HomeMy WebLinkAbout2337 Ellington Road (3)Electric# APPLICATION FOR BUILDING PERMIT
Plumbing# 2337 Ellington Road
HVAC # Date:
Sprinkl r#
No. 28913
FINAL PRO Estimated Cost $-12-004
Buildings /o o3 COMPLETE RED BOXED AREAS Permit Fee S—
Engi TYPE OR PRINT ONLY Occupancy Fee $
Affidavit SIGN ON REVERSE SIDE 6v
Appr.for CO.Total Fee
TO BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR,CT Additional Cost) $
The and rs'igned hereby applies to do work according to the following specifications:
1
Job Location Lot N. Side of Street Zon
Applicant Tel.# lob 3,,FICK
Address 6 02 dkeaoe 09 oC P013a3YJ el Zip o66 _Lic.# 74r.5"",?
Owner q Address 3 4f
Architect Address
Sq.Ft.N w Area: lst FL 2nd FI. 3rd Fl. Total New Area
Rooms Lavatories Bathrooms Garages
Pur of this permit: go 641 P cj-,Dt
IV If 100,
City Water Well Septic System Sewer
Ins. H.O. S.P. Cert. Area Basement Garage
Approved by Q — Date LO7_ 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 ildin nd its u is allowed.
Signed
I hereby apply for a Certificate of Occupancy 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
28913-B 200
PO4 GAS TEST 06/14/02 CJD A
B10 FINAL 06/10/03 JFF A WITH OWNER
B10 FINAL 06/10/03 JFF A CLOSEOUT