HomeMy WebLinkAbout16 Brookhaven Lane (3) TO 1HE BIM-ADING INSPECTOR
of doe APPLICATION FOR
�� CW CUM PLAN EXAMINATION AND
yy2,e; BUILDING PERMIT -
IMPORTANT — Applicant to complete all items in sections: 1, It, /it, IV, and 1X. �
L ZONING
F. AT (LOCATION) rlay���'�"� ��'�� OISTRICT1470�C
LOCATION (No.) (STRttT)
OF BETWEEN 'ice`' ��av �i` AMC) (CROSS
/
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BUILDING (CCRROSS STRttT) O fTRttT1 !/
SUBDIVISION A'e G �.f LOT BLOCK SIZE
t
11. TYPE AND COST OF BUILDING — All applicants complete Ports A — D
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use �
1 Q New building Resident al Nonresidential
2❑ Additi n(If residential, enter nwnber 12 E one family 18 0 Amusement, recreeti nel
o/now housing units added. i/any. 13❑ Two or more family — Enter 19❑ Church, other religious
in Part D, 13)
number Of units— — — — —►—_ 20❑ Industrial
3 ❑ Alteration (See 2 above) ❑ ❑
14 Transient hotel, motel, 21 Parking garage
4❑ Repair, replacement or dormitory — Enter number
5 We eking (it multiJaetily restdential, units ——————— — -- 22❑ Sospit station, repair goroq
❑
enter nw"ber of units in building in 15 wage 230 Hopital, instituti real
Part D. I3) 16❑ Carport 24❑ Office, bank, professional
6 r7 M ving (r location) 17❑ Other — Specify
25❑ Public utility
7 ❑ Foundation only 26 ❑ School, library, other ducati nal
B. OWNERSHIP Z7❑ Stores, mercantile
8 c2e"'P'rivate(individual, corporation, 28 ❑ Tanks, towers
n nprofit instioution, etc.) 29❑ Other — Specify
9 ❑ Public (Federal, State, or
local g worriment)
C. COST (Omit cents) Nonresidential — Describe in detail proposed use of buildings, e.g., food
processing plant, machine shop, laundry building at hospital, el m ntary !
10. Cost of improvement................ Uo school, secondary school, college, parochial-school, parking gores 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 usk
in the above cost r
a. El ctricel...................... �f l•.!�'1�
b. Plumbing ......................
c.Heating, air conditioning......... ILc.N
d. Other(elevator, eft.)............ tom-
11. TOTAL COST OF IMPROVEMENT
III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L;
for wrecking, complete only Port J, for all others skip t IV.
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS
30❑Masonry(well bearing) 40�P 48. Number of stories.........ublic or private company ................
31 Q W od frame 41 ❑ Private(septic tank, etc.) 49• Total square feet of floor area,
all floors, based on exterior
32❑ Structural steel dimensions ..................... �0
33❑ R inforced concrete H. TYPE OF WATER SUPPLY
50. Total lend area, sq. ft. ...........
34[7 Other — Specify 42 C]3"Public or private company
�
43 ❑ Private(well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
51. Enclosed ...................... o2
F. PRAL TYPE OF HEATING FUELI. TYPE OF MECHANICAL
;;�INCIs Will there be central air 52. Outdoors.......................
36❑ Oil conditi ping? L. RESIDENTIAL BUILDINGS ONLY
37❑ El etrieity 44❑ Yes 45 53. Number f bedrooms..............
30❑ Coal
39❑ Otter— specify Will there be on leveter? 54. Number of Full..........
46❑ Yes 47 Q N bathrooms /
Partial.......
IV. IDENTIFICATION — To b c mpl t d by all applicants
Name Mai ling eddress — Number. street. cav, and State ZIP code T I. ham.
1,
Owner or 11135 A7 DEANE, HIGHWAY
Lessee WET E:�' 711- _D. CONN. 06105
2. La A N COMPANY
CO"troc+or .185 SILAS DEANE HIGHWAY
3.
Archi rect or
Engineer
The own r of this building and the undersigned agree to conform to all applicable laws of this jurisdiction.
signature of applic t Address Application date
L.A C IUCT10N CO.
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
q Fee Started Approved
BUILDING S
PLUMBING $
MECHANICAL S
ELECTRICAL IS
OTHER S
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date Permit or Approval Check Obtained Number By Permit or Approval Check) Obtta"'ned Number 3r
BOILER PLUMBING
CURB OR SIDEWALK CUT ROOFING
ELEVATOR SEWER i
ELECTRICAL SIGN OR BILLBOARD
FURNACE STREET GRADES
GRADING USE OF PUBLIC AREAS
OIL BURNER WRECKING
OTHER OTHER
VII. VALIDATION
Building /76 /
Permit numb r
Building
P rmit issu d 2,) 19
Building &0
Permit Fe S 414 A3
Approv d by:
TITLE
INSPECTION REPORT
Permit # _ Y
70111, 6 Job
1 FootingNr'1.-_q: '
2 Foundatio�Tj./
3 Framing
4 Wiring 40_9
.�5 Plumbing 1� � 0978�.-d'}�'-�
6 Heating r _�f0 _
8 c.o. 5 �D
17a86
/3ECc})wopb �Afis '7/i zJ 8'R'
LaT �
A/ �-RNe Permi t #
6qr
�oivsre&CTnaNJ Ii9.
Electrician #
Heating Contr.-,D.3RR oAr PjD4 HT� #
Plumbing
Oil Burner #
Certificate of Occupancy # /7094 fi-A
Sewer Permit
A-coT P,Zxv iv A PP,ze v6v Rs FEebv�F
+ t �_ .. .�-_ .. -• �«. _ ,�;«:.gY+rx;.�u- -w'.���.�- -r',��+.,c ^4.� is.^^° .r�e�+�..$°^..yl�,'4A4.� sv arsap"'1
f
" BUILDING INSPECTION DEPARTMENT
d
SOUTH WINDSOR, CONNECTICUT
FEE PAID: $3.00
CERTIFICATE OF OCCUPANCY
ZONE: A—2 0 DATED May 2 9 19 90
This is to certify that 1 6grookhaue-n Lane (Lot# 5
FreCted under permit No. 17 nconforms substantially to the requirements of the building ordinances and the
zoning regulations of the Town of South Windsor and is hereby approved for occupancy as indicated below.
Approved for Occupancy— Single family residence
Use Group: R-4
Constr. Type: 5_B
Building Official
Notice:If this certificate is lost or destroyed, a duplicate should be obtained immediately from the Building Department.
Any change or extension of the use herein approved requires a new certificate of occupancy.
r
CERTIFICATE OF OCCUPANCY CHECK LIST ] C
Applicant Laraug (^_oust_ Certificate of Occupancy
S(Z'y 110
Address Bldg. P rmit No.
Lot No. 15 Date Submitted 5-25-90
Project Beechwood Farms Reviewed By
Date
As required in the Zoning Regulations, no certificate-of-occupancy
shall be issued until grading plans have been complied with and
approved by the Town Engineer. The minimum requirements shall
include:
Approved Denied N/A
1. Approved building permit plan.
2. Finish grading per approved
building permit plan.
3. Site work; i.e. trees, shrubs, dumpsters,
required parking
4. Utility location
a. sanitary sewer
b: foundation drain
c. electrical & telephone
d. water
e. other
5: Appropriate certification
6. Bonding
Sewer Permit No.
Pavement Excav-. No.
COMMENTS:
BUILDING PERMIT CHECK LIST
Applicant LaCava Building Permit No. 70 goo
Address =rookhaven Lane Date Submitted
Lot No. 15 Reviewed by �7
Project Beechwood II Date -30 -0
In accordance with the Subdivision Regulations, prior to the building of
any structure on a lot, a Topographic Plot Plan shall be submitted for
approval. The minimum requirements shall include :
Approved Denied N/A
1. Name, address & phone number of owner/
applicant.
�✓ 2. Name, address & phone number of plan preparer.
t/ 3. Zoning information - i.e. zone, open space,
fl oodway, etc.
4. Plot plan at 1" = 40' scale.
a. Subdivision reference, abutting
properties, etc.
b. Easements of record.
c. Lot description, bearings, distances,
building lines, area, etc.
d. Contours, existing & proposed, 1 or 2 ft.
interval where appropriate.
e. Building location with dimensions.
Elevations of proposed finish floor,
garage floor & center line of road at
driveway.
f. Elevations of gravity drainage systems,
sanitary & foundation drain at the
house and the street.
g. Tentative utility location gas, electric,
/ water, etc.
l/ h. Title block with name and address of
preparer, date appropriate certification,
live seal and signature.
5. Sedimentation and erosion control.
6. Special Planning & Zoning, Inland/Wetlands
considerations. (Plans on file w/Town Clerk)
BUILDING DEPT.
P Z C _ �v f> >�-7
IWA/CC 134.:' Al
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OTHERS
COMMENTS: ��lJ�-�