HomeMy WebLinkAbout155 Pine Tree Lane TO THE BUILDING INSPECTOR
of III APPLICATION FOR
TO" OF SCIUM WINDS X CONK. PLAN EXAMINATION A lid
BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O
1 ZONING
I• AT (LOCATION) �� • t,nQ l R Pe h 0 SD -4, w t �Sd r DISTRICT
LOCATION (NO.) (STREET
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
M
II. TYPE AND COST OF BUILDING — A11 applicants complete Parts A — D
se
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use IA
A
1 ❑ New building Residential Nonresidential
2❑ Addition(If residential, enter number 12 CROne family 18❑ Amusement, recreational
of new housing units added, if any,
in Part D, 13) 13❑ Two or more family — Enter 190 Church, other religious
number of units— — — — -)o 20❑ Industrial
3 ❑ Alteration (See 2 above) 14 l l h i Transent hotel, mote ,
❑ 21 ❑ Parking garage
4 ❑ Repair, replacement or dormitory — Enter number
5❑ Wrecking (If multifamily residential, of units ——————— — -- � 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 F'�?l Other — Specify 25 E] Public utility
7 ❑ Foundation only
26 ❑ School, library, other educational
B. OWNERSHIP C)0d b u r n s Q 27❑ Stores, merconfile
8 [k Private (individual, corporation, s f ✓� 28 ❑ Tanks, towers
nonprofit institution, etc.) 'TZ� 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,,,,,,•.,,,,,,,, S b 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 $ 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................
31 ❑ Wood frame 41 ❑ 49. Total square feet of floor area,
Private (septic tank, etc.) 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 0 Gas Will there be central air 52. Outdoors.......................
conditioning?
36❑ Oil L. RESIDENTIAL BUILDINGS ONLY
37❑ Electricity 44❑ Yes 45❑ No 53. Numb r f bedrooms..............
38❑ Coal
39❑ Oth r— Specify Will there be an elevator? 54. Number f Full..........
46❑ Yes 47❑ No bathrooms
Partial.......
NOTES and Data — (For department use)
IV. IDENTIFICATION - To b compl t d by all applicants
Name Mailing addr ss — Number, street, city, and State ZIP code Tel. No.
�. e Y/-�-A A- u r- O a ►,h le !2 e
Owner or �� ' � La/l•�� Gy�-83�
Lessee
2.
Contractor
3.
Architect or
Engineer
Th owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction.
Signature of applicant Address Application dot
00 HOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD - For office use
Plans Revi w R uired Check Plan Review Date Plans B Date Plans g Notes
q Fee Started y Approved y
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approva I Check obtained Date Number By Permit or Approval Check ObtDa ate 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 10053
Bui Iding
P rmit issu d NOV. 8 19 7_
Bui Iding
Permit Fee $ 6.00
Approved by:
TITLE
kill. Z,NING PLAN EXAMINERS •
DISTRICT
REAR YARD
NOTES
_IX.- SITE • PLOT PLAN For Applicai�� ii ■• � • r r rr�•s■ a r■: ••r: w
nt Use
•
•
•
•
•
•
off
111111111111 toll
tile" an gon an as W!
■ I ro I life
a ago HUT, •• ■ ■•r•••r• "in: ffi re in In r•r•• .11 WIN. u
go
Imun
a-
llmmaimu
•:a•r•■• ••■ a •r•• 81108111166
IN"120. I
------------ ----------- --- ---- ------
- - --------------------- -
TOWN OF SOUTH WINDSOR
BUILDING PERMIT
Nov-.-- 8 , 19 7 7 ='
Date
w
Fee Paid $.6,00 Est. Value .7.00..00
Permit 10053
on the
side of
Pine Tree Lane Saver -
S^b
Street No. 155
Owner Arthur Heale AI
Applicant Mrs4rthur Healev
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No.
Fee Paid $
CLASSIFICATION
Wood burning stove
BUILDING PBRbffr
N 10053
OFFICB OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
Nov. 8 77
South Windsor, Conn. 19
Arthur Healey
X#iz t to CertifU, That
Install wood burning stove.
is hereby granted permission to
700.100
at ` .ata timated value of �$
155 P;re_*-Tree e
on the side of Street on land
Arthur Neale)
owned by
Wort
Said to be as described in Application
10353
No. and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR _
Ncv. 8 77,
Issue 19
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."
INSPECTION REPORT
Permit # Q,,�Qf' Jobs
1 Footing
2 Foundation
3 Framing 1
4 Wiring
5 Plumbing
6 Heating
7 Lathing
8 C.O.
B ildinlg ,_72 SPECTIONS• APPLICATION FOR BUILDING PERMIT
Plumbing
HVAC 155 PINE TREE LANE Date: 9-16-91
Sprinkler
Electric Estimated Cost $
Zoning Permit Fee$ l y
Affidavit NO. 19528 Occupancy Fee $
Eng. Dept.
Fire Dept. COMPLETE RED BOXED AREAS. Total Fee $ 0
Health Dept. TYPE OR PRINT ONLY
Approved for CO: SIGN ON REVERSE SIDE. (Additional Cost) $
TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT
The undersigned, hereby applies to do work according to the following specifications:
Job Location 155 PINE TREE LANE Lot No. Side of Street Zone
Applicant 'DOUG & KIM McCUTSKEY Tel. # 644-6672
Address 155 PINE TREE LANE SOUTH WINDSOR CT. Zip 06074 Lic.#204173910
STREET CITY STATE
Owner DOUG & KIM McCLUSKEY Address 155 PINE TREE LANE S.W. CT. 06074
Architect Address
Size New Area: Ft. Front Overall Ft. Deep Overall Qh Total Area #Garages
Lavatories
No. of Families No. of Stories Construction Bathrooms Rooms 1st 2nd 3rd
Size of Lot Dist. from Street Line Dist. from Side Street Line
Purpose of this Permit EXTEND EXISTING CARPORT TO DOUBLE WIDE CARPORT
ornmu�-
City Water ❑ Well fi?L Septic ❑ Sewer ❑
Approved by Date `�'�{`ir BD 1 A>>use
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 th proper distance from all street lines,side yard lines and r quired distanc s from all other zones and is
located in a zone in which this building and its use is allowed.
Signed
I hereby apply for a Certificate of Occupancy for the work described in this application for permit.
Signed
—DO NOT WRITE BELOW THIS LINE—
I'Ot���vfD
INSPECTION RECORD
Footin�'��'�'�I � Framing )-7-�L
Foundation Fireplace/Chimney Insulation
Plumbing Permit# Inspections:
HVAC Permit# Inspections:
Electrical Permit# Inspections:
Sprinkler Permit# Inspections:
Bectric* APPLICATION FOR BUILDING PERMIT
Plumbing# 155 PINE TREE LANE
HVAC # Dat : /o-/y-97
Sprinkler# No. 9 a 7 3 0
FINAL APPROVALS Estimated Cost o
Building lg8 COMPLETE RED BOXED AREAS Permit Fee
Engineering TYPE OR PRINT ONLY Occupancy Fee $
Affidavit SIGN ON REVERSE SIDE
AM.for CO. Total Fee $
TO WU*%IC'WARTMENT,TOWN OF SOUTH WHDSOR,CT (Additional Cost)
The undersigned hereby applies to do work according to the following specifications:
Jo6 Location Is S A WE T R 66� Lot No. Side of Street Zone
Applicant j,,) oVA M C(- L,s r Tel# r VV- &(P 7 Z
Address i A n)c:T A.c'c NE Zip 040Y Lic.# 12 V 3/(a 9/
Owner Kim i, -t)d o, M((( c Address
Architect Address
Sq. Ft.New Area: 1st FI. 2nd FI. 3rd Fl. Total New Area
#Rooms #Lavatories #Bathrooms #Garages
Purpos of this permit: ZF/"OyE C pLgCC S 14 INGCf S - (?O0
City Water ❑ Well ❑ Septic System ❑ Sewer ❑
Ins. H.O. t S.P. Cert. Area Basement Garage
Approved by V Date Z �q-) Use Group Construction Typ
Rw'sed 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 fr m all street lines,side yard lines,and required
distances from all other zones and is located in which this building and its)r is Ilowed.
Signed �1
I hereby apply for a Certificate of Occupa y 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
-------------------------------------------------------------------------------
97-24730-B 1,600
B10 FINAL 04/09/98 DCJ A APPROVED FOR CLOSEOUT
DEPARTMENT DECISION PERMIT#
APPLICATION FOR ELECTRICAL PERMIT
Application is hereby: TOWN of SOUTH WINDSOR
BUILDING DEPARTMENT Bldgjro t#
1540 SULLIVAN AVENUE
APTPROD 644-2511 ext.230
rs
uil g
Date Inspector Application must be printed or typed
I
Location of job
Street No. Street Lot No.
FEE SCHEDULE I
Floor Apt.No.
$0 - $1,000 - $12.00
Over $1,000
$12.00 per$1,000 OWNER ZV
or any fraction thereof
ADDRESS
OWNERS PHONE#
APPLICANT
t O�N ADDRESS
ESTIMATED COST ,;7
IS THIS A CONTRACT COST? YES NO
w ICJ FEE ENCLOSED
OR-CO ME OF JOB:
Original Installation
�teration/Addition Repair Revised 11/95
APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side)
TYPE OF BUILDING
IS THIS APPLICATION ASSOCIATED WITH A
RESIDENTIAL BUILDING PERMIT APPLICATION YES / NO
BUSINESS
ASSEMBLY CURRENT USE AND OCCUPANCY
MERCANTILE
EDUCATIONAL FUTURE USE AND OCCUPANCY
INSTITUTIONAL
FACTORY
STORAGE ENGINEER'S NAME PHONE
GARAGE
MIXED USE ADDRESS
CITY STATE ZIP
(Other please specify)
A
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
SEPERATE 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 CONN. BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
NAME STATE LICENSE NO. TYPE SIGNATURE PLICANT
PHONE NO.C� f- �� �� DATE J� 0
INSPECTOR `� � ATE 6 3 TIME
}- LOCATION
1q� � �
INSPECTION: CODE: RESULT(D/A) :
- BUILDING:
,_ELECTRICAL:
PLUMBING:
=J' HVAC:
OTHER: -----