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PHELPS & SoNs, INC.
1258 Hart#nrd Turnpike
(860) 871-211a
rA NAME._, ^ D
PHONE
ADDRESS (-f i
APARTMENT DATE PROMISED
MAKE MODEL NO. SERIAL NO. DATE OF ORIGINAL INSTALLATION
NATURE OF SERVIC �, ❑ ESTIMATE ❑ CASH
❑WARRANTY ❑CHARGE
r ❑ CONTRACT ❑C.O.D.
OT DESCRIPTION PRICE AMOUNT
1sv
i
COMMENTS �/� TOTALMATERIALS L17 �
TECHNICAL []SHOP []HOME
[. /•, �,�\\I C SERVICE TIME
PICKUP OR❑ DELIVERY ❑ CHARGE
CE CALL ,
TECHNICIAN
Signature below constitutes acceptance of above service DATE COMPLETED TAX
A, ;7
performed as being satisfactory—and that the equipment
has been left in good condition. �0
- TOTAL
rp
B PRODUCT fi31
i A.n -7 Q'_C1.`I fJ
APPLICATION FOR BUILDING PERMIT
Electric# 25 Deming Street
Plumbing# 900015 Date:
HVAC #
Sprinkler# -- - -- -- - Estimated Cost $ `A I Ll s
FINAL APPROVALS Permit Fee $ —
Building COMPLETE RED BOXED AREAS Occupancy Fee $
Engineering IO
TYPE OR PRINT ONLY Eng. Insp. Fee $
Affidavit Appr. for CO. ON REVERSE SIDE / Total Fee - $�
II+�� SIGN 1
TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $
The undersigned hereby applies to do work according to the following:
Applicant C.u•too.^ Location of Work l� �uti - Lot No.
Applicant's Address -Z)CxVV," C4- Tel.# T o
Town 1�1-lv • W" &sd- - c — Zip 0 4 0-1`t Lic.#
Owner C-SAt,-t` fl' - Co NAQ Architect
Owner's Address q:t— Architect's Address
Zip Zip
Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area
Purpose of this permit air
in rn�cLcc-)
City Water❑ Welk Septic System❑ Sewer,
Ins: HO SP C t. Area Basement Garage
Approved by Date m Use Group Construction Type
Revised W02
do!qoalD�-.
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 its use
isallowed.
Signed
I hereby apply for a Certificate of Occu ncy for the work described in this application for the permit.
Signedh.
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
INSPECTION FIELD SHEET 03/11/09
Printed by Peart, Dayshell 15 02 27
INSPECTION: 21280 WOOD / GAS STOVE PERMIT:
STATUS:
APPLICATION: 200900102
LOCATION: 25 DEMING STREET
SOUTH WINDSOR
PROPERTY ID: 27600025
OWNER: COTTON ESTHER A
CONTRACTOR:
DESCRIPTION: PELLET STOVE INSERT
WORK ORDER:
INSPECTOR: ROSE RESULT: PASS
REQUESTED: 03/02/09
SCHEDULED: 03/03/09 10 00 COMPLETED: 03/03/09
UNPAID FEES 00 Date Time
TIME: TRAVEL ONSITE
COMMENTS:
ALL INSPECTIONS:
INSPECTED INSPECTOR RESULT INSP DESCRIPTION
03/11/09 ROSE N/A BO10 FINAL