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HomeMy WebLinkAbout113 Mark DriveElectric## APPLICATION FOR BUILDING PERMIT Plumbing# 113 Mark Drive Date: 6 HVAC # Sprinkler#29131 FINAL R Estimated Cost Buildingtt rj COMPLETE RED BOXED AREAS Permit Fee u Engineeri TYPE OR PRINT ONLY Occupancy Fee $ z G Affidavit Eng. Insp. Fee $ Appr. for CO o I SIGN ON REVERSE SIDE , Total Fee TO THE B I NG DEP MENT,TOWN OF SOUTH WINDSOR,CT Additional Cost) $ The undersigned hereby applies to do work according to the following: Applicant L A-O Tj4W 9A1YG Location of Work //3 /,V*e4 Af Lot No, 1,6- Applicant's Address 113 /92Ae& ,OoC Tel.# C!V_ elxe2 Town Sou 14 W1A1z_x e_ C T Zip C O 74 0 Lic.# Owner AAo 7KAJ Quit ;= Architect Owner's Address L 3/fly a? S.tilAYXaf Architect's Address C T Zip Btia 7y Zip Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area Purpose of this permit A,V.yi 7-1 Af 6 City Water Well Septic System Sewer[] Ins: HO SP Cert. Area Basement Garage Approved by G- Date ooy Use Group —`( Construction Type Revised 8/02 I hereby agree to conform to all the requirements of the Laws ofthe 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 Al ; 11, I hereby apply for a Certificate of Occupancy for the work described in this application for the permit. Signed c'1;w-,V DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS 1 Inspection / Approval Date By Appl y Code Description Due Whom Code Comment 29131-B 1,655 BO1 FOOTING 09/13/02 WNB A 3 PIERS WITH OWNER B10 FINAL 11/13/02 JFF A WITH OWNER B10 FINAL 11/13/02 JFF A CLOSEOUT