HomeMy WebLinkAbout108 Maskel RoadElectric#. APPLICATION FOR BUILDING PERMIT
Plumbing# 108 Ma s k e 1 Road Date: I V(j'L
HVAC #
Sprinkler# 1-7 29378
FINAL R Estimated Cost $ OHO
Buildin Permit Fee
COMPLETE RED BOXED AREAS Occupancy Fee $ UEngineenTYPEORPRINTONLYEng.nspFee $Affidavi
Appr. for CO. SIGN ON REVERSE SIDE ,
Total Fee
TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR,CT Additional Cost) $
The undersigned hereby?plies to do work according to the following:
Applicant Location of Work 1 Lot No.
Applicant's dress
c
Tel.#
Town Zip 4 Lic.#
Owner Architect
Owner's Address Architect's Address
Zip Zip
Sq.Ft.New Area: 1 st FI. 2rA FI. 3rd FI. Total New Area
Purpose of this permit f 16 x" Kcd
City Watero Weller Septic System Sewer$,
Ins: HO SP Cert. Area Basement Garage
Approved by Date Use Group Construction Type
Revlsad 8/02
I h reby 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 located in which 's building and its is allowed.
Signed
I hereby apply for a Certificate of Occua for the work desc in this application for the permit.
Signed
7
DO NO RITE BELOW THIS Ulf
INSPECTION COMMENTS
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
29378-B 4,000
B10 FINAL 03/26/03 JFF A
B10 FINAL 03/26/03 JFF A CLOSEOUT