HomeMy WebLinkAbout15 Benjamin Way (13) Bectr;c# APPLICATION FOR BUILDING PERMIT
plumwg# 15 BENJAMIN WAY
HVAc # gat
25314
Sprinkler#
p Estimated Cost t>�
Building?1 945 COIMIPLETE RED BOXED AREAS Permit Fee � 3
End TYPE OR PRINT ONLY Occupancy Fee $
Affidavit SIGN ON REVERSE SIDE
Appr.for CO. Total Fee $ -3 4
TO BULDM DEPARTMIM,TOWN OF SOUTH WWSOR,CT (Additional Cost) $
The undersigned hereby applies to do work accorcf'ing to the following specifications:
Job Location Lot No. Side of Street,----, Zone
Applicant r yA. Tel# �71-16e
Addr ss MrA, ,' 10 tarL l J Ni'rbg C T Zip QW-A Lic.# 60 5ti4a V Z
Owner M✓t-M v3 (yt yl' Address
Architect Address
Sq.Ft.New Area: 1st FI. 2nd FI. 3rd Fl. Total New Area
#Rooms #Lavatories #Bathrooms #Garages
Purpose of this permit: �Or-
0-�
City Water Well ❑ Septic System ❑ Sewer XN
Ins. H.O. P� Cert. Area Basement Garage
Approved by Date ro /6 A3 Use Group Construction Type
RwiNd 1/97
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 Vding and its use is allowed.
Signed Z ill"
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 Dat By Appl
Code Description Due Whom Code Comment
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98-25314-B 2,400
B01 FOOTING 06/19/98 JFF A
B10 FINAL 06/30/98 JFF D DOG/LEFT DOOR TAG
B10 FINAL 07/01/98 JFF A
B10 FINAL 07/01/98 JFF A APPROVED FOR CLOSEOUT