HomeMy WebLinkAbout17 JEFFREY DR Electric # APPLICATION FOR BUILDING PERMIT
Plumbing# 1706211 Jeffrey rive
HVAC# 1400�44� Date: Fr1
Sprinkler# Estimated Cost —
FINAL APPROVALS
Building COMPLETE RED BOXED AREAS Permit Fee $ n
T
Engineering Occupancy Fee $ ry --
TYPE OR PRINT ONLY Eng. Insp. Fee $
Affidavit ► SIGN ON REVERSE SIDE t
Appr.forCO. Total Fee $ 55-
TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ l�o7Z
The undersigned hereby applies to do work according to thec}llowing:
Applicant U� J�� S rdr+ a Location of Work 11 Lot No.
Applicant's Address 11 Tel # W—6y3—y/Y�
Town S• W/"tt-S y R-- Zip Lic.#
Owner M^RJ2 &4eS?Q.27'y74 Architect
Owner's Address Architect's Address
Zip Zip
Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd Fl. Total New Area
Purpose of this permit ptVLarL S PRcFL ('�� SF{O�I�ZoDM _ /_pFFIC' SPAC-C
City Water Well J Septic System J Sewer _] 14o(a
Ins: HO SP Cert. Area Basement Garage --
Approved by Date 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 in which thisjuilding and its use is allowed.
Sign
I hereby apply for a Certificate of ccu a y for the k described in this application for the permit.
Signed
DO T BELOW THIS LINT
INSPECTION COMMENTS
INSPECTION FIELD SHEET 04/12/22 `
Printed by Middleton, Morgan 08 40 04
INSPECTION: 70970 ELECTRIC FINAL PERMIT:
STATUS:
APPLICATION: 201401097
LOC: 21 JEFFREY DRIVE
SOUTH WINDSOR
PROPERTY ID: 46800021
OWNER: H S & D REALTY CORP
CONTRACTOR: SURROUNDINGS CUSTOM INTERIORS, INC.
860-643-4143
REQUEST BY:
PROJ DESC: BUILD WALL TO DIVIDE SPACE INTO SHOWROOM AND OFFICE SPACE.
WORK ORDER:
INSPECTOR: ROSE, RESULT: PASS
REQUESTED: 10/03/14 PRIORITY:
SCHEDULED: 10/03/14 PM COMPLETED: 10/03/14
UNPAID FEES: 00 Date Time
MILEAGE: 00 TIME: TRAVEL ONSITE
COMMENTS:
ROB ® 860-558-5205
ALL INSPECTIONS:
INSPECTED INSPECTOR RESULT INSP DESCRIPTION
09/03/14 DOUG PASS B003 FRAMING (ROUGH)
JASON @ 860-281-4065
09/03/14 DOUG PASS E003 ELECTRIC ROUGH