HomeMy WebLinkAbout178 Graham Road eect4 # �'re-`q' APPLICATION FOR BUILDING PERMIT
17 6�7) Gi2AHAM ROAD
Plumbing# Dat : S a s-99
HVAC # 1140. 26140
Sprinkler#
FNALA"ROYAIS Estimated Cost DO
Building *01 �. COMPLETE RED BOXED AREAS Permit Fee $ /Z
Engineering TYPE OR PRINT ONLY Occupancy Fee $
Aff
ida`"t SIGH ON REVERSE SIDE
Appr.for CO. Total Fee
TO BULD14 DEPARTMBdT,TOWN OF SOUTH WNDSOR,CT (Additional Cosh
The undersigned hereby applies to do work according to the following specifications:
.lob Location 6"/7,k r 966LW PQ( Lot No. Side of Street Zone
Applicant)%1VVZ'/PGyIJ/I9P,V7A- t S6Pareirs 2r:/1/e1. Tel#,JSi-200 -9500
Addr ss q1) f)eXKrJ- ?Q S'/ 60. 641MYze GT Zip 4AOULic.#
Own r /j'1i1��2--�'�NN/9/�? fI SScz, Address
Architect t" v - Address
Sq.Ft.N w Area: 1st FI. t 2nd Fl. 3rd Fl. Total New Area
#Rooms #Lavatories #Bathrooms #Garages
Purpose of this permit: 4a vw-z 0E#'We - F' -7
City Water ❑ Well ❑ Septic System ❑ Sewer ❑
Ins. H.O. S.P. Cert. Area Basement Garage
Approved by Date 5T.2dq I Use Group Construction Type
R•rs d 1197
t
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,4qcated the proper distance from all street lines,side yard lines,and required
distances from all other zones and is located in c his buil ' g nd it use's al
Signed
I hereby apply for a Certificate of Occupancy r 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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99-26140-B 900
B10 FINAL 04/25/01 JRC A CLOSEOUT PER FIRE MARSHALL
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