HomeMy WebLinkAbout195 Oakland RoadElectric# APPLICATION FOR BUILDING PERMIT
Plumbing# 195 Oakland Road Date: 0 2-
HVAC #
Sprinkler# 29301
FINAL R Permt Fd Cost
ee
E
a3 COMPLETE RED BOXED AREAS
Enginee ' Occupancy Fee $
Affidavit TYPE OR PRINT ONLY Eng.Insp.Fee $
Appr.for CO. I SIGN ON REVERSE SIDE ,
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 ahe414( &Ao o,snkA. Location of Work 1 Lot No.
Applicant's Address ex hukt &-y Tel.#
Town 5 o:W;rY 41,s a R Zip 4G07 y Lic.#
Owner .?Pu (;,t e- 1 of n s ch Architect
Owner's Address Architect's Address
Zip Zip
Sq. Ft. New Area: 1 st FI.2nd FI. 3rd FI. Total New Area
Purpose of this permit 9e ft e" ,&t
City Water Well Septic System Sewer
Ins: HO P Cert. Area Basement Garage
Approved by Sf-Date t'Ikqw, Use Group Construction Type
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 located the proper distance from all street lines,side yard lines,and required
distances from all other zones and is located in which this building-And its use is allowed.
Signed0exy,4("L: f.
I hereby apply for a Certificate of Occupancy 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
29301-B 300
B10 FINAL 12/20/02 WNB A SITE RESTORED WITH OWNER
B10 FINAL 04/23/03 JFF A
B10 FINAL 04/23/03 JFF A CLOSEOUT