HomeMy WebLinkAbout163 Birch Hill Drive (17)FINAL 1 APPLICATION FOR BUILDING PERMIT
SP
Buildingg _
Plumbing
HVAC Date:
Sprinkler 163 BIRCH HILL DRIVE
Electric Estimated Cost $
Zoning Permit Fee$ mac.
Affidavit NO. 22264 Occupancy Fee $
Eng. Dept.COMPLETE RED BOXED AREAS.Fire Dept.TYPE OR PRINT ONLY Total Fee $ 2 f
Health Dept. SIGN ON REVERSE SIDE.
Approved for CO: Additional Cost) $
TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT
The undersigned, hereby applies to do work according to the following specifications:
Job Location 6 3 .•r Lot No. Side of Street Zone
Applicant A CZ- - 2- co: Tel. #7'7- 2-37-"
Address I 6111' e r e T Zip A60J<-'O Lic.# 7077 9 9
TREE CITY STA E
Owner /'c,G r cz, Address 3 lee/
Architect Address
Size New Area: Ft. Front Overall Ft. Deep Overall Total Area Garages
LavatoriesSizeofLotDist. from Street Line Bathrooms Rooms 1 st 2nd 3rd
Purpose of this Permit %Q i 1 J f a r'•'-3 ,/dam //Ion G V 74; x
City Water 0 Well 0 Septic 0 Sewer 0
Use Group Construction Type
Approved by Date BD1A 11/88
I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and th 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 Framing
Foundation Fireplace/Chimney Insulation
Plumbing Permit# Inspections:
HVAC Permit# Inspections:
Electrical Permit# Inspections:
Sprinkler Permit# Inspections: