HomeMy WebLinkAbout17 Brookfield Street (8) V
TO THE BUILDING INSPECTOR
Of 11116 APPLICATION FOR
TOW14 OF SOMH WENDSM CON. PLAN EXAMINATION AND
BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, /it 111, IV, and IX. O
ZONING
AT (LOCATION) 57, DISTRICTk2 P.,_
LOCATION (N0.) (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
SUBDIVISION LOT LOT
BLOCK SIZE
H
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 Im
M
—1
1 New building Residential Nonresidential
2 ❑ 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— — — — --► 20 Industrial
3 � Alteration (See 2 above) 14 ❑ Transient hotel, motel, ❑
4❑ Repair, replacement 21 ❑ Parking garage
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 Carport 24❑ Office, bank, professional
6 ❑ Moving (relocation)
7 ❑ Foundation only
17 Other — Speci/y� r'"&=Me 25❑ Public utility
26❑ School, library, other educational
B. OWNERSHIP 1'K4e -0:27❑ Stores, mercantile
8 Rj Private (individual, corporation, 28 ❑ Tanks, towers
nonprofit institution, etc.) A���O� E [�T.�D/�'� 29❑ Other — Specify
9 ❑ Public(Federal, State, or
local government) 6;;"rogas- 'acroy.
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
.w.5-00 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.)............
11. TOTAL COST OF IMPROVEMENT $ �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) 40 ❑ 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 steel dimensions ....................
33❑ Reinforced concrete H. TYPE OF WATER SUPPLY
s
34❑ Other — Specify 42 ❑ 50. Total land area, q• ft. ...........
Public or private company
43 ❑ Private(well, cistern) K. NUMBER OF OFF-STREET
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❑ Electricity 44 Yes 45❑ No 53. Number of bedrooms..............
38 C al
39 Other— Specify Will there be an levator?
Full.
54. Number f """"
46 Yes 47 0 No bothro ms Partial........
IV. IDENTIFICATION — To be completed by all applicants
Na a Mailin addr ss — Number, stre t, ci and State ZIP code T I. No.
1 1
1.
Owner or Ol
Lessee
O
2. iA
Contractor
3.
Architect or
Engineer
The owner of this building and the undersigned agree to conform to all applicable laws of is jurisdiction.
Signat of applicant Address Application date
�/"'�'40 / r
C�012 /-
DO NOT WRITE BE OW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans By Date Plans By Notes
q Fee Started Approved
BUILDING
PLUMBING
MECHANICAL
ELECTRICAL
OTHER
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check ate ObDained Number By Permit or Approva I Check ObDtaalneed 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
Permit numb r 9021
Building
P rmit issu d AUg. 18 _19 75
Building
Permit Fee $ 4.00
Approved by:
TITLE
i
t
TOWN OF SOUTH WINDSOR
BUILDING PERMIT
Date Aug. 18 1975
Fee Paid $4 t QQ Est. Value $5,00,00
Permit N a 9021
on the side of
Brookfield Street
Street No. 17
Owner Nicholas Guarino
Applicant Paul C ap i t an
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No.
Fee Paid ►$
CLASSIFICATION
Alterations
BUILDING PERMIT
N? 9021
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn. Aug. 18 1975
T4io to to Tertif1j.9 That Paul Capitan
ermission to Install two windows and enclose part of
is hereby grantedp
ara a door and enclose one garage door.
at estimated value of $
500.00
on the side of 17 Brookfield Street Street on land
owned by Nicholas Guarino
Said Work to be as described in Application
No. 9321 and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
Iss Aug. 18 75•
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.
T UT ES O F CONNECT I C UT: "When any person shall place
SECTION 1343, GENERAL ST A
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 ituated he shall ay said city,
town or borough all costs and damages which it shall sustain, or be compelledo
�A INSPECTION REPORT
Permit # 0 Job
1 Footing
2 Foundation
3 Framing
4 Wiring
5 Plumbing
6 Heating
7 Lathing
8 C.O.