HomeMy WebLinkAbout118 Brook Street (7) . Sectnc.# APPLICATION FOR BUILDING PERMIT
Plumbing# 118 Brook Street
HVAC # Date:
Sprinkler# No. 28263
FINAL OV Estimated Cost $ 500•as
Building to 1 p r COMPLETE RED BOXED AREAS Permit Fee $ f 3 -U0
Engineer i TYPE OR PRWT ONLY Occupancy Fee $
Affidavit SIGN ON REVERSE SIDE
Appr.for CO. I Total Fee $ / , ---�
TO BUILDNG DEPARTMENT,TOWN OF SOUTH WI DSOR,CT Mitional Cost) $
The undersigned hereby applies to do work according to the following specifications:
Jo6 Location 49 Soego Lot No. Side of Street Zone
Applicant R,Jorck � RynN Tel.# 6'�6 SyyS
Address 91 Btnm d - 110Niclef P,- C-7_ Zip 060A10 Lic.#_ 20 3 Y06 3 O`61
Owner RiCffi4+e /"&f w Address
Architect Address
Sq.Ft.New Area: 1st Fl. 2nd Fl. 3rd Fl. Total New Area
#Rooms #Lavatories #Bathrooms #Garages
Purpose of this permit: 4/yf7A- 44- 6LAS HE�-7-if7,e .' A/ V SEA-Scar /e t?o/s7 .
City Water ❑ Well ❑ Septic System 0 Sewer ❑
Ins. H.O. S.P. Cert. Area Basement Garage
Approved by� - _ Date — Use Group Construction Type
Rov'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 be located the proper distance from all street lines,side yard lines,and required
distances from all other zones and is located in which this uilding and its use is all
A Signed
I hereby apply for a Certificate of Occupancy for the work described i this application for the permit.
Signed '
�Uo DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
' Inspection / Approval Date By Appl
Code Description Due Whom Code Comment '
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**-28263-B 500
H10 FINAL 10/18/01 JFF A WITH CONTRACTOR
B10 FINAL 10/18/01 JFF A CLOSED OUT.