HomeMy WebLinkAbout160 Brook Street (12) Sectric# APPLICATION FOR BUILDING PERMIT
Plumbing# 160 BROOK STREET S
HVAC # No. 26093
Date: ___ __
Sprinkler#
FINAL O Estimated Cost $ L'v 0
Buildi °b COMPLETE RED BOXED AREAS Permit Fee $
�neeri TYPE OR PRINT ONLY Occupancy Fee $
Affidavit SIGN ON REVERSE SIDE
Appr.for CO. Total Fee
TO BULM40 DEPARTMEW,TOWN OF SOUTH WHWk CT (Additional Cost) $
The undersigned hereby applies to do work according to the following specificatkm
Job Location 140 gryoi< -5�1" Lot No. Side of Street Zone
Applicant ma.r-)L inellr/VLi Tel.#�ln C�44 e.$ 1
Addr ss 160 /8"o o)c- 5)f- Zip Lic.#
Own r Ma,rIr, tN c vVCj Address !6 D ,VdjC- S�-
Architect Address
Sq.Ft.N w Area: 1st Fl. 2nd Fl. 3rd Fl. Total New Area
#Rooms #Lavatories #Bathrooms #Garages 1
Purpose of this permit: C4&,e+ ig:a n cQ
City Water ❑ Well ❑ Septic System 0 Sewer ❑
Ins. H.O. VS.P. Cart. Area Basement Garage
Approved by -AKA-- Date 5 14 Use Group Construction Type
Roybed 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 building and its use is allowed.
-Signe
I hereby apply for a Certificate of Occupancy for the work described in this application for the permit.
Signed
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
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99-26093-B 4,000
B10 FINAL 03/06/00 JFF A
B10 FINAL 03/06/00 JRC A CLOSED OUT
Total Est Value 4,000