HomeMy WebLinkAbout100 Pine Tree Lane TO THE BUILDING INSPECTOR
of the APPLICATION FOR
TOW14 OF SO M wilesm COW PLAN EXAMINATION A N D
BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, III, IV, and IX. o
d
�1 ove�/�lr�Ii ZONING
AT (LOCATION) /�nil- DISTRICT
LOCATION (NO.) (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
H
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D
�v
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use T
1 ❑ New building ReNidential Nonresidential
2 ❑ Addition(!/residential, enter number 12 One family 18 ❑ Amusement, recreational
of new housing units added, i/any,
in Part D, 13) 13 ❑ Two or more family — Enter 19❑ Church, other religious
3�Alteration (See 2 above) number o/units— — — —--jo. 20❑ Industrial
14 ❑ Transient hotel, motel,
4❑ Repair, replacement or dormitory — Enter number 21 ❑ Parking garage
5 ❑ Wrecking ([/multi/amity residential,
of units ——————— — — 22 ❑ Service station, repair garage
enter number o/units in building in 15 ❑ Garage 23 ❑ Hospital, institutional
Part D, 13) 16 Carport 24❑ Office, bank, professional
6❑ Moving (relocation) ❑
17❑ Other — Specif ' 25❑ Public utility
7 ❑ Foundation only 26 ❑ School, library, other educational
B. OWNERSHIP
`"�� �, /r ''y�L"r 27❑ Stores, mercantile
8 ❑ Private(individual, corporation, 28 ❑ Tanks, towers
nonprofit institution, etc.) 29❑ Other — Speci/y
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,.••.•,,,,,,,.,, 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 $
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................
Total square feet of floor area,
31 Wood frame 41 ❑ Private (septic tank, etc.) 49. all floors, based on exterior
32❑ Structural steel dimensions ....................
33❑ Reinf re d concrete H. TYPE OF WATER SUPPLY
34❑ Oth r — 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 conditi ning?
L. RESIDENTIAL BUILDINGS ONLY
37❑ Electricity 44❑ Yes 45❑ No 53. Number of b dro ms..............
38❑ C al
39❑ Other— Speci/y Will there be an elevator? 54. Number F Full..........
46❑ Yes 47❑ No bathr am* Partial........
IV. IDENTIFICATION — To b completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
Owner or
Lessee
2. &e4.-Al
Contractor
3.
Architect or
Engineer
The own r of this building and the undersigned agree to conform to all applicable laws of this jurisdiction.
ign a of appli nt Address TZPP
lication date
`!� ,/�.�'a ems-r�er��,✓�-�� !ter/`�/i��J L/-
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans By y
Date Plans B Notes
q 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 te 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
Building
Permit issued ,�//� fly 19
Building
Permit Fee $ 2?
Approved by.
0—YV 10-4
TITLE
Z
TOWN OF SOUTH WINDSOR
BUILDING PERMT
Date Oct- 19 19 84
Fee Paid Est. Value . .3.,6 0 0
Permit NY 14128
on the side of
Pine Tree Lane Sty«
Street No. 100
Owner Armand L' Heureux
Applicant Jerry Radeen
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No.
Fee Paid $
CLASSIFICATION
Vinyl Siding
BUILDING PERMIT
N� 14128
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn. Oct. 15 19 84
4541a is to Certifg, That Bergen Construction Co.
is hereby granted permission to Vinyl Siding
at estimated value of
on the side of 100 Pine Tree Lane Street on land
owned by Armand L' Heureux
Said Work to be,as described in Application
No. 14428 and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
ssuc_d Oct. 19840
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."
FDERTNMNr DECISION APPLICATION FOR ELECTRICAL PERMIT
PERNIIT#
plication is hereby: TOWN OF SOUTH WIlNDSOR lwo eo2
BUILDING DEPARTMENT
APPROVED 1540 SULLIVAN AVENUE Bldg.Permit#
644-2511 ext. 230
�t
Dke Building Inspector
Application must be printed or typed
Location of Job:
FEESCHEDULE
$0-$1,000=$15.00 Street No. Street Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT
APPLICANT ADDRESS5—
�/.-T,:
APPLICANT PHONE# 917)-
N S OWNER ,�� �1-�- yL„I,./ 7;j-P�-
OWNER ADDRESS /00 1-21lV e �� L
'- 15 Gt//N rev/L r IJCd
OWNER PHONE(&;00
0
C ESTIMATED COST$ 9' D 4
IS THIS A CONTRACT COST? 4ZY es No
FEE ENCLOSED$ l J 0 D
TYPE OF JOB:
�SO R-C New Installation
�C Alteration/Addition/Repair
Revised 4/01//2002
APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
RESIDENTIAL BUILDING PERMIT APPLICATION? ❑YES*NO
❑BUSINESS CURRENT USE AND OCCUPANCY ,4
❑ASSEMBLY C-
❑MERCANTILE FUTURE USE AND OCCUPANCY'S
❑EDUCATIONAL
❑INSTITUTIONAL
❑FACTORY ENGINEER'S NAME PHONE
❑ STORAGE
❑GARAGE ADDRESS
❑MIXED USE
CITY STATE ZIP
(Other please specify)
TYPE OF INSTALLATION/WIRING METHOD V`
SIZE OF SERVICE SIZE OF MAIN CONDUCTORS L a
NUMBER OF METERS f NUMBER OF DISCONNECTS AND RATINGS
NUMBER OF PANELS REMOTE DISCONNECT REQUIRED? ❑YES p�O
7 1-
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.
k�-- . � �i
CONTRACTORS,LICENSP:NG. TYPE- .STATE
SIGNATURE OF APPLICANT �� C DATE ,
Shirley Wilhelm -CRS Approval Confirmation: Request No. 235528 Pa e„1
From: <clpsvc@nu.com>
To: <WILHEL@SOUTHWINDSOR.ORG>
Date: 11/26/02 2:21 PM
Subject: CRS Approval Confirmation: Request No. 235528
Your approval of the following CRS Request has been successfully processed.
CRS Work Request M 235528
House No: 100
Lot No:
Street Name: PINE TREE LN
Town Name: SOUTH WINDSOR, CT
Inspector: JOHN COLLINS
Approval Date: Nov 26, 2002