HomeMy WebLinkAbout148 FARNHAM RD Electric # APPLICATION FOR BUILDING PERMIT
Plumbing# 148 Farnham Road Date: 7
HVAC # 800225
Sprinkler#
FINAL R --F000-- SIGN
- -- -- i Estimated Cost $ ,1''7 c(L-
---- - --- -- --- Permit Fee $ 7�
Buildingro ti �'^~� PLETE RED BOXED AREAS
Engineeri TYPE OR PRINT ONLY I Occupancy Fee $
Eng. Insp. Fee $
Affidavit ON REVERSE SIDE /—
Appr. for CO. -- - - - - -- --' I Total Fee $ —
TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $
The undersigned hereby applies to do work according to the following: 1
Applicant Location of Work /y8 /rXe ti`7Ax4 6 Lot No.
Applicant's Address ys 3 t o .5 Tel.# 6 S R 3 S�
Town 5�-, r> so Zip 0,607 L1 Lie.# -S 71
Owner 4/I 41 t= , L 4 0 Z i+L 2 Architect
Owner's Address /4t d l�2k ny Al nM Architect's Address
5" a-.ti o s v,z (-- Zip_ Zip—
Sq. Ft. New Area: 1st FI. 2nd FI. 3rd FI. Total New Area
Purpose of this permit - o
/'14ez lncr
City Water❑ Well❑ Septic System❑ Sewer❑
Ins: HO *"ert. Area Basement Garage
Approved by Date i {3 04' Use Group Construction Type
Revised 6/02
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I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinanc :of the Town of
South Windsor and to notify the Building Inspector of any alteration in the plans or specifications of the Buili i ng for which this
permit is asked,and agree that this building is to be located the proper distance from all street!i ies,side ys, i lines,and required
distances from all other zones and is located in Which this building an use is allowed.
Signepf
I hereby apply for a Certificate&,Occupancy for the work described in this application for the,ermit.
Signed
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
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Lot numbers refer to map entitled,
"Subdivision Map, Farnham Estates,
Property of I. R. Stich Associates,
Inc. , Rye Street, South Windsor, Conn. ,
Scale 1" - 401 , Sept. 19, 1957, Sheet 3,
Certified Substantially Correct, Morton S.
Fine, C.E. & L.S."
�F CUNNCc' PROPOSED LAYOUT.
ON S. .c FARNHAM ESTATES
I hereby certify that this �! j 4 V.. 4 e FARNHAM ROAD
map is substantially cor- * . , m * SOUTH WINDSOR, CONN :TICUT
rect and no zoning regula- No. 2931 SCALE' 1" 40' APRIL 211 1958
ti3ns have been violated . �csi �� MORTON S. FiNE, C.E. -L.S.
F'�EG LAN % HARTFORD, CONN.