HomeMy WebLinkAbout109 Benedict Drive (2)Cactric APPLICATION FOR BUILDING PERMIT
Plumbing# 109 Benedict Drive
HVAC # Date: /0L9 2(Y,e\
Sprinkl r# No. 27443
FINAL RO Estimated Cost $ 5Building31,1 o! COMPLETE RED BOXED AREAS Permit FeeEngiL/g TYPE OR PRIBIT ONLY Occupancy Fee $ --Affidavit SIGN ON REVERSE SIDEAppr.for CO. I Total Fee p p
TO BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR,CT Additional Cost)
The undersigned hereby applies to do work according to the following specifications:
Job Location mc /Lot No. Side of Street_Zone
Applicantk Tel# 4
Addr ss /[ q' 6 F n al i t r j iIn c15Q y- zip- W01 Lic.#
Owner Q Address-JO n E c 1--
Architect 1j Address
Sq.Ft.N w Area: 1st Fl. 2nd Fl. 3rd Fl. Total New Area
Rooms Lavatories Bathrooms Garages
Purpose of this permit: fC r (1 Q C 1 n G rd F-
City Water Well, Septic System Sewer
Ins. H.O._ S.P. Cert._ Area Basement GarageApprovedbyDateUseGrouptructionType
R•vked 1197
IA1111AVi''
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 t ' building and its is allowed
Signed
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
27443-B 858
B10 FINAL 03/14/01 JFF A
B10 FINAL 03/14/01 JFF A CLOSED OUT.