HomeMy WebLinkAbout1417 Main Street Electrib# A.PPLICATION FOR BUILDING PERMIT
Plumbing#
HVAC # 1417 Fain Street Date: Ol
Sprinkler#
FINAL PR Estimated Cost
Buildin / COMPLETE RED BOXED AREAS Permit Fee $
I-
EnghI n TYPE OR PRINT ONLY Occupancy Fee $
Affida or C SIGN ON REVERSE SIDE Eng. Insp. Fee $
Total Fee $ 19e. �
TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR,CT (Additional Cost) $
The undersigned hereby applies to do work according to the following:
Applicant i yl ii;.y 4QZz.Q�*cr� Location of Work /y1 7 f /I;,�v "T�, S �i. Lot No.
Applicant's Address c./ <' 3 4 7" Tel.# 5-9-3
Town Zip e2,4 a -7 �,[_Lic.#
Owner A,,. e ,���,4 Architect
Owner's Address y/''I iv s t Architect's Address
Zip Zip
Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area
Purpose of this permit_ f e M o v e- b G
City Watero Well❑ Septic System❑ Sewero
Ins: HO SP Cert. Area Basement Garage
Approved by -4(Le- Date (b Use Group Construction Type
R vlsed W02
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 wh' is building and its allowed.
Signed
I hereby apply for a Certificate of O ncy 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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**-29029-B 5,800
B10 FINAL 02/11/03 JFF A
B10 FINAL 02/11/03 JFF A CLOSEOUT