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HomeMy WebLinkAbout157 Burgess Road Electric# APPLICATION FOR BUILDING PERMIT Plumbing# 15 7 Burgess Road Date: V) HVAC # Sprinkler# �• 28597 FINAL OV Estimated Cost $ `?5J6 Buildin �� --/� COMPLETE RED BOXED AREAS Permit Fee $ 0--jawe-, W� V TYPE OR PRINT ONLY Occupancy Fee $ Affidavit SIGN ON REVERSE SIDE Appr.for CO. Total Fee $ TO BUILDISIG DEPARTMENT,TOWN OF SOUTH WNDSOR,Cr (Additional Cost) $ The undersigned hereby applies to do work according to the following specifications: Job Location I S7 A VoMCS Lot No. Side of Street Zone Applicant W11, 6Lv/ kwT f TeL# '`�•�3 Address G �' S A�aSo Zip ©60 211 Lic.# Owner - dress Architect Address Sq.Ft.New Area: 1st FI. 2nd FL 3rd FL Total New Area #Rooms #Lavatories #Bathrooms #Garages Purpose of this permit: ;'Po 4 u er' -jCu e :6jn /C City Water ❑ Well ❑ Septic System 0 Sewer ❑ Ins. H.O. S.P. Cent. Area Basement Garage Approved by 0 Date Z-- Use Group Construction Type Revb4d 1197 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 d' I street Anes,side yard lines,and required distances from all other zones and is located in which this buildirkmand its is Signed X ' I hereby apply for a Certificate of Occupancy for in th' pplication for the permit. Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS