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140 Newberry Road
Electric# APPLICATION FOR BUILDING PERMIT Plumbing# 140 Newberry road Date: 7 _9 'a 2— HVAC # Sprinkler# 29016 FINAL APPROVALS Estimated Cost � $ U ��Z._ Permit Fee $ Engineerin COMPLETE RED BOXED AREAS Occupancy Fee $ 40 Affidavit g TYPE OR PRINT ONLY Eng. Insp. Fee $ Appr. for CO -t?-0 ► SIGN ON REVERSE SIDE , Total Fee $ fLI TO THE BUI ING DEPARTMENT,TOWN OF SOUTH WINDSOR,CT (Additional Cost) $ The undersigned hereby applies to do work according to the following: Applicant -- © o t- Location-ofvyork IVO lla Lot No. Applicant's Address VD el.# Z9I Town S o^ Zip 6 f6 0-7 Y- Lic. 2-9 0-Ce 8 Owner Architect Owner's Address Architect's Address Zip Zip Sq. Ft. New Area: 1 st FI. 5 33 4 2nd FI. 3rd FI. Total New Area Purpose of this permit ;rN e c f 7— (.1 )( 3 City Watey< Well❑ Septic System Sewer❑ Ins: HO SP Cert. Area Basement Garage Approve by ,� Date Use Group Construction Type R vlsed W02 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 oper clistangp4om all street lines,side yard lines,and required distances from all other zones and is located in is ii ng and its a11". Signed I hereby apply for a Certificate of f the work in this application for the permit. Sign NOT WRITE BELOW THIS LINE INSPECTION COMMENTS Inspection / Approval Date By Appl Code Description Due Whom Code Comment ------------------------------------------------------------------------------- **-29016-B 9,000 B01 FOOTING 08/02/02 WNB A WITH CONTRACTOR B10 FINAL 10/08/02 CJD A B10 FINAL 10/08/02 CJD A CLOSED OUT.