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Home My WebLink About24 Green LaneSec&ic#11 (c, APPLICATION FOR BUILDING PERMIT Plumbing# /O F3 aZ 24 Green Lane HVAC # l aC j 27430 Date: 10 'a ' C3U Sprinkler# N0' FINAL APPROVALS Estimated Cost 5? ova Building COMPLETE RED BOXED AREAS Permit Fee 19.Sb Engineering 1 57 TYPE OR PRINT ONLY Occupancy Fee $ 6 Affidavit SIGN ON REVERSE SIDE Appr.for CO.Total Fee S— TO BLAMING DEPARTMENT,TOWN OF SOUTH WNDSOR,CT Additional Cost) $ The undersigned hereby applies to do w k accord'ng to the following specifications: Job Location L-O T O U f Y'r'grccrl S rAfiF—S Lot No. 11 Side of Street t. ,Zone Applicant 1 Tel# %0-7(o 3• -56' Address _ 11 1r1TN21 0 yhriE77'S•e—?` Zip C(V 07 1 Lic.# W.-I ' 7"''c -) 003 Owner Ij6rSE3hb&r LAME Address b &* r 9A3, SilMlr1, CT 0&071 Architect Address Sq.Ft.New Area: 1st FI. 140 2nd Fl. /5-U 3rd Fl. Total New Area C3,:; Rooms 2 Lavatories 1 Bathrooms oZ Garages A cQ. Purpose of this permit: 0jnS' & - S trIe k Q.Ii'L a-H&CI id A Qd-I % M0bL-Z #r City Water Well Septic System Sewer Ins. H.O. S.P. Cert. Area G O Basement 13 y Garage 3 Approved by Date D Use Group Construction Type RevWid 1/97 I I h reby 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 distan fr m all street lines,side yard lines,and required distances from all other zones and is located in whic building and its u isllloQ. Signed FDA DkA I hereby apply for a Certificate of Or.4ncy for the work described i0his application for the permit. 1-- Signed DO /T WRITE BELOW THIS LINE rvR bRA INSPECTION COMMENTS Location of Job:AFFIDAVIT Additional Fee$ — 0 — State of Connecticut ss.South Windsor County of Hartford w Owner I &Zral 0_x:;0 Iry l of Dan 0ovlw-r s Agent for the building erected Contractor under Permit No. 27430 issued by the Building Department of the Town of South Windsor bein duly sworn,make oath and say that the actual cost of the completed work authorized under said permit was 1 4 ,8 9 7 . Signed Subscribed and sworn to before me this day of 4: A.D.20 61 Estimated Cost$ 165 , 770 . Difference: $9 ,126) Notary Public Inspection / Approval Date By Appl Code Description Due Whom Code Comment 27430-B 150,000 B01 FOOTING 12/13/00 CJD A W/CONTRACTOR-HAY IN PLACE B02 FOUNDATION 12/27/00 JFF A WITH CONTRACTOR E01 SERVICE 02/28/01 CJD A LEFT TICKET B05 FIREPLACE/CHIMNEY 03/27/01 CJD A W/ GARAFALLO B03 FRAMING (ROUGH) 10/09/01 JFF A WITH SUPER NEED TRUSS SPECS E03 ROUGH 10/09/01 JFF A WITH SUPER P03 ROUGH 10/09/01 JFF A WITH SUPER H03 ROUGH 10/09/01 JFF A WITH SUPER NOTIFIED SUPER NEED HVAC PERMIT B04 INSULATION 10/11/01 CJD A LEFT TICKET PO4 GAS TEST 11/14/01 GRM A INTERIOR PIPING W/CONTRACTOR B10 FINAL 12/05/01 CJD A W/SUPER 11207-H 11,250 10832-P 6,800 17136-E 6,847 Inspection / Approval Date By Appl Code Description Due Whom Code Comment 27430-B 150,000 BO1 FOOTING 12/13/00 CJD A W/CONTRACTOR-HAY IN PLACE B02 FOUNDATION 12/27/00 JFF A WITH CONTRACTOR E01 SERVICE 02/28/01 CJD A LEFT TICKET B05 FIREPLACE/CHIMNEY 03/27/01 CJD A W/ GARAFALLO B03 FRAMING (ROUGH) 10/09/01 JFF A WITH SUPER NEED TRUSS SPECS E03 ROUGH 10/09/01 JFF A WITH SUPER P03 ROUGH 10/09/01 JFF A WITH SUPER H03 ROUGH 10/09/01 JFF A WITH SUPER NOTIFIED SUPER NEED HVAC PERMIT B04 INSULATION 10/11/01 CJD A LEFT TICKET PO4 GAS TEST 11/14/01 GRM A INTERIOR PIPING W/CONTRACTOR B10 FINAL 12/05/01 CJD A W/SUPER 11207-H 11,250 10832-P 6,800 17136-E 6,847 Total Est Value 174,897 Dwelling 2,800 135,184.00 Basement 1,344 19,084.80 Garage 773 10,976.60 Smoke Det 7 525.00 BOCA Value 165,770.40 Difference 9,126.60) 7 `f SITE COMPLIANCE CHECKLIST TOWN of SOUTH WINDSOR, CONNECTICUT 24 GREEN LANE LOT_# Reviewed B En 'neerin ) JYg DAN ROULIER & ASSOC. Date Reviewed iZ dC c Approv /Denied 11 SOUTH ROAD,SOMERS,CT Reviewed By iC Planning) BP_# 27430 Ph_# 860-763-3538 Date Reviewed i G Approv /Denied Date Submitted 00/00/00 FOR f O *** As required in the Zoning and/or Subdivison Regulations, no Certificate of Occupancy shall be issued until grading plans have been complied with and approved by the Town Engineer. The minimum requirements shall include: Approved Denied N/A 1. Approved building permit plan 2. Finish grading per approved building permit plan V3. Site work; i.e. trees, shrubs, dumpsters, required parking 4. Utility location; a. s§n3i ry septic syste b. foundation drain C. electrical & telephone d. water C/ e. other 5. Sewer connection charge paid 6. Appropriate certification WJLVN'60WAO 7. Bonding 8. Planning & Zoning/ Inland Wetlands Considerations A. Lighting B. Signage Freestanding Wall C. Fee in lieu of Open Space r Sewer Permit No. Pavement Excavation No. 2 'a0 f._. COMMENTS: 0 , I?usT d'1//'so cam' v .Ia..v !/ /v,csS,lC!wh f /sh r 1-- V.-Vv150—r> AS-ZO),V v SITE COMPLIANCE CHECKLIST TOWN of SOUTH WINDSOR, CONNECTICUT 24 GREEN LANE LOT_# Reviewed By e (E ineer' te DAN ROULIER & ASSOC. Date Reviewed o 60 11 SOUTH ROAD,SOMERS,CT Reviewed By Pl BP # 27430 Ph_# 860-763-3538 Date Reviewed/ od pro Date Submitted 10/24/00 FOR BU L ING PE 1131 In ccordance witYi the Zoning and/or Subdivision Regulations, prior to the building of any structure on a lot, a Topographic Plot Plan shall be submitted for approval. The minimum requirements shall include: Approved Denied N/A 1. Name, address & phone number of owner/applicant 2. Name, address & phone number of plan preparer 3. Zoning Information - i.e. zone, open space, floodway, street address. 4. Plot Plan at 1" _ .4e scale w a. Subdivision reference, abutting properties, etc b. Easements of record c. Lot description, bearings, building lines, distances, area, etc. d. Contours, existing & proposed, 1 or 2 ft. interval where appropriate e. Building location with dimensions. Elevations of proposed finish floor, garage floor & centerline of road at driveway f.( Elevations of gravity drainage systems, sanitary foundation drain at the house and the street g. Tentative utility location (gas, water, electric, septic system, etc.) h. Title block with name and address of preparer, date, appropriate certification, live seal and live signature consistent with the Board of Registration requirements. (P.E. & L.S.) 5. Sedimentation and erosion control 6. Special Planning & Zoning, Inland/Wetlands considerations (Plans on file w/Town Clerk) COMMENTS: fee Alel 4f t w s d DEPARTI NT DECISION APPLICATION FOR ELECTRICAL PERMIT P RMI Application is hereby: TOWN of SOUTH WINDSOR BUILDING DEPARTMENT Bldg Permit# APPROVED 1540 SULLIVAN AVENUE U l rt n 6.14-2511 ext. 230 Date Building Inspector Application must be printed or typed Location ofjob Cv--e e" Street No. Street Lot No. FEE SCHEDULE Floor Apt.No. 0 - $1,000 - $12.00 Over $1,000 12.00 per$1,000 OWNER D ..., /QQ v L e or any fraction thereof ADDRESS P- ° tj old g-z OWNERS PHONE# IN601 763 ` 3.S'--KP APPLICANT W Q.-40z&f OW ] E, 4 ADDRESS C1 JRRENT PIsEGT-RIG q 332 Old Marlborough Tpke. PORTLAND.CT 06480 ESTMIATED COST 17f 00 C IS THIS A CONTRACT COST? 1 YES NO C FEE ENCLOSED $ TYPE OF JOB:SpR.CO Original Installation Alteration/Addition/Repair Revised 11/95 APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A 1C RESIDENTIAL BUILDING PERMIT APPLICATION YES / NO BUSINESS ASSEMBLY CURRENT USE AND OCCUPANCY MERCANTILE EDUCATIONAL FUTURE USE AND OCCUPANCY INSTITUTIONAL FACTORY STORAGE ENGINEER'S NAME PHONE GARAGE MIXED USE ADDRESS CITY STATE ZIP Othcr please spccify) TYPE OF INSTALLATION/WIRING METHOD X SIZE OF MAIN FEEDERS AND RATING OF WIRE USED S (V NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS NUMBER OF PANELS REMOTE DISCONNECT REQUIRED 7 YES/NO NUMBER OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS NUMBER OF SWITCHES NUMBER OF OUTLETS NUMBER OF LIGHT FIXTURES NUMBER OF HEAT CIRCUITS NUMBER OF A/C CIRCUITS SEPERATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED. DESCRIPTION OF WORK THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONN.BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. F— r:,- / — X_4q_, NAME STATE LICENSE NO. TYPE SIG OF APPLICANT PHONE NO. Z DATE o n o ins-CRS Approvalon irmation: Request No. age From: clpsvc@nu.com> To: COLLIN@SOUTHWINDSOR.ORG> Date: 3/1/01 9:04AM Subject: CRS Approval Confirmation: Request No. 168684 Your approval of the following CRS Request has been successfully processed. CRS Work Request#: 168684 House No:24 &f e,P-n LIAK e- Lot No: 11 Street Name: Inspector:JOHN COLLINS Approval Date: Mar 01, 2001 DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT PERMIT# Application is hereby:TOWN OF SOUTH WINDSOR 9"3 BUILDING DEPARTMENT APPROVED 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 0 7 y 3 0qfj-610( ate Building Inspector Application must be printed or typed Location of b: Fo EE SCHEDULE fl 1,000=$13.00 Street o. et Lot No. Over$1,000= 13.00 per$1,000 ny fraction thereof Tenant Designation Apt.No. APPLICANT APPLICANT ADDRESS APPLICANT PH # 600 000,1111, OWNER 0000%1010 N S 4N OWNER ADDRESS 7 OWNER PHONE —7 Co -3 C D ESTIMATED COST$_66 t (D O IS THIS A CONTRACT COST? O Yes O FEE ENCLOSED$ 7 OR-Co TYPE OF JOB: s few Installation 13 Alteration/Addition/Repair Revised 8/99 APPLICATION FOR PLUMBING PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A RESIDENTIAL I BUILDING PERMIT APPLICATION? ES NO BUSINESS CURRENT USE AND OCCUPANCY ASSEMBLY MERCANTILE FUTURE USE AND OCCUPANCY J EDUCATIONAL INSTITUTIONAL ENGINEER'S NAME PHONE FACTORY STORAGE ADDRESS GARAGE MIXED USE CITY STATE ZIP TYPE OF INSTALLATION SIZE OF MAIN DRAIN , NO.OF TOILETS STYLE NO.URINALS STYLE NO.OF BATHTUBS NO.OF SHOWERS NO.OF LAVATORIES NO.OF CONDUCTORS SIZE NO.OF STACKS SIZE AREA OF ROOF NO.OF CATCH BASINS NO.OF FLOOR DRAINS NO.OF OTHER FIXTURES.KIND & It — e, /.,--- ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW S NO SIZE OF WINDOW IF NONE C.F.M.OF VENTILATOR SIZE OF DUCTS SEWER OR SEPTIC TANK C, 3 K SIZE OF WATER MAIN SIZE OF WATER PIPING&RISER Goa b WATER HEATER: TYPE MANUFACTURER MAS DESCRIPTION OF WORK uv- THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFORMANCE OF SUCH WO CONT CTORS L CENSE NO. TYPE STATE SIGNATURE OF APPLICANT DATE p2 DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT PERMIT# Application is hereby:TOWN OF SOUTH WINDSOR r f a 0BUILDINGDEPARTMENTIL APPROVED 1540 SULLIVAN AVENUE Bldg.Permit# O ( IJ 4C-, 644-2511 ext.-230 Q 7 Y3 Date Building Inspector Application must be printed or typed Location of Job: FEE SCHEDULE 0-$1,000=$13.00 Street No. (f S eet Lot No. Over$1)000= I I 13.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT =A i.1 ; APPLICANT ADDRESS OX Q fit' APPLICANT PHONE#B60 r 76--!, 6-7-7 Jr W N 3 OWNER ;1-1 lEf _ pl-ks= OWNER ADDRESS 60 OWNER PHONE 76 5 C ESTIMATED COST IS THIS A CONTRACT COST? grfes 0 No FEE ENCLOSED$ 1 5 6.00 I o CO TYPE OF JOB: Rs . New Installation 0 Alteration/Addition/Repair Revised 8/99 APPLICATION FOR HVAC PERMIT (Continued from reverse side TYPE OF SYSTEM: TYPE OF BUILDING: TING RESIDENTIAL arc COMMERCIAL VENTILATION INDUSTRIAL HEATING STEAM LOW PRES LIMIT LBS. HIGH PRESSURE LIMIT LBS. HYDRONIC AIR UNIT RADIANT HEATER EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION DESIGN TEMP. OUTSIDE OF INSIDE OF DIFFERENCE OF TOTAL HEAT LOSS(BTUH) F(HEAT LOSS SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL HEATING EQUIPMENT(INCLUDING MAKE&MODEL NO.) GROSS HEATING CAPACITY(INPUT-BTUH) NET RATING(OUTPUT-BTUH) TYPE OF FUEL L-GPM OIL TANK LOCATION:INSIDE OUTSIDE CAPACITY LY GAS-INPUT LPG TANK CAPACITY ELECTRIC-KW AIR CONDITIONING 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) VENTILATION DESCRIBE ALL AIR HANDLING EQUIPMENT(INCLUDING KITCHEN EXHAUST EQUIPMENT) TOTAL SIZE OF SYSTEM(CFM] FRESH AIR INTAKE(CFM) PLANS MUST ACCOMPAN APPLICATION) FURTHER DESCRIPTION OF WORK THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. Q !)75 5 CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT DATE ®' d RIGHT-J SHORT FORM Entire House Fahrenh it M chanical S rvic Job: 10-10-2001 7 Moody Road,Enfield,CT Phon :1-860-783-5775 Fax:1-880-783-SW Project • For: Roulier Model Home Lot#11 Lot#11 Topstone Drive, S. Windsor, CT Design Information Htg CIg Infiltration Outside db(OF)5 97 Method Simplified Inside db(OF) 70 75 Construction quality Best Design TD(OF)75 22 Fireplaces 0 Daily range M Inside humidity(%) 50 Moisture difference(gr/lb) - 37 HEATING EQUIPMENT COOLING EQUIPMENT Make RHEEM AIR CON Make RHEEM MANUFAC Trade Rheem Trade Rheem RAKA Series RGRA-10(E,N)ZAJS RAKA-060JA RCBA-6089 Efficiency 92.0 AFUE Efficiency 10.0 SEER Heating input 105000 Btuh Sensible cooling 39200 Btuh Heating output - 97000 Btuh Latent cooling 16800 Btuh Heating temperature rise 44 OF Total cooling 56000 Btuh Actual heating fan 2000 cfm Actual cooling fan 2000 cfm Heating air flow factor 0.039 cfm/Btuh Cooling air flow factor 0.051 cfm/Btuh Space thermostat Load sensible heat ratio 92 % ROOM NAME Area Htg load Clg load Htg AVF Cig AVF fts) Btuh) Btuh) cfm) cfm) Second Floor n d 1484 20912 14677 816 755 First Floor n d 1455 30323 24219 1184 1245 Entire House p 2939 51234 38896 2000 2000 Ventilation air 0 1210 Equip. @ 1.02 RSM 40908 Lat nt cooling 3535 TOTALS 2939 51234 44443 2000 2000 Bold/Ibllc values have bean manualty oven dden Printout certified by ACCA to meet all requirements of Manual J 7th Ed. wr ghtsoft Right-Suite ResideMialTM 5.0.28 RSR25708 2001-Oct-11 10:56:41 A CAFahmec-Model Home Lot#11-Roulier.rsr Page 1 RIGHT-J SHORT FORM Second Floor Fahrenh it M chanical S rvic Job: 10-10-2001 7 Moody Road,Enfield,CT Phone:1-860-763-5775 Fax:1-860-763-5844 Project • For: Roulier Model Home Lot#11 Lot#11 Topstone Drive, S.Windsor, CT Design Information Htg Clg Infiltration Outside db(OF)5 97 Method Simplified Inside db(OF) 70 75 Construction quality Best Design TD (OF)75 22 Fireplaces 0 Daily range M Inside humidity(°/D) 50 Moisture difference(gr/lb) - 37 HEATING EQUIPMENT COOLING EQUIPMENT Make n/a Make n/a Trade n/a Trade n/a n/a n/a n/a Efficiency n/a Efficiency n/a H ating input 0 Btuh Sensible cooling 0 Btuh H ating output 0 Btuh Latent cooling 0 Btuh Heating temperature rise 0 OF Total cooling 0 Btuh Actual heating fan 0 cfm Actual cooling fan 0 cfm Heating air flow factor 0.000 cfm/Btuh Cooling air flow factor 0.000 cfm/Btuh Space thermostat n/a Load sensible heat ratio 0 % ROOM NAME Area Htg load Clg load Htg AVF Clg AVF ft2) Btuh) Btuh) cfm) cfm) Master Bedroom 484 6905 4407 270 227 Master W. I. C. 116 1103 420 43 22 Master Bath 119 2174 2106 85 108 Upstairs Bath 95 879 678 34 35 B droom#2 214 3171 2511 124 129 Bedroom#4 197 3193 2207 125 113 Bedroom#3 180 3289 2228 128 115 Upstairs Hallway 80 198 121 8 6 Second Floor n d 1484 20912 14677 816 755 Ventilation air 0 0 Equip. @ 1.02 RSM 14971 Latent cooling 804 TOTALS 1484 20912 15774 816 755 Bold/ltallc values have been manually ovwHdden Printout certified by ACCA to meet all requirements of Manual J 7th Ed. 1 WrlghtSOft Right-Sulte ResidentialTm 5.0.28 RSR25708 2001-Oct-11 10:56:41 Ift X& CAFahmec-Model Nome Lot#11-Rouli r.mr Page 2 RIGHT-J SHORT FORM First Floor Fahr nh it M chanical S rvic Job: 10-10-2001 7 Moody Road,Enfield,CT Phone:1-860-763-5775 Fax:1-860-763-5844 Project • For: Roulier Model Home Lot#11 Lot#11 Topstone Drive, S. Windsor, CT Design Information Htg Clg Infiltration Outside db(OF) 5 97 Method Simplified Inside db(OF) 70 75 Construction quality Best Design TD(OF)75 22 Fireplaces 0 Daily range M Inside humidity(%) 50 Moisture difference(gr/lb) - 37 HEATING EQUIPMENT COOLING EQUIPMENT Make n/a Make n/a Trade n/a Trade n/a n/a n/a n/a Efficiency n/a Efficiency n/a Heating input 0 Btuh Sensible cooling 0 Btuh Heating output 0 Btuh Latent cooling 0 Btuh Heating temperature rise 0 OF Total cooling 0 Btuh Actual heating fan 0 cfm Actual cooling fan 0 cfm Heating air flow factor 0.000 cfm/Btuh Cooling air flow factor 0.000 cfm/Btuh Space thermostat n/a Load sensible heat ratio 0 % ROOM NAME Area Htg load Clg load Htg AVF Clg AVF ft2) Btuh) Btuh) cfm) cfm) Foyer 161 4090 2321 160 119 Dining Room 196 3867 2438 151 125 Garage Entrance 68 976 203 38 10 Laundry Room 61 1515 1969 59 101 Powder Room 33 747 535 29 28 Kitchen 203 2054 3535 80 182 Dining Area 176 3993 3152 156 162 Family Room 360 9739 7801 380 401 Living Room 196 3342 2265 130 116 So/d/ltalfc values have been manually overridden Printout certified by ACCA to meet all requirements of Manual J 7th Ed. wrightSoft Right-Suite Residential,-6.0.28 RSR25708 2001-Oct-11 10:56:41 x CAFahmeo-Model Home Lot#11-Roulier.rsr Page 3 First Floor n d 1455 30323 24219 1184 1245 Ventilation air 0 0 Equip. @ 1.02 RSM 24704 Latent cooling 1479 TOTALS 1455 30323 26182 1184 1245 ftid/Imlic values have been manually overridden Printout certified by ACCA to meet all requirements of Manual J 7th Ed. i;t. wrightsoft Right-Suite ResidentialT-5.0.28 RSR25708 2oo1-Oct-11 10:56:41 Page 4 CAFahmec-Model Home Lot#11-Rouli r.rsr eecirk# APPLICATION FOR BUILDING PERMIT Plumbing#24 Green Lane HVAC # Date: v / 00 > Sprinkler# No. 28122 FINAL P O Estimated Cost 95 a• o Building/^/6 / IGN D BOXED AREAS Permit Fee L Engineeri g PRINT ONLY Occupancy Fee EVERSE SIDE Appr.for CO.Total Fee TO BIALDWG DEPARTMENT,TOWN OFSOUTH WNDSOR,CT Additional Costs $ The undersigned hereby applies to do work according to the following specifications: Job Locatio La, Lot No. Side of Street Zone C o Tel# PK o)Applicant 4-6f d' Address 3-s'J Y. h e Zip aX/Z Lic.# (21 0,0 3S9 v/3 Owner 4 ss D Address I/ S,,,, e ti vs D Architect Address Sq.Ft.New Area: lst FI. 2nd A. 3rd Fl. Total New Area Rooms Lavatories Bathrooms Garages Purpose of this permit: rlxll Y o o a-., v d -, 1^ o v a v fir+s a W Z e C— / Co City Water Well Septic System Sewer Ins. H.O. S.P. Cart. Area Basement Garage Approved by Date Use GroupConstruction Type R•vked 1197 I her by 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_'—-- '- - G1 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 F Inspection / Approval Date By Appl Code Description Due Whom Code Comment 28122-B 950 B07 TANK INSTALL/REMOVE 10/05/01 GRM A TANK & AIR TEST ON LINE O.K.-LEFT STICKER B10 FINAL 10/16/01 JFF A 20PD TEST TAPE IN PLACE LEFT APPROVAL STICKER B10 FINAL 10/16/01 JFF A CLOSED OUT. vR ENTITLED "EVERGREEN ESTATES". SOUTH WI R8 4 I PREPARED FOR HORSESHOE LANE ASSOCIA-PNT AS INC. DATED DULY 14, 2000 REV. TO OCT. 1 9 y 1 P EASEMENT CONSTRU n%t _,ENTRANCE PAd' 139 6" OF 2 STONE 0N ILTER FABRIC ES EASEMENT DR 140.9 TOP 139. BOTTOM 135.50 C INV 139.00 J 1 , O 9:LF 6" PVC 0 1.0 t r a 5 JD 1t 0 O 1 139`49\ DRY L TOP 39.50 49LFO C 1 e OT M 135.5 IN 139.00 1250 GAL. SEPTIC TANK 1 2 INV.=135.67 soma/allow 3 3 LF-4"PVC ® 22.3% OWN amom SOON mom mom won J r-- r4 t L'u i 6 South Witldor- NT IPtl with mon, thh aFy9rt ethend •s 5;. "•_`..--- $tt.. 1Rt14ldink and 1 t. c0 iPAI/eaflOnn'd sir,tx n'AIY Wit al a...Fs uMA ab, sirs arid suc'1 1 ZOnin`tv the S"0141,& Eta nrdors as shall r. It M: 11cti9t on „i+f, `inal,rtMOnI duringSsualce 'nCfl`ne%Sofabulltling ei`.els I,1,,. ,•— = d subNrlePS ;,. nr;d4-•rf,Ree lect tO the C.OMp,r. „rth r'gutatin8 bu(Idinnditlon that i end,iibrttJe • g shall beY4l.r eved These filed kft,% Ji- roi•ctur Hate Clerk