HomeMy WebLinkAbout25 NORTON LN1%{Electric #Rlumbing #HVAC#Sprinkler#
BuildingEngineeringAffidavitAppr‘for CO
Maw/75
$LD?—l 9 ”5&9 2
APPLICATION FOR BUILDING PERMIT
Date:)J/‘z
$Estimated CostPermitFee $Occupancy Fee
$
Total Fee
(Additional Cost)$Z l Lo .
(1L [0&73
H,‘(JJFINALAPPROVALS
$Eng.Insp.Fee
$
D Len £5;.’éz/v‘aul Kai-7";LocationOfWork‘iou ckaya 152,,bL/w léApplicant’s Address
Town 51w Zip 0w 7%
JIM MtlLbDxlJé
TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR,CTTheundersignedherebyappliestodoworkaccordingtothefollowing:
Applicant JJ /u9~I”Luz.
Owner Architect
Owner‘s Address
LotNO.af‘kme}
(an o-o 5’
Tel #
LIC.#
}~§AJPPI’o Lam!Architect’s Address
Zip bee‘i‘
2nd Fl,3rd Fl4
Te‘if uF‘p SA‘ks‘IL’j.Ih}+‘t"e.Iké‘l’wig Hr‘S YA +4¢hL &(+l rléV’L J‘Af,
S'V
Sq,Ft.New Area:let Fl.
Purpose Of this permit
r‘Jh‘vs/C .lQAc!
Zip
Total New Area
City Water II Well 3 Septic System L]Sewer 3
Garage
Construction Type
gamma-H
Basement
Use Group
Ins:HO AreaApprovedbyA’Date ISA P
20:
PERMIT STATUS:
iTme
/0/42023 Dtae
APPLICATION:
ONSITE
PASS
PRIORITY:COMPLETED:TIME:
TRAVEL
INSPECOTIN
FIELD
SHEET
RESULT:
FINAL
00.
25
NORTON
LANE
64800025 MCADONALD
JAMSE
M
JR
ROEROF
HOSUE
SWB—00.
idPtrne
by
iddlMteon,
Morgan
SOUTH
WINSODR
INSPECTED
BY
VALERIE
MUSZYNSKI
SINCPETOIN:
120009
PROPERTY
ID:
CONTRACOTR:
QREUSET
BY:
PROJ
DSCE:
WORK
ORDER:
ISNPECOTR:REQUESTED:SCHEDULED:UNPAID
FSEE:
MILEGAE:COMMESNT:LOC:OWNER:
Revised 1108
SP