HomeMy WebLinkAbout208 Old Farm Road (3)Electric# l APPLICATION FOR BUILDING PERMIT
HVACI#Plumbng# 11( a 208 Old Farms Road Date:—I'lUl (&3
Sprinkler# 29389FINALAPVALS Estimated Cost $ 0
Building 3/7-03 COMPLETE RED BOXED AREAS Permit Fee
Engineering TYPE OR PRINT ONLY Occupancy Fee $ o
Affidavit Eng. Insp. Fee $
Appr. for C d3 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 y ge t c v Location of Work 20X cpl ,w Lot No.
Applicant's Address V1 dildro r L Tel.# /3 ys`?
Town .Se. L) Zip 0 G 02 y Lic.# 11'1'e— S'4 $/!5 O
Owner G Id Architect
Owner's Address 2 9 P9/ ze Architect's Address
Zip Zip
Sq. Ft. New Area: 1st FI. 2nd Fl. 3rd FI. Total New Area
Purpose of this permit s c..dz-A.T. G d: O s,a
City Wate%r Well Septic System Sewe,
Ins: HO SP— 1 x4l" Cert. Area Basement Garage
Approved by Jam— Date (1-2-do 3 Use Group Construction Type
Revised W02
I h reby 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.
Signe
I hereby apply for a Certificate of Occupanc for the work described in this application for the permit.
Signe
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
29389-B 12,700
P03 ROUGH O1/21/02 WNB A WITH HENRY/CONTRACTOR
B03 FRAMING (ROUGH) 01/30/03 CJD A
E03 ROUGH O1/30/03 CJD A
P03 ROUGH O1/30/03 CJD A
H03 ROUGH O1/30/03 CJD A
B10 FINAL 03/17/03 CJD A W/HENRY
B10 FINAL 03/17/03 CJD A CLOSED OUT.
11663-H 5,000
11192-P 5,000
18148-E 1,200