HomeMy WebLinkAbout112 Jacques LaneBectric# ' APPLICATION FOR BUILDING PERMIT
PlumbWig#
112 Jacques Lane
HVAC # 26797
Date: O b
Sprinkler# N0'
FINAL APPROVALS Estimated Cost $2.2S_,5"
Building COMPLETE RED BOXED AREAS Permit Fee a
Engineering TYPE OR PRINT ONLY Occupancy Fee
Affidavit SIGN ON REVERSE SIDE
Appr.for CO. va sts, Total Fee
TO BULDAIG DEP TMENT,TOWN OF SOUTH WM)SM CT Additional Cost)
The undersigned hereby applies to do work according to the following specifications:
Job Location //,1 i4'c,& a-,t1 Gc K Lot No. Side of Street Zone
Applicant 2` Tel# PO 0 - 0 8
Address & ,j Zip 00 07 y/ Lic.#
Owner e__ as' a 0-- Address
Architect Address
Sq.Ft.New Area: 1st Fl. 2nd Fl. 3rd Fl. Total New Area
Rooms Lavatories Bathrooms Garages
Purpose of this permit: R-e.10 42-C r xi 1'i%c r
City Water Well Septic System Sewer
Ins. H.O. Cert. Area Basement Garage
Approved by Date 3 15 40 Use Group 4 Construction Type 5 e
Rev6W 1/97
I hereby agree to conform to all the requir ments of the Laws ofthe State of Connecticut and the Ordinances ofthe 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
I hereby apply for a Certi of Occupa y for the work described in this application for the permit.
Signed
NOT ITE BELOW THIS LINE
INSPECTION COMMENTS
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
26797-B 3,285
B01 FOOTING 03/22/00 DCJ A 4 PIERS
B10 FINAL 09/27/00 JFF D NO ACCESS LEFT DOOR TAG
B10 FINAL 10/10/00 CJD D BALUSTERS >4" BETWEEN-W/OWNER
B10 FINAL 06/13/01 JFF D BALLUSTERS OVER 4IN WITH OWNER TO CORRECT
B09 OTHER 12/16/02 WNB DOOR TAG
B10 FINAL 12/26/02 WNB A WITH OWNER
B10 FINAL 12/26/02 WNB A CLOSEOUT