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124 Mark Drive
�r4/•t Eat /G �3�tlG�y Application No. .. 4679........ Permit No. . 44 TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. N _ .. . . hereby make application for a permit to (erect (nw6,4twahm-Ca) 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[l'.�L, �'...../..,.,�....... 19...Z� Sign ... .. .....!... '.... ..............'_........... Address .,,,.�„� f Ywr...Z7. ... Location? . .... ................................................. ..........side of? ....... ...... ... .. Nearest cross street? ../ � ..E,,t.".eS�..... .... .....Street No. ............... . .............................. Lot No. .......f.... Owner of land is? ... Ownerof building is? .. .. ...'..- �........... .... ...................... ......................................Address ... ...........................................�....................... Architect is. ...L�► .......... ....... ....... . ... .. . ...... .... ...............Address,. �.��-z/ .. 47 Builder .,......Address ......'Le.1 e;c..2................. poi•...... ... ........... Dimensions of building? .. ..,,1. (^-.Fat front? .... Feet rear? ..�,�� ....... Feet dap? .....7-119 g highest point ? f No. of stories in height?.. Extreme height to hest int of roof? ............... . ......�i.�. Purposeof building is? ...' - ..... ...........No. of stores? .................................................................................................... Howmany families? ............... 7Z ..... ................_.........No. of rooms? .... ... .................. '................................................................ Distance from street line is? . ... .. ........... ..........from building line is? ..... ............................................................ ADDITIONS AND ALTERATIONS (Give Brief Description) ............................................................................................................._......... ....._........................................................................................................................................................ ...................................................................................................... .................................A6!6.I8.ED......BY......§ANl TARP.....OFFICER IN ACCORDANCE W TOWN OF Map No. . . ................ 5 TH WIND aDAA NC O. - A ITARY FFICER 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? .. .. ... ... ............. . Roof construction 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.) BRICK CONSTRUCTION. Of what material will walls be constructed? .... . .. .. ... ... ..... .............. ... .... .. ..... Compositionof mortar? .................... ................... .............................. .................................................. ................ Height and Thickness of Walls He*ht Stories Front Walls Side Walls Rear Walls Partition Walls Basement, ........................................___............................................................ .........._........._................_............................. ..............................................................................................._......... . 1st Story ................................................_..................._........................................................................................................................................................................ ......... ... .............I............ .... ..... 2nd " ............................................_.................._.........................................................................._....................................... .......... ......................... ............... .... ................. . ..... . ......... ... 3rd " ..................... ......................_... ................................................. ..............................I.................. ..............................................,.................................. .......... ........... .................... ......... .... 4th " ............................ .............__....................................... ......... ...................................... ................................................................................................. ........... I....... I....... . ..... 5th is 6th is ... .............. . ...... ... ......_................_.......................................... ................................................_....................................................... ............................................................................... 7th " _................................................................................................. ........... ....................... ................. .. ... .. . ...... .............................................. ... .............................................. Sth is ........................................................................................ ........ ..................... ........ ................ .......... .... ... .... ........................ . .. ................. ................... ....................... 9th 94 .....10th ...... .... . Material.of Front? If stone, what kind? Thickness of Ashlar? .Thickness of Backing? Backed up with what? Arches or lintels over openings? WOOD CONSTRUCTION. Giv Size, Longest Span and Distance Between Centres, of Joists, Girders and Columns J0I828 G MDAM OOLVMM Floors Size Loosest Spin Centres Size Loosest 8psn Centres ske Lens& Centres lst Floor --.-- ... .........k v........... ..1 C.._. .............. ., ll _ ....._.._ ........._ _._......_.... 2nd " 3rd.....u..... .............. ................................ .................. ........_.. _........._...._...._.. _...... .�... ._.... ..........._.... 4 ....��..... ....................................................... ......................... ....._. ........ .._.... ..... ..._...... .._........ ...._......_.._ Size of outside studs. �P A ...... Size of:ill. .........All*' . ? ...�X.�.............. Distance on centres? ........�... ................... � �..�.x...�..�......��.. Size of rafters? ..�L-x �...... . Distance on centres? /..... g' ............... .......... .....��................ Size of plate? .........,r,�....�.....��................ Size of ledgers or girts? ............................... ...........................................Size of deck rafters? ............................................................. p... ............... Distance on centres? .......................................................................................Size of studs in bearing partitions? ........ x .......... MISCELLANEOUS Style of roof, flat,.pitch, Mansard, or hipped? .................j.. 0 ............................ Fireplaces? ..................•..................................... ? ,�4-. ....... .Material of Cornice? .......?............ ...�.Material of roof covering. ..... ...... ...... ... ��....................... Howis building heated? .................................. . ..........................Lining of flues.� ... .......................................................... ............. .............. Thickness of shell of flues? . ...................................................................Any elevators or lifts? ........................................................ ...................... What kind? .......... .. ...... How many? .. . .. . ............... Any hoistwa ? .. ................ ............ .. ........... . How protected? .... ..... ...... .. . . . ...... ... . ..Total Vilue of Building ... ./.-!5 .��....................... t ,r When will work be commenced? �. -<1 ....... t.......... The applicant warrants that the lot for residential purposes, shown on a plot plan accompanying this application, conforms to the zoning regulations of the Town of South Windsor. Town of South Windsor since 1949. Applic 4419 BUILDING APPLICATION Application No. .46 79......................................................... West onthe ......................... .......... .................. side of ........... Neve.rs Rd... ....... Street. Lot #14 Street No, ...... Owner -Medallion..H.O.Me.s....Inq.,... Paul A-Slossberg Applicant . ... .... CLASSIFICATION Dwelling 471X261 ... . .. . ....... .......... ...... ....... ....... ... .. . . ............ ......... Permit issued on above Application. Date, June ..14. ... . 1963.. TOWN OF SOUTH WINDS BUILDING PERMIT CIDSEt,Y'cv tAj ' Date uue , , 19 Fee Paid $. . . . . . Est. Value �$.15.1 00 7, ix ���4 R`hl t�� T a$ S n Permit N01 4 419 �� w on the We st side of I►?A�K DR �� J", Sty L, ' .. Street No. Lot #f!.? � .�:�� I Medallion Hones Ina Owner. Paul A.31oasbert Applicant CERTIFICATE OF OCCUPANCY ISSUED: `�_ �� f r"sue% y Date =4��n � E sj�A - No.261 Fee Paid $ o CLASSIFICATION Dwelling 471X26# f f � r BUILDING PERMIT N° 4419 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. June 14, 19 63 ig4to to to TPrftfjj.� That bedPaulon Home sjp A.S13ssberC Y g is hereby granted permission to iLP 11 in.g1T7'x201 at estimated value of 15,0 0 0 on the West side of N e ve r s Rd,, Lot #14 Street on land owned by Medallion Homes Inc. Said Work to be as described in Application No. 4679 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issued June 14, s'19 63 y- Bui ing 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." f I Pernidt No. � TOWN OF SOUTH WNRSOR SOUTH WINDSOR, CONN Permit N° 2 619 i A ! �� Certif' ate of Oc upa ncy .� THIS IS TO CERTIFY that �'�-C 'I � at No. 14 in the To of South Windsor, Connecticut, has j been erected and completed in accordance with the Building Code and Zoning Regulations of th Town of South Windsor, and is hereby approved for ::7cyInspector d Owner, Builder f0 `� Fee Paid /Date , 19 / j 2784 PLUMBING APPUCATION No. 2573 on the_..Wes side of ' .�� � I _................_. _ meet Street No. ._._Lot #14 Medallion Homes Inc. Owner ...—_.... Wm.Po t of f Plumber _...^_ Filed in Office of The Buading Inspocoor 8-8-63 19 M 4 wrINN. ................................. No person shall coostroct, add to or alter my portion of the drainage system of my building (mcept to repair lea6) until a Plot ids gamed by the Building Lupecow. 2573 2784 n• i 1` Application No.. ... ................................ Permit No. . ............... . TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. &r(,..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 specified herein or not. /—T�-v South Windsor, 4� /...... ...... .... .. Sign here .............< ......... ............................ ress ......... ............ Location . • '../.. ..........,1- ..................... ..�.. .................... .. si a of Street Natureof Building ..... .... .......... ....................... How many stories . % .......................................... ..................... Owner . ............ ..... ... Address ..... ............�F,j..?`7�. ArchitectAddress ........................................................................................ .................. Builder ... .. ...... . .......... .1.........I ..... . ............................................ Address .. ....... ...... .. . .... !�.',....... ...... ....... ........................... Plumber ..A.E. ,.v n,uy....o.1.4........ ��y,.. .................... Address / �.+ DRAINAGE CESSPOOLS, How many ... ....... /....................... .... ..... .... Where located ......... ..I.:c'z.1........................................................................ Are they water tight ................... . P, ............................... Of what materials are they built ........ ....... ... Size of pipe from house to cesspool . .............17, . .. ...... Kind of pipe ...........C.'.. .. .............................. ... ................ MAIN DRAIN IN CELLAR, Material Diameter ............... . :.'..... ................................................... ........ ............ . la.. . Above or below cellar bottom . �...... . .... . .. ............................................................................................ .................. SOIL PIPES, Material . . ....... . ........'...:.?7 ......... ... Diameter �,�.`.'...- .................. ...................... .. ....................... . WASTEPIPES, Material II'Ip:L. .... y�l.� .... . Diameter 1. -...;'...-..... ....`...................................... . . ............. TRAPS, Type proposed to use is .... ..... ... ... . ......... ....................................................................................................................... RAIN WATER LEADERS, where do they run to . ........ .. . .....................................................................I..................... ............ REFRIGERATOR WASTES, where do they run to .. ........................... . ...................... ................ ........ ............................ TANKOVERFLOWS, where do they run to ............. ................................................................................................ FIXTURES WATER CLOSETS, How many .... .. Where located 1.4-7. C [.,...... ..... . ................ Distance from trap to vertical soil pipe ................ .. ......... .. Pattern .. .. ......... .......... ........................ /Cu,O WAS , How many ... ........................../. .............. Where located :fle" ,�,Q�f''/ . . .................. SINKS, How many ....... .... . . .................................z................. Where located /.,.7.../ ....... ............................................... . BUTLER'S SINKS, How many ........................................................ Where located. . .... .... .................... .. ............................................. REFRIGERATOR SINKS, How many. ................................... Where located ............ .. ........................................................................... LAVATORIES, How many ....................................1...................... Where located .... .........Ix-.1...L.-I...................................................... BATHTUBS, How many ... ......................................�...................... Where located ..... ........l.4.T..J._-............................................ ............ URINALS, How many ....... ... .......................................... ........ Where located ... .. ............................................................................ Are water closets and urinals to be local vented If not, is there a window in outer wall of room where same are to be located ..... YE'4 ...... . . .................................................................... ............. Estimated Cost ............6P�.-� ..`% ..... ...................... TO THE BUILDING INSPECTOR APPLICATION FOR TOWN OF SOUTH WINDSOK COM. PLAN EXAMINATION A N D BUILDING PERMIT IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O I. /n ArK � � f` Vc� ZONING AT (LOCATION) DISTRICT LOCATION (NO.) (STREET) l OF BETWEEN AND I�.4 L e L S T R e—e—T BUILDING (CROSS STREET) (CROSS STREET)LOT of SUBDIVISION LOT BLOCK SIZE I V O CJ Vf II. TYPE AND COST OF BUILDING — A11 applicants complete Parts A — D -♦ �v A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use M M 1 ❑ New building Residential Nonresidential 2 Addition(I/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 Transienthotel, mote ❑ T i l 21 ❑ Parking garage 4❑ Repair, replacement or dormitory — Enter number 5❑ Wrecking (1/multi/amily residential, o/units ——————— — --► 22 ❑ Service station, repair garage enter number of units in building in 15 ❑ Garage 23 ❑ Hospital, institutional Part D, 13) 16 ❑ Carport 24 E] Office, bank, professional 6 ElMoving (relocation) 17�e Other — Specify 25❑ Public utility 7 ❑ Foundation only 26❑ School, library, other educational B. OWNERSHIP 11>� 40 28'" 27❑ Stores, mercanti le Tanks, towers ❑ 8 � Private (individual, corporation, 3Z�/� ,. � ;���nonprofit institution, etc.) 29❑ Other — Specify 9 ❑ Public (Federal, State, or local government) C. COST (Omit ce s) Nonresidential — Describe in detail proposed use of buildings, e.g., food �j processing plant, machine shop, laundry building at hospital, elementary 10. Cost of improvement................ V �� school, secondary school, college, parochial school, parking garage for, IF 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.)............ �f 11. TOTAL COST OF IMPROVEMENT $ oG 00 III. SELECTED CHARACTERISTICS OF BU LDING — 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 ❑ 49. Total square feet of floor area, Wood frame 41 ❑ 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❑ Gas Will there be central air 52. Outdoors....................... 36❑ Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY 37❑ Electricity 44❑ Yes 45❑ No 53. Number of bedrooms.............. 38 ❑ C al 39❑ Other— Specify Will there be an elevator? 54. Number of Full.......... 46❑ Yes 47❑ No bathrooms Partial....... NOTES and Data — (For department use) IV. IDENTIFICATION - To be completed by all applicants Nam Mailing address Number, street, Xity, and State ZIP code Tel. No. 1A) Owner or Lessee 2. Contractor AP 3. Architect or Engineer The owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction. Signature of„applicant Address Application date f 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plan Review Date Plans Date Plans Plans R view Required Check Fee Started BY Approved BY Notes BUILDING $ PLUMBING $ MECHANICAL $ ELECTRICAL $ OTHER $ VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approval Check o Date ed Number By Permit or Approval Check O Date ed Number By BOILER bta 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 8578 1 P rmit numb r t'Building 7-19-7 P rmit issued 19 Building 18000 Permit Fee $ Approved by: Aco TITLE VIII. ZONING PLAN EXAMINERS NOTES DISTRICT USE FRONT YARD SIDE YARD SIDE YARD REAR YARD NOTES IX. SITE OR PLOT PLAN — For Applicant Use N r r TOWN OF SOUTH WINDSOR BUILDING PERMIT Date July 19, 19 �4 Fee Paid $. 18.00 Est. Value $.?400.00 Permit M 8578 on the side of Mark Drive Street Street No. 124 - OwnerWilliam H. Smith Applicant same CERTIFICATE OF OCCUPANCY ISSUED: Date No. Fee Paid $ CLASSIFICATION Install above ground pool 321 xl6 l 41 deep BUILDING PERMIT N104 8 578 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. July 19 19 74 94is to tv aTertif1j, That William H. Smith is hereby granted permission to Install above ground pool 32 1 x16 t 41 deep at estimated value of $ 2400.00 on the side of 124 Dark Drive Street on land owned by William H. Smith Said work to be as described in Application No. 8878 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issu my 190 1 1 AlujilditerInspector. 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 compeller: to reason therefor." 7� y INSPEC TION REPORT Permit # EK57f Job r 1 Footing 7-2-f-7y /11-�4z 2 Foundation 7-1-9-Ty 3 Framing 7- Zf-7y 4 Wiring v 5 Plumbing 6 Heating 7 Lath i ng 8 C.O. �, --Ielv,rl �i'i o.� - 2_ 7 y �/2 4 ��a �� �tw.�oy�� i 5544 ELECTRICAL APPLICATION Application No. 5855 on the side of Mark Drive Street Street No. 124 Owner Wm• Smi th Electrician FILED IN OFFICE OF The Building Inspector 7—19-74 19 INSPECTION. 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. ......�r 85.5..................... Permit No. .....55 +.... ........... . TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, 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., ........... .. .......... ... ............. 19�7Sign here Address L. .1.. .... ;,,,rr�� ...... ..- • .... ` .............. Location ,1.��f.....02,IP&.....�c- ..r. 0. ........................ .. Side of ........................................................................................................... .............................. Nature of Building ..... . ...... A. ........ How many stories ................................................................................................. Newor old Building ...................................................................................... .. How many families ................._....................._.........._............................_........... Kind of Installation ........4.....�..........�..;�...6_9................. .... How many Stores ........................................._......................_......................_........... Owner ................................................................................................................._................ Address .............................................................................. ..........__._...... Architect ...................................................................... .................................. ...... Address ............................................................................_.........._..._..........._....._._.... Builder .......................... ................................. ....... . ....................... .................. .. Address ......... ............................................................................._._._.........._........ Electrician .......... ....................................................... Address ........................................................................................_.... �.._.....w.......... Size of Main Wires ............Z.�/,... ................. No. of Light Loops ........................ ............ No. of Heat Loops .............. .. . . . No. of Power Loops ..... ..._..._.... ._._.... No. of Light Outlets .................... .............. No. of Heat Outlets ...... ... .... No. of Power Outlets ............... NoP 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 ....... ., .[...... / .......t'®i - •••• .....•...•4- ....�...e.'u........................ ... .. 1�1�1[. l.. ..�1.......... 64a....... ...�a�� c.?� .... �,�....... 1i�.l t�r........� ,fir..... ... U ........1�... ..,-r.A.1 .......... .................................................................................................................................................................................................................................................................. ..................................................... Estimated Cost .... . ......: � 11,0"/ TO THE BUHDING INSPECTOR of the APPLICATION FOR TO" OF SOVTH W 411SOK CO11r. PLAN EXAMINATION AND BUILDING PERMIT IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O • AT (LOCATION) / / m?k n y ZONING , "1 DISTRICT LOCATION (NO.) (STREET) OF BETWEEN b&Vklf�k AND BUILDING (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE N 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 M 1 ❑ New building Residential Nonresidential 2 Addition(It residential, enter number ❑ 12 family 18 ❑ Amusement, recreational of new housing units added, if any,in Part D, 13) 13�ne wo or more family — Enter 19❑ Church, other religious number of units— — — — -jo. 20 Industrial 3 ❑ Alteration (See 2 above) 14 ❑ Transient hotel, motel, 21 ❑ Parking garage 4❑ Repair, replacement or dormitory — Enter number 5❑ Wrecking (!/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©—ether — Specify 25❑ Public utility 7 ❑ Foundation only 26❑ School, library, other educational B. OWNERSHIP - LQgL 7-6 27❑ Stores, mercantile 8 ❑ Private (individual, corporation, h 28 ❑ Tanks, towers n nprofit institution, etc.) �rLF � 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,,,,,,,,,,,,,,,, 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 $ J 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....................... 96❑ Oil c nditi ping? L. RESIDENTIAL BUILDINGS ONLY 37❑ Electricity 44❑ Yes 45❑ No 53. Number of bedrooms.............. 38❑ Coal 39❑ Oth r— Specify Will th re be an elevat r? Full.......... 54. Number of 46❑ Yes 47❑ N bathro me Partial........ NOTES and Data — (For department use) IV. IDENTIFICATION — To b c mpl t d by all applicants Name J Mailing address — Number, street, city, and State ZIP code T I. No. Owner or1. t' ( r/ ^�1 �,y Lessee 2. F 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 dot DO 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 P rmit or Approval Check Do te Obtained Number By Permit or Approval Check ObtDa t ed ae 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 11986 Bui Iding P rmit issu d Dpc__ 30 19 80 Bui Iding Permit Fee $4--nn Approved by: TITL • • • • •sees • .. its sees Nw •s wse w wws wwsww. M swwews sw swswsssws a ew sw e s s. s !! ■ rl a as nN ■R■• .• _. 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South Windsor, Conn. Dart. 30 1980 M4iz 'to to Cerfliftj, That Wi 114 M -S={*� is hereby granted permission to Install Wood/Coal ss tove&a tal n tack at estimated value of $ set on the side of 12A Mark Uvive Street on land owned by Wi 11 iam Sri th Said Work 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. Issued Tlar% 19 80* �•Zr ' f,-7 • Building Inspector. Streets and sidewalks, obstructed by excavations or building materials, must be guarded by barrios during the day and by both barriers and colored lights by night. SECTION 1343, GENERAL STATUTES OF CONNECTICUT: `When any persm shall pla" 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"