HomeMy WebLinkAbout205 Debbie Driveeectric I APPLICATION FOR BUILDING PERMIT
Plumbing# 205 Debbie Drive
HVAC # 2 812
Dat . " - o C
Sprinkler# No.
FNM OV Estimated Cost $ CC)7
Buildirvgo6!/ • COMPLETE RED BOXED,AREAS Permit Fee 3R. a o
Engineeri TYPE OR PRINT ONLY Occupamy Fee
Affidavit SIGN ON REVERSE SIDE
Appr.for CO. !f o Total Fee Y'`7•
TO BULDM TOWN WMSM CT
v IAdditional Cost) $
The undersigned her y applies to do work according to the following specificatiorn:
Job Location 0016 CQ 1W Lot No. Side of Street Zone
Applicant -rl!'Y1 Tel.#
Address c-:)C6- RQ" p d QQk— S-W" Zip ( W-? Lic.# 05 S) ' I(
Owner Address
Q Q Address RO aArchitectQC
Sq. Ft.New Area: lst Fl. 2nd Fl. 3rd Fl. Total New Area
Rooms Lavatories Bathrooms Garages
Purpose of this permit: M (ak)Ove- (0 IMLLEN8-
City Water Well Septic System Sewer
Ins. H.O. V S.P. Cart. Area Basement Garage
Approved by Date -7t .O I Use Group j Construction Type
T 9 a.v-s.d 1197
t
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.
Sig nedk3w-Q-evy)a L inLLLQ
I hereby apply for a Certificate of Occupancy for the work described in this application for the permit.
Signed C1`
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
Inspection / Approval Date By Appl
1 Code Description Due Whom Code Comment
28127-B 3,000
E02 UNDERGROUND 08/28/01 JFF A WITH OWNER OK TO BACKFILL
E03 ROUGH 08/28/01 JFF A WITH OWNER
B10 FINAL 03/28/02 JFF D NO LADDER ENCLOSURE WITH OWNER TO ERECT DECK
WITH PROTECTION
B10 FINAL 06/11/02 JFF A WITH OWNER
B10 FINAL 06/11/02 JFF A CLOSED OUT.
17379-E 800