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HomeMy WebLinkAbout1739 Ellington Road (22) Bectric# APPLICATION FOR BUILDING PERMIT ,Plumbing# 1735 Ellington Road HVAC'# Dat : No. 29187 Sprinkler# FINAL APPROVALS Estimated Cost , oQ a Building COMPLETE RED BOXED AREAS Permit Fee Engineering TYPE OR PRINT ONLY Occupancy Fee $ /(� Affidavit SIGN ON REVERSE SIDE Appr.for CO. Total Fee f %0 TO BU DM D&ARTMR9,TOWN OF SOUTH WINDSOR,CT (Additional Cost) $ The undersigned hereby applies to do work according to the following specifications: Job Location `•� eL L/NGZa tJ Lot No. Side of Street s- Zone 2Applicant/?©ate i0•�QsY%� /e- /3�ne;7-8`L4i#jJVeD Cfco�,vdeL# 6O- �D4� A Fier7 ZipOOZAddress70 KIFFir �Z-SS6S Lic.# bQ42 es- Own r 1x S K K F LL C o l L' Address 7 t ,E1-L 1Av Gra^! & ' Architect A N 17 KV/9'�,4/TEc� Address ' S 1441 AI S;, cS'�4�.E/YJ /� ©3 O 7 9 Sq.Ft.New Area: 1st FI.2 6 2 g 2nd Fl. ( 3rd FL (�>' Total New Area Z 2 8 #Rooms #Lavatories #Bathrooms CA-13'TiA1G #Garages y Purpose of this permit: A iQ -c 1 S#60Z L 9 c971/e' /3 el 7& C6-14-0' /�0iL✓ K�'! AIV 1� .I��S i7N Chit/ CeiV Z • v�✓ 01✓ 57�/��/� A5*1t? 1Z A/O,P' O^/l , City Water I( Well ❑ Septic System ❑ Sewer Ins. H.O. S.P. Cert. ✓ Area Basement Garage Approved by { Date 10 UC_ Use Group Construction Type S R•vkod 1197 I h reby agree to conform to all the requirements of the Laws of th 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 buildin nd its use is allowed. Si ned If 0445vz 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 ..., r�.vv-► ic,Jr� tsbl7b44l1tiF� SOUTH WINDSOR PAGE 05 Location of Job: AFFIDAVIT A,VIT MdMoaal Fee S 3 00 State of Cvnaeeticat ss.South Rrmd:o�r CoaUty ux�ariford I -gm Es C- 'b -4"o ij�, .._of &T chv fva•the b g cfed oatrader wader Permit No. Dsm"by tho Bader Departm�t of O%e Tow-of r bdur dam►SWOM males oath aid say**the a dual coact of the cmplebed wo*amAm wd wader aid permit wash 3Z0 (o'y wed ShbicrOped a-d swore to bcfvre me this. 30�h day of kl,-� 3 FaU=04 Cost S 0,000 v Dwerrmm S 2 20,,4(o l . Notary Prtblfc l � �C� o