HomeMy WebLinkAbout248 Chapel Road (7)FINAL nSBuilding APPLICATION FOR BUILDING PERMITOr
Plumbing
HVAC Date: ` c
Sprinkler 248 CHAPEL ROAD
Electric Estimated Cost $
Zoning Permit Fee$ a?d —
Affidavit NO. 18413 Occupancy Fee $
Eng. Dept. COMPLETE RED BOXED AREAS.Fire Dept.
TYPE OR PRINT ONLY
Total Fee $
Health Dept.
Approved for CO: SIGN ON REVERSE SIDE.Additional Cost) $
TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT
The undersigned, hereby applies to o work according to the following specifications:
Job Location Lot No. Side of Street Zone
Applicant PZ h1r- 6c--kJ f SevJS IW Tel. # SZ Y210
Address o G L ti e ( kZ W, Zip 6 Lic.#
STREET CITY STATE
Owner SA u^ Address
Architect Address
Size New Area: Ft. Front Overall Ft.Deep Overall Total Area Garages
LavatoriesNo. of Families No. of Stories Construction athrooms Rooms 1st 2nd-3rd
Size of Lot Dist. from Street Line Dist. from Side Street Line
Purpose of this Permit C(QC, (' L r w (< L-rz C 6;-
City Water 0 Well 11 Septic 0 Sewer 0
Approved by Date 'q'22-t`2 0 BD1A 11/88
I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and Ordinances of the Town of South Windsor
and to notify the Building Inspector of any alteration in the plans or specificatio of the Buil in for which this per it is asked,and agree
that this building is to be located the proper distance from all street lin s,side ya es and eq ired dis ances fr all other zones and is
located in a zone in which this building and its use is allowed.
Signed
I hereby apply for a Certificate of Occupancy for the work described in this application for permit.
Signed
DO NOT WRITE BELOW THIS LINE—
INSPECTION RECORD
Footing Framing
Foundation Fireplace/Chimney Insulation
Plumbing Permit# Inspections:
HVAC Permit# Inspections:
Electrical Permit# Inspections:
Sprinkler Permit# Inspections: