HomeMy WebLinkAbout12 Beelzebub RoadSectric# APPLICATION FOR BUILDPlumbing# BUILDING PERMIT12BeelzebubRoadHVAC # Date: Sprinkler# t4o. 28151
FINAL PRO
Building is v CO=
Fccmm D AREAS
Estimated Cost
Engi i Permit Fee
Aff' NLY Occupancy Fee
f SIDEAppr. or CO.
TO BIALDM DEPARTMBvT,TOWN OF SOUTH
TotalTotal Fee 5
P soR Additional Cost)The undersigned hereby applies to do work according to the following specifications:
Fo6ocation 7 // j Lot Na Sim of Street Zoneppicant ` 4
Address 3 a 5 - Tel
Zip Lfc#Owner, . ., Address Z DArchitectAddress
Sq.Ft.New Area: 1st FL 2nd FL 3rd FL Total New AreaRoomsLavatoriesBathroomsrPurposeofthispermit: D¢
ages
City Water 0 Well Septic System 0 SewerIns. H.O. S.P. Cent. AreaApprovedbyDate
Basement _ Garage
Use Group Construction Type
Reyked 1197
the
I hereby agree to conform to all the requirements of the Laws ofionin theState clans or s tp cuta dtheofthe ance of
for whichths
of
South Windsor and to notify the Building Inspector of any alters P
permit is asked,and agree that this building is be located thelnrproper distance frofrom street lines,side yard lines,and required
distances from all other zones and is located i ich this it
v
Signed
I hereby apply for a Certificate f cupancy for the work described in this application for the permit.
Signed
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
Inspection / Approval Date By Appl
Code Description Due whom Code Comment
28151-B 4,900
B10 FINAL 01/15/02 JFF A
B10 FINAL 01/15/02 JFF A CLOSED OUT.