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Surveys and Maps, adopted by the Connecticut Association of
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accordance with the standards of a Ciass A•2 s.,jrvey as defined REINO E. NYYPPA rS ASSOCIATES
in the existing Code of Practice for Standards of Accuracy
of ENGINEERS 6 LAND SURVEYORS
Surveys and Maps, adapted by the Connecticut Association of civi
Lmo Surveyors, Ur— GLASTONBURY. CONN.
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Electric # 153 Clark s APPLICATION FOR BUILDING PERMIT
Plumbing#
HVAC# 19 n n M q6 Date:
Sprinkler#
FINAL APPROVALS Estimated Cost $
Building '� COMPLETE RED BOXED AREAS Permit Fee $ 1 5 —
Occupancy Fee $
Engineering TYPE OR PRINT ONLY Eng. Insp. Fee $
Affidavit
Appr.forCO. 110- SIGN ON REVERSE SIDE t 1 S
Total Fee $
TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ 2 �7
The undersigned hereby applies to do work according to the following:
Applicant w R S Location of Work 3 C CAR /� S _Lot No.
Applicant's Address ZQd 70W-fiyc if Al V0 S' Tel # Dili G�
Town S ell 0 d.,d Zip Lic.# /-/ U 4p/br/!J
Owner Architect
Owner's Address 3 C 6fA/C S Architect's Address
Zip Zip
Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area
Purpose of this permit S"�i /Oy SyCCa�.
City Water 0 Well 0 Septic System 0 Sewer 0
Ins: HO SP K JV<e—rt,, Area Basement Garage
Approved by � ate a 11 12 Use Group Construction Type
Revised 1108
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 is is building and its use is allowed.
Signe _
I hereby apply for a Certificate of Occupancy for the work described this application for the permit.
Signed
DO NOT WRITE BELOW THIS LINF
INSPECTION COMMENTS
06/21/2021 10:45 TOWN OF SOUTH WINDSOR P 1
morganamiddleton APPLICATION PROFILB piappent
GENERAL APPLICATION
Application ref 201200222 Fee Effective Dt 03/09/2012
Department 1440 - BUILDING DEPARTMENT
Location 153 CLARK STREET
Parcel 2Q4.00153
Cross streets
Add'1 loc desc
Municipality SOUTH WINDSOR
Subdivision Lot
Existing use RESIDENTIAL LOT
memo
Current Zoning RURAL RESIDENTIAL
Flood zone
Applicant GENERAL CONTRACTOR
Prol/Activity FUEL TANKS RES REMOVE &OR REPL
Class of work
Description SET 100 GALLON PROPANE TANK.
Proposed use RESIDENTIAL LOT
memo
Proposed zoning RURAL RESIDENTIAL
Flood zone
Non-conforming N
Applic received 03/09/12
Estimated cost 0
Estim start/end
Actual start/end 06/21/21
Impervious Surf
Assigned to
Status COMPLETE
Status code desc COMPLETE Multiple submissions N
Next action Government owned N
memo
Ordinance ref
Reason for app
Parent app Point in time fee effective date
Fee expiration date
PROGRESS
Prerequisites Approved 0 of 0
Restrictions/Hazards Cleared 0 of 0
Plan Reviews 0 of 0
Department/Board Reviews 0 of 0
Permits Issued/Completed 1 of 1
Inspections 0 of 0
Permit Fees Paid 0 of 0
Miscellaneous Charges Paid 0 of 0
Work Orders Paid 0 of 0
06/21/2021 10:45 TOWN OF SOUTH WINDSOR P 2
morganamiddleton APPLICATION PROFILE piappent
Application ref: 201200222 (continued)
ROLES/NAMES
Role Name/Address
OWNER NADOLNY STANLEY J & CYNTHIA A
CID : 591293 153 CLARK ST
SOUTH WINDSOR, CT 06074
GENERAL CONTRACTOR PROPANE GAS SERVICE
CID : 606416 P. O. BOX 880
Phone: 860-289-0267 SOUTH WINDSOR, CT 06074
BUILDING CONSTRUCTION
No Building Construction detail was found.
PERMITS
Type Permit Number Status Issued Fee Unpaid Amt
BLDOPE_RMIT 12000096 ISSUED 03/12/12 15.00 .00
AUDIT HISTORY
Department Action Source Created by
Date Comments
Application status change APP morganamiddleton
06/21/21 See text
1440 - BUILDING DEPA Permit removed APP morganamiddleton
06/21/21 Permit 'CERTIFICATE OF USE' (ID: 16721) removed from' application
1440 - BUILDING DEPA Permit mailed on 03/12/12 APP dayshelllforeshaw
03/12/12 Permit number 12000096
1440 - BUILDING DEPA Permit issued APP dayshelllforeshaw
03/12/12 Permit no 12000096 - BLDGPERMIT, PAID
1440 - BUILDING DEPA Permit payment collected APP dayshelllforeshaw
03/09/12 Payment collected on permit BUILDING PERMIT B
1440 - BUILDING DEPA Application entered. APP dayshelllforeshaw
03/09/12
** END OF REPORT - Generated by Middleton, Morgan **