HomeMy WebLinkAbout112 Concord RoadElectric# APPLICATION FOR BUILDING PERMIT
Plumbing# Date:
HVAC # 112 Concord Road
Sprinkler# 29420
FINAL APPROVALS Estimated Cost $ Ct
Building 61(dV3 7RL- COMPLETE RED BOXED AREAS
Permit Fee o
an Fee $ cEOccupancyTYPEORPRINTONLYOng.
an
FeeAffidavit
Appr. for CO.G v r; SIGN ON REVERSE SIDE ,
Total Fee 0.
TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR,CT Additional Cost) $
The undersigned hereby applies to do work according to the following:
Applicant 2 ,-- aix—S rc [c L Location of Work _UZ Cam,c,a r J R c—t Lot No.
Applicant's Address JOB` C'rsm rnerogo, (,.Dca V Tel.#&,:0),'!1262 -10.3 6
Town r Zip 06102 S/Lic.# :39 g 7 t 3
Owner l Architect
Owner's Address Architect's Address
S_ .L)r,v&,0aQ a,19' ?' Zip64LOW Zip
Sq. Ft. New Area: 1st FI.2nd FI. 3rd FI. Total New Area
Purpose of this permit EM 527y- S Lc>r 1"s'er7.
City Watero Wello Septic System[I Sewero
Ins: HO SP Cert. Area Basement Garage
Approved by Date of 4 Use Group V Construction Type
Revised 6102
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 wh is building and its use is allowed.
Signe
I hereby apply for a C of Occupa for the work described in this application for the permit.
Sign
O NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
29420-B 2,000
PO4 GAS TEST 03/14/03 WNB A DIRECT VENT UNIT,WITH OWNER
B10 FINAL 06/18/03 JRC A CLOSEOUT, CO NOT PRINTED