HomeMy WebLinkAbout19 Blueberry Circle (6) ` APPLICATION FOR BUILDING PERMIT
Electric#
Plumbing# 19 BLUEBERRY CIRCLE 4
HVAC # 23455 Date:
Sprinkler# No.
FINAL APPROVAL Estimated Cost 5g70
Building L [=SIGN
TE RED BOXED AREAS Permit Fee $ S7J
Engineering OR PRINT ONLY Occupancy Fee $
Affidavit ON REVERSE SIDE
Appr.for CO. Total Fee $
TO BUILDING DEPARTMENT,TOWN OF SOUTH WI DSOR,CT (Additional Cost) $
Th and rsigned hereby applies to do work according to the following specifications:
)ob Location 1012 @ V%W Lot No. Side of Street Zone
Applicant ; _ Tel. # la'T A -7010
Address-- 2 S' �Evs � � �u AN G V i Oldi,f����+,�'- Zip
Owner Address A �rcG
Architect Address
Sq. Ft. New Area: 1st Fl. 2nd A. 3rd Fl. Total New Area
#Rooms # Lavatories ` #Bathrooms #Ggra es
Purpose of this permit:
rin% T16,ce �,_UA wek-ul — A'.j ��4 'i Q(-- AA)1:4 1 . Iln" pp.
e' d V'Z( City Water 0 ell 0 Septic System ❑ Sewer 0
Use Group Construction Type Area / BM Garage
Approved by / Date
Rw:ed 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 budding is to be located the proper ista ce from all street lines,side yard lines and required
distances from all other zones and is located m a zone in w ch this uildin n its use is allowed.
)(Signed
1 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