HomeMy WebLinkAbout15 Pheasant Way ®ectric# APPLICATION FOR BUILDING PERMIT
Plumbing# 15 Pheasant way
WAC # 28265 Date:
Sprinkl r# �•
FINAL APPROVALS Estimated Cost
Building COMPLETE RED BOXED AREAS Permit Fee
Engineering .
TYPE OR PRINT ONLY Occupancy Fee
Affidavit SIGN ON REVERSE SIDE
Appr.for CO. Total Fee 7
TO BUILDlNG DEPARTMENT,TOWN OF SOUTH WNDSOR,CT Additional Cost)
The undersigned hereby applies to do work according to the following specifications:
Job Location I Qh Lot No. Side of Street Zone
Applicant S ', Tel#gyp -a&q-R a0
Address OQb Ornc'p Q� QA 5 . �Z'NA"*a r` c T— Zip Lic.# S 1—I 1 a�
0wner_1-\c,,(\c\1 1kchatJ�' L.v` cc, Address 1 �r� Sc� �, .�
Architect Address
Sq. Ft.New Area: lst FI. 2nd FI. 3rd Fl. Total New Area
#Rooms #Lavatories #Bath ooms #Gara s
Purpose of this permit:
City Water ❑ Aell ❑ Septic System ❑ Sewer 0
Ins. H.O._ S.P. C rt. Area Basement Garage
Approved by Date 410 Use Group kz Construction Type
ReykW 1/97
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 is allowed.
Signed
I hereby apply for a Certificate of Occupancy 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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**-28265-B 14,000
E03 ROUGH 11/15/01 GRM A W/CONTRACTOR
B10 FINAL 12/10/01 CJD A THREE SEASON PORCH
B10 FINAL 06/18/03 JRC A CLOSEOUT, CO NOT PRINTED
**-17511-E 300