HomeMy WebLinkAbout1139 Main Street Electric# APPLICATION FOR BUILDING PERMIT
Plumbing# 1139 Main Street
HVAC # Dat : gov
2 8 6 8 3
Sprinkler# No, ,
FINAL A 0 Estimated Cost Lev
Building I �� COMPLETE RED BOXED AREAS Permit Fee $
TYPE OR PRINT ONLY Occupancy Fee
Affidavit SIGN ON REVERSE SIDE
Appr.for CO. Total Fee $ ��S
TO BUALDIsIG DEPARTMENT,TOWN OF SOUTH Wt4DSOR,CT (Additional Cost)
The undersigned hereby applies to do work according to the following specifications:
Jo6 Locafion it 9 dL� AxM, 1A® �7 Lot No. Side of Street Zone
Tel
Applicant Me /,Z,N •
Addr ss Zip D Lic.#
Oven r .4-17- Address �/ 3 f3 D Z� .�4iw
Architect Address
Sq.Ft.New Area: 1st Fl 2nd FL 3rd FL Total New Area
#Rooms #Lavatories #Bathrooms #Garages
Purpose of this permit: If--Ir,G T — !' M rj U le-
City Water ❑ Well ❑ Septic System ❑ Sewer ❑
Ins. H.O. S.P. Cert. ✓ Area Basement Garage
Approved by J(U— Date Use Group Construction Type
Rrv6ed 1197
a
I h reby agree t 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 a use is allowed.
Signed -f
I hereby apply for a Certificat pancy 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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**-28683-B 8,700
B10 FINAL 01/28/03 JFF A
B10 FINAL 01/25/03 JFF A CLOSED OUT.