HomeMy WebLinkAbout169 Benedict Drive (14)Electric# APPLICATION FOR BUILDING PERMITPlumbing# 169 BENEDICT DRIVE
HVAC # Date:
Sprinkl r# No.
FINAL
FPP
O
Building It COMPLETE RED BOXED AREAS Perm t
Estimated Cost $
Engineerm TYPE OR PRINT ONLY Occupancy Fee $r1FAppr.for CO. SIGN ON REVERSE SIDE
Affidavit
Total Fee pTOBUILDINGDEPARTMENT, TOWN OF SOUTH WINDSOR,CT Additional Cost) $
The undersigned hereby applies to do work according to the following specifications:
fob Location_ j' -PC-f7 J R VIE Lot No. Side of Street ,-- ZoneApplicant ,PA„ ;- ,i4,p` y-Tel.Address aa N k c Zip Lic. #Owner ,TJ,,,J MR/l3 Address 14 9 13FArE b t c 7- ,!R V6 -Se. W/AID so P- CArchitectAddress
Sq. Ft.New Area: 1st FI. 2nd FI. 3rd FI. Total New AreaRoomsLavatoriesBathroomsGaragesPurposeofthispermit: s
City Water C Well 0 Septic System 0 Sewer
Use Group Construction Type Area Bas m nt
Approved by Date
Garag
4'/r q
Revised 6/95
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 a zone in which this budding and its use is allowed.
Signed _Sr_"'
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