HomeMy WebLinkAbout200 Avery StreetBectric# APPLICATION FOR BUILDING PERMIT
Plumbing# 200 Avery Street
HVAC # Date:
28762
Sprinkl r#
FINAL R Estimated Cost $ 7.19 0-°• O0
Buildin COMPLETE RED BOXED AREAS Permit Fee
Engi i TYPE OR PRINT ONLY Occupancy Fee $
Affidavit SIGN ON REVERSE SIDE
Appr.for CO.Total Fee
TO BUILDING DEPARTMBdT,TOWN OF SOUTH WWSOR,CT Additional Cost) $
The undersigned hereby applies to do work according to the following specifications:
Job Location CRO y A"lt l' 54-_ U-,-' Sic Lot No. Side of Street Zone
Applicant:-1 fl {-s 1- Tel.# AO ev 9lY—
Address J82 3 kA-c C - Zip 060 O Lic.#
Own r .'Oe Address gwI&w
Architect Address
Sq.Ft.N w Area: lst FI. 2nd FI. 3rd Fl. Total New Area
Rooms Lavatories Bathrooms Garages
this permit: deim0v jf 2 W.4/Purpose of pe 3
City Water Well Septic System Sewer
Ins. H.O. S.P. Cert. Area Basement Garage
Approved by S Date Use Group Construction Type Roo
Revised 9/01
I hereby agree to conform to all the requirements ofthe 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 is 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
28762-B 7,800
B10 FINAL 06/26/03 JFF A
B10 FINAL 06/26/03 JFF A CLOSEOUT