HomeMy WebLinkAbout1336 Sullivan Avenue Electric# APPLICATION FOR BUILDING PERMIT
Plumbing# 1366 SULLIVAN AVENUE
HVAC # Date:
Sprinkler# No. 2 4 0,39
FINAL APPROVAL Estimated Cost $
Building COMPLETE RED BOXED AREAS Permit Fee $
Engineerin TYPE OR PRINT ONLY Occupancy Fee $
Affidavit SIGN ON REVERSE SIDE —Ave
Appr.for CO. Total Fee $
TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR,CT (Additional Cost) $
Th undersigned hereby applies to do work according to the following specifications:
Job Location %3a r&& _ Lot No. Side of Street Zone
Applicant _ Tel. # i�414/ff 7&/
Address Zip Lic.#
Owner Address
Architect Address
Sq. Ft. New Area: 1st FI. 2nd FI. 3rd FI. Total New Area
#Rooms # Lavatories #Bathrooms #Garages
Purpose of this permit:
7
City Water 0 Well 0 Septic System 0 Sewer J
Use Group Construction Type X)IA Area / Base ent Garage
Approved 6y Date 47
Revised 6/95
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 arin which this building and its use is allowed.
Signed
I hereby apply for a Certificate of Occupancy for the work described in this Ylication for the permit
Signed
-- DO NOT WRITE BELOW THIS LINE --
I NSPECTION COMMENTS