HomeMy WebLinkAbout19 Fox Meadow Lane (2) APPLICATION FOR BUILDING PERMIT
Electric# f
Plumbing# 19 Fox meadow Lane Date:
HVAC # 2936
Sprinkler# Estimated Cost $ It 11
FINAL APPROVALS Permit Fee $
Building Gk/a3 L COMPLETE RED BOXED AREAS Occupancy Fee $ f o ( aa
Engineering TYPE OR PRINT ONLY Eng.Insp.Fee $ffi Affidavit SIGN ON REVERSE SIDE
Appr. for CO. � (6/03 Total Fee $ ys.
TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR,CT (Additional Cost) $
The undersigned hereby applies to do work according to the following:
Applicant /��}IQ IC S,r� 11"!4I Location of Work I � w D fL /free-�9 d�a L✓ L p rile Lot No.
Applicant's Address l e V d o S to Tel.# L Y 9• �.`7$
Towne,T L� Zip C'T Lic.#
Owner ;-r✓► i4'4 10•e-✓1 Architect
Owner's Address l ICD X. hn r d d e t./k M 11y-Architect's Address
.Te u.T if b✓ s�!P Zip DC� Zip
Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd FI. , Total New Area
Purpose of this permit S A 510 I-L-I *l G.r • A A L c�m �r�1,��, y L-i ✓�`e-� / 1� jC-n`e-r
rk e mT 2 P JA B=�L�i R r c T P a n g re C TA
City Water❑ Well❑ Septic Systemo Sewerci
Ins: HO S Cert. Area Basement Garage
Approved by Date e'v Use Group Construction Type
Revised 6102
I hereby agree to conform to all the requirem nts of the Laws of th 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 buil 'ng and its use is Ilowed.
Signed I.
I hereby apply for a Certificate of Occupancy for the work de: in this appli ion for the permit.
Signed
. &I
� 2j.
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
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**-29363-B 1,000
B10 FINAL 01/02/03 JFF A WITH OWNER
B10 FINAL 06/18/03 JRC A CLOSEOUT, CO NOT PRINTED