HomeMy WebLinkAbout251 Benedict Drive (3)FINAL J.NSPECTIONS:APPLICATION FOR BUILDING PERMITBuilding —
Plumbing Date:
HVAC 251 Benedi-r-1 Drive
Sprinkler Estimated Cost $
Ell ctric Permit Fee $
Zoning NO.
18831 Occupancy Fee $
Affidavit
Eng. D pt. COMPLETE RED BOXED AREAS. Total Fee $
Fire Dept.Dept. TYPE OR PRINT ONLY
Health Dept. SIGN ON REVERSE SIDE. Additional Cost) $
Approved for CO:
TO BUILDING DEPARTMENT, TOWN OF OUTH
accord`
I DSOhe, CT
folowing specifications:The undersigned, hereby apples towork Lot No. Side of Street Zone
Job Location Tel. # y " 2 3S
Applicant CCU
Cf Sp° I Zip b oD7 Lic.# 4
r ,Z O h t
Address CITY STATE
Owner S
STREET
ee ddress =31 /G
Architect Address
Total Area Garages
Size New Area: Ft. Front Overall Ft. Deep Overall Lavatories
No. of Families No. of Stories Construction Bathrooms Rooms 1st 2nd 3rd
Size of Lot Dist. from Street Line Dist. from Side Street Line
Purpose of this Permit
City Water 0 Well 0 Septic 0 Sewer
BD1A 11/88
Approved by Date
I h reby 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 r red ances 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 t 's application for permit.
Signed
DO NOT WRITE BELOW THIS LINE—
INSPECTION RECORD
Footing Framing
Foundation Fireplace/Chimney Insulation
Plumbing Permit# Inspections:
HVAC Permit# Inspections:
Electrical Permit# Lk r' avInspections:
Sprinkler Permit# Inspections: