HomeMy WebLinkAbout150 Birch Hill Drive (8)TO THE 13URLDiNG iNSPECTOR
of ddw APPLICATION FOR
PLAN EXAMINATION AND IWSOUMCOOKBUILDINGPERMIT
z
IMPORTANT- Applicant fe complete all items in sections: 1, 11, 111, IV, and IX. C
1 ` ' CONING PO 30F. :-
AT (LOCATION) 1 57d " ) 1'f 1 LL- V{LII DISTRICT
L0C TION MO.) iT11ttT)
OF i![TwEEN 'FE L_'r JZ_VA AND T _ ST."
BUILDING CROSS STRUT) CROSS sTRttT)
susolvlsioN f?1 a-ItI.LS'7 D"T'S nor s ocx s`=s b I u Z-y 3
11. TYPE AND COST OF BUILDING — All applicants complete Ports A — D x
A. TYPE OF IMPROVEMENT 0. PROPOSED USE — For• recking" most recent useW
1 Now building Residential Nonresidential
2 Addition(lf residential. enter tsssrnber 12 One family Is Amusement, recreational
new bousirng units added. i/airy, 13 Two or more family - Enter 19 Church, other religiousinPareD. 13)
rrwrrber at units- - - - 20 Industrial
3 Alteration (See 2 above)14 Transient hotel, mete), 21 Parking gage4 Repair, replacement or dormitory - Enter nurnber
5 wrecking (if rindiiiarnily residential, o/ units ------- --- Service station, repair gurAe
enter nwnber o/wits in building in 15 Garage 23 Hospital, institutional
Part D, 13)
16 Carport 24 Office, bank, professional
6 to ving (relocation)
17 Other - Spec:fy RELt C.A'T 2S Public utility
7 Foundation only LAV1V / Al2EA I MN L AMIe 26 School, library, other educational
s. OWNERSHIP Ds cIG OPIEVJ WAL-L 27 States, morcentiI*
e Private(individuai, Corporation.
rV PV_VpAl2e F0fZ tiW.-ML-` 20 Tonics, towers
nonprofit institution, etc.) a F, c9 aee*,.#**A a y'e`t 29 Other - Specify
9 Public(Federal, State, or
local government)
C. COST Onto cents) Nonresidential - Describe in detail proposed use of buildings, e.g.. f ad
processing plant, machine shop, laundry building at hospital, elementary
10. C st of improvement...............school, secondary school, college, perachial'school, parking garage for i
deportment store, rental office building, office budding of industrial plant.
To be installed but not included If use of existing building is being changed, enter proposed use.
in the above cost
a. ElecMeel......................
b. Plumbing ......................
c.Having, air conditioning.........
d. Other(elevator, etc.)............
11. TOTAL COST OF IMPROVEMENT 0
III. SELECTED CHARACTERISTICS OF BUILDING - For new buildings and additions, complete Ports E - L;
for wrecking, complete only Part J, for all others skip t 1V.
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS
30 Mosenry(well boering) 40 Public or private company
48• Number of stories................
31 weed frame 41 Private(septic tank, etc.)
49• Total square Feet of floor Greg,
oil floors, based on exterior
32 Structural steel dimensions ....................
33 Reinforced concrete H. TYPE OF WATER SUPPLY
34 Other Specify 42 Public or privet*company Total lend area, sq. ff. ...........
43( Private(wall, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPALTYPE OF HEATING FUEL I. TYPE OF MECHANICAL
51. Enclosed .......................
35 Gas Will there be control air 52. Outdoors........................
conditioning?36 Oil L. RESIDENTIAL BUILDINGS ONLY
37 Elaetrieity 44 Y • 45 N 33. Number f bodrosms..............
38 Cool
39 Other- Specify will there be an elevator? Full..........
54. Numbs+of
46 Y s 47 N Partial........
i
IV. IDENTIFICATION — To b comp/ ted by all applicants
Name Mailing aJdress — Number, street, city, and State ZIP code Tel. No.
LAw eevice 14 T>A-r- 150 91>2--/AA 1-1 I L.L POAD 6 y q .z v l
owner or
r yLessee1eo,Av, So VT-" VV)IV r' -,
2.u—x U2 3aAr`,`'r'r') 131 >A YL- rz by.Sl I
Contractor 60 o
CSbL 14' W4.oz-0
3.
Architect or
Engineer
Th own r of this building and the undersigned agree to conform to all applicable laws of this jurisdiction.
Signature of applicant Aididress Applicati n date
31 ev) ,
00 N 0 T WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans By Dote Plans
By ',NotesFeeStartedApproved
BUILDING S
4r
PLUMBING
MECHANICAL S
ELECTRICAL S
OTHER is
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date
Permit or Approval Check Date Number By Permit or Approval Checks Obtained i
Obtained Numb r 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
V11. VALIDATION
Building
Permit number
Bus Iding
Permit issued 19
Bus Iding
P rm i t F e S
A rove
bU 177
C_^
E
A
TOWN OF SOUTH WIMSOR
BUILDING PERMIT
Date- e;lit 19 87
Fee Paid 1*(.,,00 Est. Value $6.,00j
Permit N° 16258
on the side of
IMIra—h—Ht 11Dr4.Ve Street
Street No. 150
Owner ra--got LOW690 --
Applicant -Ada A&gqd s&#AGg
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No.
Fee Paid $
CLASSIFICATION
BUILD NG PERMIT
N° 16258
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn. 9/16
19 87
94is to to gertify, .That Ada Associates
is hereby granted permission to Relocate l a u n d ry Area , enlarge d er k &silo n
Wall for installation of CjrPP_n hn17RP
at estimated value of $ 6 ,0 0 0
on the side of 150 Birch Hill DRi ve Street on land
owned by TiauxrenGe & Pat Lenge..
Said Work to be as described in Application
No. 16 5 5 6 and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
Iss d 1987
nj-e3
0'e"'t0-4 udiing 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 plan
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, 6 shall pay said city,
town or borough all costs and damages which it shall sustain, or be compelled to reason therefor."