HomeMy WebLinkAbout169 Brook Street (4) r �
TO THE BUHDING INSPECTOR
of l APPLICATION FOR
PLAN EXAMINATION AND
TO" OF SOUTH WINDSOIt, CON�i. BUILDING PERMIT
IMPORTANT — Appli nt to complet all items in ections: 1, It, III, IV, and IX. O
ZONING O
I• AT (LOCATION) ' DISTRI �
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
N
1 H New building Residential Nonresidential
2 Xr Addition(1/residential, enter number 12 One family 18❑ Amusement, recreational
of new housing units added, if any,
in Part D, 13) 13❑ Two or more family — Enter 19❑ Church, other religious
number of units— — — — ••-jo- 20❑ Industrial
3 H Alteration (See 2 above)
14 ❑ Transient hotel, motel, 21 ❑ Parking garage
4❑ Repair, replacement or dormitory — Enter number
5 ❑ Wrecking (1/multifamily residential, of units ——————— — --;r 22❑ Service station, repair garage
enter number o/units in building in 15❑ Garage 230 Hospital, institutional
Part D, 13) 16 ❑ Carport 240 Office, bank, prof ssional
6❑ Moving (relocation)
17� 0 her — Specify 25❑ Public utility
7 ❑ Foundation only 1
_ 26❑ School, library, other educational
B. OWNERSHIP 27❑ Stores, mercantile
Aj8 Private (individual, corporation, 28❑ Tanks, towers
n nprofit institution, etc.) 290 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,.,,.,•.,.•..... $1600, 00do, 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. Ell ctrical......................
b. Plumbing ......................
c. Heating, air conditioning.........
d. Other(elevator, etc.)............
11. TOTAL COST OF IMPROVEMENT a�000�-
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 H Masonry(wall bearing) 40❑ Public or private company 48• Number of stories................
31 [W Wood frame 41 ❑ Private (septic tank, etc.) 49• Total square feet of floor area,
all floors, based on exterior
32❑ Structural steel dimensions ....................
33❑ Reinforced concrete H. TYPE OF WATER SUPPLY
34❑ Other — Specify 42 E] Publicor private company `�• 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 52. Outdoors.......................
36 L5�Oil conditi ning? L. RESIDENTIAL BUILDINGS ONLY
37❑ Electricity 44❑ Yes 45❑ No 53. Number of bedrooms..............
38❑ Coal
39❑ Other— Specify Will th re be an elevator? 54. Number of Full..........
46❑ Y s 47❑ No bathr ms
Partial.......
IV. IDENTIFICATION - To be completed by all applicants
Nam Mailing address — Number, stree ci , and State ZIP code T I. No. •
1. ,.
Owner or `
Lessee
r
2. o 3
Contractor
3.
Architect or
Engineer
The owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction.
Signatur of applicant Address i Application date
1. -'e& ''. f
?—��
D 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
q Fee Started Y Approved y
BUILDING $ 7! ESP •�o '�
PLUMBING $
MECHANICAL $
ELECTRICAL
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval I Check Date Number B Permit or Approval I Check Date Number B
pP Obta ined Y pp Obtained y
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 numb r 9464
Bui Iding
Permit issued A119 5 19 7_
Building
Permit Fe $ 30.00
1
Approved by:
gtl-L-- TITLE
TOWN OF SOUTH WINDSOR
BUILDING PERMIT
Date Ail 2:_ 9 1976. t
Fee Paid $. 30..00 Est. Value ,$5,000.00
Permit NA 9464
on the side of
Brook Street
Street No. 169
Owner Richard LP-Blanc
Applicant M & G Remodeling
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No. 4823
Fee Paid $ 3.00
CLASSIFICATION
Dining room & bath
BUILDING PERMIT
M ' 9461
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn. AUS• 5 1976
a rt t to Tertif1j, That M & G Remodeling
is hereby granted permission to add dining room and bath
at estimated value of $ 51000000
on the side of 169 Brook Street on land
owned by Richard LeBlanc
Said Work to be as described in Application
No. 9764 and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
Issu �' 7 6•
z rF
uildi 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.
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."
INSPECTION REPORT
Permit # �7 Job
1 Footing _
2 Foundations 6
3 Framing!'—j--,7- &Q
4 Wiring 9_a_�6 '�1
5 Plumbing
6 Heating
7 Lathing
8 C.O.
-,emit Nb. TOWN OF SOUTH WINDSOR
SOUTH WINDSOR, CONN.
Permit N? 4823
I
Certificate of Occupancy
THIS IS T CE IFY e
at No, the Town of South Windsor, Connecticut, has _
been erected and completed in accordance with the Building Code a44onmRegulations of
the Town of South Windsor, and is hereby approved for occupa
I g Inspector
Buil er
Fee Paid Date 1'9