HomeMy WebLinkAbout118 Birch Hill Drive (7) B iIding INSPE
CTION 2 'LL APPLICATION FOR BUILDING PERMIT
Plumbing,-"
Sprinkler 118 BIRCH HILL DRIV Date:
p Estimated Costs D0 0
Electric Zoning Permit Fees 7,0
Affidavit NO, 20405 Occupancy Fee $
Eng. D pt. i
Fire Dept. COMPLETE RED BOXED AREAS. Total Fee $ 6
Health Dept. TYPE OR PRINT ONLY
Approved for CO: SIGN ON REVERSE SIDE. (Additional Cost) $
TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT
The and rsigned, hereby applies to do work according to the following specifications:
Job Location Lot No. Side of Street Zone
Applicant MooQe Tel. #,32;1 -'q&l-IM
Address sac N Zip C!J10 Lic.# -43991(o
ST CITY STATE /
Owner d ress �� ��� Aid QlI
Architect Address
Size New Area: Ft. Front Overall Ft. Deep Overall Total Area #Garages
Lavatories
Size of Lot 1 /Dist. from Street Line Bathrooms Rooms 1st 2nd 3rd
Purpose of this Permit v 9
City Water ❑ Well ❑ Septic ❑ Sewer ❑
Use Group 11lConstruction Type
Approved by VV� Date BD1A 11/88
I hereby agree to conform to all the requir ments 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 oth ones 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 application for oermit.
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: