HomeMy WebLinkAbout1417 Main StreetElectrib# A.PPLICATION FOR BUILDING PERMIT
Plumbing#
HVAC # 1417 Fain Street Date: Ol
Sprinkler#
FINAL PR Estimated CostBuildin /
COMPLETE RED BOXED AREAS Permit FeeI-
EnghI n
TYPE OR PRINT ONLY Occupancy Fee $Affidaor C SIGN ON REVERSE SIDE
Eng. Insp. Fee $
Total Fee 19e.
TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR,CT Additional Cost) $The undersigned hereby applies to do work according to the following:
Applicant i yl ii;.y 4QZz.Q*cr Location of Work /y1 7 f /I;,v "T, S i. Lot No.
Applicant's Address c./ <' 3 4 7" Tel.# 5-9-3
Town Zip e2,4 a -7 ,[_Lic.#
Owner A,,. e ,,4 Architect
Owner's Address y/''I iv s t Architect's Address
Zip ZipSq. Ft. New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area
Purpose of this permit_ fe Mo v e- b G
City Watero Well Septic System Sewero
Ins: HO SP Cert. Area Basement GarageApprovedby -4(Le- Date (b Use Group Construction Type
R vlsed W02
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 wh' is building and its allowed.
Signed
I hereby apply for a Certificate of O ncy 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
29029-B 5,800
B10 FINAL 02/11/03 JFF A
B10 FINAL 02/11/03 JFF A CLOSEOUT