HomeMy WebLinkAbout10 Benjamin Way (5)Electric,
APPLICATION FOPlumbing# 10 BENJAMIN WAY R BUILDING PERMITHVAC #
Sprinkler# No. 24249 date:
FNALA O
Building 3 99 Estimated Cost $ /O uJEndngCOMPLETEREDBOXEDAREASPermitFeeAffidavitTYPEORPRINTONLYOccupancyFee $
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Appr.for CO. SIGN ON REVERSE SID
TO BLALDING DEPARTMENT,TOWN OF SOUTH y
Total Fee t.
The undersigned herebya NDSOR.CT Additional Cost) Eappliestodoworkaccordingtothefollowingspecifications:
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Lot No. Side of Streetw Zone
Tel.# d ¢T 26
ma. ... ,.
A
Zip =Lic.#
Address yArchitectAddress
Sq.Ft.N w Area: 1st FI. 2nd R 3rd FLRooms Total New AreaLavatoriesBathroomsPurposofthispermit: Garages
a )t oil Z .
City Water Well Septic System 0Ins. 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
97-24249-B 1,000
B01 FOOTING 05/23/97 JFF A
B10 FINAL 07/23/97 JFF A APPROVED FOR CLOSEOUT
3