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HomeMy WebLinkAbout153 Gail LaneTHE B Il TG0 INSPECTORy APPLICATION FORofthePLANEXAMINATIONAND DOWN OF Soum cow BUILDING PERMIT z IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX.O ZONING I• AT (LOCATION) A& 0aw".1.0 DISTRICT LOCATION NO.) STREET) AND444" ( CR ' X Il•SOFBETWEENCROSSSTRE ) BUILDING CROSS STREET) LOT ao t3 ff,J*7 X 7 SUBDIVISION'PLIM /' djOLLEV #041'" LOT BLOCK SIZE. N II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D v A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use 1 KNew building Resid ntial Nonresidential 2 Addition(It residential, enter number 12 One family 18 Amusement, recreational o/new housing units added, if any,13 Two or more family — Enter 19 Church, other religious in Part D, 13)number of units— — — —-i 20 Industrial 3 Alteration (See 2 above) 14 Transient hotel, motel,21 Parking garage 4 Repair, replacement or dormitory — Enter number 5 Wrecking (if multifamily residential,of units ——————— ——! Service station, repair garage enter number of units in building in 15 Garage 230 Hospital, institutional Part D, 13) 16 Carport 24 Office, bank, professional 6 Moving (relocation) 25 Public utility17 Other — Specify 7 Foundation only 26 School, library, other educational B. OWNERSHIP 27 Stores, mercantile 8 Private (individual, corporation, 28 Tanks, towers nonprofit institution,etc.) 29 Other — Specify fit- Public(Federal, State, or local governmertit) 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. C st of improvement................ civ'/ 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 Ports 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 48. Number of stories................ 30 Masonry(wall bearing) 40MPublic or private company 41 Private(septic tank, etc.) Total square feet n floor area, 31 Wood frame p 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 Total land area, sq.ft. ........... 8 G 43 Private(well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES 51. Enclosed ...................... F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 35%Gas Will there be central air 52. Outdoors........................ e nditi ping?96 Oil L. RESIDENTIAL BUILDINGS ONLY 37 El ctricity 44 Yes 45 12!N 53. Number f b dr ms.............. 39 C al 39 Other— Specify Will th re be an el vator? CAI54. Number f 46 Yes 47 2 Na bathrooms NOTES and Data — (For department use) IV. IDENTIFICATION — To b compl t d by all applicants Nam Mailing address — Number, street, city, and State ZIP code Tel. No. 1. 4U9`Owner or Lessee 0% t+Amb St_A1 Q 2. f it owl 1' Contractor t( 3. Architect or Engineer The owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction. nature pplicant Address 0 Application date 0:4, V I 4"Tm- 4 DO NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Revi w R quired Check Plan Review Date Plans By Date Plans By NotesFeeStartedApproved BUILDING PLUMBING MECHANICAL ELECTRICAL OTHER VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit r Approval Check Date Number B Permit or Approval I Check Date Number ByObtainedyppObtained 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 12860 Bui Iding Permit issued Aug. 12 19 82 Bui Iding yy 402.00PrmitFee $ jffO§3ff Appro d by: aA af-i T NOTESVill. 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Slmmoanff: l:tL !s=.si =:=.::ss .=t s:.:::i=a.::::_.::::::_:: ::::=m::::::::L;=.C.m:m..iiLs=f=.La::aai:tla:ru l:s is 1is:ss iL = ==C=....C=s msN..1 •sa e man Him Simon*\r•r.s a, _was a..! . ., ssl.•esi,a re s!s •r a re • N •u i • es e Si __:: ==:::s:: ::::inni:::::s::::::::s::ss==::::s:s=alas==ai:i is=: =sa=m:iei.2.is==Cumemo=sssaCt'i=au==i:is'=miii= sss...:s.....s...:among.s:....::...L........:...............•...::...::..:..:...s....ss...s::........s:Hill eas..ssm•:e ms es.=.s::.=sm:t$::::==s e::;------cs::::s;::; d TOWN OF SOUTH WINDSOR BUILDING PER UT Date Aug• 12 19 82 Fee Paid g.402.00 Est. Value . 6 7,,,000 Permit No 12860 on the side of Lot #84 Gail Lane Street Street No.153 Jean Marc Jac ueOwner4 s Applicant Jean Marc Jacque s CERTIFICATE OF OCCUPANCY ISSUED: Date No. 6077 Fee Paid $ 3.00 CLASSIFICATION Dwelling z z m 0 BUUDING PERMIT N° 12860 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. AU&- 12 94to to to gertif-g, That JM-W Co r.s,..,st „_ is hereby granted permission to Die 11 Ins i i at estimated value of on the side of Let #S4 Ga i 1 I.&no- Street on land owned by JM Tacatta s Said Wn rk to be as described in Application ISU460 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOIL Issued AA,0 12 52 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 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." SECTION REPORTINS Permit # o t ting 4 i' ndation < Fr ming W ing4 5"PI mbing ting hing 8 C O Permit No. f 4 TOWN OF SOUTH WINDSOR SOUTH WINDSOR, CONN. Permit N o 6077 Certificate of Occupancy CERTIIFY that the ems. f J at o r in the;Town of South Windsor, Connecticut, has be c d and completed in accordance with tthe Bu' ing Code and Zoning Regulations of the n pf South Windsor, and is hereby appred occupancy_ Building Inspector wner, Builder Fee Paid Date ` l '1 f.- R.• 19 "" i REINO E. HMPA do ASSOCIATFS Civil Engineers Glastonbury, Conn. GA I L LANE N s-Lch 1a1; L T=tS.00' 112 Q 1 14•N O Q Y IZS43 0 zv L2 Z, • 1' W— 11 s s5 d o $ t- ap 9 i to 1 o1 L Fot*4OA3t0M LOCATED AS SV%OWN 10-119,St i ar NOTE: Lot lines from map on file in Town Clerk's Office entitled, "Plot Plan Section_ S Pleasant Valley Hanes South Windsor, Conn." Scal 1"• Ito' Date q-'Lq-%o A-2p BONE. Map No 220-78-12- By. F ei no E. Ayyppa t* Ass asakes C1as}on6ory, Cony,. P f2 PAR E iD FCC Q 1 hereby certify that this rnap and survey were prepared in PLEASANT' VALLEY WOME5accordancewiththestandardsofaClassA-2 survey as defined In the existing Code of Practice for Standards of Accuracy of 5O UTH W I NDSQQ1 C C)W N. lurveys and Maps, adopted by the Connecticut Association of LaM Surveyors, Lie. SCALE 11#=40' p GTE 1 ASS 4 w _ DoSOR sou-j" NN T D A -f 7783 ELECTRICAL APPLICATION Application No. R 8 A 4 on the side of T of #8_4 Ca i 1 T.ane Street I Street No. Owner JM J C9p_St-r1_Ct1nr.r3,- Electrician Cri pps Electric FILED IN OFFICE OF The Building Inspector Oct. 7 ig 82 INSPECTION. 13rNo Electrical Work shall be started until a Per- co mit is granted by the Building Inspector. 0/ 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 ZZipermitfromtheofficeoftheBuildingInspector. z M a APPLICATION FOR PERMIT TO DO ELECTRICAI. WORK. No. 1194 Permit No. . .....}.78 3....... . . TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. hereby make application tcx perform Electr cal Work according to detailed description below. All provis ons of the Rules for Electrical Installation, Section 48, Building By-Laws, shall be complied with whether specified herein or not. South Windsor, Conn., 19RgSign here ---T r - f 07 Address &45jc-)P)h J Location h. .. . Q S l Side of .. . az,I. La./v.......... ..... ......... .............. Nature of Building ... .. .... !4S .... How many stories ........... .... ........................................ ................ New or old Building How many familiesv . _ . L How many StoresKindo! Installation .. ...L,.... C. .....C.. . . Owner V..m ....... . ..t (-JC I.V.,'1 Cb Address ,a(.. L....I...l.... __.._ _...... "t! ArchitectAddress ... . ........... .. ................................................__..__ _._.... m J. ....c 0 n.54,r U 4'vl1. .CoAddress `.Builder I .n. ..a._.... WT Electrician L ,1'.A.. . .L.G..Lr.( 1 t,... ... ... . .. Address5..... ....,,.. ....C...4.1...!'1........ .-.s.T. ._..lC....2!.vd) J 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 ................. ........... NoP of Light Circuits . . ..cam-.... . .... 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 Cord Drops ............... ..... .......... .................. ......No. o! Receptacles p Remarks: For other kind of Installation .. .. l t.J 1..0 e.d.........D l.(...t.n........... ... •. 7..Q.......... Estimated Cost 4 w 6021 PLUMBING APPLICATION gpp]caf,Noy 6800 on the _..___ side of Lot 84 Gail Lane Sit Street No. ._._ 15 3 Owm . .JMJ Construction plumber So. Windsor Plb. & Htg. I Filed in Office of The Bdd&mg Oct. 27 8 r i Co No peaoa shall coestintot, add m or abet ay portion of the aysu m of aay bul&eg ezeept to repair leaim) uaod a Plermit is gmood by the BuMng Inq)am r. m v a Application No. M-N...................... Permit No. 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. South Windsor, 13 ... .... . 19 A? Sign here ..... t. ........ Addrew ./f-1..... rvy......;.. ... ....... Z4.17...'c...................... StreetLocation -Z-( side of Nature of Building fei.,744.,,.rc-a.. ............. How many stones .. ................ ........................... .................................. Owner ............. Address r ........... Architect ............ ....... Address ItIf V I - Builder . ...................... Address ................. ... . .. .............. ....... . ................................ ......... Plumberj..k 7-//.AJ'A' 6 m'.z.t....Ifl. ................... Address /00. -.4q,4........I'a...q.............r ... 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 Diameter .................... ............................................................................... Aboveor below cellar bottom - ..- --66claw... - - . ... . ... .........................j.................................................................................... SOIL PIPES, Material . A/41-ril(.... .. ... Diameter . ..... WASTE PIPES, Material PAS Diameter ......... ..................................................................................... TRAPS,Type proposed to use is - . ...... RAINWATER LEADERS, where do they run to . .. . ... .... .................................................................................................................. REFRIGERATORWASTES, where do they run to .. ... ... ............................................................................................... ............................... TANKOVERFLOWS, where do they run to FIXTURES WATER CLOSETS, How many .... ..........3...... .. . ......... Where located -.-rwo......4ievn.l j) F Distance from trap to vertical 30ilpipe ....................................... Pattern WASHTRAYS, How many . .. ... ................................... ... Where located . ......... ......................................................................... SINKS, How many ..........................................................I........................... Where located BUTLER'S SINKS, How many ....................................................... Where located.. ................................................................................................ REFRIGERATORSINKS, How many . ..... j............................. Where located ................................................................................................. LAVATORIES,How many ............................................................. Where located -&0...JPL QA OWE BATH TUBS, How many ...........................................I......................... Where located .........Setan.-d......Flo.,9.K........................................... URINAW-1 6w Where located .......&eeAA1..d....... 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 ........ Y5?................................................................................................................................... Estimated Cost Q..Q.............. 3 N N V%' Zo Heat loss schedule must be complete for all jobs. System guaranteed to heat all rooms to 800 in zero weather. Dwellings exceeding 1260 sq. ft. to be heated shall have two or more zones controlled by separate thermostats.n Pr J o o m =v N MVD X 3 MZ v Mn O v Z 0s of aO c Q 30 ti z o' V 0 a v 30 q ` l o ', T a, a t _ k . 4 t. y S a h a ' s a Y , w ,, e r.. . ,.,.: ,.. a,..., ,`,,. 1 t, r. W" 4 .' 7`' b?. s • nk ... .. my ,' e` w' `+ n.' r"«. y` .,... y ,,. a '' - *'+ vr' 1g * 2". s i; , .:{ w. yµ> `,.";' - E a ty •+'" a' f l' gi€,, . '• i) k i S 1• s ,^ i 1 4 F" t. j 5• ', ' zF ;,„ a. t' r," a ." g„ p5' t , r,-, , , v, •` ry A_ w' d o-A f t 7, 6' s% X",, t,,,¢- dui k - - v m = ' v t" ta., , b ',• - i `^ E - c"" Y- S 3 S'" . j" r^' a' ,{ S V, i4 4i d$'"' b Fd ym rY, ryr Y y, Y t: . rtY r•' rci- N M S," f.. 3}' '}` F a ^ h. , y E^w,: ',;, `. n, fir, .. a - `.?.,, }".,. t. 4 '. .-. v.+ 5. - w rt _ M r APPLICATION FOR HEATING PERMIT (Continued tr m Revene side) 11. LOCATION OF JOB Z,, r 1: F NO. STREET FLOOR AFT.NO. 12. TYPE OF INSTALLATION; OIL BURNER ELECTRIC VENTILATION SPRINKLER GAS BURNER STACK INCINERATOR MISCELLANEOUS IDENTIFY SIZE LOCATION SIZE SIZE13. OF TANK OF TANK OF FILL OF VENT 14. B.T.U. EQUIP. AT REGISTER FURNACE MAKE AND NO. AT BONNET FIRING RATE BOILER OR FURNACE MAKE AND NO. &i? 681irl' B.T.U. OR SQ. FT. NET vov B.T.U. OR SO. FT. GROSS FIRING RATE FLOORS TO BE HEATED a NEW OR OLD BUILDINGAflt.' INSULATED — YES OR NO Ye TYPE OF WALL W000 6!!A f INSULATION f 66,641 ROOF OR CEILING L`e.A., INSULATION AVG. SYSTEM WATER TEMP.__,160 B.T.U./SQ. FT./HR. EMISSION INDOOR-OUTDOOR TEMP DIFFERENCE d" 0 FAHRENHEIT MAKE OF RADIATIO BAS PER CONVECTORS, OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ. FT. OR B.T.U. DESCRIPTION OF WORK y / 15. TO BE DONE; dk c Z 0• T h d J'"" L/ , 16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS). Roots slzE WINDows AREA - SQUARE FEET B.T.U. B.T.U. 1-D AND DOOR voLUME TOTAL TOTAL N F DISTRIBUTION INSTALLED L ROOM NO.GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED J j 4 RAD. REGISTER L W N AND Q TEMP. TO f; TYPE AND SIZE OR LEADER SIZE < WALL TO INFILT.) DIFF. F O a 3O. FT. FREE AREA TOTALS A. HEAT LOSS FROM BUILDING B.T.U./HR. B. DOMESTIC HOT WATER DEMAND y C4 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; L J a &C 4 1 NAME 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. r DATE SIGNATURE "AI CANT CA HEETARGOf _ - ADDRESS L --Leif s 1... --- 3 iC'ND OF of,_ISTRI.CfiroN WALL on N'T. 1;,f G}h` dEc: F ;aR tF:L'.' W AL iL-- ro 41 0 iro VITO Is to 13 60 bad yo._o Soo Mao-4 Ila cam. Z --r— 00 t fin"tPii.;TOT r , l 7R z - { j!f Et HDV i1 1T.10A 1{l E!1 t-ss Ndt": LI max w''=.`: mow? :s, - -' ,. _4..._-' 7> - s-..--" '•{'* "y g `=+c.S'".-`,ySi"" `+A.,,y.•.- T FINAL INSPE TIo / f SS APPLICATION FOR BUILDING PERMITBuildingCt Or Plumbin HVAC 153 GAIL LANE Date: Sprinkler Electric Estimated Cost $ 600,00 Zoning 19488 Permit Fee$Zn Affidavit NO.Occupancy Fee $ Eng. Dept. 4 Fire D pt. COMPLETE RED BOXED AREAS. TYPE OR PRINT ONLY Total Fee $In ptHealthDe . Approved for CO: SIGN ON REVERSE SIDE.Additional Cost) $ 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 Applicant Q o 1AA a mg A P4 D S 19 j Tel. # -;g'9-OY/V Address S3 i ZAn e S. U)LndSOf C4 Zip 0 D1V Lic.# TREET CITY STATE Owner 1 A ddress .5-LtJ vr So- iL I hl D Architect 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 City Water Well Septic Sewer Approv d by Dat 3 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 o her zones and is located in a zone in which this building and its use is allowed. P Signed I hereby apply for a Certificate of Occupancy for the work described in this application for permit. CJ 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: IMIHO E. HrMA do ASSOCIATES Civil Enginee ra Glastonbury, Conn. GA1 L LANE n .=00'00' Id=Zq.a q' T r tS.00' N 41A i t2tA 1 w( Q Ir - !tom ' 14' °- N t TF r 1Z5.(e3 N I20 ri Z• N ' 1• W 110 3 7n?p NNI e 0Ip J W 2 I t 5, CD 0, No ZONING V1oLAT1oN5 FOUNDAX%0N LOCATED 45 51-W wN to-Z9.1at TZ T vP1%4 VOTE: Lot lines from map on file in Town Clerk's Office entitleds "Plot PlanSection- 5 Pleasant Valley Homes 1 South Windsor.. Conn." Scal 1"= 40 I Date Map No 220-78-IQ By. R ei no E. A-20 MON E. KYYppa t-- Associakes Gta,stohb"rYI Conn. Pf2EPARED FORtherebycertifythatthisrnapandsurveywerepreparedinPLEASANTVALLEYaccordancewiththestandardsofaClassA-2 survey as defined • A LY -- 1....5intheexistingCodeofPracticeforStandardsofAccuracyofSOUTHWINDS" 0 Q1 C Ott N,Purveys and Maps, adopted by the Connecticut Association fLendSurveyors, Lir. SCALE 1"=40'a-- C NNE 0 South Windsor, BUILDING DEPARTMENT may Date 7 Zonaing Enforcement Off;Icer 1,n 4d, J9 4 F-l|\ ' o« (vntvr a r Tio Ole S A;0-O C v 1540 SULLIVAN AVENUE - SOUTH WINDSOR, CONN. 06074 R.Go, AREA CODE 203/644-2511 DATE: August 23, 1991 TOWN OF SOUTH WINDSOR BUILDING DEPARTMyNT Ralph A. & Pamela J. Lindsay 153 Gail Lane South Windsor, Connecticut 06074 TO WHOM IT MAY CONCERN: Re: 153 Gail Lane South Windsor, CT. This office has observed that the construction activity referenced below is in progress at the above noted location. Our files indicate that no building and/or zoning permit has been issued to allow the referenced construction. Please terminate all construction activity and contact this office as soon .as possible to make arrangements to obtain the necessary permits . Your cooperation will be appreciated. Ve u o rs John R. Collins Chief Building Official Construction Activity: Deck cc: John Mc Cahill, Zoning Enforcement Officer Electric# APPLICATION FOR BUILDING PERMIT Plumbing# 153 GAIL LANE HVAC # Date: 2Co Sprinkler# No. 25912 FINAL APPROVALS Estimated Cost $ e Building 415 COIMIPLETE RED BOXED AREAS Permit Fee oa Engineering TYPE OR PRINT ONLY Occupancy Fee $ Affidavit SIGN ON REVERSE SIDE Appr.for CO. Total Fee TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR,CT Additional Cost) $ Th undersigned hereby applies to do work according to the following specifications: Job Location /S 3 !2 r L L 4 Ai L- Lot No. Side of Street Zone Applicant 4" Py vjef^- `—en—s AvIne— Tel.# 75 dl 3 Address CL Zip l Lic. # Owner Address Architect Address Sq. Ft.New Area: lst FI. 2nd FI. 3rd FI. Total New Area Rooms Lavatories Bathrooms Garages Purpose of this permit: 4fh City Water [7- Well 0 Septic System Sewer Use Group Construction Type Area Base ent a Approved by qk Date I Revised 6/95 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 budding is to be located er distance from all 'nes, side yard lines and required distances from all other zones and is located in a zone ' which t 's b ildi and its a is allowe . Signed 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