HomeMy WebLinkAbout12 Kelly RoadElectric#` t eh i 2Q 3&-un APPLICATION FOR BUILDING PERMIT
Plumbing# //off 12 Kell Road Date.0 ?i
HVAC # I?1 l .arc Y
S inkler#FrINAL APPROVALS
29289 Estimated Cost $—f 0
Permit FeeBuildingCOMPLETEREDBOXEDAREASOccupancy Fee $Engineering TYPE OR PRINT ONLY
Affidavit Eng.Insp.Fee
Appr.for CO 1 ,,3 SIGN ON REVERSE SIDE
Total ee
TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR,CT Additional Cost) $
Th undersigned hereby applies to do work according to the following:
Applicant A L ation of Work T-6 Lot No._
Applicant's A dress i Tel.# $ — Z
Town Zip n10 07-1Lic.#
Owner Architect L L
Owner's Address Architect's Address
C 1 G Zip o1?a Zip
Sq.Ft.New Area: 1st FI. [ Do 2nd FI. 13:1:_3rd FI. 6 Qrnre, Total New Area
Purposp of this permit 0 1"/ 4-n 1A fif,
G ZL
City Waterer Well Septic System SewerX
Ins: HO SP Cert. Area %oc- Basement W* Garage
Approved by Y_Date 1` ZI Use Group_ Construction Type 15-6
r&- C4 JC. IM.
r a s oz
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 specifications of the Building for which this
permit is asked,and agree that this building is to ed the proper d' n I street lines,side yard lines,and required
distances from all other zones and is located in is in a
Signed
I hereby apply for a Certificate of O u y f helt#o"Pplication for the permit.
Signed
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
Location of Job:AFFIDAVIT Additional Fee$
State of Connecticut
ss.South Windsor
County ofHartford
I l5 ` of CIL I lj (1 y Owner
1 1 Agent for the building erectedg
Contractor
under Permit No. issued by the Building Department of the Tow of S uth Windsor being
duly sworn,make oath and say that the actual cost of the completed work autho nde s id it 'd
exceed the submitted estimated cost
Signed
Subscribed and sworn to before me this day of A.D.20
Estimated Cost$
Difference: $
Notary Public
r
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
29289-B 140,000
B01 FOOTING 12/11/02 JFF A WITH CONTRACTOR WINTER PROTECTION HAY
B02 FOUNDATION 12/20/02 WNB A WATERPROOFING,PERIMETER DRAIN,LEFT NOTICE
B05 FIREPLACE/CHIMNEY 04/02/03 JFF A WITH CONTRACTOR
E01 SERVICE 04/16/03 CJD A
B01 FOOTING 04/30/03 CJD A FTNGS FOR DECK OK
B03 FRAMING (ROUGH) 05/05/03 CJD A
E03 ROUGH 05/05/03 CJD A
P03 ROUGH 05/05/03 CJD A
H03 ROUGH 05/05/03 CJD A
B04 INSULATION 05/07/03 CJD A
B10 FINAL 06/23/03 WNB A WITH CONTRACTOR
11229-P 5,000
11732-H 4,800
11714-H 5,000
18125-E 7,500
18253-E 345
Total Est Value 162,645
Dwelling 1,872 90,380.16
Basement 468 6,645.60
Garage 624 8,860.80
Smoke Det 7 525.00
BOCA Value 106,411.56
Difference 56,233 .44)