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HomeMy WebLinkAbout12 Farnham Road (4)Application No. .........24-31............ ........ Permit No. ......217.1.......... . TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. it... hereby make application for a permit to (erect ( o) a building according to the following detailed statement of the specifications and plans herewith submitted. (Draw aline through word "erect" or words "make alteration to" as the case may require.) All provisions of the Building By-Laws (Sections 2 to 32 inclusive) shall be complied with in the execu- tion of this work whether specified herein or not. South Windsor, Conn., .. .A.600.0................................ 19.... . Signhere .................................................................................................................. Address ................................................................................................................... Location? .......................North......................................................................side of? ...................................Farnham..Road............................... Nearestcross street? .......................................................................................Street No. .................................................... Lot No. ....104................... Owner of land is? ..J.P. ....ANW.M.a. *........Address ... .I..XW..J%W. WAL ......... W ..: .W.W.11 IIM 1.......*.Owner of building is? Z!! .!!: :4.s4+......Address ... . . ... . . . .... . Architectis? ............................ ..............................................................................Address ..................................................................................................................... Builder is? . .... an*............Address ... ... ..77 .... o. !.......... Dimensions of building? ".4 Feet front? ................. ... ........ Feet rear? ............... ........... Feet deep? ... .. . ............ Extreme height to highest point of roof? .......... .............No. of stories in height? ... ... 4. . Purposeof building is? ............... No. of stores? ......................... ........................................................................ Howmany families? ............ ............................................................No. of rooms? .... .................................................................................................. Distancefrom street he is? ....................409................................................from building line is? ..................................................................................... ADDITIONS AND ALTERATIONS Give Brief Description) MapNo. .......................... l If of steel frame, what is exterior construction? - .. I............. ............ What kind of columns used? ........ ..... .... .......................................Size of columns used? What length of columns used? How protected? ....... .. . ......... ................. ............. .............. What kind of beams or girders? ........ Size of beams or girders? .. .. ........ .......... ................................... Longest span of beams or girders? These rest on? . ..... .. .. ................ ....................................I Roof construction is? ................ . ... ....... ..........................................Roof covering is? . ... .... .. ................................................... The floors are of . construction and are calculated to carry a safe load of.. . ............ ......... lbs. per square foot. See Section 14, Building By-Laws.) BRICK CONSTRUCTION. Of what material will walls be constructed? . .... .... ... ... ....... .. ....................................................... ..................................... ................ Compositionof mortar? ................................................................................................................................................................................................................. Height and Thickness of Walls Height Stories Front Walls Side walls Rear Walls Partition Walls Basement, 1st Story 2nd " I...................................................................... ...................................................................................... ................ 3rd " I.............................................................................................................................................................. ..........I...............................................I........................................I...... 4th 49 I..................................................................................................................................................................................................................................................................I............. 5th 91 I............... .................................................................... .......................I.................. ......... ................................................................ ...................................................... 6th is 7th 11 I................. .....I....................................................................................................................r........................ . ....................................................................................................................... 8th 11 9th 11 10th .;................... ......... ................................ ......................... ............................................... ...........................................................................................................I I I I I Material of Front? ... .................. ............. .. .... ................................If stone, what kind? Thickness of Ashlar? ....... .. .. ......... ........................................Thickness of Backing? Backed up with what? Arches or lintels over openings? WOOD CONSTRUCTION. Give Size, Longest Span and Distance Between Centres, of Joists, Girders and Columns JOISTS GIBDEBS COLUMNS Floors size Longest span Centres Bridging size Longest Span Centres She Length Centres 1st Floor 2nd..... .... Via.....«..... .............. .................................. .................. ..................... ............. ._........................................_._._......... ...._._........ 4 ....„.... Size of outside studs? I........ Distance on centres? Size of sill? .................................. Size of rafters? .. Distance on centres?............ ................................ Size of plate? ........4.................................. Size of ledgers or girts? ...........°1'".1"................................................Size of deck rafters? ..................................................................... ............... Distance on centres? .................... Size of studs partitions? . w. ..r........................... .. MISCELLANEOUS Style of roof, flat, pitch, Mansard, or hipped? ....................................................... Fireplaces? Material of roof covering. ...SIbe.......................Material of Cornice? ........ Lining of$ues. ... .........................How is building heated? ....................................................... g 4"1Thicknessofshellofflues. Any elevators or lifts? ..........................................."............... ...................... What kind? ........ ...........................'................ How many? ................. r ............. Any hoistways? ...................w0.+ ................. How protected?Total Value of Building ........ 1.010.11!p................................ Whenwill work be commenced? ............................. .................................................................................................................................................................. The applicant warrants that the lot for residential purposes, shown on a plot plan accompanying this appli- cation, has 20,000 square feet, or more, and at least 100 foot frontage on a Town road shown on a map of South Windsor showing Town Roads dated December 1949, or on any other roads officially accepted by the Town of South Windsor since 1949. Applicant 2171 BUILDING APPLICATION Application No. ....24.31....................................................... on the .. ......................N.or.th.... ......................... side of RdFarnham..... Street. Street No, 104.........I.......... .................... Owner J.-P.R,at.iQla.....A.s SO.CA............ .............. Applicant ...S.apie . . ....................... I.......................... CLASSIFICATION dwelli.n.g... ..2416" x 4 18" Permit issued on above Application. Date, ..........Mar.c ..... 5, 19.h2...... .... ........5§.. TOWN OF SOUTH WINDSOR BUILDING PERMIT Date .. March .25., 919. 58 Fee Paid$40,00 Est.Value $ 1Os 000 Permit N 2171 on the .. ..............NQr.th. .. ...... .... side of FaM. ham.Road Street Street No. L0 t104 Owner I-.R.Stieh ASa.QC-* . ........ ........... Applicant 5 ame CERTIFICATE OF OCCUPANCY ISSUED: Date No. 1249.. Fee Paid $ 3--.00 CLASSIFICATION dwelllr.Z.......241.6" ..x....40......8.x......49......8........ ...... ...... BUILDING PERMIT 00 2171 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. March 25, 19.55, T14t's 'to to Tertif1j, That -JwR*.St1Ctt1...AsSoc, 241isherebygrantedpermissiontodwe.11in,--6" x .40 6" at estimated value of 10 a 000 on the North side of F.4Mham Rd* LQt 1104 Street on land I.R.Stich Atsoot,owned by Said ..Wor.k............................................................................................. .... ...... to be as described in Application No. Z4 31..... and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issued M.-arch 2.5t. 19 58. . Building rns*spector. Streets and sidewalks, obstructed by excavations or building material, must be guarded by barriers dur- ing 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 compelled to reason therefor." Permit No. :..,.... j TOWN OF SOUTH WINDSOR SOUTH WINDSOR, CONN. Permit N?1249 Certificate of Occupancy THIS IS TO CERTIFY that the 7 at No. i 10 in the Town of South Windsor, Connecticut, has been erected and completed in accordance with the Building Code and Zoning Regulations of the Town of South Windsor, and is hereby approved for occupancy. B G INSPECTOR OWNER, BUILDER Fee Paid J, 0® Dat i i 1 i 4 u 1 1 I I PROPOSED LAYOUT I. R. STICH ASSOCIATESTr _ r by c e r t i fy t h a t t r_s s F ARNIM ROAD snap is 3ubstar_tiaify cor- i.{i' `' n SOUTH WINDSOF CONNEt,TI(,UT r. , a__a no ,oning reguln r o 1y,i t r.s een viola'ed L.SCrLE 40r MARCH 25, 1958 IiORT _ S . r r, , c. -L. S. c Lft' HARTF ORD, 00"TN. I Application No. 7 78 Permit No. 6978 TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. y, hereby make application for a permit to (emeee- (make alteration to) a building according to the following detailed statement of the specifications and plans herewith submitted. (Draw a line through word "erect" or words "make alteration to" as the case may require.) All provisions of the Building By-Laws (Sections 2 to 32 inclusive) shall be complied with in the execu- tion of this work whether specified herein or not. rSouthWindsor, Conn., 19 .. . rSignhere ... Address//... Location? Nearest cross street? ..... . .. ......Street No. . . .......... No. n Ad 1... .... -..... .Owner of land s. . .. ............ ... ..... . ................... dress /.}r — ... ...... .. Owner of building is? .. .. ..... ........ .......... '...........................Address Architect is? l ..:-,..'....... Address zele ; Builderis? . '~..................... ...................... .........................................Address ..... ..................................."............................................. .......V. Dimensions of building? .. 1-1-.Feet front? ...' Feet rear? .............. Feet deep? ..,e.J. . . Qxteme height to highest point of roof? ...... ... .4.S' No. of stories in height?. .774,J0 . Purpose of building is? tw'T`6 •... o '5....No. of stores? .... ........... ... .. ............. ..... How man families? RT.............. No. of rooms? .... .. ....... ..fscJ k ... .............................................. Distance from street line is? .. .... .. .. .... ...I.............................from building line is? ....... ........ ....... .... ..................... ........... .... ADDITIONS AND ALTERATIONS Give Brief Description) P0 Tom.... X 7. Map No. .... ....... If of steel frame, what is exterior construction? What kind of columns used? .. .. . .. . Size of columns used? What length of columns used? . How protected? What kind of beams or girders? Size of beams or girders? Longest span of beams or girders? . .... These rest on? Roof construction is? .... .. Roof covering is? . The floors are of . ... construction and are calculated to carry a safe load of lbs. per square foot. See Section 14, Building By-Laws.) BRICK CONSTRUCTION. Of what material will walls be constructed? . Compositionof mortar? ..................... ............................................ ....................................................... .......... . ... .. .. Height and Thickness of Walls Heitht Stories Front Walla Side Walls Rear Walls Partition W Us Basement, 1st Story 2nd " 3rd " 4th Is 5th as 6th " 7th " 8th is 9th 11 Material.of Front? If stone, what kind? Thickness of Ashlar? Thickness of Backing? Backed up with what? Arches or lintels over openings? WOOD CONSTRUCTION. Giv Size, Longest Span and Distance Between Centres, of Joists, Girders and Columns JOISTS 11 GIEDESS OOLUMNS Floors She Longest Span Centres Erldging She Longest Span Centres Size Length Centres 1st Floor l.. ... tc Do 9 grid...." a.....o...... ............ .................................. I............. .........._.. ..........._...._......._ _....._._.. ......._...... 4 ......... ............. .............. .................. .................. Size of outside studs? -z K ..... Distance on centres? ... .lam *0 ...... Size of sill? x t OOKSizeofrafters? .....Z.. ... ..... Distance on centres?................./....6'... ...... Size of late? x Size of ledgers or girts? ............................... ............................................Size of deck rafters? ... ............................................................. . .... Distance on centres? .............. ......................................................................Size of studs in bearing partitions? ...A e!.,3....................... MISCELLANEOUS Style of roof, flat,.pitch, Mansard, or hi ed? ..... . ........?' e........................ Fireplaces? ........................................................ Material of roof coverings . Material of Cornice? ................ .Q.r......................................... r How is building heated? .. .Q . ., i3O Lining of flues? . ......... Thickness of shell of flues? .................... ......................................Any elevators or lifts? ................................................... What kind? How many? ..... .Any hoistways? .......... ...... ......... . .......... . Howprotected? . .. ...... . ............................................ .... . ...............Total Value of Buil ' ...............9 .......................... When will work be commenced? t..... ..... The applicant warrants that the lot for residential purposes, shown on a plot plan accompanying this application, conforms to the zoning regulations of the Town of South Windsor. Town of South Windsor since 1949. a Applicant 6978 BUILDING APPLICATION 7278 ApplicationNo. ... ................................................................... north onthe .................................... . ....... . ........... side of Farnham Rd. Street. Street NO, ...12 Roger DoyerOwner Applicant Add-A-Level. .... CLASSIFICATION Raise roof to add bedrooms and bath 451x25' . Permit issued on above Application. 4-8-70 Date, 19 . fl TOWN OF SOUTH WINDSOR BUILDING PERMIT Date April 8, 19 70 Fee Paid $... 00 Est. Value $. . . 0. Permit N° 6978 on the north side of Farnham Rd. Street Street No. 12 Owner Roger Doyer Applicant Add-A-Lave 1 CERTIFICATE OF OCCUPANCY ISSUED: Date No. 3941 Fee Paid $ 3.00 CLASSIFICATION Raise roof to add bedrooms and bath 421x251 . BUILDING PERMIT N° 6978 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. April 8 19 70 X#io to to Terttf1j, That Add—A»L,evel is hereby granted permission to Raise roof to adi bo droms and bath 45'x25 C) at estimated value of y$ s 004 on the north side of Fambain I'd. #12 Street on land owned by Roger Dojdr Said work to be as described in Application No. 7278 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. PIsud1Aril A 1970A ti r Building 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 compelled to reason therefor." 44 INSPECTION REPORT Permit #Job 1 Footing 1/0 2 Foundation 13-i9-7o w 3 Framing 3--i y-70 4 Wiring a/- 76 CIC lc) 5 Plumbing Al- 2/-70 6 Heating ,a . 4 7 Lathing 6-3-70 Permit No. TOWN OF SOUTH WINDSOR SOUTH WINDSOR, CONN. Permit N? 3941 Certificate of Occupancy THIS IS TO CERTIFY hat the,_._ at No. tw in the Town of South Windsor, Connecticut, has been erected and completed in accordance with the Building Code and Zoning ns of the To of Sout Windsor, and is hereby ap roved for occupancy. i Build' InspectorffP 0"aw,.Builder D Fee Paid Date 19 a 4644 ELECTRICAL APPLICATION ApplicationNo. .....4........95....5................................................................ onthe .................................................. .......... .............. side of Farnham Rd........ ....... Street StreetNo. 1.2. . .. ............. ..... ............. . ....... ......... RogerOwner Electrician D..LuPa.c.c.hin.o. FILED IN OFFICE OF The Building Inspector 477-.7.2.27.70. 1...... ........ ..... 19 ... ... INSPWTION. AwNo Electrical Work shall be started until a Per- mit is granted by the Building Inspector. In New Buildings no wiring shall be started until the plumbing and heating pipes, and the fire stops (it of wood) are installed, without a special permit from the office of the Building Inspector. APPLICATION FOR PERMIT TO DO ELECTRICAI. WORII. No. .. ......4955..... Permit No. . .. 4644.... TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. hereby make application tq perform Electr cal Work according to detailed description below. All prov sions of the Rules for Electrical Installation, Section 48, Building By-Laws, shall be complied ith whether specified herein or not. io .6G, South Windsor, Conn., . 1970 Sign here . ..................... ...... ..... ........... ..,......... .. .. ........... ..... Coe '00/4eAddress ................. .. ..,P........................................................ ............................. Location Side of ........... ......... ... ............................................................................................ Nature of Building 101%F4#W'le How many stories C2 New or oId Building 4 i......... ................................ ... ........... . How many families ...../.................................................................................. Kind of Installation .A-0Yja.v...................... ............................ ..... . How many Stores .................................................................................................... Owner !. ... .. W........ Address Ii ..../ ..........tl A004 Architect .. ........ ................. ................ G Address .. .. .........................................................................._............................. Builder Address oiUJr IAO 7v4AW-W/// .................. pois ELEcTit c 3 8 oc 0 4.'e eElectricianQom..... ........... ..Address Y/Size of Main Wires ... •.............................. No. of Light Loops .. . . .... No. of Heat Loops .. ....... ... No. of Power Loops. . . No. of Light Outlets .12......... No. of Heat Outlets ... . . . No. of Power Outlets .............. ... .... ....... No. of Light Circuits+ No. of Heat Circuits-0 No. of Power Circuits . No. of Sockets ............. .. .. No. of Heat Receptacles No. of Motors .............. . .. . . ................ No. of Panels ............. ....................... Size of Heat Circuit vk. No. of Power Receptacles . No. of Switches ........ ........ .. ... ..Total Wattage .... ... ..... 'S Size of Power Circuit .. Total Horsepower No. of Straight Electric Fixtures .. .. No. of Combination Fixtures No. of Receptacles DropsNo. of Cord Dro ... . ....................... ................................ C i/V, fE//C O`1 00 A ?DRemarks: For other kind of Installation .. . .............. ..... ...................... ....................... ................. .............................. ....... ... ................ ............ 0 / 'f............... I...... OUTLET.k/...i- +......J?.....T Tm...... „ tG.....EL,Ec c. ram . C ld... ....,6/.vtG.. ...... . Estimated Cost ..(. Q.U....... . 3957 PLUMBING APPLICATION Application Nox 3746 onthe......_....._...._- Farnham Rd.. Stet Street No. .....12 Owner Roger Doyer Ply R.K.Ryder Filed in Office of The Bwl&ng Iarpector 4-----21 19 70 IIq -ML,-=na No person shall 000struct, add to cr aim aq portion of the drainage sysadn of =W bml&og except to repair leafs) until a Permit is pond by the Building Inspemr. 3 ...76 3957 ApplicationNo. . ............................. Permit N . ...................................... TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. hereby make application to perform plumbing according to detailed description below. All provisions of the Rules for Sanitation, By-Laws, Sections 33 to 47 inclusive, shall be complied with whether specified herein or not. J.....LoSouthWindsor, .............. ...... .... .. ................. 19 Sign here C. . ...................................... Address ......('/- Street:Location ....Z...'......... z............................. side of ...........elt.... Natureof Building ............... ........ How many stories .. ...................................................................................... Address ......... Z..................Owner .... .. Architect .................................................................................................................... Address ........................................................................................................................ Builder . ......................I................................................................................................ Address ..... i............ Plumber ...! ...! -Q s'.... i........................................... Address ...S DRAINAGE CESSPOOLS, How many .................................../....... .................... Where located .............. ..... Are they water tight . .................................... Of what materials are they built ..................................................... Sizeof pipe from house to cesspool . ...... .............:...................... Kind of pipe ............... ..................................................................................... MAIN DRAIN IN CELLAR, Material Diameter ........... r........................................... Aboveor below cellar bottom .. ....................................................................................................................................................................................................... SOILPIPES, Material ........ ............. ....................................... Diameter ................................................................................................................. WASTE PIPES, Material --......,( * *..... .......... Diameter ... "/...................................................... TRAPS,Type proposed to use is .................................... ... . .. ........................................... RAIN WATER LEADERS, where do they run to ...........................................****"*....**'**'**....... REFRIGERATORWASTES, where do they run to ... .................................................................................................... ........ ............................... TANKOVERFLOWS, where do they run to FIXTURES WATER CLOSETS, How many ......................../........................ Where located ....................2— Distance from trap to vertical soil pipe ........................................ Pattern WASHTRAYS, How many ..........................................................1Where located . ... ....................................................................................... SINKS, How many ....................... ............................... Where located BUTLERS SINKS, How many ............................................. Where located........... REFRIGERATORSINKS, How many....................................... Where located ........... ... ............................................................................. LAVATORIES, How many .................................................................. Where located ........................................... ........................................................ BATH TUBS, How many...............................z................................... Where located ................... URINALS, How many ................................................................................ Where located ................................................................................................... Are water closets and urinals to be local vented . . ......... . .. If not, is there a window in outer wall ofroom where same are to be 1c cated ............ I................ Estimated Cost................. ....L.A.................... June 19, 1991 R R T I_ F T F D M A I L Ms . Carol Doyer 12 Farnham Road South Windsor, Ct 06074 RE : ZBA Application #1680-91 Dear Ms . Doyer : s to notify you that your application to the South Windsor iThis sting renewal of a two year temporary Zoning Board of Appeals reque apartment on property located conditional permit for an in-family p A-20 Zone) has been granted . All previous conditions still apply. This acti on is effective July 11 , 1991 . This permit wild thatrtime two vear (July 11, 1993) and will have to be renewe a if the use is to be continued . Very truly yours, Robert Warren Chairman Zoning Board of Appeals RW/d lb Electric# APPLICATION FOR BUILDING PERMIT Plumbing# 12 FARNHAM ROAD WAC # Date: S ff Sprinkler# No.24558 FWAL OV Estimated Cost $ 00-0 Buildino COMPLETE RED BOXED AREAS Permit Fee L Occupancy Fee $Affida t TYPE OR PRINT ONLY1. pa"ry Appr.for CO. SIGN ONTotal Fee Z TO BULDNC'DEPARTMENT,TOWN OF SOUTH W11 DSOR,CT Additional Cost) $ The undersigned hereby applies to do work according to the following specifications: Job Location I Z-. Lot No. Side of Street_Zone Applicant o Tel#_ $6 0$-- Q Addr ss Zip Lic# Own r Address_ ,C' /C./r7 Architect Address Sq.Ft.N w Area: 1st Fl. 2nd Fl. 3rd Fl Total New Area Rooms Lavatories Bathrooms Garages Purpose of this permit: gnR 4 n) L City Water Well 0 Septic System 0 Sewer Ins. H.O.V S.P. Cert._ Area Basement GarageApprovedbyJDate-&f(1Tj Use Group Construction Type Rev wd 1/97 I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances ofthe 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 which this building a use is allowed. Signed I hereby apply for a Certificate of Occupancy for the work described in his application for the permit. Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS Inspection / Approval Date By Appl Code Description Due Whom Code Comment 97-24558-B 1,000 BO1 FOOTING 08/19/97 JFF A B10 FINAL 09/18/97 JFF A APPROVED FOR CLOSEOUT 0 H,V e3) I I i A KI C H r4,:„ 1 > I CUNN PROPOSED LAYOUT I. R. STICH ASSOCIATES 1 hereby certify that this C", FARNHAM ROAD map is substantially c o r- SOUTH WINDSOR$ CONNECTICUT rest and no zoning regula- No. 2931 ' SCALE 111 =401 MARCH 25 1958 tions have been viol ted. r w/ MORTON S. FINE, d.E. -L.S. F'Eo u:U_i gARTFORD, CONN. 114 1 AR 1 M N T D2A. K"WN CIF SuUTH WINDSOR J -L;-t this Klan and speriflc^tlons are true o A of the proposed building or alterations to be Street 01(1 'Alth aM(n(1M('ntS St!t d in applicitim, anc, th )I ,, -d I -,gr,.0 t,_ r,.Iv,ply with all zoning 0 t to I ws and s 1 - rd rs as -,hall b, the iii,ildin,a Dt,partrnc,:t d--tring pendenc 1,,is pplication and final issuance of a building oerinit. d his plan is approved subject to the c dition thatc shall b,rders and ordinances rcgulating b ui IIdin shall be c"111pliod wItll Conditional;y Approved These tiled with Building Inspector Data CERTIFICATION OF ZONING COMPLIANCE Proposed building(s), use(s) andjor structures) is shown on this plan appear(s) to be i-n L onformance with i,;U-,,ren1L S,-juth Winds" gulations. Variances and special exception nay apply. q9-77Date memot Off= W Bectric# APPLICATION FOR BUILDING PERMIT Plumbing# 12 FARNHAM ROAD WAC # 2 Date: Sprinkler# No. 632 1 FIM Estimated Cost $ ' Building% `7 9 COMPLETE RED BOXED AREAS Permit Fee Engini TYPE OR PRWT ONLY Occupancy Fee Aff'd°`"t SIGN ON REVERSE SIDEAppr.for CO.Total Fee 3 TO BUILDING DIEPARTMENT,TOWN OF SOUTH WWSOR,CT Mitional Cost) $ The undersigned hereby applies to do work according to the following specifications: Job Location JdZ NKM.. Z.041*tw Lot No. Side of Street - -Zone Applicant.50, t,`%wI-W-11' 40W.'C 16",kO'IJ w-en}- L L f, Tel# 06-3 9 Addr ss y,7 C' R vr, S;k Zip 06d"T Lic.# 5 6 Y702 3 Owner C S 1'4 Address I- Fs rVx .9. Lie If Architect Address Sq.Ft.New Area: 1st Fl. 2nd Fl. 3rd Fl. Total New Area Rooms Lavatories Bathrooms Garages Purpose of this permit: S -&1 tD Ps- g t,S c City Water Well Septic System Sewer Ins. H.O. S.P. Cart. Area Basement Garage Approved by -WZR- Date -7 1 Use Croup Construction Type ReYbW 1197 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 which this building and its u is allowed. Signed I hereby apply for a Certificate of Occupancy for the work described in this application for the permit. Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS