HomeMy WebLinkAbout169 Benedict Drive (3) Building
i ngSPECTIO APPLICATION FOR BUILDING PERMIT
Plumbing
HVAC Date:
Sprinkler 169 BENEDICT DRIVE
Electric Estimated Cost $ O
Zoning Permit Fee$ o
Affidavit NO. 17959 Occupancy Fee $
Eng. Dept. COMPLETE RED BOXED AREAS.
Fire Dept. Total Fee $
Health Dept. TYPE OR PRINT ONLY
Approved for CO: SIGN ON REVERSE SIDE. (Additional Cost) $
TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT
The undersigned, hereby applies to do work according to the following specifications: L-Ct7�r-iQ
Job Location Lot No. Side of Street Zone
Applicant Lnr ra i AC ;-✓Yt a4 O Tel. # (O Y-V-Yd7U
Address N 0 9 D g S• 01 n d 5Q r- C-r Zip 0&0? q Lic.#
STREET CITY STATE
Owner / A-- Address
Architect Address
Size New Area: Ft. Front Overall Ft. Deep Overall Total Area #Garages
Lavatories
No. of Families No. of Stories Construction Bathrooms Rooms 1st 2nd 3rd
Size of Lot Dist. from Street Line Dist. from Side Street Line
Purpose of this Permit ;4�n o U 4 r io LtM A Pon ( 3 -3 )(1 R
City Water ❑ Well ❑ Septic ❑ Sewer ❑
Approved by Date 1`1 0 BD1A 11/88
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 a zone in which this building and its use is allowed.
Signed-6 0. IM agiz)
I hereby apply for a Certificate of Occupancy for the work described in this application for permit.
Signed
—DO NOT WRITE BELOW THIS LINE—
INSPECTION RECORD
Footing Framing
Foundation Fireplace/Chimney Insulation
Plumbing Permit# Inspections:
HVAC Permit# Inspections:
OQ
Electrical Permit# '`7l Inspections:
Sprinkler Permit# Inspections: