HomeMy WebLinkAbout151 Berle Road (11) 7/ lectr '� �94 APPLICATION FOR BUILDING PERMff
Plumbing#
151 BERLE ROAD
WAC # 24408 Dot �`Z3/f7
Sprinkler# �• - '`—'
FIM WR Estimated Cost
Building l l 4.,y COMPLETE RED BOXED AREAS Permit Fee $ /�
�newi TYPE OR PRINT ONLY Occupancy Fee $
Affidavit SIGN ON REVERSE SIDE
Appr.for CO. Total Fee $_ /Z4D
TO BUILDING DEPARTMENT,TOWN OF SOUTH WI DSOR,CT (Additional Cost) $
The undersigned hereby applies to do work according to the following specifications;
Job Location $^� eo;-le Lot No._Side of Street_Zone
Applicant e k.� e TeL# � G d Z
Addr ss c' Zip 6&,0-70 Lic.# rY2-
Own �i�,Fc6TAoclress
Architect Address
Sq.Ft.N w Area: 1st Fl. 2nd Fl. 3rd Fl. Total New Area
#Rooms #Lavatories #Bathrooms #Garages
Purpose of this permit: ,S'i ciCHD-USE- A-,
City Water ❑ Well ❑ Septic System ❑ Sewer ❑
Ins. H.O. S.P. Cert._ Area Bit Camps
Approved by Date 6 Za Use Group
Construction Typ
R*%*.d 1/97
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 I oM, -
Iall street lines,side es,and required
distances from all other zones and is located in this build' ged
Signe
hereby apply for a Certifica �Occuparncy
for thej ri his application for the permit.
Signed
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS