HomeMy WebLinkAbout175 Lake StreetElectric## APPLICATION FOR BUILDING PERMIT
Plumbing# 175 Lake Street Date:HVAC #
Sprinkler# r 29033
FINALAPP OV Estimated Cost 1+. d10 ,dd
Buildin$/o COMPLETE RED BOXED AREAS
Permit Fee r 0-
E e Occupancy Fee $ 443.
Affidavit TYPE OR PRINT ONLY Eng.Insp.Fee $
Appr.for 4f d SIGN ON REVERSE SIDE 44
Total Fee gr
TO THE BUI ING DEPARTMENT,TOWN OF SOUTH WINDSOR,CT Additional Cost) $
The undersigned hereby applies to do work according to the following.
Applicant 1 q es i cheal Location of Work M 5 LPkE S+reiTi Lot No.
Applicant's Address Tel.
Town k)ndGcx- . cr Zips cn q Lic.#
Owner \ + am . M', Architect--
Owner's Address Architect's Address
Sa u--l l,U v o sts>r C7 Zip Zip
Sq. Ft. New Area: 1st FI.2nd FI. 3rd FI. Total New Area
Purpose of this permit C)j 1'-1 L e P Y ,?
City Watero Well& Septic SystemV Sewero
Ins: HO S Cert. Area Basement Garage
Approved by Date 1 1 v Use Group — Construction Type
Rwlsed 8/02
I h reby 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 whigh this building and its use isallowed.
Signed t-, Y. it 2n, L-je
I hereby apply for a Certificate of Occupancy for the work described in this application for the permit.
yy r `
Signed h/.,ca,,.M r hL
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
29033-B 2,300
B01 FOOTING 07/23/02 JFF A 4 10IN PIERS LEFT NOTICE OF APPROVAL
B10 FINAL 10/29/02 JFF A
B10 FINAL 10/29/02 JFF A CLOSED OUT.