HomeMy WebLinkAbout192 Graham RoadSectric# APPLICATION FOR BUILDING PERMITPlumbing# 192 Graham Road
WAC # Date: - -Sprinkler# No.28128
FINAL
Buildir geo p Estimated Cost $
nAer COMPLETE RED BOXED AREAS Permit Fee
Affidavit TYPE OR PRINT ONLY Occupancy Fee
Appr.for C01-P e e SIGN ON REVERSE SIDE
Total FeeTOBlsTOSOUTHWINI)SOR,CT Additional Cost) $The undersigned hereby applies to do work according to the following specifications:
Job Location 15r2 nc. Lot No. Sim of Street ZoneApplicant
b Tel
s Q
sAddre n Zip Lic#Owne Address
Architect Address
Sq. Ft.New Area: 1st FL 2nd Fl. 3rd Fl. Total New AreaRoomsLavatoriesBathroomsGarages.Purpose of this permit:
J
City Water 0 Well ' Septic System Sewer k?Ins. H.O. V S.P._ Cert._ Area BasementApprovedbyDated
Garage
Use Group Construction Type
Rowed 1/97
I hereby agree to conform to all the requirements of e L ws of the State of Connecticut and the Ordinances of the Town of
South Windsor and to notify the Building Inspector any tion in the tans or specifications of the Building for which this
permit is asked,and agree that this building is to I t pro r d" tance from all street lines,side yard lines,and required
distances from all other zones and is located in is ing nd's se is alWwed.
Signed
I hereby apply for a Certificate of Oc the o ribed 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
28128-B 4,000
B10 FINAL 10/08/02 JFF A TEST HOLE DUG
B10 FINAL 10/09/02 JFF A CLOSED OUT.