HomeMy WebLinkAbout260 Graham RoadBectric# APPLICATION FOR BUILDING PERMIT
Plumbing# 260 Graham Road
L oHVAC # 2 8 6 21
Date:3 c
Sprinkl r#
NO'
FIN7 2
Q Estimated Cost $ 7o2 Q.
Buildi COMPLETE RED BOXED AREAS Permit Fee
Engin TYPE OR PRINT ONLY Occupancy Fee $
Affidavit J j SIGN ON REVERSE SIDE
Total Fee OAppr.for CO.
TO BUILDING DEPARTMEW,TOWN OF SOUTH WNDSOR,CT Additional Cost) $
The undersigned hereby applies to do work according to the following specifications
Job Location L 6 v -6&t A pyi Lot No. Side of Street.`4 Zon
Applicant Ik l0i.);4(-1-J S/ L u n !!I ej e'x zY7 Cry Tel.# Q Y6 1 6-,7
Addr ss I),,L-1 O u C/ loci K Zip GAD 7q Lic# 613
Owner 9,obe rjL Address lc) (-1 O C>i(f/'a6'k e J CX)76 41-,---7clso
Architect Address
Sq.Ft.N w Area: 1st Fl. 2nd Fl. 3rd Fl. Total New Area
Rooms Lavatories Bathrooms Garages
v Purpose of this permit:
1
e
City ater Well Septic System Sewer
Ins. H.O. S.P. C rt. Area Basement Garage
Approved by Date U Use Group Construction Type
Revised 9/01
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
7 L--7Signed112
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