HomeMy WebLinkAbout14 Abar Lane (6)TO THE. BUILDING INSPECTOR
of the APPLICATION FOR
TOWN QF SOUTH WINDSOR, CONN. PLAN EXAMINATION ANDBUILDINGPERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, and IV. O
I• ZONING
AT (LOCATION) 14 wit- Ira DISTRICTCT
LOCATION NO.) STREET)
OF BETWEEN AND
BUILDING CROSS STREET) CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use T
M
1 New building Resid nfial Nonresidential
2 Addition(1 residential, enter number 12 One family 18 El Amusement, recreationalofnewhousingunitsadded, i/any,13 Two or more family — Enter 19 Church, other religiousinPartD, 13)
number of units— — — — i
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 ——————— — .•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 — Specify 25 Public utility
7 Foundation only 26 School, library, other educational
S. OW ERSHIP 27 Stores, mercantile
28 Tanks, towers8Private (individual, corporation,
nonprofit institution, etc.) 29 Other — Specify
9 Public(Federal, State, or
local government)
C.COST Omit cents)ORK QESCRIPTION:
10. Cost of improvement. . . . . . . . . . . . . . . . S •V
n. Electrical . . . . . . . . . . . . . . . . . . . . . Qbr 0 P(.- Sc,b v ttlE
b. Plumbing . . . . . . . . . . . . . . . . . . . . .
c. HVAC . . . . . . . . . . . . . . . . . . . . . . . .
d. Sprinkler . . . . . . . . . . . . . . . . . . . . .
e. Garages. . . . . . . . . . . . . . . . . . . . . .
f. Other
11. TOTAL S j Fee: d SQL CO Fee: Total: 1=
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. PRINCIPLE TYPE OF CONSTRUCTION G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS
40 Public or private company
48. Number of stories...............
30 Type 1: A B 41 Private (septic tank, etc.) 49• Total square feet of floor area,
all floors, based on exterior
31 Type 2: A B C dimensions .....................
32 Type3: El B H. TYPE OF WATER SUPPLY
42 Public or private company Total land area, sq.ft. ...........
33 Type 4
43 Private(well, cistern) K. NUMBER OF OFF-STREET
34 Type 5: A B PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
51. Enclosed .......................
35 Gas Will there be central air 52. Outdoors.......................
Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
37 Electricity 44 Yes 45 No 53. Number of bedrooms..............
38 Coal
39 Other— Specify Will there be an elevator?
54. Number of
Full..........
46 Yes 47 No bathrooms
Partial........
IV. IDENTIFICATION — To be completed by all applicants
1
Name Mailing address — Number, street, city, and State ZIP code Tel. No
1. Q/c S y p 0. 9—Owner or l
Lessee O D
2.
Y O12 fOo
Contractor
3.
Architect or
Engineer
The owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction.
Signature of applican Address Application date
AS Ur- Cep- 0 9
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans BYy y
Date Plans B Notes9FeeStartedApproved
BUILDING
PLUMBING
MECHANICAL
ELECTRICAL
OTHER
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
DatePermitorApprovalCheckObttaned Number By Permit or Approval Check ObDrated 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
Permit number
Building
Permit issued ,_VSt i 19 8
Building W
Permit Fee $ y
Approved by:
Z—ifk
TITLE
DATE
IN TOR
LOCATION
TIME DAY
TYPE OF INSPECTION :
FOOTING PLUMBING
FOUNDATION HEATING/AC
FRAMING ELECTRICAL
INSULATION FINAL
V6THER
A,
4144 1 8g INSPECTION REPORT
Permit # I -j I Lj Job izi i0rhar llirti2
1 Footing ejW 1; trYp Ln -
2 Foundation
3 Framing
b
4 Wiring c-1?-f3°16F0 i
5 Plumbing
6 Heating
7 Lathing
8 C.O.