HomeMy WebLinkAbout11 Perrin LaneElectric# APPLICATION FOR BUILDING PERMIT
Plumbing# 11 Perrin Lane
WAC #
No. 28898 IDat . 0 2,
Sprinkler#
FINAL APPROVALS Estimated Cost
Building t G3 COMPLETE RED BOXED AREAS Permit Fee Yj—
Engineering TYPE OR PRINT ONLY Occupancy Fee
Affidavit 14SIGN ON REVERSE SIDE czt4 1Appr.for CO.a3 L Total Fee
TO BUILDING DEPARTMENT,TOWN OF SOUTH WMDSOR,CT Additional Cost) $
The undersigned hereby applies to do work according to the following specifications:
Job location l %(-F tn La,n.L Lot No. Side of Street Zone
Applicant C.J \a.. 4s Q z.T Tel.# (o y`f-S O 3
Address I t r 2 r r i,v o Zip C9o7 Lic.#
OwnerW Vas., Address Sa—'e
Architect Address
Sq.Ft.New Area: 1st Fl. 2nd Fl. 3rd Fl. Total New Area
Rooms Lavatories Bathrooms Garages
Purpose of this permit: Cj v ti f o o a' y, $'O 4 0
City Water Well Septic System Sewer
Ins. H.O. V S.P. Cert. Area Basement Garage
Approved by Dot Use Group Construction Typ 2L
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 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' Ilowed.
Signed
I hereby apply for a Certificate of Occupancy for the o describ this application for the permit.
Signe
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
28898-B 2,600
E02 UNDERGROUND 06/20/02 CJD A
B10 FINAL 05/29/03 CJD A OWNER WILL RE-CONNECT #8 BOND TO MOTOR LUG
B10 FINAL 06/18/03 JRC A CLOSEOUT
17879-E 600