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Home My WebLink About1451 Ellington Road (2)Sectric#6 i APPLICATION FOR BUILDING PERMIT Plumbing# U o? 1451 Ellinqton Road HVriAC #11 d4q N0 2 7 6 5 4 Date: _9 —0 / Spnkler# FINAL APPROVALS Estimated Cost Building COMPLETE RED BOXED AREAS Permit Fee Engineering TYPE OR PRINT ONLY Occupancy Fee $S d Affidavit SIGN ON REVERSE SIDE Appr.for CO.Total Fee V73,5, D 0 TO BUILDIISIG DRARTMBV4,TOWN OF SOUTH WIWSM CT Additional Cost) $ The undersigned hereby applies to do work according to the following specifications: lob Location / S/C"rNG Tam 12b lot No. Side of Street 50,A- Zone lei Applicant V VQY' t Tel# G Addr ss 31Y %/Wi2Off-ia4Zip O Lic.# 1 0 GOwnrQA;e& ;S-"U r1k- Cis&- 439 Address Architect Address Sq.Ft.N w Area: 1st FI. Z Z 7 2nd FI. 2d 3rd Fl. Total New Area Z Q 7 Rooms 1' Lavatories Bathrooms -7 Garages Z c&a— Purpose of this permit: e!, 7TZ0677C d ti n I City Water. Well Septic System SewerV Ins. H.O. S.P. Cert. Area D Basement a Garage Approved by Date 14 11 b 1 n 1 Use Group Construction Type --45-Z3 R•vs.d 1197 I hereby agree to conform to all the requirements of the Laws of the tate of Connecticut and the Ordinances of the Town of South Windsor and to notify the Building Inspector of any aR the pla specifications of the Building for which this permit is asked,and agree that this building is to be located the per di sta from all street lines,side yard lines,and required distances from all other zones and is located in which this bui and its is allowed. Signed I hereby apply for a Certificate of Occupa for described' this application for the permit. Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS Location of Job:AFFIDAVIT Additional Fee$ — 0 State of Connecticut ss.South Windsor County of Hartford Owner I_l_"j)AD. p IJ-1 l9 crlc- of Agent for the building erected Contractor under Permit No. 27654 issued by the Building Department of the Town of South Windsor heing duly sworn,make oath and say that the actual cost of the completed work authorized under said permit di of exceed the submitted estimated cost Signed Subscribed and sworn to before me this day of A.D.2007 Estimated Cost S 2 4 8,0 0 0 . Difference: S (88, 466 otary Public Inspection / Approval Date By Appl Code Description Due Whom Code Comment 27654-B 210,000 B01 FOOTING 05/09/01 JFF A WITH CONTRACTOR 2 NO 4 REBARS CONTINUOUS NOTIFIED CONTRACTOR NEED COMPACTION TESTS B02 FOUNDATION 05/18/01 CJD D NOT READY B02 FOUNDATION 05/21/01 MJS A FOUNDATION WATERPROOFING W/CONTRACTOR B09 OTHER 05/21/01 MJS A FOOTING DRAINS W/CONTRACTOR P03 ROUGH 07/09/01 GRM A CONTRACTOR NOT PRESENT-WATER & AIR TESTS B03 FRAMING (ROUGH) 07/13/01 CJD A W/NUES H03 ROUGH 07/17/01 JFF A LEFT NOTICE OF APPROVAL E01 SERVICE 07/27/01 CJD A E03 ROUGH 07/27/01 CJD D BUNDLING @ THREE LOCATIONS W/BOB NADEAU B04 INSULATION 07/31/01 CJD A LEFT TICKET PO4 GAS TEST 09/21/01 GRM A LEFT STICKER 11089-H 21,500 10824-P 12,000 17362-E 4,500 Total Est Value 248,000 Dwelling 2,707 130,693.96 Basement 1,429 20,291.80 Garage 565 8,023.00 Smoke Det 7 525.00 BOCA Value 159,533.76 Difference 88,466.24) i Inspection / Approval Date By Appl Code Description Due Whom Code Comment 27654-B 210,000 B01 FOOTING 05/09/01 JFF A WITH CONTRACTOR 2 NO 4 REBARS CONTINUOUS NOTIFIED CONTRACTOR NEED COMPACTION TESTS B02 FOUNDATION 05/18/01 CJD D NOT READY B02 FOUNDATION 05/21/01 MJS A FOUNDATION WATERPROOFING W/CONTRACTOR B09 OTHER 05/21/01 MJS A FOOTING DRAINS W/CONTRACTOR P03 ROUGH 07/09/01 GRM A CONTRACTOR NOT PRESENT-WATER & AIR TESTS B03 FRAMING (ROUGH) 07/13/01 CJD A W/NUES H03 ROUGH 07/17/01 JFF A LEFT NOTICE OF APPROVAL E01 SERVICE 07/27/01 CJD A E03 ROUGH 07/27/01 CJD D BUNDLING @ THREE LOCATIONS W/BOB NADEAU B04 INSULATION 07/31/01 CJD A LEFT TICKET PO4 GAS TEST 09/21/01 GRM A LEFT STICKER B10 FINAL 10/22/01 CJD A W/BLDR. E03 ROUGH 10/22/01 CJD A W/BLDR. B10 FINAL 10/22/01 CJD A CLOSED OUT. 11089-H 21,500 10824-P 12,000 17362-E 4,500 SITE COMPLIANCE CHECKLIST TOWN of SOUTH WINDSOR, CONNECTICUT 1451 ELLINGTON ROAD LOT_# Reviewed By ne'' ering) ROBERT NEWSOM CONSTRUCTION Date Reviewed 2 OI Denied 314 THREE MILE ROAD,GLASTONBURY,CT Reviewed By Pla BP_#_27654_ Ph_# 659-1805 Date Review prov i Date Submitted 00/00/00 FORt df O ***** /0 2 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 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/s c s em 1z b. foundation drain Z C. electrical & telephone d. water e. other 5. Sewer connection charge paid 6. Appropriate certification 7. Bonding 8. Planning & Zoning/ Inland Wetlands Considerations A. Lighting B. Signage Freestanding Wall C. Fee in lieu of Open Space Sewer Permit No. Pavement Excavation No. COMMENTS: SITE COMPLIANCE CHECKLIST 10% TOWN of SOUTH WINDSOR, CONNECTICUT 1451 ELLINGTON ROAD LOT_# Reviewed By d?.te 6 ' En ineemincUl— ROBERT NEWSOM CONSTRUCTION Date Reviewed 03ZI9,101 Approve 314 THREE MILE ROAD,GLASTONBURY,CT Reviewed By a 1 ,S P a BP_#_27654_ Ph_#_659-1805 Date Review 3 ppro d/ a 'e Date Submitted 03/13/01 FOR BUILDING PERMIT **** 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: Appro d Denied N/A 1. Name, address & phone number of owner/applicant 2. Name, address & phone number of plan preparer V 3. Zoning Information - i.e. zone, open space, j floodway, street address. Y 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 (ga water, electric, s 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.) 5. Sedimentation and erosion control 6. Special Planning & Zoning, Inland/Wetlands considerations (Plans on file w/Town Clerk) COMMENTS: Wo)T160wdL Y,PGT 6"'e0A95 LT 312 TO: MR. FOL&*R /7'O'WAJ OF todriasoy FROM: CLIFFORD R. AND JEANETTE D. GERICH 1451 ELLINGTON ROAD SOUTH WINDSOR, CT 06074 RE: PROPERTY AT 1451 ELLINGTON ROAD SOUTH WINDSOR, CT 06074 DATE: OCTOBER 31, 2001 IT WAS BROUGHT TO OUR ATTENTION THAT DUE TO THE CONSTRUCTION OF OUR NEW HOME AT 1451 ELLINGTON ROAD, SOUTH WINDSOR, SOME OPEN SPACE LAND THAT ADJOURNS WITH OUR PROPERTY WAS DISTURBED. IT IS OUR FULL INTENTION THAT IN T`HE SPRING OF 2002 TO RACK AND SEED THE DISTURBED PORTION AND ALLOW IT TO GROW BACK TO ITS NATURAL STATE. ENCLOSED IS A CHECK FOR $1000.00 THAT IS REQUIRED BY THE TOWN FOR A SECURITY BOND. IT IS OUR UNDERSTANDING THAT THE TOWN OF SOUTH WINDSOR WILL HOLD THIS CHECK AND IT WILL ACCRUE INTEREST UNTIL WHICH TIME THE ABOVE PROJECT IS COMPLETED. WE THANK YOU FOR YOUR UNDERSTANDING AND CONSIDERATION IN THIS MATTER. Zz Cliffor . Gerich 4J nette D. Gerich DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT PERMIT# Applicati hereby:TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT 7 6 APPROVED 1540 SULLIVAN AVENUE Bldg.Permit#644-2511 ext. 230 a Date B ldin nspector Application must be printed or typed FEE SCHEDULE Location of Job: PA- 0-$1,000=$13.00 Street No. Street Lot No. Over$1,000= 13.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT 6 S APPLICANT ADDRESS c t—yx G y-' APPLICANT PHONE#g 'j '21 OWN S OWNER q OWNER ADDRESS or , OWNER PHONE ESTIMATED COST$ _ c7(9 , 0 6 U IS THIS A CONTRACT COST? ' Yes 13 No FEE ENCLOSED$ d TYPE OF JOB: SOR.CO 0 Original Installation 0 Alteration/Addition/Repair Revised 8/99 APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A RESIDENTIAL BUILDING PERMIT APPLICATION? YES NO BUSINESS CURRENT USE AND OCCUPANCY ASSEMBLY MERCANTILE FUTURE USE AND OCCUPANCY EDUCATIONAL INSTITUTIONAL ENGINEER'S NAME PHONE FACTORY STORAGE ADDRESS GARAGE MIXED USE CITY STATE ZIP Other please specify) TYPE OF INSTALLATION/WIRING METHOD SIZE OF MAIN FEEDERS AND RATING OF WIRE USED NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS_'20 p NUMBER OF PANELS_ REMOTE DISCONNECT REQUIRED? YES NO NUMBER OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS NUMBER OF SWITCHES NUMBER OF OUTLETS NUMBER OF LIGHT FIXTURES NUMBER OF HEAT CIRCUITS NUMBER OF A/C CIRCUITS SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED. DESCRIPTION OF WORK Alai L/12 t4 er-an-d THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT DATE Shirley Wilhelm-CRS Approval Confirmation: Request No. 182990 Page 1 From: clpsvc@nu.com> To: WILHEL@SOUTHWINDSOR.ORG> Date: 7/27/01 12:27PM Subject: CRS Approval Confirmation: Request No. 182990 CRS Work Request#: 182990 House No: 1451 n Lot No: Street Name: Inspector:JOHN COLLINS Approval Date: Jul 27, 2001 DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT TOWN OF SOUTH WINDSOR PERMIT# Apphcahon is hereby: IBUILDINGDEPARTMENT APPROVED 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 02 7( 5 Y ate Building Inspector Application must be printed or typed FEE SCHEDULE Location of Job: 0-$1,000=$13.00 S eet No. Str t Lot No. Over$1,000= 13.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT APPLICANT ADDRESS APPLICANT PHONE# d mil` S 0 W N $F,q OWNER G OWNER ADDRESS 0 * s OWNER PHONE C ESTIMATED COST$ IS THIS A CONTRACT COST? 0 Yes m'No FEE ENCLOSED$ 5 TYPE OF JOB: s R CO ew Installation 0 Alteration/Addition/Repair Revised 8/99 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 FUTURE USE AND OCCUPANCY EDUCATIONAL INSTITUTIONAL ENGINEER'S NAME PHONE FACTORY STORAGE ADDRESS GARAGE MIXED USE CITY STATE ZIP Other please specify) TYPE OF INSTALLATION /j^ S. SIZE OF MAIN DRAIN NO.OF TOILETS_/4e4 STYLE NO.URINALS STYLE NO.OF BATHTUBS NO.OF SHOWERS PeL NO.OF LAVATORIES NO.OF CONDUCTORS SIZE NO.OF STACKS SIZE AREA OF ROOF NO.OF CATCH BASINS NO.OF FLOOR DRAINS NO.OF OTHER FIXTURES KIND ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW YES NO SIZE OF WINDOW IF NONE C.F.M.OF VENTILATOR SIZE OF DUCTS SEWER OR SEPTIC TANK SIZE OF WATER MAIN tl SIZE OF WATER PIPING&RISER 4 WATER HEATER: 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 CONNECTICUT BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. Z Cf CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT DATE DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT PERMIT# Application is hereby:TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT my" 2P7RO 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 Date Building Inspector Application must be printed or typed Location ofJob: FEE SCHEDULE Desi 6;\aC\$ 0-$1,000=$13.00 o. Street Lot No. Over$1,000= 13.00 per$1,000 A t No. or any fraction thereof gnation P APPLICANT APPLICANT ADDRESS -7 APPLICANT PHONE# C(\ W N S OWNER OWNER ADDRESS f OWNER PHONE S C ESTIMATED COST$ O IS THIS A CONTRACT COST? es 0 No f FEE ENCLOSED$ Q,59 TYPE OF JOB: SOR.CD New Installation 0 Alteration/Addition/Repair Revised 8/99 APPLICATION FOR HVAC PERMIT (Continued from reverse side TYPE OF SYSTEM: TYPE OF BUILDING: 6UHEATING DEWSIDENTIAL 42"/C COMMERCIAL VENTILATION INDUSTRIAL HEATING STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS. HYDRONIC OMWARM AIR UNIT RADIANT HEATER EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION DESIGN TEMP. OUTSIDE —1 O OF INSIDE 7O OF DIFFERENCE OF TOTAL HEAT LOSS(BTUH)//?S °F(HEAT LOSS SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL HEATING EQUIPMENT(INCLUDING MAKE&MODEL NO.) v r07! v h1 0 476 o tee,- hs: f=b GROSS HEATING CAPACITY(INPUT—BTUH)/,O V00 NET RATING(OUTPUT—BTUH)/ / .DO O TYPE OF FUEL OIL—GPM OIL TANK LOCATION:INSIDE OUTSIDE CAPACITY 0-6AS—INPUT/ LPG TANK CAPACITY ELECTRIC—KW AIR CONDITIONING q DESIGN TEMP.OUTSIDE ), - OF INSIDE 7S—OF DIFFERENCE -aC) OF TOTAL HEAT GAIN(BTUH)n 72 .-- (HEAT GAIN SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL COOLING EQUIPMENT(INCLUDING MAKE&MODEL NO.) M g cx--c o(nc l® Se C=-r-- TONNAGE COOLING CAPACITY(BTUH)00 cam. VENTILATION DESCRIBE ALL AIR HANDLING EQUIPMENT(INCLUDING KITCHEN EXHAUST EQUIPMENT) TOTAL SIZE OF SYSTEM(CFM) FRESH AIR INTAKE(CFM) PLANS MUST ACCOMPANY APPLICATION) FURI Ej DESCRIPTION OF WORK kk -Z c' t0 THE ERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. 0- r,( e:,.-- C: rl CONTRACTORS LICENSE Ng-, TYPE STATE SIGNATURE OF APPLICANT DATE J O HiPoint Heating & Cooling 71 Edwin Road South Windsor, CT 06074 (860) 291-0181 JOB NAME: GERICH RESIDENCE City DESIGN CONDITIONS TOTAL BLDG. HEAT LOSS/GAIN Phone Street CT Bldg : Heating: 80 deg f.t/d BLDG Heat Loss BTU 110349 Estimator: Notes: Cooling: 20 deg f.t/d BLDG A/C Gain BTU 56732 Room 1 Room 2 Room 3 Room 4 Room 5 Room 6 Room 7 Room 8 Room 9 Room 10 Room 11 Room 12 AREA NAME STUDY GREAT FOYER DINING KITCHEN HALL NAS.-BR. BR-3 Outside Wall Length 67.00 20.00 16.00 37.00 26.00 37.00 74.00 86.00 0.00 0.00 0.00 0.00 Outside Wall Height 9.00 14.00 20.00 9.00 9.00 9.00 9.00 8.00 8.00 8.00 8.00 8.00 Sq/Ft S or W Glass 48.00 0.00 36.00 36.00 0.00 12.00 0.00 30.00 0.00 0.00 0.00 0.00 Sq/Ft N or E Glass 56.00 68.00 0.00 0.00 24.00 0.00 128.00 0.00 0.00 0.00 0.00 0.00 No of Doors 0.00 2.00 1.00 0.00 0.00 1.00 2.00 1.00 0.00 0.00 0.00 0.00 Floor Width 12.00 16.00 16.00 13.00 24.00 11.00 23.00 21.00 0.00 0.00 0.00 0.00 Floor Length 43.00 26.00 7.00 16.00 13.00 26.00 26.00 22.00 0.00 0.00 0.00 0.00 Roof Width 12.00 16.00 16.00 13.00 24.00 11.00 23.00 21.00 0.00 0.00 0.00 0.00 Roof Length 43.00 26.00 7.00 16.00 13.00 26.00 26.00 22.00 0.00 0.00 0.00 0.00 Area Cubic Feet 41644 5,824 2,240 11872 21808 21574 51382 31696 0 0 0 0 Gross Wall sq/ft 603 280 320 333 234 333 666 688 0 0 0 0 Net Wall sq/ft 499 170 263 297 210 300 496 637 0 0 0 0 Wall Heating BTU 11597 544 842 950 672 960 11587 21038 0 0 0 0 Wall Cooling BTU 798 272 421 475 336 480 794 11019 0 0 0 0 S/W Glass sq/ft 48 0 36 36 0 12 0 30 0 0 0 0 S/W Glass Heating BTU 2,381 0 1,786 11786 0 595 0 11488 0 0 0 0 S/W Glass Cooling BTU 595 0 446 446 0 149 0 372 0 0 0 0 S/W Glass Solar BTU 31840 0 21880 21880 0 960 0 21400 0 0 0 0 N/E Glass sq/ft 56 68 0 0 24 0 128 0 0 0 0 0 N/E Glass Heating BTU 21778 31373 0 0 11190 0 61349 0 0 0 0 0 N/E Glass Cooling BTU 694 843 0 0 298 0 11587 0 0 0 0 0 N/E Glass Solar BTU 21240 21720 0 0 960 0 51120 0 0 0 0 0 Doors sq/ft 0 42 21 0 0 21 42 21 0 0 0 0 Door Heating BTU 0 11075 538 0 0 538 11075 538 0 0 0 0 Door Cooling BTU 0 336 168 0 0 168 336 168 0 0 0 0 Floor sq/ft 516 416 112 208 312 286 598 462 0 0 0 0 Floor Heating BTU 81256 61656 11792 31328 41992 41576 91568 71392 0 0 0 0 Floor Cooling BTU 1 1 0 0 1 1 1 1 0 0 0 0 Roof sq/ft 516 416 112 208 312 286 598 462 0 0 0 0 Roof Heating BTU 11238 998 269 499 749 686 11435 11109 0 0 0 0 Roof Cooling BTU 516 416 112 208 312 286 598 462 0 0 0 0 Lights Cooling BTU 440 355 96 177 266 244 510 394 0 0 0 0 Appliance Cooling BTU 542 437 118 218 328 300 628 485 0 0 0 0 People Cooling BTU 160 129 35 64 96 88 185 143 0 0 0 0 Latent Cooling BTU 142 114 31 57 86 79 164 127 0 0 0 0 Ventilation Heat BTU 2,925 21276 941 11181 11369 11324 31603 21262 0 0 0 0 Ventilation Cool BTU 11794 11012 775 815 483 496 11786 11003 0 0 0 0 Duct Heat Loss BTU 11150 895 370 465 538 521 1,417 890 0 0 0 0 Duct Cool Loss BTU 706 398 305 321 190 195 703 394 0 0 0 0 Area Heating BTU 20325 15818 6536 8209 9510 9200 25034 15716 0 0 0 0 Area Cooling BTU 12469 7033 5386 5663 3355 3446 12412 6969 0 0 0 0 Area Air Heating CFH 267 208 86 108 125 121 329 207 0 0 0 0 Area Air Cooling CFH 416 234 180 189 112 115 414 232 0 0 0 0 TTL Building. Square feet-> 2910 Heating Air Changes/Hour -> 3.00 TTL Building. Cubic feet-> 29040 Cooling Air Changes/Hour -> 3.91 Inspection / Approval Date By Appl Code Description Due Whom Code Comment 28230-B 750 B07 TANK INSTALL/REMOVE 10/04/01 JFF A LEFT APPROVAL STICKER B10 FINAL 02/07/02 JFF A INSPECTED AN APPROVED 10042001 B10 FINAL 10/04/01 JFF A CLOSED OUT. ecwlc# APPLICATION FOR BUILDING PERMIT Plumbing# 1451 El l inctton Road HVAC # Dat No. 28230 Sprinkler# F iAI Estimated Cost 7Sd Buildinglt77_-_ COMPLETE RED BOXED AREAS Permit Fee Engineers TYPE OR PRINT ONLY Occupancy Fee $ AffidavitSIGN ON REVERSE SIDE Appr.for CO.Total Fee 13 e. TO BUILDWG DEPARTMEt--ff,TOWN OF SOUTH WN)SOR,CT . Additional Cost) $ The underspned hereby applies to do work according to the following specifications: Job Location Lot No. Side of Street Zone Applicant TeL# 32) Addr ss Z-ta 7" Zipb33 Lic.# Owner Address /YV Architect Address Sq. Ft.New Area: 1st Fl. 2nd Fl. 3rd Fl. Total New Area Rooms Lavatories Bathrooms Garages M Purpose of this permit: 0-foL —SZSz> GgU-6A s City Water Well Septic System Sewer Ins. H.O. S.P. Cert. Area Basement Garage Approved by h IL Date 4'3—0 I Use Group -—Construction Type — RevW 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 pr r distance from all street lines,side yard lines,and required distances from all other zones and is located in this build and' use is all Signed I hereby apply for a Certificate of Occupancy for the work described in this a i ion for the permit. 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Az y' 4 a.0 ^ i••f{.< - a'-.F: ', '0.tit' `.ri y i e ii _ J l+ ' r TV r!' eft . e - r -« i" 'L y"Ar. T,o x '`: t,'k r d. r.;`,. py ,'. '' _ dr,,- .ewe-'yF r_ r S- q•4 t r e'' a^i,• ..,.,ti' ;a fie„ y, R .y 5` .. 4,' iT' ta r -, j. _ ,#. a' r9 xys S'sFT,y s p 3-.rn. .v C , 'F.y.:. . f Y-„. r, r, ,`_".,; `,N *` 4 s s_ r f:%`r y, '°„.;' r e} F ...F+. .s s' +>• d` • .rya>s,r 1. 4 I P r) le VT BUiLPIN(I T FO THE DL`- H ThIE certified th iz tn#s plin -.nd ov-3,r, ,ru# cop'-6 of the proposed building or It--ratio:.s t..) e,,,-,cted at Sl /l1 Alstr-o' tcgether with arrlerr'mcnt:; s'--ilcd In fihF,e, w 1(h Plan I h ill Puiiding and stete laws and such as ISSLIud by the Builoing Dcr-;,tment dt-in;, eider, of this application and final issuance of a permit. Signed Th-s plan is approved SLI;;J,Ct to the con!ti--n fl 1.1 orders and ordin.-irces i-g-,lating building shall L)e complied with Qonditional!y Approved These find WIL Building Inspector mate c,2 Ao T 4d3 q6,to or f- C jj c Me 0 CO/I ei- RECEIVED OCT 2 3 2001 SotjTH WINDSIIVDSorNGDEPT.