HomeMy WebLinkAbout122 Graham Road TO THE BUILDING INSPECTOR
of 1w
APPLICATION FOR
PLAN EXAMINATION AND
TOWN OF SOUTH W0 DSM CORN' B U I E D I N PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, III, IV, and IX. O
ZONING
I• AT (LOCATION) 122 All DISTRIC
LOCATION (NO.) (STREET)
OF BETWEEN AND
BUI LDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use M
1 ❑ New building Residential Nonresidential
2 Addition(If 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— — — — --)P. 20 E] Industrial3 � Alteration (See 2 above) 14 l h i Transent hotel, mote
❑ l 21 ❑ Parking garage
4 ❑ Repair, replacement or dormitory — Enter number
5 ❑ Wrecking (If multifamily residential, of units ——————— — -� 22❑ Service station, repair garage
enter number of units in building in 15 ❑ Garage 23 ED Hospital, institutional
Part D, 13) 16 Carport 24 Office, bank, professional
6 ❑ Moving (relocation)
17 Other — Specify cc 25 Public utility
7 ❑ Foundation only ' ' 26 ❑ School, library, other educational
B. OWNERSHIP 27 ❑ Stores, mercantile
8 VV Private (individual, corporation,
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,,,,,,,,,,,,,,,, (704 ✓ 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 1$ 19000
000,
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.......................
36 ❑ Oil conditioning?
L. RESIDENTIAL BUILDINGS ONLY
37❑ Electricity 44❑ Yes 45 ❑ No 53. Numb r of bedrooms..............
38 ❑ Coal
39❑ Other— Specify Will there be an elevator? 54. Numb r of Full..........
46 Yes 47 No bathr ms
Partial.......
NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
Owner or - f
Lessee
2. 4f7
Contractor
3.
Architect or
Engineer
The'-.owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction.
Signat applicant Address Application date
Z-77 3
00 NOT WRITE BELO THI LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required 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 Date Obtained Number By Permit or Approval Check obtDa 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 8�92
Permit number
Bui Iding November 19 73
Permit issu d 19
Building
Permit Fe $ $12.00
Approved by:
r
tf
TlffLE
VIII. ZONING PLAN EXAMINERS NOTES
DISTRICT
USE
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
NOTES
IX. SITE OR PLOT PLAN — For Applicant Use
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14 '40
TOWN OF SOUTH WINDSOR -
BUILDING PERMIT =
_t
Date November 19 , 19 73
Fee Paid $.12.00 Est. Value $. . ,?,-000.00
Permit N? 8292
on the side of
Graham Road Street
Street No. 122
Owner Roland Desmarais
Applicant Edward Shay C o.
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No.
Fee Paid $
CLASSIFICATION
Install Aluminum siding
on existing dwelling. To
be grounded as per regulation.
BUILDING PERMIT
9 8292
OFFICE OF
THE BUILDING INSPECTOR
of the
` Town of South Windsor, Conn.
South Windsor, Conn. Kow- 19 19 73
dr4is is to Tertif1j, That mid shlo_ A�
is hereby granted permission to Install All=iMM ld�� .,,. ems; 8840
ftam
dwelling* To be jrou nded an per relpliatjone@
at estimated value of $ '-WO.QQ
E 1'
on the side of 122 Grahom Road Street on land
owned by Roland,, D*sm's ra I at
Said 'Work to be as described in Application
No. a and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
73
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."
l
INSPECTION PEPORT
Permit # Job !zr�t
1 Footing �` r/101wi dI�� Y.tL-f�di
2 Foundation
3 Framing
4 Wiring
5 Plumbing
6 Heating
7 Lathing - 2 F. T�
8 C.O.