HomeMy WebLinkAbout206 Natsisky Farm Road (4)8ectrir# APPLICATION FOR BUILDING PERMIT
Plumbing# 206 Natsisky Farm Road
HVAC # Date: //Z
28717
Sprinkler#
FINAL APPROVALS Estimated Cost
Building COMPLETE RED BOXELA"AS Permit Fee
Engineering YPE OR PRINT OOccupancy Fee $
Affidavit IGN ON REVERSE
Appr.for CO.r c Total Fee
TO BUILDWG ARTMENT,TOWN OF SOUTH WMSOR,CT Additional Cost) $
The undersigned h reby applies to do work according to the following specifications:
Job Location Lot No. Side of Street Zone
Applicant 00&1 - 'D-Le Tel.# 52 8 Y6 6u
Addr ss 7 q ST. LT Zip bb/a1 Lic.# Sat 111
Owner IC 01 Address
Architect Address
Sq.Ft.New Area: Ist FI. 2nd Fl. 3rd FL Total New Area
Rooms Lavatories Bathrooms Garages
Purpose of this permit: `ram r rc t t '..4+cam S 4,,e f d.
r-4 Utz } 4 A rej ki--1 It
City Water Well Septic System Sewer
Ins. H.O. S.P. Cert. Area Basement Garage
Approved by y Date v L—Use Group Construction Type
Revs*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 C
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
t
Inspection / Approval Date By Appl
N Code Description Due Whom Code Comment
28717-B 5,500
B10 FINAL 02/07/03 WNB A WITH OWNER
B10 FINAL 02/07/03 WNB A CLOSED OUT.