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Home My WebLink About106 Berle Road (9) TO THE BUILDING INSPECTOR of the APPLICATION FOR PLAN EXAMINATION AND OF SOUTH w CONK. BUILDING PERMIT IMPORTANT— Applicant to complete all items in sections: 1, 11, 11 , IV, and IX. z 0 •— ZONI�Q I. 7 DISTi AT (LOCATION) LOCATION INO.) (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 �o A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use � 1 ❑ New building Residential Nonresidential 2❑ Addition(It residential, enter number 12�One family 18❑ Amusement, recreational of new housing units added, if any, in Part D, 13) 13 Two or more family — Enter 19❑ Church, other religious 3 ❑ Alterati n (See 2 above) number of units— — — — ♦ 20❑ Industrial 14❑ Transient hotel, motel, 21 ❑ Parking garage 4❑ Repair, replacement or dormitory — Enter number 5❑ Wrecking (If 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 — SpeciJy (r � 25❑/U Public utility � — 7 ❑ Foundation only 26❑ School, library, other educational B. OWNERSHIP GWA2j1r= SIA N hu- 270 Stores, mercantile 8 LK Private(individual, corporation, 28❑ Tanks, towers nonprofit institution,etc.) L01 G 29❑ Other — SpeciJy 9 ❑ Public (Federal, State, or local government) C. COST (Omit cents) Nonresidential — Describe in detail proposed use of buildings, .g.,f ad / processing plant, machine shop, laundry building at hospital,elementary 10. Cost of improvement,,,,,,,,,,,,,,,, O 00 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 Od 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. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS 30❑Mae my(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❑ Reinforced concrete H. TYPE OF WATER SUPPLY 34❑ Other — Specify 42❑ Public or private company `�• Total land area, sq.ft. ........... 43❑ Private(well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES F. PRINCIPAL TYPE OF HEATING FUEL 1. TYPE OF MECHANICAL 51. Enclosed ....................... 35❑ Gas Will there be central air 52. Outdoors....................... 36❑ Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY 37❑ Electricity 44❑ Yes 45❑ No 53. Numb r f b dro me............. 38 0 C al 39❑ Oth r— Specify Will ther b an el vator? 54. Number f Full.......... 46❑ Y s 47❑ No bathr me Portlal........ IV. IDENTIFICATION — To b complet d by all applicants Nam Meiling eddr ss — Number, street, city, and State ZIP cod TTel. No. Owner or 'LJ o r Lessee 2. 02�1-11-319swo JLV(, Contractor 3. Architect or Engineer The owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction. Si nature f 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 $ V1. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approval I Check Date Number B Permit or Approval I Check Date Number B PP Obtained Y PP Obtained Y 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 V11. VALIDATION Building Permit numb r 11453 Building Permit issued April 1 19 80 Bui Iding Permit Fee $ 30.00 Approved by: Air TITLE