HomeMy WebLinkAbout17 NORTHVIEW DR Electric # APPLICATION FOR BUILDING PERMIT
Plumbing# 17 Forthview Drive Date: 3
HVAC #
Sprinkler# 29695
FIN P - -- -- -- - - -- - -- - ---- Estimated Cost o0
- - - - Permit Fee $ r
Buildin 6
COMPLETE RED BOXED AREAS ?
Occupancy Fee $
Engine ri TYPE OR PRINT ONLY Eng. Insp. Fee $
Affidvit
Apprafor CO. SIGN ON REVERSE SIDE J Total Fee
TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $
The undersigned hereby applies to do work according to the following:
Applicant /1'/IAR Co (T�'Ko,� � i-ocation of Work /7 N Lot No.
Applicant's Address iQ Tel.#4io_ �L't�s
Town Z4. a 4,ge f�k r� f� _ Zip D 4 'Lic.# S'iL b `7 y 9
Owner J a"/-,( f Architect
Owner's Address/ 7 n,-aR T--t U.`reG, ng, Architect's Address
�a v 7-C4' W 1 ire S i &- zip/j(�n� Zip
Sq. Ft. New Area: 1 st Fl. 2nd FI. 3rd FI. Total New Area
Purpose of this permit S T'R ,'c' d L D Roo f= 7 a RV C 2g!t]r'jt
274/ ( Ntly boa ,
City Watero Well❑ Septic Systemo Sewero
Ins: HO Cert. Area Basement Garage
Approved by SP `I� Date (Ck Use Group Construction Type
Revised W02
I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Tam 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
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 / Approval Date By Appl
Code Description Due whom Code Comment
-------------------------------------------------------------------------------
**-29695-B 4,200
B10 FINAL 07/06/04 JFF A
B10 FINAL 07/06/04 JFF A CLOSEOUT
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J'J L 2 7 1995
South Windsor
BUILDING DEPARTMENT
CERTIFICATION OF ZONING COMPLIANCE
Proposed building(s), uses) andlor structures' J THE fUIIDIAG OEPI. 'OWN Of SUUTM WiYU;,
as shown on this plan app?ar(s) to be i I certified that this plan and specifications are tr„
conformance with current South h Wind copies h
of the proposed buiiding or alterations to .
"acted .t
t-egulations. Variances and specizi exception. te
may apply. •ogerfier with amendments stated in application an,
filed with plan and I agree to Comply with nil zoning
Date �r , Building and state laws and such orders as shall
issued by the Building Department during pendeno
at this application and final issuance of a buildir'
nin /nf-o-rocement Officer permit.
Signed
/v/ ✓ L-CJ
This plan i9 approved subject to the condition
orders and ordinances regulating buildingtlst
Cemplied with. shell w
Condittonally Approved These tiled wrth
Building inspector
Fiery
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