HomeMy WebLinkAbout187 Quarry Brook Drive (2) T HE BUILDING INSPECTOR
of Illy APPLICATION FOR
D TOWN OF SOMH WINDSOH Cam. PLAN EXAMINATION AND
BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O
I• AT (LOCATION) /'1 r00 /(/'� ZONING
DISTRICTS a6
LOCATION (NO.) (STREET)
OF BETWEEN /� AND �'ee.,44,6,
BUILDING (CROSS STREET) (CROSS STREET)
l'
� LOT
SUBDIVISION .L� Gr , LOTC2709R BLOCK SIZE
N'
II. TYPE AND COST OF BUILDING — A11 applicants complete Parts A — D
�o
A. TYPE 0 MPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use rn
1 New building Residenj
,00 Nonresidential
2❑ Addition((/ residential, enter number 12 One family 18 0 Amusement, recreational
of new housing units added, if any, 13 ❑ Two or more fomi ly — Enter 19❑ Church, other religious
in Part D, 13)
number of units— — — — --)P. 20❑ Industrial
3 ❑ Alteration (See 2 above) 14 l t l t t h i Transenoe , motel,❑ 21 ❑ Parking garage
4❑ Repair, replacement or dormitory — Enter number
5❑ Wrecking (If multifamily residential, 4—units ——————— — -� 22❑ Service station, repair garage
enter number of units in building in 15 Garoge 23 ❑ Hospital, institutional
Part D, 13) 16 ❑ Carport 24❑ Office, bank, professional
6 ❑ Moving (relocation)
17 ❑ Other — SpeciJy 25 E] Public utility
7 ❑ Foundation only
26 ❑ School, library, other educational
B. O;?10H_I P 27 ❑ Stores, mercantile
8Private (individual, corporation, 28 ❑ Tanks, towers
nonprofit institution, etc.) 29❑ Other — Specify
9 ❑ Public (Federal, State, or
local government)
C. COST (Omit cents) Nonresidential — Describe in detail proposed use of buildings,e.g., food
processing plant, machine shop, laundry building at hospital, elementary
10. Cost of improvement................ 4000 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 existing building is being changed, enter proposed use.
in the above cost
a. Electrical......................
b. Plumbing ......................
ltlyw
c. Heating, air conditioning......... 1 (ze
d. Other (elevator, etc.)............
11. TOTAL COST OF IMPROVEMENT $ 7�46
III. SELECTED CHARACTERISTICS OF BU LDING — 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
48. Number of stories................
30 ElMa my (wall bearing) 40 Public or private company 49 Total square feet of floor area,
31 ood frame 41 ❑ .Private (septic tank, etc.) all floors, based on exterior 32❑ Structural steel dimensions ..................... �/7Q
w
33❑ Reinforced concrete H. TYPE WATER SUPPLY
50. Total land area, sq. ft. ...........
34❑ Other — Specify 42 Public or private company i
43 ❑ Private(well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed .......................
35❑ Got' Will there be central air 52. Outdoors........................
36 Oil conditioning?
L. RESIDENTIAL BUILDINGS ONLY
37❑ Electricity 44❑ Yes 45 f rNo 53. Number of bedr ms.............. 7
38❑ Coal
39❑ Other— Specify Will there be an elevator? 54. Number f Full.......... 2
46❑ Yes 47 No bothro ms Partial........
NOTES and Data — (For department use)
IV. IDENTIFICATION — To b compl t d by all applicants
Name Meiling addr ss — Number, street, city, and State ZIP code TeI. No.
Owner or
Lessee
2.
Contractor
3. /L �
Architect or
Engineer
The own r of this building and the undersigned agree to conform to all applicable laws of this jurisdiction.
Signatur applicant Address Application date
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans R vi w R quired Check Plan Review Date Plans By Date Plans By Notes
Fee Started Approved
BUILDING $ Jai / -
PLUMBING $
MECHANICAL
ELECTRICAL $
OTHER
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or A nova I Check Date Number B Permit or Approval I Check Date Number B
pp 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
P rmit number 10574
Bui Iding
P rmit issued NOV. 11 19 -ZB--
Bui Iding
P rmit F $ 402.00
Approved by:
� t
TITLE
r
SOUTH WINDSOR - ,:•�6 aF.
BUILDING PBRMrT .f
Date Nov. 7 197 8
Fee Paid .402.00 Ems. Value $.6 Tp 000 00
Per nit N° 10574
on the tide Of
Lot #202 Quarry Brook Dr. Sant
Street No. 187
O,,ne,, LaCava Construction Co.
Applicant Geo_rae LaCava
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No. 5252
�1.
Fee Paid $ 3.00
CLASSIRCA77ON
Dwelling
BUILDING PERbffr
NY 10574
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn. Nov. 7 19 78
94is to to gerfifg, That Lacava Construction Co.
is hereby granted permission to Ne l ling
at estimated value of $ .Cv
on the side of Lot j0202 Q$rry brook. Drive Street on land
owned by LaCava Conistruction Co.
Said Work to be as described in Application
No. 4 and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSO&
Issue f 19 78
Building Inspector.
Streets and sidewalks, obstructed by ezcavations or building materials, must be guarded by barriers
during the day and by both barriers and colored lights by night.
SECTION 1343, GENERAL STATUTES OF CONNECTICUT: "When any person shall place
or keep building materials, or any obstacle in any highway (or any sidewalk) either with or without a
license therefor from the city or borough in which such highway may be situated, he shall pay said city,
town or borough all costs and damages which it shall sustain, or be compelled to reason therefor."
///7/11li- ;px: 5-W3-37i/
INSPECTIO REPOR
Permit #A 7y Job
1 Footing
2 Foundation _7
3 Framing
4 Wiring
5 Plumbing
6 Heating
7 Lathing
8 C.O. �2�
M Permit-No. TOWN OF SOUTH WINDSOR
SOUTH WINDSOR, CONN.
I
I
I
Permit 5252
I
I Certificate of Occupancy
I
THI IS TOTTIFY th the
I
at No 7
in theeilding
of South Windsor, Connecticut, has
been er cted and compl ed in accordance with the Code and Zoning Regulations of
I
the Town of South Windsor, and is hereby approved for occupancy.
I
Building mg nspector
w e , 31 er I
Fee Paid 3 Date 19
�riF�ZowN_�F- souTKw�NosoR=_=
N 1 F JO HMSOM OPEN SPACE
_ S &Co-40'-2Cwi E-+" 9 �
1 Q4.04'
Foundation Located as S how
November 21 , 1978 p
o ! 203
N sS.
N
v �
�•s 2t.$� a•f • 4A' �
41.0
1 M-00'
OUARRY -TS ROOK DC- WE
PROPERTY MAPPED FOR
LaCAVA CONSTRUCTION COMPANY
NO. QUARRY BROOK DRIVE SOUTH WI NDS OR, CONN.
Being Lot No. 202 on a map entitled, "Subdivision Plan, Tudor Hill Section II, Property
of George Achenbach, South Windsor, Connecticut. . . . . .Scale 1 "=40', April 22, 1974. . . . "
SCALE 1 "=40' DATE: 12/1/78
OF CONNF
ti M t�► ! ha—by catify this leap to ue
" substantiall-v correct and tha! no
zoning r� ins are viclatF .
�� .9678
�L SU[2V�-tG
Ja es C. Sommers, L.S. 9678
FUSS & O'NEILL, INC. . 210 Main Street, Manchester, Connecticut 06040 78=84E
A P P R 0 V
TOWN OF S",
ENGLNEERING
DATE- ,--/
'00�r
6677
ELECTRICAL APPLICATION
Application No. 6985
on the side of
Lot #202 Quarry Brk.DrStrwt
Street No. 187
Owner LaCava Construction
Electrician J. Zingare 11_i
FILED IN OFFICE OF
The Building Inspector
Dec. 14 19 78
INSPECTION.
"No 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.
/ 6 A 1� � _5__
APPLICATION FOR PERMIT TO DO ELECTRICAI. WORK.
No. ....... .6.9_85.................
Permit No. . .....6.6 73.............
TO THE BUILDING INSPECTOR
of the
TOWN OF SOUTH WINDSOR, CONN.
.... hereby make application tct 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., ...... 1. 19/,�ign here .... .. .... ......... ............. .. ....... .........
Address ✓ Q rU ........ ........................_....
Locatic;2-'�' -. .. ..... ... Side of .. .. . ..... ... ..... .............................................................
Nature of Building How many stories ............ .......I ................................................ .................
New or old Building ............... ........... How many families ...................../.....................................................................
....
Kind of Installation .. ..... How many Stores ....................... ...........................................................................
Owner ........................................................ ............... ............................_.......... .. Address ....................................................._....................................
ArchitectAddress ......... ....... .. ............................................................. ....
Builder ........... . ................ . P 6 Address ..ln. ... ......
Electrician ....... r. .. .. Address C�.. .......:Z�...... ..._.r
Size of Main Wires .. ...................................................
No. of Light Loops ........... I. .. . ....... No. of Heat Loops .. ..,... No. of Power Loops .....................
No. of Light Outlets ...../..s/ ... ..... No. of Heat Outlets .... No. of Power Outlets ...................................
No? of Light Circuits ..... . ........ ..... 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 ........��.....--2........ Total Wattage ................. ........... . .... .... Size of Power Circuit .. . ....
Total Horsepower .. ..... .. ....
No. of Straight Electric Fixtures ...... . ... .. ............ .... No. of Combination Fixtures ....
No. of Receptacles .............. . ...... . .................. No. of Cord Drops ....... .................. . .....................................
/17
Remarks:/,Forther kind of Installation ...... .......... ... ...... .... . .... .......... . ........ .......
.............................................................................................................. ........... . .................... .. _................................. .................................................................. . ... .................. ...... .
...................................................................... ........... .O..
—(f
Estimated Cost ....... .`............. ......... . ...
5302
PLUMBING APPLICATION
pppyr,, No. 6086
on the .... Side of
Lot
_............_... 6rao k Dt- i S"Pm-
Owner
Plumber _.�,�.. �r- lvn
Filed in Office of
The Building Inspector
Nov. 14 19-23
No person shall cmetruct, add to or alter my
portion of the drainage system of any balog
(except to repair leaks) until a Pleemit is granted
by the Building Inmpector.
i
i
i
Application No..............6.08.6............. Permit No. .......:5.3.Q2..............
TO THE BUILDING INSPECTOR
of the
TOWN OF SOUTH WINDSOR, CONN.
...... ............. .... hereby nuke 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. . .................. 19 Sign here ..... ..................................................................
South Windsor. .......................................&I'l.Y
Address ....................................................................................................................
Location Cafa.0.2..............quAn. .4104.....D side of ..................................................................................................... Street
Natureof Building ............. ................................................... How many stories .. ......................................................................................
Owner .......01/a..(.a' 4mt......... ............................................... Address
Architect ....... Address ......................................................................................................................
6;;;-I�. .... ............................................................... Address ................ ....................................................................
Builder . ....... ��J'
Plumber ....OZ041.1&�.Ia..................................................................... Address -.02M...Cla..O(...
DRAINAGE
CESSPOOLS, How many . .......................................... ................... Where located .....................................................................................................
Are they water tight ................................................................... ... Of what materials are they built ...................................................
Size of pipe from house to cesspool . ........................................ Kind of pipe . ............. .....................................................................................
MAIN DRAIN IN CELLAR, Material .......... Diameter ........ ........................................................................................
Aboveor below cellar bottom .. ......................................................... .. ......... ........................................................................................................................
SOILPIPES, Material ..... .............................................................. Diameter ....... .......................................................................................................
WASTEPIPES, Material ........19..P,.).. ..................................... Diameter ...............................................................................................................
TRAPS,Type proposed to use is .. .......................... ... - .. .. .. .......................................................................................................................................
RAIN WATER LEADERS, where do they run to ... ................. ..................................................................................................................
REFRIGERATOR WASTES, where do they run to . . ... ....................................................................................................... ...............................
TANK OVERFLOWS, where do they run to . .................................................................................................................
FIXTURES
WATER CLOSETS, How many .......... -.3................ ... ......... Where located . . . ..................................................................................
Distance from trap to vertical sod pipe ...................................... Pattern .. ......... .......... ................................................................
WASHTRAYS, How many ........................................................... Where located . .. ..........................................................................................
SINKS, How many .............................I........................................................ Where located ... . ............................................................................................
BUTLERSSINKS, How many ........................................................ Where located......................................................................................................
REFRIGERATOR SINKS, How many....................................... Where located ..................................................................................................
LAVATORIES,How many .....................-3........................................ Where located ......................................................................................................
BATHTUBS,How many.....................I................................................. Where located .....................................................................................................
URINALS, How many ................................................................................ Where located .....................................................................................................
Are water closets and urinals to be local vented If not, is there a window in outer wall
ofroom where same are to be located ........... ..............................................................................................................................................
Estimated Cost�-I.e'O......................................
PERMIT #
Application For 5097 4896
d DEPARTMENT DECISION Heating Permit
d O
3 APPLICATION IS HEREBY: DEPARTMENT OF LICENSFS AND INSPECTIONS
N +' ID APPROVED ❑ DISAPPROVED
.."
°' TOWN OF SOUTH WINDSOR
4
00 1 DATE S C 1 INSPECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BELOW
O
0o A
C '� 1. LOCATION OF JOB
sue, 1�.�.7 �j
NO. STREET
v
Cd °i�0 Z
LOT NO. FLOOR APT. NO.
0 O
N
� O
2. OWNER
O s. ADDRESS �� r'
3
4.PHONE a 3-3 7��
S. APPLICANT LIA f 4 n Q A 9
art ad 11
°� l
a. ADDRESS Q2Q �-Id r I � Pn[k nQ
� � P
40 n , Iltr�e :7.PHONE 33 020
w
B. LICENSE NO. J0 0 2 O 2
Q pp..
o w B. EXPIRATION DATE OF LICENSE /O -,1 - 79,
v
.a 10. ESTIMATED COST
'-' 11. IS THIS A CONTRACT COSTt ❑ Np
b0
j y 12. FEE ENCLOSED : Permit 10574
Q
v 13. TYPE OF BUILDING:
bo rn 1.� RESIDENTIAL ❑ COMMERCIAL
O A
C3 14. TYPE OFF JOB: INDUSTRIAL
ALTERATI
~ LJ INSTALLATION ❑ A DIITIONON
REPAIR
a
.�c.,5
APPLICATION FOR HEATING PERMIT (Continued fr m Reverse Side)
11. LOCATION OF JOB 20 2 ( /d�'I`�/ Arno f,-, DL% J
le
N0. STREET FLOOR APT.NO.
9�
12. TYPE OF INSTALLATION; OIL BURNER ❑ ELECTRIC ❑ VE14TILATION ❑ SPRINKLER
❑ GAS BURNER ❑ STACK ❑ INCINERATOR ❑ MISCELLANEOUS
IDENTIFY
SIZE 0 0 LOCATION
N TANK � SIZE OF FILL Z � SIZE
OF VENT �
13. OF TANK 14 -1
14. B.T.U. EQUIP. AT RE GI ER FU%f CE MAK AND NO. PA AT BONNET FIRING RATE
BOILER OR FURNACE MAKE AND NO�c6E-3 ��h B.T.U. OR SQ. FT. NET q` 0_VfB.T.U. OR SQ. FT. GROSS FIRING RATE Ja_
FLOORS TO BE HEATED NEW OR OLD BUILDING (a)I'c,) INSULATED - YES OR NO Vey
TYPE OF WALL 60"Ul ` f INSULATION f K ROOF OR CEILING INSULATION
AVG. SYSTEM WATER TEMP. /4-0 a B.T.U./S . FT./HR. EMISSION
INDOOR-OUTDOOR TEMPERATURE DIFFERENCE R)+ °FAHRENHEIT
MAKE OF RADIATION: BASEBOARD. COPPER CONVECTORS, OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SO.
FT. OR B.T.U. ,P p C Y0.tX 00" S A'O
DESCRIPTION OF WORK tt
15. TO BE DONE: �� h'e c.t. .'a
16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS):
WINDOWS °
R Ow SIZE AND DOORi AREA - SQUARE FEET VOLUME 8.T.U. 8.T.U. <F DISTRIBUTION INSTALLED
TOTAL TOTAL � LL
NO, t OLAS! NET WALL CEILING FLOOR CU.FT. AT 70*F CORRECTED J FF REGISTER
RO M L W M AND W GROSS TEMP. TO A j LL TYPE AND SIZE RAD. OR LEADER
SIZE WALL f710 (INFILT.) DIFF. •F P m m SQ. FT. FREE AREA
175<
TOTALS
A. HEAT LOSS FROM BUILDING 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;
NAM[ 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. `
DATIf 81 NA UR[ OF APPLICANT
�er im wo&m me t ` .w lnstlWti
�4 �1'F h mot•- _ - " ? - . n i '� _ -
,K` -" a r _ ARQ�Sfs> plitl#!M'�l1�lIt/ITURE lllfrftRRN�>�--::.-.R. Ti
C01i...A Co � Ia t..�- mil+•' RCOi�,�_E
YliT $, T� t 111L % - � TtI!#!MM riatdo►!
xe �xr► �a wr►��s. i. •€ , 3 4� ' sea .d
i4l C�VT'SIQE HOAR AMSE - . . �=
Blum STU14 OTUH 8T K e►Tw+
= _ RUCTION _ _
. 1�tOo� Loo.ter.cw
i € 1r1MW4Jft%1E ,SELECTED
� � 1 _ _ ��U{. ��!• j,A 5 e . - - }' �r y�i ��� _ti r - = h '1 S s � i'��/' -
AQMZ
-
` = JP
y
ie
"y T Jt�" IV
VONTi£MP,8ii1FeR-,fNCE � ��. O 001 O K
_ CAL.A COl..R COL.N CS ..1 'COL_d COL. K_ ��11,,.L.
ErAL.BT1lM TOTAL
- .
• � 1[ Or
7 It
At
1 oil
11 A L L$,FT.. � ,�' r
� .. �M1No 0070181 DOOR IkABA R+.
4; BTVH ETUH cL STUM NT J"
*fW- CASE OATHROOM
cr _ c` 00 'T 'TAL.30%
00
WOW ow
Q - ffroR CONCRETE FLOOR ON
f3 T IS AT
GROMD OR Fitt
Q�I�At1E LEVIEL.USE
LINEAR
�. 'VON i - - ----- -- ---- FEET OF EXPOSED EDGE
ire
Ic
fill
_ h °
_ r N '-',vs. -ita,+Y:�._ _ _ - - _ _- ,_ w _ - .-�. _�. .x. ,�.-.�".�='�' ' -__� �t �,j� •-._ - .h_:_- �`.°}y�'' _ ..w-_ _ �1s1�iiY' _
xa 7- a,Yj.,t.�..`Y• :3 "'.*+- .*`. " vim'�'7'_ S, .,5 `L r r, {- __ ;�,`- F-M r°yt'�5 `f_ -- -.x ,y' s-
' '9..-.2fl, t$1._S2 J' •Y"- • - .- . -e�� �w,C.Cw°J ��-s.-+~ r'..;.�-�:I34Y`` .--a - -�A'.u' `.1',C` _-. r - .A�A�i; - R#� A«s - a � =�8..�rs. ."'+., ter..-ir.� .:t'"• ..r Y�� , 'a,.i.@`"-w -
�D4R.#�.,� R COL.C �+C+Dk�• COS.•i Cam.! 4.A
a, -
.. :M M� 4�Wat" S• ._.._._,:....
Z2� 04D" III",fr1r.OF
T*f^%t RAWATIOM
.�- .,+��__ ". _ _ _ '� .._ �� =�'�_ �` •_fib„ `' -,d..�
14
dop
- .'$7 T��3 - R4,'� 1!. _ r� _�` _ _ r .v _ x',r - �-:,f^ - `�"-_ 'rv_�' .x�-i-irtt_-`_��L� _ t3�'.�"__ ���.- - - _-�" '_✓.
u i CQ#..W CC L,t �CO4-,# CQ6..K C��.L
.
ALVV61*4 TOTAL
V
W M_ _L aG* k}i *L • L W t1Air 1��
x a _ ►�. - =�_. � 3� [U
d' uNTUH Ri are
�,�`"i'�',',�'�"�� _ �,`s' 'f;,�•+= ;� -� - -T"fie-, .'�-,<.�� ,y.�y _,.�. - " -9?�> �.^i�;a,_o�-z,�-�. '3�} .. - - -�_ �/4�+e iV7� � -
mo
USE LINEAR
��� t - -�--- -- --- - -t-�--- -�-r friEc'T`OR expostD EflGE
fm
• : _�
Pr
t - `a y _ - -3._.s+;C`:?` _ � ,- �,- _cs;: .�, ``EL..-k 4,t -__- ;,'-,tx_ •,k"-.sr'�.��_-a:�` - - - -`' '* ___.,� )flog }
.� - ."�,.• .,w Tom,_- - .tk>r f ""! - .0 i�
�.._ _ Y�. �:`_ >a*•,;_-._ �- � _�� - t =4_�, ��-t,F,.��uuo-� _'_��_ t }'�..-�,.- �. - ..Y�':.4`F.-„ _�,�3t',.;�'� �",_- .�.�.,k.��t`� ����.�.:;,,�rn' _-?!- _- -._ =�.3i ..t, t �-
Building
ildLnI.(�ISPECT�I?OgNS:` APPLICATION FOR BUILDING PERMIT
Plumbing
HVAC [Date: IT
Sprinkler 187 QUARRY BROOK DRIV
Electric
Estimated Cost $ ° 0. v
Zoning Permit Fee $ 3V
Affidavit NO. 17 9 2 6 Occupancy Fee $
Eng. Dept. COMPLETE RED BOXED AREAS. �j0 f
Fire Dept. TYPE OR PRINT ONLY Total Fee $
Health Dept. SIGN ON REVERSE SIDE.
Approved for CO: (Additional Cost) $
TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT
The undersigned, hereby applies to do work according to the following specifications:
Job Location �� Lot No. Side of Street Zone
Applicant ����'' �- f�wG✓f b/3r,09WMAWLT Vvu A A�Wa Tel. # IF71 A 63
Address (��� �/�/�0 �►1�e 4 i4 «�lZ 14.,✓Ar/. L1r Zip D(�2�G—Lic.# �/� '1�6
STREET CITY STATE
Owner P Address Kamd AO- - , �_a 4r Ja i
Architect Address
Size New Area: Ft. Front Overall Ft. Deep Overall Total Area MfA #Garages
Lavatories
No. of Families No. of Stories Construction Bathrooms Rooms 1st 2nd 3rd
Size of Lot T 20 )CO2 Dist. from Street Line Dist. from Side Street Line
Purpose of this Permit Zn AV �k' `''?�`/ 'r .211 D i "k
o� C A.*LirY
City Water Ce'o" Well 11 Se tic Sewer [��
Approved by Date BD1A 11/88
I h reby 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 a zone 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 permit.
Signed
—DO NOT WRITE BELOW THIS LINE—
G-0UAO P oT VL I De
CC'Nc �-L P_ff o'Py ppv P, INSPECTION RECORD
Footing -!Z 5 Framin(A
Foundation Fireplace/Chimney Insulation
Plumbing Permit# Inspections:
HVAC Permit# Inspections:
Electrical Permit# Inspections:
Sprinkler Permit# Inspections: