HomeMy WebLinkAbout101 Birch Hill Drive (8) eectric# APPLICATION FOR BUILDING PERMIT
Plumbhq# 101 BIRCH HILL DRIVE Dat • A ,9251 7_
HVAC # �. 25680
Sprinkler#
L EstimatedCost s /tF!1A
w1 3 99 COMPLETE RED BOXED AREAS Permit Fee f jjt
TYPE OR PRNT ONLY Occupancy Fee
Affidavit SIGN ON REVERSE SM
Appr.for CO. MEMEMEM, Total Fee
TO BULDM WARTMM,TOWN OF SOUTH W 4 5M CT "itional Cost) $
The undersip�hereby applies to do work according to the following specifications:
Job Location D/ r/ i t l DeAl Lot No. Side of Street Zone
Applicant = rl « Tel.# -2LZ
Address g1,16 A Z Np /bd-- Lic.#
Owner L' " Address 121 e,' Q11 PJJf
Architect Address
S%Ft.New Area: 1st Fl. 2nd Fl. 3rd Fl. Total New Area
#Rooms #Lavatories #Bathrooms #Garages
Purpose of this permit: .P�r J, -
r �
City Water ❑ W 10 Septic System ❑ Sewer ❑
Ins. H.O. S.P. Cart. Area Basement Garage
Approved by Clot D ,Zq
I 1 Z Use Group Construction Type
Rws.d 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 prw distance from all street lines,side yard lines,and required
distances from all other zones and is located in which this b ' and its use ow
Signe
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