HomeMy WebLinkAbout130 Berle RoadElectric# APPLICATION FOR BUILDING PERMIT
Plumbing# 130 Berle Road
HVAC # D°t
Sprinkl r#
No. 28041
FINAL APPROVALS Estimated Cost $
Building 0,RM uIt,SJO COMPLETE RED BOXED AREAS Permit Fee L. OO
i TYPE OR PRINT ONLY Occupancy Fee
Affidavit SIGN ON REVERSE SIDE
Appr.for CO.Total Fee
TO BUILDWG DEPARTMENT,TOWN OF SOUTH WINDSOR,CT Additional Cost) $
The undersigned h reby applies to do work according to the following specifications:
Jo6 Location 13 Q Lot No. Side of Street Zone
Applicant,4.,,1Ze-,c-r o.. 6P • Tel.#
Address ( 6 /2 y e S T- Zip1 O,> Lic.# 30 3-784Z
Owner i 7'a•"Address l3 U S 4Z—/e 2 -
Architect Address
Sq.Ft.N w Area: 1st FI. 2nd FI. 3rd FL Total New Area
Rooms Lavatories Bathrooms Garages
Purpose of this permit: 30 fot llevl Ad gegzEc atz -/ O`
A" 4s .
City Water Well Septic System Sewer
Ins. H.O. S.P. Cert. Area Basement Garage
Approved by Date I ( Use Group Construction Type
Rev6ed 1197
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 which this building use is all
Signe
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
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
28041-B 1,475
B07 TANK INSTALL/REMOVE 10/05/01 GRM A W/HOMEOWNERS
B10 FINAL 10/05/01 GRM A CLOSED OUT.
B10 FINAL 05/23/02 JRC A CLOSEOUT