HomeMy WebLinkAbout19 Ann Road (10) TO THE BUILDING INSPECTOR
of dw APPLICATION FOR
TOWN OF SOUTH WINDSOR,cold. PLAN EXAMINATION A N D
BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. o
ZONING
I• AT (LOCATION) /� � NN 0Q1 Sc9V+� VJt W�SO+!" DISTRICT
—
LOCATION (NO.) (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
fJ►
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D —f
�o
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m
1 ❑ New building Residential Nonresidential
2 Addition(I/residential, enter number
12® One family 18 ❑ Amusement, recreational
o/new housing units added, i/any, 13 tL�Jt Two or more family — Enter 19❑ Church, other religious
in Part D, number o/units— — — — -
3 ❑ Alteration (See 2 above) � 20❑ Industrial
14 ❑ Transient hotel, motel, 21 ❑ Parking garage
4❑ Repair, replacement or dormitory — Enter number
5❑ Wrecking (1/multifamily residential, of units ——————— — —! 22❑ Service station, repair garage
enter number of units :n building in 15 ❑ Garage 23❑ Hospital, institutional
Part D, 13) 16 ❑ Carport 24❑ Office, bank, professional
6❑ ❑Moving (relocation) 17 Other — Specify 25❑ Public utility
7 ❑ Foundation only
^ _ ` • „ 26❑ School, library, other educational
B. OWNERSHIP K��7_1�-}/J(]/� �� 27 Stores, mercantile
8 ❑ Private (individual, corporation, C51/E,� 28❑ Tanks, towers
nonprofit institution, etc.) L� � � 29 Specify
Other — S ecify
9 ❑ Public (Federal, State, or r
local government) Mf—` T os-
C. COST (Omit cents) Nonresidential — Describe in detail proposed use of buildings, e.g., food
(2Q processing plant, machine shop, laundry building at hospital, elementary
10. Cost of improvement................ 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 $ O
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❑ Other — Specify 42❑ Public or private 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.......................
36❑ Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
37❑ Electricity 44❑ Yes 45❑ 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 .......
NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
Owner or P&WCJfft \ ETRU21 '(� I K S O W i C'o 1VN. a89 k7S3
Lessee
2. +✓� A- k
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
x 117 /9 WW
DO NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD - For office use
Plans Review Re uired 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
Date Permit or Approval Check obtained Number By Permit or Approval Check Obtained Number 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
VII. VALIDATION
Building
Permit number 9669
Building
Permit issued Mar. 3 19 77
Building
Permit Fee $ 3.00
Approved by:
r '
TITLE
VIII. ZONING PLAN EXAMINERS NOTES
DISTRICT
USE
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
NOTES
IX. SITE OR PLOT PLAN — For Applicant Use
ON
TOWN OF SOUTH WINDSOR
BUILDING PERMIT
Date Mar. 3 , 1977
Fee Paid 3.00 Est. Value $.1-9 5..00 ;.
Permit W? - 9 6 G 9
on the side of
Ann Road Street
Street No. 19
Owner Fasju l p Pptriiz;`l o
Applicant D" "l a Pp r r„z i e 1�—
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No.
Fee Paid
CLASSIFICATION
Wood-burning stove and
ch i mney
BUILDING PERMIT
N° 9669
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
77
South Windsor, Conn. 19
94is is to (lertif1j, That
is hereby granted permission to
at estimated value of �$
on the side of- Street on land
Pns-wale Petro::., �-1c,
owned by 77�
:orLC
Said 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
Nfs: 3 77
Issur- �. 19
wild'-g 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."
INSPECTIQN REPORT
Permit Job �Cj GrowO
r / ,
1 Footing
2 Foundation
3 Framing 4 b-77 6k-�,
4 Wiring _
5 Plumbing
6 Heating
7 Lathing
8 C.O.