HomeMy WebLinkAbout1675 MAIN ST (4) �,Q�'� APPLICATION FOR BUILDING PERMIT
Electric# '
Plumbing# �� 1675 Main Street Date: Z 8 O
HVAC #
Sprinkler# 31390 Estimated Cost $ a 5�
FINAL APPROVAL Permit Fee $
Building ` COMPLETE RED BOXED AREAS Occupancy Fee $ 1U•
Engineering TYPE OR PRINT ONLY Eng.Insp. Fee $
Affidavit SIGN ON REVERSE SIDE
Appr. for CO - Total Fee $ / '
TO THE BUILDING DEPARTMENT,TOWN OFSOUTH WINDSOR,CT (Additional Cost) $
The undersigned hereby applies to do work according to the following: CtLC
Applicant ' _ Co/v: /E Location/oaf Workef Lot No.
Applicant's Address �// G/V4` !"�' Tel.# 8'6d 3 'Z e y
Town Zip ®6'91-A2 Lic.
Owner Architect
Owner's Address Architect's Address
Zip Zip-
Sq. Ft.New Area: 1 st FI. 2nd FI. 3rd Fl. Total New Area
Purpose of this permit I?t�ioa/EL i/v�g /�T ¢ Zw� /=L Q ,4L-z-s
v ' ORC /fit' EA,2 i �' /tJ Loa /5'io o v tw
/?FlJLAC E tc�iiv�oW� �,IEE7-/2c3cK �- Ti9.oEPifyir/TRi �'rLC� /QetFi_�—
City Water❑ Well❑ Septic System❑ Sewer❑
Ins: HO SP Cert. Area Basement Garage
Approved by Date Use Group Construction Type
Revised 6102