HomeMy WebLinkAbout203 Quarry Brook Drive (4)Electric# APPLICATION FOR BUILDING PERMIT
Plumbing# 203 Quarry Brook Drive Date: 0 3
HVAC #
Sprinkler# 29665
FTNAL"PROV,ALS Estimated Cost $ o1o0of
Building &1Q010 3 Cj S COMPLETE RED BOXED AREAS
Permit Fee y
Engineering TYPE OR PRINT ONLY Occupancy Fee $ / a
Affidavit Eng.Insp.Fee $
Appr.for CO. 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 location of Work 6103 hnne,-L bn Lot No.
Applicant's Address Tel.#
Town 'oo uNAr\.kZ"-%&C O Zip U(PC)`-7 Lic.#
Owner C ado 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 Q cr.o OaX 07C- caA*e A &c1, 5'2-t- I a X I•Y, p 14 Ce C- Cib SaA_,
City Water Well Septic System Sewer
Ins: HO I SP Cert. Area Basement Garage
Approved by Ak— Date Use Group tZ Construction Type
Revlsad 8/02
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 L Q-•
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
29665-B 2,000
B01 FOOTING 06/05/03 CJD A FOR DECK REPLACEMENT BP #29677
B01 FOOTING 06/10/03 JFF A WITH CONTRACTOR MIKE
B10 FINAL 06/20/03 CJD A CLOSEOUT