HomeMy WebLinkAbout1209 Main Street8ectri%# APPLICATION FOR BUILDING PERMIT
Plumbing# 1209 Main Street
HVAC # 27834
Dat
Sprinkl r#
N0'
FINAL A R JL Estimated Cost C
Building o COMPLETE RED BOXED AREAS Permit Fee 5 Z
Engin ind; TYPE OR PRINT ONLY Occupancy Fee $ 5'
Affidavit SIGN ON REVERSE SIDE
Appr.for COI B Total Fee S
UITOB TMENT TOWI OF SOUTH W CT Additional Cost) $
The undersigned h reby applies to do work according to the following specifications:
Job Location IJ-dq M4 1 V" S-r Lot No. Side of Street Zone
Applicant T tm e-ro`~l Srn Cr— Tel.# d*f' y?SAD
Addr ss 1 l h- S. 1f!2649 o V),Ukjw Zip 6 r Lic.# 5169 d / ZV
Owner WAX i'6' I-AvY+ Address S T
Architect Address
Sq.Ft.New Area: 1st FI. 2nd FI. 3rd Fl. Total New Area
Rooms Lavatories Bathrooms Garages
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Purpos of this permit:GV/*r- 0 C 41 1rty,, 4,
LOU
City Water Well Septic System Sewer
Ins. H.O. S.P. Cert. Area Basement Garage
Approved by Date 0 Use Group V Construction Type
R•v6ed 1197
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 whic is b 'Iding and its is allowed.
Signed
I hereby apply for a Certificate of iccu'parnic he d ri in this application for the permit.
Signed
DOJOT WRIT BELO IS LINE
INSPECTION COMMENTS
F
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
27834-B 4,000
B10 FINAL 01/30/03 JFF A
B10 FINAL 01/30/03 JFF A CLOSED OUT.