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HomeMy WebLinkAbout16 Benedict Drive Bectric# APPLICATION FOR BUILDING PERMIT Plumbing# 16 Benedict Drive —� HVAC # Date: "cI 2 7 8 5 9 Sprinkl r# No. FINAL RO Estimated Cost 00 Building. �o� COMPLETE RED BOXED AREAS Permit Fee 3 EW TYPE OR PRINT ONLY Occupancy Fee 7 Affidavit SIGN ON REVERSE SIDE Appr.for CO.'" Total Fee � TO BUI M9�1T,7todo F SOUTH WMSOP,CT (Additional Costs The undersigned eby appliesork according to the following specifications: Jo6 Location/�o Se ne-j tc-* Dk Lot No. Side of Street-S ju Zone Applicant 'ems` Tel# (;4-E - 1 q Addr ss &---de n c-+ D R Zi p OG o 7 4 Lic.# Owner ke i yA JWl 4 t hae,t *- C��.51*ddress l� �✓J��c� DR so� W 1 y /Vd S©r Architect Address Sq.Ft.New Area: 1st FI. 2nd FI. 3rd Fl. Total New Area 'a 1�o #Rooms #Lavatories pp J #Bathrooms #Garages Purpose of this permit: �il!� 2 C noo✓\d kad ea k beA i nelap beiS e- City Water ❑ Well ❑ Septic System ❑ Sewer ❑ Ins. H.O. S.P. Cert. Area Basement Garage Approved 6y Ia- Date ��Oj Use Group V Construction Type R•v's•d 1197 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 a its use is allowed. Signed I hereby apply for a Certificate of Occupanc f r thew ribed in this application for the permit. Signed DO NOT WRITE BELO LINE INSPECTION COMMENTS Inspection / Approval Date By Appl Code Description Due Whom Code Comment ------------------------------------------------------------------------------- **-27859-B 2,400 BO1 FOOTING 05/31/01 MJS A 8 PIERS B10 FINAL 05/02/02 JFF A WITH OWNER B10 FINAL 05/02/02 JFF A CLOSEOUT