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17 Deerfield Lane
Application No. 6908 Permit No.6608 TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. hereby make application for a permit to (erect 'ow6xo) 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., .../........e-,. .............. 19.4 t /Z Sign here ..... .. ..... Address Y!,,9.... �...... 1 Z Location? . .... ................................................... .. ..V.T..le.........side of? ....1 'l, 47....................... Nearest cross street? T ............Street No. . . ............ .............................. Lot No. .../..., ,o ...... . Owner of land is? .L/ .. e.... ... Address ��.., z-... ............. :.... ............. . Ownerof building is? . `�`" -ti Address .. ............................................................................................................ Architectis? ... ..... .............'�............................................... ......................Address .......'.�.................................................``............................ ................. Builderis? .. ..............................................i................................_`,c.....................Add ress .........."`............................................."......................................... ........"' V 10 � �. Dimensions of building?�.� �.. .- ..Feet front? ........6.,S..... . Feet rear? ....�..% .......... Feet deep? ....:2 . ' No. of stories in h ' t?...... —' . .. xtreme height to highest point of roof? .................... ./.... ...... . D� Purpose of building is? ,c ',F. ,r �...................No. of stores? ..... .................. ...................................... ................................. Howmany families? .......................... .._...........-_----_---....No. of room-s? 4:9................................. OV If f from building line is? �� Distance from street line is? ... ��,5.7 .....,,R,................ ...................................—............................. . .... ..... .... ..... ADDITIONS AND ALTERATIONS (Give Brief Description) f /....,5.......... . . ►. .....�f� .............�7..1Lc . .....�..ck ..�...�..�.�rr�l.,G.......... ..�- RKOD. SEPTIC PAYMENT 5'•�. 4-""`"'—'�"r' ..... .., 1............ ... ,c�.. '-................1?..�Z......_........ .................... .......................................................................................................................................... ................. ...................................................................................................................... ENDORSED BY SA! `...%f TOV7,11 OF Map No. . . ................... 0. 6 SOUTH Wil'A',......� C..v.._. ...�� L.tJ 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? .. .. ... ....... . . .. ... .... Composition of mortar? . ............................................. .................................................................................... ................. .......... ... ... Height and Thickness of Walls Helsht Stories Front Walls Side Walls Rear Walls Petition Walls Basement, ................................ .....«««.................«................_....«..................... .........._........._................_..............«............................................................. .................................................._....... ...... 1st Story .......................... ..................«..............«...........................................,..............................................._....................................................................... ................... ....... ........ ........... ... .... 2nd ............................................._.......«........._.....................................................................«......«....................................... ........... ........................... ................. ................... ........ . ...... . . 3rd " ............._..........I..........._... ................................................. ......................I......................... ......................................«... ,........................ ..................... .. ....... ................. .... . ..... 4th As ................. ... ............« .....................I........................... ..................................... .... .........................................«..................................... .............. ....... . ........ .. ....... ... . 5th Of .................................. .............. ................................ ............... ........................................ ............................. ............... ............................................... .................................................. 6th 7LL I! ....... .... .«...«.......1.................... ............. ................ ...........................�.......... ....... .. .. ........... ........................................... ................................................. 8`{. t/ ................................................... ..............11 l............... .............. ........................... ............ . ...... . ....... .... . ........... ... ... .............. . .............. ... .................... 9th 414 ............._. .........................10th..... ....... ...... 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 GIRDERS OOLLTMNS Floors Size Longest Span Centres Bridging Size Longest Span Centres Size Length Centres 1st Floor * ��� �r , ...... ............ !D. ......,I..e .f '....... .... w o 0�7.............. ... L�� ..�'.......... ..~.... _............_.. ,l.''- f........__. ................ 2nd .�a..... ..... ............- .................................. ..................... ._................_.....-..._._ .._....._.._... ...._.._...._. ..................... 4 .... ..... ................. ................................. ................... ...... _..........................._. -......... _........_... ....._.........._.. ? oc K . Distance on centres? Size of sill? ............. . x Size of outside studs. .................. ................. ................ ....aa............. M Size of rafters? ......��.?r....ln.. Distance on centres?......... ...�.� Size of plate? x ........ �....... Size of ledgers or girts? ... .................... .......0..............................Size of deckrafters? .................................................................... ............... K Distance on centres? .............. ......................................................................Size of studs in bearing partitions? .........,,�Z. ..... ................. MISCELLANEOUS t Style of roof, flat, pitch, Mansard, or hipped? ..... ....��eor-ie.,rV........... ........... Fireplaces? ..........s�x..... ................... Material of roof covering? ..... .........Material of Cornice? ....................... 4m- .............................. How is building heated? 1`000 .m.......4.40-67.T...6a.c.-.....Lining of flues? . ', .. .................. ..0.......... .............. Thickness of shell of flues? ...........l..K .....Any elevators or lifts? ................................. What kind? .. ......... .. ...... 0.. ......... How many? . .. . Any hoistways? ....... .... . . ........ . ........... . How protected? ��.P ..o.o p ..... .... ... ................. .............. ... ................Total Value of Building ......... . �. ..ca.......... r When will work be commenced? ... . .. ..... .....e.�e.... ..................... 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. Town of South Windsor since 1949. r • Ogr Applic 6608 BUILDING APPLICATION 6908 ApplicationNo. ............................................................................ south onthe .............................................................................. side of Deerf ield LaU8.................... Street. .... .................... ............. . ........ ......... Street No, Lot #176 .................. .................. Owner U &.. R....H.OUS i.ng....Corp. . ... .. .... .. .. ... ...... Applicant same. ..... ........... CLASSIFICATION Dwelling 651X251 ..... . ... .. .. .......... .................. ........... . ...... ....... . . . .. ............. .......... Permit issued on above Application. i—io-69 Date, — 19 TOWN OF SOUTH WINDSOR BUILDING PERMIT Date Jan.10' , 19 69 Fee Paid $.80.00 Est. Value $.20 p 000 RECD. SEPTIC PAYMENT &20*90..r..,. Permit N° 6608 south on the side of Deerfield Lane Street Street No. Lot #176 #/? Owner U & R Housing Corp. Applicant Same CERTIFICATE OF OCCUPANCY ISSUED: Date No. 3 791 Fee Paid $ 3.00 CLASSIFICATION Dwelling 65tx251 BUILDING PERMIT N® 6608 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. Jan.10 0 1969 94is 'to tv Terftf1j, That TY & R Housing Corp. is hereby granted permission to r',e 11 i rz f�j x'> at estimated value of 20,040 on the 8�u th side of P e r f�- lc� L �'`' 176, Street on land owned by U & �'' IR�u s i ag C r p. Said !0r'k to be as described in Application No. 6901a and to conform to specifications and plans filed with said Application, and Building By. Laws of THE TOWN OF SOUTH WINDSOR. Issued J& '10, 1969 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." INSPECTION RE06RT Permit # Jobe Reasiag C*rp. 1 Footing 1—to-69 g-Doorf ield Ltns Lot xe 17 2 Foundation ,7-y 6>°' 3 Framing 4 Wiring 5 Plumbing 3-/f--6 Y 6 Heating 7 Lathing 8 C.O. #3791 N Permit o. TOWN OF SOUTH WINDSOR SOUTH WINDSOR, CONN. Permit N? 3791 Certificate of Occupancy T HIS IS TO R IFY that the at No. - in the To of South Windsor, Connecticut, has been erected completed in accordance with the B ding Code and Zoning Re tions of the Town of uth Windsor, and is hereby approved for occupancy. i Inspector Owner, Builder d42 Fee Paid Date ,, 19 �0 N 1 s I lam' (p in N L 47Z -00 I O 1:3) LOT #1769 "BIRCH HILL ESTATES", SECTION #4 TOWN OF SOUTH WINDSOR p CONNECTICUT SCALE: 1" = 40 , Rockville, Conn. 4459 Iq ELECTRICAL APPLICATION Application No. 4770 ..................................................................................... South onthe ........ ... ...... ................ ............... .. .............. side of Deerf ield Lane ..... ................. . ......... . ................. ........ ................. .. Street Lot #176 StreetNo. ... . ... . . ... ...... ............... ...........:........................ Owner U. & R Housing....C or.p ... . ...... .. R.Krepe io Electrician . .. ...... ......... FILED IN OFFICE OF The Building Inspector 3 . —26-69............. ...... ......... ......... .................. 19 . . INSPrkVION. ............................................................................................................................................. ............................................................................................................................................... .............................................................................................................................................. &rNo 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. WORII. No. . ..47.70. . Permit No. . ...4459. TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR., CONN. .............. hereby make application to. 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. South Windsor, Conn., . a 19. Sign here ��''� f ..� ..e. •••• � f Address �' " , -,��...........�.r �...... .. .. ii✓✓ ,` ..�' ' ... Side of Location ............. .............�.� ,. ...... .......... . ............................................ . l� Nature of Building ........ How many stories New or old Building ........ . ...�'' `: �`.:.. .. ..... .. How many families .. ...............r.................................................................... Kind of Installation .... �.m.. :. ► '' �°:. . How many Stores ........................................................................... Owner (�.... �., . . ...+...:.` ... Address ..4.....e...... . :: ...... .:.°............ .::1..................." `......................... Architect .. ....... ... ............... ... ....... .......... . Address .. ... . ................................. ._............................. Builder ..... . Y.... . Address Electrician . '`.. ...... .f,... Address 2At�....4�° ............. t'..t................................. Size of Main Wires ... ..................................................... No. of Light Loops .. ...... No. of Heat Loops .. .. 2''. No. of Power Loops ............. .......................... No. of Light Outlets tom . .. . No. of Heat Outlets .. l No. of Power Outlets ............... .... ... .. No. 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 07 . 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 . ............ ... . .. ... ... .. .. ....... ... . .. ........... .. ..... . .... .. ....... .. ........................................ ............ ...... .....A.. .. ... ........................ . ............................. ..... .. .. ... ..... ...............................................................G;t461vw` ' - '...... .......................................................... . . ......... ... . . ................................................................. ...... .. . . .. .............. ........... .........................I.............. .... . . ..... Estimated Cost ....., .. 3 816 i 7� PLUMBING APPLICATION Nm 3605 v on the................... siac of A w..........................�............ �� r Sant No. ...... #) L V z Owner .. .._�' Pl Filed' of The &dWi ng�pactiar 2-26-69 n 41rigcrmna ,. No person shall 000struct, add w or afar aey portion of the drainage sysu m of any h aMog (ezcept to repair leaf) until a Pletmit is granted by the Building LVecwr. 3605 3816 ApplicationNo. .......................................... Permit No. ...................................... 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 },ere .... ............... South Windsor, ...........4--.1....... 7............................. 19 Sign Add .... ............................. ................. Location ..................................................... ................ .......... side of ...........................01(� ................ Street Natureof Building .............? ................................... How many stones .. ....................................................................................... Owner .....4/14/f.......z%. ...... Address .........'h.2"d., ............................................ Architect .................................................................................................................. Address ...................................................................................................................... .e,44-e-z (. ........... ............................................... Builder .. ... .. A/4- �'�;. ................................................ Address .... . ......... 2Z �td** ** * ' Plumber ....... ........ ................................................. Address ..... ..................................................... DRAINAGE CESSPOOLS, How many ................................................. .................... Where located .................................................................................................. ,.q.............................................. Of what materials are they built Are they water tight ...... ....... Sizeof pipe from house to =P001 ............................................... Kind of pipe ............... ..................................................................................... MAIN DRAIN IN CELLAR, Material ........ ............. Diameter ......17.1......................................................................... ......................... 4 Aboveor below cellar bottom ....... .....................................................................I...........................................................................................I.......... SOILPIPES, Material ...................6.1.. ........................................ Diameter .51......................................................................................................... -,2 WASTE PIPES, Material . ............ .4...- ................... Diameter ....3..........I.....-�?........../.../.../ .............................................. .............. TRAMType proposed to use is ... ......................... ....... ........ ......................................................................................................................................... RAINWATER LEADERS, where do they run to . ............................................................................................................................................... REFRIGERATORWASTES, where do they run to .............................................................................................................. .............................. TANKOVERFLOWS, where do they run to .. .. . ....... .............. ......................................................................................................... FIXTURES WATERCLOSETS, How many ................. ............................... Where located /-'I....... .................................................................... Distance from trap to vertical soil pipe ..........�.j........................ Pattern .. .. .. .............. ................................................................. WASHTRAYS, How many ...................................................... ... Where located . ................................ .............................................. SINKS, How many ......................../............................................................ Where located ... ................................................... BUTLER'S SINKS, How many ........................................................ Where located. . ..... ........................................................................................ REFRIGERATORSINKS, How many....................................... Where located ................................................................................................. LAVATORIES, How many ..................:�........................................... Where located ......../:�................................................................... BATHTUBS, How many ............../...................................................... Where located .........4-9- .................................................................... URINALS, How many ............................................................................... Where located ................................................................................................... Are water closets and urinals to be local vented If not, is there a window in outer wall of room where same are to be located . . .............................................................................................................I............... Estimated Cost ................................ PERMIT 3l Application For b 2 .0 DEPARTMENT DECISION Cd CD 3883 Heating Permit y O 3 APPLICATION IS HEREBY: DEPARTMENT OF LICENSES AND INSPECTIONS N APPROVED ❑ DISAPPROVED TOWN OF SOUTH WINDSOR 9-5-69 ram,' 00 O DATE CHIEF INSP APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ME BEL W O a 1. LOCATION OF JOB Cd NO./ STREET -4j cd 17 fo LOT MO. FLOOR APT. NO. -4-2 N 4-0O 0 . OWNER ce 0 0 ADDRESS_T za 4.PHONE m � �U2 s<. APPLICANT 0 m •,-, �. ADDRES Cd 0 J 7.PHONE a� c a. LICENSE NO. 0 w s. EXPIRATION DATE OF LICENSE c' 10. ESTIMATED COST S /f 2 " W o y �/ z '" 11. IS THIS A CONTRACT COST? l' NO bA •� Permit #6608 12. FEE ENCLOSED S rA r 13. TYPE OF BUILDING: RESIDEMTUIL ❑ COMMERCIAL O s~ 3 14. TYPE OF JOB: ❑ INDUSTRIAL �` GINAL ALTERATION ~ loa INSTALLATION ❑ ADDITION REPAIR 4 .yj APPLICATION FOR H ATING PERMIT (Continued from Reverse Side) zte't, 11. LOCATION OF JOB ��� N0. STREET FLOOR APT.NO. 12. TYPE OF INSTALLATION: ❑ OIL BURNER ❑ ELECTRIC ❑ VENTILATION ❑ SPRINKLER ❑ GAS BURNER ❑ STACK ❑ INCINERATOR ❑ MISCELLANEOUS IDENTIFY SIZE � -cif'LOCATION SIZE �j SIZE 13. OF TANK +� 7 OF TANK � OF FILL o OF VENTJ1/1� 14. B.T.U. EQUIP. AT REGISTER_ FURNACE MAKE AND NO. AT BONNET FIRING RATE BOILER OR FURNACE MAKE AND B.T.U. OR SQ. FT. NET,��.T.U. OR SQ. FT. GROS�(,V,0!rFIRING RATE FLOORS TO BE HEATED NEW OR OLD BUILDING I !ULATED - YES OR NO TYPE OF WALL -3 INSULATION ROOF OR CEILING INSULATION AVG. SYSTEM WATER TEMP.1Z6 -B.T.U./SQ. FT./HR. EMISSION S-6 c) INDOOR-OUTDOOR TEMPERATURE DIFFERENCE °FAHRENHEIT MAKE OF RADIATI ; ASEBOARD. COPPER CONVQCTORS, R C I. RADIATIP. OUTYAJT PER SECTION OR LINEAL OF RADIATION. SQ. FT. OR B.T.U. l/ Ztc DESCRIPTION OF WORK �- 15. TO BE DONE: `` A S� 16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS): WINDOWS B.T.U. B.T.U. K 1-D ROOM SIZE AND DOORS AREA — SQUARE FEET VOLUME TOTAL TOTAL O <I- DISTRIBUTION INSTALLED �n Y. ROOM NO. GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70'F CORRECTED -J 7 LL REGISTER L W H ANDTEMP. TO f f TYPE AND SIZE RAD. OR LEADER (INFILT.) O O SQ. FT. SIZE < WALL F►.LSO DIFF. •F F m H FREE AREA o /�/ 7 �X J 0 U /� 7 S'Xc 3 lid /i 3�3 0 6 10 D (Iry e" `� G /02 2 S'�3 rI r f l_D /�71 �/� 1 .3 .Sa'3 <<� 6 s �/76v �VV/ 3Y Ilk Z/ OV TOTALS A. HEAT LOSS FROM BUILDING .4161112 B.T.U./HR. B. DOMESTIC HOT WATER DEMAND B.T.U./HR. C. PIPING, OTHER THAN NORMAL B.T.U./HR. ALLOWANCE FOR HEAT VALVE OF FUEL (A B C) FACTOR d.2 17. ELECTRICAL WORK BY: , NAME ADDRESS SUBCONTRACTORS AND 18. 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. 4/7 DATE SIGNATURE OF APPLICANT PERMIT # Application For 6056 4955 DEPARTMENT DECISION $� ' Permit Cd cAPPLICATION IS HEREBY: DEPARTMENT OF LICENSES AND INSPECTIONS N „ jkAPPROVED DISAPPROVED TOWN OF SOUTH WINDSOR 0 a 3/28/79 00 O DATE SPECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER HE BELOW O en � C -� 1. LOCATION OF JOB O s;. Cd 0 NO. STREET ♦, O Cd v rn LOT NO. FLOOR AFT. NO. O LV O 5 2. OWNER � O a O S. ADDRESS bo 3 4.PHONE aR? � C% B. APPLICANT vi a~d ADDRES tap � °� � �.PHON���vv7✓ v S. LICENSE NO. a 0 w B. EXPIRATION DATE OF LICENSE 10. ESTIMATED COST s Z./0,0©O 11. IS THIS A CONTRACT COST ❑ YES ❑ No be as � 12. FEE ENCLOSED s 4-nn a� � v 9 4) 15. TYPE OF UMNC: CJ RtSIDE11T1AL ❑ COMMERCIAL O .0 cc 14. TYPE F JOB: ❑ INDUSTRIAL (P 3 ❑ ORIGINALLLA ('�/�IION INSTALLATION LL�� ADDITION REPAIR APPLICATION FOR HEATING PERMIT (Continued it m R verse Side) 1 A 11. LOCATION OF JOB4- N0. REET FLOOR AFT.NO. 12. TYPE OF INSTALLATION: ❑ OIL BURNER ❑ ELECTRIC ❑ VENTILATION ❑ SPRINKLER ❑ GAS BURNER ❑ STACK ❑ INCINERATOR ❑ MISCELLANEOUS IDENTIFY SIZE LOCATION SIZE SIZE 13. OF TANK OF TANK OF FILL OF VENT 14. B.T.U. EQUIP. AT REGISTER FURNACE MAKE AND NO. AT BONNET FIRING RATE BOILER OR FURNACE MAKE AND NO. B.T.U. OR SQ. FT. NET B.T.U. OR SQ. FT. GROSS FIRING RATE FLOORS TO BE HEATED NEW OR OLD BUILDING INSULATED - YES OR NO TYPE OF WALL INSULATION ROOF OR CEILING INSULATION AVG. SYSTEM WATER TEMP. B.T.U./SQ. FT./HR. EMISSION INDOOR-OUTDOOR TEMPERATURE DIFFERENCE °FAHRENHEIT MAKE OF RADIATION: BASEBOARD. COPPER CONVECTORS, OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ. FT. OR B.T.U. DESCRIPTION OF WORK3�Gi - 15. TO BE DONE: 16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS): ROOM SIZE WINDOWS AREA — SQUARE FEET B.T.U. B.T.U. i DISTRIBUTION INSTALLED AND DOORS VOLUME TOTAL TOTAL y ROOM NO. GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED J j LL REGISTER L W N AMD K TEMP. TO <F f TYPE AND SIZE RAO. OR LEADER SIZE < WALL F'�t0 (INFILT.) DIFF. •F O dia SQ. FT. FREE AREA TOTALS A. HEAT LOSS FROM BUILDING B.T.U./HR. B. DOMESTIC HOT WATER DEMAND B.T.U./HR. C. PIPING, OTHER THAN NORMAL B.T.U./HR. ALLOWANCE FOR HEAT VALVE OF FUEL (A B C) FACTOR 17. ELECTRICAL WORK BY: NAME ADDRESS SUBCONTRACTORS AND 18. 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. DATE SIGNATURE OF APPLICANT B i ng sP TI Ns: APPLICATION FOR BUILDING PERMIT Plumbing HVAC Sprinkler 17 DEERFIELD LANE El ctric Estimated Cost $ D O U> Zoning 24286 Permit Fee$ Affidavit NO. Occupancy Fee$ Eng. Dept. 4 0 Fire Dept. COMPLETE RED BOXED AREAS. Total Fee ir: Health Dept. TYPE OR PRINT ONLY Approved for CO: SIGN ON REVERSE SIDE. (Additional Cost) $ TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT The and rsigned, hereby applies to dprork according to the following specifications: Job Location Lot No. Side of Street Zone A p p I i c a n Tel. # Addres��d �ti P JC11. _21p 41:77 Lic.# 3O� ��r REEy CITY STA Owner �� �X",PCIP.r/ Address 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 Purpos of this Permit D & -7A- V& A/dF&J? [*Lj_t't_✓le City Water ❑ Well ❑ 'c S p ❑ Sewer ❑ Approved by Date BD1A 11/88 I h reby agree to conform to all th requirements of th Laws of the Stat of Conn cticut and th Ordinanc s of th 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 line nd required distances from all other zones and is located in a zone in which this building and its use is allowed. Signed - dip V,Aj I hereby apply for a Certificate of Occupancy for the work described in this application for permit. Signed -DO Nor WRITE BELOW THIS LINE- INSPECTION RECORD Footing Framing Foundation Fireplace/Chimney Insulation Plumbing Permit# Inspections: HVAC Permit# Inspections: Electrical Permit# Inspections: Sprinkler Permit# Inspections: