HomeMy WebLinkAbout19 Andries Trail (7) FINAL INSPECTIO Building APPLICATION FOR BUILDING PERMIT
Plumbin
HVAC Date: f'b1 `! l Z . 1 q 9
Sprinkler 19 ANDREIS TRAIL
Electric Estimated Cost $ '11,0Q y
Zoning Permit Fee $ 4f5
Affidavit NO. 22281 Occupancy Fee $
Dept.Fire COMPLETE RED BOXED AREAS.
Fire D pt. TYPE OR PRINT ONLY Total Fees �fy
Health Dept. SIGN ON REVERSE SIDE.
Approved for CO: (Additional Cost) $
TO BUILDING DEPARTME , TOWN OF SOUTH WINDSOR, CT
The undersigned, hereby applies to do work according to the following specifications:
Job Location _; jj X>9--F i5 `TIZA. la✓ Lot No. 2-7--_Side of Street Zone
Applicant 5 A 'I S-aA I an tA. Tel. #73 1 l-.3-77<5
Address i ( ��ry��t �_d��_ ,r-tl_i�L�x'I'o ` _Zip ai=;1�2fLic.# =� i�j3 Y(r�
S REET CiT STATE
Owner ClAAALE- CY-�-t-ltBlAEs Address l Au Dtr_' � Y-►z•+��c. �� .1/�1 r.►r�s�f�
Architect Address
Size New Area: Ft. Front Overall Ft. Deep Overall Total Area #Garages
Lavatories
Size of Lot Dist. from Street Line _Bathrooms Rooms 1st 2nd-3rd
Purpose of this Permit AM121 Z'X?.C) t�ltrc�c "['c� 't� -.�1z e3V
City Water ❑ Well ❑ Septic ❑ Sewer ❑
Use Group N Construction Type �
Approved by J� Date S n r BD1A 11/d8
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 a zone in which this building and its use is allowed.
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Signed � A
I hereby apply for a Certificate of Occupancy for the work described in this application for permit.
Signed
—DO NOT WRITE BELOW THIS LINE—
INSPECTION RECORD
Footing Framing
Foundation Fireplace/Chimney Insulation
Plumbing Permit# Inspections:
HVAC Permit# Inspections:
Electrical Permit# �J✓L 1 Inspections:
Sprinkler Permit# Inspections:
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
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95-22281-B 4,000
B01 FOOTING 05/26/95 JFH A
B10 FINAL 07/05/95 JFH A
95-13516-E 85
Total Est Value 4,085