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HomeMy WebLinkAbout140 Birch Hill Drive (7)FINAL IN PE T Buildin APPLICATION FOR BUILDING PERMIT Plumbing t--t HVAC Date: 7 -Z/ S Sprinkler 140 BIRCH HTT.T. DRTVF Electric Estimated Cost $. 14-22 Zoning Permit Fee $ Vy Affidavit NO. 91630 Occupancy Fee $ Eng. Dept. COMPLETE RED BOXED AREAS.Fire Dept. TYPE OR PRINT ONLY Total Fee $ mod,00 Health Dept. SIGN ON REVERSE SIDE. Approved for CO: Additional Cost) $ TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT The undersigned, hereby applies to do work according to the following specifications: Job Location r Lot No. Side of Street Zone4410 Applicant 5 c^ c \`n Tel. # n 6 S/YoIG Address 1`_0 1*1 S: a ww Zip D &o 7!f Lic.# REET CITY STATE Owner '3'm Address Architect Address Size New Area: Ft. Front Overall Ft. Deep Overall Total Area Garages Lavatories Size of Lot Dist. from Street ine Bathrooms Rooms 1st 2nd 3rd Purpose of this Permit l.v City Water Y Well 0 Septic 0000" Sewer 0 Use Group r4A Construction Type CN10 Approv d by Date Z/ S BDIIA 11/88 I hereby agree to conform to all the requir ments 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 a zone in which this building and its use is allowed. Signed- 1 hereby apply for a Certificate of Occupancy for the work described in this application for permit. I Signed DO NUT WRITE BELOW THIS LINE— INSPECTION RECORD Footing Framing Foundation Fireplace/Chimney Insulation Plumbing Permit# Inspections: HVAC Permit# Inspections: Electrical Permit# Inspections: Sprinkler Permit# Inspections: Inspection / Approval Date By Appl Code Description Due Whom Code Comment 94-21630-B 3,500 B 0 1 FOOTING 07/25/94 J F F A B10 FINAL 08/29/94 J F F A APPROVED FOR CLOSEOUT