HomeMy WebLinkAbout210 Benedict DriveSectric# APPLICATION FOR BUILDING PERMIT
Plumbing# 210 Benedict Drive
HYAC # 2 8 8 7 7
Date:
Sprinkl r#
No.
FINAL R Estimated Cost $ 5_ n
Buildings COMPLETE RED BOXED AREAS Permit Fee Y,L
Engi i TYPE OR PRINT ONLY Occupancy Fee $
Affidavit SIGN ON REVERSE SIDE
Appr.for CO.Total Fee
TO BUILDING DEPARTMB-4,TOWN OF SOUTH WINDSOPv CT Additional Cost) $
The undersized hereby applies to do work according to the following specifications:
Jo6 Location I Lot No. Side of Street Zon
Applicant 9- TeL# 6 1/Y-L/a 5-3
T-r
Adds ss -7A D 1 c{ 1^R -.vk l c `J- 1..,•..c.t. .Zip
Own rG gew a&_ /-/I "/-,.J A Address r. C
Architect Address
Sq.Ft New Area: 1st FL 2nd FI. 3rd FL Total New Area
Rooms Lavatories Bathrooms Garages
Purpose of this permit: /g-e n'I n J. C S f tj -V >'c---'s v6 L,_j -o- 1/ —
City Water Well 0 Septic System 0 Sewer 0
Ins. H.O. S.P. Cert. Area Basement Garage
Approved by Date 5 3 i d Use Group Construction Type r—
Revised 9/01
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 this
build7U:7-1ed.Signed
hereby apply for a Certificate of Occu ncy 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
28877-B 5,800
B10 FINAL 07/16/03 JFF A
B10 FINAL 07/22/03 JFF A
B10 FINAL 07/22/03 JFF A CLOSEOUT