HomeMy WebLinkAbout105 Gorski Driveeectric#
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 SAppr.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 ,fT 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 O1L— 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