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HomeMy WebLinkAbout19 Andries Trail � 7 PTO THE BUILDING INSPECTOR r I3 of 16 APPLICATION FOR TOWN CW 3CWT}1 W1INDSM COIF. PLAN EXAMINATION AND BUILDING PERMIT IMPORTANT - Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O ZONING I• AT (LOCATION) J / /T/YL!/1 E � �T �L DISTRICT LOCATION (NO.) (STREET) OF BETWEEN AND BUILDING (CROSS STREET) (CROSS STREET) LOT SUBDIVISION L L _ _ _LOT BLOCK S ZE 1/s II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D "{ A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use T •-I 1 New building Residential Nonresidential 2 Addition(it residential, enter number J 12 MI One family 18 E] Amusement, recreational o/new housing units added, i/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) 140 Transient hotel, motel, 210 Parkin 4 ❑ Repair, replacement or dormitory - Enter number g garage 5 ❑ Wrecking (If multifamily residential, of units ------- - -i 22❑ Service station, repair garage enter number of units in building in 15❑ Garage 23❑ Hospital, institutional Part D, 13) ❑ 16 Carport 24❑ Office, bank, professional 6 Moving (relocation) 17❑ Other - SpeciJy 25❑ Public utility 7 ❑ Foundation only 26❑ School, library, other educational B. OWNERSHIP 270 Stores, mercantile a Private (individual, corporation, 29❑ Tanks, towers nonprofit institution, etc.) 29❑ Other - Specify 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•,,,,•,,,,.•,,,, s7 S O 49 v 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..................... ODc) b. Plumbing .................. 00 0 c.Heating, air conditioning..... d. Other(elevator, etc.)............ 11. TOTAL COST OF IMPROVEMENT 1$P')1000 111. 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 M Public or private company 48• Number of stories............... 31 ® Wood frame 41 Privets (septic tank, etc.) 49• Total square Feet of Floor area, all Floors, based on exterior 2-3 32❑ Structural steel dimensions .................... -7 33 Reinforced concrete H. TYPE OF WATER SUPPLY 34❑ Other - Specify 42 Public or private company 50. Total land area, sq. ft. ........... (), 01-911-110 43❑ Private(well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES F. PRINCIPAL TYPE OF HEATING FUEL 1. TYPE OF MECHANICAL 51. Enclosed ....................... 35❑ Gas Will there be central air 52. Outdoors....................... 36® 011 conditioning? rL-J L. RESIDENTIAL BUILDINGS ONLY 37 Electricity 44❑ Yes 45 5a No 53. Number of bedrooms........ 38 ❑ Coal 39❑ Other - Specify Will there be an elevator? 54. Number of Full.......... 46❑ Yes 47©No bathrooms Partial. .. .. IV. IDENTIFICATION — To be completed by all applicants /, Name / �Jl,M(ailing address — Number, street, city, and ., State //(,7,� ZIP ,ccode / Tel. No. 1.Owner or K lK7�l'f�/r �. `I Z Y�c?j ��- -C.�4 � '/—" s•sr. .��/� �/ C�6V r Vt 1C7 y...5 Lessee 2. Contractor 3. Architect or Engineer The owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction. Signature of applicant / Address Application date 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Re wired Check Plan Review Date Plans B Date Plans B Notes 9 Fee Started Y Approved Y BUILDING $ PLUMBING $ MECHANICAL $ ELECTRICAL $ OTHER_ $ VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or A rovaI Check Date Number B Permit or Approval Check Date Number By pp Obtained Y pp Obtained 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 (ding Pe 3/ 19 Permit issued � Building aeg Permit Fee $ pprov d OAAAL TIT TOWN OF SOUTH WINDSOR BUILDING PERMIT Date Mar. 5 , 19 84 Fee Paid $. .51.0.00 Est. Value $.85.,000 Permit M 13693 on the side of Lot #22 Andreis Trail save Street No. 19 Owner U & R Construction Co.Inc. Applicant U & R Construction Co_ CERTIFICATE OF OCCUPANCY ISSUED: Date No. 6670 Fee Paid $ 3.00 CLASSIFICATION Dwelling BUIIDING PERMIT N�l 13693 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. MAIX, 5 1984 ar4io to to (rVrtff#, That IJ 6_ 1r�— is hereby granted permission to Dwa l l ing at estimated value of $93,Q00 on the side of 1.+* 619 s.d=4 . Tz-41 Street on land owned by U A- R Cm ri-n*4 an Cw- Said Work to be as described in Application No. 1.1991 and to conform to spedficadons and plans filed with said Application, and Building By. Laws of THE TOWN OF SOUTH WINDSOR. Issued` r Mar. 5� 184. -,'Building Inspector. Streets and sidewalks, obstructed by excavations or building materials, must be guarded by barriets 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 casts and damages which it shall sustain, or be compelled to reason therefor." Dwelling - Lot #22 Green Hill 3/5/84 Q & R •Housing Const.Co. 19 Andreis Trail permit # 13693 Electrician Milton C. Plouff # 8445 t/ Heating Contr. J. Vedo vato # 5935 Plumbing " J. Vedovato #6418 Oil Burner # Certificate of Occupancy # 6670 6 wer Permit # Plot plan approved per Engr.