HomeMy WebLinkAbout111 Birch Hill Drive (10)BuALilding
SPECTIONS:
APPLICATION FOR BUILDING PERMIT
Plumbing a`
HVAC Date:
Sprinkler 111 BIRCH HILL DRIVE
Electric -" Estimated Cost $ W1 u°o
Zoning Permit Fee$ /its •°b
Affidavit NO. 18129 Occupancy Fee $ 3 •
Eng. Dept.
Fire Dept. COMPLETE RED BOXED AREAS. Total Fee $ 14,00
Health Dept. TYPE OR PRINT ONLY
r ! SIGN ON REVERSE SIDE.Approved for CO:Additional Cost) $
TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT
The undersigned, hereby applies to do work according to the following specifications: ck._ T--Z x,
Job Location c Lot No. Side of Street Zone
Applicant o n T Tel. # l Lk- `l f'/6
Address /// ,91A -i At c S.r v c.r/,.i d.,1 Cr Zip 04 0 7 y Lic.#-sZ 121 Z
STREET CITY STATE
Owner T 1,6 Address ZZI 13,.ccN
Architect N/ter Address
Size New Area: Ft. Front Overalll-3 Ft. Deep Overall Total Area l' #Garages
Lavatories
No. of Families No. of Stories I Construction Bathrooms Rooms 1st 2nd 3rd
Size of Lot 125 JLx 204 Dist. from Street Line Dist. from Side Street Line
Purpose of this Permit
City Water Well Septic Sewer Tb
Approv d by Date BD1A 11/88
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 alt ration 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 dista s from all other zones and is
located in a zone in which this building and its use is allowed.
Signed
I hereby apply for a Certificate of Occupancy for the work described in this applic ti n fo p Mit.
Signed
7(7
DO NOT WRITE BELOW THIS LINE—
INSPECTION RECORD
Footin i-I -Framing lid
Foundation Fireplace/Chimney Insulation Z
Plumbing Permit# Inspections:
HVAC Permit# Inspections:
Electrical Permit# 1 7" Inspections:
Sprinkler Permit# Inspections:
BUILDING INSPECTION DEPARTMENT
SOUTH WINDSOR, CONNECTICUT
FEE PAID: $3.00
CERTIFICATE OF OCCUPANCY
ZONE: DATED 8/2 19 90
This is to certify that 111 Bircb 3i11 Drive
Altered under permit No. 1 Q 9 4 _ conforms substantially to the requirements of the building ordinances and the
zoning regulations of the Town of South Windsor and is hereby approved for occupancy as indicated below.
Approved for Occupancy—Family room and deck
Use Group: R4
Constr. Type: BBB
BuildinFofficiai
Notice:If this certificate is lost or destroyed, a duplicate should be obtained immediately from the Building Department.
Any change or extension of the use heroin approved requires a new ceinfiicate of occupancy.