HomeMy WebLinkAbout169 Benedict Drive (8) OW
FIN
Building gSPECTIO s: , APPLICATION FOR BUILDING PERMIT
Plumbing 4
HVAC Date: 3— 2� �'9 0
Sprinkler 16 9 BENEDICT DRIVE
El ctric Estimated Cost $ - !y o °•
Zoning
Permit Fee$ � q
18 3 6 2
Affidavit NO. Occupancy Fee $
Eng. Dept.
Fire Dept. COMPLETE RED BOXED AREAS. 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:
Job Location -et-'/ f� C Lot No. Side of Street Zone A a o
Applicant
�� LZ. H r ��-. Tel. # P>J-(-,e4,A,
Q .
Address 14 /��^* �� `'` C t Zip O 6 0 -7 5/ Lic.# 'f 2 9 9-7 y
STREET CITY STATE
Owner /1 ^^ , Address "C -0-
L 4.-e1 c, Address
Architect �'
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 C 4- 4 f h r r 02 L *^ , e o/C
City Water ❑ Well ❑ Septic ❑ Sewer ❑
Approved by Date -Z '9U B(711A IIARR
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 lin s,side yard lines and r quired distances from all other zones and is
located in a zone in which this building and its use is allowed.
Signed
-
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 -��s��� ' �c����� Framing
Foundation Fireplace/Chimney Insulation
Plumbing Permit# Inspections:
HVAC Permit# Inspections:
Electrical Permit# Inspections:
Sprinkler Permit# Inspections: