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HomeMy WebLinkAbout259 Benedict Drive (9)ia_FBINIdinINSPE7 APPLICATION FOR BUILDING PERMIT PlumbingPlum Date: 17 lHVAC Sprinkler 259 BENEDICT DRIVE El ctric Estimated Cost $ Zoning Permit Fee $ y Affidavit NO. 19218 Occupancy Fee $ Eng. Dept. COMPLETE RED BOXED AREAS. Fire Dept. TYPE OR PRINT ONLY Total Fee $ /a Health Dept. SIGN ON REVERSE SIDE. Approved for CO: Additional Cost) $ TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT The undersigned, hereby applie to do w k according to the following specifications: Job Location Lot No. Side of Street Zone Applicant i ZGk=E C Tel. # ' -72 Address y577 G Zip ©b O 7#4-- Lic.# STREET OTY STATE Owner Sl9m' Address 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 Street Line Purpose of this Permit J57>d 6 y3n'1015 /`a City Water Well Septic Sewer Approved by V Date Bo1A 11/88 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 building and its use is allowed. ned'z'/'&" I hereby apply for a Certificate of Occupancy for the work described in this appl ation for permit. Signed DO NOT WRITE BELOW THIS LINE— Frami INSPECTION RECORD Footing n -7- 1 `- Foundation Fireplace/Chimney Insulation Plumbing Permit# Inspections: HVAC Permit# Inspections: Electrical Permit# Inspections: Sprinkler Permit# Inspections: