HomeMy WebLinkAbout110 Country View Drive Electric# APPLICATION FOR BUILDING PERMIT
'Plumbing# 110 Country View Drive
WAC # 'Date:
Sprinkler# No. 28927
FINAL APPROVA Estimated Cost $ 8 oao, ot-
Budding s COMPLETE RED BOXED AREAS Permit Fee
Engineering Occupancy Fee $ !o.
Affidavit TYPE OR PRINT ONLY
Appr.for CO4Wvi., SIGN ON REVERSE SIDE Total Fee $
TO BUILDING DEPART ,TOWN OF SOUTH WMSOR,CT (Additional Cosh $
The undersigned hereby applies to do work according to the following specifications:
Job Location //O Zlanlnt v/-6-J �. Lot No. Side of Street Zone
Applicant rH ,ft o ve L (7-�e a-e f TeL# 8G0- �8 S 900 S
Addr ss //3/-o h� Z y f �Q�►i1 Zip Oho U Y� lic# �70 7 V2
_ Owner_ _4 vvd N k Address /10 ( yj lw a 4-1-ye S G✓i�Js o,-
Architect Address
Sq.Ft.New Area: 1st FL 2nd FL 3rd FL Total New Area
#Rooms #Lavatories #Bathrooms #Garages
Purpose of this permit:_ i e-,J 19orcA o, -Prani ®f &G,6e
City Wa r❑ Well ❑ Septic System ❑ Sewer ❑
Ins. Area —nt Mirage
Approved by Dot - Use Group Construction Type
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 zones and is located in whit is building and it use is allowed.
Signed
I hereby apply for a Certificate of�C/rcu
r the ork d ribed in this application for the permit.
Signed
BELOW THIS LINE
INSPECTION COMMENTS
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
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**-28927-B 8,000
B01 FOOTING 06/19/02 JFF A WITH CONTRACTOR 418" SONOTUBES
B03 FRAMING (ROUGH) 06/21/02 WNB A WITH CONTRACTOR
B10 FINAL 06/25/02 CJD A W/CONTRACTOR
B10 FINAL 06/25/02 CJD A CLOSEOUT