsor,Cr 06074 Fax:160-644-5650 E-melt:rsksw@wl.com April 2,2007 Ralph& Barbara Capenem 1735 Ellington Rd., Store 17 So. Windsor,CT 06074 To Whom It May Concern: As an owner of Town Center, I hereby authorize Ralph&Barbara Capenem to act as ouragentincompletingtheinteriortenantbuild-out at Store 17,Town Center, 1735EllingtonRoad, South Windsor,CT. Sincerely, fc C thyll eI ey P'1 ello U TO Ccnter of South Windsor LLC KKP:sep TOWS Coaxµfor Mum and Batall APR 02,2007 04:47P 8606445650 page 2 03/06/2008 09:32 TOWN OF SOUTH WINDSOR IPG 1 akehoe APPLICATION PROFILE piappent GENERAL APPLICATION Application ref 200700382 Department 1440 - BUILDING DEPARTMENT Location 1735 ELLINGTON ROAD Parcel 30301735 Cross streets Add'l loc desc Municipality SOUTH WINDSOR Subdivision Lot Existing use COMMERCIAL LAND memo Current Zoning RESTRICTED COMMERCIAL Applicant GENERAL CONTRACTOR Pro?/Activity ADDITION, ALTERATION & REPAIRS Class of work Description BUILD OUT OF DRESSING ROOMS OFFICE SHEETROCK WALLS Proposed use COMMERCIAL LAND memo Proposed zoning RESTRICTED COMMERCIAL Non-Conforming N Applic received 04/03/07 Estimated cost 0 Estim start/end Actual start/end Impervious Surf Status ACTIVE Status code desc NEW Multiple submissions N Next action Government owned N memo Ordinance ref Reason for app Parent app INSPECTIONS Type Requested Scheduled Insptr Permformd Results Bal Due FOOTING 00 FOUNDATION 00 FRAMING ROSE 04/10/07 PASS 00 INSULATION 00 FIRPLCHIMN 00 WOOD / GAS 00 FINAL DOUG 05/10/07 PASS 00 ELEC SERVC 00 ELEC UGRND 00 ELEC ROUGH ROSE 05/09/07 PASS 00 WATHEATRPL 00 PLMB UGRND 00 PLMB ROUGH 00 GAS TEST 00 TOTAL: 00 03/06/2008 09 32 TOWN OF SOUTH WINDSOR PG 2 akehoe APPLICATION PROFILE piappent Application ref 200700382 (continued) AUDIT HISTORY Department Action Source Created by Date Comments 1440 - BUILDING DEPA ELEC ROUGH APP rose 09/04/07 05/09/2007 PASS 1440 - BUILDING DEPA FRAMING APP rose 09/04/07 04/10/2007 PASS 1440 - BUILDING DEPA FINAL APP dougan 05/11/07 05/10/2007 PASS 1440 - BUILDING DEPA Permit mailed on 04/11/07 APP akehoe 04/11/07 Permit number 730725 1440 - BUILDING DEPA Permit issued APP akehoe 04/11/07 Permit no 730725, Permit type BLDGPERMIT, PAID 1440 - BUILDING DEPA Prerequisite approved APP lipe 04/04/07 PLAN APPRV on 04/04/07 1440 - BUILDING DEPA Permit payment collected APP akehoe 04/03/07 Payment collected on permit CERTIFICATE OF OCCUPANCY 1440 - BUILDING DEPA Permit payment collected APP akehoe 04/03/07 Payment collected on permit BUILDING PERMIT B 1440 - BUILDING DEPA Application entered. APP akehoe 04/03/07 1440 - BUILDING DEPA New plan review started. APP akehoe 04/03/07 Plan review number 00 was created. END OF REPORT - Generated by Kehoe, Alice ** DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT PERMIT# Application is hereby:TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT APPROVE 1540 SULLIVAN AVENUE 644-2511 ext. 230 Bldg.Permit# Date ui ing lnspector AppUcation must be printed or typed FEE SCHEDULE Location of Job: 17,35 0-$1,000=$15.00 Street No. T eta Lot No. Over$1,000 15.00 per$1,000 or any fraction thereof Tenant Designation j Apt.No. APPLICANT frA APPLICANT ADDRESS / APPLICANT PHONE# o W N g fq OWNER L V,.P- C N)r, OWNER ADDRESS 0 r OWNER PHONE UESTIMATED COST$o 0 IS THIS A CONTRACT COST? /_Yes No o CJ FEE ENCLOSED$ C l s - 0 TYPE OF JOB: OR-C 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 El RESIDENTIAL BUILDING PERMIT APPLICATION?'44YES 0 NO jq BUSINESS CURRENT USE AND OCCUPANCYASSEMBLY MERCANTILE U EDUCATIONAL FUTURE USE AND OCCUPANCY 0 INSTITUTIONAL FACTORY ENGINEER'S NAME PHONE STORAGE GARAGE ADDRESS O MIXED USE CITY STATE ZIP Other please specify) TYPE OF INSTALLATION SIZE OF MAIN DRAIN NO.OF TOILETS STYLE NO.URINALS STYLE NO.OF BATHTUBS NO.OF SHOWERS NO.OF LAVATORIES NO.OF CONDUCTORS SIZE NO.OF STACKS SIZE AREA OF ROOF NO.OF CATCH BASINS NO.OF FLOOR DRAINS NO.OF OTHER FIXTURES KIND ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW 0 YES 0 NO SIZE OF WINDOW IF NONE C.F.M.OF VENTILATOR SIZE OF DUCTS SEWER OR SEPTIC TANK SIZE OF WATER MAIN SIZE OF WATER PIPING&RISER WATER HEATER: TYPE MANUFACTURER DESCRIPTION OF WORK mob , I'HE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PER ORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. d P—, C CONTRACTORS LICENSE NO. TYPE STATE / SIGNATURE OF APPLICANT A DATE 0 i0 DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT TOWN OF SOUTH WINDSOR PERMIT# Applica ' is hereby:BUILDING DEPARTMENT AP 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 Z zz Date Bull ing nspector Application must be printed or typed FEE SCHEDULE Loca o of Job: 35'P; 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 2410 i/r l`C APPLICANT ADDRESS A avv //G d , 5/ APPLICANT PHONE# W N $E,q OWNER 1 S C- lrt c0 OWNER ADDRESS OWNER PHONE C ESTIMATED COST$ Zap IS THIS A CONTRACT COST?Yes _No G FEE ENCLOSED$ TYPE OF JOB- SO R•C o ew Installation Alteration/Addition/Repair C zj22c Revised 4/01//2002 APPLICATION FOR PLUMBING PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION? O YES 0 NO 0 RESIDENTIAL 0 BUSINESS CURRENT USE AND OCCUPANCY ASSEMBLY MERCANTILE FU IURE USE AND OCCUPANCYUEDUCATIONAL U INSTITUTIONAL 0 FACTORY ENGINEER'S NAME PHONE STORAGE U GARAGE ADDRESS 0 MDCED USE CITY STATE ZIP Other please specify) TYPE OF INSTALLATION tuo SIZE OF MAIN DRAIN y NO.OF TOILETS_STYLE 1100 P*4'el NO.URINALS STYLE NO.OF BATHTUBS NO.OF SHOWERS NO.OF LAVATORIES G NO.OF CONDUCTORS SIZE NO.OF STACKS SIZE AREA OF ROOF NO.OF CATCH BASINS NO.OF FLOOR DRAINS NO.OF OTHER FIXTURES KIND ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW YES NO SIZE OF WINDOW IF NONE C.F.M.OF VENTILATOR SIZE OF DUCTS SEWER OR SEPTIC TANK SIZE OF WATER MAIN SIZE OF WATER PIPING&RISER 2 ` WATER HEATER: TYPE MANUFACTURER RS.+K. DESCRIPTION OF WORK ME UNDERSIUNED HEREBY APPLIES FOR A PERMT TO PE IBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. a7JS 73 CONTRACTORS LICENSE TYPE STATE SIGNATURE OF APPLIC DATE L2' (i/'dcW6 DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT TOWN OF SOUTH WINDSOR PERMIT# Applicat= VED 3BUILDINGDEPARTMENT 1540 SULLIVAN AVENUE Bldg. Permit#q" 644-2511 ext. 230 d Date i ding Inspector Application must be printed or typed FEE SCHEDULE 3 f' I 7 Location of Job: 0-$1,000=$15.00 Street No. Street Lot No. Over$1,000= 15.00 per$1,000 65/ or any fraction thereof Tenant Designation Apt. No. APPLICANT APPLICANT ADDRESS 70 APPLICANT PHONE# S' O V'1 N S F,q OWNER .S i[r S OWNER ADDRESS 2A =1lit/JC 07 • r OWNER PHONE0 C ESTIMATED COST$ / 75O • O a IS THIS A CONTRACT COST? ' Yes _No FEE ENCLOSED$ l s O TYPE OF JOB: R C 4New Installation Alteration/Addition/Repair Rr,vi%m1 4/n 1//?nn? APPLICATION FOR HVAC PERMIT (Continued from reverse side) TYPE OF SYSTEM: TYPE OF BUILDING: OkEEATING RESIDENTIAL alvc 0-EOMMERCIAL 0 VENTILATION INDUSTRIAL HEATING 0 STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS. 0 HYDRONIC M-WARM AIR UNIT RADIANT HEATER EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION DESIGN TEMP. OUTSIDE 40 OF INSIDE ,;-e->=°F DIFFERENCE 7 S— °F TOTAL HEAT LOSS(BTUH)G°ion°F(HEAT LOSS SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL HEATING EQUIPMENT(INCLUDING MAKE&MODEL NO.) GROSS HEATING CAPACITY(INPUT-BTUH)) 4 0d404iETRATING(OUTPUT-BTUH) TYPE OF FUEL OIL-GPM OIL TANK LOCATION :0 INSIDE OUTSIDE CAPACITY GAS-INPUT j&o - LPG TANK CAPACITY ELECTRIC-KW AIR CONDITIONING DESIGN TEMP.OUTSIDE 7j' OF INSIDE ;!0 -OF DIFFERENCE?- 57 OF TOTAL HEAT GAIN(BTUH)73?(HEAT GAIN SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL COOLING EQUIPMENT(INCLUDING MAKE&MODEL NO.) I e i TONNAGE COOLING CAPACITY(BTUH) VENTILATION DESCRIBE ALL AIR HANDLING EQUIPMENT(INCLUDING KITCHEN EXHAUST EQUIPMENT) TOTAL SIZE OF SYSTEM(CFM) FRESH AIR INTAKE(CFM) PLANS MUST ACCOMPANY APPLICATION) FURTHER DESCRIPTION OF WORK 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. 3 0 30,v iel s CONTRACTORS LICENSE LICENSE NO. TYP STATE SIGNATURE OF APPLICANT DATE 3 r2 O O Store #19, Town Center HVAC Load Calculations for RSK Builders Ir -1 V-r L .. r HVAC LADS Prepared By: Stephen P. Smith Advanced Heating&AC Inc. Wednesday, March 15, 2006 Advanced Htg&A/C Store#19,Town Center South Windsor,CT 06074 Page_J Project Report Project Title: Store#19, Town Center Project Date: Wednesday, March 15,2006 Client Name: RSK Builders Company Name: Advanced Heating&AC Inc. Company Representative: Stephen P. Smith Reference City: Hartford, Connecticut Daily Temperature Range: Medium Latitude:41 Degrees Elevation: 19 ft. Altitude Factor: 0.999 Elevation Sensible Adj. Factor: 1.000 Elevation Total Adj. Factor: 1.000 Elevation Heating Adj_ Factor: 1.000 Elevation Heating Adj. Factor. 1.000 Outdoor Outdoor Indoor Indoor Grains Dry Bulb Wet Bulb Rel.Hum Dry Bulb Difference Winter: 0 0 0 75 0 Summer: 95 73 50 70 32 Total Building Supply CFM: 2,498 CFM Per Square ft.: 0.967 Square ft. of Room Area: 2,584 Square ft. Per Ton: 423 Volume(ft')of Cond. Space: 25,840 Air Turnover Rate(per hour): 6.8 Total Heating Required With Outside Air. 59,351 Btuh 59.351 MBH Total Sensible Gain: 54,922 Btuh 86 % Total Latent Gain:9,015 Btuh 14 % Total Cooling Required With Outside Air. 63,937 Btuh 5.33 Tons(Based On Sensible+Latent) 6.10 Tons(Based On 75%Sensible Capacity) Calculations are based on 7th edition of ACCA Manual J. All computed results are estimates as building use and weather may vary. Be sure to select a unit that meets both sensible and latent loads. Advanced Htg&A/C Store#19,Town Center i Scuff 11 mdew,CT OW74 Page 5 Total Building Summary Loads ent Area Sen Lat Sen Totem 12C Wall R-11 + 1/2"Gypsum(R-0.5)250 1,688 0 644 644 16C Ceiling Under Vent.Attic-R-11 Insulation 2584 17,054 0 11,142 11,142 22A Slab on Grade No Edge Insulation 84 5,104 0 0 0 Subtotals for structure: 23,846 0 11,786 11,786 People: 12 2,760 3,600 6,360 Equipment:600 1,200 1,800 Lighting: 9160 31,236 31,236 Ductwork: 0 0 0 0 Infiltration: Winter CFM: 431, Summer CFM: 258 35,505 5,656 7,100 12,755 Ventilation: Winter CFM: 0, Summer CFM: 0 0 0 0 0 Sensible Gain Total:54,922 Temperature Swing Multiplier: X 1.00 Total Building Load Totals: 59,351 9,015 54,922 63,937 Total Building Supply CFM: 2,498 CFM Per Square ft.: 0.967 Square ft. of Room Area: 2,584 Square ft. Per Ton: 423 Volume(W)of Cond. Space: 25,840 Air Turnover Rate(per hour): 5.8 Total Heating Required With Outside Air: 59,351 Btuh 59.351 MBH Total Sensible Gain: 54,922 Btuh 86 % Total Latent Gain:9,015 Btuh 14 % Total Cooling Required With Outside Air: 63,937 Btuh 5.33 Tons(Based On Sensible+ Latent) 6.10 Tons(Based On 75% Sensible Capacity) Calculations are based on 7th edition of ACCA Manual J. All computed results are estimates as building use and weather may vary. Be sure to select a unit that meets both sensible and latent loads. Advanced Htg&A/C Store own Uenter i South Windsor,CT 06074 1W Page ZO Fs—ystem 1 Room Load Summary Htg Run Run Cig Cig Cig Zone Cig Room Area Sens Nom Duct Duct Sens Lat Nom Adj Adj S o Name SF Btuh CFM Size Vel Btuh Btuh CFM Fact CFM C Zone 1--- 1 Front Foyer 272 7,598 99 3-7 453 7,976 1.055 363 1.00 363 363 2 Corridor 512 10,414 135 6-6 561 14,527 1,120 661 1.00 661 661 3 Tenant Space 475 11,181 145 3-7 469 8,263 2,190 376 1.00 376 376 Waiting Area 4 Tenant Space 1,325 30,158 392 10-6 560 24,156 4,650 1,099 1.00 1,099 1,099 System 1 total _ 2,584 59,351 771 54,922 9,015 2,498 2,498 2,498 System 1 Main Trunk Size:22x22 in. Velocity: 795 ft./min Loss per 100 ft : 0.047 in.wg Cooling Sensible/Latent Sensible Latentlossr_17, Tons Split Stuh Btuh Not Required:5 33 86% / 14% 541922 9,015 63,937 Recommended: 6 10 75% /25% 54,922 18,307 73,229 Heating System Cooling System Type: Model: Brand: Efficiency: Sound: Capacity: Sensible Capacity: n/a 0 Btuh Latent Capacity: n/a 0 Btuh I i Shirley Wilhelm-CRS Approval Confirmation: Request No.429643 Page 1 From: clpsvc@nu.com> To: WILHEL@SOUTHWINDSOR.ORG> Date: 5/20/05 7:55AM Subject: CRS Approval Confirmation: Request No.429643 Your approval of the following CRS Request has been successfully processed. CRS Work Request#:429643 House No: 1735 Lot No: SUITE16 Street Name: ELLINGTON RD Town Name: SOUTH WINDSOR, CT Inspector:CHRISTOPHER DOUGAN Approval Date: May 20, 2005 This e-mail, including any files or attachments transmitted with it, is confidential and intended for a specific purpose and for use only by the individual or entity to whom it is addressed. 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E-mail transmission cannot be guaranteed to be error-free or secure or free from viruses, and NU disclaims all liability for any resulting damage, errors, or omissions. aatata+aaaa++a++++++rafaaaaa+++a+aaaaata+a+aa++++++++++a++aaa+++++++++ DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT TOWN OF SOUTH WINDSOR PERMIT# Applicatio BUILDING DEPARTMENT SSV APPROVED 1540 SULLIVAN AVENUE Bldg.Permit#644-2511 ext. 230 Date Application must be printed or typed FEE SCHEDULE Location of Job: 1 LL I M P jL+J 0-$1,000=$15.00 Street No. Street Lot No. Over$1,000= 15.00 per$1,000 or any&action thereof Tenant Designation Apt.No. APPLICANT -,U L- Q6L-S i r•l APP ICANT ADDRESS 7 Z IG.f Si OcJn Gy c.yS.. APPLICANT PHONE# SOW N SF 9 OWNER A 2-C- d OWNER ADDRESS OWNER PHONE C ESTIMATED COST$ a ,VCUJ IS THIS A CONTRACT COST? _Yes _No o G FEE ENCLOSED$ y I SOR•CO y 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 BUILDING PERMIT APPLICATION? YES NO PB SIDENTIALUSINESS CURRENT USE AND OCCUPANCYASSEMBLY MERCANTILE FUTURE USE AND OCCUPANCYEDUCATIONAL INSTITUTIONAL FACTORY ENGINEER'S NAME PHONE STORAGE GARAGE ADDRESS MIXED USE Other please specify) CITY STATE ZIP TYPE OF INSTALLATION/WIRING METHOD SIZE OF SERVICE 4ej SIZE OF MAIN CONDUCTORS y/ 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 l DATE ZZ1,71103- DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT TOWN OF SOUTH WINDSOR PERMIT# Application is hereby BUILDING DEPARTMENT O 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 Date ui mg or Application must be printed or typed FEE SCHEDULE Location of Job: Sicr G F fey f$ 0-$1,000=$15.00 Street Lot No. Over$1,000= 15.00 per$1,000 or any fraction thereof ion Apt.No. APPLICANT we— /1c / D APPLICANT ADDRESS :P6 6o-Y l C/Ns` 4,44a Qc;on 0-7— 09 v W APPLICANT PHONE# CF&9—C 27- 49 0 G y 0 W N S F,q OWNER F S OWNER ADDRESS 12 S/ ! 7 0 OWNER PHONE C ESTIMATED COST$ 3Z. IS THIS A CONTRACT COST? `/Yes _No G FEE ENCLOSED$ o. 0 TYPE OF JO R'C B: 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 BUILDING PERMIT APPLICATION? YES NO RESIDENTIAL BUSINESS CURRENT USE AND OCCUPANCY ASSEMBLY MERCANTILE FUTURE USE AND OCCUPANCYEDUCATIONAL INSTITUTIONAL FACTORY ENGINEER'S NAME PHONE STORAGE GARAGE ADDRESS MIXED USE CITY STATE ZIP Other please specify) TYPE OF INSTALLATION SIZE OF MAIN DRAIN NO.OF TOILETS ( STYLE 7Z-)O NO.URINALS STYLE NO.OF BATHTUBS NO.OF SHOWERS NO.OF LAVATORIES 1 NO.OF CONDUCTORS SIZE NO.OF STACKS I SIZE AREA OF ROOF NO.OF CATCH BASINS NO.OF FLOOR DRAINS NO.OF OTHER FIXTURES KIND ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW YES &NO SIZE OF WINDOW IF NONE C.F.M.OF VENTILATOR SIZE OF DUCTS Y CSEW; SEPTIC TANK SIZE OF WATER MAIN A5/ SIZE OF WATER PIPING&RISER i4' WATER HEATER: TYPE MANUFACTURER )vcka%,n-- DESCRIPTION OF WORK 4rOrtkJ drtJrn t THE UNDERSIUNED HEREBY APPLIES FOR A PERMI 0r I10 PERFORM THE WORK DESCRIBED AND IS T7- COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. 9?9573 p i CONTRACTORS LICENSE NO.TYPE STATE SIGNATURE OF APPLICANT DATE APPLICATION FOR PERMANENT SIGN PERMIT 1735 Ellington Road Z nin Appro Est. Cost: $ O No. 31453 Perm V e: $ R - E' —" Ap, Final Inspections: Electric Permit Buildin -` Zoning 2005 ApplicanUBusiness Name Address 73 S //A)f lei Phon' Location of Sign f 7 3 5- Ell/NCB-710-,V /2 - Zone TYPE of SIGN: Tall or Free-standing New or[Replacement Illuminated? es No Proposed Sign Size(square feet) Sign Height No. of Existing signs on site Free-standing Wall 7'r Mya.T P Description of sign materials and lighting: 772[rX-i> /3LtJrK.yu fit4, A TACH L.//rv i DIAGRAM OF IGNn INCLUDING I have read, u stapd and ag o abi by the South Windsor Zoning Regulations, Signs. DIMENSIONS Applicant Date c Property Ow CL( u Cci.-rd ( Date owi 14.fV vow H&R BLOCK I Y Ili MQVE L:XIS R 13LOGK PREMIUM" GriANNEL LET7Efz5& KEPLAG•E WfTH NEW SIGN A5 SHOWN FRONT ELEVATION BLOCKN 2'x V ILLUMINATED CABINET TY 1 51NGLE FACE EXTRUDED ALUMINUM GANNET w/ ALUM. KETAINEK5 5ATiN DLACK POWDER COATED FIN15H FACE PAN FORMED 50100 SOLAR GRADE LEXAN 125 TO.177 THICK wl 5CREENED GRAPHIC5 ILLUMINATION -CW/HO FLOUKE5CENT LAMPS, 500ma, LAMP5 ON 12" CENTER5 5CREENED GRAPHIC PM5 376 GREEN TRAN5LUCENT WHITE VINYL LETTER5 IN5TALL A5 5HOWN FIELD VERIFY ALL MEA5UREMENT5 BEFORE BEGINNING ANY WORK. INSTALLER TO VERIFY MOUNTING 5URFACE PRIOR TO IN5TALLATION. DWIWM IS NOR TO SCAM BUf 6 PROPOROOWN TOACRAL MADNG* H&- el UPR BLOCK L`IIFAyj_"11ti:J SIgl15{KpfYCSOw011 1 1 i y Prudcntial r. i tt.tt f:f nr c• H&R BLOCK nacy OVNIONli. 0 TD ITC VSIA )\ I , 1 D/F MULTI-TENANT SIGN 31.8" H & R BLOCK REMOVE VINYL FROM KTA VINYL EXISTING FACES CLEAN QN 2 THOROUGHLY& APPLY NEW DOUBLE FACE 51GN VINYL A5 SHOWN V.O. 6"H x 46.75"L PANEL 51ZE 7 H x 46"L BACKGROUND 15 BLACK BLOCK 15 3M 3630-106 BRILLIANT GREEN COPY REVEK5ED OUT OF BLACK TO SHOW THRU WHITE ACRYLIC IN5TALL A5 5HOWN FIELD VERIFY ALL MEA5UREMENT5 BEFORE BEGINNING ANY WORK. IN5TALLEK TO VERIFY MOUNTING 5UKFACE PRIOR TO INSTALLATION. DRAWING IS NOT TO SCALE BUT IS PROPORTIONATE TO ACTUAL BUILDING* H&R BLOCK E WE FASTS/GNS2of28/2/04 t77679 AR2 R.Hernandez BR t 1/ i/05 nie Chris JaneHe TH15 DRAWING 15 THE PROPERTY OF FAST51GN5 INTERNATION,11,INC.THE BORROWER1735EllintonRdS AGREES IT SHALL NOT BE PRODUCED,COPIEDOR DISPOSED OF DIRECTLY OR Sign 6 Graphic Solutions Made SimWe Windsor c9r National AccountsINDIRECTLY,NOR USED FOR ANY PURPOSE WITHOUT PE1,4I5SION flftl BUILDING INSPECTION DEPARTMENT TOWN of SOUTH WINDSOR, CONNECTICUT C E R`T I.,F T C A T•.E O F U. S E ZONE RC June 4 2003 This is to certify'that' 1735 ELLINGTO14:ROA3`ERECTED under permit No. 29187 conforms substantially to .the";requirements of the Connecticut Basic Building code and the,zoning,'regulations of the .Town of South Windsor and is hereby-approved for oceupancy.aa indicated below Approved for Use` • SHELL`;FOR:CONNECTORS FROM.,,, SUPER STOP.k.-4 IOp4 TO TTOWN CENTER:PLAZA:`r Use Group MyF Constr Type SA Building Official Notice If this certificate -is lost or' destroyed, a duplicate should be obtained immediately from. the Building Department Any change or extension of the 'use herein approved requires a new certificate of occupancy. BUILDING INSPECTION DEPARTMENT TOWN of SOUTH WINDSOR, CONNECTICUT C E R T..T F I•C A'T E O F U S E ZONE: RC June 4 2003 This is to certify that'.•4735. ELLxNGTON'ROAD,ERBCTET)'under.permit No. 29187 conforms 'subs tantially•to the: requirements.;of the 'Connecticut Basic Building code and the.,zoning regulations of the,Town of South Windsor and'is hereby-approvedfer occupancy as Yndicated below Approved for Use - SHELL FOR CONNECTOR FROM SUPER STOP &`'SHOP•T0`TOWN CENTER .PLAZA:;!`. Use Group M Constr Type 5A Building Official Notice If this certificate is lost of destroyedj a duplicate should be obtained immediately from•the'Building Department Any change or extension of the use herein approved requires a new certificate' of occupancy. BUILDING INSPECTION DEPARTMENT TOWN of SOUTH WINDSOR, CONNECTICUT C E R T I F I C A T'E O_F U S E ZONE RC June 4 2003 This is to certify that 1735;,ELLINGTON,ROAD .ERECTED under,permit No 29187 conforms substantially tc the,requirements of•the Connecticut Basic Building code and the zoning regulations of the,Town of South Windsor and is hereby approved for occupancy as -indicated below Approved for Use :'- ,SHELL FOR,CONNECTOR FROM,,—. SUPER .STOP & SHOP.. TO TOWN CENTER PLAZA. Use Group M Constr. Type 5A Building 'Official Notice If this certificate is`,.loat or.destroyed, a duplicate should be obtained. immediately fz'om the'Building.Department Any change or extension'..of the use herein approved requires a new certificate of occupancy. 71 lotR'' e4•b sr `. 0 y 1 titz Iry Tow tsslsNr Y w Is11du1 Q tr1..Twt f ft Nr w i. EwtsA feast%. 11rebeew 0t ?least&* 1.o t• 1/ .,' • 1 '{ g -`' ibywl irttdr Krrsgr of h•Ilt hrfS ro'f 5 r /a , 4 r• 1 d , e 4"1" 1rw•4.1"as I'Awls 1N"• rlsestal aed feat"OrwlN i ' i,•!4 f,° y lrttrfy/fareld Qrrr yt irM full/a rlle .r• 1 n f,e i •y''3 , . il- aiR i 1, a /V+t'1 _ i„ ? • r.'{' 1,.Sf,`[kf( rJr• 4,q` 74 Ii, AA•f ;J••.Ah1 y, 1 ,ra ij 1 1 F L..•P.1`K X+`f'e 13 Y Yyrr rrr•y HE A Y INA y eiv[ 1 3 9 SE V•; silk c '. f Y'• 5•R `;.. E 11r 5l,1 iiVTE 7 x r 1 Re ferenee is mad A. "Right of WayL r i o iv I r`; t Wapping Road 0 4 F'Route # 15" S of 2. CDRtir l•f Property Su r,'''i" South Windsor O o I O 11 :1 grope r t y o t`. L A. t; Conn. Scale 1 0 T' n. Reference is SHEt h40 R NOss Windsor LandGK tioN 1- WALK• 3I 2 Contours based on Poor. Al reHEADA-4 C i au MIRes STOP BAR STOP SIGN J` 1 r. RI-1 ow 1 12 Ili HOUSE', I SINESS SIGN 07 L01 I T, SSE TI G 64 X is'r 1NC oNTicov PlitNS 15 700 S.P.i 19UI.VINGS { TO. ,6E Y,, •s`TOrc f - CURVE # RE oVet7 o I s f w. A = 160 - 14' A ' i R _ 12 0.00'L i- 15' NSF S00 R;.-'..•,-._ p ry, z,.,. , tin ry. y A . C , 2t r,;. s F a.. x` I R d t i, t' :+•° ri . u r" s' t i. M1` ', + 7? 3_ y R Kam? a ry I . w y j. , 1 G-*.., , a r y . r , '^:. fps `, l r• 4 d 0AW IVL 0. 00 tip It Y ID OFFICE w Oo r. ...• j ;. '. . fin •.'- r ' A v'. t' 7•': x"'*. . ic 777 J. ! , Yw _- .! 7 L' i`. y ' 1'^' C••. s_«- `+. r• . J w-"` ta. X ,; 1 7S ' G. '., 0`- y • . , ' '. 1 •` `' ... •? :`+ .!:: . y yr•'. i _ y' RON, YAR j Z•: •'• • 85 I 4 n,. _ aJ"'` ' tea r• K, a .{ `• 3Y t"¢ f„ i f`' 7. t••,•` tv fp ' ti r J. i- :. s ftr' S K i jas A' .+ ,; if t .. J• f. 7^ ys i 4 r j t r! + y., y r ' a 1'I'• Y{ ra' ..• µ- ' a 7, s 1 a.., , „`;+ f yr r• y ;, o,, y 1 a„+, a„ {``.. J,' 4p r Y.•* Y• C .` , - r•' aS,. a1TTgf• r` + i t ia V ~• s. ,_ r.• ( _ r..• ra ;•, 1 r '- ,(- f. a i' is. sf ,. . - r t Y, 4 r++ ri Y ++ Y Alt 4+, n, y '.,'. O p y k s ;`,,, 1aF • ' K_• t G i 4'' 74 a a .-: Gf , A .• R O f A tY": I : w 1'.' yy* IA ET E. ooNo it h' '' SN E*. S O' J O - ` J •,, •• i I. l` J ty n••' ,+.:" #.. "/' '' 92 f WD M'yF {: Y°' ; ' i A ! M f ''^' i%'_' ` Yi '• v` r yd S... y a Y Y. r ~" i t. v• y .. 4 ,?• .. y' t ••• t iy.. r OCT 3 1 1990 South Windsor BUILDING DEPARTMENT i0 114E ELUi;:Q- This certified that this pl]rt and Spec!',.;.t,, copies of the proposed building or altarat,.ns tI erected at tnrethcr with amend ents staVd in apafia t,;n tiled with plan and I afire- to comply ',,,th ..11 - C uuding and :tat& laws a^d such orders -]a shy' ss--d by the L'usldine Jepartm_nt during pan,!.. I this appl tion and final issuance Of a bt:ilae--,,, permit, Signed This plan is approved subif-ct to the that ard.rs and ordinances reguwating Ou d i shall be c,-r pied with. Conditionally Approved Those filed with Building Inspector Clerk oats lo. 1 Cc i-61i 1CATION OF ZONING COMPLIANCE j,o 3;1,4 f Proposed bullding(s), uses) and/or structure(s) 4 s ,•w. . f,:xmformance 3s shown orl this plan appear(S) to be in with current South Windsor i lgulations. Variances and special ex09ptions OVA" syo. g, 1f10. y apply. 0-- 3Date 7a At 3s + 4+44 Sul ,.,,,/w,s Z6Ang Enforcement Officer v b^ r/,• jn0 Cr: Frame A 22": 10" Q`\ Floor Opening N 1 N\ GD 01 Op Q G bt, NO cF 71 400 qv aid o, • ;` o j K: dr ir 0 1- 0 Doi F eam To Column onnector With One Sided I' bru Plates. Per RISC. eery NY i g / u o i a 9- 1 114 7. 1 C. I`+ i\ 7- R 5/ 1 `to 7. R5l16 nl i H 10 o, I i 1 112" i it - - - - ol tY N Q- e e t h WIA --------- U m Pt21 L I IN SION loseN_- rSamonNJMEsomeon ifitil' oll: 01 @ElmLink ORLONaIS Al f s M--NO6 o les le eseeee e--.-es1u ssu 1 1 11 i iii lii I I 1 ii WA NINE LJI _0=8 mim - m a RkIIIIIIS: III::mum MAN 0bl, lot fix 211992 South Windsor BUILDING DEPARTMENT t t'IS v!-M a,! Sr t o rS the pteposed bLJ:dir3 rr 3'teri.r s r.•t4S bt Q'-,,i iHCATiON OF. ZONING COMPrl ?,":,::. : oposed building(s), use(s) and/or structure'_; a dl s shown on this plan appear(s) to be in k ON conformance with current South Windsor COS. rcgulatlons. Variances and special exceptions may apply, 1wyVA•1 l f p h• , C.) I 1 i i':ar_ a _. 'a Lrr. h•.._'• i-rat r r z., nl Enforcement Officer.•-"` r , to , r i i ' Rl ISUIT JUL,1. 8 Wo South Windsor BUILDING DEPARTMENT ld THE itiUING OEPT, %Vij CF MTH MUSOR fills oertlflad that this plan and apecificatlons are trueooplesoftheproposedbuildingoralterationstobeerectedat together will,Street amendments Stated in application andfledwithplanandIagreetocomplywithallzoning,g wilding and state laws andissuedb such orders a shall be y the B 'Iding Department during pendencyfthisapplicatiandfinalIssuanceofabuildingPermit. igned its plan is approved su et to theorersandnrdinsnces condition at Om04ed wtth. regulating building sl efl be awauaowafry npps,sV" flteste to" %qm aing tnspecaR X/ f Cftt We. CEn-i IFICATION OF ZONJNGa W&eL.i01a " Proposed building(s)r use(s) and* structure(s) as shown on this plan appears) to be in conformance with current South Windsor regulations. Variances and special exceptions may apply. Date Z 1n& &ntorcement OMCK LJ Li LL 1 T i r LLJ tL sl I- lav m A 1990 A South Windsor BUILDING DEPARTMENT T"!x 41 P e l CEK IFICATION OF ZONiNG Cvi iPLiANCE -w S/ z, x r o ' Proposed building(s), use(s) and!or structure(s) s•5n as shown on this plan appear(s) to be in conformance with current South Windsor regulations. Variances and special ex6eptions may apply. Date 114'',,,l iy`ro Y'C44d1_141 Wing Enforcement Off-rer FEB 21 ' 90 17: 07 APTEFFECTS, Ilp- P. 8 14 . P071A11990 South Windsor BUILDING DEPARTMENT m =UK WL MIN aF Inn " wI TMr awm d OW ur gre a"apaem..tLwt aw j#W Oft"« Of ti Prar..a war w an" t ai,/ is N oe-1011 So,Ji together with smen/meats Stated In application a. 11W with plan and 1 agree to Comply with ell coMfi_ Sullding and State laws and such orders as ehail r5VissuedbytheBulidingDepartmentduringpefiden4ofthisapplicetandfinalIssuanceofahui!rt,- permlt Signed _ This plan Is approved s Ject to the con on orders and ordinances rCguidting bulldi g Shail comp"d with, CowMt alw AOROeK The" Riled opts CEnTIrICATION OF ZONING COvIPLIANCE 'tom ft"=w 2 x fo Proposed building(s), use(s) and/or structure(s) 30 7 as shown on this plan appear(s) to be in conformance with current South Windsor egulations. Variances and special exception may apply. Date 1,F 90 ning Enforcement Off'r:er 1 tJN l Ti QI. l.. Y- o 1.- v:- i. r, r D x {Q j r r U J 1/IY South Windsor BUILDING DEPARTMENT, to fpf IYIi * ow. towN aF saute, vJ1.134" 11064011,0{1flad that this plan and spscitleations are trve eefles of the proposed building or alterations to be re at t y 7 31-e/mew" *4b( street thor with amendment, stated In application and d with pion a" 1 agree to comply with all Zonin I.Wihe •rid state laws and such orders as shall ywte, by the Building Department during pendency t lhla appl toe, and ifnot Issuance, of e, building V,.ffNit swee ai"s pl'ah A avolsood sabiect to fhe i that aka swW it9feenaee, reR,M41111,140411; bu d it shall be a r reMli 000161 Two" toot with Claw* CERTIFiCATiON OF ZONING COMPLiti' C-T Proposed building(s), use(s) and/or as shown on this plan appear(s) to b,-;- onformance with current South regulations. Variances and special excepi! may apply. _ Date-- gjWing Enforcement Offk= 00 OD iN\J CL C7 QI 3 190to South Windsor BUILDING DEPARTMENT 73J 2/1((/f0 CERTIFICATION OF ZONING Proposed building(s), use(s) andjor struct, as shown on this plan appeal l' to. b 6.conformance with cuand special texcj npjll*, regulations. Varances may apply. Date i t TtT 3 J7 1 ur J, w,-. Fps ° h" `.-•. 7 o C II I 1990 South Windsor BUILDING DEPARTMENT To Tip /YAM "T. lua;i i,' sl:/UTH V,';,40:vR This certified that this Plan and sPe011414 Inns are true eoplea of the proposed buitdinir or altaraclonl' to be erected sit 7N f/AJ 75ill' R —Street together with alrendinents atat•.:a tlon and tiled with Plan and 1 agree to comply with ell zoning.Building and state laws and such orders es snarl be D issued by the Building papers ment during p.ndency f this application and Mal issuance of a building Permit. Signed rj This Olen It approved atlblW to the oondl1fIordersandordinancesregulatingbuilding s n 6% Complied W" Conditioned Appro"O T* t tfm Building Ctarfl pat.-XI,(I,0 M. GFRTIFIGATiON OF ZONING C(*VIPLIANCP. Proposed bulldftCs), use(s) andlor structurc;s) e,; e;hnwn on this plan appoarfs) to be in conformance with current South i wln lire regulations. Variances and special oxroptfomi may apply. Date q M Zolft Enforcement Officer. f Ll qn i L 77 i y- r :-., y, n'" 4d4Fpx. paY iY' f ^' M f*+* C...^-' u e. w+ s r. Rwa w^ ar, cvyp r} uw.+ nw- '++' ^ M. r,» sn. wWyyF..•. K hen+ '. z+ cq,- M°+" '^"' il'. vw' ns' s^-'+* R". a.e - ts....«....,.^- ............,- mot,.. i SouthWindsor .. BUILDINGDEPARTMENT i F_s -,r •tieG."-, .. .. :rr. fC:-uLtocry—.'1+;'7r.ii u f1 ldWSv: 'rh'C'•.r5Yt t' LJiha .:ullirEi;e: r•-rc... d.ffn .. f.cf f JI 1r CERTIFICATIONOFZQNINCCti1LIJiCC Proposedb-tildins(,g), iaso(s) andiorstructum,$) asshownonthisplanappunt(r.) toW. ,n conformancewithcurtontSga„,Lh regulations. Variancesand mayapply. Datevc*e stingEnforcementOffic-ar 7 _.: z.;.:_ ._'", -.>--' t-"- r,-, ram•='^+- x---"-.... ---""- r-." V._ _ Ss-- _ - . F- Yr:= w• ww+° w. S,. r6eR# S i i* FxaerWrF,a ilsre-•- atsz a.. e "' b->+ c a+ sAM-. av* a ir-- ' Ir_.:.... r:-+ r<-:' 7+ e` m 5.-. a...,..+.- a1.>,--.._.-.. i z nr+•_..... w....,.-.' r•z+ Z' V w OQ rr. v l.. a 37 e+ Y= M„ r rw'.` ari.. A t'. 5. t _.• ra 7V" .:. an - st TOWN CENTER WINES & SPIRITS1 v ' D gv M 3 191*10 South Windsor 13UILDING DEPARTMENT 2,0 F L CERTIFICATION OF ZONING COMPLIANCE Proposed building(s), use(s) and/or structure(s) as shown on this plan appear(s) to b-. in conformance with current South Windso. regulations. Variances and special exceptions may apply. Date 13. Z#Ang Enforcement Offices 0lob— D av'm FB 13 MO South Windsor BUILDING DEPARTMENT, io iNE mmix 0m. lc;,. f"It tantflad that this plan and specific,tinns ale ifue0*0" 11 tM AoOoaad building or alterations to be aroiNd at Street together whh amendments stated In application and flied with plan and 1 agree to comply with all zoning, Qullding and state laws and such orders as shall be Z Issued by the Building Department during pendencyofthisepphr.at n and final issuance of a buildingpermit. Signed This plan It a#prorod s1lbjeet to th n ton that orders and "Folve, raguieting i ing shall be competed With. GoMltFwtooa/tQQy Allyrvirog Jltaaa t"d wltp NwIgINg Isalratk Clork CERTIFICATION OF ZONING COMPLIANCE Proposed bullding(s), use(s) andjor structure(s) ds shown on this plan appearis) to b: in conformance with current Sc :Ail egulations. Variances and special exceptlons may apply. ate d Wing Enforcement Officer ti 1 r A 4 vXCv rj Y I L f 1 aa rI .i Q d• i +t. 1 S R (t(I Sa ti I f Y irC j}i K S99RR y I a rV FEB 13 1990 South Windsor BUILDING DEPARTMENT 100/4"O,0111ad to,,st this plea and speeifleatlans are IrNa Afltfa. sf ttis propoaad AIR or alt.LHGns to 6s posted at W street 41 together with a n ,:..::: l withappl all So and teed with plan and I agree to comply with ail toning. 3uilding and state laws and such orders as shall be O issued by the Building Department during pendenCr of this appfi tion and final issuance of a oufidin4 y perniN. Signed this pqn ff approved suh0eet to the that orders sad ordinaO"s resrulating pli d g shall tM amWhd with. sndltfettagr AiNris^ few to" wit" CERTIFICATION OF ZONING COMPLik, Proposed building(s), use(s) and/or structures) as shown on this plan appear(s) to b2 _.-t conformance with current Sc;.n 4'd -. regulations. Variances and special excet: may apply. Date 1'D Wing Enforcement Officer O THE BUfLQiNG DEPT. TOWN Of SOQTH K'li'iGll,-r This certified that this Plan and specifications are trurcopiesoftheproposedbuildingoralterationstoboerectedat 7k, StreertogetherwithamendmentsstatedinapplicationfiledwithPlanandIaree PP seal Zo an. F3wildln 8 to comply with all zoning.B and state laws and such orders as shall GissuedbytheBuildingDepartmentduringpendencnfMlsapplicationandfinalissuanceofabuildinrPermit. Signed This Plan 1s approved tsubec orders arid i to the condition than d ordinances regulating Guilding shall GecornpUi-d with. Conditionally Approved These filed with Building Inspector a / CIerY Date CITY SIGN, INC. 1811 PARK STREET HARTFORD, CT 06106 PHONE (860) 232-4803 FAX (860) 232-1317 H&R L0r..,.rKPRE.,mlum a x 0'-o WORK ORDER: DRAWN BY: DRWG. #: CLIENT: SCALE: PAGE #: LOCATION:DATE: ALL DESIGNS d DRAWINGS ARE PROPERTY OF CRY SIGN.INC-AND MAY NOT BE DISCLOSED.REPRODUCED OR SMULATED IN WHOLE CR INTENT VA HOUT THE WRITTEN CONSENT AND FAR COMPENSATION OF THE DESIGNER AND CITY SIGN.INC. a vtvllra wtvirL. iHi l; t D roposod buildings), use( s) and/ or structure( s) shown on this plan 3ppear( s) to be in OR 2 1 1999 a rorrnance with current South W! nds# r Julatlons. Variances and special exceptiwy South Windsor hay apply. C BUILDING DEPARTMENT Jate au Zoning Enforcement O( fk* r Tt, C,, joL• d tt,., t tr„ s f4— and spccilrc A1- os' I" Vu. sr; r s ..- A the proposed building or altoratlons to be erected at Rl/ l f), 0 t street t»¢ Pther with, it apG 11, 11 ,, th plan And 1 to comply with 311 zoning. Batlotng and st ate I—$ and snch orders as mall 04 round by the Building Department du g* p ndency uilding this application and ( in.. at permit ned 3 n le a owed ect he condition that cM^ rs And old Once* r" guiat building shall be c tbi„ d ay. Etfi These tiled a C adrisonalry ApprMls' M iUr LMsrk 8u: k: irQ InspeCtd s u Ngirt Q O DRIVE-THRU/pharmacy'&'FOODMART" EO 6 EC NON ILLUMINATED PLASTIC LETTERS 2662 RED)13/4"DEEP MOLDED LETTERS STUD MOUNTED TO FASCIA E9 161.1 p' 24• q-0'E9 25.25 SQ.(7. 13.5 S8.Fi. N 6VS pharmacy NON4ULUMINATED Df mWm- RVII I E9 DRNE-THRU CANOPY y LETTERS-SEE DETAIL SHT. I HOUR N40TO&HALLMARK WINDOW DISPLAYS J J 75.0' FRONT ELEVATION: 1/8'= 1'-0' PIPE SPACER EETWEEN LETTER& 040 ALUMINUM CHANNEL-11W DEEP LOCKING WHEN NECESSARY TO_ TRIM-CAP CV$/PhORiTOC`r RELIEVE PRESSURE ON FASCIA INDIVIDUALLY ILLUMINATED Cl-ANNEL LETTERSORMTFORExNAPF) W NUT•SEKTS WITHH ALLTHREAD MOUNTING STUDS 2662 RED)3/16•PLEXIGLAS LETTERFACES RED)15MM NEON TUBE ILLUMINATION j 2'a 3'063 ALUM WASHER BRONZE)JEWELITE TRIM-CAP AS ExTRA THICKNESS TO HOLD NUTSERT BRONZE).040 ALUMINUM CHANNELS,8'/i DEEP 30MA SELF CONTAINED TRANSFORMERS PLYWOOD SEE TRANSFORM ER MOUNTING U.L.LABEL rz„•vBLOCKINGBEHINO I DETAIL BELOWWALLR1'G.0 SELFCOMAINED TRANSFORMER J.: - .S c..z,:I`0Ni NEON TUBING SIGN AREA: Q 0 NlE7T/2'ARK4.063 AWM. D P) UNOEIU jQORIR'ARMORPD'f42'AND UP O; I CVS/Pharmacy - 133.66 sq.ft. O, 3,6'PLEx FACE DRIVE-THRU/Pharmacy 25.25 sq.ft. W— luN gIMARTION BOX LIQUID TIGHT CONDUIT FOOD MART 13,50 sa.ft.8 PRIMARY ICOilNNECTION I BTHRU+NAUCONNECTOR ATTENTION INSTALLERS! eY ELNN cONTR TOTAL THIS ELEVATION 1 72.41 Sq ft. 1 NEON TUBE SUPPMT J THE*PHARMACY"ON ALL SIGNS MUST BE COVERED DURING INSTALLATION NO EXCEPTIONS UNLESS INSTRUCTED BY MANDEVILLE SIGNS INC.11 1 TRANSFORMER TRANSFORMER J I MOUNTING artwork exclusive propert/of:jN 1. -SS LOCKNLIT DETAIL NANIE CVS/ hormaC #1043SSNUTMandevillesigns.inc. P Y SSIACKWAMHEA J 1735 ELLINGTON ROAD AND BUCKLAND STREETNI —--. 063xUMHE READSSBarfAPEAiRANSFORUEA 67H GEORGE WASHINGTON F VVl REMMED,nns 063AU1M.ETTEAtua 1 UNCOLN,RHODE ISLAND 02165 ca".cN 401)334-9100;FAX,(401)33a-7799 , , CATEE 1 2/1 7/98 a- cAAWN aY WD cWG.H-71 5-A Electric# APPLICATION FOR BUILDING PERMIT f"urnbing# 1735 Ellington Road HVAC # Date: Sprinkler# No. 29278 FINAL R Estimated Cost $ U. • Buildin COMPLETE RED BOXED AREAS Permit Fee Engi i TYPE OR PRINT ONLY Occupancy Fee $ Affidavit SIGN ON REVERSE SIDE Appr.for CO.Total Fee 00, TO BUILDlI`4G DEPARTMENT,TOWN OF SOUTH WMSOR,CT Additional Cost) $ The undersigned hereby applies to ns:do work according to the following specificatio Job Location 1 -7 3--'j 6-U IQ L,-) Lot No. Side of Street Zone le(L Applicant , Rsk-ylcucz TeL#_2j--(PYY- `7C?j Address q 6),c!Zip (') Lic.# Oh;3-7 S Owner tC. l Y S ress y e gl c(A , 1 v) Architect ' A k,.3 Ve ress 6 LZ`S- L-C-x t L-r,Y C--r Sq. Ft.New Area: 1st FI. 2nd FL 3rd FI.. Total New Area Rooms Lavatories Bathrooms Garages Purpose of this permit- nS+X 1 he q-) C,)C4 JCS je r S h 1 l.0 /.C_g 01(e r Gty Water 2-` Well El Septic System Sewer C Ins. H.O. S.P. Cent. Area Basement Garage Approved by Date 1 l Use Group Construction Type Revised 1197 I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town of South Windsor and to notify the Building Inspector of any alteration in the plans or specifications of the Building for which this permit is asked,and agree that this building is to be located the proper distance from all street lines,side yard lines,and required distances from all other zones and is located in who this buikkV and its use is allowed. Signe I hereby apply for a Certificab d pang f•tfiatirottt in On application for the permit. Sign DO NOT WRITE M THIS LINE INSPECTION COMMENTS Inspection / Approval Date By Appl Code Description Due Whom Code Comment 29278-B 20,000 B10 FINAL 08/06/03 JFF A B10 FINAL 08/06/03 JFF A CLOSEOUT Application for LiquorPermit STATE OF CONNECTICUT LC28 Rev IV97 DEPARTMENT OF CONSUMER PROTECTION BEFORE THE LIQUOR CONTROL COMMISSION RETURN TO State ofConnecticut DO NOT WRITE TIER&FOR USE OF LIQUOR DI VISION ONLY D j Department of Consumer Protection Liquor Division DATE APPLICATION RECEIVED AMOUNT OF FEE RECEIVED Roan 110 165 Capitol Avenue JUL ZUubHartford,CT 06106-1630 N II DATEFEE RECEIVED South WIndllor ATTORNEY: BUILDING DEPARTMENTADDRESS: RECEIPT NO. TELEPHONE: A. THIS SECTION MUST BE COMPLETED PRIOR TO OBTAINIIyG LOCAL SIGNATURES. ENTER HERE THE TYPE OF PERMIT DESIRED PQCfca9L S re PATIO YES NO List type of live entertainment(be specific)AIDAP B. BUSINESS TELEPHONE NO. TRADE NAME Present Proposed OWA Cm4t r x X 1.ADDRESS AT WHICH BUSINESS WILL BE CONDUCTED(No.,St.,Town of City,Zip Code)2.MAILING ADDRESS(ifdeferent) 735 mil/n12d 5 1#),1)0r, G't'O 7y I 130A6 3.is THERE NOW A PERMIT ON THE PROPOSED PREMISES? Ifyea,give permit number and permittee name. i YES ® NO 1-110.001401 4.FIRE DIARSHALAPPROVAL DATE fign.t .f MARSHAL Slaut.re...r kkn th..do 4n.td,mocitifr uW tMpremi.s identified o aam I re physically eamil.ltd fo n bh ak for aK ofbosiress forevluicb this n suaueM Y S.CERTIFICATE OFZONING AUTHORITY:ILia isaocitify tlut We bn?di.t i.itcia l ofthis su:aio.'r boted'sr de town or ci7'tlws erect tlW l au acquiaed with due toning ordinances and bi Lw of said so"er chr and that,r duis location.said town or city does ar prohhd 6e de of.emYotic liquor M d.an:type of p---k I—ppiiod for. Sipaxt.re.atbe kss d.."d.ys old. Name of Towa or City Name ofZoning Ambority p34W)1 ( a^rD4 rL Sdifr'fa I.JQY`rlfr!'ti P NvCn 6 it ZaT ,ra.z C,r,r."-*JfS114 Date Signature of Authorized Officer True 7Jib bL Acrtwc zouvYNc E,r ccwCL•,,awt clfttf En 6.CERTIFICATE OFTOWN CLERK(Signature must be lays than 60 days old) a.Said town orcity has no ordinance reducing the hours of sale of Date Name of Town or City alcoholic liquors except as stated below. Q SO Signature of Town or City Clerk haU L'f ao 1 olA6F C.FOR APPLICANT ONLY(Permiuee) HOME TELEPHONE NO. MO) 1.NAME AND HOME ADDRESS OF APPLICANT 7$3 tilt rt 4 d-rf,44 DATE OF BIRTH 4.st,Fist,Middle)Totals M.idea peer—somi A Mdam AWA Vgr'16n; 0G06G us t ns t/on Tor 3-dl•-7 D.WHOLESALERSAND AirMRWrI AMTOFBONDPO= E. FEDERAL EMPLOYER IDENTIFICATION MANUFACTURERS NUMBER(FEIM F.TYPE OF OWNERSHIP 1.INDIVIDUAL COMPLETE SECTION 0) 2.PARTNERSHIP COMPLETE SECTION G 3.CORPORATION COMPLETE SECHON H) 4.UNINCORPORATED ASSOCIATION COMPLETE SECTION H) ORLLCJLIMTIFDLIABILITY COMPANY S.LIMITED PARTNERSHIP (COMPLETE SECTION 1) 0 Or7 III s m s work4 IZ" 23 Zn a 3m1 c z w, 4 O a 2 Q. X I E x I CVS / pharmac y m D 1 ILAMRiz- O I LANOP( IJ I Willis E i N N n m O EfON C /TI 0(l 3 b r_ i_I I D m ND I` I Pf 1 ^ L 1 I ( A (_ {I NI S:P i INSET METAL EOX COVERS G V Iv/IVI^`1/Ir iV/` `EACH TRANY. WP-..A.Y 15000 OTO I!! TRANSFORMER ]O MA C f 1NE1, ETTE s a Y`J IN OUNOORPARATE BOXFS i oRouNo T,tACH IMDMDUAL LATTEX QL w{ SACK TOTRANSFORMERC'i 1 I \I`/ F G V —0 TRIM-CAP W', -roW S OR 1>:TW Oo METAL fCREWf m •XE17) WWO (LL W l gAT(0tQ fOrA 4 L.E BOLTS W/PLASTIC 13141EL0! 1.11 N 1 .C v AWMNLAM 4, 6ALLA5T 0. FLUOR• LAMP I Z NEON SUPPORTS N a 7 a G CYLIC/ I{.A) OX PLEXI'OLAE FACE jA} NEON TUBING C ,`,.ONi/V I ``VI `F L (_ ELEC.FEEo 71--fir. GREENFtEID N o • f tD E '(fi AN M-0 (TT 3u N VIP: ILL AMINA . C-D UWMIZLANON SIGN Na or CWN ITS) AL V L e, iFACZS 4, 50T-VO/A ALUMINUM CHANNEL 0 w 0 LWH ITS. TOM GOT6 ALUM. Tb? GAF 3/4" LAP C'a Nt( -1 DUITPUI t•1.Of/7vLtVT U• B INDIVIDUAL LETTER WIRE-THF1U DETAIL Ii AaGSouth Windsor BUILDING DEPARTMENT ro THE 1. rh( s certitled that this r. l=, n ; na s; r c, trc- t! o' nt 1' J= CERTIFICATION OF ZONING COMPU topics of the proposed bmldinz or alteration; t' ta Proposed buiidirg( s), uses) ardor s. erected at as sl60, wn on this p! an appear( s) to 1 II 7 11'' 10 ptr. FF t tngcther wrlh ar ard n-, rt. vt .,, I in Co jiQifl ant^. e ti itll Ci LI: rel L SOLIth . Tf rrlcd with Alin and I .•,- I Pl,' J7uddrng and St to I-, S th 1 Z vdns, regu; ations. Variances C7.: U Sp Litnl i\ Gt rvsnrd rs . a chill be by the 6ui1, 1 n; (+- d rir; r- t/ 11 thisPendency n1 y fij, t' t1• r. pplrc tion ant ttn., l - LOr' c L/( vermit. of a S '.; duing Date _.._ e 1 this pI rn In ,+ pnnvr• d subiPrt to ih,• J r1 a t rders . wd rrtl c^ nditlon that L, ol ling EnforE' ia,. Ot` Yi. ' .-. n, pirr d 1 nrr ldlnh' shaft py r ondrtron„' y , rvved hr sr tied Wltl+ dulld, R !.. sp ctor clefts DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: 5BUILDINGDEPARTMENT D 1540 SULLIVAN AVENUE Bldg.Permit# r 644-2511 ext. 230 Date Building In for Application must be printed or typed FEE SCHEDULE Location of Job: 0-$1,000=$15.00 Street No. Street L]No. Over$1,000= 15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT s eye— Pi LC APPLICANT ADDRESS Ccl,o e4-eri R APPLICANT PHONE# S Q 0,0 W N S F,q OWNER OWNER ADDRESS CO) OWNER PHONE O C ESTIMATED COST$ IS THIS A CONTRACT COST? _Yes _No G FEE ENCLOSED$ S TYPE 017 JONewSORCOInstallation Alteration/Addition/Repair Revised 4/01//2002 APPLICATION FOR PLUMBING PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION? YES NO RESIDENTIAL BUSINESS CURRENT USE AND OCCUPANCYL1ASSEMBLY MERCANTILE FUTURE USE AND OCCUPANCYUEDUCATIONAL INSTITUTIONAL 0 FACTORY ENGINEER'S NAME PHONE 0 STORAGE GARAGE ADDRESS MDCED USE CITY STATE ZIP Other please specify) TYPE OF INSTALLATION SIZE OF MAIN DRAIN `y NO.OF TOILETS STYLE NO. URINALS STYLE NO.OF BATHTUBS NO.OF SHOWERS NO.OF LAVATORIES NO.OF CONDUCTORS SIZE NO.OF STACKS SIZE AREA OF ROOF NO.OF CATCH BASINS NO.OF FLOOR DRAINS NO.OF OTHER FIXTURES KIND ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW O YES NO SIZE OF WINDOW IF NONE C.F.M.OF VENTILATOR SIZE OF DUCTS SEWER OR SEPTIC TANK SIZE OF WATER MAIN SIZE OF WATER PIPING&RISER WATER HEATER: TYPE MANUFACTURER DESCRIPTION OF WORK A04 002 564,li BY' 11HE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORMTHE WORK DESCRI13ED AND ISTO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. a??f73 CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT DATE j)— ) 9- O 1 DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT PERMIT# TOWN OF SOUTH WINDSOR 3Applicationishereby: BUILDING DEPARTMENT APPROVED 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 Date ABg nspector 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$1,000 or any fraction thereof Tenant Desi gnation Apt. APPLICANT Fn r pn I e 7 k,C}Cdy.'I Get o f ce .. APPLICANT ADD iADDRESS4Z] G4-r4 APPLICANT PHONE# 8 OO " ((D—Z 19 Q I 0 W N S F,q OWNER OWNER ADDRESS a-r OOWNER PHONE ac) J 9 o&6 C D ESTIMATED COST$ 0 IS THIS A CONTRACT COST? -ZYes No G FEE ENCLOSED$J ,OO 71 TYPE OF JOB: SO R-C o 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 BUILDING PERMIT APPLICATION? YES NO RESIDENTIAL f.BUSINESS CURRENT USE AND OCCUPANCY ASSEMBLY MERCANTILE FUTURE USE AND OCCUPANCYEDUCATIONAL INSTITUITONAL FACTORY ENGINEER'S NAME PHONE STORAGE GARAGE ADDRESS MDCED USE CITY STATE ZIP Other please specify) TYPE OF INSTALLATION IhJ7 J_S Ir1D-i n k5 SIZE OF MAIN DRAIN NO.OF TOILETS STYLE NO.URINALS STYLE NO.OF BATHTUBS NO.OF SHOWERS NO.OF LAVATORIES NO.OF CONDUCTORS SIZE NO.OF STACKS SIZE AREA OF ROOF NO.OF CATCH BASINS NO.OF FLOOR DRAINS NO.OF OTHER FIXTURES KIND ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW YES NO SIZE OF WINDOW IF NONE C.F.M.OF VENTILATOR SIZE OF DUCTS SEWER OR SEPTIC TANK SIZE OF WATER MAIN SIZE OF WATER PIPING&RISER WATER HEATER: TYPE MANUFACTURER DESCRIPTION OF WORK THE UNDERSIUNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRI EDANDISTO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. a(R-sac9 P CT CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT DATE v Electric# 3 APPLICATION FOR BUILDING PERMIT Plumbhig# 1735 Ellington Road HVAC # 29151 Date: 0qj I to 10 2 Sprinkler# NO FINAL P R Estimated Cost 3 Building/ 'at, ti r COMPLETE RED BOXED AREAS Permit Fee Z Engin I TYPE OR PRINT ONLY Occupancy Fee $ Affidavit SIGN ON REVERSE SIDE Appr.for COS Total Fee 3"7 S TO BUILD TMENT, OF SOUTH WINDSOR,CT Additional Cost) $ The undersigned hereby applies to do work according to the following specifications: Job Location 1 36 LcA l Lot No. Side of Street Zone Applicant d- S . S C v Tel. # 1,00— to(4 q '(o Address 1 d D Zip o e)4 Lic # C)n'4-7$ Owner OC4 Vj S_ Address I I L( (,ln,(c I), I.U 1C G?D(O'( Architect Address Sq. Ft.New Area: 1st FI. 2nd Fl. 3rd FL Total New Area Rooms Lavatories Bathrooms Garages Purpose of this permit:__ l oy—fb -i- 0„ 4 City Water Well Septic System Sewer Ins. H.O. S.P. Cert. Area Basement Garage Approved by Jger--Date k A 0 Use Group Construction Type _ Revised 1197 I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town of South Windsor and to notify the Building Inspector of any alteration in the plans or specifications of the Building for which this permit is asked,and agree that this building is to be located the proper distance from all street lines,side yard lines,and required distances from all other zones and is k)cated in this building and its use is allowed Signe 1 hereby apply for a Certificate of Occupancy fwZmt descrill this application for the permit Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS Inspection / Approval Date By Appl Code Description Due Whom Code Comment 29151-B 25,000 BO1 FOOTING 10/17/02 CJD A B02 FOUNDATION 10/23/02 CJD A REBAR IN PLACE AT FTNGS B03 FRAMING (ROUGH) 11/27/02 JFF A CANOPY WITH SCOTT AN ARCH NEED T 0 ADDRESS FIR FIRE SEPERATION TO SUSMIT PLANS E03 ROUGH 11/27/02 JFF A CEILING CONNECTOR TO STOP AN SHO P E01 SERVICE 11/27/02 JFF A OWNERS SERVICE B WITH CONTRACTOR OK TO RELEAS TO NU B03 FRAMING (ROUGH) 12/09/02 CJD D NEED TO REVIEW PRINTS WHEN LOCAT ED. OBSRVED POST CONNECTIONS TO LAMS AT SW E ND E03 ROUGH 12/31/02 CJD A CANOPY LGHTNG B10 FINAL O1/25/06 JFF A 18043-E 1,000 Electric # APPLICATION FOR BUILDING PERMIT Plumbing# 1735 Ellington Road Date:HVAC # SPFINAL APPR 1 31591 Estimated Cost $- BuildingPermit FeeCOMPLETEREDBOXEDAREASOccupancy Fee $ /oEngineering AffidavitPP TYPE OR PRINT ONLY Eng. Insp. Fee $ r C SIGN ON REVERSE SIDE 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 h Sly - ej/ty %,,,C . Location of Work 1735 U1n fin IEt-(- _S rc /(o Lot No. Applicant's Address I i hn Tel.#&O-&-I/L/-ir)& / Town r-- Zip b ta0`)`J Lic.# Oba`73 Owner D uIJr C P4'4e+'t.-4 rr ctt yr t-(Architect Owner's Address Am /eJ Architect's Address DC Le-fc [ /l and C T- b u LQI i vicis cr Zia U&Qq Lf Zip Sq. Ft. New Area: 1st FI. a / s 2nd FI. 3rd Fl. Total New Area .' ;1 Purpose of this permit V, 4_f-1'(-N* Ta_),1 CPA f el City Water" Well Septic Systemo Sewere"_ Ins: HO SP Cert. Area Basemen& Garage Approved by Date Use Group Construction Type Revised 6M2 I hereby agree to conform to all the requirerrhrft 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 aiteration 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 ich this bu*I lnp and its use is allowed. Sign G I hereby apply for a Certificate of upe for the work dsscrbsd in this appliCatbn for tht permit.4Sign DO NOT ITE BELOW IS LINE INSPECTION COMMENTS Revised 4/01//2002 DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT TOWN OF SOUTH WINDSOR PERMIT# Application is hereby:BUILDING DEPARTMENT APPROVED 1540 SULLIVAN AVENUE o 01 644-2511 ext. 230 Bldg.Permit# Dat B i r Application must be printed or typed FEE SCHEDULE Location of Job: F0-$1,000=$15.00 Strut Lot No. Over$1,000$ 15.00 per$1,000oranyfractionthereofnationApt.No. APPLICANT lj _ L'T VZ J y O K&—V,4t CJ APPLICANT ADDRESS L75- 40AQ J T f W l^ d S. s r APPLICANT PHONE#lv l" vL'—/ Z -4 4,0 W N S f,q OWNER cam! P//0<<UP OWNER ADDRESS 7 3S &Zt,c w2 t—,,2V l-'-fll 5 v 1 Z,el 0 S o-A a 0 a E, OWNER PHONE C ESTIMATED COST$ O6 O D IS THIS A CONTRACT COST? Yes _No FEE ENCLOSED$ O. O TYPE OF JOB: OR-Co New Installation AAlteration/Addition/Repair 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 ASSEMBLY MERCANTILE FUTURE USE AND OCCUPANCYEDUCATIONAL INSTITUTIONAL FACTORY ENGINEER'S NAME PHONE STORAGE GARAGE ADDRESS MIXED USE CITY STATE ZIP Other please specify) TYPE OF INSTALLATION/WIRING METHOD T wlao- 4lC SIZE OF SERVICE gfiW,5 rIA- SIZE OF MAIN CONDUCTORS 'A"-4 J.r/•v 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 T/1 C.K WOE T--d. Cli..l1 t'2Q'r 5 TGi E ZQ !r/*.z- 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. STATE SIGNATURE OF APPLICANT DATE DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT PERMIT# Application is hereby:TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT APPROVE 1540 SULLIVAN AVENUE 644-2511 ext. 230 Bldg.Permit# to Bu' for 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$1,000 5 or any fraction thereof Tenant esignation Apt.No. APPLICANT qCal A,US nAPPLICANTADDRESSC9- (` Ask&it \0Q, n aIn C ' C to-0 ,q APPLICANT PHONE# D,C 1 6RC C1- O W N Se OWNER G r.G r t`[ b„ewy SS OWNER ADDRESS Ca' 3 k"d YJ;L`-`- -- -- ---- -— Qc v'*-, ( 3 cxoas) OOWNER PHONE (Q(4a"7 C ESTIMATED COST$ IS THIS A CONTRACT COyS,T9 Yes No FEE ENCLOSED$ f SOR.C O TYPE OF JOB: New Installation Alteration/Addition/Repair Revised 4/01//2002 I _, 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 ?U TS rQ_S SASSEMBLY ME CAAL FUTURE USE AND OCCUPANCYTION INSTITUTIONAL FACTORY ENGINEER'S NAME J VCVNJ'PHONE STORAGE ElGARAGE ADDRESS- y.tiTrJ4, r—MIXED USE q ' •"1 CITY STATE L.-;-ZIP G(4G 11 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 REINOTE 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. 6 [ ( - 6 - ( C - t- CONTRACTORS LICENSE NO. TYPE STAlt SIGNATURE OF APPLICANT 4/ - DATE TOWN OF SOUTH WINDSOR AFFIDAVIT OF ACTUAL COSTS PERMIT NO: DATE a-64 The undersigned, being a duly authorized representative of, S( C fZ&kZ LLL 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. hereby certify that the actual cost of the work performed under this permit is: r Signature of Permit Holder: Name(Please Print) Sf 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 1 BUILDINGS AND BUIIDING 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 site/plot 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 offalse 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 KCVhCd-I P MAY 0 2 ?UU/D DEPARTMENT DECISION APPLICATION UAPTRICAL PERMIT PERMIT# Application i TOWN OF SOUTH WINDSOR f BUILDING DEPARTMENT APPROVED 1540 SULLIVAN AVENUE Q 644-2511 ext. 230 Bldg. Permit# Date Buil Inspector Application must be printed or typed FEE SCHEDULE Location of Job: 0-$1,000=$15.00 Street No. Street LotNo. Over$1,000= 15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT APPLICANT ADDRESS APPLICANT PHONE# O W N S Fq OWNER OWNER ADDRESS 01) w OWNER PHONE C D ESTIMATED COST$ IS THIS A CONTRACT COST? -es No FEE ENCLOSED$ r Os O TYPE OF JOB: OR-co New Installation Aerlation/Addition/Repair APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION? 0 YES NO RESIDENTIAL BUSINESS CURRENT USE AND OCCUPANCY ASSEMBLY MERCANTILE FUTURE USE AND OCCUPANCYUEDUCATIONAL INSTITUTIONAL O FACTORY ENGINEER'S NAME PHONE STORAGE 0 GARAGE ADDRESS U 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? YES O NO NUMBER OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS NUMBER OF SWITCHES NUMBER OF OUTLETS NUMBER OF LIGHT FIXTURES NUMBER OF HEAT CIRCUITS NUMBER OF A/C CIRCUITS SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED. DESCRIPTION OF WORK r1 flgLcc 3 lam- 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 S DEPARTMENT DECISION APPLICATION FOR SPRINKLER PERMIT PERMIT# App . TOWN OF SOUTH WINDSOR 000fnBUILDINGDEPARTMENT APPROVE 1540 SULLIVAN AVENUE Bldg.Permit# W-2511 ext. 230 Date rAil ' g Inspector Application must be printed or typed FEE SCHEDULE Location of Job: 1773 0-$1,000=$15.00 FTenant Street Lot No. Over$1,000= 15.0r per n there G or any fraction thereof gnation Apt.No. 1 APPLICANT !q t- - riT TiL APPLICANT ADDRESS -7 f c fNu K-e A- !41X VA--i S Ta c- APPLICANT PHONE# LU 8'S=SAS O W N St OWNER OWNER ADDRESS OWNER PHONE D ESTIMATED COST$ IS THIS A CONTRACT COST? ^Yes _No 0 FEE ENCLOSED$ TYPE OF JOB: SOR•CO New Installation Alteration/Addition/Repair Revised 4/01//2002 APPLICATION FOR SPRINKLER PERMIT (Continued from reverse side) TYPE OF BUILDING TYPE OF CONSTRUCTION USE GROUP NO.OF STORIES AESIDENIIAL BUSINESS 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 WATER PRESSURE AT STREET(PSI) ARE SPRINKLER HEADS ALTERED? YES NO IF YES,CHECK ALL THAT APPLY: ADDED DELETED ALTERED IF MORE THAN 3 HEADS ARE ADDED HYDRAULIC CALCULATIONS ARE PROVIDED BY(CHECK ONE) PROFESSIONAL ENGINEER INSURANCE COMPANY WATER FLOW WATER PRESSURE AT SPRINKLER HEADS(PSI) ARE PUMPS REQUIRED? YES NO IF YES,CHECK ALL THAT APPLY: FIRE BOOSTER OTHER ARE STANDPIPES PROVIDED? YES NO IS A SPRINKLER SYSTEM PROVIDED? YES NO SPRINKLER SYSTEM MAIN WATER SUPPLY RATING GPM TOTAL DYNAMIC HEAD(TDH)OF FIRE PUMP PSI DESCRIPTION OF WORK 1 L.y 3 14 LL ys v 2'C l hJ i %G H/c- Hod 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. 1,16 CONTRACTORS LICENSE NO. TYPEE STATE SIGNATURE OF APPLIC fi 2%` DATE 13— y III Sl ANSULFIRESUPPRESSIONSYSTEMS Data/Specifications I t I Low pH Agent Proven Design Reliable Cartridge Operated Aesthetically Appealing UL Listed —Meets Requirements of UL 300 ULC Listed—Meets Requirements of ULC/ORD-C1254.6 The ANSUL®R-102T1' Restaurant Fire Suppression System is an auto- matic,pre-engineered,fire suppression system designed to protect the following areas associated with cooking equipment;ventilating equip- ment including hoods,ducts,plenums,and filters;fryers;griddles and range tops;upright,natural charcoal,or chain-type broilers;electric,lava rock,mesquite or gas-radiant char-broilers and woks. The system is ideally suitable for use in restaurants,hospitals,nursing homes, hotels,schools,airports,and other similar facilities. Use of the R-102 system is limited to interior applications only.The regu- lated release and tank assemblies must be mounted in an area where A system owner's guide is available containing basic informationtheairtemperaturewillnotfallbelow32°F(0°C)or exceed 130°F pertaining to system operation and maintenance.A detailed technical54°C).The system must be designed and installed within the guide- manual is also available including system description,design,installa-lines of the UL/ULC Listed Design,Installation,Recharge,and tion, recharge,and maintenance procedures,plus additional equipmentMaintenanceManual. installation and resetting instructions. The system is installed and serviced by authorized distributors that are trained by the manufacturer. The basic system consists of an ANSUL AUTOMANv regulated release assembly which includes a regulated release mechanism and a wet The restaurant fire suppression system is a pre-engineered,wet chemi-chemical storage tank housed within a single enclosure.Nozzle blow-off cal,cartridge-operated,regulated pressure type with a fixed nozzle caps,detectors,cartridges,agent,fusible links,and pulley elbows are agent distribution network.It is listed with Underwriters Laboratories,Inc. supplied in separate packages in the quantities needed for fire suppres- UL/ULC). sion system arrangements. Additional equipment includes remote manual pull station, mechanical and electrical gas valves,pressure switches,and electrical switches for automatic equipment and gas line shut-off.Accessories can be added such as alarms,warning lights,etc.,to installations where required. Tanks can be used in multiple arrangements to allow for larger hazard coverage.Each tank is limited to a listed maximum amount of flow numbers.i u es k 004215 The system is capable of automatic detection and actuation and/or remote manual actuation.Additional equipment is available for mechani- cal or electrical gas line shut-off applications. The detection portion of the fire suppression system allows for auto- matic detection by means of specific alloy rated fusible links,which, when the temperature exceeds the rating of the link,the link separates, allowing the regulated release to actuate. y V COMPONENT DESCRIPTION Wet Chemical Agent—The extinguishing agent is a mixture of organic Applicable Standards:ULI listed under EX-3470;ULC listed under salts designed for rapid flame knockdown and foam securement of CEX-747;meets requirements of NFPA 96(Standard for the Installation grease related fires.It is available in plastic containers with instructions of Equipment for the Removal of Smoke and Grease-Laden Vapors from for wet chemical handling and usage. Commercial Cooking Equipment);NFPA 17A(Standard on Wet Chemical Extinguishing Systems). Agent Tank—The agent tank is installed in a stainless steel enclosure or wall bracket.The tank is constructed of stainless steel. Tanks are available in two sizes:1.5 gallon(5.7 L)and 3.0 gallon ORDERING INFORMATION 11.4 Q.The tanks have a working pressure of 110 psi(7.6 bar),a test pressure of 330 psi(22.8 bar),and a minimum burst pressure of 600 psi Order all system components through your local authorized ANSUL41.4 bar). Distributor. The tank includes an adaptor/tube assembly.The adaptor is chrome- plated steel with a 1/4 in.NPT female gas inlet and a 3/8 in.NPT female agent outlet.The adaptor also contains a bursting disc seal which prevents the siphoning of agent up the pipe during extreme temperature variations. An ANSUL R-102 Fire Suppression System shall be furnished.The Regulated Release Mechanism—The regulated release mechanism is system shall be capable of protecting all hazard areas associated with a spring-loaded,mechanical/pneumatic type capable of providing the cooking equipment. expellant gas supply to one or two agent tanks,depending on the capac- ity of the gas cartridge used.It contains a factory installed regulator 1.0 GENERAL deadset at 110 psi(7.6 bar)with an external relief of approximately 1.1 References180psi(12.4 bar).It has automatic actuation capabilities by a fusible link detection system and remote manual actuation by a mechanical pull 1.1.1 Underwriters Laboratories, Inc.(UL) station. 1.1.1.1 UL Standard 1254 1.1.1.2 UL Standard 300 The regulated release mechanism contains a release assembly,regula- 1.1.2 Underwriters Laboratories of Canada(ULC)tor,expellant gas hose,and agent storage tank housed in a stainless 1.1.2.1 ULC/ORD-C 1254.6steelenclosurewithcover.The enclosure contains knock-outs for 1/2 in. conduit.The cover contains an opening for a visual status indicator. 1.1.3 National Fire Protection Association(NFPA) 1.1.3.1 NFPA 96 It is compatible with mechanical gas shut-off devices;or,when equipped 1.1.3.2 NFPA 17A with a field or factory-installed switch,it is compatible with electric gas line or appliance shut-off devices. 1.2 Submittals 1.2.1 Submit two sets of manufacturers data sheets Regulated Actuator Assembly—When more than two agent tanks are 1.2.2 Submit two sets of piping design drawings required,the regulated actuator is available to provide expellant gas for additional tanks.It is connected to the cartridge receiver outlet of the 1.3 System Description regulated release mechanism providing simultaneous agent discharge.It 1.3.1 The system shall be an automatic fire suppression contains a regulated actuator deadset at 110 psi(7.6 bar)with an exter- system using a wet chemical agent for grease related nal relief of approximately 180 psi(12.4 bar).It has automatic actuation fires. capabilities by a fusible link detection system and remote manual actua tion by a mechanical pull station. 1.3.2 The system shall be capable of suppressing fires in the following areas associated with cooking equipment: The regulated actuator assembly contains a regulated actuator,regula- ventilating equipment including hoods,ducts,plenums, tor,expellant gas hose,and agent tank housed in a stainless steel and filters;fryers;griddles and range tops;upright, enclosure with cover.The enclosure contains knockouts to permit instal- natural charcoal,or chain-type broilers;electric,lava lation of the expellant gas line. rock,mesquite or gas-radiant char-broilers. 1.3.3 The system shall be the pre-engineered type having Discharge Nozzles—Each discharge nozzle is tested and listed with minimum and maximum guidelines established by the the R-102 system for a specific application.Nozzle tips are stamped with manufacturer and listed by Underwriters Laboratories, the flow number designation(1/2, 1,2,and 3).Each nozzle must have a Inc.(UL). metal or rubber blow-off cap to keep the nozzle tip orifice free of cooking 1.3.4 The system shall be installed and serviced by person- grease build-up.nel trained by the manufacturer. 1.3.5 The system shall be capable of protecting cooking appliances by utilizing either dedicated appliance protection and/or overlapping appliance protection. 1.4 Quality Control 2.2.5 Regulated Actuator Assembly:When more than two 1.4.1 Manufacturer:The R-102 Restaurant Fire Suppression agent tanks are required,the regulated actuator shall System shall be manufactured by a company with at be available to provide expellant gas for additional least thirty years experience in the design and manu- tanks.It shall be connected to the cartridge receiver facture of pre-engineered fire suppression systems. outlet of the regulated release mechanism providing The manufacturer shall be ISO 9001 registered. simultaneous agent discharge.The regulator shall be deadset at 110 psi(7.6 bar)with an external relief of1.4.2 Certificates:The wet agent shall be a specially formu- approximately 180 psi(12.4 bar).The regulated actua-lated,aqueous solution of organic salts with a pH for assembly shall contain a regulated actuEtor,regula-range between 7.7—8.7,designed for flame knock- tor,expellant gas hose,and agent tank housed in adownandfoamsecurementofgrease-related fires. stainless steel enclosure with cover.The enclosure 1.5 Warranty,Disclaimer,and Limitations shall contain knockouts to permit installation of the 1.5.1 The pre-engineered restaurant fire suppression system expellant gas line. components shall be warranted for five years from date 2.2.6 Discharge Nozzles:Each discharge nozzle shall be of delivery against defects in workmanship and mate- tested and listed with the R-102 system for a specific rial. application.Nozzles tips shall be stamped with the flow 1.6 Delivery number designation(1/2, 1,2,and 3).Each nozzle shall have a metal or rubber blow-off cap to keep the1.6.1 Packaging:All system components shall be securely nozzle tip orifice free of cooking grease build-up.packaged to provide protection during shipment.2.2.7 Distribution Piping:Distribution piping shall be1.7 Environmental Conditions Schedule 40 black iron,chrome-plated,or stainless 1.7.1 The R-102 system shall be capable of operating in a steel pipe conforming to ASTM A120,A53,or At06. temperature range of 32°F to 130°F(0°C to 54°C). 2.2.8 Detectors:The detectors shall be the fusible link style designed to separate at a specific temperature. 2.0 PRODUCT 2.2.9 Cartridges:The cartridge shall be a sealed steel pres- 2.1 Manufacturer sure vessel containing either carbon dioxide or nitro- 2.1.1 Ansul Fire Protection,One Stanton Street,Marinette, gen gas.The cartridge seal shall be designed to be Wisconsin 54143-2542,Telephone(715)735-7411. punctured by the releasing device supplying the required pressure to expel wet chemical agent from 2.2 Components the storage tank. 2.2.1 The basic system shall consist of an ANSUL AUTOMAN regulated release assembly which includes 3.0 IMPLEMENTATION a regulated release mechanism and a wet chemical storage tank housed within a single enclosure. 3.1 Installation Nozzles,blow-off caps,detectors,cartridges,agent, 3.1.1 The R-102 fire suppression system shall be designed, fusible links,and pulley elbows shall be supplied in installed,inspected,maintained,and recharged in separate packages in the quantities needed for fire accordance with the manufacturer's listed instruction suppression system arrangements.Additional equip- manual. ment shall include remote manual pull station, mechanical and electrical gas valves,pressure 3.2 Training switches,and electrical switches for automatic equip- 3.2.1 Training shall be conducted by representatives of the ment and gas line shut-off. manufacturer. 2.2.2 Wet Chemical Agent:The extinguishing agent shall be a specially formulated,aqueous solution of organic salts with a pH range between 7.8—8.2,designed for flame knockdown and foam securement of grease related fires. 2.2.3 Agent Tank:The agent tank shall be installed in a stainless steel enclosure or wall bracket.The tank shall be constructed of stainless steel.Tanks shall be avail- able in two sizes; 1.5 gallon(5.7 L)and 3.0 gallon 11.4 L).The tanks shall have a working pressure of 110 psi(7.6 bar),a test pressure of 330 psi(22.8 bar), and a minimum burst pressure of 600 psi(41.4 bar). The tank shall include an adaptor/tube assembly containing a burst disc union. 2.2.4 Regulated Release Mechanism:The regulated release mechanism shall be a spring-loaded, mechanical/pneumatic type capable of providing the expellant gas supply to one or two agent tanks depending on the capacity of the gas cartridge used.It shall contain a factory installed regulator deadset at 110 psi(7.6 bar)with an external relief of approxi- mately 180 psi(12.4 bar). It shall have the following actuation capabilities:auto- matic actuation by a fusible link detection system and remote manual actuation by a mechanical pull station. The regulated release mechanism shall contain a release assembly, regulator,expellant gas hose,and agent storage tank housed in a stainless steel enclo- sure with cover.The enclosure shall contain knock-outs for 1/2 in.conduit.The cover shall contain an opening for a visual status indicator. It shall be compatible with mechanical gas shut-off devices;or,when equipped with a field or factory- installed switch,it shall be compatible with electric gas line or appliance shut-off devices. I ANSUL,ANSUL AUTOMAN,and R-102 are trademarks of Ansul Incorporated or its affiliates. tl ANSUL, I *L/CO/Fire& Ansul Incorporated 715-735-7411 copyright @2006 Ansul Incorporated Security Marinette,WI 54143-2542 www.ansul.com Form No.F-2004004-3 l. AN,SlJL.d Install Date: 6/23/08 All State Fire Equipment Higashi Japanese PO Box 9262 - 71 Church Ave 1735 Ellington Rd Bristol, CT 06011 South Windsor, CT 06074 Michael Gagnier 860-585-8885 info@allstatefire.biz F30042 0 a Manual Pull with wire rope x1 Gas valve x1 0 3.0 Tank& 1 Tank Enc. 3.0 Tank&Regulated Act. 1.5 Tank&Regulated Release Sl. AWSUL Install Date: 6/23/08 All State Fire Equipment Higashi Japanese PO Box 9262 - 71 Church Ave 1735 Ellington Rd Bristol, CT 06011 South Windsor, CT 06074 Michael Gagnier 860-585-8885 info@allstatefire.biz F30042 c 20.,0., t360.2.n 20.,0.. 20.10. 1 I Imo 1 sy..,14.1Sh waQ14.19e 1 Fy.f,l•.Is in wm O•eo t 14.194n VW6 l_z21nY .s.dq zs..e.nv.s,n ti l wee.,'°° e.....•nso w h'ar. ae,ma Flow Summary: Coverage I Overall Dimensions I Nozzle I Flows;Nozzle Location Hood:Single Bank 360 x 48 in. 1 N x3 3 0-4 in.from filter face,center of height dimension,aimed down filter length. Duct Square 20 x 10 in. 2W 2 2-8 in.Into center of duct opening,aimed up Duct Square 20 x 10 in. 2W 2 2-8 in.into center of duct opening,aimed up Duct Square 20 x 10 in. 2W 2 2-8 in.into center of duct opening,aimed up Wok 30 x 30 in. 260 2 35 in.45 in.,0-1 in.from wok center,aimed at center Wok 26 x 30 in. 1N 1 30 in.40 in.,along/within wok perimeter,aimed at center Wok 22 x 30 in. 1N 1 30 in.-40 in.,along/within wok perimeter,aimed at center Wok 30 x 30 in. 260 2 35 in.-45 in.,0-1 in.from wok center,aimed at center Wok 26 x 30 in. 1N 1 30 in.40 in.,along/within wok perimeter,aimed at center Wok 22 x 30 in. 1N 1 30 in.40 in.,along/within wok perimeter,aimed at center Fryer.1 vat,dripboard 16 x 24 In. 230 2 27 in.-47 in.,along/within perimeter,aimed at center Fryer.1 vat,dripboard 16 x 24 in. 230 2 27 in.-47 in.,along/within perimeter,aimed atcenter Range:6 burners 36 x 30 in. 1 N x2 2 15 in.-20 in.,above short side of hazard area Total Flow Points 23 AN,SUL, Install Date: 6/23/08 All State Fire Equipment Higashi Japanese PO Box 9262 - 71 Church Ave 1735 Ellington Rd Bristol, CT 06011 South Windsor, CT 06074 Michael Gagnier 860-585-8885 info@allstatefire.biz F30042 Notes Project Notes: Automatic fire suppression system plans and specifications in compliance with; UL 300, NFPA-17A (2002), 2003 IFC-904.11, 2003 IBC-904.11, 2003 IMC-509.1 Microswitches are provided for electrician to make applicable connection (including make-up air fan shut-down, electric appliance shut-down, & alarm tie-in). All Hood penetrations will have UL-listed (UL# 2L09) grease seals. Manual Pull Station to be located in the path of egress 48" above finished floor. All fuel sources (natural gas, LP, or electric)will shut-down upon system activation. System will be installed into existing exhaust hood. Fusible Links: To determine actual fusible link ratings, temperature readings must be taken during peak cooking time. DEPARTMENT DECISION APPLICATION FOR ELECTRICAL R -f V E 0Applicationishereby:TOWN OF SOUTH WINDSOR OCT I PERMI T'# BUILDING DEPARTMENT So `' LOWB aLa. APPROVED 1540 SULLIVAN AVENUE South SPAR r 644-2511 ext. 230 BUILDING DEPARTMENT Bldg. Permit# gyp• . ( al. Date Building Inspector Application must he printed or typed FEE SCHEDULE Location of Job: 0-$1,000=$l 5.00 FStreet Street Lot No. Over$1,000$ 15.00 per$1,000 or any fraction thereof gnation Apt. No. APPLICANT BAN i e L L A P S o.J/P,eoFr r,/ C7, C APPLICANT ADDRESS /r r L"14 APPLICANT PHONE# J°G ? Z. o `T /9 $ 2- 6 CK) 0W N St OWNER yq,-y r4/k0 OWNER ADDRESS f.7 3 S 7Dw, t!c^.T cR It/"p/• , tJ r 7 T / 0 OWNER PHONE 8G o G 1/11 S 7 G C ESTIMATED COST$ ZOTTO IS THIS A CONTRACT CAST? Yes No FEE ENCLOSED$ TYPE OF JOB: 6CMSpR.CO l ' New Installation O'Alteration/Addition/Repair Revised 4/01//2002 i APPLICATION FOR ELECTRICAL PER-NUT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED H A BUILDING PERMIT APPLICATION? WYES 0 NO RESIDENTIAL BUSINESS CURRENT USE AND OCCUPANCY f rz,.,e ASS-EMBLY MERCANTILE FUTURE USE AND OCCUPANCY s""ice Sl0EDUCATIONAL INSTITUTIONAL FACTORY ENGINEER'S NAME PHONE D STORAGE GARAGE ADDRESS MIXED USE CITY STATE ZIP Other please specify) TYPE OF INSTALLATION/WIRING METHOD 17? SIZE OF SERVICE SIZE OF MAIN CONDUCTORS NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS NUMBER OF PANELS REMOTE DISCONNECT REQUIRED? YES 0 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 OFF WORK IAs1i^ / !milr ••1 %tom G 4[( f-rtifl l c[o T-'tS Sc.,Ji T:J F?- / r,1 t/a (` _.S,.. ., ,ter„ , H,c .tee - 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 STATE SIGNATURE OF APPLICANT L'V DATE 40 O DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT PERMIT# Application is hereby:TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT APPRO 1540 SULLIVAN AVENUE Bldg. Permit# 644-2511 ext. 230 Date Building inspector Application must be printed or typed FEE SCHEDULE 3 Location of Job: Crr t r-Li "j C y{t' 0-$1,000=$15.00 Street No. Street Lot No. Over$1,000= n 15.00 per$1,000 r l t . or any fraction thereof Tenant Desi on Apt.No. APPLICANT U L-S 1 /l APPLICANT ADDRESS APPLICANT PHONE# OW N Se OWNER ZK)L j tj OWNER ADDRESS Of. OWNER PHONE yY- C 1 <`ESTIMATED COST$ r*' IS THIS A CONTRACT COST? - Yes _No G FEE ENCLOSED$ OR CO TYPE OF JOB: New Installation v Aelration/Addition/Repair Revised 4/01/n002 APPLICATION FOR ELECTRIC AL PERMIT (Continued from reverse side) I TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION? YES O NO RESIDENTIAL BUSINESS CURRENT USE AND OCCUPANCY ASSEMBLY MERCANTILE FUTURE USE AND OCCUPANCYEDUCATIONAL INSTITUTIONAL 0 FACTORY ENGINEER'S NAME PHONE OSTORAGE 0 GARAGE ADDRESS 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? O YES Ll 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 y Z 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 r- SIGNATURE OF APPUC DATE / i I AL JOIN l u i b1AL I Q- I I I i N i I 1FI=-Tjf J7 3S o051 OQs T MT S KD....,, got t I I s I fap f 1 PP I I tj U lt ILI RY ctp--. Ml. L I I NOV 14 2008 D South Windsor BUILDING DEPARTMENT 10 THE Q,! LC! if, . 7; T, 1 this certiflyd that this plan an4l spe Ciile;, tl qs a«„.• u pica o1 the proposed p- Udlng or alteratwns erected at S lx, I h. ctr e' 19 ther with , amendr a.+ tei jn with pl n arptleatlrn tile" Jnd to <' omply with 7, t i• I'!, 1., Jnd St tto 11 ., j r. An Lh ordrrs as d bq ti. e i• udd:,' 3 '_ IV, tr, nt during pc t,= apphr• ltwo and i; n l issuance of a F tui, d. C« rrr I r. s Ilun Is rpo— v- d to 1 " Jndttia, Iv 11 urJ t , and r;•+! r, Ji i n JL4l. jg ail ulg shall uu lic, 1 •, n Approved There / 11ed S'' tiht• r Inspector Clwrl. Date r — 73 Electric# 3 APPLICATION FOR BUILDING PERMIT Plumbing# Date: 10 HVAC # 1735 Ellington Road Sprinkler# FINAL APPROVALS 800602 Estimated Cost $ O Building F000'- SIGN PLETE RED BOXED AREAS Permit Fee YC EngineeringOccupancy Fee $ a TYPE OR PRINT ONLY Eng. Insp. Fee $ rAffidavit Appr. for CO. ON REVERSE SIDE Total Feet S TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT AdditionalYos $ The undersigned hereby applies to do work according to the following: I J4 Applicant _ Location of Work 1*735' T w it, 3lu K u Lot No. Applicant's Address /1U It. Tel.# Town Zip O&2-4 8, Lic.# Owner Architect Owner's Address Architect's Address Zip Zip Sq. Ft. New Area: 1 st FI.2nd FI. 3rd FI. Total New Area Purpose of this permit -Z yr-e_ AIPAZ Of O r L U 4 i •-t t City Water wom Septic System Sewe i Ins: HO SI rt. Area Basement Garage Approved by_ Date l lb • O 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 alteration in the plans or specifications of the Building for vv ich 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. Sig I hereby apply for a Certificat Uf --C1-2-xjy for the work descried in this application for the permit. DO T WRITE BELOW THIS Lid INSPECTION COMMENTS 12/12/2008 14 07 TOWN OF SOUTH WINDSOR PG dayshelllpeart INSPECTION ENTRY piinsr Location Type Dept Scheduled Performed By Result 1735 ELLINGTON ROAD FINAL 1440 11/19/2008 11/20/2008 ROSE PASS 1735 ELLINGTON ROAD CO -FIRE MARSHAL INSPECTION 2210 11/20/2008 MAUL PASS END OF REPORT - Generated by Peart, Dayshell ** DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT Appli '.l TOWN OF SOUTH WINDSOR PERMIT# UILDING DEPARTMENT APP v ;540 SULLI1 AN AVENUE-LN3AiNWcOG ONIDlln13 Bldg.Permit# D 644-2511 ext. 230 Josouinn ylnog Date B ]ding Inspector Qf- dSpC 17 v Z 030 SoUG0P Application must be printed o> ,ty FEE SCHEDULE Location of Job: 0-$1,000=$15.00 Street No.U Street Lot No. Over$1,000= 15.00 per$1,000, or any fraction theltof Tenant Designation Apt.No. APPLICANT n ri tj LL l Gt APPLICANT ADDRESS v v t cl e t" APPLICANT PHONE# r 4 L( 2 0W N SFq OWNER t' /Zr F . OWNER ADDRESS E, OWNER PHONE C ESTIMATED COST$ _ 4!100 y; IS THIS A CONTRACT COST? —Yes _No FEE ENCLOSED$ E5 f b 0 -CO TYPE OF JOB: R New Installation QAlteration/Addition/Repair v u 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 ASSEMBLY MERCANTILE FUTURE USE AND OCCUPANCYEDUCATIONAL INSTITUTIONAL FACTORY ENGINEER'S NAME PHONE STORAGE GARAGE ADDRESS MIXED USE CITY STATE ZIP Other please specify) TYPE OF INSTALLATION SIZE OF MAIN DRAIN NO.OF TOILETS STYLE NO.URINALS STYLE NO.OF BATHTUBS NO.OF SHOWERS NO.OF LAVATORIES NO.OF CONDUCTORS SIZE NO.OF STACKS SIZE AREA OF ROOF NO.OF CATCH BASINS NO.OF FLOOR DRAINS NO.OF OTHER FIXTURES KIND ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW O YES NO SIZE OF WINDOW IF NONE C.F.M.OF VENTILATOR SIZE OF DUCTS SEWER OR SEPTIC TANK SIZE OF WATER MAIN SIZE OF WATER PIPING&RISER WATER HEATER: TYPE MANUFACTURER DESCRIPTION OF WORK THE UNDERSIGNED HEREBY APPLIES FOR 7 L, s ,, t PERMIT TO PERFORM THE WORK DESCRIBED AND i7TT-- COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. CONTRACTORS LICENSE APE STATE SIGNATURE OF APPLICANT DATE c9w,zr. Electric# APPLICATION FOR BUILDING PERMIT PHVAC'## 1 17 3 5 Ellin Date: fGFjrua w1IgtonRoad Sprinkler#8 0 0.0 6 4 Estimated Cost $ U LJFINALAPOVij.S j 0 0 -_ aY O Permit FeeBuildingCOMPLETEREDBOXEDAREASOccupancy Fee $Engineering TYPE OR PRINT ONLY Eng. Insp. Fee $Affidavit C SIGN ON REVERSE SIDE i Total Fee TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT Additiona Cost) 9 The undersi2gk d) reby applies t do work according to the following: Applicant OtU 0 lam_ S Location of Work r) S' Lot No. Applicant's Ad ress `f 14 6111 r1 )l 12 Tel.# Id -&`fLf Y'7[/ Town W i n r Zip Lic.# 00 3 18 Owner u- Architect trw, _1__)6+e---1 Owner's Address 17 y y fzy-, /2a Architect's Address (f7)-0 a rr< LL Vyx,,:b Zip q l D A C i Zipc&(-)Ell Sq. Ft. New Area: 1st FI. 3,060 -42nd FI. 3rd FI. j Total New Area 3, 000 s-FL Purpose of this permit CI t U i-e P kjs:,n rt'000 S}z i yx fu oZ 15OC3 C- e S n—,-A a" I h h c atir. 1rC wLY L Ptvt+-C: e4cr City WaterCiz—Well Septic System Sewer& Ins: HO SP Cert. A rca Basement Garage Approved by x Date Use Grouv, onstruction Type Revised 6102 a I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town of South Windsor and to notify the Building Inspector of any alteration in the plans or specifications of the Building for which this permit is asked,and agree that this building is to be located the proper distance from all street lines,side yard lines,and required distances from all other zones and is located in which this building and its use is allowed. Signed 2 , kci L" I hereby apply for a Certificate of Occupancy for the wor d sscr' din this application for the permit. Signed e- & DO NOT WRITE BELOW IS LINE INSPECTION COMMENTS I Electric # sow APPLICATION FOR BUILDING PERMIT Plumbing# 1735 Ellington Road Date: HVAC # Sprinkler# 800083 Estimated Cost $_2 p,>J FINAL APP OVALS Permit FeeBuildingCOMPLETEREDBOXEDAREAS ffi Occupancy Fee $Engineering TYPE OR PRINT ONLY Ong. Insp.ancFee $Affidavit L -ram SIGN ON REVERSE SIDEAppr. for CO., Total FedjS TO THE BUIL ING DEPARTMENT,TOWN OF SOUTH WINDS Additional Cost) $ The undersigne ereby applies to do work according to the following: Applicant w$tUJJ 6tw x-- Location of Work 17,35 6ZU A4 Lot No._ Applicant's Address I% t0b'64, A-? Tel.# 960 6S7Y- V45.5 Town_7 1U _ - Zip f2rLic.#_ tC.•0(015 8 5 Owner:Ta7—AP Architect Owner's Addressn'3S -VLl.1A)C,7 bju Architect's Address Zip _Zip Sq. Ft. New Area: 1st FI. Sd`2nd FI._ 3rd FI. Total New Area Purpose of this permitb-st_ h elV S"Aa- to oA 5 5-- City Water Well Septic Systemo Sewe<-- Basement GarageIne: HO SP Cert. AS( g Approved by Date Use Group Construction Type Revised 8102P,o,- I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town of South Windsor and to notify the Building Inspector of any alteration in the plans or specifications of the Building for which this permit is asked,and agree that this building is to be located the proper distance from all street lines,side yard lines,and required distances from all other zones and is located in which this building and its use is allowed. Signed I hereby apply for a Certificate of Occupancy for the work described in this application for the permit. Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS APPLICATION FOR BUILDING PERMITElectric# 1735 Ellington RoadPlumbing# 800673 Date: /111Sn2 HVAC # Sprinkler# FINAL AP O r Estimated CostF0000' SIGN Permit FeeBuildingPLETEREDBOXEDAREASEnneerinTYPEORPRINTONLYOccupancyFeeEng. Insp. Fee $ Appr. fit ON REVERSE SIDEAppr. for CO. Total Fee, TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR,CT Additional rost) $ The undersigned hereby applies to do work according to the following:kK Applicant Location of Work)7' D rn(m / ,W _e /W Lot No. Applicant's Address Tel.# XL(2 Town Qj zip nioD7 y Lic.# Oo,) Own r er) 1 ( rchitect AJI i S-1 a ye-j4 Owner's Add ss/-7`j`-/ B I n iin l2d Architect's Address jR-1 1 6 Tj C-T_ Zip- y Zip Sq. Ft. New Area: 1 st FI. O D s 2nd FI. 3rd FI, Total New Area /Soo s 4-9 Purpose of this permit 72 CA y-t,_4) I e_+e 1,LA- A netJ 4Cw City Watery Well Septic System Seweri!-' Ins: HO SP Cert. L.Arra—Basement GarageApprovedbyDateUseGrouonstructionType,L_ Revised 6102 ^„ pm i hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town of South Windsor and to notify the Building Inspector of any alteration in the plans or specifications of the Building for which this permit is asked,and agree that this building is to be located the proper distance from all street lines,side yard lines,and required distances from all other zones and is located in whic this building and its asci allowed. Signed I hereby apply for a Certificate of O c pa or the work ibed in this ap cation for the permit. Signed DO NOT ITE BEL THIS LINE INSPECTION COMMENTS Electric # APPLICATION FOR BUILDING PERMIT Plumbing# 1735 Ellington Road HVAC# 14000515 FDate: Sprinkler# Estimated Cost $ Ov U07-)FINAL APPROVALS Permit Fee 1 Building COMPLETE RED BOXED AREAS Occupancy Fee $Engineering TYPE OF PRINT ONLY Eng. Insp. Fee $Affidavit 10, SIGN ON REVERSE SIDE tAppr.forCO. Total Fee r IR Jr6 TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ 2543 The undersigned hereby applies to do work according to the following: Applican i in tionofWork I o. tNo. Applicant's Address 11 j- Tel # Town &U %Ai-) h rISAe Zip n Lv U,)`/ Lic.# 00 a'7 $ Ownerl MY) i 4En-i4C( D'P Sa ,LU n(LJr,LLL_ Architect —,")-e"w s tea vt" , /J -A Owner's Address 1-7 4 l kl h n r 17, i2d Architect's Address IZf l 5. -ll6 C a . w,rn W— L, r zip D(oo y Zip 61d&q Sq.Ft.New Area: 1st FI. 2nd FI. 3rd FI.Total New Area Purpose of this permit I vv S n I fLQ Lu llo it VU City Water LY, Well 0 Septic System U Sewer 01337 Ins: HO S ert. Area Basement Garage Approved by LAP_ to Use Group Construction Type Revised 1108 I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town of South Windsor and to notify the Building Inspector of any alteration in the plans or specifications of the Building for which this permit is asked,and agree that this building is to be located the proper distance from all street lines,side yard lines,and required distances from all other zones and is located in which this building and its use is allowed. Signed I hereby apply for a Certificate of Occupa or the work ibed in this application for the permit. Signed i DO NOT WRI 0 LOW THI LIJ INSPECTION COMMENTS INSPECTION FIELD SHEET 03/14/23 Printed by Middleton, Morgan 08 54 48 INSPECTION: 70723 FINAL PERMIT: STATUS APPLICATION: 201401337 LOC: 1735 ELLINGTON ROAD SOUTH WINDSOR PROPERTY ID: 30301735 OWNER: TOWN CENTER OF SOUTH WINDSOR LLC CONTRACTOR: REQUEST BY: PROJ DESC: REMOVE EXISTING ROOF SHINGLES AND INSTALL NEW SHINGLES. WORK ORDER: INSPECTOR: WS-B RESULT: PASS REQUESTED: PRIORITY: SCHEDULED: COMPLETED: 03/14/23 UNPAID FEES: 00 Date Time MILEAGE: 00 TIME: TRAVEL ONSITE COMMENTS: INSPECTED BY ADAM CHROSTOWSKI rTMI —.-._— ai• ' /, t"___-_•-..•- T,: I I i 1 i 1 1 1 i I I 04 4- Ml s ol k of I jj •Ail I y G I I I I 1 P f U 01 Two f szr 5 / Wire 5 0 3 z y t i J fc':. -..-1 I'•,s7t,'.L ter^`?I I r"' tv I' rr'S.- r of 1, v ram- I u` Cuw)4te. Cvvo-!w i I m i 0 i N) j; MZ / 0, V7 bS0 Hartford Tumpike Vornon, CT 06066 Louth W rjdAr, C- t v} J IRS {-- kio- Go) Inc.. RIG ' WNCK i' A' jE SuPr6 CEDAVL AMONG MAP REFERENCES.• f. RECONSTRUCTION OF CONN. ROUTES 30 & 194 AND BUCKLAND ROAD gr- ,0 UELOCATIONOFCONN. ROUTE 74 F.H.W.A. REGION NO. 1 STATE a'"-"`-_'``- LT6 a WCONN- TOWN SOUTH WINDSOR FED. AID PROJ. NO. M-2346 (3) PROJ.10O132-102,111 YEAR 1991 ROUTE NO. 30 & 194 SHEETS 2, 33,35 & 38 D.M.N. QOF130. T =86r1 ELI.INGTON ROAD (STATE RTE. 30) 2F.L.=86.60-15"CPE SE N 35 814. 9 S55 46'15"tF.C•=86.60-15"CPE SW af 2. CONNEC77CUT STATE HIGHWAY DEPARTMENT RIGHT OF WAY MAP A 4.1, 5 E a_652814 89 g ,_ a2-REBARS-- TOWN OF SOUTH W/NDSOR EAST HAR7FORD WAPPING ROAD FROM r--- 374.76 SE.T__. 9r:1 189'44'05"E-._. o N EX. MOH. 1 LwWAPPINGCENTERWESTERLYABOUT5,200 FEET. ROUTE NO. 15 SCALE a. P.O.B. EX. lP.- DRILL HOLE 183.74 oSHE, 99:00 ------ --44 94' 1 = 40 NUMBER , 19 J2. SHEET NO. 1 OF 2 APPROVED JOHN A. c.5 'c' zt oa s. 378.49' SET w oN361977.37 F t=8.90 QQMCDONALDOCT. 31, 1932. A T.F.=8959 F.L.=88.65-f5'CPE NW N 361970.32E652296.20 F.L.=86.34-7'PVC N (2) S00 28 55 E N 361973.45E652814.94 E 653256.5.5 J. SCHEDULE A-3 TO DECLARA77ON OF TOWN CENTER CONDOMINIUM FL.=86.34-15"CPE E 91 ' j 5.81 j Y o FL.=86.24-15" CPE S C.S. 'c' 00'19'40" 10'15'41" wu E-\' 1 ce 8 ELL/NGTON ROAD SOUTH WINDSOR, CT. SCALE 1" = 40' DATE 9-26-89 TF.=92.64SHEETS1 & 2 OF 2 FUSS & O'NEILL INC. j Z 6 8 r yi} C8. -C' i F.L.=88.64-6"CPf E R = 11036.00 I Q R = 552.00 I l aoZ r.F=@s 7 F.L.=88.54-15"CPE w T = 31.57 o T = 49.56'v f 4. TOWN OF SOUTH WINDSOR MAP SHOWING LAND ACQUIRED FROM 829' I ' F.L. E6.42-r5" W WIC,fE NE ' e. 65'F.Y. j U FX=86.J7-15",•CPE W , a L = 98.86' U * Z mo o v vTOWNCENTERBYTHESTATEOFCONNEC77CUTBUCKLANDROAD Q a a mSCALE1" = 40' MAY 1992 DEPT, OF 7RANSPORTA110N BUREAU OF N/F o W C = 63.13`_^ T N C = 98.73' I' 4.• w EX. BID. u p 'ENGINEERING AND HIGHWAY OPERATION. F•F,=97,61 CB = $,r:89 5T00" E CB = $ 09'02'25" E IRICHARDSKELLEYOE.RASH „ y1RIP-RAP 1 y IM_ET 11 r`-:..ISFLLWAY I, CP1I` 1f `\ EX. BLD.5. TOWN OF SOUTH WINDSOR MAP SHOWING LAND & EASEMENT S. W.L.R. VOL. 548 PG. 15 T. Qa P4 I .HUB & TACK r I ' F•F•=totss"Pvc e' N 361866.31 W • I`ACQUIRED FROM SOCIETY FOR SAVINGS BY 7HE STA7E OF E 652643.77 ICONNEC77CUTBUCKLANDROADSCALEI" = 40' NOVEMBER 1989 W Yg E' F.L.=8734 1O ,H1` s - - RA1s U 5'F.£. t EXIST, O Z as.2o ' : a. BUILDING hl a INV,=81.67 i 12 PAo w ROBERT W. GUBALA TRANSPORTATION CHIEF ENGINEER BUREAU OF r. s 31 t N/F I I gHIGHWAYSN o I W < TF.=92.28 F.L.= fi -6"P N 3 ` E' ! I SOCIETY FOR SA WNGS N O J I dl F.L.=8a28-6".fVC N 1 `m, F,L.=90.1 5-18"RCP S t „ B. 'C'6 o I j7'I O S W.L.R. VOL. 188 PG. 117 6. TOWN OF SOUTH WINDSOR MAP SHOWING LAND DEEDED TO THE i FL.=sa.98-J6"frCP E I 1 r, F_ 7 s Or inw = aZTOWNOFSOUTHWINDSORFROMRICHARDSKELLEYSCALE1" = 40' FL.=85.13-6"P C sE F.L.=93.15-15"cP N2HO F 1;=93.55-6'PVC NE ` F.L.=88.28-6"PiSC SE 1 III a U DAIE.• MAR. 28, 1991 STORCH ASSOCIATES y F,L.=88.33-6"PvAsE 2 F.L.93.)0-18"RCP W U t i PK NAIL7. TOWN OF SOUTH WINDSOR MAP SHOWING LAND ACQUIRED FROM e 'W SET I I m z 1' a _^ I C.B. 'C I C.B. 1 I r.F=@a.sr r.F=ss.27 % w N 361738.01 v W~I o TOWN CENIL R BY THE STATE' OF CONNEC77CUT BUCKLAND ROAD t,`FL.=@s.z1-1 cP ` ,, 3_---13 1 mSCALE1" = 40' AUGUST 1990 ROBERT W. GUBALA 7RANSPORTA710N e F.L.=90 -18"cP6ps ; E 653253.52 i n-t " N F.L.=85.71-6" £ i 1 --- - S. F,gb,42-18"RCP NW j [_ --~-CHIEF ENGINEER BUREAU OF HIGH WA YS s .l.=e4.os-3s k E 1 T .s3,93g1- rN!82.s3 i J C.B. 'C-L' RI W 85.71-6`P S 9! D. e!°a„O V/h L .16-6"PVC llllllfil s' F.=95.17 jF. -6'PVC S E N t 0" `' i N89 41I'42 FF=974 6 2"C; S I8. TOWN OF SOU1H WINOSOR MAP SHOWJNG LAND ACQUIRED fROM IX• \ 7 III6- 6`RCP 11-1SOUTHERNNEWENGLAND1ELEPHONECOMPANYBYINESTA1EOFo Fr. p DEBAR U RIP}RAP,i\ \ 1/T 1 F• 9' 1D3___ 238.07 RIP-RAP 11 7 I 0 5.72-36"i'CP W SET W v CONNEC77CUT BUCKLAND ROAD SCALE 1" = 40' SE 1990 PtUN _p°p ". \\I fV 36179. 7 L Poo` .•.; °...2-,n ` 1 eDO 9 ,/ b• 9 1HIGHWROBERA W. GUBALA 1RANSPORTA710N CHIEF ENGINEER BUREAU OF 65349 m H/GHWA YS L" t o 3 q o I t N 7 \\ ` _a_ • t02-- __ I I n i U Vr T -` I O 9. DEPENDENT RESURVEY TOWN CENTER ELUNGTON ROAD AT 36"RCP s I o, IBUCKLAND l J' 10.06 DETENTION .=64.52 `:" a r r J wo W v BUCKLAND ROAD SOUTH WINDSOR CONNEC77CUT IMPROVEMENT 1 BASINLOCA77ONMAPDA7E:• MARCH 2O00 SCALE 1" = 60' DESIGN 9 T.F.- .J4 r F = 1 I 1 C8. L.-97,05-12" C'E NW p 1 W < .. Y ` zIINV.=8. I I\ PROFESSIONALS, INC. RETANNc F.L.-97,00-12"C E S-f01- -- t J I Y no ZQhA'L r Ft.=55.52-rs'cPE`s: I 0 m W aS.M.N. s ' 9 9 , 1 I / \.0 F- O o 10. RE-SUBDlVIS10N PLAN PREPARED FOR GENERAL FINANCIAL S S, r.F= CbN00 INV. . 6 J t 6.37 9 y i i o I I if z U z z SERVICES, INC. CLARK STREET/DEMING STREET/ELUNGTON ROAD 1 M_ oo.b zUNIT346 , I I F.E.S 24A P J I I , C8. o i 1 9 I ,F. r0 12 C.=.6.1 -1 "R P N z , SOUTH WJNDSOR, CONNEC77CUT DATE. 09-23-97 REVISED TO 12-22-97 F.L.=8S.09 > t r T.F.= 3.46 9 9 9 dSCALE1' = 50' SHEET 1 OF 2 F. A. HESKETH & ASSOCIATES, INC. LINE s 1 _ _ I I 95.37-5"CpS N O1 . L.= 6. 12" cP E II o x N ' jE V RIF RAP p F.L.BET1=' " S I O// I L=95.37-15-CPE SaUceppIJJU o p F.L. - 0'RL N i11. PROPERTY SURVEY PREPARED FOR APPLEDORE ENGINEERING, INC. o F.E. o a ' I, D.M.H. I• - `/ I; I r - r.F=s9.4sF.L's°•ss T.F.=93.09CLARKST, DEMING ST. & ELLlNGTON ROAD SOUTH WINDSOR CONNEC77CUT J- F.L.=84.84-24"CPE S p i 1 7 I. I s` ` 4 "' 9g,,, t I 9 2H F. . .33 1 RCP SE 5F.L.=$4.79-24"CPE 5 AlDA7E06-07--2000 REVISED TO 06-20-2000 SCALE 1" = 50' SHEET 1 OF 1 F. A. HESKETH & ASSOCIATES, INC. y E I I eor. I I I 1 T I I I1 N. 80 DUUMP i 97- E I IIU T 9366 OyPADA172_ \\ I I I F.L=96.71-12" S I NO7ES: wru I I I r r 1 71-12 R I n P i 6 ,p 10 iD A -/y/F---.F 9B` 9 N EXISTING L.-96.71-f8t RCP Nf I 61 i•1 C.B, TO LrN ER CONDOpwt U, BUILDING 1~N F N/F I 2I. THIS SURVEY HAS BEEN PREPARED PURSUANT TO THE REGULA77ONS SA VINGS BANK OF ROCKVILLE 4-'I FL- f SF V SOUTH WINDSOR SENIOR µ--1 "' I - I 2 i cvs WOFCONNEC77CUTSTATEAGENCIESSEC77ONS20-300b-1 7HROUGH 20-F.L.0" £S M.H. Vl!L:R.`J/1L. 575'PG. 536_ N , 1 IJ L 1 y + F.L.=B7.3J 30"R N T. =94.93 I ? 'I 12 3006-20 AND THE STANDARDS FOR SURVEYS AND MAPS IN 7HE STA7F S W L.R. VOL. 1006 PG. 268 LIVING PROPERTI S INC. III """" p s y r S` F.L.=88.83-OF CONNEC77CUT AS ADOPTED BY THE CONNEC77CUT ASSOCIATION i S.Ar.H, i L=87.98-24" E NW 27 5 ACRSW.L.R. VOL. 114 PG. 205 F.L.=87.78-24 J OF LAND SURVEYORS, INC. ON SEPTEMBER 26, 1996. 1 r,F=s4.7; II I i m INV.=R_7.38 E i 4 ACRES T £A-- `. D 86 44I1"..=87.36-8"P S II2. lT IS AN IMPROVEMENT LOCH 770N SURVEY INTENDED TO AID IN 1'r i ry ' IrJt!=s73s sw 7 177.61' 1 n Nv=s726 N I LJ EX. 1/2 I.P. EX. 1/2" I.P. U 0.! DE7ERM/NA77ON IF RECENT IMPROVEMENTS WERE MADE SUBSTAN7ALLY INCONFORMANCEWISHAPPROVEDS/TE PLANNING AND ZONING REGULATIONS B' c- • s s •` oP N 361482.11 N 36149Z23 ` 7 0 I I q F.L, TF.=94. D I E 6533JZ 79 E 653515.11CA., !1 F.L•= 4 4 F = 8. 1 6"CPE/S£ t C.B. 'C- S 3. THE BOUNDARY DETERMINA170N FALLS INTO THE RESURVEY s @" CAP F .=@a. r E E s3 4 O O NW 6 o BOUNDARY DE7ERMINA77ON CATEGORY. lT !S DEPENDENT IN p I ILL F.L.-cPE f CB• '-' CP#1 O t NATURE. Q a'P.v.c. s . `ci. PAD! 1• tr L C-- PVC SE TF.=95.91 I o I CExl5NOBUILDINGT.F-aaB I F.L.=88 -24 CPE w F,L.=90.41-15" E sf HUB & TACK 1 Q) I I wv.(w.$)s.s I \F.L.=90.36-15"CP W SUM ,ERVtLLE A7 kv.(v).s.n J 2H 2H s 1 O s N 361432.66ASUREMENISCONDUCTEDFORRIGHTOFWAYLINES, PROPERTY scu unNDsoR" 1;r s s .H. 2H 7 E 653327.06LINESANDTOTIEINTOCONTROLPROVIDEDBYDESIGN1TIF1715 Z. B I a O.M.H. 1 L \\a, CAPPED l 2H 2H 2" PROFESSIONALS MEET CLASS A-2 ACCURACY STANDARDS I I r I IRECENTIMPROVEMENTSWERELOCATEDTOCLASST-2 RESURVEY I 7 I D..M.H, S.M.H. QtlOMH1 v I At t& 7 FL=87.;7-15"CPE SESTANDARDSyLFis11JEXsue T r.F=95.63 oosstt lyGREASETRAPTF=9;: N F I ItF-ae s riif1. t F.L.=87.47-15" CPE E ' F.L=9L 9D-15" Pf NWF3T.F.+.a 7 o f O IF.L.-ear 0"b I ! F,L.=8747-6"CPE E arrv9:5-8"5 yyF 30G tx; _8;3, 5 F.=9 , ,5" PE 5 O SNET CO.e P.v.c.; R F.L.=8T.07-15"CPE N5BEARINGS, COORDINA TES AND ELEVA 770NS DEPICTED HEREON ARE R I cs. •c' _ S W.L.R. VOL. 57 PG. 1 OOWF301WF308Pr18"-24"REDUCER i fIRF LANE T. B. 5.8d BASED UPON MAP REFERENCE NUMBER 9. w 3'G P.K. NAIL I cc C. ( Fc.=88.28-Ja'CP£N Es`h 1 g L.=9o.73-12" s 000P7rIC.B. 'G-L' 15.3' vi. 65 Gad6. UNDERGROUND UTILITY, STRUCTURE AND FACILITY LOCATIONS N 361323.35 N 361336:56_- r j II ,e.f\/52 3 s IN ss4• a 95-- I o 1 T.F.-9D.59 i F.L.=90.73-15"C NEDEPICTEDHEREONHAVEBEENCOMPILEDFROMRECORDE652074.61 wF 307 E-652494.05 F L.=88.44-15'CPE*NW 7Q5' m+F:f:-56.1Z.95' 65' w ` 90.73T 5" Cf 5ME mS8J79 " E D.M.H. T.F.=95.48 ROOF LEADERINFORMATIONS. THESE LOCA170NS MUST BE CONSIDERED AS 57 N J61306. F 302 wF 311 T.F.=9Z19 F.L.=92.63-6"Pvc w CLEANOUT IzsS' Co. c'I0=44 57 49 7 1 F.L.=85.49-18"CP£N 85' FF.=96.21 I 1 F.=55.14 IiAPPROXIMATEINNATURE. ADD177ONALLY OTHER SUCH FEATURES E 652226.8 L.=85.49-18"CPE Sf F.L.=91.Ot N I I I G MAY EXIST THE EXISTENCE OF WHICH ARE UNKNOWN TO THIS WF 3G6 R= 0.17' 4,•F 313 64SURVEYOR. THE SIZE, LOCA77ON AND EXIS7ENCE OF ALL SUCH sAN1raRYNF3G3 WF 3 L L= .98 tF \ YD, cLEANOUTFEATURESMUSTBEFIELDDE7E"RMINEO AND VERIFIED BY 7HE T t or ExrSr.Nc BurlDNc vI- 21 I,:c j17 RETAIL PLAZA T. =95.36APPROPRIATEAUTHORITIESPRIORTOCONS7RUC710N. CALL BEFORE 1' O F,L.=33.02-6"PVC E EX. MOH. 1 WF 305 C= .78' I YOU DIG 1-800-922-4455. I S86' 4 02 WW 304 C8 S2T13'S8"W p9 I I Ex. 3 4 LA. I IN361282.43WF3130 9-I ,\ N 361276.E"3 E 653349.18 7. THE PROPERTY DEPICTED HEREON IS SUBJECT TO AND BENEFITS FROM O 5 7 j oTHEFOLLOWINGEASEMENTS, RIGHTS, CONDI770NS AND COVENANTS o \ E 653247.54NOTDEPICTEDHEREON).i FORMER PROP WF 314 r -F 321 WF 322\ ; F phE CASo. DECLARATION OF CONDOMINIUM S W.L.R. VOLUME 575 PAGE 536 ;S ERTY 7 RS IIAMENDEDVOLUME997PAGE169ANDVOLUME107EPAGE29. 1 8s`32" E ENE WF A A-3 MON. IW F 31'5 '" I`'°°° 32 o ` D.M. BA H. UNIT I , II 1 N 22 WF \ O \ t` `9 \\ T•F.=91.46 I 4 0 • c 0 0 0219.,3j, r A 1 O - a \ I Fl_=87.01 TO WATERb. SEWER EASEMENT 1N FAVOR OF THE TOWN OF MANCHESTER S W.L.R. Z wtiF '' E 652427. N V F ci ci cEVOLUME182PAGE31. y D.M.H. 93-- If O I UWO j 4a4' C.B. 'c' T,F,=91.89 O N mW1f' ' O3, O TF=90.87 F.L.=8729-24"CPE E I 3 3 3c. EASEMENTS TO CONNECI7CUT LIGHT & POWER COMPANY, S W.L.R o FL.=a7o2-z4"CPE E F.L.-8744- 4 CIP N I N/F c) Q 1°VOLUME 565, PAGE 157 S.W.L.R. VOLUME 616, PAGE 144. v o F.L.=8ZO2-24"CPE W F.L,=8729- 12' CPE W d. CROSS EASEMENT BETWEEN RICHARD S. KELLEY v rn 4 8ssw 3 , F 32 \ 17a7' T13M .X3 SAMSEL PROPERTIES PARTNERSHIPANDJOHNcO S. W.L.R. VOL. 590 PG. 073 N ' MSAMSEL, JR. ET AL, S.W.L.R. VOLUME 589, PAGE 417.7 _ 2 O.8 O¢ / TO EX. MOH. \ Ry ` N 'ply NC. PA 0 Fb LP O O O O e. DIS7RIBU77ON EASEMENT TO YANKEE GAS SERVICE COMPANY S.W.LR. N/F T r 4zs• a C.S. c 41 o N 'n N! 41.2' ELIZA ETH G. MALL TL=2.49VOLUME1067, PAGE 193. t ,M 24.05 F •- E SW O 0 0W.L.R. VOL. 282 PG. 288 N F Ex. MON x. Mo • sf. CONDITIONS CONTAINED IN CER71F1CATE RECORDED IN SW.L.R. E r___ N dVOLUME1129, PAGE 251. y PA d I , N M d-DFV ASSOCIA TES, LL AA'' 40 20, 4 z z°g. COVENANTS SET FORTH IN A SIGN EASEMENT AGREEMENT RECORDED ItLF 20 S. W L.R. VOL. 956 PG. 283 DF.92.3E / / V¢O XSW.L.R. VOLUME f079, PAGE 266 AND RE-RECORDED S.W.L.R. VOLUME I F=9118 3 42" 0 -1084, PAGE 117. FL.=86.66-24"CPE E FL.=8783-24'GPE I RETAINING 31N/FONO-O oFL.=86.66-24"CPE NW WAI.t JOSEPH W. & In S8 414 W D.M.N. N 351070.42 OC.B_'C-L' TF.=91.89 O B. THIS SURVEY DOES NOT REFLECT ADDITIONAL LAND RECORDS RESEARCH j' i" r.F.-9r.03 E.„uao+Rc FL.=@e.z4-r2"CPE NE E 6.53244.87SINCEos-07-o0 IRENE BERTRAND N 361046.56 F.L.=8748-15 CPE E F.L.=88.09-12'CPE W oE652927.87 FL-8748-15"CPE WS. W.L.R. VOL. 48 PG. 329 T 9. THE IMPROVEMENTS DEPICTED ON 7H/S PLAN HAVE BEEN VERIFIED IN nq ,; N/F DMH N 65 15252r.F=s,.s2t UEPTHEFIELDASTOLOCHLIONANDELEVATION. EXCEPT AS NOTED OR E 652156.30 ROBERT A. F.L.=87.72-12"CPE E w DEPICTED ON THE PLAN THEY APPEAR TO BE LOCATED SUBSTANTIALLY 8C PHYLLIS T. F.L.=87. 72- 12'CP N LI C) o J 0 IN ACCORDANCE WITH THE APPROVED PLANS. IONES S. W.L.R. F.L.=BJ67-r5"CPE w WN360954.52 AREA= VOL. 119 PG. 346 0 j ao 0 0 E 652010.2E p° , 2.98 ACRES N/F o rJ1h'yh!TO BE ADDED Q SAMSEL PROPERTIES PARTNERSHIP O W (/j z xN360909.93 F,F 2 S W.L.R. VOL. 590 PG. 073 of 0 0 652036..9$ Qc rr C7W Aj 49.37 E 652086.27 C9 Z a Z 3 to v IN V 86 45'10" E j z v DRAINAGE EASEMENT JW W Ld = U N IN FAVOR OF 4,;,. 3 F- O REBAR THE STATE OIL CANNEC77CUT O + O O vo SET S W.LR. VOL 884 PG. 278 O O O O N ^ IN360856.88 O651950.19 o WLF 24 C0 r 90'GRAPHIC SCALE TO MY KNOWLEDGE AND BELIEF THIS MAP IS SUBSTANTALLY CORRECT AS o ram. WL 6 NOTED HEREON. O 60 0 30 60 120 240 7HIS MAP IS NOT VALID WITHOUT 7NE LIVE SIGNATURE AND IMPRESSIONS8• O' TYPE SEAL OF THE LAND SURVEYOR SE SIGNATURE. APPEARS HEREON. N cn M W 0 OREBARINFEET )y,1.F 28 SET 1 inch - 60 ft. Z E 652205.84 TODD S HESKET V LS 17945 0 I i t - ROSE iso UPPER AND . n, e S 4.s LLC- BASE CABINET u s'n 1 l 7/ I I F S SEE DETAIL I 1 C!(tea r .; i 1 5 1/A-2 5 5 3„ 5" 1 oD 11 G l,t 1,,Q -O ARGHITEGTS SURVEYL7P?S ENGINEERS 12'-4- 4— WALL LEGEND: J U t>-- EXISTING PARTITION TO REMAIN LAC WWW.ROSETISO.COM NEW INTERIOR PARTITIONS - 3 5/8" METAL STUDS, 25 GA., 16" O.C. WITH 1/2" 41 a MEADOW STREET, SUITE zO3, F1 0-64134 CT 6624 102 — 1 10 v'-p ' TEL: (2O3)610-6262 f FAX: (2031610-6404 J F o 1 GYPSUM BOARD EACH FACE AND 2 1/2" SOUND BATT INSULATION UP TO N.C. LAVA}LAB F_CEPTION too 104 l03 ` f'10 I I DRAW! i los I UNDERSIDE OF DECK. GYPSUM BOARD FINISH TAPED AND READY FOR PAINT. UPPER AND I I 04 1 BASE CABINET O x4' SLIDING C SEE DETAIL 1/A- I I,} L— -- — — IDOW l 103 2 5 ,A.F.F. 2 I COUNTERTOP VAIT^'C 1 2 106 I 109 1/A-2 1 L 1 13 P'1 0 FLOOR PLAN LEGEND: 102 O I CORRIDOR 1 c5 2 1 2 ,4 t07 2 N n DOOR NUMBER (SEE A-2) 2 2 101 105 107 108 2 UTILITY 2 11 1 1 1 I DRAW 2 DRAW O WALL TYPE (SEE A-1) 1 111 2 1 10 i ITIKITCHENOFFICEMIS UPPER Af'O F (`,.1 STORAGE o 113 112 I UPPER AND LAV BASE BASE I `I 109 , [ I EXISTING DOOR O CABINET CABINET t 108 I 0 SEE DETAIL SEE DETAi!- I '\ 1/A-2 2 NEW DOOR21/A 2 II 2 I I 6'-0" 4,_p„ 8'-0" 8'-0" MIN- 45„ 45„ 48„ 4 „ r 48„ 45" 48" 48" 8 8 FLOOR PLAIN LAYOUT REVISIONS NO. BY DATE DESCRIPTION SCALE: 1/8' a ELECTRICAL LEGEND: Q 0 PHONE PROJECT TITLE 42" A.F.F. GR I 42" A.F.F. CAN I GFI C QUAD DUPLEX El COMPUTER QU` ES-T-- 2 I Q PRINTER 42" A.F.F. GFI 42" A.F.F. I H.W. GFI 60" A.F.F. 42" A.F.F. O I — GFI Zl - r.,- -- r SOUTH WINSOR, CT. ELECTRICAL FLOOR PLAN SCALE: 1/8" Prepared For: REFLECTED CEILING LEGEND: CINDY DESIGNS SPRINKLERS z RETURN DEFUSSER a SUPPLY DEFUSER f SHEET TITLE 2x2 FLORECENT LIGHT FIRST FLOOR PLAN, r ELECTRICAL, AN 2x4 FLORECENT LIGHT REFLECTED CEILING PLAN EMERGENCY FLORECENT LIGHT A DESIGNED SCALE: AS NOTED 2x4 CEILING GRID BY: PMR DRAWN DATE: 01 -23-05 O 6" DOWN LIGHT ON DIMMER BY: MS w xxw—t i • w CHECKED PROJECT EXIT SIGNNUMBER:X1 BY: PMR NUMBER: 0437xX1ICAD FILE: R:/0437/ARCH/A-1.DWG SEAL SHEET NUMBER REFL ECTED C LAN SCALE: 1/8" C.L. WARD FAMILY INC. High Temp Access Doors for round and Hat duct C V 00L COC LWYa U tT - C a o v aA m0ooa -- 0 M _TIE INTO EXISTING DUCTS 19 to VL TTO O 6 9-0 3 OO to 0) t7 0 OnC C L C O C" O C, +' ACCESS DOOR U) N 41 C N > C 12X12 MUA DUCT 14X14 EX DUCT L n i 0 13 O .T ." O "to 11 C ._C +, 3- oz ON 2 I ZERO CLEARANCE WRAP THROUGHOUT DUCT RUN 0 , ° L+ Cq 0 -0 .-e -0 t.l_ X v- E Iu (on i U °cc Cc, STUD WALL 0 E o U O U o w I WITH SS WALL PANELS N MOCCCF0'- Cq N In IV a 3.00' 00. EZ 1.5 I 10. o• Duct Insulation — Single—Layer System I21.00 m'" ca °.dtn° SSIfQ U.L. Listed Incandescent Light Fixture-High Temp NF e U$ 54.00' 2001 EEdition C uL 4 IO L —tn IVm12.00'S.00` o. I--16.00'— o4 u N O CO to x ' o n 00 0 u LOO Un C11 10J ,w V V lL W N Q = nn -0N 0J a IIoaQ Q. A C CT0 0tn O Z x 0'1At0OOhv+ NC10 `._ PLAN VIEW — Hood #1 n o oZ Q. 1 SO I20, 112 o m Jw 0,I cifnov ' o O t K v0.. 00000 ILn L=1 MZNNtiO NNQ_a.` o a O o o a E 3 u m y Sou[n WindsorNr I- w 9'E a j J a BUILDING DEPARTMEN Q u a_ 0 o o C C IS C NJOWyJO 0 E M >, y OaQdUL+ 0 Q 7- 0W—_O^ C C) O N o GIiNJ o o20O>> U O 0:rl.o+0)d\ 20.o i0 a0M J 0 0 Y O) O C W W m W E OWUoL ) o(4 O E I— V 0, _ 39 j C REVISIONS DRAWN T. DUVAL 9/5/12 REV DESCRIPTION DATE D f APR i 24 MAINLINE DRIVE CHECK WESTFIELDv MA. 01085 A ORIGINAL RELEASE 9/5/12 TD TD T. DUVAL 9/5/12 MASSACHUSETTS LICENSE: CS 69654 PHONE: (413) 568-4663a; v CONNECTICUT LICENSE: SM5 #68 Sale% • Installation • service FAX: (413) 568-4665 NOTES:GREASE 1. GREASE HOOD EXHAUST DUCT TO BE 16go. STEEL WELDED LIQUID TIGHT. a CUR DRAIN MASS JOURNEYPERSON UNREST. 25011 DRAWING NO. 2. MAKE—UP AIR DUCT TO BE 24ga. GALVANIZED STEEL. INSTALLATION DRAWING 0000000-00 3. 10' MINIMUM BETWEEN EXHAUST FAN AND MAKE—UP AIR INLET. GREASE ALL INSTALLATIONS WILL MEET NFPA96 4. BOTTOM EDGE OF HOOD FRONT TO BE A MINIMUM OF 6'-6" A OVE FINISHED FLOOR. CATCH AND IMC, 2008 EDITION CODES. SITE INFORMATION: PROD. NO. 8888 5. 3/8" THREADED ROD TO BE USED TO SUPPORT HOOD AT HAN POINTS. 2 CURB REVISION A 6. ZERO CLEARANCE DUCT WRAP TO BE USED WHERE 18' TO CO BUSTIBLES CANNOT BE ACHIEVED. ROOF THIS DRAWING AND ALL INFORMATION CONTAINED WITHIN IS SITE LOCATION: SALS PIZZA 7. CLEANOUT (ACCESS) DOORS TO BE INSTALLED IN EXHAUST DUCT AT CHANGE OF DIRECTION. THE EXCLUSIVE PROPERTY OF ALLSTATE HOOD & DUCT INC. DWG.SIZE C 8. REUSE EXISTING UL LISTED FANS ANY REPRODUCTION OR OTHER USE FOR ANY PURPOSE SITE ADDRESS: 1735 ELLINGTON RD SCALE9• WHATSOEVER WITHOUT WRITTEN CONSENT IS STRICTLY NONE 10.EXHAUST FAN DETAIL PROHIBITED. © ALLSTATE HOOD & DUCT INC. 2008 CITY, STATE: SOUTH WINDSOR CT SHEET 1 REVISIONS DESCMPTON DATE HOOD INFORMATION MAX. EXHAUST PLENUM SUPPLY PLENUM HOOD CONFIG, 0 HOOD RISERCS) RISER(S)HOOD END TO B NO MODEL LENGTH COOKING TOTAL TOTAL CONSTRUCTION ROW TEMP. EXH. CFM WIDTH LENG. DIA. CFM S.P. SUP. CFM WIDTH LENG. DIA. CFM S.P. END 0 5424 7' 6.00'10' 21' 2200 -0.512' 12.000 16.000 770 -0.063 430 SS 400 Deg, 2200 1540 ALONE ALONE R 12.000 16.000 770 -0.063 Where Exposed HOOD INFORMATION FILTER(S) LIGHT(S) UTILITY CABINETS) FIRE HOOD WIRE FIRE SYSTEM ELECTRICAL SWITCHES HOOD C NO. TYPE QTY.HEIGHT LENGTH QTY. TYPE LOCATION SYSTEM WEIGHT6------57.00° GUARD TYPE SIZE MODEL # QUANTITY LOCATION PIPING I3,00' S4.00' I 1 SS Baffle with Handles 4 16" 20' 3 Incandescent Light Fixt NO 38716- 16, NO LBS EXHAUST RISE INCANDESCENT LIGHT I o FIXTURE-HIGH TEMP f 'I HOOD OPTIONS HANGING ANGLE HOOD OPTIONNO. 16' SS BAFFLE WITH HANDLES AND HOOK 1 BACK STANDOFF 3' Wide 3.00 INTERNAL STANDOFF-----_ I I 24.00 NOM. I I V W 1 O47.0' MAX 0 GREASE DRAIN WWITHREMOVABLECUP10400' 80.00' FF MIN. 3.00' EQUIPMENT I BY OTHERS t7.;0' 10. 0' 2L00' UL Listed Incandescent t Fixture-"gh -eno 54.00' SECTION VIEW — MODEL 5424R 12I0• 5.00' 7'6" rY ED PLAN VIEW — Hood #1 Gl) 7' 6.00" LONG 5424R N Iv 3 n _ E a V) 0 9/5/12 OV96.9. DWG# BY: SCALE: NONE SHEETTYPE CUSTOMER APPROVAL TO MANUFACTURE: Approved as Noted Approved with NO Exception Taken Revise and Resubmit SHEET SIGNATURE SHEET Your Title Date 201200029 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER CERTIFICATE OF OCCUPANCY DATE: 02/10/12 GIS ID: 30301735 FEE:10.00 MUNIS APPLICATION# 201101067 BUILDING DESCRIPTION: f,. APPLICANT, LOCATION NAME: DAWN GREENFIELD `€, ADDRESS: I735 ELLINGTON ROAD ADDRESS: 102 SUMMERST STREET.., OWNER: TOWN CENTER OF SOUTH WINDSOR LLC MANCHESTER,CT 06040" ?" 1744 ELLINGTON RD SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: TENANT.FIT OUT FOR YOGABORN STUDIOS LLC.ADDING NEW WALL FOR MASSAGE ROOM.STORE#16 4 . SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS `APPROVED BY THE BUILDING DEPARTMENT. yk F y x CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING OFFICIAL 2/10/2012 2:13 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 11000634 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER BUILDING PERMIT DATE: 12/05/11 GIS ID:30301735 FEE:75.00 MUNIS APPLICATION# 201101434 BUILDING DESCRIPTION: APPLICANT,a , LOCATION NAME:TOMKO REMODELING LLC.ADDRESS: %1735 ELLINGTON ROAD ADDRESS: 61 MARION DRIVE OWNER: TOWN CENTER OF SOUTH WINDSOR LLC MANCHESTER,CT 06042; 1744 ELLINGTON RD A SOUTH WINDSOR,CT 06074 r,y1 A o DESCRIPTION OF WORK: RENOVATE EXISTING SUITE FOR NEW BIKE SHOP TENANT. HALF WALL AND DISPLAY WALL. UNIT 12. SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS`APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: a ' a BUILDING OFFICIAL 12/5/201 1 10:53 AM THE FEE ABOVE INCLUDES A$0.26 PER TI-IOUSAND CT STATE EDUCATION SURCHARGE 1600433 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER SIGN PERMIT DATE: 07/14/2016 GIS ID: 30301735 FEE:30.00 MUNIS APPLICATION# 201600906 BUILDING DESCRIPTION: APPLICANT LOCATION NAME:NATIONAL SIGN CORP. ADDRESS: 1735 ELLINGTON ROAD ADDRESS: 780 FOUR ROD ROAD OWNER: TOWN CENTER OF SOUTH WINDSOR LLC BERLIN,CT 06037 1744 ELLINGTON RD SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: REPLACEMENT NON-ILLUMINATED WALL AND FREE-STANDING SIGN WITH ACRYLIC. REFACING ONLY. FOR QUEST DIAGNOSTICS. SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING OFFICIAL 7/14/2016 10:00 AM THE FEE ABOVE INCLUDES A$0.26 PER TIIOUSAND CT STATE EDUCATION SURCHARGE 13000398 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER BUILDING PERMIT DATE: 08/ 01/ 2013 GIS ID: 30301735 FEE: 150. 00 BUILDING DESCRIPTION: MUNIS APPLICATION# 201301031APPLICANTS ' i' LOCATION NAME: RSK- KELLCO, INC. ADDRESS: I735 t LINGTON ROAD ADDRESS: 1744 ELLINGTON ROAD t, zY`' a ' OWNER. TOWN CENTER OF SOUTH WINDSOR LLC CT, U6074 , f 4 17 ELLINGTON RD44 SOUTH WINDSOR, SOUTH WINDSOR, CT 06074 DESCRIPTION OF WORK: RENOVATE: INTERIOR, OF STORE FOR NEW TEN 71 N UNIT JA( MlRACLI; EAR) r M ry. l,. yY" bw/ Y- xC' wi'.'• rv" A. s y "' s a SPECIAL CONDITIONS: ti •? ALL WORK TO BE DONE IN ACCORDANCI; VlT} l THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING OFFICIAL g y w 8/ 1/ 2013 3: 58 PM THE FEE ABOVE INCLUDES A$ 0. 26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1700122 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER BUILDING PERMIT DATE: 04/17/2017 GIS ID:30301735 FEE: 1412.00 MUNIS APPLICATION# 201700297 BUILDING DESCRIPTION: APPLICANT LOCATION NAME:PERMIT ADVISORS ADDRESS: 1735 ELLINGTON ROAD ADDRESS: 8370 WILSHIRE BLVD.OWNER: TOWN CENTER OF SOUTH WINDSOR LLC BEVERLY HILLS,CA 90211 1744 ELLINGTON RD SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: INTERIOR TENANT IMPROVEMENT OF EXISTING VACANT TENANT SPACE TO INCLUDE-REMOVAL OF EXISTING INTERIOR NON-STRUCTURAL ELEMENTS, NEW DOOR FOR OFFICES AND ROOMS,NEW RESTROOMS AND NEW FINISHES. SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING OFFICIAL 4/17/2017 2:02 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1300003 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER SPRINKLER PERMIT DATE: 01/14/2013 GIS ID: 30301735 FEE:30.00 MUNIS APPLICATION# 201201197 BUILDING DESCRIPTION: APPLICANT• LOCATION NAME: ROYBAL FIRE EQUIPMENT CO. ADDRESS: 1735 ELLINGTON ROAD ADDRESS: PO BOX 204 OWNER: TOWN CENTER OF SOUTH WINDSOR LLC MIDDLEFIELD,CT 06457: 1744 ELLINGTON RD SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: INSTALL COMMERCIAL HOOD SYSTEM AND EXHAUST FAN. FOR SAL'S PIZZA. INSTALLATION OF ANSUL FIRE SUPPRESSION SYSTEM FOR KITCHEN HOOD. SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING OFFICIAL 1/14/2013 3:45 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1300018 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER SPRINKLER PERMIT DATE: 08/14/2013 x ' GIS ID:30301735 FEE:45.00 MUNIS APPLICATION# 201301031 BUILDING DESCRIPTION: APPLICANT,? M. a LOCATION NAME: K&M FIRE PROTECTION SERVICES,'INC. ADDRESS: 'A735,ELLINGTON ROAD ADDRESS: 8 WEST STREET ba+ ' {,^ OWNER:L, TOWN CENTER OF SOUTH WINDSOR LLC PLANTSVILLE,CT 06479 y 71744 ELLINGTON RD SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: RENO'VATE;INTERIOR OF STORE FOR NEW-TENANT. , UNIT ix,(MiRACLE EAR) REL6CAE`4T SPRINKLERS'AND ADD 5 SPRINKLERS FOR NEW WALLS. SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: n. L'BUILDING OFFICIAL 8/14/2013 12:33 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1400458 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER HVAC PERMIT DATE: 10/28/2014 GIS ID: 30301735 FEE: 150.00 MUNIS APPLICATION# 201401472 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: SUBURBAN PROPANE ADDRESS: 1735 ELLINGTON ROAD ADDRESS: 195 COMMERCE WAYC j OWNER: _TOWN CENTER OF SOUTH WINDSOR LLC SOUTH WINDSOR,CT 06074 1744 ELLINGTON RD SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: REPLACEMENT OF EXISTING TANKS AND REGULATORS. SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE-WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING OFFICIAL 10/28/2014 3:53 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1200409 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER HVAC PERMIT DATE: 10/17/12 GIS ID:30301735 FEE:75.00 MUNIS APPLICATION# 201201197 BUILDING DESCRIPTION: LOCATIONAPPLICANV . NAME:ALLSTATE HOOD&DUCT,INC. ADDRESS: 1735 ELLINGTON ROAD f v ADDRESS: 24 MAIN LINE DRIVE a,"> ." r OWNER: ,-.,TOWN CENTER OF SOUTH WINDSOR LLC WESTFIELD,MA 01085`i `— _ _' 1744 ELLINGTON RD SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: INSTALL;COMMERCIAL HOOD SYSTEM AND EXHAUST FAN. FOR SAI'S'PIZZA.a SPECIAL CONDITIONS: aA, ALL WORK TO BE DONE IN ACCORDANCE'WITFI•TIIE'APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING OFFICIAL 10/17/2012 11:14 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1600567 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER ELECTRICAL PERMIT DATE: 12/09/2016 GIS ID:30301735 FEE:30.00 MUNIS APPLICATION# 201601773 BUILDING DESCRIPTION: APPLICANT. LOCATION NAME:TAYLOR ELECTRIC ADDRESS: 1735 ELLINGTON ROAD ADDRESS: 438 PLEASANT VALLEY ROAD OWNER: TOWN CENTER OF SOUTH WINDSOR LLC SOUTH WINDSOR,CT 06074 1744 ELLINGTON RD SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: ADD 100 AMP SUB PANEL AND 10 OUTLETS FOR HAIR DRESSER STATION. SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING OFFICIAL 12/9/2016 3:07 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1700374 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER ELECTRICAL PERMIT DATE: 10/26/2017 GIS ID:30301735 FEE: 126.00 MUNIS APPLICATION# 201701373 BUILDING DESCRIPTION: APPLICANT LOCATION NAME:TAYLOR ELECTRIC "`ADDRESS: 1735 ELLINGTON ROAD ADDRESS: 438 PLEASANT VALLEY ROAD OWNER: TOWN CENTER OF SOUTH WINDSOR LLC SOUTH WINDSOR,CT-06074 1744 ELLINGTON RD SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: INSTALL:24 LIGHTS 1N CEILING. WIRE 2 BATHROOM FANS AND LIGHTS. INSTALL EMERGENCY AND EXIT SIGN,ADD 10 OUTLETS AND 2 FANS IN THE CEILING. SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING OFFICIAL 10/26/2017 4:05 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 201300075 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER CERTIFICATE OF OCCUPANCY DATE: 06/ 27/ 2013 GIS ID: 30301735 FEE: 10. 00 MUNIS APPLICATION# 201101434 z+ k s w ,. , y : BUILDING DESCRIPTION: K y Mti ,., q APPLICANTS y ` LOCATION NAME: TOMKO REMODELI G L' LC, ADDRESS: 173$ ELLINGTON ROAD ADDRESS: 61 MARION DRIVE OWNER TOWN CENTER OF SOUTH WINDSOR LLC MANCHESTER, CT 0604 4a` 1744, ELLINGTON RD M 5C} iJTH WINDSOR, CT 06074 DESCRIPTION OF WORK: RENOVATE" EXISTING.. SUITE I: ORNEW BIKE, SHOP TENANT. HALF WAL AND} DISPL: AY WALL., UNIT 12, - ` SPECIAL CONDITIONS: JK ALL WORK TO BE DONE IN ACCORDANCE- WITIJ THi APPLICATIONfAND- PLANS APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: 1 OCCUPANCY GROUP: fi y -' >, "° BUILDING OFFICIAL 6/ 27/ 2013 8: 16 AM THE FEE ABOVE INCLUDES A$ 0. 26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1700120 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER ELECTRICAL PERMIT DATE: 05/05/2017 GIS ID:30301735 FEE: 495.00 MUNIS APPLICATION# 201700297 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: RUSSELL ELECTRICAL LLC.ADDRESS: 1735 ELLINGTON ROAD ADDRESS: 40 CONLIN DRIVE OWNER: TOWN CENTER OF SOUTH WINDSOR LLC ENFIELD,CT 06082 1744 ELLINGTON RD SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: INTERIOR WIRING FOR URGENT CARE WALK-IN MEDICAL FACILITY PER SUBMITTED PLANS. SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING OFFICIAL 5/5/2017 4:12 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1300361 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER ELECTRICAL PERMIT DATE: 08/14/2013 GIS ID:30301735 i FEE:60.00 MUNIS APPLICATION# 201301031 BUILDING DESCRIPTION: r LOCATIONAPPLICANTv -;,3, NAME:TAYLOR ELECTRIC , ADDRESS: 1735 ELLINGTON ROAD ADDRESS: 438 PLEASANT VALLEY'ROAD."'f OWNER:-- -TOWN CENTER OF SOUTH WINDSOR LLC SOUTH WINDSOR,CT,06074 r 1744,ELLINGTON RD SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: RENOVATE INTERIOR OF STORE FOR NEW;TENANT.,` UNITUA(MIRACLE EAR) SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE`WITH THE APPLICATION'AND PLANS APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: y n BUILDING OFFICIAL 8/14/2013 12:45 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1700416 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER PLUMBING PERMIT DATE: 09/19/2017 GIS ID: 30301735 FEE:15.00 MUNIS APPLICATION tt 201701197 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: KELLNER PLUMBING R:HEATING ADDRESS: 1735 ELLINGTON ROAD ADDRESS: 389 SLATER STREET OWNER: TOWN CENTER OF SOUTH WINDSOR LLC SOUTI I WINDSOR,CT 06074 1744 ELLINGTON RD SOUTI I WINDSOR,CT 06074 DESCRIPTION OF WORK: TERMINATE PLUMBING FOR TWO BATHROOMS AND INSTALL PLUMBING FOR TWO NEW BATHROOMS IN NEW LOCATION. SPECIAL CONDITIONS: ALL WORT: TO 131: DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING OFFICIAL 9/19/2017 10:50 AM TI IE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 201500025 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER CERTIFICATE OF OCCUPANCY DATE: 02/19/2015 GIS ID:30301735 FEE:10.00 MUNIS APPLICATION# 201301031 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: RSK-KELLCO,INC. ADDRESS: 1735 ELLINGTON ROAD ADDRESS: 1744 ELLINGTON ROAD OWNER: TOWN CENTER OF SOUTH WINDSOR LLC SOUTH WINDSOR,CT 06074 1744 ELLINGTON RD SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: RENOVATE INTERIOR OF STORE FOR NEW TENANT. UNIT I(MIRACLE EAR) SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WITH T}IE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING OFFICIAL 2/19/2015 8:32 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 201700409 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER CERTIFICATE OF OCCUPANCY DATE: 11/21/2017 GIS ID:30301735 FEE:30.00 MUNIS APPLICATION# 201701373 BUILDING DESCRIPTION: APPLICANT o LOCATION NAME:RSK-KELLCO,INC. M ADDRESS: 1735 ELLINGTON ROAD ADDRESS: 1744 ELLINGTON ROAD OWNER: TOWN CENTER OF SOUTH WINDSOR LLC SOUTH WINDSOR,CT 06074 1744 ELLINGTON RD SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: BUILD OUT TENANT SPACE FOR FITNESS STUDIO. STORE 9.' SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING OFFICIAL 1 1/2 1/201 7 4:09 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1700499 TOWN OF SOUTH WINDSOR, CT PERNIIT NUMBER 13UILDING PERMIT DATE: 09/19/2017 GIS 1D: 30301735 FEE:30.00 MUNIS APPLICATION # 201701197 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: RSK-KI;LLCO, INC. ADDRESS: 1735 ELLINGTON ROAD ADDRESS: 1744 ELLINGTON ROAD OWNER: TOWN CENTER OF SOUTH WINDSOR LLC SOUTII WINDSOR,CT06074 1744 ELLINGTON RD SOUTI 1 WINDSOR,CT 06074 DESCRIPTION OF WORK: DEMO WALLS IN EXISTING TENANT SPACE AND BUILD OUT TWO NEW BATHROOMS. SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WITII THE APPLICATION AND PLANS APPROVED BY TI IE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING OFFICIAL 9/19/2017 10:50 ANI THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1700595 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER BUILDING PERMIT DATE: 10/25/2017 GIS ID:30301735 FEE: 126.00 MUNIS APPLICATION# 201701373 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: RSK-KELLCO,INC. ADDRESS: 1735 ELLINGTON ROAD ADDRESS: 1744 ELLINGTON ROAD OWNER: TOWN CENTER OF SOUTH WINDSOR LLC SOUTH WINDSOR,CT 06074 1744 ELLINGTON RD SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: BUILD OUT TENANT SPACE FOR FITNESS STUDIO. STORE 9. SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING OFFICIAL 10/25/2017 1:33 PM THE FEE ABOVE INCLUDES A$0.26PER THOUSAND CT STATE EDUCATION SURCHARGE 14000515 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER BUILDING PERMIT DATE: 09/29/2014 GIS ID:30301735 FEE: 1650.00 MUNIS APPLICATION# 201401337 BUILDING DESCRIPTION: APPLICANT LOCATION NAME:TOWN CENTER OF SW LLC ADDRESS: 1735 ELLINGTON ROAD ADDRESS: 1744 ELLINGTON ROAD OWNER: TOWN CENTER OF SOUTH WINDSOR LLC SOUTH WINDSOR,CT 06074 1744 ELLINGTON RD SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: REMOVE EXISTING ROOF SHINGLES AND INSTALL NEW SHINGLES. APPROX:500 SQUARES. SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING OFFICIAL 9/29/2014 3:35 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1500025 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER BUILDING PERMIT DATE: 01/21/2015 GIS ID:30301735 FEE:45.00 MUNIS APPLICATION# 201500027 BUILDING DESCRIPTION: APPLICANT LOCATION NAME:MACK DRYWALL LLC. ADDRESS: 1735 ELLINGTON ROAD ADDRESS: 161 WESTMINSTER STREET OWNER: TOWN CENTER OF SOUTH WINDSOR LLC HARTFORD,CT 06112 1744 ELLINGTON RD SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: CLOSE IN EXISTING HOLE IN WALL WITH SAFETY GLASS.ADD ADDITIONAL WALL IN OFFICE WITH DOOR AND GLASS.ADD ADDITIONAL HOLE IN WALL. SAME AS EXISTING. SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING OFFICIAL 1n 1/2015 1:15 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 11000477 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER BUILDING PERMIT DATE: 09/22/11 GIS ID:30301735 FEE:15.00 MUNIS APPLICATION# 201101067 BUILDING DESCRIPTION: APPLICANT., LOCATION NAME:DAWN GREENFIELD w ADDRESS: 1735 ELLINGTON ROAD ADDRESS: 102 SUMMERST STREET OWNER: TOWN CENTER OF SOUTH WINDSOR LLC MANCHESTER,CT 06040 1744 ELLINGTON RD SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: TENANT FIT OUT FOR YOGABORN STUDIOS LLC. v ADDING NEW WALL FOR MASSAGE ROOM.STORE#16 k 4, SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS"APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING OFFICIAL 9/22/201 l 1:06 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE