HomeMy WebLinkAboutSeptic Correspondence 561 King Street ` 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
lcj
Owner Name Address telephone
Applicant name &address if different from above telephone
Describe the propos structure or activity with dimensions (e.g. _ "a dition with be rooms, bathroom, amity
in ground/below ground pool, deck,winterizing porch)
Residential !/ Number of existing bedrooms
Non-residential Please describe
ProDertv served by on-site well? Y N Property served by public water?
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
existin 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 ap 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 period of time ending with the final B 100a application--approval-and,
ailirm such with m si nature below.
cant Signature Date
s
Appli
OFFICAIL USE ONLY
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1540 SULLIVAN AVENUE • SOUTH WINDSOR, CT 06074
r�OSOR-Co�� TELEPHONE (860) 644-2511
August 7, 2009
Thomas Russo
561 King Street
South Windsor, CT 06074
RE: Proposed bonus room construction at 561 King Street
Dear Mr. Russo:
This office has received notice and has reviewed the documentation that you completed
regarding the construction of a bonus room above the garage at 561 King Street to ensure
the construction is within the parameters set fourth in the CT Public Health Code.
As you can see, I have included a copy of the floor plans you submitted for your
convenience. I have provided this copy to you because part of the review process to
determine code compliance is to identify the number of bedrooms and to determine if a
fully sized septic system can be install in your yard after the construction is completed.
To perform a complete review and to determine the aforementioned, floor plans, (first
and second floors if applicable), of the house must be submitted and they must have all
rooms labeled. Please take a moment and label all the rooms and provide a drawing with
any additional floors your home may have.
Please call 860-644-2511, extension 248 if you have any questions.
Sincerely,
j
Robert De Vito, R.S.
Environmental Health Officer
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Electric # APPLICATION FOR BUILDING PERMIT
Plumbing# _
HVAC#
Sprinkler#
FINAL APPROVALS Estimated Cost $ 0 0 0
Building COMPLETE RED BOXED AREAS Permit Fee $
Engineering TYPE OK PRINT ONLY Occupancy Fee $
Affidavit Eng. Insp.Fee $
Appr.forCO. SIGN ON REVERSE SIDE A Total Fee $ C
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TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $
The undersigned hereby applies to do work according to the following:
Applicant ors f o Location of Work Lot No.
Applicant's Address Tel # ��
Town ✓ `i Zip �(o Q Lic.#
Owner��b rr, 4 //r�,Jf Architect
Owner's Address Architect's Address
Zip Zip
Sq. Ft.New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area
Purpose of this permit
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City Water 4K Well ❑ Septic System 1td' Sewer❑
Ins: HO SP Cert. Area Basement Garage
Approved by Date Use Group Construction Type
Revised 1108�.o.
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South Windsor Health Department
B 100a application
(for building conversion, change of use, building addition, accessory structure and lot line change)
ress of proposed activity street number
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)
A Olv At"�.f
Residential !/ Number of existing bedrooms _
Non-residential Please describe
Property served by on-site well? Y N) Prol)ertv served by public water? 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
e.-dsting 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, vou.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 B 100a application review process. I further agree that this authorization to enter the subject
property may extend through a period of time ending with the final B 100a application approval-mrd-
affirm such with my signature below.
Applicant Signature Date "
OFFICAIL USE ONLY