HomeMy WebLinkAbout1645 Ellington Road Electric# APPLICATION FOR BUILDING PERMIT
Plumbing# 1645 Ellington Road Date: A", 2 5, -f.-P
HVAC #
Snider# -
FriINA APP ovALS 2 9 416 Estimated Cost $ Z.r, D a a
Building 7 o3 �` LETE RED BOXED AREAS Permit Fee $ 3 T
Engineering YPE OR PRINT ONLY Occupancy Fee 10
Affidavit Eng.Insp.Fee $
Appr.for CO. [0:0'- S:1G:NON REVERSE SIDE Total Fee $ 3 95".00
TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR,CT (Additional Cost) $
The and reign d hereby applies to do work according to the following:
Applicant �� `l ``^r1 N�''+N4 9� MGYIFCwf h'1 eni/ Location of Work 164s CA1.:r NO.
Applicant's Address 7rA/ 12P Tel. �;t-kZ
Town Sc v 71n UJ w Q1 S.c,7 0 c r Zip O C,0-lY Lic.#
Owner x— Architect Amt a 6'-0.S;,W
Owner's Address IoZ,3 G.). •' G fl Architect's Address !p/ • �'' •►�
/rilm d ZipG570IF r-: .'e/ a Zip6r.0o
Sq. Ft. New Area: 1 st FI. 0 2nd FI. Z, Voy Srd FI. a Total New Area Z, 8 o 0
Purpose of this permit s6amegi'+• �� ��� s 10' M
IifiP� , er Jy1� C• ���Ir�� it fir' eX
G 6C�
City Water[ Well❑ Septic System❑ Sewer❑
Ins: HO SP Cert. Area Basement Garage
Approved by 1 Q2, Date `I Use Group _ Construction Type.
Revised 6102
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 buildin is allowed.
Signed
I hereby apply for a Certificate of O upa for t work ft
application for the permit.
Signed
DO NOT WRITE BELOW THIS LI
INSPECTION COMMENTS
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
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**-29416-B 25,000
B10 FINAL 03/31/03 CJD D EXIT SIGNS-EMERG.LIGHTS
B10 FINAL 04/07/03 CJD A
B10 FINAL 04/07/03 CJD A CLOSEOUT