HomeMy WebLinkAbout141 Birch Hill Drive (9) Electric# APPLICATION FOR BUILDING PERMIT
Plumbing# 141 BIRCH HILL DRIVE
7T
HVAC # 25661 jDat '
Sprinkler# N0'
FINAL APPROV Estimated Cost J ----
Building COMPLETE RED BOXED AREAS Permit Fee $ 12
Engineering TYPE OR PRWT ONLY Occupancy Fee $
Affidavit IGN ON REVERSE SIDE
Appr.for CO. MMMMMS I Total Fee $ 1
TO BULDM DEPARTMENT,TOWN OF SOUTH WHX5OR,CT (Additional Cost) $
The undersigned hereby applies to do work according to the following specifications:
Job Location /2 C Lot No. Side of Street Zone
Applicant71
nJ Tel q 170 INC U��T
Addr ss U L-.� 41Zip Lic.#
Owner W4DC Address
Architect Address
Sq.Ft.N w Area: 1st Fl. 2nd Fl. 3rd Fl. Total New Area
#Rooms #Lavatories #Bathrooms #Garages
Purpose of this permit:
c6,01�
City Water ❑ Well 0 Septic System ❑ Sewer ❑
Ins. H.O.
S.P. Cert. Area Basement Garage
Approved by ci�_ - Date/ 1,Z Use Group Construction Type
- Revsed 1/97
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 t oper distance from all street lines,side yard lines,and required
distances from all other zones and is located in wtAh this b Idird and its use is allowed.
Signed
I hereby apply for a Certificate of Occ pancy or t work d in this application for the permit.
Signed
DO NOT WRITE BELOW THIS LIN
INSPECTION COMMENTS
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
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98-25661-B 11000
B10 FINAL 04/25/01 JRC A CLOSEOUT PER FIRE MARSHALL