HomeMy WebLinkAbout103 Benedict Drive (2) Bectric# �� ��� 103 BENEDICA DRIVE Date:
FOR BUILDING PERMIT
Plumbing# Date: 'f—/�o — 7 7
WAC # No 24168
Sprinkler#
FINAL O Estimated Cost _ ¢moo
Building6 S COMPLETE RED BOXED AREAS Permit Fee $ 9�
�� TYPE OR PRINT ONLY Occupancy Fee $ s`
�kkrAt SIGN ON REVERSE SIDE
Appr.for CO , Total Fee $ s
TO BUI ARTMBvt',TOWN OF SOUTH WMSOR,CT (Additional Cost1
The undersigned hereby applies to do work«cording to the following specifications:
Job Location /03 .6 EN E.D l G->• 2 Lot No. Side of Street Zone
Applicant TA IA-WTel.# 6 q-41 -V,�ZQ?
Addr ss `D3 9 EArEb IC -D Je-- Zip Lic.#
Own r 411:1E 4--c 4-fP"C-AW 7 Address 5R K-t 6-
Architect Address
Sq.Ft.N w Area: 1st FL 2nd FI. 3rd Fl. Total New Area
#Rooms #Lavatories #Bathrooms #Garages
Purpose of this permit: /710 ✓'E 6-'e-0 yjs-�D pozl z- Lt G
City Water 0 Well ❑ Septic System ❑ Sewer ❑
Ins. H.O. S.P. Cert. Area Basement Garage
Approved by Date Use Group U Construction Type Lr—
R*YbW 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 buildin and its use is allowed.�/
Signed ,
I hereby apply for a Certificate of Occupancy for the wo described in this tion for the permit.
Signed
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
�a
m
A
Insp ction / Approval Date By Appl
Code Description Due Whom Code Comment
-------------------------------------------------------------------------------
+� 97-24168-B 4,000
B01 FOOTING 05/27/97 JFH A LEAVE STICKER
B10 FINAL 06/16/97 JFH D GATE PROTECTION/BOND SHED
B10 FINAL 06/25/97 JFF A
97-14445-E 100
i
i]
a
z
a
x
1
_J
�l
7
4