HomeMy WebLinkAbout1624 Main Street 'Electric# _ APPLICATION FOR BUILDING PERMIT
Plumbing# 1624 Main Street Date: Z-
HVAC #
Sprinkler#
29285
FINAL RO Estimated Cost
Buildin % hr"^� COMPLETE RED BOXED AREAS PermOccupancy lee Fee Enginee (J TYPE OR PRINT ONLY $
Affidavit r. for CO. ► SIGN ON REVERSE SIDE , Eng. Insp. Fee $
Total Fee $
TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR,CT (Additional Cost) $
The undersigned hereby applies to do work according to the following:
Applicant ' w )�� s Location of Work O,6 •j-�/ �, � .V -z Lot No.
Applicant's Address y-s 5 -71"1. Tel.#T/.-
Town Zip Lic.
Owner 4 J. ,21Q D o Architect
Owner's Address Ce_ 2!:� 1A4 A ;.ti S - Architect's Address
Zip Zip
Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area
Purpose of this permit r t,&Lo co r o o�—
City Water❑ Well❑ Septic System❑ Sewer❑
Ins: HO SP Cert. Area Basement Garage
Approved by Date i Use Group Construction Type
Revised 6102
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 ich this building and' use is allowed.
Signed
I hereby apply for a Certificate upancy 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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**-29285-B 8,400
B10 FINAL 02/05/03 JFF A
B10 FINAL 02/05/03 JFF A CLOSED OUT.