HomeMy WebLinkAbout15 Benjamin Way (7) Becfric# 3 15 BENJAP�IIN jaAYPPLICATION FOR BUILDING PERMIT
Plumbing#
HVAC # 23127 Date: _l p I ct
Sprinkler#
FINAL P Estimated Cost $ FO v
Building]jP `I',Ei COMPLETE RED BOXED AREAS Permit Fee $ Id
Engineer' g Occupancy Fee $
TYPE OR PRINT ONLY y
Affidavit SIGN ON REVERSE SIDE
Appr.for CO. cad A< Total Fee $ 13
TO BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR,CT (Additional Cost) $
The and rsigned hereby applies to do work according to the following specifications:
Job Location �j �y��1n�n Lot No. Side of Street Zone
Applicant /,.- e%. �) ,F Tel. # rl
Address 15 Zip Lic. #
Owner s-IV aQnd� (��,r Y- k�r i Address es
Architect Address
Sq. Ft.New Area: 1st A. 2nd A. 3rd FI. Total New Area
#Rooms # Lavatories #Bathrooms #Garages
i
Purpos of this permit: p 01Y\
'too pevr
City Water Well ❑ Septic System ❑ Sewer
Us Group U Construction Typ 171L Area / Basem nt Garage
Approved by . I A-7 Date f-9(3kK
Rwe.d 6/95
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 - - - - - -- -- -- - - —
I hereby apply for a Certificate of Occupancy for the work described in this application for the permit
t
Signed
-- DO NOT WRITE BELOW THIS LINE --
INSPECTION COMMENTS
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
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96-23127-B 800
E03 ROUGH 05/24/96 JFF D NO ACCESS & DOGS
E03 ROUGH 05/28/96 JFF D TRENCH OK GFI DEFECTIVE PROTECT GATE LATCH 18
IN
B10 FINAL 05/30/96 JFF A
B10 FINAL 05/30/96 JFF A APPROVED FOR CO & CLOSEOUT
96-13927-E 360