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Home My WebLink About14 Elizabeth Street i Application No. 108 3848 pp � Permit No. TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. hereby make application for a permit'to (erect a building according to the following detailed statement of the specifications and plans herewith submitted. (Draw a line through word "erect" or words "make alteration to" as the case may require.) All provisions of the Building By-Laws (Sections 2 to 32 inclusive) shall be complied with in the execu- tion of this work whether specified herein or not. South Windsor, Conn., ..... ........ 2'19...6 Signh .....,.... ....... ....... .......... ........... - Address y.Ei�....... .. .. ........... ... ........... Location? ........... ..................................................................side of? .. .. ........... ... � .. ........................ .. .....................Nearest cross street. Z. ..... �!- ................Street No. ... ......... ........................... Lot No. ..,. ........ . Owner of land is. ... .. . . .... ...... . ..Address .. .£.......... ...... .......... .............. ..... Ownerof building is? . .......................Address ............................................................................................ 00, Architect is? (� .............. .....................Address j ..... ........... Builder is? <.. &.zad.. .'......Address ..... .. . ....... ........... .. ............... ........... Dimensions of building?ZO�)((P.5.-. eet front? ....6 -��7� Feet rear? . .- _/Z,Feet deep? .. Z E em (f e height to highest point of roof? .......... .... .............. No. of stories in height. . . ... Purposeof building is? ....[7 .. . .. ................................ .................No. of stores? ...... .............. .. ............................. .............................. Howmany families? .. ...........................1.....................................................No. of rooms? .... . ........ ............. ....................................................... Distance from street line is? .. .. ..`S ... ............................from building line is? ....... .... ....1.....?-'.............. ADDITIONS AND ALTERATIONS (Give Brief Description) .............................................. ................................................................................................................................................................. ................................................................... .................................................. ....................... .................................................................................................................................... ................. . ... ..................................................................................................................... ....... .......................................... ............ .......... ....................................... Map No. ... ... ........ If of steel frame, what is exterior construction? . What kind of columns used? ........ . . .. .... . ... . . Size of columns used? What length of columns used? . How protected? What kind of beams or girders? Size of beams or girders? Longest span of beams or girders? .... These rest on? . Roof construction is? ................. ...............Roof covering is? The floors are of construction and are calculated to carry a safe load of lbs. per square foot. (See Section 14, Building By-Laws.) BRICK CONSTRUCTION. Of what material will walls be constructed? Composition of mortar? . ............. Height and Thickness of Walls Height Stories Front Walls Side Walls Rear Walls Partition Walls Basement, ........................ ...... ..........................................................................,....................................._.............................. .................. ......................... .......... ............................................. 1st Story .................... ........................ ............................................................................................................................ ....................................... . ........... . ..... ...... ..... ........... 2nd " ... ......................................_..................._.......................................................................................................... ..... .... . ........ .........................I............. .... 3rd " ..................... ... .... ....................................................................... ......................................... .......................................... ,......................... ......... ........ . ....... . ......... .... ..... .. . 4t'h " ..................... ...................................................... ....................................... ......,.......................................................................... ... ......... ..... ........ ....... .... 5th " 6th " . .......... . . ...... .........._.................._........................................................................................................................................................................._......................................................... 7th " ............................ ........................................................ ............... .................I....................... ,.................. .... ...... ................. ..I.... ........... .............................................. 8th " ........................................_..._.............................._......I................ ......................... ..... ................ ... ... ..... ..... . .................. ...................... 9th " ...... ............................. .............. . ............. .. 10th " Material.of Front? ..If stone, what kind? Thickness of Ashlar? .Thickness of Backing? Backed up with what? Arches or lintels over openings? WOOD CONSTRUCTION. Give Size, Longest Span and Distance Between Centres, of Joists,Girders and Columns JOISTS GUWZ 8 COLUMM Floors Sire Longest Span Centres ErWd&g Slze congest Spsn C=tM Sine LOW& Centres 1st Floor ...�/�. ..........�� /i � ..._.. _ _... _..._...._..... .... ...Xl..0. ........... ................ .....t.X..� .._...._. __..._............._.._..... ._....... ._... _...__.._ .4 .... .... .............. ................... __...._... .............._._ .._....... _..._..... ._._......._. Size of outside studs? ....... -. ... ........ Distance on centres? ............J�........... ........... Size of sill? .......2...x.' .................. Size of rafters? ...Z...X4.............. Distance on centres?................../6 ..... Size of plate? �/r 4 ..�........ .............................................. Size of ledgers or girts? ........... ... .............................................Size of deck rafters? .................................................................... ............... Distance on centres? .............. ........................................................................Size of studs in bearing partitions? ..........Z..X.... ............. MISCELLANEOUS Style of roof, flat, pitch, Mansard, or hipped? ..... . Fireplaces? ................ Material of roof covering? . .. . ....................................... ..........Material of Cornice? ................... ..................................I...... .................... How is building heated .. ..... ...................!/.... .Lining of flues? ... ............... .... . ......... ... .................... .............. Thickness of shell of flues? ...................j......../....................................Any elevators or life. ........................ What kind? . ........ ... How many? ... . .. . ... .. .............. Any hoistways? .. ....... .. .... . ........ .. .......... . How protected? . .. ............. ........I............................ .................Total Value of Building .. ...................... ,� When will work be commenced? . ... ..... 16... ............................................................... ................. The applicant warrants that the lot for residential purposes, shown on a plot plan accompanying this application, conforms to the zoning regulations of the Town of South Windsor. Town of South Windsor since 1949. Applicant R A-.8 BUILDING APPLICATION Application No. —41.0.8..................................................... X,orth on the ....... . ...... . ...... ... side of 7 C, t-',-i S t .. .. ........ 1-D e .. ....... Street. Street No, Lo.t Y 3 L. Owner 6o."w'indsor i�onst-r.Co. Applicant ...... CLASSIFICATION ... .. .... .... 2 - Permit issued on above Application. Date, 1-ar,,26, 1962 7 I� i f TOWN OF SOUTH WINDSOR BUILDING PERMIT a Date March 26,. ig 62 7 2.00 ��r .0 Q'D 3 Fee Paid �$. '� Est. Value �$. . . i I ` Permit N9 3848 I on the N cr th side of Elizabeth S t. Street Street No. Lot 1346 � Owner So.Windsor Constr. Co. Applicant Sam CERTIFICATE OF OCCUPANCY ISSUED: i i Date No. 2323 i Fee Paid y$3.0 0 CLASSIFICATION Dwel 1 i ng Pbly651t, E i t BUILDING PERMIT N® 3848 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. March 26,E 1962 X 4to to to Terti"f1j That So.Windsor Constr,Co. is hereby granted permission to Dwelling 24*65JI at estimated value of $ 18*000 on the North side of E'1 i z ab e t h t, -L,o t i 346 Street on land owned by So. Windsor Constr,Co. Said Work to be as described in Application No. 4108 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issued March 260 1962 Building Inspector. Streets and sidewalks, obstructed by excavations or building materials, must be guarded by barriers during the day and by both barriers and colored lights by night. SECTION 1343, GENERAL STATUTES OF CONNECTICUT: "When any person shall place or keep building materials, or any obstacle in any highway (or any sidewalk) either with or without a license therefor from the city or borough in which such highway may be situated, he shall pay said city, town or borough all costs and damages which it shall sustain, or be compelled to reason therefor." ' 1 . Permit N TOWN OF SOUTH WINDSOR SOUTH WINDSOR, CONN. Permit N4 2323 Certif is a of Occupancy THIS I TO CERTIFY that the .V 'rf at No. 'n the T of South Windsor, Connecticut, has been erected d completed in accordance with the Building Code and Zoning Regulations of the Town of outh Windsor, and is hereby approved for occupancy. Building Inspector Owner, Builder Fee Paid Date , 19 PRIMUS & WELTI ENGINEERS Glastonbury, C nR. Ur 5c3v, C.401w STt.;Z. �Y\ 1 1-- G ' 4 � '�4 5 ZZ ,170 j ff5' t-t -- `7 i i P L CD-r L A, L �.`�. :5 4 VAL 12-e 5 7 A-r P-:5 FOUNDATION CHECKED i, _ �U�U� DATE SCALE CIRTIF1ED SUBSTANTIALLY CORRECT SIGNED DATE SIGNED TOWN OF SOUTH WINDSOR South Windsor, Conn. This is Not a Permit WAIVER OF CLAIM In consideration of the TOWN OF SOUTH WINDSOR granting�Gir.Q!•. ,per ission to connect with the surface r wate sewer located on. . . . . . . . . .� .'. . . . . . .on th . . . . . . . . . . .side of. . . .property at . . . . .�� . . . A. . yet Direction Direction . . ._/�. . . . . . . . . . . . ► .for the sole purpose of draining off. Number Street I, (we) hereby assume all responsibility for any damage resulting from said connection and further agree to in- demnify and save the Town of South Windsor harmless from any damage resulting to me or others. I further agree that this drain will not be used to pump or drain any washwater, septic tank and/or cess- pool of any kind. I (we) specifically waive any claim which I (we) may otherwise have against the Town of South Windsor or a y backing up of.surface water through said storm sewer.I also agree to allow inspection of t� .s x'air b n� time in the .future bl age rtfs of the ss Town of 5o.�lindsor is waiver s a e 1 ing upon me, my eirs, executors, dmis ra ors and assigns. IN WITNESS WHEREOF I have hereunto .set my hand and seal this 20th day of March in the year of our Lord nineteen hundred and 62 'g Seale d ' presence of. . . Z;Dellive . . . . . . . . . . . . . . . . . . . . . . Y . . . . . . . . . . . ./. . . .L.S. T . . . . . . . . . . . . . . . . . A s .�'re� PTI:f FlQgL ant. X411eY. . . .L.S. STATE OF CONNECTICUT, Estates, Inc. as. A. D. 195 COUNTY OF Hartford Pleasant Personally appeared,Renald A. Grenier, President Valley Estates, Inc. Signer and Sealer of the foregoing instrument, and acknowledged the sam be his free act and deed before me. . N . . . . . . • • . . . • .Notary Public My TO THE S ING INSPECTOR of the APPLICATION FOR TOWN OF SOUM WI OGM CAOI11N. PLAN EXAMINATION AND BUILDING PERMIT z IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O ZONING 1• AT (LOCATION �<<Z +,U r S ' " DISTRICT LOCATION (NO..)) (STREET) / OF BETWEEN MrrAl < yry AND 4C-- 1>G'�[itJOO� BUILDING (CROSS STREET) (CROSS STREET) SUBDIVISION �L��4SE}N`r I�i9-LCLc Y ��` r LOT 346 BLOCK SIZE N II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D —� �v A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use M 1 ❑ New building Residential Nonresidential 2 Addition([/residential, enter number 12 One family 18❑ Amusement, recreational of new housing units added, i/any, in Part D, 13) 13❑ Two or more family - Enter 19❑ Church, other religi us number o/units- - - - -.p. 20❑ Industrial 3❑ Alteration (See 2 above) 14❑ I Transient hotel motel, 4 El Repair, replacement or dormitory - Enter number 210 Parking garage 5❑ Wrecking (1/multifamily residential, of units ------- - -- 22❑ Service station, repair garage enter number o/units in building in 15❑ Garage 23❑ Hospital, institutional Part D, 13) 16 ❑ Carport 24❑ Office, bank, professional 6❑ Moving (relocation) A1904145 25 Public utility 7 ❑ Foundation only 17� Other - Speci/y�--� ❑ y 26❑ School, library, other educational B. OWNERSHIP 6-k@t4r11> I'OOOL 27❑ Stores, mercantile 8 KI Private(individual, corporation, 28 ❑ Tanks, towers n nprofit institution,etc.) 29❑ Other - Specify 9 ❑ Public(Federal, State, or local gov rnment) C. COST (Omit cents) Nonresidential - Describe in detail proposed use of buildings,e.g., food p processing plant, machine shop, laundry building at hospital, elementary 10. Cost of improvement............... q 1 school, secondary school, college, parochial school, parking garage for, department store, rental office building, office building at industrial plant. To be installed but not included If use of existing building is being changed, enter proposed use. in the above cost a. Electrical...................... b. Plumbing ...................... c.Heating, air conditioning......... d. Other(elevator, etc.)............ 11. TOTAL COST OF IMPROVEMENT S 111. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L; for wrecking, complete only Part J, for all others skip to IV. E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS 30❑Masonry(wall bearing) 40❑ Public or private company 48• Number of stories................ 31 ❑ Wood frame 41 ❑ Private(septic tank, etc.) 49• Total square feet of floor area, all floors, based on exterior 32❑ Structural steel dimensions .................... 33❑ R inforced concrete H. TYPE OF WATER SUPPLY 34❑ Oth r - Specify 42❑ Public or private company 50. Total land area, sq. ft. ........... 43❑ Private(well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed ....................... 35❑ Gas Will there be central air 52. Outdoors........................ 36❑ Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY 37❑ El ctricity 44 45 N ❑ Yes ❑ 53. Number F bedrooms.............. 38❑ C al 39❑ Oth r- Specify Will there be an I vator? Full.......... 54. Number f 46❑ Y s 47❑ No bathrooms Partial........ NOTES and Data — (For deportment use) IV. IDENTIFICATION — To b compl t d by all applicants Nam Meiling eddr ss — Number, street, city, and State ZIP code Tel. No. �R,f C CIA-1P 9f- �- S w �✓ �2. 6 p� -�q�/ Owner or Lessee Po"IVA 2. -} w.v J.� Contractor 3. Architect or Engineer The own r of this building and the undersigned agree to conform to all applicable laws of this jurisdiction. Signet of applicant Address Application dot 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Required Check Plan Review Date Plans By Date Plans By Notes Fee Started Approved BUILDING $ PLUMBING $ MECHANICAL $ ELECTRICAL $ OTHER $ VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or A roval Check Date Number By Permit or Approval Check Date Number By pp Obtained Obtained BOILER PLUMBING CURB OR SIDEWALK CUT ROOFING ELEVATOR SEWER ELECTRICAL SIGN OR BILLBOARD FURNACE STREET GRADES GRADING USE OF PUBLIC AREAS OIL BURNER WRECKING OTHER OTHER VII. VALIDATION Building 11543 P rmit numb r Building Permit issued y 14 80 19 Bui Iding 12,00 P rmit Fe $ Approved by: TITLE ZONING • DISTRICT SIDE • . SIDE YARD REAR YARD IX. 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I ■■ ■ ■■ ••I•• ■ . ...s...Ls.=s::==::L:=.=s::=::s:: =:=s=use:=:::::::::::::s::::ss::::::::::::::::::::::::_ ::::=sL:=a:s::::::::::;:::ss:3 ::=:.�s::Nssz . s■ii■ •:::::::: is .omen.. .. _ e:SS=:is■rigs;•=a�ssi=: :=:. :.:. .: : :::: e= _ s � :='s6':Ee e l nus a e:'si= =E=e'ss:=:=: :8aa:a°:sss�s�:'ss=im III s�N=a=$a � ='s s iS s::.�:s: t::: :=:s::=S=�:enn.ae■:::.:a::n.n■sera..sm.■ram.. ::............:........:■.ssS.....:g.■.s.e..is..�ss...s: .ss■ewi•=...s .Na..�N...... ;_j: _�_= s:�:: _;==:::E::s"siFEs:::'::'s :�=='s:::.=:::e:'s:::= ::'s:'s::=e9::�::'s:�=E:e::�:i= :�9��.ee:..::::=a:: s=:=�K•=srws As ? ::===a::si':=:e: _■ S:=: =::==i=:::;_�_::=:=s:=::: =:s:::::_:::: _:::::::Zi:=::isLss::::::=::i:s:::= _=::==si=. ==son=s=i=:�i:■rii a:e ::�=Y' iwa" Rose a ' a=Roe ■, 'fir= e::mc"s::::s gameness 'swagon's:s=:=:��_ '':::____��::=::'s:=:: ==s:'; ��===e='s:=e==::s;�: :'s:e?�='s:tee::::= M :s:s: :::::ss:s:s=s::::::s::=:::::::s:=::::::::::::::::s::::::::::::::::::::::=::s::=::s:::s::=::::l0:s:: :s::::s...=t.:::=asszss:�=:s::::s_!m::::__: ... .. sss:::::s:;::s:::: :s::::s----;:::s:;;-------:s::s:------------------:------�--s:;s::=;::---- ::l---------sole:::;::-:::-:::::ash-Le ::::::::;:: TOWN OF SOUTH WINDSOR BUILDING PERMIT Date May 14 , 19 80 _ Fee Paid .00 Est. Value $1,099.00 Permit N° 1ft4 on the aide of E1 i zabe th Street Street No. 14 Owner Richard & Dona Fee Applicant Richard N. Fee CERTIFICATE OF OCCUPANCY ISSUED: Date No. Fee Paid $ CLASSIFICATION Above ground pool BUILDING PERNWr N2 V 11543 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. ��4- 1%0 94is is to Certif-U, That Richard Far is hereby granted permission to Above ground Pool at estimated value of 0 on the side of 14 R1 i i abe th Street on land owned by Richard and Donna Fee Said Work to be as described in Application No. and to conform to specifications and plans filed with said Application, and Building By- laws of THE TOWN OF SOUTH WINDSOR. Issued May 14 1980 J" �!Zr Inspector. Streets and sidewalks, obstructed by excavations or building materials, must be guarded by barriers during the day and by both barriers and colored lights by night. SECTION 1343, GENERAL STATUTES OF CONNECTICUT: "When any person shall pLce or keep building materials, or any obstacle in any highway (or any sidewalk) either with or without a license therefor from the city or borough in which such highway may be situated, he shall pay said city, town or borough all costs and damages which it shall sustain, or be compelled to reason therefor." I I(TNSPECTION REPORT Permit # Job ` 1 Footing 2 Foundation 3 Framing 4 Wiring 5 Plumbing 6 Heating 7 Lath i ng 8 C.O. i �so r CpnS T 57 2" z oa � 40 O L POOL. L 0C, Yl oral : C34 � S�O r Pkvw, tfeK of House POOL C34 - Js c . �t I 00.p s s i'-is"_z.o I Z.4 t3 E'7-15/ T. MORTGAGE SURVEY FOR RICHARD N. & DONNA F. FEE 14 ELIZABETH STREEI SOUTH WINDSOR, CONN. Scale: 1" - 30' June 11 , 1979 CONhft To: Heritage Savings & Loan Assoc. Conn. Attorneys' Title Guaranty. Fund Inc. i z No. 3076 l 1 MRtB7 CIRTI" M&T VMS SI FWY w, t ACTOWV JI A51 UFM THE GROUND AND TWT 1T Ahi-j THE wrotMATION. COURSES AND DISTANCFS SHOWN THFREQtV ►:W CvFHECT: THAT Tt+C TJ!LE L:NtS ��'y��'G S�F,��•``` A► V Llhi =F A�'iU: t: _ ;' .:.'►, 16Rr 'vkr SAMi Ti-.A. Irif S;'I. LOCATVr-N AN: I1F� :J c, . ' ,•.;._ :,a" t1�Pf^r.'VE�(i,;= ARE jY SW'>*h ANTL ALi -%kF THi i."'.h;':•: Lrh:c i i�" }'r ♦' �CRTT: 7flA1 THEkE AN ►v" v!:,:-A i iUN'_ F &I- #,P-: 'I S A14V ItCGL%A110h5 M'ITH t'iErFk'L- f 1v "+HL .rJ:i'i!' ti i,; CERTIF?fII, SIUM.TANTiAI-4-1 Ct."!► cIv I* ACCOAt.^%rf µiit, =s11C 8111L.rJtii�-S 13A JIOY1fFcuVEM1EhT-1 AN. 'H/.i ?r+F•' pkf ti? A4 or CODE OF fit. TJZHWCAL C0104CJL INC. 1FASJ MATS O;i UGES /AFFECTJN% THIS VRUYf k:" Air-f,RAhT Fkv1A7.4 --- A CAREFUL JNSPICTION OF THE SAME 01tiER THAN $t1UW%1 Atop r�l D LAND ll1RYFY0(t D M"- EL' THERLON. 1 APPLICATION FOR PERMIT TO DO ELECTRICAI. WORK. No. .....41.29....................... P rmit No. .....71..1...5... ................. TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. -1-.... hereby make application tQ perform Electr cal Work according to detailed description below. All provisions of the Rules for Electrical Installation, Section 48, Buildin By-Laws, shall compli ed with whether specified herein or noott,.,,�} South Windsor, Conn., ....... . ` .<�''!`!'Y.... 9 ..... 19-k Sign here . .... . . . ............ ........ ... . .......................... Address e�12.4.E'��'/ . ... .:: .... LZ ��....... •fir....... .... ... Side of ... .... ................................................................................................... Location ...�{........�..../.... �.�.... ....... ................ ... . ........... Natureof Building .......Poo..0... .... .......................................... How many stories ......................................................_........................ ................. Newor old Building ............................... ............................... .... ... ...... . How many families ........................................_........................................ Kindof Installation .....PDP.!-................................................... .. . How many Stores ........................................._.........._............................................ Owner ........................... ..................................................................................__.............. Address ... ..__.....__........_.__...... Architect .................................................................... .... ............................... ..... Address ........................................................................._................ _._.._.__....�.... r Builder .. . ............. ... ..................... ............ .. Address .. . .. ......... ............. ................................................_•___.................. Electrician �. Address ....... W .)'A ..�T?- /!! ............._...._...._..... Size of Main Wires ... ...........L.Z....'.3................. _ No. of Light Loops ... ...... .......... No. of Heat Loops .. No. of Power Loops ....._..........._............_.... No. of Light Outlets .................................... No. of Heat Outlets ....... . ... No. of Power Outlets ..................................... Nob of Light Circuits .................. ................ No. of Heat Circuits .. . ... .. No. of Power Circuits ................ ................ No. of Sockets ...................... ..... ....... ....... No. of Heat Receptacles .. ... . No. of Motors ........................ ........................ No. of Panels ............................................................ Size of Heat Circuit No. of Power Receptacles .. . ................ No. of Switches ................................... .......... Total Wattage .......................... .................. Size of Power Circuit ............ .... .... Total Horsepower ..... .. ..... ........ ......... No. of Straight Electric Fixtures ................. ................. ......... ...... No. of Combination Fixtures ........... ........................... .. .......... No. of Receptacles ................................... ......................................... .............. No. of Cord Drops .............................................................................................. Remarks: For other kind of Installation ............................................................................................................................................................................................. ...................................... '. '.. - ..4............. '. '............17?2..... D._�°`....... � o ......... .4.d ................... <.'� - ..r.............. .........................................................................................................................................._..._..............._.......................................................................................................................................... ........... . ......................................................."7 ......................^`............................................._................................................................................................................. ...... Estimated Cost ............ ................................ 7115 i ELECTRICAL APPLICATION Application No. 8129 on the aide of El i zabe th Snwt Street No. 14 Owner Richard Fee Electrician Homewwner FILED IN OFFICE OF The Building Inspector May 14 1980 INSPECTION. IV-No Electrical Work shall be started until a Per- mit is granted by the Building Inspector. In New Buildings no wiring shall be started until the plumbing and heating pipes, and the fire stops (if of wood) are installed, without a special permit from the office of the Building Inspector. TO THE BUILDING INSPECTOR of the APPLICATION FOR AND TOWN OF SOUTH WINDSOR, CONN. BUILDING PLAN EXAMINATION PERMIT IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, and IV. O I• AT (LOCATION) \LA �.L_\Z (A `J 6� V\ S r�t f-T ZONING DISTRICT LOCATION I (NO.) (STREET) OF BETWEEN AND BUILDING (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE N II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use � 1 ❑ New building Residential Nonresidential 2❑ Addition(If residential, enter number 12❑ One family 18❑ Amusement, recreational of new housing units added, i/any, 13❑ Two or more family — Enter 19❑ Church, other religi us in Part D, 13) number of units— — — — -i 20❑ Industrial 3 ❑ Alteration (See 2 above) 14 Transient hotel, motel, ❑ 21 ❑ Parking garage 4❑ Repair, replacement or dormitory — Enter number 5❑ Wrecking (1/multifamily residential, Of units ——————— — _ 22 ❑ Service station, repair garage enter number of units in building in 15❑ Garage 23❑ Hospital, institutional Part D, 13) 16❑ Carport 24❑ Office, bank, professional 6 ❑ Moving (relocation) 17❑ Other — Specify 25❑ Public utility 7 ❑ Foundation only 26❑ School, library, other educational B. OWNERSHIP 27❑ Stores, merconti le 8 ❑ Private (individual, corporation, 28❑ Tanks, towers nonprofit institution,etc.) 29❑ Other — Specify 9 ❑ Public(Federal, State, or local gov rnment) C.COST (Omit cents) WORK DESCRIPTION: 10. Cost of improvement. . . . . . . . . . . . . . . $ a. Electrical . . . . . . . . . . . . . . . . . . . . b. Plumbing . . . . . . . . . . . . . . . . . . . . c. H VAC . . . . . . . . . . . . . . . . . . . . . . . d. Sprinkler . . . . . . . . . . . . . . . . . . . . . e. Garag s. . . . . . . . . . . . . . . . . . . . . . f. Oth r . . . G 11. TOTAL $y�o Fee: CO Fee: '- Total: ;rj (> III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L; for wrecking, complete only Part J, for all others skip to IV. E. PRINCIPLE TYPE OF CONSTRUCTION G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS 4O❑ Public or private company 48• Number of stories............... 30 ❑Typ 1: ❑A ❑B 41 ❑ Private(septic tank, etc.) 49• Total square feet of floor area, all floors, based on exterior 31 ❑Type 2: ❑A ❑B ❑C dimensions .................... 32 ❑Typ 3: ❑A ❑B H. TYPE OF WATER SUPPLY 42❑ Public or private company `•�• Total land area, sq.ft. ........... 33 ❑Typ 4 43❑ Private(well, cistern) K. NUMBER OF OFF-STREET 3A ❑Typ 5: ❑A ❑B PARKING SPACES F. PRINCIPAL TYPE OF HEATING FUEL 1. TYPE OF MECHANICAL 51. Enclosed ....................... 35❑ Gas Will there be central air 52. Outdoors....................... 36❑ OiI conditioning? L. RESIDENTIAL BUILDINGS ONLY 37❑ El ctricity 44❑ Yes 45❑ No 53. Number f bedr ms.............. 38❑ C al 39❑ Oth r— Specify Will th re be an elevat r? 54. Number f Full.......... 46❑ Y s 47❑ No bathrooms Partial........ IV. IDENTIFICATION — To be completed by all applicants Name Mailing address — Number, street, city, and State ZIP code Tel. No. 1. Owner or \�\ 'L 1�AQ L\ {� Lessee 2. Y�� 'AL o Contractor 3. Architect or Engineer The owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction. Signature of appl Address Application date r O S v�•P �`'C rn a 1J�.�SST fi�- 1?(S 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Re uired Check Plan Review Date Plans B Date Plans B Notes 9 Fee Started y Approved y BUILDING $ PLUMBING $ MECHANICAL $ ELECTRICAL $ OTHER js VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approval Check Do te Obtained Number By Permit or Approval Check ObtDained te Number By BOILER PLUMBING CURB OR SIDEWALK CUT ROOFING ELEVATOR SEWER ELECTRICAL SIGN OR BILLBOARD FURNACE STREET GRADES GRADING USE OF PUBLIC AREAS OIL BURNER WRECKING OTHER OTHER VII. VALIDATION Building Permit number Building C Permit issued 19 y Building Permit Fee $ w Approved by: �A g"L" TITLE