HomeMy WebLinkAbout226 Abbe Road (10)TO THE BUILDING INSPECTOR
of dae APPLICATION FOR
TOWN OF SOUM WINDSM COW PLAN EXAMINATION A N D
BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, III, IV, and IX.
ZONINGI• AT (LOCATION) IE L/ DISTRICT
LOCATION Ro. STREET)
OF BETWEEN AND
BUILDING CROSS STREET) CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
11. TYPE AND COST OF BUILDING — All applicants complete Parts A — D
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use
M
M
1 uiNewbuilding Resid fial Nonresidential
re2[XAddition(if sidential, enter number 12 One family Is Amusement, recreational
Of nevi housing units added, if any,
in Part D, 13) 13 Two or more family — Enter 19 Church, other religious
number of units— — — —— 20 Industrial3 Alteration (See 2 above)
14 Transient hotel, moral,
4 Repair, replacement or dormitory — Enter number 210 Parking garage
5 Wrecking (if multifamily residential, o/ 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 25 Public utility
h 26 School, library, other educational
B. OWNERSHIP n 27 Stores, mercanfile
8 7 r
29 Tanks, towers
e(individual, corporation, PS P IZ lam)--,0 PL Qi 29 Other — specifyff1"
Privat
i nonprofit institution,ate.)
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,....,,,•,,,•„ Q school, secondary school, college, parochial school, parking garage for,
IF department store, rental office building, office building of industrial plant.
To be installed but not included If use of existing building is being changed, enter proposed use.
in the above cost 1t rc,a. Electrical......................
b. Plumbing ...................... l e0
c. Heating, air conditioning..
7.........d. Other(elevator, etc.).-Aco ....
f11. TOTAL COST OF IMPROVEMENT $ I CC,C yy
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 VN Public or private company
AA 48. Number of stories.........
31 Wood frame 41 Private (septic tank, etc.)
49• Total square feet of floor area,
all floors, based an exterior
32 Structural steel dimensions ......... . .. .
33 Reinforced concrete H. TYPE OF WATER SUPPLY
50. Total land ores, •q. ft. ...........34 Other — Specify 42 it Public or private company
43 Private(wall, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
51. Enclosed .......................
35 Gee Will there be central air 52. Outdoors........................
35 cm of Conditioning?L. RESIDENTIAL BUILDINGS ONLY
37 Electricity Yee 45 No 53. Number of bedrooms..............
39 Coal
39 Other— Specify Will there be an elevator? Full....
54. Number of
46 Yoe 47`X He bathrooms
Portlel........
V. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
Owner or Rd S G`y,
Lasso
2.
Contractor
Architect or
Engineer
The owner oft s building and the undersigned agree to conform to all applicable laws of this jurisdiction.
Sig ur o plicant Address Application date
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Cheek Plan Review Date Plans BY Date Plans 8y NotesFeeStartedApproved
BUILDING
PLUMBING
MECHANICAL
ELECTRICAL is
OTHER is
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Date Number B Permit or Approval Check
DOte Number BPPObtainedYPPObtainedI 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
V11. VALIDATION
Building
Permit number
Building o4
Permit issued 19
Building pd 00
Permit Fee
Approved by:
CJ
TITLE