HomeMy WebLinkAbout104 Gordon Drive (2)Electric# APPLICATION FOR BUILDING PERMIT
Plumbing# 104 Gordon Drive
HVAC # 28829 Dat : -4s-a Z-
Sprinkler#
FINAL APPROVALS Estimated Cost $ .3oov,
Building f COMPLETE RED BOXED AREAS Permit Fee
Engineering TYPE OR PRINT ONLY Occupancy Fee $G r iy o
Affidavit SIGN ON REVERSE SIDE`
Appr.for CO. V 1i' Total Fee
TO BUILDINGEWARTMENT,TOWN OF SOUTH WINDSOR,CT Additional Costs $
The undersigned hereby applies to do work according to the following specificaflom
Job Location I' y Gocdnn, 1,\r Lot No. Side of Street Zon
Applicant S;6,i,G i a T,A 7 a CT Tel# o A -$a'7 2,
Address -old U ChegW iy am rLs nx- Zip cx,,o r)L( Lic.#
Owner 2C r'n 11 a Address You,
Architect Address
Sq.Ft.N w Area: 1st FI. 2nd FI. 3rd Fl. Total New Area
Rooms Lavatories Bathrooms Garages
Purpose of this permit: h. o O JQQ A nn' A -W QS")9 26
City Wa r Well Septic System Sewer
Ins. H.O. S.P. Cert. Area Basement Garage
Approved by Date L A6 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 whic this building and its use is allowed.
Signed
I hereby apply for a Certificate of Occupancy for the work describ4in this application for the permit.
Signed
DO NOT WRITE BELOW THIS Llt r
INSPECTION COMMENTS