HomeMy WebLinkAbout20 Blueberry Circle5_0/5"
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TOT BURDING, INSPFXMR
of dhe APPLICATION FOR
PLAN EXAMINATION AND
TOW14 (W MUM WIN)SOK CONK BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, III, IV, and IX. O
zONINw+I• AT (LOCATION) 3fu ' 40E DISTRICT
LOCATION NO.) STREET)
OF BETWEEN l AND
BUILDING CROSS BEET) CROSS STREET)
LOT
SUBDIVISION ` t,t C 54g1,44 S LOT BLOCK SIZE Z3 0. 2 'ter
N
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D
A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use
1 N w 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)
number o/units— — — — -i 20 Industrial
3 Alteration (See 2 above)14 Transient hotel, motel, 21 Parking garage4 Repair, replacement or dormitory — Enter number
5 Wrecking (1/multifamily residential,of units ——————— —i E] Service station, repair garage
enter number of units in building in 15 Garage 23 Hospital, institutional
Part D, 13) 16 Carport 240 Office, bank, professional
6 Moving (relocation)17 Other — Specify 25 Public utility
7 Foundation only 26 School, library, other educational
B. OWNERSHIP 27 Stores, merconfile
8 [A-4 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,..•..,.,...... 5 gs 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 2 —O C:?a. Electrical...................... UQ"2,142ttf f
b. Plumbing ......................
c.Heating, air conditioning......... S O
d. Other(elevator, etc.)............
c L
11. TOTAL COST OF IMPROVEMENT Is / y®<3—
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 2
30 Masonry(wall bearing) 40 Public or private company
48. Number of stories................
31 Wo d frame 41 tj Private (septic tank, etc.)
49• Total square feet of floor area,
all floors, based on exterior
32 Structural steel dimensions ....................
33 Reinf reed concrete H. TYPE OF WATER SUPPLY
34 Other — Specify 42EPublic or private company
Total land area, sq.ft. ........... 2-j O/O Z
43 Private(well, cistern) K. NUMBER OF OFF-STREET
d PARKING SPACES Z
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
51. Enclosed .......................
35 Gas Will there be central air 52. Outdoors.......................
conditioning?36 011 L. RESIDENTIAL BUILDINGS ONLY
37 Electricity 44 E:] Yes 45 M No 53. Number f bedr ms.............
38 C al
39 Oth r— Specify Will th re be an elevator?
54. Number of
Full.......... Z
46 Yes 47 No bathrooms
Partial.......1
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP cod Tel. No.
1. 4I( ! e Q t," r G Qi^5 61 o fl&x !!' S /LAW/ l c1G L G'6,er-2,-,)J
Owner or
Lessee
2. l• a f t, O p V
Contractor
3.
Architect or
Engineer / S5
The owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction.
Signature of applicant Address
c ,rye y
Application date
C,,C"5 J l /6iFti.-
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Re uired Check Plan Review Date Plans B Date Plans B Notes9FeeStartedyApprovedy
BUILDING
PLUMBING
MECHANICAL
ELECTRICAL
OTHER
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Date
ObtaiObtained Number By Permit or Approval Check ObtDai ed Number I 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
Building
19PrmitissuedG-cr _
Building
Permit Fee $ o b
App ed
TITLE (T
TOWN OF SOUTH WINDSOR
BUILDING PERMIT
Date May 20 , 19 87
Fee Paid $. 565'00 Est. Value $.9-M5.00
Permit NO' 15882
on the side of
Blueb.rry Circle Lot #E17 Street
Street No. 4 `o
Owner allied Bi.ulder®
Applicant sa°;uz as above
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No. 8179
Fee Paid $3.00
CLASSIFICATION
dwelling
BUnDLNG PER1frr N0' 15882
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn. May 20 19 87
ig4is is to Certtfg, That Al 1 i ed Rui_lders
is hereby granted permission to dwelling
at estimated value of $ A 4.n R 5_.00
on the side of R 1u eherrV Cir r 1 P T.n fi 917' Street on land
owned by 411ed ulders
Said wn rk to be as described in Application
No.16173and to conform to specifications and plans filed with said Application, and Building By,
Laws of THE TOWN OF SOUTH WINDSOR.
I ed May 20 1987
u :ng ctor.
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 s611 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 sty,
town or borough all costs and damages which it s611 sustain, or be compelled to reason therefor."
DYV'C-LW1vC-
Nuc.6errkjaA:ers
Ci rt.lz l,j1
9 Perinitltt o
t/
Electrician --R I c NA R> i l L& R # 9 b
Pa, G-QC ; Heating Contr. o
Plumbing " Qa'A (rva r ,\o
7 3 3
Oil Burner
Certificate of Occupancy ,Ian #16 7
Sewer Permit
lo%c tm a7d-ed-
fjav s7 rfc% A (G6-2 t
INSPECTION REPORT J"o'f411.r
Permit # Job js
1 Footing t -
2 Foundation
3 Framing
4 Wiring C (,?1 ZL5Plumbingrj® i'RL4 LIA[a ! CCJ`f.CT,fT?
6 He 6777 u q NO hxv-fy7
7 Lathing
8 C. I Jaf
r
Permit No. TOWN OF SOUTH WINDSOR
SOUTH WINDSOR, CONN.
Permit 8179
Certificate of Occupancy
aD THIS IS TO CERTIFY that the
at No. 7 1e 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 app£oved for occupancy.
Buildirig Inspector
Owner, Builder
Fee Paid Date
CERTIFICATE OF OCCUPANCY CHECK LIST
i3 .7L=1z S Certificate of Occupancy EMNOWApplicant58sAddress ' i yvG" iruL
r rmit No.Bldg. Pe
Lot NO* i Date Submitted
Project L Reviewed By Z47-3
Date 0 7
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
inlcude:
Approved Denied N/A
v 1. Approved building permit plan.
Z. Finish grading per approved
building permit plan.
3 . Site work• i. . trees shrubs, dumpst
required park'
4 . utility location
a. sanitary sewer
b. foundation drain
C. electrical & telephone
d. water
e. other
C/ 5 . Appropriate certification
6 . Bonding
Sewer Permit No .
Pavement Excav . No.
COMMENTS :