HomeMy WebLinkAbout104 Benedict Drive (2)FINA INSPECTIONS:
SAPPLICATION FOR BUILDING PERMITBuildin
Plumbing
HVAC Date: UN ZZ D
Sprinkler 104 BENEDICT DRIVE
Electric Estimated Cost $ .SDO. 00
Zoning Permit Fee$ ZO.00
Affidavit NO. 18604 Occupancy Fee $
Eng. Dept. COMPLETE RED BOXED AREAS. ZO. ODFireDept. Total Fee $
Health D pt. TYPE OR PRINT ONLY
Approved for CO: SIGN ON REVERSE SIDE.Additional Cost) $
TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT
The and rsigned, hereby applies to do work according to the following specifications:
Job Location 1-0-4 n=3ve Lot No. Side of Street Zone
Applicant AONVZO E. -5 00/I/I146_//YI-6W Tel. #6¢¢-2997
Address/0-f "IV4014 O'0elV4 SD4/1y/--YI.41A •Q Z;p Oy 07 Lic.#
STREET CITY STATE
Owner 5AAk7F Address
Architect Address
Size New Area: Ft. Front Overall Ft.Deep Overall Total Area Garages
Lavatories
No. of Families No. of Stories Construction Bathrooms Rooms 1st 2nd 3rd
Size of Lot Dist. from Street Line Dist. from Side Street Line
Purpose of this Permit TOOL SyEODNS.' /D - X /?
City Water 0 Well 0 Septic 0 Sewer 0
Approved by Date -,'O BWA Miss
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 th plans or specifications of th Building for which this p rmit 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 permit.
Signed
DO NOT WRITE BELOW THIS LINE—
INSPECTION RECORD aFootingFraming
Foundation Fireplace/Chimney Insulation
Plumbing Permit# Inspections:
HVAC Permit# Inspections:
Electrical Permit# Inspections:
Sprinkler Permit# Inspections: