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122 Pine Knob Drive
Application No. ..3 .7.0............................. Permit No. ...�$1©.................... TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. WW .................. hereby make application for a permit to (erect a building according to the following detailed statement of the specifications and plans herewith submitted. (Draw a line through word "erect" or words "make alteration to" as the case may require.) All provisions of the Building By-Laws (Sections 2 to 32 inclusive) shall be complied with in the execu- tion of this work whether specified herein or not. South Windsor, Conn., ............................................................ 19............ Signhere ................................................................................................................. Address ...................................................................................................................... Location? .................................499th................................................................side of? ...Piae...IKno.b..Dxive........................................................... Nearestcross street? ........................................................................................Street No. ..................................................... Lot No. ......34..................... Owner of land is? J#....Ao....��r.. !�1#.A ,�. t .............Address .......b.1.1... ►...F'ar1t..As. 44 ,..... t'«. ......... Owner of building is? .... ..Address ..1.1...Maw...Fazk-Avenaufte.....we...He..... Architect is? ........ 44TA.A t....ft.929....................................Address .......... Builder is? ........ .#A4*44 V...8W1t+ g A...IRC..............Address ......b1.1...New...F axk..,i V.11111L ....we.H ...... Dimensions of buildin ?24'6"x40' ' ? g ......................8 feet front. .................... .......... Feet rear.? ................. Feet deep.? ....... y xtreme height to highest point of roof? ............141.............. ......... ...... No. of stories in height? ................1.......... ........ Purposeof building is? ................ .slim.....................................No. of stores? ....................................................................................................... Howmany families? ................. ®.........................................................No. of rooms? .... ................................................................................................... Distance from street line is? ..............5 ...............................................from building line is? .................................................................................... ADDITIONS AND ALTERATIONS (Give Brief Description) ................. .............. .................................................................................................................................................................................................................................................. ......................................................................................................................... .................................................................................................................................................................. ..................................................................................................................................................................................................................................................................... ....................... MapNo. .......................... If of steel frame, what is exterior construction? ............. .... ............................................................................... What kind of columns used? ..................................... ........................Size of columns used? . ..... ... ....................................... .............. What length of columns used? ........................... ........ ...............How protected? ...... ........... .................................................... ............... ... What kind of beams or girders? .......................... .....................Size of beams or girders? ........................................................................... Longest span of beams or girders? ......... ................._._.............These rest on? . ....... ......... ........................................................................ Roofconstruction is? .......................................................................................Roof covering is? . ...... ... ......................................................................... The floors are-of ...................................................... construction and are calculated to carry,a safe load of...... .......................... lbs. per square foot. (See Section 14, Building By-Laws.) 'T BRICK CONSTRUCTION. Of what material will walls be constructed? ...... ........... ................. . . ................................................................................................ ................. Compositionof mortar? ..................................................................................................................................................................................................................... Height and Thickness of Walls Height Stories Front Walls Side walls Rear Wails Partition Walls Basement, ........................ .......................... ....................................................... ................................................................................................................................................................................................. . 1st Story ......................................................................rid.......... I......... s........................................................................ .................................................................................................. .................................................... 2 .................................................................................................................................................................................................................................................................................................................... 3rd is ............................................................................................................................................................I...................I.................................................L.......................... .......................................... ....... 4th .......................................................................................................................................................................................................... ............................................... .................................................... is 5th ............................................I...... ................................................................................................................................................. ........................................................................................................... a 6ths ..................................................... 7 ..................... 4........4..................................................................................................................................................................................................................................... th ............................................................................................................................................................I......I............ ..................................................................................................................................... 8th ................................................................................................................**'*'*.......................?................................ ............... ......................................................................................................... 9th if ..............................................................loth..................;i.......... .............................. ...................... .................................. Material of Front? ........................... ........ .. .. .. .. ...... ...............If stone what kind? .............. . .............. ....... Thickness of Ashlar? .............................. .... .....................Thickness of Backing? . .. .................. ..................... Backed up with what? Arches or lintels over openings? WOOD CONSTRUCTION. Give Size, Longest Span and Distance Between Centres, of Joists,. Girders and Columns JOISTS GIRDZR8 COLUMNS Floors Size Longest Spawn Centres Bridging Size Longest Span Centres Size Lenga Centres 1st Floor ...... ................ ?.x&...... ..............w ... as ....... .. $........_.......4�.........................._................ ...i ..... !..__.._._... !......... 2nd 3rd.....t�.... .............. .................................. .................. ..................... ............... ..._.........._...._........_. ....._....._...... _........_.. _...._...... ...............;.... ............ ...................... .._........... ............_...._............... .._......._. ..._...M_. ._... ...... ._.... ................_.. Size of outside studs? ....Zx4..................... Distance on centres? .....14P..................... ....... Size of sill? ........2x6............................ Size of rafters? ..Tru-a,... ..... Distance on centres?.....................2! Size of plate? .4x4. ..................... ................ ......................... Size of ledgers or girts? .................................................................................Size of deck rafters? ..................................................................... ............... Distance on centres. .......................................................................................Size of studs in bearing partitions? ................................................. MISCELLANEOUS Style of roof, flat, pitch, Mansard, or hipped? .. .. P tcb:........ ............................ Fireplaces? ..................N"*..................... Material of roof covering?Zl Qlb....Asphalt. ... .......Material of Cornice? W!.00d...&...G..L....chattera............ How is building heated? Gas.......... ..........................................Lining of flues? ... ...................ax12..Te.r.r.a...Cota .............. Thickness of shell of flues?1 Y T...C......0.!....Quda r.....Any elevators or lifts? .................. ...................................... ...................... block What kind? . .. ..... ............. .. . ........... How many? ..... ... ... Any hoistways? ........ ........................................... . How protected? . ... .. ............. . ..................................... .................Total Value of Building ..........$1.1. QQQ Whenwill work be commenced? .. ................................................................................................................ The applicant warrants that the lot for residential purposes, shown on a plot plan accompanying this appli- cation, has 20,000 square feet, or more, and at least 100 foot frontage on a Town road shown on a map of South Windsor showing Town Roads dated December 1949, or on any other roads officially accepted by the Town of South Windsor since 1949. r r Applicant 2810 BUILDING APPLICATION Application No. ...........3070 ................................................ on the .......S o.u..t.....h...................................................... side of .......... ... Pine Knob Drive .... .............................................................................................. Street. Street No, .........oL.....t.............#3.....4...................................................... .. Owner .........T 9.....T� S t i c b- A ....... ........................... .. ........ ...... Same Applicant .............. ......... ............................................................ CLASSIFICATION D.w.e..1-Ling .2.4.1-6 11 ...... ..................... . . . .. .....................I.............. . ... .... ... ........................................ .. ............................................................................................................... Permit issued on above Application. Date, .cT P......9 j:.................. ... 19.......55 r TOWN OF SOUTH WINDSOR BUILDING PERMIT i Date June 9, 19 59 Fee Paid $44,,«00 Est. Value $ 11.,000 Permit N9 2810 on the Sou th side of Pena- nr D-r i r a Street Street No. Lot #34 Owner I, R. Stich Assoc .. Applicant S ane CERTIFICATE OF OCCUPANCY ISSUED: Date No. 1757 Fee Paid $ 3.00 CLASSIFICATION Dwelling, 2416"X4018" BUILDING PERMIT N? 2810 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. La nig o- 19 T4tia is to Terftf1j, That z• Ro Stich Assoc is hereby granted permission to Dwe 1 li ng 2416"xLi.01 B 0 at estimated value of $11 a 000 on theufi�h side of d"` �`sT '`�' ' '''`' t Street on land owned by I R. Etloh Assoc a ' Said Wo=k to be as described in Application No. —_ and to conform to specifications and plans filed With said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Iss d {`a.P 1959 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 CONNECT I C UT: "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." Permit No. TOWN OF SOUTH WINDSOR SOUTH WINDSOR, CONN. Permit NOO 2988 Certificate of Occupancy HIS TO CERTIFY t t the AP at No. '/' /-- in the Tow#'of South Windsor, Connecticut, has been erected and completed in accordance with the Building Code and Zoning Regulatldnsof the Town of South Windsor, and is hereby approved for occupan y. 7uilding Inspector Owner,,)Builder Fee Paid Date 19 4 c Permit No. ' TOWN OF SOUTH WINDSOR SOUTH WINDSOR, CONN. Permit NO 1757 Certificate of Occupancy THIS IS TO CERTIFY that the A,w- at ,�-No. • ��' -�' � in the To 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 approved for occupancy. ` y� f - �- BUILDING IN3P�CTOIt OWNER, BUILDER Fee Paid Date , 19rk 4658 � PLUMBING APPLICATION Application Na 4447_ on the ------_-----__-5'sz �"' - sib of Street r4o. ..z S24, Plumber �at S' 7�- Filed in Office of l ne &a&mg � Dec. 17 19A ......................._........ ................._......._... M_ _ No person shall aonamr, add m ew aloes sty portion of the drainage system of any bmldrog (emmpt to repair leaks) until a Plm k is granted by the Building Impostor. Application No. ...... .6................... Permit No. .4A58........................... TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. ..... ....../..... ....hereby make 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 spec oed herein or not. SouthWindsor, ............................ ............... 19:..X... Sign here . ...... ... ............ ...... ....... ... ..... .. .................................. Address -eq?. ...... . ....... ...�CE.. .. ........ .......................... Location ......................................... ...................................... side of ...........P /JL E.......�A.42-8............D-Z............ Street Natureof Building ......... ........................... How many stories .. ......./......................................................................... Owner ...... ......... i.,r.,l... ........ Address./ .....P........z.......................... Architect ... .............. ............... ......... . ..... ................................................. Address ...................................................................................................................... Budder ............................... .. ..... . .................................................................... Address ...................................................................................................................... Plumber a.la....................... Address ... r, r.......... DRAINAGE CESSPOOLS, How many .. ......................................... ................ . Where located .................................................................................................. Are they water tight .... ........................................................................ Of what materials are they built ................................................... Sizeof pipe from house to cesspool . ........................................... Kind of pipe .................. .................................................................................... MAIN DRAIN IN CELLAR, Material ...... Diameter ............300................................../wsz.ac........ Aboveor below cellar bottom .. .. .. .... ........................... ......................................................... ..&"4r ...... SOILPIPES, Material ..... ... . .................a'./..................... Diameter .................................................................................................. WASTE PIPES, Material ............. ........... Diameter ...... .............................................................................. TRAPS,Type proposed to use is ... ....... ....................... .. ... ................................. ...... ......***"****'*'**'RAIN WATER LEADERS, where do they run to .. ............. .. .............. .......---- REFRIGERATORWASTES, where do they run to .. ..... .... ................ .............................................................................. ............................... TANK OVERFLOWS, where do they run to - .. ................................................................................................................... FIXTURES WATER CLOSETS, How many ................ ............................ Where located ... . ... .................................................................................. Distance from trap to vertical soil pipe ....................................... Pattern .. .. ..... ............ .... ............................................................ WASHTRAYS, How many .... ................................................... Where located . . ...................................................................................... SINKSyHow many ......................................................................................... Where located .. ................................................................................................. BUTLERSSINKS, How many ....................................................... Where located. . ...... ....................................................................................... REFRIGERATOR SINKS, How many.. ................................... Where located ................................................................................................... LAVATORIES, How many .................................................................. Where located ..................................................................................................... BATHTUBS,How many........................................................................ 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 . ..........X ............. TO T BUILDING INSPECTOR of the APPLICATION FOR TO" OF PLAN EXAMINATION AND �U WllllDSO�i, CONH. BUILDING PERMIT IMPORTANT — Appl• nt to complete all items in sections: 1, 11, ill, IV, and IX. O ZONING • AT (LOCATION) DISTRI 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 A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use T 1 ❑ New building Residential Nonresidential 2 ❑ Addition(If residential, enter number 12❑ One family 18 ❑ Amusement, recreational of new housing units added, if any, in Part D, 13) 13❑ Two or more family — Enter 19❑ Church, other religious number of units— — — — -jo- 20❑ Industrial 3 ❑ Alteration (See 2 above) 14 l l h Transient hotel, mote , ❑ 21 ❑ Parking garage 4❑ Repair, replacement or dormitory — Enter number 5❑ Wrecking (If multifamily residential, of units ——————— — -i 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) 7 ❑ Foundation only 17® Other — Speci/y 25❑ Public utility 26❑ School, library, other educational B. OWNERSHIP001 27❑ Stores, mercantile 8 Private (individual, corporation, 28 ❑ Tanks, towers nonprofit institution, etc.) 29❑ Other — Specify 9 ❑ Public (Federal, State, or A 10 local government) C. COST (Omit c nts) Non sidential — Descri /inetail proposed use of buildings,e.g., food proc :sing plant, machin shaundry building at hospital, elementary 10. Cost of improvement,,,•,••••••••,,• �Ce school, secondary school, , 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 E 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 ❑ Wood frame 41 ❑ Private (septic tank, etc.) 49• Total square feet of floor area, all floors, based on exterior 32❑ Structural steel dimensions .................... 33❑ Reinforced concrete H. TYPE OF WATER SUPPLY 34❑ Other — Specify 42❑ Public or private company 50• Total land area, sq. ft. ........... 43❑ Private(well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed ....................... 35❑ Gas Will there be central air 52. Outdoors....................... 36❑ Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY 37❑ Electricity 44❑ Yes 45❑ No 53. Number of bedr oms.............. 38❑ Coal 39❑ Oth r— Specify Will there be an I vator? 54. Number of Full.......... 46❑ Yes 47❑ No bathro me Porfial....... NOTES and Data — (For deportment use) ze��Z, 01 (70" r,2 IV. IDENTIFICATION — To be completed by all applicants ame Mailing address — Number, street, cay, and State ZIP cod Tel. No. 1. / 4L -.1-1 3 Owner or ®. Lessee " Q 2. Contractor 3. Architect or Engineer The owner of this building and t-he undersigned agree to conform to all applicable laws of this jurisdiction. Signature of ap licant 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 Permit or Approval Check Date Obtained Number By Permit or Approval Check ObtDained 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 11128 Building P rmit issu d SPnt. 26 19 79 _ Building Permit Fee $ 3.00 Approv d by: TITLE NOTESVill. ZONING PLAN EXAMINERS FRONTDISTRICT - . SIDE -D SIDE YARD REAR YARD IX. SITE • - PLOT PLAN For •• • • a r • • 1• if 'nor ' is.1 l _ ss F •a 1ne su Fsss.s •. • • ! # _: .. F1F1ss . a: s. :es ssa:a::r:assFHilso as s. $.. ! sr t• .S• ; : : •/ fees�ffNfas:: � iN ■. .■■• Ni qq \N •• •■.�• ■ FF F= I s i :1F :lFs sas ! s F.. ;s F ss...sulu ..s s=..:ssF;.:• F;F.fs .. ! • ■ .■■ •.•an: an .■.../ ......i•/■ •i\ ••.■ . ■ M mail: ■ • i■ • N Ifp •a,::t�l !� ..� s a:l� !p ; ! ;.slay:: : ;.�!•'llsea■,•. • =f::: . nan ■.g !III: lseH Hit :���S�;:l��=�:Fs:�F;�:FF��lFF !lFFs Fa=:FF=sFs�F�F�=Fs:s.a�M:':F:F:i=FF:lasHi s,� FS: l !�.: ;= ss Fg: s F':'!! F ! F::s : F=�;• 3an �' �' F' ::: :.;.....=.slF=..s =,. F� ;, . , S* P ! ■ iu l! r!*s ! ass: • ••■Womelr. . •a■Ii! N l! �',ll. \'Fl ..sF F■en .HHous p •ll;F=FS: :■::S■•:.�\•1Mlfr•Nir:i:AS:a!■.•!a.//NN� ■\ll. i � ■ ••NS� : ss .. : s. ; s!F ;.. ! al ijuninu lu: s:f=Fss:■.:;;.18:;Fin ��1�11 FF! �� F n ''•p: FFF• p : Fla FFa ■t'!sl Fasolu:F.F.l was an on so•f='. •s:f' .• i■•j rs•.S.■!=!s'!•!s!:=!f!s lss:Fl!lels Fan Ns 1 l : fees ffal saps•:::.\\■:as:fp::\fa:fpf:a::pfa:::/Mi;S• ■• • • ;N ■■l ■!■ ! N•..MpS p : Fss F#s 'as l sp p : ! ssf fF: • '!; a: FF . 1norpe . : ••:•Illiflummu"UHUH ....s.. ;... as ..: ::a::.e:s:..:s • :F : . :•..l :.. � F#:F :.pss FSFfs'f afef sere Fes F :: ! s sl#�FF l Flsss s • ...■ \.■ •■••■• .•i ■■■. • N• ■■■..• .■N■Ni••N\.■■•\N.■■\. ■• ■ ■.M ..• ■■.•• • • .\.■. : ::;==s;::::_: ;_: :;=:.��es:el:es=:e=:e::sees��:zs:::s:e;: ::l:;: l:::sg= :::::_: ::si ��: _ :__� ���:: ��s:�l ::�1:::uall E s TOWN OF SOUTH WINDSOR BUILDING PERMIT Date Sept. 26 , 19 79 Fee Paid . . 3 0 0 Est. Value . 15Q.00 Permit N O 11128 on the side of Pine Knob Drive Sazeee Xi Street No. 122 Owner Leonard Ru Gh l ow - - - - - ------ - ---- Applicant Mrs. Leonard R. Rti Sh 1 ow CERTIFICATE OF OCCUPANCY ISSUED: Date No. Fee Paid $ CLASSIFICATION Wood stove in existing_ k flue BunDING PERMIT ? 11128 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. 19 79 14is is to Crrtttg, That T a 1,r wi*-1 '`i cow is hereby granted permission to 'Wood s t nye into existing eh i irmpay. at estimated value of $ 150.04 on the side of 1?2�'I ne Ku ob- Dx iuo Street on land owned by Leonard Ruah1 nw Said rk to be as described in Application No. 1 1 47 S and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issued Sent-. 2 19 79 { ��4e.4uilding 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." y E TO THE ]HU11DING INSPECTOR Of the APPLICATION FOR .T,iOW14 (W SCIU; WI WS M COM PLAN EXAMINATION AND • BUILDING PERMIT IMPORTANT — Applicant to co fete all items in sections: 1, 11, 111, IV, and IX. O o ZONING I• AT (LOCATION) DISTRICT LOCATION (NO.) (STREET) OF BETWEEN AND BUILDING (CROSS STREE ) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE VN Il. TYPE AND COST OF BUILDING — All applicants complete Parts A — D —� A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use � 1 New building Res' Iial Nonresidential 2❑ Addition(it residential, enter number 12 One family 18 Amusement, recreational of new housing units added, i/any, 1 Two or more Family — Enter 19 Church, other religious 'n Part D, 13) number of units— — — — —► 20 Industrial 3 Alteration (See 2 above) 14 Transient hotel, motel, 4 e air replacement ❑ 21 Forking garage P � P or dormitory — Enter number 5❑ Wrecking (If multifamily residential, of units ——————— — —► 22 ❑ Service station, repair garag enter number of units in building in 15 Garage 23 Hospital, institutional Part D, 13) 16 Carport 24 Office, bank, professional 6❑ M ving (relocation) p 7 ❑ Foundation only 17❑ Other — Speci/� 25� Public utility 26 El School, library, other educational B. OWNERSHIP 27 Stores, mercantile 8 ri Pvate(individual, corporation, 28 0 Tanks, towers nonprofit institution,etc.) 29 Other — Specify 9 ❑ Public(Federal, State, or local government) C. COST (Omit cent Nonresidential — Describe in detail proposed use of buildings,e.g., food processing plant, machine shop, laundry building of hospital, elementary 10. Cost of improvement,,,,,,,,,,,,,,,, S 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 S III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L; for wrecking, complete only Part J, for all others skip to IV. E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS 30❑Mas my(wall bearing) 40❑ Public or private company 48• Number of stories................ 31 ❑ Wood frame 41 ❑ Private(septic tank, etc.) 49• Total square feet of floor area, all floors, based on exterior 32 Structural steel dimensions .................... 33 Reinf rced concrete H. TYPE OF WATER SUPPLY 34❑ Other — Specify 42❑ Public or private company 50• Total land area, sq.ft. ........... 43❑ Private(well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed ....................... 35 Gas Will there be central air 52. Outdoors....................... 36 Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY 37 El ctricity 44El Yes 45 No 53. Numb r f bedr oms............. 38❑ Coal 39 Oth r— Specify Will there be an elevator? 54. Number of Full.......... 46 0 Yes 47❑ N bathrooms Partial...... IV. IDENTIFICATION — To b compi t d by all applicants Name Mailing a4kess — Number, street, c:tv, and State ZIP code Tel. No. '6 Owner or v� 2Nf� a`a r � vxC� Lessee 2. S� CAS a c)C0 to �5 Contractor 1 � \ (J CT d 9VV 3. W 1 ( 7 Architect or Engineer The owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction. Signat e f applicant Address Application date OQ-- J — 11-�� cv---, Au\),Q q—(V —Y )I 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 is VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approval Check ObDta t ed Number By Permit or Approval Check Obtt.need Number I 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 V11. VALIDATION Bui Iding Permit number Building Permit issued _ 1 19 Building Permit Fee $ • �� Ap ove b t` 1 ram' w TITLE F TOWN OF SOUTH WIMSOR BUILDING PERMIT Date May 1 107 Fee Paid •00 Est. Value $. 500 Permit NOA 15803 on the side of 12 2 r i ne Rnob SaYet Street No. Owner Verna Cyr Applicant R• Bold CERTIFICATE OF OCCUPANCY ISSUED: Date No. Fee Paid $ CLASSIFICATION alteration BUH DLNG pERMrr V 15803 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. May 1 1987 94is to to Merti fy, That yerma ryr is hereby granted permission to a 1 t P r a t i o n at estimated value of $3 • 5 0 0 on the side of 122 Pine Knob Street on land owned by Verna Cyr Said wc)rk to be as described in Application No. 1 h 0_1;8 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Iss Cl Ma�7 1 1987 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 compelled to reason therefor." Bectric# APPLICATION FOR BUILDING PERMIT Plumbing# 122 PINE IMB DRIVE HVAC # 26579 Dat : /b Lf Sprinkl r# No. FINAL APPRO ALS Estimated Cost $ 66 c0 Building 00017 COMPLETE RED BOXED AREAS Permit Fee /�1� Engineering TYPE OR PRINT ONLY Occupancy Fee $ � Affidavit SIGN ON REVERSE SIDE Appr.for CO. EMMMEMI Total Fee TO BUILDING DEPARTMENT,TOWN OF SOUTH WINI)SOR,CT (Additional Cost) $ The undersigned h reby applies to do work according to the following specifications:`/ Job Location /Z Z Ii e A�ai3 D� Lot No. 3`- Side of Street Zone Applicant IJ NG Tel.# 148 S7ST- a 9 S"�Address ,,B` E _l lit T Zip 06 a� Lic.# Owner 'U 9 -iZ N C)L&A Address---I-,Q :Z- (moo a-Z>R�YE 3 . W. Architect Address Sq.Ft.N w Area: lst Fl. 2nd Fl. 3rd Fl. Total New Area #Rooms #Lavatories #Bathrooms #Garages Purpos of this permit: Water Well 11 Septic Syste Sewer� Ins. H.O. I S.P. Cert. Area Basement Garage Approved by JkQ— Dat 01 ct Use Group tJ Construction Type 2�— Rw'sed l/97 I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town f 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 frorp,all street lines,side yard lines,and required distances from all other zones and is located in which this buildin nd its use is allowed. Signed 1 hereby apply for a Certificate of Occupancy for the rk describeti&2is i �fore permit. r Y Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS Inspection / Approval Date By Appl Code Description Due Whom Code Comment ------------------------------------------------------------------------------- 99-26579-B 15,000 E02 UNDERGROUND 11/09/99 DCJ A TRENCH AND BONDING B10 FINAL 07/17/00 DCJ D POST FOR RECPT./SCURE CONDUITS,BOND MOTOR CORD NOT ORIGINAL,GFCI PROTECTION MOTOR/LIGHT B10 FINAL 08/07/00 DCJ D ELEC. CORRECTIONS HAVE NOT BEEN MADE B10 FINAL 08/24/00 DCJ D CORD TOO LONG, NO ACCESS TO INSIDE E10 FINAL 09/06/00 DCJ D CORD NOT REPLACED B10 FINAL 10/17/00 CJD D IN PROGRESS B10 FINAL 04/03/01 CJD A W/CLAUDE CLOUTIER B10 FINAL 04/03/01 CJD A CLOSED OUT. 99-16551-E 1,000 Inspection / Approval Date By Appl Code Description Due Whom Code Comment ------------------------------------------------------------------------------- 99-26579-B 15,000 E02 UNDERGROUND 11/09/99 DCJ A TRENCH AND BONDING B10 FINAL 07/17/00 DCJ D POST FOR RECPT./SCURE CONDUITS,BOND MOTOR CORD NOT ORIGINAL,GFCI PROTECTION MOTOR/LIGHT B10 FINAL 08/07/00 DCJ D ELEC. CORRECTIONS HAVE NOT BEEN MADE B10 FINAL 08/24/00 DCJ D CORD TOO LONG, NO ACCESS TO INSIDE E10 FINAL 09/06/00 DCJ D CORD NOT REPLACED B10 FINAL 10/17/00 CJD D IN PROGRESS 99-16551-E 1,000 Location Building Permit# A L S1 1 SWIMMING POOL REQUIREMENTS: This list is not all inclusive,please refer to pool packet. A 48"barrier will be provided to protect the pool access. Including a temporary fence for inground pools prior to filling. Access gates will be self closing and self latching (if less than 54"high they shall be on the pool side and be protected within 18"of release mechanism). Doors providing direct access to the pool shall either have an alarm, a self closing self latching device 54"above the floor, or a safety cover over the pool. No receptacles within 10' of pool. (locking type receptacle for pool equipment must be at least 5' from pool and GFCI protected). All metal parts of pool structure, fixed metal parts within 5' of pool,pump motors, filter casings and metal electrical equipment shall be bonded with a minimum#8 solid copper wire. Convenience GFCI receptacle shall be provided between 10' and 20' from pool. Trench depth for 20 amp. circuit to pool equipment shall be 12"minimum. REQUIRED SWIMMING POOL INSPECTIONS: The following is a list of inspections that need to be performed prior to the continuation of work to complete the swimming pool. We require 24 hours notice for inspections. Requests for inspections can be made by calling the Building Department at 644-2511 ext. 230. 1. TRENCH AND BONDING-Electrical trench depth verification and bonding of pool and metal appurtenances including metal reinforcing for gunite pools. 2. FINAL ELECTRICAL-Location of equipment and GFCI protection. Convenience outlet provided. 3. FINAL-Swimming pool access protection must be provided before pool can be used. Each swimming pool installation requires a Building and an Electrical permit. Additional permits and inspections are required for pool decks. I have read and understand the requirements listed above. Signed o'�- Date I0 19 9 t9 DEPARTN[ENT DECISION, APPLICATION FOR ELECTRICAL PERMIT TOWN OF SOUTH WIl�]DSOR PERMIT# Application is hereby: 5'^l BUILDING DEPARTMENT APPROVED 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 � ,— a1 ding Inspector Application must be printed or typed Location of Job: FEE SCHEDULE �-9-,r-fjak:ezh 1/ 0 $0-$1,000=$13.00 Street No. Street Lot No. Over$1,000= $13.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT APPLICANT ADDRESS APPLICANT PHONE# N OWNER k,�1//7 /�/��' OWNER ADDRESS i . OWNER PHONE ESTEWATED COST$ IS THIS A CONTRACT COST? EKes 13 No CJ FEE ENCLOSED$ op TYPE OF JOB: MNew Installation 0 Alteration/Addition/Repair Revised 8/99 APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATE_D�ITH A RESIDENTIAL 0 BUILDING PERMIT APPLICATION? YES ❑NO ❑BUSINESS CURRENT USE AND OCCUPANCYJ�(��1��ll>� ❑ASSEMBLY ❑MERCANTILE FUTURE USE AND OCCUPANCY Ile l;lw ❑EDUCATIONAL ❑INSTITUTIONAL ENGINEER'S NAME PHONE ❑FACTORY ❑STORAGE ADDRESS ❑GARAGE ❑MIXED USE CITY /1 �✓�`' STATE et ZIP (Other please specify) TYPE OF INSTALLATION/WIRING METHOD SIZE OF SERVICE SIZE OF MAIN CONDUCTORS NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS NUMBER OF PANELS REMOTE DISCONNECT REQUIRED? ❑YES ❑NO NUMBER OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS NUMBER OF SWITCHES NUMBER OF OUTLETS NUMBER OF LIGHT FIXTURES NUMBER OF HEAT CIRCUITS NUMBER OF A/C CIRCUITS SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED. DESCRIPTION OF WORK THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. ON ORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT DATE j�G March 27, 2000 Ms. Sandra Cloutier 122 Pine Knob Drive South Windsor, CT. 06074 Dear Ms. Cloutier: Pool season is almost here. I would like to remind you that the Building Permit(s) #26579 for your pool is (are) still open. State Building Codes require the issuance of a Certificate of Occupancy prior to its use. Please contact our office for a final inspection prior to the removal of the winter cover or adding any water to your pool. All permits must be closed by May 1, 2000. Should you have any problems meeting this date please send our office a letter stating the reasons. (The pool still can't be opened). If the pool is opened without the benefit of a Certificate of Occupancy a caveat may be placed in the land records stating there are Building Code Violations on your property. Please call John Collins, Chief Building Official, or myself should you have any questions regarding this. Our office hours are 8-9am. and 1-2pm. The phone number is 644-2511 ext. 232. Very truly yours, Douglas C. Jourdan Deputy Building Official T-OWn 0140 � s 1540 SULLIVAN AVENUE • SOUTH WINDSOR, CONN. 06074 v AREA CODE 860 / 644-2511 tioSOR.Co� May 8, 2000 Ms. Sandra Cloutier 122 Pine Knob Drive South Windsor, CT 06074 Dear Ms. Cloutier: This letter is a follow up to our last correspondence,which was either a phone call or a site visit. The first dead line has passed and the permit#26579 remains open. Remember that your pool may not be opened until a final inspection has been done and a Certificate of Use and Occupancy issued. Please respond as soon as possible so that we can bring closure to this matter. Since you have responded to the first letter we have extended your deadline to May 29, 2000. If at that time your permit has not been closed, we will file a caveat in the land records stating that, there are Building Code Violations on your property. Should you have any questions regarding this matter,please call John Collins, Chief Building Official, or myself. Our office hours are 8-9am and 1-2pm. The phone number is 644-2511 ext. 232. Very truly ours, r' Douglas C. Jourdan Deputy Building Official �t MN at,<� 1540 SULLIVAN AVENUE • SOUTH WINDSOR, CONN. 06074 AREA CODE 860 /644-2511 August 2 , Ms. Sandra Cloutier 122 Pine Knob Drive South Windsor CT. 06074 Certified Mail Dear Ms. Cloutier: The office of the South Windsor Building Inspector has placed a Caveat in the land records stating there are building code violation(s)on your property for work done under permit#26579 . This Caveat will be in place until the Building Code Violation(s)have been fixed or removed. Once the violations have been resolved you will be responsible for picking up the Caveat Release from this office and filing it with the Town Clerks Office. There will be a fee for the filing. Please call John Collins, Chief Building Official, or myself should you have any questions regarding this. Our office hours are 8 - 9 a.m. and 1 -2 p.m. the phone number is 644-2511 ext. 232. Very 1 yours, ouglas C. Jourdan Deputy Building Official Enclosure: NOTICE OF BUILDLI;G CODE VIOLATION 144079 The Town of South Windsor hereby gives notice to all persons of building code violations on property owned by:Ms. Sandra Cloutier Which property is located at 122 Pine Knob Drive Re: Permit # 26579 Said property being more particularly bounded and described in an instrument recorded in Volume #1016 at Page #229 of the Town of South Windsor Land Records,reference to which is hereby made. The violation(s) pertain to the following section(s) of the Building Code: 1999 Connecticut Basic Building Codes And,the particulars of said violation(s) are more specifically as follows: Chap. 1, Sec. 113.3 Final inspection shall be made. Chap. 1,Sec. 118.1 Certificate of Use must be issued prior to use. Dated at South Windsor,Connecticut this 21st day of August,2000 Town of South dsor Bv - glas C.Jourdan Deputy Building Official f Q The foregoing was acknowledged this �[(-S'day of � �� , 20�( at South Windsor Connecticut before me. - Notary ublic _ 3 CJ AT ! ', ra `> My Commission Expires: r ` RECORDED IN Uwe; CSC �� ���- r COMPLETESENDER: COMPLETE THIS SECTION • ON ■ Complete items 1,2,and 3.Also complete A. Received by(Please Print Clearly) B. Date of Delivery item 4 if Restricted Delivery is desired. ■ Print your name and address on the reverse so that we can return the card to you. C. Sign e ■ Attach this card to the back of the mailpiece, X Agent or on the front if space permits. ❑Addressee D. Is delivery address iffe t fro 1? ❑Y s 1. Articl Addressed to: If YES,enter delivery address below: ❑ No Ms. Sandra Cloutier 122 Pine Knob Drivf-,J South Windsor, CT 067 O �C.J-': , 3. ERWe Type 4 i XX ertified Mail ❑Express Mail a ❑ e0istered 11 Return Receipt for Merchandise 1 red Mail ❑C.O.D. I r 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number(Copy from service label) 7099 3499 9995 5723 6662 PS Form 3811,Julv 1999 Domestic Return Receipt 102595-99-M-1789 f • f • f UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid USPS Permit No.G-10 i • Sender: Please print your name, address, and ZIP+4 in this box • TOWN OF SOUTH WINDSOR 1540 Sullivan Avenue South Windsor, Connecticut 06074 Building Dept. VOL. 115 9 PAGE 5 7 NOTICE OF BUILDING CODE VIOLATION 407(3 The Town of South Windsor hereby gives notice to all persons of building code violations on property owned by:Ms. Sandra Cloutier Which property is located at 122 Pine Knob Drive Re: Permit # 26579 Said property being more particularly bounded and described in an instrument recorded in Volume #1016 at Page #229 of the Town of South Windsor Land Records,reference to which is hereby made. The violation(s) pertain to the following sections) of the Building Code: 1999 Connecticut Basic Building Codes And,the particulars of said violation(s) are more specifically as follows: Chap. 1,Sec. 113.3 Final inspection shall be made. Chap. 1,Sec. 118.1 Certificate of Use must be issued prior to use. Dated at South Windsor,Connecticut this 21st day of August,2000 Town of 4t South dsor A L,,� By as C.Jourdan Deputy Building Official &:L l Gale- The foregoing was acknowledged this 3eday of ,20Z)0 at South Windsor,Connecticut,before me. f t y I ai Lam c) Not ary�ubc AT ', 5 My Commission Expires: ., RECORDED Its WINDSOR ` `7 D RECORDS ''S u.. . ' �owtj CSC S1 S eectrie# to APPLICATION FOR BUILDING PERMIT Plumbing# 122 Pine Knob Drive , WAC # 27078 Date: L - -ate Sprinkler# FEAR, Ass Bu�dr�p 5-01 COMPLETE RED BOXED AREAS Permit Fee $ 1 oIS Engineering TYPE OR PRINT ONLY Occupancy Fee $ 5 Affidavit SfGN ON REVERSE SIDE Appr.for CO. Total Fee $ �ZOD TO BULDM DRARTAAEK,TOWN OF SOUTH WMSOR,CT (Additional Cost) The undersi rwd hereby applies to do work accorcling to the following specifications: Job Location 1 oZ;I- Pl'-04- 1,Cmg�6 Dr-, Lot No. Side of Street Zone Applicant �3-y4,•j Wa ,-,`.5 Tel#"G 3:r- 7 ae(6- Address 3 D .r `fit. 1 Zip Lic.# ioS j-77o ! Owner Address O,i�9.e lc nte�i Architect Address Sq. Ft.N w Area: lst FI. (Qa 2nd FI. 3rd Fl. Total New Area !j2— #Rooms #Lavatories #Pathrooms #Garages Purpose of this permit: 3 S P-oe ws « V. l[o Ci Water ❑ Well 0 Septic System ❑ Sewer ❑ Ins. H.O. S.P. Cert. Area ge Basement Gara Approved 6y Date 4v o o Use Group 4 Construction Type ReAW 1/97 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 distagoe from all street lines,side yard lines,and required distances from all other zones and is located in which th* it g a its is allowed. Signed I hereby apply for a Certificate ccu cy the VdIrk de abed i is app' on for the permit. Signed O NOT WRITE BELOW THIS LIN INSPECTION COMMENTS Inspection / Approval Date By Appl Code Description Due Whom Code Comment ------------------------------------------------------------------------------- **-27078-B 14,200 B01 FOOTING 07/17/00 DCJ A B10 FINAL 07/31/00 CJD D HOLES IN FLOOR W/ ROMEX BELOW FOR FUTURE FLOOR MOUNTED RECEP. NEED ELEC. PERMIT B10 FINAL 10/17/00 CJD D JOB COMPLETED-WIRING HIDDEN-GET LETTER FROM E1 TO CERTIFY B10 FINAL 04/03/01 CJD A W/OWNERS FATHER B10 FINAL 04/03/01 CJD A CLOSED OUT. **-16939-E 35 DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT APPROVED 1540 SULLIVAN AVENUE Bldg.Permit# a 644-2511 ext. 230 �?0 �� ate ng Inspector i I Application must be printed or typed Loc 'on of Job: FEE SCHEDULE J h � �'�� �� � [or 0-$1,000=$13.00 Street No. '-- Street Lot No. Over$1,000= $13.00 per$1,000 any fraction thereof Tenant Designation Apt.No. APPLICANT Sod e C LL-)(,tfi APPLICANT ADDRESS —Pine- knob s Lb no coo APPLICANT PHONE# (o q L4 �� f N SFq OWNER QW AVr, OWNER ADDRESS rAL `�• OWNER PHONE �nR� ESTIMATED COST$ 35 �`,'�'► T �' IS THIS A CONTRACT COST? 13 Yes 13 No lr < t � ' ��► FEE ENCLOSED$ R CO TYPE OF JOB: O Original Installation d Alteration/Addition/Repair Revised 8/99 I APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION? ❑ YES ❑ NO ❑RESIDENTIAL ❑BUSINESS CURRENT USE AND OCCUPANCY ❑ASSEMBLY ❑MERCANTILE FUTURE USE AND OCCUPANCY ❑EDUCATIONAL ❑ INSTITUTIONAL ENGINEER'S NAME PHONE ❑FACTORY ❑ STORAGE ADDRESS ❑ GARAGE ❑MIXED USE CITY STATE ZIP (Other please specify) TYPE OF INSTALLATION/WIRING METHOD SIZE OF MAIN FEEDERS AND RATING OF WIRE USED NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS NUMBER OF PANELS REMOTE DISCONNECT REQUIRED? ❑YES ❑NO NUMBER OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS NUMBER OF SWITCHES NUMBER OF OUTLETS NUMBER OF LIGHT FIXTURES NUMBER OF HEAT CIRCUITS NUMBER OF A/C CIRCUITS SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED. DESCRIPTION OF WORK L I�eLrky�Lal THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT DATE f Electric# APPLICATION FOR BUILDING PERMIT $lumbing# 122 Pine Knob Drive HVAC # Dat : "D��'d d �. 27205 Sprinkl r# FINAL APPR LS _o Estimated Cost Budding y 3 COMPLETE RED BOXED AREAS Permit Fee Engineering TYPE OR PRINT ONLY Occupancy Fee $ Affidavit SIGN ON REVERSE SIDE Appr.for CO. Total Fee $ TO BLUM DPARTMEW,TOWN OF SOUTH WINDSOR,CT (Additional Cost) $ The undersigned hereby applies to do work according to the following specifications: Jo6 Location o`Zkworl trio Lot No. Side of Street Zone Applicant Tel.# 4AS- "a G Address iA 4400.1& 4C Iftywe 154#w& Ckip 0ba Lic.# G! Owner Address /o`y. ��Gs u ZKo� Architect Address Sq.Ft.New Area: 15t FI. 2nd FI. 3rd FI. Total New Area #Rooms #Lavatories #Bathrooms #Garages Purpose of this permit: 4, vim- a. City Water ❑ Well ❑ Septic System ❑ Sewer ❑ Ins. H.O. SY Cert. Area Basement Garage Approved 6y Dat I cl dC� �L6Group Construction Type Revsed 1197 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 is building and its use is allowed. Signed 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 Inspection / Approval Date By Appl Code Description Due Whom Code Comment ------------------------------------------------------------------------------- **-27205-B 199 B10 FINAL 04/03/01 CJD A W/CLAUDE CLOUTIER B10 FINAL 04/03/01 CJD A CLOSED OUT. Electric# ( 7/S3 APPLICATION FOR BUILDING PERMIT Plumbing# 167,35122 Pine Knob Drive HVAC # 2 7 6 6 5 Sprinkler# No. FINAL APPRO LS Estimated Cost $ l.?,,yoo Building COMPLETE RED BOXED AREAS Permit Fee $ Sl0.00 Engineering TYPE OR PRINT ONLY Occupancy Fee $ S. 00 Affidavit SIGN ON REVERSE SW Appr.for CO. Total Fee $ 16 r. O O TO BUILDING DEPARTMENT,TOWN OF SOUTH WINIDSOR,CT (Additional Cost) $ The undersigned hereby applies to do work according to the following specifications: Job Location_/g22 Pi r,g- /�n ob 0 a_ Lot No. Side of Street Zone Applicant K;-;)4 12 , (f in 4. TeL#_�2 29-0 19-2- Address 17C a S e- a r`l I eo'.r:,. Zip 7( _Lic.# SV V�133 Owner � e �-_ S'ta nel V ��_� Address /ou j2,� �N ok al, i� Architect Address Sq.Ft.New Area: 1st FL 2nd FL 3rd Fl. Total New Area #Rooms #Lavatories #Bathrooms #Garages w Purpose of this permit: cc k,41 ts a a Q eU 13e,-V, �-p L City Water ❑ Well ❑ Septic System ❑ Sewer ❑ Ins. H.O. S.P. Cert. Area Basement Garage Approved by Dat Use Group Construction Type ReYW 1/97 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 whic his building and its u s allowed. Signed el I hereby apply for a Certificate of Occu y for the work desc*bed in this application for the permit. Signed DO NOT RITE BELOW THIS LINE INSPECTION COMMENTS Inspection / Approval Date By Appl Code Description Due Whom Code Comment ------------------------------------------------------------------------------- **-27665-B 12,000 B09 OTHER 03/22/01 CJD A W/GAR CONTRC./RESLVE ELECTR. PANEL CONCERNS SPOKE W/FATHER OF OWN. WILL RECTIFY CODE VIO P02 UNDERGROUND 04/03/01 CJD A W/IMPERIAL DWV AND H2O E03 ROUGH 04/05/01 JFF A BASEMENT BATH WITH CONTRACTOR B01 FOOTING 04/24/01 CJD A W/GAR B03 FRAMING (ROUGH) 05/17/01 JFF A LEFT NOTICE OF APPROVAL E03 ROUGH 05/17/01 JFF A LEFT NOTICE OF APPROVAL B10 FINAL 06/11/01 CJD A W/GAR B10 FINAL 06/11/01 CJD A CLOSED OUT. **-17153-E 1,000 **-10739-P 2,000 DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT PERMIT# Application is b : TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT APPROVED 1540 SULLIVAN AVENUE Bldg.Permit# �3�o 644-2511 ext. 230 0 7 6 4 r Date Build' g Inspector Application must be printed or typed Location of Job: FEE SCHEDULE 1 'Z P 1 r Cl 1� $0-$1,000=$13.00 Street No. Street :No. t No. Over$1,000= $13.00 per$1,000 or any fraction thereof Tenant Designation A APPLICANT —`gym e C 0A APPLICANT ADDRESS S \� APPLICANT PHONE# 3 0001,11,1111111111,1111111 W N S OWNER S C),Y,c��/ c 0L �e �q� OWNER ADDRESS V Y7�,Cl — S ' OWNER PHONE " Cj C ESTIMATED COST$ C-)U IS THIS A CONTRAC COST? A6 Yes 13 No { CJ FEE ENCLOSED$ 2 6 �r TYPE OF JOB: O R-C 0 New Installation Alteration/Addition/Repair Revised 8/99 APPLICATION FOR PLUMBING PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION? ❑YES NO RESIDENTIAL ❑BUSINESS CURRENT USE AND OCCUPANCY ❑ASSEMBLY ❑MERCANTILE FUTURE USE AND OCCUPANCY ❑EDUCATIONAL ❑INSTITUTIONAL ENGINEER'S NAME PHONE ❑FACTORY ❑ STORAGE ADDRESS ❑GARAGE ❑MIXED USE CITY STATE ZIP (Other please specify) TYPE OF INSTALLATION �)O� �Q C SIZE OF MAIN DRAIN ' NO.OF TOILETS STYLE 1 NO.URINALS STYLE NO.OF BATHTUBS , NO.OF SHOWERS NO.OF LAVATORIES NO.OF CONDUCTORS SIZE NO.OF STACKS I SIZE 1 2 AREA OF ROOF NO.OF CATCH BASINS NO.OF FLOOR DRAINS NO.OF OTHER FIXTURES KIND ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW ❑YES ,(NO SIZE OF WINDOW IF NONE C.F.M.OF CENT:ILA:T R oD SIZE OF DUCTS QOREWE SEPTIC TANK SIZE OF WATER MAIN 3 SIZE OF WATER PIPING&RISER �-- WATER HEATER: TYPE MANUFACTURER DESCRIPTION OF WORK �e c4e THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. 2(� Re y' I (7T CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT DATE J C� DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT PERNIIT# Applic ' is hereby: TOWN OF SOUTH WINDSOR ,? 3 BUILDING DEPARTMENT AP VED 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 - Date Bu or Application must be printed or typed Location of Job: FEE SCHEDULEPin r- kaQ6 ,n $0-S 1,000 a$13.00 Street No. Street Lot No. Over$1,000 $13.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. � APPLICANT h►" LG` �`b • APPLICANT ADDRESS � w td h APPLICANT PHONE# Co 7—O 7 -6 Sf W p OWNER ay di e w v OWNER ADDRESS -C, OWNER PHONE cw ESTIMATED COST$a . IS THIS A CONTRACT COST? 0 Yes b4o i„ C! FEE ENCLOSED$ 13 e- , TYPE OF JOB: (�R.c M New InStallatio.1 teration/Adciltion/Repair Revised 8/99 APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse Side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION? 1,YfS ❑NO GtiRESIDENTIAL ❑BUSINESS CURRENT USE AND OCCUPANCY ❑ASSEMBLY T" ❑MERCANTILE FUTURE USE AND OCCUPANCY ❑EDUCATIONAL ❑INSTITUTIONAL ENGINEER'S NAME PHONE ❑FACTORY ❑STORAGE ADDRESS ❑GARAGE ❑ME—KED USE ^CITY STATE ZIP (Other please specify) TYPE OF INSTALLATION/WIRING METHOD SIZE OF SERVICE �� SIZE OF MAIN CONDUCTORS .2,004 NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS NUMBER OF PANELS REMOTE DISCONNECT REQUIRED? ❑YES ❑NO NUMBER OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS NUMBER OF SWITCHES NUMBER OF OUTLETS NUMBER OF LIGHT FIXTURES NUMBER OF HEAT CIRCUITS NUMBER OF A/C CIRCUITS SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED. DESCRIPTIOII OF WORK rRv�-�/ L 2�=, l� . THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT O PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. 0 V 122 ONT ACTORS LICENSE NO. E STATE SIGNATURE OF APPLICANT DATE O