Loading...
HomeMy WebLinkAbout161 Beelzebub Road (4)V TO THE B .,DING INSPECTOR of the APPLICATION FOR TO OF PLAN EXAMINATION ANDSOUTHBUILDINGPERMIT IMPORTANT — Applicant to complete all items in sections: 1, It, 111, IV, and IX. ZONING O AT (LOCATION) Jz Z e I ILA t,c- DIISTR CT_ LOCATION I NO.) STREET) OF BETWEEN AND BUILDING CROSS STREET) CROSS STREET) LOT fSUBDIVISIONLOTBLOCKSIZEAir14 N 11. TYPE AND COST OF BUILDING — All applicants complete Parts A — D v A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use 1 New building Reside al Nonresidential 2 Addition(1/residential, enter number 12 One family 18 Amusement, recreational o/new housing units added, i/any, in Part D, 13)13 Two or more family — Enter 19 Church, other religious number of units— — — — - 3 Alteration (See 2 above) 20 Industrial 14 Transient hotel,motel, 21 Parking garage4 Repair, replacement or dormitory — Enter number 5 Wrecking (1/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 Moving (relocation) 7 Foundation only 17 Other — Specify 25 Public utility i 26 School, library, other educational B. OWNERSHIP s Lt9 ne,. 4L- 27 Stores, mercantile 8 Private(individual, corporation,28 Tanks, towers nonprofit institution,etc.) v29 Other — Specify 9 Public(Federal, State, or local government) C. COST Omit cent ) 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 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 rs 3 Z 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 40. Number of stories................Public or private company 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. Number of bedrooms.............. 3B Coal 39 Other— Specify Will there be an elevator? 54. Number of Full.......... 46 Yes 47 No bathrooms Partial........ NOTES and Data — (For department use) IV. IDENTIFICATION — To be completed by all applicants Name Meiling address — Number, street, city, and State ZIP'code Tel. No. J TiA 2d t C Owner or '/ W c W A/n 1 goelp- I? -ely- fp'`f— 51 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 Application date 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Required Check Plan Review Date Plans By Date Plans By NotesFeeStartedApproved BUILDING PLUMBING MECHANICAL ELECTRICAL OTHER VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approval I Check DOTe Number B Permit or Approval I Check Date Number BppObtainedyppObtained y 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 i2486Permitnumber Bui Iding Permit issued Oct* 23 19 8_ Building Permit Fee $ Ap Moved bL:- TITLE 1 NOTESVIII. ZONING PLAN EXAMINERS FRONTDISTRICT SIDE - .SIDE YARD REAR YARD IX. SITE OR •T PLAN For Applicant sNevens.•.saw. ..•....s.w.................,...................`............. .w..........a++. .. ...••iw•sss.www.a•sr • •w•w•ww .ww•r s a a•w••ra•i## a!!Nl::i•Rlral•H::y!#*:#lra w ragoir:::/aNq li::•t:#*: a:NNNOr.i io#ssoput:A%N'#";r iai;,{::iiN!#!i If'#R•NRi• 4 l #NNl.fi:::"*"N:u:M=!llaRlas:r11MM::n:::::::M::::::::::ifii:::»»:s:»::::::::::::i/s:=::»sa1 #RR\fi. NaN:N d iti.11•RRli a ti r• ;/ a.i MN rM•i •t a !i r. r sUss•N rl rnNNR anal # sis soon.----NN:aNNNt/a•iaraaa araralris r. ;i ;R11111 isR a ii• •i M# • *M .. i;R ! •.ii iaNFi fi !N fraa ffNrl !; afsNt; llt/N1:::f:: a:»::::::::/ ii: i:• i!.•!;f/•Nt/a;*r•i# ! R R•• is Nri i i M illi r 1.;1 arr;fpfas lf . •!. #s st ii•. r•as/i •!!Fil.l1F;IN•a • •i al.lr.#•;i.#ti;•fir i .. ! a t t IN #WNNlwr1M#NrnNa# N / Ni a#arq N:iaa ii#R wa ritr/i!i Ilii r iii•••. i i it/# NpwRwaa: N N aNirafr tnsiali ! NaiwNr r/f..nN:. Niinnt .si• ia.•t # i•NrRaNiaaa» •s•N is;l//:=a . i.:.N.a NN f f*" s; q: 1:186i:li.sal:lfDir N o:M r1.1 #* 1 = ; Ain r r is: IRli IU: a` •Mx =;/i ioial• .N•i a`N.a: `_:`# ls» i i • E : i a r = •i Rio••• N i NNiNarN f ! • rra.w nit iN •N r • is rf1# NN :air•a MR**alsoRm ; l* i•a lN. R/RM#N••!i , f!!•eaRNA one -anNrllrt. •ffililUslss:llllisM•I:M:t»#triMlitM1# M itiRitNas:w sA*1eIWWWO1ts INIin1=I f a iN " o ;•ss. l`: sNssaNN:aiNssl•! rr sro•;••iaai.i«i:f: s: :siiN _ sin 1i•!sf s i s I1r*o i l:l•uir its is::ial a ri+Ti isi:rH :•lii riw:iaa::iiro.•i•.00sia is insi g1 s.l= ii si tti sitrifirrRN.i• ii aN l *a!• R ! • •i aiari N# .ta N/!!./ • s ls.IN tiaiNlfN fN:;+; i ; =I NN/:iliri • a•a!#t .i lr • ililfaiilMHrr .•i •• at:rti.#a it ttl: # ii!# i.fr t!s• e iN t• s i' 1E lll 1:1fift/iisRs N.r::asa.Ri:#s R lia.ilrsw=iii{ friFr =M ss MinnsssaR.N•Na:Na»rRa:!•#lr"N`!WW :fasr arisa;.a"„i soon: •r t• _ :• i fw• N y t it{r A: aameNi / rrRRRR•.i.AIaNN••1•• i1 ts.il/ r uN ilia: 11 i # tl. s .IN. .t• isr1lNf64111141040409!r•t t•i/a•• I i!!Won iNi• •a N f! i riilt• i•.iir anE":NN•.Ni:;l#soN aHNs .aia.a 9.wIa*U tiq.•R t ai !1{'i!N •1.ltisi a•.trtt q i1sE.fti ail#Ri.iNia#r•I•!r Mili/!!ir *Rrr•.IlrRpi l#lra .•11l Ralliii•• .Nnaii rltiliil•••.!i••illii i r tttiliNil#i•ir.#l IN# hlill Map # alwrtNr.•.{f.•lrltfiirf f* 0 at:: :f• la:::: 1R!•IN•risaM*/:#litla.:rlfii/!M•siii.l.il*.In: i i ns! #i1N Ip/•i r ii:lf#ltas fR#.. .. a; r.lf•11eNsitr! .nail;. is=•RfalNitr.tla.a:iatir•stN•!; i/ri :.la: ts!R;.s•:s Na!•Ml•t+ ss 1111i s *1{:i a:N:#:i r sN s / . s/•./r sl rrR/:r rover i NNa! iia rNi.r stiff a Nt • • ! i.Niw aNNra'"5i'aol!i lsewia/:oi1 Nr.rlos!Na.araarRaisr./a•arrl asliiir•# nor•l ot•rn iilr r•iii«! tin. iINras li1 a sRaNr !`•! :aN a:alNa allrraai.aia• fas!•Ii •.tNl.fgi.. .rrNN a a N R s#sf a: !R N as s/i t.ti 1!• r• ••si.otra= Nf a s• ai#1l a"! : ta. i.•aa llllNa:.1/ sasi`saa`s•'. i''sacra••st•ftR;.is:•ta•aNa;tNasWe •I; rtN:a:fftats`s •a:isms s+iiaassfiias;airs •a:.:Uss:ra Na.assl!r • N.lsa•.afau rsiN lra• sN ii i i r lli ; sI•nA • .; r ! al wR•r#Mi #.iN rlwnN NN NrNaaNr .s r:Nrwri• siNrrn w• :si.s• s. is lsrtfRw :I las lo i sense: Os9V1s: NN/rNi oN;/nofil IrwrNo Ra Na#lNN itsluNualasl l i;; s•Als. a •li M Nei •fnn a• .a it s•R# si/ sr• aa: l»: ass l a lsr.rid#•s.. •rasalir#rir= sari i i E `'s# I t.a: s.iN•aawasi.sirisr • . N arr r #srNri •sr/rNssaNsrrNNs NIN N N/ riN. ! is a s rr sisasl .s11 INiMI NiI itIN #.•/a#.Nr Nra:over 1.;siI; a• milsnonom 911 ;# •fl.i! #• a Ra / aaN•N r•raaNN .:sisaN..raiw ifriar•a M•iaa sNi fa. isI f: .s::M:s: la.:i ;aa ; ; •NNNN/i NNaN• . fi N41 : as f # sirisllrf1tas ;. I l i s s i::' s s rNifa as•irNstlla:: a iln= il ars 1tir • 0.9s:!• s •o /Ri .•sins!asa.ssi: arr sssoarliw::.s..arua M&" ! i r:Is at sa ssa:• r!•:: # qaNlole : N wr is snNNs.pR rw/.:rwa:.ssr/1q• RaNaa •sir sa r :i i . aa r ! airla. r •: sl:; :a#i;ra•f:s l•si:l i:•H iHH:r:9sZara/;!s#;r.!••a.:sI ril l**:i=i.t i l i i i s l 1 r llaais .s l # t • :asasra N:aa:•r•s s#aril •rsi sis:at•/ir it aralra i • i • fs:as:aisl ia •etaNrrrasair.NNaas I.rwNlsrriosa;. a;.:aa. uses l•i:a;a :i s f tees s is si• r s-lii I•:#NNo 1M1lsNRN.Nilrs aarsr Nrrrsawsaai i ai veil. Nal a:a!# s i • slglisisla•.iNa ll ronsion :aids:rsi.=isl...r: rs>As lrlA i=1 a. ;a u.r a . rf.. t ia a1 l 91 it..is.rs sa:sta•. alsrtsr:.•its 1-" • #s a • +a.i i .t uii t a ifiis:::lsas:»:N::::: i:::::::.:::»:s::: s::;tala•s:a :ss:N:A :sii. s a ii rN• sa'pia=aaNwaauaNNil./nNaastrwi.rairr sarawi::•a:s:li jaasaoa..lari N:il • = i : N$sa r«a N f i_sitf a ;ffa;;s::: lola11f*aa : :rulaalaasiilosn:;sisr•aa•aa N •• is#11 1•Isr = .;;.aNrf as«s; "ai1 ! NIN1 as l iotR # p N•i811NaMi a. 11111 i HUN:: R:ifatsa;/a .i raa a 4faari ! t .f as ; win f:•I lilt arN1111: *r •; 1i1;;ol;;.aeom s:a.!=sM:::NIs :=rfi ::.01Ha login raiJ.l•s•1 I ` aRf; ••a... . tr M aai.•.i n i /Mi • :•:. . MIN . ii Kw N1asassf:f•:s::::a::irffNfff::a°=::::ia iaa:ai:iisa::irili::aa s:iisisr srlala; s; ii`fw • N is•aN•a •ss« :Ifi ii/N s ias*»Ss :: s:r=a saoil spa i iiili :as00311aasw":a=rwijjl a iliifrsrsi r:elitiss=jlil.li:=::oohs=:i==:If•i iai iil r=ii sal•ila.a: is • r s is i • fi slri•i : S as:l`i= :s:i: sir:ssifiifi s`l`sislsiMss:i aN g1 a- sasu :=:::s::a:IH IsssI less«=:=. Ss«**ii s #noon :aaNiaaaNara• •aaN.a a! i=; moon sw•. f to N #..l •fats*N; * f1 Nisaa •ati;..t#;.i.i••w:f: ;;aas; .a;;;; is: . . oils a= siaNaii:=lM:=f lwsl is. si:iisi::lii:•fi:iiis= N:: iis isi:iasl+isri i:3ii l i#a ii lNaeiarli isa ta l a s : _= all= 1 afalls ••I 1 N••i;M•!•s.ljl•ri saw:=Is'=lwsaii/ •*s;l.i •il;ral.atitfi ai:iiM•I: si:iaNla•:aai ••asNi .it l l t .r1 siss.t • :•t :Nana! t i i la a"Ni # lM : IiN:: •iir II s:ras .•a=s isi s.:a:: aaNa..: *an mfar:None asr rllsa. s a•i•11,ior isaiitss sis.•a`i ls # arr If it 1 • _. asl#s•r sir f=:s»:«: s:sew::::«:: :s ::«slat:::sa:: .o;aa# ss:a:NsaHlf:i:asallsr. ::1:i1is: i : .. :: r ::: i:::lli slaAaf N::aslsa:rt••f :s. : a :r !!: Ci s«a. :.. •i r IIC:a : css is «: r ia: i .iif l:alasas. M:.a;;a:slir if 1=: oilsiss ::::ii::usua:ili i l iaaS{fafaNtsiiaq._aiisi r'i/itil i l 1«sliiia# r i sa i;isr:as39H.tl i ::• ==iras::a:newa:::usa onam:s names:::»s»ltlss=s::::=rfi:ss::ss:=:fill::hail: Norio/•liai/liana a i;:sin. s Mats;•.ss"s.0. Is=s a =.f:' s fs ''sla's=«'=«'s=isssrss`s x'sssss««s`ssssss sass:sls»«ss=«s«ass« ::«/:awl«as0ss`: sshin':•`:a`las:a. a f,l aafiila: a::aso .sill ors•; aia.. l:; a.rt.;..•lrisri:la..ar••r••:mar;..•:MON:i:si;==N:•ssl ll«=rl;;ra:sl i I i;; i is;; l;ss 1 1111 fill Dias s/I1:slisilt;falsl...• Ns••.:sr • a•ir.: Naa•ria. ar.r ra..•r••.a ••a.raiiirr.Rrs •a• ram Nrr r.ar a• i/r to aaNaasas/. !r !save • l'saa« "==a ss`=««::««'s«a=ss««sas«««ls:sVIVIN:ssssssssss`sss;lsls:'ssll:l'ss«sass«:s:.Is's:ss«sees««:a;s«; »Il:.;s«s. ««: as«.$ t: s:a:a:gam ssms Ilea:a::s =save:::::::Isi::1M==ii0HUii=:s:::=ii1i.=isiisisHHUi:::::i::::::::::isiiii::::i::is=::isisisiiil::ai:i::s==moos:ii==:ii:ls:loose sifsl#111HUistil:! ii:::::s s:= sin.=•fi= mooii =i;S»:=:i:=:i::r==i«s== =S:isi=s==i i:i::s=i:====a::s:if:::si siau s`lHfoist=sgwosi:is:ails ia:ia Hiii l=N::fii 1:$a.:•:. r a •r.r.iaa a•: •a• :rr •a..:•••i.r..NN..•••r:.r...a•srir.•ra rNa sea •:N:a.:•Na # lases s•..Rnfa ::• ss:Nita •afarraIn N• i•!!a=• •s...aR•,a./aM.N:=N=aa•::Ni.NNa:o"HWUN•:.N:•.r.• ..N•aan unc an a Banos Nra=NIH1111 ::afa»aa.a fi/ls•aa•iI arils aN.Nsar Ir fs`s= : sMM_:.:f fif: :.a :=Ma`:sr f:iZ=MMii_MMMM:MUMiiM%:sN: MSMMMM:aiis:H'af.s :M:svoloR _;M•_; N•. NHHUM.Nia•.N •Nif a +N N• yy'"" aNN i/ :f rRNs I:«::: :::=HIS $:aa:ss:a:ss::a::ass«=l«a's: :::::::s:::::a::::s::::,::::::::::::::M:::M ::a!=; :::M::: ::l:::::sasassa afa;;:Ni a...Z :a:l;alrif.w r: sr..r f.u•usNs.a s#•Na! r• .• r!a• ra: • / as s a/ seas asa .s N saa lfAlleles'ease« l:=sssa«ssssss's's=as== ==s's sa ;ass:s ss ssssss sass ss:s:ss:sss'slssss«=slsla;;anew« s11a= :s#sal;; sa;ssm.; !: Is s :s$:•a'««s ::sooa:=a!ra=slra.••a.=:rasa:=r•a.:arm::al rraN.:...r•a•r.a.rirrs.a•an=.•r..i iN.i:•.rss ria==rsNs=i..==rRi ii/si:rilsl:ai:iali /sw=•lia iN N.nai ii a a• l•;= =i«siss:= ::=:::nM=l:off« ss•• •.i:•r a..:.aa:•=..:ss;.•Ms NN•=a•;• fill; rr ors ri;; t.a= s . les ::ll=sgss=a=salsass`ssss ssssssslssssssls`s='Elsess=MIllu 113s=ifs .s:s ! msas frImpgomfinsinon .is = «sssgw«s fla MsM:=M:fi:M::Mins=ii::M=i«:f:M:MMMM:::f:::s:f:::::::::M:s:=::n::s:M=M=ssas fl::`:•Ii::_irara=s::iisi nisi: iaiis881`i i:iiMsi::i.a isi=•iiins;:ss:s:ISHH aas Nas;....s..;.s.....ar .::f...•..r•sal...ar••..t...rr..a......s.=.,=.;_...;..3 INHm•;;.a;aa.f=a:.::•sax:ass»N?:.g:.;.=.asss:siss:==sI /r. M Ma::..ra. NN •a.u•.••:NNN•rN••:r•::.....a::•r.rNN••.a.r •N Asa •:f..•an ! aN .ai `. pN a N s •• Ili•Mss*/:%:a:NM::::::::::MMs:..Ma:•:•M rt::::.wM::M:aM::.N:::M..M:M.::M3:M::=NT M M:•• ::#::::l..i::l:==.;.a:::H::; N s:::cs:: TOWN OF SOUTH WINDSOR BUILDING PERMIT Date : v_. Oct. 23 , 19 81 Fee Paid $. 4.. 00 Est. Value $ 32 5.. 00 Permit N0 12486 on the side of Reel zebub Road Street Street No. 161 Owner Lester W. Whi tp Applicant Lester . White CERTIFICATE OF OCCUPANCY ISSUED: Date No. Fee Paid $ CLASSIFICATION Wood/ coal stove BUILDING PERMIT N° 12486OFFICEOF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. Oct. 73 19810 14io To tit Cjerftfu, That Lester White is hereby granted permission to Install wood/coal burning stove into fit s"ce. at estimated value of on the side of- 161 Beelzebub Road - Street on land owned by le s tor White Said Work to be as described in Application No. 12786 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. issued Oct. 23 oil Building Inspector. Streets and sidewalks, obstructed by e=vations 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 cats and damages which it shall sustain, or be compelled to reason therefor" N Rpro M T Md' y sw 1 s,fir' vd.. . 1 f 11 Y t 1 8b04653125 Jan. 14 @© FAX NO. : i r•. FROMW e r ywy.+7i+.itAaiy,•NMI 11\1.,1/'... 1.,\,.. , V .r ( O ow,&-_ TOwn Of SOUR iteo sOr jr6wg IilEtd• South Winkor, ZOM146 OOA*g OP Ads January 6 1 1967 it 7.+,.54 t 7„{,1.y n •r J :t Fy r Any. 7 . j. p •.•'t,•.7 q' J i` l 7..tiY% 4+ r_ y :;ti' y...; y' t; ^.9r •il•, .iJ. •f• a4?'•t,,y. .. w•' •r -• r"L '••'•-.ti rx.T..a!r.',A/., •1' •, r a' 'f y s: L•.,T N.NN 1*'i' Y 1 I Y'J.r I.I j+ 1 y N',' IN i."•„1..t: lj,+ r:•=:4"'` tv r 4 ';, 1 \ t , ,<•,.y 36A'. 7 T.t F J."'. rr!'•'h t Mr ester 7 1'•,'tir';j'JJi•r:.V. `:i''..'.;y.,r' A t /. '1 al.1•v 7• Y •f Ir ;7,.(:'ii.!• .'"y?•li.•+j1:jAY., j)j' r;_+'• v r-1_. ;,;' g';; - ;Y=: ' wux aPP; ,cat ion .o tb$ to.{nti `Y Y°u that Y e a],s :xec Y ..' : - .::r:+ iz i rZ:otxixig .gpd.gf:>,:. P., t ens, thanyr : i Ui bud ' on. as 011ows t:, front V'06 •acted uPf i:;r'a i I Q&' g has . ..:..,. Y*e:•'0.^ :'( 1}f•'_ I.Ki'i c••h'f" r'S:„:i;„.:. •""'e' ....j hyt.^ZI+i':•9F f 8„yd.?' F.J. J.•. . 1..:'rp''- 7 a..t'..' y L ithit$y+y.•.yrr .:i ./::+.. j, im:;; ••••wi.•+i:' :1. e.:rl ram • I rii Q.x! t i'Siarf• F¢+1'+s ltip,1r,. i-'•. y•. t'• t ... V V '•r'!!,,.V ' Tdt O Other 1 l. rx :' ;' 1' 0 L CCjL3&4 tute s e1 r,.i: • ;r:: i: ', ;ths:r:Mi Board. o .;1t, foota• em ? rarey'# . rr.•':e, lJril't z0 i/ii1i'e,'. r . n ). :vax'3.., d sl wn ins^y(• M.:, .j,''F,, I/R ,p:'•s ,.• Y. a. yy.:^ i 't'i$h O t , • ; , ."M...'+ ,• r.r w',? iTd''.T7+'t:'a•J'.1 t•'.•H t ''./ •. i'P ' .. ; .t':?:. .J' r' Zii:J,+'ZJ'A'./ .4Lr' "''i+.mill]* t1r•'a;'?•:.1 .i..a.'r' f•iRr:'. 4');: •i.r r 4r r•r ,.: !. ni•.iiN1'Jyv,+V i';a, 1'1Cw:Vi AM 44 'i• •',!'+ '' :\'r• i• ••i t: t r K. I i' r w.'?v. u• P2 ``,'.'.4..'.!(. w•' ..,t:r^, i1rK''•Y,J {(* i. +,•. ryw,, :, !,,.'J,+.!/ r'';y; i iR' i1 •j 4• r '.. '.. yt fat+ .:'.-:, '...,.;, •p-vt• 'i7.iL\7,,"v•.7 J a.' , •:t ff: y j:'',•. :'/.d'JXh '+•T... .,i v1 ::i':';F'-y.. ",I.: "1:' r'1S .i•, ti4..r ,,SM+' t.•a 4• '•(.R:,+'.!ttyi!'r;Y"r?f l,:'.;:r3r,'!;ft j.,,K•, .:1/.'.;MJt`:+, 'r y.,. '1•,. '1 '''";_-d', r '•t.Yc: M• r i 1''1••:' riY,,r L/' i ',,• •7,•.. ~:• r.'-i' 7''J1;j,J 1,r r i y: +:X r r t>~1, t• 'vr!+r .+i:, *tC; •, 't•7 7 Z,; t tY .'t'a•,1ti,`;JS A `,. 7 • rEn4 t . y+ f r[Y i••. ram' li`K•7 A. kr+.-, , r,•.'•:f;;.;:; .r r l'. y+. i r t ,SIR• r irt'4'ti'r!';• JJ v•'•.x s •?• .,: M'a;'?•,i't JJ'.* r+'''t'';V'rwr"b':ti C v.o-•:'«.'i•..M .»: 4, < 7- 1?+r i .is V y J.p .t,f4.1 -,v.t" Ii:aft t,.n.'s:':1 r.•'+ !N: r. .. 7 P'''F. a,.. 7 :4;.rt f'`•• t:, •k' 7 «-7, { .,,,:•xy,••,;w' o J:, .a5 f.:• `.i 1;iy.r. '.J t'';•':;•ti::r^.s.+%': .•','''•.••"t.;.i;i! •i. Sig r., y,,, ir;1iFy::;^..•L '$ Jr''r. •"" t .". •Y.,, ..Yp d+by: -•L''yti . ,. %Yi• r.. •• 6.. ' J .• y;r, ';• '.,,.,' '•. t[•X.i L ,{•;,.7/ ij,,w.{ ? J•yyW: •R,.r r N- +`7';,•w'.«,. r! qtf r,''t' 7}Y, y' A'...w. w,.. i r',r'!,.> r"a.lY ww,,k e•t.':•1'7'...-A'•i-:; „ Tf.:• ZONING CO*aSSIONyjISORPLANNINGAND gular Meeting - January 23, 1968 present: Messrs. Carino, Pugliese and Wholley Mrs. Evans rnat63 present: Messrs. Fuhr and Wellington sabers present: Mr. D. McLaughlin - Bldg. Inspector r: Mr. E. Lucek - Director of Public Works a item of business was the application of Shepard-Pola Incorporated,jbe first ion Rye Street, Sullivan Avenue, South Windsor fora 4 lot tjWphe ard--Poly Inc. Rye entitled Meroposed Industrial Park Property of S p treet South Windsor Connecticut dated 12/29/67 drawn by C. M. W• Job No. of 2 Morton S. and 7123 Scale 1" = 40' checked by D. P. Sheet 1Connecticut" was submitted t isaociates p 711 Cottage Grove Road Bloomfield together with chedk in the sum of $29.00•It was noted that this subdivision bid been given approval in 1966 but had become null and void due to map not be3.ug placed on f ile in the office of the Town Clerk within the stipulated It was also noted that George Street is a private street at the r tests on Lot #2 are more present time. Mr. Lucek stated that percolation am adequate, and that drainage Is also adequate. 1 Tbe application of Lester W. and Lillian White fora 3 lot subdiv eloamunt Beelzebub Road was presented by William J. Carrington* Check in 1/22/680 of $27.00 was presented together with percolation tests dated s not adequate iA 1.00 fee still due). It was noted that the map presented was opert and a map is to be submitted showing entire acreage of the on final pr p Y and how it was divided into 3 pieces. Application of Clayton D.Mather together with map entitled "Key Map showing r'Fr location of Property Subidivided for Clayton Mather Chapel Road South Windsor Conn Scale 1" 1000 Jan. 2, 1968 Griswold Engineering Inc." and check in the amount of $28.00 was presented by Attorney R. Kuehn fora 3 lot sub- divis ion on Chapel Road. It was noted that public water is available at th:s location. The application.of Symo Industries, Inc. for a Plan of Development in an IX zone at 2019 Route 5, South Windsor was submitted. It was noted that Syme Indust' a manufacturers of prefabricated buildings. Mr. Carino noted ties airis that a permit for driveway onto a State Highway will be required• Th2 application will be heard at a public hearing to be held on February , 1968. be submitted to the Commission prior to February 10, 1968. Map will 14tters Town Manager Sprenkel- dated 1/22 and 1/23/68 were Passed toof14-76thememoersmwhichletterspertainedtothepossibleacquisition T Hall ea by the Town of land adjacent to the Civic Center site (new own pation} asking for this Commission's comments on this proposed acqu is it ion. Carino noted that CRPA's recommendations are in the affirmai a ananddthhat R. Donald felt that this would be consistent with present p FTOposed plan and would serve as open space now for future potential use tar the Town. After discussion, on motion by Mr. Wholley, seconded by Sprenicel indicating Pug liese a letter will be written to Town Manager c•. i.EXECUTIVE SESSION Discussion was held on the applic at ion of Lester W. and Lillian White for a 3 lot subdivision on Beelzebub Road, after which a motion was made by . Pugliese, seconded by Mr. Wholley, that preliminary and final approval be given with the stipulation that an additional map showing the complete pies of property and the subdivision of this parcel into 3 pieces be submitted as part of this application. Unanimously voted and so ordered. The Shepard-Pola 4 lot subdivision was discussed and on motion by Mr. Wholkr, seconded by Mr. Pugliese, pre liminary .and f inal approval was granted with the t rrovision that the linen maps, which are understood to be on order, will be submitted properly stamped. It was further stipulated that this approval is contingent upon certification that the road will be built either by the Tou x or the Developer, the certification being defined as a Town Council Fund Appropriat ion or a Performance Bond in favor of the Town for the full amount of the construction. It is the Developer's responsibility to approach Town Council for the Fund Appropriation. A further stipulation is that the name George Street is acceptable to the South Windsor Fire Department. Unanimouusl voted and so ordered. The 3 lot subdivision of Clayton D. .Mather on Chapel Road was next discussed ofper which motion was made by Mr. Pugliese, seconded by Mr. Wholley that preliminary and final approval be given to this application. It was noted twat the Commission was made aware of the fact that this property has a depth variance on the entire section given by the Zoning Board of Appeals. Unanimously voted and so ordered. Mr. Carino advised the Commission members that the budget for 1968-69 has to be submitted to the Town Manager by January 31st. Mr. Car ino advised r that based on expenditures for-the past year that possibly the budget could be decreased and the following figures were discussed: 65J.00 - Personal Services S250.00 - Supplies 500.00 - Contractural Services 1290000 - CRPA - although this assessment has not been confirmed as yet b7 CRPA* next advised that the Park and Recreation Commission would like to ..Mr. Canino n meet with this Commission and a date of 1/30/68 has been set for same- A letter dated 1/10/68 from The Southern New England Telephone Company st at -' . their policy in regard to underground cable was read. S- he andPola Inc. - 4 lot subdivision - Rye Street- - ApprovedSP - ' Approved t L. W. & L. White - 3 lot subdivision - Beelzebub Rd. - ed Clayton Mather - 3 lot su bdivis ion - Chapel Road - Appr at a publiR Syme Industries, Inc. - Planof Development IX Zone - To be heard hearing - 2/20/68 F Town Acquisition of 14.76 acres of land Approved Plan of Development - Roland Jones - Sullivan Ave. r Jurgelas property) Approved Rules of Procedure for. Alternates to Planning & Zoning Approved Commission 11 1. 11 1 C yDSOR PLANNING AND ZONING COMMISSION - JANUARY 3, 1967 uy MEETING ewers present: Messrs. Carino, Kupchuri6s, Paine and pugliese K t others present: Mr. D. McLaughlin Mr. W. O'Neill A N etisig was called to order at 8:00 P. M. utes of meetings through November 22, .1966 were approved. KA 1 1 communication was read from The U & R Housing Corporation in which they requested extension of time for Final Approval of preliminary subdivision plan for Sections 7I and VII of Birch Hill Estates to June 30, 1967. Cxt on the agenda was the Grillo application for Change of Zone from I to gastricred Commercial, which application had been heardCommitssCommission Hearing on govember 15, 1966. A letter from the Traffic Safety the planning & Zoning Comm ion's inquiry to them) was read in which they stated c did not feel that this change in zone would have any different effect on j that they 4 traffic flow in this area. Garin next advised the Commission members that the Capitol Region PlanningKre ency at its December 1966 meeting proposed an increase from $35,000. to $40s,000. for the 29 participating towns, which will be voted on at its January meeting. Liso at the January meeting of the CRPA, a vote will be taken on a temporary. assessment to the- towns of $402000. for a study which must be completed by July 1968 on Sanitary Sewer Refuge Disposal. This would bring South Windsor's total assessment for 1967 to $2240. It was the consensus of the members that South Windsor should remain as a participating town as the benefits derived I e. ederal monies obtainable through this :membership, offset the assessments. It was suggested that at the CRPA January meeting, an amendment might be offered that would either freeze the assessment for a certain number of years or that it could only go up a certain percentage over so many years. 4-r. Lester White presented an application for a 5 lot subdivision known as 161 Beelzebub Road" for which he will apply to the Zoning Board of Appeals for a lar-ance on frontage of lots, some of which are undersized. 1 Ar- Robert Donald of Brown, Donald & Donald led a discussion on the proposed i 44*ndments to the Zoning Regulations for the Storage of Major Recreational Equip- f went• After much discussion on the results of the Public Hearing of 11/15/66 on thi9 item and the necessary further study which must go into this proposed amend- sent, a motion was made by Mr. Pugliese that the Planning and Zoning Commission Regulation undera4eaofurtheractionontheproposedamendmenttotheZoningg action 4.1.9 (g) - Major recreational Equipment - and that this item will be 44'n into consideration under the 701 Program under the portion known as Zoning U Viation Rev is ions e i I i i I I f i 7, Ha t was the consensus of the Commission members present that the 701 Program meetings, which will be held on the second Tuesday of each month, will be held at the South Windsor High School at 7*30 P. Mbe1 t - Mr. William O'Neill led a discussion on proposed amendments to the Subdivisic, t egulations among Which was a "Capped Sewer" requirement. After ,discussion, tb was decided that the Sewer Commission would be invited to meet with the Pla Ln F tM wid Zoning Commission at its next regular meeting on January 24, 1967, and a etc further discussion will then be held on all the proposed amendments to the Subdivision Regulations. a lot subdivi.s ion on East side a:forApplicationofthe-U & R Housing Corp. 3u Felt Road was presented for Preliminary and Final Approval. MCUTIVE SESSION A motion was made by Mr. Pugliese that an extension be granted until June 30, j 1967 for final approval of Sections VI and VII of Birch Hill Estates. Seconder . by Mr. Kupchunos, unanimously voted and so ordered. A motion was made by Mr. Paine that preliminary approval be given to Mr. Les Ur White's application for subdivision of 5 lots known as "161 Beelzebub Road" subject to the following stipulations: 1. All additional information necessary for Preliminary approval be submittal to the Planning and Zoning Commies ion prior to final approval. 2* That the variance for undersized frontage on four of the five lots be pe gran,.ed by the Zoning Board of Appeals on Application No. 582. 3. Side yard line between 1401 and 1801 front lots may be altered to the west on the final plan. Mr. Pugliese seconded, unanimously voted and so ordered. The Dorothy A. Grillo application was next discussed and a motion was made by Mr. Pugliese that this zone change from I to Restricted Commercial on land of Dorothy A. Grillo, Sidney Isaacson and Burton I. Cohen on John Fitch Bouleva- ' ' be granted. Motion seconded by Mr. Kupchunos, unanimously voted and so or The application of U & R Housing for a three lot subdivision was next disc after which a motion was made by Mr. Kupchunos to give preliminary and fin approval to a three lot subdivision consisting of two building lots knO as' 1 and 2 and the remaining property around and between these two lots beingtO third lot; on the east side of Felt Road, all land of the U & R Housing Co ation. The recommendations of the Town Engineer dated 12/27/66 will apply 3' which state that sidewalks will be provided along the frontage on Felt Road] } that portion of Lot 3 between :.ots 1 and 2 to be maintained and reserved as right-of-way, to be graded in such a way as to provide for future roadway• and when the acreage identified as Lot 3 becomes developed, the 50, resew strip between Lots 1 and 2 will require a sidewalk on both. sides of the the full length of Lots 1 and 2. Mr. Paine seconded the motion, unanimous voted and so ordered. r ZONING BOARD OF APPEALS Wapping Elementary School January 5t 1967 too p.m. i R. PrOvOst, Messrs•S PRS '3 T:F. Pierce W Chairman R. Reeves ,,E. evens, h l 4S5 Foster Road, South w ® r, 1 .. iichael 0. Bel ppyICATICN ance to allow a building closer to the front t s a var wn as 1 8 5 Foster Road• R Rural none quee tted on Premises kno pertai lained the reason Inspector, exp Kr Donald McLaughlin, Building to slow this dwelling to bethatrequestforavarianceermitted• He stated t t for thisresented to the set closer to the road t ap lot plan is P Priorthreefpermitisissuedbuilding a a building P wi the ioca ion of the.moage survey Wilding Department showing gageerly on the the issuanC s of the. Certificate of occupancy, propus sated, which shows whethermeowed that the house hadib al lotisregInthiscase, the survey t. the road than shown in thii°giat oneAltsixfeetcloserto located three feet over the building and is corner• Haydn Griswold was survey ed by Mr.. • Bell stated that the property to the surveyor'aa stakes* the foundation was put according which Mr• Bell built. for himself• this is a hone w to l61 HeelZebub Road, jqappingheLesterW• 'hi lots with less than PPLICATIOi $2 " low four building Road. requests a variance to arises known as 161 Beelsebub required frontage On prem R Aural zone t an application to subdivide Commission 1. McLaughlin statthisedthat to the planning and Zoning om white property had been received their preliminary faPProvQa 1$0 f lot on January 3, and received e=,ty into one 140 lot, poses to divide the pro d thee® 120 f lots• lair•• XcLaugg-in T"* located) an n an aerie]- P are his home is. f the property o 100ftwedtheBoardthelocation lota in the su'oun •ng area were He said that most of the feet or a little more• Commi.,ssion, Chairmau, Planning and Zoning given forAletterfromKr• Carino I a roval had been tts read. It stated that PTeliminar y P the condition that a varl c®iforthinfivelotsubdivision, with the Zoning be ranted on four of the lots by Undersized- frontage g rd of appeals.t use ut intoCari.no sti ated that Nr.' white felt he could t beeethe his land by the property and recover what has outpthat there is no way to ding it in this way• He pointed the 11+0 foot lot any larger. a 1 t he purchased two lots kith 100 feet of Mr. White stated the P The rest of ttie property was purchQ frontage each about 1951. before that time as one Parcel' APPLICATION Alfred F• Yacovone, 177 Clinton Drive, ajdir variance to allow installation of an amateur AA-30°requests a varian Clinton Drives 1 antenna tower -on premises known as 177 1$7 Clinton Drive, stated that while he v Mro Donald Sherman, eal he would like to see the tower loc: not Oppose to the app as little of it as possible could be behind the house so that He questioned whether there would.b any in' d from the street* i ent as a result ference with television or FM equ Pm Nir• Yacovone l s broadcasting: that in the event of interference, meatMr. Yacovone stated there should be no problem.I' cooperatives evasion set take parties are cases the installation of a filter on t.helocation of the tower He said that t care of the problem• This location y--.his side-yard was because of severalcationrg•Since his lot is would be best for effective eo uln portion to the rear of the T wooded except for a smal P heavily i the tower to the side will leave the rear ya= house, locating a family* The overall height of free for other uses by all the T. installation would be in accord, the tower would be b$ feet• The guy wires woulc t with the manuf acturert s recommendatio line there is approximce located 15-20 feet from thee property rs Sherman i s. Mrs Yacovone s; 5p feet between his house an o locate the tower to the rear of hisc to d©wnthatinorderthewouldhaveto and be able to rotate the antenna, some of the trees. there is any way to use a filt er on ovol.r. Provost asked if which as on 21 megacycles IF* Mr. Yac d old television set whi assigned to the amateur ra said that this frequency was now assign CC and there would be no way of instainiz4_. opRrator9 by the FCC, i which would prevent interference on sucgsaid therefilterwhfir. provost, Mr* Yacovone anotherto question by j _towers which could be raised and lowered* r telescoping Cij FIVE SEsS ION tion $1 - Michael O• Bell Anplica moved that because fir. Bell took the necessary Mrs Relives mo n this building and that, for So' I precautions for constructs g th 2 was not located as plannMovd s ..unknown reason, the building this constitutes a hardship and that the varibceranted. building three feet closer to the front line g y . Boucher seconded the motion• All in favor. Bone opposed* t 4 839 d so ordered• a unanimous vote an 1 1967Vagt. FjpFECTIVE DAM January 9 Lester W• White I_jc ati°n $2 t e request for a I thought VIr• White had a Leg o the honing geeves said he a t east, 'but the other lots fit in lot farthes ce He could see no hardship all1unit w 8 lations at 1$0 feet that if we were to peen aid on6uakingupthisludriedsimplybecausetaxeshasbP fie in the regula- uirements to be varied q is there would be no sense in Chang dividu 1 luire more front age o tion s to require d with Ir. Reeves. X.; Pierce agre6 A lication #5$2 i moved that we grant a variance for PP Boucher in"that there is no Or t withh the frontage of 1 4 feet, but r the lot ble which constitutes a hardship; for a frontage land avails th a variance fo r the rather ea . that we deny shown in that the remainder .of'the app t lots because there was no hardsh P wee 12t foot Use*I4r, Pierce seconded the motions r:. in favor* None opP was a unanimous vote 90 ordered•and y` E TIVZ DATA: January 139 19 67 EFF C J283 .. Alf red F. Yacovone lication nter- Xr• Provost said there is nothing that can be done ald be allowed s. He did not feel a tower sho ersied about. erence in some case Yacovone was more con a AA- 0 zone* He felt `Mrs ei hors i property values tho use of his own Bard than with his n ghd and the aesthetic values of the neighborhoods of a major recreational Ire 'Havens felt this fall into the ce the i t to use his land Use, and a property owner should have the is he wayhe desires• i Boucher suggested that the location of the to could be Movedhouse so that it could not be Sedowri andbehindthe from the street. Some of the trees cord becut hat if we had tower placed at the rear of the lot• He ffeet of his lot, it fir• Yacovone keep the tower in the rear e a This word Provide would be at least 140 feet from the str dome protection to the neighbors. Reeves ointed out that i ir. Yacovone could operate his radio thout this tower and still cause interference• Itr• Boucher out thaw in cases where the int rfere.cce Qannot be corrected with a filter, the party still to the FCC. Sectric# APPLICATION FOR BUILDING PERMIT Plumbing# 161 BM ZEBUB ]ROAD WAC # 26577 Date: f ho Sprinkler# No. F11AF7;Estimated Cost $ Buildi COMPLETE RED BOXED AREAS Permit Fee TYPE OR PRINT ONLY Occupancy Feeff' krAt SIGN ON REVERSE SIDEAppr.for CO.Total Fee TO BUILDING DEPARTMENT,TOWN OF SOUTH WWSOR,CT Additional Cost) $ The undersigned hereby applies to do work according to the following specifications: Job Location-&LI e, A d Lot No. Side of Street Zone Applicant Tel.# Address / — V-e0lt-61- AA H Zip Lic.# Owner W k?4f Address lee Architect Address Sq.Ft.New Area: 1st Fl. 2nd Fl. 3rd Fl. Total New Area Rooms Lavatories Bathrooms Garages Purpose of this permit: I r 4joyi 6mar_ A e V City ater Well Septic System Sewer Ins. H.O. Cert._ Area Basement Garage Approved by Date Use Group Construction Type R*YW 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 b ' ing and its use is allowed. Signed I hereby apply for a Certificate of Occupy or the wo seribeti in this application for the permit. Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS Bectric# APPLICATION FOR BUILDING PERMIT Plumbing# 161 BEELZEBUB ROAD WAC #7 Date: 2`P 4 Sprinkler# No. 24631 FOM XEstimated Cost $ V6 b Binding? ' COMPLETE RED BOXED AREAS Permit Fee A C End TYPE OR PRINT ONLY Occupancy Fee $ Affidavit SIGN ON REVERSE SIDE 04 Appr.for CO.Total Fee I;k TO BULNHC WARM",TOWN OF SOUT1-!WHWk CT timl Cost) $ The undws4W hereby applies to do work accorc!'ing to the following specifications: Job Location 9 6/ ,j12e b o4& Q,.Q Lot No. Side of Street Zone Applicant Tel# 6 q4- ?.T2 3 Address-5/ a o r- S-- i...- 4-t, L4 Zip ai 0 4 a Lic.# o o _'S a )M Owner Il')r- In-h.,c6 Address /G/ Aee( ZtA., L 12 Architect Address Sq.Ft.New Area: 1st Fl. 2nd Fl. 3rd Fl. Total New Area Rooms Lavatories Bathrooms Garages Purpose of this permit: 1 f o v a[a. City Water Well Vs Septic System Sewer ems^ Ins. H.O. S.P. V, , Cart. Area Basement Garage Approved by Date Use Group Construction Type RwiNd 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 alloNed. Signed 1 hereby apply for a Certificate of Occupancyfor the work described in this application for the permit. Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS eectric# APPLICATION FOR BUILDING PERMITPlumbing# WVAC # Date: eI R Sprinkler# FINAL APPROVALS Estimateded Cost $ COMPLETE RED BOXED AREAS Permit FeeEngineeringTYPEORPRINTONLYOccupancy Fee $Affidavit N REVERSE SIDEAppr.for CO. SIGN O Total Fee TO BIAlD 1G DEPARTMB IT,TOWN OF SOUTH W SOR,CT Additional Cost) $ The undersigned hereby applies to do work according to the following specifications: lJob Location C9 C; c, f t Lot No. Side of Street Zone Applicant-LtAitsie. it 6a, Re,, Tel# 9 )S 11/'7r Address O r ) Zip© v I Lic.# Owner 9K 11 C o1AS Address ( ll ,da Ie Architect Address Sq.Ft.New Area: 1st Fl. 2nd Fl. 3rd Fl. Total New Area Rooms Lavatories Bathrooms Garages Purpose of this permit: Chvtr 0 aka Gu riddF City Water Well Septic System Sewer Ins. H.O. S.P._ Cert._ Area Basement GarageApprovedbyDateUseGroupConstructionType Revsed 1197 I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town ofSouthWindsorandtonotifytheBuildingInspectorofanyalterationintheplansorspecificationsoftheBuildingforwhichthispermitisasked,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 w0ch this buildin a s use is allowed. Signed I hereby apply for a Certificate of Occ ncy for the wo escribed in this application for the permit. Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS INSPECTORDATE, Efj TIMEG/vl2 LOCATIONI(9I rZG- vA INSPECTION: CODE: RESULT(D/A) : BUILDING: ail ELECTRICAL: PLUMBING: HVAC: OTHER: CONNECTICUT WORKERS' COMPENSATION INSURANCE AFFIDAWY FOR PROPERTY OWNERS OR SOLE PROPRIETORS bo 7 a DateCrQ Property Owner (s) e q z1 0 I or Sole Proprietors Property Located at elze m v1,0 iel JA& 060 Y' in the Town of South Windsor, Connecticut I )a n c 6z,E n a/CL. the OWNER of the above described SOLE PROPRIETOR, property or a hereby swear and attest that I will require proof of WORKERS' COMPENSATION INSURANCE from each and every contractor, subcontractor or other worker before he / she engages in work on above described property in accordance with the provisions of the C.G.S. Chapter 568. I understand that pursuant to 31-275 of the Connecticut General Statutes, officers of a corporation and partners in a business may elect to be excluded from coverage by filing a waiver in accordance with C.G.S. 31-275, and that sole proprietors are not required to have coverage, unless they file their intent to accept coverage pursuant to C.G.S. 31-275. si d ) date ) The foregoing was acknowledged this day of 19 at South Windsor, Connecticut, before me. Notary Public My Commission Expires: