HomeMy WebLinkAbout16-4 Arthur Drive FINAL MMONS:.te
Buildingg .644APPLICATI N FOR BUILDING PERMIT
Plumbing
HVAC Date:
Sprinkler 16-4 ARTHUR DRIVE
04
Electric Estimated Cost $ ONO -
Zoning Permit Fee $ J�
Affidavit NO. 17639 Occupancy Fee $
Eng. Dept. COMPLETE RED BOXE1 I AREAS.
Fire Dept. TYPE OR PRINT OLY Total Fee $
pt /a
Health De .
Approved for CO: SIGN ON REVERSE SIDE.
(Additional Cost) $
TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, C
The undersigned, hereby applies to do work according to the following specifications:
Job Location . Q! oGo Lot No. Side of Street Zone
Applicant 20 �¢I� El, LurTD E IN Tel. # lyy-4 ?/
Address �- '�l0- b �o Zip O Gol q Lic.#
STREET CITY STATE
Owner 'I s CAR, ►A. L.� scar Address G -
Architect Address
Size New Area: Ft. Front Overall Ft. Deep Overall tal Area #Garages
avatories
No. of Families No of Stories Construction Elathrooms Rooms 1st 2nd3rd
Size of Lot Dist. from Street Line Dist. from Side Street Line
x
Purpose of this Permit "' - ID "
City eater ❑ Well ❑ Septic ❑ Sewer ❑
Approved by Date - '-1 q 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.
7 2
Signed �'
I hereby apply for a Certificate of Occupancy for the work described in this appli for permit.
Slgned
All
—DO NOT WRITE BELOW THIS LINE—
INSPECTION RECORD
Footing Framing
Foundation Fireplace/Chimney Insulation
Plumbing Permit# Inspections:
HVAC Permit# Inspections:
Electrical Permit# Inspections:
Sprinkler Permit# Inspections: