HomeMy WebLinkAbout105 Bayberry Trail Electric# APPLICATION FOR BUILDING PERMIT
t''lumbing# 105 Bayberry Trail
Date: 5 j0'1 O I
HVAC # No. 27838
Sprinkler#
FINAL APPROVALS Estimated Cost
Building °� COMPLETE RED BOXED AREAS Permit Fee $ /I/3
Engineering TYPE OR PRINT ONLY Occupancy Fee $ S
Affidavit SIGN ON REVERSE SIDE
Appr.for CO. Total Fee /�f
TO BUILDM DEPARTMENT,TOWN OF SOUTH WINDSOR,CT (Additional Cost) $
The undersigned hereby applies to do work according to the following specifications:
Job Location 1 oS QQN113 CR I I 'MAV L. _Lot No. Side of Street Zone
Applicant Ro WA%.Q l`AA 1 L3 Tel# "0-(0L4U--Zk9 I
Address ho S 'QAu SERQ 2-124At lr Zip Wool q Lic.#
Own r S 4%tAIV Address SA IM E
Architect Address
Sq.Ft.N w Area: 1st FI. 2nd FI. 3rd Fl. Total New Area
#Rooms #Lavatories #Bathrooms #Garages
Purpose of this permit: (0�-A,7,E 0 ea (12-)e I
City Water ❑ Well ❑ Septic System ❑ Sewer ❑
Ins. H.O. VS.P. Cert. Area Basement Garage
Approved by Date (I 16 Use Group U Construction Type
Rev'sed l/97
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 ding and's use is allowed.
SigneAA
I hereby apply for a Certificate of Occupancy for the work described in this application for the permit.
X Signed
DON T WRITE BELOW THIS LINE
INSPECTION COMMENTS