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Home My WebLink About12 Manor Lanea Application No. 3006 Permit No. 2746 TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. hereby make application for a permit to (erect (make alteration to) a building according to the following detailed statement of the specifications and plans herewith submitted. (Draw a line through word "erect" or words "make alteration to" as the case may require.) All provisions of the Building By-Laws (Sections 2 to 32 inclusive) shall be complied with in the execu- tion of this work whether specified herein or not. w South Windsor, Conn., 19............ Signhere .............................................. . ...... .................I.. .................... Addres&JIL ... . ... M=d....1 , .a:,'. ....I lil""t, -Odd....Conn Location? . ........................ ... '...side of? .. .. agt.............................................................. .......................... Nearest cross street? . .... . ....................................... ...............Street No. . Lot No. ..13 6 .............. . Owner of land is? ... ....... . $S.. ..................A A04.1..... 14,11i .... U*Vd . Owner of building is? . .... . ........$J .... ..........#1............Address 4.... ...........,..... Architect is? . . d •t 3 e Addr C •.". r........Qc=0. ....... . ........ . ...... ........ Builder is? e,+''............ '.................`s......................Addreid.. 1 ....... -BA 11 C+ ....cow fiWDimensionsofbuilding. Feet front. Feet rear. .40t.... ..... Feet deep. .. -61 Extreme height to highest point of roof? . .. No. of stories in height? . Purpose of building is? i1mi.""..... ....ift.............................. No. of stores? 4W.. . .. Howmany families? .............. .............................................................No. of rooms? .. Distance from street line is? .4515.. . . ....... ....... ..........from building line is? .. ... .+ ADDITIONS AND ALTERATIONS Give Brief Description) Map No. If of steel frame, what is exterior construction? I.. ......................... What kind of columns used? ............... ...... ............ .... ...........Size of columns used? What length of columns used? How protected? I..... ........... .. What kind of beams or girders? Size of beams or girders? Longest span of beams or girders? These rest on? . Roof construction is? Roof covering is? I............ . The floors are of construction and are calculated to carry a safe load of lbs. per square foot. See Section 14, Building By-Laws.) BRICK CONSTRUCTION. Of what material will walls be constructed? . Compositionof mortar? Height and Thickness of Walls Height Stories Front Walls Side Walls Rear Walls Partition Walls Basement, I................................................ ..................I..................................................................................................... ............................................................. 1st Story 2nd " 3rd " I....................... ...... .... .......... ............... .............. .......... ...... 4th 'd 5th 'd I................................................................................... ....... ... ................. . ....................... 6th it I................................... .............I...................... . .......................................... ............................................................................... 7th 4' I.......... ....... .................................................. ................. I........................ r................... .... .. ............I.................................................... ................................................. 8th " 9th 4' 10th .... Material.of Front? If stone, what kind? Thickness of Ashlar?Thickness of Backing? Backed up with what? Arches or lintels over openings? WOOD CONSTRUCTION. Giv Size, Longest Span and Distance Between Centres, of Joists, Girders and Columns JOISTS GISDI MS COLUMNS Floors Size Longest Span Centres Bridging Size Longest Span Centres Size I Length Centres 1st Floor 2x$12 lb" Wood 6x1 $tIn..... .... end t... ......... 2x6 12= 1 " 3d...... ..... .............. ....................... . I..t.......... .......................-........................_ . .................... 4 .... ..... ............ ........... .................. ................... ...................... .....71 Size of outside studs? .... ... `...Distance on centres? . . . .... .X6#Size of sill? ..2x4...--. .2x6....... Size of rafters? .... ...2X6. ........ . Distance on centres?... .16.. ........... Size of plate? .......2....'.'......2 '................ Size of ledgers or girts? ... ........ ... ...... . . ............... ............... .....Size of deck rafters? ... . ... .. ........ ... ............................. ............... Distance on centres? ............ .. ............ .. .. . .....................................Size of studs in bearing partitions? ........ ..................................... MISCELLANEOUS Style of roof, flat, pitch, Mansard, or hipped? .. . Pith .. . . Fireplaces? . . ......... .. ............... ....... Material of roof covering? . Plywo.od Material of Cornice? ...Piste ...KYWO.0d...... .... .... How is building heated? Hot.. water Oil............... Lining of flues? Thickness of shell of flues? . .... ... Any elevators or lifts? . ... What kind? How many? ..... Any hoistways? How protected? Total Value of Building ..2!3 j.000 . . . ................ ........... When will work be commenced? Novembe.r 1959............. ......... . . . ..... ... . . .... ....... .......... .. ............ The applicant warrants that the lot for residential purposes, shown on a plot plan accompanying this appli- cation, has 20,000 square feet, or more, and at least 100 foot frontage on a Town road shown on a map of South Windsor showing Town Roads dated December 1949, or on any other roads officially accepted by the Town of South Windsor since 1949. Applicant 2146 BUILDING APPLICATION Application No. .......3.0.0.6.................................................... on the ...........E..ast.. . .. ....... .................... ................. side of Manor. Lane. . .......... .............. Street. Street No,12 Lot #136 Owner AVery.....F.e ig.lit..s.....Go.... ..... S ameApplicant CLASSIFICATION Permit issued on above Application. Date,19.... TOWN OF SOUTH WINDSOR BUILDING PERMIT Date May 20, 19 59 Fee Paid s 52 r 00 Est. Value $ 13.4 000 Permit N9 2746 on the East side of Manor bane Street Street No. 1.2 Lot #136 Owner Avery Heights Cow Applicant Same CERTIFICATE OF OCCUPANCY ISSUED: Date No. 17o5 Fee Paid 5—3 e00 i CLASSIFICATION Dwelling 261 X40 ar BUILDING PERMIT N? 2746 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. Me$2o& 1959 94io to to Terttfu, That Aver heights Ce,% is hereby granted permission to Dw311 ice-c 61 X4COf at estimated value of $ 13 8000 on the jaSt side of Milanor Lane Lot #136 Street on land owned by Ayory H eight is C o. Said WOr k to be as described in Application No. 300 5 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. IsstA As--- r 109 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." TOWN OF SOUTH WINDSORPermitNo. c. _ a _ SOUTH WINDSOR, CONN.f ]" Permit N.! 1705 Certificate of Occupancy THIS IS TO CERTIFY that the at No. in the Town of South Windsor, Connecticut, has been erected and completed in accordance with the Building Code and Zoning Regulations of the Town of South Windsor, and is hereby approved for occupancy. BUILDING INSPECTOR Owp&; BUILDER a Fee Paid , Date 19, Application No. 6442 . Permit No. 6172 TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. 7ZE-_'hereby make application for a permit to (erect (m a building according to the following detailed statement of the specifications and plans herewith submitted. (Draw a line through word "erect" or words "make alteration to" as the case may require.) All provisions of the Building By-Laws (Sections 2 to 32 inclusive) shall be complied with in the execu- tion of this work whether specified herein or not. South Windsor, Conn., 19...a, Sign here ....11.'.. _L... .......... .. ...... Address r ..... . lSf L. c.....474-r/10 '0, Location?T..............................side of? N,e... ........ ,r .• ............ Nearest cross street t 06......Street No. Lot No. .. ro"e' m e.6C.tKAddress -Z... LOwneroflandis? rC.. . .' y:......!E"...... qPPfN fa Owner of building is? Address s~ .... ........ Architect is? ". . ifl."s......C 2e.1 Address V y t .awre o., , .,... - S' rT/4. Builderis? v, .......Address r Dimensions of building?.2 2_ . Feet front? . Feet rear? .;I- tV .... Feet deep? .. X_ e Extreme height to highest point of roof? .... / .. No. of stories in height? . L c-' Purpose of building is.No. of stores? .. zt'may. U How many families? No. of rooira? .. Distance from street line is? from building line is? . ADDITIONS AND ALTERATIONS Give Brief Description) Map No. If of steel frame, what is exterior construction? . What kind of columns used? ............ . ....... ...... . Size of columns used? What length of columns used? ... .. ... ... ......... How protected? What kind of beams or girders? .. .... . . ..... . Size of beams or girders? ... . Longest span of beams or girders? . These rest on? . Roof construction is? .............. .. .............. .............................................Roof covering is? The floors are of ...... . ....... .... ...... construction and are calculated to carry a safe load of lbs. per square foot. See Section 14, Building By-Laws.) BRICK CONSTRUCTION. Of what material will walls be constructed? . .. ... ...... . .......... .... .. . ..... .......... Compositionof mortar? . Height and Thickness of Walls Xftht Stories Front Walla Side Walls Rear Walls Partition Walls Basement, 1st Story 2nd " r.._................................. .......... ......................... .............. ... ............... 3rd " I.......................................................................... ........................................... f......................... .......... ...... ........................... ... ....... .... 4th " 5th do I.................................................... ............. ................................................. ............................................... 6t.. 'i 7``' 14 I.................... .................. . . ........... ........................................... . .............................................. S h 'd 9th is 10t............ .. . .. ............... .. Material.of Front? If stone, what kind? Thickness of Ashlar?Thickness of Backing? Backed up with what?Arches or lintels over openings? WOOD CONSTRUCTION. Give Size, Longest Span and Distance Between Centres, of Joists, Girders and Columns JOISTS GISDIMS OOLUBMS FIoors Size Longest Span Centres Bridging Size Longest Span Centres Size Length Centres 1st Floor 2nd. ...... V M.C.- ..E-.r..... ....................... ...................................................._.........._................. .........._....................._.__. ................_....... 3rd " 4 .... ..... Size of outside studs? . Z...x +4 .. . Distance on centres? .... ......1.6. ..... Size of sill? ......... ......... . Size of rafters? . . Distance on centres? . Size of late? Size of ledgers or girts? Size of deck rafters? Distance on centres? ......... Size of studs in bearing partitions? ........ ... ............................... MISCELLANEOUS Style of roof., flat, pitch, Mansard, or hipped? TG .0/ Fireplaces? . ...... ... ................ Material of roof covering? AP1Y'#4.,47' Material of Cornice? ... ... G%.. ..jCT How is building heated? .. Lining of flues? . . ............ Thickness of shell of flues? Any elevators or lifts? . . What kind' How many? Any hoistway p Total Value of BuildingHowprotected? rr..'.Gx. ..... . .. ...... When will work be commenced? . 4 5........../.. ,. "/...ec q.. The applicant warrants that the lot for residential purposes, shown on a plot plan accompanying this application, conforms to the zoning regulations of the Town of South Windsor. Town of South Windsor since 1949. Applicant 6172 BUILDING APPLICATION Application No. .......644..............2 east onthe ........................ ........... ............ ......................... side of Street. 12 Street NO, - Owner E 1110 t t No r,k Applicant X. Plus .C.or.p... CLASSIFICATION 2 car garage and breez.eway...28IX241 Permit issued on above Application. Date, 10-20-67.19 .. TOWN OF SOUTH WINDSOR BUILDING PERMIT Date Oct.2 0, 19 67 Fee Paid $. 8.0 0 Est. Value $.?...000 Permit lr 6172 on the east side of Manor Lane Street Street No. 12 Owner Elliott Kemick Applicant X Plus Corp.Inc. CERTIFICATE OF OCCUPANCY ISSUED: Date No. 3563 Fee Paid f$ 3.00 CLASSIFICATION 2 car garage and breezeway 28'x241 BUILDING PERMIT N° 6172 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. Oat'200 1967 94is 'to to Tvrfiff1j, That x Pius Carp. xno. 2 oar garage & breezeway 281 x24 0 is hereby granted permission to at estimated value of $ 2*000 on the east side of Manor Lane #12 , Street on land owned by Elliott Kemick or Said to be as described in Application No. 6442 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issued 06 t.20 s 7 o 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." i I Permit 1 o. TOWN OF SOUTH WINDSORi SOUTH WINDSOR, CONN. i I I I Permit ND 3563 Certificate of Occupancy THIS IS TO CERTIFY that die- at f in the Town of South-Windsor, Connecticut, hasbeenerectedandcompletedinaccordancewiththeBuildingCodeandZoninReultheTownofSouthWindsor, and is herebya g g atians ofpproved''or occupancy. , Buildin Inspector Owner, Builder Fee Pai Date 19 TO THE BUILDING INSPECTOR Of the APPLICATION FOR TO" OF SOUTH WIKDSM COKK. PLAN EXAMINATION ANO BUILDING PERMIT IMPORTANT — Applicant to complete all items in sections: , 11, 111, IV, and IX.O zz v ZONING AT (LOCATION) DISTRIW, LOCATION NO.) STREET) OF BETWEEN AND BUILDING CROSS STREET) CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE II. TYPE AND COST OF BUILDING — A11 applicants complete Parts A — D v A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use IT 1 New building Residential Nonresidential 2 Addition(If residential, enter number 12 One family 18 Amusement, recreational of new housing units added, if any, n Part D, 13)13 Two or more family — Enter 19 Church, other religious number of units— — — — -jp- 20 Industrial3 Alteration (See 2 above) 14 Transient motel, T it hotel, tl 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 Office, bank, professional 6 Moving (relocation) 17 Other — SpeciJy 25 Public utility 7 Foundation only 26 School, library, other educational B. OWNERSHIP 27 Stores, mercantile 8 Private (individual, corporation, 28 Tanks, towers LACJ 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,...,,,.•.,,.,,. S 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 6 If use of exi tfr g building is being changed, enter proposed use. in the above cost AV, a. Electrical...................... b. Plumbing ...................... V.r`! c. Heating, air conditioning......... d. Other(elevator, 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 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 50. 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. Numb r of bedrooms.............. 38 Coal 39 Other— Specify Will there be an elevator? Full.......... 54. Number of 46 Yes 47 No bathr ms Partial........ NOTES and Data — (For department use) IV. IDENTIFICATION — To be complet d by all applicants Name Mailing address — Number, street, city, and State ZIP cod Tel. No. 1. Owner or C4-O E L O L h, .1 bl C Lessee p 2. Contractor 3. Architect or Engineer F F The owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction. Signature of applicant Adiress Application date Izz 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Re uired Check Plan Review Date Plans By y Date Plans B Notes9FeeStartedApproved BUILDING PLUMBING MECHANICAL ELECTRICAL OTHER VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or A rova I Check Date Number B Permit or Approval I Check Date 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. 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L _••••LLs4ssL$ ':a . f.s. • ..• ./..=sss smem sre.•:/seen a:ems:m .a::s s slas./..L=Lsr:Lss=ss.•.Lss;.:inu, . s e i i ua=.a/ . . s:= ==ii=:ssss's: =ss9ess'ss'ss:?=.'s=ssss sssss ssssum sssssss=::esss: :e's::!:,:ilssisoi==e:s =:oe9's i=i-.#milssii8sss''=ss'sssl::Isifa::::::sL .i.:::=.==s:::s ::::s .lams.s.•s.s....:_...:..=..s\.........e.../s..S..s..=.r.L. r •sssL=• ._. s::r sLs ..s i L : sL Ti's.•m..ss=sss s :Ls.aa.r.e• rm•rs.a !..sa ma.s•.s sa em se s.as sss a. .e. ...ass t • rrr f• r H s. \ ..r er s-Miffs :::r:iiini: e::s:::: e-_:l:;:=l;:s::;:::::::::::5;l:=:s:::=s:l:=::: s: sss::::_:::;C::g::::::: TOWN OF SOUTH WINDSOR BUILDING PERMIT Date 1 9 19 79 Fee Paid $ 5..00 Est. Value Permit N O 10791 on the side of Manor Lane street Street No. 12 Owner Elliot Kemi.ek Applicant Elliot Kemi ck CERTIFICATE OF OCCUPANCY ISSUED: Date No. Fee Paid $ CLASSIFICATION Remove patio cover BUILDING PERMIT NU 10791 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, , Conn. 1 South Windsor, Conn. -D-%— 1979 f 454is 'to to farrtify, TMt F.314a KewJck is hereby granted permission to 12emnyp rsA Z o Bova r at estimated value of r on the side of 111) Manny. Ir shma Street on land owned by M 'i i nt Keck Said Work to be as described in Application No. 1.3-09 1- and to conform to specifications acid plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR, IssuedMAV 9 1979. f"ding 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." Ali 17 ECTION REPORT Permit #J,4zv lob 1 Footing 2 Foundation 3 Framing iWiring^^ 5 Plumbing O Heating 7 Lathing B {}.O. PERMIT # Application For 6481 6674 DEPARTMENT DECISION Heating Permit 3 APPLICATION IS HEREBY: c DEPARTMENT OF LICENSES AND INSPECTIONS N APPROVED DISAPPROVED TOWN OF_.SOUTH MNDSOR o= a 1/27/87 Thomas P. D' Auria O v DATE CHIEF INSPECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER NE BELOW p 1. LOCATION OF JOB 0 0 32 i2n.or LanevMO. STREET LOT NO. FLOOR APT. NO. O O lV O a 2. OWNER Elliot Kemick o 3 S. ADDRESS 12 Manor Lanebo South Windsor CT 06074 4.FHONE 644-8797 S. APPLICANT TT,C O 1 Company o v S. ADDRESS 17 Brook Rt-rPat Bristol, CT 06010 7.PHONE 994-2763 w B. LICENSE NO. S 1 g o2r-Ej7 Q p w 19. EXPIRATION DATE OF LICENSE c p 10. ESTIMATED COST f 259.95 7 bo 1 t. IS THIS A CONTRACT COST? YES NO p Ia. FEE ENCLOSED =- 6 00 x CO W I IS. TYPE OF BUILDING: bo m O RESIDENTIAL COMMERCIAL 0 14. TYPE OF JOB: INDUSTRIAL3 RIGINAL L1 ALTERATIONINSTALLATIONQi3ADDITION REPAIR APPLICATION FOR HEATING PERMIT (Continued tr m Reverse Side) 11. LOCATION OF JOB 12 Manor Lane NO. STREET FLOOR AFT.NO. 12. TYPE OF INSTALLATION: 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 SO. FT. GROSS FIRING RATE FLOORS TO BE HEATED NEW OR OLD BUILDING Old INSULATED — YES OR NO Yes 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. SO. FT. 0 R B.T.U. DESCRIPTION OF WORK 15. TO BE DONE: Q-i1 R„rnPr rPnlnrP-mant Tn.tal lation of Riello M-5 oil burner. 15. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS): ROOM SIZE WINDOWS AREA - SQUARE FEET e.T.U. e.T.U.I- DISTRIBUTION INSTALLED AND DOORS VOLUME TOTAL TOTAL .n NO. LL ROOM Gg083 GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED t j 4 RAD. REGISTER L W M AND TEMP. TO TYPE AND SIZE OR LEADER f'SIZE WALL 'INFILT.) DIFF. F m N SQ. FT. FREL /REA 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: NAM[ ADDRESS SUBCONTRACTORS AND te. 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. ATE SIGNATURE OF APPLICANT FBINAdL'INSPECTIONS: - 2- APPLICATION FOR BUILDING PERMIT Plumbin HVAC Date. Sprinkler 1 9 MANOR LANE Electric Estimated Cost Zoning 21876 Permit Fee $ c Affidavit NO.Occupancy Fee $ Eng. Dept. Fire Eng Dept. COMPLETE RED BOXED AREAS.Total Fee $ d Health Dept. TYPE OR PRINT ONLY Approved for CO: SIGN ON REVERSE SIDE. Additional Cost) $ TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT The undersigned, hereby applies to do work according to the following specifications: Job Location Lot No. Side of Street Zone Applicant Tel # ' 90 J- Address c y c Zip U Lic.# 5 `( ' STRE CITY .1 STATE Owner TILQ l l: Address /'rt..,iCrC Architect Address Size New Area: Ft. Front Overall Ft. Deep Overall Total Area Garages Lavatories Size of Lot Dist. from Street Line Bathrooms Rooms 1st 2nd 3rd Purpose of this Permit l City Water 0 Well 0 Septic 0 Sewer 0 Use Grou Construction Type Approved by Date ,s 5 Bo1A 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 distance from all street lines,side yard lines and r quired distances from ther zones and is located in a zone in which this building and its use is allowed. Signed. !U&C - / W 1 hereby apply for a Certificate of Occupancy for the work described in this application(f/permit. Signed DO NOT WRITE BELOW THIS LINE— INSPECTION RECORD Footing Framing Foundation Fireplace/Chimney Insulation Plumbing Permit# Inspections: HVAC Permit# Inspections: Electrical Permit# Inspections: Sprinkler Permit# Inspections: