HomeMy WebLinkAbout14 Lewis Drive .Bectric# APPLICATION FOR BUILDING PERMIT
Plumbing# 14 Lewis Drive
HVAC # 27391 IDat -/X --00
Sprinkler# �•
FINAL APPi 9VALS Estimated Cost $ /C a
Building �oD 1��'�O S COMPLETE RED BOXED AREAS Permit Fee
Engineering TYPE OR PRINT ONLY Occupancy Fee . v
Affidavit SIGN ON REVERSE
Appr.for CO. ItMENT,
1-2�� SIDE
Total Fee
TO BUILDM;DEPA TOWN OF SOUTH WWDSOR,CT (Additional Cost)
The undersigned h reby applies to do work according to the following specifications:
Job Location /`/ Zcc.;y--Dx i VC Lot No. Side of Street LV W Zone
Applicant :D�ri,Q` R, Cmr,c,k Tel.#
Address Zip 74L Lic.#
Owner o-v-4 e_ Address
Architect Address
Sq.Ft.New Area: lst FI. 2nd FI. 3rd Fl. Total New Area
#Rooms #Lavatories / _ #Bathrooms ,,2_ #Garages
Purpose of this permit: -M II„1u C3 rjo-b S-w v e-
City Water 0 Well 2-- Septic System ❑ Sewer e'
Ins. H.O. S.P. Cart. Area Basement Garage
Approved by Date Use Group Construction Type
Revkod 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 located in which this ildng and its use is allowed.
Signed L4
1 hereby apply for a Certificat of Occupancy for won described in this application for the permit.
Signed
O NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
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**-27391-B 1,000
B05 FIREPLACE/CHIMNEY 09/05/02 CJD A W/OWNER
B10 FINAL 01/02/03 CJD A CLOSED OUT.