HomeMy WebLinkAbout160 Brook Street (9) FINAL INSPECTIO
Building t s- APPLICATION FOR BUILDING PERMIT
Plumb'
HVA 160 BROOK STREET Date:
Sprinkler
Electric J( Estimated Cost $ 2 �
Zoning Permit Fee$
Affidavit NO. 21517 Occupancy Fee $
Eng. Dept. COMPLETE RED BOXED AREAS.
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
The undersigned, hereby applies to do work according to the following specifications:
Job Location Lot No. Side of Street • Zone
Applicant M2r'k n2 Tel. # G
Address 160 �L�l� sZL' 6-`WIrt�SDr, (.j Zip Lic.#
STREET CITY STATE
Owner .6.L MgAff _) Address -S
Architect Address
Size New Area: Ft. Front Overall Ft. Deep Overall � Total Area #Garages
Lavatories
Size of Lot Dist. from Street Line _Bathrooms Rooms 1 st 2nd 3rd
Purpose of this Permit 40 C'jk
City Water 13 Well M Septic D Sewer
Use Group A" Construction Type //
Approved by itx_ Date (90 BD1A 11/88
I her by agree to conform to all the requir ments of th Laws of the State of Conn cticut 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,sid yard lines and r quired 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 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: