HomeMy WebLinkAbout100 Bidwell Road (36) Electric# APPLICATION FOR BUILDING PERMIT
Plumbing# 100 Bidwell Road
WAC # 27195 5 IDat : woo
Sprinkler# �-
FINAL APPROVALS Estimated Cost
Building OU Je COMPLETE RED BOXED AREAS Permit Fee $ _
Engineering2/-in_
Affidavit TYPE OR PRINT ONLY Occupancy Fee —'`~
Appr.for CO. SIGN ON REVERSE SIDE
Total Fee $
TO WU**G WMT&A",TOWN OF SOUTH WINI)SOR,CT (Additional Cost) $
The undersigned hereby applies to do work according to the following specifications:
Job Location kl74/e� 70 Lot No. Side of Street Zone
Zone
Applicant Cie, �O
Addre
Tel
Lic.#
Own r -' Address
Architect Address
Sq. Ft.New Area: lst FI. 2nd FI. 3rd Fl. Total New Area
#Rooms #Lavatories #Bathrooms #Garages
Purpo ofbi,s permit• << / Lt., r
10
City Water.e� Well ❑ Septic System [I Sewer
Ins. H.O._ S.P. Cert._Ll�Area Basement Garage
Approved by- � pie 7 Uc_
Use Group Construction Type
Revsed 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 or f any alteration in the plans or specifi ' s-o"he fund' for which this
permit is asked,and agree that this b ' ing is to be ocated the proper dicta fr� s yard line ,and required
distances from all other zones and' located in wh' h this i g a se is allowed.
Signed
I hereby apply for a Certificate ccupancy for the;i�7*described in this appli tion for the permit.
Signed
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS