HomeMy WebLinkAbout105 Country View Drive (3)Sectric# APPLICATION FOR BUILDING PERMIT
Plumbing# 105 Country View Road
3 y A$_ HVAC # 28675
Date:
Sprinkler# NO'
FINAL P OV Estimated Cost $
Building ! COMPLETE RED BOXED AREAS Permit Fee 3 W
Engine ng TYPE OR PRINT ONLY Occupancy Fee $ S
Affidavit J SIGN ON REVERSE SIDE CDAppr.for C Total Fee y`{
TOM TOV F SOUTH WNDSOP,CT Additional Cost) $
The undersigned hereby applies to do work according to the following specifications:
Job Location 10 5' Cok Ar, Vt ev b r- ui Lot No. I I Side of Street Zon A 30
Applicant MJ%ael 2 Tel#860 G K q - 13?9
Address •Z O Ca-1L" L-- S, I.t L V- CT Zip 0607 4 Lic.# -7 4916
Own r Le.e_ P,-b r Address ! Co,c v, ew 6 WkwJSCr
Architect Address
Sq.Ft.New Area: 1st Fl. 2nd Fl. 3rd Fl. Total New Area
Rooms Lavatories_ Bathrooms rages
I
Purpose of this permit: Q,%5v V U470- . c a— 10 K ( pres S tt ri + - 0a l ,t
0
Q Ar- f l
City Water C Well Septic System Sewer V
Ins. H.O. S.P. Cert. Area Basement Garage
Approved by 3 KL- Date Use Group v Construction Type
Revised 9/01
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 ofthe 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 which this buildin Wand its use is allowed.
Signed
1 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
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
28675-B 2,900
BO1 FOOTING 04/25/02 JFF A WITH OWNER 4 PIERS
B10 FINAL 06/19/02 JFF A
B10 FINAL 06/19/02 JFF A CLOSEOUT