HomeMy WebLinkAbout1017 Ellington Road (2)Electric# APPLICATION FOR BUILDING PERMIT
Plumbing# 1017 Ellington Road Date:&LrjHVAC #
Sprinkler#
FINAL APPROVALS Estimated Cost S ),70
Building COMPLETE RED BOXED AREAS Permit Fee
Occupancy Fee $ !CEngineeringTYPEORPRINTONLYEng.aspFee $Affidavit
Appr.for CO 3 os SIGN ON REVERSE SIDE ]
Total Fee n
TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR,CT Additional Cost) $
The undersigned hereby applies to do work according to the following:
Applicant 0 iovewa AL46,9v Location of Work IQ? T Lot No.
Applicant's Address a 711 Tel.# 6'A I?-A Y13 s'*
Town 15&u-rA v4c6v C Zip d Go?y,3s*A Lic.#
Owner !: 4- L . O&MA-may Architect
Owner's Address !' Architect's Address
Zip Zip
Sq.Ft.New Area: 1st FI. 2nd A. 3rd A. Total New Area
Purpose of this permit of 7 4e&ge4 174.M. 0L--10f6,- f7et~
City Watero Wello Septic System Sewero
Ins: HO SP Cert. Area Basement Garage
Approved by ..5 Date Use Group V Construction Type
Revised M02
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 alteration in the plans or specifications of the Building for which this
permit is asked,and agree that this building' o be locate pr all street lines,side yard lines,and required
distances from all other zones and is locat in which this bui ng its use' lowed.
Sign
I hereby apply for a e of bed-6W application for the permit.
Signed
DO WRITE BELOW THIS L
INSPECTION COM NTS
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
29461-B 5,270
B10 FINAL 07/03/03 WNB A WITH OWNER
B10 FINAL 07/03/03 WNB A CLOSEOUT