HomeMy WebLinkAbout141 Birch Hill Drive (8) - APPLICATION FOR BUILDING PERMIT
Bectric#
Plumbing# 141 BIRCH HILL DRIVE
Dot . /0 7 ' 9 97
HVAC # �. 25635
Sprinkler# Estimated Cost $ �a._
FINAL APPRO A Permit Fee
Building < c1� COMPLETE RED BOXED AREAS Occupancy Fee
Engineering TYPE OR PRINT ONLY
Affidavit SIGN ON REVERSE SIDE Total Fee y o�
Appr.for CO. (Additional Cost) $
TO BuLDING DEPARTMENT,TOWN OF SOUTH WIt`DSOR,CT
The undersigned hereby applies to do work according to the following specifications:
Location 1 / �fi 11 Lot No. Side of Street Zone
Job y Tel
Applicant
lic
Addr ss � Zip D�o7Y
Own r - - - /���XC Address Y� �3�•�� �/ii�
Architect Address
2nd FL- 3rd Fl Total New Area
Sq.Ft.N w Area: 1st FI. #Garages
#Rooms #Lavatories #Bathrooms
Purpose of this permit: '
City Water ❑ ell ❑ Septic System ❑ Sewer ❑
Ins. H.O. .__ � ge
•_" Area Basement Gara
Approved by Date Id Use Group Construction Type Rovkod l/97
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 proper distance from all street lines,side yard lines,and required
distances from all other zones and is located in which thi ing and its use is allowed.
Signed �.����✓� �'//�r �.
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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98-25635-B 1,800
B10 FINAL 04/25/01 JRC A CLOSEOUT PER FIRE MARSHALL