HomeMy WebLinkAbout1645 Ellington Road (2) Electric# APPLICATION FOR BUILDING PERMIT
Plumbing# 1645 Ellington Road Date: 3 v Z—
HVAC #
Sprinkler# 29368
FINAL A.PPRo ALs Estimated Cost $ 0 c�0
Building I v COMPLETE RED BOXED AREAS Permit Fee $
Engineering TYPE OR PRINT ONLY Occupancy Fee $�)
Affidavit Eng. Insp.Fee $
Appr. for CO. � SIGN ON REVERSE SIDE ���l Total Fee $ 14660
TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR,CT (Additional Cost) $
The undersigned hereby applies to do work according to the following:
Applicant r6(XIJ 1 a c-�x Location of Work NS ' W 1�6 r� Lot No.
Applicant's Address 1 4 5 C-7(-k- oN Tel.# 2 / 36 2>f
Town Sf,. 1,L/,v Q1 z o 1, Zip y co 7�j Lic.#
Owner (2-z►r-r-v%1k P Architect
Owner's Address Architect's Address
Zip Zip
Sq. Ft. New Area: 1 st FI. 2nd Fl. 3rd FI. Total New Area
Purpose of this permit M v%1 a o v r 02 tT i Rm 9q S e"ten o=L 00 n r=x2& 5 o l=W 7r-es'
Q-Q-0 1 CC nl j j-Q Af c P P-L-4-�2 21 — Q 1f� 4 14-vyev = I a o U S
City Water4a Well❑ Septic System❑ Sewere—
Ins: HO SP Cert. Area Basement Garage
Approved by .S Date Use Group _ Construction Type �-�--
Revised 6102
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 a is allowed. nn
Signed �"
r� C
I hereby apply for a Certificate of r the work d pplication for the permit.
Occ o
Signed
DO NOT WRITE BELOW THIS LINE � ���`� ��\° v'ry
INSPECTION COMMENTS
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
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**-29368-B 30,000
B03 FRAMING (ROUGH) 01/02/03 CJD A
E03 ROUGH 01/02/03 CJD A NEED ELECTRIC PERMIT
B10 FINAL 01/24/03 CJD A FIRE MARSHALL REVIEWED FIRESTOP ON SITE. WILL
COME IN FOR ELEC PERMIT.
B10 FINAL 01/24/03 CJD A CLOSED OUT.