HomeMy WebLinkAbout121 Bourbon Street (9) mAL
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bldi APPLICATION FOR BUILDING PERMIT
Plumbing
HVAC �Dates Vf
Sprinkler 121 BOURBON STREET
El ctric T - �! '� Estimated Cost $ o�Soo
Zoning Permit Fee$ 30
Affidavit NO. 19103 Occupancy Fee $ 3
Eng. Dept. COMPLETE RED BOXED AREAS. Total Fee $ 3 3
Fire Dept. TYPE OR PRINT ONLY
Health D Pt. SIGN ON REVERSE SIDE.
Approved for CO: l (Additional Cost) $
TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT
The undersigned, hereby plies to do work according to the following specifications:
Job Location J Lot No. Side of Street Zone
Applicant r Tel. # ';L- J961C
Address /4lca 77Vi leenon C Zip /)6 a 6 6 _Lic.# S63 --74r3
STREET CITY STATE ff
Owner E6 o Address ! d� T.
Architect Address
Size New Area: Ft. Front Overall Ft. Deep Overall Total Area #Garages
Lavatories
No. of Families No. of Stories Construction Bathrooms Rooms 1st 2nd 3rd
Size of Lot Dist. from Street Line Dist. from SidtkStreet Line
,9, X-'t.2 ��4'a
Purpose of this Permit
15' 1c30
City Water Well ❑ Septic ❑ Sewer
Approved by
�11 - Date �r gl BD1A 11/88
I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances o the Town of South Windso,
and to notify the Building Inspector of any alteration in the plans or specifications of the Building for which t. s permit is asked,and agree
that this building is to be located the proper distance from all street lines,side yard lines and required dista es from all other zones and i
located in a zone in which this building and its use is allowed.
Signed
I hereby apply for a Certificate of Occupancy for the work described in this applicatio r p
Signed
—DO NOT WRITE BELOW THIS LINE—
INSPECTION RECORD
Footing Framing
Foundation Fireplace/Chimney Insulation
Plumbing Permit# Inspections:
HVAC Permit# Inspections:
Electrical Permit# 7G Inspections:
Sprinkler Permit# Inspections: