HomeMy WebLinkAbout19 COMMUNITY RD Electric # 19 Co �'�IC4TION FOR BUILDING PERMIT
Plumbing#
HVAC# 12 0 0 013 7 Date:
Sprinkler# Estimated Cost —$ 490. dz)
FINAL APPROVALS Permit Fee $ -7&-
Building COMPLETE RED BOXED AREAS Occupancy Fee $
Engineering TYPE OR PRINT ONLY Eng. Insp. Fee $
Affidavit Appr.for CO. V if ► SIGN ON REVERSE SIDE t
'"{
� Total Fee $ 75
TO THE BUILDING ARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ '
The undersigned hereby applies to do work according to the following:
atlt ;gkkwlqzq A Al e r" Location of Work / Co M M It r Lot No.
Applicant's / °O V11 YY u n `1 R4— Tel # S40—6 l � oG�9
—
Town �-39 Zip U 7 Lic.#
Owner SOLM Architect
Owner's Address ,S-LyV1C Architect's Address
Zip Zip
Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area
Purpose of this permit AEe-e J RC7 O -F
City Water J Well 'J Septic System ❑ Sewer J
2D I�oO
Ins: HO ert. Area Basement Garage
Approved byA Date '2 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 whi is uilding and its usji
wed.
�igned I hereby apply for a Certificate of Occupancy for thew k describs application for the permit.
Signed
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
INSPECTION FIELD SHEET 08/09/12
Printed by Peart, Dayshell 08:46:43
INSPECTION: 47402 FINAL PERMIT:
STATUS
APPLICATION: 201200364
LOCATION: 19 COMMUNITY ROAD
SOUTH WINDSOR
PROPERTY ID: 22800019
OWNER: WAYNER HENRY P & SHIRLEY V
CONTRACTOR:
REQUEST BY:
DESCRIPTION: NEW ROOF.
WORK ORDER:
INSPECTOR: ROSE RESULT: PASS
REQUESTED: 04/18/12 PRIORITY:
SCHEDULED: 04/18/12 AM COMPLETED: 04/19/12
UNPAID FEES 00 Date Time
TIME: TRAVEL ONSITE
COMMENTS:
12000137 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER BUILDING PERMIT
DATE: 04/05/12
GIS ID:22800019 FEE: 75.00
MUNIS APPLICATION# 201200364 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: WAYNER SHIRLEY V ADDRESS: 19 COMMUNITY ROAD
ADDRESS: 19 COMMUNITY RD OWNER: WAYNER HENRY P&SHIRLEY V
S WINDSOR,CT 06074-3816 19-COMMUNITY ROAD
SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: NEW-ROOF. `-
SPECIAL CONDITIONS:
ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT.
CONSTRUCTION TYPE:
OCCUPANCY GROUP: BUILDING OFFICIAL
4/5/2012 1 1:25 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE