HomeMy WebLinkAbout140 Old Farm Road (2) Electric# APPLICATION FOR BUILDING PERMIT
Plumbing# 140 Old Farm Road Date:
HVAC #
Sprinkler# 29547
FINAL APPROVALS Estimated Cost $'
Building COMPLETE RED BOXED AREAS Permit Fee $
Engineering Occupancy Fee $
Affidavit TYPE OR PRINT ONLY 1. Eng. Insp. Fee $
Appr. for CO. 3 a SIGN ON REVERSE SIDE / Total Fee $
TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR,CT (Additional Cost) $
The undersigned hereby applies to do work according to the following:
Applicant --�e� ,f-� �2 ¢`°S Locatip n of Work 1 Y° Lot No.
Applicant's Address / � '`` Tel.#
Town ( n p s` Zip v ? Lic.#
Owner .r,*kft cf, Architect
Owner's Address Architect's Address
Zip Zip
Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area
Purpose of this permit C-Y f
City Water❑ Well❑ Septic System❑ Sewer❑
Ins: HO SP Cert. Area Basement Garage
Approved by Date V-2 Q-D 3 Use Group L/ Construction Type
Revised 6102
I h reby agree to conform to all th requir m nt 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 pro nee from all street lines,side yard lines,and required
distances from all other zones and is located in which ildin its use is allowed.
Si
I hereby apply for a Certificate of Occupancy r e�work in this application for the permit.
i
Signe
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
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**-29547-B 2,370
B10 FINAL 07/03/03 WNB A WITH OWNER
B10 FINAL 07/03/03 WNB A CLOSEOUT