HomeMy WebLinkAbout104 Gordon Drive (3)Electric# APPLICATION FOR BUILDING PERMIT
Plumbing# 104 Gordon Drive
HVAC # Date:o
Sprinkler# No. 2 8.A4-4
FINAL PP OV Estimated Cost U00 •'"
Buildings 62 COMPLETE RED BOXED AREAS Permit Fee 60. ---
Engi ng TYPE OR PRINT ONLY Occupancy Fee $
Appr.f
t SIGN ON REVERSE SIDE
Appr.for CO.Total Fee
TO BLAMING DEPARTMENT,TOWN OF SOUTH WMDSOR,CT Additional Cost) $
The undersigned hereby applies to do work according to the following specifications:
Job Location /b V 6 b r c n De lot No. Side of Street Zon
Applicant l— Tel#
Addr ss 6b Zip4(gQ,-?cl Lic.#
Own r Z cL Cn m in.a Address 1nil 6o r d a)n
Architect Address
Sq.Ft.New Area: lst Fl 2nd FI. 3rd Fl Total New Area
Rooms Lavatories Bathrooms Garages
Purpose of this permit:j?QQQ— &d(S /jg:--- -2 /4 0
City Water Well Septic System Sewer
Ins. H.O. S.P. Cert. V Area Basement Garage
Approved by Date Use Group Construction Type,—
Revised 9/01
MIN
I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances ofthe 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 kuilding and its use is all ed.
SignedMAP,,-.4 jTrvi
I hereby apply for a Certificate of OccupancXfor the work described in this application for the permit.
Signea_a'
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
28894-B 4,000
B10 FINAL 10/15/02 JFF A
B10 FINAL 10/15/02 JFF A CLOSED OUT.