HomeMy WebLinkAbout10 BEECHNUT LNElectric #
APPLICATION FOR BUILDING PERMIT
Plumbing# 10 Beechnut Drive Date: AL 13 -08
HVAC #
Sprinkler# 0064-5
FINAL R Estimated Cost $
Permit FeeBuilding/ 1 COMPLETE RED BOXED AREAS Occupancy Fee $Engineeri g TYPE OR PRINT ONLY Eng. Insp. Fee $Affidavit 110- SIGN ON REVERSE SIDEA y 'PPr. for CO.Total Fee
t ,
TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT Additional Cost) $
The undersigned hereby applies to do work according to the following:
Applicant i v o.0-e PLO,=,. % I- Location of Work 10 /1G Ee m,j v r 0R.i e- Lot No.
Applicant's Address 8 1 A 2lLo-j e o . - Tel.# R,n - 57a`1 - -7 aW 3,
Town l y T ,-4 r=a ,x -„ Zip aco 0 q Lic.# u -
Owner C 13 ti Al E L-L Y Architect
Owner's Address 10 e e c N N r -bti 1 u& Architect's Address
Zip Zip-
Sq. Ft. New Area: 1 st FI.2nd FI. 3rd FI. Total New Area
Purpose of this permit Q = q o F - T-F A 2 v Fr-- &A ti fi-A s- a s 6 U A A—E s
CF— a ram ki4.4.anAA t 3
City Water Well Septic System Sewer
Ins: HO SP Cert. Area Basement Garage
Approved by Date Use Group Construction Type
Revised 8/02
II
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 loca proper distance from all street lines,side yard lines,and required
distances from all other zones and is located in which thi ing and se is ed.
Signed
1 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
12/16/2008 08 29 (TOWN OF SOUTH WINDSOR IPGdayshelllpeartINSPECTIONENTRYpiinsr
Location Type Dept Scheduled Performed By Result
10 BEECHNUT LANE FINAL 1440 12/15/2008 FLAN PASS
END OF REPORT - Generated by Peart, Dayshell **
Electric # APPLICATION FOR BUILDING PERMIT
Plumbing# 10 Beechnut Lane Date: c
HVAC #
Sprinkler#
FINAL P Estimated Cost $
Buildin 1 Permit Fee S
Affidavit
COMPLETE RED BOXED AREAS Occupancy Fee $ j
A av
E dav TYPE OR PRINT ONLY Eng. Insp. Fee $
SIGN ON REVERSE SIDEAppr. for CQ3y Total Fee Z-C•
TO THE B I NG DEPARTMENT,TOWN OF SOUTH WINDSOR, CT Additional Cost) $
The undersigned hereby applies to do work according to the following:
Applicant JLocation of Work ole ac: C Lot No.
Applicant's Address fIt ' ntul-evLi 1Tel.# S^a -—egg
Town i S ,^ Zip Oct?_/
Owner Architect
Owner's Addres E n Architect's Address
Sn yh h _Q'i! S° Zip®!o&y2i/ Zip
Sq. Ft. New Area: 1 st FI.2nd FI. _ 3rd FI. Total New Area
Purpose of this permit g"l z 4-
City Water Well Septic System Sewer
Ins: HO SIX Cert. Area Basement Garage
Approved by &X__ Date LA1141102 Use Group Construction Type
Revised 6102
I hereby agree to conform to al the requirements of the Laws of fie State of Connecticut and the Ordinances of the Town of
South Wkxdwr and to notify the Bulding Inspector of any alerafion in Cne pions or specifications of the Bulft for which this
permit is asked,and agree that this buiking is to be boated the proper distance from al street Ines,side yard Ines,and required
drstanas from al other zones and is bated in wh Cis binding and b use is slowed.
Signed
I hereby appy for a Certificate of Occupancy for Cre work described in Cis applcatfon for Cie pem t.
I-Signed
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
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BUILDING DEPARTMENT
Z 127 112 716
Receipt for
Certified Mail
No Insurance Coverage Provided
t-,SrrES Do not use for International MailUMrEDOOSI.V-SE9VI(:F
See Reverse)
Sent to
Mr. Greg Ertel
Street and No
10 Beechnut Lane
P.O.State and ZIP Cpde
South Windsor, CT 06 74
Postage
32
Certified Fee
1 . 10
Special Delivery Fee
Restricted Delivery Fee
w
th Return Receipt Showing
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Wto Whom&Date Delivered 1 . 10
Return Receipt Showing to Whom,
Date,and Addressee's Address
i^ccTOTAL Postage
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Fees 2 . 52
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O Postmark or Date SouthiN;n
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10 THE BUILDING DE T. 'OWN Of SOUTH HINDSUI,
as stto nrt'1 ,1 this plan OPP C 1 this certified that this plan and specifications are tru.-Crt cc',
PAN pN conformance \I.tZI Current Slot-Ith "1+1d copies of 1M Proposed building or alterations to beerectat
ck regulations. Variances and sPOCIA1 OtCaptiv!; b
2"/T .A PPE-
OK may apply. g 3 Id ether wttlt
Street
g ant.ndments stated in application and
filed with plan and I agree to comply with all zoning.Date f Building and state laws and such orders as shall be1issuedbytheBuildingDepartmentduringpendency1
of this application and final issuance of a building
nir.g Enforcement Officer Permit.
Signed
This pla---_niii---I--* approved subject to theecconditio Salim
orders and ordinances regulating building shall uacompliedwith.
Conditionally Approv Jhesa filed with
ui Inspectot El«1!r
at.11
SENDER:1 also wish to receive they • Complete items i and/or 2 for additional services.
Complete items 3, and 4a&b. following services (for an extra d
Print your name and address on the reverse of this form so that we can 9
G> return this card to you.
fee):
m • Attach this form to the front of the mailpiece,or on the back if space 1. Addressee's Address fn
does not permit.
Nt • Write"Return Receipt Requested"on the mailpiece below the article number. 2 Restricted Delivery G
The Return Receipt will show to whom the article was delivered and the date D
c delivered. Consult postmaster for fee.
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v 3. Article Addressed to: 4a. Article Number
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Greg Ertel Z 127-112-716m4b. Service Type
c 10 Beechnut Lane Registered Insured
Cl) south Windsor, CT 06074 k] Certified COD
w El Express Mail Return Recei t#
I07. Date of elivery
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5. Signature ( ddre e )8 d s q,s A [i r> uefeA' 9NE 6. Signature (Agent)
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y PS Form 3811, December 1991 *U.S.GPO:1883-352-714 DOMESTIC RETURN RECE
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UNITED STATES POSTAL SERVICE-
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Official Business oGii PENALTY FOR F RIVa1E~I' JOL USE TO-AV016PXtYMIVEA -
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Print your name, address and ZIP Code here
TOWN OF SOUTH WI14DSOR
BUILDING DEPARTMENT
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT 06074-2786
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LAND
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WEST
HARTFORD
CONNECTICUT
ISM
SCALE
DATE
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APR
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South
Windsor
BUILDING
DEPARTMENT
TO
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DEFT.
TOWN
OF
SOUTH
WINDSO
rhis
certified
thet
this
plan
and
specifleations
are
trt
epica
01
the
proposed
building
or
alterations
to
6
rected
at
y
D ^
Str
ogether
with
amendments
stated
in
application
filed
with
plan
and
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all
zon.
iiding
end
st;,
tc-
laws
a„
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su'
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by
the
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during
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and
final
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builds
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rm
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sub
Octo
the
condition
th.
o,,
I
and
ordinances
regulating
building
shall .,
umplied
with.
ondltionally
Approved
These
tiled
with
Inspector
Clerl,
1 ..
4
ur
roposed
building(
s),
use(
s)
andjor
structure(
s)
shown
oil
this
plan
appear(
s)
to
be
ilfonnance
with
cu,
rel
t
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th
Wind
nulations.
Variances
and
special
exceptic.
Ii.
lay
apply.
Ate
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ment
Officer
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