HomeMy WebLinkAbout216 Lefoll Boulevardf..`K ,s`" cal
TO im 1U][IIIING INSPECTOR
of the APPLICATION FOR
TOWN OF SOU117H WIMS(K C )W PLAN EXAMINATION AND
BUILDING PERMIT
z1WORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX.O
01V ZONINGI• AT (LOCATI )alZ W
46" DISTRICT
LOCATION N .) STREET)
a.OF BETWEEN nq. AND
BUILDING ROBS STREET) CROSS STREET)
LOT
SUBDIVISIO LOT BLOCK SIZE
H
II. TYPE AND COST F BUILDING — All appltconts complete Parts A — D v
A. TYPE OF IMPROVEN ENT D. PROPOSED USE — For"Wrecking"most recent use
1A New building Reside tial Nonresidential
2 Addition(1/resii lential, enter number 12 One family 18 Amusement, recreational
o/new housing units added, i/any,13 Two or more family —in Part D, 13) Enter 19 Church, other religious
number o/units— — — — -• 20 Industrial3 Alteration (See 2 above) 14 Transient hotel,motel,21 Parking garage4 Repair, replacement or dormitory — Enter number
5 Wrecking (if multifamily residential, o/units ——————— ——! 22 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 M vino (relocation)
17 Other — Specify 25 Public utility
7 Foundation only 26 School, library, other educational
B. OWNERSHIP 27 Stores, merconti le
8 O-Private(individu I, corporation,
28 Tanks, towers
n nprofit institution,etc.) 29 Other — Speci/y
9 Public(Federal, State, or
local gov rnment
C. COST Omit cents) Nonresidential — Describe in detail proposed use of buildings,e.g., food
y processing plant, machine shop, laundry building at hospital,elementary
10. C st f improvement................ W 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 us
in the above colt
a. Electrical.......................
b. Plumbing .......................
c.Heating, air c4 nditioning.........
d. Oth r(elevato,etc.)............
11. TOTAL COST Of IMPROVEMENT $
III. SELECTED CHAR CTERISTICS 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 0 FRAME G.
griv
F SEWAGE DISPOSAL J. DIMENSIONS
30 Masonry(wall b ring) ublic or private company
48• Number of stories................
31 d frame ate (septic tank, etc.)
49• Total square feet of floor area,
all floors, based on exterior
32 Structural steel dimensions ....................
33 R inforc d conci ate H. TYPE OF WATER SUPPLY
v;34 Other — Speci/ Public or private company Total land area, sq.ft. ...........
43 Private(well, cistern) K. NUMBER OF OFF-STREET
k` PARKING SPACES v
F. PRINCIPAL TYPE OF HEATING FUEL 4-TYPE OF MECHANICAL
51. Enclosed .......................
3$ Gas I1ill there be central air 52. Outdoors........................
96 Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
37 El etricity 44 Y s 4$KNo 53. Number f b drooms..............
39 Oth r— Spec i/ Will th re be an I vat r?
54. Number f
Full..........
46 Y s 47 o bathrooms 7 /Partial.......
NOTES and Data — (For department use)
IV. IDENTIFICATIO — To b compt t d by all applicants
Name Mailing address — Number, street, city, and State ZIP cod To I. No.
1.
Owner or
Lessee
2.
Contractor
3.
Architect or
Engineer
The owner of this buil ing and the undersigned agree to conform to all applicable laws of this jurisdiction.
gnature o applican Address Application dots
7
DO NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RE CORD — For office use
Plans R vi w R uired Check Plan Review Date Plans B Date Plans B NotesqFeeStartedyApprovedy
BUILDING
PLUMBING
MECHANICAL
ELECTRICAL
OTHER
VI. ADDITIONAL PE MITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Date
Obtained Number By Permit or Approval Check ObDta
ate
ned 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
Bui[ding
Permit issued 19
Bui(ding
P rmit Fe $
BOOAlTrove b
TIT
NOTESVill. ZONING PLAN EXAMINERS
FRONTDISTRICT
SIDE - .SIDE YARD
REAR YARD
IX. SITE OR • Applicant
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T i
MWN OF SOUTH WINDSOR
BUILDING PERMT
Date Feb. 1 19 83
Fee Paid s.450..00 F.M value $75,,Q00.00
Permit N° 13089
on the side of
Lot Al 11 Le Fo 11 Blvd_ Staget
Street No. 216
Owner Jean Marc Jacque s
Applicant Jean MArC J _nup c
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No. 6290
Fee Paid $ 3.00
CLASSIFICATION
Dwelling
BUn DING PERNO T
i
N° 13089
i
OFFICB OF
THE BUILDING INSPECTOR
of &e
of South Windsor,Town Conn.
South Windsor, Conn.Feb. 1 19 83.
o Crrtifa,t t ThatJMJ Construct cn•
is hereby granted permission to
Dwe11 inA
i
at estimated value of $ 7 5 OCLO.00
on the side ofLe Fo 11 Bou 1 eva rd Street on land
owned by Jean-Marc Jacques
i
Said Work to be as described in Application
No. 13389 and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
Issued Feb. 1 s-_ 19 83
4 uilding Inspector.
Streets and sidewalks, obstructed by ezcavations 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."
iNSO/P"ECTION REPORT
Permit #
1 Footingolel r
2 Foundation
3 Framing
4 Wiring
5 Plumbing
6 Heating
7 Lathing
a C.O. a290v
Permit No. "G' TOWN OF SOUTH WINDSOR
SOUTH WINDSOR, CONN.
I
Permit N° 6290
I
Certificate of Occupancy
I
In
fTH= CERWYjhat the
I
at No. in theLToth Windsor, Connecticut, has
been erected and completed in accordance with the and Zoning Regulations of
the Town of South Windsor, and is hereby a
Building Inspector
Owner, Builder
Fee Paid Date p 19
Remo E Hyyppa & A ssociafts
Civil Enginoeers
Glastonbury, COnnectfcut
S tea• 4W o" F-
tom,.. _ 4 i
W 10
Z
40' ew1 Vn G
I n-
i ZS I HoU6E
ITG: lll.0
W Q '6 8
d td- a tf
Ld ,
o -
LP C JR ,+o
T N
i o
i
AREA = Z4 SUU 5,r
74
1
T
1
CCtid Q'/T Gtl
tJo Z[a?l{-1 /10'•_L t+or i r, EASE t-iT tea
FoogoG.T!OVl La=ATEC A SHc Ntil -ZI-S j j
NOTE: Lot lines from map on f ile in
Town Cl rk's Office entitled, "Plot Plan
Seetion 6-P Pleasant Valley HonesSouthWindsor, Con " r fit-', r O
Scal 1". 401 Da ; 40--z-81
A-20 ZONEMapNo220-78-15 lev. Z-Z-S3Z by Reino E.
Hyyppa & Associates Glastonbury, CT.
PPff-PAR E D FO 2
I hweby rertlfy th-it this mao and survey were prepared I" PLE ASA N'T" VALLEY WO V ESaccordancewiththe5tandadsofaClassA-2 survey as defined
In the existing Code of Pra Lice for Standards of Accuracyof SOUTN WINpSOQ, O*1N.surveys and Maps, adopt by the Connecticut Association ofLMWSeltrveyors. kc. _ SCALE 1",40' D ATE -zc.-83
4A'40 e k V f
3-1'-1
v
A ROVEDR
TOWS O-
J
r lJ1 H WT;viENOI;G D.=PASz
ENGI,`'
DATE:--
SIG.:
7881
ELECTRICAL APPLICATION
Application No.
on the side of
Lot #111 LeFoll Bldc. Street
Street No. _ 216
Owner _JMJ Construction
Electrician Richard Barrptt
FILED IN OFFICE OF
The Building Inspector
Feb. 22 19 $3
INSPECTION.
93r 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.
APPLICATION FOR PERMIT TO DO ELECTRICAI. WORK.
No. ..... 8.9.92..............
Permit No. . .....$8.1...... .. .
TO THE BUILDING INSPECTOR
of the
TOWN OF SOUTH WINDSOR, CONN.
hereby make application M perform Electr cal Work according to detailed description below. All
provisions of the Rules for Electrical Installation, Section 48, Building By-Laws, sh 1 be complied with
whether specified herein or n t.
South Windsor, Conn., 19n3Sign here a... .23
t.
e5*-6ddressll v
364Locationr. Side of . . .
n
Nature of Building How many stories ........... ............. . ........................................... .................
New or old Building How many families ..................................................................................... ..
Kind of Installation .. . . ... . How many
C
Storesolres ..................
I...I.............. ..... ...._........_.......................
Inn
AdressOwner .........
J
Architect ....... . .—Z&.t-K.. ... Address . . . .... ............. . ................................_................w..__....._....._._....
Builder C'c.V`'l Address
jlGElectrician '.\. ....... .. . .. ... ......... .... ...Address
f
Size of Main Wires . / ....v..............................
No. of Light Loops .. ... . .... No. of Heat Loops .. .,. No. of Power Loops ........................._._..........
No. of Light Outlets No. of Heat Outlets . . No. of Power Outlets ............... .. .........
NoO of Light Circuits ... . ... .. ...... ..... No. of Heat Circuits No. of Power Circuits ..
No. of Sockets No. of Heat Receptacles No. of Motors
No. of Panels ................... . ....... Size of Heat Circuit No. of Power Receptacles .
No. of Switches ... .... Total Wattage Size of Power Circuit .. . ..
Total Horsepower
No. of Straight Electric Fixtures ...... No. of Combination Fixtures ...
No. of Receptacles ............. ......... .... .. ...... No. of Cord Drops ....... ........................ ........................... .... ... ..
Remarks: For other kind of Installation ..... ... ....... 1... .. .......-C I........
I...................... ....._................................. ......................................................
Estimated cost .... }.. O.P.. .........
6089 kP-
P 11M-BI-W-G A ICA16CM
A-ft-No. 6868
on the 2W of
Lqt,# Jl LeFoll Blvd. p-
Street No. ._._ 216
own. JMJ Construction
Piumber So. Windsor Plbjz,
Filed in Ofix of
The BwMwgbspecaor
Feb. 25 19ju
u-sem n a
No person AA comma:; a" 0 or abet my
portion of the &ahwp symm of my boarng
mcept to repair 66) umg a Plermic is vowed
by the Building inqxmr.
Application No. ......68.6.8.................... Permit No. ........................
TO THE BUILDING INSPECTOR
of the
TOWN OF SOUTH WINDSOR. CONN.
hereby make application to perform plumbing according to detailed description bel w. All
provisions of the Rules for Sanitation, By-Laws, Sections 33 to 47 inclusive, shall be complied with whether
specified herein or not.
j aZ1219Signhere ....South Windsor, ...4 4.........
Address
LocationP/.... . ................................................. side of ....ZZ. J91V--0................................ ..... Street
Nature of Building How many stories . ..................42......................... ..................................
Owner ...........Address . ... oe11z....,i.Z,... .........
Architect I................... Address .. . .. ...................................................................................................
Builder . ... .... ....... ...Address . .............. .. .... ................................................................ ...........
Plumber ...... Address . ........ ....6....ekz- 4AW
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 .64-1 1 Diameter . .... .....
Aboveor below cellar bottom I..............................................I.......................................................
SOILPIPES, Material Diameter 1.. ............7..................................................................
WASTEPIPES, Material rView/;-L ... .... . Diameter ............ .............3..................................................................
TRAPS,Type proposed to use is I.....I..................................
RAIN WATER LEADERS, where do they run to ............ ... ......... ..................................................................................... ................
REFRIGERATORWASTES, where do they run to .. .. .. ............................................................................................. ...............................
TANK OVERFLOWS, where do they run to
FIXTURES
WATER CLOSETS, How many ... .......... .3........... ......... Where located Vnc rzu. ......
Distance from trap to vertical soil pipe .................. ................. Pattern I..............................................
WASHTRAYS, How many . . .. ....................................... .. Where located . ....... ........ ......I................ ......................................
SINKS, How many ... ....... ... .. ..................................i........................... Where located I......................
BUTLER'S SINKS, How many ........................................................ Where located. . .................................................................................................
REFRIGERATORSINKS, How many .. ................................... Where located ..................................................................................................
LAVATORIESy How many ...............................3........................ Where located --qn.4....15 ..... ......
BATH TUBS,How many ......................................I........................... Where located ........$rron-fl........
URf?+AE&, How many .......... .. ..........................I........................... Where located ...... 6 e.!.............................................
Are water closets and urinals to be local vented Ye If not, is there a window in outer wall
ofroom where same are to be located .. .... Ye S . .................................................................................................................................
Estimated Cost 0_1A........ ...............
r
Heat
loss
schedule
must
be
complete
for
all
jobs.
System
guaranteed
to
heat
all
rooms
to
801
in
zero
weather.
Dwellings
exceeding
1260
sq.
ft.
to
be
heated
shall
have
two
or
more
zones
controlled
by
separate
thermostats.n
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APPLICATION FOR HEATING PERMIT (Continued it ni Reverse Side)
11. LOCATION OF JOB `/ Ze,/o
NO. STREET FL OR AFT.NO.
12. TYPE OF INSTALLATION: OIL BURNER ELECTRIC VENTILATION SPRINKLER
I 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. , s/niftf B.T.U. OR SQ. FT. NET 0-9 - B.T.U. OR SQ. FT. GROSS FIRING RATE
FLOORS TO BE HEATED NEW OR OLD BUILDING INSULATED — YES OR NO )'e A
TYPE OF WALL INSULATION_5c sf ROOF OR CEILING ` {• INSULATION
AVG. SYSTEM WATER TEMP. B.T.U./SQ. FT./HR. EMISSION
INDOOR-OUTDOOR TEMPER LURE DIFFERENCE Z2 —,go h
FAHRENHEIT
MAKE OF RADIATION: 6 COPPER CONVECTORS. OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ.
FT. OR B.T.U. IL LL)•'7 Te x
DESCRIPTION OF WORK
15. TO BE DONE:
18. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS):
ROOM SIZE WINDOWS AREA — SQUARE FEET H.T.U. H.T.U.
AND DOORS VOLUME
DISTRIBUTION INSTALLED
TOTAL TOTAL
ROOM NO,GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED J j LL L
REGISTER
L W H AND C TEMP. TO <F TYPE AND SIZE RAO. OR LEADER
SIZE < WALL
f'
tc INFILT.) DIFF, F m m SQ. FT. FREE AREA
TOTALS
A. HEAT LOSS FROM BUILDING B.T.U./HR.
B. DOMESTIC HOT WATER DEMAND F.zr& xa 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:
NAME ADDRESS
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. zz/,
DATE f16NAT1J AI LICAN
ARGO CALC N SHEET
pOWNDATE
DEALER l.j /sJ D SO J'"'' 11 KIND OF BUILDING- 14 CHIMNEY SIZE
CONSTRUCTION: WALL
ROOF OR CEILING
BASEMENT HEIGHT: ABOVE GRADE BELOW GRADE DESIGN WATER TEMPERATURE DESIGN TEMP. DIFF
COL.1 2 3 4 S 1 6 7 8 9 10 11 12 13 14 15 16 17 18
ROOM SIZE WINDOWS AREA-SQ. FT. FLOOR VOLUME I EAS11 PARDSANDDOORSC .FT.TOTAL TOTAL
GLASS NET WALL CEILING (
SEE CORRECTED. ACCESSORIESROOMNUMBERGROSS0f1ATP.F
TO
WATER LEnF.L W H SIZE AREA WALL f DIFF. f{ _F
AMP
ENCLOSURE R S I.0 MISC.FIN
07 p TEMP. DIFF. FT
TUBE
1 1J 1 D
010 1400 3700 0 S
Aloe
is le. 6 360o ).30o 4yao . 133oo 15oZoo a 8
tO9.2I' S 0 39 oa n 0 9 900 )12 00 01-
000 1000 J-30o 3300 3274
Dior) 1`I 00 MOO 700 b 5/0
Ito 10t) 00 boo Il oo 3800 '13yo
eb l.5 000 t.00 00 1 0 0 - ,500 40220 I
y 16 621
300 "500 goo 000 2yo
6 5-0 0 flINAo3000300o D 6 DnJ o
D b 0p 900 700 0c.o 34 o
D Y z 110D 9 e o I f ao 3900
Air 1,894 12- Ev
25,000 vc dD JSod Ocs /J
LTNan9: FOR OMCRETE FLOOR ON GROUND OR FILL ATORADELEVEL.USE LINEASt FIROF93MR0SM.
F R ALL OTHER FLOORS USE SQUASG FER OF ARC, IMTALS l
TO HE BUMDRiG ENSP R
Of the APPLICATION FOR
TOWN OF SOUTH WINDSM COW PLAN EXAMINATION AND
BUILDING PERMIT
PORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX.O
r ZONINGI- AT (LOCATION). 8 L / DISTRICT
LOCATION NO.) STREET)
OF BETWEEN AND
BUILDING CROSS STREET) CROSS STREET)
LOT
SUBDIVISIO LOT BLOCK SIZE
II. TYPE AND.COST F BUILDING — All applicants complete Parts A D v
A. TYPE OF IMPROVE ENT D. PROPOSED USE — For"Wrecking" most recent use M
1 New building Residential Nonresidential
2 Addition(If resi ential, 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— — — — —I 20 Industrial3 Alteration (See R above) 14 Transient hotel, motel, 21 Parking garage4 Reair, replacementP lacem ntP or dormitory — Enter number
Service station, repair garage5 Wrecking (If mu ifamily residential, of units ——————— — i
enter number o) units in building in 15 Garage 23 Hospital, institutional
Part D, 13)
16 Carport 24 Office, bank, professional
6 Moving (relocati n)
17 pther — Specify 25 Public utility
7 Foundation only
J
26 E] School, library, other educational
B. OWNERSHIP boov_t dV-J AvL 27 Stores, mercantile
8 Private(individu PI, corporation,
1
1
1/ (O 1 2B Tanks, towers
n nprofit institution, etc.) w 29 Other — Specify
9 Public (Federal, itate, 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 improvem nt................ 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 co t
a. Electrical... ................
b. Plumbing ... ................
c. Heating, air cmiditioning.........
d.Other(elevato etc.)............
11. TOTAL COST OF IMPROVEMENT $
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 be ring) 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
32 Structural steel dimensions ....................
33 Reinf rced concr4 to H. TYPE OF WATER SUPPLY
34 Other — Specify 42 Public or private company Total land area, sq. ft. ...........
43 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 Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
37 Electricity 44 Yes 45 No 53. Number of bedr ms..............
38 Cal
39 Oth r— Specify Will there be on el vator?
yq. Number of
Full..........
46 Y s 47 No bathr ms
Partial.......
IV. IDENTIFICATION — To b comp/ t d by all applicants
Name/
rolMailing
address — NNumber, street, city, and(State ZIP code Tel. No.
16LeS'
1
p lU U 30•W r w S f d `l 2
Owner or
J
n l
Lessee
2.
Contractor
3.
Architect or
Engineer
The owner of this building and t-he undersigned agree to conform to all applicable laws of this jurisdiction.
S'gn ture of applicant Address Applicat'on dat
f A jLd 0
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 I Check Date Number B Permit or A rova I Check Date Number ByppObtainedyObtained
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
Permit issued 19
Building
Permit Fee $
rov b
0*,
L,940
I LE
h
TOWN OF SOUTH WINDSOR
BUILDING PERMIT
Date June 12 19 84
Fee Paid $. 2 4.,0 0 Est. Value $. .3.,.5 0 0
Permit NY 13886
on the side of
LeFoll Boulevard Street
Street No. 216
Owner- Michael DelMastro
Applicant Michael ne 1 Ma-s t ra
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No.
Fee Paid $
CLASSIFICATION
Above ground =001 w.1deck
BUH DING PERMIT
N''13886
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn. June 12 19 84
94is is to (fertifg, That Michael DelMastro
is hereby granted permission to
301 x 15' above ground Pool w/deck
at estimated value of $ 3,50 0
on the side of 216 LeFo l l B1 vd. Street on land
owned by Michael DelMastro
Said Work to be as described in Application
No. 141 B 6 and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
I card June 1 19 840
o o
wilding 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."
111141r e
INSPECTION REPOR
Permit # Job
1 Footing
2 Foundation
3 Framing
4 Wiring
5 Plumbing
6 Heating
7 Lathing
8 C.O.
r.YN
Rain E Hyyppa & Associafts
C1Vi! Enginem
Gla stonbu y, CorwwcUcut
LE FOB. — t30il S:gA,Q0
S Col• 4W %O" E
r
iw-
0 1i C 40' ®V1LptiGa
f dl, 11.p
QLdH
C N
n N
Z N
q
i 0
I
AREA = Z4 500 ar`
i rj
I
I I
goo.c+r+•
i o
N EASEtityT t
r-OUV4V kT l0.! LOOJ EG S
NOTE: Lot lin s f om map on file in 1 to
Town Cl rk's Offis entitled, "Plot plan 2-
Section r.9Pleas t Valley Ho>aeeSouthWindsor,, C
Scat 1"• !r<0 Da z-8+
Map No 220-78-15 Z-Z-az by Reino E.
A-20 BONE
Hyyppa & Associates Glastonbury, CT.
F EPA1 E D FO R
htreby ce-tify that th+ mao and survey were prepared in LE ArJ N- VALLEY CaccordancewiththestandsdsofaClassA•2 survey as defined 40 V E5
In the existing Code of Pr tice for Standards of Accuracy of SO UTl4 W I NDSO;z CON N.Purveys and Maps, adoptix I by the Connecticut Association of
Lind Surveyaor% t. 40' DATE
43-1c'1-i11
AL
Building
NSPECTI Ns:
APPLICATION FOR BUILDING PERMIT
Plumbing
HVAC Date: 1
Sprinkler 216 LeFoll Blvd.
Electric Estimated Cost $XQd0
Zoning Permit Fee $ .4c\
Affidavit NO. 17 7 8 9 Occupancy Fee $
Eng. Dept.
Fire Dept. COMPLETE RED BOXED AREAS. Total Fee $ S'o tom"
Health Dept. TYPE OR PRINT ONLY
Approved for CO: SIGN ON REVERSE SIDE.
Additional Cost) $
TO BUILDING D ARTMENT, TOWN OF SOUTH WINDSOR, CT
The undersigned, ereby applies to do work according to the following specifications:
Job Location jQ- W incIS4C Lot No. Side of Street Zone A--'X-Q-
Applicant 4 A'-3o be_Sa%-k-e k S Tel. #aS':;k 7
Address L 5o.LkY Zip 0__ Lic.#
STREET CITY STATE
Owner Address
Architect Address
Size New Area: Ft. ffront Overall Ft. Deep Overall Total Area Garages
LavatoriesNo. of Families No. of Stories Construction Bathrooms Rooms 1st 2nd 3rd
Size of Lot Dist. from Street Line Dist. from Side Street Line
Purpose of this Pe mit aC_* C
Cit Water Well Septic Sewer
Approved by Date —=- 70 BD1A 11/88
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 distanc from all str et lines,side yard lines and required distances from all other zones and is
located in a zone in which this building and its use is allowed.
Signed
I hereby apply for a Certificate of Occupancy for the work described in this application for permit.
Signed
DO NOT WRITE BELOW THIS LINE—
INSPECTION RECORD
Footin — Q y Framing" Z '
Foundation Fireplace/Chimney Insulation
Plumbing Permit# Inspections:
HVAC Permit# Inspections:
Electrical Permit# Inspections:
Sprinkler Permit# Inspections:
CHAPEL ROAD
100
25' CONSERVATION
EASEMENT
f
40' B.L.
ror
0z 113 u
VOL. 334
vi P. 349
0 0
III
METAL SHED
CD N 110
6f rn
13.2 WOOD DEC K
rO IDSJ
POOL do Ge LC p p(an S .
spl Few-1
112
cV 11_5l of
Co 18.5 r6l
ENCLOSED '4 1 50
PORCH 2'0.H. N 24.5'f
rlo
28
19.8 P CD 220.H. 6.212 40 B.L.
Li
r IQ
10CL.a P EASEMENT
SUBJECT TO C.L. I P 100' 312 P. 49
GAS EASEMENT V. 312
P. 93
LE FOLL BOULEVARD
THIS M P IS COMPILED , FROM OTHER MAPS, DEED DIMEN-
SIONS ND OTHER SOURCES OF INFORMATION , NOT TO BE
CONST UED AS AN ACCURATE SURVEY AND SUBJECT TO
FINAL HANGES AS A MORE ACCURATE SURVEY MAY
ram DISCLO E.
CERTIFICATION OF ZONING COMPLIANCE,
Proposed building(s), use(s) and/or structures)
as shown on this plan appear(s) to be in
FLU conformance with current South Windsor
regulations. Variances and special exceptions
Ae-c.k t
may apply,.
Date U2
21J r aall
Zoning nforcernent Officer
a
1
r
II)E Y,\IZ1) OE SHF 1S NONC:ONFORMIN( TO PRESENT 70NING REG(JLATIONS.
MEIN(, KNOWN i',`) L 0I NO. 11 1 ON A MAP ENTITLEID "PLOT PLAN SECTION 6 PLEASANTVAi__l f-1' EiC)Mi=`_> c-;O 1T1 i Wli F)SOFZ, C ONN. REV. 2-2-02 PER P & 7 COMMENTS REINO E. ASSO(' ATES (-'IVII_ EN(,1NEERS & LAN[) SURVEYORS GLASTON[3(JRY,ON N. (;C'AI-E I" - (J' GATE 6-2-81 MAP NO. 220-78-15 SHEET 2 OF 8 SHEETS AND'SHE F-T S O1 II I-IF F F S"
R [ IFIFI) TO RON Ll) E. [)ESAUT[-L-S, RFNEF UFSAUTEI_S, ALLIANFF MORT(,A(,1=OM I ' \NY ANIWOI? ITS SLJF(-E-SiOfZS ANI-) ASSIGNS AS THEIR RF_SPF_FTIVF INTERESTSMAY ,\I'1 F_A1: ANI) 'ONNI_-('TIC(JT ATTORNE1 ) Tl
AIIN
1(5l JIlANCE COMPANY
IiE-1ZE-[3Y FI__RTIFY TO THE HEST OF MY KNOWLEIOWPLAN - T THF- I RF-Ml[_ .3NHNIfiF_ I L )T ARE NOT LOCATED A FL 000 ,ARI) ARE-ASIAAAIN ()N I)F= \/I I.()PME_NT I-IL JI') FF1)ERA[ INSURAN ,A) MIST ION MAPNO. 1)(M0 56 I)ANF L NO. 000713 1
JI;()T •\ 1-lAl l 1' ('ORRE('T. FO(JNI)Ai )f {I} it ` F7 j( " ` SHOUIN. N() /ONIN(;AI It )N`.) N( )TF=I T TO f3Ull
NO I f', 1I1 I( 'AFION I(; I OR IM!'I__1F_I) IiY 11Jf5 MAID ( JNI E-`-),S IF HIAR'; TV IF`,`'I( )N TYPI `; Al. AN[) OR1('INAL11F iF
OI TI iF ,l 1fZVF 1'OfZ/1= N(;IN[=f I;1^r'f i( )')f r Jr\Ivlf= ANI) TF-(;I`;l+)ATION N(JMHL I? \p1'F=AR HCLOIN.
II',f O 1 f il- HI-(;T- Of full' KNOW1 f_O( I ;\Nl) HI.I_ II-F THAl 1I II`; Mf\I'ANI ) `,l 11'.1'f Y 1^!I R1 I'fzl- I'AI:EI) IN \('('O[ZI )\N( 'f \III l-f i [I il= ( T,'\NI)r\fZl )() OI ,\ ( 'L AY--11 ) IN Tf if= ('OI )( ( )I I'IZA('1 I( ,[
R It). 197`). \NiE NOF I) 1-31'11( 1 1 I \`;`,O 'I"\ 1 ION (W
4,,
NI ) Sl
JRVI1--IAP\I) fv11 I IAN 1 .I
MEEHAN ASSOCIATES
Cons',iting Engineers---- S-—veyors, PC.
NEW 1a11C11CSte r. C " 06040
w; PROPERTY OF
RONALD E. DESAUTELS a RENEE D E SA U T E LS
REVISIONS NO. 216 LEFOLL BOULEVARD SOUTH WIN DSOR , CONN.DATE APPROVED
FOR MORTGAGE PURPOSES ONLY
SCALE I"= 40' DRN. PDL FILE NO. SHEET NO
DATE 4 - 29 -86 TRD. 86580 I OF
7 IyOy
South Ondsor
BUILDING DEPART MENT.
gecled at
t
SSued rI
f thlS '.I,l' t1011 on,'
Perm 9
rhos L.
R
r.,fV21S .,n 'i':I°Cc c 'ty{.tl..tY+lf .'-IIJ i'. ;halo tJr
1`
COI Cili•„ ,,
r-l. `• t tj,1,1 n4ltlnr,.-Ir vpploYoQ. Thew tAud with
rc(s)
i'l- "a;id cr structua?,ljid . -j,c:,e,t
as sbown on this poari jppearts) to be in
conformance with current 'outh WirASO--
t e:;:e i:;r;S
regulations. Variances a.! spy.-t.
may applY•P f
Date ____-- O E---
t
r
c
Z jig Enforcement Officer
FINAL INSPECTION
Building APPLICATION FOR BUILDING PERMITPlumbingg &
HVAC 216 LE FOLIx BLVD Date:
Sprinkler
Electric 6 Ste { Estimated Cost $ l 46U OZoningPermitFee$
Affidavit NO. 20811 Occupancy Fee $Eng. Dept.
COMPLETE RED BOXED AREAS.Fire Dept.
TYPE OR PRINT ONLY Total Fee $Health Dept.
SIGN ON REVERSE SIDE.Approved for
COrerebyy Additional Cost) $
TO BUILDING NT, TOWN OF SOUTH WINDSOR, CT
The and rsignepplies to do work according to the following specifications:
Job Locatio 1 Lot No. Side of Street Zone
Applicant W Tel. #
Address Zip 74 Lic.# S 7 _TREET CITY STATE
Owner ddress jait, i-YFaotA g1y9
Architect ddress
Sire New Area: Ft. Fiont Overall Ft. Deep Overall Total Area 4VAO Garages
Size of Lot Dist. from Street Line Lavatories
Bathrooms Rooms 1 st 2nd 3rd
Purpose of this Per it par- orQj,)c AA'a?
City ater O Well 0 Septic 0 Sewer 0
Use Group Construction Type
Approved by Date 2
BD1A 11/88
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 Budding for which this permit is asked,and agree
that this building is to be located the proper distance from all street lines,side ya I s and required distances from o r zones and is
located in a zone in which this building and its use is allowed.
Signed
I hereby apply for a Certificate of Occupancy for the work described in t ' a lication for permit.
Signed
DO NOT WRITE BELOW THIS LIN Z'-
INSPECTION RECORD
Footing Framing
Foundation Fireplace/Chimney Insulation
Plumbing Permit# Inspections:
HVAC Permit# Inspections:
Electrical Permit# f I Inspections:
Sprinkler Permit# Inspections:
a
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
93-20811-B 10 ,000
B03 FRAMING (ROUGH) 08/02/93 JFH A
E03 ROUGH 08/02/93 JFH A
H03 ROUGH 08/02/93 JFH A
B04 INSULATION 08/03/93 JFH A
B10 FINAL 09/10/93 JFH A
93-8703-H 900
Total Est Value 11 ,400
PERMIT
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
Application is hereby : TOWN OF SOUTH WINDSOR
BUILDING INSPECTION DEPT.LAPPROVED DISAPPROV D 1540 SULLIVAN AVENUE
644-2511 Ext. 230
Date
1 . LOCATION OF JOB
FEE SCHEDULE No . Street
0 - $19000 - 10.00 Floor Apt . No.
Over $1,000 - 10.00
per $1 ,000 or 2 . OWNER PAS C
fraction thereof3. ADDRESS fj
i,
4. APPLICANT I;C
5 , ADDRESS
6. ESTIMATED COST $
7 . IS THIS A CONTRACT COST
Yes
8. FEE ENCLOSED $
9. TYPE OF BUILDING:
SIDENTIAL COMMERCIAL
10. TYPE OF JOB :
Origin 1 Installation
Alteration/Addition/Repair
Rn 3A 11/88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11 . LOCATION OF JOB t- J C Z( ( DVC
NO. STREET APT. NO ,
12 . TYPE OF INSTALLATION d` r ?i C`C. )
13 . SIZE OF MAIN FEEDER
14 . NO . OF LIGHT LOOPS 15 . NO. OF HEAT LOOPS
16. NO . OF POWER LOOPS 17 . NO. OF LIGHT OUTLETS_
18 . NO . OF HEAT CIRCUITS 19 . NO. OF POWER OUTLETS_
20 . NO. OF CONVENIENCE OUTLETS 21. NO. OF HEAT CIRCUITS
22 . NO. OF POWER CIRCUITS 23. NO. OF LIGHT CIRCUITS
24. SIZE OF HEAT CIRCUITS 25 . NO. OF MOTORS_
26 . NO . OF PANELS 27 . TOTAL WATTAGE
28 . NO. OF POWER FEEDERS 29 . NO. OF SWITCHES_
30. A/C LOAD 31. SIZE OF POWER FEEDERS_
32. NO. OF FIXTURES 33. TOTAL HORSEPOWER_
34 . NAME OF SUBCONTRACTORS AND THEIR TRADES
35 . REMARKS AND FURTHER DETAILS :
t ak
C 'vCZD
LICENSE NO.SIGN URE OF APPLICANT DATE
i
PHONE NUMBER:
FOR OFFICE USE 0 Y APPLICATION FOR HVAC PERMIT DATE: a29 73
NO. TOWN OF SOUTH WINDSOR EST. T:
BLDG. PERMIT NO. f/1540 SULLIVAN AVENUE FEE /
SOUTH WINDSOR, CT 06074 FEES:
644-2511 - Ext. 230 0 - $1000 - $10.00
1000 or fraction
LOCATION OF BUIL ING G thereof - $10.00
OWNER ADDRESS TOWN PHONE NO.
HVAC CONT#ACTOR DRESS TOWN PHONE NO.
TYPE OF SYSTEM: HEATING ri TYPE OF BUILDING: RESIDENTIAL
A/C COMMERCIAL
VENTILATION BUSINESS
INDUSTRIAL
IF HEATING: ST LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS.
HYD ONIC 6- WARM AIR
UNI RADIANT HEATER (INCLUDING WOOD/COAL BURNING STOVE)
TYPE OF FUEL OIL-GPM GAS IN-PUT ELECTRIC KW
WOOD COAL
OIL TANK - SIZE & LOCATION: INSIDE OUTSIDE CAPACITY
LPG TANK - CAPACITY
EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION
DESIGN TEMP. OUTSIDE OF INSIDE OF DIFFERENCE OF
TOTAL HEAT LOSS (BTUH) HEAT LOSS SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL HEATING EQUIPMENT (INCLUDING MAKE & MODEL NO.):
A 1
ttrO/S S H TIN APACITY (INPUT-BTUH) NET RATING (OUTPUT-BTUH)
IF AIR CONDITIONI DESIGN TEMP. OUTSIDE OF INSIDE OF DIFFERENCE OF
TOTAL HEAT GAIN (BTUH)
HEAT GAIN SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL COOLING EQUIPMENT (INCLUDING MAKE & MODEL NO.):
TONNAGE COOLING CAPACITY (BTUH)
IF VENTILATION: DESCRIBE ALL AIR-HANDLING EQUIPMENT (INCLUDING KITCHEN EXHAUSE EQUIPMENT):
TOTAL SIZE 0 SYSTEM (CFM) FRESH AIR INTAKE (CFM)
PLAN MUST A(:COMPANY APPLICATION)
The undersigned hereby applies for a permit to perform the following work and is to comply
with all local or inances and State of Conn. Building Codes in he performance of s ch work.
FURTHER DESCRIPTI N OF WORK:t
STATE LICENSE - N E & TYPE #DATE SI ATURE OF APPLICANT
APPROV D DATE
BD 4A 11/88
I - B a RR CALCULATION SHEET 1503 (Modern Method a 9
Copyright 1977 by The Hydronlcs Institute
OWNER LCfA-ar-- 1 L'`' ADDRESS DESIGN TEMPERATURE DIFFERENCE 90 F. DAT
COL.A COL.B COL.C COL.D COL.E COL.F COL.G
i ROOM tL y
O H L W H L W H L W H L W H L W
per
Water Temp.
2 ROOM DIMENSIONS, FT.O75V BTUH p foot Of
3,L ENGTH EXPOSED WALLS, FT. Q a Radiation Selected
4WINDOW AND OUTSIDE DOOR AREA LL s
BTUIT BTUH BTUH BTUH BTUH
5 WALL CONSTRUCTION
O/
ROOM LIN.FT.OF
Table 9, Line 3 x H) to J Z TOTALS RADIATION
FROM LINE 12 SELECTED
6 TYPE OF GLASS
Bottom of table used f r Line 5)
7 CEILING CONSTRUCTION C woo
Table 9.L x W)
B FLOOR CONSTRUCTIONt
Table 9, L x W or Lin. F t)
E
9 COLD PARTITION CONSTRUCTION F
Table 9, L x H)G
10 C 1 Well(With Openings O
H
Wells(With Openings) Dx63(0 000J
3 Walls(With Openings) or Ent.Hall f.
11 TOTAL BTUH AT 70F TEMP DIFFERENCE' f 000
J
12 TOTAL BTUH AT DESIGN TEMP DIFFERENCE Q K
COL.A COL.B COL.H COL. 1 COL.J COL. K COL.L TOTAL BTUH TOTAL
OF BUILDING RADIATION
1 ROOM tl AT SELECTED
O H L W H L W H L W H I L I W H I L I W DESIGN TEMP."
DIFFERENCE
2 ROOM DIMENSIONS, FT
3 LENGTH EXPOSED WALLS, FT Q
4 WINDOW AND OUTSIDE DOOR AREA uIF
BTUH BTUH BTUH BTUH BTUH
5 j WALL CONSTRUCTION INCREASE BATHROOM
Table 9, LIns 3 x H)
TOTAL 20%
6 TYPE OF GLASS
B ttom f table used for Line 5)
iFOR CONCRETE FLOOR ON
7 CEILING CONSTRUCTION GROUND OR FILL AT
Table 9, L x W)GRADE LEVEL,USE LINEAR
8 FLOOR CONSTRUCTIONt
FEET OF EXPOSED EDGE
Table 9,L x W r Lin F t)
9 COLD PARTITION CONSTRUCTION
ITable 9, L x H)
10 . 1 Wall(With Openings)C
Oe; 2 Walls(With Openings) O XqJ
3 Wells(With Openings) or Ent Hall
11 TOTAL BTUH AT 7OF TEMP DIFFERENCE'
12 TOTAL BTUH AT DESIGN TEMP DIFFERENCEL
FORM 1503
This form Is available from The Hydronics Institute, 36 Russo Place,Berkeley Heights,N J 07922
i
September 10, 1993
Mr. Desautels
216 LeFoll Blvd.
South Windsor Conn. 06074
Dear Mr. D sautels;
OPEN PERmi
I have contacted your household either by a phone call to your home
or I have dropped off a door tag. This was done to remind you that
you have a open BUILDING PERMIT. I have had no response to this .
According o our records you still need either an intermediate or
final insp ction. Would you please contact me and let me know the
status of our project. If your project is finished please call and
schedule a final inspection. .Please be advised that occupancy of a
structure that does not have a CERTIFICATE OF OCCUPANCY is a
VIOLATION of STATE STATUTE # 29-265 .
Please contact this office within one week of receipt of this letter.
I am in the office Monday through Friday 7 : 30 - 9 : 00 am and 12: 30 -
2:00 pm: . Please call me at 644-2511 ext. 232 .
Very truly yours,
John F. Hogan, Assistant Building Official
Ki&# APPLICATION FOR BUILDING PERMIT
Plumbing# 216 LE FOLL BLVD
HVAC # NO'
2 4 6 3 4 Date: 9`
Sprinkler#
FINAL Q Estimated Cost $ -39,j v
BuWding`, j7?7 COMPLETE RED BOXED AREAS Permit Fee s 6
v TYPE OR PRINT ONLY Occupancy Fee $
Affidavit SIGN ON REVERSE SIDE
Apr.for CO.Total Fee 3 6
TO BULDM DART AM,TOWN OF SOUTH WHI)SOR,Cr tional Cost) $
The unders4ied hereby ies to do work accorckng to the following specifications
Job Location 'a I (a e Fo 11 41 u c Lot No. ;L 16 Side of Street Zone
Applicant o ti c e a 1 L Tel# 218`A—9"7 8 L/
Address a 1 la L a 1=o 11 Zip O G 07q Lic.# f r•e e e f'
Owner 5 1'9 M C Address
Architect Address
Sq.Ft.New Area: 1st 1. 2nd Fl 3rd FI. Total New Area
Rooms Lavatories Bathrooms Garages
Purpose of this permit:1-t eA i
City Water Well Septic System Sewer
Ins. H.O. S.P. Cert. Area Basement Garage
Approved by Date Use Group Construction Type
Rev6ed 1/97
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 lines,side yard lines,and required
distances from all other zones and is located in which this building 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 "?--n
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
97-24634-B 3,000
BO1 FOOTING 09/10/97 JFF A
B10 FINAL 09/18/97 JFF A APPROVED FOR CLOSEOUT
CHAPEL ROAD
100
25 CONSERVATION i
EASEMENT
1
40 B.L.
Z
rct
0 113 H
0Q
VOL.334 }
vi P. 349
0 0
III
METAL SHED
OD 110
N
13.2 ,1WOOD DEC K H
roear'j
P 00 L Iad S .
N i 11_5 of
112 c0 18.5
ENCLOSED,"i 50
PORCH 2'O.H. N 24.51
28
M
I'O.H. 62 2 a) 22
40'B.L.
I
3 Ir?
w a:I
aC 10 C-LAP EASEMENT
SUBJECT TO C.L.Ei P 100' V 312 P. 49
GAS EASEMENT . 312
P. 93
LE FOLL BOULEVARD
THIS M P IS COMPILED FROM OTHER MAPS, DEED DIMEW
SIONS ND OTHER SOURCES OF INFORMATION , NOT TO BE
CONSTR ED AS AN ACCURATE SURVEY AND SUBJECT TO
FINAL HANGES AS A MORE ACCURATE SURVEY MAY
r. DISCLO E.
WWI
i
11 f l
10 Ti-1,E tivil:iiw 'EPT. TOWN CF SJJTF;
his certilird that this plan and specifications are tnrl
ices of the proposed building or alterations to be
rected at
Street
nether with amendments stated in application am
tied with plan and I agree to comply with all zonir,K
hiding and state laws and such orders as shall b,
sued by the Building Department during pendent,.
f this application and final issuance of a building
permit.
Signed'
Phis plan is approved subject to the condition that
rders and ordinances regulating building shall be
complied with.
Conditionally Approved These filed with
But in& I n`spe to
I_
Clarp
7Date ` tiff: P?4`o 31
CERTIFICATION OF ZONING COMPLIANCE
Irop OSed buUding s), use(s) andlor structure(s),
is shown on this plan appear(s) to be in
ath Wlndsw
lnfarmance with current ..
g ulations. Variances and special exceptions
aay aPPIY• 57
ate
Zoe orc t Officer.
ak y