HomeMy WebLinkAbout169 Brook Street (9) Electric# APPLICATION FOR BUILDING PERMIT
Plumbing# 169 BROOK STREET
HVAC # 23047
Date: y 9�
Sprinkler# NO'
FINAL APPROVALS Estimated Cost $ 2,00 G
Building COMPLETE RED BOXED AREAS Permit Fee $ zv
Engineering TYPE OR PRINT ONLY Occupancy Fee $
Affidavit SIGN ON REVERSE SIDE
Appr.for CO. Total Fee $ 2—Cj
TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR,CT (Additional Cost) $
The undersign d hereby applies to do work according to the following specifications:
Jo6 Location l c. -31rot IR S Lot No. Side of Street Zone
Applicant iZrGa chi Tel. # 6
Address S,9-W A 45 41-fa c Zip oc41'7 Lic.#
Owner E—` Address
Architect Address
Sq. Ft.New Area: 1st Fl. 2nd A. 3rd Fl. Total New Area
#Rooms # Lav tones #Bathrooms #Garages
Purpose of this permit: / /C'e7/"C& 12gcrFi�'V6
City Water 27 Well 0 Septic System ❑ Sewer J
Use Group Construction Type A-111f Area / Bas m nt Garage
Approved 6y J Date
Revised 6/95
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 a zone in which this budding and its use is allowed.
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