HomeMy WebLinkAbout12 Pine Knob Drive f /
1�
TO THE BUHDING INSPECTOR
{ APPLICATION FOR
TOWN OF SOUTH WU SM CONK. PLAN EXAMINATION AND
BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, V, and IX. O
t ZONING
��
I• AT (LOCATION) � � DISTRIC
LOCATION (NO.) (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 m
1 y New building Residential Nonresidential
2❑ Addition(If residential, enter number 12 CR One family 18 ❑ Amusement, recreational
of new housing units added, if any, 13 Two re family —
in Part D, 13) ❑ o o more am Enter 19 Church, other religious
❑
number of units— — — — --)P- 20❑ Industrial
3 ❑ Alteration (See 2 above)
14 ❑ 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 23❑ Hospital, institutional
Part D, 13) 16 ❑ Carport 24❑ 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 IV Private (individual, corporation, 28 E] 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................ ,ZDOd 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......... 7il4u&
d. Other(elevator, etc.)............
11. TOTAL COST OF IMPROVEMENT $ 0400
III. SELECTED CHARACTERISTICS OF BUIL ING — 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 M 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 .................... d
33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY
34❑ Other — Specify 42 FV Public or private company 50• Total land area, sq. ft. ........... Q
61
43 n Private(well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES /
51. Enclosed ......................
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
35 V Gas Will there be central air 52. Outdoors.......................
conditioning?
36❑ Oil L. RESIDENTIAL BUILDINGS ONLY
37❑ Electricity 44❑ Yes 45 54 No 53. Number of bedrooms..............
38 ❑ Coal
39❑ Other— Specify Will there be an elevator? 54. Number of Full..........
46❑ Yes 47�<No bathrooms /
Partial.......
NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all 9pplicants
Nam A Mai lin addr ss — Number, street, city, and State ZIP
- j 0/&/ 6 2; ''cod T I. No.
Owner or N n Z Dd
Lessee
2.
Contractor
3.
Architect or
Engineer
The owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction.
Signature of applicant Address Application date
W 6�w J7'
00 NOT WRITE BE OW THIS/LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans By Date Plans By Notes
Fee Started Approved
BUILDING
PLUMBING
MECHANICAL
ELECTRICAL
OTHER Is I
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Date Obtained Number By Permit or Approval Check ObtDaitned Number 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 8373
Permit number -7.1. .,7;t" NY S11K$41"I►AjkY CWMIM
Building
Permit issued April19
Bui Iding
Permit Fe
Apptoov d by:
0
VIII. ZONING PLAN EXAMINERS NOTES
DISTRICT
USE
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
NOTES
IX. SITE OR PLOT PLAN — For Applicant Use
_ 1 N
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i
TOWN OF SOUTH WINDSOR
BUILDING PERMIT
Date April 1 , 1974
Fee Paid $ 13 2..00 Est. Value $2 2,0 0 0.0 0
r .
a
Permit N° 8373
on the side of
Lot#-lpine Knob Drive Street
Street No. 12
Owner Nelson Jacques
Applicant Nelson Jacques
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No.446 3
Fee Paid $ 3. 00
CLASSIFICATION
Dwelling
t
BUILDING PERMIT
N9 837.3
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn. April 1 1974
Yids is fit Trrfif1j, That Nelson Jacques
is hereby granted permission to Dwelling
22,000.00
at estimated value of
on the side of Lot #1 Pine Knob Drive Street on land
owned by Nelson Jacques
Said Work to be as described in Application
No. 8b73 and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
ed April 1 419 74
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 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 compeller to reason therefor."
INSPECTION REPORT
Permit # Job
1 Footing 14,76-
2 Foundation
3 Framing 5-.2a-?s/ Sle"i 6-�?- 7`/
4 Wiring Ll�'`,S zz-75/LZL3 7�/ y/��°T,c-/r-7YF3 73
5 Plumbing e/ ,3 r,3=L 9- 7`/
v
6 Heating
7 Lathing ?=2 6-7y
s C.0. yy (o3 7 2t. �y
�5 rat
G/ b ,
1
I
Permit No. r •J TOWN OF SOUTH WINDSOR
SOUTH WINDSOR, CONN.
i
t
i
i
Permit N 4463
i
Certificate of Occupancy
THIS JS TO CI$RTIFY that the
at Now .E°' %�` in the of South Windsor, Connecticut, has
been erected and completed in accordance with the Building Code and Zoning Regulations of
i
the Town of South Windsor, and is hereby approved for occupancy.
Building Inspector
Y
wne wilder
Fee Paid ,. "'"�i Date f��~ 19
l
5510
ELECTRICAL APPLICATION
Application No. 5821
on the side of
Lot #1 Pine Snob Drive Street
Street No. 12 °
Owner Nelson Jacques
Electrician Gilles LaROchelle
FILED IN OFFICE OF
The Building Inspector
May 20 19 74
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 fit of wood) are installed, without a special
permit from the office of the Building Inspector.
�J APPLICATION FOR PERMIT TO DO ELECTRICAI. WORM.
5821
No. ..............................................
5510Permit No. ....... .. .......................
TO THE BUILDING INSPECTOR
of the
TOWN OF SOUTH WINDSOR, CONN. �.
2,
� �
le)
........ 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., 14 A Y Z 8 ............... 19 J 19ign here �L.. .. ... �......�........................ e--
............... .............. .... ............. ...
Address ...... r...Lr.... .... .........�......�1................. ...
Location L..Or........I P I N.F. K N U B D It •.... side of ............................
Nature of Building ................1R..a.c J D.F..N:...TJL A 1.............. How many stories .....................................1.........................................................
N w or old Building }.64 ..... . ... How many families I..................................
Kind of Installation H V U S E 4 .. R IN ...... How many Stores
Owner ..........At.,�_L.S...M.......1...A.G...4.U.J,.S....................__............... Address ........*L.y..41.......'aC..ASS B..I�i..�.�..�?.�__....5�..�..�.. e f f a RD
Architect ............................................................... ... ... .................................... . Address ............................................................................................
w.._._.._....._.....
Builder ..............h:....1�....5.�...L.F.............. ...... ,....................................... .. Address ..........................S..A .�......................................... ............
Electrician G..L..L.LS.S........L.AR.... ..................... Address ZA .......S..�~.w-....R.-A .TE..Q R 11.—
Size of Main Wires ........#.a.........A..Ir...•............._
No. of Light Loops .. ...................... .............. No. of Heat Loops ..................... ... . ... No. of Power Loops .......................................
No. of Light Outlets .........Z...0. ............. No. of Heat Outlets ...... ...... . ...... No. of Power Outlets ....................................
Nod of Light Circuits .............. . ........... .... No. of Heat Circuits ... .. ...... . . .. ........ No. of Power Circuits .................................
No. of Sockets .......................... ................. No. of Heat Receptacles ..... .. ........ No. of Motors .....................................................
No. of Panels .........................1......................... .. 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 ..........................1_1....................................... . ......... No. of Cord Drops ................................................................................ ........
Remarks: For other kind of Installation ...... .............................................. ....................... ..............................................................................................................
............................................................................................................................................ ................_.........................................................................................................................................................
.......................................................................................................... ............................. ............................................................................................................................................................. ...............
.................................................................................................. ............................................................................................................................................................................................................
Estimated Cost ...... 9........8 0 •
.....................0..........0
.......
4554 Iq
PLUMBING APPLICATION
mAkatiom 4342
of
Lot #1 Pine Knob .Driv
owner . ,�.
Plumber ....
Fled in Office of
The Bultog
May 20 1914
n�c�ox.
No peram shall aoosuma, add do ec Am MY
portion of the drainage system of anY bml&mg
(ampt to repair leaks) uWl a Pleimit is gcmwd
by the Building Lupecaw.
Application No........43.42................. permit No. ......4554
.............
TO THE BUILDING INSPECTOR
of the
TOWN OF SOUTH WINDSOR, CONN.
hereby make application to perform plumbing according to detailed description bel w. 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, ...... .... .. 1914.. Sign .. . ...... ....... ....................................
Address D.... a .. ... .. ... .. -
Location ............ ...........�' - L............. side of ..................................................................................................... Street
Natureof Building .................................. How many stones .. .... ...........................................................................
Owner ... ................................... ........ Address U,6.-z�.-
Architect ... ................................................ ......................................................... Address ....................................................................................................................
Builder ............................................. Address ....................... ............................................................................................
Plumber Address
DRAINAGE
SPOOM, 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 ...kid.7-7...... Diameter ...........4c./................................. .........................
Aboveor below cellar bottom - ...-- ............................................... .. ..... .......................................................................................................................
SOILPIPES, Material . -Q. 5k �. . .... ............................. Diameter -.4. .......................................................................................................
WASTE PIPES, Material -Mlb.. ........ ..... ........... Diameter Z...........2...........I.../:t...............................................................
I - �- -- ... . ..........
TRAPS, Type proposed to use is ...=-'24
E�f ... ..... .......... .'. .....................................................................................................................
RAIN WATER LEADERS, where do they run to i- o"J...................................................................................................................
REFRIGERATORWASTES, where do they run to ... .... .................................................................................................... ...............................
TANKOVERFLOWS, where do they run to . .. . .. .. .........................................................................................................................
FIXTURES
WATERCLOSETS, How many ................ ... ..... ........... Where located .... ...........I........
Distance from trap to vertical soil pipe ..........N--� ................... Pattern ao-��- - ", '.... I. ...............................................................
WASHTRAYS, How many ... ................................................ Where located ... ......................................................................................
SINKS, How many ..............................................I..................................... Where located ...I .. . .. .....................................................
cku NMNWVMNK4, How many ..................\.................................... Where located- ..........................................................
REFRIGERATORSINKS, How many ...................................... Where located ..................................................................................................
LAVATORIES,How many .............................L.............................. Where located ...................................................
BATH TUBS,How many ..................................I.................................... Where located ....................................................
k191bu-Z-6, How many .......................................I................................... 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 .....kxrj t, .. .... ....... .........................................................I..........................................................
Estimated Cost .... ..... ........
I
P
Application For
4+24: #
cd
DEPARTMENT DECISION cd W 4467 Heating Permit
3 APPLICATION IS HEREBY: DEPARTMENT OF LICENSFS AND INSPECTIONS
N ® APPROVED DISAPPROVED
TOWN OF SOUTH WINDSOR
00 < DATE INwe ,,�, .i APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER NE SEL •
1. LOCATION OF JOB
cd G ' NO. STREET
cd rn
LOT NO. FLOOR APT. N .
N
O
qrz2. OWNER
y 0
CO o
0 S. ADDRESS
4.PHONE
a4 �
S. APPUCANT
tri aid
-
,00 a. ADDRESS
.7.PHONE L1 AQ 1
w 'c `
s. LICENSE NO. �Q�`S
�♦4 s. EXPIRATION DATE OF LICENSE •��
(:�A
c�
10. ESTIMATED COST tt
. IS THIS A CONTRACT COS" ❑ YES LJ no
•R
12. FEE ENCLOSED S- Permit #8373
awn IS. TYPE 9PSUILMNCK
cc
C �ba Lff KSIBEMTIAL
❑ COMMERCIAL
►c�r 3 14. TYPE OFF JOB: ❑ INDUSTRIAL
d-i CIZ R161MAL ❑ ALTERATION
INSTALLATION ADDITION
REPAIR
ef APPLICATION FOR HEATING PERMIT (Continued from Reverse Sid )
11. LOCATION OF JOB
NO. STRE T FL OR AFT.NO.
12. TYPE OF INSTALLATION: L"J 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 MAKE AND NO.�'214-0 AT BONNET FIRING RATE
BOILER OR FURNACE MAKC AND N0. B.T.U. OR SQ. FT. NET—B.T.U. OR SQ. FT. GROSS FIRING RATE
FLOORS TO BE � `E Eli R 0��BUILDING /`eR EI N INSULATED — Y'NSULAT ON S OR NO �
61
TYPE OF WALL INSULATIO ROOF O C LI G —,
AVG. SYSTEM WATER TEMP. B.T.U./SQ. FT./HR. EMISSION
INDOOR-OUTDOOR TEMPERATURE DIFFERENCE d ro "FAHRENHEIT
MAKE OF RADIATION: BASEBQtRD. COPPER CONVECTOR . OR CI.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SO.
FT. OR B.T.U.A 2�o cx� y��Vw n tiv re. ►ySE' �+cM �
DESCRIPTION OF WOR
15. TO BE DONE:
16. HEAT LOSS SCHEDULE. PTO BE INCLUDED FOR ALL JOBS):
ROOM SIZE WINDOWS AREA - SQUARE FEET B.T.U. O DISTRIBUTION INSTALLED
IS. f-D
AND DOORS VOLUME TOTAL TOTAL N<
ROOM NO. 6 GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED J j a REGISTER
L W N AND Q TEMP. TO <F TYPE AND SIZE RAO. OR LEAD[R
SIZE < WALL f'Lt0 (INFILT.) DIFF. •F m N SQ. FT. FREE AREA
'YD
5 6 0V 37 yq Am
c�a
S A oo 20-c' �co
32 A09
3.2 c 3 ,2s� 60
_n>p� '3 13 A ! 3 /� �
n Iz I�
13 A00 ECM
14 9 Isge 60c, 00
36/713 � cr q' o�
L� l� � o y
1/0 LAv � l0 7 33 �
o�
TOTALS 2
35,
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:
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 BUIL NG DE.
APPLICATION TO BE COMPLETELY FILLED IN.
Ic
DATE 9I6NATUR APPLICANT
TO THE BUILDING INSPECTOR
of the APPLICATION FOR
IrOW14 CIF SO UM WINDSM COM. PLAN EXAMINATION A N D
BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. o
d ZONING
I• AT (LOCATION) /« AIe-/ a' A t^/[ DISTRICT
LOCATION (NO.) (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
II. TYPE AND COST OF BUILDING — A11 applicants complete Parts A — D
X
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 Z 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- - - - -.1p. 20❑ Industrial
3 ❑ Alteration (See 2 above) 14 ❑ Transient hotel motel,
4❑ Repair, replacement or dormitory - Enter number 21 E:] Parking garage
5❑ Wrecking (If multifamily residential, of 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 E] Publicutility
17� Other - SpeciJy
7 ❑ Foundation only 26❑ School, library, other educational
B. OWNERSHIP Jlne D Igu121JJAJ( S7_0 V 27❑ Stores, mercantile
8 ❑ 28 E] Tanks, towers
Private(individual, corporation,
nonprofit institution,etc.) JJNI F.�QGP1-4-e-- 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,,,,,,,,,,,,,,, '00 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.........
d. Other(elevator, etc.)............
11. TOTAL COST OF IMPROVEMENT Is
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❑Masonry(wall bearing) 40❑ Public or private company 48• Number of stories................
31 ❑ W d frame 41 ❑ Private(septic tank, etc.) 49• Total square feet of floor area,
all floors, based on exterior
32❑ Structural steel dimensions ....................
33❑ Reinf reed concrete H. TYPE OF WATER SUPPLY
34❑ Other - SpeciJy 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 I. TYPE OF MECHANICAL 51. Enclosed .......................
35❑ Gas Will there be central air 52. Outdoors........................
36❑ Oil c nditioning?
L. RESIDENTIAL BUILDINGS ONLY
37❑ El ctricity 44❑ Y s 45❑ No 53. Number f b dro ms.............
38 ❑ C of
39❑ Oth r- Specify Will th r b an I vat r? Full..........
54. Number of
46❑ Y s 47❑ N bathrooms
Partial........
NOTES and Data — (For deportm nt us )
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, czty, and State ZIP code Tel. N
Owner or
Lessee
2.
Contractor
3.
Architect or
Engineer
Th own r of this building and the undersigned agree to conform to all applicable laws of this jurisdiction.
Sign of op I can Address Applicati n 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 $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER is
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
P rmit or Approval Check Obtate ained ned Number By Permit or Approval Check Obt Date
a ned Number 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 10603
Bui Iding
Permit issued Nov. 20 19 —78
Bui Iding
Permit Fee $ 4.00
Approv d by:
01
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E r
TOWN OF SOUTH WINDSOR
BUILDING PERMIT
Date Nov. 20 19 78
Fee Paid $. .4..00 En, Value $.42 5.00
Permit N° 10603
on the Side of
Pine Knob Drive Suva
street No. 12
Owner Nelson Jacoue s
Applicant Carol Jacques
CERTIFICATE OF OCCUPANCY ISSUBD:
f
Date
�qg-
No.
Fee Paid $ F_
CLASSIFICATION
Wood burning stove
BUILDING PB UWrr
NY 10603
OWICB OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn. Nov• 20 19 78
94is is to Certifg, That Nelson Jacques
is hereby granted permission to Wood 'Munn ng stove
at estimated value of $ 425,00
on the side of 12 Pine Knob Drive Street on land
owned by Nelson Jacques
Said Work to be as described in Application
No. 10903 and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
Iss Nov. 20 /' 19 78.
ding 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 p6m
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."
TO THE BUILDING INSPECTOR
of the APPLICATION FOR
PLAN EXAMINATION AND
TOVYN OF SOUTH WINDSOR, COrtrl. BUILDING PERMIT
7-
IMPORTANT — Applicant to complete all items in sections: 1, 11, 1//, IV, and IX.
ZONING
I• AT (LOCATION) " i- o'J /"� �7• DISTRICT
LOCATION (NO.) (STREET)
OF BETWEEN ----AND
ANO f% i ✓' c"��� .=/f7 G ���-
BUILDING OSS STREET) 7! (CROSS STREET)
J
LOT
SUBDIVISION LOT _13LOCK SIZE
H
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use Itr
1 ❑ New building Residential Nonresidential
2 Addition(If residential, enter number 12 0One family 18 ❑ Amusement, recreational
of new housing units added, if any, 13 ❑ Two or more family — Enter 19 ❑ Church, other religious
:te Part D, 13) number o/ units— — — — —>
3 ❑ Alteration (See 2 above) 20 Industrial
14 Transient hotel, motel,
4 ❑ Repair, replacement 21 ❑ Parking garage
p p or dormitory — Enter number
5 ❑ Wrecking (1/multifamily residential,
o/ units ——————— — i 22 ❑ Service station, repair garage
enter number Of units :n building in 15 ❑ Garage 23 ❑ Hospital, institutional
Part D, 13) 16 Carport Car 24❑ Office, bank, professional
6 ❑ Moving (relocation) ❑ p / )
17❑ Other — Specify 25 ❑ Public utility
7 ❑ Foundation only
26 ❑ School, library, other educational
B. OWNERSHIP f� 27 ❑ Stores, mercanfile
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,,,,,,,,,,,,,,,, school, secondary school, college, parochial school, parking garage for,
department store, rental office building, office budding 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 $` C`c O
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❑Masonry (wall bearing) 40❑ Public or private company 48• Number of stories................ e
31 MWood 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 Total land area, sq. ft. ........... r
43❑ Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
51. Enclosed ......................
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
35❑ Gas Will there be central air 52. Outdoors.......................
36 ❑ Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
37❑ Electricity 44❑ Yes 45 LZ No 53. Numb r of bedrooms..............
39 ❑ Coal j
39 Other — Specify `(i' ,r Will there be an elevator? 54. Number of Full..........
46❑ Yes 47 X No bethro me Partial..••••.
FIDENTIFICATION — To be completed by all applicants
Name Maili f address — ,Number, street, czty, and State ZIP code Tel No.
r LEA f ir� 1Ci /f t� a ,-�Clz lr 2
Owner or
Lessee
2.
Controc+or
3.
Architect or
Engineer
The owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction.
Signatu,"f applicant Address � Application date
/)
� 00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans By Date Plans By Notes
Fee Started Approved
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date Date
Permit or Approval Check Obtained Number By Permit or Approval Check Obtta' ed Number BY
BOILER PLUMBING
CURB OR SIDEWALK CUT ROOFING
ELEVATOR SEWER j
ELECTRICAL SIGN OR BILLBOARD
FURNACE _ STREET GRADES
GRADING USE OF PUBLIC AREAS
OIL BURNER WRECKING
OTHER OTHER
VII. VALIDATION
Building
Permit number .1/�v���
Bui Iding f
Permit issued �/ 19 �
Building
Permit Fee S 3'1�
prow d by:
TI
TOWN OF SOUTH WINDSOR
BUILDING PERMIT
Date Sept. 2 3 , 196 6 .
Fee Paid $. 3.0..0 0 Fat. Value $. .5 f.0 0 0
Pest N° 15449
on the side of
Pine Knob Dr i ve Street
Street No. 12
Owner Tnhn/Eva Kaenig
Applicant _ -_Tn_hKoenig
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No.
Fee Paid $
CLASSIFICATION
Enclosed Porch 14' x 16'
BUILDING PERMIT
M 15449
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn. Sent_ 2 1 1986
ig#i i to to Certtfg, That Mahn Knian Li
is hereby granted permission to End 1 need rT�nr h 141 V 161
at estimated value of $
on the side of 12 Pine t/....t,. .,_: _e Street on land
Knob Vi i
owned by John i z ve xoenig
Said Wo7-- to be as described in Application
No. 15249 and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
Issued Pt. 23 1986.
nspector.
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."