HomeMy WebLinkAbout11 Perrin Lane Electric# APPLICATION FOR BUILDING PERMIT
Plumbing# 11 Perrin Lane ^']
WAC # No. 28898 ,, /IDat . —0 2,
Sprinkler#
FINAL APPROVALS Estimated Cost
Building (/t G3 COMPLETE RED BOXED AREAS Permit Fee $ Yj—
Engineering TYPE OR PRINT ONLY Occupancy Fee
Affidavit 14SIGN ON REVERSE SIDE czt4�1
Appr.for CO. a3 L Total Fee $
TO BUILDING DEPARTMENT,TOWN OF SOUTH WMDSOR,CT (Additional Cost) $
The undersigned hereby applies to do work according to the following specifications:
Job location l %(-F t n La,n.L Lot No. Side of Street Zone
Applicant C.J \�a�.. ��4s Q�z.T� Tel.# (o y`f-S►O 3
Address I t r�2 r r i,v o� Zip �C9o7 Lic.#
OwnerW Vas►., Address Sa—'e
Architect Address
Sq.Ft.New Area: 1st Fl. 2nd Fl. 3rd Fl. Total New Area
#Rooms #Lavatories #Bathrooms #Garages
Purpose of this permit: Cj v ti f o o �a' y, $' O 4►0�
City Water ❑ Well ❑ Septic System ❑ Sewer ❑
Ins. H.O. V S.P. Cert. Area Basement Garage
Approved by Dot Use Group Construction Typ 2L
Revised 9/01
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' Ilowed.
Signed
I hereby apply for a Certificate of Occupancy for the o describ this application for the permit.
Signe
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
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**-28898-B 2,600
E02 UNDERGROUND 06/20/02 CJD A
B10 FINAL 05/29/03 CJD A OWNER WILL RE-CONNECT #8 BOND TO MOTOR LUG
B10 FINAL 06/18/03 JRC A CLOSEOUT
**-17879-E 600