HomeMy WebLinkAbout17 Meryl RoadElectric# APPLICATION FOR BUILDING PERMIT
t'lumbing#17 Meryl Road
HVAC #26977
Sprinkler# EDat ` to
N0'
FINAL O Estimated Cost $ S,
Buildin o COMPLETE RED BOXED AREAS Permit Fee d
ng TYPE OR PRINT ONLY Occupancy Fee
Affidawt SIGN ON REVS _SIDE
Appr.for CO.Total Fee
TO BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR,CT Additional Cost) $
The undersigned hereby applies to do work according to the following specifications:
Job Location f -7 1" e, R g/R Lot No. Side of Street Zone
Applicant ( e.y-t`.s S ,' T.7 ;' G Tel.#
Address 'q .S Zip D(rd?,4 Lic.# ,fa s- /6 a
Own r t'"d C s"J.e« S c.0 w ag A, Address / 7 A$l t f k L k S lit/,
Architect Address
Sq.Ft.N w Area: 1st FI. 2nd FI. 3rd Fl. Total New Area
Rooms Lavatories Bathrooms Garages
Purpos of this permit:
City Water Well Septic System Sewer
Ins. H.O. S.P. Cert. 00'
Area Basement Garage
Approved by Date Use Group Construction Type
R•v6*d 1/97
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 and its use is allowed.
Signed
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
r
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
26977-B 5,000
B10 FINAL 02/06/03 JFF A
B10 FINAL 02/06/03 JFF A CLOSED OUT.