HomeMy WebLinkAbout242 LONG HILL RD Electric # APPLICATION FOR BUILDING PERMIT
Plumbing it 242 Long Hill Road Date: s
HVAC #
Sprinkler# _ _ __2.4Z01
FINA% P — Estimated Cost 3000.
Buildin /UG -- — - Permit Fee $
Engine t COMPLETE RED BOXED AREAS Occupancy Fee $
TYPE OR PRINT ONLY Eng. Insp. Fee
Affida t $
Appr. for CO. iPol. SIGN ON REVERSE SIDE Total Fee ;�/5."
TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR,CT (Additional Cost) $
The undersigned hereby applies to do work according to the following:
Applicant s `,mod w 'Location of Work jo7 Z-404 cf -ot No.
Applicant's Address 1,42.viE /4,ii el 1 Tel.# "k C-36w��ex
Town-5 �, 4 u;i w d:L gC a ty Al, Zip De. o T41 Lic.# �w
Owner v e Architect
Owner's Add—re—is /fs ve Architect's Address
Zip Zip
Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd FI. t Total New Area
Purpose of this permit ke 6 t/ E �s l s. s ,r�/ems - r�,vfy m v 4 , !o v,9
City Watero WelX Septic System( Sewero
Ins: HO Sp Cert. Area Basement Garage
Approved by .S 04, Date 1 U Use Group _ Construction Type
Rovi"d M2
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 building and Ra use is allowed.
Signed
Signed
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
• ;P 1,64
Ni
141
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Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
-------------------------------------------------------------------------------
+*-29701-B 3,000
B10 FINAL 07/20/04 JFF A
B10 FINAL 07/20/04 JFF A CLOSEOUT
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