HomeMy WebLinkAbout15 Bancroft Lane (5) Elec-Cic# APPLICATION FOR BUILDING PERMIT
Plumbing# Date: �G✓�tloL
HVAC # 15 Bancroft Lane
Sprinkler# 29074
FINAL."P O ALS Estimated Cost $ 47C�
Building `� .1 F Permit Fee $
COMPLETE RED BOXED AREAS Occupancy Fee $
Engineering TYPE OR PRINT ONLY
Affidavit Eng. Insp. Fee $
Appr. for CO. SIGN ON REVERSE SIDE Total Fee $ 30
TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $
The undersigned hereby applies to do work according to the following:
Applicant _ _ Location of Work Lot No.
JF
Applicant's Adde Tel.# o�6"
r Zip Lic.#Town l Owner Architect
Owner's Address Architect's Address
Zip Oa'dV Zip
Sq. Ft. New Area: 1 st FI. 2nd FI. rd FI. Total New Area
Purpose of this permit •� Ra
City Wate Well❑ Septic System❑ Sewer'
Ins: HO SP Cert. Area Basement Garage
Approved by Date .0 Use Group Construction Type
Revised 6/02
i
I h r by 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 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
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
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**-29074-B 1,200
B10 FINAL 09/19/02 JFF A
B10 FINAL 09/19/02 JFF A CLOSED OUT.