HomeMy WebLinkAbout12 Ellsworth CircleElectric# APPLICATION FOR BUILDING PERMIT
Plumbing# C13 eL 12 ELLSWORTH CIRCLE
HVAC # 7 R 9S 3 Z ?N7 Date:
Sprinkler# 24184
FINAL APPROVALS Estimated Cost $ 00 d
Building i Ps-1`77 4 7t3it11 COMPLETE RED BOXED AREAS Permit Fee a
Engineering Z TYPE OR PRINT ONLY Occupancy Fee $
Affidavit S 1 SIGN ON REVERSE SIDE
Appr.for CO. 2ME? J/c_Total Fee d a OU
TO BUILDING DEPARTMENT, TOWN OF SOUTH WWDSOR,CT Additional Cost) $ 4 Z 3
Th undersigned hereby applies to do work according to the following specifications:
Job Location I Z fs Lot No. c9 Side of Street JP Zone 'c5a
Applicant 34 Tel. # OW SCV,9.IyQSC/
Address
Own r Address SSg9a';1
Architect
v
t, 610 rS/4,6 Address a/7AJC—
Sq. Ft.New Area: 1st FI. I Z2 Z 2nd FI._ nZ 3rd A. Total New Area
Rooms Lavatories Bathrooms c9- Garages vZ
Purpose of this permit:
City Water;9— Well 0 Septic System Sew _
Use Group Construction Type Area 7 / Bf)*dO Garage 6 4
Approved by J Date iwS w,_9vG
Re,,%W 6/95
I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town of
South Windsor and to notify the Building Inspector of any alteration in the plans or specifications of the Building for which this
permit is asked, and agree that this building is to be located the proper distance from all street lines,side yard lines and required
distances from all other zones and is located in I zone in which this building and its use is allowed.
Signe 61d
I hereby apply for a Certificate of Occupancy for the work described in this application for the permit
Signed
df 51o'
w
DO NOT WRITE BELOW THIS LINE --
INSPECTION COMMENTS
4
Location of Job : AFFIDAVIT Additional Fee S 336. 00
State of Connecticut
ss. South Windsor
County of Hartford
ry- O v
I N)ck n cu -H of 5'k ent for the buildin er
Contrac or
under Permit No. 24184 issued by the Building Department of the Town of South Windsor being
duly sworn,make oath and say that the actual cost of the completed work authorized under said permit did not
exceed the most current accepted BOCA value of$_1 2 5,0 6 9 . 0-Q
Signed
Subcribed and sworn to before me this
Sr—
day of A.D. 19
Estimated Cost S 9 7 , 7 0 0. 0 0
Difference: S 2 7 , 3 6 9 . 0 0
tary Public 3
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
97-24184-B 85,000
B01 FOOTING 04/29/97 JFH A
B02 FOUNDATION 05/02/97 JFH A GARAGE ONLY
B02 FOUNDATION 05/05/97 JFH A
P02 UNDERGROUND 05/06/97 JFF A
E01 SERVICE 05/15/97 JFF A RELEASED OK
B05 FIREPLACE/CHIMNEY 05/22/97 JFH A
B03 FRAMING (ROUGH) 05/27/97 JFF D GARAGE--FIRE STOP AT RIBBON BAND
E03 ROUGH 05/27/97 JFF A
05/27/97 JFF A
B03 FRAMING (ROUGH) 05/29/97 JFF A
B04 INSULATION 05/29/97 JFF A EXCEPT GARAGE CEILING
PO4 GAS TEST 07/10/97 JFH A
B10 FINAL 07/25/97 JFH A NEEDS LETTER STATING HOMEOWNER KNOWS HEADER
IN BASEMENT NEEDS TO BE FIXED
B10 FINAL 07/31/97 JFF A REINSPECTION:HEADER IN BASEMENT FIXED OK
APPROVED FOR CO & CLOSEOUT
97-9779-H 5,900
97-9932-P 1,900
97-9832-H 1,900
97-14396-E 3,000
Total Est Value 97,700
Dwelling 2,175 89,001.00
Basement 1,200 14,880.00
Garage 506 6,274.40
Smoke Det 7 525.00
BOCA Value 125,068.85
Difference 27,368.85 3
SITE COMPLIANCE CHECKLIST
TOWN of SOUTH WINDSOR, CONNECTICUT
12 ELLSWORTH CIRCLE LOT_#24 Reviewed By R 4 eering)
JMJ CONSTRUCTION CO. Date Reviewed 7 ro Denied
658 ELLINGTON ROAD,SOUTH WINDSOR,CT Reviewed By Planning)
BP_# 24184 Ph_# (203)282-0628 Date RevieweOJ ULIiE prow Denied
Date Submitted 07/24/97 FOR C of Gf ***
As required in the Zoning and/or Subdivison Regulations, no Certificate of
Occupancy shall be issued until grading plans have been complied with and
approved by the Town Engineer. The minimum requirements shall include:
Approved Denied N/A
VVV 1. Approved building permit plan
2. Finish grading per approved
building permit plan
3. Site work; i.e. trees, shrubs,
dumpsters, required parking
4. Utility location;
a. sanitary sewer/septic system
b. foundation drain
c. electrical & telephone
d. water
e. other q a5
5. Sewer connection charge paid
6. Appropriate certification
7. Bonding
8. Planning & Zoning/
67 Inland Wetlands Considerations
Sewer Permit No.
Pavement Excavation No.
COMMENTS:
a rm
SITE COMPLIANCE CHECKLIST
TOWN of SOUTH WINDSOR, CONNECTICUT
12 ELLSWORTH CIRCLE LOT_#24 Reviewed By Engineering)
JMJ CONSTRUCTION CO. Date Reviewed rov /Denied
658 ELLINGTON ROAD,SOUTH WINDSOR,CT Reviewed By Planning)
BP # 24184 Ph_##_(203)282-0628 Date Revie p?rove enied
Date Submitted 04/22/97 FOR BUILDING PERM
In accordance with the Zoning and/or Subdivision Regulations, prior to the
building of any structure on a lot, a Topographic Plot Plan shall be submitted
for approval. The minimum requirements shall include:
Approved Denied N/A
1. Name, address & phone number of owner/applicant
2. Name, address & phone number of plan preparer
3. Zoning Information - i.e. zone, open space,
floodway, etc.
4. Plot Plan at 1" = 40' scale
a. Subdivision reference, abutting properties, etc
b. Easements of record
C. Lot description, bearings, building lines,
distances, area, etc.
d. Contours, existing & proposed, 1 or 2 ft.
interval where appropriate
e. Building location with dimensions.
Elevations of proposed finish floor, garage
floor & centerline of road at driveway
f. Elevations of gravity drainage systems, sanitary
foundation drain at the house and the street
g. Tentative utility location (gas, water,
electric, septic system, etc.)
h. Title block with name and address of preparer,
date, appropriate certification, live seal and live
signature consistent with the Board of Registration
requirements. (P.E. & L.S.)
AV5. Sedimentation and erosion control
6. Special Planning & Zoning, Inland/Wetlands
considerations (Plans on file w/Town Clerk)
COMMENTS:l0
RIECEIVEO
m AP R 2 3 1997 pt"a
s"wN=
s
W.oar.
ti
E
f
PERMIT
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
Application is hereby : TOWN OF SOUTH WINDSOR
BUILDING INSPECTION DEPT.
APPROVED DISAPPROVED 1540 SULLIVAN AVENUE
644-2511 Ext. 230
ate nspector Application must be printed or typed
1 . LOCATION OF JOB
L or ay 94Z
FEE SCHEDULE
No . Street
0 - $19000 - 0 Floor Apt . No.
Over $1,000 - 1--
per $1 ,000 or
2. OWNER
fraction thereof
3. ADDRESS 5-0
cS('• &),Lzasof LIZ::
4. APPLICANT
5. ADDRESS A'52 `y5—
U6CWQn1- C r,-- 6
0.1
6. ESTIMATED COST $
7 . IS THIS A CONTRACT COST
Yee No
8. FEE ENCLOSED $Co - QQJ
9. TYPE OF BUILD NG:
KESIDENTIAL COMMERCIAL
10. TYPE OF JOB :
Original Installation
Alteration/Addition/Repair
RD 3A 11/88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11 . LOCATION OF JOB Q j
N0 . STREET APT. NO ,
12 . TYPE OF INSTALLATION /(,J A £SS/a(fQy'-r AL-
13 . SIZE OF MAIN FEEDER
14 . NO . OF LIGHT LOOPS p 15 . NO. OF HEAT LOOPS --
16 . NO . OF POWER LOOPS 5 17 . NO. OF LIGHT OUTLETS
18 . NO . OF HEAT CIRCUITS 19 . NO. OF POWER OUTLETS a
20 . NO. OF CONVENIENCE OUTLETS ''{S 21. NO. OF HEAT CIRCUITS
22 . NO, OF POWER CIRCUITS 23o NO. OF LIGHT CIRCUITS_
24. SIZE OF HEAT CIRCUITS_ 25 . NO. OF MOTORS
26 . NO . OF PANELS-1 27 . TOTAL WATTAGE j
28 . NO . OF POWER FEEDERS l 29 . NO. OF SWITCHES
30 . A/C LOAD 31. SIZE OF POWER FEEDERS o
32 . NO . OF FIXTURES 33. TOTAL HORSEPOWER
34 . NAME OF SUBCONTRACTORS AND THEIR TRADES
35 . REMARKS AND FURTHER DETAILS :
LICENSE NO .SIGNATURE OF APPLICANT DATE
PHONE NUMBER: LIT2d
INSPECTOR DATE TIME
LOCATION Z,L
5- INSPECTION: CODE: RESULT(D/A) :
BUILDING:
ELECTRICAL:
1 1
PLUMBING:
HVAC:
OTHER:
e
DEPARTMENT DECISION PERMIT#
APPLICATION FOR PLUMBING PERMIT q3--
Application is hereby-: TOWN of SOUTH WINDSOR
BUILDING DEPARTMENT Bid Permil#
APPROVED 1540 SULLIVAN AVENUE t
7 644-2511 ext. 230
Date dnspector
Application must be printed or typed
Location ofjob
Street o. S Lot No.
v
FEE SCHEDULE
Floor Apt. No.
0 - $1,000 - $12.00
Over $1,000
12.00 per$1,000 OWNER
or any fraction thereof
ADDRES
OWNERS PHONE#
APPLICANT
W p $ ADDRESSF-4
ESTIMATED COST$CAD Q
C E.
C IS THIS A CONTRACT COST?
iV YES NO
l K, FEE ENCLOSED $
r
I
F
JJ
dsOR O CO TYPE OF JOB:
Original Installation
Alteration/Addition/Repair
Revised 10/96
APPLICATION FOR PLUMBING PERMIT(Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
BUILDING PERMIT APPLICATION YES / NO
RESIDENTIAL
BUSINESS CURRENT USE AND OCCUPANCY
ASSEMBLY
MERCANTILE
EDUCATIONAL
FUTURE USE AND OCCUPANCY
INSTITUTION
FACTORY ENGINEER'S NAME PHONE
STORAGE
GARAGE ADDRESS
MIXED USE
CITY STATE ZIP
Other please specify)
TYPE OF INSTALLATION SIZE OF MAIN DRAIN
NO.OF TOILETS J_ E NO.OF URINALS STYLE
NO. OF BATHTUBS_/ NO. SHOWERS NO.OF LAVATORIES
NO. OF CONDUCTORS SIZE NO.OF STACKS SIZE 3
AREA OF ROOF NO.OF CATCH BASINS NO.OF FLOOR DRAINS
NO. OF OTHER FIXTURES KIND IV i)")
ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW YES/NO
SIZE OF WINDOW 2, IF NONE C.F.M.OF VENTILATOR
SIZE OF DUCTS SEWER OR SEPTIC TANK 4
35,
SIZE OF WATER MAIN SIZE OF WATER PIPING&RISER
WATER HEATER
TYPE MANUFACTURE
TANKS SAFETY DEVICES
TEMPERATURE
CAPACITY RELIEF VALVE
TEST PRESSURE WORKING PRESSURE PRESSURE RELIEF VALVE
TYPE MANUFACTURER
DESCRIPTION OF WORK
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS
TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONN.BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
r
41
NAME STATE LICENSE NO. TYPE SI ATURE OF APPLICANT
PHONE NO. DATE
t DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT P RMIT#
q'7-1 9_'
Application is herein: TOWN of SOUTH WINDSOR
BUILDING DEPARTMENT Bldg Permit#
APPROVED 1540 SULLIVAN AVENUE 041+)194
644-2511 ext. 230
Date Building Inspector
Application must be printed or typed
Location ofjob
12 Ellsworth Circle 24
Street No. Street Lot No.
FEE SCHEDULE
0 - $1,000 - $12.00
Floor Apt. No.
Over $1,000
12.00 per$1,000 OWNER Dart Hill Realty, Inc.or any fraction thereof
ADDRESS 658 Ellington Road
South Windsor, CT 06074
OWNERS PHONE# 282-0628
APPLICANT R & E Heating & Cooling, Inc. I
OW N 5
4
ADDRESS 310 Nutmeg Road South
South Windsor, CT 06074
COD ESTMATED COST $ 5900.00 I
IS THIS A CONTRACT COST? X I
YES NO
FEE ENCLOSED $ 72.00 i1
0 TYPE OF JOB:OR C
X Original Installation
Alteration/Addition/Repair
Revised 11/95
i
SUMMARY REPORT
Prepared For : Prepared By:
Darthill Realty R P
658 Ellington Rd R&E Heating & Cooling
So Windsor Ct 06074 Job Name: 234-024
DESIGN CONDITIONS
OUTDOOR INDOOR
SUMMER WINTER SUMMER WINTER
Dry Bulb 88 0 78 68
Wet Bulb 75 65
Daily Range 20 Daily Swing 3 .0
Latitude 41 Elevation 1100
Safety Factor ( % ) 5
Latent Factor ( % } 30
Room Heating Heating Cooling Cooling
Name BTUH CFM BTUH CFM
Living Room 3 ,781 93 3 ,593 156
Family Room 29793 69 3 ,226 140
Foyer 827 20 734 32
mud room 1 ,329 33 674 29
Dining Room 2 ,584 63 2 ,607 113
Living Room 17 ,787 437 5 ,985 260
Kitchen 8 ,140 200 5 ,646 245
Bedroom 1 10 ,004 246 3 ,977 173
Bedroom 2 3 ,005 74 2 ,407 105
Bedroom 3 2 ,241 55 2 ,065 90
Bathroom 8 ,505 209 2 ,636 114
Living Room 4 ,131 101 3 ,300 143
65 ,126 1 ,600 36 ,851 1 ,600
HEATING DELTA T 37 .0 COOLING DELTA T 20 .9
NOTE: *** Calculated Airflow is based upon load requirements .
Verify that airflow calculated is compatible with
selected equipment requirements . ***
Q"I C9 U3t ONLY APPLICATION FOR HVAC PERMIT DAT .
1'
TOWN OF SOUTH' WWDSOR EST ST
BLOC.PERMIT N0, 1540 SULLIVAX AVENUE FEE
SOUTH W'iMDSOR, CT 06074 1 ,
644-2511 - Ext. 230 0 - $1a000 - U0r$9'
1000 or fraction
LOCATION OF BUILDING cS` thereof - I z--
OWNER ADDRESS TOWN PHONE NO.
60r,,i - S'ov 2HVACCO1MACT9RDRESSTOWNPHONENO.
TYPE OF SYSTEM: HEATING TYPE OF BUILDING: RESIDENTIAL
A/C COMMERCIAL _
VENTILATION - BUSINESS
INDUSTRIAL
IF HEATING: STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS.
HYDRONIC l/- W AIR
UNIT RADIANT HEATER (INCLUDING WOOD COAL BURNING STOVE)
TYPE OF FUEL: OIL-GPM_ GAS IN-PUT ELECTRIC KW
WOOD COAL
OUTSIDE
r
OIL TANK - SIZE 6 LOCATION: INSIDE_ SIDE_ CAPACITY ,
LPG TANK - CAPACITY
EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION, Z2DESIGNTEMP. OUTSIDE a2ir min. OF IIFFFERENCE R°F0
TOTAL HEAT LOSS (BTUA) HEAT LOSS SHEET 1IITST ACCOI ANY APPLICATION)
DESCRIBE ALL HEATING EQU INCLUDING MAKE br MODEL N0.)
GROSS HEATING CAPACITY (INPUT-BTUH) NET RATING OUTPUT-BTUR)
IF AIR CONDITIONING: DESIGN TF1KP. OUTSIDE OF INSIDE OF DIFFERENCE OF
TOTAL HEAT GAIN (BTUH)
r
HEAT GAIN SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL COOLING EQUIPMENT (INCLUDING MARE S MODEIC NO.):
TONNAGE COOLING CAPACITY BTUH)
IF VENTILATION: DESCRIBE ALL AIR-SANDLING EQUIPMENT (INCLUDING KITCHEN EXHAUSE EQUIPMENT):
TOTAL SIZE OF SYSTEM (CFM) FRESH AIR INTAKE (CFM)
PLAN MUST ACCOMPANY APPLICATION)
The undersigned hereby applies for a permit to perform the following work and is to comply
with all local ordinances and State of Conn. Building Codes in the performance of such work.
FURTHER DESCRIPTION OF WORK:
STATE LICENSE - NAME b TYPE #D5ZGNATURE OF APPLICANT
P DATE
80 4A 11/88
1 =B a R CALCULATION SHEET 15M (Modern Method) Copyright 1977 by T1re k Anatltute
WHEN ADDRESS DESIGN TEMPERATURE DIFFERENCE F. •DA
COL.A COL.9 COL.C COL.D COL.9 COL.F
MeedTRooMLivii ni/l f'it
O H L W H W N L W H L w Oesha water Tamp.
AOOEA DIMENSIONS,FT. up y STUN K Foo!ofV
2 LENGTH EXPOSED WALLS,FT.p a2 165, Radiation"acted
d WINDOW AND OUTSIDE DOOR AREA It. O o?
STUN STUN STUN STUN STUN
5 WALL CONSTRUCTION , G ROOM LtN.FT.OFITable9,ltne 2 a M) D le,00 8 oV 600 AIX U TOTALS RADIATI N
FROM LINE 12 SELECTED6TYPEOF
I t
ASS
0
i1
900 goo
7 e
IBottom f table used for line SI U V
I / G[r7CEILINGCONSTAUCTIONC
ITaDle 9,l a Wi 05 Foo U 00 7-00 8 DiLOOACONSTAUCTIONt
O / ITable9.L a W r Lin EFt.)
9 COLD PARTITION CONSTRUCTION F
liable 9.L a HI
10 -G 1 Wall(WiUf Opanir Sal Q Z 0 H Q Y
2 Walls[With Opening.) oX O Z oO LZOO
J I o0 93Walls(W.Ih Qpantn0a)Or Ent.MaII
n711TOTALBTUHAT70iTEMPDIFFERENCE'goo70 1 70/ o
K.O D12TOTALOTUHAT-DESIGN TEMP DIFFERENCE
I
000
0i-----'-— — — —
fOl'A _ -- - - _- COL.• COL.H -COL.1 COI.1 COL.K COL.L TO AL 9TUH TOTAL
1 ROOM OF BUILDING RADIATION
a o5 C G O AT SELECTED
O H L W H L W H L W H L W H L W DESIGN TEMP.•
t/ DIFFERENCE2ROOMDIMENSIONSfT
U a Z Q
LENGTH EXPOSED WALLS FT B' 0
4 WINDOW AND OUTSIDE DOOR AREA
TUN STUN STUN 9TUH 7T M
S WALL CONSTAUCTION INCREASE
a
BATHROOM
nITeDIe9,Line 2 MI TOTAL 20%! O D A
fi TYPE OF GLASS
fL
le ttom f table used for Lrne 01
7 CEILING CONSTRUCTION
ZZ iFOR CONCRETE FLOOR ONGROUNDORFILLATTable9,L a W) OS Or GRADE LEVEL.USE LINEAR
S FLOOR CONSTRUCTIONt FEET OF EXPOSED EDGE
ITeble 9,L a W r Lin FLI
9 COLD PARTITION CONSTRUCTION
tTable 9,L a H)
10 -
o
I Wall(With Opens•,.) 0/Z / O 0
2 Walla IW,th Openings) o X
J3Wall$IWtth Openonga)or Ent Hall
11 TOTAL STUN AT 70F TEMP. 3 ( G ADIFFERENCE'
12 TOTAL STUN AT DESIGN TEMP DIFFERENC . Q ooe) t
Thu form is available it m The Ntldronk•Institute.36 Russo P1ec•,Serkeler Heights,N J 07922 FORM 1503
NbT1SI'!
I.UTILITY LOCATRXG AND tNVERT alVATIONO TAKEN"WM AN
IldVmftTWN MPOW PPA:AAC W SY 11C WNTRAGTOK.
2.A.L. ITEIN9=4GTIP ON TM P1.M HAVE OWN VICM"W IN
FIM D AS TO LOCATION,4.,LCVATION AND
S.PA WAL ZONED tv"00MAL A-90. N/F N/F 20' STREET TREES
4.'VAKIMCE OIwAr =ON NOV.4,I'4.45 Wr TM WVrN YOVftAt BERT & HELEN V. EUGENE & ELLEN Z. ASE'WNT
ZONIft 50APV Or Al MALS TO ALLOW ALL LOTS TO HAVE A
40'MRONT YARD SCTSACX. JULIANO KUPFERSCHMID
1
N 0935 21"E / 1BB.78'
LEGEND 24
O IRON PIN TO BE SET 00
a MONUMENT TO BE SET J5,080 sq. ft. i
EXISTING CONTOUR 0.80 cc.
x 287.3 EXISTING SPOT GRADE f
rr WATER SERVICE
GAS SERVICE 1 I
9 r
R 3.
T- .81' I
23
N,
r'
REFERENCE NOTE: V
BOUNDARY INFORMATION IS TAKEN FROM PLANS ENTITLED R
PLOT PLAN-PARTRIDGE MEADOW II", SOUTH MAND50R, CT. z or 4,ZW ORPREPAREDFORJMJCONSTRUCTION. BY DESIGN PROFESSIONALS, INC. 1O• J P f[ - 93..17'
DATED DEC. 5, 1995, REV. TO APfifL 18, 1996. EASEMENT 2569'
S 0847f " 1 4
TM SURVEY NV YAP#LAVE 19M PWPAKD IN ACCUPDAMM 111H![CTIONS* 1 MM 26-30010-20
OF RIE REOLlLAT1Ol1S OF CCMWCTKXfT STAW A®ENCIM- 'STANDAM FCW SAM MAPS M w
STATE OF OONNECIICLJT'AS BY THE CONW..CTOR A2MATIO I INC.
1*0 WWOEY COW00 G TO HQVZONTAL ACCLRACY OU156 A-Y. VERIM,AL AOGJRACY TO CLASS T-2 lop
TD THC MT OF MY I(NDUZ aE AND , THIS fS SUIPO KIIA1.LY COM%ECT A! I(f•mm.
L
12M! /
RICNAND P.MARIM7 UC. NO.
DEPENMT
1.Ll4tM oTHO E"m E1Nti10 UTw.ITY REVISIONS D A D[1 it C A T L+ 860) 291-8755 Y SHE T
As t As am WST GRAPHIC ALE IMPROVEII IT LOCATION MAP
AV0$AW.IPCIMIA7f10 LI%f
ALL 706 i L AnWS 40 0 20 40 iaakazff--T
SOU IIE
I Inc.BY A U09101p LAND SWOWM To ii0!T!
rawl w*AA y +Lot NO. 24 Circle v er. ,13P 0
q
ajy,Am 1 inch = 40 feet civN «sneers • planners • suryeyora 1
qF 11 Mol Ie LAL . N!Q pAlE pE3 '1i0N BY 165 south 'oMHb rood, south winclslor, ConnecticutTM COMII CTICiIT o p„p p 7& ?-2I-91
Souse Windsor
BUILDING DEPARTMEN f
To x;,r N;PT. TIMN C; JtcnM WIMSM
This eertiti-d that this plan and specific ti-)n-are trw
copies of the proposed building or alterat,ions to t+
erected at
Iav-foz strc4r,Pe together with amendments stated in application ..--c
filed with plan and I agree to comply with all zonin,;
1121 Building and state laws and such orders as shsl: be
k l issued by the Building Department during pcndc-cy
1_ of this application and final issuance of a building
permit.
a Signed
This plan Is approved subject to the condition ttiat
J U L 23 1997
orders and ordinances regulating building shall be
complied with.
Condtttonatty Approved These filed witls
SOUTH MIDSOR
E!:G.DEPT. 44
did Building Inspector Clark
NO-u ) [
A P P
SORR0
TOI i N CF ;T
AnTMENT
ON}ND
DATS: