HomeMy WebLinkAbout129 Kent Lane3 m•
3 TO T BUILDING INSPECTOR
of the APPLICATION FOR
TO CF SOtM WHADSM CCOK PLAN EXAMINATION AND
BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX.O
ZONINGI• AT (LOCATION) /c; Ar"Lr 7- `o o P DISTRICT AJ10
LOCATION NO.) STREET)
OF BETWEEN 116koWe 7 a .U'Y AND
BUI LDING CROSS STREET) CROSS STREET)
LOT
SUBDIVISION s 'N' hB </ LOT7_BLOCK SIZE f.r g ' W
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 m
1 New building Residential Nonresidential
2 Addition(/residential, enter number 12 , One family 18 Amusement, recreational
of new housing units added, i/any,13 Two or more family - Enter 19 Church, other religiousinPartD, 13)
number o/units- - - - - 20 E:] Industrial3 Alteration (See 2 above) 140 Transient hotel, motel,4 Repair, replacement or dormitory - Enter number
21 Parking garage
5 Wrecking (/multifamily residential, of units ------- - --i 22 Service station, repair garage
enter dumber o/units in building in 15 Garage 23 Hospital, institutional
Part D, 13)
16 Carport 24 Office, bank, professional6 Moving (relocation)
17 Other - Specify 25 Public utility7 Foundation only 26 El School, library, other educational
B. OWNERSHIP 27 Stores, mercantile
8 Private (individual, corporation,28 Tanks, towers
nonprofit institution,etc.) 29 Other - Specify
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...............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. 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 Masonry(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 .................... 0 0
33 Reinforced concrete H. TYPE OF WATER SUPPLY
50. Total land area, sq.ft. ........... y 34 Other - Specify 42 Public or private company eL
43 Private(well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
51. Enclosed .......................
35 Gas Will there be central air 52. Outdoors.......................
96 Oil conditi ning? L. RESIDENTIAL BUILDINGS ONLY
37 22'Electricity 44 Yes 45 22-Oo 53. Numb r of b dro ms..............
38 Coal
39 Oth r- Specify WiII there b an I vator?
54. Number f
Full.........
46 Y s 47 f -* bathr ms
Partial........
NOTES and Data — (For department use)
IV. IDENTIFICATION — To b c mpl t d by all applicants
Nam Mailing addr ss — Number, street, city, and State ZIP cod Tel. No.
1.
Owner or
Lessee low
2.
Contractor
3.
Architect or
Engineer
The own r of this building and the undersigned agree to conform to all applicable laws of this jurisdiction.
Signature of applicant Address Application date
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans B Date Plans B NotesqFeeStartedyApprovedy
BUILDING
PLUMBING
MECHANICAL
ELECTRICAL
OTHER
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check ObDtaaleed Number By Permit or Approval Check ObtDa ned
ate lumber 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 11956
Building
P rmit issu d Dec. 8 19 80
Bui Iding
P rmit Fe $ 390.00
Approved by:
TITLE
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I
f
TOWN OF SOUTH WINDSOR
f BUILDING PERMIT
Date Dec. 8 19 80
Fee Paid $. 390.00 Est. Value 65, 000.00
Permit M 11956
on the aide of
Lot #71 Kent Lane Street
Street No.129
Owner T & M &i i 1 ri itCo—
Applicant Frank St. Onge
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No. 5828
Fee Paid $ 3.00
CLASSIFICATION
Dwelliniz
BUR DING PERMIT
N° 11956
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn. Dec. 8 1980
94is 'to to grrti#m, That T & 'sI I A J
is hereby granted permission to Dwelling
at estimated value of $00
on the side of Street on land
owned by TBt:i1din&---CC0.
Said Work to be as described in Application
No. .19.256 . and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
Issued Dec. 8 19 80.
r I " uilding 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 coats and damages which it shall sustain, or be compelled to reason therefor."
Dwelling - Lot #71 Tim.Kno. LV 12/5/80
T & M Building
129 Kent Lane Permit # 11956
Electrician Milton Plouf ,f, Jr. # 7365
Heating Contr" N. Lutzen 5317
Plumbing It
Norman Lutzen 5774
Oil Burner
Certificate of Occupancy 5828
Plot plans aprd. per Engr.
2 T/. ,J;7-e 7y
INSPECTION REPORT
Permit # Job
1 Footing _ -8 lr" zz
2 Foundation .
3 Framing i
4 Wiring - S-- !-A
5 Plumbing -
6 Heating
7 Lathing
S C.O.
s
Permit No.
r
TOWN OF SOUTH WINDSOR
SOUTH WINDSOR, CONN.
Permit N° 5828
Certificate of Occupancy
T I TO C TIFY the— L-!WAC4
at Nd.- in own of South Windsor, Connecticut, has
been erected and completed in accordance w'th the u lding Code and Zoning Regulations of
the Town of South Windsor, and is hereby a ove r occ
Building Inspector
f f
1,
wner, Buil
Fee Pai Date 19
7365
ELECTRICAL APPLICATION
Application No._A_179
on the side of
Sot #71 Kent Lane Street
Street No. 129
Owner T & M Bui ld i= Co.
Electrician Milton C. Plouf f,. Jr.
FILED IN OFFICE OF
The Building Inspector
March 18 19 81
INSPECTION.
r3r No 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 (if of wood) are installed, without a special
permit from the office of the Building Inspector.
I 5
APPLICATION FOR PERMIT TO DO ELECTRICAI. WORK.
No. ..83 7.9.......... .......
Permit No. . .7 3.6 5. .. .. ... .
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
provisions of the Rules for Electrical Installation, Section 48, Building y- ws, shall mpli with
whether specified herein or not.
South Windsor, Conn., G/7 / 19CI Sign here
Address `lJ'/G 3 . .. .... . ....../..,i
Location /0-777/J. , Side of ,.
Nature of Building ..... AO How many stories .......I
New or oId Building How many families d C
Kind of Installation How many Stores ............................. . ..............................................................
Owner ......t/ r Address A'JX......f4 ....... D7 i i o ICJ......_....._......
Architect .......... Address
C-1
Builder AddressO .. ..... G . .. .
Electrician ..!!- .....C........ iCt tJ Address r'Z...................................................._..................._.....__....
Size of Main Wires . ... ..............................................
No. of Light Loops .. . . No. of Heat Loops .. No. of Power Loops ........................_._..._....
No. of Light Outlets No. of Heat Outlets . No. of Power Outlets ................. ..............
Nog of Light Circuits . . ....... . . No. of Heat Circuits No. of Power Circuits .. .. ..
No. of Sockets No. of Heat Receptacles No. of Motors ................
No. of Panels . .............../. .... .. Size of Heat Circuit No. of Power Receptacles
No. of Switches ..Total Wattage .... .. ...... Size of Power Circuit .. . ..
Total Horsepower
No. of Straight Electric Fixtures ....... .. .... .. ................ .... No. of Combination Fixtures
No. of Receptacles ... v.. ........ ....... ................ No. of Cord Drops ....... . .............. .......................... ........... . ..... .......
Remarks: For other kind of Installation .. .. ...11C.........L ......... .. '3G ............ .. .. . .......... ..............
Estimated Cost ...,
5774
1Y
PLUMBING APPLICATION
Application No. 6557
on the._..._..__..__ aide of
Lgt.-A21.. Kent .ane St-
street NO. ...... 12 9
Corm ....-J,-.&M _Bui ldiniz
ply _.._ Norman Lutzen
Filed in Office of
The Build'og Inspoctor
April 7 ig 81
No person shall eonatruct, add to or abw ay
portion of the drainage system of any buiLling
except to repair 16a6) until a Permit is gmated
by the Building Impeaw.
Application No...........65.5.2 ............. Permit No. .........5.7..7.4............
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.
l4SouthWindsor, . 19 . .... Sign here .............. .........................................................................
Address ......L.J...............ro. h..!;...5..........s... ..........................
Location .1..0 ...... ...7.. ..................................................................... side of .................................................................................................... Street
Natureof Building .......... How many stories .. ....... --................................. ..................................
Owner ....................... -.7 Address................J0.....0......G................. .............................................
Architect .............................................. .................. .................................. Address .......................................'..... ..?. ................................................
Builder S Address .....................................................................................................................
Plumber t s................................................ .`'/ '4 ....... G.. ......`' ....................... Address ... ... .......... ro S t '4.. ..........
DRAINAGE
CESSPOOLS, How many Where located . .. .. . ..............................................................................
Are they water tight Of what materials are they built ........................................ ...........
Size of pipe from house to cesspool Kind of pipe . .. . ................ ................................................................
MAIN DRAIN IN CELLAR, Material 6E r.t..v rs Diameter ..V. .......... ........................................................................................
Aboveor below cellar bottom . . ,..:............................... I..........
SOIL PIPES, Material . ..Diameter - L
13WASTEPIPES, Material Diameter .`.3.....................................................................................................
TRAPS,Type proposed to use is . . .r 5
RAIN WATER LEADERS, where do they run to ......... .... .......................................................................
REFRIGERATOR WASTES, where do they run to .
TANKOVERFLOWS, where do they run to
FIXTURES
WATER CLOSETS, How many ..................... .................... Where located ... . .. .....................................................................................
Distance from trap to vertical soil pipe .................. ................... Pattern
WASH TRAYS How man Where located . ..................................................................................
SINKS, How many ......................................................./............................. Where located . . ........................................................................................
BUTLER'S SINKS How man Where located.. ............................................................................................
REFRIGERATOR SINKS, How many.. ........ ............ Where located ...............................................
LAVATORIES, How many . ........................................................... Where located ...................................................................................................
BATHTUBS,How many ..................................................................... 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 located
Estimated Cost ..(fj ?.. .............................
PERMIT #
Application For 6418 5317
Ca
04a4-3 DEPARTMENT DECISION HeatingPermit
3 APPLICATION IS HEREBY: DEPARTMENT OF LICENSES AND INSPECTIONS
N 09 APPROVED DISAPPROVED
TOWN OF SOUTH WINDSORW
1.4
o p, 516/81 AZ0&4e;,,,
00 DATE EF INSPECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ME BELOW
O4.4
C 1. LOCATION OF JOB
o 0
NO. STREET
Cd w df - -)
y LOT NO. FLOOR APT, NO.
O
LV
O 0 4>c ss~ 2. OWNER
O l
O a. ADDRESS v
b0 3
0np<.e10% / d''y 4.PHONE
a
CJ 'C S. APPLICANT /VUY'1 Q' !J! `C J
a
O Gl1 U' Sd. ADDRESS l
y L. 7.PHONE
i
B. LICENSE NO. 30 1/0 5
w x s. EXPIRATION DATE OF LICENSE b — O
a Cr
C
10. ESTIMATED COST s
W
0 ^11. IS THIS A CONTRACT COST?U YES
b0
12. FEE ENCLOSED s Permit 11956
a
m d 13. TYPE OF 0ING:
b0 RL EfIDENTIAL COMMERCIAL
14. TYPE OF JO INDUSTRIAL
3
RIGINAL ALTERATION
INSTALLATI N ADDITION
REPAIR
APPLICATION FOR HEATING PERMIT (Continued from R v roe side)
11. LOCATION OF JOB /d 7 -> ( r-
NO. / STREET FLOOR AFT.N
12. TYPE OF INSTALLATION: L OIL BURNER ELECTRIC VENTILATION SPRINKLER
GAS BURNER STACK INCINERATOR MISCELLANEOUS
IDENTIFY
SIZE LOCATION SIZE SIZE13. OF TANK a OF TANK T `d OF FILL OF VENT
14. B.T.U. EQUIP. AT REGISTER FURNACE MAKE AND NO. AJ BONNET FIRING RATE
1Z B.T.U. OR SQ. FT. NET S' B.T.U. OR SQ. FT. GROSS FIRING RATEBOILERORFURNACEMAKEANDN0.f-171U
FLOORS TO BE HEATED 71 NEW OR OLD BUILDING 6-1 INSULATED - YES OR NO C"_S,
TYPE OF WALL - INSULATION ROOF OR CEILING INSULATION
AVG. SYSTEM WATER TEMP. 4 Y d B.T.U./SQ. FT./HR. EMISSION
INDOOR-OUTDOOR TEMPERATURE DIFFERENCE /n-- 15c C FAHRENHEIT
MAKE OF RADIATION: BA S BOARD. COPPER CONVECTO S. OR C.I. RADIATION. OUTPUT ER SECTION R LINEAL OF ADIATION. SQ.
FT. OR B.T.U.—v U / U /h cam.
DESCRIPTION OF WORK
15. TO BE DONE:
Le1c74eli-. C
16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS);
ROOM SIZE WINDOWS AREA - SQUARE FEET B.T.U. B.T.U. F DANODOORSVOLUMETOTALTOTALto
DISTRIBUTION INSTALLED
ILROOMNO. GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED t j 4 RAD. REGISTERLWNANDSTEMP. TO F f TVPE AND SIZE OR LEADER
SIZE < WALL
IF
o INFILT.)
DIFF. F O m a SQ. FT. FREE AREA
TOTALS
A. HEAT LOSS FROM BUILDING B.T.U./HR.
B. DOMESTIC HOT WATER DEMAND B.T.U./HR.
C. PIPING, OTHER THAN NORMAL B.T.U./HR.
ALLOWANCE FOR HEAT VALVE OF FUEL (A B C)) FACTOR
17. ELECTRICAL WORK BY;
NAM[ ADDRESS
SUBCONTRACTORS AND
te. THEIR TRADES
ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY THE (OWNER) OR (AGENT) OF THIS PROPERTY AND WILL
BE DONE IN STRICT ACCORDANCE WITH THE BUILDING CODE.
APPLICATION TO BE COMPLETELY FILLED IN.
DATE SI6NATUR[ OF A LICANT
1w 14W
ARGO CALCULATION SHEET
4--1
OWNER m ADDRESS V/ 7 DATE
DEALER !v Gf"I161 e a KIND OF BUILDING CHIMNEY SIZE
CONSTRUCTION: WALL y n if 1 K
WINDOWS. Si.-or r,A W I,+Anij S ROOF OR CEILING
BASEMENT HEIGHT: ABOVE GRADE BELOW GRADE DESIGN WATER TEMPERATURE DESIGN TEMP. DIFF
COL.1 2 3 4 5 6 7 8 1 9 1 10 11 12 13 14 15 16 17 18
ROOM SIZE WINDOWS AREA-SO. FT. FLOOR VOLUME i 81?EBOAMDS
AND DOORS CU.T. TOTAL TOTAL
SEE NOTE) AT 70 F CORRECTED WATER LENGTH ACCESSORIES
ROOM NUMBER GROSS
GLASS NET WALL CEILING 10),I.TEMF. TO T1:MP nF.
L W H ON AREA WALL o O1 8 DIFF, go F
ENCLOSURE FIN L R S I.0 MISC.
SizE pA TEMP. DIFF. FT.
TUBE
o
toys/ le / 00 0 50 1300 /y o 3
I v — — MI6 18
A M 11 It 00 00 aoo 0 o 3GGo
s-, G 8 g aoo 00 0 000 qo 1 ,3
v a
N'f 8 7 0 0 02 oa 300 /a o0 0 3
K)r 2_ o O
20 1 on 400 200 3500 Y000
3 1 3v 1A r a ye
K In B 1.2 8 yg 1100 60 000 e7 00 30 0
FL.wi = _ 1.8- 12 f6 Go•o D
p 3000 / oo 1300 3900 10920 do
o j0 0 60
a i3 a lop o0 00 1600 70 8
e z
300 00 00
i
o 160000yo
S4 06 r 8 300 300 300 500 y00 J600 y
X F 4 .20 60 do l3 ,:o S 70 00 70 0 /V Sd0DD O o
o 0J6 28
Ddooa00 )f D S3 7 D
L.coo D
NOTEI F R CONCRETE FLOOR ON GROUND OR FILL AT GRADE LEVEL,UBE LINEAR FEET OF EXPOSED EDOWA TOTALS bbO/ Q
F R ALL OTHER FLOORS USE SQUARE FEET OF AREA. v
i .. - m b. .15: may...u. u r_ -
AL
Building
SPECTIONS:APPLICATION FOR BUILDING PERMIT
PlumbingPlum
Date:/1 gCCt4 A— HVAC 92
Sprinkler 129 KENT LANE
DU-Electric Estimated Cost $
Zoning Permit Fee $D
Affidavit NO. 17527 Occupancy Fee $
Eng. Dept. COMPLETE RED BOXED AREAS. o_o
Fire Dept. TYPE OR PRINT ONLY
Total Fee $
Health Dept. SIGN ON REVERSE SIDE.SlOR
Approved for CO:
TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT
The undersigned, hereby applies to do work according to the following specifications:
Job Location Lot No. Side of Street Zone 30
Applicant-- li P N J6N e S Tel. #
Address 1 a9 VPu T 1-e- - Zip Lic.#
Owner A7 eou drive S Address-
Architect Eva 64AZ SeAVI6e- Address
Size New Area: Ft. Front Overall Ft. Deep Overall Total Area Garages
Lavatories
No. of Families No. of Stories Construction Bathrooms Rooms 1st 2nd 3rd
Size of Lot Dist. from Street Line Dist. from Side Street Line
Purpose of this Permit X -s io
City Water Well Septic Sewer
Approved by Date _ BD1A 11/88
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 stre t lines,side yard lines and required distances from all other zones and is
located in a zone in which this building and its use is allowed.
Signed
I hereby apply for a Certificate of Occupancy for the work described in this application for permit.
Signed
DO NOT WRITE BELOW THIS LINE—
INSPECTION RECORD
Footing Foundation Insulation
Plumbing Permit# Inspections:
HVAC Permit# Inspections:
Electrical Permit# inspections:
Sprinkler Permit# Inspections:
B ilding SPECTIONS
APPLICATION FOR BUILDING PERMIT
Plumbi Vo 3 Date: Z--HVAC 1
Sprinkler 129 KENT LANE
v a 00
Electric Estimated Cost $ V
Zoning Permit Fee $
Affidavit NO. 19894 Occupancy Fee $
Eng. Dept. COMPLETE RED BOXED AREAS.
Fire Dept. TYPE OR PRINT ONLY Total Fee $
Health Dept. SIGN ON REVERSE SIDE.
Approved for CO: Additional Cost) $
TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT
The and rsi ned, hereby applies to do work according to the following specifications:
Job Location Z a-/-xj-7' Lot No. Side of Street Zone
Applicant NEs Tel. # 6
Address Z ? AA,VC Sa• "JrA1 0S ip 06 d'7—Lic.#
STREET CITY STATE
Owner Address
Architect Address
Size New Area: Ft. Front Overall Ft. Deep Overall Total Area Garages
Size of Lot Dist. from Street Line
Lavatories
Bathrooms Rooms 1 st 2nd 3rd
Purpose of this Permit Sc f71/ fG2 c,c, 4 g 9-e
City Water 0 Well 0 Septic 0 Sewer- 0
Use Group Construction Type
Approved by Date ~ S- — BD1A 11/88
I h reby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinanc s 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 a zone in which this building and its use is allowed.
Signed— Agy vv
I hereby apply for a Certificate of Occupancy for the work described in this application for per It.
Signed
DO NOT WRITE BELOW THIS LINE—
Footin s a"9'
INSPECTION RECORD
Framing9
Foundation Fireplace/Chimney Insulation
Plumbing Permit# Inspections:
HVAC Permit# Inspections:
Electrical Permit# Inspections:
Sprinkler Permit# Inspections:
r
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
92-19894-B 1,500
BO1 FOOTING 05/20/92 003 A
B10 FINAL O8/03/93 JFH A
Total Est Value 1,500
FMAL INS, o APPLICATION FOR BUILDING PERMITBuilding
Plumbing
HVAC 129 KENT LANE Date:
Sprinkler
Electric Estimated Cost $
Permit FeesZoning22526
a0
Affidavit NO.Occupancy Fee $
Eng. Dept. COMPLETE RED BOXED AREAS.Total Fee $ (:PzFireDept.TYPE OR PRINT ONLY
Health Dept. SIGN ON REVERSE SIDE.
Approved for CO: Additional Cost) $
TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT
The and rsigned, hereb applii to do wol according to the following specifications:
Job Location Lot No. Side of Street Zone
Applicant
Tel.
CAddresste ip Lic.#
door ST CITY T
s"V• (//i
o'
Owner . V ddress N
Architect Address
Size New Area: Ft. Front Overal I Ft. Deep Overall Local Areaees Garages
Size of Lot niqt. from Street Line Bathrooms Rooms 1st 2nd 3rd
Purpose of this Permit
tp- 09S AI
City Water 13 Well 0 Septic 11 Sewer
Use Group / Construction Type
Approved by VVIFrVDate BD1A 11/88
I h reby agree to conform to all the requirements of the Laws of the Stat of Connecticut and the Ordinanc s 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 lin s,side ya s and required distances from all other zones and is
located in a zone in which this building and its use is allowed. 7 Y)-Signed VA 4'
I hereby apply for a Certificate of Occupancy for the work described in is application for permit.
Signed
DO NOT WRITE BELOW THIS LINE—
INSPECTION RECORD
Footing Framing
Foundation Fireplace/Chimney Insulation
Plumbing Permit# Inspections:
HVAC Permit# Inspections:
Electrical Permit# Inspections:
Sprinkler Permit# Inspections:
73
INSPECTO DATE TIME AM
LOCATION
INSPECTION: 2,LC7 CODE: R SULT(D/A) :
BUILDING: l
M o4
o S
ELECTRICAL:
5
9
PLUMBINGO
9
HVAC:
t OTHER:
r