HomeMy WebLinkAbout22 Linda Lane (2)Kloter Farms PHONE NO.Mar. 04 2003 11:20PIM P4
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OFFICU.01-1111-7,
S'1-A-1-1:)WILI)INC INSI'VIC-1 OR
0.ROX 2794
M101N.i.,.I'MIN.
860)61,0-8110
I;AX.(960)0$5-8365
REQUEST FOR MOMFICATION
J-DR OFFICE USE ONLY
OF THE STATE BUILDING CODE
I.l.Name and Location of Building
C 7 0607V
No. Street i Owr] Z,ro
2.Building Owner
3.Applicant's Name Telephone fi,ID 9'Y-S-3
Applicant's Address C—'F- Ofo*_"7_
Include Firm Name if Applicabie.)No. Street Town State zip
Name of Person to Contact Telephone
ti For information if required)
2,
4. A.Date of ApplivA 0 04 A ^0 aL- 0tianforBuildingPermit —
B.Applicable Code(Title and Date) 1995 Cabo Code
5.Use Group Accessory Structure(Shed and Gazebo)
A.Was there a change of occupancy; Yes X No
B.If yes from NA to
6.Building Construction Classification 5-B
7. Square Foot Area of Building(Total)
Maximum Square.Foot Area per Floor Same As Above
S.Number of Stories One.
9.Check Applicable Designation:
X New Building Existing Addition Other(Explain)
10.Fire Protection at subject premises(Check appropriate headings
SmokeDetection Be-at Detection Extinguishers
Sprinklers Standpipes Other(identify) NA
FROM y K 1 oter Farms PHONE NO.Mar. 04 21303 11:20AM P5
I
1 l. describe ala: s stezai, i sl L pry:nl i.Se 'A
12. Building;Code Section that rnodiiic:atiOri * zequcstec! trcatr section 40:-1
13. Modification Sought To allow an aecessor31 structure less than 400 square feettobeinstalledwithoutprovidingAFrostProtectedPierFoundation.
1 4- Applicant's Signature Date Sided
15. important Requirement Failure to}provide the following information will delay mod ficationprocess. The Building Official MILSt comment below on the modification request as perConnecticutGeneralStatute29-254(h). *Note: Must be signed h3 Chief BuildingOfficial,Acting Building Official or Provisional Building Official.
Support Request
ODo Not Support Request
L7The decision on this request is left to the Office of the State Building Inspector,Please contact the undersigned.
Building Official's written comments, il'desired.
Jo K `2 C UA s
Building Official (Printed) ."aw11 mg () eial Signature D tte Si edg
S7 (mil 2,,3
Building Official's 1 elephone Number Rest Time to Contact