HomeMy WebLinkAbout12 Commerce Way r - APPLICATION FOR BUILDING PERMIT
1 r 12 commerce Way
A�n l 27202 Dat : '-7�1-7 6
No.
�-� ° Estimated Cost $; L1 L
E I"-�3 COMPLETE RED BOXED AREAS Permit Fee $ 55 al5
E TYPE OR PRINT O� NLY 11 Occupancy Fee
SIGN ON REVERSE SIDE
Total Fee $ S S 3o
TO BIAL M DEPARTMIENT,TOWN OF SOUTH WINDSOR,CT (Additional Cost) $
The undersigned hereby applies to do work according to the following specifications:
Job Location , l Z --Wkx - - Lot No. Side of Street_Zone
Applicant�,� 1>>Z / ( JC,hA Tel# o - 7--21 q j
Addr ss Z►_�� \���-��Y. "'`v nr.����, (V�w���,. � Zip l Lic.#
ner ►-L.;fAC Addressl 1�� � *V, I yf,,,n,� p T �,,-���c,r, CT X d1
Architect_ �t
16 AL Aa1 c,Vs Address I (& th s, �n �,1�J, AL
Sq. Ft.New Area: 1st FI. v i 2nd FI. /ig y. 3rd Fl. Total New Area �
#Rooms #Lavatories #Bathrooms_� #Garages
Purpose of this permit: tJ6w of,-E -0 (cQ
City Water Well 0 Septic System ❑ Sewer
Ins. H.O._ S.P._ Cart._ Area Basement Garage
Approved by
Date Use Group 'Z Construction Type 64
Rev'sed 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 distance from all street lines,side yard lines,and required
distances from all other Zones and is k)cated in which this building and its use is allowed.
Signed
I hereby apply for a Certificate of Occu ncy for the work described in this application for the permit.
Signe
O N T WRITE BELOW THIS LINE
INSPECTION COMMENTS