HomeMy WebLinkAbout169 Brook Street (3) 0
d
•3 t
TO THE BUILDING INSPECTOR
of dhe APPLICATION FOR
PLAN EXAMINATION AND
OF » WIIrDS'Oli, -
BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, III, IV, and IX. o
ZONING
• AT (LOCATION) ! DISTRICT
LOCATION (NO.) (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
�v
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use rn
rn
1 ❑ New building Residential Nonresidential
2❑ Addition(It residential, enter number 12❑ One family -is ❑ 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— — — — -0-
3 ❑ Alteration (See 2 above) 200 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 — Specify 25❑ Public utility
7 ❑ Foundation only C
26 ElSchool, library, other educational
B. OWNERSHIP ® � 27❑ Stores, mercanti le
�
8 ❑ Private (individual, corporation, 28 ❑ Tanks, towers
� /� �A ���� � Specify
nonprofit institution, etc.) P.n9 29❑ Other — p fy
9 ❑ Public (Federal, State, or
local government)
C. COST (Omit cents) Nonresidential — Describe in detail proposed use of buildings, e.g., food
D G processing plant, machine shop, laundry building at hospital,elementary
10. Cost of improvement,....,...•,..... 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.)............
s� O Q'
11. TOTAL COST OF IMPROVEMENT $-C 00
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) 400 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 dimensions ....................
33❑ Reinforced concrete H. TYPE OF WATER SUPPLY
34❑ Other — Specify 42❑ Public or private company 50. Total land area, sq. ft. ...........
43❑ Private(well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed .......................
35❑ Gas Will there be central air S2. Outdoors.......................
%❑ Oil conditioning?
L. RESIDENTIAL BUILDINGS ONLY
37❑ Electricity 44❑ Yes 45❑ No 53. Number of b drooms..............
38❑ Coal
39❑ Oth r— Specify Will there b an elevator? 54. Number f Full..........
46❑ Yes 47❑ No bathro ms
Partial........
NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants
Name l Mailing address — Number, street, city, and State ZIP code, Tet /1. No.
0
Owner or (00 �T (0�7 Aio
Lessee
2.
Contractor
3.
Architect or
Engineer
Th owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction.
Si t f lcant Address Application date
�
/
DO NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans B Date Plans B Notes
9 Fee Started y Approved y
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER Is
Vl. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Date Obtained Number By Permit or Approval Check ObtDa ned ate 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 IOTHER
VII. VALIDATION
Building
P rmit numb r 11866
Building
P rmit issued Oct. 22 19 80
Building
Permit Fee $ 3.00
Approved by:
A
TIT E
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0
TOWN OF SOUTH WINDSOR
BUILDING PERMIT
Date Oct. 22 , 19 80
Fee Paid $.3..00 Eat. value $ 2 QQ.00
Permit N9 11866
on the side of
Brook Street
Street No. 169
Owner Richard LeBlanc
Applicant Richard Lc+Blanc
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No.
Fee Paid $
CLASSIFICATION
Coal stove/existing chimney
r
BUILDING PERMIT
N2 11866
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn. Oct. 2 2 1980
94is 'to to 0ortifg, That Richard LeBlanc._
is hereby granted permission to Coal stove in existing chimney
at estimated value of $
200,00
on the side of 169 Brook Street on land
owned by Richard LeBlanc
Said Work to be as described in Application
No. 12166 and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
IssucOct, 22 1980
Building 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.
SECTION 1343, GENERAL STATUTES OF CONNECTICUT: When any person shall place
or keep building materials, or any obstacle in any highway (or any sidewalk) either with or without a
license therefor from the city or borough in which such highway may be situated, he shall pay said city,
town or borough all costs and damages which it shall sustain, or be compelled to reason therefor."