HomeMy WebLinkAbout169 Brookfield Street (13) Electric#. APPLICATION FOR BUILDING PERMIT
Plumbing# 169 Brookfield Street
HVAC # /0 93 2 7 311 Date: 9 It �
Sprinkler# A, NO'
FINAL7;!
Estimated Cost $ 1 a,a 4
Building rr COMPLETE RED BOXED AREAS Permit Fee $ 150
TYPE OR PRINT ONLY Occupancy Fee S
Affidavit SIGN ON REVERSE SIDE
Appr.for CO. Total Fee �O
TO BIALDM DEPARTMENT,TOWN OF SOUTH WINDSOR,CT LAdditional Cost) $
The undersigned hereby applies to do work according to the following specifications:
.lob Location 1(D I "—R r O o bci t [(� S f Lot No. Side of Street Zone
icant N SAppl ,"i N`c C -� �r
Addr ss N tcPj o a.►k-,c- C L-9 I i Zip Do QN-1 1-1 Lic.#
Own r Address S m
Architect Address
Sq.Ft.N w Area: 1st FI. 2nd FL 3rd FL Total New Area
#Rooms #Lavatories #Bathrooms #Garages
Purpose of this permit: -
fALLY ,
Cty Water ❑ Well ❑ Septic System ❑ Sewer ❑
Ins. H.O. S. Cert. Area I Basement Garage
Approved by Dat i oo Use Group PA Construction Type ry' il-6
Res.d 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 nwhisbuildi ng and its use' a ed.
Signed C 1
I hereby apply for a Certificate of O 77C)-
yfor the work described i is a lication for the permit.
Signed 7�s 1
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
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**-27311-B 10,000
B10 FINAL 09/29/00 DCJ A WAS CLOSED: NO HVAC PERMIT./WRONG PERMIT: SEE
ADDITIONAL INSPECTIONS
B03 FRAMING (ROUGH) 10/20/00 RAN A
E03 ROUGH 10/20/00 RAN A
H03 ROUGH 10/20/00 RAN A NO HVAC PERMIT; NEED LOUVRE BETWEEN ROOMS
B10 FINAL 11/15/00 JFF A WITH OWNER NEED TO UPDATE COF O
B10 FINAL 11/15/00 JFF A CLOSED OUT.
B10 FINAL 11/15/00 JFF A CLOSED OUT.
**-17015-E 1,700
**-10934-H 800