HomeMy WebLinkAbout103 Jacques Lane (2) Bectric# APPLICATION FOR BUILDING PERMIT
Plumbitig# 103 Jacques lane
HVAC # Date:
Sprinkl r# No. 28709
FINAL APPROVALS Estimated Cost $ 34WO
Building Lys 4/2y/0 COMPLETE RED BOXED AREAS Permit Fee $ !o
Engineering TYPE OR PRINT ONLY Occupancy Fee $ to
'davit SIGN ON REVERSE SIDE
Appr.for CO `' q-oZ Total Fee $
TO BUILDMIG ARTMB�(T,TOWN OF SOUTH WINI)SOR,CT (Additional Cost) $
The undersigned hereby applies to do work according to the following specifications:
Job Location_/d,3 j 4c u L Aj ,. 5,Cl/ Lot No. Side of Street Zon
Applicant V i/L i?4m (in R 9 Tel.# S---.S2 2 Y
Address_ 7 t &y c; �;ll e 6Q L'S % c�.v Zip 0 Go(o G Lic.# S( 9 Z3 2-
Own r,jj4jk-N T oi e c e ni d n c 14 Address li 33 S A r Gt ur_ S L. �f
Architect Address
Sq.Ft.New Area: 1st Fl. 2nd Fl. 3rd Fl. Total New Area
#Rooms #Lavatories_„ #Bathrooms #Garages
Purpose of this permit: 1_L 1) L 2 ` A Z 0 � Q re'k
City Water ❑ Well ❑ Septic System ❑ Sewer ❑
Ins. H.O. S.P. Cert. Area Basement Garage
Approved by 3(ZZ, Date 4 f L 0 -- Use Group U Construction Type 5
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.
Signed
I hereby apply for a Certificate of Occupancy for a work described in this application for the permit.
Signed am
IV
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
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**-28709-B 3,400
B01 FOOTING 04/15/02 CJD A
B10 FINAL 04/24/02 CJD A
B10 FINAL 04/24/02 CJD A CLOSEOUT