HomeMy WebLinkAbout130 Berle Road (10)Electric# APPLICATION FOR BUILDING PERMIT
hum"# 130 Berle Road
HVAC # Date:
27988
Sprinkler#
FMUL APPRLS Estimated Cost $
Budding
0VA
J COMPLETE RED BOXED AREAS Permit Fee
Engineering TYPE OR PRINT ONLY Occupancy F S
Affidavit SIGN ON REVERSE SIDE
Appr.for CO. X Total Fee 7
TO BULDM DEPARTMENT,TOWN OF SOUTH WWSOR,CT Additional Cost)
The undersigned hereby applies to do work according to the following specifications:
Jo6 Location %2-Z 9 ae A ka - Lot No. Side of Streefi_A Z Zone
Applicant --,/g,en j!!Z4 L Tel#
Address -T,-o 51 fir Zip Lic.#
Owner 7;FJ /T ,,4,,, Address
Architect Address
Sq. Ft.New Area: 1st FI. 2nd Fl 3rd Fl. Total New Area
Rooms Lavatories Bathrooms Garages
Purpos of this permit:Ze OZAe- -A. se glete—
City Water Well ElSeptic System Sewer
Ins. H.O. S.P. Cert. Area Basement Garage
Approved by J Date Use Group V Construction Type
Revsed 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 locateEin .this building and its is allowed.
Signe1
I hereby apply for a Certificatecy for the work d ribed in this application f e permit.
Signe iONC/TWRITE BELOW THIS LINE
INSPECTION COMMENTS
5
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
27988-B 3,800
B01 FOOTING 06/20/01 JFF A WITH CONTRACTOR.
B10 FINAL 06/29/01 CJD A
B10 FINAL 06/29/01 CJD A CLOSEOUT