HomeMy WebLinkAbout1535 John Fitch Boulevard (8) TO THE BUILDING INSPECTOR
at the APPLICATION FOR
TOW14 OF 50l)'M VVIPWSM WINK PLAN EXAMINATION A N D
BUILDING PERMIT
z
IMPORTANT - Applicant to complete all items in sections: 1, 11, III, IV, and IX. 0
ZONING
AT (LOCATION) DISTRICT
LOCATION (No.) (STREET)
OF BETWEEN AND
BUI LDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
II. TYPE AND COST OF BUILDING - All applicants complete Parts A - D -�
�v
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use T
1 ❑ New building Residential Nonresidential
2 Addition(If residential, enter number
12❑ One family 18❑ Amusement, recreational
of new housing units added, if any, 13 Two or more family — Enter 19 Church, other religious
in Part D, 13)
number of units— — — — —► 200 Industrial
3 ❑ Alteration (See 2 above) 140 Transient hotel, motel,
21 ❑ Parking garage
4❑ Repair, replacement or dormitory — Enter number
5❑ Wrecking (If multifamily residential, of units ——————— — - 22❑ Service station, repair garage
enter number of units in building in 15❑ Garage 230 Hospital, institutional
Part D, 13) 16❑ Carport 240 Office, bank, professional
6❑ Moving (relocation)
17❑ Other — Specify 25❑ Public utility
7 ❑ Foundation only 26❑ School, library, other educational
B. OWNERSHIP 27❑ Stores, mercantile
8 Private(individual, corporation,
28❑ Tanks, towers
nonprofit institution,etc.) 29 Other — Specif
9 ❑ Public (Federal, State, or •
local government)
C. COST (Omit cents) Nonresidential — Describe in detail proposed us of buildings, e.g., food
processing plant, machine shop, laundry building at hospital, elementary
10. Cost of improvement,,,,,,,,,,,,,,,, school, secondary school, college, parochial school, parking garage for,
department store, rental office building, office building at industrial plant.
To be installed but not included If use of exis ' g building is being chpnged, enter proposed us
in the above cost r
a. Electrical......................
b. Plumbing ...................... A e n
c.Heating, air conditioning.........
d. Other(elevator, etc.)............
11. TOTAL COST OF IMPROVEMENT S
III. SELECTED CHARACTERISTICS OF BUILDING - For new buildings and additions, complete Parts E - L;
for wrecking, complete only Part J, for all others skip to IV.
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS
30❑Mas my(wall bearing) 40❑ Public or private company 48• Number of stories................
31 ❑ Wood frame 41 ❑ Private (septic tank, etc.) 49• Total square feet of floor area,
all floors, based on exterior
32❑ Structural steel dimensions ....................
33❑ Reinf rced concrete H. TYPE OF WATER SUPPLY
34❑ Other — Specify 42❑ Public or private company
50. Total land area, sq.ft. ...........
43❑ Private(well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL 1. TYPE OF MECHANICAL 51. Enclosed .......................
35❑ Gas Will there be central air 52. Outdoors........................
36❑ Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
37❑ Electricity 44❑ Yes 45❑ No 53. Numb r f bedrooms..............
38❑ Cool
39❑ Oth r— Specify Will th re be an elevator? Full..........
54. Number f
46❑ Yes 47❑ No bathrooms Partial........
NOTES and Data — (For department use)
IV. IDENTIFICATION — To b compl t d by all applicants
Nam Mailin address — Number, street, city, and State ZIP code T I. No.
fZ,-A�,,
Owner or
Lessee
2.
Contractor t �• L�
f�
3.
Architect or
Engineer
The owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction.
Signature ap icant Address Appl'cati n date
Z' f 4z4::/-1<4L"1 /P02
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans R view R quired Check Plan Review Date Plans Date Plans
Fee Started By Approved BY Notes
BUILDING $
PLUMBING Is
MECHANICAL $
ELECTRICAL $
OTHER is
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Appr va I Check Date Number B Permit or Approval I Check Dote IJumber B
Obtained y pp Obtained Y
BOILER PLUMBING
CURB OR SIDEWALK CUT ROOFING
ELEVATOR SEWER
ELECTRICAL SIGN OR BILLBOARD
FURNACE STREET GRADES
GRADING USE OF PUBLIC AREAS
OIL BURNER WRECKING
OTHER OTHER
VII. VALIDATION
Building
Permit number 11060
Bui Iding
Permit issu d Aiig� 79 19_79
Bui Iding
Permit Fee $ 90.00
Approved by:
TITLE
NOTESVill. ZONING PLAN EXAMINERS
DISTRICT
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SIDE YARD SIDE
REAR •
NO TES
-SITEOR PLOT . Applicant Use
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TOWN OF SOUTH WINDSOR
BUILDING PERMIT
Date Aug. 2 9 , ig 79
r Fee Paid $. 2 0..0 0 Eat. Value n--
f
FF o
1
Permit N" 11060
on the side of
John Fitch Blvd, Street
Street No. 1535
Owner Robert O-,trnw
Applicant Jnhn Ltm om e
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No.
Fee Paid $
CLASSIFICATION
Two Signs
BUn DING PERbffr
N? 11060
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn. —Aug.. _-a 19 79
M#Io to to Certify, That l'r30Deb.—f'.1a4-n.n, C4r�.�,,,rFi s v v v v vv�v v�v 0
is hereby granted permission to Two S ems
at estimated value of $
on the side of I S 3 S Icoh„ R i tee--B Blvd Street on land
owned by
Said rg��-�- to be as described in Application
No. 11360 and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
Issued ]gig, 9 ,�--- 19 79
- ' �;:..-$wilding 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 CONNECTICUT: "When any person shall PIM
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 is which such highway may be situated, he shall pay said city,
town or borough all coats and damages which it shall sustain, or be compelled to reason therefor.
�Z-EICTION REPORT
Permit # Job
f 1 Footing \
Z.
2 Foundation
3 Framing J
4 Wiring
5 Plumbing
6 Heating
7 Lathing
8 C.O.