HomeMy WebLinkAbout10 Benjamin Way (5) Electric, APPLICATION FO
Plumbing# 10 BENJAMIN WAY R BUILDING PERMIT
HVAC #
Sprinkler# No. 24249 date:
FNALA O
Building 3 99 Estimated Cost $ /O uJ
End ng COMPLETE RED BOXED AREAS Permit Fee
Affidavit TYPE OR PRINT ONLY Occupancy Fee $ r
Appr.for CO. SIGN ON REVERSE SID
TO BLALDING DEPARTMENT,TOWN OF SOUTH�y Total Fee /t.
The undersigned herebya NDSOR.CT (Additional Cost) E
applies to do work according to the following specifications:
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Lot No. Side of Street
w Zone
Tel.# d ¢T 26
� [ma. ... ���,.A Zip �=Lic.#
' Address y�
Architect Address
Sq.Ft.N w Area: 1st FI. 2nd R 3rd FL
#
#Rooms Total New Area
Lavatories #Bathrooms
Purpos of this permit: #Garages
a )t oil
Z .
City Water ❑ Well ❑ Septic System 0
Ins. H.O. S.P. Sewer El
by Cart. Area Basement
Dates � Use Group Garage
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 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 Ilowed.
Signed .01
I hereby apply for a Certificate of Occupancy for the work described in this application for the permit.
Signed
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
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97-24249-B 1,000
B01 FOOTING 05/23/97 JFF A
B10 FINAL 07/23/97 JFF A APPROVED FOR CLOSEOUT
3