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HomeMy WebLinkAbout212 Laurel StreetAPPLICATION FOR BUILDING PERMITElectric# Plumbing# 212 Laurel Street Date: 7 Z.0, -Zo-d L- HVAC # Sprinkler# 29042 FINAL APPROVALS Estimated Cost $ U Building COMPLETE RED ffi BOXED AREAS PettitOccupancy Fee $ c u it Fee 4K— Engineering TYPE OR PRINT ONLY Eng. Insp. Fee $Affidavit Appr. for CO a SIGN ON REVERSE SIDE Total Fee 5 S TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR,CT Additional Cost) $ The undersigned hereby applies to do work according to the following: Applicant 1=Z"C- OK:42::<_ Location of Work v2 / c- L S% Lot No. Applicant's Address c2 t Ljfuze-L ' Tel.o)6 YX -0 z7 Z- Town Ij"D S dtz Zip a'?y Lic.# Owner 15Z C ;S'- Architect Owner' Addressx Z,l C./1CL' Arch'ect's Address Zip Q? Zip Sq.Ft.New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area Purpose of this permit L'c Sv rt"M ftc-'f . a4 r PC K;n A.Cc— City Watero Wello Septic System Sewero Ins: HO SP Cert. Area Basement Garage Approved by 40.1 Date UZ Use Group \J Construction Type Revised W02 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 loqated the proper distance from all street lines,side yard lines,and required distances from all other zones and is located in is bu- 7"'C" 77z-r-ISignedherebyapplyforaCertificateof Occu for the7 described i is application for the permit. Signed O NOT WRITE BELOW THIS LINE INSPECTION COMMENTS t Inspection / Approval Date By Appl Code Description Due Whom Code Comment 29042-B 3,000 B03 FRAMING (ROUGH) 08/28/02 CJD A B10 FINAL 10/04/02 WNB A WITH OWNER B10 FINAL 01/10/03 WNB A CLOSED OUT.