HomeMy WebLinkAbout22A-22L Amato Drive (14)Bectric# APPLICATION FOR BUILDING PERMIT
Plumbing#00022A: 00022L AMATO DRIVE
HVAC # 24228
Dat • 0 /
Sprinkler# NO.
FIMAPPROVW Estimated Cost $
Bolding Z 7 J K-C_ COMPLETE RED BOXED AREAS Permit Fee
Engineering TYPE OR PRINT ONLY Occupancy Fee $
Affidavit SIGN ON REVERSE SIDE
Appr.for CO. 1 . Total Fee
TO BUMF4G DRARTAMM,TOWN OF SOM WWSOP,CT Additional Cost) $
The undersigned hereby applies to work according to the following specifications:
Jo tton L / Lot No. Side of Street Zone
Applicant v Tel#
Address IPA v 3/ I Sc l ZiP, OfLic.# SO 66":4--
Own r Gr' s - Q Address
Architect Address
Sq.Ft.New Area: 1st FL 2nd FL 3rd FL Total New Area
Rooms Les Throoms Garages
Purpose of t is permit: v l J` i-4 "
City Water Well Septic System Sew
Ins. H.O. S.P. Cert. Area Basement Garage
Approved by Dare (Cf Use Group Construction Type
Revised 1/97
I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the rdinances of the Town of
South Windsor and to notify the Building Inspector of any alteration in the plans or specification the Building for which this
permit is asked,and agree that this building is to be located the pro r ' t e from a r ' es,side yard lines,and required
distances from all other zones and is located in which this buil ' d. use is all
Signe
I hereby apply for a Certificate of Occu br work described in this application for the permit.
Signed
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS