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195 Benedict Drive (2)
b TO THE BUILDING INSPECTOR d dhe APPLICATION FOR PLAN EXAMINATION ANDOlJ1'l BUILDING PERMIT z IMPORTANT — Applican t to complete all items in sections: 1, 11, III, IV, and IX. O I• AT (LOCATION) ` ;15 PR ZONING DISTRICT LOCATION IN0.) STREET) OF BETWEEN AND BUILDING CROSS STREET) CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE N 11. 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 N w building Residential Nonresidential 2 Additi n(if residential, enter number 12 One family 18 Amusement, ecreati nal o/new housing units added, i/any. 13 Two or more family — Enter 19 Church, other religiousinPastD. 13) number o/units————-•20 Industrial3Altration (See 2 above) 14 llhotel,ote, mote 21 Parking garage401R*- 4 pair, replacement or dormitory — Enter number 5 Wrecking (If multifamily residential, Of units ——————— —— 22 Service station, repair gores enter number o/units in building in 15 Garage 23 Hospital, institutional Part D, 13) 16 Car ort 24 Office, bank, professi nal 6 M vino (relocation) p L Cf 7 Foundati n only 17 Other — Specify 25 Public utility 26 School, library, other educational B. OWNERSHIP 27 Stores, mercantile Zg Tanks, towers8APrivate(individual, corporation, n npr fit institution.etc.) 29 Other — Specify 9 Public(F deral, State,or 1 eel 9 vernment) C. COST Omit cents) Nonresidential — Describe in detail proposed use of buildings, .g.,f d processing plant, machine shop, laundry building at hospital,elem ntary 10. C st f improvement................ school, secondary school, college, parochial school, parking gores 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 $ 111. 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 Mos my(wall bearing) 40 Public or private company 413• Number of stories................ 31 W d 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 Other — Specify 42 E:] Public or private company 50. Total (end area, sq.ft. ........... 43 Private(well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES F. PRINCIPAL TYPE OF HEATING FUEL 1. TYPE OF MECHANICAL 51. Enclosed ....................... 35 Gas Will there be central air 52. Outdoors..........0......a...... eonditionin36oil g L. RESIDENTIAL BUILDINGS ONLY 37 Electricity 44 Y s _ 45 N 53. Number f bedrooms.............. 38 Coal 39 Other— Specify Will there be on I vator? Full.......... 54. Number of 46 Y s 47 No bethreoms Portiol........ IV. IDENTIFICATION — To b compl t d by all applicants Nam Mailing f address — Number, street, city, and State ZIP c de T(ell. No. 1. Z,16/?0 x) 1 15 7 OROwneror Lessee U7/`t (A114 PSG Contractor 3. V 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 Appl'cation date Zz i 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plan Review Date Plans Date Plans Plans R view Required Check Fee Started BY Approved ey Notes BUILDING PLUMBING MECHANICAL ELECTRICAL OTHER VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS P rmit or Approval l Check Date Number B Permit or Approvall Check Dote Number ByPpObtainedYpPObtained 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 I Bui Iding Permit issu d X 19 Building 0PrmitF $ y: Ll LE p TOWN OF SOUTH WINDSOR BUILDING PERMIT Date June 3 1 ig8 6 Fee Paid $. .6.0 0 Eat. Value $. .I....0 0 0 Permit N© 15126 on the aide of Street Street No. 19 B ned i c t T)r i ve Owner T.PRnv Shaw Applicant Maurice Boutin CERTIFICATE OF OCCUPANCY ISSUED: Date No. Fee Paid $ CLASSIFICATION Replace Roof BUILDING PERMIT M 15126 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. au rae 3 19 86 1#is is to Crrtifgp That Maurice Boutin is hereby granted permission to Replace Roof at estimated value of $ 1,0 0 0 on the side of 1 2rl Rp-n P d,;c t n r i ve Street on land owned by LeRoy Sbala Said Z:,Qr-lc to be as described in Application N , 15426 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issued June 3 , 1986 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 costa and damages which it shall sustain, or be compelled to reason therefor."