HomeMy WebLinkAbout11 Jessica Drive (4)6ectric#V q - 6 APPLICATION FOR BUILDING PERMIT
Plumbing# 11 Jessica Drive
HVAC # Dat
Sp inWer# NNca22 9 0 3 6
FIM APPROVALS Esfimated Cost
Belding G? 7`p-C COMPLETE RED BOXED AREAS Permit Fee
Engineering TYPE OR PRINT ONLY Occupancy Fee t u
Affidavit SIGN ON REVERSE SIDE
Am.for CO. (- s 3 L Total Fee
TO MUNSK'DPMTMM,TOWN OF SOUTH WMSOR,CT G4dditional Cost) $
The undersigned hereby applies to do work according to the following specifications:
Job Location `\ SQ.%%,.c,... Lot No. Side of Street Zone
Applicant Q QX nOr.Tel# -5s" 12-- \Q%Z.L-
Address 7 N\ Q%Zip L Lic Al,
Owner C>P^ ' C ft-44 Sc.O,#Jon Address kl 'SesS cs 1 J S . •
Architect Address
Sq. Ft.New Area: 1st FI. 2nd FI. 3rd Fl Total New Area
Rooms Lavatories Bathrooms Garages
Purpose of this permit: z.,
City Water Well Septic System Sewer G--'
Ins. H.O. S.P. Cert. V Area Basement Garage
Approved by J K Date ? Z Z Use Group Construction Type
Rev6ed 1/97
I h reby agree to conform to all th 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 this building and its use is allowed.
Signed r
I 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
29036-B 15,000
E02 UNDERGROUND O8/12/02 CJD A
B10 FINAL 05/07/03 CJD A
B10 FINAL 06/18/03 JRC A CLOSEOUT
17946-E 900