HomeMy WebLinkAbout117 Brook Street (2)Electric# APPLICATION FOR BUILDING PERMIT
Plumbing# 117 BROOK STREET
HVAC # Date: 4 1 Z )91p
Sprinkler# 23065
00
FINAL APPRO AL Estimated Cost $
Building f COMPLETE RED BOXED AREAS Permit Fee
Engineering TYPE OR PRINT ONLY Occupancy Fee $
Affidavit SIGN ON REVERSE SIDE
Appr.for CO. Total Fee D
TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR,CT Additional Cost) $
The undersign d hereby applies to do work according to the following specifications:
Job Loca 'm n Lot No. Side of Street Zone
Applicant T Tel.#
Address .Z DO, :r' ZipQ6 o Lic. #
Owner\lbw Address
Architect Address
Sq. Ft.New Area: 1st Fl. 2nd FI. 3rd FI. Total New Area
Rooms Lavatories Bathrooms Garages f
Purpose of this permit:
City Water Well Septic System Sewer
Us Group ./` Construction Type Area Basement Garage
Approved by Date 211z 64
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 i which this building and its 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