HomeMy WebLinkAbout105 Buckland Hills Drive (6) Electric# APPLICATION FOR BUILDING PERMIT
Plumbing# 105 Buckland Hill Drive
HVAC # Date:
No. 28479
Sprinkler#
Estimated Cost $ 1
FINAL APPROVALS
Building alf �Z- 9_ COMPLETE RED BOXED AREAS Permit Fee $ 1�13
Engineering TYPE OR PRINT ONLY Occupancy Fee $
Affidavit 1;'rSIGN ON REVERSE SIDE'44
Total Fee
Appr.for CO.
TO BUILDING DRARTMNT,TOWN OF SOUTH WK)SOR,CT (Additional Cost) $
The and rsigned here6y applies to do work according to the following specifications:
.lob Location W57 IAQ NLUJO bRW$ Lot No. Side of Street Zon
Applicant.Jo1-kit h5 GowSTW1_.C.Owr God, Tel.#781-CM4-5 76-1
t Address?-Z-OEP'J' T L6414 D'���Ry MA. Zip OZ.3S1 Lic.# Owak02..
OwnerTV AM MELI. 40. Address 12S 1a%qh S - sasrotA MA. C52.1%0
Architect-TA�/Lcii &( AddressS-12 t40UTH QROAaxsay H S. 1 O b03
Sq.Ft.New Area: 1st FI. Lj.00X) 5j*T- 2nd FI. t A• 3rd Fl. Total New Area-4-OM' ALP"
#Rooms #Lavatories #Bathrooms #Garages
Purpos of this permit: l NS'CAIL% ►'T%0tr OF M%U-2401 K AS TM '���NqS•
Ur 4G At;n S' e o --
City Water Well ❑ Septic System ❑ Sewer
Ins. H.O. S.P. Cert. yZ Area Basement Garage
Approved by Dot i Z_- Use Group PAConstruction Type 2.G.
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 Landcated i hich this building and its use is allowed.
gnedI hereby apate of Occupancy for the work described in this application for the permit.
Signed
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS