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DEER �71 ELD LA . --
PE;ZM1-r PLAN
LOT #179, BIRCH HILL ESTATES
SECTION #4
TOWN OF SOUTH WINDSOR, CONNECTICUT
SCALES 1" = 40'
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Apr.
MAY 0 q 1190
South Windsor
Pi w niNr, DEPARTMENT
"Ek ► ►�iGA(ION OF ZoNi►NG CUMFLIANCE
Proposed building(s), use(s) and/or structure(s)
as shown ort this plan appear(s) to be in
conformance with current South Ih'ind: r
regulations. Variances and special exceptior:s
may apply.
Date
*n*f—orcer—xwrt---
..Off;r"
TO THE BUILDING DEPT. TOWN OF ;OUIH WINUSOr
This certified that this plan and specifications are tr—
copies of the proposed building or alterations to be
arreeected at
4-4 � -'Zj !i ee Streel
together with amendments stated in application anc
(((!!!( tiled with plan and I agree to comply with all zoning,
�lv Building and state laws and such orders as shall br
dd I" V � is"
uod by the Building Department during pendency
CERTIFICATION OF ZONING O of this application and final Issuance of a building
o Permit.
Proposed building(s), use(s) and/or stnIlgo) Signed
as shown on this plan appear(s) Ir M `1 This plan is approved subject to the condition that
orders and ordinances regulating building shall be
conformance with current South WINOW complied with.
Conditionally Approved Jhese filed with
reguhi6w& Variances and spelt !ram
may
Date 14 y' Building Inspector Clark
itle
100616 Me: C.ff '4
Zoning Enforcement OIMM
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40'
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221 . 61
DEEP, MELD L.A .
PEIZMI-' PL/JN
LOT #179, BIRCH HILL LSTATES
SECTION #4
TOWN OF SOUTH MNDSOR, CONNECTICUT
SCALE: l" = 40'
L.S. 4395
Apr. 2 i� i 9G G Rockville, Conn.
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
PERMIT#
Application is hereby: TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
APPROVED 1540 SULLIVAN AVENUE kk
644-2511 ext. 230 Bldg.Permit#
Date Building In ector
Application must be printed or typed
Location of Job:
FEE SCHEDULE �C� .,�
$0-$1,000=$15.00 Street No. ¢/ Street Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT
APPLICANT ADDRESS
APPLICANT PHONE# (QC7 V 7C)
O W N St. OWNER cnQ Ca/r1 i
< OWNER ADDRESS
C o OWNER PHONE
C _ � ESTIMATED COST$
LC�U
yr�� �IS THIS A CONTRACT COST. _Yes — D
a • • r-J}�� FEE ENCLOSED$_Z_1
TYPE OF JOB: i (Q
�S R•COS New Installation
Alteration/Addition/Repair
Revised 4/01//2002
APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side)
TYPE OF BUILD- IS THIS APPLICATION ASSOCIATED WITH A
ING BUILDING PERMIT APPLICATION? ❑YES ❑ NO
(RESIDENTIAL CURRENT USE AND OCCUPANCY
❑BUSINESS
❑ASSEMBLY FUTURE USE AND OCCUPANCY
❑MERCANTILE
❑ EDUCATIONAL
❑INSTITUTIONAL ENGINEER'S NAME PHONE
❑ FACTORY
❑ STORAGE ADDRESS
❑GARAGE
❑MIXED USE CITY STATE ZIP
(Other please specify)
TYPE OF INSTALLATION/WIRING METHOD
SIZE OF SERVICE SIZE OF MAIN CONDUCTORS
NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS
NUMBER OF PANELS REMOTE DISCONNECT REQUIRED? ❑ YES ❑NO
NUMBER OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS
NUMBER OF SWITCHES NUMBER OF OUTLETS
NUMBER OF LIGHT FIXTURES NUMBER OF HEAT CIRCUITS
NUMBER OF A/C CIRCUITS
SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED.
l DESCRIPTION OF WORK /
GJ/li � / ��G)/� �ct�U QU
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO
COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
/ y rat e( -0,1 e-/
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT ,—�� j' DATE
Electric # APPLICATION FOR BUILDING PERMIT
Plumbing# 24 Deerfield Lane
HVAC # Date:
Sprinkler# 900174
FINAL, I:I V`�-QSE - ----- - -- ---- --- - Estimated Cost $
Buildi '�t ! Permit Fee $
Engineerinj?EP--EA--T7--T76 i COMPLETE RED BOXED AREAS Occupancy Fee $ 10
Affidavit wiry A TYPE OR PRINT ONLY Eng. Insp. Fee $
Appr. for CO.�'"�- SIGN ON REVERSE SIDE / 1 Total Fee $ 4d'
TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $
The undersigned hereby applies to do work according to the following:
Applicant Location of Work Lot No.
Applicant'%Address Tel.# o(!-q?w-1 to
Town Zip- 6J.Pt7 Lic.#
Owner 4 ' Architect
Owners Address Architect's Address
� As1-, CT Zip Zip_
Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area
Purpose of this permit CLb o\j
ac
City Wate Well❑ Septic SystemK Sewero
Ins: HO SP Cert. Area Basement Garage
Approved by Date -dv Use Group onstruction Type?�
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 located in whi h this building and its use is ollowe
Signed
I hereby apply for a Certificate of Occupancy for the work described in this lication for the permit.
Signed
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
PERMIT rLOcrr,
PFRb PA 17-1745
'-,ND
CGS 3