HomeMy WebLinkAbout1096 Ellington Road (3) Electric# I♦l"1 Q� APPLICATION FOR BUILDING PERMIT
Plumbing# 1096 Ellington Road
HVAC # Date:
No.
Sprinkl r#
FINAL RO Estimated Cost
Buildin COMPLETE RED BOXED AREAS Permit Fee $
Engin ing TYPE OR PRINT ONLY Occupancy Fee $__,/4 .
Affidavit SIGN ON REVERSE SIDE't4�1
Appr.for CO hG o3 Total Fee $ 92S .
TO BlA TMENT,TO SOUTH W14DSOR,CT (Additional Cost) $
The undersigned hereby applies to do work according to the following specifications:
Job Location 1 O 1(o Gu_i*a tic"ro&"S'�Ap Lot No. Side of Street Zone
Applicant 39ola*yrE S. --3)RA egs a "L Tel#<9W Ain '94q 23
Address 10'R6 EuL tJ WooJeSba,CT Zip t(co-74 Lic.#
Owner -:A ' * Address ICA(, SL-Lt W&-TO&1_RoA� So. +N�Sot2.eT 0 o7S�
Architect Address
Sq.Ft.New Area: lst Fl. 2nd FI. 3rd Fl Total New Area
#Rooms #Lavatories #Bathrooms #Garages
Purpose of this permit: 7A 9 ,)�� /�p _4c G✓,d2t y.-T Pdo C_ _
City Water ❑ Well 0 Septic System ❑ Sewer ❑
Ins. H.O. S.P. Cert. Area Basement Garage
Approved by 116.= Date K14 24Jse Group 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 Lw4dima is to be located the proper distance from all street lines,side yard lines,and required
distances from all other zones and i t which this is allowed.
Signe
I hereby apply for a Certificat of O pan h wo U tion for the permit.
Signe
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
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**-28812-B 1,000
B10 FINAL 05/16/03 JFF A WITH OWNER STATE MODIFICATION ON PIERS
B10 FINAL 05/16/03 JFF A CLOSEOUT
**-17792-E 650