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HomeMy WebLinkAbout1105 Mill Pond Drive (2) eectric# APPLICATION FOR BUILDING PERMIT Plumbing# 1105 Mill Pond Road WAC # 28130 "Dot = ~�`�d / Sprinkler# FINAL APPROVALS Estimated Cost Building r1-0s 7rxC COMPLETE RED BOXED AREAS Permit Fee $ /3. • — W"eering FI: TYPE OR KMT CMY Occupancy Fee $ S. — Affidavit 31ON ON REVERSE A Appr.for CO. 3 e� Total Fee TO BIAIDISIC'DEPARTMENT,TOWN OF SOUTH WINDSOR,CT (Additional Cost) The undersigned hereby applies to do work according to the following specifications: Job Location 1\0 S N,%%' \k 0?00�.A �.G` r�W Lot gal Side of Street Zone Applicant !l—m �,ram. -t-{C," Tel# a L 4!j Address 9 I #1m^ /h ot & E ,f I.,-,r rd Zip Lic.# :rL I I f, !c � Owner � wa±j&.►Amea-4' Address Architect Address Sq.Ft.New Area: 1st Fl. 2nd Fl. 3rd R Total New Area #Rooms #lavatories #Bathrooms #Garages Purpose of this permit: g ku%t% ( q a.s -V" a -VI 4�,t r ••© C IZs r eft V City Water ❑ Well ❑ Septic System ❑ Sewer ❑ Ins. H.O. S.P. Cert. Area Basement Garage Approved by Date 2 Z Use Group Construction Type Rersed 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 lo=* uild' nd its use is allowed. Si I hereby apply for a Certificate of O r the work described in this application for the permit. :C Sig d DO NOT WRI E BELOW THIS LINE INSPECTION COMMENTS Inspection / Approval Date By Appl Code Description Due Whom Code Comment ------------------------------------------------------------------------------- **-28130-B 900 B10 FINAL 10/18/01 CJD A B10 FINAL 06/18/03 JRC A CLOSEOUT, CO NOT PRINTED