HomeMy WebLinkAbout150 Berle Road (12) Electric# APPLICATION FOR BUILDING PERMIT
PlW"V# 150 BERLE ROAD
/7
HVAC # 24687Sprifiler Dat ' � Z7
# No.
FNU O Estimated Cost $ 30 06.C C
BUI&VIl�a COMPLETE RED BOXED AREAS Permit Fee i 36
TYPE OR PRINT ONLY Occupancy Fee S
Affidavit SIGN ON REVERSE SIDE
Appr.for CO. Total Fee S 6
TO BULDNG DMARTMM,TOWN OF SOUTH VAII- S CT (Additional Cost) S
The undersigned hereby applies to do work occor&w to the fclowinp spec 'Katiorx
Job Location /wro Lot No. Side of Street Zone
Applicant G jj!!�! Tel#eaO-6�99 9
Addr ss_VZ g�/u�R ,�'. V' hrtS �',�Zi p O ,b b Lic.# ra$J
Own r ej,26 10 nee Address l s—b t X?) S, L•
Architect Address
Sq.Ft.New Area: 1st Fl 2nd Fl. 3rd FL Total New Area
#Rooms #Lavatories #Bathrooms #Garages
Purpose of this permit: E :Yc• • e • Ap dae
City Water ❑ Well 0 Septic System 0 Sewer ❑
Ins. H.O. S.P. Area Bosement Gaspe
Approved by Date Group ,- Construction Typi
R@YW V97
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 av4 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