HomeMy WebLinkAbout1021 Ellington Road Electric# APPLICATION FOR BUILDING PERMIT
Plumbing# 1021 Ellington Road Date:
HVAC #
Sprinkler# 29558 Estimated Cost
FINAL APPROV
Building P COMPLETE RED BOXED AREAS Permit Fee
Engineering TYPE OR PRINT ONLY Occupancy Fee $
Affidavit Eng.Insp.Fee $
Appr. for CO. I SIGN ON REVERSE SIDE , Total ee
TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR,CT (Additional Cost) $
The undersigned hereby applies to do work according to the following:
Applicant GAe-C t Crt.-�> V^L)6-vf---J Location of Work 10 Z1 Gt- -,,J c-Te O Lot No.
Applicant's Address /02-/ G-7-0 Tel.# 9.6 O - 2 'q I- T 3" I
Town ��vsl��,✓o.S' Zip e6 a Lic.#
Owner Architect
Owner's Address rO Z t C�I JrTyrJ D Architect's Address
Zip 6v Zip
Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area
Purpose of this permit +7-10-J 'DF 523�jt,4 6-F k v�ec F x / a
City Water❑ Well❑ Septic System❑ Sewer❑
Ins: HO SP Cert. Area Basement Garage
Approved by J Date Use Group(_ Construction Type
Revfsod 8/02
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 ifications of the Building for which this
permit is asked,and agree that this building is to be the open distan o all street lines,side yard lines,and required
distances from all other zones and is located in i nng�and its uie is owed.
Signe
I hereby apply for a Certificate of ccupa or t described i i pplication for the permit.
Signed
O N WRITE BELOW T INE
INSPECTION COMMENTS
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
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**-29558-B 2,000
B10 FINAL 07/23/03 CJD A
B10 FINAL 07/23/03 CJD A CLOSEOUT