HomeMy WebLinkAbout25 Vincent CircleElectric# APPLICATION FOR BUILDING PERMIT
Plumbing# 25 Vincent Circle
HVAC # Date:
Sprinkler# No. 28313
FINAL APPROVALS Estimated Cost $Sr, 0p0,
Building WlW4?,3PC- COMPLETE RED BOXED AREAS Permit Fee
Engineering TYPE OR PRINT ONLY Occupancy Fee S'
Affidavit ti SIGN ON REVERSE SIDE
Appr.for CO. (a o 3-*C- Total Fee 90.
TO BUILDWIG DEPARTMENT,TOWN OF SOUTH WINDSOR,CT Additional Costs $
The undersigned h reby applies to do work according to the following specifications:
Job Location C L/9 C,el'/f (2f/f'le- Lot No. Side of Street Zon
Applicant 1 a Tel.# LZly-tIM39
Addr P 12-1- C/1'L(,p Zip Lic.#
Own r 6 GVV9&Z C71 Address a-6//060-lf C lam- \S_it
Architect Address
Sq.Ft.New Area: 1st Fl. 2nd Fl. 3rd Fl. Total New Area
Rooms Lavatories Bathrooms Garages
Purpose of this permit: Z A2 4;/P9 CZ 4Z i2nlzz l 9z(I
r)(
2
City WQter Well ElSeptic System Sewer
Ins. H.O. S.P. Cert. Area Basement Garage
Approved by U= Dat 0/ Use Group - Construction Typ
Revised 9/01
I hereby agree to conform to all the requirements ofth 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 locat in which this building and its use is allowed.
Signed 11
I hereby apply for a Certificate of cu or the work described in this application for the permit.
Signed
DO NO
or
BELOW THIS LINE
INSPECTION COMMENTS
lk7Z Ion no
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
28313-B 5,000
B10 FINAL 11/26/01 CJD A W/OWNER-NEED DECK PERMIT
B10 FINAL 06/18/03 JRC A CLOSEOUT, CO NOT PRINTED
17506-E 450