HomeMy WebLinkAbout156 Old Farm RoadElectric# APPLICATION FOR BUILDING PERMIT
Plumbing# 156 Old Farm Road
HVAC # Date: /0-ff-od
Sprinkl r#
No. 2 7 3 8 5
FIHAL Ov, Estimated Cost $0
Building] 03 COMPLETE RED BOXED AREAS Permit Fee
Engi TYPE OR PRINT ONLY Occupancy Fee
Aff' 'NON REVERSE SIDE
Appr.for CO.Total Fee
TO BUILDING DEPARTMENT,TOWN OF SOUTH WI IDSOR,CT Additional Cosh
The Undersigned hereby applies to do work according to the following specifications:
Job Location 0 1 j ,j iwI IrG Lot No. Side of Street Zone
Tel# v2-4 GGApplicant1r40()(TA T-
Address Rk 0 v1-e i Zip 06 10 Lic.# S
Owner Address S h&4,C_
Architect Address
Sq. Ft.New Area: 1st FI. 2nd FI. 3rd Fl. Total New Area
Rooms Lavatories Bathrooms Garages
Purpos of this permit: re rwJ, 0,1e r e k.3 11 6 `u v e
City Water Well Septic System Sewer
Ins. H.O. S.P. Cert. Area Basement Garage
Approved by y 00 Date J Use Group Construction Type
R•v:.d 1/97
r
I hereby agree to conform to all the requirements of the Laws f the Stat of Connecticut and the Ordinances of the Town of
South Windsor and to notify the Building Inspector of any in the plans or ions ofthe Building for which this
permit is asked,and agree that this building is to be ed proper distance street fines,side yard lines,and required
distances from all other zones and is located in which ilding and its al `
Signed
I hereby apply for a Certificate of 0 upancy for the work described 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
27385-B 2,600
B10 FINAL 05/07/03 JFF A
B10 FINAL 05/07/03 JFF A CLOSEOUT