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o 3 THE BUILDING INSPECTOR
of the APPLICATION FOR
PLAN EXAMINATION ANDTOWNOFSOUTHWMSMCONK. BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, III, IV, and IX.O
ZONINGI• AT (LOCATION) 1^ 104"1 DISTRICT
LOCATION O.)N (STREET)
iOFBETWEENZiyY1JAND1_' v \J Cl °
BUILDING CROSS STREET CROSS S REETlt3 L0 'tS5,
SUBDIVISION 9 LOT BLOCK
LOT
E
G1i•J
H
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
T
M
1 EgNew building Residential Nonresidential
2 Addition(It residential, enter number 12 M One family 18 Amusement, recreational
of new housing units added, if any,13 Two or more family — Enter 19 Church, other religiousinPartD, 13)
number of units— — — — --)-
3 Alteration (See 2 above) 200 Industrial
14 Transient hotel, motel, 21 Parking garage4 Repair, replacement or dormitory — Enter number
5 Wrecking (If multifamily residential, of units ——————— — -- 22 Service station, repair garage
enter number of units in building in 15 Garage 23 Hospital, institutional
Part D, 13)
16 0 Carport 24 Office, bank, professional
6 Moving (relocation)
17 Other — SpeciJy 25 Public utility
7 Foundation only 26 School, library, other educational
B. OWNERSHIP 27 Stores, mercantile
8 EXPrivate(individual, corporation,
28 Tanks, towers
nonprofit institution, etc.) 290 Other — Specify
9 Public(Federal, State, or
local government)
C. COST ents) Nonresidential — Describe in detail proposed use of buildings,e.g., food
processing plant, machine shop, laundry building at hospital,elementary
10. Cost of improvement,,,•...,,....,.. 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 1$ ami.M? I
III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts 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 c
o3149. Total square feet of floor area,Wood frame 41 Private (septic tank, etc.)
48. Number of stories................
all floors, based on exterior
32 Structural steel dimensions ....................
33 Reinforced concrete H. TYPE OF WATER SUPPLY
34 Other — Specify 42 Public or private company
Total land area, sq.ft. ...........V
43 Private(well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed .......................
35 1&402 Will there be central air 52. Outdoors.......................
36 Oil conditioning?L. RESIDENTIAL BUILDINGS ONLY
37 Electricity 44 Yes 45 s N 53. Number of b dro me..............
38 Coal
39 Other— Specify Will there b an levato?
54. Number of
Full..........
46 Yes 47 Sjj No bothr me
Parti a I........
IV. IDENTIFICATION — To be completed by all applicants
Nam Mailing address — Number, street, czty, and State ZIP code Tel. No.
Owner or ek4
Lessee
2.
Contractor 1
3.
Architect or l
Engineer
The owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction.
Si at a of appKcant Address Application date
C A0 A
06.
DO NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Re uired Check Plan Review Date Plans By y
Date Plans B NotesqFeeStartedApproved
BUILDING
PLUMBING
MECHANICAL
ELECTRICAL
OTHER
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check O
Date
btained Number By Permit or Approval Check Obtainedate
BOILERNumber
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 L
Building
Permit issued 19
Building V`
P rmit Fe $0C_D
APPrrqved by.
ON 1
TITLE
TOWN OF SOUTH WINDSOR
BUILDING PERMIT
Date Aug. 8 1983
D .
Fee Paid 00 Est. Value 40!,000
Permit ° 13411
on the side of
Lot #115 Betty Lane Saar
Street No. 12
owner JMJ Construction
Applicant JTMJ Construct-Ann
CERTIFICATE OF OCCUPANCY ISSUED:
Date
N0. 6495
Fee Paid $ 3.00
CLASSIFICATION
Dwelling
BUn DING PERMIT
N.O 13411
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
Aug. 8 19 83.South Windsor, Conn.
94is to fit Ciertilm, That nKJ Const,-n
is hereby granted permission to Dwelling
I
I
at estimated value of $ 4LO00
on the side of Lot #115 Betty Lane Street on land
owned by JMJ Construction
i
Said Work to be as described in Application
No. 13 711 and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
Issued Au&. 8 19 83
uilding Inspector.
Streets and sidewalks, obstructed by ezcavations 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."
Permit No: 3 TOWN OF SOUTH WINDSOR
SOUTH WINDSOR, CONN.
Permit NO* 6495
Certificate of Occup ncy
TI SATSATF CERTIFY th the
at No. in the T of South Windsor, Connecticut, has
been erected and complete in accordance with the Building Code and Zonpg Regulations of
the Town of South Windsor, and is hereby appr,ved r occupa
p lea
BuildW Inspectord4'J
Owner', Builder
a d
Fee Paid Date 19