HomeMy WebLinkAbout138 Cornerstone Drive (2) ®ectric# 17 Ft? APPLICATION FOR BUILDING PERMIT
138
Plumbing# Cornerstone/Drive 3 ��
loz—
HVAC # - Date:
1`110_ 28638
Sprinkler#
FINAL APPROVALS Estimated Cost $ 13 ctU U
Building "C'3 COMPLETE RED BOXED AREAS Permit Fee $ lkl?--
Engineering TYPE OR PRINT ONLY Occupancy Fee $
Affidavit 147�SIGN ON REVERSE SIDE
Appr.for CO S-aG-�3 Total Fee
TO BUILmr,DEPAR MBqT,TOWN OF SOUTH WmSOR,CT (Additional Cost) $
The undersigned hereby applie3to do work according to the following ifications:
fob Location Lot No. Side of Street Zon
Applicant Tel# ��� � 3 �v
Address IS cZ Zip 'c.# T6
Own r V`W. Address221��
Architect Address
Sq.Ft.N w Area: 1st Fl. 2nd Fl. 3rd FL Total New Area
#Rooms #Lavatories #Bathrooms #Garages
Purpose of this permit: eo
City Water ❑ Well ❑ Septic System ❑ Sewer ❑
Ins. H.O. S.P. Cert. J Area Basement Garage
Approved by 4 fLC- Dot 3 C)Z-L6 Group t/ Construction Type
Revised 9/01
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 which this build i and its u e is allowed. `
Signed
I hereby apply for a Certificate of Occupancy for the work described in this application for the permit.
SignedI eti� ,W
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
------------------------------------------------------------------------------- '
**-28638-B 13,900
E02 UNDERGROUND 05/20/02 CJD A BONDING ONLY
E02 UNDERGROUND 06/11/02 CJD A
B10 FINAL 07/03/02 CJD D WILL ALARM DECK DOOR
B10 FINAL 05/16/03 CJD A W/OWNER
B10 FINAL 05/16/03 CJD A CLOSEOUT
**-17817-E 900