HomeMy WebLinkAbout12 Birch Road (6)6 TO THE BUILDING INSPECTOR
of&C APPLICATION FOR
TO" OF SOUTH WMISM COW PLAN EXAMINATION A N D
BUILDING PERMIT
IMPORTANT — Appli t to com lete^iteMY9 se tions: 1, 11, 111, IV, and IX.O
I ZONING
AT (LOCATION) DISTRI •
LOCATION N0.) STREET)
OF BETWEEN AND
BUILDING CROSS STREET) CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D I
X
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use T
1 New building Residential Nonresidential
2[X Addition(If residential, enter number 12 One family 18 Amusement, recreationalofnewhousingunitsadded, if any,
in Part D, 13)13 Two or more family — Enter 19 Church, other religious
number of units— — — — --jo. 20 Industrial3 Alteration (See 2 above)
14 Transient hotel, motel,21 Parking garage4 Repair, replacement or dormitory — Enter number
5 Wrecking (1/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 Carport l 24 Office, bank, professional6 Moving (relocation)
17 Other — Specify 25 Public utility7 Foundation only t w 26 School, library, other educational
B. OWNERSHIP 27 Stores, mercantile
8 E& Private (individual, corporation,28 Tanks, towers
nonprofit institution, etc.) 29 Other — SpeciJy
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,,,,,,,,,,,,,,,, pp 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 Nla
b. Plumbing ......................
c. Heating, air conditioning.........
d. Other(elevator, etc.)............
11. TOTAL COST OF IMPROVEMENT $
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
48• Number of stories.............
49. Total square feet of floor area, ...31 Wood frame 41 Private (septic tank, etc.) all floors, based on exterior
32 Structural steel dimensions ....................
33 Reinforced concrete H. TYPE OF WATER SUPPLY
34 Other — SpeciJy 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 Oil conditioning?
L. RESIDENTIAL BUILDINGS ONLY
37 Electricity 44 Yes 45 No 53. Number f bedrooms..............
38 C al
39 Other— Specify Wi I I there b an levator?
54. Number f Full..........
46 Yes 47 0 No bathr ms
Partial........
IV. IDENTIFICATION — To be completed by all applicants
N m Ma' ing addre — Nynber, str9ft, cifind State ZIP code T I. No.
owner or 0Z 5 LA
essee
t
ontractor OF
krchitect or
ngineer
The owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction.
5ignatu f applicant Address Application date
r71.
DO NOT WRITE BELOW THIS LINE
PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans B Date Plans B NotesFeeStartedyApprovedy
BUILDING
w 3_
PLUMBING
MECHANICAL
ELECTRICAL
OTHER
I. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Obtateainedned Number By Permit or Approval Check ObtDained 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
II. VALIDATION
Building
Permit number 9230
Bui Iding
Permit issued Mar. 10 19 76.
Building
Permit Fe $ 60.00
Approved by:
A
ITLE
TOWN OF SOUTH WINDSOR
BUILDING PERMIT
Date Mar. 10
1, 1976.
Fee Paid $. 60.00 Est. Value $.1O%000%00
Permit N?9230
on the side of
Birch Road Street
Street No. 12
Owner Wi fr d Fortin
Applicant James Golden
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No. 4749
Fee Paid $ 3.00
CLASSIFICATION
Den, dining room and
dw0-car 9aaae_
BUILDING PERMIT
Iro 9239
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn.ftr' 10 1976
94to to to QTrrt'tfljl That Jwws Golden
is hereby granted permission to Addition of den p dining room and two-car araae,
at estimated value of 00
on the side of 12 Birch Road Street on land
owned by Wilfred Fortin
Said work to be as described in Application
No. 9530 and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
Iss Mar, 10 9 76
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 compeller: to reason therefor."
Permit No. TOWN OF SOUTH WINDSOR
SOUTH WINDSOR, CONN.
Permit d 4749
Certificate of Occupancy
THIS IS TO CEO IFY tjwt the
at No. in Town of South Windsor, Co ecticut, has
been er cted and completed in accordance with the Building Code and Zoning Regulations of
the Town of South Windsor, and is hereby approved for occupancy.
Building Inspector
Q
Builder
Fee Parr1.
0 — Date 19