HomeMy WebLinkAbout20 Birch Road (7)D
TO THE BUILDING INSPECTOR
of the APPLICATION FOR
PLAN EXAMINATION ANDTO" OF NTH Wumsm COW BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX.
ZONING
AT (LOCATION) Q "i r= CIA" DISTRICT
LOCATION No.) STREET)
OF BETWEEN AND
BUILDING CROSS STREET) CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
II. TYPE AND COST OF BUILDING - A11 applicants complete Parts A - D
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use T
1
1 New building Residential Nonresidential I2 Addition(it residential, enter number 12'6ne family 18 Amusement, recreati no)
of new housing units added, it any,
in Part D, 13) 13 Two or more fomi ly — 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, of units ——————— — -i 22 Service station, repair garage
enter number of 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 26 School, library, other educational
B. OWNERSHIP 4fe\ S=E-yt" e-4 27 Stores, mercantile
8 Private(individual, corporation,
28 Tanks, towers
n nprofit institution, etc.) 29 Other — Specify
9 Public (Federal, State, or
I cal government)
C. COST Omit cents) Nonresidential — Describe in detail proposed use of buildings, e.g., food
40 4t-., processing plant, machine shop, laundry building at hospital, elementary
10. Cost of improvement................ school, secondary school, college, parochial school, parking garag f r,
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. El ctrical......................
b. Plumbing ......................
c.H ating, air conditioning.........
d. Oth r(elevator, etc.)............
v
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 /V.
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS
30 Mas my(wall bearing) 40 Public or private company
48• Number of stories................
31 Ea W d frame 41 ElPrivate (septic tank, etc.) Total square feet floor area,
all floors, based on exterior
32 Structural steel dimensions ....................
33 Reinforced concrete H. TYPE OF WATER SUPPLY
34 Oth r — Specify 42 Public or private company Total land area, sq. ft. ...........
I- 1 43 Private(well, cistern) K. NUMBER OF OFF-STREET
zi*$Sul-:- +r-t 2 t.t PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL 1. TYPE OF MECHANICAL
51. Enclosed .......................
35 Gas Will there be central air 52. Outdoors.......................
oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
37 Electricity 44 Yes 45 No 53. Number f b dr ms..............
36 Coal
39 Oth r— Specify Will there be on el vator?
54. Number f
Full..........
46 Y s 47 No bathrooms
Partial........
IV. IDENTIFICATION — To b compl t d by all applicants
Nam Mailing addr ss — Number, street, city, and State ZIP code Tel. No.
Owner or fi %
e
aZ t
Lessee
2. c ct l aT- GJ CSC 23'>' kContractor
3.
Architect or
Engineer
Th owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction.
Signature f applicant Address Application date
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Revi w Required Check Plan Review Date Plans B Date Plans
Fee Started y Approved BY Notes
BUILDING
PLUMBING
MECHANICAL
ELECTRICAL
OTHER Is
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check ObDtaalneed Number By Permit or Approval I Check Date Number ByObtained
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
Bui Iding
Permit number Z Y.S,1
Bui Iding
Permit issued 19 X,--
Bui Iding
Permit Fee $
prov d y:
TITLE
TOWN OF SOUTH WINDSOR
BUILDING PERMIT
Date ju I y 19 1985
Fee Paid $. 12...0 0 Eat. Value $2 ,4 0 0
Permit N° 14558
on the aide of
Birch Road Street
Street No. 2 0
Owner .T am e s aa r vi s
Applicant R r i a n Douglas
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No.
Fee Paid $
CLASSIFICATION
Deck
BUILDING PERMiT
NY 14558
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn. ju lX 19 1985
94is is to Certify, That an Dougias
is hereby granted permission to Deck at rear of dwelling
at estimated value of $
on the side of 7n n;rrh- Rasa Street on land
owned by James Jar vi s
Said Work to be as described in Application
No. 14858 and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
Issued 1985
IC--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."