HomeMy WebLinkAbout163 Newmarker Road Bectric# APPLICATION FOR BUILDING PERMIT
.Plumbic# 163 Newmarker Road
HVAC # 28449 Date:
Sprinkler# ��
FINAL APPROVALS Estimated Cost $ ao00
Building Permit Fee � a a
COMPLETE RED BOXED AREAS Occupancy Fee $
Engineering TYPE OR PRINT ONLY
Affidavit 1 0 - SIGN ON REVERSE SIDE Total Fee $
Appr.for C . 2' b PO
(Additional Cosh
TO BUILDING DEPARTMENT,TOWN OF SOUTH W")SOR,CT $
Th and rsigned hereby applies to do work according to the following specifications:
Job Location f 3 a leg Lot No. Side of Street_Zon
Applicant c3v(C,,qt1 WA 1 Z Tel.
Address /l�3 /VEl��M►q�l1iF..1� D /,�� SD�L�zip Lic.#
Owner (30dA Address
Architect Address
Sq.Ft.New Area: 1st FI. 2nd FI. 3rd Fl. Total New Area
#Rooms #Lavatories #Bathrooms #Garages
Purpose of this permit: Z
City Water ❑ Well ❑ Septic System ❑ Sewer ❑
-Ins. 57 rt. ea m nt rage
Approved by H.O.
Date /—Z-O Use Group Construction Type
-�T---t-- 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 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 which this building and its use 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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**-28449-B 2,000
B09 OTHER 03/11/03 WNB A CLOSE OUT,LOCATION VERIFIED
B10 FINAL 03/11/03 WNB A CLOSED OUT.