HomeMy WebLinkAbout187 Quarry Brook Drive FINAL INS m � �oN
Building at APPLICATION FOR BUILDING PERMIT
P"mbing l>�
FIVAC 187 Quarry Brook Drive Date:
Sprinkler Estimated
El ctriSprinkler
ated Cost $ `
Permit Fee $ 3 O
Zoning 28622
NO.
Affidavit Occupancy Fee $
Eng. Dept.
Fire Dept. COMPLETE RED BOXED AREAS. Total Fee $
Health Dept. TYPE OR PRINT ONLY
Approved for CO: SIGN ON REVERSE SIDE. (Additional Cost) $
TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT
The undersigned, hereby applies to do work ccording to the following specifications:
Job Location_ Lot No. Side of Street O on 3
yle-�
Applicant ed l/� Gjm�J ��Kw� o.- ��(' Tel.
Address _3 �_ �f �� Wi MM—Mak"', Zip Lic.# /
TE U
Owner -Cr'i[%�O� Tip ��i���l� —Address—T2 � It � D�i�
Architect Address
Size New Area: Ft. Front Overall Ft. Deep Overall Total A ees #Garages
LavatNo. of Families No. of Stories Construction Bathrooms Rooms 1st 2nd 3rd
Size of Lot Dist from Street n Dip- from Si a Street Line
Purpose of this Permit l a 1 _30 Tau
City Water ❑ Well ❑ Septic ❑ Sewer ❑
Approved by34w— Date BD1A 11/88
I h reby 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 be located the proper distance from all street lines,side yard lines and required distances from all other zones and is
located in a zon in which this building and its use is allowed. � ,
Signed 40>00
I hereby apply for a Certificate of Occupancy for the work described in this application for permit.
Signed
—DO NOT WRITE BELOW THIS LINE—
INSPECTION RECORD
Footing Framing
Foundation Fireplace/Chimney Insulation
Plumbing Permit# Inspections:
HVAC Permit# Inspections:
Electrical Permit# Inspections:
Sprinkler Permit# Inspections:
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
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**-28622-B 980
B10 FINAL 04/02/02 CJD A W/OWNER
B10 FINAL 06/18/03 JRC A CLOSEOUT, CO NOT PRINTED