HomeMy WebLinkAbout21 Christine LaneV
r THE BUIELDING INSPECTOR
of dw APPLICATION FOR
TO" OF SOUTH WI IDSOK COMA. PLAN EXAMINATION AND
BUILDING PERMIT
IMPORTANT - Appl1 a to complete all ' in sections: 1, , 111, IV, and IX.O
r ZONINGI• AT (LOCATION) DISTRIC#!
LOCATION NO.)7—OF BETWEEN AND
BUILDING CROSS STREET)` CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
II. TYPE AND COST OF BUILDING - 11 applicants complete Parts A - D
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use M
1 5K New building Residential Nonresidential
2 Addition(It residential, enter number 12 EROne family 18 Amusement, recreational
of new housing units added, if any, 130 Two or more family — Enter 19 Church, other religiousinPartD, 13)
number of units— — -- — --jo. 20 Industrial3 Alteration (See 2 above)
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 E] 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 ® 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,,,•,,,,•,,,.,,• og>C> 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 $
III. SELECTED CHARACTERISTICS OF BfJIL15ING - 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 FV Public or private company
48• Number of stories................
31 Wood frame 41 49. Total square feet of floor area,Private (septic tank, etc.) all floors, based on exterior
32 Structural steel dimensions ....................
33 Reinforced concrete H. TYPE OF WATER SUPPLY
34 Other — Specify 42 Public or private company
50. Total land area, sq. ft. ........... Q Q/0
43 W 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 F Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY37Electricity44 Y s 45® No 53. Number of bedro ms.............. a..10
38 Coal
39 Other— Specify Will there be an levator?
54. Number f
Full..........
46 Yes 47 W1 No bothr ms
Partial.......
NJTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants
Name Meili ddress — Number, Stxae4, city, a Stat ZIP cod T I. No.
Owner or C uLL y jcz
Lessee
2.
Contractor
3.M J
Arch tec T
Engineer
The owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction.
Signature of applicant Address Application date
s i,
s
00 NOT WRITE BELOW TH S LINE
V. PLAN REVIEW RECORD — For office use
Plans Revi w R quired Check Plan Review Date Plans
By Date Plans By NotesFeeStartedApproved
BUILDING
PLUMBING
MECHANICAL
ELECTRICAL
OTHER
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Dot
Obtained Number By Permit or Approval I Check Obtaateinedned Number By
re
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 9848
Bui Iding
P rmit issu d June 24 19 7_
Bui Iding
P rmit F $ 252-00
Appro a by:
TITLE
C
VIII. Z,,NING PLAN EXAMINERS NOTES
DISTRICT
USE
FRONT YARI
SIDE fARD SIDE YARD
REAR YARD
NOTES
IX. SITE OR PLOT PLAN — For Applicant Use
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i
TOWN OF SOUTH WINDSOR
BUILDING PERMIT
Date June 24 19 77
Fee Paid $.2.5 2.•00 Est. Value $. .42.,000.00
Pc=it '0 9848
on the side of
Lot #9 Street
Street No. 41
Owner Richard Ke 17 ey
Applicant Richard KP 1 1 ev .
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No. 49 so
Fee Paid $ -nn
CLASSIFICATION
Dwelling
BUIIDING PERMIT
N° 9848
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
June 24 77.
South Windsor, Conn. 19
Richard Kelley
94io 'to to That
Dwdlfing
is hereby granted permission to
4 00
at estimated value of $
Lot #9
on the side of Street on land
Richard Kelley
owned by
Said Work to be as described in Application
10148
No. and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR. June 24 77.
Iss a
ff/
biadio,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."
t s CON_fi
F
in the T64n of South Windsor, Co
boos +acted And completed 4,acwrdonae, with the Building Code and Zoning Segulationa 69,
The T of South Windsor, and is hereby approved-fr.occup
Inspector
t? icy _ - Date 19
TO THE BUILDING INSPECTOR
This will Certify that the Property Identified below has been Inspected and Meets
Engin ering Criteria for Certificate of Occupancy.
G
Engine ring Approval Dat
y
T F 95.6
EASEMENT C 1' F.L. 92.1
S 72 -08'- 51 (E
X 150.0
o'
977 0X
W X 956
X 93.4
yo` LOT 9 X LOT 10
J 30,010 9
94.4
s 94
I m
lo0 98 96
54.5' 4•
I
Z wl
W
I IO tipIwi 40
CD F.F.-103.0 91 W
ti 1 0 94.4X o a 2 ItiW
b bZ
z a
W l
W Ow
Z
w I-
X 98 EXISTING GRADE 15
Y5211001 98a
PROPOSED U 3
0,
tQ X95J O'
GRADE c ppp C
CArn g u X973
QG ti I I X 98.5
80.00 135.00-
M.S M.S. X 99.6 72 -0 - I -m
SIDEWALK
C.B.
8 T.F. 96.8
ROSEMARY n LANE F L 91.0
98
I hereby certify that this survey was made on the ground and that the building is located
substantially as shown, and that no zoning regulations with regard to said location are
Property of Richard S. Kelley
Lot 9 Rosemary Lane South Windsor, Conn.
EMIL W . LUCEK ASSOCIATES
NO. REVISIONS DATE SCALE 1"=401 DATE 6/15/77
CONSULTING ENGINEERS
S OAKLAND ROAD DRAWN AVH CHECKED ewl
S0VTH WINDSOR. CONN.
203-644-2"2
NwjECT 77.6 fNEET
00p)
CERTIFIED SUBSTANTIALLY CORRECT - DEGREE OF ACCUR Yeel
EMANUEL W. LUCEK CONN. REG. LAND SURVEYOR 6293
sumpAf NOOUCff IIIG.10/f WASi4sif ,.r.
6312
f
ELECTRICAL APPLICATION
Application No. 6619
on the side of
Street No.
Owner Richard Kellev
Electrician Roberts Electric
FILED IN OFFICE OF
The Building Inspector
Aug. 26 1977
INSPECTION.
1:4 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
stops (if of wood) are installed, without a special
permit from the office of the Building Inspector.
P' -t
APPLICATION FOR PERMIT TO DO ELECTRICAI. WORD,
No. ...........6 619.............
Permit No. .............63.1. .............
TO THE BUILDING INSPECTOR
of the
TOWN OF SOUTH WINDSOR, CONN.
0... herebymake application t perform Electr cal Work according to detailed description below. AllPPqPgP
provisions of the Rules for Electrical Installation, Section 48, Building By-Laws, shall be complied with
whether specified herein or not.
South Windsor, Conn., ........... 19. ign here F:.:. ......
Address 7 .. ..rw..
a
Location .......... ........................ ./ . Side of ..................................................
Nature of Building ..... ow many stories .................................................................................................76
New or old Building ............ . ...... .. How many families ................._............._........................................
r
Kind of Installation How many Stores .
Address .f6Owner ,...
Architect .......................................................... ..... . .............................. .... Address ...........................................................................................
Builder 1-;' ) I-r .. Z•r Address ............... ................ ............................................._---...-....-...........
Electrician f-+ '+t.r............... .... Address G. :n. ..
r"
Size of Main Wires ... .... ...... ..l..G?........_
No. of Light Loops ......................./.......... No. of Heat Loops ............... . ..No. of Power Loops ..........................._...._....
No. of Light Outlets .........<...'0............. No. of Heat Outlets ... . .. ... No. of Power Outlets .....................................
NoO of Light Circuits .........:;:57........... No. of Heat Circuits ... .. No. of Power Circuits ..................... ......
No. of Sockets ......................G '. ......... No. of Heat Receptacles .. . ... .. No. of Motors .......................................................
No. of Panels .........................../•••••.. ....... . .. .. Size of Heat Circuit . .... ...... .. . ..... ... No. of Power Receptacles ........... ..........
No. of Switches ..................L5.x..e 7. .. Total Wattage .............................. ................... Size of Power Circuit ....... ...... ...
Total Horsepower ....... .. ..... ........ ......... .
No. of Straight Electric Fixtures ... .No. of Combination Fixtures ............ ... ........... . .........
7.
No. of Receptacles No. of Cord Drops
Remarks: For other kind,of Installation r........................................................
y r47... ........ ........ 1;,,.. .•l..
Estimated Cost ..... ,,( ...........e..: . ...
5089
PLUMBING APPLICATION
Appiaktim No. 5877
on the A d&of
Lo11% ;,t CY)?/S "IE9N
Soeaet
Street Na 40--
Richard_ Kell
Ownef,j
Pluanber
Filed in O a of
The &nl&m pectoc
Aug. 31 1922_
No person,ball emmuct; add m or aloes my
portion of the drainage Wsoem of say bolding
czagn to repair leaks) unid a Permits Scooted
by the Building L pamw.
Application No. .............5.832............. Permit N . ...50.8.9..................
TO THE BUILDING INSPECTOR
of the
TOWN OF SOUTH WINDSOR. CONN.
hereby make application to perform plumbing according to detailed description below. All
provisions of the Rules for Sanitation, By-Laws, Sections 33 to 47 inclusive, shall be complied with whether
specified herein or not.
ASouthWindsor. .................................SE. 9................ 19 ... Sip re
q... ..............Address/0. ....... e ......
Location411,614......................................................................... side of .......................... Street
Nature of uilding How many st es . .............................2.......................................................
ssOwnerAddre . .. . . ........................................................................................
Architect Address ...........-..... .. -
Builder . ..... .. . ... ..... ...................... Address .............
Plumber Address ....
DRAINAGE
CESSPOOLS, How many .................. ............. .................. Where located ....................................................................................................
Are they water tight Of what materials are they built .................. ...................... ........
Size of pipe from house to cesspool . ................... ..... .. .. Kind of pipe ..... . . ... ..................................................................................
MAIN DRAIN IN CELLAR, Material Diameter ....... .........................................................................................
Above or below cellar bottom
SOILPIPES, Material Diameter .........1-./...............................................................................................
WASTE PIPES, Material ., CSC. .......................... Diameter .3.....
TRAPS,Type proposed to use is
RAIN WATER LEADERS, where do they run to
REFRIGERATORWASTES, where do they run to ..................................................................................................... ...............................
TANKOVERFLOWS, where do they run to
FIXTURES
WATER CLOSETS, How many Where located . ............... ....... ..... .... .........................................
Distance from trap to vertical soil pipe .................................. Pattern
WASHTRAYS, How many ............................................... Where located . ........ ...................... ..............................................
SINKS, How many . .. ...........................................././...................................... Where located
BUTLER'S SINKS, How many .................................................. Where located. . ............................................................................................
REFRIGERATORSINKS, How many.. ....... ....................... Where located .................................................................................................
LAVATORIES,How many .............................,
4............................. Where located .........................................................
BATHTUBS, How many........................_5..................................... 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
ofroom where same are to be located ........
C_
Estimated Cost .370-.5f1. ........ .......
L
PERMIT
Application For 4899469 8dDEPARTMENTDECISION
Cd Heating Permito
3 E APPLICATION IS HEREBY:
DEPARTMENT OF LICENSES AND INSPWrIOL
t UMPPROVED DISAPPROVEDy ATOWNOFSOUTHWINDSOR
O
o c 8131177 V
00 4) DATE CHIEF E R APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER NE BELOWO
1. LOCATION OF JOB 2
G NO. STRER
e
L T NO. FLOOR APT. NO.
ON
G a. OWNER JZ-4
O
013 S. ADDRESS
4. NEaA
S. APPLICANT
s. ADDRESS 02-
7.PH ON
w
B. LICENSE NO.
Q
p w B. EXPIRATION DATE OF LICENSE- /o
10. ESTIMATED COST i
r 1 t. IS THIS A CONTRACT COST? YES No
12. FEE ENCLOSED S PeTfff t 9 8 48
O 13. TYPE OF BUILDING
b RESIDENTIAL COMMERCIALOR
c 0cc14. TYPE OF JOB: ElINDUSTRIAL3
ORIGINAL ALTERATIONINSTALLATINADDITION
REPAIR
APPLICATION FOR HEATING PERMIT (Continued fr m Reverse Side)
11. LOCATION OF JOB '!j !7_40_41?41 1/,Z,&J- 4
NO. S EET FL OR APT.NO.
12. TYPE OF INSTALLATION: P—OIL BURNER ELECTRIC VENTILATION SPRINKLER
GAS BURNER STACK 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. AT BONNET FIRING RATE
BOILER OR FURNACE MAKE AND NO. B.T.U. OR SQ. FT. NET B.T.U. OR SQ. FT. GROSS FIRING RATE
FLOORS TO BE HEATED NEW OR OLD BUILDING INSULATED — YES OR NO
TYPE OF WALL INSULATION ROOF OR CEILING INSULATION
AVG. SYSTEM WATER TEMP. B.T.U./SQ. FT./HR. EMISSION
INDOOR-OUTDOOR TEMPERATURE DIFFERENCE FAHRENHEIT
MAKE OF RADIATION: BASEBOARD. COPPER CONVECTORS, OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ.
FT. OR B.T.U.
DESCRIPTION OF WORK
1S. TO BE DONE:
16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS):
R Ow SIZE WINDOWS AREA - SQUARE FEET e.T.U. S.T.U. i DISTRIBUTION INSTALLEDANDDOORSVOLUMETOTALTOTALIL
ROOM NO. GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED J j REGISTER
L W N AND C TEMP. TO F QQ TYPE AND SIZE RAO. OR LEADER
SIZE < WALL fMLtG INFILT.) OIFF. F SI d SO. FT. FREE AREA
A-i-Id `f 3 /"dv
TOTALS
A. HEAT LOSS FROM BUILDING 3 B.T.U./HR.
B. DOMESTIC HOT WATER DEMANDS B.T.U./HR.
C. PIPING, OTHER THAN NORMAL B.T.U./HR.
ALLOWANCE FOR HEAT VALVE OF FUEL (A B C) FACTOR z Aj rp6rz)
17. ELECTRICAL WORK BY:F_
NAME ADDRESS
yC/ '
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.
9 -/
DATE SIGNATURE OF APPLICANT
i
1
PERMIT #
Application For
DEPARTMENT DECISION Heatuig Permit
3 APPLICATION IS HEREBY:DEPARTMENT OF LICENSES AND INSPECTIONS
N +' APPROVED DISAPPROVED
TOWN OF SOUTH WINDSORC
1~O cS
00 4) DATE CHIEF INSPECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BELOW
O
C " 1. LOCATION OF JOB
CO
O
NO. STREET
r.a vCd
rn
LOT NO. FLOOR APT. NO.
O O
V
A 2. OWNERS
w O
00 O S. ADDRESS
c
4.PHONE
ao ad
b yL
t/1 B. APPLICANT^22zd.4d
v ad
fo6. ADDRESS / 'd7 azt, l
C 7.PHON o
s. LICENSE NO.
a
o w B. EXPIRATION DATE OF LICENSE /0
10. ESTIMATED COST
11. IS THIS A CONTRACT COST?ES YES NObe
12. FEE ENCLOSED s
v
i 13. TYPE OF BUILDING
Cbe
m
ESIDENTIAL COMMERCIAL
C 3 14. TYPE OF JOB: 13 INDUSTRIAL
CA RIGINAL ALTERATIONjCf-IMSTALLATION ADDITION
REPAIR
APPLICATION FOR HEATING PERMIT (C ntinued tr m Reverse Slde)
11. LOCATION OF JOB
NO. STREET FLOOR APT.NO.
12. TYPE OF INSTALLATION: OIL BURNER ELECTRIC VENTILATION SPRINKLER
GAS BURNER STACK Cl INCINERATOR MISCELLANEOUS
IDENTIFY
SIZE SIZE t SIZE
13. OF TANK 1 1 OF TANKOF FILL OF VENT
14. B.T.U. EQUIP. AT REGISTER FURNACE MAKE AND NO. AT BONNET FIRING RATE
Nr NBOILERORFURNACEMAKEAO.?;115 B.T.U. OR SQ. FT. NET B.T.U. OR SO. FT. GROSS FIRING RATE Ll::3
FLOORS TO BE HE TED 12 NEW OR OLD BUILDING INSULATED - YES OR NO
TYPE OF WALL INSULATION ROOF OR CEILING INSULATION
AVG. SYSTEM W TER TEMP.I Aej vE.T.U./SQ. FT./HR. EMISSION—
INDOOR-OUTDOOR TEMPERATURE DIFFERENCE FAHRENHEIT
MAKE OF RA N: BASEBOARD, COPPE CONVECTORS. OR C.I. RADIATION. UTPUT PER SECTION OR LINEAL OF RADIATION. SQ.MAT!
FT. OR B.T.U. 5 ";v
DESCRIPTION OF WO 9
15. TO BE DONE:
is. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS):
no M size WINDOWS AREA — SQUARE FEET e.T.U. o.T.U.H DISTRIBUTION INSTALLEDANDDOORSVOLUMETOTALTOTALp1
ROOM
L W N AND W OR063 GLASS NET WALL CEILING FLOOR CU.FT. AT PICORTEOCTED ILREGISTER
TYPE AND 61Ze RAO. OR LEADERF
SIZE WALL
f;I INFILT.) DIFF. F 0 h 0. FT. FREE AREA
3 3 d?/ 3!r21
v 1llydw
Oiu_Iq 5jr),Kzkov A
Ifaurl., 7
1 i3 Sr o 70d 6f9V r
1Sf111 l7
6e, // I/d E q
TOTALS
A. HEAT LOSS FROM BUILDING 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;
ME ADDRESS
SUBCONTRACTORS AND
1s. 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.
4PPLICATION TO BE COMPLETELY FILLED IN.
DATE GNATUItl OR APPLICANT
STATE OF CONNECTICUT
o
oPatMEy,
wSTATEDEPARTMENTOFHEALTH0!4 Y ti
79 ELM STREET HARTFORD, CONNECTICUT 06115 tcrc
OFFICE OF PUBLIC HEALTH
Tel. No. 566-3110
January 23, 1978
Richard S. Kelley
49 Rosemary Lane
So. Windsor, Connecticut 06074
Dear Mr. Kelley:
The results of the analysis from the newly drilled well on
Lot #9 in Rosemary Lane in South Windsor- are satisfactory and meet
the requirements of a potable water. The well is approved for
domestic drinking water purposes.
Sincerely,
em J. ckley, Sanit Engineer
Water Supplies Section
Environmental Health Services Division
WJB/ch
i
An Equal Opportunity Employer
L' RW 1Rvc k-/ef,
atc,yer Svpp// 'Seci;on
fate//ccz/-1b Aepf-
7G ENVIROTECH LABORATORY
WESTING & OONBULTING
77 COON BILL ROAD• WINDSOR, CONNECTICUT 06095
DARRELL L. MOODY TELEPHONE
EARLINE JUDD JONES 203) 666-7249
January 18, 1978
Richard S. Kelley
49 RoseTtary Lane
So. Windsor, Conn. 06074
Dear Vx. Kelley;
j:e have the follaaing to report on the sample submitted to this
laboratory on January 11, 1978.
Sample Number: 4393
Mark: This water saarple was collected from a new drilled well located
on lot #9 on Christine Lane in So. Windsor, Conn. The s le
was collected by Carol Kelley on January ll, 1978.
Odor none detected
Turbidity 0 Standard Units
ph 7.09
Alkalinity (as Ca00 )3
90 rrg/1
Color 0 Standard Units
Anv onia Nitrogen less than 0.01 mg/l
Nitrite Nitrogen less than 0.001 mg/1
Nitrate nitrogen 0.88 m9/1
Chloride. (as Cl) 13 mg/1
Hardness (as Ca003) 160 mg/l
Iron (as Fe) less than 0.05 Tog/l
Bacteriological Examination
Number of Coliform Organisms
per 100 ml (membrane filter) 0
This water can be classed as safe for drinking purposesh and general
use under existing conditions.
Very truly yours,
EnviroTech Laboratory
F,arline Judd ones
cc: 1 encl.
Erectric# APPLICATION FOR BUILDING PERMIT
Plumbing# 21 CHRISTINE LANE
HVAC # Date:
2 2 9 5 7Sprinkler# No.
FINAL PXt'm!Estimated Cost $
Buildino/m COMPLETE RED BOXED AREAS Permit Fee 3
Engineerfig TYPE OR PRINT ONLY Occupancy Fee $
Affidavit SIGN ON REVERSE SIDE
Appr.for CO. Total Fee b
TO BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR,CT Additional Cost) $
Th undersigned hereby applies to do work according to the following specifications:
Job Location h c Oo(_ Lot No. Side of Street—Zone
Applicant Tel.# a.,'9-- Q Zg 2
Address t7e& az V i o- Zip lTeO 7 CL Lic. # C-5S 4or 3 3
Own r eA 1 Address -L/1 Gl1_ w tS tSx .1 /=g pL
Architect Address
Sq. Ft. N w Area: 1st FI. 2nd FI. 3rd FI. Total New Area
Rooms Lavatories_
T Bathrooms Garages
Purpose of this permit: 1(:!L'6 Lfll-kA 1(
City Water C Well 0 Septic System Sewer J
Use Group /Construction Type Al Area Basement Garage
Approved by Date Z
Revised 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 the proper distance from all street Imes,side yard lines and required
distances from all other zones and is located in a zon m which this bui 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
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
96-22957-B 11500
B03 FRAMING (ROUGH) 02/27/96 JFF A
B09 OTHER 02/27/96 JFF A
B10 FINAL 03/19/96 JFF D NO ACCESS LEFT CARDB10FINAL05/16/96 JFF A APPROVED FORR CLOSEOUT