HomeMy WebLinkAbout0 IVY LN BDLG 4 (3 UNITS) Electric # p Iv Lane B )PLJCATION FOR BUILDING PERMIT
Plum Y
HVA Ti i�7-176 12000338 Date: 2
Sprinkler# 194Estimated Cost $
FINAL APES 2 I,{$,3
Building �Sy COMPLETE RED BOXED AREAS Permit Fee $ -7tS
Occupancy Fee $
Engineering TYPE OR PRINT ONLY Eng. Insp. Fee $
Affidavit
Appr.forCO. SIGN ON REVERSE SIDE / Total Fee $_ —71 5 _
TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $
The undersigned hereby applies to do work according to the following:
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Applicant A44 M' OZM,-`-"s LocationofWork y LotNo. -
Applicant's Address Q 4 p- -S7 AZPN. 2 _ c>(vv ly ZZ Tel # _ tc_-� CsVi
Town ryoy-_e � C1 _ Zip Cx: Y� _Lic.#16C ca/.a -
Owner Git-3 Architect _
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Owner's Address �� 1Q2lh�+hM� Architect's Address
Yf�'�2� .C/— Zip 0k.ei it( Zip --
Sq. Ft. New Area: 1 st F 2nd FI. 3rd FI. Total New Area
Purpose of this permit _� a{r� C 43TZLX_ .SCk-y— --r, y
City Water J Well ❑ Septic System J Sewer J
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Ins: HO SP Area Basement Garage
Approved by ate Use Group Construction Type
Revised 1108
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 1 this building use use is allowed.
Signed 1
1 hereby apply for a Certificate of O e work descr ed in is application for the permit.
Signed
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS