HomeMy WebLinkAbout21 Greenfield Drive (2)Dectric# 41 q7 APPLICATION FOR BUILDING PERMIT
Plumbing# /y FS3 21 Greenfield Drive
WAC # Dat :
Sprinkler# No. 28300
FINAL APPROVALS Estimated Cost apd,
Building COMPLETE RED BOXED AREAS Permit Fee GV
Engineering TYPE OR PRINT ONLY Occupancy Fee e-U
Affidavit
SIGN ON REVERSE SIDEAppr.for COS 611z 00 Total Fee 66
TO BUILDING DEPARTMENT,TOWN OF SOUTH W14)SOR,CT Additional Cost) $
The undersigned h reby applies to do work according to the following specifications:
Job Location Ail cWtem Lot No. Side of Street Zone
Applicant C enson TelINOWNOWNOWa t ,M na RoadAddress Zip Lic.#,/2 r
Own r MWWheft CT 060454=ddress
i aOAddressZYy—
Sq.Ft.New Area: 1st FI. 2nd FI. 3rd FL Total New Area
Rooms Lavatories Bathrooms Garages
Purpos of this permit:
City Water Well 0 Septic System 0 Sewer
Ins. H.O. S.P. Cert. V
I Area Basement Garage
Approved by Date U d k Use Grouppp1``' Construction Type
Revkod 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 t is buil ' g nd its use is allowed.
Signed
I hereby apply for a Certificate of tSccup cy for a wo descri in this application for the permit.
Signed
D NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
a
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
28300-B 4,000
E03 ROUGH 11/07/01 CJD D NO ACCESS
P03 ROUGH 11/07/01 CJD D NO ACCESS
E03 ROUGH 11/08/01 CJD A W/CONTRCT.
P03 ROUGH 11/08/01 CJD A W/CONTRCT.
B10 FINAL 10/03/02 JFF D NO ACCESS LEFT DOOR TAG
B10 FINAL 10/11/02 WNB A WITH OWNER
B10 FINAL 10/11/02 WNB A CLOSED OUT.
17479-E 500
10853-P 4,000