HomeMy WebLinkAbout12 Birch Road (2)TO THE BUILDING INSPECTOR
of the APPLICATION FOR
PLAN EXAMINATION ANDOFSOUTHws4it,- BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, III, IV, and IX.O
ZONINGI• AT (LOCATION) 12 Birch Road DISTRICT -^2v
LOCATION NO.) STREET)
OF BETWEEN u rz L AND k
BUI LDING CROSS STREET) CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
11. 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
1 New building Residential Nonresidential
2 Addition(If residential, enter number 12 One family 18 Amusement, recreational
of new housing units added, if any,13 Two or more family — Enter 190 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 ——————— — -i 22 Service station, repair garage
enter number of units in building in 15 Garage 23 Hospital, institutional
Part D, 13)
16 Carport 24 Office, bank, professional
6 Moving (relocation)
17 Other — SpeciJy 25 Public utility
7 Foundation only 260 School, library, other educational
B. OWNERSHIP 27 Stores, mercantile
8 ® 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,,,,,,,,•,•,,,,, I 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...................... REMOVE STORAGE SHED
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 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 Reinforced concrete H. TYPE OF WATER SUPPLY
34 Other — Specify 42 Public or private company so. 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.......................
96 Oil conditioning?L. RESIDENTIAL BUILDINGS ONLY
37 El ctricity 44 Yes 45 No 53. Number of b dr oms..............
38 Coal
39 Oth r— Specify Will then be an elevator?
54. Number of
Full..........
46 Yes 47 0 No bathr ms
Partial........
IV. IDENTIFICATION — To b c mpl t d by all applicants
Nam Mailing address — Number, sheet, city, and State ZIP code Tel. No.
1. E - G. o 1 1- a a G 7y 6Va-oOwneror
Lessee
2.
Contractor
3.
Architect or
Engineer
Th own r of this building and the undersigned agree to conform to all applicable laws of this jurisdiction.
Signature of applicant Address Application dot
eel d 5711.6
DO NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review R uired Check Plan Review Date Plans B Date Plans B NotesqFeeStartedyApprovedy
BUILDING
PLUMBING
MECHANICAL
ELECTRICAL
OTHER
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
P rmit or Approval Check Date
Obtained Number By Permit or Approval Check Obtaateinedned 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
P rmit numb r 17352
Bui Iding
P rmit issu d Aug. 74 19 81
Building
Permit Fee $ 5.00
Approved by:
J.
ITLE
TOWN OF SOUTH WINDSOR
BUILDING PERMIT
Date Aug- 24 19 81.
Fee Paid $.S...00 Est. Value
Permit N0 12357
on the aide of
Birch Road Street
Street No.12
Owner Therese G. Fortin
Applicant Therese G- Fortin
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No.
Fee Paid $
CLASSIFICATION
Remove storage shed.
BUH DING PERMrr
N? 12357
OFFICB OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn. 19 81aaffl.wcp a.
M#io 'to to faertifu, That
is hereby granted permission to Ratnave S t org _$ d
at estimated value of $
on the side of 12 A;r da Re 4 Street on land
owned by ro a,& r-- Fir*4„ -
Said W'0 rk to be as described in Application
N . 12652 and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
Issued un, 24 19 810
d ing nspector.
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 p6ce
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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