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HomeMy WebLinkAbout135 Sullivan Avenue (2)Bectric# APPLICATION FOR BUILDING PERMIT Plumbing# 1 'S Snl 1 i -an AvPniiP HVAC # Date: KoV 14 , 2osm Sprinkl r# No. 27649 FINAL APPROVALS Estimated Cost $ OO. Building i7fG3 J0zc. COMPLETE RED BOXED AREAS Permit Fee 3 9. Engineering TYPE OR PRINT ONLY Occupancy Fee $ Sr Aff'davit U SIGN ON REVERSE SIDE" Total FeeAppr.for C 17 a3. G TO BUILDING D&ARTMB IT,TOWN OF SOUTH WK)SOR,CT Additional Costs $ The and rsiigned h reby applies to do work according to the following specifications: Job Location 1 '3 5 S"LL t v A W RJ F Lot No. 13.s" Side of Streets Zon Applicant CAR(, 5- U C Q U NA A&T Tel.# at V;)--2 y 53 Address l 3 S S u«t v Ap-1 A v E Zip b`o 0 7 Lic.# Own r C'oo r—g— s_ (Ar-&L&o 44-r Address 13 S' S Q LL i y A r-j A-u F Architect Address Sq.Ft.N w Area: lst FI. 2nd FI. 3rd Fl. Total New Area Rooms Lavatories Bathrooms Garages Purpose of this permit: 1,;2-X/Lo 3 hed City Water Well Septic System Sewer Ins. H.O. V S.P. Cert. Area Basem nt Garage Approved by Date Use Group Construction Type SA V Revised 9/01 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 o,r 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 and its u is allowed. Signed aas - U, I hereby apply for a Certificate of Occupancy for the work descr' ed in this application for the permit. Signed D, DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS Inspection / Approval Date By Appl Code Description Due Whom Code Comment 27649-B 2,349 B10 FINAL 00/00/00 JFF A B10 FINAL 05/30/01 CJD A CLOSED OUT. B10 FINAL 09/07/01 GRM A CLOSED OUT. B10 FINAL 06/17/03 JRC A CLOSEOUT, CO NOT PRINTED