HomeMy WebLinkAbout250 KELLY RD Electric# APPLICATION FOR BUILDING PERMIT
Plumbing# Date: d
HVAC # no yFIe a
Sprinkler# 32612 r'
FINAL RO - - -------- Estimated Cost $
Buildings G ae ��zr�y� COMPLETE RED BOXED AREAS Permit Fee $
Engines TYPE OR PRINT ONLY EnOccupancy
uI cyFeee $
Affidavit
► SIGN ON REVERSE SIDE ! g Insp.p
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Appr. for C iL- Total Fee $ /
TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ C
The undersigned hereby applies to do work according to the following:
Applicant a v" �, -7�. <f Z---_crrX-location of Work Lot No.
Applicant's Address Tel.# 0 o s' 0 ,/ y 7
Town u0 e— s /f /_j C_ --/= Zip 0611 9 Lic.# 6 R J 7
Owner .L I 1 yar,_j<a Architect
Owner's Address -v K-e H Architect's Address
SC`, k-4 ,✓1 Q e C- C Zip Zip
Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd Fl. Total New Area
Purpose of this permit �z� c,�,� n 1 j L., e c ai
"C P ;Q r T�� C �•..c� r
City Water❑ Well❑ Septic Systemo Sewero
Ins: HO SP Cert. Area Basement Garage
Approved b Date 62-4xl Use Grou truction Type`
Revised 8/02
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 is allowed
Signe `
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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**-32612-B 9,000
B10 FINAL 06/06/06 JFF A
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TO THE BADING DEPT, TOWN Of 50UTH WIND50R
This—rttli•d that this plan and specifications are trw.
Copi s of the proposed building or @iterations to tie
le ected at
aso .Pa street
p 11f��,�sss������eaaC�gIItV together with amendments stated l with all
90 •nc
V }lied with plan and I agree to Comply with all sonM{.
Building and state laws and such orders as shah b4
issued by the Building Department during pendency
of this application and final isauancjo of a building
permit.
1 Signed
This P.A.. pr. d aubi
pect to the eondnion that
South Windsor orders and ordlnanees regulating twllding shall to
compiled with.
BUILDING DEPARTMENT Conditionally Approved These fined wkh
121-1 L
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