HomeMy WebLinkAbout135 Niederwerfer Road (2) Electric# APPLICATION FOR BUILDING PERMIT
Plumbing# &—a
HVAC # 135 Niederwerfer Road Date•
Sprinkler# 29069 Estimated Cost
FINAL APPROVALS
Building Permit Fee $ a
Engineering COMPLETE RED BOXED AREAS Occupancy Fee $ D
g TYPE OR PRINT ONLY Eng.Insp. Fee $
Affidavit for CO a SIGN ON REVERSE SIDE
Total Fee $
TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR,CT (Additional Cost) $ 3 o
The undersigned hereby applies to do work according to the following:
Applicant in/ r G i,0 C'm�-2&bcation of Work/,;KS—, /e Z — Lot No.
Applicant's Address o*/ 7 Tel.# �444 — 319-a7
TownSye...-7--// ZO>ry*ASa,0 Zipo o 2 Lic.#
Owner,*�4.rle—,v y �i�iS)—iM/Nb zaz ['o yQArchitect
Owner's Address S�4-,41 a Architect's Address
Zip Zip
Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area
Purpose of this permit "ON- T! z•c P / l
City Water❑ Wello Septic System Sewer❑
Ins: HO�^ SP Cert. Area Basement Garage
Approve y =1 Date Use Group Construction Type
Revised 6102
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 located the nce from all street lines,side yard lines,and required
distances from all other zones and is located n ich this bui ng and its is all
Signe -A
I hereby apply for a Ce icate f upancy f the work d ribed in i application for the permit.
ig
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
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**-29069-B 8,000
B09 OTHER 03/11/03 WNB A CLOSE-OUT,VERIFIED LOCATION
B10 FINAL 03/11/03 WNB A CLOSED OUT.