HomeMy WebLinkAbout14 Murielle Drive eectric# APPLICATION FOR BUILDING PERMIT
Plumbing# 14 Mu r i e 11 e
HVAC # Date: 1JJD Io�
28168
Sprinkler#
FINAL Estimated Cost $ 2,200
Building p3 COMPLETE RED BOXED AREAS Permit Fee $
Engineer TYPE OR PRINT ONLY Occupancy Fee $
Affidavit SIGN ON REVERSE SIDE
Air.for O. Total Fee $
TO BLALDHG DEPARTMENT,TOWN OF SOUTH WINDSOR,CT (Additional Cost) $
The undersigned h reby applies to do work according to the following specifications:
Job Location f y M (c Lot No. Side of Street Zone
Applicant /h, �Zc^ g*417►S TeL# SA "WO
Address -7� RahhCy St• t,d . Zip OWY Lic.# Sz>/I I l
Own r fa,"I G 0,J)f C Address f a^,.e
Architect Address
Sq.Ft.New Area: 1st FI. 2nd FI. 3rd FL Total New Area
#Rooms #Lavatories #Bathrooms #Garages
Purpose of this permit: Ar-1,a4f oJer e KvsL,-A) I (4yeI' cJ S4,%►J(CIf
City Water ❑ Well ❑ Septic System ❑ Sewer ❑
Ins. H.O. S.P. Cert. Area Basement Garage
Approved by Date 'I ( Use Group Construction Type
R•vi.d 1197
I hereby agree to conform to all the requirements of the Laws of th 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 t
I 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
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**-28168-B 2,200
B10 FINAL 04/09/03 JFF A
B10 FINAL 04/09/03 JFF A CLOSEOUT