HomeMy WebLinkAbout20 Blueberry Circle (8)Electric#
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APPLICATION FOR BUILDING PERMIT
Plumbing# 20 BLUEBERRY CIRCLE
0HVAC # Date:
Sprinkler# 22441
FINAL POV Estimated Cost $ yc)66 a°
Building 11 a-1719-V COMPLETE RED BOXED AREAS Permit Fee yy
Engineerin ONLY Occupancy Fee $TYPE OR PRINT O L
Affidavit SIGN ON REVERSE SIDE
Appr.for CO. 1 Total Fee
TO BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR,CT Additional Cost) $
Th undersigned hereby applies to do work according,to the following specifications:
1o6 Location K 1If) IT Clt, Lot No. Side of Street Ivor` Zone
Applicant C/ t
MIR
Tel. #
AddressNO0 7-ic Lic. #5312Q!?a
Owner, n Address UfXJC4 CA fJr—.j
Architect Address
Sq. Ft. New Area: 1st FI. 2nd Fl. 3rd FI. Total New Area
Rooms Lavatories _ Bathrooms Garages
Purpose of this permit:l P.AJ kJ i A 4L-9 Uk 41 e,
City Water C Well Septic System Sewer
Use Group Construction Type Area Basement Garage
Approved by•1, Date
Revised 6/95
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 budding i o e to ated th proper istance from 1 street lines,side yard lines and required
distances from all other zones and is located i on i hi t is bu in and its
uPH,&
is allowed.
r6Signed9
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