HomeMy WebLinkAbout105 Buckland Hills Drive Bectric# 17 Y ' /jZ3 r3u j• APPLICATION FOR BUILDING PERMIT
Plumbing# 0 C), 105 Buckland Hills Drive
HVAC # /l 1 S S Date: � c3 ct
Sprinkler# W. 2 8161 64 s7' 4OIG.
FINAL APPROVALS Estimated Cost
Ruilding COMPLETE RED BOXED AREAS Permit Fee $ f.
Engineering TYPE OR PRNT ONLY Occupancy Fee $
Affidavit SIGN ON REVERSE SDE
Appr.for CO. I Total Fee $ %3
TO BLALDING DEPARTMIM,TOWN OF SOUTH W94DSM CT (Additional Cost) $
The undersigned hereby applies to do work according to the following specifications:
Job Location /o s ZockL^"T> U PA%%AL, Lot No.�_Side of Street 400-0A Zone CID
Applicant SsK,r.s trlaIaAgw / t.t&arY*. r,V c. Tel.# &Aq (ow-r-Uo'1
Address 26-tkwj �K+tw,:�e A•� �/Niewl+h"4. Cr Zip 04e8t' Lfc.# 9603L N
Own r No1XWtN 14<9.%6 , LLc Address I164t Res-too► 1114tC,rNIA U Cw 41% , L34S1
Architect f 1. t 9 Address )j Si L%J fiA. LA . 6,46s f a4 4*" C i a&//a
Sq.Ft.New Area: 1st FL 9,000 2nd FL NJA 3rd FL /V/P& Total New Area (a, do G
#Rooms 3 #lavatories .7 #Bathrooms 3 #Garages AVrg
Purpose of this permit: C a&A-SrksjGr� NCA,*-� P-6 i�tL- 8j,c..0 o4 3
FOQr.J44,dh a-7gl7
City Water Well 0 Septic System 0 Sewer x
Ins. H.O. S.P. Cert. Area Basement Garage
Approved by -A U— Date �70
( Use Group Construction Type
Rw'sed 1197
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
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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