HomeMy WebLinkAbout121 Lefoll Boulevard Electric# APPLICATION FOR BUILDING PERMIT
Plum6ing# 121 Lefoll Boulevard
HVAC # 2 8 6 5 3 Date: :-:1
-r
Sprinkler# NO' a+
FINAL P OV Estimated Cost $3 f`��
Buildir 17 ,0(091 COMPLETE RED BOXED AREAS Permit Fee $ 57 -
Engineeri TYPE OR PRINT ONLY Occupancy Fee $
Affidavit SIGN ON REVERSE SIDE',�A
Appr.for CO. Total Fee $ oq 2—
TO BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR,CT (Additional Cost) $
The undersigned hereby applies to do work according to the following specifications:
Jo6 Location /.?/ L.e-- r-0 1--c- `t"f-D Lot No. Side of Street Zone
Applicant AeS Tel#
Addr ss /d98 - r�� "-4� Zip GYyoS' 3 Lic.# 5'6--qy
Owner C iKL- �dy Kw 4,^z<� Address / L( L F-c-o 4 c
Architect Address
Sq.Ft.New Area: 1st Fl 2nd FI. 3rd Fl Total New Area
#Rooms #Lavatories #Bathrooms #Garages
Purpose of this permit: i0/J Ly dEGc�> - jaetr. 0yE.0C*1 /C K-f STr
City Water,❑ Well ❑ Septic System ❑ Sewer ❑
Ins. H.O. S.P. C rt. Area Basement Garage
Approved by 39— Date 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 located the proper distance from all street lines,side yard lines,and required
distances from all other zones and is located in which this"ding ding use iso%ed.
Signed
I hereby apply for a Certificate of Occupancy 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
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**-28653-B 3,150
B10 FINAL 10/17/02 JFF A
B10 FINAL 10/17/02 JFF A CLOSED OUT.