HomeMy WebLinkAbout104 Andries Trail (9) B iIdn9�ECTIONS�� APPLICATION FOR BUILDING PERMIT
Plumbing
H Date:
VAC
104 ANDREIS TRAIL
Sprinkler Su
Electric Estimated Cost $ av
Zoning 19434 Permit Fee$ /d
Affidavit NO. Occupancy Fee $
Eng. Dept. COMPLETE RED BOXED AREAS. / b
Fire Dept. TYPE OR PRINT ONLY Total Fee $
Health Dept. SIGN ON REVERSE SIDE.
Approved for CO: (Additional Cost) $
TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT
The and rsigned, hereby applies to do work according to the following specifications:
Job Location i off "hR Lot No. Side of Street Zone
Applicant CtiL-STl/Z '+G16'aS/},✓.D/Z0wjlZ Tel. # 64141- 3S 70
Address /O4 /9''vJx-",S T/L S. cl Zip 06074- Lic.#
STREET CITY STATE
Owner CHF4�cc/L Acres't.✓�,eo"ic-tAddress
Architect CA' i9L rKS.�}.✓�2.0W/�L Address SgM4F
Size New Area: Ft. Front Overall Ft. Deep Overall Total Area #Garages
Lavatories
No. of Families No. of Stories Construction Bathrooms Rooms 1st 2nd3rd
Size of Lot Dist. from Street Line Dist. from Side Street Line
Purpose of this Permit i d�L /,w 4 /rlI x f:L
1
City Water ❑ Well ❑ Septic ❑ Sewer ❑
Approv d by Date 4 'S��(� BD1A 11/88
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.
Signed
7
I hereby apply for a Certificate of Occupancy for the work described in this application for permit.
Signed
—DO NOT WRITE BELOW THIS LINE—
Footing r-�L—��I !(,�� INSPECTION RECORD Framin �-O- 1�`{Footing -1 g 1
Foundation Fireplace/Chimney Insulation
Plumbing Permit# Inspections:
HVAC Permit# Inspections:
Electrical Permit# Inspections:
Sprinkler Permit# Inspections: