HomeMy WebLinkAbout14 Haystack Lane (2)Electric# APPLICATION FOR BUILDING PERMIT
PHVACing## 14 Haystack lane Date: -Z^o3
Sprinkler# 29752 Estimated Cost $FINAL APPROVALS
Building COMPLETE RED BOXED AREAS
Permit Fee
Engineering Occupancy Fee $ /o
TYPE OR PRINT ONLY Eng. Insp. Fee $Affidavit
SIGN ON REVERSE SIDE -44Appr. for CO.i e"l Total Fee o 3 S•
TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR,CT Additional Cost) $
The undersigned hereby applies to do work according to the following:
Applicant - Location of Work 1 1 Lot No.
Applicant's Address oo I idm e5fc--r Tel.# d• -Qo3
Town Zip C7" Lic.#
Owner r.Qe f IJA 1/101 Architect F1 .5
Owner's Address/V AX,0V F hhe Architect's Address
Zip o 7 Zip
Sq. Ft. New Area: 1 st FI. G 2nd FI. 3rd FI. Total Ne A
Purpose of this permit ld d brP
City Watef( Well Septic System Sewer
Ins: HO SP Cert. Area Basemen Garage
Approved by Date - W- 03 Use Group Construction Type.S
R vised 6102
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 fr m all street lines,side yard lines,and required
distances from all other zones and is located in which thi g and its allowed.
Signe
I hereby apply for a Certificat of Occupa r the ribed' is application for the permit.
Signed 056
NOT W10ITALOW THIS LINE
INSPECTION COMMENTS
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
29752-B 14,564
B01 FOOTING 06/25/03 CJD
B10 FINAL 07/16/03 WNB A LEFT STICKER
B10 FINAL 07/16/03 WNB A CLOSEOUT