HomeMy WebLinkAbout1612 Main Street filectric# APPLICATION FOR BUILDING PERMIT
Plumbing# 1612 Main Street
Date: �Z l�/0 I
HVAC #
Sprinkl r# No. 28410
FINAL APPRO Estimated Cost $ 9�oo o
Buildi S COMPLETE RED BOXED AREAS Permit Fee $
�� TYPE OR PRINT ONLY Occupancy Fee $
Affidavit SIGN ON REVERSE SIDE
Appr.for CO. :11Total Fee
TO BUILDM DEPARTMEW,TOWN OF SOUTH WNDSOR,CT (Additional Cost) $
The undersigned here6y applies to do work according to the following specifications:
Job Location /b/�. /M a',A 5�• Lot No. Side of Street Zone
Applicant /,q • Dz c-A IQ• ,^S Tel# S)-f - W k
Address `1'� l�4^�►�y St. ,��f4. cT Zip o6(og Lic.# SD/11
Owner AddressJf
Architect Address
Sq.Ft.New Area: 1st Fl. 2nd Fl. 3rd Fl. Total New Area
#Rooms #Lavatories #Bathrooms #Garages
Purpose of this permit: 7c4� o�F a n%s�-�^S 1 l� Y�� 6-� S� :.s/�s. .�'hs fk// fe t-
Gl �,h6 k
T
City Water ❑ Well ❑ Septic System ❑ Sewer ❑
Ins. H.O. S.P. Cert. Area Basement Garage
Approved by c1 ke, Date l v I Use Group Construction Type "~
Rov6*d 1197
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 building and its use is allowed.
Signed
1��-
1 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
` -------------------------------------------------------------------------------
**-28410-B 9,000
B10 FINAL 02/05/03 JFF A
B10 FINAL 02/05/03 JFF A CLOSED OUT.