HomeMy WebLinkAbout1067 Main Street Bectr_'-,# I �3� APPLICATION FOR BUILDING PERMIT
Plumbing# 1101 oZ 1067 Main Street
i lot
WAC # /.3 9l 28355 Date: l
Sprinkler# No.
FINAL APPROVAI S Estimated Cost $ 2 t F ov-o
Building 12- 0-a Z147�SI:GN
TE RED BOXED AREAS Permit Fee $
Engineering E OR PRINT ONLY Occupancy Fee $
Affidavit ON REVERSE SIDE
Appr.for CO • o d Total Fee 0 .
TO BUILDING ARTMENT,TOWN OF SOUTH WWSOR,CT TO Cost) $
The undersigned hereby applies to do work according to the following specifications.
Job Location0 Lot No. Side of Street Zone
ApplicanthCOUan 5 COA -r aet Tel.Aq-13 7 —7Q0 g
Addr o.-SgE14 'p Lic.#
Own r -i Address
Architect ���,'� Gr;S t-V(a1 Address LJ,'/A( gA0,j:j, MA
Sq.Ft.N w Ar a: 1st FI. OZ 2 2nd FI. 3rd Fl. Total New Area__.??90
#Rooms to #Lavatories #Bathrooms OZ #Garages
Purpose of this permit: S i "
City Water Well ❑ Septic System ❑ Sewer
Ins. H.O. S.P. Cert. Area 74Z Basement,;Basement,;26 Z d Garage 13%3 c;l*-
Approved by Dot tZ1401 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 distanc ro all street lines,side yard lines,and required
distances from all other zones and is located in whii:Vhp building an its us is all ed.
Signed
I hereby apply for a Certificate of Occup c r the work describ in th' application for the permit.
Signed
DO NOT WrEBELOW THIS LINE
INSPECTION COMMENTS
Location of Job: AFFIDAVIT Additional Fee$ — 0
State of Connecticut
ss.South Windsor
County of Hartford
Owner
I of Agent for the building erected
Contractor
under Permit No. 2 8 15 5 issued by the Building Department of the Town of South Windsor being
duly sworn,make oath and say that the actual cost of the completed work authorized under said permit did not
exceed the submitted estimated cost
Signed
Subscribed and sworn to before me this day of A.D.20
Estimated Cost$ 311 ,0 0 0 .
Difference: $ (31j967 . )
Notary Public
i
i
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
-------------------------------------------------------------------------------
**-28355-B 218,000
BO1 FOOTING 11/28/01 CJD D NOT READY
BO1 FOOTING 11/29/01 CJD A LEFT TICKET
B02 FOUNDATION 12/14/01 CJD A W/CONTRCTR. , WALL PARGED AND SPRAYED, FTNG.
DRAINS OK
E01 SERVICE 01/28/02 CJD A W/ELECTRCN
BOS FIREPLACE/CHIMNEY 03/22/02 CJD A
B05 FIREPLACE/CHIMNEY 03/27/02 JFF A WITH MASON MASTER BEDROOM FIREPLACE
B03 FRAMING (ROUGH) 04/03/02 CJD A W/FRAMER- WILL FIRESTOP BSMT. WALLS
E03 ROUGH 04/03/02 CJD A W/CONTRACTOR
P03 ROUGH 04/03/02 CJD A W/PLUMBER
H03 ROUGH 04/04/02 CJD A
B04 INSULATION 04/12/02 CJD A LEFT TICKET
**-11396-H 55,000
**-11012-P 25,000
**-17536-E 13,000
E02 UNDERGROUND 12/27/01 CJD A
Total Est Value 311,000
Dwelling 4,768 230,199.04
Basement 2,070 29,394.00
Garage 1,332 18,914.40
Smoke Det 7 525.00
BOCA Value 279,032.44
Difference (31,967.56)