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'A�.rtlIFICATION OF ZONING
Proposed building(s), use(s) and/or str4
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Electric # APPLICATION FOR BUILDING PERMIT
Plumbing# 2 Old Parish Drive
HVAC# 120006R2 Date: // " y Z
Sprinkler#
FINAL APPROVALS Estimated Cost $ o
Building� -fir• COMPLETE RED BOXED AREAS Permit Fee $ 9qo
Occupancy Fee $
Engineering TYPE OR PRINT ONLY Eng. Insp.Fee $
Affidavit
Appr.forCO. SIGN ON REVERSE SIDE -4 Total Fee $ ,+d
TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ -4-1 4 0 L
The undersigned hereby applies to do work according to the following:
Applicant W J - Location of Work I ft .Lot No.
Applicant's Address Tel # 6• J'a SS
Tow c� Zip Q U Lic.# D G
Owne cM— rchitect
Owner's Address A Architect's Address
!�o . I 1_-�) . a rz-- Zip U Q Zip 0
Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area
Purpose of this permit t onS
City Water J Well J Septic System J Sewer❑
Ins: HO Area Basement Garage
Approved by ���� �- Date 11 r ,, 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,sid.,yard lines.and required
distances from all other zones and is located in which this b ing a s allowed.
J
Signedct�
I hereby apply for a Certificate of Occu ancy for he work described in this application for the permit.
Signed
DO NOT WRITE BELO THIS LINE
INSPECTION COMMENTS
INSPECTION FIELD SHEET 01/17/13
Printed by Peart, Dayshell 14 12 01
INSPECTION: 53663 FINAL PERMIT:
STATUS:
APPLICATION: 201201551
LOC: 2 OLD PARISH DRIVE
SOUTH WINDSOR
PROPERTY ID: 66600002
OWNER: GUASTAMACHIO BETTYLOU TRUSTEE
CONTRACTOR:
REQUEST BY:
PROJ DESC: REPLACE ROOF SHINGLES
WORK ORDER:
INSPECTOR: DOUG RESULT: PASS
REQUESTED: 12/19/12 PRIORITY:
SCHEDULED: 12/26/12 PM COMPLETED: 12/26/12
UNPAID FEES 00 Date Time
MILEAGE: 00 TIME TRAVEL ONSITE
COMMENTS
GIL @ 860-508-1956
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I HLREHY CERIIEY THAT THIS MAP AND SURVES WERE PRE
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I HEREBY CERTIFY THAT THIS MAP AND SVRVFV WERE PRE
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SURMYASI)DEFINED IV THE CODE OF PRACTICE R)R STANDARDS
OFACCVRACF SVRVFYSANDMAnADOPfE[)DE('FMBERIO,
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12000682 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER BUILDING PERMIT
DATE: 11/29/12
GIS ID:66600002 FEE: 240.00
MUNIS APPLICATION# 201201551 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: FIX IT WITH GIL ADDRESS: 2 OLD PARISH DRIVE
ADDRESS: 76 SYRACUSE DRIVE OWNER: GUASTAMACHIO BETTYLOU TRUSTEE
EAST HARTFORD,CT 06108 2 OLD PARISH DRIVE
SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: REPLACE ROOF SHINGLES.
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
11/29/2012 3:53 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE