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HomeMy WebLinkAbout155 Hillside Drive (2) Bectric# APPLICATION FOR BUILDING PERMIT Mumbing4 155 Hillside Drive HVAC # �. 28100 IDat : -3'y Sprinkler# FINAL PRO Estimated Cost21000 Building COMPLETE RED BOXED AREAS Permit Fee SIG.so ��'i TYPE OR PRINT ONLY Occupancy Fee Affidavit SIGN ON REVERSE SIDE Appr.for COS c Total Fee $ �/• �' TO BUILDIIG TMB'sf,TO OF SOUTH WMDSOR,CT (Additional Cost) $ The undersigned hereby applies to do work according to the following specifications: Job Location 1 S6 ffif Lot No. Side of Street Zone Applicant •P !ne, Al, e-7qSsm Tel# AV-11Z(,e Address Zip Lic# Owner Q 01 c" sAfe-p- Architect Address Sq.Ft.New Area: 1st Fl. 2nd Fl. 3rd Fl. Total New Area #Rooms #Lavatories #Bathrooms #Garages Purpose of this permit; Dec4k - -,C l 2..._ City Water ❑ Well ❑ Septic System ❑ Sewer ❑ Ins. H.O. S.P. Cert. Area Basement Garage Approved by Date Ll ro 1 Use Group !' Construction Type R•vked 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 6 - - 4 A I L44to�— I hereby apply for a Certificate of cupanc r the work described in this application for the permit. Signed O OT W E BELOW THIS LINE e INSPECTION COMMENTS Inspection / Approval Date By Appl Code Description Due Whom Code Comment ------------------------------------------------------------------------------- **-28100-B 2,000 B01 FOOTING 08/06/01 GRM A NO ONE HOME-LEFT STICKER B10 FINAL 08/29/01 JFF D WITH OWNER REFERRED TO ZONING SIDE YARD SETBA SETBACK B10 FINAL 11/19/02 JFF A LOCATION APPROVED BY ZONING B10 FINAL 11/19/02 JFF A CLOSEOUT