HomeMy WebLinkAbout1735 Ellington Road (3) eectric# APPLICATION FOR BUILDING PERMIT
Plumbing# 1735 Ellington Road O
H�'AC # ' Date.
Sprinkler# Nv. 28581
FINAL APPRO ALS Estimated Cost $ 900
Building COMPLETE RED BOXED AREAS Permit Fee $ 1 ?,
Engineering TYPE OR PRINT ONLY Occupancy Fee
�idavit SIGN ON REVERSE SIDE
Appr.for CO. i-Upe— Total Fee $
TO BUILDING DEPARTMENT,TOWN OF SOUTH WWSOR,CT (Additional Cost)
The undersigned hereby applies to do work according to the following specifications:
Job Location II C Lot No. 4-t' Side of Street Zone
Applicant ,l. d � Tel# ��O
Address / 6,fl— Zip Lic.# OQ6
Owner 1-2 i-e l Address 'r—
Architect !S e Address l q5. %^�S l 14 rO
Sq.Ft.New Area: 1st FI. nd FI. 3rd FL Total New Area
#Rooms # avatories l #Bathrooms / #Garages
Purpos of this permit:' _ _
:5C� n� 1kh*? r-e,,loczAn C
City Water 9-"-- Well ❑ Septic System 0 Sewer E1/
Ins. H.O. S.P. Cert. Area Basement Garage
Approved by ` - Date O Z Use Group 6 Construction Type 6A
Re WW 1/97
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 whi5p this building and its use is
Signed L7
1 hereby apply for a Certificate of O upancy fo he`work descri in this application for the permit.
Signe
DO NOT WR TE BELOW THIS LINE
INSPECTION COMMENTS
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
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**-28581-B 900
B10 FINAL 11/26/02 JRC A
B10 FINAL 11/26/02 JRC A CLOSEOUT