HomeMy WebLinkAbout129 Ident RoadSectric# 129 IDENT ROAD
APPLICATION FOR BUILDING PERMIT
PlumbiPtg# /D 716
WAC # 26606 Dat ' !l O j
Sprinkler#
FINAL APPROVAL Estimated Cost $
Building b per COMPLETE RED BOXED AREAS Permit Fee 3 13
Engineering w TYPE OR PRINT ONLY Occupancy Fee
Affidavit SIGN ON REVERSE SIDE
Appr.for CO.Total Fee 3 Q°
TO BULM1G DEPARTMENT,TOWN OF SOUTH WWDSM CT Additional Cost) $
The undersigned h reby applies to do work according to the following specifications:
Jo6 Location Lot No. Side of Street Zone
Applicant
Address 0 SAmE S• zip o --A 'c.#
Owner d,24 &LA4 o, Address
Architect Address
Sq.Ft.New Area: Ist FI, 2nd FI. 3rd Fl. Total New Area
Rooms ton Bathrooms ragestn , I A
A-A-
Purpos of this permit:LA
City Water Well Septic System Sewer
Ins. H.O. Cert. Area I Basement Garage
Approved by Date 11 1 Use Group Construction Type
Rev:.d 1197
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 whiVII this building arld its use is allowed.
Sig ne
I hereby apply for a Certificate of Occupancy for the work described in this appli tion for the permit.
Signed
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
99-26606-B 400
B10 FINAL 04/04/00 JFF D NO ACCESS LEFT DOOR TAG
B06 WOOD/GAS STOVE 03/12/02 CJD D WILL TAKE PERMIT FOR GAS LOG INSTALL
NO WOOD STOVE INSTALL ON THIS PERMIT
B10 FINAL 12/12/02 CJD N/A WOOD STOVE NEVER INSTALLED
B10 FINAL 12/12/02 JRC A CLOSEOUT, NOT INSTALLED
10916-P 535
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