HomeMy WebLinkAbout16 Brian Road (6) FINAL INSPEC NSA
Plum
.4 rT �N r '� �� 17 s'
um n APPLICATION FOR BUILDING PERMIT
Plum
HV Date: S
Sprinkler 16 BRIAN ROAD
Electric
Zonin C 'OfJ -(//y y Estimated Cost $
Permit Fee$
Eng. Dept.
Affidavit NO. 0 5 9 2 Occupancy Fee $
Fire Dept. COMPLETE RED BOXED AREAS. Total Fee $
Health Dept. TYPE OR PRINT ONLY
Approved for CO• Z SIGN ON REVERSE SIDE.
-- (Additional Cost) $
TO BUILD DEPARTMENT, TOWN OF SOUTH WINDSOR, CT
The undersigned, hereby applies to do work according to the following specifications:
Job Location Lot No. Side of Street Zone
Applicant 15V VA ✓YIC I'it(.[, 41_EV Tel. # �o�/�►S1o��
Address Zip Lic.#
r\ STREET CIT STAT
Owner o'n ----Address— J , ' �'�.. ZZ)o4dse22 C
Architect Address
Size New Area: Ft. Front Overall Ft. Deep Overall 3 3 Total Area #Garages
Size of Lot Dist. from Street Line Lavatories
Bathrooms Rooms 1st 2nd 3rd
Purpose of this Permit i'470L /ljac 6015dv�
City Water 13 Well Septic 0 Sewer
Use Group y Construction Type 2 L
Approved by Date S1T_
BD1A 11/88
I her by 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 zone in which this building and its use is allowed.
Signed W-
I hereby apply for a Certificate of Occupancy for the work described in this application for permit.
Signed 1� g,c, IL
—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 Du Whom Code Comment
-------------------------------------------------------------------------------
93-20592-B 1,861
B10 FINAL 08/25/94 JFF D GRDTOLADDERELECTCOVER
B10 FINAL 04/26/95 JFH D NO FENCE FOR LADDER
B10 FINAL 05/23/95 JFH A
Total Est Value 1,861