HomeMy WebLinkAbout109 Hillside Drive Electric# APPLICATION FOR BUILDING PERMIT
Plumbing# 109 Hillside Drive Date: tZx3
HVAC #
Sprinkler# 29388 fit,
FINAL APPROVALS Estimated Cost $Permit Fee 5-
Building COMPLETE RED BOXED AREAS
Engineering TYPE OR PRINT ONLY Occupancy Fee $ /O
Affidavit Eng. Insp. Fee $
Appr. for CO.� 3�rgl0c— SIGN ON REVERSE SIDE , Total Fee
TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR,CT (Additional Cost) $
The undersigned hereby applies to do work according to the following:
Applicant CT Lq Location of Work t o ct UJks4e yr S. Lot No.
Applicant's Addre s i C cl 4, S 1 1 e-- Ti- Tel.# (o 5-
Town 'l't-A O — Zip D C- t r1 y Lic.#
Owner •- t, , tc: c t Architect
Owner's Addre 1 C q Architects Address
Zip Zip
Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area
Purpose of this permit �F
City Water❑ Well❑ Septic System❑ Sewera��
Ins: HO ✓ SP Cert. Area Basement Garage
Approved by Date (JA[0Use Group kJ Construction Type
R vlsod W02
I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Tam 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 nee from all street lines,side yard lines,and required
distances from all other zones and is located in this buildin and it"is al
Signed
I hereby apply for a Certificate of O upancy for =thework d ri permit.
Signed
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
-------------------------------------------------------------------------------
**-29388-B 2,900
B06 WOOD/GAS STOVE 02/05/03 CJD A W/OWNER
B10 FINAL 06/18/03 JRC A CLOSEOUT, CO NOT PRINTED