HomeMy WebLinkAbout200 Bourbon Street3•;,? Iry
TO THE BUILDING INSPECTOR
of the APPLICATION FOR
TOWN OF SOUTH W C , PLAN EXAMINATION AND
BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, H, Ill, IV, and 1X.
ZONING
C
I• AT (LOCATION) r n Q,'i n P C DISTRICT
LOCATION NO.) STREET) t.1 t
E - If 1 _ ANDOFBETWEEN
BUILDING CROSS STREET) CROSS STREET)
77SUBDIVISION / kA feAk LOTLOTBLOCK ' SZE
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D
A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use
1 New building Residential Nonresidential
2 Addition(1/residential, enter number 12 5irOne family 18 Amusement, recreational Inewhousingunitsadded, if any.
in 13 Two or more family - Enter 19 Church, other religiousPartD, 13)
number o/units- - - - --20 Industrial3 Alteration (See 2 above)
14 Transient hotel, motel,21 Parking garage4 Repair, replacement or dormitory - Enter number
5 Wrecking (1/multifamily residential, o/ units ------- - i 22 Service station, repair garage
enter number of units in building in 15 Garage 23 Hospital, institutional
Part D, 13)
77 16 Carport 24 Office, bank, professional6 Moving (relocation)
7 Foundation only
17 Other - Specify 25 Public utility
26 School, library, other educational
B. OWN E.r%SHIP 27 Stores, mercantile
8 JS'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. C st f improvement................ s 42 school, secondary school, college, parochial school, parking garage for.
8 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 $
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 D Masonry(wall bearing) 40 Public or private company
Number of stories................
31 Wood from* 41 El Private (septic tank, etc.) Total square feet of floor area,
all floors, based on exterior G32 Structural steel dimensions .................... 17
33 Reinforced concrete H. TYPE OF WATER SUPPLY
50. Total land area, sq. ft. ...........34 Other - Specify 42&Public or private company
43 Private(well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
51. Enclos*d ......................F. PRINCIPAL TYPE OF HEATING FUEL (.'TYPE OF MECHANICAL
35 Gas Will there be c ntral air 52. Outdo rs.......................
36 -loll conditioning?L. RESIDENTIAL BUILDINGS ONLY
37 Electricity 44 Y 45 N oes 53. Number f bedrooms..............
38 C al
39 Other- Specify Will th r be on*1*votor? Full..........
54. Number of
46 Yes 47 No bathrooms
Partial.......
IV. IDENTIFICATION To be completed by a// applicants
Nam Mailing addr ss Number, street, city, and State ZIP cod Tel. No.
Owner or S 07y
Lessee
2.
Contractor
3.
Architect or
Engineer
The owner of this building and the undersigned agree to conform to all applicable 119ws of this jurisdiction.
Signature of applicant Adiress Application date
75a y-
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD For office use
Pions Review Required Check Plan Review Date Plans By Date Plans By NotesFeeStartedApproved
BUILDING
PLUMBING
MECHANICAL
ELECTRICAL
T IOTHER
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date DotePermitorApprovalCheckNumberByPermitorApprovalCheckobti Number ByObtainedaned
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
Building
P rmit issued 19
Building 17 7
P rmit Fe
Approved Y: r\
TIT
f'
TOWN OF SOUTH WINDSOR
BUILDING PERMIT
Date May 2 19 84
Fee Paid $. 3 7 2..0 0 Est. Value $6 2.,.Q 0 0
Permit M 13800
on the side of
Lot # 5 DGurb-Q--n- Street
Street No. 900
OwnerR..43K. Ctar STZ n.
Applicant ---e a r$l 2—KQ 11
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No.6758
Fee Paid $ 1 _ 0 0
CLASSIFICATION
Dwelling
BUILDING PERMIT
NCO. 13800
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn. may 2 1984
94is is to Mertifij, That
is hereby granted permission to Dwe 11 i_na
at estimated value of .-
r o o e
on the side of r * a d so rb,0,n Street on land
owned by RSK Contractor, Inc.
Said Work to be as described in Applicadoa
No.1410 0 and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
Issued May 2 19840
u'ding 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."
Dwelling - Lot #45 Wind.Ab.IV 5/2/84
RSX Contractors, Inc.
200 Bourbon Street Permit #13800
Electrician Petersen Electric # 8391 Ll
Heating Contr. Mellen Energy 5920
Plumbing It
Mellen Energh 6437
Oil Burner
Certificate of Occupancy 6758
Sewer Permit
Plot plan apprd. per Engr.
Pettnit No: TOWN OF SOUTH WINDSOR
SOUTH WINDSOR, CONN.
Permit =A 6758
Certificate of Occupancy
THIS._p TO CER Y tha the
atat No. in th own of South Windsor, Connecticut, has
been erected and cbmpleted in accordance with the Building Code and Zoning Regulations of
the Town of South Windsor, and is hereby approved for occupancy.
SBui uig pip
Owner, Builder
Fee Paid Date 19
J