HomeMy WebLinkAbout2265 Ellington RoadElectric# APPLICATION FOR BUILDING PERMIT
Plumbing# 2265 Ellington Road
HYAC # Date:
Sprinkl r#
No. 2 8 419
FINAL PR Estimated Cost
Buildin COMPLETE RED BOXED AREAS Permit Fee
6nginee iV TYPE OR PRINT ONLY Occupancy Fee $
Affidavit jl SIGN ON REVERSE SIDE
Appr.for CO.Total Fee 57
TO BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR,CT Additional Cost) $
Th and r3i ned hereby applies to do work according to the following specifications:
fob Location 1 ' Lot No. Side of Street Zon
Applicant Tel. 5 1
Addr ss r Zip Lic.# Cl-559cf -4-
Own rChQ0( i n s on.tc4nT Address i
Architect Address
Sq.Ft.New Area: 1st FI. 2nd FI. 3rd Fl. Total New Area
Rooms lavatories Bathrooms Garages
Purpose of this permit: W =L)Q j - 2 I er -f-e a f-n i i a,na
Ca le
City Water Well Septic System Sewer
Ins. H.O. S.P. Cert. Area Basement Garage
Approved by f( Date 2 l 6( Use Group ----- Construction Type
Revised 9/01
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.
S6qancy k V,*r,Cornp gvie)u s
I hereby apply for a Certificate for the work described in this application for the permit.
Signed
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
28419-B 5,000
B10 FINAL 06/12/03 JFF A
B10 FINAL 06/12/03 JFF A CLOSEOUT