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HomeMy WebLinkAbout102 Kent Lane4 3 TO THE BUIULDING INSPECTOR 15 of theAPPLICATION FOR PLAN EXAMINATION ANDOFCOS. BUILDING PERMIT IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX.O ZONINGI. t%o 1 P Lt 7-/A? D STR CT -+AT (LOCATION) LOCATION NO.) STREET) OF BETWEENAlex41L AND 49,7Pel'I BUILDING CROSS ST ET) CROSS STREET) LOT SUBDIVISION Tz 1r-3,— &,R d4 LOT —BLOCK S ZE/'CD/ d N 11. TYPE AND COST OF BUILDING — A11 applicants complete Parts A — D A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use 1 L'New building Residential Nonresidential 2 Addition(!/residential, enter number 12 e family 18 Amusement, recreational of new housing units added, if any,13inPastD, 13)Two or more family — Enter 19 Church, other religious number of units— — — — --10 20 Industrial3 Alteration (See 2 above)14 Transient hotel, motel, 21 Parking garage4 Repair, replacement or dormitory — Enter number 5 Wrecking (It multifamily residential, of units ——————— — i Service station, 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)25 Public utility17 Other — Specify7 Foundation only 26 School, library, other educational B. OWNERSHIP 27 Stores, mercanti Is 28 Tanks, towers8 ©Private(individual, corporation, 29 Other Specifynonprofitinstitution,etc.) p fy 9 Public (Federal, State, or local government) C. COST Omit cents) Nonresidential — Describe in detail proposed use of buildings,e.g., food processing plant, machine shop, laundry building at hospital,elementary 10. Cost of improvement................ I 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 $ tJ•2s III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts 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[3a'15ublic 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 .................... Q ,S 33 Reinforced concrete H. TYPE OF WATER SUPPLY 34 0 Oth r — Specify 42 Public or private company 50. Total land area, sq. ft. ........... 43 Private(well, cistern) K. NUMBER OF OFF-STR T -,-0 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 c nditi ning?L. RESIDENTIAL BUILDINGS ONLY 37 Q'Electricity 44 Yes 45 Q'No 53. Number of bedr ms.............. 38 Coal 39 Other— Specify Will th re be an elevat r? 54. Number f Full.......... 46 Yes 47[!INAo bath ms Partial........ NOTES and Data — (For department use) IV. IDENTIFICATION — To be compl ted by all applicants Nam Mailing addr ss — Number, sheet, city, and State ZIP cod Tel. No. 1. lJ .0 Z t7!Owner or Lessee 2. 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 dot T 7 2of 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Required Check Plan Review Date Plans By Date Plans By NotesFeeStartedApproved BUILDING PLUMBING MECHANICAL ELECTRICAL OTHER is VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Date Do tePermitorApprovalCheckObtanedNumberByPermitorApprovalCheckObtained 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. 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Value $6.5,D00.00 d Permit N9 11955 on the aide of Lot #63 Kent Lane Sueet Street No. 102 Owner T & M Building Co. Applicant Frank St. Onge f CERTIFICATE OF OCCUPANCY ISSUED: a Date No. 5827 Fee Paid $ 3.00 i i CLASSIFICATION i lw 11 inQ i i BUn DING PERMIT N° 11955 OFFICS OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. 1980 94is is t (fertt , That is hereby granted permission to tM 11 i nQ at estimated value of $ 00 on the side of--Lot r63 Kont Lane Street on land owned by T L u 1hd t aj Ma t%Q Said Work 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. Issued R 1980 4154?'1 V--1/ wilding 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." Dwelling - Lot #63 Tim IV 12/8/80 T & M aMuilding Co. 102 Kent Lane Permit #11955 Electrician Milton Plouff 7625 4,,"0' Heating Contr. Plumbing it Norman Lutzen 5911 Oil Burner Certificate of Occupancy 5827 Plot plans apprd. per Engr. INSPECTION REPORT Permit # &IM— Jo 1 Footing 2 Foundatior4 3 Framing .,.. , 4 Wiring 5 Plumbing 6 Heating 7 Lathing 8 C.O. \ 02 Permit No. ` `,si TOWN OF SOUTH WINDSOR SOUTH WINDSOR, CONN. Permit M 5827 Certificate of Occupancy THIS,/T8 TO CER IFY that th at No.,, F o,l'.gp- fix ? - in thepoof South Windsor, Connecticut, has been erected and completed in accordance with-therg Code and Zoning Regulations of the Town of South Wisisor, and is hereby approccup L. Building Insp ctor wner, Bui'AAr Fee Paid Date 19 S o Q?' Z's Z SOO Z26 NSA 1n300.SOZ soot 306 SOS 64 10", 3 h er0 FIN.OAR.FL SOGki5 s 50' bldg. line — 1 9s ST-0 3Z2 221 St. IW* —— R= 88.00 storm- 00- Mop Reference Plot Plan Fie bsudMsion Parcel A TIMBER KNOLL r property of T a M BUILDING COMPANY South Windsor, Conn.AS-BUILT PLAN PHASE 37 Scale : I"=40' Sht 2 of 12 LOT 63 Oct. 1975 Rev. thru Feb. 1511979 Certified class A_2 ey TIMBER KNOLL Myron Feinstein, L.S. s here., .stiff to Uw Oelesial etas* • tw first wrleas Phase 4 itl• Isssrasea Do. ant thls survey was setrallt met sp- u tie rotise aae that •slaw etharvie• abora title ilses PROPERTY OFss1listsfaetwl "mys"lon we UN sue, buileiste are located as ebmm am ae sot summeb ever or wpa street, eitl. .. wllelas lists, • a" be .l latl.a. : .o,i,i T8 M BUILDING CO.u1stl ss with r faresee to ie.aties f sale eilel s se Mors re sasem-mts or ssereachosate ifectlag $big c ar t t nl iase•ti a at Us Mae, South Windsor, Conn. Robert T Dayton Com. . 8157 MAY 28, 1982 SCALE I"= 40' J.B.S. 17 A P TOWN OF DATE. SIG.: W, doP, 7625 ELECTRICAL APPLICATION J Application No. 8 7 3 7 on the side of Lot #63 Kent Lane Street Street No. _ 102 Owner T & M Bid Ming Electrician Mi 1 tern C:, P1 [iuf fTJr. FILED IN OFFICE OF The Building Inspector Mar. 29 19_$2_, INSPECTION. cv'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. l Je l APPLICATION FOR PERMIT TO DO ELECTRICAI. WORK., No. 8.7 3..7................ ...... Permit No. . .7.6.25....... ...... TO THE BUILDING INSPECTOR of the TOWN OF SOUTH W INDSOR, CONN. i. . hereby make application tQ perform Electr cal Work according to detailed description below. All provisions of the Rules for Electrical Installation, Section 48, Building By-Laws, shall be complied with whether specified herein or not. South Windsor, Conn., G r 1912-Sign here D A fG'7i/Address l r.......... .. ................... 3N.G,0:s2ir s Location %4.3. /.C t'T. `•. Side of ... Nature of Buildings How many stories .. .l w ......................................... ................ New or old Building JG t'?c How many families ...... Kind of Installation .. '2 '/Y.. . ... .. ... How many Stores ........................................................................................ Owner v L inlrr,......... . .. ..... _... . . Address ,rY. r....l.. -', ...................... Architect ....... .. ... Address Builder `tl lf1 vL Address /)e ... of.' rx.t'• '",. !........ Electrician ,1. /.. . .. ..l v r.' . Address i y..........t'Z1.,r........ ..._......._...._. Size of Main Wires ...................................................._ No. of Light Loops .. ... ... No. of Heat Loops . No. of Power Loops ........................_._...._.... No. of Light Outlets No. of Heat Outlets . No. of Power Outlets .............. . ............ NoP of Light Circuits .... .. .. .... . .... No. of Heat Circuits No. of Power Circuits No. of Sockets No. of Heat Receptacles No. of Motors No. of Panels N'G Size of Heat Circuit No. of Power Receptacles O No. of Switches Total Wattage Size of Power Circuit .. Total Horsepower No. of Straight Electric Fixtures ........./....... .......................... No. of Combination Fixtures ... No. of Receptacles ......................... ........ ......... ............. ..... ....... No. of Cord Drops .. .. ............... ........................ . ........ ... ... .. Remarks: For other kind of Installation ..,l v !+1 r-..4pG f' FH.f G..t %'..>vf ' t?...., sl...l' f'......... tvl•v ... ....... Estimated Cost22: Z. -................ Tfl E' A- RAY RADIANT CEILING HEATING SYST HEAT LOSS CALCULATT? N FINSULATION: DATE PHONE BLDR. WALLS CEILING FLOOR BETWEEN FLOORS DOORS GLASS SLAB INSULATION ARCHT. DEGREE DAYS HEAT LOSS HEAT INSTALL. EST OF COST T DOUCLE R R LOW T tj bow X I X 3. slc1 ax nX .) X 3Xal fix Area Area Area Area Area Area Area Area Ar e SOURCES OF or Watts or Watts or Watts or Watts or Watts or Watts or Watts or Watts or Walls HEAT LOSS Volume Lost Volume Lost Volume Lost Volume Lost Volume Lost Volume Lost Volume Lost Volume Lost Volum LOST CEILING AREA SQUARE FEET z 163 qj IG t . W Sl d3 ' I 17(# 210 it? v 1 13 FLOOR AREA N I SI 81 73 j4 3 177 5 , . 4' 3 SQUARE FEET cue M VOLUME 234Y . vlc oo ji, 2 q S& 1 a 4 1G 3103 u 619 2Z' 1 1301 3 4. i % 8 131 SQUARE FEETGROSS WALL ARfA. T I Z GLASS AREA SQUARE FEET 3 q Cr G• 7 DOORSNET SQUARE FEET ftL AREA Cy a. 5 I y` I'. 27 L Z,, 31 TOTAL LOSS 7 '-/ i 311 3 2- l 8 7 t C 7 3 9€/ C 3? TOTAL INSTALLED 1 j GC 0 w® 7 w + C 3 1-: 5 -! I t 2 q"' 1- 0 i f F- i 1. r I i ak d'+ i `' ESTIMATOR . . . . . . . . . . . . . ... . . . ... .......-. .. .. . . .. .. ... THERMA- RAY THE A- RAY RADIANT CEILING HEATING SYST" , HEAT LOSS CALCULAT' N FINSULATION: DATE PHONE BLDR. 63 (, WALLS CEILING J--FLOOR BETWEEN FLOORS DOORS GLASS SLIABNSULATION ARCHT. MP. DEGREE DAYS HEAT LOSS HEAT INSTALL. EST. OF COST T DOUCLE R R LOW T Room rx 20 1qj(Ali Area Area Area Area Area Area Area Area Area SOURCES OF or Walls or Watts or Watts or Watts or Watts or Watts or Watts or Watts or Watts HEAT LOSS Volume Lost Volume Lost Volume Lost Volume Lost Volume Lost Volume Lost Volume Lost Volume Lost Volum IOAT CEILING AREA SQUARE FEET AN .213 1331, 30 FLOOR AREA SQUARE FEET alp 3 2-70 211 3 d3, 11 ROOM VOLUME CUBIC FEET f GROSS WALL AREA. SQUARE FEET GLASS AREA SQUARE FEET 270. DOORS G''` 7 NET WALL AREA j y. f SQUARE FEET 3`r y® 1 37/ Flo TOTAL LOSS 1 i;L, 7 7 1 2.50.2 TOTAL IN STALLED 3 G a 9 .2t I cv 01114 40 100 C fw . ESTIMATOR THERMA-RAY 5911 PLUMBING APPLICAT10N A},Wwatim No. 6 619 0 on the __ of Lot k63 Kent Lane s- Street Na. 102 y O,,= _._,._ T & M Building plumber _ Norman Lut zen Filed in Office of The Bwl&ugI rpe000r Mar.. 22 1982. No pereoa dull an add m or ah r ay portion of t6' &aiww symo m of amy boldimg cooept to repair leab) uoa a Plmmic is graeoed by the BuMn L pemr. Application No. .6.69-0................ Permit No. .......59.11............ TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. 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. South Windsor, Sign here 11A.-IN"....'a..... ............... Address ..R..-S....................5-f................. Location 7 side of ....-ju-- .. Street Nature of Building o?.....e. ............................... How many stories .. . 2..................................... .................................. Owner .. .......... c.....5;........ ...... Address ...... 0...............6 Architect ....... I............ .................... Address Builder .... t..- Address . ............ . . .... ......................... ............................... .......... Plumber .. ....lkeoo^1 40V. ..4. ........ ..kvi&,nel......................... Address 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 ........... ............................................................................... MAIN DRAIN IN CELLAR, Material 47"1. Diameter. .-.1. ..................................................................................... ......... Aboveor below cellar bottom I..................................................................................................... SOIL PIPES, Material . . .. R. Diameter 2#........./Z ....................................................... WASTE PIPES, Material . Diameter TRAPS,Type proposed to use is RAINWATER LEADERS, where do they run to ........ .................................................................................................................... REFRIGERATORWASTES, where do they run to .. . .. .......... .................................................................................... .............................. TANK OVERFLOWS, where do they run to FIXTURES WATER CLOSETS, How many .... ....... ................ ......... Where located . .. ................................................................................ Distance from trap to vertical soil pipe ........... Pattern WASH TRAYS, How many .. ........ ............. /...................... Where located . ................................................................................... SINKS, How many ... ... ......... Where located . . ...... ........................ ................................................ BUTLER'S SINKS, How many .................Where located.. ................................. ............................................................. REFRIGERATORSINKS, How many .,..................... Where located .................................................................................................. LAVATORIES,How many ... .................13................................ Where located .................................................................................................. BATHTUBS, How many.............................. ..................................... Where located ..................................................................................................... URINALS, How many ...... Where located ........ ......................................................................................... Are water closets and urinals to be local vented 7-7. 1f not, is there a window in outer wall of room where same are to be located . ...... V4 &V 4±''Estimated Cost . ..... ...... ......................... FINAL 7Buildingg — Ns• APPLICATION FOR BUILDING PERMITYfi Plumbing HVAC Date: vne 1A Sprinkler 102 KENT T-ANF Electric Estimated Cost $ Zoning 20034 Permit Fee$ 3a Affidavit NO.Occupancy Fee $Is Eng. Dept. Fire Dept. COMPLETE RED BOXED AREAS.Total Fee $ $3 Health Dept. TYPE OR PRINT ONLY Approved for CO. 7/5 S SIGN ON REVERSE SIDE. Additional Cost) $ TO BUILDI EPARTMENT, TOWN OF SOUTH WINDSOR, CT The undersigned, hereby applies to do work according to the following specifications: Job Location Lot No. Side of Street one Applicant J c Tel. # y Address Zip Lic.# STM T ITY STATE l Owner ddress_16D MMll— l ti. (,Q Ajsa Architect Address- Size New Area: Ft. Front Overall Ft. Deep Overall Total Area Garages Lavatories Size of Lot Dist. from Street Line athrooms Rooms 1st 2nd 3rd Purpose of this Permit -76 t'4 r44x 11 a in Lble 40 OjWfyl,-1 0'2%/ r7V Ln Zle City Water Well 0 Septic 0 Sewer 0 Use Group U Construction Type Approved by 4k Date 41-- Bo1A 1 1/ea I hereby agree to conform to all the requir ments of the Laws of th State of Connecticut and th Ordinanc s of th 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 r quired distances from all other zones and is located in a zone in which this building and its use is allowed. Signed 04 I hereby apply for a Certificate of Occupancy for the work described in this applic ion for permit. Signed DO NOT WRITE BELOW THIS LINE— INSPECTION RECORD Footing Framing Foundation Fireplace/Chimney Insulation Plumbing Permit# Inspections: HVAC Permit# Inspections: Electrical Permit# Inspections: Sprinkler Permit# Inspections: Inspection / Approval Date By Appl Code Description Due Whom Code Comment 92-20034-B 3,000 B09 OTHER 03/11/93 JFH DROPED TAG E03 ROUGH 07/07/93 JFH D NO GFCI OUTLET TO CLOSE TO POOL B10 FINAL 07/19/93 JFH A 93-12632-E 300 Total Est Value 3,300 I E S T5 39 702s8ZO-. SOO Z9$0 Z O N _ Inv. 300.85050 306 64 3`7. r SOA AS FIN.GAR.FL yob 460 2 05 309.5 4' S3o8 S2, 4 43` 50' bldg. line 51.95'5s6 320 0 6-4---- T1 , . 322 21.1 St. I ine 88.00 son.NMapReference : storm Plot Plan Resubdivi 'elan Parcel A" " TIMBER KNOLL property of T a M BUILDING COMPANY South Windsor, Conn.AS-BUILT PLAN PHASE 1Q Scale : I"= 40' Sht 2 of 12 LOT 63 Oct. 1975 Rev. thru Feb. 15, 1979 Certified Class A_2 By TIMBER KNOLLMyronFeinstein, L.S. I hereby ertify to the Colonial Bank ! the first Lmerican Phase 4 title insurance Co. that this survey was actually Made up- on the ground and that waste otherwise short title lines and OFadlinosofactualpossessionarethesame$ buildings are iota% d e sh wn and to not encroach over or upon st»sto title Or building lie.., th.r .re ao .10lat1 n. : : niag TEkM BUILDING CO.rsiulatione with rsforeace to location f said buildings ad there are so easemeats or oncroachaents affecting this p appartnt fro ful inspection f the same. 6 L South Windsor, Conn. Robert T. Dayton Conn. . 8157 MAY 28, 1982 SCALE I"= 40' J.B.S. woe , - JON 19 1992 South Windsor 13UILDING DEPARTMENT F,srd These UJ dt ai iv I Ii iV Vi M LV;`1i1'Vu uildin sIroposedbg( ), use(s) a.,d,cr as shown on this plan iJ conformance with current regulations. Variances and special may apply. Date Zoning Erforccmer,,t 'f`I PERMIT # DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT ' i Application is hereby : TOWN OF SOUTH WIN SOR APPROVE DISAPPROVED BUILDING INSPECTION ;DEPT. 644-2511 Ext . 230 Application must be printed or typed . bate Building Inspector 1 . LOCATION OF JAB 17 ItW)/-- FEE SCHEDULE No . Street 0 - $12000 - 10. 00 Floor Apt . No . Over $1,000 - 10 . 00 per $1 ,000 or 2 . OWNER fraction thereof J3. ADDRESS /aZ L, 4. APPLICANT cS)0-fE 5 . ADDRESS i 6. ESTIMATED COST $ 3040- 00 7 . IS THIS A CONTRACT COST Ye s. No 8 . FEE ENCLOSED $ k-- -,, , .lQ, 9 . TYPE OF BUILDING : RESIDENTIAL COMMERCIAL 10 . TYPE OF JOB : Original Installation Alteration/Addition/Repair BD 3A 11/88 APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side) 11 . LOCATION OF JOB 1D.2 Z°N NO . STREET APT. NO 12 . TYPE OF INSTALLATION A) Ski`` r 13 . SIZE OF MAIN FEEDER jIZ 14 . NO. OF LIGHT LOOPS 15 . NO. OF HEAT LOOPS 16 . NO . OF POWER LOOPS 17 . NO . OF LIGHT OUTLETS 18 . NO . OF HEAT CIRCUITS 19 . NO . OF POWER OUTLETS 20. NO. OF CONVENIENCE OUTLETS 21. NO. OF HEAT CIRCUITS 22 . NO. OF POWER CIRCUITS 23 . NO. OF LIGHT CIRCUITS 24 . SIZE OF HEAT CIRCUITS 25 . NO. OF MOTORS L 26 . NO. OF PANELS 27 . TOTAL WATTAGE 28 . NO. OF POWER FEEDERS 29 . NO. OF SWITCHES 30. A/C LOAD 31. SIZE OF POWER FEEDERS 32 . NO. OF FIXTURES 33 . TOTAL HORSEPOWER 34 . NAME OF SUBCONTRACTORS AND THEIR TRADES 35 . REMARKS AND FURTHER DETAILS : I r A-'/ IzeD LICENSE NO.SIGNATURE 0 APPLICANT DATE PHONE NUMBER: June 29,1993 Mr. Ronald Daigle: 102 Kent Lane South Windsor Conn. 06074 Dear Mr.Daigle You are hereby notified that the following condition exists on the property referenced above: State Statute 29-265 Type of violation: I have contacted your household either by a phone call to your home or I have dropped off a door tag. This was done with regards to your swimming pool with hope that you would contact this office. According to our records your pool does not have a Certificate Of Occupancy which is required by State Statute 29-265 which states it is unlawful to use a pool without a Certificate Of Occupancy. You may have an unsafe condition that not only is a hazard to you and your family but to your neighbors as well. All of this adds up to extra liability for you as the home owner. Corrective action required: Please contact this office on or before July 09 1993 . You will then have two weeks from the date you contact this office to resolve this problem. If this date for compliance does not allow for sufficient time to correct the problem, please let me know when you call the office. Should you fail to correct the violation by the date given, and do not contact me regarding this situation, this will be referred to the State of Connecticut Housing Court for action. If you have questions regarding this matter, call me at 644-2511 ext. 232 . Very truly yours, John F. Hogan, Assistant Building Official FINAL INSPECTIONS:_ fc '7/r 72) Building f? 9' kOPLICATION FOR BUILDING PERMIT Plumbing HVAC 102 KENT LANE Date: Sprinkler Estimated Cost $ -'-SElectric o JZoningPermitFee$ Affidavit NO. 2 0 6 5 7 Occupancy Fee $ Eng. Dept. eJ Fire Dept.COMPLETE RED BOXED AREAS.Total Fee $ Health Dept. TYPE OR PRINT ONLY Approved for CO: SIGN ON REVERSE SIDE. Additional Cost) $ TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT The undersigned, hereby applies to do work according to the following specifications: Job Location ICZA Lot No. Side of Street Zone Applicant Tel. # Address x Zip Lic.# S T CITY STATE Owner Address Architect Address Size New Area: Ft. Front Overall Ft. Deep Overall Total Area Garages Lavatories Size of Lot Dist. from Street Lie Bathrooms Rooms 1 st 2nd 3rd Purpose of this Permit City Water Well Septic Sewer Use Group Const on Type Approved by Date BD1A 11/88 r„ I h reby agree to conform to all the requirem nts of the Laws of the Stat of Connecticut and th Ordinances of the Town of South Windsor and to notify the Building Inspector of any alteration in the plans or specifications of the Bing for which this permit is asked,and agree that this building is to be located the proper distance from all street lines,side yard lin n e uired 'stanc m all other zones and is located in a zone in which this building and its use is allow d. Signe I hereby apply for a Certificate of Occupancy for the work described in this application for permit. Signed DO NOT WRITE BELOW THIS LINE— INSPECTION RECORD Footing Framing Foundation Fireplace/Chimney Insulation Plumbing Permit# Inspections: HVAC Permit# Inspections: Electrical Permit# Inspections: Sprinkler Permit# Inspections: