HomeMy WebLinkAbout20 Berle Road (10)N ?o--,P (mot-G-eectric#` c'
4 APPLICATION FOR BUILDING PERMITPlumbing# 20 BERLE ROAD
WVAC #
25086 Date:Sprinkler# No.
FINAL APPRO A
Estimated Cost $ 1 O DpBuildingif - COMPLETE RED BOXED AREAS Permit FeeEngineeringvo
Affidavit TYPE OR PRINT ONLY Occupancy Fee $
Appr.for CO. SIGN C REVERSE SIDE
Total Fee 1 ovTOBOLDINGDEPARTMENT,TOWN OF SOUTH WMSOR,CT Additional Cost) $The undersigned hereby applies to do work according to the following specifications:
Job Location__{,f Lot No. Side of Street lx*&+ ZoneApplicant_ t C I ,n G Tel.# ? 1335AddrssRecr- Zip dl Lic#_
Owner_ 4.tx os r- Address
Architect Address
Sq. Ft.New Area: 1st FI. 2nd FI. 3rd Fl. Total New AreaRoomsLavatoriesBathroomsGaragesPurposeofthispermit:
i*N
0clsloQbob
City Water Well Septic System 0 Sewer Ins. H.O. S.P. Cert._ Area BasementApprovedby_ `, Dat I
Garage
Croup Construction Type
Rev's.d 1197
I
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
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
98-25086-B 1,000
B10 FINAL 07/21/98 JFF D NO ACCESS LEFT DOOR TAG
B10 FINAL 04/25/01 JRC A CLOSEOUT PER FIRE MARSHALL