HomeMy WebLinkAbout11 Alpine Drive (18) Electric# APPLICATION FOR BUILDING PERMIT
Plumbing# 11 Alpine Drive
HVAC # Date:
Sprinkler# No. 27526
FIN4 --
LEP O Estimated Cost oo
Buildin COMPTE RED BOXED AREAS Permit Fee $ /3
Engine TYPE OR PRINT ONLY Occupancy Fee $ S•
Affidavit SIGN ON REVERSE SIDE
Appr.for CO. Total Fee $ It Fr,
TO BUILDING DEPARTMENT,TOWN OF SOUTH WNDSOR,CT (Additional Cost) $
Th undersigned hereby
ppapplies to do work according to the following specifications:
Job Location ) I ' Lftt')6 lbz Lot No. Side of Street Zone
Applicant LC►1A(K,. 'TS aWj67-t Tel.#
Address L1 PVLRt►JG `Vz Zip Lic. #
Owner MtCAPt -,k--- K'AtWeff Address
Architect Address
Sq. Ft.New Area: 1st FI. 2nd Fl. 3rd FI. Total New Area
#Rooms #Lavatories #Bathrooms #Garages
Purpose of this permit:
City Water ❑ Well ❑ Septic System ❑ Sewer ❑
Ins. H.O. S.P. Cert. Area Basement Garage
Approved by IJ Q_. Date (2 ? ck) Use Group U Construction Type 2�
Rer'sed 1197
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 th pro r distance from all street lines,side yard lines,and required
distances from all other zones and is located in which this b ' an its use is allowed.
Signed
I hereby apply for a Certificate of Occupancy r ork scribed in this application for the permit
Signed
DO NOT WRIT BELOW THIS LINE
INSPECTION COMMENTS
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Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
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**-27526-B 600
B10 FINAL 12/14/00 JFF A WITH OWNER
i B10 FINAL 12/14/00 JFF A CLOSED OUT.
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