HomeMy WebLinkAbout123 Gail Lane Electric# APPLICATION FOR BUILDING PERMIT
Plumbing# 123 Gail Lane
HVAC # 28643 Dat
Sprinkl r# No.
FINAL1,2
RO Estimated Cost $_5n: �•
Building9 � COMPLETE RED BOXED AREAS Permit Fee $ —7R
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TYPE OR PRINT ONLY Occupancy Fee $ V
AffidavitSIGN ON REVERSE SIDE
Appr.for CO. Total Fee $ -7&
TO BUILDWG DEPARTMENT,TOWN OF SOUTH WMSOR,CT (Additional Cost) $
The undersigned h reby applies to do work according to the following specifications:
Job Location a 3 C PH L ��ti1/`� Lot No. Side of Street Zone
Applicant Tel.# 3a
Address c-;2 to e,-wT', U.7 Zip06 If O Lic.# 1 j
Own r Address E2?5�4i
Architect 141 P- Address
Sq.Ft.New Area: lst FL 2nd Fl. 3rd Fl. Total New Area
#Rooms #Lavatories— #Bathrooms #Garages
Purpose of this permit: iz CFP )C
--3 _
City Water ❑ Well ❑ Septic System ❑ Sewer ❑
Ins. H.O. S.P. Cert. V Area Basement Garage
Approved by D&-% Use Group Construction Typ
;,.. Revised 9/01
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 b 'ding an its u:.e 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