HomeMy WebLinkAbout19 Andmar Lane (9) sectric# APPLICATION FOR BUILDING PERMIT
Plumbing# 19 ANDMAR LANE
HVAC # No. 24135
Sprinkler# c�-
FWAI.A I Estimated Cost Go
i3uilding COMPLETE RED BOXED AREAS Permit Fee $ 7.2 —
TYPE OR PRWT ONLY Occupancy Fee
Affidavit SIGN ON REVERSE SIDE
Appr.for CO. Total Fee $ 7;
TO BLAWNG DEPARTMENT,TOWN OF SOUTH WI DSOR,CT (Additional Cost) $
The undersigned hereby applies to do work according to the following specifications:
Job Location N i4m6r lone Lot No. Side of Street Zone
Applicant Tel#
Address 7q I? S� { zip 06/09 Lic.# S D !gg l
Owner o Address S 4 N-,e n, s L oc-..4 'u.-,
Architect Address
Sq.Ft.New Area: 1st FL 2nd FL 3rd FL Total New Area
#Rooms #lavatories #Bathrooms #Garages
Purpose of this permit: d' 5 J, �-4�c r e �T e f�32-�e r—
�t=�r
City Water ❑ Well ❑ Septic System ❑ Sewer ❑
Ins. H.O.—��,S.P. Cert. Area Basement Garage
Approved by V� Date l0 �f Use Group 7 Construction Typ77
e_
R•vked 1197
I hereby agree to conform to all the requirements of the L of the State of Conn icut and the Ordinances of the Town of
South Windsor and to notify the Building Inspector of an alteration in the pl ns o ifications of the Building for which this
permit is asked,and agree that this building is to be I ed the proper dirt m all street lines,side yard lines,and required
distances from all other zones and is located in whic his building an u allowed.
Signe
I hereby apply for a Certificat o ccupancy for the work described in this application for the permit.
Signed
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS