HomeMy WebLinkAbout105 Gorski Drive eectric# APPLICATION FOR BUILDING PERMIT
Plumbing# 105 Gorski Drive i�,(L
HVAC # Date:
Sprinkl r# No. 2 8 7 0 8
FIN�ye
O Estimated Cost $ S6b�-
Buildi .170 COMPLETE RED BOXED AREAS Permit Fee $
Engine TYPE OR PRINT ONLY Occupancy Fee $
Affida SIGN ON REVERSE SIDE Total Fee S
Appr.for CO. `
TO BUILDING DEPARTMEW,TOWN OF SOUTH WIII)SOR,CT (Additional Cost) $
The and rsigned hereby applies to do work according to the following specifications:
Job Location /O S- 6�m 0-s k-i' Ur• Lot No. Side of Street Zone
Applicant 3r Jw'` Co � Tel` o . � # �o—G�•g-G�4r
Addr ss V 8 N o. Xe L"f ,f T 1 77q✓Zip O C-o yo Lic.# -5-0-0 1618'
Owner t'a sgka/e Ve :%•h v-,%5- Address /o G d N r Otn ` pr
Architect Address
Sq.Ft.New Area: 1st FL 2nd FI. 3rd FL Total New Area
#Rooms #Lavatories_ #Bathrooms #Garages
Purpose of this permit. ARts...o .s7' G r �?' r� ,e J f Tq/ [e �✓`r�v
a vacs /T e e sr a Y
City Water ❑ Well ❑ Septic System ❑ Sewer ❑
Ins. H.O. S.P. Cert. Area Basement Garage
Approved by O 1L— Date d Z Use Group construction Type
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 building end 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