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HomeMy WebLinkAbout23 FAIRVIEW DR Flectric # _ APPLICATION FOR BUILDING PERMIT Plumbing# 23 Windshire Drive HVAC# Date: /1-/o-o, Sprinkler# 900508 FINAL APPROVALS Estimated Cost $ F 000 �— Permit Fee $ to 4) — Building _ COMPLETE RED BOXED AREAS Occupancy Fee $ Engineering TYPE OF PRINT ONLY Eng. Insp. Fee $ Affidavit ► SIGN ON REVERSE SIDEt Appr.forCO. Total Fee $ 1.110-31 TO THE BUILDING D MENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $_ � The undersigned hereby applies to do work according to the following: Applicant n6icho C Location of Work 13WiAekS re br Lot No. Applicant's Address XL,,} Ce j sEfl t4Ke A4 Tel # 27S-7137 T Town Zip Lic.# OSaa071 Owner 3-6`e0�t tia Architect Owner's Address }3 WivwOtlre- c{r Architect's Address (AXodtt Zip - Zip Sq. Ft.New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area Purpose of this permit 12DD ivtG - rt'v1►ol/2- GZjQp1j ate Yri{r 3D ti r CerFuirt ked City Water U Well U Septic System U Sewer U Ins: HO Area Basement Garage 110V��eQ�V Approved byUse 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 hie this building/and its use is allowed. Signed �, I I hereby apply for a Certificate of Occupa cy for the work described in this application for the permit. Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS INSPECTION FIELD SHEET 05/18/11 Printed by Peart, Dayshell 09 04 17 INSPECTION: 27637 FINAL PERMIT: STATUS: APPLICATION: 200901382 LOCATION: 23 WINDSHIRE DRIVE SOUTH WINDSOR PROPERTY ID: 95100023 OWNER: SEGAL JOAN V CONTRACTOR: REQUEST BY: DESCRIPTION: ROOFING. REMOVE AND APPLY ICE BARRIER, FELT PAPER, AND WORK ORDER: INSPECTOR: ROSE RESULT: PASS REQUESTED: 03/14/11 PRIORITY: SCHEDULED: 03/14/11 PM COMPLETED: 03/14/11 UNPAID FEES 00 Date Time TIME: TRAVEL ONSITE COMMENTS: I Electric # APPLICATION FOR BUILDING PERMIT Plumbing# 23 Windshire Drive Date: 0 HVAC # Sprinkler# - -- - —- , Estimated Cost $ 900 FINAL ' R -- ---- - - - -- Permit Fee Buildingf) COMPLETE RED BOXED AREAS Enginee n TYPE OR PRINT ONLY Occupancy Fee $ Affidavit POP- SIGN ON REVERSE SIDE � ', I Eng. Insp. Fee $ PP A r. for CO. Toil Fe - -- - .� TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Addiriona Cost) $ The undersigned hereby applies to do work according to the following: Applicant So hc-, -T Location of Work 0k.3 4J C' Lot No. _ Applicant's Address (o (3,co6n\ c,)C t Tel.# % o 774s-`l9o% Town C c�:e\& L`T Zip ©6O SS a- Lic.# 6,0 600 Owner Architect Owner's Address 9:-z, Cyr Architect's Address Zip Zip_ Sq. Ft. New Area: 1st FI. 2nd FI. 3rd FI. Total New Area Purpose of this permit (Z-o o S;- 0 r 0 ';CA �s_c 4 C> `fie_ \N0,J SC City Water❑ Well❑ Septic System❑ Sewer❑ Ins: HO P Cert. Area Basem Garage Approved by Date O _ Use Group Construction Type Rsvissd 6102 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 wilding and its u is allowed. Signed I hereby apply for a Certificate Occupancy for the work described in t is pplication for the permit. Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS 01/16/2015 10:36 8582728656 SURF & POST SHIPPING PAGE 01/01 M5' pqtrN 41 '. 003Vi sane Oocapadoo ltnrfoartoatlon and AppUcstiev Fame. C o �r rh q'C"ry a IYl 4t�► = S9�u�l 16 % q o\ CoM ASSESSOR'S USE ONLY iKinor Approved.by b / Home OWSPAtion.Type 0 Ma�ac ---�` code I, NamcvOSe DBA AddnM of Proposed Occupanoa. r' U 1 • 06 01 y Telephone,4L 6 O - n T , q v1100 Zone, (Note:in DRZ W zones aWy u!Dw home oca+pa w=we avowed:*"OVsl k=f=homeowners asaa teaalseO- Descnpnoa of Some Ooatpaaon: IV fo m P MA ^ NO nr oa IL k r Please use Qte;boxes below or MO�thed Sheet to pro folio fonowij X Pmposed Sign 1. Attach copy of plot plan if available. 2. Use Box A(of attach sketeb)to draw proposed&[page. 3. Use Box$(or attach d mich)to draw die floor plan of the Ra= Occt<panon arcs. a. Arcbirecnaal elevations for say proposed additions or moodtfiataons mast he providod. n.00R pLA,N (_Basement _I"Coar —tad floor) Floor area of dwelling Flocc area of home occupation %of floor area devoted to home occupation I havoc read the:regulations regardiog homie occupations and will comply with said regulations.I uadermnd that I must notify the Plantin8 Deparonent is writing mdeaaoo of this occupation at this,address This permit is not ttansfeable,or assignable to aao&w person-Ira the event of relocation.the permit bolder must notify the Planning Depa urat iA writing to !raagfCl the the new loen Sigaamte of p OAlrb Signature of Oaner Dam c"t 16 o i STATE OF CONNECT ICUT 3Z WORKERS' COMPENSATION COMMISSION Building Permit Affidavit for Property Owners or Sole Proprietors (Conn.Gen.Stat. §31-286b) Property located at In the town of Soy Name of building permit applicant: S O hr T G,e cv2 Please check one: I. Imam the owner of the above property. 2. am the sole proprietor of a business. 2A.Name of business S T K \�orrNQ •2B.Federal Employer Identification Number(FEIN) .................................................................................................................... Pursuant to§31-286b,"a property owner or sole proprietor[who]intends to act as a general contractor or principal employer"may provide either a certificate of workers'compensation insurance or a"sworn notarized affidavit... stating,that he will require proof of workers'' compensation insurance for all those employed on the job site in accordance with this chapter." Please check one: 1._I do not intend to act as a general contractor or principal emplo [Sign and st here] D gnature of applicant South Windsor BUILDING DEPARTMENT 2._I intend to act as a general contractor or principal employer.Applicant must either provide a certificate of workers'compensation insurance or sign the affidavit below. .................................................................................................................... Affidavit I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before he/she engages in work on the above property in accordance with the Workers`Compensation Act(Chapter 568). I understand that pursuant to§31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. Signature of applicant Subscribed and sworn to before me this day of ,200 . (Notary Public/Commissioner of the Superior Court) goo FUSS&O'NEILL consulting engineers f 0 C4 a �r-,rz- G�.5f3r 6t•�. , 52.99' 7-/o u s e- Z S ;Z r!<L T-*f- le 5ZFr, SA3. so.3 12 ,3y/e- 23io.3. t-> ' I C �� `� °�3 g•N u�� �. v'� moo° I pu' 10 . Cj AO S 3 � `may �• 23 4 __SN, t U 2=:0 j O .. V Sct ri Sewer^ S hv1�' 0-Av•2 34.7 S (57ft-Ttrel Zie 4re1W)*71 CTtGC. GC>'� S711H PROPERTY MAPPED FOR Community Planners Inc. Windshire Drive South Windsor, Connecticut Scale: 1 "=40' September 29 1983 Rev%sed ►o/-t/'g3 Being lot 12 on a map entitlpr4 " Plot Plan, Windshire Abbe Estates Ltd., South Windsor, Connecticut, 9/18/81 by Fuss & O'Neill." CERTIFIED SUBSTANTIALLY CORRECT f ZONING REGULATIONS NOTV!OLATED /" WI i H RESPECT TO HOUSE LOCATION C) •rl ♦rc,,, , n 1 HEF-%E3Y CERTIFY TH,kT THIS'' 1.!AP AND E c-, N• r r,- A PAR_,,, ry AC r •;�sC� t'�tiH Ttii= 5TF.f:D.•;<:c C . r ��' CLAS, A?-��iRVcl"A_ DE Flf: D Ifd T'rii= GODE OF ,OF CO" FOR OF ACCURACY OF SURVEY$ Af'':-- ,gyp C.,�y`pM D•O't'�•�+ ADQ�T�_: �'ECE 'HEP" 10, 1975 AS r,"!Ei;C=D SY T AGLDZ fAT10r4 0= tif.D SU��"EY:,'•�. i;,_ f C,uO� 210 main street/manchester, Conn. 060M/(203)646,2469 g3�'S3£�� J 1�.� ` .__ r� �� -- Q FUSS&O'NEILL consulting engineers — 0 a -,/52.99' �`J I O SJ�0to-,C. 0.5 Yvc�` 2'sq, r47e T•�.239.3 ' INV,2Z�• 5a. ed 9/iS/83. so.3 12 t 3 Q WELL 10, mod' i�.t3 C ! tb o� N p�� � S±. •3V 8•ui � `. v moo. i33.Ce N 1 `L0,kIST V SCN,EUT.--- T r ci if a AO 24O o JJ A 111 Is 0 C` 1� �' I Zl l CEVI • �� '+c,�" �p IuV. FouNDLlTto1.�D 1 =234.5 �Sar. Sewers I •11�PIPE=234.3 c� INV.15 RCi' = 234•Il S711H �y PROPERTY MAPPED FOR Community Planners Inc. ' Windshire Drive South Windsor, Connecticut Scale: 111=40' September 29 1983 Being lot 12 on a map entitle+ " Plot Plan, Windshire Abbe Estates Ltd., South Windsor, Connecticut, 9/18/81 by Fuss & O'Neill." REV.I0•24•63 CERTIFIED SUBSTANTIALLY CORRECT NOTE*. LOWEST TOP OF 8ASEMEIJT ZON114G REGUI.ATIONS NOTMOLATED 'FL00R ELEV 1.4V ALoYE INV, WriH RESPECT TO HOUSE LOCATION OF 15"RCP C.R.#1 p;ly HE REDY r T T WtT THIS IAAP AN: S'j'iVEY i.-► �F'rREPAn=�:' !'� `•.C. r., 1v C.E V6 H THE S-ANDARC: OF A Yr ♦ �%-..C... A2�.l7,V=,) - DE F1'iED INN C'�✓_ Or 1-'GRC11C_ b OF C 0,V,y�!•.,� FOR OF <..._-URAC OF SURVEYS D MAPS, �l % : ADOPTED C� Eta 10, 1975 .y nl..fi. ED �E ,� • �-� IA,.4? CJNN'E,MCf_;T ASSOCIATION OF LAND SJ-nVE_YLr-iS. IN:. r r'•.1 y�(AMD Oy���� 210 main street/manchester, conn. 060M/(203)64&2469 '� H3-3313E FUSS&O'NEILL consulting engineers C4 52.q q' 7 71114- 710 V-5 e- 'Z5 SLIO so.. GWELL ?Y IN N low, -7-/0 .31. Cj 0 JAF�- 0 ra jj\ 51.0 '14 0 0 CEVo I t/ 0 jwV.,F0u"j)AT1o1j UpkJU=21525 Sa--n Server i VV-11"P I RE- Z 114-1 ,5 5 (5?ior,-7r7 he 1reln? ekee;-e2) 6 7 PROPERTY MAPPED FOR Community Planners Inc. Windshire Drive South Windsor, Connecticut Scale: 1 11=401 September 29 1983 Rev tamed -REV- 10-11-63 Being lot 12 on a map entitle! It Plot Plan, Windshire Abbe Estates Ltd., South Windsor, Connecticut, 9/18/81 by Fuss & O'Neill." CERTIFIED SUBSTANTIALLY CORRECT NOTE LOWEST TOP OF 13ASSMTEUT ZONING REGULATIONS NOTMOLATED IFLOOIR F—LEV. 1.1-ASOVE INV, WITH RESPECT TO HOUSE LOCATION, OF 15"'RCP C,B.#f Fell --11,10s7s ONLY I H.EiP.E3Y Cv--riTIFI.' TW;J ;HIS I"AP At PR=P- Ccoi!:,:%t'xE Vt;TH THE 1111111881op" z C oF C0jV W& FUR �TANIL'-AFIZ)17 OF A-�-�-,URAO�' OF SU�,VEYS AND 10, 191-5 AS, • 'No % ASSO�IAT10.4 OF LAND 429 210 main street manchester, conn. 06040 (203)6e&2469 E5 5--Z>-1'1)e3 E P . , A P R O V E EP� TOWN OF SOUTH WINDSOR ENGINEERING DEPARTMENT DATE: y 7 SIG.: FUSS&O'NEILL consulting engineers � c 710u s e 1 '��7//�a.'ria r�tL Scw� ct5 it 2's o :7Nt SG_ yn �9 H1U, - t >t3 p n Cj ilest � r`A0 N 1 o J 195100' 10 tF ILA v � 'S p C.7*5 '0000 sax Se wee^ ��+-'v 234.7 oicTr xe r te� eee,�td� *71 PROPERTY MAPPED FOR Community Planners Inc. Windshire Drive South Windsor, Connecticut Scale: 1 ' =40' September 29 1983 R c-v t sed 'g3 Being lot 12 on a map entitlf-4 It Plot Plan, Windshire Abbe Estates Ltd, , South Windsor, Connecticut, 9/18/81 by Fuss & O'Neill." 22 CERTIFIED SUBSTANTIALLY CORRECT .J ZONING REGULATIONS NOT VIOLATED WLi H RESPECT TO HOUSE LOCATION CE= , ;F*.' TH..',T TnI MAP AN ' . Vi;TH THEE STANDAR;. O�- t A2�tii,VEYAS 1)EFIi.ED IN THE CODE OF rfi:-'Ti„- ,�tttttEOi COhyt!.�� OF: ACCURACY OF SUR,t'El'S AN:: 5� `pM D, = AD�,nT_D CECEvS--, Fj 10, 1975 AS A-ME'.:D_) By • �y �ti��a_ C5%NE,:,T,CvT ASOLOCIAT10`4 OF LAND r r�rt: 210 main sheet/manchester, Conn. 060M/(203)6462469 A P P R o V E D TOWN OF F--I'TH WINDSOR ENCIINECRING DZEPARTMENT DATE: SIG.: — 003 FUSS&O"NEIi_L consuifng engineers 71./0 `11a ��`ZGL7ZC r/07LSE L s .s ko u."t a 5 9A5/83. ter•' n.e3 C 612 C 33.Co c. Nab K� .�'� % 33. a'ui ui `. v' yo• i _� 2E - �N AO 51.0 I ti 240 / T1 .S v 234.7 Sz n . Sewer^ 7 o. 7r n t Zc1 e ec,�ed� S --E`S77W 5 -CH 5 A r- /)71 PROPERTY MAPPED FOR Community Planners Inc. Windshire Drive South Windsor, Connecticut Scale: 1 "=40' September 29 , 1983 Being lot 12 on a map entitleri " Plot Plan, Windshire Abbe Estates Ltd., South Windsor, Connecticut, 9/18/81 by Fuss & O'Neill." CERTIFIED SUBSTANT A!LY CORRECT ZONKM REGULATIONS 140T VIOLATED Wt i N RESPECT TO HOUSE LOCATION ' .",_1'�•_ ��T! i::_CINTH COGSC� rf - OiCo�riFMyi o ' ' j, AS�_-'OCIAT110.*1 OF LAND _ o ��Sy��IIND 5v��t•••• 210 main street /manchester, conn. 06=/(203j646-2469 L3-3_)E,F fO FUSS&O'NEILL consufting engineers 0 C4 52.99' -t t Sx�cz:n a5 Ztiz a, g. O39�a�►:�QhT> ti Is' � • o A9 Et - a Q JS c.! 2 S 77'o tt,'S e 7 3.i' Ij1 ti�a^---- �Ao a a 51.0' i •0 v \ 240 0q � 241 r G V J II C.Y3 �a n Sewer S ♦ wv•234.7 SrrH S araTt xe rele? c7LCcked) �71 'we_ PROPERTY MAPPED FOR Community Planners Inc. Windshire Drive South Windsor, Connecticut Scale: 1 ' =40' September 29 1983 R e v tsed Being lot 12 on a map entitler4 " Plot Plan, Windshire Abbe Estates Ltd. , South Windsor, Connecticut, 9/18/81 by Fuss & O'Neill." CERTIFIED SUBSTANTUILLY CORRECT ZONING REGULATIONS NOTMOLATED WITH RESPECT TO HOUSE LOCATION /C l//`%`!II `AC%=%/t' Fri r.r l ♦I c'c (r t�^ S 01Z r'F r TH!JTi�IS t!AP AND SUFF-iv--r' v.LF'.: ';. VlTiH Tli2 STI%NDAR:S• CF F <. ♦>>tprruiuq�11, bE INED INTHE CODE OF Ph ; ♦�!��,t�OF CO3Vti,'o• F: ' ET:`.�.:_<<�'��_ C:F ACC-URAOY OF SUF,VEI'S AN- ♦ ♦ 5� p.M D,C !� ^`•*� _r, r : �c;;l 19i 5 A� ,` ���,,► •w�G ASS:•--iAT10.4 OF Lhf1D �3 INVI)SO 210 main street/manchester, Conn. 06040/(203)646,2469 53-3 aE✓E DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: L U G BUILDING DEPARTMENT APPRO 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 Date Building Inspect6r Apptication must be printed or typed FEE SCHEDULE Location of Job: $0-$1,000=$15.00 Street No. Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT APPLICANT ADDRESS APPLICANT PHONE# SOW N SFq OWNER CO OWNER ADDRESS OWNER PHONE C ESTIMATED COST$ C,\S O U J .� IS THIS A CONTRACT COST? "-Yes No FEE ENCLOSED$ , "U OR TYPE OF JOB: l(� -3,6 1 U� -7 7 CO New Installation _\- teration/Addition/Repair Revised 4/01//2002 APPLICATION FOR PLUMBING PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH BUILDING PERMIT APPLICATION? 0 YES O iESIDENTIAL d.d R ❑BUSINESS CURRENT USE AND OCCUPANCY ❑ASSEMBLY ❑MERCANTILE FUTURE USE AND OCCUPANCY ❑EDUCATIONAL ❑INSTITUTIONAL O FACTORY ENGINEER'S NAME PHONE OSTORAGE D GARAGE ADDRESS ❑MIXED USE CITY STATE ZIP (Other please specify) TYPE OF INSTALLATION SIZE OF MAIN DRAIN NO.OF TOILETS STYLE NO.URINALS STYLE NO.OF BATHTUBS NO.OF SHOWERS NO.OF LAVATORIES NO.OF CONDUCTORS SIZE NO.OF STACKS SIZE AREA OF ROOF NO.OF CATCH BASINS NO.OF FLOOR DRAINS NO.OF OTHER FIXTURES KIND ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW ❑YES O NO SIZE OF WINDOW IF NONE C.F.M.OF VENTILATOR SIZE OF DUCTS SEWER OR SEPTIC TANK SIZE OF WATER MAIN SIZE OF WATER PIPING&RISER WATER HEATER: TYPE MANUFACTURER DESCRIPTION OF WORK Rl�b A. k_!. '&A-, a�o N y o. � u5r\-A Ck � 5, n C TRE UNDERSIGNED HEREBY APPLI FOR A PERMIT TO PERFORM THE WORK DESCR[BED,AND lrrU— COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT �D � ����^3L2 DATE 3/y y f y a � H APPLICATION FOR HVAC PERMIT TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074(PHONE)860-644-2511 EXT.230 PERMIT NUMBER: DEPARTMENT DECISION APPLIC �EBY: rXYf PROVE BLDG.PERMIT NUMBER: DATE ECTOR LOCATION OF WORK: 23 Windshire Drive APPLICANT: OWNER: TYPE OF STRUCTURE: ❑NEW BUD-DING NAME: HARP Home services NANIE: John McCormack ❑ADDITION PHONE NUMBER: 860-623-4350 PHONE NUMBER: 860-380-7460 XEXIST NG BUILDING ADDRESS:483 Spring St ADDRESS: 23 Wndshire Drive Windsor Locks, Ct 06096 South Windsor Ct 06074 TYPE OF USE: ➢(RESIDENTIAL COMMERCIAL jim@harpmech.com HVAC INFORMATION: FURTHER DESCRIPTION OF WORK: TYPE OF SYSTEM: a HEATING a A/C Remove and replace the existing gas furnace and air HEATING: conditioning equipment with new Lennox brand fumarA TOTAL HEAT LOSS(BTUH) 52,000.F (HEAT LOSS SHEEP REQUIRED) el296UH07OXV36B and XC 16SO24-230 condenser DESCRIBE ALL HEATING EQUIPMENT(INCLUDE MAKE AND MODEL NO.): with controls. Lennox 2 stage gas variable speed blower ESTIMATED COST:S 12,000.00 AIR CONDITIONING: DESIGN TEMP:OUTSIDE 88.0°F INSIDE 75.OT DIFFERENCE 1 3.OF- FEE ENCLOSED:S 216.00 TOTAL HEAT GAIN(BTUH)36,QQQNEAT GAIN SHEET REQUIRED) DESCRIBE ALL COOLING EQUPMENT(INCLUDE MAKE AND MODEL NO.): Lennox 16 SEER 2 stage conenser FEE SCHEDULE:S18 PER$1,000 OF THE ESTIMATED COST. ROUND UP TO THE NEXT THOUSAND ONCE THE PROJECT IS $1.00 OVER (.26 CENT EDUCATIONAL FEE INCLUDED AS PART OF THE PERMIT FEE) THE UNDERSIGNED NEARBY APPLIES FOR A PERMrr TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNEMCUT BUILDING CODES IN THE PERFOMANCE OF SUCH WORK. CONTRACTORS LICENSE NO.: 13RR411 TYPE: S-1 STATE: Ct 2019 SIGNATURE OF APPLICANT: /le4yll. l.yZLQ/L�S/_ DATE: 2/7/2020 )Oaf ooa31 Electric # APPLICATION FOR BUILDING PERMIT Plumbing# _ HVAC# Date: 2111k Sprinkler# - Estimated Cost $ 75�f2- FINAL APPROVALS Permit Fee $� Building _ COMPLETE RED BOXED AREAS Occupancy Fee $ Engineering Affidavit TYPE OR PRINT ONLY Eng. Insp. Fee $ Appr.forCO. SIGN ON REVERSE SIDE A Total Fee $ Iyy.w TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ The undersigned hereby applies to do work according to the following: Applicant SD. ll- u &()_QLqM Windou3s LocationofWork 23 WIn4iSI11ct III Lot No. Applicant's Address la RP Nor Rd Tel # (got)W}7-717Z. Town sm4hfi'Q.Id, R3 0241'7 Zip 02417 Lic.# 0634555 Owner _-731in McCorMaek Architect Owner's Address 23 Wtnd,44M tx Architect's Address s>j-1h wirOwrl, GT Zip_6074- Zip Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd Fl. Total New Area Purpose of this permit S(15iall t3) t'teDiacrzrv►eyt~F 1�1%1dO�;NS (2 P ICfuro indQcass + City Water J Well J Septic System J Sewer J Ins: HO SP Cert. Area Basement Garage Approved by Date ' i .k_41 Use Group Construction Type ✓`LJVIJ� 9 Fewsed 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 which this building and its use is allowed. Signed I hereby apply for a Certificate of Occupancy for the work described in this application for the permit. Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS