HomeMy WebLinkAbout18 Wild Rose Drive Application No. 6768 Permit No. 6468
TO THE BUILDING INSPECTOR
of the
TOWN OF SOUTH WINDSOR, CONN.
hereby make application for a permit to (erect (- ke akmatia�.eo) a building according
to the following detailed statement of the specifications and plans herewith submitted. (Draw a line through
word "erect" or words "make alteration to" as the case may require.)
All provisions of the Building By-Laws (Sections 2 to 32 inclusive) shall be complied with in the execu-
tion of this work whether specified herein or not.
. U.&R. HOUSING C PORATIO
South Windsor, Conn., ..�._. � ................... 19...1 �C
Sign here .`...........................--�........ ...........
Address ... ......... �:.. .�
r /
Location? . ��/......... 0�.. .
Nearest cross street? ....... .......... .... ...... ............I. ......... .. . ��...Street No. . ....... ................
Owner of land is? .... .
.. ,.......Address �....�-4df...:. ... ... .�..��..
Owner of building is? ''�
Ar
°( .c M ticArchitect is? . . ............. ................................................... ......................Address ................................................. ...................�B is? .. ...................................... ..........................................;Adadapess ................................................... ............................................
Dimensions of building? .�P. Z'Z ..........Fat front? ....�P... Fat rear? .....P... .. ..... Feet dap? ..� . .... ..
D�
Extreme height to highest po t of roof? ......../! ............. No. of stories in height?.... . ��
t
Purposeof building is? .......... ........................ ....... .............................No. of stores? ..... ............... ....................................................................
Howmany families? ... ...................&-..? ---------.----------..r........._...._No. of rooms? .... .........../I ....... ...........................................................
� r
Distance from street line is? ........................... .....from building line is? ....... .... ............ .......... ...........................
ADDITIONS AND ALTERATIONS
(Give Brief Description)
.... ...... .. .............................................. ............................................... ................................................................................................................
Ir......................................................................................................................... ................... ...........................................RD.....SE3,��..�4Y�.�N�..
................. . ..... ................................................................................................................... ........... .......................INWASM ASM......By...... y ;":�; Y ......0 F 71,CrM
Map No. I ACCORtW:�*, '�VIJ't o; TOW4 OF
SOUTH WINDSOR NO. 6
.w �..: : �..._:��: .•_. SAMC AIRY
If of steel frame, what is exterior construction?
What kind of columns used? ........... ..Size of columns used?
What length of columns used? ... ..... .......How protected?
What kind of beams or girders? .. ...... ......... . ..Size of beams or girders?
Longest span of beams or girders? ....... ...................... ... These rest on?
Roof construction is? ....................................................................................Roof covering is?
The floors are of ......................... ......... .. .. ...... construction and are calculated to carry a safe load of
lbs. per square foot.
(See Section 14, Building By-Laws.)
BRICK CONSTRUCTION.
Of what material will walls be constructed? ... . ... . .. . ............. ....................... .. ...... ........
Compositionof mortar? . ..................... ..................................................... .................................................... .... ........... ........... ........
Height and Thickness of Walls
Re4rht stories Front Walls Side Walls Rear Walls Partition W&Hs
Basement,
....................................................................................................... ..................................... ....................................................................................................................................
ist story
............................................................................................................................................................ ...................................................................... ...................... ............................. ........ ....
2nd "
.................................................................................................................................................................................... ........... ...........................I........................................ ........ .......... ....
3rd "
..........................................................................................................f.................................................................................................................... ....................... ............................ ..... ..............
4th Is
.................................................................................................................................................................................................................................................. ........ .I ......... .. ............. .
5th Is
...........................................................................................................................................................................................................................................................................................................
6th 46
.... ........................................................................... .................. ........................... ......................................... ..................................................................................................................
7th 4 6
..................................................................................................................... ....I.................................................. .. ................................................................................. ..............................
8th 68
..........................................................................................I............................................................................ ............. ................ .. .................. .. .................... ......................
9th 11
.. ..........................................................10th.................;.......... ...................... .. ... .. .. ..... . ................. ........ .... ....... .................... .............. ...... ...............I. .............................
I
Material.of Front? ......If stone, what kind? ...... .
Thickness of Ashlar? ........ .....Thickness of Backing?
Backed up with what? I Arches or lintels over openings?
WOOD CONSTRUCTION.
Giv Size, Longest Span and Distance Between Centres, of Joists, Girders and Columns
JOISTS GIKDEBS OOLUMNS
Floors Size Longest Span Centres Bridging Size Longest Span Centres Sire Length Centres
r _
1st FI001'
.. .... ....... P........... .., CP ... u�av4 o ... ............ ................. y._.. ....._.........................
2nd ,: ��
3rd "
4 .... ..... ............ ........ .................. _................... ......................... ..........._.........._............................_.. _.. _........_.. _...._.........._
.f J
K
Size of outside studs? .....4 Distance on centres? ........... 000e 4a........... ..... Size of sill? ........ 4............
Size of rafters? Distance on centres?....... .. / ............... Size of plate?
Size of 1 dgers or girts? ........ . ....... . .. .... . ...........................Size of deck rafters? ...
Distance on centres? ? .Z
............. .. ............. ..................................................Size of studs in Searing partitions. ........................ ........0
MISCELLANEOUS
Style of roof, flat, pitch, Mansard, or hippe . .. i�.� .......... . .. . ...... Fireplaces? .................. ...............
Material of roof covering? . Gr`'o�o... .. ... ..T. ....... Material of Cornice? ......... ................
Lining of flues.
How is building heated? �.'.......e-tom-....................... g ............ .... ......... . ..............
V
Thickness of shell of flues? . .... ..a................................ ..........Any elevators or lifts? ...... ..... . ... ...... ..................... ....................
What kind? . . .. . ........ How many? . .. Any hoistways2 . .
How protected? .. .... .... .....Total Value of Building ... .... .......................
When will work be commenced? -- . ...........', a..... .......... .................
The applicant warrants that the lot for residential purposes, shown on a plot plan accompanying this
application, conforms to the zoning regulations of the Town of South Windsor.
Town of South Windsor since 1949. U.&R. HOUSING RPORATION
pplicant
6468
BUILDING APPLICATION
6
ApplicationNo. ............ ......7 68.......................................................
onthe ...e.a s.t........................................................... side of
Wild Rose Drive
.... .. ......... ........................ . .. ... ...... ......... ............ Street.
Street No, .. .... ......Lot #14.. ... .... ... ............. .
Owner ....U & R HousiXig Corp.
.... ...... ................. .........
Applicant Sane .........
CLASSIFICATION
Dwelling 64?.x24.1
. ... ........... ...................
. . ............ ........
........ ...... .. ... ............. ............
Permit issued on above Application.
Date, . .-T-31-63... .. 19.... . ..
TOWN OF SOUTH WINDSOR
BUILDING PERMIT
Date JulY 31' , 19
Fee Paid 80.00 Est. Value '$. .20#000
RECD. SEPTIC PAYMEN 20.00
Permit ke 6468
on the east side of
Wild Rose Drive Rtmet
f
Lot #14
Street No.
�
Owner U & R Housing Corp.
4
E
( Applicant Same
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No. 3 717
Fee Paid y$ 3.00
CLASSIFICATION
Dwelling 641x�41
BUILDING PERMIT
N° 6468
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn. July' 31 o 19 68
x4to to to Terftf1j, That U do R Hauling CDrr,
is hereby granted permission to Dwe l l i Clg 641 X 24 _
at estimated value of $ 2 4 v U 0 0
on the C ft a t side of Wild R 3 s e �'s • Lot #14 Street on land
owned by U & 'R H*Us ing C-3r p.
Said Wort- to be as described in Application
No. 6768 and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
Iss July 3 L96�
Building Inspector.
Streets and sidewalks, obstructed by excavations or building materials, must be guarded by barriers
during the day and by both barriers and colored lights by night.
SECTION 1343, GENERAL STATUTES OF CONNECT ICUT: "When any person shall place
or keep building materials, or any obstacle in any highway (or any sidewalk) either with or without a
license therefor from the city or borough in which such highway may be situated, he shall pay said city,
town or borough all costs and damages which it shall sustain, or be compelled to reason therefor."
7-�1-68 INSPECTION REPORTt)Wallirig t of #14
Permit #6L68 JobTT&g 11ousingCorp.
1 Footing Wild Rose Drive
2 Foundation
3 Framing
4 Wiring
5 Plumbing
6 Heating
7 Lathing
8 C.O. #3 717 1550 ev
4�z__Permit No. TOWN OF SOUTH WINDSOR
SOUTH WINDSOR, CONN.
Permit N? 3717
oy Certificate of Occupancy
THIS IS T CERTI Y that th% ee
�-./
at No. in the own of South Windsor, Connecticut, has
been erected and completed in accordance with the Building Code and Zoning Regt]iations of
the Town of South Windsor, and is hereby approved for occupancy,.--
Building Inspector
Owner, Builder
Fee Paid �' . ;:`, Date
1 1
' J
f
1
i
W1d1Pr0PE`RTY F �
NO. MAPLE WOOD DRIVE SOUTH WINDSOR, CONN.
Being Lot No. 14 on map entitled "PINE HILL ESTATES Addition
No. I Felt Road South Windsor, Conn. Scale : 1 " = 40' March IQ,
1968 Griswold Engineering Inc. Sheet 2 of 2"
Scale I " = 40'
GRISWOLD ENGINEERING INC .
4383
ELECTRICAL APPLICATION
4694
ApplicationNo. ... ..........................................................
east
onthe ........... ....... .... ....... . ................ side of
Wild Rise....Drive.......... Street
StreetNo. L. t..#.1.4. ........... ...... .... ..... ..............
Owner U & R Hou.si.n.g.
Electrician ...R...Kr e p c i o
FILED IN OFFICE OF
The Building Inspector
11-22-68
..... ........ 19 .
INSPrkVION.
...................................................................................................I.......................I......-,........
........................................................................................................................................
....................................................................................................................................... ....
AwNo Electrical Work shall be started until a Per-
mit is granted by the Building Inspector.
In New Buildings no wiring shall be started
until the plumbing and heating pipes, and the fire
stops (if of wood) are installed, without a special
permit from the office of the Building Inspector.
APPLICATION FOR PERMIT TO DO ELECTRICAL WORK.
n
4694
G
V Permit No. ... 43. 83 . ..
TO THE BUILDING INSPECTOR
of the
TOWN OF SOUTH WINDSOR., CONN.
......I.......... hereby make application tq perform Electr cal Work according to detailed description below. All
provisions of the Rules for Electrical Installation, Section 48, Building By-Laws, shall be complied with
whether specified herein or not.
South Windsor, Conn., ........... 2 ..... 19Sign here .:`.../�''.�'.. ... `F.wf ......
Address !'�.: �' y' 'r ".�:. ,�' .... r�
Location47. 1...7.............. ... ...E. Side of ... .......... ...... ... .................. ............................. .................... .............
Nature of Building ..........., How many stories ........ ......... ....................................................... .................
New or oId Building ........... ......... ... ........... .................... . How many families ............................................................................................
Kind of Installation ....., :.,�"�1...................... .' ..... ..y,,'...=....°... ..... How many Stores ........................................ ............. ... ............................................
Owner „ . .. ........... " :�+? -*....,c ........ . ... Address ........ ,...._.:::........ .......r......M..............................................................
Architect . ........ .. ......... .............. Address ........... ..................... ...... ................................
Builder . .............. . Address .. . . .. . ... ....... .................
Electrician :'.k,' .,? ..........'..... C.',�'{y. '. :............ .... . Address j �' . .... .. . ...��...............................a..,. .a.:............:......a.:'....,....
Size of Main Wires ... ............. ......�.......
No. of Light Loops .. ....... . . . .. No. of Heat Loops .. ...... No. of Power Loops .............. .........................
No. of Light Outlets 0 �A�...... . No. of Heat Outlets . . No. of Power Outlets ....... .. ...... ...
No. of Light Circuits .. w^....... .... No. of Heat Circuits ... No. of Power Circuits
No. of Sockets ........ �? ... No. of Heat Receptacles ° No. of Motors
No. of Panels ............................................ Size of Heat Circuit . .. .... .... .. No. of Power Receptacles
"No. of Switches .. .... .. . ., Total Wattage ... .. ......
Size of Power Circuit
Total Horsepower
No. of Straight Electric Fixtures ..... �..., `.�.. . ..... ....... No. of Combination Fixtures .
No. of Receptacles ............. �No. of Cord Drops . ..
°#
� �`
Remarks: For other kind of Installation .. .......... ;�::.... ,,,�........p..�.r:.....t: y...,�.A:..�..ti........�•............_.'....'...:............ Y...... ............
.. .... .
...................................... ............................ ... ........ ... ........ ........... „................. .... ... .... ......... ...................... ...... .. ......... ... ......
............................................................................... . .. .. .. ..... .. . .......... ........ . .._...................................... ................................... . .............. ... .... ........... . .....
................................................................ ................. ............................................................... ........ . . ...... . .... ......... ..
Estimated Cost .... ....r - .......... .........
(Z� 3789
PLUMBING APPLICATION
Application Na. 3578
on the
east of
....______ - —
Wild Rose Dr.
............... Street
Street No. ._._
Owner ...
Plumber
Filed in of
The Building Inspocoor
11-26-68 19
n,.RAN r isoR.
No person shall cwst Kt, add two a afar any
portion of the drainage system of any bu ng
(ezcept to repair leaks) until a Pit is gmacd
by the Building Inspector.
3578 _�.7 8 9
Application No. .......................................... Permit N ............................
Idd TO THE BUILDING INSPECTOR
of the
TOWN OF SOUTH WINDSOR, CONN.
.............hereby make application to perform plumbing according to detailed description below. All
provisions of the Rules for Sanitation, By-Laws, Sections 33 to 47 inclusive, shall be complied with, whether
specified herein or not.
South Windsor, ........ ........ 19(,-d---- Sign here ..... ......a., ..................................
Address ..4,1... z........ .................... . .................................
19
2t'llv
Location ........................................................212e-�; .. ....... side of ....e� ......... .. ... .... . ..... . .... Street
Natureof Building I.................................. How many storie-s .. ................../............................................................
c
Owner ........611. . ............ ... ...... ................................... ......... Address.................]
............ ........... C..r—ex...............................................
Architect ......................................................... ...... Address ................................. ...............................
Budder .................................................... Address ......... .................... . . .. ....................................
Plumber ........................................................................................................................ Address .......................................................................................................................
DRAINAGE
CESSPOOLS, How many ... ............../ .................................................
........................... .... ....... . Where located ............
Are they water tight . ....................................... Of what materials are they built ....... --d-10.
Size of pipe from house to cesgo'ool . ..................... /.............. Kind of pipe .....C-12....................................................................................
MAIN DRAIN IN CELLAR, Material ........(?....Z. ........ Diameter ......../................................................................................ ............
Aboveor below cellar bottom .. .. ... ............ .............................................................................................................I..........
SOILPIPES, Material ........*' Diameter .....el.................................................................................................
WASTE PIPES, Material .......... Diameter .......4pe
1!��- - -_- .............. . ................................................................................... ..............
TRAPS,Type proposed to use is ........................................ . .. ... . ......................................................................................................................................
RAINWATER LEADERS, where do they run to ... .....................................................................................................................................
REFRIGERATORWASTES, where do they run to . .. .... ....................................................................... ....................... ...............................
TANKOVERFLOWS, where do they run to . ... . . .................................................................................................................
FIXTURES
WATER CLOSETS, How many .............................. Where located /1115:;... ......... ...........................................I........
Distance from trap to vertical soil pipe ...................................... Pattern . .............................................................
WASHTRAYS, How many .. . . .............................................. Where located . . ... ....................... .. ... ......................................
SINKS, How many ................ . .......1Z ................................................ Where located .. ..........
......................................
BUTLER'S SINKS, How many ........................................................ Where located, ..... .. ...............................................................................
REFRIGERATORSINKS, How many..................................... Where located ...............................................................................................
LAVATORIES, How many .................... ...................................... Where located ........... ...................................................................
BATHTUBS, How many..................../............................................... Where located ......Z .....................................................................
URINALS, How many ............................................................... .......... Where located ....................................................................................................
Are water closets and urinals to be local vented If not, is there a window in outer wall
of room where same are to be located . . . . . .................................................................................. .. ......I...............
Estimated Cost ...............................
PERMIT #
Application For 3578
DEPARTMENT DECISION 3 800 Heating Permit
3 APPLICATION IS HEREBY:. DEPARTMENT OF LICENSES AND INSPECTIONS
N IR APPROVED 1701 DISA ROVED
TOWN OF SOUTH WINDSOR
Cd 1-lo-69
00 DATE CHIEF 100ftCTO)t APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BEL W
O
0 1. LOCATION OF JOB
Lot #14 Wild Rose Drive
cis A NO. STREET
a V ,0-00�z/
10 LOT NO. FLOOR APT. NO.
O O
lV
4
+' O
2. OWNERCd
4 Z 0
0
0 3. ADDRESS r
4.PHONE
I S. APPLICANT�I
.0, 6. ADDRESS a �'
4) 7.PHONE
0 ro
O
S. LICENSE NO.
O
C w 9. EXPIRATION DATE OF LICENSE Z ��-
v
.� 0 10. ESTIMATED COST
11. IS THIS A CONTRACT COST? ❑ YES ❑ NO
bo
12. FEE ENCLOSED $ Permit #6466
a� 0
13. TYPE OF BUILDING:
C
PRESIDENTIAL ❑ COMMERCIAL
14. TYPE OF JOB: ❑ INDUSTRIAL
cd
ORIGINAL ❑ ALTERATION
NSTALLATION ADDITION
REPAIR
APPLICATION FOR HEATING PERMIT
Continued from Reverse Side
� LOCATION OF JOB -C' 7 1 1. L ' `NO. STREET FLOOR APT.NO.
12. TYPE OF INSTALLATION: 0—OIL BURNER ❑ ELECTRIC ❑ VENTILATION ❑ SPRINKLER
❑ GAS BURNER ❑ STACK ❑ INCINERATOR ❑ MISCELLANEOUS
IDENTIFY
SIZE LOCATION G r / SIZE 6) SIZE
13. OF TANK �f OF TANK , -�`� L OF FILL "L OF VENT
14. B.T.U. EQUIP. AT REGISTER ZFJJRNAC MAKE AND NO.A 3C//`l1 AT BONNET FIRING RATE
BOILER OR FURNACE MAKE AND N r i.T.U. !R S!. FT. NEVJB.T.U. OR S!. FT. GROS/j' (RING RATE
FLOORS TO BE HEAT�FA NEW OR OLD BUILDIN ULATED — YES OR NO
TYPE OF WALL INSULATION ROOF OR CEILING INSULATION
AVG. SYSTEM WATER TEMP.� 4Je B.T.U./SQ. FT./HR. EMISSION
INDOOR-OUTDOUR TEMPERATURE DIFFERENCE _ZQ °FAHRENHEIT
MAKE OF RADIATI SEBOARD, C PER CONV TORS,PR C.I. RAQI TION. UTPUT ER SECTION OR LINEAL OF RADIATION. SQ.
FT. OR B.T.U.
DESCRIPTION WORK
15. TO BE DONE: c.e ct,zt �� iLt (r (�
/ fv(-- ems;,, C�i�-mil
15. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS):
ROOM SIZE WINDOWS AREA - SQUARE FEET B.T.U. B.T.U. 9 D
< DISTRIBUTION INSTALLED
AND DOORS VOLUME
_ TOTAL TOTAL r
NO. LL
RO M GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED �j LL RAD. REGISTER
L W H AND TEMP. TO FF TYPE AND SIZE OR LEADER
SIZE < WALL f'�t� (INFILT.) DIFF. •F F m a Sq. FT. FREE AREA
nZy( �k � 4/ .
/ : i (,)c/o 1113 �
Lp-
417
i S 3`1 G '--
xy - 6
Fj
TOTALS
A. HEAT LOSS FROM BUILDING 2 "3 B.T.U./HR.
B. DOMESTIC HOT WATER DEMAND B.T.U./HR.
C. PIPING. OTHER THAN NORMAL B.T.U./HR.
ALLOWANCE FOR HEAT VALVE OF FUEL (A B C) FACTOR
17. ELECTRICAL WORK BY:
NAME ADDRESS
SUBCONTRACTORS AND
18. THEIR TRADES
ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY THE (OWNER) OR (AGENT) OF THIS PROPERTY AND WILL
BE DONE IN STRICT ACCORDANCE WITH THE BUILDING CODE.
APPLICATION TO BE COMPLETELY FILLED IN.
J DATE SIGNATURE OF APPLICANT
PERMIT NO.
"G 7
DEPARTMENT DECISION APPLI CAT I O N FOR
Application is hereby : PLUMBING PERMIT
TOWM OF SOUTH WIND SOR
APPROVED DISAPPROVED BUILDING INSPECTION DEPT.
ik 644-2511 Ext. 230
Date Buoflding Inspector Application must be printed or typed.
1. LOCATION OF JOB:
A92 r
FEE SCHEDULE Otis
2. OWNER.
$ 0 - $19 000 - $10.00 3. ADDRESS: Ntf
Over $1,000 - $10.00
per $1 ,000 or 4. APPLICANT:
fraction thereof
5. ADDRESS:
wt �O
7-
6. EST. COST: $ L1DQ
7. IS THIS A CONTRACT COST? ES NO
8. FEE ENCLOSED: $
9. TYPE OF BUIL G:
RESIDENTIAL COMMERCIAL
10. TYPE OF JOB:
ORIGINAL ALTERATION
INSTALLATION ADDITION
REPAIR
BD 2A 11/88
APPLICATION FOR PLUMBING PERMIT (Cont. from Reverse Side)
11. LOCATION OF JOB: 8 �l L/o�C'S
GENERAL PLUMBING
12. KIND OF INSTALLATION: S / ( )13. SIZE OF MAIN DRAIN
tww?4
N 0--
14. NO. OF TOILETS_ .2, /STYLE 15. NO. 0 URINALS STYLE
16. NO. OF BATHTUBS 16A. NO. OF SHOWERS 17. NO. OF LAVATORIES
18. NO. OF SINKS 19. DISPOSAL 19A. DISWASHER
,r
20. NO. OF CONDUCTORS SIZE 21. NO. OF STACKS 1 SIZE
22. AREA OF ROOF 23. NO. OF CATCH BASINS 24. NO. OF FLOOR DRAINS
25. NO. OF OTHER FIXTURES KIND
26. ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW?
27. SIZE OF WINDOW
28. IF NO WINDOW, WHAT KIND OF VENTILATION IS THERE?
29. SIZE OF DUCTS 30. SEWER OR SEPTIC TANK?
31. SIZE OF WATER MAIN 31A. SIZES OF WATER PIPING & RISERS
32. REMARKS AND FURTHER DETAILS
61-ja A A AP
1'6tt�
-44dp rk A4AAPAP r hyz&r&�
/O� T
a
WATER HEATER !!
33. TYPE 34. MANUFACTURER
TANKS SAFETY DEVICES
TEMPERATURE
35. CAPACITY 39. RELIEF VALVE
36. TEST PRESSURE LBS. 40. MANUFACTURER
37. WORKING PRESSURE LBS. 41. PRESSURE RELIEF VALVE
38. TYPE 42. MANUFACTURER
LICENSE NO. DATE S NATUR APPLICANT
PHONE NO S� L
Sectric# ° APPLICATION FOR BUILDING PERMIT
Plumbing# 18 WILD ROSE DRIVE
HVAC # 26618 Date:
Sprinkler# N0•
T;
FINAL PPR Estimated Cost $ y 2 v L)
Building( i�99 COMPLETE RED BOXED AREAS Permit Fee $
Wneeri TYPE OR PRINT ONLY Occupancy Fee $
Affidavit SIGN ON REVERSE SIDE
Appr.for CO. J Total Fee $
TO BIAL M DPARTMENT,TOWN OF SOUTH WiNlMoM Cr (Additional Cost)
The undersigned hereby applies to do work according to the following specifications:
Job Location 1 g �/►"I a R 95e , r. Lot No. Side of Street Zone
Applicant /vN, b'j-C ����,�5 Tel# S"28- y666
Address -7 4/ Rw,..� F Sf, IF-, H• Zip 0 6/o? Lic.# so/11 1
Owner M Address !k
Architect Address
Sq. Ft.N w Area: 1st FI. 2nd FI. 3rd Fl. Total New Area
#Rooms #Lavatories #Bathrooms #Garages
Purpose of this permit:_ -s,s y- I rs f../1 ��e t �„�fcr S�,c lc� �e 1 f ,�4p« �,d vc,^f
�r�� r�S���•S lC .
City Water ❑ Well 0 Septic System ❑ Sewer ❑
Ins. H.O. S Cert. Area I I Basement Garage
Approved by Date 15122 Use Group Construction Type
R•vs.d 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 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 Q�
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS