HomeMy WebLinkAbout24 Ash Roada r ;
f oa- - a - 1
os o
4626
PLUMBING APPLICATION
I
Application No. 15
on the ------_.._14ZZA"" side of
I Al Sam--
Street No.
Owner ...cC
ZIC NOPlumber5
Filed in Office of
The Btrildwg Inepecooc
Oct . 18 19-2 .
n oR
No person " comtruct, add to or aloes my
portion of the drainage system of any buc7dmg
except to repair leaks) wad a Pew its geaoted
by the Building Impeaw.
Application No. ......4.4.1.5................... Permit N 4626
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.
South Windsor, Sign here
I...................................................
Location side of ...........4.x ................ -f............................................. Streit
Nature of Building _11DI-V'4 Z1 How many stories ....(74.................................. ..................................
Owner M.a?,1'_4-Z g/ I ;;c.................... Address,: ; A a
Architect Address .... ................ .... .................................................. .....................
Builder . ..... ..... Address ..................... ....... ............................ .................................................
Plumber Address 97 AWPPAZZ. ...........?z.............. ./!...........
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 qLIA Diameter I... ..............................................................................................
Aboveor below cellar bottom .... . ........................................... . . . . .......................................................................................................................
SOIL PIPES, Material . .. ... ...... /'..'.......I...... ......... Diameter ...5K / ..............................................................................................
WASTE PIPES, Material .... .... .............................. .... .... .... Diameter ...............
TRAPS, Type proposed to use is .. . ..... ............... . . .. .. . .............................s"
RAIN WATER LEADERS, where do they run to .. ........... ....
REFRIGERATOR WASTES, where do they run to .. .. ................................................................................................. ..............................
TANK OVERFLOWS, 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 . ............ ..........I........................................................
BUTLER'S SINKS, How many ........................................................ Where located. .. .... . .......................................................................................
REFRIGERATOR SINKS, How many...................................... Where located .. ..............................................................................................
LAVATORIHow many ................................................................. Where located .....................................................................................................
BATHTUBS, How many ........................................................................ 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
of room where same are to be located I................
Estimated Cost
TO THE BUILDING INSPECTOR
of the APPLICATION FOR
PLAN EXAMINATION ANDT'WN OF SOUTHwI DSOR, BUILDING PERMIT
z
IMPORTANT — Applicant to complete
t-el
complete all items in sections: I, 11, 111, IV, and IX. O
A S ZONING r "l
I• AT (LOCATION) DISTRICT /l
LOCATION NO.) STREET)
OF BETWEEN AND
BUILDING CROSS STREET) CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
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 New building Residential Nonresidential
2 Addition(!/ residential, enter number 12 One family 18 Amusement, recreational
o/ new housing units added, i/ any,
in Past D. 13) 13 Two or more family — Enter 19 Church, other religious
number of units— — — — i
3 Alteration (See 2 above)
20 Industrial
14 Transient hotel, motel, 21 parking garage4 Repair, replacement or dormitory — Enter number
5 Wrecking (If multifamily residential, of units ——————— — i 22 Service station, repair garage
enter number o/ units to building in 15 Garage 23 Hospital, institutional
Part D, 13)
16- Carport L1
24 Office, bank, professional
6 Moving (relocation)
17,K Other — Specify rIJ S"l•6 ChC,C_25 Public utility
7 Foundation only
i
26 School, library, other educational
B. OWNERSHIP C' ` 27 Stores, merconfile
8-4K] Private (individual, corporation, G.
28 Tanks, towers
nonprofit institution, etc.)
k ( 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,,,,•,.,,•.....- 0; 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 E -J b
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 E Masonry (wall bearing) 40 Public or private company
48. Number of stories...............
31 Wood framl 41 Private (septic tank, etc.)
49. Total square feet of floor area,
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 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.......................
367011 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?
54. Number of
Full..........
46 Yes 47 No bathrooms
Partial.......
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel No.
Owner or
r
Lessee
2.
Contractor
3.
Architect or
Engineer
The owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction.
Signature of applicant Address
t
Application date
W WL'1. . C•tZL I.•
6G Ly—lam; > }'`-1J'°" D 'L`•
Cam'
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Re wired 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 Dote Nber B Permit or A roval Check Dote Number BppumObtainedYppObraned Y
BOILER PLUMBING
CURB OR SIDEWALK CUT ROOFING
ELEVATOR SEWER
ELECTRICAL SIGN OR BILLBOARD
FURNACE STREET GRADES
GRADING USE OF PUBLIC AREAS
OIL BUPNER, WRECKING
OTHER OTHER
VII. VALIDATION
Building
Permit number lyyy/
Building
Permit issued y 19
Building
Permit Fee $ y
A-ppro ed by:
Ole i
TI
TOWN OF SOUTH WINDSOR
BUILDING PER GT
Date Ju n P 3 1985
Fee Paid $. .4 ..0 0 Eat. Value $5 0-Q.0 0
Permit NV 14444
on the aide of
Ash Road saw
Street No. 24
Owner Sandra Moriarty
Applicant Sandra Moriarty
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No.
Fee Paid $
CLASSIFICATION
i
Ahnva ground poolk
1
I
I
i
BUHDING PERMIT
N? 14444
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn, Tzy June 3 19 85
94is is to fLCrrtifj, That Sandra Moriarty
is hereby granted permission to Install above ground pool 24' x 4'
at estimated value of $ 5 n p_n n
on the side of 24 Ash Road Sueet on land
owned by Sandra Mor, arty
Said Work to be as described in Application
No. 14744 and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR-
Issued 19 85
51 uilding 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: "Wlm 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."
OA-1— rNe;46TION REPORT
Perrriit # C Job
1 Footing
2 Foundation
3 Framing
4 Wiring
5 Plumbing
6 Heating
7 Lathing
8 C.O.
Oil
s
a
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s `b e'
e
P
nv
E i
hW
Akrz
i
Vinyl Protective ;
with Beauty and
The top in vinyl clad steer pool styling and elegance E.
turns your'home into your very own luxury resort.
BEACHWOOD BEACHWOOD FEATURES AND SPECIFICATIONS
AMERICAN MADE WITH OLD TIME STANDARD OF QUALITY AND VALUE
7 in. ledge - vinyl laminated 8 mil. cork is G115 armored bonded galvanized steel • Patented (U.S. Patent No. 4,223,498)
textured finish ribbed for additional and vinyl lamination (see diagram for four-bar wall closure system to insure
strength. layers of protection). proper assembly and maximum strength
is Large 7 in.x 6 in.form fitted ledge cover. • Posi-lock frame construction for maxi-at the wall seam.
Stainless steel top cover hardware. mum pool stability. OVAL POOL FEATURESMassive6" vinyl laminated box vertical • Modularledge and vertical structuresfor
4 mil. with accent strips. easy assembly. Seamless U Channel buttress and brace
Solidly constructed one piece vertical.Wall corrugated for added vertical construction. Vinyl laminated.
Is Sturdy universal top and bottom plates. strength. Patented hold down pressure sheet.
Rectangular 1" top and bottom rails, • Wall scored for through the wall skimmer • Interlocking post and strap assembly.
poly coated for additional protection. and return fitting. High strength tension bolts.
is Copper alloy added to wall for long is Patented (U.S. Patent No. 4,223,498)
metal life and protection. four-bar wall closure system to insure WARRANTY
Polyester coating on inside of frame and proper assembly and maximum strength Fifteen (15)year limited warranty;
wall for maximum metal protection. at the wall seam. first two seasons, no charge for parts.
Copper Bearing Alloy Copper Bearing Alloy Stainless Steel Top Cover Hardware 7-in x 6-in Form Fitted Top Ledge Cover
Alkaline-Cleaned Alkaline Cleaned
G115-Armored Bon`G115-Armored Bond z-rJi4Y
Hot Dipped Galvanized- Se Hot Dipped Galvanized a=
Alkalme-Cteanap Alkaline-Ceaned 7-in.Ribbed Top Ledge
Bonderized Coating- J.--
tiltindtinzed Coating Cork
iiamil.Vinyl
ionChromicSealChroasmicSeal1-in.Rectangular
Polyester- Baked-On High Gloss Poly.Top Sub Frame -coating Outdoor Enamel Paint a 'o
liwa outalM \ Sturdy Top Plate
Vinyl wall 4 Mil.vinyl 0_
Layers of Protection Lamination 1-in.Extruded Vinyl Edging
1
Alkaline-Cleaned Alkaline-Cleaned
G115•Arm ored Bontl\ /G115-Armored Bond i
Hot Dipped Galvanized\ Hot Dipped Galvanized l Vinyl Laminated
Alkaline-Cleaned g Alkaline-Cleaned 4 Mil,Wall
Phosphoric-Coated- O -Phosphoric-Coated I
Chromic-SeBled Chromic-Sealed
I
Polyester_ 4 Mil.Vinyls '
Coating Lamination
Inside ou"We
ProNo•ve coatings
on Pool Frame 1-in.Rectangular Poly Bottom Sub Frame Massive 6-m."Box"Vertical Side Support
4 Mil.Vinyl Lamination
Sturdy Bottom Plate
BEACHWOOD POOL SIZES AND CAPACITIES (approximate)
ROUND POOL OVAL POOL
SIZE CAPACITY SIZE CAPACITY
12-ft.x 48-in.4,300 gal.18-ft.x 12-ft.x 48-in.5,525 gal.
15-ft.x 48-in.5,525 gal.24-ft.x 12-ft.x 48-in.7,688 gal.
18-ft.x 48-in.7,700 gal.24-ft.x 15-ft.x 48-in. 10,000 gal.
21-ft.x 48-in. 10,400 gal.30-ft.x 154t.x 48-in. 12,000 gal.
24-ft.x 48-in. 13,500 gal.33-ft.x 18-ft.x 48-in. 16,000 gal.
27-ft.x 48-in. 17,100 gal.
DECOR
Rich vinyl laminated oak wall enhanced by vinyl frame and accented with chestnut brown top ledge covers and feature strips.
II SWIRPIgy" Inc,
U.S. HIGHWAY 1 and 9 SOUTH and INTERNATIONAL WAY as NEWARK, NEW JERSEY 07114 • 201/242-0187
TELEX # 844136
WARNING: POOLS ARE NOT DESIGNED FOR DIVING OR JUMPING - 4 FEET DEEP.
0
MEMBER j= NATIONALSWIM "GPOOL1NSTITUTE Manufacturer reserves the right to alter specifications without notice All pool sizes are approximate
ej
TO THE BUILDING INSPECTOR
of the APPLICATION FOR
PLAN EXAMINATION AND
Irolil 1m CW NTH w111111DIS+ C W& BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. C
ZONING
I• AT (LOCATION) ` AS o 0, 0 DISTRICT
LOCATION NO.) STREET)
OF BETWEEN AND
BUILDING CROSS STREET) CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
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
T
1 New building Residential Nonresidential
2 K Addition(It residential, enter number 12 One family 18 Amusement, recreational
of new housing units added, if any,
in Part D, 13) 13 Two or more family — Enter 19 Church, other religious
3 Alteration (See 2 above)
number o/ units— — — — — - 20 Industrial
14 Transient hotel, motel, 21 parking garage4 Repair, replacement or dormitory — Enter number
5 Wracking (IJ multifamily residential,of units ——————— — i Service station, repair garage
enter number o/ units :n 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
i 26 E] School, library, other educational
B. OWNERSHIP A20/ 27 Stores, mercantile
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,,,,,,,,,,,,,,,, O 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 Is 2J oo
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
32 Structural steel dimensions ....................
33 Reinforced concrete 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 1. 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 bedrooms..............
313 Coal
39 Other— Specify Will there be an elevator?
54. Number of
Full..........
46 Yes 47 No bathrooms Partial.......
IV, IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and /State ZIP code Tel. No.
1.
a a 0'0 7
Owner or
Lessee
z.
4
06oYo
Contractor
3.
Architect or
Engineer
The owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction.
Signature plicant Address Application date
r
7 pG
DO NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plan Review Date Plans B Date Plans
Plans Review Required Check Fee Started Y Approved BY Notes
BUILDING
PLUMBING
MECHANICAL
ELECTRICAL
OTHER_
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or A rova I Check DO}e Number B Permit or A rova I 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 -/XL57
Building
19Permitissued
Bui Iding i
Permit Fee
v
r
TITLE
0
TOWN OF SOUTH WINDSOR
BUILDING PERMIT
Date Tilly Is 1985
Fee Paid $.18..0 0 Est. Value $.2.,5.0 0
Permit N° 14550
on the side of
Ash Road Street
Street No.24
Omer Tar-k Mnri arty
Applicant n p n n i c Mille r
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No.
Fee Paid $
CLASSIFICATION
Deck around pool
BURDING PERMIT
NY 14550
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn, July 18 s 1980
94is is to (ffPYtif-U, That Dennis Miller
is hereby granted permission to 191 x 20' deck around Fool
at estimated value of $2,,9QQ _
on the side Of -- 2d As:h Read Street on land
owned by Jack MORIARTY
Said Work to be as described in Application
No. 1 d 8500 and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR
Issued 1985
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 costs and damages which it shall sustain, or be compelled to reason therefor."
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Jai//'.'- ----- -
2ec y 4/hve 7
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as
RM 16 'to, C,
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BuildingT— APPLICATION FOR BUILDING PERMIT
Plumbing
HVAC
5! GOAD
Date:
Sprinkler
Electric Estimated Cost $ 1`o•o
Zoning Permit Fee$
Affidavit NO.1 7380 Occupancy Fee $
Eng. Dept.
COMPLETE RED BOXED AREAS.
ov
Fire Dept. Total Fee $
Health Dept. TYPE OR PRINT ONLY
Approved SIGN ON REVERSE SIDE.
TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT
The undersigned, hereby applies to do work according to the following specifications:
Job Location 24 Ash Road Lot No. Side of Street Zone
Applicant R Vn T Tel. #
Address 2-q As(, ag Lic. # Zip a&C>,) '4
Owner Jcp4, n Address 2-4 Ast, RrA
Architect Address
Size Main Building: Ft. Front Overall Ft. Deep Overall Total Area Garages
Lavatories
No. of Families I No. of Stories—I Construction Bathrooms 'L— Rooms 1 st__7__2nd 3rd
Size of Lot Dist. from Street Line Dist. from Side Street Line%
Purpose of this Permit S'C"o.•aae 1 —fi `K;s
City Water Well 9-' Septic Sewer 9'
Approved by Date
Dist. from lot line E. W. S. N. Dist. nearest Bldg. ft.
Height of stories -cellar 1st 2nd 3rd 4th 5th
Found depth below grade Above grade Material for footing
Size footing Material for found. Found. thickness
Roof No. of stairways Size of girders
Material for Side Walls Size of pier found.
Floor joists, size: 1st 2nd 3rd stories. Dist. on center
Longest span of floor joist: 1st 2nd 3rd If not wood joist const. what type of floor?
Size of Roof Rafters Longest span on center
Chimneys, size of flues How many? Where does the start?
Plumbing contractor, Permit No. Oil burners, Permit No. Plot Plan Rec'd:
Heating contractor, Permit No. Checked by Eng. Dept. ;
Electrical Permit No. Signed by Engineer:
Sprinkler Permit No.
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 azone
in which this building and its use is allowed
hereby apply for a Certificate of Occupancy for
described in the above application for permit.
Signed
10
Pop
J
t\j 6 -
i
a
n B
NOV 0 2 i988
South Windsor
BUILDING DEPARTMENT
hls aru.i un
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be
Y1 Sy R DAf e!
is
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hl, at
I Wtttq
udm Cle•k
6ectric# APPLICATION FOR BUILDING PERMIT
Plumbing# 24 ASH ROAD
HVAC # 2 4 7 E 3
Date: /D 2
Sprinkler#
F P Estimated Cost $ F,
Building /S COMPLETE RED BOXED AREAS Permit Fee
W. i TYPE OR PRINT ONLY 11 Occupancy Fee
Affidavit SIGN ON REVERSE SIDE o
Appr.for CO. I Total Fee 4
TO BULDING DEPARTMENT,TOWN OF SOUTH WI DSOR,CT Additional Cost) $
The undersigned hereby applies to do work according to the following specifications:
Job Location AS A Lot No. Side of Street Zone
Applicant 01 Tel# R7//3 2 Z_,
Address ipO60 z y lic.# S 2 f'65 7
Own r r Address As A Yj— U), e
Architect Address
Sq.Ft.New Area: 1st FI. 2nd FI. 3rd Fl. Total New Area
Rooms Lavatories Bathrooms Garages
Purpose of this permit: S d
n d r (
City Water Yell Septic System Sewer
Ins. H.O. S.P. Cert. Area Basement Garage
Approved by J(K— Date Use Group r— Constnution Type
Rws.d 1197
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
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS