HomeMy WebLinkAbout120 Newberry Road Ele<# APPLICATION FOR BUILDING PERMIT
Plumbing# 120 Newberry Road
HVAC # Date:
Sprinkler# No. 29140
FINAL APPROV LS Estimated Cost $ 3SG, 00
Building Sea JFr= COMPLETE RED BOXED AREAS Permit Fee $ 30, 00
Engineering TYPE OR PRINT ONLY Occupancy Fee $
Affidavit 14��SIGN ON REVERSE SIDE
Appr.for CO. Total Fee $
TO BUILDlNG DEPARTMENT,TOWN OF SOUTH WINDSOR,CT (Additional Cost) $
Th undersigned hereby applies to do work according to the following specifications:
Job Location, 1,20 /t/G�J y /�cl Lot No. Side of Street Zon
Applicant .� l �o Tel.# S2F-674"C
Addr ss )�4,,e S . . C Zip 4 Lic.# 36r3 �;Pc?2'
Own r a d/ 7-:4 ' eta/ Address 120
Architect Address
Sq.Ft.New Area: 1st Fl. 2nd Fl. 3rd Fl. Total New Area
#Rooms #Lavatories #Bathrooms #Garages
Purpose of this permit: _It5t) 'C�-ll-a -,l� �f �� ��rnerz�;Oe OF
City Water ❑ Well ❑ Septic System ❑ Sewer ❑
Ins. H.O. S.P. Cert. Area Basement Garage
Approved by J kjz - Date ( Use Group Construction Typ
Revised 9/01
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 o,,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 which this building and its a is allowed.
Signed
I hereby apply for a Certificate of Occupancy for the work described in this application for the permit.
Signed
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
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**-29140-B 1,350
B10 FINAL 11/05/02 JFF A WITH OWNER
B10 FINAL 11/05/02 JFF A CLOSED OUT.