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204 Garden Circle
Electric#~o 1` a7 APPLICATION FOR BUILDING PERMIT Plumbing# 10 204 Garden Circle Date:1°I (z-- HVAC # Sprinkler# 29324 FINAL AP OVALS Estimated Cost Building Z2" COMPLETE RED BOXED AREAS permit Fee Engineering TYPE OR PRINT ONLY Occupancy Fee ; Affidavit Eng.Insp.Fee $ Appr.for CO. Q._ S IGN ON REVERSE SIDE Total Fee s TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR,CT Additional Cost) $ The and rsign d hereby applies to do work according to the following. Applicant c Location of Work 2Oy 6Ark-tA Gc(4- .So.,t44 4.4,t4-G.rc.Lot No. Applicant's Address q 8d r,c p (-- Tel.# Town ` A y o,o C-r- Zip ©6 Z Y 9 Lic.# Owner l.L'1( ft i" _1'h Ar k k. (.,_h Architect a u tr 1 AL- Owner's Address 2 tM n.,tt 1& (b.w r 4-'%r itect's Address T Zip Zip Sq. Ft. New Area: 1 st FI.2nd FI. 3rd FI. Total New Area Purpose of this permit ZC 217 c2-75 City Watero Well Septic System Sewero Ins: HO SP Cert._ Area Basement Garage Approved by JAK— Date 1 Use Group fZ"3 Construction Type RevfsW M 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 afteration 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 k>cated in this building and its use is allowed. Signed I hereby apply for a Certifi a of upancy for the work described in this application for the permit. Sign i DO NOT W ITE BELOW THIS LINE INSPECTION COMMENTS Location of Job:AFFIDAVIT Additional Fee$ State of Connecticut ss.South Windsor County of Hartford Owner I X-01Y13 Q fJ4 ! of t-j ikgCnLLor the building erected 1 2 y Contractor under Permit No. 2 .3. issued by the Building Department of the Town of South Windsor being duly sworn,make oath and say that the actual cost of the completed work 4autho ' under said permit did not exceed the most current accepted BOCA value of s-L ZL3 i f Subscribed and sworn to before me this day of A.D.20kL Estimated Cost Difference: s 7-7 3 Notary Public Inspection / Approval Date By Appl Code Description Due Whom Code Comment 0 27554-B 60,000 0 B01 FOOTING 11/13/00 CJD A 0 B02 FOUNDATION 12/07/00 CJD A WATERPROOFING. 0 Total Est Value 60,0000 0 Dwelling 1,394 67,302.32 Basement 1,156 16,415.20 Garage 562 7,980.40 Smoke Det 7 525.00 BOCA Value 92,222.92 Difference 32,222.92 t e Inspection / Approval Date By Appl Code Description Due Whom Code Comment 28174-B 1,000 E01 SERVICE 05/14/02 CJD A W/ELECTR. B03 FRAMING (ROUGH) 09/10/02 CJD A W/BILL B04 INSULATION 09/13/02 CJD A P03 ROUGH 09/18/02 CJD A PO4 GAS TEST 09/18/02 CJD A LEFT STICKER B10 FINAL 11/26/02 JRC N/A TO BE COMPLETED BY DIFFERENT CONTRACTOR Total Est Value 1,000 Inspection / Approval Date By Appl Code Description Due Whom Code Comment 29324-B 1,000 PO4 GAS TEST 11/14/02 CJD A B10 FINAL 12/27/02 CJD D ACCESS TO CONDENSTN TRAP, INSULTN/ATTIC, STEP @ GARAGE AND FRONT DOOR B10 FINAL 12/30/02 CJD A W/GRAY ZONE 10909-P 6,000 17463-E 5,000 11244-H 6,450 18127-E 1,000 Total Est Value 19,450