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Home My WebLink About185 Bourbon Street (6) TO THE BUILDING INSPECTOR of the APPLICATION FOR TOWN OF SOUTH W INDSOR, CONN. NATION AND BUILDING PLAN EXAMINATION AMI PERMIT IMPORTANT — Applicant to complete all items in sections: 1, 11, III, and IV. O I ZONING I• AT (LOCATION) r �� V �n DISTRICT LOCATION (NO.) (STREET) c OF BETWEEN vo`r'k_g�� — AND Cy ^ •� C`- BUILDING (CROSS STREET) (CROSS STREET) LOT SUBDIVISION ` 1�lrJK/e �'YLOT BLOCK —SIZE H 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 � 1 ❑ New building Residential Nonresidential 2"25Addition(If residential, enter number 12❑ One family 18 ❑ Amusement, recreational o/new housing units added, if any, 13❑ Two or more family — Enter 19❑ Church, other religious in Part D, 13) number of units— — — — -- 3 ❑ Alteration (See 2 above) 20❑ Industrial 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 ❑ Car port 24❑ Office, bank, professional 6 ❑ Moving (relocation) p 17 R Other — Specify < 25❑ Public utility 7❑ Foundation only 26❑ School, library, other educational B. OWNERSHIP 27❑ Stores, mercantile 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 . . . . . . . . . . . . . . . . . . . . csvC (S �''� ?e I CS y-ec b. Plumbing . . . . . . . . . . . . . . . . . . . . A= p -- e,r ca,�s d. Sprinkl r . . . . . . . . . . . . . . . . . . . . /tS.S—y-c— '��. (.� c� pwr ?(a AJ e. Garag s. . . . . . . . . . . . . . . . . . . . . f. Oth r 11. TOTAL $ 6 6 O- Fe-P1 : Q r CO Fee: —r Total: 0-6 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 40❑ Public or private company 48• Number of stories................ 30 ❑Type :1 El ElB 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 ❑Type 3: El ❑B H. TYPE OF WATER SUPPLY 42 E] Public or private company 50. Total land area, sq.ft. ........... 33 ❑Typ 4 43❑ Private(well, cistern) K. NUMBER OF OFF-STREET 34 ❑Type 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❑ Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY 37❑ El ctricity 44❑ Y s 45❑ No 53. Number of bedr oms.............. 38❑ C al 39❑ Oth r— Specify Will there be an elevat r? 54. Number f Full.......... 46❑ Y s 47❑ No bathr ms Partial....... IV. IDENTIFICATION — To be completed by all applicants Names Mailing address — Number, street, city, and State ZIP code Tre�l, No. 1. ` �l �v� o-. �p`"�Lf Sr`f U� Owner or Lessee 2. ' C ontrocfor 3. Architect or ` Engineer The owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction. Signature f applicant ess Application date Addr S-o,, 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plan Review Date Plans Date Plans Plans Review Required Check Fee Started BY Approved By Notes BUILDING PLUMBING $ MECHANICAL $ ELECTRICAL OTHER $ VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or A rova I Check Date Number B Permit or Approval I Check Date Number By pp Obtained Y pp 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 Permit number Building �l Q Permit issued `f 19C� Building Permit Fee $ Approved by: TITLE INSPECTION REPORT Permit # 1-41 e4 3 Job (S5 &jjrhCr\ 1 Footin4--� T--t—'Yjfj0L 2 Foundation 3 Framing 4 Wiring 5 Plumbing 6 Heating 7 Lathing 8 C.O.