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Home My WebLink About100 Dawn Drive G �Q" iJ � g TO THE HUHAIDING INSPECTOR �I of de APPLICATION FOR TO" OF SOUTH WINDSM C=Ot PLAN EXAMINATION AND BUILDING PERMIT z IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O ZONING 1• AT (LOCATION) � DISTRICT LOCATION (NO.) (STREET) OF BETWEEN J /VoAND BUILDING (CRO S STREET) (CROSS STREET'LOT SUBDIVISION LOT07k__ BLOCK SI E t /SAW N II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D �v A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recant use M 1 •N w building Residential Nonresidential 2❑ Addition(if residential, enter number 12;g One family 18❑ Amusement, recreational of new housing units added, i/any,in Part D, 13) 13❑ Two or more family — Enter 19❑ Church, other religious number of units— — — —--► 3 ❑ Alterati n (See 2 above) 20❑ Industrial 14❑ Transient hotel, motel, 21 ❑ Parking garage 4❑ R pair, replacement or dormitory — Enter number 5❑ Wrecking (1/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) 25 0 Public utility 17❑ Other — Specify 7❑ F undation only 26❑ School, library, other educational B. OWNERSHIP 27❑ Stores, merconfile 8;ff�Private(individual, corporation, 28❑ Tanks, towersS n nprofit institution,etc.) 29❑ Other — Specify fy 9 ❑ Public(Federal, State, or I cal gov rnment) 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. C st of improvement,,,,,,,,,,,,,,, �P 0d,/ 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 existing building is being changed,enter proposed use. in the above cost a. El ctrical...................... b. Plumbing ...................... c.Heating, air conditioning......... d. Other( levator,etc.)............ 11. TOTAL COST OF IMPROVEMENT s 111. 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 4 Private(septic tank, etc.) 49• Total square feet of floor area, a�� all floors, based on exterior / 32❑ Structural steel dimensions .................... 33❑ R inf rc d concrete H. TYPE OF WATER SUPPLY 34❑ Oth r - Specify ublic or private company 50• Total land area, sq. ft. ........... .3 0 43 LJ Private(well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed ....................... :*,-GOGS Will there be central air 52. Outdoors........................ ❑ il conditioning? L. RESIDENTIAL BUILDINGS ONLY 37❑ El ctricity 44❑ Yes 45;!�N 53. Number f bedrooms... ........... 36❑ C el 39❑ Oth r— Specify Will th re be an el vat r? 54. Number f Full.......... 46 E] Yes 47�N bathrooms Partial....... NOTES and Data — (For deportment use) IV. IDENTIFICATION — To be c mpl t d by all applicants Nam Mailing addr ss — Number, street, city, and State ZIP code T I. No. Owner or Lessee 2. Contractor A 3. Architect or Engineer The owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction. 2ignature o appliwwca t Ad4ress . N (� Application dot 2V 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans R view R uired Check Plan Review Date Plans B Date Plans B Notes q Fee Started Y Approved y BUILDING $ PLUMBING $ MECHANICAL $ ELECTRICAL $ OTHER Is VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS P rmit or A rova I Check Date Number B Pit or Approval I Check Date Number BY pp Obtained y Permit O um btained 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 12880 Permit number Building P rmit issued Aug. 27 19 —&2 _ Building of 16, 276.00 P rmit Fe $ �` d� 7Ap oved y: 9� 1 NOTESVIII. ZONING PLAN EXAMINERS DISTRICT FRONT YAR SIDE YARD SIDE YARD REAR YARD IX. SITE OR • Applicant r.ar�ra w..■swum ....w....�. ...//./.w/./i1u/..r/////./////r/_Mww/..././/. sass.w.../. . /■ . ....rwa...■ae w.. ..■ . ••r■rw. ..w..• . ■ mw w...a. .■.s.a ugN..N r+N..H• .N■N.H■Ha•i seems r■Hiur..arfq \■a•..Na.Hi'..f...Na..i.`�iNo as ■■iN.! far.• . •C\:.\■r\N�r H.a •Zaa�.:a -..NH_. .a•INS". • •��::.l:1a :tl :M::Stif'�::'rS::S:'�f:::::::`D::::t\.•S\ f•:Si::':::::�:*:5:,:,�"`:\':S%:.Sf:`i N."'g:'.'w:a S�:M��Sr:�..a..••r...• r\ \M ■� •arr �a Nt.H!■m.a:ra..•!r1\:.a Erma::..taw:..■r.■..a:■lwa.■:`.xr`\.soma.■.■:i..■■■N•tr a:•N : • .. �"N• a �r \auro�u ��aaa.g •.■umuuHrsZ ;w. .gee\some i:g .:::_::._,• :"w ■ rwr a�• .m. H== s`s r m y is=\� N .NH■ s Nu Hua••ee.N.■.r.. 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Value $. .4.6,000.00 Permit N° 12 8 80 on the side of Lot #49 Dawn Drive Street Street No. 100 Owner Jean Marc Jacques Applicant Jean Marc Ta ca CERTIFICATE OF OCCUPANCY ISSUED: Date No. 6098 Fee Paid $ 3_nn CLASSIFICATION Dwelling BUILDING PERbffr oMcaa of N° 12880 THE BUILDING INSPECTOR Of the Town of South Windsor, Conn. South Windsor Conn. 8/27 1#2 i 14is is to gertifg, That Conntructinn Co_ j is hereby granted permission to Dwe 11 ina at estimated value of on the side of 1,n t #49 naw n Drive Street on land owned by Sald*Tnrk to be as described in Application - NoL3180 and to conform to specification: and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR- Issued Aim, 217 62• 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 peraen shall puce or an obstacle in an highway or an sidewalk) either with or without a or keep building materials, Y y gh y ( Y license therefor from the city or borough in which such higHway may be situated, he shall pay said city, t wn or boron all costs and which it shall sustain, or be compelled to reason therefor." borough damages i -7r� INSPECTION REPORT /- < � r Permit # 7? Jo 2 Foundation 3 Framing 4 Wiring 16 5 Plumbing 6 Heating 7 Lathing 8 C.O. �t l� Permit-No". TOWN OF SOUTH WINDSOR SOUTH WINDSOR, CONN. Permit N� 6088 Certificate of Occupancy THIS_IS T CERT Y that theme• - Olt at No. in the own of South Windsor, Connecticut, has been erected and completed in accordance with the(i$uilding Code and Zoning Regulations of the Town of South Windsor, and is hereby approved fo ;occupanr ' uil mg Inspector J � b Owner uil r / �a' Fee Paid J Date � ls ZMEM10 E. HYYPPA & .ASSOCIATES Civil Engineers Glastonbury, Conn. _y1F PLE"b"T v 0.�-�.E`l ¢ED•t,.T`�� 1 N L. wALrev-0.. JvuA C . rzag�µ��T . uo 10"E ga►.a0. I R..O.W. To BE - i QGwoso To w"xF-iL 16. }e JULIN C. LA.31tK CO W ns 49 i Q so viuc Z .0 0 s 4 �• y t ,p > d o V vo V 1S L» r ' oCS N�F # h �• p 1 A I"ela 0 3td Clv Q. dze UP ^`V $ `/ 5 \1S .4Z,• i s 24• ,� —— \ 3o w i� ao NSF Plo ZoNtNC' V�oLAT1oN5 -- -- \� e4•—�� / 01C►N�+ e5bX=001.4 - 8 co 9 a11oN__L�CaD.ZED AS_ N-10-Zi�8Z--__ • . d 9 .NOTE: Lot lines from map on file in Town Cl rk's Office entitled, „Plot Plan Section 4A Pleasant Valley Hamel Sgtith Windsor, Conn." Scal 1"u 401 Date 9-11-ao - A-20 MOWE Map No 220-78-Icy Rev. tz 4-so by P..elno E. -NYYPPa k 4-s5oc:%&*eS Cilastonb-xy t Cor%+n. PPEPAR E D FO R htreby certify that this map and survey were prepared in PLEASANT VALLEY WOMES ccordance with the standards of a Class A-2 survey as defined i the existing Code of Practice for Standards of Accuracy of 5O UTH W I NDSOR, C OW N. purveys and Maps, adopted by the Connecticut Association of SCALE 1"$40' DATE 8-lCo-82 and Surveyors, Inc. 43-19- 49 EN 2 7795 ELECTRICAL APPLICATION Application No. 8906 on the side of Lot #49 Dawn Drive Street Street No. _ 100 Owner JMJ Construction Co. Electrician .r i Dn� .1 r i e FILED IN OFFICE OF The Building Inspector Oct.- 18 19 82. INSPECTION. M 83r 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. APPLICATION FOR PERMIT TO DO ELECTRICAI. WORK. No. ..J ...5906 Permit No. . TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. hereby make application tq perform Electr cal Woric 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. 4 Ail South Windsor, Conn., l� �� 19 Sign here ')'►�a . Lr+n4r,............. ... . I Address �. . . . Location f�.0 .... Lr .. Side of ... Ct(,c,�AJ.... .��-A.�'l...e.......... . .......... Nature of Building ...f /.LC How many stories .. ...... ..I..... ........................................ ................. New or old Building . .... . . How many families .............................. /..................................... ............ C.r' Kind of Installation .. .. ., .. .. .. How many Stores . ............................................................................................. Owner ..:mti .. ..... Address ......0 )...6.. ..... .... ArchitectAddress . ......... ...... ... .................................................._........................ Builder `. °!�'. . Address .Lo 0�- �; .. Electrician CLZ: Address ... ' } 610 Size of Main Wiresa.,,ourj......... ... (� No. of Light Loops .. .. ..... .. ... No. of Heat Loops . ...,... No. of Power Loops ............................_...._.... No. of Light Outlets .......... .... No. of Heat Outlets . No. of Power Outlets ............... ........... Nog 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 other kind of Installation ...1�..l. ...............fGdT�t ............• ...................... ..�......�.�.......... _..... ........... .. ... ................................... .. ........................................... .................. ........................... .... ........ .. .............................. .. _................................................................................ ............ . ... ..................... ........................... ................. ........ . .. . .... Estimated Cost .../A-Wa.4..... .....••.•.. 6020 PLUMBING APPLICATION ApoN tion No. 6799 on the _ side of ...............;,,.cam k49 SN Street No. .100 D wn Drive Owner ._ Construction plumber _ So. Windsor P & H Filed in O$ia of The BuildingIarpecooc Oct. 27 19 82 No person,hall coaronuct; add o cc alder may portion of the drainage Wam of nay bang (ezoept to repair lealm) until a Pkrmit is Sm oed by the Buildmg Impecoor. R 1 Application No. _07...................... Permit No.,61 ....................... TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. hereby make application to perform plumbing according to detailed description below. All provisions of the Rules for Sanitation, By-Laws, Sections 33 to 47 inclusive, shall be complied with whether specified herein or not. South Windsor, /.,;...... ...... 19 -6-U Sign here ... 7 Z�r&.... .......&...... ... .... . .... ..................... Address ..A/...... .. ... . ....... .....Z4.. .. .................... Location ......ZV7. ...... f. ............................................. side of . ...... ...... ......................................... Street Nature of Building ............ . How many stones .. .................a .z........................................................... Owner .......... fz.s revc.ra..................... Addr. /O...'Nr................./.,I/ ....................................... Architect ................. ...... .... ... Address .. . ........ ... ........*....... ........................ Builder ............. . . . . .. .............................. .......... Address . ....... .. ......... ........................................ ................... Plumber ............. Address ........ DRAINAGE CESSPOOLS, How many Where located .. .... .... . ..... ....................................................................... Are they water tight Of what materials are they built .. . .................. Size of pipe from house to cesspool Kind of pipe .......... ................................................................................. MAIN DRAIN IN CELLAR, Material 4i4fTI.0,1. Diameter .................. Above or below cellar bottom 13 eloal........... . . . .. ............................. ......:................................................................ SOIL PIPES, Material . MJ JoJtll l_ .6�. .... . ... .... Diameter 2......................................................................... WASTE PIPES, Material 114.s- t0ilyf-rl.c. Diameter ......./-;�....7......3.................................................................... TRAPSyType proposed to use is . .................................................................................................................................. RAIN WATER LEADERS, where do they run to REFRIGERATOR WASTES, where do they run to .. .. .. .................................................................... ....................... ............................... TANK OVERFLOWS, where do they run to . ... .. . ............................................................................................................ FIXTURES WATER CLOSETS, How many . .. ......... Where located .. �v %..11j.........at!....... ........at........ .......jrir.S. Distance from trap to vertical soil pipe ................... .................. Pattern .. ........... .. .. ........................................................... WASH TRAYS, How many . .. .............................. .. Where located . . .. ........ .............. .............................................. SINKS, How many . .. ... ... . ................................/........................... Where located . 17...... ..................................................... BUTLER'S SINKS, How many ........................................................ Where located. . ................................................................................................ REFRIGERATOR SINKS, How many. ........................... ...... Where located ................................................................................................ LAVATORIES, How many . ......................****...... ........................ Where located&V...J�,Ccn.A... ......... BATH TUBS, How many......................../.......................................... Where located ........ ......15 ....................................... tfifft+AES, How many ...... .. ....../ .......... ............................... Where located ...... ........... ....... ... .......... Are water closets and urinals to be local vented )e s If not, is there a window in outer wall of room where same are to be located ........ yt i. . ..................................................................................................................................... Estimated Cost ...................... I -application For 6628 5 5 7 f = DEPARTMENT DECISION cd o Permit 3 APPLICATION IS HEREBY: 0 w DEPARTMEff OF UCgMES AND IV9PFC'T'fo N APPROVED ❑ DISAPPROVED •� d TOWN OF SOUTH � WIN LAOR y - a 1 012Z/2 00 � DATE EF INSPECTOR APPLICATIONS MUST BE PRINTED OR TVplgD. SCSI" WIT" IN"go Old o 1. LOCATION OF JOB ! IN 3 r.. � Ro. LOT NO. FLOOR APT. NO.; tQ s. OWNERcd O _ -P, pp � s. ADDRESS /♦+9 �� i .Hong S. APPLICANT c Secs G. ADDRESS L�h ll/ l,�k w •� l �-7.PHONE Q� l� s. LICENSE N0. o s. EXPIRATION DATE OF LICENSE -- to. ESTIMATED COST s �Q•p n - ,-..�: On GN ' Is THIS A CONTRACT COST, OL YEN Q IV 12. FEE ENCLOSED s Pp rm i t 12 R R ; .� x ts. TYPE OF BUILDING: COMMERCIAL Fy 14. TYPE F JOB: ❑ INDU=TRIAL ORIGINALLLA ALTERATION INfTAINSTALLATIONADDITION REPAIR APPLICATION FOR HEATING PERMIT (Continued it >m R v me Side) 11. LOCATION OF JOB G e 1 k C( z)6,g4,1 e�;ll c NO. STREET FL OR APT.NO. 12. TYPE OF INSTALLATION: ❑ OIL BURNER ❑ ELECTRIC ❑ VENTILATION ❑ SPRINKLER GAS BURNER ❑ STACK ❑ INCINERATOR ❑ MISCELLANEOUS IDENTIFY SIZE LOCATION SIZE SIZE VENT 13. OF TANK OF TANK OF FILL OF 14. B.T.U. EQUIP. AT REGISTER FURNACE MAKE AND NO. AT BONNET FIRING RATE BOILER OR FURNACE MAKE AND NO. A/I I/Al71i B.T.U. OR SQ. FT. NET ova B.T.U. OR SQ. FT. GROSS FIRING RATE FLOORS TO BE HEATED _ � NEW OR OLD BUILDING ;l CaJ INSULATED — YES OR NO 7/ TYPE OF WALL A- 02421 �iun,,�INSULATION �E"/ ej ROOF OR CEILING ��^s—INSULATION A-S AVG. SYSTEM WATER TEMP. !Nn B.T.U./SQ. FT./HR. EMISSION INDOOR-OUTDOOR TEMPERATURE DIFFERENCE 0— P62C, 0FAHRENHEIT MAKE OF RADIATION: BASEBOARD OPPERYONVECTORS, OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ. FT. OR B.T.U. Un DESCRIPTION OF WORK �� J f �� j// 4 { 15. TO BE DONE: ��'�''' / 16. HEAT LOSS SCH ULE. (TO BE INCLUDED FOR ALL JOBS): ROOM SIZE WINDOWS B.T.U. O.T.U. ¢ D DISTRIBUTION INSTALLED AND DOORS AREA — SQUARE FEET O<� VOLUME TOTAL TOTAL �n LL ROOM NO. GROSS GLASS NET WALL CEILING FLOOR Cu.FT. AT 70•F CORRECTED j U. RAD. REGISTER L W H AND F TYPE AND SIZE OR LEADER SIZE < WALL 'Lt0 (INFILT.) TEMP. TO .F O F N SO. FT. FREE AREA OIFF. F m f TOTALS A. HEAT LOSS FROM BUILDING B.T.U./HR. B. DOMESTIC HOT WATER DEMAND �%'T� �1t�1� �ti ( B.T.U./HR. C. PIPING, OTHER THAN NORMAL B.T.U.IHR. ALLOWANCE FOR HEAT VALVE OF FUEL (A B C) FACTOR 17. ELECTRICAL WORK BY:. /A �C � GO NAME ADDRESS SUBCONTRACTORS AND 1s. THEIR TRADES ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY THE (OWNER) OR (AGENT) OF THIS PROPERTY AND WILL BE DONE IN STRICT ACCORDANCE WITH THE BUILDING CODE. APPLICATION TO BE COMPLETELY FILLED IN. —14 _ a�� ztl DATE SIGNATUR[ ►LICANT ARGO CALCULATION SHEET E5 1 r"r,BL $9 __ �.. _3:'r� _—�(U�_7Lc'_Q 7� {L_1K/r.�s__1�._-_ K!!vtr, `�� Lli C'!}, y- - i /-L/ � LeGt • I �x .9 E i_J V C ao let yi t�► l �rto Jfi TO -� 11S ?fib �'� (v`o �i 3?�� P13 0 - L I' ID t , qq0l3� � t � - � _ - `:- ._: •._.-_.- _-.___-� .. itt ON agourw oft+rrtti.^1 cnAas os#*L,U04Y-4 �,q ¢ TOTALS ��.s;zwa,s�a';r,a�. TOTAL - t�qR wt,�_ orl�6itrl.�.s tlat s•�u+lli+i ttf[T D/'ltR�il. • ►� _ � 5 �f"��® f� _ � � � `�• � y� v 9 _+_S� _. e.—,. —...____.•+�..�..�+_.•._e..r.-•, y r�..,...—.,-_.__..--..w-..._...�—,.-r,___.wa- +r_....._.._-_.-....,.—. _.•_•.—.�...__w�r.v....r.__.r�+ya+_.��T^_ r.�,..-0_-..-.._��..Z•�r._a.+..�..._..•. ._b...--..._--i�..r._i.. -....._ t.._._,.._�-_._•.--w n+.._. .+.Y. aY_t•- •k.-•,y� FINAL INSPECTIONS:Building APPLICATION FOR BUILDING PERMIT a � Plumbin HVAC Date: !c 9 L Sprinkler 100 DAWN DRIVE lUW Gv Electric Estimated Cost $ Zoning Permit Fee$ Affidavit NO. 20288 Occupancy Fee $ Eng. Dept. COMPLETE RED BOXED AREAS. �o Fire Dept. TYPE OR PRINT ONLY Total Fee $ Health Dept. Approved for CO: SIGN ON REVERSE SIDE. (Additional Cost) $ TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT The undersigned, hereby applies to do work according to the following specifications: Job Location-- v. ` Lot No. Side of Street Zone Applicant Tel. # 1`'.��y Address 4 o'�� Zip �� Lic.# �-- STREET CITY STATE Owner Address— Architect Address Size New Area: Ft. Front Overall Ft. Deep Overall Total Area #Garages Size of Lot Dist. from Street Line Lavatories Bathrooms Rooms 1 st 2nd 3rd Purpose of this Permit r City Water 0 Well 0 Septic 0 Sewer 0 Use Group Aw' Construction Type Approved by Jam- Date S BDIA 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. jak Signed I hereby apply for a Certificate of Occupancy for the work described in this application for it. Signed —DO NOT WRITE BELOW THIS LINE— INSPECTION RECORD Footing Framing Foundation Fireplace/Chimney Insulation Plumbing Permit# inspections: HVAC Permit# Inspections: Electrical Permit# Inspections: Sprinkler Permit# Inspections: Inspection / Approval Date By Appl Code Description Due Whom Code Comment ------------------------------------------------------------------------------- 92-20288-B 1,000 B06 WOODSTOVE 10/21/92 003 D NEEDS HEAT SHEILD ON MANTEL/FIREPLACE INSERT B05 FIREPLACE/CHIMNEY 10/27/92 005 A HEAT SHEILD FOR MANTEL/REINSPECTION Total Est Value 1,000 7 Cn�x��tft��e a 4 Pursuant to Permit No. )o2�22 2 1 i 1 r This Certifies that the Wood/Coal Stove installation for which the above named Permit was granted has been duly inspected and is hereby approved. F � E Owner Gregory Gabble Street 100 Dawn Drive 10127 1 19 92 ! Building Inspector 1 J Hogan i # APPLICATION FOR BUILDING PERMIT Plumbing# 100 Dawn Drive WVAC # 28167 Date: der,# No. FM Estimated Cost $ g66.0 0 Building 1 909� COMPLETE RED BOXED AREAS Permit Fee $ 6�giffid ng TYPE OR PRNT ONLY Occupancy Fee Aavit SIGN ON REVERSE SIDE A .for CO. Total Fee TO BULDM DEPARTMENT,TOWN OF SOUTH WWSOR,CT (Additional Cost) $ The undersigned hereby applies to do work according to the following specifications: Job location 160 60.U.), Lot No. Side of Street Zone Applicant .4. r A /40 rr Tel,# (TUO) V 3(a - Yj/(o Address 100 Saw, V,°rc 5.(),r.,dkY Zip 0 Lic.# Owner A- . AA-os J Address too Sc J�A �,`zc�S�✓ Architect Address Sq.Ft.N w Area: 1st Fl. 2nd Fl. 3rd Fl. Total New Area #Rooms #Lavatories #Bathrooms #Garages Purpose of this permit: roof-o /' City Water ❑ Well ❑ Septic System 0 Sewer ❑ Ins. H.O. S.P. Cert. Area Basement Garage Approved by _ Date !7A OM Use Group Construction T, — R@YW 1/97 I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town of x 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 o u ncy 4rt described in this application for the permit. Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS s Inspection / Approval Date By Appl Code Description Due Whom Code Comment t ------------------------------------------------------------------------------- **-28167-B 900 B10 FINAL O1/29/02 JFF A B10 FINAL O1/29/02 JFF A CLOSED OUT