HomeMy WebLinkAbout149 Brookfield Street (11) epic# 149 BROOKFIEGD APPLICATION FOR BUILDING PERMIT
Plumbing# Date:
HVAC # No. 26302
Sprinkler#
FINAL APPROVALS Estimated Cost $ �?rc1o.oo
Building DC-5K wail COMPLETE RED BOXED AREAS Permit Fee $ aG•00
Engineering TYPE OR PRINT ONLY Occupancy Fee $ S,o 0
Affidavit SIGN ON REVERSE SIDE
Am.for CO. 1 15 Total Fee $ j• eo
TO BUILDWIG DEPARtT ,TOWN OF SOUTH WMSOR,CT (Additional Cost) $
The undersigned hereby applies to do work according to the following specifications:
Job Location q 649g LI i,0 -57r Lot No. AS Side of Street kd- Zone
Applicant L14A/b Lo/C/iv Tel.# 8/69,
Addr ss I It 9 IC#oK<i fi;-L> 45�r-- Zip D1,07 y Lic.#
Own r Address /Y 9 d Aw K f'i ec i-D .51 -
Architect Address
Sq.Ft.New Area: 1st Fl. 2nd Fl. 3rd Fl. Total New Area
#Rooms #Lavatories #Bathrooms #Garages
Purpose of this permit: d i�i ,A&✓67 6e044,-✓b P0, L c 4 P 00 f *--'1 Qv%'Cl(°""r L
City Water ❑ Well ❑ Septic System 0 Sewer ❑
Ins. H.O. V S.P. Cert. Area Basement Garage
Approved by Sac Date �7 &I q1 Use Group Construction Type
U Revsed 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 whic=g and use is allowed.
Signed
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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99-26302-B 2,500
B10 FINAL 08/16/99 DCJ A TRENCH, BONDING, GFCI AND ACCESS PROTECTION
APPROVED FOR CO & CLOSEOUT
99-16362-E 100