HomeMy WebLinkAbout17 Carey Lane Electric# APPLICATION FOR BUILDING PERMIT
Plumbing# 17 Carey Lane
HVAC # 28799 Date: ILMO z--
Sprinkl r# '
FINAL APPROVALS Estimated Cost
Building - v3 COMPLETE RED BOXED AREAS Permit Fee $
Engineering TYPE OR PRINT ONLY Occupancy Fee $
Affidavit -A
SIGN ON REVERSE SIDE'�g
Appr.for COt--- - Total Fee $
(Additional Cost) $
TO BUILDING DRARTAENT,TOWN OF SOUTH WWSOR,CT
The undersigned hereby applies to do work according to the following specifications:
.lob Location 1 7 C I,K*rZ-y C_Yk ti C Lot No. Side of Street Zon
Applicant 1Z MN- ff1 G IV,Pa 14 Tel.#
Address 8 O S+-a v 64cr R o 1-✓1a V- Laa- g('a ti Zip 0 Lic# G 1 8(o 8 7
Owner Cr A- Y Se-k k w R NN Address I I LNI2 a Y L U}N 9- S Lo
Architect Address
Sq.Ft.N w Area: ]st Fl. 2nd Fl. 3rd Fl. Total New Area
#Rooms #Lavatories #Bathrooms #Garages
Purpose of this permit: -�-2 nn zv..-d (ZQ.D lgce— 12oc,1`i hA
e fit CA— 51��d
City Water ❑ Well 0 Septic System ❑ Sewer❑
Ins. H.O. S.P. Cart. Area Basement Garage
Approved by DCI•- 5'6Lo 5 Use Group �- Construction yT pe
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 which this building and its use is allowed.
Signed 4
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
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
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**-28799-B 6,000
B10 FINAL 06/05/03 CJD A
B10 FINAL 06/05/03 CJD A CLOSEOUT