HomeMy WebLinkAbout215 Benedict Drive (4)BNAkldin Y APPLICATION FOR BUILDING PERMIT
Plumbing
HVAC Date:
Sprinkler
215 BENEDICT DRIVE o•_
El ctric Estimated Cost $ 0
Zoning Permit Fee $
Affidavit NO, 19544 Occupancy Fee $
Eng. Dept. COMPLETE RED BOXED AREAS.Total Fee $ Fire D pt. TYPE OR PRINT ONLYHealthDept. SIGN ON REVERSE SIDE.Approved for CO: I (Additional Cost) $
TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT
The undersigned, hereby applies to do work according to the following specifications:
Job Locatio a Lot No. Side of Street Zone
Applicant Tel. #
PP
Address a Av' 7/ 6- ,J 1rU ` Y' L/ ip C< 7 Lic.#;'O(o.
CITY STATETREET
Owner i''eCtI nrVI • Address Q 5 (ery'cT ,• S, i -r; Pe
Architect Address
Size New Area: Ft. Front Overall Ft. Deep Overall Total Area Garages
Lavatories
No. of Families No. of Stories Construction Bathrooms Rooms 1st 2nd 3rd
Size of Lot Dist. from Street Line Dist. from Side Stre/et Line
Purpose of this Permit w l i
w cl t""e P v
Trrt -rvi w
City Water Well Septic Sewer
Approved by Date BD 1A>>/88
I h r by agree to conform to all the requirem nts of th Laws of the Stat of Conn cticut and th 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 building and its use is allowed.
Signed-()
I hereby apply for a Certificate of Occupancy for the work described in this application for permit.
Signed
DO NOT WRITE BELOW THIS LINE—
INSPECTION RECORD 1
Footing Framing
Foundation Fireplace/Chimney Insulation
Plumbing Permit# Inspections:
HVAC Permit# Inspections:
Electrical Permit# Inspections:
Sprinkler Permit# Inspections: