HomeMy WebLinkAbout1739 Ellington Road (17) Electric# APPLICATION FOR BUILDING PERMIT
Plumbing# 1739 Ellington road Date:
HVAC #
Sprinkler# 29217 Estimated Cost �(�'i600
FINAL APP VALS
Building 7 62 Jif'C COMPLETE RED BOXED AREAS Permit Fee o
Engineering TYPE OR PRINT ONLY EnCuins Occupancy
yFeee $ �U
Affidavit � g p'
Appr. for CO. I SIGN ON REVERSE SIDE , Total Fee $ j10, 61'
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TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $
The undersigned hereby applies to do work according to the following:
Applicant - )W _5 Location of Work 0;3 q 1511,.:4q Lot No.
Applicant's Address q3 A)7 J'U 1010 Tel.# =eD3—333-0n6
Town Zip06608 Lic.#
Owner R,60&E� zhy-K Architect
Owner's Address "LL) ST B?r Architect's Address
Zip Zip
Sq. Ft. New Area: 1 st FI. AKM 2nd FI. 3rd FI. Total New Area
Purpose of this permit ?, J r A) \51"TOp y' \SVOP
City Water❑ Well❑ Septic System❑ Sewero
Ins: HO SP Cert. Area Basement Garage
Approved by S Date 2L Use Group — Construction Type ?
Revised W02
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 an Iteration in the plans or specifications of the Building for which this
permit is asked,and agree that this building is to be the proper distance from all street lines,side yard lines,and required
distances from all other zones and is located in wh' s buildiWjwd its use is allowed.
Signed
I hereby apply for a Certificate of Occu fo�th described in this application for the permit.
Sine
DO NOT W E BELOW THIS LINE
INSPECTION COMMENTS