HomeMy WebLinkAbout21 Hitchcock WayElectric# APPLICATION FOR BUILDING PERMIT
Plumbing# 21 Hitchcock Way Date: 3—/V-0 3
HVAC #
Sprinkler# 29418 Estimated Cost $ DDDFINALAPPROVALSPermitFee3a•Building C15 WCiven,..3-13-U3 COMPLETE RED BOXED AREAS Occupancy Fee $Engineering TYPE OR PRINT ONLY Eng.Insp.Fee $Affidavit
SIGN ON REVERSE SIDEAppr. for CO a3 Total Fee
TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR,CT Additional Cost) $
The undersign d hereby applies to do work according to the following:
Applicant t;- /4. . Coe, V , Location of Work 1 mac, Lot No.
Applicant's Address Tel.# ,' JP9`6 7aZ_
Town.Sa Zip eY&7 7 !j Lic.# 5"C/ y 3 3
Owner Architect
Owner's Address Architect's Address
Zip Zip
Sq. Ft. New Area: 1 st FI.2nd FI. 3rd FI. Total New Area
Purpose of this permit 4w 4 6.- 4.2 Avia
XfA
Jr
City Water Well Septic System Sewer
Ins: HO SP Cert. Area Basement Garage
Approved by , Date 4-0 3 Use Group Construction Type41Rvlsed6102
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 Ones,side yard Imes,and required
distances from all other zones and is located in wh' is building and its is alto%e .
Signed
I hereby apply for a Certificate of for the work descri in this application for the permit.
Signed
Occu
DO NOT WFW BELOW THIS LINE
INSPECTION COMMENTS
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
29418-B 2,000
B03 FRAMING (ROUGH) 03/13/03 CJD A
E03 ROUGH 03/13/03 CJD A
B10 FINAL 03/13/03 CJD A
B10 FINAL 03/13/03 CJD A CLOSED OUT.