HomeMy WebLinkAbout161 Beelzebub RoadElectric.#17 I(e APPLICATION FOR BUILDING PERMIT
Plumbing# y p3i 161 Beelzebub Road
WAC # 28758 Date: -1 Lo Z
Sprinkl r#
FINAL APPRO ALS Estimated Cost
Building G2 COMPLETE RED BOXED AREAS Permit Fee
n"gA TYPE OR PRINT ONLY Occupancy Fee $_LhQ• _
Affidavit SIGN ON REVERSE SIDE`V_ ON
Am.for CO 11 O Total Fee
TO BUILDM DEPARTmENT,TOWN OFSOUTH WNDSOR,CT Additional Cost) $
The undersigned hereby applies to do work according to the following specifications:
Job Location /4/ W- Lot No. Side of Street Zon
Applicant cj 7441ts TeL#%o 87s,-,&*6.7
Address /c,,v I' /& f/f'. ZipC36U,Lic.# ,ram s
Owner 1 ,i &I/ Address,ff r /.z,," /z.
Architect Address
Sq.Ft.New Area: lst Fl. 2nd Fl. 3rd Fl. Total New Area
Rooms Lavatories Bathrooms Garages
Purpose of this permit:
If
City Water ep Well Septic System Sewer
Ins. H.O. S.P. Cert. Area Basem nt Garage
Approved by Dot d 2-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 logated the roper distance from all street lines,side yard lines,and required
distances from all other zones and is located in whic his bui g nd's use is allowed.
Signed
I hereby apply for a Certificate o OcA for the rk d scrib in this application for the permit.
Signed
DO RITE BELOW THIS LINE
INSPECTION COMMENTS
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
28758-B 15,000
E03 ROUGH 05/14/02 CJD A
P03 ROUGH 05/14/02 CJD A
B10 FINAL 05/29/02 CJD A
B10 FINAL 05/24/02 CJD A CLOSEOUT
17816-E 1,500
11038-P 4,000