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B i d` g
INSPECTIONS:
APPLICATION FOR BUILDING PERMIT
Plumb'
HVA(
100 BRAMBLEBRAE
Date:-
Sprinkler
Electric XEstimated Cost $ ISZO Q -t
Zoning Permit Fee $ a Cris)
Affidavit NO. 21293 Occupancy Fee $
Eng. Dept.
Fire Dept.COMPLETE RED BOXED AREAS.Total Fee $
Health Dept. TYPE OR PRINT ONLY
Approved for CO: SIGN ON REVERSE SIDE. 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 s y L 9--f c-- Tel. #
Address l'o z- !s: .sr c i.,j4n-, t?— Zip 6 6 o r'c1 Lic.# 7F -
STREET CITY STA E
Owner S. , Address
Architect Address
Size New Area: Ft. Front Overall Ft. Deep Overall Total Area Garages
Size of Lot Dist. from Street Line
Lavatories_
Bathrooms Rooms 1 st 2nd 3rd
Purpose of this Permit F vim- - Fi,ti r f}se-`rr,-- a,- `. ,o`
yTVh C. VS-L A)/
1'e vs /c
City Water 0 Well 0 Septic 0 Sewer 0
Use Group Construction Type
Approved by 170— Date ZL BD1A 11/88
I her by agree to conform to all th requir ments of th 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 building and its use is allowed.
Signed
1 hereby apply for a Certificate of Occupancy for the work described i 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# iI Inspections:
Sprinkler Permit# Inspections:
Y
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
94-21293-B 2,500
B03 FRAMING (ROUGH) 04/22/94 JFH A
E03 ROUGH 04/22/94 JFH A
E10 FINAL 05/04/94 DDS A
B10 FINAL 08/01/94 JFH A
94-12972-E 1,000
Total Est Value 3,500