HomeMy WebLinkAbout118 Brook Street Electric# APPLICATION FOR BUILDING PERMIT
:'lum64# 118 Brook Street
HVAC # 28375
Date:
Sprinkler# N0'
FINAL Estimated Cost 4!?
Buildi COMPLETE RED BOXED AREAS Permit Fee $
Engi I TYPE OR PRINT ONLY Occupancy Fee • ---
Affidavit SIGN ON REVERSE SIDE
Appr.for CO Total Fee $ 3
TO BLALDI TMENT,T OF SOUTH WHIDSOR,CT (Additional Cost) $
The undersigned hereby applies to do work according to the following specifications:
Job Location Lot No. Side of Street Zone
Applicant TeL# �&D 16 3ty-g2o .2b
Address E2 learn & IS l ( S®i Lrii-WSOL Zip Lic#
Owner Address
Architect Address
Sq. Ft.New Area: lst Fl. 2nd Fl. 3rd Fl. Total New Area
#Rooms #Lavatories #Bathrooms #Garages
Purpose of this permit: p x ! 2 S F_ /�0 M! 1 6b qAA
City Water ❑ Well ❑ Septic System ❑ Sewer ❑
Ins. H.O. S.P. Cert. Area Basement Garage
Approved by Date ct- Use Group Construction Type nS
R.vs.d 1197
I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town of
South Windsor and to notify the Building Inspector of any alteration in the plans or specifications of the Building for which this
permit is asked,and agree that this building is t ted the proper distance from all street lines,side yard lines,and required
distances from all other zones and is k,care
n whic this building a its use is a71;/"�
x
Sig
1 hereby apply for a Certificate of ncy for the work described in this ap lication for the permit.
r
Sig
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
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**-28375-B 1,900
B10 FINAL 05/16/02 JFF A
B10 FINAL 05/16/02 JFF A CLOSEOUT