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,lectric # APPLICATION FOR BUILDING PERMIT
'lumbing# _ ao
a 4
IVAC# � �m � Date:
sprinkler# Estimated Cost $ S` o
FINAL APPROVALS Permit Fee $ 10'j
luilding COMPLETE RED BOXED AREAS Occupancy Fee $
Mgmeering TYPE OR PRINT ONLY Eng. Insp. Fee $
►ffidavit -
kppr.forCO. ► SIGN ON REVERSE SIDE 4 Total Fee $, I yq
b THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $
lie undersigned hereby applies to do work according to the following:
Applicant YY% U Location of Work 2Yt Rd. Lot No.
Applicant's Address 2K(, C,,D,4..,,M Ra Tel #
Town Zip e2(,y-7�( Lic.#
Owner 5 hA yv✓� Yn 0`6 c v-e-0\ Architect
Owner's Address -2-` (- A wU hF vr� 12.d- Architect's Address
ZIP-
Sq.Ft. New Area: t st FI. 2nd Fl. 3rd FI. Total New Area 9V
.,C
Purpose of this perrrdt
City Water U Well O Septic System❑ Sewer O
Ins: HO SP Cert. Area Basement Garage
Approved by Date Use Groupl�Construction Type
Awlsed 1100
ao)0007/
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 whichthis building and its use is allowed.
Signed I"n --�— _
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
I
INSPECTION FIELD SHEET 05/08/23
Printed by Middleton, Morgan 12 31 04
INSPECTION: 128726 FINAL PERMIT:
STATUS
APPLICATION: 202000716
LOC: 246 GRAHAM ROAD
SOUTH WINDSOR
PROPERTY ID: 37500246
OWNER: OBRIEN SHARON M
CONTRACTOR:
REQUEST BY:
PROJ DESC: REMOVE AND REPLACE ROOF
WORK ORDER:
INSPECTOR: WS-B RESULT: PASS
REQUESTED: PRIORITY:
SCHEDULED: COMPLETED: 04/17/23
UNPAID FEES 00 Date Time
MILEAGE: 00 TIME: TRAVEL ONSITE
COMMENTS
INSPECTED BY ADAM CHROSTOWSKI TO CLOSE OUT OLD BUILDING PERMIT APPLICATION
2000237 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER BUILDING PERMIT
DATE: 05/21/2020
GIS ID: 37500246 FEE: 108.00
MUNIS APPLICATION# 202000716 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: OBRIEN SHARON M ADDRESS: 246 GRAHAM ROAD
ADDRESS: 246 GRAHAM ROAD OWNER: OBRIEN SHARON M
246 GRAHAM ROAD
SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: REMOVE AND REPLACE 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
5/21/2020 12:39 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE