HomeMy WebLinkAbout1535 John Fitch Boulevard (12) FINAL INSP�C� L APPLICATION FOR BUILDING PERMIT
Building UU
Plumbing
Date: I D - 0
HVAC
Sprinkler 1535 ►71 RN EITCH BLVD. y
Estimated $ �� ��ated Cost
El ctric P �"a
Zoning Permit Fee$
Affidavit NO. 12 210 Occupancy Fee $
Eng. D pt. COMPLETE RED BOXED AREAS. Total Fee $ 2_d'ot
Fire Dept. TYPE OR PRINT ONLY
H alth Dept. SIGN ON REVERSE SIDE.
Approved for CO: I (Additional Cost) $
TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT
The undersigned, hereby applies to do work according to the following specifications:
Job Location Lot No. Side of Street 0--Zone
Tel. # 602
Applicant. �c' ,�� /
4 �f/ d�� r
Address Zip Lic.#
REET Y E
Owner $ /g -----Address �� '50 2
Architect Address
Size New Area: Ft. Front Overall Ft. Deep Overall Total Area #Garages
Lavatories
No. of Families No. of Stories Construction Bathrooms Rooms 1st 2nd 3rd
Size of Lot Dist. from Street Line /ol Dist. from Side Street Line
Pur ose of this Permit
City Water ❑ Well ❑ Septic ❑ Sewer ❑
Approved by Date �O � BD1A 11/88
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 distanc from all street lines,sid yard lin sand required distanc s from all other zones and is
located in a zone in which this building and its use is allowed.
Signed
I hereby apply for a Certificate of Occupancy for the work described in t ArPTfl-c-a Ion for permit.
Signed
-DO NOT WRITE BELOW THIS LINE-
INSPECTION RECORD
Footing Framing
Foundation Fireplace/Chimney Insulation
Plumbing Permit# Inspections:
HVAC Permit# Inspections:
Electrical Permit# Inspections:
Sprinkler Permit# Inspections: