HomeMy WebLinkAbout1291 Main Street (2)Bectric# S-v APPLICATION FOR BUILDING PERMIT
Plumbing# 1291 Main Street
HVAC # Date: O
No. 28316Sprinkler#
FINAL RO Estimated Cost $ 35 000
Building? COMPLETE RED BOXED AREAS Permit Fee S .
inoo TYPE OR PRINT ONLY Occupancy Fee $ 5.a
Affidavit SIGN ON REVERSE SIDE
Appr.for CO P r Total Fee CPd d
TO BIALD TMENT,TOWN OF SOUTH WMDSOR,CT Additional Cost) $
The undersigned h reby applies to do work according to the following specifications:
Job Location i aq1 mQ In JS f--ee4 Lot No. Side of Street Zone
Applicant kyoo. a/ I pa l n Tel# 8'U6`&9 -q M
Address ,5,? N eWbff YV 12 00-d F • 0 n dz5O K Zip 4S Lic.# S
Owner Mr.10 f5 --_r c-1 Address f 2 Q I IMII_I n St(f-
Architect Address
Sq. Ft.New Area: 1st Fl. 2nd Fl. 3rd Fl. Total New Area
Rooms Lavatories Bathrooms Garages
Purpose of this permit: 7-4I')( 4 1 A ro h 4)n 4{,
City Water Well Septic System Sewer
Ins. H.O. S.P. Cert. Area Basement Garage
Approved by Date o Use Group Construction Type
Revisal 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 which this building and its use is allowed.
Signed
I hereby apply for a Certificate of Occupancy for the work described in this application for the permit.
Signed
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
28316-B 35,000
E02 UNDERGROUND 11/21/01 CJD A W/CONTRACTOR
E10 FINAL 11/26/01 CJD D NOT READY
P02 UNDERGROUND 05/17/02 CJD A W/OWNER
B10 FINAL 07/24/03 JFF A WITH OWNER
B10 FINAL 07/24/03 JFF A CLOSEOUT
17503-E 3,000