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7
Electric # APPLICATION FOR BUILDING PERMIT
Plumbing# h
HVAC# �`E5 ��N Date:
A Sprinkler# `j W2c 1 Estimated Cost $ 4Gxo, oo
FINAL APPROVALS Permit Fee $ `
Building COMPLETE RED BOXED AREAS Occupancy Fee $
Engineering TYPE OR PRINT ONLY Eng. Insp. Fee $
Affidavit Appr.for CO. ► SIGN ON REVERSE SIDE -4 Total Fee $ _10
TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $
The undersigned hereby applies to do work according to the following:
Applicant f S__6/T v' W/It ocation of Work Lot No.
Applicant's Address 7� /�KL �.41� Tel # ��J— c�—
Town Zip Lic.# ,� /
Owner Architect
Owner's Address "Po /7t1Ee4l � Architect's Address
S'nj-j?�/ wvl/7 Zip 060 7q Zip
Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area
P ose of this permit F — 1nO C T S
�c.r v2 c. S
City Water ) Well _I Septic System J Sewer J
Ins: HO SP Cert. Area BasemgW Garage
Approved by ` Date f� Use Group Construction Type
Revised 1108
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 whic c h ii Wa@&aA:dgt8e is allowed.
l
Signed _
I hereby apply for a Certificate of Occupancy for the work described in this application for the Kermit.
Signed
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
INSPECTION FIELD SHEET 03/16/23
Printed by Middleton, Morgan 10 12 27
INSPECTION: 76595 FINAL PERMIT:
STATUS
APPLICATION: 201500608
LOC: 255 AVERY STREET
SOUTH WINDSOR
PROPERTY ID: 06300255
OWNER: PAQUETTE WILFRED M TRUSTEE
CONTRACTOR:
REQUEST BY:
PROJ DESC: ROOF REPLACEMENT--REMOVE EXISTING, INSTALL DRIP, ICE BARRIER
WORK ORDER:
INSPECTOR: WS-B RESULT: PASS
REQUESTED: PRIORITY:
SCHEDULED: COMPLETED: 03/16/23
UNPAID FEES 00 Date Time
MILEAGE: 00 TIME: TRAVEL ONSITE
COMMENTS
INSPECTED BY ADAM CHROSTOWSKI
1500261 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER BUILDING PERMIT
DATE: 06/03/2015
GIS ID:06300255 FEE: 120.00
MUNIS APPLICATION# 201500608 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: FRECHETTE'S BUILDING&REMODELING ADDRESS: 255 AVERY STREET
ADDRESS: 77 TALL OAK DRIVE , OWNER: PAQUETTE WILFRED M TRUSTEE
COVENTRY,CT 06238 220 AVERY STREET
SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: ROOF REPLACEMENT--REMOVE EXISTING,INSTALL DRIP,ICE BARRIER
FELT-PAPER,AND ARCH.SHINGLES.
SPECIAL CONDITIONS:
ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT.
CONSTRUCTION TYPE:
OCCUPANCY GROUP: BUILDING OFFICIAL
6/3/2015 4:13 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE