HomeMy WebLinkAbout184 HILTON DR Electric # APPLICATION FOR BUILDING PERMIT
Plumbing# 184 Hilton Drive Date: 0
HVAC #
Sprinkler# 3.1055 00
FINAL APPROVALS -EPOO- SIGN
Estimated Cost �►Buildin Permit Fee $g LETE RED BOXED AREAS Occupancy Fee $ 5.
Engineering YPE OR PRINT ONLY Eng. Insp. Fee $
Affidavit ON REVERSE SIDEAppr. for CO. _ Total Fee $NJ
TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $
['he undersigned hereby applies to do work according to the following:
Applicant r location of Work Lot No.
Applicant's Addres I � r1 �r-t, U Po del.# -
Town rILAAr, w 1 hl-k 6 r— Zip o(S 01'A Lic.#
Owner Architect
Owner's Address Architect's Address
Zip Zip
q. Ft. New Area: 1st FI. 2nd FI. 3rd FI. Total New Area
urpose of this permit W6cd S4n y F _
City Water❑ Well❑ Septic System❑ Sewer❑
Ins: HO Sp Area Basement Garage
Approved by D e Use Groa onstruction Type--'
Revised 6102
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 k)cated 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
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"*-31055-B 1,600
B10 FINAL 09/14/04 PJP A
B10 FINAL 12/30/04 PJP A CLOSEOUT
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