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HomeMy WebLinkAbout16 Jessica Drive e iw 00 0 THE BUILDING INSPECTOR of the APPLICATION FOR TOWN OF SO M WINpSMCOM PLAN EXAMINATION AND BUILDING PERMIT IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and/X. p AT (LOCATION) V t - ZONING - • LOCATION O.) (STREET) DISTRICT OF �-BETWEEN AND BUI LDING (CROSS STREET) (CROSS STREET) LOT SUBDIVISION � � LOT _BLOCK SIZE I v 6 3 C) Y II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D40 �o A. TYPE F IMPROVEMENT D. PROPOSED USE — For"'Wrecking"most recent use m m 1 N•w building Reside Nonresidential al 2❑ Addition(//residential, enter number 12 One family 18❑ Amusement, recreational o/new bousing units added, i/any, in Part D, 13) 13❑ Two or more family — Enter 19❑ Church, other religi us 3 ❑ Alteration (See 2 above) number o/units————-.r 20❑ Industrial 14❑ Transient hotel, motel, 21 ❑ Parkin 4❑ Repair, replacement or dormitory — Enter number g garage 5❑ Wrecking 0/multi/amily residential, o/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 — Speci/y 25❑ Public utility 7 ❑ Foundati n only 26❑ School, library, other educational B. OWN RSHIP 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,•.g., f d processing plant, machine shop, laundry building at hospital,elementary 10. Cost f improvement,,,,,,,,,,,,,,,, s 7 6 T/'-0 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 1V. E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS 30❑Mos my(wall bearing) 40®Public or private company 48• Number of stories................ 01 31�W d from 41 ❑ Private(septic tank,etc.) 49• Total square feet of floor area, 32❑ Structural steel all floors, based on exterior dimensions . 33ED Reinforced concrete H. TYPE OF WATER SUPPLY ..................., 34[D Other — Speci/y 42 Public or private company 50. Total land area, sq. ft. ........... C;-�aj40 0 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. Outdo rs........................ 36❑ 011 conditl ningl' 37❑ El ctrielty �❑ Yes ��N L. RESIDENTIAL BUILDINGS ONLY 38❑ Coal 53. Number f bedrooms.............. 39❑ Oth r— Speci/y Will Cher be an I vatori Full.......... 54. Number f 46❑ Y s 47 ON bathrooms l Partial........ r IV. IDENTIFICATION - To be complet d by all applicants Name Mailing addr ss — Number, street, city, and State ZIP cod Tel. No. �owner Dart Frill RealtyInc. 658 Ellington or Lessee South Windsor,n 2. Same same Contractor 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 DO NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD - For office use Plans R view R wired Check Plan Review Date Plans B Date Plans B Notes 9 Fee Started y Approved y BUILDING $ PLUMBING $ MECHANICAL $ ELECTRICAL $ OTHER $ VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approval Check ObDtaio Number By Permit or Approval Check ObtDaio 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 _ P rmit number Z-5 Bui Iding P rmit issu d //lam 19 Building $ OD Permit Fee �f 7-7-7� Al. ro by: 1 1 LE TOWN OF SOUTH WINDSOR BUILDING PERMIT Date April 18 1986 Fee Paid 4 7 4.0 0 Eat. Value $.7.9.,,0 b 0 Permit N© 15002 on the aide of Lot 453 Jessica Drive Street Street No.- 16 Owner part Hill Realty Applicant Muriel Jacques CERTIFICATE OF OCCUPANCY ISSUED: Date No.7580 Fee Paid $ 3 .00 i� CLASSIFICATION Dwelling BUILaiNG PERMIT N" 15002 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. AU11 18 1596 94is is to Certify, That Dart Hi I I Rea I t= is hereby granted permission to Qwell jag at estimated value of on the side of T+Qt-6 53—Jamaica Drive Street on land owned by Dart Hill Be-alty - Said Voy-k 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 is 1986 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 costa and damages which it shall sustain, or be compelled to reason therefor." Dwelling - Lot #53 Mtn.Vw. 2 4/18/86 Bart dill Realty Jessica Drive Permit # 15002 �6 t9,r,',L 14e,,s ha,, q-1►ce Electrician Richard Barrett #9170 Heating Contr. S.W.P & H # 6454 Plumbing it S.W.Plbg. # 7002 Oil Burner # Certificate of Occupancy #7580 Sewer Permit Plot plans apprd. per Engr. F Permit No. TOWN OF SOUTH WINDSOR SOUTH WINDSOR, CONN. � J r E Permit N© 758,0 ` 1 Certificate of Occupancy j r � � THI" TO CE IFY that the ✓"' c at No.� - -� ` - in the T of South Windsor, Connecticut, has been erected and 46 pleted in accordance wit the Bu' ding Code and Zoning Regulations of ` the Town of South Windsor, and is hereby app ye r occupancy. Building Inspector lo wner, Builder ' Fee Paid Date t 19 REINO E. HYYPPA 8 ASSOCIATES CIVIL ENGINEERS 8 LAND SURVEYORS GLASTONBURY, CONpi 04 40 F_ i O - �n O O , l 54 No o 4� 53 J Ec-c.-e: SCR H vu,u�K.-�, �-�•.r� ey O �--EET z oFis`"E.E^= Rt,v T"Pv Qz ►0-F55 PREPARED FOR DART HILLL REALTY, INC CUTIFIED ciecTANTIALOY C PRECT SOUTH WINDSOR, CONN. / SCALE I''•44 [)AT[. 5-51-S(,w 5g- F5-53 to na BJrLr":-" TGdd.4 J (061'i WINDSM fb%certvi d th.t t i i 0 in and sp-cific 7ti •5 •e true -jopies of the props d building or alteratir ns to be of eted at 3J tree4 together t t✓71 ti n am Med r t pia ling. suil_•i 3 bf iss:rFa _ my Dep i d ri tncv yf trv'� ;7• .Ai r. _ind final issu.nce of a o,iid►ng permit Signed This pl i, .ub,-ci t 3, tiz c_',C•tn"n that ordo r, r gul.a wv u ili'ing shall be Con) -1ond+lien .'y -,ir,ved These filed with Building Inspector CI"k Date f 9170 ELECTRICAL APPLICATION Application No. 10684 t on the side of Lot #53 Jessica Drive Sam Street No. 16 Owner Dart Hill Realty . Richard Barrett Ekctrician FILED IN OFFICE OF The Building Inspector May 7 19 8 6 tNSIPIMMON. dw 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 (it of wood) are installed, without a special permit from the o1Dce of the Building Inspector. Master License No. �- •-•-_.._. TOWN OF SOUTH WINDSOR Building Permit No. ._,1.� _..�.. BUILDING DEPARTMENT Date Filed .......?.....L..w APPLICATION FOR ELECTRICAL WORK Date Final Approval ..._...... ...._........ .�..._.�.. Electrical Inspector Gn >B LOCATION: ...........��. .... Ssl.�..�._. ,�_�'� JOB O 1 � 1� _ Side of ..1C.. .. a ................... Between ....V>6 �.L..... and ._. Name of Building Owner ........ .._.... ..._.. _._ ....................... Address .•� .... .���... ...... If work i for Lessee--Give ..... —. ....... ..................o s or name .... ..... .. ............. .._..._. Address .._._�._._..._...__....�. ......_..._...._._........._.............._ Building now occupied as (unless new) ......... . .._......._........................................................... No. of family units now ......... ....._....._.. Building to be occupied as . ................._....:......................._..................... Number of family units to be ...._......�..�. Is this work included in a Building Permit? ...... e-.:;.a..........- Permit Fee .... ...........=...................... ._._..._.._._.._.__....._........ _. �( (If no Building Permit) PermitteeC�. ..5.�!... ....... .. .... .... ................._. Business Address .... 1. .1.._ n ...�TelephoneL�) - 33 COST OF INSTALLATION: ...... .. .. ... ......_...._... ..._........_...... ......_.._....._................_ TO BE FILLED OUT BY PERMI=E TO BE WIRED EXISTING APPLIANCES Number of light outlets to be installed ....�_. �Number of convenience outlets to be installed .......�.,.5...� Number of present Appliance Circuits ._.......�...__..._..__.............._ Number of switches to be installed . . . .. .. ...•... Do these include Range ❑ Water Heater ❑ Number of appliances to be installed . . . ..._. ............... (as listed below) Dryer ❑ Air Conditioner ❑ Oil Burner ❑ TYPE RATING NO. g Dish Washer ❑ Gas Burner ❑ Range Well Pump ❑ Mee. Heaters ❑ Range Top . . . . . . Oven . . . REMARKS: Water Heater . - Clothes Washer � - Clothes Dryer Dish Washer . . . . . . Air Conditioning Motor . Oil Burner Motor . . . . Gas Burner . . . . . . Circulator Motor . . . . Attic or Large Fan Well Pump . . . . . . Electric Heat . . . . . Other . . . . . . . Number of new Lighting Circuits _. ...... Number of new Appliance Circuits ._ Number of Heating Circuits . ...._L..�..._.�. Number of Motor Circuits . . Sue of present service Size of service to be ._... /VVG PLUMBING APPLICATION Application No. 6773 on the - A&of Lot #53 Jessica Drive Street NO. ....__.._16 ()w= Dart Hill Realty Plumber S. W. P & H Filed in O$im of The BuildmigIn■pecoor May 21 ig 8 6 II�iB�'�CII01�. ...................... No person shall OUNVOct, add 0 ar after my portion of the drainage wmm of my buildeg (enxlx to repair labs) until a Permit is graooed by the Building - APPLICATION FOR PLUMBING PERMIT (Continued from Reverse Side) TOWN OF SOUTH WINDSOR, CONN. 11. LOCATION OF JOB Lot #53 Jessica Drive NO. STREET FLOOR APTAO. GENERAL PLUMBING 12. KIND OF INSTALLATION Residential 13. SIZE OF MAIN DRAIN 411 14. NO. OF TOILETS 3 STYLE tank type 15. NO. OF URINALS 0 STYLE 16. NO.OF BATHTUBS 1 17.NO.OF LAVATORIES 3 18. NO.OF SINKS 1 19. NO. OF WASHTUBS 0 20. NO.OF CONDUCTORS SIZE 21. NO. OF STACKS 1 SIZE 311 22. AREA OF ROOF 23.NO. OF CATCH BASINS 24. NO. OF FLOOR DRAINS 25. NO. OF OTHER FIXTURES 1 KIND 3' shower Unit 26. ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW? yes 27. SIZE OF WINDOW 28. IF NO WINDOW, WHAT KIND OF VENTILATION IS THERE? electric vent fan 29. SIZE OF DUCTS 3" 30. ARE SEWAGE AND WATER FACILITIES AVAILABLE? vP� SIGNATURE ADDRESS 524 Burnham Street LICENSE NO. 203068 ESTIMATED COST 7 �� y TELEPHONE 528-4413 OWNER Dart Hill Realty Inc. ADDRESS 658 F'1 1 i nann Road WATER HEATER 31. TYPE gas fired 32. MANUFACTURER A. O. Smith TANK SAFETY DEVICES 33. CAPACITY �TG [�kr►Lf 37. TEMPERATURE RELIEF VALVE �V 34. TEST PRESSURE_ /Tim �`�t 38. MANUFACTURER 35. WORKING PRESSURE c`y � 39. PRESSURE RELIEF VALVE 36. TYPE �/�l S t //hr �� 40. MANUFACTURER ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY THE OWNER OF THIS PROPERTY AND WILL BE DONE IN STRICT ACCORDANCE WITH THE BUILDING CODE. r� �✓T CD962 ATE SIGNATU O PPLICANT I TO THE BUELDING INSPECTOR of the APPLICATION FOR 'ro OF 50l)M WINDSM CON. PLAN EXAMINATION AND BUILDING PERMIT IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O I• ZONING AT (LOCATION) ��% �� SS ece DISTRICT LOCATION (NO.) (STREET) OF BETWEEN AND BUILDING (CROSS STREET) (CROSS STREET) SUBDIVISION AL r ��/'�l / '� / - LOT LOT�_BLOCK SIZE II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking"most recent use 17 New building Residential Nonresidential 2❑ Addition(If residential, enter number 12 0 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— — — — -i 20 Industrial 3 Alteration (See 2 above) 14❑ Transient hotel, motel ❑ 4❑ Repair, replacement 21 E] Parking garage or dormitory — Enter number 5❑ Wrecking (1/multifamily residential, o/units ——————— — —Do 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❑ Moving (relocation) ❑ � 17 E�5 Other — Specify J c SAO-v&h& 25❑ Public utility 7 ❑ Foundation only 26❑ School, library, other educational B. OWNERSHIP 11VAOL ,�< 27❑ Stores, mercantile 8 ❑ Private(individual, corporation, loe 28 ❑ Tanks, towers 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,,,,,,,,,,,,,,,, ,j J 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 $ (v��CSrOd 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❑Mas my(wall bearing) 40❑ Public or private company 48• Number of stories................ 31 ❑ Wo d from• 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....................... 36❑ Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY 37❑ El ctricity 4q❑ Y s 45❑ No 53. Numb r f b dro ms.............. 313❑ C al 39❑ Oth r— Specify Will there be on elevator? Full.......... 54. Number of 46 0 Yes 47❑ N bathrooms Partial........ IV. IDENTIFICATION — To b complet d by all applicants Name Mailing address — Number, street, city, and State ZIP code Tel. No. A X 5�72,1 zi Owner or Lessee 2. /? 5 Controc+or 3. Architect or Engineer The owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction. Si nature of applicant Address Application date ��� � ' 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plan Review Date Plans B Date Plans By Notes Plans Review Required Check Fee Started y Approved BUILDING $ PLUMBING $ MECHANICAL $ ELECTRICAL $ OTHER $ VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Date Number By Permit or Approval Check Obtained Number By Permit or Approval Check Obtained PLUMBING BOILER 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 Bui Iding / Permit issued 19 -- Building Permit Fee $ A ve b e TITLE TOWN OF SOUTH WINDSOR BUILDING PERMIT Date Anr i t 8 19 8 7 Fee Paid $. 9 6...0 0 Eat. Value $..16.1 0 0 0 l Permit No 15731 on the - aide of Jessica Street Street No. 16 Owner FrPc3 Rriment, Applicant Ra rn e s runs CERTIFICATE OF OCCUPANCY ISSUED: Date No. Fee Paid $ CLASSIFICATION In=ground pool w/fence BUILDING per N? 157 31 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. Ap r i 1 8 19 87 � t t fXj gerfifg, That Barnes Construction Co. is hereby granted permission to Install in-ground pool w/f e nc e at estimated value of $ 16 ,0 0 0 on the side of 16 Jessica B r i ve Street on land owned by Fred Bruuent Said Work to be as described in Application No. 16 0 31 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issued April 8 19 87 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." NSPECTION R PORT Permit # Job 1 Footing 2 Foundation 3 Framing 4 Wiring -q 71,fbA v`! E tISPA WOO' 5 Plumbing 6 Heating 7 Lathing 8 C.O. 9717 ELECTRICAL APPLICATION . Application No. 112 2 4 - on the side of 16 Jessica Drive $mot Street No. Owner RiEk�r-wiz Electrician FILED IN OFFICE OF The Building Inspector June 3 19 87 �xsrxcr�ox. cw 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 ere stops (if of wood) are installed. without a special permit from the office of the Building Inspector. f Electrical Permit Na ...........I. _/ Master License No. ... ...._ TOWN OF SOUTH WINDSOR Building Permit No. .......,1 ..SL�........ BUILDING DEPARTMENT Date Filed .......................................................................... Date Final Approval ..........................................._..... APPLICATION FOR ELECTRICAL WORK Electrical Inspector rip! JOB LOCATION: ..........e4�..................... _._......_. JOB OWNER. ..��1✓, ?/P ..._............. ... .��. ... Side of ......................................................... ............ Between .............................................................................. and ......._........................._.._.__.... ....._..._.._..._ Name of Building Owner .... ............... _......... Address �� If work is for Lessee—Give name .. .............. .................... ........ Address ......_............................_....._...........................................__ Building now occupied as (unless new) . .................. .................... ....... . .......... . .................. No. of family units now .........................._...... -Building to be occupied as ....._......... ............. . .... Number of family units to be ........................... .. . .......... ..... Is this work included in a Building Permit? ... ........ ........... Permit Fee ................. ......................................................._........................_........._...... ...._..._ (If no Building P .�Permittee . ZZW,56AII-e44rZ� Business Address .7p.PMOCO .=Telephone ...46.W.-d.OM COSTOF INSTALLATION: ............................. .. � __ ........._ ......................................................................................................_................ TO BE FILLED OUT BY PERMITTEE TO BE WIRED EXISTING APPLIANCES Number of light outlets to be installed . . ............ .._......... Number of convenience outlets to be installed ................. ... ... Number of present Appliance Circuits ................................................... Number of switches to be installed . . . ..............._. ....... Do these include Range ❑ Water Heater ❑ Number of appliances to be installed . . . ..................._....... _ (as listed below) Dryer ❑ Air Conditioner ❑ Oil Burner ❑ TYPE RATING NO. Dish Washer ❑ Gas Burner ❑ Range Well Pump ❑ Elec. Heaters ❑ Range Top Oven . . . . . . . . REMARKS: Water Heater Clothes Washer . . . . jr2)`-5r�Z Z, /4�j r Clothes Dryer . . . . . C5�� / Dish Washer . . . . . Air Conditioning Motor . Oil Burner Motor . . . . Gas Burner . . . . . . Circulator Motor Attic or Large Fan . , , Well Pump . . . . . . Electric Heat Other . . . . . . . . Number of new Lighting Circuits .....__ ........_..... Number of new Appliance Circuits Number of Heating Circuits . . �..��. _..... Number of Motor Circuits . . . . . . .._.._L..�..._ Size of present service ....._.... ......._....w.._,_... _ Size of service to be ......_.........,1��._.. _ Electric# APPLICATION FOR BUILDING PERMIT Plumbing# 16 JESSICA DRIVE HVAC # 22917 Sprinkler# Date: � �i - �` No. FINAL 776 RO Estimated Cost $�D� Building j'} COMPLETE RED BOXED AREAS Permit Fee $ /d� Engineer' g TYPE OR PRINT ONLY Occupancy Fee Affidavit SIGN ON REVERSE SIDE Appr.for CO. Total Fee $ ^jd32 TO BUILDING DEPARTMENT,TOWN OF SOUTH WMSOR,CT (Additional Cost) $ The and rsigned hereby ppplies to do work according to the following specifications: Job Location Lot No. Side of Street Zone LApplicant 1� Tel. # 6� �i���; Address Zip a LO Lic. # Own r Address U Architect Address Sq. Ft.New Area: 1st FI. 2nd A. 3rd Fl. Total New Area #Rooms # Lavatories #Bathrooms #Garages Purpose of this permit .�- E RE?)-,QCEI� City Water r,--' Well 0 Septic System 0 Sewer 0 Use Group Construction Type Area / Bosom nt Garage Approved by J — Date / �4 Revised 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^fl om all street lines, side yard lines and required distances from all other zones and is located in a zone in which-this " Iding a e if ed. i Signed ,f I hereby apply for a Certificate of Occup e work described in this a lication for the permit Signed -- DO NOT WRITE BELOW THIS LINE -- INSPECTION COMMENTS