HomeMy WebLinkAbout16 Brookhaven Lane Bectric# /70?0 APPLICATION FOR BUILDING PERMIT
Plumbing# 16 Brookhaven Lane
HVAC # Date:
. �. 27759
SWinkl r#
FINAg;2
R Estimated Cost $ �y
Buildin COMPLETE RED BOXED AREAS Permit Fee $
Engi TYPE OR PRINT ONLY Occupancy Fee
Affidav SIGN ON REVERSE SIDE
Appr.f Total Fee $ 31
TO BUIT,TO SOUTH WWDSOR,CT (Additional Cost) $
The undersigned h reby applies to do work according to the following specifications:
.Job Location rook Aa uch Lot No. Side of Street Zone
Applicant ba y J W-�,o, Tel# '96 0 -6 V�-I o i
Address I(o Br"�c�� �,,ox,2 S'P W yty CT— Zip o G 0 7'L/ Lic.#
Own r
I )Q U cJ K) �Q MIkr Address I py,�t li�. Wi JSW CT O 607 L/
Architect Address
Sq. Ft.New Area: 1st Fl. 2nd Fl. 3rd Fl. Total New Area
#Rooms ( #Lavatories #Bathrooms #Garages
Purpose of this permit: Fi n i s k }'Z. U. 4seLm e a f Vw, -TV Pt)-c)W
Gty Water Well ❑ Septic System ❑ Sewer 2--
Ins. H.O. S.P. Cert. Area Basement Garage
Approved by Date y3 Use Group f"T Construction Type 5O
Rev'sed 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 to located the proper distan om all street lines,side yard lines,and required
distances from all other zones and is located in h this buildin nd its al
Signed
I hereby apply for a Certificate of Oc pancy for the work d ri in this a lication for the permit
Signed
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
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**-27759-B 2,000
B03 FRAMING (ROUGH) 05/31/01 CJD A W/OWNER
E03 ROUGH 05/31/01 CJD A W/OWNER
P03 ROUGH 05/31/01 CJD A COUPLE OF HEAT LOOPS ONLY
B04 INSULATION 07/11/01 GRM A
B10 FINAL 06/27/02 JFF A WITH OWNER
B10 FINAL 06/27/02 JFF A CLOSEOUT
**-17205-E 1,000