HomeMy WebLinkAbout1386 MAIN ST Electric # APPLICATION FOR BUILDING PERMIT
Plumbing# 1386 Main Street Date: 1, q10-7
HVAC #
Sprinkler# - _ L 8 6 5 Estimated Cost $
FINAL APPROVALS ___--_ _- --- -- —� permit Fee $ 'b
Building COMPLETE RED BOXED AREAS Occupancy Fee $
Engineering TYPE OR PRINT ONLY Eng. Insp. Fee $
pp s ,� SIGN ON REVERSE SIDE
A Affidavit
rafor. CO. { - - --- ! Total Fee $ �
TO THE BUILDING DEPART ENT,TOWN OF SOUTH WINDSOR,CT (Additional Cost)
The undersigned hereby applies to do work according to the following:
Applicant D2eA Ke>,Amf,. I 9-4C '�, Location of Work /3A ��; ST Lot No.
Applicant's Address lO S Ed k" Z t. Tel.# .2 f l-1 b b J
Town S�-f-� �J�'�d;�' Zip o 6 L 2 y Lic.# (vN-o5
Owner Architect
Owner's Address Architect's Address
S.�✓ Zip obolq Zip
Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area
Purpose of this permit Te,. eFF a4gk lf s41,-�Ief and I lciXtr wsyd 5�r'•�j•/ �� Ma,%�
�e..� 601. last'.// V, 411 Svc'' iCC ! "+e, -�,e/i 1? e_r a.n,4
City Water❑ Well❑ Septic System❑ Sewer❑
Ins: HO_ SP Cert. Area Basement Garage
Approved by D— a e &/L6 7 Use Gro Construction Type
Revised 6/02
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 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 FIELD SHEET 08/31/11
1 Printed by Peart, Dayshell 11 55:25
INSPECTION: 4425 FINAL PERMIT:
STATUS:
APPLICATION: 200700802
LOCATION: 1386 MAIN STREET
SOUTH WINDSOR
PROPERTY ID: 54901386
OWNER: WATT NANCY MOSHER
CONTRACTOR:
REQUEST BY
DESCRIPTION: TEAR OFF EXISTING LAYER ADD 1 LAYER OF WOOD SHINGLES
WORK ORDER:
INSPECTOR: ROSE RESULT: PASS
REQUESTED 08/05/11 PRIORITY:
SCHEDULED: 08/05/11 PM COMPLETED: 08/05/11
UNPAID FEES 00 Date Time
TIME: TRAVEL ONSITE
COMMENTS:
PARTIAL
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