HomeMy WebLinkAbout169 Benedict Drive (10) FI INSPECTIONS:
Building APPLICATION FOR BUILDING PERMIT
Plumbing f
HVAC v Date: Ann I kT I Cif/
Sprinkler ' 169 BENEDICT DRIVE -
Electric Estimated Cost $ - a
Zon' g Permit Fee$
NO. 218975
d
Affidavit
Occupancy Fee $
Eng. Dept. COMPLETE RED BOXED AREAS.
Fire Dept. TYPE OR PRINT ONLY Total Fee $2?
Health Dept. SIGN ON REVERSE SIDE.
Approved for CO: (Additional Cost) $
TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT
The undersigned, hereby applies to do work according to the following specifications:
Job Location Lot No. Side of Street Zone
Applicant A meu O Tel. #
Address j (o I)e y►e C i C--I l�e 5-iJ i tt d sor C 1 Zip 0 6 0 ) Y Lic.#
STREET CITY STATE
Owner AM s Address S '► £.
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 finish h a1 IG o F &+sem e✓,T 88 , x 131
City Water ❑ Well ❑ Septic ❑ Sewer ❑
Approved by Lc- z. Date /"11-cl If 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 agne
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.
C.
Signed-6dj aj_.'M-0
I hereby apply for a Certificate of Occupancy for the work described in this application for permit.
Signed fTt, l�t�ws-9 (!i an
—DO NOT WRITE BELOW THIS LINE—
INSPECTION RECORD
Footing Framing
Foundation Fireplace/Chimney Insulation
Plumbing Permit# Inspections:
HVAC Permit# ZZ Inspections: �
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Electrical Permit# � 7/ Inspections:
Sprinkler Permit# Inspections:
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BUILDING INSPECTION DEPARTMENT
SOUTH WINDSOR, CONNECTICUT
FEE PAID: $3.00
CERTIFICATE OF OCCUPANCY
ZONE: DATED 2/2 Q 19 91- _
This is to certify that 169 Benedict Drive
Alter d under permit No. 18975 conforms substantially to the requirements of the building ordinances and the
zoning regulations of the Town of South Windsor and is hereby approved for occupancy as indicated below.
z - ,
Approved for Occupancy— Finish one half of basement
Use Gr up: R4
Constr. Type: 5a
Building Official
Notice:If this certificate is lost or destroyed, a duplicate should be obtained immediately from the Building Department.
Any change or extension of the use heteein appawd tequims a new certificate of occupancy.