HomeMy WebLinkAbout230 Burnham StreetElectric# APPLICATION FOR BUILDING PERMIT
Plumbing# 230 Burnham Street
Date: OZ006k9001
HVAC # No. 29229
Sprinkl r#
FINAL APPROVALS Estimated Cost $
Building 0Ifg&-5 COMPLETE RED BOXED AREAS Permit Fee
Engineering TYPE OR PRINT ONLY Occupancy Fee $
Affidavit SIGN ON REVERSE SIDE'g
Appr.for CO.Total Fee
TO BUILDING DEPARTMB-U,TOWN OF SOUTH WN)SOR,CT Additional Cost) $
The undersigned h reby applies to do work according to the followings ifications:
Job Location t No. Side of Street Zon
Applicant AUT"N EXANk Cce,11296720N TeL# fr.r - -b 's Z~G111
Addr ss I jI Zip G-T Lic.# WC O 3006
Owner G V 4 Address 20 E3V eW 11A VM Af 4 . v&1 I H P5C?E r i= 0 614c
Architect k/A r Address 14%A
Sq.Ft.New Area: 1st FL 2nd Fl. 3rd FL Total New Area
Rooms I_-- #Lavatories Bathrooms Garages
Purpose of this permit: PAfZT"ZAL
eF cv'Gt2Gc
City Water Well Septic System Sewer
Ins. H.O. S.P. Cert. Area Basement Garage
Approved by SKI Date t 0 I Wilke Group Construction Type
Revised 9/01
I hereby agree to conform to all the requirements of the f the State of Connecticut and the Ordinances of the Town of
South Windsor and to notify the Building Inspector of y a tion in the plans or specifications of the Building for which this
permit is asked,and agree that this buildi o 0 o r d' si a yar lines,and required
distances from all other zones and is I ated in w g an ' use is allowed.
Signed
I hereby apply for a Certificate of cupancy for the work described in this application for the permit.
Signed
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
29229-B 55,400
B10 FINAL 12/19/02 CJD A W/OWNER
B10 FINAL 06/18/03 JRC A CLOSEOUT