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HomeMy WebLinkAbout115 Sally Drive t� 3 � # q1� TO THE BUIOLDING INSPEffOR of d e APPLICATION FOR TOWN OF SOUTH WDOSOR,CONIC PLAN EXAMINATION A N D BUILDING PERMIT z IMPORTANT — Applicant to complete all items in sections: 1, 11, Ill, IV, and IX. o ' - • AT (LOCATION) ZONING DISTRICT 74 LOCATION (NO.) STREET) OF BETWEEN AND BUILDING (CROSS STREET) (CROSS STREET) SUBDIVISION V LOT�_BLOCK SIZE x, � y3 H II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D -� �o A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wracking"most recent use tm M 1 *w building Residential Nonresidential 2❑ Addition(1/residential, enter number 121E� One family 18❑ Amusement, ►ecreati nal o/new housing units added, if any, in Part D. 13) 13 — Church, other religi us Par ❑ Two or more family Enter 19❑ 3 number of units— —— ——► 20❑ Industrial Alteration (See 2 above) 14❑ Transient hotel,motel, 4❑ R pair replacement 21 ❑ Parking garage , or dormitory — Enter number 5❑ Wrecking (1/multi/amity residential, of units ——————— —- 22❑ Service station, repair garage enter number of units in building in 15❑ Garage 23❑ Hospital, Institute nal Part D, 13) 16❑ Carport 24❑ Office, bank, professi nal 6❑ Moving (relocation) 17❑ Other — Specify 25❑ Public utility 7 E] Foundationonly 26❑ School librar y,other ducotional B. OWNERSHIP 27❑ Stores, mercantile 8 16—Privat (individual, corporation, 28❑ Tanks, towers n npr fit institution,etc.) 29❑ Other — Specify 9 ❑ Public(Federal, State,or # local gov rnment) C. COST (Omit cents) Nonresidential — Describe in detail proposed use of buildings,e.g., fo d �^� processing plant, machine shop, lau dry building at hospital,elementary 10. Cost of improvement,,,,,,,,,,,,,,,, tJl�l� ' school, secondary school, college, p4rochial 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......... d.Other(elevator,etc.)............. 11. TOTAL COST OF IMPROVEMENT s UV• 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 11 30❑Me& nr wall bearing) 48. Number of stories..e*9 @..#o.9....I & Y( g) 40 ublic or private company 31 L.B W d from* 41 ❑ Private(septic tank,etc.) 49• Total square feet of floor area, 32 Structural steel all floors, based on exterior ❑ dimensions ..................... 1 33❑ R infore d concrete H. TYPE OF WATER SUPPLY 34❑ Oth ► — Specify 42 Public or private company 30. Total land area, sq.It. ........... s!� 43❑ Private(well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES F. PRIN IPAL TYPE OF HEATING FUELI. TYPE OF MECHANICAL 51. Enclosed ....................... 35 as Will there be central air 52.il c n Outdoors........................ 36 Oil ntng? L. RESIDENTIAL BUILDINGS ONLY 37❑ Electricity 44❑ Yes 45 VN 53. Number f bedrooms.............. 36❑ Coal 39❑ Oth r— Specify WlII there b an elevator? Full.......... 54. Number f 46❑ Y s 47 N bathrooms IV. IDENTIFICATION - To b compl t d by all applicants Name Mailing address — Number, street, city, and State ZIP code Tel. No. �• Pleasant Valley 658 Ellin ton Rd South 06074 - owner -- Lessee Realty Inc. 2. J.M.J. Comstruc 06074282-0692 Contractor rio. Inc. 3. Architect or Engineer The own r of this building and the undersigned agree to conform to all applicable laws of this jurisdiction. Signature f applicant Address Application date 626 Ellington Road, So.Windsor,Ct. s �5 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans R vi w Required Check Plan Review Date Plans B Date Plans B Notes q Fee Started y Approved y BUILDING $ PLUMBING $ MECHANICAL $ ELECTRICAL $ OTHER $ VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approval Check Date Obtained Number By Permit or Approval Check ObtDo'i ed Plumber By 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 l�y60 Bui Iding Permit issued ,�����s 19 Building Permit Fe $ �S 3 , oo �° C . oa Ap ov d by: 0 T! TOWN OF SOUTH WINDSOR BUILDING PERMIT Date June 11 , 19 85 Fee Paid $.2.8 8..0 0 Eat. Value $. .4 8.1.0 0 0 Permit N° 14460 on the aide of Lot #18 Sally Drive S Street No. 115 Owner Pleasant Valley Realty Inc. Applicant Mir r i P 1 ja r-a P s CERTIFICATE OF OCCUPANCY ISSUED: Date No. 7127 Fee Paid $ 3.0 0 CLASSIFICATION Dwelling I I I I BUILDING PERMIT I N ' 144` a OFFICE OF r THE BUILDING INSPECTOR of the I Town of South Windsor, Conn. South Windsor, Conn. •Tug 1S8 5 I I 94iJMJ's is to CrrtifV, That Construction Co. is hereby granted permission to DVd*1I i ng I I I at estimated value of $ I I on the side of Lot *18 Sally Drive Street on land I owned by Pleasant Val ley Rea l ty Inc. Said Work - to be as described in Application I No.14 7 6 0 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issued .TtmE+ ' 1 198 5 I _ Building Inspector. I Streets and sidewalks, obstructed by excavations or building materials, must be guarded by barrios 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 cats and damages which it shall sustain, or be compelled to reason therefor." I I• i I I I I I I " I I I - I Dwelling - Lot #18 P1.Val.II 6/11/85 JMJ/Pest. Val. Rlty 115 Sally Drive permit # 14460 Electricia n Richard Barrett # 8795 v Heating Contr. So.Wind. P & H # 6195 plumbing is So.Wind. P & H # 6730 Oil Burner # Certificate of Occupancy # 7127 Sewer Permit Plot plan apprd. per Engr. Permit No. TOWN OF SOUTH WINDSOR SOUTH WINDSOR, CONN. Permit C Certificate of Occupancy P Y THIS JI TO CERTMY,that the 'Z To- at No m' �" = a: r f in the Td�ivn of South Windsor, Connecticut, has been erected and completed in accordance with the Building Code and Zoning Regulations of the Town of South Windsor, and is hereby ap ved occupancy Yr - Building Inipector Owner, Builder Fee Paid . _ r� Date 19 N REINO E. HYYPPA B ASSOCIATES CIVIL ENGINEERS 8 LAND SURVEYORS GLAS TONEWRY, CONN. A NNE K ��F UPc��NO c i l 7 �, ; l8 a CL t Z ` Lv CL qp go Nv 3 vi �j p Lo 5 E 4vc tti Z zr op/ L'ss s�4 4 76 78 Q w go _1 Lrn' LINES FF40M NAAP ON F\L>< TITLED, 9 '10PEW SPADE 5U8D►VI5►3N A-ZO ZONE PLOT PL14J S EL'TIO N I F-EASANT VALLEY HOME'S II SOUTH WIND OP C-oww•"b-f REI►JQ E.H`NPPA 4 As:MOX5 UvIL LAND;,URvEvoRS Sc-ALE I"=40' PREPARED FOR DATE Id-24- 8a VjAP No.43-60-1 D SNP 3 of ,15NE�. Rz\/ S- -86 PEASANT VALLEY HOMES U ;ro--LaceTTr, A-,%,W**Q e-+-BS SOUTH W I N DOOR, CoNN. S6 ZCIN I NG V I OLAT I oNS CERTIFIED SU STANTIA.I-LY CORIZE t5cALf-: I"=40' DATE: 5-t(.o-55 �� l0-aS• 18 o V IMF �r 8795 ELECTRICAL APPLICATION Application No. 10209 on the side of Lot #18 Sally Drive Street Street No. 115 Owner JMJ/Pl .Val.Rlty Electrician Prichard Barrett FILED IN OFFICE OF The Building Inspector June 26 19 85 INSPECTION. rw 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. Electrical Permit No. '.4ftY ....... Master License No. ../&... .......... TOWN OF SOUTH WINDSOR Building Permit No. .'/Y:�.6�.......................... BUILDING DEPARTMENT .......Filed .......&..-'d.-V .9'6.............................. APPLICATION FOR ELECTRICAL WORK Date Final Approval .................................................. Electrical Inspector JOBLOCATION. �� a.�.......... IV ................. JOB 9WNER: ......... ..... .... .......... ........................................................................................................ A.)0Y)4N Side of ....... .......... ........ ....... Between ............ .. Vt.C.S6.I(......... ..................... and ......................... ...................................................... Name of Building Owner .........J.M. ........................... . .............. Address ... 6 !51'.......UAYU .........aa.................... Ifwork is for Lessee--.,Give name ......... . . .......... ................ .............. Address ................................................................................................ Building now occupied as (unless new) INAkj ................. ........ ....... . ..... No. of family units now .................................. Building to be occupied as ...........0... j—tAJA .................... .. . ........ Number of family units to be ...........I Is this work included in a Building Permit? �.et5 ...... Permit Fee ............... ........... ........... ........................................................ # (If no Building Permit) Permittee Business Address 3 0 1.1)4PM 10.5..... ....... Telephone �V-3.m COSTOF INSTALLATION: . .................................... ........................................................................................................................................ TO 0 BE FILLED OUT BY PERMITTEE TO BE WIRED EXISTING APPLIANCES Number of light outlets to be installed ­.�.s........ Number of convenience outlets to be installed Number of present Appliance Circuits .................................................. Number of switches to be installed ..... Do these include Range ❑ Water Heater Number of appliances to be installed ❑ (as listed below) Dryer ❑ Air Conditioner ❑ Oil Burner ❑ TYPE RATING NO. Range . . . . . . . . Dish Washer ❑ Gas Burner ❑ Range Top . . . . . . Well Pump ❑ Elec. Heaters ❑ Oven . . . . . . . . REMARKS: , Water Heater - - . . I I Ld t n'n c atS jaete 11 77t NK Clothes Washer . . . . Clothes Dryer . . . . . Dish Washer . . . . . . Air Condition-mg Motor Oil Burner Motor . . . . Gas Burner . . . . . . Circulator Motor . . . . Attic or Large Fan . . . Well Pump . . . . . . Electric Heat . . . . . Other . . . . . . . . Number of new Lighting Circuits ............. Number of new Appliance Circuits ............ Number of Heating Circuits ................... Number of Motor Circuits . . ... . . . .. Size of present service ............... Size of service to be ..............LO...0... 6731 PLUMBING APPLICATION Application Noy 6502 on the__ side of L0_t_-18 Sally Drive $, Street No. ._, 115 Owner ._--JMJ/Plst. Val. Rlty Plumber + gaEkilc So.Wind. P & H Filed in Office of The Bwildmg I�rpeemr July 29 85 No Person shall cower, add m or abor ay portion of the Bran w wmaem of my bolding (mmept to repair lealm) wig a Pic s wmd by the Building Ins xnw. APPLICATION FOR PLUMBING PERMIT (Continued from Reverse Side) TOWN OF SOUTH WINDSOR, CONN. 11. LOCATION OF JOB e NO. STRIFET FLOOR APT.NO. GENERAL PLUMBING 12. KIND OF INSTALLATION KC s 71 13. SIZE OF MAIN DRAIN 14. NO. OF TOILETS STYLE :r 9- �t 15. NO. OF URINALS STYLE 16. NO.OF BATHTUBS�_17.NO.OF LAVATORIES _18. NO.OF SINKS�_19. NO. OF WASHTUBS l 20. NO.OF CONDUCTORS SIZE 21. NO. OF STACKS SIZE �.? e 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? CleeT,_c eta r 7V 29. SIZE OF DUCTS 3 30. ARE SEWAGE AND WATER FACILITIES AVAILABLE? Le f SIGNATURE ADDRESS k LICENSE NO. 020d —ESTIMATED COST TELEPHONE 09, 9 ICY OWNER—�.��J �hf/�d�l d�� ADDRESS WATER HEATER 31. TYPE h( ( f', i cr 32. MANUFACTURER f`1r l ! `� TANK SAFETY DEVICES 33. CAPACITY Ll �/J•i l 37. TEMPERATURE RELIEF VALVE n2l o d 34. TEST PRESSURE /fd z 1 38. MANUFACTURER_ G�� f7-�1 35. WORKING PRESSURE gel t 39. PRESSURE RELIEF VALVE /ra l 11 36. TYPE L,/�11 &r �( 40. MANUFACTURER ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY THE OWNER OF THIS PROPERTY AND WILL BE DONE IN STRICT ACCORDANCE WITH THE BUILDING CODE. CD962 6ATE SIGN TURF PLICANT 6730 PLUMBING APPLICATION Application No. 6501 on the ----__---_._ side of _ . . ._ L2t_.#18 Sally Drive Street No. ......— 115 Owns JMJ/P leas .Val.Rlty. plumber S o.Windsor P & H Filed in Office of The Butktmg I�rpocoor --- .:11-11 y 29 1941.5— II�T�C1�0�. ......................................... No person shall oomumi, add m a alder aiy portion of the drainage symm of any l uMeg (except to repair 66) until a Pleanit is pmftd by the Building Lmpeaw. APPLICATION FOR PLUMBING PERMIT (Continued fr m Reverse Side) TOWN OF SOUTH WINDSOR, CONN. 11. LOCATION OF JOB ��T� Ato { NO. STWEET FLOOR APTAO. GENERAL PLUMBING 12. KIND OF INSTALLATION lec-f c" 1 13. SIZE OF MAIN DRAIN Ale 14. NO. OF TOILETS 3 STYLE -rAi✓h E_ pg a 15. NO. OF URINALS STYLE 16. NO.OF BATHTUBS 17.NO.OF LAVATORIES 18. NO.OF SINKS 19. NO. OF WASHTUBS 20. NO.OF CONDUCTORS SIZE 21. NO. OF STACKS --SIZE 0 22. AREA OF ROOF r-- 23.NO. OF CATCH BASINS — 24. NO. OF FLOOR DRAINS 25. NO. OF OTHER FIXTURES ! KIND 3;e" S�y411 t 26. ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW? Xel 27. SIZE OF WINDOW ol- 28. IF NO WINDOW,WHAT KIND OF VENTILATION IS THERE? ^�ee-4/e [ 29. SIZE OF DUCTS y 30. ARE SEWAGE AND WATER FACILITIES AVAILABLE? s / r SIGNATURE ADDRESS�Sv� ul� /1� '�, y(/�e e T LICENSE NO. J-o O 2 ESTIMATED COST V u y TELEPHONE OWNER .J�hl ( ��✓�v� r✓� ADDRESS �2.�� L . T Arl ��✓�( G����,r� WATER HEATER 31. TYPE �� s L ir�'''L 32. MANUFACTURERS TANK SAFETY DEVICES 33. CAPACITY �'d�'��l (�!� r / 37. TEMPERATURE RELIEF VALVE 34. TEST PRESSURE_ f�U/h 1 38. MANUFACTURER 35. WORKING PRESSURE AA i 39. PRESSURE RELIEF VALVE 36. TYPE 6/X I f llh ry/ 40. MANUFACTURER 1,&f"`�s ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY THE OWNER OF THIS PROPERTY AND WILL BE DONE IN STRICT ACCORDANCE WITH THE BUILDING CODE. CD962 D#tE SIGNA RE PLICAN / r 1 PERMIT # Application For 6585 6195 d DEPARTMENT DECISION Heating Permit 3 E APPLICATION IS HEREBY: DEPARTMENT OF LICENSES AND INSPECTIONS N APPROVED ❑ DISAPPROVED .� TOWN OF SOUTH WINDSOR � a"i ATE �'hIt1� a s P. n'Au r;a CHIEF INSPECTOR O APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BEL M p v 1. LOCATION OF JOB O �+ p 9 115cis � 4 -.. v NO. STREET Cd LOT NO. FLOOR APT. NO. O O �h� J' 2. OWNER �`l J .�!/l(e! cc Cc a 3 S. ADDRESS G� / l�t/.�, a/ 4.PHONE cd S. APPLICANT t/ m � r G. ADDRESS yZ 4u ^ Ad..,t,/ �1 w0i� t / 7.PHONE '� +' B. LICENSE NO. 6t 7`q r y D Q O V-+ st. EXPIRATION DATE OF LICENSE t� Qp 10. ESTIMATED COST : OUr). �� J bo 11. IS THIS A CONTRACT COSH YES ❑ no 12. FEE ENCLOSED = P e rm i n t #14 4 6 0 ac � x `n 13. TYPE OF BUILDING: m 19, ❑ O C I.L7 RESIDENTIAL COMMERCIAL 3 14. TYPE OF JOB: ❑ INDUSTRIAL ICJORIGINAL ALTERATION INSTALLATION ❑ ADDITION REPAIR APPLICATION FOR HEATING PERMIT (Continued from Reverse Side) 11. LOCATION OF JOB —v7--7y III NO. STREET FLOOR APT.NO. 12. TYPE OF INSTALLATION: ❑ OIL BURNER ❑ ELECTRIC ❑ VENTILATION ❑ SPRINKLER GAS BURNER ❑ STACK ❑ INCINERATOR W MISCELLANEOUS �.;/yr i�C4 -•l/ IDENTIFY SIZE LOCATION SIZE SIZE 13. OF TANK OF TANK OF FILL OF VENT 14. B.T.U. EQUIP. AT REGISTER FURNACE MAKE AND NO. AT BONNET FIRING RATE BOILER OR FURNACE MAKE AND NO.i2fie y B.T.U. OR SQ. FT. NET UL' JB.T.U. OR SQ. FT. GROSS FIRING RATE FLOORS TO BE HEATED :rwd NEW OR OLD BUILDING /yril� INSULATED — YES OR NO �r s TYPE OF WALL &2eoy INSULATION �L���J/ ROOF OR CEILING Z-41-4"5 INSULATION AVG. SYSTEM WATER TEMP. ,L��° B.T.U./SQ. FT./HR. EMISSION INDOOR-OUTDOOR TEMPERATURE DIFFERENCE �'' "o� °FAHRENHEIT MAKE OF RADIATION• ASEBOARD COPPER CO TORS. OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SO. FT. OR B.T.U. (,ln NV DESCRIPTION OF WORK ' ts. TO BE DONE: < y S� 17 o n e (/at!l e f 16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS): WINDOWS e.T.u. e.r.u. ►-D DISTRIBUTION INSTALLED ROOM SIZE I.- AND 000Rs AREA - SQUARE FEET voLUME F TOTAL TOTAL NO. ` GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70'F CORRECTED J j F LL REGISTER RO M ANDYI LL TYPE AND SIZE RAD. OR LEADER L W N SIZE < WALL 'Ltd (INFILT.) TEMP. TO .F F m a SQ. FT. FREE AREA f O TOTALS A. HEAT LOSS FROM BUILDING B.T.U./HR. B. DOMESTIC HOT WATER DEMAND �,i U�Ud�' I?T�'; 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: G�1�� S&vf4 i"' t IJ'c NAME ADDRESS SUBCONTRACTORS AND 1s. 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. *7/ - - ,z DATE 3 rGNA OF APPLIC T I..1 i�S01r` KIND OF BUILDING ` DEALERft O[o�� CHIMNEY SIZE / CONSTRUCTION: WALL �// / i WINDOWS r n rr or,% ROOF OR CEILING b i BA EMENT HEIGHT: ABOVE GRADE BELOW GRADE DESIGN WATER TEMPERATURE DESIGN TEMP. DIFF COL.1 2 3 4 5 6 7 1 13 9 10 1 1 12 13 14 i ss 16 17 1 ROOM SIZE w'NDOws AREA-SO. FT. FLOOR VOLUME TOTAL 6AS •OARD AND DOORS 1s[t NOTE/ Cu.FT. TOTAL ACCESSORIES GLASS NET WALL CEtLIN¢ AT"F CONT TIEMf cpcTCD WATER LENGTH 1®I.Z vapor.Nu an GROSS' t pIFF. L W H ow AREA WALL ENCLOSURE IOI a _F FIN L R S LC Mfv_ silt / 1 Q /p p�►7 TEwP Di►r. FT TUBE i Rw, 1i) Ti. 8 o /otoo V300 V?/o 9 8 .Z �.. G o '' oo Q.,, I., 8D o I _T ��l 'K0 00 Yo c d y° o S �' �'' 3 00 Q o boa �'©o 3- 110 D i t< �� aZ 1Dp I SD 3 o D 700 «o 0 o�D - RR .?o � z rot �170 Il _ _ t /g /x 8 00 D / o a 300 �Y®O� t� 9 � 8 0 0 �o 3o ��oo 1410 .3 OL 300 Xoo olo d coo l S a o A a� 1)9 if fi rD13 17 1 If >< o o /00 1.100, yd o0 5.240 /a 0 /0 0 i0o 70 ta�Srap a� D 5 i Jr �Y 1� d a noo106 Moo y000 Y570 NOTE: FOR CONCRETE FLOOR ON GROUND OR PILL AT GRADS LEVIRL,USE LIW9AR FE=T OF LEPiOOM OW& TOTALS FOR ALL OTHER FLOORS USs SQUARE PEST OF ARIA. 117300 s FINAL INSPECT L g APPLICATION FOR BUILDING PERMIT Building Plumbing HVAC Date: E 3 � Sprinkler 115 SALLY DRIVE Electric Estimated Cost $ Zoning Permit Fee$ �G Affidavit NO. 21747 Occupancy Fee $ Eng. Dept. COMPLETE RED BOXED AREAS. C) Fire Dept. TYPE OR PRINT ONLY Total Fee $ / Health Dept. Approved for CO: SIGN ON REVERSE SIDE. (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 1rtc��i eSd 'f � Tel. # G`t' 05f q2- Address // Sf�LI-� so• So r f.+ Zip 46"0•c6871t Lic.# i&TREET CITY STATE Owner Address F Architect Address Size New Area: Ft. Front Overall Ft. Deep Overall Total Area #Garages Lavatories Size of Lot Dist. from Street Line Bathrooms Rooms 1 st 2nd 3rd Purpose of this Permit 2 ra"yam'&Nk JU1 F City Water 0 Well 0 Septic 0 Sewer 0 Use Group N Construction Type N Approved by Date �� C BD1A 11/88 I hereby agree to conform to all the requir ments 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 allow d. Aigned 9)1rt/4 04 `S"Al IF I hereby apply for a Certificate of Occupancy for the work described in this application for permit. Signed —DO NOT WRITE BELOW THIS LINE— INSPECTION RECORD Footing Framing Foundation Fireplace/Chimney Insulation Plumbing Permit# Inspections: HVAC Permit# Inspections: Electrical Permit# Inspections: Sprinkler Permit# Inspections: