HomeMy WebLinkAboutMisc Correspondence 426 Barber Hill Road South Windsor Health Department
B 100a application
(for building conversion, change of use, building addition, accessory structure and lot line change)
Address of proposed activity street number
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Owner Name Address telephone
Applicant name &address if different from above telephone
Describe the proposed structure or activity with dimensions (e.g. "addition with bedrooms, bathroom, family
in ground/below ground pool, deck, winterizing porch)
elf
Residential Number of existing bedrooms
Non-residential Please describe
Property served by on-site well? Y N Property served by public water? tl Y N
Plot plan-attach a scaled drawing showing property lines and dimensions, location and size of
existing and proposed structures, and site features such as driveways, wells and septic systems,
drains and water courses.
Building plan-attach a sketch/floor plan of the proposed structure, addition or renovation showing
existing and proposed rooms with door and window locations.
Soil test data (deep test pits and percolation test) are required for the review of this application.
If the data is not available, you will need to schedule an appointment with the health department.
As property owner or duly authorized representative of the property owner of the above referenced
property, I agree to permit the health department staff to enter the above referenced property as part
of this B100a application review process. I further agree that this authorization to enter the subject
property may extend through a perio of time ending with the final B 100a application approval and
affirm such with m si nat a below.
Applicant Signature Date
OFFICAIL USE ONLY
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1s'r 5z-o'
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S-24210 S-3052 2
5-6068
W3030 W2430 ffa W7830 W9830
-\ 4-0 O DW
SPACE 5836 B18%
BATH
�Y #3
Z3 id
31'CT ` KITCHEN C NOOK
_N AREA=183SQFi ARM=12asQ Fr FAMILY ROOM
Q _ ri E36 I AREA=195 SQ FT
——— 4)2"c41-DS (2)1412X9-1W"LVLABOVE (2)2x6STUDS
SPF#112 SPF#11
DROP HEADER-- 2.6 -W/i!2'X 9'STEEL FLITCH PLATE
DROP HEADER EACH_NODULE FLUSH CEILING
DINING ROOM
AREA=2105QFT LIVING ROOM
FOYER AREA=284SQ FT PFS Corporation
J Northeast Region
APPROVED '9
M Wagner-2
o a ` 4/21/08
Approval limited to
Factory Built Portion o
3.0 W128L m
5-3052 5-3 -
i - 16'•3° 052 S 3052Ier7eW S-3052
1W' 4' 1T-11/4' 4• S- 2 5-3052
T-610 6A V 6'-111W' 21'-113W" .
5-111W° a-11'
BUILDER
(�- CRM MODULAR HOMES LIC#7871 TWO STORY FIRST FLOOR PLAN DWN BY # DATE
m gpt{ 2 ,fir NOTE70 BINLUpt
SHEET# 3 p TH®EFUN&HAVEBECiIGREAT""'YOUR SILP�C/rev�II9II�SL��/p50F1�,L�C
ADDRESS: OWN.BY: BAH v BAH 3 4-21.08 U AIS.OUET07RANSFORTAMNAMW.
278COL.JOHNGARDNERROAD PROJ.ID#: 280118 _ AFM tNEt•^HYxaE�EUNGeWwcHMAY CHECKED BY: �, FWEWYOORotNCANDIFACCEPrABLE uNBE 1004 SPRINGBROOK AVENUE,MOOSIC,PA16507
TFORD COUNTY NARRAGANSE7T RI 02862 SERIAL*. — DATE: 4-9 08 T WHATUREOIFACCEPfAOD E1GN 6EODW tel.(570)7744000 Fax(570)774-1010
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PROJECT NAME:
WARREN -
PROJECTSITE:
"I BARBER HILL ROAD
SOUTH WINDSOR CT 06074 H,. - - -
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