HomeMy WebLinkAbout17 Brookhaven LaneTo THE BUILDING INSPECTOR
ad die APPLICATION FOR
1O" OF C
PLAN EXAMINATION AND
3j3,w BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, It, 111, IV, and IX.
L ZONING
1• AT (LOCATION) doiCy'' OISTRICT
LOCATION NO.) STREETI
OF BETWEEN c/ AND
BUILDING CROSS STREET) CROSS STREET)
SUso1VIs10N j=a , LOT
LOT
LOCK SZE /6 y-J 4
t
11. TYPE AND COST OF BUILDING — All applicants complete Parts A — D
A. TYTN F IMPROVEMENT 0. PROPOSED USE — For-'wrecking" most recent use
1w building Reside, al Nonresidential
2 Addition(If residential, eater number 12 Ono family 18 Amusement, recreational
o/ new housing units added. i/my, 13 Two or more fancily — Enter 19 Church, other religi us
in Part D, 13)
number of units— — — — — 20 Industrial
3 Alterati n (See 2 above)14 Transient hotel, motel, 21 Parking garage4 Repair, replacement or dormitory — Enter number
5 Wrecking (If multifamily residential. units ——————— —-- 22
HospServital,
station, repair garage
enter number of writs in buildins in 15 Garage 23 Hospital, instituti nal
Part D. 13) 16 carport 24 Office, bank, prof ssionei
6 F7 M wing (relocation)
17 Other — Specify 2$ Public utility
7 Foundation only 26 School, librar y, other Odueati nei
B. OWNERSHIP 27 Stores, morcontiI
8 dPrivate (individual, corporation,
28 Tanks, towers
n npr fit institution, etc.) 29 Other — Specily
9 Public (Federal, State, or
cal g worriment)
C. COST Omit cents) Nonresidential — Describe in detail proposed use of buildings, e.g., food
processing plant, machine shop, laundry building at hospital, ei in ntary
10. Cost of improvement,,,,,,,,,,,,,,,, 'ff UL school, secondary school, college, parochial"school, parking garog for
department store, rental office budding, office budding at industrial plant.
To be installed but not included If use of existing building is being changed, enter proposed use.
in the above cost
1
a. Electrical...................... 171
4"V
b. PIumbing ......................
c. Hooting, air conditioning.........
d. Other(elevator, Ott.)............
J 2
11. TOTAL COST OF IMPROVEMENT S10 3 c
Ill. 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 sorry(wail bearing) 40 CETPublic 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 Reinforced concrete H. TYPE OF WATER SUPPLY
eh 3T34 Other — Specify 42 ublic or private company
50. Total load area, sq. ft. ...........
43 Private(well, cistern) K. NUMBER-OF OFF-STREET
PARKING SPACES
F. PR1NC1 AL- TYPE OF HEATING FUELI. TYPE OF MECHANICAL
51. Enclosed .............,..........
35 U Vef Will there be central air 52. Outdoors.......................
c nditi ping?36 Oil L. RESIDENTIAL BUILDINGS ONLY
37 Electricity 44 Y s 45 1=! ^ 53. Number f bedrooms............. 1
38 Coal
38 Other— Specify Will th to be on elevator?
54. Number of
Full..........
46 Y s 47 0"He bethraems
Partial........
IV. IDENTIFICATION — To b c mpl ted by all applicants
Name Mailing eJdress — Number, street, city, and State ZIP c d Tel. N
LaCAVA CONSTRUCTION COMPANY J
Owner or
YLess . WETHERSFIELD, CO
z.LaCAVA CONSTRUCTION! COMPANY
Contrac•or R55 SILAg—DEANE i'dlu—flO dAY
WFTHFR5,PIr7j
3.
Architect or
Engineer
Th own r of this building and the undersigned agree to conform to all applicable laws of this jurisdiction.
Signature o"
Otgc
AJJress Application date
La CT'IOI<l CO.
00 HOT WRITE BELOW THIS LINE
V. PL REVIEW RECORD — For office use
Plans Revi w Required Check Plan Review Date Plans By Date Plans By NotesFeeStartedApproved
BUILDING
PLUMBING
MECHANICAL S
ELECTRICAL S
OTHER
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check ObDa ned Number By Permit or Approval Check ObrDained IJumber 3"
BOILER PLUMBING
CURB OR SIDEWALK CUT ROOFING
ELEVATOR SEWER
ELECTRICAL SIGN OR BILLBOARD i
URNACE STREET GRADES
RADING USE OF PUBLIC AREAS
IL BURNER WRECKING
LTHER OTHER j
II. VALIDATION
Building
P rmit number
Bui Iding 2LI*-P rmit issued 19
Building
P rmit F e S
Approved by:
TITLE
M J511.)*9 BEerJ04 6D FARMS
i goo X p rE A ,
C STRLIC T1 o,AJ e?Ab, Permit # / 74Ag
Electrician o-(4,41
Heating Contr. v36
Plumbing 8 5,5.E
Oil Burner
Certificate of Occupancy # /7o,Q
Sewer Permit O ""
fl).aT P4AAl AFPAMCD AS ):I-!2 b%4F zAL/vo
Art
INSPECTION E 07 El i vPermitDJobs74'A0,";ACoT ,. od
y
1 Footin _
Y2Foundation
3 Framing
4 Wiring'-4
5 Plumbing
6 Heating
37Lathing
8 C.O.
t TO
BUILDING INSPECTION DEPARTMENT
SOUTH WINDSOR, CONNECTICUT
FEE PAID: $3.00
CERTIFICATE OF OCCUPANCY
ZONE: DATED 3/1 6 19 90
This is to certify that 17 Brookhaven Lane I
Erected 17088
under permit No. conforms substantially to the requirements of the building ordinances and the
zoning regulations of the Town of South Windsor and is hereby approved for occupancy as indicated below.
Use: R4
Type: 5B
Approved for Occupancy— single family dwelling -- Lot
Building Official
Notice:If this certificate is lost or destroyed, a duplicate should be`obtained immediately from the Building Department.I
Any change or extension of the use herein approved requires a new certificate of occupancy.
CERTIFICATE OF OCCUPANCY CHECK LIST
Or/70V
Applicant LaCava Certificate of Occupancy ii h5 2-
Address Bldg. Permit No. 17o gFe
Lot No.17, Brookhaven Date Submitted 2-14-90
Project Beechwood Reviewed By 3i;I
Date 2..-iY-9a
As required in the Zoning Regulations, no certificate-of-occupancy
shall be issued until grading plans have been complied with and
approved by the Town Engineer. The minimum requirements shall
include:
Approved Denied N/A
1. Approved building permit plan.
2. Finish grading per approved
building permit plan.
3. Site work; i.e. trees, shrubs, dumpsters,
required parking
4. Utility location
r a. sanitary sewer
b. foundation drain
c. electrical & telephone
d. water
e. other
5. Appropriate certification
6. Bonding
Sewer Permit No.
Pavement Excay. No.
COMMENTS: j 1p'>> 0 zZ 19;00>
tSUlLUl1Vl Y tCL111' l.tl l,,lt L1J1
Applicant Cava Building Permit No.7 08
Address Brookhaven Lane Date Submitted 8
Lot No. 17 Reviewed by
Project Beechwood II Date
In accordance with the Subdivision Regulations, prior to the building of
any structure on a lot, a Topographic Plot Plan shall be submitted for
approval. The minimum requirements shall include :
Approved Denied N/A
1. Name, address & phone number of owner/
applicant.
2. Name, address & phone number of plan preparer.
3. Zoning information - i.e. zone, open space,
floodway, etc.
r/ 4. Plot plan at 1" = 40 ' scale.
r/ a. Subdivision reference, abutting
properties , etc.
v b. Easements of record.
91
c. Lot description, bearings, distances ,
building lines, area, etc.
d. Contours, existing & proposed, 1 or 2 ft.
interval where appropriate.
e. Building location with dimensions.
Elevations of proposed finish floor,
garage floor & center line of road at
driveway.
f. Elevations of gravity drainage systems,
sanitary & foundation drain at the
house and the street.
g. Tentative utility location gas, electric,
water, etc.
r/
h. Title block with name and address of
preparer, date appropriate certification,
live seal and signature.
5. Sedimentation and erosion control.
6. Special Planning & Zoning, Inland/Wetlands
considerations. (Plans on file w/Town Clerk)
BUILDING DEPT.
PZC
IWA/CC 3 U
WPCA
OTHERS
COMMENTS: