HomeMy WebLinkAbout144 ORCHARD HILL DRi\Electric #Plumbing #HVAC#Sprinkler#FINAL APPROVALSBuildingEngineeringAffidavitAppr.fOrCO
TO THE BUILDING DEPARTMENT TOWN OF SOUTH WINDSOR CTTheunder31gnedherebyappllestodoworkaccordingtothefollowrng
NH orwrnmi Hi“Ddvt
woo (,g 7)
//<Date:17"€’/
CostPermitFeeOccupancyFeeEng.Insp.Fee
Total Fee
(Additional Cost)$
jApplicantfYMKi§MW
Apphcanvs Address (99‘Krlw (y’r‘eAMa D‘
Owner K p M
Architect's Address
Zip C(z (D7 Vr
2nd Fl.3rd Fl
Town ‘l Zip
Architect
swim WmgoL
Sq.Ft,New Area:ist Fl.
Purpose of this permitWu)a;i€&Me (MW/wk!
Tel #
O wner’s AddressiL’fq Orcmpk @‘
City Water J Well 3
zen/Laura
Septic System 3
BasementUseGroup
Totai New AreaW3ALSlum!@fM/élAPEWsmwrt Wton7u¢e
Sewer 3
GarageConstruction Type
Ins:HO
Approved by AreaPt.‘"Date u;
20
SSTATU:
iTme
PERMIT:COAPPLIATIN:OSTENI
//009235
DtaeSSPA
6FT.
SINTALL
OF
CEI
ANI
RIORITYP:OCMPLETED:IETM:
TRAVEL
SHEET
SCONINPETI
FIELD
ESULTR:
100653
144
OCRHARD
LHIL
DRIVE
INALF
OO.
2
SERLAY
OF
SGSHINLE,
OREMVE
C
HAL
REED66900144 00.
COSLE
OUT
OLD
IAP
COSOSHRTWKI
OT
PERMIT
OORF
SCINPETED
ADAM
BY
SOUTH
SORWIND
SCONINPETI:OERTYPRP
ID:
COCOTRATRN:
QSREUET
BY:CSDE:
OPRJ
ORDER:
WORK
SCOINPETR:QSREUETED:
SCHEDULED:
SFEE:
UNPAID
GMILEAE:
OSCMMENT:OWNER:idPtrne
iddlMteon,
by
Mrgano
OCL:
Rev$ed1108
LocationofWork 4h IV )aé LotNo.
QL Lic.#O 36 J,
Zip
APPLICATION FOR BUILDING PERMIT
Vii/16’$$$
$$
S
COMPLETE RED BOXED AREAS
TYPE OR PRINT ONLY>SIGN ON REVERSE SIDE<