HomeMy WebLinkAbout111 Birch Hill Drive (15) B FINAL
ng .zzq-9 SP NS•
i C APPLICATION FOR BUILDING PERMIT
Plumbing HVAC �
Date:
Sprinkler 111 BIRCH HILL DRIVE
Electric Estimated Cost $ 24
Zoning Permit Fee$ o '611-
Affidavit NO. 19215 Occupancy Fee$ -
Eng. Dept. COMPLETE RED BOXED AREAS.
Fire Dept. TYPE OR PRINT ONLY Total Fee $ /v
Health Dept. SIGN ON REVERSE SIDE.
Approved for CO: (Additional Cost) $
TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT
The undersigned, hereby applies to do work according to the following specifications:
Job Location / tc/., 1444 Lot No. 0 Side of Street Zone
Applicant ?JQf tr- J lbN A- P( Tel. # qY1
Address /// 11�?ii«frr lJicc ,DA J j Wj�dJ0ti c. Zip caw c 7 Lic.#
STREET CITY STATE
Owner l�oQill7— l6N/ac.r 1 Address rfc L.V i,Vvso
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 Dist. from Side Street Line
Purpose of this Permit iv., COf nos �o` ;vs A-m --k
City Water ❑ Well ❑ Septic ❑ Sewer ❑
Approved by Date -s —cri BD1A 11/88
I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of th 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 dist ces 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 this appl ca ion 0or
pern-0
Signed
—DO NOT WRITE BELOW THIS LINE—
INSPECTION RECORD
Footing Framin
Foundation Fireplace/Chimney Insulation
Plumbing Permit# Inspections:
HVAC Permit# Inspections:
Electrical Permit# Inspections:
Sprinkler Permit# Inspections: