HomeMy WebLinkAbout113 Clinton Drive Application No. 5738. . Permit No. ,r'468. ..
TO THE BUILDING INSPECTOR
of the
TOWN OF SOUTH WINDSOR, CONN.
hereby make application for a permit to (erect ( ) a building according,
to the following detailed statement of the specifications and plans herewith submitted. (Draw a line througl?
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., ............ 19...W'.S.
Signhere ............................................... .,,....,.. ................ ............... .._ .`. ..
_ Address s...
Location? ............................................ rr..7. . ...................side of? .. /, ,( .
Nearest cross street?�:/�745
� �� ... . .. Street No. ... Lot No.
? . ......AddressOwner of land is ... :�? �x. ...
fv
Ownerof building is.' ..................................................................................Address ... .................................................................................................................
Architectis? ....... ..................`.................................................q.........................Add ress .....................e............................................. ................................N.....
Builderis? . ........................�............... .....................................................Address ......................`�........................................�...................................�.....
Dimensions of building?
grp. .. . .......Feet front? ......GQ. . Feet rear. ...lP.... .. ........... Feet deep. ...... ......... ...
10
�) ? ....... . ... ? .................
Extre a height to highest point of roof? .................�.,�. . . . ... No. of stone:in height. ... .....
A
ld Purpose of building ia? .......................E./../.1/ .............................No. of stores? ......................... ...........................................................................
How many families? .................... - _.._........------..,......__No. of rooms.?
.... ...............��.w.........................................................................
Distance from street line is? ................ ..07..........................from building line is? ............... .......................................................
ADDITIONS AND ALTERATIONS
(Give Brief Description)
.......................................................................................................................................I.............................. ..
SEPTIC P�►TM""
..........................................................................................................._........... . ............................................... ..l ............................................................................................
................. .............................................................................................................................................................NDORSED......BY......SANi;AP Y......IMICER
Map No. IN ACCORDANCE WITH TOWN OF
45THII D R ORDINA CE NO. 6
. SANITARY OFFICER
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
Heltht stories Front walls Side walls Rear Walls Partition Walls
Basement,
.................................................I.................................................. ..................................... ........................................................................ .......................I....................................
1st Story
........................ .......................................................................................................................... ...................................................................... ...................... ............................
2nd "
... ..................................................................... ..... ............I............................ .................................. .......... .......................... ............... .....I................. ......
3rd "
................................ .................................................. ................................................................... .............................................................................. .... .......... .............. ..............I. ...... ......
4th Is
........................ ...................................................................... .................................................................................................................................... ..... ......... . ......... . ....... .........
5th Is
.................................. ............_.............................................................................................................................................................................................. .. .............. ...............................
6th is
........ ........ ............. ................................................................I........................................ ..................... .............................................................................................................................
7th d 9
...................... ..................... ............... ........... . ........................ ................I . .. ............................................................. .. ..............................................
8th 416
................................................................................. ........................................ .... .... ......... ................... ... ........ ............. . ... ................... .. ................ .......................
9th 11
..........................................................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.
Giv Size, Longest Span and Distance Between Centres, of Joists, Girders and Columns
JOISTS GMDZM COLUN"
Floors She Longest Bpssn Centres Brldgin� Bice Longest Span Centres Sim Long h Cmtees
1st Floor j // // ��ff �,
2nd...... ..... ,(.. .l..�.................. ./tip.....,.... wood �(�� _.I.....:.. r _..........».. ... »...»...»_.....
" .................... ......»..
.....�,..... 11 ................ .................................. »............... »......».. _..»..........»........» »..».....». .......» ......»....._......
4 .... ....... ................. .................................. ...................... .....».».»».........»..... _..._..._ ....»»........ »....»..»..».._
s �1
Size of outside studs? ..................... ... Distance on centres? Size of sill. X
...`........ ........... (............... ? ... ..............�................
�'
Size of rafters. ,r �. Size of plate? �.�
....... ..x.... ....... ... Distance on centres?............... ..... �,,�X... ....... ................
Size of ledgers or girts? ............................ ...............................................Size of deck rafters? ................................................................... ...............
Distance on centres? ....................................................................................Size of studs in bearing partitions? .............�..x... .~....
MISCELLANEOUS
Style of roof, flat, pitch, Mansard, or hipped? ... Fireplaces?
.............c
? Material of Cornice?Material of roof covering. ....... ............. .. ....... .............4-w... .... .........
? o. ....�f'� ...Linn of Hues? .. ........ .... ......
How building heated. . g ea
Thickness of shell of flues? ..
Any elevators or lifts.
Whatkind? .................................. ........... How many? .......... .... ... ....................... Any hoistwa . ............. .... .............................. ..
Howprotected? ................ ............................................ ....... ...............Total Value of Building ........`, ..,s.. ...>a...............................
� L
When will work be commenced? .... . ,,. s�......... ..... . ............ ................
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
5 0
68
BUILDING APPLICATION
Application No. ......5.73..8...................................................
........... ...
Sout h
onthe .................................................................................. side of
Clinton Drive
.... ............................................ .. ...... ... ....................... Street.
Street No, . ...LPt #21. ............ ...... .... .................
Owner T ...&...
... ........
Applicant Same. ..... ........ .......
CLASSIFICATION
.D wel-1.i ag.-.64 Ix-25 t. ........ ............ ...................
. ............. ........... . .. .. ........ . .. .. .................
.. ....... ......... .... . . ..... .... ................................
Permit issued on above Application.
10-29-65
Date, .......... . 19... ....
Y
• l
TOWN OF SOUTH WINDSOR
BUILDING PERMIT
Date—Oct 299 , 19 65
Fee Paid $. . 72.•00 Eat. Value 18 r 000
SEPTIC PAYMENT $. 20.00
Permit
on the South side of
C1iatoa five Street
Street No. Lot #21 Jr If3
Owner U do R Hsu s i ng Corp*
Applicant same
i
CERTIFICATE OF OCCUPANCY ISSUED:
i
Date
No. 3 221
Fee Paid $ 3.00
! CLASSIFICATION
` Dwelling 621x251
I .
BUILDING PERMIT
No 5468
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn. 00 t• 29• 1965
Trio 'to to Tertif1j, That y & R HOUSiUg Carpo
is hereby granted permission to Dwelling 64 0X251
at estimated value of
on the Knuth side of ClifttOA DPI T0. ?.ot #21 Street on land
owned by TT & R Hnusinit Corp.
Said work 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.
Iss Oct. 29, -% 19
65
Buil ing 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."
10-fig-65 INSPECTION REPORT
Permit # 5468 Job TJ CIin ��welling
Dirliv Lot #�1
1 Footing
2 Foundation •
3 Framing
4 Wiring
5 Plumbing
6 Heating
7 Lathing
8 C.O. 3 221
1 9
Permit No. TOWN OF SOUTH WINDSOR
SOUTH WINDSOR, CONN.
I
I .
Permit 3 2
I N.O 21
I
Certificate of Occupancy
THIS IS TO CERTIFY that
at No. in the To of South Windsor Connecticut has
I been erected and completed in accordance with the Building Code and Zoning regulations of
the Town of South Windsor, and is hereby approved for occupancy.
-= z Building Inspector
I � �
ner, Builder f
CIO
Fee Pai Date y 19 C
I -
I
I
WF'. ToWN of J-OUTP UIND6
16410 9
0 0 00
LOT zz LOT z 1 LOT zo
N 4'
Ty
h�
O
113 Ll NToN. DRIVE
PROPE RTY OF
NO. CLINTON DRIVE SOUTH WINDSOR, CONN.
Being Lot No.21 on map entitled "Map of OAK RIDGE ESTATES Foot r St.
South Windsor, Conn. Scale : 1" = 40' Sept. 5, 1963 He en L. Griswold 'E'
Sh et G
Scale: i" = 40' HAYDEN L. GRISWOLD C.E. D_C7". G
3805
_IUCTRICA APPLICATION
..� .� 4106
ApplicationNo. ....................................................................................
South
.3 on the ......... .. ........ ............ .............. .. ..... .... ... side of
Clinton Drive
.. .. ................ ... .. .. .. . ................ . ......... ...... .. . Street
Lot #21 l3
y j
, . Street No. ...... . ...... .. .. .........
1 U & R Housing Corp.
.,; Owner
Aft W.Zemanek
Electrician
FILED IN OFFICE OF
The Building Inspector_
�.. INSPECTION.
_......................................................................................................................... ._..............
^*
fs .......................................................................................................................................... . _
OrNo Electrical Work shall be started until a Per-
mit is granted by the Building Inspector.
AW
In New Buildings no wiring shall be sorted
until the plumbing and heating pipes and the fixii
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. .4106
Permit No. 3 805
TO THE BUILDING INSPECTOR
of the
TOWN OF SOUTH WINDSOR., CONN.
.....
.I......... 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.
Seuth Windsor, Conn., . .... !./� 19 4a Sign here
Address
Location ...... �=�. -.: � `' Side of ........
Nature of Building l _Z How many stories .. . . ...... ..................................... ......... ....
New or old Building X � -'... . . . .. How many families .. ............../
7
Kind of Installation ,?�.�'^'� How many Stores . .. .......................................................
Owner .............. .. . .. ................................. . . ................. ...... .... . . Address .. . . . . ..... ................................................ ...............
Architect Address . ... . . . .............................. .......... ..............................
.
Builder L.� � � .. =! C/,l`� . . . Address J (�,•t-�?- :-�..� ......1./..1. .1'- -
Electrician �Cz! �� L Address
Size of Main Wires . ............T...................
No. of Light Loops No. of Heat Loops . No. of Power Loops ................... ....................
No. of Light Outlets No. of Heat Outlets . 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 J Total Wattage �l�yll. . Size of Power Circuit
Total Horsepower
No. of Straight Electric Fixtures .. A/ No. of Combination Fixtures
No. of Receptacles ................... No. of Cord Drops .
Remarks: For other kind of Installation . ....... ......
................................... . ................. ........ ..... ...... . . ... ........... ........
............................................... .. ... . ............. .... .. . ................. .......... . ........
.......................................... ... ....... . ..... ...... ......... .. .........
Estimated Cost .. .(c... h �
(� 3327
r
PLUMBING APPLICATION
3116
A►ppL'cation Na
on the _ ZL-a�-� aide at
0/Z U &,u SN
Street Na __. 2 doe - -
Owner ..'
CL��
Plumber �C—LoJ—�
0
Filed in Office of
The mwng I�upeoaor
_11-29-65 19
n srmamni
a
No person shall 000at=4 add m or alder aW
portion of the drainage symm of any bong
(except to repair leans) until a Plermit is mmud
by the Building Impactor.
J '�t y
3116 3327
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.
. . .. .. .............. .... .... ...... . . ... ....
... ..... . . .. .....
South Windsor, ............. .................... 19 Sign hek—__.�.... &.0.
4- Address ........................ ... ..... .. ... ........... .... . ......................................
..ak.)............................. Street
Location ............. side of 11..0... .. ..
Nature of Buildin ...... .jul.d.. ..--tt-c-C.. ...................... How many stones
Address . .9 tY....... ....... 0
Owner .........V. ...........VAT".....
14r . . ................ .....
Architect ........ ...................... ...... .......... ................. .................... Address .............................. .................... ................................... ...................
17 1 (1tt 't1. Address ......Budder ........... .... .. .. .....
Plumber ... .. .. . .- ......................................... .............I................. Address . ... . .. �t4... �
.
DRAINAGE
q3V4'C .J00 !
CESS;69f(.,_(_jHow many . .............../............... .... .. Where located ........... . ...................'Ot ............
Are they water tight .................................................... Of what materials are they built ...(0.. 'e........I*e'*"**......Size of pipe from house to cesspool ... ......... ........... Kind of pipe ...................... ................
MAIN DRAIN IN CELLAR, Material .4 1j. .....4.4r.4oDiameter ....................., .. ............................................ .................... ............
Aboveor below cellar bottom .. .. .........'4V t.-e........... .... ... .................................................................................................................
SOIL PIPES, Material . .... .................. Diameter .. .. .. .....5�.........................................................................
..............
1 WASTE PIPES, Material .....o e&.11001..ge ........ .... .. . Diameter . ..........R.' .
2.... ...........
. .... ..... . ...................
TRAPS,Type proposed to use is .. ... . . ...................................................................................................................................
RAIN WATER LEADERS, where do they run to .. . ............. ......................................... ............................................
REFRIGERATOR WASTES, where do they run to ......... ..... ... ......................................... ............. ........ ..................I...........
TANK OVERFLOWS, where do they run to . ..... .................I.................................... .................................................
FIXTURES
WATER CLOSETS, How many ....... .........2—............................ Where located ..... . . ......... ........... ...... . ..........................................
Distance from trap to vertical soil pipe ....... ......... Pattern �rxo*.......................
WASH TRAYS, How many ...... ....... ................................... Where located .......... .... .................................
SINKS, How many ... - -/
...*...*........ .......... .. Where located A 77r.X_.0'*C*/...
BUTLER'S SINKS, How many ....................................................... Where located, .............................................I......................................
REFRIGERATOR SINKS, How many.. ................................... Where located ...... ......... .........................................................................
LAVATORIES, How many .. . .................................................... Where located .......4e4 ........................
BATH TUBS, How many.. ............../............................................... Where located ............... r .... .......................
URINALS, How many .................. .........I........................................ .... Where located ... . .. ..................................................................................
Are water closets and urinals to be local vented <-Ze-' If not, is there a window in outer wall
of room where sarr are to be located ... . . ............................................ ................. .............I.. .............
Estimated Cost . ... ........I................
PERMIT #
Application For 3174 -
DEPARTMENT DECISION �396 $Mm , Permit
ca
O
3 APPLICATION IS HEREBY: i DEPARTMENT OF LICENSES AND INSPECTIONS
N +' APPROVED DISAPPROVED i p
TOWN OF SOUTH WINDSOR
cd 1-17-66 ,X,
0
00 V DATE CHIEF INSPECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH HUM CHIEF ONE BELL
O
v� .O
1. LOCATION OF JOB
O 0
0
0
� A
Cd J NO. :TREK -
c �/Cd v
w LOT NO. FLOOR APT. NO.
-� O
N
2. OWNER
ca
cdG S. ADDRESS
be
4.PHONE
Cc
rj S. APPLICANT 1
�• 6�-4C
o m a. ADDRESS �
cad 7.PHONE
,n B. LICENSE NO.
a; o
a �
r,; B. EXPIRATION DATE OF LICENSE
O
10. ESTIMATED COST i 19:2�
11. IS THIS A CONTRACT COSTT ❑ YES-
permit #5468
12. FEE ENCLOSED S
c�
is. TYPE OF BUILDING:
LJ V]
c RESIDENTIAL ❑ COMMERCIAL
O A ❑
14. TYPE OF JOB: INDUSTRIAL
9INSTALLATION ❑ ADDITION ALTERATION
REPAIR
�1
I APPLICATION FOR HEATING PERMIT (Continued from Reverse sad )
11. LOCATION OF JOB
NO. STREET FLOOR APT.NO.
12. TYPE OF INSTALLATION: [D- OIL BURNER HEATING SYSTEM ❑ VENTILATION ❑ SPRINKLER
❑ GAS BURNER ❑ STACK ❑ INCINERATOR ❑ MISCELLANEOUS
IDENTIFY
SIZE > LOCATION SIZE o SIZE /
13. OF TANK / OF TANK � Yx''� OF FILL OF VENT
14. B.T.U. EQUIP. AT REGISTER FURNA E MAKE AND NO. AT BONNET FIRING RATE
Ct- p e, BOILER OR FURNACE MAKE AND NO.Ix.'000 � B.T.U. OR SQ. FT. N T.U. OR SQ. FT. GRIq � 'c ChRING RATE C)
FLOORS TO BE HEATED NEW OR OLD BUILDING INSULATED — YES OR NO
TYPE OF WALL INSULATIO ROOF OR CEILING ' INSULATION
AVG. SYSTEM WATER TEMP. /S-D
B.T.U./SQ. FT./HR. EMISSION
INDOOR-OUTDOOR TEMPERATURE DIFFERENCE 6t °FAHRENHEIT
MAKE OF RADIATION: BASEBOARD, OPPER CON ECTORS. OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ.
FT. OR B.T.U. -�i c `Jcrz�- �o�O ?V t-l - / �!D °
DESCRIPTION OF WORK
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.AND DOORS VOLUME DISTRIBUTION INSTALLED
TOTAL TOTAL m
LL
ROOM NO' GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED J j LL RAD. REGISTER
L W H AND E TEMP. TO F f TYPE AND SIZE OR LEADER
SIZE < WALL �'C. 0 (INFILT.) DIFF. •F O N FT. FREE AREA
65� 33S 300 5/00/G,�Ga � ,--g
o /3z o /
I r, /cz, / poi 6, ��iG� /0�
+� i 7-l� 57T 3�2IL71
11606 ao 66 i
1 / 41 3
112 7-e) 7-10 a k-vi6 o /
�a ) 5' _ U o �� /o--a- /q 3 v
o �5 /Y7 /2w/ �9 7S-Zfb
/3/0 7 3"370
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 J
17. ELECTRICAL WORK BY: "v , k-
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. 1_104 6
DATE SIGNATURE OF APPLICANT
2004
OIL BURNER
OR
FUEL STORAGE APPLICATION
Application No. 2015 Permit No. 200
on the A& K- side of
jy�ta,2l rja,,� ���, Street
Street No. Lot #21
Owner-�& /l f
Application H.S Chul z e
CLASSIFICATION
Crane NB4B2
Permit Issued on Above Application
Date 1-17-66 19
Fee Paid $ Permit #5468
TOWN OF SOUTH WINDSOR
APPLICATION TO INSTALL RANGE AND FUEL OIL BURNERS
EQUIPMENT AND TANKS
PERMIT N . 2004 DATE
The undersigned hereby applies for a permit for the installation of range and fuel oil burners, equipment and
tanks of the following description:
Address Lt 22 �.C�k- 1�2 - 1st floor 2nd floor ---- - -3rd floor
Character of Building: Frame_�� Brick
Owner of Burner 71t Owner of Building-
Or-
Lessee or Tenant_
RANGE BURNERS
Capacity of Tank at Range in cellar outside-_
Name of Range Burner ___ _._ Purchased from
POWER BURNERS
Name of Fuel Oil Burner_-_ Model Number
ti
Purchased from
Name of Tank _ Gauge of Tank /11-21
Where is Tank Located Size of Tank
Size of Motor /,a�� - Size of Wire _
Will other heating equipment be installed?
If so, by whom -.--- ---- -------------- -
Name of Party Making Installation__-
Address W e c - --- c� _ 1 u c��.' CC)
Electrician-
Address
Sig APPLICANT
4
All provisions of Ordinances of this Town Regulating Oil Burner Equipment and Fuel Storage (Sections 1-23 in-
clusive) and Underwriters' Code applicable to the subject matter of same shall be complied with in execution of thiE
work whether sled herein, or not.
Estimated Cost $-31c�_O__ _
f Application h rmit received 1-10"6 6 and
Permit #5468 �„
Permit No. issued-1-17-66
Permit Fee Paid ____ _ ____._ _________-___ Approved
BUILDING INSPECTOR
FBINAdL gN*4 A CTIONS:JA
APPLICATION FOR BUILDING PERMIT
Plumbing
HVAC Date:
Sprinkler 1.13 CLINTON DRIVE
El ctric Estimated Cost $2a 1S
Zoning 18351 Permit Fee$ 3(a °mod
Affidavit NO. Occupancy Fee$
Eng. Dept.
Fire Dept. COMPLETE RED BOXED AREAS. Total Fee
Health Debt. TYPE OR PRINT ONLY
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 Lot No. Side of Street Zone
Applicant &Zip Tel. 00
Address if 7 Al Zip Lic.# Z Z&;Z
STREET TATE CITY v �-
Owner �,-!�'OrtG-�� � .�o�� Address ��3
Architect Address
Size New Area: Ft. Front Overall Ft.Deep Overall Total Area #Garages
Lavatories
No. of Families No. of Stories Construction Bathrooms Rooms 1st 2nd 3rd
Size of Lot Dist. from Street Line Dist. from Side Street Line
Purpose of this Permit
City Water ❑ Well ❑ Septic ❑ Sewer ❑
Approved by %a, Date 3 'In BD1A 11/88
I hereby agree to conform to all the requirem nts of th Laws of th Stat of Connecticut and th Ordinances 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 lines and required distances from all other zon s and is
located in a zone in which this building and its use is allowed.
r c�JC
Signed r
I hereby apply for a Certificate of Occupancy for the work described in this application for permit.
Signed
—DO NOT WRITE BELOW THIS LINE—
INSPECTION RECORD
Footing Framing
Foundation Fireplace/Chimney Insulation
Plumbing Permit# Inspections:
HVAC Permit# Inspections:
Electrical Permit# Inspections:
Sprinkler Permit# Inspections: