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HomeMy WebLinkAbout128 Farmstead Driveectric# APPLICATION FOR BUILDING PERMIT Plumbing#128 Farmstead Drive HVAC # Date: --7 Sprinkler# tjo, 27658 FINAL APPROVALS Estimated Cost V n c Building 6ji7/u3 — COMPLETE RED BOXED AREAS Permit Fee Engineering TYPE OR PRINT ONLY Occupancy Fee Affidavit SIGN ON REVERSE SIDE Appr.for CO. 3 Total Fee 3 TO BUILDM DEPARTMENT,TOWN OF SOUTH WINDSOR,CT Additional Cost) $ The undersigned h reby applies to do work according to the following specifications: Job Location dl IZM<12r-A© jD V Lot No. Side of Street Zone Applicant JC jL D I A LY'ory',d Tel.#F C 3 -- 6 4,C4 - 2/g I'> Address 2Q' F'41 J2.M S 7-Z A V 1' Zip Lic.# Owner N!C Leo A S0- Address Architect Address Sq. Ft.N w Area: 1st FI. 2nd FI. 3rd Fl. Total New Area Rooms Lavatories Bathrooms Garages Purpos of this permit: 1)) .lL ID \mil L o City Water Well Septic System Sewer Ins. H.O. S.P. C rt. Area Basement Garage Approved by 1z, Date 0 Use Group U Construction Type R•vkod 1/97 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 which this buildin nd' use is allowed. 1' Signed I hereby apply for a Certificate of Occupancy for thework described in this application for the permit. Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS Inspection / Approval Date By Appl Code Description Due Whom Code Comment 27658-B 1,500 B10 FINAL 03/16/01 CJD A LEFT STICKER B10 FINAL 03/16/01 CJD A CLOSED OUT. B10 FINAL 06/17/03 JRC A CLOSEOUT, CO NOT PRINTED