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Home My WebLink About100 Hayes Road TO THE BUILDING INSPECTOR of dhe APPLICATION FOR TO" OF SOVTH WUM43M C )IM PLAN EXAMINATION AND BUILDING PERMIT IMPORTANT — Applicant to complete all items in sections:]I, 11, III, IV, and IX. Z 0 ZONIN '�0 I• AT (LOCATION) Q `� DISTRI LOCATION (NO.) (STREET) f OF BETWEEN AND BUILDING (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE N 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 1 ❑ New building Residential Nonresidential 2 ❑ Addition(If 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) number of units-- — — — -� 20❑ Industrial 3 ❑ Alteration (See 2 above) 14 4❑ Repair, replacement ❑ Transient hotel,motel, 21 ❑ Parking garage P P or dormitory — Enter number � Service station, repair garage 5 ❑ Wrecking (If multifamily residential, of units ——————— — - enter number of units in building in 15❑ Garage 23❑ Hospital, instituti no[ Part D, 13) 16❑ Carport 24❑ Office, bank, professional 6❑ M ving (relocation) 25 Public utility 17� Other — Speci ❑ Y 7❑ Foundation only 26❑ School, library, other educational B. OWNERSHIP O �/ � ��T_ 27❑ Stores, mercantile •8 28❑ Tanks, towers Private(individual, corporation, 29 Other Specify nonpr fit institution,etc.) ❑ — p fy 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 f 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 S I11. 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 ❑ Wood frame 41 ❑ Private(septic tank,etc.) 49• Total square feet of floor area, all floors, based on exterior 32❑ Structural steel dimensions ..................... 33❑ R inforced concrete H. TYPE OF WATER SUPPLY 34 E] Other — 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 conditi ning? L. RESIDENTIAL BUILDINGS ONLY 37❑ Electricity 44❑ Yes 45❑ No 53. Numb r f b drooms.............. 38❑ C of 39❑ Oth r— Specify Will ther b an elevator? 54. Number If Full.......... 46❑ Yes 47❑ No bathrooms Partial....... NOTES and Data — (For department use) IV. IDENTIFICATION — To be c mplet d by all applicants N a me Meiling eddress — Number, street, city, and State ZIP code Tel. N 1. Owner or Lessee /OO J 2. Contractor 3. Architect or Engineer Th owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction. Signatu of icant Address Applic ion to LAU //W//1 00 NOT WRITE rELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans R vi w Required 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 Permit or Approval Check Date Number By Permit or Approval Check Dote Number By Obtained Obta ined 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 11300 Bui Iding Permit issued Nov. 26 19 79 Building P rmit Fe $ 6.00 Approv d by: TITLE r • . r - r r •..aw�i.w...w ..w�gwwwww www wwwwww■wwwwwwwwww wwwww wwwww wwwww Mww�.wwwww www • .w.� www w ww www . a.... ..1 s.■•■.. •..■ Ottawa-. !wages aawal�e�•aaaiN• !i� R:"•as:Rya+�Nlr:l.!`;:\.w.: \r�ii■ :/w�r•iNN:■.i�r�i;i,!■ruui`�■"�i�r'i'M•� .•r •rlfr" \�i �'r ■• " Rwfor �' ' ! •ilfr ■ \■n�ra:.slri .f:ral -i'rHi.Ulpia►�ir .::ai;iMeow:�U1:i:r�n;me:meo::Ha�::wasuposeM �1 0 i'\i ;,��/ i�rwrU"� • a�i , r/ r ■aS.r�i.� �NRrR\Mas%wS \. 1R%:: w :aNS:■N!\f■ .1 S +i■N■:::/:Nri.� ! �:r .\r ■ M SS t ■a ~ ■!w S■ �lwit a.1SS■NN`�r•5:: • :S.f•"ANNtmem lS,�:;5not/■y:SN•fNM•\ S r f �! rl r". / ■ !■w+�:a•::"" SUSiiill : "'!o'r■lis �y ago "iis:lon on+raii� ■ a•.� a •■ fiisi�i• 8 ;S. rNwr•�10 1alr,w■Sai t ■• p. •�■aHIN� Samoa �a S s; ! \ !S!!I■lsasaH !r ■ ••r Ha•a M \■ rr■aH -. • ■ rN Ht. a r,�Mrl�■�ra iirrs=f.• N,latl� 04. ■ ■�1 a.N aN fa•�.! ! rat • ■ • ■ �i�ir as �0�S �ii�cgilf�ii�t��i:aiii:seems a"s■r\ ar.�ir:��•�i�me,�'i ..R / +.■S aSatttaaafff•,1 S!. t\R •1 "!\ S■■■•Rq • :/ 2:"r.wS•s ■q��isoon Ir:ra•:sa.1a"'7•■•"�C;e�iai1�•r••i`��•��«R:r. ,��•irNf�: '■ C"" «! t1• \■aiw#r/= r R :N\ R■ sa,�"::iii:i;i :�i•f.■ l-::: WOO 06 ' a0: ■\ • fa •■ a,• pp �p �1 �. ■ � � �.•R r. ■, M wR wf •tiawN,a ., a■ i N.. 1 •.wf :f/A: •H�fr\ .a..R• aM'SS■ .� R.1■::f!"..S! 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Date Nov. 26 19 7-9 Fee Paid . 6+Q4 Es. Value I,QOO.00 permit N? 11300 V - ��: . ;�~��`k'.�f on of Hayes Road Stren Street No. _ Anthony�en Owner Applicant An thon�rgen CERTIFICATE OF OCCUPANCY ISSUED Date No. Fa Paid . .,rz CLASSIR CATION = Wood Stove/metal chimne BUILDING PBRIVIIT 11300 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. NAB—-6 19 79 94is is to Certifg, That Affl,thmy Borger. is hereby granted permission to Q-hifmey at estimated value of $ 00 on the side of R Qid Street on land owned by " Said Work to be as described in Application No. 11600_ and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issued 19 7 9. 2?J,r/e t '/A �m—efL,,,,Building Inspector. Streets and sidewalks, obstructed by excavations or building materials, must be guarded by bamers during the day and by both barriers and colored lights by night. SECTION 1343, GENERAL STATUTES OF CONNECTICUT: "When any person shall PIM 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." TO THE BUIOLDING INSPECTOR of die APPLICATION FOR PLAN EXAMINATION AND I 'l N (W cow BUILDING PERMIT ' IMPORTANT— Applieaet to complete all items in seetions: 1, It, Ill, IV, and IX. C V ZONING AT (LOCATION) V� 1' DISTRICT�� LOCATION (NO./), /� �Q j� (STRUT) OF Vt� SETW[EN /✓E—L/L�/� C /\ p AND li"ie A j4/ I m ko' BUILDING (CROSS STRUT) (CROSS STR99T) LOT SUBMIVISION LOT BLOCK SIZE sr II. TYPE AND COST OF BUILDING — All applicants complete Ports A — D x A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking", most recent use f1r f tr 1 New building Residential Nonresidential Z Addition(If residential. eater assnber 12❑One femily 16❑ Amusement, recreational nowbousirrt ensile added. :)any.in Par family — Enter 19 Church, other religious in Past D. !3) ❑ asatebst'13 Two armors,Of units— — — ——► ❑ 20❑ Industrial 3 ❑ Alteration (See 2 above) 14 Transient hotel, motel, ❑ T 21 ❑ Parking garage 4❑ Repair, replacement or dormitory — Enter number 5❑ Wrecking (it multifamily residential. of units ------- —i 22❑ Service station, repair gorege enter awnber o/units in buildN"g in 1s❑ Geroge 23❑ Hospital, institutional Part D. 13) 16❑ Carport 24❑ Office, bank, professional 6❑ Moving (r location) t7 Other — Specify 25❑ Public utility 7❑ Foundation only 1 26❑ School, library, other educational e. OWNERSHIP (7(�h T 27❑ Stores, mercantile 8 Privets(individual, corporation, 28❑ Tanks, towers nonprofit institution,etc.) 29❑ Other — Spec:/Y 9 ❑ Public(F derel, State, or local government) C. COST (mast cents) Nonresidential — Describe in detail proposed use of buildings, .g., food processing plant, machine shop, laundry building at hospital, elementary 10. Cost f improvement............... school, socondary school, college, perechiel'school, parking gerag f r 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 ab ve cost ' a. Electrical...................... b. Plumbing ...................... c.Meeting, air conditioning......... d. Other(sloveter, oft.)............. 11. TOTAL COST OF IMPROVEMENT S (n2v III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Ports 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 Mosenry(well bearing) 40❑ Public or private company 48• Number of stories................ 31 Wood frame 41 ❑ Private(septic tank, etc.) 49• Total }quote foot 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. Tetel land area, sq. it. .......... / 141V 43❑ Private(well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES F. PRINCIPALTYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed ....................... 35❑ Gas Will there be central air 52. Outdoors....................... "❑ Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY 37❑ Electricity 1' 44 Y 4,S N ❑ es ❑ 53. Number of bedrooms.. ............ 38❑ Coal 39❑ Other— Specify- Will there be an elevator? 54. Number of Full.......... 46❑ Yes 47❑ N bethteadms Partial........ i IV. IDENTIFICATION — T be c0mP1 ted by all aPPliccnts ZIP cod U1. .Nan+ Mailing eiddress — Number. street. city. and State ,J-rKp,v O Owner or _ 1 Lessee D � (�(,J 2. ControVor E7= 3. ArchiteCt or Engineer Th own r of this building and the undersigned mgroo to conform to all applicable lows of this jurisdiction. Appli721 Ivan d to'! Address e f �� Q� 7 Sig tur plicant � S' I OV NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use pate Plans Plan Review Date Plans By Approved BY Notes Plans R view Required Check Fee Started BUILDING PLUMBING MECHANICAL S ELECTRICAL S OTHER V1. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Date check' Oate ;dumber 3v Permit or Approval Check Obtained Number BY Permit or Approval Obro�ned PLUMBING BOILER ROOFING CURB OR SIDEWALK CUT SEWER ELEVATOR SIGN OR BILLBOARD ELECTRICAL STREET GRADES FURNACE USE OF PUBLIC AREAS GRADING — WRECKING OIL BURNER j OTHER OTHER Fui DATION ermitnumber / Bui Iding 19 � Permit issued Bui Iding P rmit Fee S ' A rove � ^ c � TIT A TOWN OF SOUTH WINDSOR BUILDING PERMIT Date 9/8 , 1987 Fee Paid $. .6...0 0 Est. Value $.6 9.8..0 0 Permit N° 16238 on the side of Hayes Road Street Street No. 100 ownerAthnnv w, Roy-ge" Applicant Sam e CERTIFICATE OF OCCUPANCY ISSUED: Date No. Fee Paid $ CLASSIFICATION Shed BUII DfNG PERMIT N° 16238 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. 9/8 19 87 94is is to Cerfibi, That Anthony W. Borg= is hereby granted permission to Build a tool shed at estimated value of $648-0 n on the side of 100 Hayes Road Street on land ' owned by Anthony W. Borge Said --r-+— Sin Work to be as described in Application No. and to conform to specifications and plans filed with said Application, and Building By- Liws of'THE TOWN OF SOUTH WINDSOR. Iss 19 87 Building Inspector. Streets and sidewalks, obstructed by excavations or building materials, must be guarded by barriers J 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 J 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." i i � 9 ELEGTRIGAL AMIGATM Application No. J�73D on the aide�f Senet Strcct No. U y o.,.r 7o Pv V BE r-?9.�FI Ekctrician ��C��iaC L., /`/�vn0 �iq�✓ FILED IN OFFICE OF The Building InVecter z tt 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 hsating pipe% and the are stops (it of wood) are installed. without a spoW permit from the oMee of the Building Inspector. I Z) Electrical Permit Ida Mister License No. TOWN OF SOUTH WINDSOR Building Permit N - — /11V� � - Date Filed —!VZ1? BUILDING DEPARTMENT Date Final Approval ...... APPLICATION FOR ELECTRICAL WORK mecwiw Impeow #Aic�?,rs JOB OWNER: ........... OBLOCATION: ..............................----/............................... 2E!4 ............. ...... Side of .............................................................................. Betweep ........................................................................ and Name of Building Owner .........T --a-Vec Address .......... ...... P Z�................ If work is for Lessee--Gve I .............. .......... .....................- Address Buildin k� ........ No. of family units now g now occupied as (unless new) ....... • of family units to be Building to be occupied as ...... &10 Is this work included in a Building Pe it? .......— Permit Fee _4Z.- (If no Rini Z9 7111zz, ,AjV"7 am Address- ..e'�,a_ ,.,_,�4PNephane Permi ...... .......... .............. me".. V,:7v �� F.e&;07 COST OF INSTALLATION: ....................... TO BE FILLED OUT By PERMIT TEE TO BE WIRED EXISTING APPLIANCES Number of light outlets to be installed ....................... Number of present Appliance Circuits Number of c nvenience outlets to be installed ....- ......... .. - Number of switches to be installed . - - ........... ........ Do these include Range [3 Water Heater 0 Number of appliznzes to be installed . - - (as list d below) Dryer ❑ Air Conditioner [3 Oil Burner [3 TYPE RATING NO. Dish Washer ❑ Gas Burner E3 Range . . . . . . . . Well Pump ❑ Elea Heaters ❑ Range T p . . . . . . Oven . . . . . . . . Water Heater . - . . I' Clothes Washer . . . . Clothes Dryer . - - - - W Dish Washer . . . . . . Air Conditioning Motor 72P Oil Burner Motor Gas Burner . . . . . . A- Circulator M for Attic or Large Fan . . . Well Pump . . . . . . Electric Heat . . . . . Other . . . . . . . . Number of new Lighting Circuits Number of new Appliance Circuits Number f Heating Circuits . . . . . . .. Number of Motor Circuits . . . . . . . Size f present service .�...-•............ Size of service to be ............... iINAL. NSPECTIONS: Building a-/E 4 f APPLICATION FOR BUILDING PERMIT Plumbing HVAC Date: Sprinkler 100 HAYES ROAD d El ctriL�i > 2��)-9/ , Estimated Cost $ Zoning Permit Fee $ �U Affidavit NO. 17539 Occupancy Fee $ Eng. Dept. COMPLETE RED BOXED AREAS. 0 Fire Dept. TYPE OR PRINT ONLY Total Fee $ /4 Health Dept. SIGN ON REVERSE SIDE. Approved for CO: TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT The undersigned, hereby applies to do work according to the following specifications: Job Location 1 OO 14 A yES R08b Lot No. Side of Street Zone Applicant Rti -7140A)y LO i hC,>R&E-KJ Tel. # 7- Address lb E PDAD SO L 7* 14) ,<)Df&W ip d 6 0 '1 V Lic.# Owner AAJrrf4 6 tQ PEX7 Address /00 0/1 VAES /()04-D fD07-# Architect Address Size New Area: Ft. Front Overall Ft. Deep Overall Total Area #Garages Lavatories No. of Families No. of Stories Construction Bathrooms Rooms 1st 2nd 3rd Size of Lot Dist. from Street Line Dist. from Side Street Line Purpose of this Permit A)4MA 4k/4T(QA) 0 -rZ '� FT ;D/.-fe I�B�� <'r k D c>i(J!� ISO 0 / — City Water Well E] Septic 0 Sewer 1:1 Approved by Date 3=,U 13D1A 11/88 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 V1 adsor 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 o r 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 lic i n for permit. Signed- -DO NOT WRITE BELOW THIS LINE— INSPECTION RECORD Footing Foundation Insulation Plumbing Permit# Inspections: HVAC Permit# Inspections: Electrical Permit# / 7 7- Inspection Ir-L)-CIF �,� Sprinkler Permit# Inspections: - - v 'k m.-A _11olds tJ--are r >jw, a ALP, �X s 'o J�**T r pw .1'41- RA YM0N,9 L. IfOWELL'-- -1 .4 14 f4". I CHARLOTTE A. HOWELL 100 HA ros .30A 1) SOUTH WZNDSOR CONN* Tf) M.4ne" J-71 Ap -4 BA Jr: To MxcimNics SArTW(. 0'Lrpkrvirjrjry xu,9srAN?JAit_r 0QnRFCr AND NO XVN.TNG 4!klllt,:;,Ti""�-4Rjrql7&ArrONR NAVE P)rJrN VI Or,A TIM 61.0'UR VE Y CR 3 _17 'A At tot om Av . _.r�_YAJ' Via -'4W :Ro r' BAR 2 1 i989 South lVindsor '3Ul WING DEPARTMENT 0 z did" ;fc-) use(z"') a."Idlicir j Proposed bU , 9\ on p as sho-fill . Got-, 0 t-nav PERMIT # DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT JI NS- Application is hereby: TOWN OF SOUTH WINDSOR PPROVED DISAPPROVED BUILDING INSPECTION DEPT. 644-2511 Ext. 230 Application must be printed or typed . Date Bu ding Inspector 1. LOCATION OF JOB /OD 1.1,q ES k'D141� FEE SCHEDULE No . Street $ 0 - $19000 - $10.00 Floor Apt . No . Over $1,000 - $10.00 2 . OWNER f,�',1O4yy �• 00e per $1 ,000 or //�^, fraction thereof 3. ADDRESS ,00 /4)'� ��- so 07W 4. APPLICANT 4A-)7h- ( x" 5 . ADDRESS-/OQ h� �(p VTH 6. ESTIMATED COST $ �O O 7 . IS THIS A CONTRACT COST Yes No 8 . FEE ENCLOSED $ 16100 9 . TYPE OF BUILDI G: X RESIDENTIAL COMMERCIAL 10. TYPE OF JOB : Original Installation Alteration/Addition/Repair BD 3A 11/88 APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side) 11 . LOCATION OF JOB /00 ��,5 NO . STREET APT. NO 12 . TYPE OF INSTALLATION ?awE/P Ocrl-,cET 'c�,e �oo� ��iT i? fljo;Z/ 13 . SIZE OF MAIN FEEDER 14 . NO . OF LIGHT LOOPS 15 . NO. OF HEAT LOOPS 16. NO. OF POWER LOOPS 17 . NO. OF LIGHT OUTLETS 18 . NO. OF HEAT CIRCUITS 19. NO. OF POWER OUTLETS 20 . NO . OF CONVENIENCE OUTLETS 21. NO. OF HEAT CIRCUITS 22 . NO. OF POWER CIRCUITS 23. NO. OF LIGHT CIRCUITS 24 . SIZE OF HEAT CIRCUITS 25 . NO. OF MOTORS 26 . NO. OF PANELS 27 . TOTAL WATTAGE 28 . NO. OF POWER FEEDERS 29 . NO. OF SWITCHES 30. A/C LOAD 31. SIZE OF POWER FEEDERS 32 . NO. OF FIXTURES 33. TOTAL HORSEPOWER 34 . NAME OF SUBCONTRACTORS AND THEIR TRADES 35 . REMARKS AND FURTHER DETAILS : LICENSE NO. SIGN URE OF APPL CANT '� DATE PHONE NUMBER: �� d/ / t M M st4 1540 SULLIVAN AVENUE • SOUTH WINDSOR. CONN. 06074 t.co�'� AREA CODE 203 644-2511 October 4, 1996 � 1 �1 Anthony W. Borgen j 100 Hayes Road South Windsor, CT 06074 Dear Anthony W. Borgen: THIRD NOTICE Re: Electrical Permit/Inspection Pool 100 Hayes Road Please be advised that your swimming pool installation has not been approved by the South Windsor Building Department. The following items are needed for this approval: Electrical Permit X Electrical Inspection X Final Inspection g Other I urge you to resolve this situation at your earliest convenience, as the use of your pool without Building Department approval is a violation of Connecticut General Statutes, and could lead to an unnecessary liability. Very truly yours, James A. Emery Assistant Building Official Town of South Windsor FINAL INSPECTI S' Building APPLICATION FOR BUILDING PERMIT Plumbing HVASprinkler Date: 100 HAYES ROAD El ctric Estimated Cost $ 'may o 0 Zoning Permit Fee$ Affidavit NO. 18 418 Occupancy Fee $ Eng. Dept. Fire Dept. COMPLETE RED BOXED AREAS. Total Fee $ �o Health Dept. TYPE OR PRINT ONLY Approved for CO: SIGN ON REVERSE SIDE. (Additional Cost) a TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT The undersigned, hereby applies to do work according to the following specifications: Job Location Q Lot No. Side of Street Zone Applicant igatainac Dock G Cavic2) --,=Ac- Tel. # .945'3ei Address q5S-4 Jbb A FALk ISLYr> 50 , Uo jej_%vr c-T Zip 06e-7� Lic.# 52-II`-:6 STREET CITY STAT Owner pn'�oInti is acf a e) Address 100 a•vaS lzo c'd Architect ,/ Address Size New Area: Ft. Front Overall Ft. Deep Overall Total Area #Garages Lavatories No. of Families No. of Stories Construction Bathrooms Rooms 1st 2nd 3rd Size of Lot Dist. from Street Line Dist. from Side Street Line Purpose of this Permit 0q.0 �- C CCQV JL Q2XILS+VVII CA, 0"JQ Gtevv-e �oc1 City Water ❑ Well ❑ Septic ❑ Sewer ❑ Approved by Date 0-Li-2 BD1A 11/88 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 permit. Signed —DO NOT WRITE BELOW THIS LINE— INSPECTION RECORD Footing��-� 'Z3-�y a/ Framing IZ-�7-4 r (�'57 Foundation Fireplace/Chimney Insulation Plumbing Permit# Inspections: HVAC Permit# Inspections: Electrical Permit# Inspections: Sprinkler Permit# Inspections: