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Home My WebLink About1150 Ellington Road Application No. 59 7l. . Permit No. 5701 .. TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. hereby make application for a permit to (erect me—) 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. ....... .... Sign here Y.-Y. ................................................... ........... Address .. C ;... .,�.... ... Location? ........................................................ .............side of? ... ..... .... .Street No. .. ............................... Lot No.Nearest cross street? . .eS..�� ............... .............................-- t 0011, Owner of land isz:; ddress / ,a5....tP..... ►... .... a Owner of building is? . '~..A Address K04 Architectis? .. .. ............` Address ......................................................................................... ...................... Builderis? . ........ ...............A.................................................._`.'.......................Address ......................... i Dimensions of building?,,2 ,e' Feet front? ........' .,' `...... Feet rear? ..... ...��... Feet deep? ...... �c�..� Extreme height to highest point of roof? ................./... . . No. of stories in height?....... ..... . Purpose of building ism-. ... 1\to. of stores? .... ................. .......................................................................... Howmany families? ................................................................._...................No. of rooms? .... ................................................................................................ ? �� ....from building line is? Distance from street line is? ..................... ..................................................... ............. ....................... . ADDITIONS AND ALTERATIONS (Gve Brief Description) ................................................................................................................................................................................................................. ............................................................................................................._........ ................................................................................................................................................................... ................. ....................................................................................................................................................................................................... ................................................... MapNo. ....................... 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 Height stories Front Walls Side Was Rear Walls Partition Walls Basement, ..................................................................................................... .................................... ................................................................................................I................................. ....... 1st Story ........................I................................................................................................................................................................................................................................ ................................ ......... 2nd " ............................................................................... ................................................................................................ .......... ................................................................... .......... ........... 3rd " .......................................................................................................................................................... ........................................... '..'............................................. ........................................... ..... 4th " ............................................................................... ............... ..................................... ......................................................... .......................................... ........ . ......... ..................... 5th of ................................................ ................................................................................................................................................................................................................................................... 6th is ................... .............................................................................................................. ...................................... ........................................................................................................................... 7th d' ....................................... ............................................ .............................. .....I.......................................... ....... ............................ ....................................................................... 8th 'd ................................................................................... .......................................................... . ...... ..................... .. ............... .. .................. ......................... 9th 11 ........................................................I....I(Yth................................... ............... .. .............. - ....... ...... ...... ................... ..............I........ ............................................. 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 JOISTS (TSDE88 OOLiJMM Floors Sias Longest Span cent ms Brmxbc Size Longest Span centres Sine Lamm Centres 1st Floor — .�a.....,,.... ................. ......... _... .............. _.. ...................�...._. ....._...__.... ............. .._.....__ ........._...� .a a.....�,..... ........... ........... .. _...._.. ........................ . ........ _..... ......_....._...... .4 ....:�»... .................. ............. ............... ...... �.........._...._...... ......._... _....».... _..._..... _..._ Size of outside studs? ..,�x..�........ Distance on centres. ........... ......`.............. Size of sill? .......�°c.Z..'..�....... Size of rafters? ... Distance on centres?........... ..... f................. Size of plate? ........ .P ,.. ...I............ Size of ledgers or girts? ................................ ............................................Size of deck rafters? .................................................................... ............... Distance on centres? .........................................................................................Size of studs in bearing partitions? ................................................. MISCELLANEOUS Style of roof, flat,.pitch, Mansard, or hipped? . 00�.... Fireplaces? ...... ... . Material of roof covering? .a�' ,F}/ Material of Cornice? ............ t.�,a : .............. .. .. .. . . . .... .. ................................ Howis building heated? . .......... ..........................................................Lining of flues? .. ............................................................................................. Thickness of shell of flues? .......................................................................Any elevators or lifts? ........................................................ ...................... What kind? . .. .. . .... How many? . . .. .................... Any hoistwa ? .................. .. .......... .............. .. Howprotected? ................. ........................................................ .. .....Total Value of Building ......./....%. .- . .,�,.�.......�- ....... When will work be commenced? ... .. ....... . ........ ,.r, �....... .................. 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. Applicant 5701 BUILDING APPLICATION Application No. ........�r971.................................................. .... .... on the .......West ...........We st..................................................................... side of .... .................... ................. Street. 115 0 Street No, ................ .. ........ ... ..... .................. .. Owner ChapmAn................... . Applicant John Tersavich ......... . ..... ........ ....... CLASSIFICATION Tw-.). Car Gar.e.,go ..24t.x241 ................... ............ ......... .. .. ... ........... .. ........... ...... .................... .... ........................... Permit issued on above Application. Date, .6--.I-24I-:-66 ........ 19.......... TOWN OF SOUTH WINDSOR BUILDING PERNHT Date June 24, 1966 Fee Paid �$.8.0 0 Est. Value �$. . . . . . 0 Permit N° 5701 on the We s t side of Ellington Rd. Street Street No. 1150 i Owner Lawrence Chapman 9 f Applicant John T er s a y i ch i i CERTIFICATE OF OCCUPANCY ISSUED: k Date P No. Fee Paid CLASSIFICATION Two car garage 24 t x24 BUILDING PERMIT N? 57'01 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. June 2',, 19 66 94is is to Terftf1j, That John Teragyich is hereby granted permission to Twn Car garage 241 z?4 1 at estimated value of 0 on the NO Mt side of 11.50 ,_`I ing t a rj. -Rid. - Street on land owned by Lawrence C12a pma n Said Work to be as described in Application No. 5971 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issued- jurid 24 x 19 66 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." 6606 ELECTRICAL APPLICATION Application No. 691- on the side of Street Street No. .50 Owner T awrPn r P Chapman Electrician HnmenUM P-r FILED IN OFFICE OF The Building Inspector SPnt 26 INSPECTION. 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. 0� �j APPLICATION FOR PERMIT TO DO ELECTRICAI. WORK. No. f�91 ......... ..... Permit No. . 6 �6.. ........... TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. ..... . hereby make application tq 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. �k q /?✓/ South Windsor, Conn., ...... .o� �" 1J�SSign here '•• •••. •• . .•• •ram..• Address !/1.S o .. .. ...... ...... .. . ............ Location �!`� .� ..1�a4�SCAel4v4-3`1'Q'e of .. ......... ................... .................................................. r J4, Nature of Building How many stories . ........ ......... .... ....... ................................ ................. New or old Building How many families ...................I............................................. Kind of Installation e- How many Stores .. ................... ........................................................................ Owner ..................... ... .. ......... .. .. .............. ... _... .. Address ........ ..............................._...._..........._..............._...... Architect ....... Address . .. .. .. . ................................................. __..__....._....._._.... Builder Address ............. . ..................._._......._........... Electrician1. . L,97�G�... ..(... t�-Srv... .. . ..... Address .... .. . . ......... . ............................................................................ 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 ................ ........... Not 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 th kind of Installation .. . ;. ........ ,c ...... .. ..... ... .�J...�.. ._.. . ... ............. ...... ..... ............. .. ....... . . . .. .. ... .. , .....a............... ......... ...................... .......... .... *1 ......................................... ....... � ;a.. .. EstimatedCost ... ............. .................. .......... ...... TO THE BUIELDING INSPECTOR of the APPLICATION FOR PLAN EXAMINATION AND TO" OF SOUT�I W11�iDSOR, COIitH. BUILDING PERMIT z IMPORTANT — Applicant to complete all items in sections: 1, 11, Ill, IV, and 1X. uRk � ZONING ryt�Sa,� I• AT (LOCATION) F61 DISTRICT LOCATION (NO.) (STREET) OF BETWEEN f GoVe C AND BUILDING (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 � 1 ❑ New building Resident' I Nonresidential 2 ❑ Addition(I/ residential, enter number 12 ne family 18 ❑ Amusement, recreational o/ new housing units added, if any, :n Past D, 13) 13•❑ Two or more family — Enter 19 ❑ Church, other religious number of units— — — — 20❑ Industrial 3 ❑ Alt tion (See 2 above) 14 Transient hotel motel 4 e air, replacement ❑ 21 ❑ Parking garage p p or dormitory — Enter number 5 ❑ Wrecking (It multifamily residential, of units ——————— — i Service station, repair garage enter number of units :n building :n 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 ❑ School, library, other educational B. OWN ER HIP 27❑ Stores, merconti Is 8 rivate (individual, corporation, 28 ❑ Tanks, towers nonprofit institution, etc.) 29 Other — Spec:/y 9 ❑ Public (Federal, State, or local government) C. COST (Om i 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,,,,,,,,,,,,,,,, S 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...................... L b. Plumbing ...................... c. Heating, air conditioning......... d. Other(elevator, etc.)............ //�� 11. TOTAL COST OF IMPROVEMENT $(K/D 1 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❑ s my (wall bearing) 40❑ Public or private company 48• Number of stories.........:...... 31 Zod frome 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 `� Total land area, sq. ft. ........... C 43 ❑ Private(well, cistern) K. NUMBER OF OFF-STREET —U,t PARKING SPACES 51. Enclosed ...................... F. PRINCIPAL PE OF HEATING FUEL I. TYPE OF MECHANICAL 35❑ G s Will there be central air 52. Outdoors....................... 36 it conditioning? L. RESIDENTIAL BUILDINGS ONLY 37❑ Electricity 44❑ Yes 45 IN, 53. Number of bedro ms.............. 38 ❑ Coal 39❑ Other— Specify Will there be an elevator? 54. Number of Full.......... 46❑ Yes 47 No bathro me Partial........ IV. IDENTIFICATION — To be completed by all applicants Name Mailing address — Number, street, city, and State ZIP code Tel No. Owner or Lesseeelp- 2. -►� Contrcc•or 3. Arch'tect or Engineer The owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction. Sig of appli t Address Application date _Cc��ec. 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Re uired Check Plan Review Date Plans By Date Plans By Notes q Fee Started Approved BUILDING PLUMBING MECHANICAL ELECTRICAL S OTHER S VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Date Date Permit or Approval Check Obtained Number By Permit or Approval Check Obra,ned Numberey 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 Building Permit issued 19 Building Permit Fee Ap rove TITLE TOWN OF SOUTH WINDSOR BUILDING PERMIT Date July 9 9 19 86 Fee Paid $. . .4..0 0 Eat. Value 6 0 0 .0 0 Permit N° 15251 on the aide of F.1 1 i ngton Road Save Street No. 1 1 S 0 Owner La-w-rg riC-P Cheman Sr_ APPlicant Lawman:is rhapn an, Jr_ CERTIFICATE OF OCCUPANCY ISSUED: Date No. Fee Paid $ CLASSIFICATION Vinyl Sidinq BUII)TNG PBRIVIIT 11T`.' 15251 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. A 186 � t t to Certitu, That i a,�once Cha�an is hereby granted permission to Install vinyl siding at estimated value of $B Aa-de on the side of 115�0 Elllnotm Road Street on land owned by Sr- Said K-0Xk 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 5 �T J_y •�� r � � � ,/ � - 4ailding 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." TO THE BUIELDING INSPECTOR of the APPLICATION FOR PLAN EXAMINATION AND TOVYN OF SOUTH WIIrDSOK, CONK. BUILDING PERMIT z IMPORTANT — Applicant to complete all items in sections: 1, 11, Ill, 1V, and IX. C) ZONING I• AT (LOCATION) /JrD 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 A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use T rn 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❑ in Past D, 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, 21 ❑ Parking garage 4 ❑ Repair, replacement or dormitory — Enter number 5 ❑ Wrecking (if multifamily residential, o/ units ——————— — i Service station, repair garage enter number of units to building in 15 ❑ Garage 23 ❑ Hospital, institutional Part D, 13) 16 17 �Other — Speci/y Carport r' 24❑ Office, bank, professional ❑ p t �6 ❑ Moving (relocation) t`j&_A_/ 25❑ Public utility ® 7 ❑ Foundation only � 26 ❑ School, library, other educational B. OWNERSHIP L�f�g' ?�/`i -A� 27❑ Stores, mercantile 8 ❑ Private (individual, corporation, � 1 c 28 ❑ Tonks, towers n nprofit insti+ution, eft.) l y�O� �� !� 29 ❑ Other — Spect/y 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,,,,,,,,,,,,,,,, S Sod"o6 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.)............ ��--��ff 11. TOTAL COST OF IMPROVEMENT S 506,,6t� 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❑ Reinforced concrete H. TYPE OF WATER SUPPLY 34❑ 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....................... %❑ Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY 37❑ Electricity 44❑ Yes 45❑ No 53. Number of bedro ms.............. 39❑ Coal 39❑ Other— Specify Will th re be an elevator? 54. Number of Full.......... 46❑ Yes 47❑ No bathrooms Partial....... c IV. IDENTIFICATION — To be completed by all applicants Name Mailing address — :Vumber, street, city, and State ZIP code Tel. No. fj �%�o y8 i. log&1nW& Sa �'1l inc► � �at'. Owner or 6CrJo� / Lessee So. 0/ndS1 IL 2. Contrac•or 3 Architect or Engineer The owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction. Si�zzl-o pplicant Address Application date �100 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plan Review Date Plans Date Plans Notes Plans Review Required Check Fee Started By Approved By BUILDING $ PLUMBING MECHANICAL $ ELECTRICAL S OTHER VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Date Dare Permit or Approval Check Obtained Number By Permit or Approval Check Obtained Number i 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 Building Permit issu d tz/ 19 Building ,J Permit Ft-e /J Appr dd I ' TITLE --v TOWN OF SOUTH WINDSOR BUILDING PERMIT Date .TL 1 Y 11 , 19 86 Fee Paid $. 4.0 0 Est. Value $.5 0 0.0 i Permit N? 15265 on the side of F.1.1 i ncton Road Street I I Street No. 1 1 5 0 Owner Lawrence Chapman Sr Applicant Lawrence Chaman Jr. CERTIFICATE OF OCCUPANCY ISSUED: Date No. Fee Paid $ CLASSIRCATION Enlarge porch - add deck - roof BUR DLNG PBRMIT M 15265 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. j$ly 3 i 1986 94is is to Certifg, That T.Awranaft Chagnan. Tr. is hereby granted permission to ~-- Mend porch 149 and add back deck 10' x 16' — new roof at estimated value of on the side of 1150 Ellington Road Street on land owned by Lawrenom r1m;=an err,. Said y, 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. I July 11 1986 T. ,.� r_Buiding 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" 6'wlll 17 &2 x •yr�• i r � {4 3 37 f t • ,Its t e��qd t� to O� r ;n`s vire r (mot o r Ot J D "kn r s` \j -g 9(0\ Ued ss tnt5 zFp -- � f I t �`i k / d s �1-L'•` tiled • P1a� s Ge t tOL ejc" tof Np. $Jii�1t�8 ate Electric# APPLICATION FOR BUILDING PERMIT Plumbing# 1150 ELLINGTON ROAD HVAC # Date: 3 - /�- G Sprinkler# No. 22988 _ �V FINAL APPROVAL§ Estimated Cost $ 1� Building ZG S'6 COMPLETE RED BOXED AREAS Permit Fee $ /a - Engineering TYPE OR PRINT ONLY Occupancy Fee $ Affidavit SIGN ON REVERSE SIDE — Appr.for CO. I[:: Total Fee �y TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR,CT (Additional Cost) $ The undersigned hereby applies to do work according to the following specifications: Job Location /SD � i A& AJ 14eGr• Lot No. Side of Street Zone Applicant .`� �` f�Yri¢ AJ Tel. #&d—.9 Address 11,S d AO!Fl/RAJ . Zip 6607, Lic. # Own r d Address Architect Address Sq. Ft.New Area: 1st FI. 2nd FI. 3rd FI. Total New Area #Rooms Lavatories #Bathrooms #Garages Purpose of this permit: a/Z City Water ^ Well 13 Septic System ❑ Sewer 2 Us Group Construction Type Area / Bas m nt Garage Approved by Date Revised 6/95 i 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 m on in which this b ing and its use is allowed. Signe Gam, 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