HomeMy WebLinkAbout111 Birch Hill Drive (13) Electric# APPLICATION FOR BUILDING PERMIT
Plumbing# 111 BIRCH HILL DRIVE
HVAC # Date: o _
Sprinkler# NOn 9 3 1 g 3
FINAL APPROVAL Estimated Cost $52
Building G v COMPLETE RED BOXED AREAS Permit Fee $
Engineering TYPE OR PRINT ONLY Occupancy Fee $
Affidavit SIGN ON REVERSE SIDE
Appr.For CO. [: - -- I Total Fee $ O,
TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR,CT (Additional Cost) $
Th and rsign d hereby applies to do work according to the following specifications:
Job Location l f l &IAOC-6Lot No. Side of Street Zon
Applicant Tel.#
Address l !/ Zip Lic. #
Owner C :22,CI4 O rs Address / �/L
Architect f le Address
Sq. Ft.New Area: 1st Fl. 2nd Fl. 3rd Fl. Total New Area
#Rooms Lavatories # throoms #Garages
Purpose of this permit:
r
3 Al
City Water C Well 0 Septic System ❑ Sewer 0
Use Group Construction Type Area / Basem t Garage
Approv d by s Date --Ez
J
Revised 6/95
I hereby agree to conform to all the requirements of the Laws of the Slate 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 zon in hich th build ip us is all ed.
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