HomeMy WebLinkAbout1261 Pleasant Valley Road TO THE BUILDING INSPECTOR of the APPLICATION FOR
TO" OF SOUM WWSOOR,COS PLAN EXAMINATION AND
BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, it, III, IV, and IX. O
1 II ZONING �I• AT (LOCATION) l DISTRICT J
LOCATION (N0.) (STREET)
OF 1� BETWEEN AND �-
BUILDING (CROSS STREE ) IC OSs STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
II. TYPE AND COST OF BUILDING — A11 applicants complete Parts A — D
�v
A. TYPE F IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use �
1 New building Residential Nonresidential
2 Addition(1/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 o/units- - - - -o- 20❑ Industrial
3 ❑ Alteration (See 2 above)
14❑ Transient hotel, motel, 21 ❑ Parking garage
4❑ Repair, replacement or dormitory - Enter number
5❑ Wrecking (I/multifamily residential, ------- - i ❑ Service station, repair garage
enter number of units in building in 15 VGoruneits
23❑ Hospital, institutional
Part D. 13)
16❑ Carport 24❑ Office, bank, professional
6❑ Moving (relocation)
7 ❑ Foundati n only 17❑ Other - Specify 25❑ Public utility
26❑ School, library, other educational
B. OWN E"P 27❑ Stores, merconfi le
8 28 0 Tanks, towers Private(individual, corporation, /
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................ I OQ dky 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 oZUOO .
III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L;
for wrecking, complete only Port 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 ad frame 41 ❑ Private(septic tank, etc.) 49• Total square feet of floor area,
all floors, based on exterior
32❑ Structural steel dimensions ....................
33❑ R inf rc d concrete H. TYPE OF WATER SUPPLY
34❑ Oth r - Specify 42❑ Public or private company `-�� 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.......................
96❑ Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
37❑ Electricity 44❑ Y s 45❑ N 53. Number f bedr ms..............
38❑ C al
39❑ Oth r- Specify Will th r be an elevot r? 54. Number f Full..........
46❑ Y s 47❑ No bathrooms
Partial.......
NOTES and Data — (For department use)
IV. IDENTIFICATION — To b c mpl t d by all applicants
Nam Mailing addr ss — Number, street, city, and State ZIP cod Tel. No.
Owner or
u 50 AT it%cl
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.
Signatur of applicant Address Application date
DO NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Revi w R uired Check Plan Review Date Plans By y
Date Plans B Notes
9 Fee StartedApproved
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or A rova I Check Date Number B Permit or Approval I Check Date Number By
pp Obtained Y pp Obto fined
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
P rmit numb r 12404
Building
Permit issued Sept_. 17 19 81
Building
Permit Fee $ 12.00
proved y:
-R
TITLE
NOTESVill. ZONING PLAN EXAMINERS
DISTRICT
SIDE YARD SIDE YARD
r
IX. SITE
OR • For •.
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TOWN OF SOUTH WINDSOR
BUILDING PERMIT
Date Sela t. 17 , 1981
Fee Paid s. .12.00 Est. Value $.2+000*00
Permit No 12404
on the side of
,y
Pl t Valley gave -
�3
SV.
Street No. 1261
Ogee Stanley Baldvsta
Applicant Marion L. juldmia
CERTIFICATE OF OCCUPANCY IUED:
Date
No.
Fee Paid $
CLASSIFICATION
Zwio-car $aM&g
BUILDING PERMM
i
N° 12404
OFFICE OF
I
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn.
19 81
94t's is tit (fertt That v__h i a
j is hereby granted permission to savage "361 Pt 24#
I
at estimated value of $ e6a -00
on the side of iRIG&Sant UN111031F- eaQ Street on land
owned by Stanley B-01d;ma -
Said We rk to be as described in Application
No. 12704. and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
Issued ee..a. t? 19 81
A
P
�,�wilding 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 petxon 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."
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INSPECTION^ REPORT
Permit # / 12 Job
1 Footing
2 Foundation
3 Framing
4 Wiring
5 Plumbing
6 Heating
7 Lathing
8 C.O.
IXr 1
Permit No.. U TOWN OF SOUTH WINDSOR A- �- r
SOUTH WINDSOR, CONN.
Permit NY 1163
Certificate of Occupancy -
THIS IS_TO CERTIFY that the
k4 1.4. in the Town of South Windsor, Connecticut,
has been erected and completed in ac rdance with the Building Code and Zoning Regulations of ;,
the Town of South Windsor, and is hereby approved for occupancy.
-.. 0 elli!J A BUIiii NG INSPECTOR
OWNER, BUILDER
Fee Paid ..j. 0 `3 Date 19 i