HomeMy WebLinkAbout105 Buckland Hills Drive (13) Bectric# APPLICATION FOR BUILDING PERMIT
Plumbing# 105 Buckland Hills Road
HVAC # Date:
2 8 5 9 2
Sprinkl r# No.
FINAL APPROVALS Estimated Cost
Building 3ud-dot.., COMPLETE RED BOXED AREAS Permit Fee
Engineering TYPE OR PRINT ONLY Occupancy Fee $ s"=
Affidavit SIGN ON REVERSE SIDE a�
Appr.for CO. v Total Fee CO •
TO BIALDING DeARTMNT,TOWN OF SOUTH WWSOR,CT (Additional Cost)
The undersigned hereby applies to do work according to the following specifications:Job Location JdS L!c Lo,.f &11 Lot No.4 Side of StreetAj fly one
Applicant �r w .St✓v.?� •vc. Tel.# 3 3?.8.
Address n►a + Zip 46f0 Lic.#
Owner Address
Architect 6AZ7����ta. Address .SD iC�iwexeVP L�/�t 43F- G�IiAJU
Sq.Ft.New Area: 1st FI.�� i�2nd FL 3rd FL .0 Total New Area AMW
#Rooms #Lavatories Mfad 45 #Bathrooms Qkpw% l$ #Garages Axe
Purpose of this permit:
City Water Well ❑ Septic System ❑ Sewer
Ins. H.O. S.P. Cert. Area Basement Garage
Approved by Date 3 -Z-- Use Group Construction Type 2r�
Revised 1/97
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 b ' g and its use is allowed.
Signed
I hereby apply for a Certificate of Occupancy for irk desc' in this application for the permit.
Si
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS