HomeMy WebLinkAbout133 Oak Street (2) Electric# APPLICATION FOR BUILDING PERMIT
Plumbing# 133 Oak Street Date: 2,a2 Z—
HVAC #
Sprinkler# 12 29048 Estimated Cost $ 1 • '--
FINAL RO
Buildin /' ``"' Permit Fee $ .16,
En ne 'n COMPLETE RED BOXED AREAS Occupancy Fee $ /a-
TYPE OR PRINT ONLY Eng. Insp. Fee $
Affidavit SIGN ON REVERSE SIDE
PP
A r. for C 1 Total Fee $ r--
TO THE B II
NG DEPARTMENT,TOWN OF SOUTH WINDSOR,CT (Additional Cost) $
The undersigned hereby applies to do work according to the following:
7TApplicant Location of Work Lot No.
Applicant's Address Tel.#
Town ' Zip Lic.#
Owner e- O k-t - 6 'Architect
Owner's Address Architect's Address
Zip Zip
Sq. Ft. New Area: 1 st FI. 2n FI. 3rd Fl. Total New Area
Purpose of this permit 6 e�_
City Waterer Well❑ Septic Systemo Sewero
Ins: HO SP Cert. Area Basement Garage
Approved by Date — Use Group Construction Type452S—
C-1i
Revised 6102
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 whk this building and its use is allowed.
Signed
I hereby apply for a Certificate of Occu y for the descri bed iathis a lication for the permit.
Signed
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
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**-29048-B 950
B10 FINAL 06/10/03 JFF A
B10 FINAL 06/10/03 JFF A CLOSEOUT