HomeMy WebLinkAbout1118 PLEASANT VALLEY RD BLDG #10 Electric # APPLICATION FOR BUILDING PERMIT
Plumbing# 1118 Cinnamon springs Date:
HVAC #
Sprinkler# 2 9 u_8 2
FIN R
9 _ _ Estimated Cost $
AL —— - _
Buildin 3 (t �' Permit Fee $ Y�C, a°
g COMPLETE RED BOXED AREAS Occupancy Fee $
Enginee ' TYPE OR PRINT ONLY Eng.Insp Fee $
Affidavit
CO. SIGN ON REVERSE SIDE
PP L-- - - --- - — ----� Total Fee $ `�V6)-
TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $
The undersigned hereby applies to do work according to the following:
Applicant f�)F&)C L. L.l_C_ Location of Work Lot No.
Applicant's Address '3cr� ro M Tel.# -
Town I Zip C (Q:l01 C) Lic. # SS6Aa-U l
Owner tw A6a. Architect L) A
Owner's Address _ mc'Architect's Address
Zip Zip
Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area
Purpose of this permit > aa A -_
City Water❑ Well❑ Septic System❑ Sewer❑
Ins: HO SP Cert. �_ _ Area Basement Garage
Approved b 2.44 Date 112—d 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 d ss from all street lines,side yard lines,and required
distances from all other zones and is located in whit building and,%7 allowed
Signed ��IICCCC
99
1 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
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