HomeMy WebLinkAbout1075 Pleasant Valley Road (3)Electric`# APPLICATION FOR BUILDING PERMIT
Plumbing#2 3 O
HVAC #1075 Pleasant Valley Road Date &--/,;z—,d ?i
Sprinkler# 29290
FINAL APPROVALS Estimated Cost $_!y 0,oa
Building 6'30'O3 COMPLETE RED BOXED AREAS Permit Fee lc:o.
En neerin Occupancy Fee $ 16
Affidavit
g TYPE OR PRINT ONLY Eng. Insp. Fee $
Appr. for CO. SIGN ON REVERSE SIDE
Total Fee ci// •
TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR,CT Additional Cost) $
The undersigned hereby applies to do work according to the following:
Applicant Location of ork I0-750 A43AAr AU-Cy rt-a S'0.%A"(We(ot No. .
Applicant's Addre -) ald.%23 -r 1 c S6o ('? -a, 7Ppa Tel # y Z
Town W(PrA3 Zip 060 Lic.# if qo
OwnerAA1eJ&4. %4Ur/w)k'Architect De S R S
Owner's Address(O75 Pl usyfr Architect's Address AS SD. S-A*J/,t R-L k
G..rnd •E'7— Zip 66d2Y sa e'T'Zip Od O
Sq. Ft. New.Area: 1 st FI.2nd Fl. 3rd FI. Total New Area l`.56
Purpose of this permit XJx6 2 /tldd(J ,, ° E5iM 1, _
City WatA Well Septic System Sewer
Ins: HO SP Cert. Are Basement/90 67 Garage S1
Approved by j Date C L Use Group Construction Type 5--A—
R vlsed W02
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 41-Aicati'ons ofthe Building for which this
permit is asked,and agree that this building is to be located the proper distance from al street Ones,side yard Imes,and required
distances from all other zones and is located in this bung and its use is allowed.
Signed-;
r
I hereby apply fora ertificate of for the work described in this application for the permit.
Signed .,7,g-e-1
DO WRITE BELOW THIS LINE
INSPECTION COMMENTS
Lbeation of Job:AFFIDAVIT Additional Fee$ '0 'r
State of Connecticut
ss.South Windsor
County ofouuntyofHartford
of ,C Owner
Ld G/ Agent for the building erected
Contractor
under Permit No. 2.6 ,qU issued by the Building Department of the Town of South indsor being
duly sworn,make oath and say that the actual cost of the completed work authorized nder s ' rmit did not
exceed the submitted estimated cost
Signe
Subscribed and sworn to before me this day of D.20
Estimated Cost$ (54, 30 0
Difference: $ k 5 q t -3 0L)
Notary Public
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
29290-B 140,000
B01 FOOTING 11/25/02 JFF A WITH CONTRACTOR
B02 FOUNDATION 12/06/02 CJD A
B03 FRAMING (ROUGH) 03/07/03 WNB A BREEZEWAY,LEFT STICKER
E03 ROUGH 03/07/03 WNB A BREEZEWAY,LEFT STICKER
B04 INSULATION 03/26/03 JFF A BREEZEWAY ONLY LEFT NOTICE OF APPROVAL NOTE
NEED PLUMBING PERMIT
B01 FOOTING 05/01/03 JFF A PIERS FOR FRONT AB REAR DECKS WITH CONTRACTOR
PO4 GAS TEST 05/01/03 JFF A LINE TO GAS STOVE NOTE PROPANE TANK NOT ON SI
SITE
B10 FINAL 05/01/03 JFF D WITH CONTRACTOR SEE INSPECTION SLIP
B10 FINAL 05/08/03 CJD D GRIPPABLE RAILS, #IS
B10 FINAL 05/30/03 CJD A
11679-H 10,900
11230-P 1,900
18140-E 1,500
Total Est Value 154,300
Dwelling 1,456 70,295.68
Basement 1,456 20,675.20
Garage 0 0.00
Smoke Det 7 525.00
BOCA Value 91,495.88
Difference 62,804.12)
31l13C i
PFS
TM CORPORATION
2402 DANIELS ST.
MAPISON,Wl 53718
COMPLIES WITH STATE OF
CONNECTLCUT REQUIREMENTS
MFG. SERIAL# '73X4 5
SEE DATA PLATE