HomeMy WebLinkAbout16 Allen Drive (13) Electric# APPLICATION FOR BUILDING PERMIT
Plumbing# 16 AT,T,FN DRIVE
WAC # lzz
26225 Date: � (o
Sprinkler#
FINAL APPROVALS Estimated Cost $ 3�--n
Building C Q y COMPLETE RED BOXED AREAS Permit Fee $
Engineering TYPE OR PRINT ONLY Occupancy Fee
Affidavit SIGN ON REVERSE SIDE
Appr.for CO. 2 �q Total Fee $ 11
TO BUILDM DEPARTMENT,TOWN OF SOUTH WWDSOR,CT (Additional Cost) $
The undersigned hereby applies to do work according to the following specifications:
Job Location l� lot No. Side of Street Zone
Applicant Tel. #
Addr ss Zip-s` L Lic#
Owner Address
Architect Address
Sq. Ft.New Area: lst FI. 2nd Fl. 3rd FL Total New Area
#Rooms #Lavatories #Bathrooms #Garages
Purpose of this permit: 0 Q-,( 9' ��e�
City Water ❑ Well ❑ Septic System ❑ Sewer ❑
Ins. H.0. .P. Cert. Area 1 Basement Garage
Approved by Date 1 Use Group U Construction Type_z-
Revised 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 afteration 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 wh' is building and itsy
#is all
Signed
I hereby apply for a Certificate of Occu ncy for the woFHISLINE
s application for the permit.
Signed
DO NOT WRITE BELO
INSPECTION COMMENTS
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
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99-26225-B 300
BO1 FOOTING 06/16/99 JFF A WITH OWNER
B10 FINAL 06/23/99 DCJ A APPROVED FOR CO & CLOSEOUT
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