HomeMy WebLinkAbout15 Sharon DriveApplication No. .31 4 ...... Permit No. . ?94...........
TO THE BUILDING INSPECTOR
of the
TOWN OF SOUTH WINDSOR, CONN.
hereby make application for a permit to (erect (make alteration to) 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... 19-99..9
Sign ere
Address 7...4........... ..... .. .. ..
Location? . ... side of? .. r!:—:-..
77
Nearest cross street? ..... .Street No. . .............. .............................. Lot No. .....0-. .
Owner of land is? Addre 1.?...G...
Owner of buildin is? ... . ...... .. ...............................................Address
Architect A?- Addres D..
Builder is.Address 7.. ...
Dimensions of building? ... .... ........ ...........F front? .......170.`*_,4........ Feet rear? .... ... ......... Feet deep? ...1`r. .. ..
Extreme height to highest point of roof? ...... ..... .. .........No. of stories in height? ......../....,... . ... ..
7 rpose of building is? No. of stores? ...... ............................................................................................
3 How many families? ................ No. of rooms? .... .. ....*.............................................................I.......................
Distance from street line is? . . ... ..... from building line is? .................. ............................................................
ADDITIONS AND ALTERATIONS
Give Brief Description)
MapNo. . .. ...................
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?I...... ...
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
Height Stories Front Walls Side Walls Rear Walls Partition Walls
Basement,
1st Story
I..................................................................I..................................................................................................................... . ........................... ......................... ..............
2nd "
I ......... ................................................. ............................
3rd "
I......................... ....................................... ......... ....................
4th 'd
I................................................. ..................... ...................... .............
5th 'it
I............................ ................. .............. .. .............................
6th 's
7th 4'
I.......................r................... ...... .. ............................................................ .......................................................
8th "
I............................................................... .............I.... .......... .............................. ......................................I............
9th 'd
I..
10th...................;......... . .. .. .................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 GIRDERS COLUMNS
FIoors Size Longest Span Centres Bridging Size Longest Span Centres Size Length Centres
1st Floor
y....... L....... l.,Y- 7. T....... .....................
2nd
l... .......Z...!;k.............. Z......... .................... ................ .......................................
3rd "
4 ........ ................................. ..................
Size of outside studs? ........,Y.......`-/ ..... Distance on centres? .. ... .:.. ,G .... . ..... Size of sill? ......:...'....L.............
Size of rafters? ...;P..... .....4.... Distance on centres?....... .1e..t.... ......... .. Size of plate? ............ 1,...............
Size of ledgers or girts? ..A.X O.R.r' .,-.1:....K.//..................Size of deck rafters?
Distance on centres? ............. .....................................................................Size of studs in bearing partitions? .......
MISCELLANEOUS
Style of roof, flat, pitch, Mansard, or hipped? .. . Fireplaces? ... .. ......... ........................
Material of roof'covering? Material of Cornice? ... .0 Z..........
How is building heated? . . fit/`.... ....... ............Lining of flues? aA,r. .......... ..
Thickness of shell of flues? ........... .../................... .... . ........Any elevators or lifts? I..............
What kind? How many? ... Any hoistways?
How protected? Total Value of Building D 47.Q.............. ..............
When will work be commenced? 0.. .....................
The applicant warrants that a to 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
e
Town of South Windsor since 1949.
v
Applicant
2804
BUILDING APPLICATION
Application No. ... 3.1.54.....................................................
onthe ........Y.e.s.t.................................................. side of
Sharon Drive.... ........ ... Street.
Street No, ...Lot...#236 .................. ... ............. ..
Owner Pleasant .V..al.le.k,...g.§t.a.t..e.s .
ApplicantS a.ne
CLASSIFICATION
Dwelling 43'x2l l
I................
I........... ................. .. .............. ...............................
Permit issued on above Application.
Date, !Tu-!.Y...1r................ 19......, 511
TOWN OF SOUTH WINDSOR
BUILDING PERMIT
Date July 1.,19 59
Fee Paid $52 w.0 0 "`Est. Value y$3 sv.000
Permit N9 2894
on the We s t side of
Sharon Drive Street
Street No. Lot #2 35 *15
Owner Pleasant Valley Estates
Applicant S ame
j CERTIFICATE OF OCCUPANCY ISSUED:
Date
No.1837
Fee Paid $ 3.00,
CLASSIFICATION
Dwelling 431 X241
BUILDING PERMIT
N? 2894
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Wi ndsor, Conn.
South Windsor, Conn. JU1Y is 19 59
Tots to to Terttfy, That Pleasant Val ley Fatat®e. Inc,
is hereby granted permission to Dwellinw 43'x2l"
at estimated value of
on the We®t side of Sharon Drive --Lot-#235 Street on land
owned by Pleasant Valley Estates
Said Work to be as described in Application
No. 315 -- and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
I JUIV 19 59
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 13431, 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. TOWN OF SOUTH WINDSOR
SOUTH WINDSOR, CONN.
Permit NA 1837
Certificate of Occupancy 1
THIS IS TO CERTIF that t e
in the To South Windsor, Connecticut,
at No.has been erected and completed in accordance with the Building Code and Zoning Regulations o
the Town of South Windsor, and is hereby approved for occupancy.
BUILDI CTOR
c'F/..=fit- / • (.. , '`
4I f,
OWNER, BUILDER <`
3
Date
19
Fee Paid
Application No. 7291 Permit No.
6991
TO THE BUILDING INSPECTOR
of the
TOWN OF SOUTH WINDSOR, CONN.
ry
Oel hereby make application for a permit to (erect (. 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.
South Windsor, Conn., .. .. ......../ .... 191e
Sign here .
Address ,,
Location?side of? .................. .ie .. ...... ......................................... .........................
Nearestcross street? ..... ... ... . .... .... ..................,...................Street No. . A ...... ........ Lot No. ............ ............ .
Ownerof land is? ....... . .... ...................A..................................Address X_
ner of building is? .A!!...Address
Architect,s?
Builderis? . Address
Dimensions of building? .. Feet front? . ... . . . Feet rear? .. . ......... Feet deep? ..
Extreme height to highest point of roof? ..... . . .. ............. No. of stories in height?. . ........ .
Purposeof building is? ........ .................................................................No. of stores? ..... .......... ..... .. ...................................................................
Howmany families? . .................................................................................No. of rooms? .. ...... ....... ..... . .............. ....................... .............
Distance from street line is? . from building line is? . ....
ADDITIONS AND ALTERATIONS
Give Brief Description)
a c..
c0a 1...... .........
d ...1...., .'
t .. ... . ......../
Ivlo%l XXIS ...... ...... .e
a_.... ec 9,
S.fa.e..... f....... &-c'-.
R................ . . ........................!. . ..................... .......... ................ ...............
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
He*ht Stories Front Walls Side Walls Rear Walls Psrtitlon Walls
Basement,
1st Story
2nd "
3rd "
4th "
I......,....................................................................... ...................... ......... . ..................... .....
5th of
6th "
7th is
8th do
9th t'
I.
10th......;.................... ............. .... ......
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 GIBD$8S OOLUMNS
Floors Size Longest Span Centres Bridging Size Longest Span Centres Size IAngW Centres
1st Floor
2nd .... .............. ..................................
a........... ............. .............................. .. .................. ..................... .............. _._................_....._..._... _..._..... .._.. ........_...... ..._....__ .....................
4 .... ..... ................
Distance on centres? ...... ... .Size of outside studs.? .............. ...... ........... Size of sill? .............................................
Size of rafters? Distance on centres? ... Size of plate?
Sizeof 1 dgers or girts? ... ............... .....................................Size of deck rafters? ... ............................................................. ...............
Distance on centres? partitions?.............. .....................................................................Size o studs in wring
MISCELLANEOUS
Style of roof, flat, pitch, Mansard, or hipped? . . ...... Fireplaces? .....................................................
Material of roof covering? ......... ....... ....... .... ............. ........Material of Cornice? .....................................................................................
Howis building heated? . .. . .................................................... Lining of flues? .... . .......................................................... ..............
Thickness of shell of flues? ....... . ...... ............................. ............Any elevators or lifts? .................. ...... ..................... .....................
What kind? .. ........ How many? .. Any hoistways? .. ......... . . ........ . ......... .
How protected? ... . .............................................. ..........g .........Total Value of Building .5.. ........................................P
101
When will work be commenced? . ,,.i y....... ...
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.
Applicant
6991
BUILDING APPLICATION
Application No. ....7..2.9........1
onthe east......... ................................ ......... ... side of
Sharon Drive
Street.
Street No, 15
Donald E. AllenOwner
Applicant
Same
CLASSIFICATION
Eerect fireplace 71widths 42"opening,
take existing garage and extend rec-room,
at later date will erect garage on opposite
side of house.
Permit issued on above Application.
Date, 4-15-70 19
f
TOWN OF SOUTH WINDSOR
BUILDING PERMIT
Date
April 15,
19
70
12.00 1500,00
Fee Paid Est. Value $. . . . ..
Permit 6991
on the
east side of
Sharon Drive
Street
Street No. 15
Owner
Donald E. Allen
Same
Applicant
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No.
Fee Paid $
i
CLASSIFICATION
Erect fireplace 7 !width, 42"opening,
take existing garage and extend rec-room,
1 at later date will erect garage on opposite
f
side of house.
i
BUILDING PERMIT
N° 6991
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
April 15, 70
South Windsor, Conn. 19
T#io to to Terfif1j, That
Donald S. Allen
is hereby granted permission to
Erect fireplace 7' width, 42"opening,tak
xisting garage and extend rec roan,- at later date will erect garage on
opposite aide of house. 5;00 00atestimatedvalueof
on the
east
side of 15 Sharon Dri V e Street on land
owned by
Donald Be Allen
Said
work
to be as described in Application
No. 7291 and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
Issued
April 15, 197 0
Buil*g 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."
TO THE BUHDING INSPECTOR
of the APPLICATION FOR
PLAN EXAMINATION ANDOF M WIS ORe CH. BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, III, IV, and IX.O
k10 VZWf./t ZONING
AT (LOCATION)I, J 77A1 DISTRICT
LOCATION NO.) STREET)
OF BETWEEN AND
BUILDING GROSS 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
AI
1 New building Residential Nonresidential
2 Addition(If residential, enter number 12 One family 18 Amusement, recreational
of new housing units added, if any,
in Part D, 13)13 Two or more family — Enter 19 Church, other religious
number of units— — — — -p. 20 Industrial
3 Alteration (See 2 above)14 Transient hotel, motel, 21 E] Parking garage4 Repair, replacement or dormitory — Enter number
5 Wrecking (lf 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 1 Q —`' ' 25 Public utility
7 Foundation only 26 School, library, other educational
B. OWNERSHIP S/_V1lC 1411—y SST// j 27 Stores, mercantile
8 Private (individual, corporation,
28 Tanks, towers
n nprofit 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................ 4f 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 S
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 ....................
33 Reinforc d concrete H. TYPE OF WATER SUPPLY
34 Oth r — Specify 42 Public or private company 50. Total land area, sq.ft. ...........
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 conditioning? L. RESIDENTIAL BUILDINGS ONLY
37 Electricity 44 Yes 45 No 53. Numb r f bedr ms..............
38 C al
39 Oth r— Specify Will there be an elevator?
54. Number f
Full..........
46 Yes 47 No bathrooms
Partial.......
NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing addr ss — Number, street, city, and State ZIP code Tel. No.
Owner or a L a— E W i d
Lessee
2. E
Contractor
3.
Architect or
Engineer
Th owner of this building and t-he undersigned agree to conform to all applicable laws of this jurisdiction.
Signature of ap plica/]nt Address Application dot
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Revi w Re uired 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 Date
Obtained Number By Permit or Approval Check Obt
Date
a ned 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 numb r 13062
Bui Iding
P rmit issued Jan. 4 19 8_
Bui Iding
Permit Fee $ 6.00
Approved by:az
TITAI
WARL9
Me
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TOWN OF SOUTH WINDSOR
BUILDING PERMIT
Date Jan. 4 19 83
Fee Paid Est. Value $. 7.5Q.00
Permit N° 13062
on the of
Sharon Drive Sheet
Street No. 15
Owner Donald Allen
Applicant Donald Allen
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No.
Fee Paid $
CLASSIFICATION
Install wood/coal stove into
existing fireplace,
BUIIDING PB Ivirr
N° 13062
OFFICE OF
I THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windmr, Conn. Jan. 4 19 82
I
to drertif-H, That Donald Allen
is hereby granted permission to Install wood/coal stove into existing
fireplace
at estimated value of $ 7 5n-00
on the side of 15 Sha ran Drive Strevt on land
owned by Donald Allen
Said Work to be as described in Application
No. 13362 and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
Issued 19 82,
ftildling 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."
Building S= ' ` APPLICATION FOR BUILDING PERMIT
Plumbing
HVAC Date: Vi
Sprinkler LY'G ZI j
Electric Estimated Cost $ 42 00
Burners Fee no
Affidavit NO. 17231 Occupancy Fee $
Eng. Dept.
Fire Dept.
Health Dept.
Approved Additional Cost $
TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT
The undersigned, hereby applies to do work according to the following specifications:
No. 1 5 tr&v _ Lot No. Side of Street Zone
Owner of Building FAkt PkA( e-f%rVQ-_ AI, 6—n Address Iff nr lyr• Mnnmca
Builder Address GF- ,t-2q
Architect Address GTq-y 9M
Size Main Building: Ft. Front Overall Ft. Deep Overall Net Area Garages
LavatoriesNo. of Families No. of Stories Construction Bathrooms Rooms 1st ?ind 3rd
Size of Lot Dist. from Street Line Dist. from Side Street Line
Purpose of this Permit
City Water Well Septic Sewer
Approved by ir4dz— Date ?-
r
Dist. from lot line E. W. S. N. Dist. nearest Bldg. ft.,
Height of stories -cellar 1st 2nd 3rd 4th 5th
Found depth below grade Above grade Material for footing
Size footing Material for found. Found. thickness
Roof No. of stairways Size of girders
Material for Side Walls Size of pier found.
Floor joists, size: 1st 2nd 3rd stories. Dist. on center
Longest span of floor joist: 1st 2nd 3rd If not wood joist const. what type of floor?
Size of Roof Rafters Longest span on center
Chimneys, size of flues How many? Where does tile start?
Plumbing contractor, Permit No. Oil burners, Permit No. Plot Plan Rec'd:
Heating contractor, Permit No. Checked by Eng. Dept. ;
Electrical Permit No. Signed by Engineer:
Sprinkler Permit No.
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 azone
in which this building and its use is allowed.
hereby apply for a Certificate of Occupancy for
described in the above application for permit.
Signed a&Q-a,
c
IINSPECTIONREPORT
Permit # 7 3 Job
1 Footing rIQ I A A 1,0C' E
2 Foundation
3 Framing
4 Wiring
5 Plumbing
6 Heating
7 Lathing
8 C.O. V,C'_
PRIMUS $ WELTI ENGINEERS
Glost nbury, C nn.
S
r, 4,o
y Lo * ' z3u•
V
Ir
f• may- '`
arti de M>
rt fJ } PIAN WT r-
Z 19
FOUNDATION CHECKED li ff
I
GATE i /; /J SC ALE — r ^CERTIFIED SUBSTANTIALLY CORRECT
SIGNEG f! / . I yHJ•-, DATE SIGNED
p(glEav'q
South Windsor
BUILDING DEPARTMENT
f •,J Tf- r' t soUTH WINDSOR
I1K e
r tions are true
rest.•,.tions to be
4-t- ShA
JF'
eic Ic tion and'
II zoning,
SF s shall bra
I d pendency
r a building
ire
r ndition that
19 shall be
a fled with
Clerk
r"e
No. / J
Sectric# APPLICATION FOR BUILDING PERMIT
15 SHARON DRIVEPlumbing# Date: 9 7WAC # 24155
Sprinkler#
FINAL aEshmated Cost $
Buildi (-3 COMPLETE RED BOXED AREAS Permit Fee
TYPE OR PRINT ONLY Occupancy Fee $
Affidavit SIGN ON REVERSE SIDE
A.W.for CO. 1: Total Fee
TO BULDW DEPARTMBVT,TOWN OF SOUTH WWSOR,CT 4a flowl Cost) $
The undersigned hereby applies to do work according to the following specification
Job Location /- (AA,,ow Lot No. Side of Street Zone
Applicant Toko 04z4d Tel.# Z f 4-3 7-G
Address Zip oGO zzj Lic#
Own r 6 Address /S -Skjwo l /?
Architect Address
Sq.Ft.New Area: 1st Fl. 2nd Fl. 3rd Fl. Total New Area
Rooms Lavatories Bathrooms Garages
Purpose of this permit:2;y-62 46%/
5!-Y Water Well Septic System Sewer
Ins. H.O P. Cert. Area Basement Garage
Approved by 4i Date Use Group /"' Construction Type
Rev6W 1/97
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 ich his building and its use is allowed.
Signed d
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