HomeMy WebLinkAbout155 Hillside Driveeectric# 17 7aa APPLICATION FOR BUILDING PERMIT
f'Tumbing# 155 Hillside Drivel
Dat
HVAC #28026
Sprinkler# No. 2 8 0 2 6
FtinL P R Estimated Cost $!C.
Buil / 0 COMPLETE RED BOXED AREAS Permit Fee
Engineeri g TYPE OR PRINT ONLY Occupancy Fee S:
Affidavit I r SIGN ON REVERSE SIDE
Total Fee 3400Appr.for COt o
Additional Cost) $
TO BUI TO OF SOUTH WINDSOR,CT
The undersigned h r y applies to do work according to the following specifications:
Job Location XSr L ,eDiC DA, Lot No. -75" Side of Street Zone
Applicant Vlav 6cg30 IV Tel# 64w !!!
Address / Sr 61 S'eon Di=S &,c A)514,19- Zip O6 0 7sl Lic.#
Owner 1,*Ai /Z A*;S7,PA/ Address S d cE 5`• IWAe-q Po
Architect Address
Sq. Ft.New Area: 1st FI. 2nd FI. 3rd Fl Total New Area
Rooms Lavatories Bathrooms Garages
Purpos of this permit: vy - sv.w-.'.-4 vs G
City Water 9-- Well Septic System Sewer ®
Ins. H.O. S.P. Cert. Area Basement Garage
Approved by Date Use Group LJ Construction Type
Revsod 1/97
9111
I hereby agree to conform to all the requir m 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 be loca the proper distance from all street lines,side yard lines,and required
distances from all other zones and is located in which Ye-building and its allowed.
Signed >
I hereby apply for a Certificate of Occupa y for the work desc' 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
28026-B 1,360
E02 UNDERGROUND 07/30/01 GRM A NO ONE HOME-LEFT STICKER
B10 FINAL 08/29/01 JFF D WITH OWNER NEED ELECT PERMIT REFERRED TO
ZONING SIDE YARD SETBACK
B10 FINAL 11/19/02 JFF A ELECT PERMIT RECEIVED ZONING OK
B10 FINAL 11/19/02 JFF A CLOSEOUT
17722-E 477
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