HomeMy WebLinkAbout1017 Ellington Roadectric# 7ciy a APPLICATION FOR BUILDING PERMIT
1017 Ellington Road
Plumbing#
2 8 9 8 4 Date: HVAC #
Sprinkl r#
FINAL APPROVALS Estimated Cost $
Building COMPLETE RED BOXED AREAS Permit Fee
Engineering TYPE OR PRINT ONLY Occupancy Fee
Affidavit SIGN ON REVERSE SIDE
Total Fee 36•°Appr.for CO.
TO BLAMING DEPART ,TOWN OFSOUTH WwSOR,CT Additional Cost) $
The and rsiigned hereby applies to do work according to the following specifications:
1o6 Location Z 7 Lot No. Side of Street Zon
Applicant es Tel
Address Zip Lic.#
Owner Adress S',rthr r
Architect Address
Sq.Ft.New Area: 1st Fl. 2nd Fl. 3rd Fl. Total New Area
Rooms Lavatories Bathrooms Garages
Purpose of this permit:S ry o
City Water 00,, Well Septic System Sewer
Ins. H.O. S.P. Cert. Area Basement Garage
Approved 6y 09,6 D-`e P v Use Group Construction Type
Revised 9/01
I hereby agree to conform to all the requirementAws the State ut and the Ordinances of the Town of
South Windsor and to notify the Building Inspecton' e plans or s ifications of the Building forwhich this
permit is asked,and agree that this buildin tooper distance fr all street lines,side yard lines,and required
distances from all other zones and is locat jn wg and its us ' allowed.
Signed
A
I hereby apply for a Cell is of Occupancy for the work described t ' application for the permit.
Signed
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
28984-B 7,800
E03 ROUGH 12/30/02 WNB A WITH OWNER,TRENCH,GFI @ PANEL,TIME CLOCK
BONDING INCOMPLETE
B10 FINAL 07/03/03 WNB A WITH OWNER
B10 FINAL 07/03/03 WNB A CLOSEOUT
17942-E 235