HomeMy WebLinkAbout103 Brook Street (7) FINAL INSPECTIONS:Building c. APPLICATION FOR BUILDING PERMIT
Plumbin
HVAC DaterY /,
Sprinkler 103 BROOK STRFFT
El ctric Estimated Cost $
Ov
Zoning Permit Fee$ /U —
Affidavit NO. 20617 Occupancy Fee $
9
Fire Dept. COMPLETE RED BOXED AREAS. Total Fee $ �D
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 according to the following specifications:
Job Location iD 23 /9 120 e AK' s i Lot No. Side of Street Zone
Applicant AVTZ/(�[r u 2,P A,42,L/F_V Tel. #
Address Zip Lic.#
STREET CITY STATE
Owner &T 16& T. R20 ni-EK Address 62A 9zeoor, sT_ .5, wl-mys04 cT_
Architect Address
Size New Area: Ft. Front Overall Ft. Deep Overall Total Area #Garages
Lavatories
Size of Lot Dist. from Street Line -Bathrooms Rooms 1st 2nd 3rd
Purpose of this Permit
City Water 0 Well O Septic 0 Sewer 0
Use Group Construction Type /v
Approved by &I— 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 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 appl' ation 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: