HomeMy WebLinkAbout15 Alison Drive (7)guiding" s1Oo APPLICATION FOR BUILDING PERMIT
Plumbing
HVAC Date-
Sprinkler 15 Alison Drive 60I0.06ElectricEstimatedCost $
Zoning Permit Fee $ ?
Affidavit NO. 17568 Occupancy Fee $
Eng. Dept.COMPLETE RED BOXED AREAS.
Fire Dept.TYPE OR PRINT ONLY
Total Fee $ Z
Health Dept.
Approved for CO: SIGN ON REVERSE SIDE.Additional Cost) $
TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT
The undersigned, hereby applies to do work according to the following specifications:
Job Location Lot No. Side of Street Zone C
Applicant Tel. #
Address e ,,, cr Zip 0607<(Lic.#
ll Ba EET CITY STAT
Owner / Y)C7 4 "-Ig/ZC Address v J ! U ;d
Architect /)Or)e7/r•' iaA&Af Address
t
Size New Area: Ft. Front Overall Z 0 Ft. Deep Overall 10 Total Area z@ f #Garages
Lavatories
No. of Families No. of Stories Construction Cq,Bathrooms Rooms 1st 2nd 3rd
Size of Lot )00 X (00 Dist from Street Line L65y F _ __—Dist. from Side Street Line
Purpose of this Permit A-he 94," 06'' Qi(ayd € RJar
City Water Well Septic Sewer
Approved by J Date 3 — BD1A 11/88
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 a zone in which this building and its use is allowed.
Signed
I hereby apply for a Certificate of Occupancy for the work described in this application for permit.
Signed
DO NOT WRITE BELOW THIS LINE—
INSPECTION RECORD
Footing At (r s PEcTrd, ' u Framing -f
Foundation f/A Fireplace/Chimney Insulation
Plumbing Permit# Inspections:
HVAC Permit# Inspections:
Electrical Permit# Inspections:
Sprinkler Permit# Inspections: