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HomeMy WebLinkAbout12 Birch Road (3)TO THE BUIELDING INSPECTOR of dhe APPLICATION FOR 1,O" OF SOUM W ADS(K CONIC. PLAN EXAMINATION ANO BUILDING PERMIT IMPORTANT — Applicant to complete all items in sections. 1, 11, 111, IV, and IX.O S ZONINGI• AT (LOCATION)DISTRICT ' -0 LOCATION NO.) STREET) OF BETWEEN AND BUILDING CROSS STREET) CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE N II. TYPE AND COST OF BUILDING — A11 applicants complete Parts A — D v A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use 1 [] New building Residential Nonresidential 2 Addition(If residential, enter number 12 One family 18 Amusement, recreational of new housing units added, i/any,13 0 Two or more family — Enter 190 Church, other religiousinPartD, 13) number o/units— — — — -.* 3 Alteration (See 2 above) 20 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 o/units in building in 15 Garage 23 Hospital, institutional Part D, 13) 16 Carport 24 Office, bank, professional6 Moving (relocation) p 17® Other — Speci/ 25 Public utility 7 Foundati n only Q 26 School, library, other educational B. OWNERSHIP 27 Stores, mercantile 28 Tanks, towers8 Private (individual, corporation, 29 E] Other — Speci/ynonprfitinstitution,etc.) 9 Public (Federal, State, or local g vernment) C. COST Omit c ts) N esidential — Des i in detail proposed use of buildings,e.g., food pro essing plant, machi shop, laundry building at hospital,elementary 10. Cost of improvement,,,,,,,,,,,,,,,• Q " 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. Oth r(elevator, etc.)............ 11. TOTAL COST OF IMPROVEMENT 3 O 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 Mas my(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 .................... 33 Reinf rc d 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 1. TYPE OF MECHANICAL 51. Enclosed ....................... 35 Gas Will there be central air 52. Outdoors....................... Oil c nditioning?L. RESIDENTIAL BUILDINGS ONLY 37 Electricity 44 Yes 45 N 53. Number f bedr oms.. 38 C al 39 Other— Specify Will there be an levator? 54. Number f Full.......... 46 Y s 47 No bathrooms Partial....... IV. IDENTIFICATION — To be completed by all applicants arr Mailing addr ss — Number, street, czty, and ttote ZIP code Tel. No. Owner or Lessee 706 2. 4 Contractor 3. Architect or Engineer Th own r of this building and the undersigned agree to conform to all applicable laws of this jurisdiction.sk Signature of applicant Address t Application dot X, 4z, Zo—Zw r DO NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans R view Required Check Plan Review Date Plans By Date Plans By NotesFeeStartedApproved BUILDING PLUMBING MECHANICAL ELECTRICAL OTHER VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approval Check Date Obtained Number By Permit or Approval Check ObtDai ate 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 11229Permitnumber Building Permit issued Oct. 30 19 79 Building Permit Fee $ 3•00 Approved by: r TITLE I V TOWN OF SOUTH WINDSOR BUILDING PERMIT Date Oct. 30 ig 79 Fee Paid ,$. . .3.00 Eat. Value $. .l OQ.00 I I Permit N 2 11229 on the side of Birch Road Street Street No. 12 i Owner i rp- or Applicant Mrs. Wilfred Fort-in CERTIFICATE OF OCCUPANCY ISSUED: Date No. Fee Paid $ CLASSIFICATION Wood stove/existing chimney I i i BUILDING PERbffr N? 11229 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. ant. 3 19 79 i94ts is to Terflifti, That Wilfred Fortin is hereby granted permission to Wood burning stove intn Ax{ A t-i n jz ainimney at estimated value of 0 on the side of 3 —2 Diveh Road Save on land owned by Wi 1f red Fortin Said Wo rk to be as described in Application No. 1-i 3 2 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issued,C1 1979. ing 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 pe:eon 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 cats and damages which it shall sustain, or be compelled to reason therefor"