HomeMy WebLinkAbout200 OAK ST yQN
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Bei-:i` Lot i1o. 31 on ra.:p gllvp of WOODLAND ACvES, Avery
Street , Souti: Windsor, - Conti. Prop#-x,-,,.' of Araeli:-:. E. Blozie
Developer "JI111L_iii Peck 6c,,le 1" eria ..ls 501 . April lei, 1930.
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' Electric# APPLICATION FOR BUILDING PERMIT
Plumbing# 2 00 Oak Street Date: /V OO. 16,d005
HVAC #
Sprinkler# 32230
FINAL - — - Estimated Cost $ /
Buildin /L ° Permit Fee $ / ECG
COMPLETE RED BOXED AREAS Occupancy Fee $
Enginee n TYPE OR PRINT ONLY Eng.Insp Fee $
Affidavit
Appr. for CO. SIGN ON REVERSE SIDE Total Fee $
TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $
The undersigned hereby applies to do work according to the following: 4t:4()66
Applicant IZ rr"ocLe I i n� LL C_ Location of Work d c)0 OG ICS f ret-t So,,tth U, n1-59ft.ot No.
Applicant's Address_tom,0. 13 d K 358 Tel.# �S�0- 653-9 58/
Town C t a(N b�j Zip 0 60 35 Lic.# S 59')0 y
Owner Ui5Qb arecc) Architect /v I A-
Owner's Address a6 0 Oa k 5f C e-r Architect's Address IU 1 A--
G nth W i rl d50 r, C T Zip 0 co q — Zip
Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area
Purpose of thispe tgoo - tur off{ a4 er G5phu t hin / - 5 - r r Oe. - le !QS
I maw — 'fi 0 er�l ch% c tr �' e
-21
City Watero Well❑ Septic Systemo Sewero
Ins: HO SP Cert. Area Basement Garage
Approved by Date - ''U Use Group__-----Cbnstruction Type--'
Rwf"d M
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.
U G CGS _ C12�"L LLL
Signed ALQ
�n�✓ �lC �
I hereby apply for a Certificate of Occupancy for the work ribed in this application for the permit.
Signed
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
t
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
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*+-32230-B 11,000
B10 FINAL 12/08/05 JFF A WITH OWNER