HomeMy WebLinkAbout200 Bourbon Street (6)Bectric# APPLICATION FOR BUILDING PERMIT
200 BOURBON STREET
Plumbing# Date:HVAC #
Sprinkler# No. 25367
FWAL Estimated Cost $ 3 0 0 c
Buildinp3717M2Z::000MPLETE RED BOXED AREAS Permit Fee B `'
EW TYPE OR PRINT OHLY Occupancy Fee
Affidavit SIGN ON REVERSE SIDE
Appr.for CO. EM01 Total Fee 8 an
TO BUILDING DEPARTMENT,TOWN OF SOUTH W )SOR,CT Additional Cost) $
The undersigned hereby applies to do work according to the following specifications:
Jo6 Location aoO & 0 9T Lot No. Side of Street Zone
Applicant FC. IlLaAOM CD IJ-C,- Tel# No 6q%4 236(o
Address 7l o AVVL1 ST Zip 060 Lic.# C-r 00 55' 37 0q
Owner GR lLfz PA KS"o P) Address_682—m
Architect Address
Sq. Ft.New Area: 1st FI. 2nd FI. 3rd Fl. Total New Area
Rooms
p _#
Lavatories Bathrooms Garages
Purpos of this permit: Plrbd w tr 4 GA-F
City Water Well 0 Septic System Sewer
Ins. H.O. Cert. Area Basement Garage
Approved by Date 7 jJ N6 Use Group Construction,Type
RrAW 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 proper distance from all street lines,side yard lines,and required
distances from all other zones and is located in which this b ilding and its use is allowed.
Signed MLU-
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