HomeMy WebLinkAbout229 Old Farm RoadDectric# APPLICATION FOR BUILDING PERMIT
Plumbing# 229 Old Farm Road
HYAC #
Dat
Sprinkl r#
No. 28789
FI7gA O Estimated Cost $ 3760
BuilZFI 7v-1 E114;7,S'CIGN
PLETE RED BOXED AREAS Permit Fee CQ y
Engi TYPE OR PRINT ONLY Occupancy Fee $
Affikkivit ON REVERSE SIDE
Appr.for CO.Total Fee CJ• '
TO BUILDWG DEPARTMD4T,TOWN OF SOUTH WNDSOR,CT Additional Cost) $
The undersigned hereby applies to do work according to the following specifications:
Job Location 0/dO z-0-' /Cootn Lot No. Side of Street Zone
Applicant IkOfPW AV CV 7 Tel# da l—moo/
Address e c vs7 z X4 Zip 0/6a Lic.# S S-5-Zz.,
Own r Nl ova fog Address Z 2 9 olw ,4w 2ou+-O
Architect Address
Sq.Ft.New Area: 1st FL 2nd FI. 3rd Fl. Total New Area
Rooms Lavatories Bathrooms Garages
Purpose of this permit: 01,
City Water Well Septic System Sewer
Ins. H.O. S.P. Cert. Area Basement Garage
Approved by s K-9 - Date tZXLl..-- 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 proper distance from all street lines,side yard lines,and required
distances from all other zones and is located in whi thi uil ng a its is allowed.
Signed r"I
I hereby apply for a Certificate of Occupa y 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
28789-B 3,760
B10 FINAL 05/14/03 JFF A WITH OWNER
B10 FINAL 05/14/03 JFF A CLOSEOUT