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HomeMy WebLinkAbout110 Brook Street (2) 3 � It TO THE BUILDING INSPECTOR of l6 APPLICATION FOR TOWN OF SOUTH WIND50K CUM PLAN EXAMINATION A N D BUILDING PERMIT IMPORTANT — Applicant to complete all items in sections: I, 11, III, IV, and IX. O +� ZONING • AT (LOCATION) I 1 j) r7 new 6�� DISTRICT LOCATION (40.) STREET) OF BETWEEN ��Y Rr AND BUILDING (CROSS STREET) (CROSS STREET) LOT SUBDIVISION-;✓C,.,•W 1A2 Sd73 ACRI S LOT Q1 R BLOCK SIZE l00 AC200 Vf 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 M M 1 ❑ New building Residential Nonresidential 2 X Addition(If residential, enter number 12 One family 18 ❑ Amusement, recreational of new housing units added, if any, 13❑ Two or more family — Enter 19❑ Church, other religious in Part D, 13) number of units— — — — --jo- 3 ❑ Alteration (See 2 above) 200 Industrial 14 ❑ Transient hotel, motel, 21 ❑ Parking garage 4❑ Repair, replacement or dormitory — Enter number 5❑ Wrecking (1f multifamily residential, of units ——————— — --10. 22❑ Service station, repair garage enter number of units in building in 15❑ Garage 23❑ Hospital, institutional Part D. 13) 16❑ Carport l 24❑ Office, bank, professional 6 ❑ Moving (relocation) , 17�Other — Speci/y���l.�_ 25❑ Public utility 7❑ Foundation only 26❑ School, library, other educational /X-0-, z Stores, mercantile B. OWNERSHIP 27❑ 8 X Private (individual, corporation, • 28❑ Tanks, towers nonprofit institution, etc.) 29❑ Other — Specify 9 ❑ Public(Federal, State, or local government) C. COST (Omit cents) Nonresidential — Describe in detail proposed use of buildings,e.g.,food processing plant, machine shop, laundry building at hospital,elementary 10. Cost of improvement•.,•,,.•,,••..,• S 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. El ctrical...................... 106,06 b. Plumbing ...................... 760" 00 c.Heating, air conditioning......... 40- 00 d. Other(elevator, etc.)............ 11. TOTAL COST OF IMPROVEMENT ss, 8,so-Dc 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❑Masonry(wall bearing) 40❑ Public or private company 48• Number of stories............... 31 Wood frame 41 0 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 so. Total land area, sq.ft. ........... 7&0 43[g Private(well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed ....................... 35gGas Will there be central air 52. Outdoors....................... 36❑ Oil conditi ning? L. RESIDENTIAL BUILDINGS ONLY 37❑ Electricity 44❑ Yes 455;�l No 53. Numb r f bedrooms.............. 3B❑ Coal 39❑ Other— Specify Will th re b an elevat r? 54. Number of Full.......... 46❑ Yes 47�<N bathrooms Partial....... IV. IDENTIFICATION — To be completed by all applicants Name Mailing address — Number, street, city, and State ZIP code Tel. No. owner or M / N O4vv-7v _essee r -ontroctor 3. k � rchitect or E� Engineer Th own r of this building and the undersigned agree to conform to all applicable laws of this jurisdiction. Signature of applicant Address Application date 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Required Check Plan Review Date Plans B Date Plans By Notes 9 Fee Started y Approved BUILDING $ PLUMBING $ MECHANICAL $ ELECTRICAL $ OTHER $ VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approval Check Date Obtained Number By Permit or Approval Check Obttaained 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 P rmit number 9287 Building Permit issued April 22 19 76 Bui Iding 36.00 Permit Fee $ Approved by: va T If LE i TOWN OF SOUTH WINDSOR BUILDING PERMIT j a Date April 22 19 76. Fee Paid 36.00 5 85 Est. Value . . t. 0.Q0 i Permit `; 9287 on the side of j Brook Street Street No. 110 Owner Rau-,and aryi-Q c Applicant Raymond Jarvis CERTIFICATE OF OCCUPANCY ISSUED: Date No. Fee Paid $ CLASSIFICATION _ 14' x 21' addition to rear of dwe l l i n o BUILDING PERMIT IC* 9287 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. An?- 22 19 760 t,a to Tertifil, That ���� 3• Jarvi s is hereby granted permission to 21 x 14 add i t i Otl to r� o f bpi 1 d ittg at estimated value of $ 5 0 on the side of 110 Brook Street Street on land owned by R Ond .j• JS Vi s Said Work to be as described in Application No. 9587 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Iss T' Aril 22 76 uil g 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. ECT I CUT: "When any person shall place SECTION 1343, GENERAL STATUTES OF CONN or keep building materials, or any obstacle in any highway (or any sidewalk) either with or without a license therefor from the city borough or b h in which such highway may be situated, he shall pay said city, g town or borough all costs and damages which it shall sustain, or be compeller to reason therefor." INSPECTION REPORT Permit # w Job 1 Footing - `jEdo 94,� 2 Foundation - 3 Framing A_A—�4 ©�< 1 4 Wiring `76 5 Plumbing AL16-7.6 6 Heating �� � 7 Lathing 8 C.O.