HomeMy WebLinkAbout1735 Ellington Road Electric# APPLICATION FOR BUIL.IAMP
Plumbing# 1735 Ellington Road #2
Date:
HVAC # �. 27702
Sprinkler#
FINAL APPRO ALS Estimated Cost
Building COMPLETE RED BOXED AREAS Permit Fee $ 13
Engineering TYPE OR PRINT ONLY Occupancy Fee $
Affidavit SIGN ON REVERSE SIDE
i $
Appr.for CO. Total Fee
TO BLAMING,DEPARTMWT,TOWN OF SOUTH W�SOR,CT TO Cosh $
The undersigned hereby applies to do work according to the following specifications:
Job Location 5 �l I I n Lot No. Side of Street Zone
Applicant '�K- K.Q. . t D '.l-�n L Tel# ��[�-Li`(`�"O /�/
Address t tb cl' Zip L11- Lic.#
Owner Address WCl
Architect�7�G�►1 L ��6k✓ZC4 Address EA )c9 U G-S
Sq.Ft.New Area: 1st FL 2nd FL 3rd FL Total New Area 4,00
#Rooms #Lavatories #Bathrooms #Garag
Purpose of this permit: Gin .c G�L es
'r �D �S
w ��hne 3 ��o -� of
City Water Well ❑ Septic System ❑ Sewer
Ins. H.O. S.P. Cert. ✓ Area Basement Garage
Approved by Date Use Group Construction Type
Rw:.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 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
,�A(�'�
I hereby apply for a Certificate of Occu ncy fo th ' in e work desc this application for the permit.
Signed
DO NOT WRITE EQLOW THIS LIN;>
INSPECTION COMMENTS
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
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**-27702-B 1,000
B10 FINAL 11/26/02 JRC A
B10 FINAL 11/26/02 JRC A CLOSEOUT
**-11191-H 7,000