HomeMy WebLinkAbout163 Birch Hill Drive (18)FINAL INS C IONS:
APPLICATION FOR BUILDING FERMIBuilding //5 9" T
Plumbing
HVAC Date:
Sprinkler 163 BIRCH HILL DRIVE
Electric Estimated Lost $ 00
Zoning Permit Fee$ D --
Affidavit NO. 22274 Occupancy Fee $
Eng. Dept.
COMPLETE RED BOXED AREAS.Fire Dept. Total Fee $__ /D _
Health Dept. TYPE OR PRINT ONLY
Approved for CO: SIGN ON REVERSE SIDE.
Additional Cost) $
TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT
The undersigned, hereby applies to Po Wrk according to the following specifications:
Job Location Lot No. Side of Street Zone
Applicant Tel. #
Address 2 2. '?c-j y.. Ca V.`CZA/ ip Lic.# ca-0
ST EET CITY STATE
Owner )c 66 C'-- '' Address
Architect Address
Sire New Area: Ft. Front Overall Ft. Deep Overall Total Area Garages
Size of Lot Dist. from Street Line Lavatories_
Bathrooms Rooms 1 st 2nd 3rd
Purpose of this Permit
LDS
City Water 0 Well 0 Septic 0 Sewer 0
Use Group Construction Type
Approved by Date 2
BDtA 11/88
I h reby agree to conform to all the requir ments of the Laws of the State of Conn cticut and the Ordinances of th 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 m other zones and is
located in a zone in which this building and its use is allow d.
Signed
I hereby apply for a Certificate of Occupancy for the work described in this application for permit.
Signed
DO Nar WRITE BELOW THIS LINE-
INSPECTION RECORD
Footing Framing
Foundation Fireplace/Chimney Insulation
Plumbing Permit# Inspections:
HVAC Permit# Inspections:
Electrical Permit# Inspections:
Sprinkler Permit# Inspections: