HomeMy WebLinkAbout16 Brian Road (5) FINAL INSPE TI NS:Building % APPvLI i�IOi N FOR BUILDING PERMIT
Plumbing
HVAC Date: A- 17 o
Sprinkler 16 RRIAN ROAD v�
Electric Estimated Cost
Zoning 19592 Permit Fee$
Affidavit NO. Occupancy Fee $
Eng. Dept. COMPLETE RED BOXED AREAS.
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Fire Dept. TYPE OR PRINT ONLY Total Fee $ /
Health Dept. SIGN ON REVERSE SIDE.
Approved for CO: (Additional Cost) $
TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT �� 5 YZ�-7
The undersigned, hereby applies to do work according to the following specifications:
Job Location I 6 BRA AAW Ab Lot No. Side of Street Zone
Applicant�"T"P"a�i,►E.aJ M,C"A)1.1.W Tel. #
Address LO ibb — w-�V*kt 0 VJIZ Sbh_ IQ 7r Zip Oleo 7 Lic.#
STREET CITY STATE
Owner�kwi. Address 14 C-M. rtAAL' SdvZA 4&A7j Q0C,-r
Architect Address
Size New Area: Ft. Front Overall Ft. Deep Overall Total Area #Garages
Lavatories
No. of Families No. of Stories Construction Bathrooms Rooms 1st 2nd 3rd
Size of Lot Dist. from Street Line Dist. from Side Street Line
Purpose of this Permit L�,_)CyD—]C�i S 7myF
City Water ❑ Well ❑ Septic ❑ Sewer ❑
Approved by Date /0' �7'd BD1A 11/88
I h reby agree to conform to all th requirem nts of th Laws of th Stat of Connecticut and th Ordinanc s 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 lin s,side yard lines and required distanc s from all other zones and is
located in a zone in which this building and its use is allowed.
Signed `-
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 ' -Ci Insulation
Plumbing Permit# Inspections:
HVAC Permit# Inspections:
Electrical Permit# Inspections:
Sprinkler Permit# Inspections:
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