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Home My WebLink About101 Murielle DriveV" f 0 THE BUILDING INSPECTOR of dw A PLICATION FOR PLA EXAMINATION ANDTOWNOFSOUTHWINDSMMWBUILDINGPERMIT IMPORTANT — Applicant to complete ok items in sections. 1, it, III, IV, and IX.O AX ZONING! AT (LOCATION) DISTRIC ii= LOCATION No.) STREET) OF BETWEEN AND BUILDING S STREE ) CROSS S REET) r LOT SUBDIVISIO LOT BLOCK SIZE M II. TYPE AND COST OF BU L NG — All applicants complete Parts A — D v A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use M 1 FV New building Residential Nonresidential 2 F1 Addition((/residential, enter number 12 One family 18 Amusement, recreational o/new housing units added, i/any, 13 Two or more family — Enter 19 Church, wher religiousinPartD, 13) number o/units— — — — --),-20 Industrial3 Alteration (See 2 above) 14 llhiTransenthotel, mote ,21 Parking garage4 Repair, replacement or dormitory — Enter number 5 Wrecking (1/multifamily residential,of units ——————— — -i 22 Service s ation, 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 — Speci/y 25 Public utility 7 Foundation only 26 School, library, other educational B. OWNERSHIP 27 Stores, miorcontile 28 Tanks, towers8XPrivate (individual, corporation, Other — peci/ynonprofitinstitution, etc.) 29 9 Public (Federal, State, or local government) C. COST Omit cents) Nonresidential — Describe in detail proposed use of Euildings, e.g.,food processing plant, machine shop, laundry building at hospital,elementary 10. Cost of improvement................ S O P,O school, secondary school, college, parochial school, pa king 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 chan ed enter proposed use. aa.the above cost Electrical...................... i b. Plumbing ...................... c. Heating, air conditioning......... d. Other(elevator, etc.)............ 11. TOTAL COST OF IMPROVEMENT $,ZI QO III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Part 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 ..................... l 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[N Oil conditioning? L. RESIDENTIAL BUILDING ONLY 37 Electricity 44 Yes 45 No 53. Number of bedrooms.............. 38 Coal 39 Other— Specify Will there be an elevator? Full ......... p 1] 54. Number of 46 Yes 47 No bathr ms Par1i 31....... NOTES and Data — (For department use) IV. IDENTIFICATION — To b completed by all applicants rn Mailing addr ss — Number, street, city, a State ZIP code Tel. N z Q Owner or Lessee 2. 1 Contractor 3. Architect or Engineer tt The own r of this building and the undersigned agree to conform to all applicable laws of this ' risdic ion. Si ature of op cant Address Application date ez DO NOT WRITE BE Ld THIS LINE V. PLAN REVIEW RECORD — For office use Plan Review Date Plans Date PlansPlansReviewRequiredCheckFeeStartedBYApproved BY Not s BUILDING k $ PLUMBING MECHANICAL ELECTRICAL OTHER VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approval Check Date Obtained Number By Permit or ApprovalI Check bDat ed 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 9899 Building Permit issu d July 28 19 77 Building Permit Fee $126.00 Approv d by: AL TITLE r i i TOWN OF SOUTH WINDSOR BUILDING PERMIT Date July 28 1977 Fee Paid ,$.12 6,00 Est. Value $.2.1,.000.00 Permit N°9897 t on the side of T,nt 41:1 9 M»ri e l l e Dr i vP Street Street No. 10 1 Owner Chape 1 Hi 11 Dev.. Co. Applicant Chape 1 Hi 11 ley. Co. CERTIFICATE OF OCCUPANCY ISSUED: Date a No. 4992 Fee Paid 3.00 CLASSIFICATION Dwelling f BUILDING PERMIT r N9 9897 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. July. 28 77 South Windsor, Conn. 19 Chapel Hill Dev.. CO, 454is to to TerfiN.2ThatL' 1 .. $ is hereby granted permission to ems+ AAAeee,® at estimated value of $ I.Qt #1 S Murielle Dfive on the side of Sava on land shape i H111 Dev. CO. owned by WorkSaidtobeasdescribedinApplication it 197 No. and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR y July 28 ildistg 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 plate 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." INSPECTION REPORT Permit # Job 1 Footing ea& 2 Foundation 3 Framing 4 Wiring -9- 5 Plumbing 6 Heating 7 Lathing 8 C.O. 9•Z P rmit No. TOWN OF SOUTH WINDSOR SOUTH WINDSOR, CONN. I I'. Permit Jln 4992 I Certificate of Occupancy I TW!HISpIStO IFY that e I I at No in th9rown of South Windsor, Connecticut, hasI' been erected and completed in accordance with the Building Code and Zoning Regulations ofI the Town of South Windsor, and is hereby approved for occupanc I I; BWMing Inspector I Owner, Builder Fee Paid Date 19Az TO THE BUILDING INSPECTOR This will Certify that the Property Identified below has been Inspe ted and Meets Engine ring Criteria for Certificate of Occupancy. Engine ring Approval Date 1y N/F KENNET"E' a MINI r NICH AL Mq F'OL,g NIOKE Y ESF7ArF ti d ti S 38, 4 4 1 1 Itl iI To znc a iori L 0T t, 18 I Jlocaea8 3 I Isho;,rn, no o.82 Sa,Ft 1 W onin5 violation 40. I N eiLOT19I1IN LOT2 0to %I ca to go'•W, FF 128 2Z 126 9 12 xo , 2 G 9 4 ryr r DRIVE SAN.M.FL 2000. 1 00IIQ.G d sAN•8EW R A•8 ATE Property of CHAPEL HILL EEVELOPMENT INC. w Lot 18 Murielle Drive South ,Windsor, Conn. LUCEK ASS CIATESMIL REVISIONS DATE 40 t DATE 7I7I77 1 SCAL 1 CONSULTING ENGINEERS 1-•As, Bui- i 5 OAKIAND ROAD DRAWN 'AVH CHECKED EWL SOUTH WiNDSOR. CONN. 203-644.2802 PRojfiClr 76-20 SHEET PEMANUE D SUBSTANTIA'LL Y CORRECT DEGREE OF ACCURACY - A-2" L - II. t WC Ot, 01144' . , ? LAND SURVEYOR 6243 o 6323 V ELECTRICAL APPLICATION Application No. 6630 on the side of Lot #18 Murielle Dr. Street Street No. 101 Owncr Chafe 1 Hi 1 1 nes, Electrician Gi 11_s LaRocbelle FILED IN OFFICE OF The Building Inspector Sent 12 19_7_7 INSPECTION. Lv No Electrical Work shall be started until a Per- mit is granted by the Building Inspector. In New Buildings no wiring shall be started until the plumbing and heating pipes, and the fire stops (if of wood) are installed, without a special permit from the office of the Building Inspector. APPLICATION FOR PERMIT TO DO ELECTRICAL WORK. No. ......6.6.30.................... Permit No. ......6.3.2.3................... TO THE BUILDING INSPECTOR Of the TOWN OF SOUTH WINDSOR9 CONN. hereby make application tq perform Electr cal Work according to detailed description below. All provi onas of the Rules for Electrical Installation, Section 48, Building By-Laws, shall be complied with whether specified herein or not. South Windsor, Conn., -e4&_e....... .... ../4.................. 19..I.?'Sign here A 0 Address WAC4 1jt..... .....t... ............. A. 17LocationAA ........&-t .... Side of ................................................................................................................................Av Natureof Building R How many stories ................................................................................................. Newor old Building ......in....................................................... How many families .........................../............................................................. Kindof Installation ... ... . ............................... ................... How many Stores ................................................................. 4..................Owner 0. ....... ddress 446.. Architect ............................................ ............................. ...................................... Address .................................................................................... weAddressZ...9.4... ..............•...... 10.....Builder I......Wt.. ..'r......11:: Electrician ..IXAJ..... Address ..49...v......... ....... . .• ............... ...jki Size of Main Wires ...N.2...........Al..........._ No. of Light Loops ......................... ........... No. of Heat Loops ...................... No. of Power Loops .......................... No. of Light Outlets .......P.....3........... No. of Heat Outlets ........ ....... .... .. No. of Power Outlets ................................... Nog of Light Circuits ............q................ No. of Heat Circuits ...... .. . . .. No. of Power Circuits ............... ................ No. of Sockets ............................... .... .... ..... No. of Heat Receptacles ......... .... No. of Motors ........................................................ No. of Panels ............................I....................... Size of Heat Circuit .............. . ... ....... No. of Power Receptacles ........................ No. of Switches .............I..r.... ............ Total Wattage .............................. ...................... Size of Power Circuit ............... ............ Total Horsepower .......... ... ........ ......... . No. of Straight Electric Fixtures No. of Combination Fixtures .............. ........................ ... ............ No. of Receptacles ................................3 10................................ . ............ No. of Cord Drops ............................................................................................... Remarks: For other kind of Installation ...... ............................................... ....................................................................................................................................... 1 ............ ........................................................................................................................... .............. Estimated Cost ...... 5084 PLUMBING APPLICATION APP hnnpjm 5872 on the sick of Lot #18 U.g..1k's - R y sa t Swat NO. .. 101 Owner C'.__& P EZ.- 111A L 2 4IZ. Plumber C,-'--t 9, 11A.4 A &-Y Filed in Office of The Building I rpector Aug. 26 ig 77 1 N ahm my portion of the drainage system of any building am" to repair leaks) until a Ple:mit is pmmed by the Building Inapecaw. 9 Application No....5.R.7.2...................... Permit N . .......50.8.4............... TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. WE.....hereby make application to perform plumbing according to detailed description below. All provisions of the Rules for Sanitation, By-Laws, Sections 33 to 47 inclusive, shall be complied with whether specified herein or not. _ P!010/S South Windsor, .................................J.. ............................. 19 .'r 7. Sign here l..t. ......................................... Address .3.j.— A. ........................ Location .. .i'...T....... .Lam.................... .. .. ................... side of .... -.(,°914P4.k.A—.........PX.1.. . .....-... Street Natureof Building .................. How many stories ................../................................................................... Owner .. ..1?.R...I .....f 1. -, 1 ..1/.................................. Address(/.,A. ..... .1../V.. .To!Y..........9.. :...........:5'.'.... Architect ........................................... ........... ......................................................... Address ....................................................................................................................... Builder ................................................................................................................... Address ...................................................................................................................... Plumber .$.... ......j1..AA.'&E.x................................................... Address !o... ..h... P... .....R............S.. ......W..4................... DRAINAGE CESSPOOLS, How many .. ........................................... ................... Where located ..................................................................................................... Are they water tight . ......... Of what materials are they built Size of pipe from house to cesspool ............................................. Kind of pipe ....................................................................................................... MAINDRAIN IN CELLAR, Material ......C..!.- ...... Diameter .......y..//............................................................................................. Aboveor below cellar bottom .. ........... .............AW5............ . .. ... ..... ........................................................................................................................ SOIL PIPES, Material ........ ... ......................e!!I s'..5.................... Diameter 1... .:..... . ........................................................................... WASTE PIPES, Material .9.S...................... Diameter .....r......... .................................................... .............. TRAPS,Type proposed to use is ........ ... RAIN WATER LEADERS, where do they run to ......... ................................................................................................................................. REFRIGERATOR WASTES, where do they run to . ...... ............... ..................................................................................... ............................... TANK OVERFLOWS, where do they run to FIXTURES 17WATERCLOSETS, How many .................... .. .. Where located ...r.sT..j4oQle... ......f, t .,—,•'- Distance from trap to vertical soil pipe ........................................ Pattern WASHTRAYS, How many ............................................................ Where located . .. ....................................... .............................................. Where located r ore.. Uo`SINKS, How many ................................................ ....................................... BUTLER'S SINKS, How many ........................................................ Where located .. ................................................................................................. REFRIGERATOR SINKS, How many...................................... Where located ................................................................................................... LAVATORIES,How many ............................ G............................. Where located ............................................................................I....................... WH J7Y How many..............1.................................................... Where located ......1.T. -cop ..................................................... f GUQ .How many ......................J................ '............................. Where located ..... ...ST Are water closets and urinals to be local vented If not, is there a window in outer wall of room where same are to be located ........... . . . . . .......................................................................................................................................... Estimated Cost./ ... PERMIT # Application For 4f07 4706 DEPARTMENT DECISION Heating Permit 03 APPLICATION IS HEREBY:DEPARTMENT OF LICENSES AND INSPECTIONS N +' X3 APPROVED DISAPPROVED TOWN OF SOUTH WINDSORPoor 00 00 9 1 o 7 7 T C INSFECTOV APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BEL • O p 1. LOCATION OF JOB o a, r-, 1(A ML) (2 1 ( NO. v STREET Cd D I LOT NO. FLOOR APT. NO. OLV 2. OWNER cc S. ADDRESS w da4ory i ao3 11 , ai S W Ci PHONE ad C% ' S. APPLICANT F e-S44 as cc o6. ADDRESS 4A S AJ L S U a T.PHONE 9 G d 95,it B. LICENSE NO. 2 p, 0 w s. EXPIRATION DATE OF LICENSE 10. ESTIMATED COST Seq d I. IS THIS A CONTRACT COST?YES NOrz PC12. FEE ENCLOSED S Permit 9897 53 ai Ia. TYP OF BUILDING: ba M RESIDENTIAL COMMERCIAL O R cc 14. TYP OF JOB: INDUSTRIAL ORIGINAL I ON INSTALLATION ADDITION REPAIR APPLICATION FOR HEATING PERMIT (C ntinued tr In Revene Sid 11. LOCATION OF JOB d + I tj 2 I O- I (f- a (2- NO. STREET FLOOR APT.NO. 12. TYPE OF INSTALLATION: 19 OIL BURNER Cl ELECTRIC VENTILATION SPRINKLER GAS BURNER STACK Cl INCINERATOR MISCELLANEOUS IDENTIFY SIZE SIZESIZE 13. OF TANK G9 U a a L OFCTANKN !IV n G 2n U n/!J OF FILL OF VENT 14. B.T.U. EQUIP. AT REGISTER FURNACE MAKE AND NO. R&P&ttLYN_ AT BONNET FIRING RATE BOILER OR FURNACE MAKE AND NO.8196 113 Fk• B.T.U. OR SQ. FT. NET/22,006B.T.U. OR SQ. FT. GROSS FIRING RATE FLOORS TO BE HEATED NEW OR OLD BUILDING "12-1,J INSULATED - YES OR NO TYPE OF WALL INSULATION ROOF OR CEILING INSULATION AVG. SYSTEM WATER TEMP. B.T.U./SQ. FT./HR. EMISSION INDOOR-OUTDOOR TEMPERATURE DIFFERENCE FAHRENHEIT MAKE OF RADIATION: BASEBOARD, COPPER CONVECTORS, OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ. TI FT. OR B.T.U. REP C" 13AIFlIdAll-D g7-g-z D /3Tt'- ge R )r:.-T DESCRIPTION OF WORK 15. TO BE DONE: 16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS: no M SIZE wlNDows AREA - SQUARE FEET e.T.u. e.T.u.H DISTRIBUTION INSTALLED AND DOORS VOLUME TOTAL TOTAL ROOM NO' GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED J j REGISTER L W N AND C TEMP. TO <f TYPE AND SIZE RAO. OR LEADER SIZE < WALL f'GSG INFILT.) OIFF. F a SQ. FT. FREE AREA TOTALS A. HEAT LOSS FROM BUILDING B.T.U./HR. B. DOMESTIC HOT WATER DEMAND B.T.U./HR. C. PIPING, OTHER THAN NORMAL B.T.U./HR. ALLOWANCE FOR HEAT VALVE OF FUEL (A B C) FACTOR 17. ELECTRICAL WORK BY: NAME ADDRESS SUBCONTRACTORS AND t13. THEIR TRADES ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY THE (OWNER) OR (AGENT) OF THIS PROPERTY AND WILL BE DONE IN STRICT ACCORDANCE WITH THE BUILDING CODE. APPLICATION TO BE COMPLETELY FILLED IN.9- io 7 DATE SIGNATURE APPLICANT B=R CALCULATION SHEET 1503r-'4`ppyrig t 1965 by the Institute of Boiler and Radiator Manufacturers OWNER ADDRESS— DESIGN TEMPERATURE DIFFERENCE F. DATE COL. A COL. B COL. C— COL. D_ COL. E COL. F COL. G ROOM 1 ROOM r G TOTALS RADIATION O w w H W _I'T L W L W H L W H L w FROM LINE 12 SELECTED 2 ROOM DIMENSIONS, FT. O m U Q 2 -- 3 LENGTH EXPOSED WALLS, FT. Q d Z C13 4 WINDOW P ND OUTSIDE DOOR AREA E 22. S BTUH BTUH BTUH BTUH BTUH D 5 WALL CONSTRUCTION 1 Ji2 6 TYPE OF GLASS D- - Z 7 CEILING CONSTRUCTION F 8 FLOOR CONSTRUCTION t G 9 COLD PARTITION CONSTRUCTION y H AF 10 I 7 p ONE WALL(WITH GLASS OR EXTERIOR DOOR) f7 I i H TW O WA L LS G•z— Z ale EWALLS OR ENTRANCE= HALL aim1THRI- i11 TOTAi,,BT,JH AT70FTEMP.DIFFERENCE* 12 To tAL UTUH Al DESIGN TEMP.DIFFERENCE K 4 COL. A COL. B COL. 1+ COL I COL. J- COL. K COL. L L 3 z 1 ROOM C O w w H L W H L W H L W . L W H L W 2 ROOM DIMENSIONS. FT. L) Q Z TOTAL BTUH TOTAL 3 LENGTH EXPOSED WALLS, FT. QOF BUILDING RADIATIONC1. Z AT SELECTED 4 WINDOW AND OUTSIDE DOOR AREA DESIGN TEMP!L` DIFFERENCE BT trk_ BT H BTUH BTUH BTUH S WALL CONSTRUCTION 6 TYPE OF GLASS 7 CEILING CONSTRUCTION INCREASE BATHROOM TOTAL 20%00 8 FLOOR CONSTRUCTION 1 9 COLD PARTITION CONSTRUCTION t FOR CONCRETE FLOOR ON GROUNDOR FILLAT GRADE LEVEL, USE LINEAR FEET 10 Z ONE WALL(WITH GLASS OR EXTERIOR DOOR) OF EXPOSED EDGE ta ~ TWO WALLSLODZQ-- - ----- a THREE_WAILS OR ENTRANCE HALL• 11 TOTA L BTUH AT70F TEMP.JI FFERENC.E• oo 12 TOTAL BTUH AT DESIGN TEMP.DIFFERENCE / This form is ayailable from The Hydronics Institute (Formerly The Institute of Boiler and Radiator Manufacturers) 35 Russo Place. Berkeley Heights, N.J.07922 FORM 1503 Copyright 1965, by the Institute of Boiler and Radiator Manufacturers.Form 1 503 E S T I M A T Z gWANTIT`l ITEM AMOUNT Boiler No. Nef 1=B-R Rating or Net SBI Rating* Oil or Gas Burner or Stcier, with Controls l Oil TonP, Pipe and Fittings Combustion Chamber or Stoker Hearth Pump Thermostat Low Limit Corirol Reverse Control Extra Controls Draft Regu'c for Flow Control Valve I Pressure Reducing Valve I Relief Valve Air Cushion Tank Domestic Water Heater and Tank Mixing Valve Pipe, Valves, Fittings, Hangers Pipe Covering iiHertingUnits (Radiaiors, Baseboards, Convectors) i Radio.ior Enclosures I Sets — Radiator Brackets j Radiator Valves Radiator Union Elbows Radiator Air Valves Main Air Verfs _ Floor and Ceiling Plates Smoke Pipe Foundation Electric Wiring Pounds — Asbestos Cement Paint Freight and Cartage Labor incidentals d Total Cost Overhead Profit Bid Net I=B=R Rating or Net SBI Rating of Boiler should equal or exceed thetotalheatlossfthehouseplu, proper aiiowar+ce for domestic hot water Electric# APPLICATION FOR BUILIDING PERMIT Plumbing#101 MURIELLE DRIVE HVAC # No 24197 Date: a y' Sprinkler# FINAL APPROVALS Estimated Cot $ 7 5O.00 Building COMPLETE RED BOXED AREAS Permit Fee a-op Engineering TYPE OR PRINT ONLY Occupancy F Affidavit SIGN ON REVERSE SIDE Appr.for CO. Total Fee o?- 00 TO BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR,CT Additional Cost) $ The and rsigned hereby applies to do work according to the following specifications: Job Location el /u-i r//c o2.Lot No. Side of Street Zone Applicant Tel.#S z .o 7 6 4 Address e d Zip a6 0 7 Y Own r ,C t Address Architect Address Sq. Ft.New Area: 1st FI. 2nd FI. 3rd A. Total New Area Rooms Lavatories Bathrooms Garages Purpose of this permit: 33 e a// City ater ] ell 0 Septic System 0 Sewer ] Use Group Construction Type 0-1 Area Basement Garage Approved by Date Ci R.vs.d 6/95 I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town of South Windsor and to notify the Building Inspector of any alteration in the plans or specifications of the Building for which this permit is asked,and agree that this building is to be located the proper distance from all street lines,side yard lines and required distances from all other zones and is located in a zone in ch this building and its use is allowed. Signed I hereby apply for a Certificate of Occupancy for the work described in this application for the permit Signed DO NOT WRITE BELOW THIS LINE -- INSPECTION COMMENTS Electric# APPLICATION FOR BU DING PERMIT Plumbing# 101 MURIELLE DRIVE HVAC # Date: Sprinkler# No. 24274 FINAL APP_? A Estimated Cost Oc) Building J COMPLETE RED BOXED AREAS Permit Fee tZ Engineering TYPE OR PRINT ONLY OccupancyFee $ Affidavit SIGN ON REVERSE SIDE Appr.for CO.Total Fee TO BULDM DEPARTMIM,TOWN OF SOUTH WWSOR,CT Additional t) $ The undersigned hereby applies to do work according to the following specifications: Job Location (D I M U(- I iC N C-- 0'7 Lot No. Side of Street Zone Applicant c t)r ti ice,u Tel# '' Addr ss v C Zip Lic.# 7122(1 r-3OwnrLLnU --4-4= Address e5, Architect Address Sq. Ft.New Area: lit FI. 2nd Fl. 3rd Fl Total New Area Rooms Lavatories Bathrooms Garages Purpose of this permit: a L - City Water 0 Well Septic System 0 Sewer Ins. H.O. S.P. Cert.Z-1Ll Area Basement rage Approved by Date Cr Use Group Constniction Typ -- Rev6W 1/97 I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town of South Windsor and to notify the Building Inspector of any alteration in the plans or specifications of the Building for which this permit is asked,and agree that this building is to be located the pr r distance from all street lines,side yard lines,and required distances from all other zones and is located in which s in an use is allowed. Signed I hereby apply for a Certificate of Occupancy fo he work described in this application for the permit. Signed '/ DO NOT WRIT 6B ;rW THIS LINE INSPECTION COMMENTS