HomeMy WebLinkAbout1105 Mill Pond Drive Sectric# I' 3 APPLICATION FOR BUILDING PERMIT
Plumbing# IcrKI 0 1105 Mill Pond Nt
HVAC # ( (l 20
SprinWer# No. 28037
FIK APPROVALS Estimated Cost $, ,dev
Building ►-r-003 7r L- COMPLETE RED BOXED AREAS Permit Fee $ SS 9,
Wneering TYPE OR PRINT ONLY Occupancy Fee $ ir
Affidavit SIGN ON REVERSE SIDE
Appr.for CO. c.0/i r n-iR L Total Fee
TO BUILDING DEPARTMENT,TOWN OF SOUTH Wl DSOR,CT (Additional Cost) $
The undersigned hereby applies to do work according to the following specifications:
Job LocaticCst(aw 6tQ3g 1 1%6 5. .�►il1 a�K<< by jotNo. Side of Street Zone
Applican Tel.#:'Z 8—fmT!s
Addr ss eft if / Zip O Lic.# 5 a Z 15 1
Owner torMstJ y"A K Address 121 gi r• $O�f Z
Architect Address
Sq.Ft.N w Area: 1st FI. 2nd Fl. 3rd Fl. Total New Area
#Rooms #Lavatories #Bathrooms #Garages
Purpose of this permit: '# Este d&ftaxe 4901. VC;A,&";*jew
City Water ❑ Well ❑ Septic System ❑ Sewer ❑
Ins. H.O. S.P. Cert._j� Area Basement Garage
Approved by itz— Date -7 f 4 Use Group �` Construction Type 'S
R•vked 1197
I h reby agree to conform to all the requirements of the Laws of the State of Connecticut and th 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 locat buildin nd its use is a
Si ned
I hereby apply for a Certificate of Occupanc for the work described in this application for the permit.
Signed
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
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**-28037-B 43,000
P03 ROUGH 08/20/01 GRM A W/CONTRACTOR
E03 ROUGH O8/24/01 CJD A W/CONTRACTOR (ELECT)
B04 INSULATION 08/31/01 CJD A INSULATION @ PARTY WALL IS UNFACED AND MEETS
NONCOMBUSTIBILITY RATING-CONTRCR.MINERALOPNGS
B10 FINAL 10/18/01 CJD A W/CONTRC
B10 FINAL 06/18/03 JRC A CLOSEOUT, CO NOT PRINTED
**-11120-H 7,200
**-10810-P 2,300
**-17386-E 1,700