HomeMy WebLinkAbout105 Country View Drive (2)Bectric#7 7 S,3
10 5 counrty
APPLICATION FOR BUILDING PERMIT
P.iumbinp#View Road
WAC # 28613 Date:
Sprinkl r# No.
FINAL APPRO ALS Estimated Cost
Building 62 COMPLETE RED BOXED AREAS Permit Fee
E4""'g TYPE OR PRINT ONLY Occupancy FeeAffvtSIGNONREVERSESIDEAppr.for CO. 1?-Ot Total Fee
TO BUILDING ARTMENT,TOWN OF SOUTH WmSOR,CT Additional Cost)
The undersigned h reby applies to do work according to the following specifications:
Job location )05 Lot No. Side of Street Zone
Applicant Q Tel#&60F?5
Addr ss f ,: 9 z Zip gzxQ kc Lic# 53e:; 96
Owner_b- Address 10 5 e'y
Architect Address
Sq.Ft.N w Area: 1st FI. 2nd FI. 3rd Fl. Total New Area a-(n
Rooms Lavatories Bathrooms Garages
Purpose of this permit: r V4 U
City WateE T Well Septic System Sewer`
Ins. H.O. S.P. Cert. Area Basement Garage
Approved by Date — /-6 L—Use Group L/ Construction Type
Rev'sed 1/97
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 locatedniich this b ildin and
itsSigne
I hereby apply for a Certificate o Occu ncy f"r tAwdescri this application for the permit.
Sign
DO NOT W ITE BELOW THIS LINE
INSPECTION COMMENTS
Inspection / Approval Date By Appl
Code Description Due whom Code Comment
28613-B 2,793
E02 UNDERGROUND 04/17/02 CJD A NEEDS TO BOND MINIMUM 3X TO POOL STRCTR.
B10 FINAL 05/17/02 CJD A LEFT TICKET
B10 FINAL 05/17/02 CJD A CLOSEOUT
17753-E 900
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