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trot bear / HEREBY DECLARE THAT THIS MAP AND SURVEY WERE PREPARED /N ACCORDANCE 4 '� G A R D N E R Oc P G E S
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.� ' '-� _•' ,Lr ��, r rr. .- ndlor Professional ErT ineer. PRACTICE FOR STANDARDS OF ACCURACY OF SURVEYS AND MAPS ADOPTED /. `Ai_ �»"
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SOLA111 kAiirdsor
BUILDiNG DEPARTMENT
�THE SUILDMG DEPT. TOWN Of SOM WINV17P
This certified that this plan and specifiCationS aff)''»
*oples of the proposed building or afteratlono tr.
erected at C
—24�10 � - --— -- troot
logethe, Wi'. , I - I ted in -ppJJcnt on and
111ed with pf n ,nd i -ff., t,:, comply LVIth ail ZDMlnr,,
111ifilding and st tP I s —d such orders as shtill be
kfued by the' C:,ildmq Dk,p rtrn6nt during penddnc-f
QJ lot* application and final issuance of bu Ing
016 P11" 10 z;;i-e v,d subject t-, the condittOtl that
W4PJ$ and SAtiencas rrgul-j,og bull(flag Shall be
il0mpjjed Wl10,
T Y. ad�WIT?3
7
Electric# APPLICATION FOR BUILDING PERMIT
Plumbing# 1042 Foster Street Date:
HVAC # -
Sprinkler#
730804 ; Estimated Cost $ 1 �
FINAL RO
Building/1 �° °� '� COMPLETE RED BOXED AREAS Permit Fee $ Ato
Occupancy Fee $
Enginee ' TYPE OR PRINT ONLY I Eng. Insp. Fee $- iklz�.
Affidavit
Appr. for CO. I SIGN ON REVERSE SIDE
_i Total Fee $_
TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $
The undersi ed here�y a 1'es to�i wokc r g to the following:
Applicant Location of Work Lot No.
Applicant's AddressQ Tel.# 560 5a 1 '7 7 1 1
Town Zip 06 1 O"7 Lic.# L n 3-Sl
Owner Architect
Owner's Address fVct �Z Fo -lc-�— v--M Architect's Address
`SDc:1A^ CAS0C/- Zip Zip-
.-Sq. Ft. New Area: 1st FI. 2nd FI. 3rd FI. Total New Area
Purpose of this permit �T(u �. 1 b w
City Water❑ Wello Septic System❑ Sewero
Ins: HO Ec: t�CQ
rt. Area Basement Garage
PApproved by �e Use Group Construction Type
i
Revised 6/02
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 Iocated,czAmWA,iiu Idi g and Os use is allowed.
Signed t��-� %;��
I hereby apply for a Certificate of Oc pa cy for the work d ibed in this application for the permit.
Signed
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
TOWN OF SOUTH WINDSOR
AFFIDAVIT OF ACTUAL COSTS '--
PERMIT NO: DATE
The
undersigned, being a duly authorized representative of, ' 1 u u c/ '
Get LA �J
do by this statement, certify that th actual costs shown below, of the project referenced by the Permit
Number shown above,are true and accurate.
This statement is being made pursuant to the Town of South Windsor Ordinance, Article II, Section 14-31,
(a)thru(e), (see attached).
I understand that verification for accuracy of actual costs may be made at any time by the Building Official
through an appraisal of the work at the expense of the property owner.
hereby certify that the actual cost of the work performed under this permit is:
$ 1
Signature of Permit Holder•
Name(Please Print)_ — (C)
Date: —� 6 / C2 —7
.................................................................................
State of Connecticut] 0 ZL/
6 O
] ss South Windsor Date:
County of Hartford]
Personally appeared , as aforesaid,
Signer and sealer of the foregoing instrument and acknowledged the same to be
his/her free act and deed, before me.
Notary Public
Commissioner of the Superior Court
My commission expires on
BUILDINGS AND BUILDING REGULATIONS 1 14-31
ARTICLE I. IN GENERAL cable utility shall be submitted to the building
official prior to the issuance of the demolition
Secs. 14-1-14-30. Reserved. permit.
(h) Signs. The permit fee for signs shall be
ARTICLE H. BUILDING CODE $15.00 per thousand, or fraction thereof, of the
estimated cost of the sign and its installation.
Sec. 14-31. Construction and alteration fees. (i) Engineering inspection fees.Where an engi-
(a) Generally. The building permit and trade neering inspection is necessary to establish com-
permit fees shall be $15.00 per thousand, or phance with an approved site/plot plan for the
fraction thereof,of the cost of the construction. issuance of a certificate of occupancy according to
the zoning and subdivision regulations,an inspec-
(b) Certificate of occupancy. The certificate of tion fee of $35.00 shall be assessed when the
occupancy fee shall be $10.00. request for a site inspection is made.
(c) Cost of project. Building and trade permit (Code 1978, §§ 10-201, 10-203-10-205; Ord.No.
fees shall be based upon the cost of construction 127,11-9-90;Ord.No.139,§§10-201,10-203-10-
and the materials to be supplied in conjunction 205,10-10-96;Ord.No.156,§10-201,7-6-99;Ord.
with the project described in the permit. The No. 165,§§ 10-200-10-205,3-4-02; Ord.No. 166,
owner or contractor shall supply the building 6-17-02)
official with an estimate of the total job covered
under the permit. All trade permits shall have
individual costs and fees.
(d) Accepted value. The cost of materials and
labor of a project accepted by the building official
shall, in no case, be less than the guidelines
offered for Connecticut in the latest building
valuation data report published by BOCA[Build-
ing Officials Conference of America] Interna-
tional.
(e) Affidavit. An affidavit under oath under
penalties of false statement of actual final cost for
all new structures and major additions shall be
signed by the owner, agent or contractor for the
project prior to the issuance of a certificate of
occupancy; and the fee shall then be appropri-
ately adjusted. Affidavits for other construction
permit costs may be required by the building
official.
(f) Moving of buildings. The permit fee for
moving a building shall be $15.00 per thousand,
or fraction thereof, of the estimated cost of the
move.Any additional costs,such as traffic control
or newspaper advertising, shall be paid by the
applicant in addition to the permit fee.
(g) Demolition. The permit fee for the demoli-
tion of buildings shall be$15.00 per thousand,or
fraction thereof, of the estimated cost of the
demolition.Letters of disconnect from any appli-
Supp.No.1 CD14:3
14000059 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER BUILDING PERMIT
DATE: 02/25/2014
GIS ID: 33601042 FEE: 360.00
MUNIS APPLICATION# 201400153 BUILDING DESCRIPTION:
APPLICANX LOCATION
NAME: RIVARD BRIAN D&. ACQUELINE D ADDRESS: 1042 FOSTER STREET
ADDRESS: 1042 FOSTER STREET OWNER: RIVARD BRIAN D&JACQUELINE D
SOUTH WINDSOR,CT 060740 1042 FOSTER STREET
SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: REPLACE 16 X 12 DECK WITH 16 X 20 WITH ROOF.
SPECIAL CONDITIONS:
ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT.
CONSTRUCTION TYPE:
OCCUPANCY GROUP: BUILDING OFFICIAL
2/25/2014 10:43 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE