HomeMy WebLinkAbout191 Bourbon Street (16) -P EC(__1
APPLICATION FOR BUILDING PERMIT
Electric#
Plumbing# 191 BOURBON STREET
HVAC # Dote:
2 3 2 5 5
Sprinkler# No.
T
AL P R Estimated Cost $Bug?t'`� a�vk COMPLETE RED BOXED AREAS Permit Fee $ �v
Engines ng TYPE OR PRINT ONLY Occupancy Fee $
Affidavit SIGN ON REVERSE SIDE
Appr.for CO. Total Fee $ .3(-j
TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR,CT (Additional Cost) $
Th and rsigned hereby applies to do work according to the following specifications:
Job Location S7 lot No. Side of Street Zone
Applicant /v?*<, < 5 t,7r vtc a Sk Y0tw— Tel.# G zi`(e_`f O/
Address 519 -ram Zip 06 07Y Lic.#
Owner .5qrw C Address 94LC Wcr
Architect Address
Sq. Ft. New Area: 1st FI. 2nd FI. 3rd FI. Total New Area 37.S -
#Rooms # Lavatories #Bathrooms #Garages
Purpose of this permit:
City Water ` Well ❑ Septic System ❑ Sewer
Us Group Construction Type rV kQ Area / Bas m-nt Garage
Approved by Date G Ad
Revised 6/95
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 a zone in which this building and its use is allowed.
Signed w�._t_C"' y
I hereby apply for a Certificate of Occupancy for the work described in this application for the permit
Signed
i
-- DO NOT WRITE BELOW THIS LINE --
INSPECTION COMMENTS
iiaa�►C�,�.1V11 / APPL'UVdl UdLe by APP.L
Code Description Due Whom Code Comment
-------------------------------------------------------------------------------
96-23255-B 21550
B01 FOOTING 06/11/96 JFF A
B10 FINAL 07/19/96 JFF A APPROVED FOR CLOSEOUT
Y