HomeMy WebLinkAbout10 Leah Lane Electric# APPLICATION FOR BUILDING PERMIT
` 10 Leah Lane
Plumbing# Dot : o
/Z3 1
HVAC # No. 28290
Sprinkl r#
FINAL PP OV Estimated Cost $ 0.00
Buildin o S COMPLETE RED BOXED AREAS Permit Fee $ J?
Endgi TYPE OR PRINT ONLY Occupancy Fee $
Affidavit SIGN ON REVERSE SIDE
Appr.for COIo o� Total Fee �
TO BtA MBdT,TO OF SOUTH WINDSOK CT (Additional Cosh $
Th undersigned h reby applies to do work according to the following specifications:
1o6 Location—I 0 L-ea� LAn 5kk1 W 1-,dS9 r ,CSC' Lot No. 9 Side of Street Zon
Applicant A nk T W#1114, 3 Tel.#
Addr ss i 0 (A a l� (,0 e , SaLfi(.%At)d s6r r Zip 0 b 0-7 4 Lic.#
Own r Ma Z: /►l I►olh3 Address 10 Le o r _ SaA
Architect Address
Sq.Ft.New Area: 1st FI. 2nd FI. 3rd Fl. Total New Area
#Rooms #Lavatories #Bathrooms #Garages
Purpose of this permit: 5W 10 X I G*'
City Water ❑ Well ❑ Septic System ❑ Sewer ❑
Ins. H.O. V S.P. C rt. Area Basement Garage
Approved by Date Use Group Construction Typ
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 t�hisr 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 n �
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
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**-28290-B 1,400
B10 FINAL 10/24/02 JFF A
B10 FINAL 10/24/02 JFF A CLOSED OUT.
B10 FINAL 10/24/02 JFF A CLOSED OUT.