HomeMy WebLinkAbout18-4 Arthur Drive Electric# APPLICATION FOR BUILDING PERMIT
Plumbing# 1804 (18—4) ARTHUR DRIVE
HVAC # Date: �f a?d^ 9 5—
Sprinkler# No. 22638
FINAL AP Estimated Cost $ `fuj
Building /o//J COMPLETE RED BOXED AREAS Permit Fee $17 Zcs
Engineering 11 TYPE OR PRINT O LY Occupancy Fee $
Affidavit SIGN ON REVERSE IDE
Appr.for CO. Total Fee $
TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR,CT (Additional Cost) $
The undersigned here y lies to do work according to the following specifications:
Job Location �'' i R T141Z)Q 12a I uAE Lot No. Side of Street Zone
Applicant — —— Tel. # —?jA65—
Address Z;p-G1 Lic. #
Own r t7c)VE Address
Architect Address
Sq. Ft. New Area: Ist Fl. 2nd A. 3rd I. Total New Area
#Rooms # Lavatories #Bathrooms #Garages
Purpose of this permit: ILA
City Water C Well ❑ Septic System ❑ Sewer ❑
Use Group Construction Type .—f Area / Basemef t Garage
Approved by Date `� /P" j—
Revised 6/95
I hereby agree to conform to all the requirements of the Laws of the Slate 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 pro er distance from all eet lines,side yard lines and required
distances from all other zones and is located in a zone in which hi building nd its use allowe
Signed �-—
I hereby apply for a Certificate of Occupancy for the work described in this application for the permit
Signed
-- DO NOT WRITE BELOW THIS LINE --
INSPECTION COMMENTS
+ .
Terfiftaft
Pursuant to Permit No.
This Certifies that the Wood/Coal Stove installation for which the above named Permit was
granted has been duly inspected and is hereby approved.
Owner Lea 7 Ra-r-k-or--, ar-
Street 18--4 (1PO4) Arthur Jr. 1
South Windsor , CT
i9�m 19
Building Inspect9r