HomeMy WebLinkAbout12 Clover Drive Bectric# APPLICATION FOR BUILDING PERMIT
Plumbing# 12 Clover Drive
HVAC # No. 28447
Dat : ��--of 7—d (
Sprinkler#
FIHAL'41
RO Estimated Cost 0 0�,
Building] Is 'r`�`"� COMPLETE RED BOXED AREAS Permit Fee $ 5 a-
Engi i TYPE OR PRINT ONLY Occupancy Fee
Affidavit SIGN ON REVERSE SIDE
Appr.for CO. Total Fee $
TO BUILDING DEPARTMD4T,TOWN OF SOUTH WINDSM CT (Additional Cost) $
The undersigned h re6y applies to do work according to the following specifications:
Jo6 Location C-- ��� Lot No. Side of Street Zone
Applicant M 6 o C c-, Tel# S�x c—lf G 6 o
Address *7�f "�—S n n t Y S�- t—r �f Zip 6(. 10Y Lic.# So l q IF
Own r M y®S6 n g L{�, Address
Architect Address
Sq. Ft.New Area: 1st FI. 2nd FI. 3rd Fl. Total New Area
#Rooms #Lavatories #Bathrooms #Garages
Purpos of this permit: %-e ruo-F o.14 r- e mac`-� (a�4 e� wrj� a Sv r S4 t'!t, p c
City Water ❑ Well ❑ Septic System ❑ Sewer ❑
Ins. H.O. S.P. Cert. Area Basement Garage
Approved 6y i,lQ— Date 0%101,1Q2,L6Group — Construction Type
R.v's.d 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 locg&d the proper ce from all street lines,side yard lines,and required
distances from all other zones and is located in which is building is allowed.
Signed.
I hereby apply for a Certificate of ccupancy 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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**-28447-B 4,000
B10 FINAL O1/15/03 JFF A
B10 FINAL O1/15/03 JFF A CLOSED OUT.