HomeMy WebLinkAbout1571 Ellington Road (3) Application No. 5979 Permit No. 5709.. .
TO THE BUILDING INSPECTOR
of the
TOWN OF SOUTH WINDSOR, CONN.
.. . . hereby make application for a permit to (erect (make alteration to a building according
to the following detailed statement of the specifications and plans erewit su mitted. (Draw a line through
w rd "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., ... 7 ......... 1,.6.6
Ir
Q! l. J
Sign here �-�1. ........ ....... ..._
Address ......... .........
Locatin? I .�........�_- L I.�v..�....1.....Q.lv..............1�.D...side of? .. ..................................................................................................................
Nearest cross street? ........(...C—. C.................. . . ......................Street No. ...J... !1....I.......................... Lot No. .............................. .
Owner of land is?J Q..B ( .......... ....V .!;.t.Address .1.5..7.1............�q LL..I...CQr...T .10...... R...i.,).........
Ownerof building is? .... . ...............5. ....M....k--Z.........................Address ... ...............................................................................................................
Architectis? ............ .... ..F....................................... ......................Address ..................................................................................................................
Bder is? . ............ .... ...L...1:.-............................._..............................Address ....................................................................................................................
0
Dimensions of building?7 X ZO.....Feet front? ........7 . Feet rear? .......~�..... ........... Feet dap? ... L 0... ..
rr Extreme height to highest point of roof? ........Z.v.............. ..... No. of stories in height?......
Purpose of building is? .-. .A...M... ..411. ..�:J. .........No. of stores? ..................................................................................................
Howmany families? ....................................... of rooms? .... ..................................................................................................
Distance from street line is. ... .... ....... ..........................................from building line is? ..................................................................................
ADDITIONS AND ALTERATIONS
(Give Brief Description)
DD . U?-.NA.. t=. ..-��... ............T'O.s...T�........A.ND.....ty l:l_I ...D.........�c.�c�..F...................
v.. -......... .........T............ .`1.. .. .T. -c. .. ..�..�--.�.u..�%...��.....�4..�..�C. . �......s ................._.........
......... . U ... .........RA- .. ......C. �-.. !a Q 7 . C . .Map No. ... ......... ........
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'.0 . .............. ............. ...................
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*bt stories Front Walla Side Was Rear Walls Partitlon Walls
Basement,
....................................................................................................................................................................................................................................................................................... ........
1st Story
....................................................................................................................................................................................................................................................... ......I........................... ....... .....
2nd "
.................................................................................................... ........................................................................... .......... ........................................................................... .. .... ...
3rd "
........................................................................................................................................................................................................'..'.............................................. ................................. .............
4th Is
................................................................................................... ....................................... ...................................................................................................... ............ .. ..... ... ...... .........
5th Is
................................. ............ ............................................................................................... ............................................ ....................................................................................................
6th 'd
.........................I............. ......................................................I............................................... ...................... ............................................................................................................. ............
7th d'
............................................................................. .............................................................. .................... ...... .................................................................... ...............................................
8th '41
........................................................................................................................................................... ............................. ....... .................. .... ...............................................
9th 141
.............................................................................................. ................ ... . . ............ ............. ....... .. ...... ...... ........ .. . .........................................................................
I 10th I I 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.
Give Size, Longest Span and Distance Between Centres, of Joists, Girders and Columns
JOINTS GIMDIBs OOLUMM
Floors B1se Longest Span Cmtrea Isize Longest span Centres Sim Leung* Camas
lat Floor
......... .............. .................................. .................. ............................... ...................
2nd ........ .. ..._. ..._ ..... 5T u u
.....��.... ... .................................. ........._.. ....................... w........�. ........ .._...._...._
_4 ....��.... .............. ...... .......................... ........_... ........._.............._. ............ _..._... ._.__..._... ....._.........._
Size of outside studs? .......................................... Distance on centres? ............................................... Size of sill? ...............................................
Size of rafters? ..................................... ... Distance on centres?................................................... Size of plate? ......................................................
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? ..... ...�.�.T�.I�................................... Fireplaces? ........................................................
Material of roof covering? .....AS... ...4. l::' ...............Material of Cornice? ....................Z.........�.......t...lu..L.......................
Howis building heated? ........ ..............................................................Lining of flues.� .. ............................................................................. ..............
Thickness of shell offlues? ......................................................................Any elevators or lifts? ........................................................... ......................
........... An hoistwa What kind? .................................. ............ How many. ......... ... y ys? ........................... .
. .. ... ......... .....................
( o00
How protected? ............... ........................................................ .................Total Value of Building ..../. ..0............... ......................
P
Whenwill work be commenced? ........ ............... ... . ...........................................................................................................................................................
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.
U
A 9can
5709
BUILDING APPLICATION
Application No. ...........5.9.7.9................................................
..............
onthe ................................................................................. side of
...................E.1.1-i.ng.t.o.n.—Rd............................ Street.
....................... .
1571
StreetNo, . .............. . . ... ......... ......... ... ...............
Owner .....jp:4Xi....13.-D r i s e w i ch.,..jr..
........ ..... ........ .......... ............
Same
Applicant . .. ... ......... ..... .. .... ..... ......
CLASSIFICATION
Renovation to...front.. ....po.r..c..h.
...............
. ............ . .. ... ....... ... .. .................
. ................... . .. ............ ... ..................... ...........
Permit issued on above Application.
Date, . .7—.1.1—6 6 .........
je
TOWN OF SOUTH WINDSOR
BUILDING PERNUT
Date July 11, 2 1�6
Fee Paid $.3.•00 Est. Value � 00.00
i
Permit N° 5709
on the side of
Ellington Rd. Street
i 1571
F Street No.
Owner John Borisewich,Jr.
c Applicant Same
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No.
s Fee Paid $
CLASSIFICATION
Renovation to front porch.
a
BUILDING PERMIT
N? 5709
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
l
South Windsor, Conn. July 11, 19 b
94fo to to Tertif1j, That Jahn 1E1)3risew1ch,Jr.
is hereby granted permission to R e roy a jU n t? f P�D Cl t p ar Oh
at estimated value of $ 00 00
on the side of 1571 EZ_'•ingt= -Rd* Street on land
owned by TAM 7 or i sswich, j
Said work to be as described in Application
No. r and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
Issued July lit 1966
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."
Application No. 6867 Permit No. 656 7
TO THE BUILDING INSPECTOR
of the
TOWN OF SOUTH WINDSOR, CONN.
.C9. .. hereby make application for a permit to (erect (make alteration to) 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 use may require.)
All provisions of the Building By-Laws (Sections 2 to 32 inclusive) shall be complied with in the execu-
ti n of this work whether specified herein or not.
South Windsor, Conn., ,. ... .... ............................. 19.. . E
Sign here .. ��..�l�r..:'.....� �.�;1.:,j-�-4. -,►�{ .i� :i ,
` l
Address ...........i .... .(.........
.s , k: ?. ..1.�ir�..�...�.t_c.. .:........
Q (Aside
Location? of?
i
Nearest cross street? .....................................................................................Street No. ................. ............................. Lot No. .............. ......... .
Owner of land is? �..t�.w,., �.. }. .. .. ..1.'.>..c ..�..l�z.Address 4. 4�.-............................................... .....................
Ownerof building is? ..... . .................................................................Address .................................................................................................
Architectis? .. ............ .. .....................................................................Address ............................................................................................ .....................
UBuilder is ..w:... ........... .....Address ........ ., .. ... .M....................................................................................
Dimensions of building? .. Feet front? ......j. . . . .......... Feet rear? ........... Feet dap? .. .j'.... ..
6height?.....Extreme height to highest point of roof? ..........,a........................t.... . . . No. of stories in .........
Purpose of building is? I... .........-I.......................................No. of stores? ....................... .........................................................................
Howmany families? ... ............................................_......................._...-No. of rooms? .... ................................................................................................
Distance from street kne is? . ....from building line is? ..."1.......� ....
ADDITIONS AND ALTERATIONS
(Give 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? . ... .. ........... ..... ................ ......................................
Roofconstruction 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
Reftht stories Front Walls Side Walls Bear Walls Partition Walls
Basement,
.........................................................................................................I..................................... ........................................................................................................................................ ........
1st Story
........................................................................................................................................................... .............................................................................................. ............................... .. ... .. .....
2nd "
.................................................................................................. ............................................................................... ........... ..................................................................................... .........
3rd "
...................................................................I.......I........................................................................... .......................................... ........................................................................................... .......
4th 'I
... ...............................................................................................................................................I................................................................................................ ............. ..........................
5th do
...................... ...........................................................I..................................... .....................................................................I.......................................................................................................
6th to
.... ... ... .................................................................................. .................. ........ ............. ...................... .............................................................................................................................
7th d'
.............. .......... ........... ... .................................. ............................... ......................... .......................... .............. ............................................... ......................................................
Sth ed
............................................................................................................................................................................. ........................................................................................................................
9th 4 1
............................................................10th .................... ............... ...................... . .. ........ . ................. ...... ....... ................................................... .......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.
Give Size, Longest Span and Distance Between Centres, of Joists, Girders and Columns
J0I878 GMD=8 OOLUJMNS
Floors SIM Longest Span Centres Erldging Size Longest Span Centres Rise I.enga Centres
1stFloor.............. .... ................................. ........_ ................................. ..................... ................ ..............» ......»..»�..._
......,..... ............. ..............I................... ................ ..................... ._».....».. ...»......»...».......... ... . ...........»... ..»»..» »....».............
.4 .... .... ................... ................................. .....»............ ..».......... ..»........»................... .......»»». ...........».. _.».»........ .....
.......
..._
Size of outside studs? ........................................ Distance on centres? .............................................. Size of sill? ..............................................
Size of rafters? ..................................... .. Distance on centres?................................................... Size of plate? .....................................................
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? ..... ............................................................ Fireplaces? ........................................................
Material of roof covering? ................................. .....Material of Cornice?
.............................. .......................................................................................
Howis building heated? ................. ........................................................Lining of flues? ... ............................................................................... ..............
Thickness of shell of flues? ........................................................................Any elevators or lifts? ........................................................... ......................
Whatkind? .................................................... How many? ........................ ...................... .. Any hoistways? ................................... ................ ..
How protected? ............ .. ........................................................ .................Total Value of Buildin ....�� U...�;.......�..`!.............................
Whenwill work be commenced? ......................... ......................................................................................................................................................................
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.
Appl4nt
6567
BUILDING APPLICATION
Application No. .......68-6.7...................................................
onthe ...east..................... ..........I.................. ................. Side of
.. . ..........Elli.n ton Rd,........ ........ ... Street.
1571
Street No, ... ... ... ........
John Borisewich.,Jr.Owner ... ....
........... .
Applicant Sam e.......
CLASSIFICATION
Tool Shed 16.lxl.21...... .......... ........... ....
................. ... .............. ........
Permit issued on above Application.
Date, . 11�75-68
TOWN OF SOUTH WINDSOR
BUILDING PERMIT
Date Nov.5' , 19 6 8
Fee Paid $- --0 0 Est. Value IQ 0.0 0
Permit lr? 6567
on the east side of
Ellington Rd. Street
Street No. i571
Owner John Bor .i s ewich,Jr.
Applicant S ame
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No.
Fee Paid $$
CLASSIFICATION
Tool Shed 16txl2l
BUILDING PERMIT
N° 6567
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn. Nov`5 f 108
T4ia is to Terttf1j, That Jahn Borisewich -Jr.
is hereby granted permission to T o o L Shed 16 0 x12 t
~ at estimated value of
on the side of 1571 Ellington R d. Street on land
owned by Jotm Barisewiah,Jr.
Said work to be as described in Application
No. 6867 and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
Iss N9Y. 68
uil&g 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
TO THE ]BUILDING INSPECTOR
of the APPLICATION FOR
.I10" CW SOUTH VVUMSM CX*4K PLAN EXAMINATION A N D
BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. o
I• AT (LOCATION) I 1 LL� �G ' ZONING
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
�v
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use T
1 ❑ New building Residential Nonresidential
2 ❑ Addition(If residential, enter number 12❑ One family 1-BE] Amusement, recreational
of new housing units added, if any,
13❑
in Part D, 13) Two or more family — Enter 19❑ Church, other religious
3 ❑ Alteration (See 2 above) number of units— — — — -i 20❑ Industrial
14❑ Transient hotel, motel, 21 ❑ Parking garage
40 Repair, replacement or dormitory — Enter number
5❑ Wrecking (If 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�Other — Specify 250 Public utility
7 Foundati n only
26❑ School, library, other educational
B. OWNERSHIP �LV G E 27 0 Stores, merconfiI*
8 ® 28 E] Tanks, towers Private(individual, corporation, S
n npr fit institution,etc.) 2g❑ Other — Specify
9 ❑ Public(F derel, State, or
I cal government)
C. COST (Omit cents) Nonresidential — Describe in detail proposed use of buildings,e.g., food
y processing plant, machine shop, laundry building at hospital,elementary
10. Cost f improvement,,,,,,,,,,,•,,,. C) department
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. El ctrical....................... z
b. Plumbing ......................
c.Heating, air conditioning.........
d. Oth r(elevator,etc.)............
C
11. TOTAL COST OF IMPROVEMENT $ d 0 �`"�
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 ❑ W d frame 41 ❑ Private(septic tank, etc.) 49• Total square feet of floor area,
all floors, based on exterior
32❑ Structural steel dimensions ....................
33❑ R inf rc d concrete H. TYPE OF WATER SUPPLY
34❑ Oth r — 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 44❑ Yes 45❑ N 53. Number f bedro ms..............
36❑ C al
39❑ Other— Specify Will there b an I vat r? 54. Number f Full..........
46❑ Y s 47❑ No bathrooms
Partial.......
NOTES and Data — (For department use)
IV. IDENTIFICATION — T b completed by all applicants
Name Mailing addr ss — Number, street, city, and State ZIP cod Tel. No.
or
J OR 5utus wcc L5 '7 t U LLI Ii6tTGIv nip
Owner S •VJ I M bSon c)607-1 F-7� y
Lessee t
2.
Contractor
3.
Architect or
Engineer
The own r of this building and the undersigned agree to conform to all applicable laws of this jurisdiction.
Sig ture of applicant Address Sd. WI wSM.Application dot
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Revi w 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 ObDtair ed Number By Permit or Approval Check Obt Date
a 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
Permit numb r 12410
Bui Iding
Permit issued SEpt. 28 19 8-
Bui Iding
P rm i t Fe $ 6.00
Ap oved
t
TIT
NOTESVIII. ZONING PLAN EXAMINERS
DISTRICT
FRONT YAR
SIDE YARD SIDE - .
REAR YARD
NOTES
IX. SITE OR • Applicant
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�4
TOWN OF SOUTH WINDSOR
BUILDING PERNUT
Date Sept. 28 , 1981
Fee Paid $. .6.00 Est. Value . .1.s,000.00
Permit N? 12 410
on the side of
Ellimton Road Street
Street No. 1571
Owner John Borisewich
Applicant John Borisewich
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No.
Fee Paid $
CLASSIFICATION
New roof
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BUILDING PERMIT
N° 12410
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn. 19 81
to to Orerfifg, That Toh Ber sew wL
is hereby anted permission to New rot
I Y Sr
I
at estimated value of 00
on the side of 1571 E 11 itz8t n Road Street on land
owned by John Borf nexi eh_
Said Work to be as described in Application
No. 12710 and to conform to specifications and plans filed with said Application, and Building By-
laws of THE TOWN OF SOUTH WINDSOR.
Issued 19810
�JU l iag nspector.
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 CONNECT I CUT: "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"
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.. Bectrk# APPLICATION FOR BUILDING PERMIT
Plumbing# 1571 Ellington Road
WAC # Date: 7/j 11r,
Sprinkler# No. 28080
FINAL P R Estimated Cost $
Buildi T tea`- =7COMPLETIED BOXED AREAS Permit Fee $ �e.
Engi PRINT ONLYOccupancy FeeAffidavit 'Appr.for C o F__ REVERSE SIDE
Total Fee �
TO BUI TMENT,TO OF SOUTH WHDSOR,CT (Additional Cost) $
The undersiigned eby applies to do work according to the following specifications:
Job Location Lot No. Side of Street Zone
ApplicantKol"'n; Lox Tel.#
Addr ss /<71 Gl1 I -I/_t22 j�j Lea d Zip Lic.#
Oven r �c+/1 S bn'4� �n a,Address
Architect Address
Sq.Ft.New Area: 1st FI. 2nd FI. 3rd Fl. Total New Area
#Rooms #Lavatories #Bathrooms #Garages
Purpos of this permit: WCJ CA Q_,MIL IV4A,)
City Water ❑ Well Septic System Sewer ❑
Ins. H.O. S.P. Cert. Area Basement Garage
Approved by Date Use Group Construction Type
Rey6W 1197
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 which this building and its use is allowed.
Signed
I hereby apply for a Certificate of Occupancy fort the work described in this appli tion for the permit.
Signed✓
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
-------------------------------------------------------------------------------
**-28080-B 2,000
B10 FINAL 02/07/02 JFF A
B10 FINAL 02/07/02 JFF A CLOSED OUT.
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coo, s ,f tote, pr, ,'.,
�t7tE';�t dt
t•—othc, with amendnwm-.. ;i.t tl iii
fit,I ii;h plan tr.d I Jur r• to t,tnftl� Nit
(3i,odmT anal .,•at,. lew5 atti eu,h o;c•
ssur.0 L4 the dut',Itnk I),�p,,rtme.nt j
tppliCallon and anal ISSUarlej
Perini;.
Si�nf•d ly- d . �t and U�o This h'an i>. app Subaror
'
orumr-; and ordinances regt.,i,t„ !),t'�inS -,r•..I
cOmplt�d With.
Conditionally Approved These iilod t
,Bullding Inspector glen
Date_ NQ
.-. � ; � � •+� 'tom {..:. f :_�r•.�:;,�
14
,r i:_11cr structure(---1!
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ti • ,�it �a�r �. 1
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Zoning