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150 Birch Hill Drive (8)
TO THE 13URLDiNG iNSPECTOR of ddw APPLICATION FOR PLAN EXAMINATION AND I (WSOUM COOK BUILDING PERMIT ' z IMPORTANT- Applicant fe complete all items in sections: 1, 11, 111, IV, and IX. C �� � 1 ` ' ^^�� CONING PO '30 F. :- AT (LOCATION) 1 57d " )� 1'f 1 LL- V{LII� DISTRICT L0C♦TION (MO.) (iT11ttT) OF i![TwEEN 'FE L_'r JZ_VA� AND �T _ ST." BUILDING (CROSS STRUT) (CROSS sTRttT) susolvlsioN f?1 � a-ItI.LS'7�D"T'�S nor �� s�ocx s`=s b I u Z-y 3 11. TYPE AND COST OF BUILDING — All applicants complete Ports A — D x A. TYPE OF IMPROVEMENT 0. PROPOSED USE — For• recking" most recent use �'W 1 ❑ Now building Residential Nonresidential 2❑ Addition(lf residential. enter tsssrnber 12❑ One family Is❑ Amusement, recreational /new bousirng units added. i/airy, 13❑ Two or more family - Enter 19❑ Church, other religious in Pare D. 13) rrwrrber at units- - - - 20❑ Industrial 3 Alteration (See 2 above) 14❑ Transient hotel, mete), 21 ❑ Parking gage 4❑ Repair, replacement or dormitory - Enter nurnber 5❑ wrecking (if rindiiiarnily residential, o/ units ------- ---► ❑ Service station, repair gurAe enter nwnber o/wits in building in 15❑ Garage 23❑ Hospital, institutional Part D, 13) 16❑ Carport 24❑ Office, bank, professional 6❑ to ving (relocation) 17 Other - Spec:fy RELt�C.A'T� 2S❑ Public utility 7❑ Foundation only LAV1V� / Al2EA I MN L AMIe 26❑ School, library, other educational s. OWNERSHIP Ds�cIG OPIEVJ WAL-L 27❑ States, morcentiI* e ❑ Private(individuai, Corporation. -rV PV_VpAl2e F0fZ tiW.-ML-` 20❑ Tonics, towers nonprofit institution, etc.) a F, c9 aee*,.#**A a y'e`t 29❑ Other - Specify 9 ❑ Public(Federal, State, or local government) C. COST (Onto cents) Nonresidential - Describe in detail proposed use of buildings, e.g.. f ad (� processing plant, machine shop, laundry building at hospital, elementary 10. C st of improvement............... school, secondary school, college, perachial'school, parking garage for i deportment store, rental office building, office budding of industrial plant. To be installed but not included If use of existing building is being changed, enter proposed use. in the above cost a. ElecMeel...................... b. Plumbing ...................... c.Having, air conditioning......... d. Other(elevator, etc.)............ 11. TOTAL COST OF IMPROVEMENT 0 III. SELECTED CHARACTERISTICS OF BUILDING - For new buildings and additions, complete Ports E - L; for wrecking, complete only Part J, for all others skip t 1V. E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS 30❑Mosenry(well boering) 40❑ Public or private company 48• Number of stories................ 31 ❑ weed frame 41 ❑ Private(septic tank, etc.) 49• Total square Feet of floor Greg, oil floors, based on exterior 32❑ Structural steel dimensions .................... 33❑ Reinforced concrete H. TYPE OF WATER SUPPLY 34❑ Other Specify 42❑ Public or privet*company `�• Total lend area, sq. ff. ........... 43(❑ Private(wall, cistern) K. NUMBER OF OFF-STREET PARKING SPACES F. PRINCIPALTYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed ....................... 35❑ Gas Will there be control air 52. Outdoors........................ conditioning? 36❑ Oil L. RESIDENTIAL BUILDINGS ONLY 37❑ Elaetrieity 44❑ Y • 45❑ N 33. Number f bodrosms.............. 38❑ Cool 39❑ Other- Specify will there be an elevator? Full.......... 54. Numbs+of 46❑ Y s 47❑ N Partial........ i IV. IDENTIFICATION — To b comp/ ted by all applicants Name Mailing aJdress — Number, street, city, and State ZIP code Tel. No. LAw eevice 14 T>A-r- 150 91>2--/AA 1-1 I L.L POAD 6 y q .z v l owner or r /� y Lessee 1eo,Av�, So VT-" VV)IV r' -, 2. u—x U 2�3aAr`,�`'r'r') 131 >�A YL- rz by�.Sl I�► Contractor ©60�o�CSbL�14' W4.oz-0 3. Architect or Engineer Th own r of this building and the undersigned agree to conform to all applicable laws of this jurisdiction. Signature of applicant Aididress Applicati n date 31 ev) , 00 N 0 T WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Required Check Plan Review Date Plans By Dote Plans By ',Notes Fee Started A pproved BUILDING S 4r PLUMBING $ MECHANICAL S ELECTRICAL S OTHER is VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Date Permit or Approval Check Date Number By Permit or Approval Checks Obtained i Obtained Numb r 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 V11. VALIDATION Building Permit number Bus Iding Permit issued 19 Bus Iding P rm i t F e S A rove bU 177 C_^ E A TOWN OF SOUTH WIMSOR BUILDING PERMIT Date- e;lit , 19 87 Fee Paid 1*(.,,00 Est. Value $6.,00j Permit N° 16258 on the side of IMI ra—h—Ht 11 Dr4.Ve Street Street No. 150 Owner ra--got LOW690 -- Applicant -Ada A&gqd s&#AGg CERTIFICATE OF OCCUPANCY ISSUED: Date No. Fee Paid $ CLASSIFICATION BUILD NG PERMIT N° 16258 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. 9/16 19 87 94is to to gertify, .That Ada Associates is hereby granted permission to Relocate l a u n d ry Area , enlarge d er k &silo n Wall for installation of CjrPP_n hn17RP at estimated value of $ 6 ,0 0 0 on the side of 150 Birch Hill DRi ve Street on land owned by TiauxrenGe & Pat Lenge.. Said Work to be as described in Application No. 16 5 5 6 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Iss d 1987 `�< nj-e3 0'e"'t 0-4 udiing 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 plan 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, 6 shall pay said city, town or borough all costs and damages which it shall sustain, or be compelled to reason therefor."