HomeMy WebLinkAbout206 Laurel StreetElectric t: APPLICATION FOR BUILDING PERMIT
Plumbing# 206 Laurel Street
HVAC # Date:
No. 28040Sprinkler#
FINAL A P Estimated Cost
Building/° COMPLETE RED BOXED AREAS Permit Fee l 3.'
Kneen TYPE OR PRINT ONLY Occupancy Fee $
Affidavit SIGN ON REVERSE SIDE
Appr.for CO.Total Fee 3-u0
TO BUILDING MARTMBdT,TOWN OF SOUTH WINDSOR,CT Additional Cost) $
The undersigned h reby applies to do work according to the following specifications:
Job Location Lot No. Side of Street Zone
Applicant c TeL# rni-i q•- 3s-2
Address_e,QrnlJ Zip Lic.#
Owner Affa-, Address si4m
Architect Saim&, Address
Sq. Ft.New Area: 1st FI. 2nd FI. 3rd FL Total New Area
Rooms Lavatories Bathrooms Garages
Purpose of this permit:i I-)_
ity Wafter Gl/ Well Septic System Sewer
Ins. H.O. S.P. C rt. Area Basement Garage
Approved by SAk, Date 3 Use Group Construction Type
R•vkod 1197
I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances fthe Town f
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 buildng and its al .
01
Signed
I hereby apply for a Certificate of panty for the work descd in 7thi application for the permit.
Signed
DO NOT RITE BELOW THIS LINE
INSPECTION COMMENTS
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
28040-B 500
B01 FOOTING 08/09/01 CJD A W/OWNER
B10 FINAL 10/23/02 JFF A
B10 FINAL 10/23/02 JFF A CLOSED OUT.