HomeMy WebLinkAbout1997-02-27 TOWN' OF GROTON 607- 898=4428
101 Conger Boulevard , Groton, NY 13073
PERMIT APPLICATION
Application Date : :ZZ7 l y 7 Date Application Received Z /z 7197
By : � o n , S � �I�, — a (,I Tax Map # • — — — ( z �
Estimated Construction Cost :
Application is hereby made to (construct dd odify, etc.) ADD Mob t 4�p ' huNX 7LO d f
at e4.v >L,�q ; Town of Groton, New York.
Occupancy ass : Construction Type : runDijxju - fc�
Number of Stories : / Number of Family Units :
Basement? &o . Area : . SF Attached Garage : jvv
First Floor Area : / 7 b_ SF " Second Floor Area :
Total Area Above Second Floor: Square Feet
Builder: J . Telephone:
Number of Baths : / Type of Heat: 154 i/:, ;: , : •} ,;�' . . .
The undersigned applies fora .permit for the construction :"as described, �m accordance with all provisions '. ,
of all .Laws or Regulations of the Town . of Groton, New York, or others having jurisdiction' and ' affirms
that all statements and information given above are correct to the best ' 6f his knowledge and belief, and
hereby authorizes the Code Enforcement '. Officer of - the -Town of Groton, or his designee,, to conduct
onsite inspections to ensure that• work is ., carried : out in ' accordance -with - all applicable codes r
Applicant's Name: Lu
Mailing Address : ` 6
Telephone No. : Signature :
CONDITIONS & PERMITS VERIFIED OR ISSUED
Town Zoning
Flood Hazard Zoning :
Fresh Water Wetlands .
Sewage (TCHD) (Town San . Dist: ) �-eAr pt �-1
Water >
SEQR
Workers ' Compensation a. _ 2g- cl .
Highway Supt. (Driveway . Culvert) � E. >
Building Permit: O Approved Date - Permit Tee of `oc Received
( �Denied . g-
` Date Bu ilding Permit # `
Reason :
OF U2
(:'Appeal Action: •Variance, ( ') "Granted ,Date
O Denied _ ' ' Date
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