HomeMy WebLinkAbout151 Berle Road (10) Electric# APPLICATION FOR BUILDING PERMIT
• Plumbing# 151 BERLE ROAD
HVAC # Dote: � 0"1 o"Z 9�
Sprinkl r# No. 24310
FINAL APPROVALS �� Estimated Cost $ 4 bob.0-0
Building COMPLETE RED BOXED AREAS Permit Fee $ i a,b1�
Engineering TYPE OR PRINT ONLY Occupancy Fee $
Affidavit SIGN ON REVERSE SIDE
Appr.for CO. Total Fee $ IQ-0
TO BUILDING DEPARTtAENT, TOWN OF SOUTH WINDSOR,CT (Additional Cost) $
The and rsign d hereby applies to do work according to the following specifications:
Job Location �� Q,C'�Q.• t�,C, Lot No. Side of Street Zone
Applicant �`��J i�E'_ (� 1 Tel.# I&D-t'o(o R r L
Addr ss frN-t-ty i?,-C� L1 .6A(:1QXA C Zip O 0q-:� Lic. # no-9 (0--�
Owner% Q, g h,gS (1 R-_ Address I'S'l B e(C t e'-7p�- 21. IA)i nCk--,D jZ
Architect Address
Sq. Ft.New Area: 1st R. 2nd A. 3rd FI. Total New Area
#Rooms # Lavatories #Bathrooms #Garages
Purpose of this r
mit: 0 t o 'e �-� 1 D
1. 4AT City Water ❑ Well ❑ Septic System ❑ Sewer .13
Use Group Construction Type Area / Basement Garage
Approved by Date
Revsed 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 a zo i which is bu 'ng and its use is allowed.
Si9 ned-
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