HomeMy WebLinkAbout208 Old Farm Road8ectric#..APPLICATION FOR BUILDING PERMIT
Plumbing# lo o'R33 208 Old Farm Road
HVAC # fI Date:
Sprinkler# No. 28214
FINAL PRO Estimated Cost SBuildingj!r/a
j COMPLETE RED BOXED AREAS Permit Fee
n9 V
TYPE OR PR/IT ONLY Occupancy FeeAffidavitSpNREVERSESIDEAppr.for CO. o
IGN
Total Fee
TO BLALD14Dtf0WM,TOWNT 7SOUTH WINDSOk Cr Additional Cost) $
The undersigned hereby applies to do work according to the following specifications:
Job Location a g 01 d F tirV,\ Lot No. Side of Street zone
i ti IApplicantCTel#
Address 2--0,6 O Y f Pr,-.v. s w LT Zip d 6 b?q Lic.# 4A
Owner 6 -c Address
Architect NIA Address
S%Ft.New Area: 1st FI. 2nd FI. 3rd FI. Total New Area_ ti 1A
Rooms Lavatories Bathrooms Garages
Purpose of this permit: LJ t A K t- /l,c,n.,o d g,l 1
I.- tOl.n- b- o M Lop- (-e- yi o f C.n ,Q 4 ti 4
04- AVti 0 V IV', -X 1'S La.rv-1p i
i
V-J (1., /}Cil h R'K A,7113
2xc t ba-*+ ,b
ty Water Z Well Septic System Sewer A
Ins. H.O. S.P. Cert. Area Basement Garage
Approved by 40- Date Use Group Construction Type
Rev'sed 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' ich this building and its use is allowed.
Signed -441 /
I hereby apply for a Certificate of Cpancy for the work described in this application for the permit.
Signed
1
DO WRITE BELOW THIS LINE
INSPECTION COMMENTS
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
28214-B 1,500
B03 FRAMING (ROUGH) 09/27/01 CJD A W/OWNER
P03 ROUGH 09/27/01 CJD A W/OWNER
H03 ROUGH 09/27/01 CJD A W/OWNER-WILL INSTALL ADDTL. SMOKE DETECTORS
B10 FINAL 05/19/03 JFF A WITH OWNER
B10 FINAL 05/19/03 JFF A CLOSEOUT
10833-P 2,000