HomeMy WebLinkAbout155 Lisa Drive 'Electdc# 0 3('03 APPLICATION FOR BUILDING PERMIT
Plumbing# 155 Lisa Drive
HVAC # / 0 !57 No. 28096 Date:
Sprinkl r#
FINAL P M
Estimated Cost $
Bui�dmg� °3 ''v COMPLETE RED BOXED AREAS Permit Fee aS.
' TYPE OR PRINT ONLY Occupancy Fee $ S: r—
Affidavit SIGN ON REVERSE SIDE
Appr.for CO Total Fee $ 7 0•
TO BUILD TMENT,�! c
OF SOUTH W�SOR,CT (Additional Cost) $
The undersigned reby applies do wrk according to the following specifications:
Job Location S'5- L:s R 04 Lot No. (o Cv Side of Street Zone
Applicant ` Ko` Tel# 419 ' q4
Address I CK U3 I IL- inJiar Zip 0(ea? N Lic.#
Own r2A ` Address t 5l' boo' S'.W , C�. 0 Co 0 7 EY
Architect Address
Sq. Ft.New Area: 1st FI. 2nd FI. 3rd FL Total New Area
#Rooms #Lavatories #Bathrooms #Garages
Purpose of this permit: C2 O Y.Sp ic•e /-&c- kw n-.
City Water Well ❑ Septic System ❑ SewerA
Ins. H.O. S.P. Cert. Area Basement Garage
APProved by Date —3 —0 Use Group Construction Type 68
Revised 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 al reet lines,side yard lines,and required
distances from all other zones and is located in th build' g and its se is II
Signe
I hereby apply for a Certificate of Occ a y for the rk de is lication 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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**-28096-B 5,000
B03 FRAMING (ROUGH) 08/01/01 CJD A
B03 FRAMING (ROUGH) 08/03/01 CJD A
E03 ROUGH 08/03/01 CJD A #4 GRND TO WATER METER, SWITCH AT BOTTOM OF
STAIRS TO ILLUMINATE RUN
B04 INSULATION 08/07/01 JFF A WITH CONTRACTOR
B10 FINAL 10/30/02 JFF D NO ACCESS LEFT DOOR TAG
B10 FINAL 01/23/03 JFF D NO ACCESS LEFT DOOR TAG
B10 FINAL 01/28/03 JFF A WITH OWNER
B10 FINAL 01/28/03 JFF A CLOSED OUT.
**-17363-E 800
**-11105-H 1,900