HomeMy WebLinkAboutApplication 220 Long Hill Road N OKP
Town of South Windsor — Health Department
1540 Sullivan Ave.,South Windsor, CT 06074-Mailing Address
1530 Sullivan Ave.,South Windsor, CT 06074-Office Address
+; Phone Number: (860)337-6173,Fax Number: (860)644-1930
B100a APPLICATION
(for building conversion,change of use,building addition,accessory structure and lot line change)
Standard application review time is 5-10 drys,if soil testing is needed,additional time will be required to complete the review process.
StreetfAdd4ss •oposed Activity/ tructul•e
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Owner ame Mailing Address Telephone S37_ ys
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act si13cCIcC_6d� 12� / �(�D-�
Applicant Name(if different than owner) Mailing Address Telephone
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Describe the proposed str ctttt•e or activity with'dime nsions:
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Residential y Number of existing bedrooms 3
Non-residential Please describe
Property served by on-site well? Y N If No,List name of water company
q 7
Property served by septic system Y 'N Age of system (( Date last pumped
Plot plan-attach a scaled drawings owing 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
ro osed 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 for soil testing.
As property owner or duly authorized representative of the property owner of the above referenced property,I agree to allow 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 and affirm such with my signature below.
Applicant Signature: Date:
FOR OFFICE�SE ONLY:
Approved: N By: ��-u-� �� Date:
Comments/Conditions:
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May 2011
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s• 1540 SULLIVAN AVENUE • SOUTH WINDSOR, CT 06074
,tOSOR-co' TELEPHONE (860) 644-2511
June 1, 2017
RICHARD & JACQUELINE KRALL
220 LONG HILL ROAD
SOUTH WINDSOR, CT 06074
B-100 APPLICATION
SUBJECT: Street address: 220 Long Hill Road
Dear Mr.& Mrs.Krall:
On 6/1/17 this department received an application proposing the Installation of a 12'extension of your
existing deck.
Based on the information provided and paperwork in our files this request has been approved under
the following conditions:
Maintain a minimum 5 feet distance from existing septic tank and leach field
from the deck.
Approval is being granted under Section 19-13-13100a of the CT Public Health Code. This approval
is given with the understanding that you will provide proper care and maintenance of the existing
system (the septic tank is to be pumped every 3 years).
THE OWNER IS RESPONSIBLE TO SEEK PROPER AUTHORIZATION FROM ALL TOWN
AGENCIES PRIOR TO START OF CONSTRUCTION.
Should you have any questions, please do not hesitate to contact this office.
Sincerely, /�A
��s•.� � �C�D
Diane L. Collelo, REHS/RS
Enviromental Health Specialist
Cc: Town Building Official; Planning and Zoning;deckexpertsllc@yahoo.com