HomeMy WebLinkAbout163 Birch Hill Drive (11) 46/
TO THE BUILDING INSPECTOR
of the APPLICATION FOR
1170" OF SOtTM WIDSOK CA)MM PLAN EXAMINATION AND
BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, /it, IV, and IX. O
ZONING
I• AT (LOCATION) 143 Al f— 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 �
1 ❑ New building Residential Nonresidential
2 Addition(If residential, enter number
12 One family 18 ❑ Amusement, recreational
of new housing units added, if any,
in Part D, 13) 13❑ Two or more family — Enter 19❑ Church, other religious
number of units— — — — -•� 20❑ Industrial
3 ❑ Alteration (See 2 above) 14 Transient hotel, motel,
4❑ Repair, replacement ❑ or dormitory — Enter number 210 Parking garage
5❑ Wrecking (1/multifamily residential, of units ——————— — -- 22 ❑ Service station, repair garage
enter number of units in building in 15 ❑ Garage 23❑ Hospital, institutional
Part D, 13) 16❑ p
Carport 24❑ Office, bank, professional
6 ❑ Moving (relocation)
17 Other — Specify 25❑ Public utility
7 ❑ Foundation only
ff k ♦♦ / 26 ❑ School, library, other educational
B. OWNERSHIP `�/1 f�- 1 (.� 27❑ Stores, merconfile
8 ❑ 28 ❑ Tanks, towers Private (individual, corporation, S
n nprofit institution, etc.) 29❑ Other — Specify
fy
9 ❑ Public (Federal, State, or
local government)
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. Cost of improvement,...,,,•..••..•. S 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 of existing building is being changed, enter proposed use.
in the above cost
a. Electrical......................
b. Plumbing ......................
c.Heating,air conditioning.........
d. Other(elevator, etc.)............
11. TOTAL COST OF IMPROVEMENT E to a d
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❑Masonry(wall bearing) 40❑ Public or private company 48• Number of stories................
31 ❑ Wood frame 41 ❑ Private (septic tank, etc.) 49• Total square feet of floor area,
all floors, based on exterior
32❑ Structural steel dimensions ....................
33❑ Reinforced concrete H. TYPE OF WATER SUPPLY
34❑ Oth r — Specify 42❑ Public or privets 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.......................
%❑ Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
37❑ Electricity 44❑ Yes 45❑ No 53. Number f bedr ms..............
38 ❑ C al
39❑ Other— Specify Will there be an elevator? Full..........
54. Number f
46❑ Yes 47❑ No bathr ms
Partial........
IV. IDENTIFICATION — To b complet d by all applicants
Nam Mailing address — Number, street, city, and State ZIP cod Tel. No.
Owner or
Lessee
2.
Contractor
3.
Architect or
Engineer
Th own r of this building and the undersigned agree to conform to all applicable laws of this jurisdiction.
Signatureyof applicant Address Application dot
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review 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 A rovaI Check Date Number B Permit or Approval Check Date Number B
pp Obtained y pp Obtained y
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 number 11654
Building
P rmit issu d jft11V 10 19 80
Of
Bui Iding
Permit Fee $ 4,00
Approve by:
TIT
r ,� '�✓v St r s
- ->�i. "i• ��.rrw �.aid'�.--
TOWN OF SOUTH rVllmsm �
UILUING PERWr
-:
d Dite Julv 10 g�
Paid
FeeBm Value .6 ..`. -,b•
Ilk
IZA
as the
Birch Hill DrivA
Street No
Owner- R- F. Grant -° �- . ` _ :��`��� •,�, , �� _ �d,�� �_,� ���a
' .
AWfim
t Yraint,
CERTIFICATE OFF 'r �
OCCUPANCY
- <>,,.�, _ `_" `,nee."fib,.' �'Z:�`�`•a�
Dater 9$ :
Fa Paid
aASSM
CATION , • `
Shad
BUILDING PERUIrr
N2 1165��
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn. Tt. 1 n 19 SO
i
I
I
to to Certif-u, That
is hereby granted permission to
at estimated value of $
Bircb • Street on land
on the side of
owned by .
'I Said to be as described in Application
I
I No.
and to conform to specifications and plans filed with said Application, and Building BY'
Laws of THE TOWN OF SOUTH WINDSOR.
Issued July 1980.
d' _y Building Inspector.
barriers
Strata and sidewalks, obstructed by excavations or building materials, moat be Seed by
during the day and by both barriers and colored lights by night.
SECTION 1343, GENERAL STATUTES OF CONNECTICUT: "When any Person " PPS
or keout a
building materials, or any obstacle in any highway (or any sidewalk) either with or
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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