HomeMy WebLinkAbout1430 Main Street Bectlic# APPLICATION FOR BUILDING PERMIT
Plumbing# 1430 Main Street
Dat
HVAC # 28962
No.
Sprinkl r#
FINAL O Estimated Cost ���I�•
Build, COMPLETE RED BOXED AREAS PermOccupancy
Fee Fee $
EW TYPE OR PRINT ONLY paw
Affidavit SIGN ON REVERSE SIDE Q�
Appr.for CO. Total Fee $
TO BUMM DEPARTMB- f,TOWN OF SOUTH WMDSM CT (Additional Cost) $
The undersigned hereby applies to do work according to the following specifications:
Job Location `7 Lot No. Side of Street Zone
Applicant_]-o v n, Tel# _(o�`IS~6 5'— f 3 Q 7
Addr ss v ���" 7. Zip v Lic.# 7 /
Owner � Address i�( , v 0 L,Q tii .4:,giJ 'lG,
Architect Address
Sq.Ft.N w Area: 1st FI. 2nd Fl 3rd Fl. Total New Area
#Rooms #Lavatories #Bathrooms #Garages
Purpose of this permit: 6,0 A A► , Q dzA
City Water ❑ Well ❑ Septic System ❑ Sewer ❑
Ins. H.O. S.P. C rt. t,-� Area Basement Garage
Approved by -Ij 411 _ Date VCJZ--.L6e Group Construction Type
Revised 9/01
I hereby agree to conform to all the requir ments 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 it se is allowed.
Signed
I hereby apply for a Certificate 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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**-28962-B 5,894
B10 FINAL 02/25/03 JFF A
B10 FINAL 02/25/03 JFF A CLOSED OUT.