HomeMy WebLinkAbout23 Carman RoadBectric# z zz--APPLICATION FOR BUILDING PERMIT
Plumbing# 23 Carmen Road
HVAC # 27646 Dat ' hroo
Sprinkler#
No.
FINAL APPRO Estimated Cost
Building a cJ COMPLETE RED BOXED AREAS Permit Fee
Engineering TYPE OR PRWT ONLY Occupancy Fee o
Affidavit SIGN ON REVERSE SIDE
Appr.for CO. I Total Fee o?oo•o 0
TO BULDW DRARTME T,TOWN OF SOUTH WN)SOR,CT Additional Cost) $
The undersigned hereby applies to do work occording to the following specifications:
Job Location ;-3 ( t.+,)(VK4 , . 9d Lot No. Side of Street Zone
Applicant h fj r Tel.# 6 yy AZ9
Addr ss h Zip_OUVO Lic.# 00 53t 6q
Own r, K,&Viv% S h'e Y r& Address 7 Cu-Y wt r yL Ad
Architect Address
Sq.Ft.New Area: 1st FI, 2nd FI. 3rd FL Total New Area
Rooms Lavatories Bathroo s Garages
r
Purpose of this permit: 0-kl
City Water Well Septic System Sewer
Ins. H.O. S.P. Cent. Area Basement Garage
Approved by Date c:P—..;2'7—O/ Use Group Construction Type W
R•vs.d 1/97
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 s buildin its use is allowed.
Signed-7—
I hereby apply for a Certificate of O ncy for the work described in this application for the permit.
Signed fA.00.,--
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS