HomeMy WebLinkAbout153 Benedict Drive (2)Electric# APPLICATION FOR BUILDING PERMIT
Plumbing# 153 BENEDICT DRIVE
HVAC # 25422 Dat aU^S
Sprinkler# N0'
FINAL PRO Estimated Cost 0
Buildings I /6 ?S COMPLETE RED BOXED AREAS Permit Fee
Engineer' TYPE OR PRINT ONLY Occupancy Fee $
Affidavit SIGN ON REVERSE SIDE
Appr.for CO.Total Fee
TO BUILDWG DEPARTMENT,TOWN OF SOUTH WINDSOR,CT Additional Cost) $
The undersigned hereby applies to do work according to the following specifications:
Job Location s e t e 4Dr, Lot No. Side of Street Zone
Applicant D-z—a ztv 1AC, C Te L# Sa
Address 7 I-t-I C1 f S Zip 4 Lic.# 50 l 9 g1'
Own r DOA Address S u--
Architect Address
Sq.Ft.N w Area: 1st FI. 2nd FI. 3rd FL Total New Area
Rooms L yatories Bathrooms Garages
Purpos of this permit: rd4eezz,
s. c e f
0 s r 51 Q Cf-c
City Water Well Septic System Sewer
Ins. H.O. S.P. Cert. Area 0 Basement Garage
Approved 6y Date 7 Use Group Construction Type
Revked 1/97
I hereby agree to conform to all th requirements of the Laws of th State of Connecticut and the Ordinances of the Town of
South Windsor and to notify the Building Inspector of any on in the plans or ifications of the Building for which this
permit is asked,and agree that this building is to be I e proper d' n all street lines,side yard lines,and required
distances from all other zones and is located in ich building and' flowed.
Signed
I hereby apply for a Certificate of'Occupancy for the work described in this application for the permit.
S9Ked
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS