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20 Beachnut Lane
FINAL IN PE TI APPLICATION FOR BUILDING PERMITuildinB4 Plumbin HVAC 20 BEECHNUT LANE Date: d Sprinkler El ctric Estimated Cost $ 404 d© Zoning Permit Fee$ Affidavit NO. 2 4 9 9 0 Occupancy Fee $ Eng. Dept. Fire Dept. COMPLETE RED BOXED AREAS. Total Fee $ a D O Health Dept. TYPE OR PRINT ONLY Approved for CO: SIGN ON REVERSE SIDE. Additional Cost) $ TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT The undersigned, hereby applies to do work according to the following specifications: Job Location O W% Lot No. Side of Street Zone Applicant I C.arnmippe r 'r To.AK,o or s Tel. # io 4(o - 33 4 g Address 3 6 D E I d_n fpY- SS4 NLnc1 e !ex C-T lip N O 4 b Lic.# 3 O f!g d 3 ST EET CITY STATE Owner rQe. .s+ro Address o2 Q 131ee Lky\k "nC SOUA1\ 0+y)dso r Architect Address Size New Area: Ft. Front Overall Ft. Deep Overall Total Area Garages Lavatories No. of Families No. of Stories Construction Bathrooms Rooms 1st 2nd 3rd Size of Lot Dist. from Street Line Dist. from Side Street Line Purpose of this Permit LA519 WA ion o 0 A-)'SQ41 1-don )neQd' `^G o N AV, x basem r'Ci Logo k our ity Water\R] Well 0 Septic 0 Sewer Approved b Dat y BD1A 11/88 I hereby agree to conform to all th 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 a zone in which this building and its use is allowed. Signed Wff I hereby apply for a Certificate of Occupancy for the work described in this application for permit. Signed DO NOT WRITE BELOW THIS LINE— INSPECTION RECORD Footing Framing Foundation Fireplace/Chimney Insulation Plumbing Permit# Inspections: HVAC Permit# Inspections: Electrical Permit# Inspections: Sprinkler Permit# Inspections: