HomeMy WebLinkAbout21 Berle Road (10)Electric# APPLICATION FOR BUILDING PERMIT
Plumbing# 21 BERLE ROAD
HVAC # Date: A4-/o- 9S"
Sprinkl r#
No.22716
FINAL APPRO ALS Estimated Cost $ 13,00
Building COMPLETE RED BOXED AREAS Permit Fee p
Engineering TYPE OR PRINT ONLY Occupancy Fee $
Affidavit SIGN ON REVERSE SIDE
Appr.for CO. Total Fee D
TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR,CT Additional Cost) $
Th undersigned hereby applies to do work according to the following specifications:
Job Location o; / QBfle, S tJ - Lot No. Side of Street Zone
Applicant C' Tel.# ,scZ
Address D 54vo C74 Zip 4661 Te/ Lic.#
Own r ZaMGt,u 6c.Zai,P 2 Address R/ ;30ole
Architect Address
Sq. Ft.N w Area: 1st Fl. 2nd FI. 3rd FI. Total New Area
Rooms
I#
Lavatories Bathrooms Garages
Purpose of this permit: a zx' Ve_ -9- 2-
City Water ` Well 0 Septic System 0 Sewer n
Use Group Construction Type /v Area Basement Garage
Approved by Date 1411-31
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 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 i hich this building and its use is allo
Q
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