HomeMy WebLinkAbout20 Gilbert Lane6;t-ace tams W,,,
Electric# // q I APPLICATION FOR BUILDING PERMIT
Plumbing D 3S40 F 20 GII,BERT LANE
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WAC # L4 ivy 25879 Dat
Sprinkler#
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Buildi 4 COMPLETE RED 5bXFD AREAS Permit Fee
Engi 'ng TYPE OR PRINT ONLY Occupancy Fee $ S'
Affidavit 2 SIGN ON REVERSE SIDE qc,02<-Appr.for CO.Total Fee
TO RUILDWG DRARTM9JT,TOWN OF SOUTH WWDSOR,CT Additional Cost) $ 12
The undersigned h re6y applies to do work according to the following specifications:
Job Location I Ct rV Lot No, Side of Street Zone PS6
Applicant Tel.#6FQ1Lz
Addr ss ip c.#T,.,
Own r Address
Architect Address
73- 9Sq. Ft.N w Ar • 1st FI. 2nd FI. 3rd Fl. Total New Area
Rooms Lavatories Bathrooms Garages
Purpos of this permit: zg i-t?
City Water Well , Septic System Se49CANNEU
Ins. H.O. S.P. Cert. Area C&9 Basement 1259
Approved 6y i ac- Did i `1 Use Group ` Construction Type 5Q
R*YbW 1197
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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 h this building and its use is allowed.
Signed 0,--n Q/l
I hereby apply for a Certificate of Occupancy for the work described in this application for the permit.
Signed
DO NOT WRITE BELOW THHUINE
INSPECTION COMMENTS
Location of Job:AFFIDAVIT Additional Fee$
State of Connecticut}
ss.South Windsor
County of Hartford }
Owner
of V gent-for building erecte
Contractor
under Permit No. issued by the Building Department of the Town of South Windsor being
y my sworn,make oath and say that the actual cost of th`e,Wm 1 tedwork authorized under said permit did not
xceed the most current accepted BOCA value of$ /f/
Signe AfA
Subscribed and sworn to before me this day of A.D.19
Es In Cost
c U
Difference: $ /
otary Public
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
99-25879-B 75,000
B01 FOOTING 03/12/99 DCJ A
B02 FOUNDATION 03/29/99 DCJ A
E01 SERVICE 04/06/99 JFF A NOTIFIED NU
P02 UNDERGROUND 04/08/99 JFF A NOTIFIED ROGER
B05 FIREPLACE/CHIMNEY 04/16/99 DCJ A
B03 FRAMING (ROUGH) 04/23/99 RAN A
E03 ROUGH 04/23/99 RAN A
P03 ROUGH 04/23/99 RAN A
B04 INSULATION 04/28/99 DCJ A
E03 ROUGH 04/28/99 DCJ D RECESSED LIGHTS IN BATHROOMS NOT IC TYPE
PO4 GAS TEST 05/25/99 DCJ A LEFT STICKER
B10 FINAL 07/20/99 JFF A WITH MIKE & ROGER/APPROVED FOR CO & CLOSEOUT
99-10350-P 1,900
99-16191-E 3,000
99-10498-H 2,500
99-16220-E 200
Total Est Value 82,600
Dwelling 2,694 110,238.48
Basement 1,259 15,611.60
Garage 506 6,274.40
Smoke Det 7 525.00
BOLA Value 1 , 93.91
67
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Difference 67,293.91 Jtz J
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SITE COMPLIANCE CHECKLIST
TOWN of SOUTH WINDSOR, CONNECTICUT
20 GILBERT LANE LOT_##16 Reviewed ByVJ OPAt En ineering)
CLARK REALTY, INC. Date Reviewed 1 pro enied
658 ELLINGTON ROAD,SOUTH WINDSOR,CT Reviewed By Planning)
BP_#_25879_ Ph_#_(203)528-6054 Date Reviewe 4 prov Denied
Date Submitted 07/01/99 F elbf 0 ***
As required in the Zoning and/or Subdivison Regulations, no Certificate of
Occupancy shall be issued until grading plans have been complied with and
approved by the Town Engineer. The minimum requirements shall include:
Approved Denied N/A
1. Approved building permit plan
2. Finish grading per approved cu&,,L ;,J F P-LO
building permit plan
3. Site work; i.e. trees, shrubs, c uu,k
dumpsters, required parking
4. Utility location;
a. sanitary sewer/septic system
e/ b. foundation drain ca1R,ck F E'-
C. electrical & telephone
d. water
e. other G•ws
5. Sewer connection charge paid PAM
6. Appropriate certification
7. Bonding
8. Planning & Zoning/
Inland Wetlands Considerations
Sewer Permit No. 05
Pavement Excavation No.
COMMENTS:
11 12
ti0 r
J U 1: 1 1999
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SITE COMPLIANCE CHECKLIST
TOWN of SOUTH WINDSOR, CONNECTI(CUT
20 GILBERT LANE LOT_#16 Reviewed By • Ti R1 En ineering)
CLARK REALTY, INC. Date Reviewed o Approve enied
658 ELLINGTON ROAD,SOUTH WINDSOR,CT Reviewed By anning)
BP_#_25879_ Ph_#_(203) 528-6054 Date Reviewe I fl I Appro d/Denied
Date Submitted 03/09/99 FO BU L ING PE
R
In accordance with the Zoning and/or Subdivision Regulations, prior to the
building of any structure on a lot, a Topographic Plot Plan shall be submitted
for approval. The minimum requirements shall include:
Appr ved Denied N/A
1. Name, address & phone number of owner/applicant
2. Name, address & phone number of plan preparer
3. Zoning Information - i.e. zone, open space,
floodway, etc.
4. Plot Plan at 1" = 40' scale
a. Subdivision reference, abutting properties, etc
b. Easements of record
C. Lot description, bearings, building lines,
distances, area, etc.
d. Contours, existing & proposed, 1 or 2 ft.
interval where appropriate
e. Building location with dimensions.
Elevations of proposed finish floor, garage
floor & centerline of road at driveway
f. Elevations of gravity drainage systems, sanitary
foundation drain at the house and the street
g. Tentative utility location (gas, water,
electric, septic system, etc.)
h. Title block with name and address of preparer,
date, appropriate certification, live seal and live
signature consistent with the Board of Registration
requirements. (P.E. & L.S.)
5. Sedimentation and erosion control
6. Special Planning & Zoning, Inland/Wetlands
considerations (Plans on file w/Town Clerk)
COMMENTS:11
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MAR 9 1999
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DEPARTMENT DECISION PERMJT#
APPLICATION FOR ELECTRICAL PERMIT 6220
Application is hereby: TOWN of SOUTH WINDSORIBUILDINGDEPARTMENT Bid Permit#
APPRO 1540 SULLIVAN AVENUE J
43 644-2511 ext. 230
Date Building Inspector Application must be printed or typed
Location ofjob
Street No. Street Lot No.
FEE SCHEDULE
Floor Apt.No.
0 - $11,000 - $12.00
Over $1,000
12.00 per$1,000
or any fraction thereof
ADDRESS a'j, Carn. -J nl j
k/3-145D j C= 2>(b 0
OWNERS PHONE# Cf t.0 6
APPLICANT AlMOkili
0* S ADDRESS
4(
e ts'e 9-CC7
G ::: C.)ESTIMATED COST$
IS THIS A CONTRACT COST?
YES NO
FEE ENCLOSED $
OR-C TYPE OF JOB:
Original Installation
X Alteration/Addition Repair
Revised 11/95
APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side)
TYPE OF BUILDING
IS THIS APPLICATION ASSOCIATED WITH A
RESIDENTIAL BUILDING PERMIT APPLICATION YES / NO
BUSINESS
ASSEMBLY CURRENT USE AND OCCUPANCY
MERCANTILE
EDUCATIONAL FUTURE USE AND OCCUPANCY
INSTITUTIONAL
FACTORY
STORAGE ENGINEER'S NAME PHONE
GARAGE
MIXED USE ADDRESS
CITY STATE ZIP
Other please specify)
TYPE OF INSTALLATION/WRUNG METHOD
SIZE OF MAIN FEEDERS AND RATING OF WIRE USED
NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS
NUMBER OF PANELS REMOTE DISCONNECT REQUIRED?YES/NO
NUMBER OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS
NUMBER OF SWITCHES NUMBER OF OUTLETS
NUMBER OF LIGHT FIXTURES
NUMBER OF HEAT CIRCUITS NUMBER OF A/C CIRCUITS
SEPERATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED.
DESCRIPTION OF WORK
64--11 e
SeeC40-
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS
TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONN.BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
NAME STATE LICENSE NO. TYPE GNATURE OF APPLICANT
PHONE NO. 0 DATE
1 1 ` 10 y St"e c C 1ka-Yk U0.v. cow, , rC to
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o o r 4 c Quo TV% e f z --cx. R Z r o.u in -
Ct 44 r-b 4"A, lavv)
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A NED
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
P f a
Application is hereby: OWN of SOUTH WINDSOR
BUILDING DEPARTMENT Bld Pe - `
APP 1540 SULLIVAN AVENUES
4(- cf
644-2511 ext.230
Date Building Inspector Application must be printed or typedr
r,
Location otjobb
ilr
7e14a f
Street No., Street Lot No.
FEE SCHEDULE yak
Floor Apt.No.
0 - $1,000 - $12.00
Over $1,000
12.00 per$1,000 OWNER
or any fraction thereof
lADDRESS
OWNERS PHONE#
APPLICANToe
W N S ADDRESS J
000
ESTIMATED COST$
IS THIS A CONTRACT COST?
V YES NO
1 4GCS FEE ENCLOSED $
dsOR COS E OF JOB:
Original Installation s
Alteration/Addition/Repair
11/95
A•1
APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side)
TYPE 04KBUILDING
IS THIS APPLICATION ASSOCIATED WITH A
VZRESIDENTIAL BUILDING PERMIT APPLICATION YES / NO
BUSINESS
ASSEMBLY CURRENT USE AND OCCUPANCY
MERCANTILE J
EDUCATIONAL FUTURE USE AND OCCUPANCY 'C
INSTITUTIONAL
FACTORY
STORAGE ENGINEER'S NAME PHONE
GARAGE
MIXED USE ADDRESS
CITY STATE ZIP
Other please specify)
TYPE OF INSTALLATION/WIRING METHOD i )
SIZE OF MAIN FEEDERS AND RATING OF WIRE USED
NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGSQ
NUMBER OF PANELS REMOTE DISCONNECT REQUIRED?YES NO
NUMBER OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS
NUMBER OF SWITCHES NUMBER OF OUTLETS
NUMBER OF LIGHT FIXTURESS
NUMBER OF HEAT CIRCUITS NUMBER OF A/C CIRCUITS
SEPERATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED.
DESCRIPTION OF WORK
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS
TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONN.BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
NAME STATE LICENSE NO. TYPE SIGNATURE OF APPLICANT
PHONE NO. DATE J
c n
INSPECTOR
r
DATE `"1 6 1 TIME
LOCATION
L
INSPECTION: CODE: RESULT(D/A) :
BUILDING:
CELECTRI
4 6 l
PLUMBING:
HVAC:
OTHER:
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F SCANNED
PERMIT#DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT F
Application is hereby:TOWN of SOUTH WINDSOR
BUILDING DEPARTMENT Bldg Permit#
APPROVE 1540 SULLIVAN AVENUE
644-2511 ext. 230
Date wilding Inspector Application must be printed or typed
y
j Location ofjob
Street No. Street Lot No.
FEE SCHEDULE
Floor Apt. No.
0 - $1,000 - $12.00
Over $1,000
12.00 per$1,000 OWNER l
or any fraction thereof
ADDRESS
OWNERS PHONE#
APPLICANT
ADDRESS C
C ESTMATED COST$
C - IS THIS A CONTRACT COST?
YES NO
O
FEE ENCLOSED $
OR-CO TYPE OF JOB:
Onginal Installation
Alteration/Addition/Repair
Revised 10/96
APPLICATION FOR PLUMBING PERMIT(Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
BUILDING PERMIT APPLICATION YES / NO
RESIDENTIAL
BUSINESS CURRENT USE AND OCCUPANCYASSEMBLY
MERCANTILE FUTURE USE AND OCCUPANCYEDUCATIONAL
INSTITUTION
FACTORY ENGINEER'S NAME PHONE
STORAGE
GARAGE ADDRESS
MIXED USE
CITY STATE ZIP
Other please specify)
TYPE OF INSTALLATION Z U SIZE OF MAIN DRAIN G.
NO. OF TOILETS _STYLE . , ' NO. OF URINALS STYLE
NO. OF BATHTUBS_NO. O HOWERS NO. OF LAVATORIES 3
NO. OF CONDUCTORS SIZE NO. OF STACKS SIZE 3
AREA OF ROOF NO. OF CATCH BASINS NO. OF FLOOR DRAINS
NO. OF OTHER FIXTURES/KIND
ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW YES/NO
SIZE OF WINDOW IF NONE C.F.M. OF VENTILATOR
SIZE OF DUCTS SEWER OR SEPTIC TANK G '
SIZE OF WATER MAIN SIZE OF WATER PIPING&RISER
WATER BEATER
TYPE MANUFACTURE
TANKS SAFETY DEVICES
TEMPERATURE
CAPACITY RELIEF VALVE
TEST PRESSURE WORKING PRESSURE PRESSURE RELIEF VALVE
TYPE MANUFACTURER
DESCRIPTION OF WORK
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS
TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONN. BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
NAME STATE LICENSE NO. TYPE SI ATURE O APPLICANT
PHONE NO. DATE
DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT t4
Application is hereby: TOWN of SOUTH WINDSOR
BUILDING DEPARTMENT Bldg Permit#
APPROVED 1540 SULLIVAN AVENUE
644-2511 exL 230
Date Building Inspector
Application must be printed or typed
I"20 C( ( b r Location of job
L ac 1 eF
zk7"=e
Street No. Street Lot N .
FEE SCHEDULE
Floor Apt.No.
0 - $11,000 - $12.00
Over $1,000
12.00 per$1,000 OWNER
or any fraction thereof
rADDRESS
OWNERS PHONE# 2 2— Q k 2
APPLICANTn 1—--- ---
OW N $F ADDRESS001
Q-
ESTMATED COST $
l
IS THIS A CONTRACT COST?
YE NO
FEE ENCLOSED $
1
OR-CO E OF JOB:
IM Original Installation
Alteration/Addition/Repair
Revised 11/95
APPLICATION FOR HVAC PERMIT (Continued from reverse side)
TYPE OF SYSTEM TYPE OF BUILDING
HEATING RESIDENTIAL
A/C COMMERCIAL
VENTILATION INDUSTRIAL
HEATING
STEAM LOW PRESSURE LIMIT LBS.HIGH PRESSURE LIMIT LBS.
HYDRONIC WARM AIR UNIT RADIANT HEATER
EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION
DESIGN TEMP. OUTSIDE F INSIDE F DIFFERENCE F
TOTAL HEAT LOSS(BTUH)
HEAT LOSS SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL HEATING EQUIP NT (INCLUDING MAKE&MODE NO.)
e
ram' )_ D 0 o
GROSS HEATING CAPACITY (INPUT-BTUH) NET RATING (OUTPUT-BTUH)
TYPE OF FUEL
OIL-GPM GAS-INPUT V ELECTRIC-KW
OIL TANK SIZE&LOCATION
INSIDE OUTSIDE CAPACITY LPG TANK CAPACITY
AIR CONDITIONING
DESIGN TEMP. OUTSIDE F INSIDE F DIFFERENCE F
TOTAL HEAT GAIN(BTUH)
HEAT GAIN SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL COOLING EQUIPMENT (INCLUDING MAKE&MODEL NO.)
TONNAGE COOLING CAPACITY(BTUH)
VENTILATION
DESCRIBE ALL AIR HANDLING EQUIPMENT(INCLUDING KITCHEN EXHAUST EQUIPMENT)
TOTAL SIZE OF SYSTEM(CFM) FRESH AIR INTAKE(CFM)
PLANS MUST ACCOMPANY APPLICATION)
FURTHER DESCRIPTION OF WORK
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO
COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONN.BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
STATE LICENSE-NO.NAME&TYPE SIGNATURE OF APPLICANT
PHONE NO. X•2 Y DATE
I B R CALCULATION SHEET 11503 (Modern Method) Coot rsgN 1977 by The"Ydronlcs Institute
WNER -•J/ G ADORES: DESIGN TEMPERATURE DIFFERENCE LpF. OAT& /!
C L.A C L.B COL.C COL.O COL.E C L.F COL.G
I Roots a .Levin Xni/! LZ 0 C/
p M I L I W N 1 L W H L I W H I L I W M L/ we wade.T.s.
2 ROOM DIMEHISI NS.f T. V Zd Z O / @TUN per Poet of -FD
3 LENGTH EXPOSED WALLS,FT. 4
IL Zet7
RaltaUes Selkete4
4 WIN Ow-ANO OUTSIDE DOOR AREA aO
STUN BTUH BTUH STUN TUN
S WALL CONSTRUCTION ROOM LIN.FT.OF
Table 9.Lmo 3 a H) O 4 000 C/ 900 600 Q TOTALS RADIATION
6 TYPE Of GLASS
ROM LINE 12 SELECTED
Bottom of teak used for L in*S) Q ov 900 4900
7 CEILING CONSTRUCTION Q' Q C 7 `'
ToWe 9.L a W) O OC/ J D 40 J O
FLOOR CONSTRUCTION?
ITaWe9,L a W r Lin.F L)
9 COLD PARTITION CONSTRUCTION
ITeble 9,L a HI C
10 c 1 ww IWIet oeninga
2 wows tw:atoo«trnW oX O Z oU LZOU 1
3 wells lWoth Openings)or Enc Matt
J
r- J cz
11 T TAL BTUH AT 7OF TEMP.DIFFERENCE- G 3O 70 7oG 70d40
12 TOTAL BTLIH AT DESIGN TEMP. DIFFERENCE 0 QOQ 0 K
COL.A COL.•
RSTUH
M COL.1 COL.J COL.K COL.L TATOAUOTUHTOTAL.
Of OUiLO1Na RAOI 1 N
I ROOM S C/ 4 C/ O 4 AT SELECTED
p W H L W H L W H L W H L w OESION TEMP.•
DIFFERENCE
2 ROOM DIMENSIONS.FT. V J Z 0
3 LEN TH EXPOSE WALLS.FT.A 0
4 WINDOW AND OUTSIDE DOOR AREA IL
TUH JITUM BTUH STUN
S WALL CONSTRUCTION f
tNCREA.SE 9ATHROOM
Table 9.Line 3 a H)
y
r J / sQ0 D 70YAL 201i
E TYPE OF GLASS
IltoteawefSON*wood f .Lrne 01 tFOR CONCRETE FLOOR ON
7 CEILING CONSTRUCTION c GROUND OR FILL AT
Tatste f.L a W) cos gOv v GRADE LEVEL.USE LINEAR
FEET OF EXPOSED EDGE
S FLOOR CONSTRUCTION?
ITablk 9.L a W or Lin FL)
9 COLD/ARTITI N CONSTRUCTION
ToWe 9.L a N)
10 c I Well IWrtA O~In*sl D/O U
2 Wells twithOpenanla) x •De
3 wale Iwltw OP*n&r+9a1 or EnL Han
J
I/ TOTAL STUN AT 70f TEMP. DIFFERENCE' 3G06 00 700
12 TOTAL BTUH AT DESIGN TEMP. DIFFERENCE Q 00
FORM 1303
Tfin form Is a.*dolwe tram Tn*Hydronlcs Institute.36 Russo PIeCe.Berkeley Heights.N J 07922
Electric#APPLICATION FOR BUILDING PERMIT
Plumbing# 29 Gilbert Lane
D°t //)/4,&HVAC #26559
Sprinkler#
11MANNALS bate cost s
Building 3 va COMPLETE RED BOXED AREAS Permit Fee 31
Engineering TYPE OR PRINT ONLY Occupancy Fee $ S
Affidavit SIGN ON REVERSE SIDE
Appr.for CO. At oc Total Fee 11
TO BULDM DEPARTMM,TOWN OF SOUTH WH)SOR,CT Additional Cost) $
The undersigned hereby applies to do work according to the following specifications:
Job Location ;2n C7-,1 : la He Lot No. Side of Street Zone
Applicant AA fL,&n A hoLN -,;'} Tel.# (0 j 3S
Address ;hr) ,t l-14—._. Zip e)t,-)2 y Lic.#
Owner y Address
Architect Address
Sq.Ft.New Area: 1st FL 2nd Fl. 3rd Fl. Total New Area
Rooms Lavatories Bathrooms Garages
Purpose of this permit: A) rr A rc4 1,o .J 54o VQ
ty Water Well Septic System
Ins. H.O. S.P. Cert. Area Basement
Approved by 3 k-C-- Date ZCM-LqNse Group V Construction Type 0 A
Rersed 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
7wh' tbuilding and its use is allowed.
Signed
I hereby apply for a Certificate of Occ pancy for the work described in this application for the permit.
Signed.ajlf- a---41 LW AM--,--
DO JT WRITE BELOW THIS LINE
INSPECTION COMMENTS
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
99-26559-B 2,400
B06 WOODSTOVE 03/01/00 DCJ A
B10 FINAL 03/14/00 JFF D NO ACCESS LEFT DOOR TAG
B10 FINAL 03/01/00 JRC A CLOSED OUT.
Total Est Value 2,400
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