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165 Berle Road
Vi I o TO THE BUILDING INSPECTOR of the APPLICATION FOR TO" OF MUM WINQSOR,cow PLAN EXAMINATION A N O BUILDING PERMIT zIMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX.O ZONING AAI• AT (LOCATIO r-RE R I-L ,,Cb DISTRICT '30 LOCATION NO.) STREET) OF BETWEEN AND BUILDING CROSS STREET) CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE H 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 kz New building Residential Nonresidential 2 Addition(l/residential, enter number 12 WrOne family 18 Amusement, recreational of new housing units added, i/any,13 Two or more family — Enter 19 Church, other religiousinPartD, 13) 3 Alteration (See 2 above) number of units— — — — -p-20 Industrial 14 Transient hotel, motel, 21 Parking garage4 Repair, replacement or dormitory — Enter number 5 Wrecking (1/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 25 Public utility 7 Foundation only 26 School, library, other educational B. OWNERSHIP 27 Stores, mercantile 8 V Private(individual, corporation, 28 Tanks, towers nonprofit institution, etc.) 29 Other — Specify 9 Public(Federal, State, or I cal g vernment) 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,,,,,,,,,,,,,,,, S o Od C) 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 ...................... a Heating, air conditioning......... d. Other(elevator, etc.)............ 11. TOTAL COST OF IMPROVEMENT S © O III. SELECTED CHARACTERISTICS OF BUI DING — 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 48• Number of stories................30 Masonry(wall bearing) 40 Q Public or private company 49. Total square feet of floor area,31 Wood frame 41 Private(septic tank, etc.) all floors, based on exterior 32 Structural steel dimensions .................... QQ 33 Reinf rced concrete H. TYPE OF WATER SUPPLY 34 Oth r — Specify 42 Public or private company Total land area, sq.ft. ........... 43 r— rivate(well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES F. PRINCIPAL TYPE OF HEATING FUEL 1. TYPE OF MECHANICAL 51. Enclosed .......................AZ 35 Gas Will there be central air 52. Outdoors....................... jjr011 conditioning? L. RESIDENTIAL BUILDINGS ONLY 37 Electricity 44[eYes 45 No 53. Numb r of bedrooms.............. 38 Cal 39 Oth r— Specify Will there be an elevator? 54. Number of Full.......... 3 46 Yes 47 N bathr me 0Parflal........ IV. IDENTIFICATION — To be completed by all applicants Name Mailing address — Number, street, city, and State ZIP code Tel. No. Own--- or i bek?Grala SA Nrt/ei3 So, a 6hk 666* Lessee 2. Contractor 3. Architect or Engineer The owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction. Signati.he of applicant 9,- 0- 1Address 7Q Application date W. Q o 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Re uired Check Plan Review Date Plans By y Date Plans B Notes9FeeStartedApproved BUILDING PLUMBING MECHANICAL ELECTRICAL OTHER is VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approval Check Obtained te Number By Permit or Approval Check ObtDained te 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 P rmit number , Building 19Permitissued Building Permit Fee $ qproby: TITLE TOWN OF SOUTH WINDSOR BUILDING PERMIT Date Nov. 8 1983 Fee Paid . . 540.00 Eat. Value $.90.,.000 Permit Y 13552 on the aide of Berle Road Street Street No. 165 Owner S.Graushensky/A.Negron Applicant Mildred W. Graushenskv CERTIFICATE OF OCCUPANCY ISSUED: Date No. 6575 Fee Paid $ 3.00 CLASSIFICATION Dwelliniz BUII.DiNG PERMIT NA 13552 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. Nov. 8 19 83 94to to to Cri`ttfv, That S. Graushensky/A. Negron is hereby granted permission to Dwelling at estimated value of $ 909000 on the side of 165 Berle Road Street on land owned by Stephen E. Graushensky/Angela Negron Said Work to be as described in Application No. 13852 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Imo_ Nov. 8 19830 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." f Dwelling - 11/8/83- Cgraushensky/Negrora 165 Berle Road Permit #13552 Electrician Scott roster 8462 Heating Contr. John Delponte #5943 Plumbing " John Delponte 6464 Oil Burner C rtificate of Occupancy 6575 Plot plan aprd. per Engr. ZeS/PECTION REPORT Permit # Job 1 Footingll- le?- A-t-00 2 Foundation 3 Framing 4 Wiring 5 Plumbing 7 — 10-YI-I 6 Heating 7 Lathing 8 C.O. "' Permit No. TOWN OF SOUTH WINDSOR SOUTH WINDSOR, CONN. 4 Permit I. 6575 Certificate o Occupancy THIS IS T CE TIFY at at No. in the TFldingof South Windsor, Connecticut, has been erected and completed in accordance with the B Code and Zoning Regulations of the Town of South Windsor, and is hereby app ved f ccup Bui ing nspector der-, Bufld5f Fee Paid 3 Date 19