HomeMy WebLinkAbout104 Chapel RoadbD TO THE B ING I 1T P R
Of the APPLICATION FOR
TO" OF SOUTH WHMSAM CO[i111i,PLAN EXAMINATION AND
BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, IX. O
ZONINGI• AT (LOCATION) 0 DISTRICT
LOCATION NO.) sT ET)
OF BETWEEN AND
BUILDING CROSS STREET) CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D v
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use M
1 New building Residential Nonresidential
2 Additi n(if residential, enter number 12 One family 18 Amusement, recreational
of new housing units added, i/any, 13 T family — EntnPartD, 13) wo or more 19 Church, other religi usamEnter
3
number of units— — — — —_._ 20 IndustrialKAItperation14 Transient hotel, motel, 21 Parking garage4ea (
See 2 above)
ir, replacement or dormitory — Enter number
5 Wrecking (1/multifamily residential, of units ——————— — -i 22 Service station, repair garage
enter number of units in building in 15 Garage 23 Hospital, institutional
Part D, 13)
16 Carport I` 24 Office, bank, professional
6 Moving (relocation) OCF WWII 25 Public utility
7 Foundati n only
17 Other — Speci/y Y
Cr n , 26 School, library, other educati nal
B. OWNERSHIP 27 Stores, mercantile
8 Privat (individual, corporation, v /' 28 Tanks, towers
n nprofit institution, etc.) lNn l C4 • 29 Other — Specify
9 Public (Federal, State, or
I cal gov rnment)
C. COST Omit cents) Nonresidential — Describe in detail proposed use of buildings, .g., f d
processing plant, machine shop, laundry building at hospital, elementary
10. Cost of improvement............... 0 Q G school, secondary school, college, parochial school, parking garag 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
o. Electrical......................
b. Plumbing ......................
c.H ating, air conditioning.........
d. Other(elevator, etc.)............
11. TOTAL COST OF IMPROVEMENT $r0 oDQ
III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L;
for wrecking, complete only Part J, for all others skip t 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 W ad from 41 Private (septic tank, etc.)
49• Total square feet of floor area,
all floors, based on exterior
32 Structural steel dimensions ....................
33 Reinf reed concrete H. TYPE OF WATER SUPPLY
34 Oth r — 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........................
367011 conditioning? L. RESIDENTIAL BUILDINGS ONLY
37 Electricity 44 Y s 45 N 53. Number f bedr ms..............
38 Coal
39 Other— Specify Will there be an elevator?
54. Number f
Full..........
46 Yes 47 N bathrooms
Parti a(........
IV. IDENTIFICATION — To b compl t d by all applicants
Nam Mai ling addr ss — Number, street, c:tv, and State ZIP code Tel. No.
eo,4,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 app ',ca t Address Application dot
w /
DO NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans B Date Plans By NotesFeeStartedyApproved
BUILDING
PLUMBING
MECHANICAL
ELECTRICAL
OTHER
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval I Check Date Number B Permit or Approval I Check Date Number ByppObtainedyppObtained
BOILER PLUMBING
CURB OR SIDEWALK CUT ROOFING
ELEVATOR SEWER
ELECTRICAL SIGN OR BILLBOARD
FURNACE STREET GRADES
GR: N'G, USE OF PUBLIC AREAS
OIL BURNER WRECKING
OTHER OTHER
VII. VALIDATION
Building
P rmit number
Bui Iding
Permit issued 19
Building
Permit Fe $ zz
prove y:
TI L
4
TOWN OF SOUTH WINDSOR
BUILDING PERNIIT
Date Aug. 9
1 198 5
Fee Paid $. . .6 0.0 0 Est. Value $10.1.0 0 0
Permit N° 14595
on the side of
Chapel Road Saw
Street No. 104
Owner John T,awtnn
Applicant Jnh n Lawton
CERTIFICATE OF OCCUPANCY ISSUED:
I Date
No.
Fee Paid $
CLASSIFICATION
Alterations
i
BUILDING PERMTr
NY 14595
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
9SouthWindsor, Conn. Auu 1985
I
i
rtt t faPtt- , That John Lawton
I
is hereby granted permission to A lts•ra t i nn s can Awe l 1 i ngI
at estimated value of $1.
on the side of - 10 4 Chapel Road Sava on land
owned by John Lawton
Said Work to be as described in Application
No. 14895 and to conform to specifications and plans filed with said Application, and Building By.
Laws of THE TOWN OF SOUTH WINDSOR.
Issued Aug- 9 1985
Building 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."
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PERMIT #
Application For 3123
2 DEPARTMENT DECISION 334 geatmg Permitcd
3 APPLICATION IS HEREBY: DEPARTMENT OF LICENSES AND INSPECTIONS
N {'APPROVED DISAPPROVED
TOWN OF SOUTH WINDSOR
I~0 cd 500 DAT A—
CHIEF INSPECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BELOW
O
C 1. LOCATION OF JOB
o carpo
cd $4 NO. STREET
4-2O
cd v
LOT NO. FLOOR APT. NO.
O
LV
0 2. OWNER TO
0 w
0
0 3. ADDRESS- /I—ly cHfy)>l-L
y
So w I vas 0 4.PHONE
ycd
C! s. APPLICANT
T w Q on
o 0 a. ADDRESS 6 6
1
La'scd `d T t( 6 re T I O 7.PHONE!i2 I
S. LICENSE N0.
a
s. EXPIRATION DATE OF LICENSE
0
vv
10. ESTIMATED COST S
o r" 11. IS THIS A CONTRACT COST? I YES NO
bp
12. FEE ENCLOSED S 3.00
a 0
ai 13. TYPE OF BUILDING:
PKRESIDENTIAL COMMERCIAL
O 14.
ce 14. TYPE OF JOB: INDUSTRIAL
RIGINAL ALTERiINSTALLATIONADDITI+ONON
REPAIR
7
APPLICATION R HEATIN,'gq PERMIT (Continued fr m Reverse Side)
11 LOCATION OF JOB JO q tee
NO. STREET FLOOR APT.NO.
12. TYPE OF INSTALLATION: OIL BURNER I HEATING SYSTEM VENTILATION SPRINKLER
GAS BURNER STACK INCINERATOR MISCELLANEOUS
IDENTIFY
SIZE LOCATION SIZE SIZE y
13. OF TANK ,) 7 OF TANK OF FILL OF VENT
14. B.T.U. EQUIP. AT REGISTER FURNACE,MA Na 0. AT BONNET FIRING RATE
BOILER OR FURNACE MAKE AND N B'f. SQ. FT. NE B.T.U. OR SQ. FT. GROSS FIRING RATE O
FLOORS TO BE HEATED NEW OR OLD BUILDING el INRLLLATED - YES OR NO A4 O
TYPE OF WALL jnke -INSUoLATION ROOF OR CEILING INSULATION
AVG. SYSTEM WATER TEMP. B.T.U./SQ. FT./HR. EMISSION
INDOOR-OUTDOOR TEMPERATURE DIFFERENCE go FAHRENHEIT
MAKE OF RADIATION: BASEBOARD COPPER CONVECTORS, OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ.
FT. OR B.T.U. LUl-
DESCRIPTION OF WORK 6AW gl cle15. TO BE DONE:LRK 7oicc- K u}
D 0 0 o -V/'\ L=s 7 c c 14 ®-T tt-.1-7- ur
15. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS).
ROOM SIZE
WINDOWSIcV
AREA - SQUARE FEET B.T.U. B.T.U. 9 o DISTRIBUTION INSTALLEDANDDOORSVOLUMETOTALTOTALy
NO.
LL
ROOM GLASS NET WALL CEILING FLOOR C 1. AT 70•F CORRECTED <j LL REGISTER
L W N AND W v TEMP. TO H TYPE AND SIZE RAD. OR LEADER
SIZE <f ' • U i r `
I DIFF. 0 •F O m N SQ. FT. FREE AREA
y 3 a
OOo / 'D1 lCo 3Goo
7cgo 0 Sao l7X !'/
z- J 3w3 2'
20 0
C
Y av S 30
V 1J '+0 3 a 0 0 o o G:5 tic? 7 413 d
x 711 2 3w ro O S 00 &2v
z
G
o 4000ga,
20 lZ ^O I d Ct &YOG 7310
I 76 3W 313 00. 4E41p V,/406 1AYoe /70
TOTALS
A. HEAT LOSS FROM BUILDING 00 B.T.U./HR.
B. DOMESTIC HOT WATER DEMAND U --- - B.T.U./HR.
C. PIPING, OTHER THAN NORMAL B.T.U./HR.
ALLOWANCE FOR HEAT VALVE OF FUEL (A B C) FACTOR Q
17. ELECTRICAL WORK BY:
NAME ADDRESS
SUBCONTRACTORS AND
18. 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.
DATE SIGNATURE OF APPLICANT
Electric#
104 CHAPEL ROPPLICATION FOR BUILDING PERMIT
Plumbing# C4 ZA2- 4,DHVAC # 23393
Date:
Sprinkler# NO'
FINAL PRO V Estimated Cost $ O(.07 "
Building I 1 13t9L T7 COMPLETE RED BOXED AREAS Permit Fee
Engineerin TYPE OR PRINT ONLY Occupancy Fee $
Affidavit SIGN ON REVERSE SIDE
Appr.for CO. Lift 6 'aYI N ? Total Fee
TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR,CT Additional Cost) $
Th undersigned hereby applies to do work according to the following specifications:
Job Location Ab y_ (` "eA Lot No. Side of Street 1ii-1, 1-,Zone
Applicant-G t IC"A. b•.G wiv,... Tel.#
Addressip i4 12 kwo e.( fZ1. S Uj%1'-d5o r Zip o&o71—Lic. #
Own r eA-9 JaCt Address__ Sc.n, c"
Architect N I K Address
Sq. Ft.New Area: 1st FI. LA 90 2nd Fl. 3rd FI. Total New Area
Rooms Lavatories 0 Bathrooms 0 Garages a
Purpose of this permit: v 02_0 , X t-D S-6 K:
a AA
5-• ma's r T t cv
City Water C WellJZ Septic System C Sewer J
Use Group - Construction Type r Basement Garage
Approved
Revised 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 budding 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 which this building and its use is allowed.
Signed
I hereby apply for a Certificate of Occupancy for the work described in this applicat n for the permit
Signed
DO NOT WRITE BE OW THIS LINE --
INSPECTION COMMENTS
PERMIT
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
Application is hereby : TOWN OF SOUTH WINDSOR
BUILDING INSPECTION DEPT.
APPROVED DISAPPROVED 1540 SULLIVAN AVENUE
644-2511 Ext . 230
ate 0ng Inbpector Application must be printed or typed
1 . LOCATION OF JOB
y C&
FEE SCHEDULE No . Street
0 - $19000 - 10.00 Floor Apt . No.
Over $1,000 - 10.00
2 . OWNER 2 // Jper $1 ,000 or r
fraction thereof
3. ADDRESS /Q !L C&69
4. APPLICANT
5 . ADDRESS J-,7d
0 cl
6. ESTIMATED COST $ d
7 . IS THIS A CONTRACT COST
s N
8. FEE ENCLOSED $
a33
9. TYPE OF BUILDING:
RESIDENTIAL COMMERCIAL
10. TYPE OF JOB :
Origin 1 Installation
alteration<ditio Repair
Rn 3A 11i88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11 . LOCATION OF JOB /O 141 C1-W ,C
NO STREET APT. NO ,
12 . TYPE OF INSTALLATION I
13 . SIZE OF MAIN FEEDER
14 . NO . OF LIGHT LOOPS 15 . NO. OF HEAT LOOPS
16 . NO . OF POWER LOOPS 17 . NO. OF LIGHT OUTLETS Z
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
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 :
A03 ;71(F
LICENSE NO.SIGNATURE OF APPLICANT DATE
PHONE NUMBER: y7 -f
BActric#APPLICATION FOR BUILDING PERMIT
Plumbing#104 Cha_Ae 1 Road
HVAC # Date:T Z f
Sprinkler# 2 3 6 5 4
FINAL APPROVALS Estimated Cost $ >',j0
Building y yt4/sb COMPLETE RED BOXED AREAS Permit Fee ILO
Engineering TYPE OR PRINT ONLY Occupancy Fee $
Affidavit SIGN ON REVERSE SIDE
Appr.for CO. Total Fee zj
TO BUILDING DEPARTMENT, TOWN OF SOUTH WNDSOR,CT Additional Cost) $
Th and rsigned hereby applies to do work according to the following specifications:
Job Location 0 Lot No. Side of Street Zone
Applicant 4, f Tel. #m-53ab
Address Zip 6607CI Lic. #
Own r 'G Z,w7& Address rt So. wi•t cJj a r-
Architect Address
Sq. Ft.New Area: Ist FI. 2nd Fl. 3rd FI. Total New Area
Rooms Z Lavatories Bathrooms Garages
Purpose of this permit: Aw`+-i c. yyy%, &060
City Water ` Well Septic System Sewer El
Use Group PAJ114 Construction Type rV 4 Area Basement Garage
Approved by Date 2.6 G
Rwamd 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 4tance from all street lines,side yard lines and required
distances from all other zones and is located in a zone 1 which this b ing and its use is allowed.
Signed
1 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
p,
Tertific #e
Pursuant to Permit No. 9 a
This Certifies that the Wood/Coal Stove installation for which the above named Permit was
granted has been duly inspected and is hereby approved.
Owner Brian Lawton
Street
Septeagber 2 4 ,
it g Inspector
Property Of
C t3RIANP. & JAN T. I,Ak'"'Ql,t
104 Chapel_ Rd
i
So. Windsor
Scal 1 "-40'
i
I hereby certify to First Federal Savings and Loan Assoc. of
East Hartford and/or Conn. Housing Finance Authority and Conn.
Attorneys Title Insurance Co. that an examination of the above 1
property revealed the followings
1 . Foundation located as shown
2. Premises does not conform to present Zoning requirements
i A . Lot size- Variance granted Kay 5, 1985
B. Min, lot set back - 50'
C Min. side yard - 20'
3• No Zoning Violations wE TH ;„
Certified substantially correct o
J(An H. Keithline, Jr. 4L
10.
Sol
OOs 7 p `
01
IA
0
A . QX ,'G
to
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r.•.. • .r wr.. ...w•w. ...... w..r w....... .....•.,rr•r..rr«w.rr«.«r.+•+r wr r+i
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CERTIFICATION OF ZONING COMPLIANCE
Proposed building(s), use(s) and/or structure(s)
s shown on this plan appear(s) to be In
onformance with current South Windsor
gulations. Variances and special exception-Z
may apply,
ate 7 /,z 9C
g f cement Officer
yxa
3a 94
o
10 THE BUILDING DEPT. TOW,,'
1-his certifi^d that this plan and spoc(fic t,.--s-re,ru,
copies of the proposed building or aiteratiuns to bF
orected at
C6C/Street
t•)P'tiler w;t`i amen ruts stated in !pplicition an,
ilc d ,`.Ili pl in ,and I grve to c.,mpl,i with :II zoning,
ildine rd st,te laws and such orders as sh,Jl tit
d "y the iluii,,mg DUp,irtrncnt during pendency
is ipplication and final iss ante of a building
wrmit.
lies plain 19 approved ubiect to the condition that
rd,,rs and ordinance regulating building shall be
plied with.
Conditionally Approved These filed with
Building Inspector lark
eatk i,__.__ No.W330
Cl aveland Legal Blank Service,Inc.
WARRANTEE DEED(Survivorship) 114SS East Hartford,Connecticut 06108
To all People to whom th s Pr s nts shall come, Greet-Inge 1
KNOW YE, THAT We,
E
JOHN J. LAWTON, JR. and SHIRLEY M. LAWTON,a
of the Town of South Windsor, County of Hartford and State of Connecticut
for the consideration of One ($1.00) Dollar and other valuable considerations,
w
received to our full satisfaction of BRIAN P. LAWTON and JAN C. LAWTON, of
93 Dover Road, in the Town of South Windsor, County of Hartford and
State of Connecticut
a do give, grant, bargain, sell and confirm unto the said
BRIAN P. LAWTON and JAN C. LAWTON
and the survivor of them, and the heirs and assigns of the survivor of them forever a certain
piece or parcel of land, together with the buildings and improvements thereon and
appurtenances thereto, located and situated on the northerly side of Chapel Road,
in the Town of South Windsor, County of Hartford and State of Connecticut, and
being more particularly bounded and described as follows, to wit:
NORTHERLY: by land now or formerly of John J. Lawton, Jr. and
Shirley M. Lawton, One Hundred (100) feet;
EASTERLY: by land now or formerly of John J. Lawton, Jr. and
Shirley M. Lawton, Two Hundred Fifty (250) feet;
SOUTHERLY: by Chapel Road, One Hundred (100) feet;
WESTERLY: by land now or formerly of Maude N. Carroll, Two
Hundred Fifty (250) feet.
Said premises are a"portion of land described in a Quit-Claim Deed from John J.
Lawton to John J. Lawton, Jr. and Shirley M. Lawton recorded in Volume 107 at
Page 12 o_ the South Windsor Land Records.
Conveyance Tax received
g 6' Conveyance Tax received
q• s...vVr.l' vs'"v L.J
Town Clerk of South Windsor
Town Clerk of South Windsor
tOW N sE
ne
s 1540 SULLIVAN AVENUE SOUTH WINDSOR, CONN. 06074
SOR•co AREA CODE 860/644-2511
July 23, 1996
CERTIFIED #Z262392685
Brian & Jan Lawton
104 Chapel Road
South Windsor, CT 06074
RE: Appl. #2321-96 - Brian & Jan Lawton
Dear Mr. & Mrs . Lawton:
At the July 11, 1996 meeting of the South Windsor Zoning Board
of Appeals, the Board approved your request for a 30 ' variance
to Section 10.2 to allow for existing structure and addition 20 '
from front property line, A-40 Zone.
The Board concluded the hardship on the property to be that the
property pre-dates existing zoning regulations .
Any new building, or alterations/additions to existing buildings
require a building permit prior to start of construction.
This action is effective upon your filing the enclosed form in
the Town Clerk's office at your own expense.
Very truly yours,
e\
d r.
Jo ph J. Car o, Chairman
Zoning Board of Appeals
JJC:dr
Attmt.
cc: Building Department
VOI. 007 PAGE 00'1 004305;9
r
I, Joseph J. Carino, Chairman of the South Windsor Zoning Board of
Appeals hereby certify that on July 110 1996, the Zoning Board of
Appeals granted to: Brian i Jan Lawton, a 30' variance to Section
10.2 to allow for existing structure and addition 20' from front
property line, A-40 Zone.
on premises located: 104 Chapel Road
and more particularly bounded and described as follows:
piece or parcel of land, together with the buildings and improvements thereon and
appurtenances thereto, located and situated on the northerly side of chapel Bond,
in the town of South Windsor. County of Hartford and State of Connecticuts and
bai.-.Q zest particularly bounded and described as follows, to wit:
NORTHERLY: by land now or formerly of John J. Lawton. Jr. and
Shirley M. Lawton, .Oas Hundred (100) feet;
e EASTERLY: by land now or formerly of John J: Lawton. Jr. and
Shirley M. Lawton, Two Hundred Fifty (250) feat;
SOUTHERLY: by chapel Road. One Hundred (100) feet;
WESTERLY: by land now or formerly of Maude N. Carroll, Two
Hundred Fifty (250) feat.
Said premises are a portion of land described in a Quit-Clain Deed from John J.
Lawton to John J. Lawton. Jr. and Shirley M. Lawton recorded in Volume 107 at
Page 12 of the South Windsor Land Records.
OWNER OF RECORD: Brian P. i Jan C. Lawton
Dated at South Windsor, Connecticut this 23rd day of July 1996.
u-Lcn_a r-
Joseph J. Car' o, Chairman
PUBLIC ACT 175-317
Received for Record this day of (Ir4t, 199(0
at oprn
VOLUME (10 f
PAGE
TOWN CLERK 1.,L._:.Q -),Rclluaal
1t TGAI CLERK
HOME OCCUPATION FORM
Minor ZEO Approval Date A 00/193M7 ASSESSOR'S USE ONLY:
Major PZC Approval Date Home Occupation Type
Expiration Date Code
NameLVr
I
Address of proposed occupation:
Telephone 2222"5,i c D Zone d
Description of Occupation:
7 if n
ia46 efYP7 si
s
A PROPOSED SIGN
Please use the boxes or an attached sheet to provide the following:
1. Attach copy of plot plan if applicable.
2. Use box A (or attach sketch)to draw proposed signage .
3. Use box B (or attach sketch) to draw the floor plan of the home
occupation area. Y)O4. Architectural elevations for any proposed additions or modifications
must be provided.
B. FLOOR PLAN (Basement 1st Floor 2nd Floor)
Floor area of dwelling 20
Floor area of home occu anonf
of floor area
I have read the regulations regarding home occupations and intend to comply with said regulations. I
understand I must notify the Planning Depar ent ' writing upon termination of this occupation at this
address.
Signature of Applicant Date 0,G-7`
Signature of Owner Date
White = Assessor Yellow = Applicant Pink = Street File