HomeMy WebLinkAbout26 FARMSTEAD DR Electric # APPLICATION FOR BUILDING PERMIT
Plumbink# 26 Farmstead Drive Date: -/L-63
HVAC # -
Sprinkler# 29939
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FIN R S -- - - Estimated Cost ,�0i o�
Buildin ---- - --- Permit Fee $
En nee 'n " COMPLETE RED BOXED AREAS Occupancy Fee $
TYPE OR PRINT ONLY Eng. Insp. Fee $
Affidavit for CO. 0 ► SIGN ON REVERSE SIDE 1 6a
oc
- -- - - - J Total Fee $ `� C
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TO THE U LDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $
The undersigned hereby applies to do work according to the following:
Applicant -S 'location of Work,aj/„ � MS��I�� �1E�/!/�Lot No.
Applicant's Adiir4ss 4el.# — — �
Town Zip Lic.#
Owner Architect
Owners Address Architect's Address
Zip Zip
Sq. Ft. New Area: 1st Fl. 2nd FI. 3rd FI. Total New Area
Purpose of this permit PooT - r eA o J —
City Water❑ Well❑ Septic System❑ Sewer❑
Ins: HO SP Cert. Area Basement Garage
Approved by Date 63 Use Group -Construction Type
Revised 8102
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 finis
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 all .
� Signed�?"
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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**-29939-B 2,000
B10 FINAL 04/19/04 JFF A
B10 FINAL 04/19/04 JFF A CLOSEOUT
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