HomeMy WebLinkAbout23A-23L Amato Drive (9)B N dngSPELT
Z 3 5 APPLICATION FOR BUILDING PERMIT
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Date. S eHVAC23A: 23L AMATO DRIVESprinkler v
Electric BUILDING # 23 Estimated Cost $
Zoning Permit Fee $
Affidavit NO. 22259 Occupancy Fee $
Eng. Dept.COMPLETE RED BOXED AREAS.
Fire Dept.TYPE OR PRINT ONLY Total Fee $ l 0
Health Dept. SIGN ON REVERSE SIDE.
Approved for CO: Additional Cost) $
TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT
The undersigned, hereby applies to do work according to the following specifications:
Job Location 14DO 5.21A"Ib 4DW04 Lot No. Side of Street Zone
Applicant +RN0A?_ S;hj g- Q. Tel. # 651? >—14
Address 37$ J9WAS ST 6*Ayryo ellr Zip OCW-1 Lic.# 6W.a67u
STREET CITY STATE
Owner G Gwr e l ec.Address d-ra b& S2 LJIA& 5414 4T.
Architect Address
Size New Area: Ft. Front Overall Ft. Deep Overall Total Area Garages
Lavatories
Size of Lot Dist. from Street Line Bathrooms Rooms 1 st 2nd-3rd
Purpose of this Permit iur g:a%ac... 4- SegmiT—):aFw s V _i,. a&wa T t
City Water Well Septic Sewer
Use Group Cons uction Type --/"4
Approved by Date BD1A 11/86
I hereby agree to conform to all the requirements of the laws of the State of Connecticut and the Ordinances of the Town of h Windsor
and to notify the Building Inspector of any alteration in the plans or specificat' ns of the Building for which this pe t is a and agree
that this building is to be located the proper distance from all street lines,side y d lines and required dista es f m II g6erknes and is
located in a zone 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 permi
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: