HomeMy WebLinkAbout21 Brewster Road (6)TO THE BUILDING INSPECTOR
of 1w APPLICATION FOR
PLAN EXAMINATION ANDDOWNOFSOUTHWINDSOR,COW
PLAN
PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, III, IV, and IX.0
Q. ZONING
I• AT (LOCATION) Iv 1 DISTRICT
LOCATION LINO')
O' AND(
STREET)
OF BETWEEN 1
BUILDING CROSS STREET) CROSS STREET
oLOT
SUBDIVISION LOT BLOCK SIZE
H
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D o
A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use
T
11V1 New building Residential Nonresidential
2 ri 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 of units 20 Industrial
3 Alteration (See 2 above)14 Transient hotel, motel, 21 Parking garage4 Repair, replacement or dormitory - Enter number
5 Wrecking (If 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 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 [9 Private (individual, corporation, 280 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................ 7 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 A
d. Other(elevator, etc.)............
C
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 Wood frame 41 Private (septic tank, etc.)
49• Total square feet of floor area,
all floors, based on exterior 032 Structural steel dimensions ....................
33 Reinforced concrete c_ H. TYPE OF WATER SUPPLY n
34 Other -Apecify / 42 Public or private company
Total land area, sq.ft. ........... //J9
4i Private(well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
51. Enclosed ......................
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
35 Gas Will ther`be c6ntral air 52. Outdoors.......................
36 Oil conditioning?/ L. RESIDENTIAL BUILDINGS ONLY
37 Electricity 44 Yes 45 No 53. Number of bedrooms..............
38 Coal
39 Other- Specify Will there be an elevator? f
54. Number of
Full..........
46 Yes 47 Nn bathrooms
Partial.......
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Te I. No.
1.
Owner or I 4/ J e S n / 0607y 4 W-3t v
Lessee
Contractor
3.
Architect or
Engineer
Th o f i buildin nd the nde ned agree to conform to all applicable laws of this jurisdiction.
Si at f icant
AdJv Ae Application date
Y wl' c9,ri 9,/0 7,7
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 Date
Obtained Number By Permit or Approval Check ae
ObDaitned 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
Permit numb r 9924
Building
Permit issued Aug. 12 19 _ 7
Bui Iding
P rmit Fe $ 4.00
Approved by:
1
TITLE
VIII. Z./NING PLAN EXAMINERS NOTES
DISTRICT
USE
FRONT YARD
SIDE (ARD SIDE YARD
REAR YARD
NOTES
IX. SITE OR PLOT PLAN — For Applicant Use
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1
TOWN OF SOUTH WINDSOR
BUILDING PERMIT
y
Date Aug• 12 19 7 7
Fee Paid $. 4.00 Est. Value $.2 5.6.00
Permits 9924
on the side of
Brewster Road Street
Street No. 2
Owner n j n1 a ePn
Applicant Olin [)l e c inn
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No.
Fee Paid $
CLASSIFICATION
Tool Shed
BUILDING PE uffr
I ° 9924
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
Aug. 12 77
South, Windsor, Conn. 19
Ole Olesen
94to tot r Tliat
T Sfhet 'i0 x 1100
is hereby granted permission to
at es ted value of $
21 Brewster 'Road
on the side of Street on land
0. L. Olesen
owned by
Said
Work
to be as described in Application
10224
No. and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR. 12 77
Issu
Addsdjlnspector.
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 compeller to reason therefor."
7 7 6'y-326' — Ile
INSPECTION REPORT
Permit # Jcvb --2
1 Footing
2 Foundation
Lng f A-r— T 7
ing
6 Heating
7 Lathing
8 C.O.
v
a
IV
3,7
50
t
t
BREWSTER ROAD
Map Prepared For
NO.BREWSTER ROAD SOUTH WINDSOR, CONN.
Being Lot No. 54 on map entitled, "Plan oP Orchard Heights, Avery Street,South W;ndsor, Connecticut - Scale: 1" = 401, May 20, 1965 - Hayden L.
Griswo idl, C.E.}}3'•:w...
SCALE: 11' = 40' r,. : 'c:t1=.DATE: October 22, 1973
No.26Cj•
Liu Aw
1
i
GRiSWOLD & FUSS, INC.
210 Main Street
Manchester,, Conn- 06040