HomeMy WebLinkAbout171 Bourbon Street (6) TO THE BUILDING INSPECTOR
of th -APPLICATION FOR
TOWN OF SOUTH WINDSOR, CONN. PLAN EXAMINATION A N D
BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, and IV. _
O
I' AT (LOCATION)_/ 7/ AU4,600.0V ✓L /WAL f ZONING
LOCATION I (NO.) (STREET)
c (STREET) DISTRICT
OF BETWEEN !JJ`C/` �� Lx 77 AND ��/e
BUILDING (CROSS STREET) (CROSS STREET)
SUBDIVISION LOT BLOCK SIIZE
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
'R Addition(If 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 religious
3 ❑ Alteration (See 2 above) number of units- - - - -i 20❑ Industrial
14❑ Transient hotel, motel, 21 E:] Parking garage
e
4❑ Repair, replacement or dormitory - Enter number g
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 - Specijy 25❑ Public utility
7 ❑ Foundation only
26❑ School, library, other educational
B. OWNERSHIP 27❑ Stores, mercantile
8,X Private(individual, corporation, 28 ❑ Tanks, towers
nonpr fit institution,etc.) 29❑ Other - Specify
9 ❑ Public(Federal, State, or
local government)
C.COST (Omit cents) WORK DESCRIPTION:
10. Cost of improvement 6!1.�: '� $c/o &FOp
a. El ctrical . .' ? . . . . . . . . DDO r �� b100L �/C� Oi(J�' JOQ� ro��e�n+tC
b. Plumbing ./ ./- Qa j
c. HVAC . . . . . . . . . . . . . . . . . . . . . . . �ar�o�i of 2 e o . rr**IIK/'��
d. Sprinkler . . . . . . . . . . . . . . . . . . . . �ifr/�TlO/y d� /P�/? ��C� •�.��
e. Garag s. . . . . . . . . . . . . . . . . . . . .
f. Oth r
11. TOTAL �D G2�Q $ 0jZEFe:e::
QD CO Fee: L3 Total: �D3
III. SELECTED CHARACTERISTICS OF BUIL ING — 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
40 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,
31 ❑Type 2: ❑A ❑B ❑C all floors, based on exterior
32 ❑Typ 3: ❑A ❑B
H. TYPE OF WATER SUPPLY dimensions ....................
33 ❑Type 4
42 Public or private company 50. Total land area, sq. ft. ...........
43 Private(well, cistern) K. NUMBER OF OFF-STREET
34 ❑Typ 5: ❑A ❑B PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL S1. Enclosed .......................
35M Gas Will there be central air 52. Outdoors.......................
96 Oil conditioning?
L. RESIDENTIAL BUILDINGS ONLYd
37❑ El ctrieity 44 Yes 45❑ No
53. Number f bedrooms.
38❑ Cal ......••••••
39❑ Oth r- Specify Will th re be an I vat r? Full..........
54. N um be►of
46❑ Yes 47 N N bathr ms
Partial.......
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
1. CoR,� God 30 lore �.9�E .�� "
Lessee Owner or �r/A�' �/��/V/ �v��LT GT `/U/ � Ee-v e!5e#
'0111y� 3 1P
/4ep
2.
Contractor i/ S �re_ f ✓
3.
Architect or
Engineer
The owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction.
Sign ture of yppycan
Address Application date
3
✓��'1` A.-
WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plan Review Date Plans B Date Plans By Notes
Plans Review Required Check FCe Started y Approved
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER Is
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date Date
Permit or Approval Check Obtained Number By Permit or Approval Check Obtained 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 / 7 14� 0
Permit number
Building o� `v 19 �T_
Permit issued
Building � DlJ
Permit Fee $ -;
Approved by: r
CJ ec
-,.2r'JPa
TITLE
INSPECTION REPORT ?ES� �q�
�.Txp-q Tr..J
Permit # Job 6R.
1 Footin 7-4,1T —
2 Foundation 14
3 Framing
4 Wiring
5 Plumbing � x&
6 HeatingRep .
7 Lathing /ob
8 C.O.
v
BUILDING INSPECTION DEPARTMENT
SOUTH WINDSOR, CONNECTICUT
FEE PAID: $3.00
CERTIFICATE OF OCCUPANCY
ZONE: DATED 5 14 1989
This is to certify that 171 Bourbon Street
Altered—under permit No. 17121 conforms substantially to the requirements of the building ordinances and the
zoning regulations of the Town of South Windsor and is hereby approved for occupancy as indicated below.
Approved for Occupancy— Residential alteration for Group Home --lLOt J_-39
Building Official
Notice:If this certificate is lost or destroyed, a duplicate should be obtained immediately from the Building Department.
Any change or extension of the use herein approved requires a new certificate of occupancy.
BUILDING PERMIT CHECK LIST
State of Connecticut Project
Applicant Jayland Contractors Building Permit No. f 7 /v3 f
Address 171 Bourbon Street Date Submitted 7-20-88
Lot No. Reviewed by
Project Group Home Addition Date
In accordance with the Subdivision Regulations, prior to the building of
any structure on a lot, a Topographic Plot Plan shall be submitted for
approval. The minimum requirements shall include :
Approved Denied N/A
1. Name, address & phone number of owner/
applicant.
2. Name, address & phone number of plan preparer.
3. Zoning information - i.e. zone, open space,
fl oodway, etc.
A . Plot plan at 1" = 40' scale.
a. Subdivision reference, abutting
properties, etc.
b. Easements of record.
c. Lot description, bearings, distances,
building lines, area, etc.
d. Contours, existing & proposed, 1 or 2 ft.
interval where appropriate.
e. Building location with dimensions.
Elevations of proposed finish floor,
garage floor & center line of road at
driveway.
f. Elevations of gravity drainage systems,
sanitary & foundation drain at the
house and the street.
g. Tentative utility location gas, electric,
water, etc.
h. Title block with name and address of
preparer, date appropriate certification,
live seal and signature.
5. Sedimentation and erosion control.
6. Special Planning & Zoning, Inland/Wetlands
considerations. (Plans on file w/Town Clerk)
BUILDING DEPT.
PZC
IWA/CC
WPCA
OTHERS
COMMENTS: