HomeMy WebLinkAbout2719 Ellington Road (3)Electric# APPLICATION FOR BUILDING PERMIT
Plumbing# M 3 2719 Ellington Road Date: 10 ll-7 o2
HVAC # r
Sprinkler# 29218
FINAL APPROVALS Estimated Cost $
Building 3-3 COMPLETE RED BOXED AREAS
Permit Fee o
Engineering TYPE OR PRINT ONLY Occupancy Fee $LD• r'
Affidavit Eng. Insp. Fee $
Appr. for C b3 SIGN ON REVERSE SIDE ,
Total Fee qd,
TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR,CT Additional Cost) $
The undersigned hereby applies to do work according to the following:
Applicant W i11 i,.. t_AW Ccx skw4 orN Location of Work Q'11 q Ellina- 2n OU- Lot No.
Applicant's Address 91AT rWj e C4• o Tel.# 760-1082-o'r 3-1
Town Qr,%i Zip 5`7 Lic.# 546`1 y to
Owner Pob Architect n a
Owner's Address Architect's Address Q In
sadqfn win r Zip Zip
Sq. Ft. New Area: 1 st FI.2nd FI. 3rd FI. Total New Area
Purpose of this permit er e ( o e K
w Q
i
City Watero Well Septic System Sewero
Ins: HO SP Cert. Area Basement Garage
Approved by Date -IfV Zr Use Group Construction Type
R vlsed 8/02
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 th' building and its is allowed.
Signed
I hereby apply for a Certificate of Occupancy for the work descri 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
29218-B 21,409
E03 ROUGH 10/23/02 CJD A
P03 ROUGH 10/23/02 CJD A CHECK FOR VENT AT SINK (KITCHEN)
B10 FINAL 04/14/03 CJD D BDRM SMOKES
B10 FINAL 06/03/03 CJD A SMOKES IN PLACE
B10 FINAL 06/03/03 CJD A CLOSEOUT
11581-H 775
11136-P 850
18037-E 1,000