HomeMy WebLinkAbout16 Kelly Roadr ElectAr# 1 SS 1 aI`{ APPLICATION FOR BUILDING PERMIT
Plumbing# /1%2/ 16 Kelly Road Date:
HVAC # 3 I A
Sprinkler#29270
FINAL APPROVALS Estimated Cost $ t
Building COMPLETE RED BOXED AREAS Permit Fee oc
Engineering TYPE OR PRINT ONLY Occupancy Fee $1C
Affidavit v 3 Eng. Insp. Fee $
Appr. for CO. of SIGN ON REVERSE SIDE ,
I r E Total Fee
TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR,CT Additional Cost) $
The undersigned hereby applies to do work according to the following:
Applicant Q1' n Location of Work KAq Lot No._
A licant's Address 0 Tel.# R, (00 1I ZZPP
Town 0n Zip 02 Lic.#
Owner L rN.G /1 Architect 1,1044 Capon
Owner's Address tin LT Architect's Address ' ANIZ 5o, 1-11jok 1 C
Zip Zip O
Sq. Ft. New Area: 1 st FI. 137. 2nd FI. 10& 3rd FI. tJPM Total New Area 22`t
Purpose of this permit zbj- IT:Q It'6-e
City Water(, Well Septic System Sewer*,
Ins: HO SP Cert. Areail3-Tv'% Basemen /42 ?8 Garage S14
Approved by Date Use Group Construction Type
Revised 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 ed the open distqnce from all street lines,side yard lines,and required
distances from all other zones and is located in wh' is bui ' g
Signed
I hereby apply for a Certificate of Occ y f ri i is application for the permit.
Signed
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
Location of Job:AFFIDAVIT Additional Fee$
State of Connecticut
ss.South Windsor
County of Hartford
OwnerI1WofAAgent for the building erected
Contractor
under Permit No. issued by the Building Department of the Town of South Windsor being
duly sworn,make oath and say that the actual cost of the completed work authorized and ermi did not
exceed the submitted estimated cost
Signed
Subscribed and sworn to before me this LP"-- day of A.D.200_
Estimated Cost$ 03 I N v
Difference: $
Notary Public
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
29270-B 140,000
B01 FOOTING 12/11/02 JFF A WITH CONTRACTOR WINTER PROTECTION HAY
B02 FOUNDATION 12/18/02 CJD A
B05 FIREPLACE/CHIMNEY 02/24/03 CJD A W/MASON
B03 FRAMING (ROUGH) 02/24/03 CJD A W/CONTRACTOR
E01 SERVICE 03/04/03 CJD D
E03 ROUGH 03/04/03 CJD A
P03 ROUGH 03/04/03 CJD A
H03 ROUGH 03/04/03 CJD A
B04 INSULATION 03/06/03 CJD A
E01 SERVICE 03/06/03 CJD A W/ELECTRCN.
B01 FOOTING 04/23/03 CJD A
B10 FINAL 05/27/03 CJD A CONTRCTR WILL INSTALL GFI AT PENNINSULA
11216-P 5,000
11687-H 5,600
11684-H 5,000
18124-E 7,500
Total Est Value 163,100
Dwelling 2,352 113,554.56
Basement 1,288 18,289.60
Garage 576 8,179.20
Smoke Det 7 525.00
BOCA Value 140,548.36
Difference 22,551.64)