HomeMy WebLinkAbout170 Benedict Drive (12) .11
APPLICATION FOR BUILDING PERMIT
Plumbing# 170BENEDICT DRIVE
WAC # 2 6 0 0 9 Date: � 2?
Sprinkler# NO'
FINAL PPRO Estimated Cost $
Buildi 1�� COMPLETE R®BOXED AREAS Permit Fee $ `7 2�
End TYPE OR PRNT�Y Occupancy Fee
Affidavit
Appr.for CO. SIDE Total Fee $ `7Z
TO BULDWC'DEPARTMENT,TOWN OF SOUTH WHI)SOR,CT (Additional Cost) $
The undersigned hereby applies to do work according to the following specifications:
Job Location /70 g ¢ e A,�� T D� , Lot No. Side of Street Zone
Applicant Fe v L s s i 7D �A. ell Tel# 9-6ar- r' 4 —S'7 9 0
Address A s /7-•r 4 61 D Zip d(o o 2 Lic.# �d d yr a 77 q 7
Owner &4��� ,�' /h �1 Address t -7 O O-e Al e)>,"C-r- !J .
Architect Address
S%Ft.New Area: 1st FL 2nd FL 3rd FL Total New Area
#Rooms #Lavatories #Bathrooms #Garages
� 4
Purpose of this permit: �` �
City Water ❑ Well ❑ Septic System ❑ Sewer ❑
Ins. H.O. S.P. Cart. Area Basement Garage
Approved by 4ek-
pate4 27geiUse Group Construction Type
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 budding 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 thi building and its use is allowed
Signed
I hereby apply for a Certificat of Occupancy for the work described in this application for the permit
Signed
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS