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HomeMy WebLinkAbout165 High StreetTO THE BUILDING INSPECMR of dw APPLICATION FOR TO" OF SOUTH WINDSOR,COIN. PLAN EXAMINATION A N D BUILDING PERMIT IMPORTANT — Applicant to c lete all items ' sections: 1, 11, lll, IV, and IX.o ZONIN AT (LOCATION) DISTRI LOCATION NO.) STREET) OF BETWEEN AND BUILDING CROSS STREET) CROSS STREET) LOT l SUBDIVISION LOT BLOCK SIZE N II. TYPE AND COST OF BUI NG — All applicants complete Parts A — D o A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m 1 New building Residential Nonresidential 2 Addition(If 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) 3 Alteration (See 2 above) number o/units— — — — - 20 Industrial 14 Transient hotel, motel, 21 Parking garage4 Repair, replacement or dormitory — Enter number 5 Wrecking (If multifamily residential, of units ——————— — -- 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) 7 Foundation only 17 Other — Specify 25 Public utility 26 School, library, other educational B. OWNERSHIP 27 Stores, mercantile 8 X Private (individual, corporation, 28 Tanks, towers nonprofit 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••.,••..,....... S 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......... OP 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 Mas my (wall bearing) 40 V Public or private company 48• Number of stories................ 3114 Wood frame 41 Private (septic tank, etc.) Total square feet floor arallfloors, based onn rea exterior 32 Structural steel dimensions .................... Z Q 33 Reinforced concrete H. TYPE OF WATER SUPPLY 50. Total land area, sq. ft. ...........34 Other — Specify 42 M Public or private company 43 In Private(well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed ....................... 35 JK Gas Will there be central air 52. Outdoors....................... 96 Oil conditi Wing? L. RESIDENTIAL BUILDINGS ONLY 37 Electricity 44 DC Yes 45 Q No 53. Number of bedrooms.............. 4!Xe 38 Coal 39 Other— Specify Will there be an elevot r? 54. Number of Full.......... 46 0 Yes 47 50 N bathr oms partial........ NOTES and Data — (For department use) IV. IDENTIFICATION — To be completed by all applicants Name A M ing addr —,Number, street, city, and St to ZIP code T I. No. or1. Owner or 7—Y S ' Lessee 2. Contractor s 3. Architect or Engineer The owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction.Signs u of pli n Address Applicati n datZel /4 T DO NOT WRITE BELOW TA LIN V. PLAN REVIEW RECORD — For office use Plans R view Required Check Plan Review Date Plans Date Plans Fee Started BY Approved BY Notes BUILDING PLUMBING s MECHANICAL ELECTRICAL OTHER is L VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Appr va I Check Date Number B Permit or Approval I Check Date Number BObtainedYpPObtained Y 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 8791Permitnumbr Bui Iding Permit issued 3-14-75 19 Building Permit Fee $ 114.00 plus $3.00 for C.O. Approved by: Tf LE VIIl. ZONING PLAN EXAMINERS NOTES DISTRICT USE FRONT YARD SIDE YARD SIDE YARD REAR YARD NOTES IX. SITE OR PLOT PLAN — For Applicant Use 34 a c x µo- 4 w 4P• a a 4 .'} f}„f-• •_y ,_`.., ro q a a.. _ 1. TOWN OF SOUTH WINDSOR BUILDING PERMIT Date March 14, 19 Fee Paid $. 114.00 Est. Value $. .19 2 000 Permit N O 8791 on the side of High St. Street Street No.Lot #w Xe&c'/ :fo e„ Owner Tiam legg A• Applicant Same CERTIFICATE OF OCCUPANCY ISSUED: Date No. 456 0 Fee Paid $ 3.00 CLASSIFICATION Dwelling BUILDING PERMIT N® 8791 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn.Maro4 14, 19 75 94is to to Crr#tfil, That James A. Coohran is hereby granted permission to Dwelling Lot #lam '2 Skyview at estimated value of $ 190000 on the side of High St. Street on land owned by Jame a A, Coohran Said work to be as described in Application No. 9091 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Iss Maroh 14, 75 ild' 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." J v Armit No. TOWN OF SOUTH WINDSOR SOUTH WINDSOR, CONN. Permit 45 Certificate of Occupancy THIS I TO CERTIFY that the at No. ,i W, in the own of South Windsor, Connecticut, has been erected^d completed in accordance with the Building Code and Zoning Regulations of the Town of South Windsor, and is hereby approved for occupancy. _ tee, j i C Building Inspector Owner, udder r Fee Paid, ' Date + 19 7 LO 67 1 x t f j-- Y-4 ire 4 45 'oe4 0 got VO ZONING VIOLATIONS IF HOUSE ERECTED AS SHOWN AND STAKED. a i HEREBY CERTIFY THIS MAP TO BE SUBSTANTIALLY PROPERTY OF CORRECT AND IN ACCORDANCE WITH CLASS A•g OF CODE OF CONNECTICUT TECHNICAL COUNCIL. COINNECl/ N Co 7 3 a RL? A8BC7CIATI 3 CIVIL ENGINEERSFA IWINDSORCONNECTICUT OT i2 — 5' 'y//.crL/ — <'©e/i l/.y/O{'D c" G'D..S/. SCALE: 1 IN. _ -Xd FT. DATE:,o9f',e 197$ 1ITH7 t v U. a N_ NUR:rILAST SUNPL r CO. 57313 ELECTRICAL APPLICATION Application No. 6042 on the Lot #12 side of High Street Street Street No. 165 Owner Reed Cote Electrician DuBan 1do El e c tri c FILED IN OFFICE OF The Building Inspector May 27 1975 INSPECTION. ro No Electrical Work shall be started until a Per- mit is granted by the Building Inspector. In New Buildings no wiring shall be started until the plumbing and heating pipes, and the fire tops fit of wood) are installed, without a special permit from the office of the Building Inspector. i 14 APPLICATION FOR PERMIT TO DO ELECTRICAI. WORK. No. 6042........................... Permit No. .1r..73.1....... ................ TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. hereby make application tq perform Electr cal Work according to detailed description below. All provisions of the Rules for Electrical Installation, Section 48, Building By-Laws, shall be complied with whether specified herein or not. o South Windsor, Conn.. ............. lday.........1.......... .... ............ 19..75. Sign here Z:"A Ll J Address44. ......Purnell. . . .....Place. . . ........Manches. . . . .ter. . .................. ............. .......... ................ . ................................. Location ......L.Q.it.....#12...........High....Street................................... Side of .................................................................................................................................. Natureof Building ....Reslde nce.. .............................................. How many stories ................................................................................................ Newor old Building ..........New................................................................. .. How many families ............1...................................._.........................._........... Kindof Installation ..... omex.......................................................... .... How many Stores ........................................._............................................._........... Owner Cote Carpenters....... 1 ...............__.............. Address 1Q.1.....S.........Whitney...................... .... Architect ...................................................................... ........................................... Address .............................................._............................_..............___....._......._.... Builder Cote Carpenters.,... Inc,...... Address 101 S. Whitney,, Street„, Hartford Electrician ....DuBaldo Ele t.r.ic....Co................................... Address 44 Purnell Place . Manchester Size of Main Wires ... ...#2AL...........100...Amp. No. of Light Loops 1. .. No. of Heat Loops .... ...... ...... ...... . No. of Power Loops ....._...............___..._.... No. of Light Outlets ..........18..... .............. No. of Heat Outlets ....... ............ .. No. of Power Outlets ..................................... Noffi of Light Circuits ............ .. ................. No. of Heat Circuits ....... .... . . ........... No. of Power Circuits ........................ ...... No. of Sockets .............................. ....... ........ No. of Heat Receptacles ......... ........ . No. of Motors ........................................................ N . of Panels .................................... .......... ... .. Size of Heat Circuit .. ... ...... . . .......... No. of Power Receptacles .... .................. No. of Switches ........................2.5..... ............ Total Wattage ....................................................... Size of Power Circuit ............... ............ Total Horsepower ............ ............ . ........ . No. of Straight Electric Fixtures ... . ... .... . ..... .........No. of Combination Fixtures ......................................... .... .............. No. of Receptacles .................................... .......................43..... . .. ......... No. of Cord Drops ................................................................................................ Remarks: For other kind of Installation ... .......................... ........................ ....................................................................................................................................... I........... ........... .._........................................................................................................................................... ............... Estimated Cost ..... .$800.00 PLUMBING APPLICATION yy9,7 on the 1 ...._ J' sftpp Street o 44& R of The Bvsl&mg Inspecoor May 22 1975 Olf. No person shall add w or alto my portion of the drainage system of my bwl&g mc" to repair 66) until a Pl ii is grasped by the Building Lupeaw. 4497 1.708ApplicationNo. ......................................... Permit N . ...................................... TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. hereby make application to perform plumbing according to detailed description bel w. All provisions of the Rules for Sanitation, By-Laws, Sections 33 to 47 ' elusive, shall be complied with whether specified herein or not. SouthWindsor, .......... . . ...................................... 1 Sign here Add Location ............. ................... ......................... ................................... side o Street Natureof 'lding .. How many stories .. ...........eo*$..................................................................... Owner .... ........ Address ...... .. ... f................................................................................ Architect I.................... Address Builder Q- Address Plumb Address ....11 /............................:..::...:............. DRAINAGE OOLS, How many ..... .... . .. . . ..... ........... ................. Where located ...... . ...... Are they water tight Of what mate ' are they built.......... .................. Size of pipe from house to q4spool .... `r pipe.................... ..... ............. Kind of i .... ................................................ MAINDRAIN IN CELLAR, Material ......:.z.,,,......... Diameter ..... .................................................................................................. Aboveor below cellar bottom ... ... . ....................................... ...............................................................................................................I.......... SOIL PIPES, Material ...... ... Diameter .....'................ WASTEPIPES, Material ................ . . ........................................... Diameter .oP............... 1--....................................................................... s ... ..................... .... .TRAPS,Type proposed to use i RAINWATER LEADERS, where do they run to . ... ....................................................................................................................................... REFRIGERATOR WASTES, where do they run to .. ..... ............................................................. TANK OVERFLOWS, where do they run to FIXTURES WATER CLOSETS, How many .............................................. Where located .... .. .. ................................. ................................................. Distance from trap to vertical soil pipe ......................................... Pattern . . .............. ......... ... ............................................................. WASH TRAYS, How many ........................................................ Where located . . . ................................... .. SINKS, How many ...................... ....../...................................................... Where located . .... ........./... ......................................................................... BUTLER'S SINKS, How many ........................................................ Where located.................................................................................................... REFRIGERATOR SINKS, How many...................................... Where located ..................................................................................................... LAVATORIES,How many Where located ........../............. BATHTUBS,How many................................................................... Where located ../................................................................................................ URINALS, How many ................................................................................. Where located ..................................................................................................... Are water closets and urinals to be local vented If not, is there a window in outer wall of room where same are to be located ........... . . . ........................................................................................................................................... Estimated Cost....f ................................ Application For PERMIT # 4335caDEPARTMENTDECISION4557HeatingPermit O 3 E APPLICATION IS HEREBY:DEPARTMENT OF LICENSFS AND INSPECTIONS N i PPRovEo DISAPPROVED TOWN OF SOUTH WINDSORV-0 o a 4-18-7 moo,'._.. _ ...00 w DATE E-H-19FINWIN&OR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE MEL W O e>7 c 79 t. LOCATION of JOB NO. STREET cd Q 7" LOT NO.FLOOR APT. NO. O N O 2. OWNER S l f O S. ADDRESS ,C.- C, Ck Y- ay A)P LJ\ I>c.I-6tr) 4.PHONE 0 `, fJ S. APPLICANT Cr l C;l tomc,n ao as 1 1Qoa. ADDRESS K1 pa it 7.PHONE A 6. LICENSE NO. Q 7 C w s. EXPIRATION DATE OF LICENSE 12I I 1 S 8 ps 10. ESTIMATED COST S 00 11. 0 THIS A CONTRACT COSTS 8 YES NO be 7 12. FEE ENCLOSED S C'S Permit #8791 IS. TYPE OF B-UILDING- b RESIDENTIAL COMMERCIAL O R 14. TYPE OF JOB: INDUSTRIAL 3 AL ALTERATIONGiTIONNfTALLAADDITION REPAIR f APPLICATION FOR HEATING PERMIT (Continued it m Rev me Side) 11. LOCATION OF JOB NO. STREET FLOOR APT.NO. 12. TYPE,OF INSTALLATION: OIL BURNER ELECTRIC VENTILATION SPRINKLER LJ GAS BURNER U STACK Cl INCINERATOR MISCELLANEOUS IDENTIFY SIZE LOCATION SIZE SIZE 13. OF TANK OF TANK OF FILL OF VENT 14. B.T.U. EQUIP. AT REGISTER FURNACE MAKE AND NO. H ( AT BONNET 02 060' FIRING RATE BOILER OR FURNACE MAKE AND NO. U QC' B.T.U. OR SQ. FT. NET B.T.U. OR SO. FT. GROSS FIRI A J MATE FLOORS TO BE H ATED ) NEW OR OLD BUILDING IRS IfqD - YES OR NO T TYPE OF WALL INSULATION I' ROOF OR CEILING—'SiEILING `3 INSULATION AVG. SYSTEM WATER TEMP. B.T.U./SQ. FT./HR. EMISSION INDOOR-OUTDOOR TEMPERATURE DIFFERENCE S f FAHRENHEIT MAKE OF RADIATIO BASEB ARD. COPPER CONVECT RS. OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ. FT. OR B.T.U. S-GG. ` CEi n wtllr DESCRIPTION OF WORK - Le _ _ + C- Jl 1- a 1-6} 15. TO BE DONE: m (,N:\4 CO ril C S S is. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS): no w slzE wINDOwS AREA - SQUARE FEET 0 T.U. e.T.U.DISTRI UfT NSTALLED AND DOORS VOLUME TOTAL TOTAL ROOM L w N ANO.MD YI GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT F CORRECTED A F 7l.OT REGISTER j1/ Fn TYPE AND SIZE OR LEADER SIZE < WALL to INFILT.1 OIFF. V' •F F O a FREE AREA L-%V 3 1'1 3 7a o U6 K,- a is 9 a700 70 3 7 4 3 1 5sa 5 C3 , gC IS 1a3A 5700 76 70 Av y la o SYOO 50,10 ce% ;n loI 40 WOO vUb Ce'I n Io0 lu Ooo Saco W til 103 TOTALS 77 3 7770 %0/ 7 A. HEAT LOSS FROM BUILDING U I B.T.U./HR. B. DOMESTIC HOT WATER DEMAND 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: NAME ADDRESS SUBCONTRACTORS AND 18. 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. gA ` /7 0-Ir- DATE SIGNATURE 45F APPLICANT TO THE BUILDING INSPECWR of the APPLICATION FOR PLAN EXAMINATION ANDTOVM-CW S(XTM Wf1 SOK COMA PLAN BUILDING PERMIT IMPORTANT — Applicant to complete all items in sections: 1, II, /it, IV, and IX.o ZONING AT (LOCATION) DISTRICT LOCATION NO,) STREET) OF BETWEEN AND BUILDING CROSS STREET) CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE fA 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 New building Residential Nonresidential 2 Addition(/f residential, enter number 12 One family 18 Amusement, recreational of new housing units added, if any,13 Two or more family - Enter 19 E] Church, other religiousinPartD, 13) number of units- - - 3 Alteration (See 2 above) 20 E] Industrial 14 Transient hotel, motel, 21 Parking garage40Repair, replacement or dormitory - Enter number 5 Wrecking (If multifamily residential, of units ------- - -! 220 Service station, repair garage enter number of units in building in 15 Garage 23 Hospital, institutional Part D, 13) 16 Carport 4 24 Office, bank, professional 6 Moving (relocation) 17[0 Other - Specify ll0 25 Public utility 7 Foundation only 26 E] School, library, other ducational B. OWNERSHIP 27 Stores, merconfi le 8 Private (individual, corporation, 28 Tanks, towers n npr fit institution, etc.) 29 Other - Specify 9 Public(Federal, State, or local gov rnment) C. COST Omit cents) Nonresidential - Describe in detail proposed use of buildings, .g.,food processing plant, machine shop, laundry building at hospital,elementary 10. Cost f improvement,,,,,,,,,,,,,,, S j"q 4t-0 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 $ J 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 W ad frame 41 Private(septic tank, etc.) 49• Total square feet of floor area, all floors, based on exterior 32 Structural steel dimensions .................... 33 R inforced concrete H. TYPE OF WATER SUPPLY 34 Oth r - Specify 42 Public or private company so. 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 c nditi nine? L. RESIDENTIAL BUILDINGS ONLY 37 Electricity 44 Y s 45 No 53. Numb r f b dr ms.............. 38 Cal 39 Oth r- Specify Will ther b an elevat r? 54. Number f Full.......... 46 Y s 47 No bathrooms Partial........ NOTES and Data — (For deportment use) IV. IDENTIFICATION — To b comp/ t d by all applicants Nam Mailing eddress — Number, street, city, and State ZIP code T I. No. Owner or O O 7 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. Signatur of applicant Address Application date 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Required 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 Obtained Number By Permit or Approval Check obtaineded ate 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. 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Un sloraaa/•ml URm/p•N e/N eee Uee ar iu•••faNN•N u ur••e•ueNu 1Nr MURIs11HI aN: r • m=1•N RR Hei a z'sss a e is s i = ia i s ez s on wies siR asas INHIS s c ania s_ aaai asisae'a s s sz e asse esa ass as eeEee fee : se 'seas aaz aa seIs s o a's 's a$a a ss`•aFpmj ias 9 aaase :z i/a •+ea•S N =m a e/m•R•/e/oe r•m Se/m••mm mmm m•••a m e•mm•mm•Rt•=r a\•Nam//!•ma.S ===e•r==ea3lmm ..aS N/•maSS!` S•••// i 11\i s aCC ae Ns.Cs snes.- iii•l i---i- - - iiU!//- ir--LM-- --\- - -- t TOWN OF SOUTH WINDSOR BUILDING PERMIT Date Mar, 14 1983 Fee Paid $. .4...40 Est. Value $.60Q t 00 Permit N° 13110 on the side of Hijzh Sty Street No. 165 Ovam Romo to Pane 1 la Apphmnt Tune Pane 1 la CERTIFICATE OF OCCUPANCY ISSUED: Date No. Fee Paid $ CLASSIFICATION Shed 8' x 16' BURRING PERMIT No 13110 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. Mar. 14 19 83 94is is to (f erttf-U, That Romo to Pane 1 la jis hereby granted permission to Shed 8« x 16 at estimated value of $ 00,nn on the side of 165 Mi&h Street on land owned by Romo to Pane l la Said Work to be as described in APPlication No. 13410 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issued Mar,_ 14 19 83, 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 cats and damages which it shall sustain, or be compelled to reason therefor." i Electric#APPLICATION FOR BUILDING PERMIT Plumbing# 165 HIGH STREET HVAC # 2 3 8 6 2 Date: k\`- Sprinkler# No. FINAL PIPP OVA Estimated Cost $ 5q °v Building'f It '?7 COMPLETE RED BOXED AREAS Permit Fee Engineers g TYPE OR PRINT ONLY Occupancy Fee $ Affidavit SIGN ON REVERSE SIDE Appr.for CO. I 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 I to Lot No. Side of Street Zone Applicant vm(Z CD Tel. # Address A4 fCVF0W J!y 9 C2A:N(25`1 C= Zip 0 6 O Lic.# .500 5 OwnerM Ng pAt-O C7"jR Address I Gam; Architect Address Sq. Ft.New Area: 1st Fl. 2nd Fl. 3rd Fl. Total New Area Rooms Lavatories A Bathrooms Garages Purpose of this permit: 0462AL !22120!JV(0 gL"!r jcf:t ZLLK") City Water C Well 0 Septic System fever J Use Group Construction Type Area Basdft-r't Garage Approved by Date l Reveal 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 building is to be located th pro r di ta ce from all street lines,side yard lines and required distances from all other zones and is located in a zone in hic this wild ng and its use is allowed. 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