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HomeMy WebLinkAbout189 Avery Street (3)Electric# 7 5-3 APPLICATION FOR BUILDING PERMIT f'lumbifig# 189 Avery Street Date:HVAC # rS Oil -1 . ?© Sprinkl r# No. 28366 FINAL APPROVALS Estimated Cost Building f 0 Z— COMPLETE RED BOXED AREAS Permit Fee Engineering TYPE OR PRINT ONLY Occupancy Fee $ Affidavit SIGN ON REVERSE SIDE Appr.for CO. j Total Fee TO BUILDNG DEPARTMENT,TOWN OF SOUTH W14DSOR,CT Additional Cosh $ Th and rsigned hereby applies to do work according to the following specifications: Job Location f 94 d ye&4x,v =49= S."Od .Lot No. Side of Street Zone Applicant :T,A . "ve-g l s o m S©w! Tel.# 'J3 A—?0 I C] Address P. 8 . e 0 K 7(o S S© .N*J . a.Li,s o Z2 Zip nrw Lic.# .5<Z- 1 oo Own r'l&wy w--S 5"jz P Address 1 $"t A6,u&-- p -( :S-C J . Architect Address Sq.Ft.New Area: 1st FL 2nd FI. 3rd FL Total New Area Rooms Lavatories Bathrooms Garages Purpose of this permit:. Li:;I T'c Nrtr), 5?me u&e5r>.*_ L).L oE-T M d 1.1 t7 6Z IF S e.1 a-c V t T City Water Well Septic System Sewer Ins. H.O. S.P. ..Cert. Area Basement Garage Approved by Dot 1 I t Use Group Construction Typo Revised 9/01 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 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 40 DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS Inspection / Approval Date By Appl Code Description Due Whom Code Cdoment 28366-B 8,000 B10 FINAL O1/25/02 CJD A W/CONTRCTR. B10 FINAL 05/15/02 CJD A CLOSEOUT 17535-E 700