HomeMy WebLinkAboutBuilding 1 Ivy Laneectric# APPLICATION FOR BUILDING PERMIT
Plumbing# Ivy Lane Bldg 1 #2
HVAC # Date:
Sprinkler# No. 27945
FINAL ROV Estimated Cost $ o
Buildini'? 0a
V
COMPLETE RED BOXED AREAS Permit Fee
i" TYPE OR PRINT ONLY Occupancy FeeAffidavitSIGNONREVERSESIDE
1A—
Appr.for CO.Total Fee fl G.0 0
TO BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR,CT Additional Cost) $
The undersigned h reby applies to do work according to the following specifications:
Job Location V = = Side of Street_Zone
Applicant Tel.# (gg - r` r-
Address Zip Lic.# 5MAz
Owner _ _ Address
Architect Address
Sq. Ft.New Area: 1st FI. 2nd FL 3rd Fl. Total New Area
Rooms Lavatories Bathrooms Garages
Purpose of this permit: fto &ZA I.J .,2-t I
City Water Well Septic System Sewer
Ins. H.O. S.P. Cert. Area Basement Garage
Approved by 6 0 Date t t 0 Vse`Group Construction Type
Revised 1197
I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of th Town of
South Windsor and to notify the Building Inspectorof any alteration in the plans or specifications of the Building forwhich 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 this buildirIg and ts use is alkwved.
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
27945-B 2,000
B10 FINAL 12/05/02 JFF A
B10 FINAL 12/05/02 JFF A CLOSEOUT