HomeMy WebLinkAbout158 Scantic Meadow RoadApplication No. .........U4 Permit No. .2484......................
TO THE BUILDING INSPECTOR
of the
TOWN OF SOUTH WINDSOR, CONN.
We......... 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., ..................9. ................................ b.
Signhere .................................................................................................I.._...........
Address ................................................................................. ..................................
Location? .....South Windsor d North.. seo ............
Nearest cross street?Scantic Meadow Road Street No. ..................................................... Lot No. ......1........................
Owner of land is? I .Rt.StichAssociates .........Address Ij....ew...Fark.AvniLe.,... p. i......
Owner of building is? .I..R,.M chAs o., . Address ... ....611...N.e t....Paxk...AY.e,nue...W.,.H.......
Architectis? ............................................................................................................Address .......................................................................................................................
Builder is? ........man,chue.stex...B,u_1der.s.,..1nc..........Address ..........6.1. ...Now...I:'.alk...vilaimue...... .....
Dimensions of building? 24.8x41.6 Feet front? ................ Feet rear? FFeet deep. _...........................
Extreme height to highest point of roof? ...........1.4I.................... ...... .............. No. of stories in height? .............1 .. ... .. ........
Purposeof building is? ..........Dw 4j:nM..........................................No. of stores? ........................................................................................................
Howmany families? ............................xw.............................................No. of rooms? .... ...................................................................................................
Distance from street line is? .....................45........................................from building line is? .......................................................................................
ADDITIONS AND ALTERATIONS
Give Brief Description)
r............... .......................
MapNo. ..............................
T_
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? .. ....-- ......... .......... ..........................................................
Roofconstruction 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.
Ofwhat 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
2nd "
I..................I................. -1.........I...................................................I.....................................
3rd
7................................................................I..............................
4th
5th dd
I........ ................................................... ...............................................I..............................................I..........................................................................................................
6th 96
I...................... .........................................................................................................................................................................................................
7th is
I.......................... r....................................................................................................................................................
8th ell
9th "
I...........................................
10th 4 1
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 foists, Girders and Columns
JOISTS 4IRDMM COLUMNS
FIoors Size Longest Span Centres BrldgLtg She Longest Span Centres Size Length Centres
1st Floor
2x.$... ..I, ! ...... ..... 1. ...... 1x 3 6x8 8.' 4'r 7' ga
a.......... .............. .................................. .................. ..................... ...................................
Size of outside studs? ........2x4.................... Distance on centres? .......1.....1.1. Size of sill? ....U6...............................
Size of rafters? ..........Mrima.......... Distance on centres?................Z'............................. Size of plate? ............4x4.............................
Size of ledgers or girts? .................... -..........................................Size of deck rafters? ...'..'".'.`...............................................0 ...............
Distance on centres? .........................................................................................Size of studs in bearing partitions? ............................ . ...............
MISCELLANEOUS
Style of roof, flat, pitch, Mansard, or hipped? ....pitch Fireplaces?Noire
2101b.As halt Bhingl
Material of roof covering? ...............................P....................................-Material of Cortuce. ..... .o.Qd..Cat..I.. 4....:.........
How is building heated? .............Gas...................................................Lining of flues? ...........842..Tarka...Cr..Q.tA...........................
Thickness of shell of flues? .. .r.. .....C... !'.aaae ...........Any elevators or lifts? ...............--.-.-..-......................... ......................block
What kind? ..............-.-."....................... How many? ........................._._._................. Any hoistways? .............................77.7.77.7.......
How protected? .................. .......................................................... ............. ...Total Value of Building<< ,//.Qd..Q...'..................................................
Whenwill work be commenced? .......................... ....................................................................................................................................................................
The applicant warrants that the lot for 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
Town of South Windsor since 1949.
Applicant
21;.84
BUILDING APPLICATION
Application No. ..274-4........................................................
on the ............lkrth.Side of
1:.e.a.do,.i....Ed............ Street.
StreetNo, ..............Lot.....#T1...............................................
Owner 1A..... ........ S.S.O..C.*.......................
Applicant ........
CLASSIFICATION
Dwell.ing ...
I................... .. ..... ....................... ......................
Permit issued on above Application.
Date, .......2.e.pt......1-7,p......... 19....5.E
r
k
TOWN OF SOUTH WINDSOR
3 BUILDING PERMIT
Date SPam. 1-7- 19 58
Fee Paid $.....44-00 Est. Value y$ 11 ,,000
Permit lr
O 2484
on the Unr t h side of
9C A r,ti a d cad. Street
Street No. Lit #71 J.
Owner R. Stich Assoc,
Applicant Sam e
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No. 1 -507
Fee Paid $ 3-0 '^
CLASSIFICATION
T-well i ng 220 8"xh l f F if
BUILDING PERMIT
N? 2484
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn.SCJPt• 17 19 58
T4i'a is to Trrfif1j, That 1. R. Stich Assoc.
is hereby granted permission to Dwe.'Liing 24,8" 116"
at estimated value of y$ 11,0000
on the Ircrth side of 5cantic Meadow Rd. Lot #71 Street on land
is .• .e- ,t , ..owned by 1
Said `2 'Tk to be as described in Application
No. f ' and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
Issued 19
Building Inspector.
Streets and sidewalks, obstructed by excavations or building materials, must be guarded by barriers dur-
ing 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."
jj
Permit No. Q. .. .... .. TOWN OF SOUTH WINDSOR
SOUTH WINDSOR, CONN.
Permit 1507
Certificate of Occupancy
THIS IS TO CERTIFY that the
at No. r" -:' re : L oo6i in the Town of South Windsor, Connecticut,
has been erected and completed in accordance with the Building Code and Zoning Regulations of
the Town of South Windsor, and is hereby approved f occu anccy/-
BUILDING INSPECTOR
OWNER, BUILDER
r
1
Fee Paid i Date r I9
40' CI
415 i1c.3
Z4
I-Z 4Z
77
U) 0
Lot numbers refer to map entitledf
Subdivision Map, Farnham Estates,
Property of I R. Stich Associates, Inc.
Rye Street, South Windsor, Conn., Scale
I" a 401 3 Sept, 19, 19579 Sheet 7.
Certift d Substantially Correct,
Morton S. Fine,, C.E. & L.S."
0 N PROPOSED LAYOUT
FARNHAM ESTATES
I hereby certify that this SCANTIC W"W ROAD
ma is substantially cor-
SOUTH WINDSOR, CONNECTICUT
p No 2931
rect and no zoning regula-
tions have been violated.
SCALE 1" = 401 OCT* 280 1958
D LAN4 MORTON S. FlNE, - .E. -L. S.L
HARTFORD, CONN.
Application No. 3,5-1 Permit No. 32-51
TO THE BUILDING INSPECTOR
of the
TOWN OF SOUTH WINDSOR, CONN.
hereby make application for a permit to (arsst. (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.,Ll .. 19.
Sign her
Address/ 8..
4 ^ ..! ,
dt w...... din
Location?
Nearest cross street? .e.....'.....Street No. . . . ........... . ....... .. Lot No. ....... .... .... .... .
Owner of land is? iQ,/t,¢, . .L .f 'Er.. .... .Address
Owner of building is? Address 0.
Architect is? Address
Builder is? . ... . ....... Address .....
Dimensions of building?/P,.Y,2 ... Feet front? . e/V Feet rear? -e l. ....... Feet deep? .. w
Extreme height to highest point of roof? ..... ... ... ......... No. of stories in height? .
Purpose of building is? ... .. . ...O..0ec ,1,......................................No. of stores? ..... .........
How many families? . ...... .......................................................................No. of rooms? .. . ..
Distance from street line is? from building line is? ..... .... .. .......... ... ............. .... . .....
ADDITIONS AND ALTERATIONS
Give Brief Description)
R', .t... ........./... .......... ............. ., .E..Cc_,V. .....
0'R...........G1..S ....,. ... . ...... ...
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?
Composition of mortar?
Height and Thickness of Walls
Height Stories Front Walls Side Walls Rear Walls Partition Walls
Basement,
1st Story
2nd "
3rd "
4th "
5th 11
6th "
7th "
8th "
9th "
10t.......... ..... .. .
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
Floors Size Longest Span Centres Bridging Size Longest Span Centres Size Length Centres
1st Floor
2nd.... ...
3rd........... ............ .................................
4 ..... th Of
Size of outside studs? ............ Distance on centres? . Size of sill? ......... ......... ..................
Size of rafters? Distance on centres?Size of plate? ........ . .........................................
Size of ledgers or girts? 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? .
How is building heated? Lining of flues?
Thickness of shell of flues? . Any elevators or lifts? ...
What kind% How many? Any hoistways?
Howprotected? Total Value of Building
When will work be commenced? tt--v l — .0 L . .......y
The applicant warrants that the lot for 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
Town of South Windsor since 1949.
Applicant
T- - - -
3z-5iL
BUILDING APPLICATION
Application No. ... 3511
onthe ..... ................. ..... ...... ....... - ..-..-- side of
Scantic Meadow Rd. Street.. .. ........ ...
Street No,
Owner Herman G. Gi gg.e.y .....
Applicant Same
CLASSIFICATION
Screen existing carport.....for
use .as. a. porch,
Permit issued on above Application.
Date, July 27..... 19 60.
TOWN OF SOUTH WINDSOR
BUILDING PERMIT
t Date Juh_YM M 1960
I
Fee Paid $3.00 Est. Value $ 300.00
Permit N? 3251
on the side of
Snantic Meadow Rom- Street
Street No. 159
OwnerHerman G. Giggey
Applicant Same
CERTIFICATE OF OCCUPANCY ISSUED:
Date
a No.
Fee Paid
CLASSIFICATION
Screen existing carport-Ufor
I
use as a porch.
BUILDING PERMIT
N 3251
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn. Jul 1 Y 227 196 0
ig4to 'to to Tertify, That Herman Q. Gi&;,ey
is hereby granted permission to Screen e x i s t i nL,; carport for use a porch
at estimated value of
on the side of 156 Scant i c Isle ad ow ,I d.Street on land
owned by ilerman G. Giggey
Said Work to be as described in Application
No. 3511 and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
Issued 27, 19 60
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 CONNECT IC UT: "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 ANDDOWNOFSOVTHWIIrDSOR,C4NN. BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, III, IV, and IX.O
ZONING
I• AT (LOCATION) /,__
4 szzx?e DISTRICT
LOCATION NO.) STREET)
OF BETWEEN AND
BUILDING CROSS STREET) CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
II. TYPE AND CAST OF BUILDING — All applicants complete Parts A — D
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use
M
1 New building Resident' I Nonresidential
2 Addition(I/residential, enter number 12 One family 18 Amusement, recreational
of new housing units added, if any,13 Two or more family — Enter 19 Church, other religiousinPartD, 13)
number of units— — — — -.1p.
3 Alteration (See 2 above)
20 Industrial
14 Transient hotel, motel, 21 Parking garage4 Repair, replacement or dormitory — Enter number
225 Wrecking (1/multifamily residential, o/units ——————— — -i Service station, repair garage
enter number o/units in building in 15 Garage 23 Hospital, institutional
Part D, 13)
16 Car ort 24 Office, bank, professional
6 Moving (relocation)
17 Other — Specify 25 Public utility
7 Foundation only 26 E] School, library, other educational
B. OWNERSHIP 27 Stores, mercantile
8 Private (individual, corporation,
28 Tanks, towers
nonprofit institution, etc.)
r 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,,,,,,,,,,,,,,,, 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 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 Other — Specify 42 E] Publicor private company 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.......................
36 Oil conditioning?L. RESIDENTIAL BUILDINGS ONLY
37 Electricity 44 Yes 45 No 53. Number f b drooms..............
38 C al
39 Other— Specify Will there be an elevator?
54. Number of
Full..........
46 Yes 47 No bathr ms
Partial......
NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
I. E&/ /6011r- cj,/,r LJowneror
Lessee
2. f
Contractor
3.
Architect or
Engineer
The owner of this building and t-he undersigned agree to conform to all applicable laws of this jurisdiction.
Signature Qf 9pplicant Address Application date
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Revi w Required Check Plan Review Date Plans By Date Plans By NotesFeeStartedApproved
BUILDING
PLUMBING
MECHANICAL
ELECTRICAL
OTHER
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approva I Check Date
ObtaObtained Number By Permit or Approval I Check ObtainedDate 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 10536
Building
Permit issued Oct. 12 19 78
Building
P rmit Fe $ 4_00
Approved by:
rE
NOTESVill. ZONING PLAN EXAMINERS
SIDE YARD SIDE
REAR •
IX. SITE OR PLOT PLAN ForApplicant
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iis:iiiss! toos :; : ! • ss : i !$i liii: ilsiiss•siilss..s' .s:..is!=.s; i ; , spts•i// • • • allow. • • i••ia• .iriiiiii iir •/i • r
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son:
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sis W ..Z:`iii_ Ns:Ys:: Z:=!l:St:; ;iiil:sIq!! ! • r•
sisissii='°:0HOOiinni°'s:sc `='::'suiii =i's:=lii:'l ti .. ' _;s: '• p! ;s;;•ut.
s;s.lsliiu=::::;: ; ;:=;s;ge= .;..sages.•.s..;;sl.....: ....s.....s....:AGoomasissijsr ..;lt s iss:is.s:st
l::ll::i= :is-=:rs::i ___:"!•__ r= :s:!C!:l:::yi
TOWN OF SOUTH WINDSOR
BUILDING PERMIT
Date Oct. 12 19 78
Fee Paid $.4..0.0 Est. Value $. .40.0.00
Permit N° 10 5 3 6
on the side of
Scantic Meadow Road Sty
Street No. 158
Owner William Ke 1 ly
Applicant Thomas Ke 1 ly
CERTIFICATE OF OCCUPANCY ISSUED:s
Date
No.
Fee Paid $
CLASSIFICATION
a
Wood burninz stove
BUILDING PERMIT
NY 10536
OFMCB OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Cann.
South Windsor, Conn. Oct. 12 1978
94is is to Certifu., That Thomas Kelly
is hereby granted permission to Wood burning stove
at estimated value of $ 400.00
on the side of 158 Scanfi is Meadow Roach Street on land
owned by _ William Kelly
Said ylork to be as described in Application
No. )3836 and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
Issued, Oct• 12 19 78
wilding 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."
B ildingSPE T Ns:
APPLICATION FOR BUILDING PERMIT
Plumbin
HVAC Date: a- i Z
Sprinkler 158 SCANTIC MEADOW ROAD
Electric Estimated Cost $ (9i 5
Zoning Permit Fee$ 10
Affidavit NO.19877 Occupancy Fee $
Eng. D pt. COMPLETE RED BOXED AREAS.
DFireDept. TYPE OR PRINT ONLY
Health Dept. SIGN ON REVERSE SIDE.Approved for CO: Additional Cost) $
TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT
The undersign@g,.tLereW applies to do work according to the following specifications: sit
Job Location Crf T/ / O J Lot No. Side of Street Zone
Applicant tA% Tel. #J SK
Address- S&On'y ? /C. Zipg Lic.#
STREET CITY STATE
Owner Address
Architect Address
Size New Area: Ft. Front Overall Ft. Deep Overall to Total Area 476 Garages
LavatoriesSizeofLotDist. from Street Line Bathrooms—Rooms 1st 2nd 3rd
Purpose of this Permit Sken
City Water Well Septic Sewer
Use Group Construction Type
Approved by Date BD1A 11/88
I h reby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinanc s 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 a zone in which this building and its use is allowed.
Signed c.
I hereby apply for a Certificate of Occupancy for the work described in this application for permit.
Signed
DO NOT WRITE BELOW THIS LINE—
INSPECTION RECORD
Footing Framing
Foundation Fireplace/Chimney Insulation
Plumbing hermit# Inspections:
HVAC Permit# Inspections:
Electrical Permit# Inspections:
Sprinkler Permit# Inspections:
ectric# APPLICATION FOR BUILDING PERMIT
158 SCANTIC MEADOW ROAD
Plumbing# Dat .WAC #
No. 25284
Sprinkler#
Ft!inyg
R Estimated Cost $ p os
Buil 9 COMPLETE RED BOXED AREAS Permit Fee
Engi TYPE OR PRINT ONLY Occupancy Fee
Affidavit SIGN ON REVERSE SIDE
Appr.for CO.Total Fee
TO BUILDING DEPARTMB,%IT,TOWN OF SOUTH WIIDSOR,CT Additional Cost) $
The undersigned h reby applies to do work according to the following specifications:
fob Locatio I,S SCt11?f /b&4w Lot No. Side of Street Zone
Applicant L Tel.#
Addr ss 58 to M/ q b ey"g 'omw C`' Zip LI>64 f Lic.# aw 4 54"V-57S'
Owner Ai Address 61 SCAV f!d, A10,i,00w C'•
Architect Address
Sq.Ft.N w Area: lst Fl. 2nd Fl. 3rd Fl. Total New Area
Rooms Lavatories Bathrooms Garages
Purpose of this permit: 1& OF
City Water 0 Well Septic System Sewer
Ins. H.O. S.P. Cert. Area Basement Garage
Approved by Date 40EL6 Group Construction Type
Revised 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 f any alteration in the plans or specifications of the Building for which this
permit is asked,and agree that this building is to iocated the proper distance fro II street lines,side yard lines,and required
distances from all other zones and is located in wh c i this building nd itsjuseSignedAARJ
I hereby apply for a Certificate of Occu ncy for the work described in this application for the permit
Signed
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS