HomeMy WebLinkAbout12 Birch Road (13)FINAL lNSPECTt
Budding z APPLICATION FOR BUILDING PERMIT
Plumbi
1 HVAC Date:
Sprinkler 12 BIRCH ROAD
Electric 2 Estimated Cost $Zonin40n Permit Fee$ Sd.cJ
Affidavit NO. 20686 Occupancy Fee $
Eng. Dept.
COMPLETE RED BOXED AREAS.Fire Dept.TYPE OR PRINT ONLY
Total Fee $
Health Dept.
Approved for CO: SIGN ON REVERSE SIDE.Additional Cost) $
TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT
The undersigned, hereb pplies to o work accor ing to the following specifications:
Job Location Lot No. Side of Street Zone
Applicant Tel. #&MT3
Address Zip D G to 3 ic.#X'
T CITY TATE •
Owner Address
Architect Address 0H
Size New Area: Ft. Front Overall Ft. Deep Overall Total Area Garages
Lavatories
Size of Lot tn ist. from Street I ine Bathrooms Rooms 1 t 2 d 3rd
Purpose of this Permit '404
City Water 0 Well 0 Septic 0 Sewer 0
to
Use Group Construction Type
Approved by e- Date BD1A 11/88
I h reby 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 lin s,side yard lines and required distances from all other zones and is
located in a zone in which this building and its use is allowed.
10.99 Signed A.
I hereby apply for a Certificate of Occupancy for the work described in this application for permit.
Signed
DO NOT WRITE BELOW THIS LINE—
INSPECTION RECORD
Footing Framing
Foundation Fireplace/Chimney Insulation
Plumbing Permit# Inspections:
HVAC Permit Al Inspections:
Electrical Permit# Inspections:
Sprinkler Permit# Inspections:
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
93-20686-B 4, 100
803 FRAMING (ROUGH) 06/14/93 JFH A NEEDS COLLAR TIE
B10 FINAL 07/21/93 JFH A
93-12634-E 100
Total Est Value 4,200