HomeMy WebLinkAbout111 KELLY RD Electric # U E 1 xel�IyP Z'0 ATION FOR BUILDING PERMIT
Plumbing# 0207 Date:
HVAC # AOng
Sprinkler# __
FINAL APPROVALSth Estimated Cost $ [ Sc
ILDI Permit Fee $
Building OMPLETE RED BOXED AREAS i Occupancy Fee $
Engineering TYPE OR PRINT ONLY Eng. Insp. Fee $
Affidavit -_ - -- ------ - -- - —
Appr. for CO. 00.
SIGN ON REVERSE SIDE Total Fee $
--- -$.12yC1
TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR,CT (Additional Cost) $
The undersigned hereby applies to do work according to the following:
Applicant 'A uA r,tA 'fie 20 act— Location of Work Lot No.
Applicant's Address Sc Tel.# a ?0
Town_ S o. I J% n A Zip U Lo Lic.#
Owner 5 0,IN s:L_ Architect
Owner's Address S c�_tt, Architect's Address
Zip Zip-
-Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area
Purpose of this permit F: o o-�- 4r34 r et a c� �cxs�, i Le. ccjj vJack-,e C-
City Water❑ Well❑ Septic System❑ Sewer❑
Ins: HO P rt. Area Basement Garage
Approved by Date b Use Group Construction Type
Revised 6/02
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 this building and its use is allowed.
Signed Ct
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 FIELD SHEET 02/03/21
Printed by Middleton, Morgan 10 28 57
INSPECTION: 13818 FINAL PERMIT:
STATUS:
APPLICATION: 200800577
LOC: Ill KELLY ROAD
SOUTH WINDSOR
PROPERTY ID: 49500111
OWNER: JEZOUIT AUDREY A
CONTRACTOR:
REQUEST BY:
PROJ DESC: RIP OFF AND REPLACE ROOF. ICE AND WATER.
WORK ORDER:
INSPECTOR: ROSE RESULT: PASS
REQUESTED: PRIORITY:
SCHEDULED: COMPLETED: 05/21/08
UNPAID FEES: 00 Date Time
MILEAGE: 00 TIME: TRAVEL ONSITE
COMMENTS: