HomeMy WebLinkAbout104 Benedict Drive (5)Electric# APPLICATION FOR BUILDING PERMIT
Plumbing# 104 Benedict Drive
Date: 3113 6
WAC # No. 27663
Sprinkler#
FINAL APPR V LS Estimated Cost -S 2•
Building v FI COMPLETE RED BOXED AREAS Permit Fee
Engineering TYPE OR PRINT ONLY Occupancy Fee $S'-
Affidavit SIGN ON REVERSE SIDE
Appr.for CO.Total Fee 3
TO BG DEPARTMENT,TOWN OF SOUTH WNDSOR,CT Additional Cost)
UALDW
The undersigned hereby applies to do work according to the following specifications:
Job Location/DQ,BEiVEOlC7'DiP.! .SDU7,V' V NO VO Lot No. Side of Street_Zone
Applicant e0Ao1VLO E i°D/ir/E'//'Tel# (h'"O 6-44-289 7
Addr ss/d¢B iVEO/Clw,o ; SDUT/y Li/'/ND.SDi?, GT ZiP Lic.#
Own r.A11Vt4L0 E S/°DNHEf/YI"P Address / T y 060
Architect Address
Sq.Ft.N w Area: 1st FL 2nd FI. 3rd Fl. Total New Area
Rooms Lavatories Bathrooms Garages
Purpose of this permit: /2/aC A6 .4zEBO S
5ity Water Well Septic System Sewer
Ins. H.O. S.P. Cert. Area Basement Garage
Approved by J'u-, Date 3 f 3 d k Use Group V Construction Type
R•vs.d 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 building and its use is all
Signed
I hereby apply for a Certificate of OccUinancy for the work desc bed in th. application for the permit.
R
Signed
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
y Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
27663-B 5,250
B10 FINAL 07/16/01 GRM A W/HOMEOWNER-NEED ELECT. PERMIT;CIRCUIT IS
GFCI PROTECTED
B10 FINAL 07/16/01 GRM A CLOSED OUT.