HomeMy WebLinkAbout1668 Main Street (2)Electric# APPLICATION FOR BUILDING PERMIT
Plumbhg# 1668 Main Street
WAC # Date:
28553
FNAL 0 Estimated Cost S c
6 3 Z j COMPLETE RED BOXED AREAS Permit Fee
lV/ TYPE OR PRINT ONLY Occupancy Fee
Appr.for CO.
AffWavit SIGN ON REVERSE SIDE
Total Fee 3
TO BU1UW4 ,'DEPARTMENT,TOWN OF SOUTH WI DSOR,CT Additional Cost) $
The undersigned hereby applies to do work according to the following specifications
Job Location (4hn0 Z N4o r) Z3 Io Lot No. Side of Street Zone
Applicant d5d Tel# p"Zqgq- I 113
Address 1 0..!! 50. 14rld3)fip d(Qp`1$ Lic.#
Owner A R "- L-dal JA Aofess
Architect Address
Sq. Ft.New Area: 1st FI. 2nd FI. 3rd Fl. Total New Area
Rooms Lavatories Bathrooms Garages
Purpose of this permit:l5
City Water Well Septic System Sewer
Ins. H.O. S.P._ Cert._ Area Basement Garage
Approved by VL- Date I 0-Z- Use Group ____ Construction Type
Revbed 1/97
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 properdistance 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 alk„ovd.
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
b
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
28553-B 1,000
B10 FINAL 02/06/03 JFF A WITH OWNER
B10 FINAL 02/06/03 JFF A CLOSED OUT.