HomeMy WebLinkAbout201 LONG HILL RD Electric # APPLICATION FOR BUILDING PERMIT
Plumbing# 201 Long Hill Road Date: /d " Q -0.5
HVAC # ,�
Sprinkler# --' 30142
- - - - - Estimated Cost $ 0.00
FINAL ROB -__-_- _____
Building/ip It °1,.,7 Permit Fee $ b•00
COMPLETE RED BOXED AREAS Occuppancy Fee $
Enginee ' TYPE OR PRINT ONLY Eng. Insp. Fee $
Affidavit
Appr. for 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 A- 1 `"-C.L. -,jL_ 1a gS-5 Location of Work d( Lars Larsci Jot No.
Applicant's Address 0 . go X 19 el Tel.#
Town vy\ Zip CX,04S Lic.# 30 1600
Owner r-k Architect
Owners Address QO �I Architect's Address
W-%"UC,f- ZipQ(KR4 --Zip
Sq. Ft. New Area: 1st FI. 2nd FI. 3rd FI. Total New Area
Purpose of this permit �T to S4e,It n1je l ) Q O 5-��,a n n n 4 l - o n K in C e ((o r-
City Water❑ Well❑ Septic System❑ Seweru
Ins: HO SP Cert. Area Basement Garage
Approved b Date Use Group --- Construction Type
71 Rwi"d 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 located the proper distance from all street lines,side yard lines,and required
distances from all other zones and is located in which this twilling and its use is allowed.
Signed Lae
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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**-30142-B 1,250
B10 FINAL 10/16/06 JFF A WITH OWNER
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THIS MAP FOR MORTGAGE PURPOSES ONLY
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hereby certify this map to be
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zoning regulations are violated. ` I•
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