HomeMy WebLinkAbout20 Christine LaneElectric# APPLICATION FOR BUILDING PERMIT
Plumbing# 20 Christine Lane
HVAC # Date:
28446
Sprinkler#
FINAL PRO Estimated Cost $
Buildin'7 COMPLETE RED BOXED AREAS Permit Fee 7 $
TYPE OR PRINT ONLY Occupancy Fee
Aff'davit SIGN ON REVERSE SIDE
Appr.for CO.Total Fee
TO BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR,CT Additional Cost) $
The undersigned h reby applies to do work according to the following specifications:
Jo6 Location l7 Lot No. Side of Street Zone
Applicant DS(, ego 0 5 Tel# S z 9-
Address fL0^L Y S4-1 2-11 Zip Q6la I Lic.#_ S ID/II I
Own r ol&;S Address
Architect Address
Sq.Ft.New Area: 1st Fl. 2nd Fl. 3rd Fl. Total New Area
Rooms Lavatories Bathrooms Garages
Purpos of this permit: 4u',0' 0,/ir e>yf s f ttiYcr b-F ccfDxc/f ik"def
City Water Well Septic System Sewer
Ins. H.O. S.P. Cert. Area Basement Garage
Approved by JO,Dat O 110 z O Z Use Group Construction Type
Rev's.d 1197
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.
Signed
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
28446-B 5,100
B10 FINAL 08/21/02 JFF A
B10 FINAL 08/21/02 JFF A CLOSE OUT