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"