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Home My WebLink About1803 Main Street v/ 01;�, TO THE &JUHDING INSPECTOR of the APPLICATION FOR PLAN EXAMINATION AND TOWN OF S4VTH WiNQS�OR,COW PLAN PERMIT IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O I• AT (LOCATION 1%9 MA ZONING DISTRICT 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 �o A. TYPE OF 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, 13 Two or more family — Enter 19❑ Church, other religi us in Part D, 13) 3❑ Alteration (See 2 above) number of units— — — —♦ 20❑ Industrial 14 ❑ Transient hotel, motel, 21 ❑ Parking garage 4❑ Repair, replacement or dormitory — Enter number 5 E] Wrecking (!f 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) 17 Other — Specify 25❑ Public utility 7 ❑ Foundation only 26 0 School, library, other educational B. OWNERSHIP 01 27❑ Stores, mercantile 2130 Tanks, towers 8 ❑ Private(individual, corporation, S n nprofit institution,etc.) 29❑ Other — Specify fy 9 ❑ Public(Federal, State, or i local government) C. COST ( it cents) Nonresidential — Describe in detail proposed use of buildings, e.g., food AMN processing plant, machine shop, laundry building at hospital, elementary 10. Cost of improvement................ FA 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 us of existing building is being changed,enter proposed use. in the above cost a. Electrical...................... / 0 q''f Axr 7_ 131� b. Plumbing ...................... v eC/ c.Heating, air conditioning......... d. Other(elevator, etc.)............ 11. TOTAL COST OF IMPROVEMENT 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 ❑ 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❑ Reinforc 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........................ 36❑ Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY 37❑ El ctricity 44❑ Yes 45❑ N 53. Number f b dr ms 39❑ Oth r— Specify Will th re be an elevat r? 54. Number f Full.......... 46❑ Yes 47❑ N bathrooms Partial....... NOTES and Data — (For department use) IV. IDENTIFICATION — To b compl t d by all applicants Nam Mailing addr ss — Number, street, city, and State ZIP cod T I. No. 1. x . • Owner or • a� Lessee • ��03 �N 2. x Contractor 3. Architect or Engineer Th own r of this building and the undersigned agree to conform to all applicable laws of this jurisdiction. Si ature of applicant Address Application dot dAo— LL NY/ 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Revi w R quired Check Plan Review Date Plans B Date Plans B Notes Fee Started y Approved y BUILDING $ PLUMBING $ MECHANICAL $ ELECTRICAL $ OTHER $ VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS P rmit or Approval Check Obtate ained ned Number By Permit or Approval I Check Obtained ate BOILERNumber 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 II. VALIDATION Building P rmit number _ 12834 Bui Iding Permit issued 23 19 .82 Building P rmit Fe $ 17 .00 Approved by: Illy TITL NOTESVIII. ZONING PLAN EXAMINERS FRONTDISTRICT USE SIDE -D SIDE YARD REAR YARD NOTES IX. SITE OR •T PLAN For Applicant : fswr.ar■■f.sw sfw ■r■w..mf■.■ ■■w.■■■f■...fw.■.r■■..■ •■■■■fa.ff■■■..�.■... ■rsf■■w.f■s f .f f .■sww.s s.fws.r u mf ass w wswmf. as mass" \s• rsree��sr sire:s:: :i�il:ssR:::sss::::s::i::�'i::si s:lsiii:::ss::si=e::essss::si,■i=4.0ir i r'r rs sea ■� �� at ss.r. _ trsa■• rZ'�ir •ta0s:•r'sf a ti •rsi M.: ::iiii.��wi:is�N*isii 2,10UNsi:i:wiiiw::w�.=i!/N=\ a •wslr�i Mii•r R . � a •' r ��s:�f! 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Fee Paid . .12.00 Est. value $.19-600.00 Permit No 12834 on the We of Main Save Street No. 1803 Owner Donald & Patricia Robbins Applicant Patricia R. Robbins CERTIFICATE OF OCCUPANCY ISSUED: Date No. Fee Paid $ CLASSIFICATION Above Around pool I BUH DING PERMIT N° 12834 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Wmdsor, Conn. duly 23 ig 82 itht,eri 'to to gertify, That Don�_Robbina is hereby granted permission to Install aboyg_$round Vo o 1 per ZBA 14 7 b-8 2 and Historical District #24-1982 at estimated value of $ 00 on the side of 180 3 Main Street on land owned by Said We rlc to be as described in Application No. 11134 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issued &1y 23 1g 82• ✓ y %mot uilding 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 coats and damages which it shall sustain, or be compelled to reason therefor." INSPECTION REPORT Permit # " y Job 1 Footing �� s 2 Foundation 3 Framing 4 Wiring.� 5 Plumbing 6 Heating 7 Lathing 8 C.O. )1 h r uu A-Y c ,qj d 1 G Soy— �) 2 i 'z1.eY >• V�F_2ou�j h • SE- <c.E �-v ca A C A J It -'ELx--c.rtZt cA L w/Z`1A �t GCZ kQA GE t-3o tic s A-r rA,c�•�s'� PLOT PL 4 �t P�EPA�E� I��C of Co+vNF� HEN9Y L. r"OA44 5 so U r•H wl"a SO) , caN Ar. j r � Z _� - .•i L 1 t! r ` N�. 1644 `OJST`.RC. � O� JOHN J. MOZZOCHI & ASSOCIATES CIVIL ENGINEERS GLASTONBURY# CONN. A/CN-CONFORM//JC U�;jc CERTIFIED SUBSTANTIALLY CORRECT. SCALE... / "I= 40 DATE- // 9�6 7717 /till, ELECTRICAL APPLICATION Application No. 8898 on the side of Mai n Stnet Street No. 1 iD-4 Owner Donald Robbins Electrician Home owne r FILED IN OFFICE OF The Building Inspector July _ 22 i9 82 INSPECTION. 13r 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 (if of wood) are installed, without a special permit from the office of the Building Inspector. j� APPLICATION FOR PERMIT TO DO ELECTRICAI. WORK. No Permit No. . �..�.,�.,r .. ......... . TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. �.. hereby make application tct 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., 19 Sign here • Address � �3 V �1..N. .... .T�!........... . Location 5�3 .VM A 1 N Side of W�s.ST S ......... .... Nature of Building ...... . How many stories ............. ... ...Z"........................................... ................ New or old Building .. . ....... `..r. How many families .. `.................................................................................... Kind of Installation How many Stores ................................................................................................. Owner ............ ..... ...... .... ... Address . ........ .............................__.._............_..............._...... Architect Address ................................................ �..__....._....._._.... Builder ....... Address . . . ... .. . ....... .............. . .......................... .... .... Electrician O ly a E . . Address ... ...... ...................................................................................... _._... Size of Main Wires .. 77kl o.......... ....4.4 No. of Light Loops ... ... . 4. .... . p.. No. of Heat Loos . ..,..� No. of Power Loops ......................... No. of Light Outlets .... ....... .. . No. of Heat Outlets . No. of Power Outlets ................ .. ....... Nob of Light Circuits .... No. of Heat Circuits . No. of Power Circuits .. No, of Sockets No. of Heat Receptacles No. of Motors No. of Panels ................ .. ...... .. 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 ........................ ........ ........ ........ .. .......... ....... No. of Cord Drops ..... ............... .. ............ .. ... ........... ... .. Remarks: For other kind of Installation ..... .......1W^� �.......• 5.. ... T1� G. .. E .............................. �................... .c, .... ...................4W.1..G.0T.S�.......... ................ ......................... ........W............. ...Q..M........ ... ......a�+a ... ... .. .. ... ........ ►..,,1. ....................A.S.....................A►-�''i'.t►..�-�r....�3?....�.......�....�.....�................... ........ .............. ... .............. . ... . ..............................................Na...... 'Za� .... .... ... . ......... .... ... ................. ...... ... ... ......... ..... .......... . ...... . ..... ...... ....... . . ... . . . ... .. ...... .......... .. Estimated Cost ... 5348 - ELECTRICAL A"LI ATION Application No. 5659 on the west side of Main :St . Street Street No. 1803 Owner Don Robbins Electrician Paul Tranchina FILED IN OFFICE OF The Building Inspector 9-18-73 19 M 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 (if of wood) are installed, without a special permit from the office of the Building Inspector. APPLICATION FOR PERMIT TO DO ELECTRICAI. WORM. No. ..56..5...9........................ Permit No. ..5348. 8 ............... TO THE BUILDING INSPECTOR of the TOWN OF SOUTH W INDSOR, CONN. ................. hereby make application to.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., ...... ...... ............. .... .......... .................... 192,3Sign her .e:� .............. ........��„�. ..+c.�- _.�.......r�.. Address �'-ta......... ............._.... Location /.. '.. .. ..........N.4...hV....................... Side of ................................................................................................................................ Natureof Building ....................................... .................................................. How many stories ................................................................................................. New or old Building ................................ ................................. ......... ........ . How many families Kindof Installation ................................................................................... .... How many Stores ......................................................................................._........... Owner ................ .. l..a ..1..P.J..Z.................__............... Address I...�r .. ... ..........�...�..LA1....._....W.._..�... ___...... Architect .................................................................... ... ....................................... Address ..........................................................................._.........._...�.......�......_.... Builder ................................. ........................ p.......... . ................... ..... ........................... Address .......................................................................... Electrician ��!¢.V. .............. 1.�•( -41V - l�C/'�i .............. Address � .....�'...&...A..� ..., ......... ......__....�� Size of Main Wires ........................................................_ No. of Light Loops ................... .. ........... No. of Heat Loops ................ ... ... No. of Power Loops ......_............ No. of Light Outlets .................. ................. No. of Heat Outlets ....... ....... ... .. No. of Power Outlets ..................................... NoO of Light Circuits ................ ............... No. of Heat Circuits .... .. . . . . ......... No. of Power Circuits ............... ............... No. of Sockets ......... .... ........ .................. No. of Heat Receptacles ... ..... ...... .. No. of Motors ........................................................ No. of Panels ..................................... .......... ... .. 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 .................................. ...................................... . ............ No. of Cord Drops .............................................................................................. Rerks: For other kind of Installation ... ................................................... ........................................................................................................................................ ...... .�................ .......... ,.........CM......................... .... .................. ..... ......... ...... ..................... ... . t/, '...L. ............. ... ...r4.....................K...a.........,...11......f.............................. ............... ............................................................................................................................................................................................................................................... ........ ..................... ...................................... Estimated Cost . ...$;Z...Q..t.... ...... i Heat loss schedule must be complete for all jobs. System guaranteed to heat all rooms to 80' in zero weather. Dwellings exceeding 1200 sq. ft. to be heated shall have two or more zones controlled by separate thermostats. ?4 i ❑ v Z N T A V1 8 O - - Z -0 lob *-• -MiM INC •' z a.•-. 'd=a 'a"y��7: !" - • e� -.k T .:ate•u - --. 44 iAl 4 ,4 �4, - '" -r - `�';� -�Q - �' •3'Y+ J {µ h . .. ` tT f _ tJ •h�.i�i.�>� n`a'�. ,. �d.4 ` _ ' � # s ,. a ti...-. '�rt.�. .na�a ,`S'c_ - �y � �l - o,N.'�i � ..a..v Q f R•< ,7" h' a v:� •'u'-iY ,Y.; ��,},,, _ �kr ".�1_r _ ,• �.��; "M4",��` _. f Ike R� i%;e - n�-, 3,„, ti ��. .a;� _ - - _�°,.�.. ! ,•�_r,� .�� k F; ` - 1 .avi . _ ➢`;4 -{~ r"F "srn i `7! b ..is�£sf ' ��.'*�;u,�^. .r°,,„a, ,�' - �,� _r�: �.�. uv. �a��,$� i,t�,'�'"- ,t-,a^ �r��` [.�.� a °,way`' ';.�•.y ": ' °�� vi k��.. re, � ,�' ew w:"': ��t'"� Yi;�' ;�M.'tt" ^�x .'•!" :�4-�'L '�^l^,: :�+Nr�,';i��- •-j }�' r+9��`S.'1 i AR i a � h APPLICATION FOR HEATING PERMIT (C ntinued tr In Reverse Side) 11. LOCATION OF JOB sz�i NO. STREET FLOOR APT.NO. 12. TYPE OF INSTALLATION: OIL BURNER ❑ HEATING SYSTEM ❑ 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. AT BONNET FIRING RATE BOILER OR FURNACE MAKE AND NO. B.T.U. OR SQ. FT. NET B.T.U. OR SQ. FT. GROSS FIRING RATE FLOORS TO BE HEATED NEW OR OLD BUILDING INSULATED - YES OR NO TYPE OF WALL INSULATION ROOF OR CEILING INSULATION AVG. SYSTEM WATER TEMP. B.T.U./SQ. FT./HR. EMISSION INDOOR-OUTDOOR TEMPERATURE DIFFERENCE °FAHRENHEIT MAKE OF RADIATION: BASEBOARD. COPPER CONVECTORS. OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ. FT. OR B.T.U. DESCRIPTION OF WORK 15. TO BE DONE: 16. HEAT LOSS SCHEDULE. (TO BE INCLUD FOR ALL JOBS): ROOM SIZE WINDOWS AREA - SQUARE FEET B.T.U. S.T.U. i DISTRIBUTION INSTALLED AND DOORS VOLUME TOTAL TOTAL u1 ROOM NO' GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED J j LL REGISTER L W N AND TEMP. TO r��i TYPE AND SIZE RAD. OR LEADER SIZE < WALL F'Ot0 ft (INFILT.) DIFF. •F F m 10 SO' FT' FREE AREA i i j1 V- TOTALS 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 I 17. ELECTRICAL WORK BY: NAME ADD SS SUBCONTRACTORS AND ts. 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 BUILDING CODE. f APPLICATION TO BE COMPLETELY FILLED IN. DATE / SIGNATURE OF APPLICANT Electric# APPLICATION FOR BUILDING PERMIT Plumbing# 1803 MAIN STREET HVAC # Date: f 1 4�(� No- Sprinkler# 2 2?7 g FINAL APPRO YAL45Estimated Cost $ Building COMPLETE RED BOXED AREAS Permit Fee $ /^y,� Engineerin TYPE OR PRINT ONLY Occupancy Fee $ Affidavit SIGN ON REVERSE SIDE Appr.for CO. Total Fee $ /oa TO BUILDING DEPARTMENT,TOWN OF SOUTH WWSOR,CT (Additional Cost) $ Th and rsigned hereby applies to do work according to the following specifications: Job Location Lot No. Side of Street Zone Applicant M � �yl, -`� Tel. #W!r Address l� P NO C,'T 15WI�SYL, Zip Lic. # Owner N"`( Address (�41LD�l Architect Address Sq. Ft.New Area: 1st FI. 2nd FI. 3rd FI. Total New Area #Rooms #Lavatories #Bathrooms #Garages Purpose of this permit: / � � '- 7 W, - c 11�ifC�&C City Water C Well 0 Septic System 3 Sewer Us Group Construction Type n/P Area / Basement Garage Approved by Date I Revied 6/95 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 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 the permit Signed — -- DO NOT WRITE BELOW THIS LINE -- INSPECTION COMMENTS 44 0 U T apS ?0&"�at 1540 SULLIVAN AVENUE - SOUTH WINDSOR, CONN. 06074 -C AREA CODE 203/644-2511 CERTIFICATE OF APPROPRIATENESS h JI! Certificate Number Iss Date Niuv 1 6 1991 To: Applicant . DEPARTPOIENT flame(s) of Owner r- \,J4 C'k: Address Y63 Address of proposed work Contractor Cf,�i�r 7 On 1111y1is— the Historic District Commission voted to grant this date Certificate of Appropriateness for work described in Application for a Certificate of Appropriateness Number V 7 dated lo 7 COMMENTS/STIPULATIONS: At e? Cler Historid' DistrAct Com. ------------------------------------- --------------777-------- For Building Inspectof Use (when inspection is necessary) This certifies that the work herein described has been completed in compliance with the terms specified. Date of Inspection Attest Building Inspector Dated: �N 8&4 C U T-o o-P S ?A• 1� e � 4 �v 1540 SULLIVAN AVENUE • SOUTH WINDSOR. CONN. 06074 ��asoa•coN� AREA CODE 203/644-2511 To: Historic District Commission Date: Q 04 Z Cry v f�gS APPLICATION FOR CERTIFICATE OF APPROPRIATENESS Application is hereby made for issuance of a Certificate of Appropriateness under an "Ordinance Establishing an Historic District within the Town of South Windsor", Ordinance 100, for proposed work as described below and as shown on photographs and plans or drawings (where applicable) , accompanying this application. Name of Applicant: 41CLruC, � k Address: rl4 Name(s) of Owner(s): A e Address of Owner(s) : r u A-- -5,iA.1 Address of proposed work: i83-3 /6u—'r, e Agent or Contractor: _�' gip}-!/,�; ,��,02A. Address: 3.-�3 Abbe A,--4 a a Jii , Cr 0C 01,:z -9 Nature and description of proposed work: (include plan, photo(s) if possible, and elevation drawing where necessary. ) Enclosed is a copy of Ordinance and applicable Statutes which you should review in filling out this Application. Use reverse side hereof and/or additional pages if needed. You will be notified of a hearing date. Rep/ace (-04 - goo-- C bdvt PorCA ;S rr►054 ,n rleQa ✓ylaMMeAfl 6j-f- i,C Carl d.i 0157 PQ✓ry d) Ux a I1'k-e-A ✓epk ce �►fr✓e, roof, A.,00 0se.d ✓o W A, /e.. i S 9 a 30 y�,✓ o✓ yea✓ CLe'J1fe.C-+W0j 57j'►"rn9/e. 4�a,A101es J Ae_ fwo cel Qrs fiein innside✓t� wil b#-PrW; leJ fnv .tAe_ corrlrrtiss�an"s ✓e.✓iLw 9 Proposed date of commencement of work: Af djey ,e�e I' -5"S§414- Estimated completion date: >, /0;17s Signature of Owner L�.t ram.,,C, Signature of Applicant Le, L - - T LJ Signature of Owner ' ----------------------------------------------------------------------------------- FOR COMMISSION USE ONLY: Application No. Approved: Date Received: Denied: Date: Mary C. Busky Jack A. Ceppetelli 1803 Main Street South Windsor, CT 06074 October 25, 1995 Mr. David Ryan Historic District Chairman 1554 Main Street South Windsor, CT 06074 Dear Mr. Ryan: Enclosed, please find an application for certificate of appropriateness relating to the proposed replacement of out roof. Our house is the former Judge Grant residence previously owned by the Robbins'. Our roof sustained damage during the previous two rainstorms, and we wish to have a new roof installed as soon as possible to prevent further damage. We request that the Historic District Commission hold a public hearing at its next regularly scheduled meeting to rule on the enclosed application for certification of appropriateness. Please notify us of the date, time, and place of the public hearing in order that we may give notice of the meeting. Additionally, if there is anything we can do to enable us to begin the work before mid-November, please let us know. We can be reached at 528- 3717 (home) or 240-2012 (Jack's work). Very truly yours, Mary C. usky CW,-aa' ck A. Ceppetelli Enclosure ee�rr�# APPLICATION FOR BUILDING PERMIT Plumbing# 1803 Main Street HVAC # � 27178 Date: �- 1'� Sprinkler'# No. FOW O Estimated Cost $ `I�.CQ Bu�ding� /�' COMPLETE RED BOXED AREAS Permit Fee $ 13 u� TYPE OR PRINT ONLY Occupancy Fee $ S- Affidavit SIGN ON REVERSE SIDE Appr.for CO. Total Fee $ � TO BULDW DEPARTMIM,TOWN OF SOUTH VA"NoR,CT (Add'itional Cost) $ The undersigned hereby applies to do work occorcling to the following specifications: Job Location V S Lot No. Side of Street Zone Applicant Tel# a9 l - P�4 Address 1 W3 Y -o-�n 51w ..c 2 S i�t,�s�� Zip _ Lic# Own r Address I VY\,a �,CPQ j. S- Architect Address Sq.Ft.N w Area: 1st FI. 2nd FI. 3rd Fl. Total New Area #Rooms #Lavatories #Bathrooms #Garages Purpos of this permit: L�Wk n CXe-,t 11 skta re L�j� -jbL,%C— nr�k,:� RL",,r\I(-\a I mo: �� , � 1--rA �..-xi_�tC.. EQ aft.L.t'�.��--P�- City Water ❑ Well ❑ Septic System ❑ Sewer ❑ Ins. H.O. VS.P. Cert. Area Basement Garage Approved by Dot 7 r Use Group Ll Construction Type RwbW 1?7 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 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 the permit. Signed 4- DO NOT WRITE BELOW TH"LINE INSPECTION COMMENTS Inspection / Approval Date By Appl Code Description Due Whom Code Commdnt ------------------------------------------------------------------------------- **-27178-B 75 B06 WOOD/GAS STOVE 07/18/00 JFF A WITH OWNER B10 FINAL 08/23/00 JFF A CLOSED OUT.