HomeMy WebLinkAbout133 Oxford DriveElectric# APPLICATION FOR BUILDING PERMIT
Plumbing# 133 Oxford Drive Y o 0
f-NAC # 27504
Date: l "
Sprinkl r#
FINAL APPROVALS Estimated Cost
Building 03 COMPLETE RED BOXED AREAS Permit Fee
Engineering TYPE OR PRINT ONLY Occupancy Fee $
Affidavit SIGN ON REVERSE SIDE
Appr.for CO.Total Fee
TO BIALDWG DEPARTMENT,TOWN OF SOUTH WINDSOR,CT Additional Cost) $
The undersigned h reby applies to do work according to the following specifications:
Job Location 13 3 gCk>ab pe, S . WiA u sort- Lot No. Side of Street Zone
Applicant AEA 4u- csiAts Tel#
Addr ss 3 I SO Move 1y ST 4T-'04 CT Zip 6(c ID-O Lic.#
Own r Mt KE wto-Tr,-Address G 3 o KForL('--) Ddz., So . cO NO SOt2
Architect Address
Sq.Ft.New Area: 1st FI. 2nd Fl 3rd Fl Total New Area
Rooms Lavatories Bathrooms Garages
Purpose of this permit: 4 NSTAUL COO CtAL P2OP6h Ez 7PtAV-- IPO L E7k2A&vAS L06,
OF
City Water Well Septic System Sewer
Ins. H.O. S.P. Cert. Area Basement Garage
Approved 6y Date L((A W Use Group Construction Type-,
R•vked 1/97
I hereby agree to conform to all the requirem nts 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 ed the proper distance m all street lines,side yard lines,and required
distances from all other zones and is located in and Fuse allowed.
Signed v
I hereby apply for a Certificate of Occupancy for the Wpmdescribed 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
27504-B 200
H09 OTHER 11/30/00 CJD A W/OWNER- AIR TEST ON GAS LINE TO INSERT.
SHUT-OFF PRESENT.
B10 FINAL 05/14/03 CJD A CLOSEOUT