HomeMy WebLinkAbout121 Bourbon Street (7) TO BIM-ADING INSPECTOR
of die APPLICATION FOR
." (W 30tff H TIE14D.SM CXM PLAN EXAMINATION AND
BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, It, III, IV, and IX.
-7 yj ZONING
I• AT (LOCATION) /�` / O[.f e�� �� OISTRICT,
LOCATION I
(No.) (STRICT)
OF ssTWttN � ►/0 4L&_) AND
BUILDING (CROSS STRICT) (CROSS STRCITI
LOT
SUOOIVISION LOT BLOCK 5IZ19
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wracking", most recent use.
1 ❑ Now building Residential Nonresidential
2® Addition(I/ residential. enter number 12 0 O1fe femi ly 16❑ Amusement, rectoeti na)
o/new bousinll writs added. i/ any. 13❑ Two or more family - Exeter 19❑ Church, other religious
in Part D, 13) Run
o/units- - - - -►® '
3 ❑ Alteration (See 2 above) 20❑ Industri'el
❑ sient hotel, metal,14 Transient 21 ❑ Parkin garage
4❑ Repair, replacement or darmitery - Eater number t g M
S ❑ Wrecking (1/multifamily residential, o/ units ------- -- 22❑ Service station, repair gems
enter number o/units in building in 1S❑ Gore" 23❑ Hospital, institutionel
Past D, 13) 16❑ Carport 24❑ Office, bank, prof ssionel
6❑ M Vint (relegation) 17 Other - Spec:/y �u 23❑ Public utility
7 ❑ F undetien only 26❑ School, library, other educational
B. OWNERSHIP J/L 27❑ Stores, mett:onti I
8 Eg Private(individual, corporation, 2e❑ Tanks, towersetion, � o� (�C�e�c ❑
nonprofit institution, etc.) !`" 29 Other - Specify
9 ❑ Public (Federal, State, a ��r !]/��. } �� M
Cal g wernmont) ,7 9
AP
C. COST (Omit cents) Nonresidential - Describe in detail proposed use of buildings, .g.. food
processing plant, machine shop, laundry building at hospital, elementary
10. Cost of improvement............... S school, secondary school, college, perochial'school, parking garage f r
deportment store, rental office building, oiiiea budding 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 ......................
e.Meeting, air eenditiening.........
d.pther(oleveter, eft.).............
11. TOTAL COST OF IMPROVEMENT / /s 4Zn /,
III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L;
for wrecking, complete only Part J, for all others skip t IV.
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS
30 l J Masonry(well bearing) 40 Public or private company 46• Number of stories.....3'..........
31 Wood from* 41 FD (septic
Private( tic tank, etc.) �• Total square feet of final area,
® all floors, based on exterior
32❑ Structural steel dimensions ....................
33❑ R imf rced concrete M. TYPE OF WATER SUPPLY
50, Total lend erne,
34❑ Other - Specify 420 Pultlic or private company
sq. Ft. ...........
43❑ Privet*(well, eistorn) 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.......................
cer�ditioning?
36 Oil L. RESIDElITIAL BUILDINGS ONLY
37 r7 Eleemaih' 44❑ Yes 45�5 N
53. Number of bedrooms..............
3/❑ teal
39❑ Other- Specify Will there be an elevator? Full..........
54. Nuwbar of
46❑ Yes 47 r1=-No wThreews
Partial.......
IV. IDENTIFICATION - To be comp) ted by all applicants
Mailing add►ess - Number. street. city. and State ZIP code T I. No.
Nam* I
�,-►-,�5 �/ /�/ �ourz —Ifxrr SC sa�►r �,�Io.5U2 ���?s� -
Own r or
Lessee
1-4
2.
Controc•ar
3.
Architect or
Engineer
Th own r f this g and the u signed agree to conform to all applicable laws of this jurisdiction.
Address Application date
Signotur a li � /e
DO NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plan Review Date Plans Date Plans By Notes
Plans Review Required Check Fee Started By Approved
BUILDING S
PLUMBING
MECHANICAL S
ELECTRICAL S
OTHER -
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Oare
Date ! Number g�
Check Number By Permit or Approval Checkl, Obtained
Permit or Approval Obtained
PLUMBING
BOILER '
ROOFING
CURB OR SIDEWALK CUT
SEWER
ELEVATOR i
ELECTRICAL SIGN OR BILLBOARD
STREET GRADES
FURNACE
USE OF PUBLIC AREAS
GRADING
WRECKING
OIL BURNER
OTHER
OTHER
V11. VALIDATION
But ��
P rmtt number
But Iding 6jl4y( 19
P rmtt tssu d
But Wing O�
Permit Fe S
Approv d by: fnnAA
U`e-
6 4L(iq
TITLE
s► J-1e r'c)- Dec
INSPECTION REPORT
Permit # Job
1 Footing C,—/.4�_
2 Foundation
3 Framing
4 Wiring
5 Plumbing
6 Heating
7 Lathing
8 C.O.