HomeMy WebLinkAbout154 Rosemary Lane �i6 i 5�0'T0 THE BUELDING INSPWMR
of the APPLICATION FOR
PLAN EXAMINATION AND
TO" (IF �H WIPWSM COrK BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sect' ns: 1, 11, III, IV, and IX. O
ZONIN
• AT (LOCATION) DIST Q
LOCATION (N0.) (STREET)
OF BETWEEN AND
BUILDING (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 X1 New building Residential Nonresidential
2 ❑ Addition(If residential, enter number 12 One family 18 ❑ Amusement, recreational
of new housing units added, if any,
in Part D, 13) 13 Two or more family - Enter 19❑ Church, other religious
number of units— — — — 20❑ Industrial
3 ❑ Alteration (See 2 above)
14 ❑ Transient hotel, motel, 21 ❑ Parking garage
4❑ Repair, replacement or dormitory - Enter number
5 ❑ Wrecking (1/multifamily residential, o/units ------- - - 22❑ Service station, repair garage
enter number of units in building in 15❑ Garage 23❑ Hospital, institutional
Part D, 13) 16❑ Carport 24❑ Office, bank, professional
6❑ Moving (relocation) 25 Public utility
7 ❑ Foundation only 17❑ Other - Speci/y ❑ Y
26❑ School, library, other educational
B. OWNERSHIP 27❑ Stores, mercantile
8 ® Private (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,,,,,,,,,,,,,,,, 7 40099 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 ......................
c.Heating, air conditioning.........
r
d. Other(elevator, etc.)............
11. TOTAL COST OF IMPROVEMENT $
III. SELECTED CHARACTERISTICS OF UILDING — 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❑Masonry(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 s���
32❑ Structural steel dimensions .................... Jazz;
33❑ Reinf reed concrete H. TYPE OF WATER SUPPLY
a Z /,v V
34❑ Other — Specify 42 Public or private company `� Total land area, sq.ft. ...........
43❑ Private(well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
...
F. PRINCIPAL TYPE OF HEATING FUELI. TYPE OF MECHANICAL 51. Enclosed ....................
35❑ Gas Will there be central air 52. Outdoors.......................
36�Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
37 Electricity 44 XYes 45❑ No A
53. Number f bedr me..............
38❑ C al �f
39❑ Oth r- Specify Will there be an elevat r? 54. Number f Full..........
46❑ Yes 47%No batter me /
Partial.......
NOTES and Data — (For department use)
IV. IDENTIFICATION — To be complet d by all applicants
Nam Mailing address — Number, street, city, and State ZIP code Tel. No.
1.
Owner or
Lessee
2.
Contractor
3.
Architect or
Engineer
Th owner of this building and t-he undersigned agree to conform to all applicable laws of this jurisdiction.
Signature of applicant Ad4f
res__s Application date
DO NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Revi w R wired Check Plan Review Date Plans By y
Date Plans B Notes
q Fee StartedApproved
BUILDING or $ _.30,
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
Vi. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approva I Check Dot Number By Permit or Approval Check Obtned Date
ai Number By
re
Obta Obtained
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 10858
P rmit numb r
Building
Permit issu d June 8 19 79
Building
Permit Fee $ 558.00
Approved by:
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TOWN OF SOUTH WINDSOR
BUILDING PERMIT
Date .TLn e 8 , 1979
Fee Paid $.5.5 8..00 Est. Value $ 9 3.,.000.00
Permit N9 10858
F
` on the side of
s
Lot #8 Rosemary Lane Street
Street No. 154
Owner RSK Contractors, Inc.
Applicant RSK Contractors , Inc.
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No. 54nn
a
t
Fee Paid $ 1.nn
f
CLASSIFICATION
Dwelling
t
f
C
BUILDING PERMIT
NO 10858
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn. JUMP S 1979
94!o 'to to Trrtifg, That RSK Gont;rgntnre.TT�?�.
is hereby granted permission to Dwe 11 inz
it
at estimated value of 00
on the side of Lot �08 Rosma= lime Street on land
owned by RSK Contractors, Inc,
Said Work to be as described in Application
No. 11158 and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
Issued June 8 1979
)-���Z--,Bwilding 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 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."
61�/7q 7F,4.' 6y4,p--,Fv/ .
INSPECTION EP ORT
Permit # AF"
,Job c-
1 Footingz---I /-17 M�Fs
2 Foundation
3 Framing Z., 7 -2 i��
4 Wiring
5 Plumbing --. — 7
6 Heating
7 Lathing -
8 C.O. X)
Permit No. TOWN OF SOUTH WINDSOR
SOUTH WINDSOR, CONN.
Permit x-� 5400
Certificate of Occupancy _
T C IFY that th 1`� z
at No in the To of South Windsor, Connecticut, has ;
been erected and completed n accordance with the Building Code and Zonin Regulations of
the Town of South Windsor, and is hereby approved for occupan ».-.-
401f WIPE oft-.0,0
c44�;�Ittilding Insp ctor
_QWher, Builder s a
Fee Pad Date 19
6838
ELECTRICAL APPLICATION
Application No. 7 843
on the sick of
Lot #8 R n s P n ry T.a rt P Strwt
Street No. _ 194
Owner R�K QnUt-rac fors
Electrician Petersen Electric
FILED IN OFFICE OF
The Building Inspector
July 16 19 79
INSPECTION.
s 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.
APPLICATION FOR PERMIT TO DO ELECTRICAI. WORM.
C�
Permit No. . .....63 3.8................
TO THE BUILDING INSPECTOR
of the
TOWN OF SOUTH WINDSOR, CONN.
............... hereby make application tq perform Electr cal Work according to detailed description below. All
provisions of the Rules for Electrical Installation, Section 48, Building -Laws, shall be complied with
whether specified herein or not.
South Windsor, Conn., 19 Sign here '`^'.: ...I..... . ........ ..,.�
�� A
s
Address of,,� �?! .... ........ ......... .... .. .............. .
.6.4..tZ.� Side of ... . ... ..Location ............... �!.�t..'�.. !��..�*�F .. ..... � ..............
.... ............................................................................
Nature of Building .....X* 6 :)Ac u 1-040 ... How many stories ............................/...............................................................
New or old Building How many families ...............................................................................................
Kind of Installation ....... / �..k........ How many Stores ......................................................................................................
Owner ..�.\.?.. .................... .. ........ . ............................. __...... ...... Address . .............. ...................................................._.._._......._._............__......
Architect .......... .......... .. .. .. ..... .. Address .........................................................................._....__....._....._.......
Builder Address _._......_...........
ElectricianP-E, . .��. ..l .. ...u�.'�.... Address ... .... ....................................................................._........._......._...._.__.
Size of Main Wires ... -t..... . ... ......RLOff'
No. of Light Loops .. ....... ..1..... .. ..... No. of Heat Loops .......... No. of Power Loops ....................
No. of Light Outlets ..... ... .... . ........ No. of Heat Outlets .... No. of Power Outlets .................................
NoP 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 ...........67-0.......... 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�f`` Installation .. . /.......... .........iy..................... .................(... . .r...........................
..... ............ ........ ........................ ...................
00
......................................................................NPR..... ..r�.�. ,� WC:.i�/..... ........... L.. .. .yn ..+71�Mc.............d..wc...iY�:.............,M.'.x. .'71c�f...........i....
............................................ ........................................................................................................... ._......................................................................................................... .................................. ...
................................................................................................... ..................................................... .......................................................... ......... ..... .. ...... ............. ..
Estimated Cost /
5416
PLUMBING APPUCATION
q— . . No. 6199
on the ...... UTI�- side of
_............... A 5-42 r,n E u L iad" e, .q-
Street Igo. ...... -- L',T P-
Owner ----._--.��- C��*-cTa�2 �
Plumberv1�,d•— �a-LS �
Filed in Office of
The Build'mg isspecoor
July 10 19-29
No person shall ooustnact, add to cr alder my
pordon of the drainage symm of any brning
(emzpt to repair lea6) until a Plensk is Smaed
by the Building Lapecow.
U9 . .................
.................. . .Application . ... .
TO THE BUILDING INSPECTOR
of the
TOWN OF SOUTH WINDSOR, CONN.
.. ...............I.......hereby make application to perform plumbing according to detailed description below. All
provis ronss of the Rules for Sanitation, By-Law3, Sections 33 to 47 inclusive, shall be complied with whether
specified herein or not.
..................
South Windsor, ...................................... 1912-1... Sign here....................... .. ......
Address 10.2....... ....4........
Location ....................... . ... ......................................................... side of ......... ...................... Street
. .... ...... ..
Nature of Building . .. .... ........................ How many stones .............................................. .........................
. .. .........
Owner ......... ....... .................................... ........ Address ..V!a... . ......4................................
Architect ..................... ............ ...................................................................... Address .......................................................................................................................
Budder ........... . . .......... ... ...... .................................................................. Address ...................................................................................................................
Plumber . ....... .. 4- 0................. Address........C2!r 4
.............................................................................
DRAINAGE
CESSPOOLS, How many ... .... ............... ...................... .... ............ Where located .....................................................................................................
Arethey water tight .. ...... ........................................................................ Of what materials are they built .......................................................
Sizeof pipe from house to cesspool ............................................. Kind of pipe ................. .....................................................................................
MAINDRAIN IN CELLAR, Material ...jC-!....c(i.............. Diameter ........4..re................................................................................................
Above or below cellar bottom ...................................................................
SOILPIPES, Material . .. ........C..........1..................................... Diameter ...... .......................................................................................
WASTE PIPES, Material .......#�.. ..... .......... ............ Diameter .....5....n...)... �.i..................................................................
TRAPS,Type proposed to use is ............... ..............0. ... .. .........................................................................................................................................
RAIN WATER LEADERS, where do they run to . ....- .... .....................................................................................................................
REFRIGERATORWASTES, where do they run to .. ........................................................................................................ ...............................
TANKOVERFLOWS, where do they run to .. . ...........................................................................................................................
FIXTURES
WATERCLOSETS, How many ...............�3............................ Where located ... ..................................................................................
Distance from trap to vertical soil pipe ......................................... Pattern .. .. ..... ............ ...................................................................
WASHTRAYS, How many ..... ...................................................... Where located . .. .......................................................................................
SINKS, How many ....................... ...................4........................................ Where located .............................
BUTLER'S SINKS, How many ........................................................ Where located,
REFRIGERATORSINKS, How many...................................... Where located ..................................................................................................
LAVATORIES,How many ..............................V..................I............. Where located .....................................................................................................
BATHTUBS,How many...............................13.................................. Where located .....................................................................................................
URINALS, How many ........................................0................................... 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 ........... zA/"3
Estimated Cost t.....Y.46.....S. .............................
PERMIT #
Application For 6105 5004
DEPARTMENT DECISION Heatmg Permit
3 APPLICATION IS HEREBY: DEPARTMENT OF LICENSES AND INSPECTIONS
APPROVED DISAPPROVED
TOWN OF SOUTH WINDSOR
/7
n n
00 DATE 7 CALRI&IhSPECT R APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BEL W
O
en
C "� 1. LOCATION OF JOB
Cd O NO.
STREET
� D
PCd
.� LOT NO. FLOOR APT. NO.
O 0
� v
prz2. OWNER
O
Cc
0 S. ADDRESS q, �be
4.PHONE
w
� � S. APPUCANT
a. ADDRESS -/
$4 - G• T.PHONEZ D �I
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S. LICENSE NO. C- 2--
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S. EXPIRATION DATE OF LICENSE
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.� 10. ESTIMATED COST
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11. IS THIS A CONTRACT COST? 0 YES ❑ NO
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Permit 10858
12. FEE ENCLOSED S
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v ai 13. TYPE OF BUILDING:
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b RESIDENTIAL ❑ COMMERCIAL
3 14. TYPE OF JOB: ❑ INDUSTRIAL
RIGINAL
~ )5--INSTALLAT1 N ❑ ADDITIONON
REPAIR
APPLICATION FOR HEATING PERMIT (C ntinu d tr m R v ne Side)
11. LOCATION OF JOB
NO. STREET f FLOOR AFT.NO.
12. TYPE OF INSTALLATION: ® OIL BURNER ❑ ELECTRIC ❑ VENTILATION ❑ SPRINKLER
0 GAS BURNER ❑ STACK ❑ INCINERATOR ❑ MISCELLANEOUS
IDENTIFY
SIZE --► LOCATION SIZE of SIZE , �L
13. OF TANK c i.5 d OF TANK OF FILL CA OF VENT
14. B.T.U. EQUIP. AT REGISTER FURNACE MAKE AND NO. AT BONNET FIRING RATE
BOILER OR FURNACE MAKE AND NOgt&d 1605115B.T.U. OR SQ. FT. NET B.T.U. OR SQ. FT. GROSS_FIRING RATE
FLOORS TO BE HEATED NEW OR OLD BUILDING =2 Xw" I SULATED - YES OR NO
TYPE OF WALL INSULATION atl ROOF OR CEILING INSULATION �1
AVG. SYSTEM WA ER TEMP. / ea B.T.U./SQ. FT./HR. EMISSION
INDOOR-OUTDOOR TEMPERATURE DIFFERENCE kc) °FAHRENHEIT
MAKE OF RADIATION: BASEBOARD. COPPER CONVECTORS. OR C.I. RADIATION. OUTP T PER SECTION OR LINEAL OF RADIATION. SO.
FT. OR B.T.U.
DESCRIPTION OF WORK
1S. TO BE DONE:
16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS);
RO M SIZE WINDOWS AREA - SQUARE FEET S.T.U. S.T.U. o DISTRIBUTION INSTALLED
AND DOORS VOLUME TOTAL TOTAL
NO. FT
ROOM GROSS GLASS NET WALL CEILING FLOOR CU. . AT 70•F CORRECTED t j RAO. REGISTER
L W N AND TEMP. TO TYPE AND SIZE OR LEADER
' t
SIZE Z WALL c0 (INFILT.) DIFF. •F m uai SC' FT' FREE AREA
f
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ed� to ,ro park
Pify l 3 frUv •
1�u,1b o i� M Y3elV k i
org- o S l ov �vu WV 13 OV 3
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Im
PINJ/1v6 /L 1 S �U oL f'o rU ?dD
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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
117. ELECTRICAL WORK BY;
NAME ADDRESS
SUBCONTRACTORS AND
1e. THEIR TRADES
ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY THE(OWNER) OR (AGENT) OF THIS PROPERTY AND WILL
SE DONE IN STRICT ACCORDANCE WITH THE BUILDING CODE.
APPLICATION TO BE COMPLETELY FILLED IN.
DATE SIGNATURE OF APPLICANT
PERMIT #
Application For
DEPARTMENT DECISION W Heating Permit
O
3 APPLICATION IS HEREBY: DEPARTMENT OF LICENSES AND INSPECTIONS
N ;' ❑ APPROVED ❑ DISAPPROVED
TOWN OF SOUTH WINDSOR
O cd
00 O DATE CHIEF INSPECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BELOW
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t» �
C 1. LOCATION OF JOB
x+ o4-3
1.4
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cd O NO. STREET
� O 6
.� LOT NO. FLOOR APT. NO.
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p 2. OWNER
Cd
O s. ADDRESS
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3
E
(v > 4.PHONE
a� IS
S. APPLICANT
6. ADDRESS
45
w 7.PHONE
S. LICENSE NO.
0.
4S
C w 9. EXPIRATION DATE OF LICENSE
10. ESTIMATED COSTaq
:
� •o
11. IS THIS A CONTRACT COST? ❑ YES ❑ NO
be
y 12. FEE ENCLOSED s
a�
� v
13. TYPE OF BUILDING:.
b ❑ RESIDENTIAL ❑ COMMERCIAL
O �
C 3 14. TYPE OF JOB: ❑ INDUSTRIAL
.-i RIGINAL
❑ INSTALLATION ElADDITIIONON
REPAIR
APPLICATION FOR HEATING PERMIT (C ntinued it m Revene Side)
11. LOCATION OF JOB
N0. STREET FLOOR APT.NO.
12. TYPE OF INSTALLATION: ❑ OIL BURNER ❑ ELECTRIC ❑ VENTILATION ❑ SPRINKLER
❑ GAS BURNER ❑ STACK ❑ INCINERATOR ❑ MISCELLANEOUS
IDENTIFY
SIZE LOCATION SIZE SIZE
13. OF TANK OF TANK OF FILL OF VENT
14. B.T.U. EQUIP. AT REGISTER FURNACE M E AND N0. AT BONNET FIRING RATE
BOILER OR FURNACE MAKE AND NO. B.T.U. OR SQ. FT. NET B.T.U. OR SQ. FT. GROSS FIRING RATE
FLOORS TO BE HEATED NEW OR OLD BUILDING INSULATED - YES OR NO
TYPE OF WALL INSULATION ROOF OR CEILING INSULATION
AVG. SYSTEM WATER TEMP. B.T.U./SQ. FT./HR. EMISSION
INDOOR-OUTDOOR TEMPERATURE DIFFERENCE °FAHRENHEIT
MAKE OF RADIATION: BASEBOARD. COPPER CONVECTORS. OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ.
FT. OR B.T.U.
DESCRIPTION OF WORK
15. TO BE DONE:
16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS).
R OM SIZE WINDOWS AREA - SQUARE FEET e.T.U. Ill.T.U. DISTRIBUTION INSTALLED
AND DOORS VOLUME TOTAL TOTAL
r
ROOM NO. GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED -J j RAD. REGISTER
L W N AND TEMP. TO f TYPE AND SIZE OR LEADER
SIZE WALL f'�tC (INFILT.) OIFF. •F O m SQ. FT. FREE AREA
vF7,Ir�
'1 I S' ? 3dz) vav gIli i 20 1f ,
3 7 )3 Yl7 ov g907� 16 r n
g12 L 13 l ff v 16fy Pita
TOTALS 9�
A. HEAT LOSS FROM BUILDING rf B.T.U./HR.
B. DOMESTIC HOT WATER DEMAND l S-6r" B.T.U./HR.
C. PIPING. OTHER THAN NORMAL 2-570 U d B.T.U./HR.
ALLOWANCE FOR HEAT VALVE OF FUEL (A B C) FACTOR
17. ELECTRICAL WORK BY: dtd
NAME ADDRESS
SUBCONTRACTORS AND
1e. 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. � SJ�
DATE NATURE OF APPLICANT
Electric# APPLICATION FOR BUILDING PERMIT
Plumbing# 154 ROSEMARY LANE
Date: IZ/I/9i
HVAC # No. 23908
Sprinkler#
FINA?L1 PRO Estimated Cost $ �iUyc)
Building4 COMPLETE RED BOXED AREAS PermitFee $ `36
Enginee V TYPE OR PRINT ONLY Occupancy Fee $
Affidavit SIGN ON REVERSE SIDE
Appr.for CO. A Total Fee $
TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR,CT (Additional Cost) $
Th and rsign d hereby applies to do work according to the following specifications:
Jo6 Location �� I` 1)e-MG f- L(A^R.- lot No. Side of Street Zone
Applicant bZ.x n y Tel. # S.Z- t/66 o
Address Z H �.�n�G�c 51 1=4s t �14��-F9 rc� Zip O Lic.#
Owner /✓l4-i l yr+ /`'jf`e)Z Address
Architect Address
Sq. Ft. New Area: 1st FI. 2nd FI. 3rd FI. Total New Area
#Rooms # lavatories #Bathrooms #Garages
Purpose of this permit: RCrz J Xis f A;)e f
City Water Well Septic System D Sewer
Use Group Construction Type Area / Basement Garage
Approved by Date
Reveed 6/95
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 a zone in which this building and its use is allowed.
Signed D-9-A- /—V;I—
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