HomeMy WebLinkAbout17 Karen Way Bectric# APPLICATION FOR BUILDING PERMIT
Plumbing# 17 Karen Way
HVAC # Date: y Z—
�_ 28883
Sprinkler#
FINAL Estimated Cost
BuildingItf COMPLETE RED BOXED AREAS Permit Fee $ fv O
Wn8er TYPE OR PRINT ONLY Occupancy Fee $ t y
Affidavit Z SIGN ON REVERSE SIDE'I;g 0
Appr.for I Total Fee $ —7
TO BUI TMENT,T OF SOUTH WMDSOR,CT (Additional Cost) $
The undersigned eby applies to do work according to the following specifications:
Job Location 1-1 Lot No. Side of Street Zon
Applicant �,p c7 Tel.#ObGc� (A'B SO)21
Address o-M" UJaw Zip O Lic.#
Owner ?OS't- Address 11 Vr a xQk&Way
Architect Address
Sq.Ft.New Area: 1st FI. 2nd FL 3rd FL Total New Area
#Rooms #Lavatories #Bathrooms #Garages
Purpose of this permit: i' _ -Dwr5 vk b4j?.O eASR
wtvAsw5 I
City Water ❑ Well 0 Septic System ❑ Sewer ❑
Ins. H.O. S.P. Cert. Area Basement Garage
Approved by S irk Da'- 5' O L Use Group U Construction Type 5
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 building and its use is allowed.
Signed /kQL"'ej�c' ��5�
1 hereby apply for a Certificate of Occupancy for the work described in this application for the permit.
Signed
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
' -------------------------------------------------------------------------------
**-28883-B 3,500
B09 OTHER 01/08/03 JFF D NO ACCESS LEFT DOOR TAG
B01 FOOTING 06/03/03 WNB A
B10 FINAL 04/02/03 JFF A
B10 FINAL 04/02/03 JFF A CLOSEOUT