HomeMy WebLinkAbout145 Benedict Drive (18)toctric#Plumbing#
14 s Benedi ICATION FOR BUILDING WAC # t Drive NG PERMIT Sprinkler#
26826 E;;z s FUVALPROBuilding6
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COMPLETE RED BOXED AREAS Estimated Cost Cr—Affidavit
PRE ONLY Permit
Fee 52 APpr.for CO, SIGN ON REVERSE SIDE Occupancy Fee TO
BUILDM DEPARTMegL TOWN OF Total Fee att TheundersignedherebaSOUTH
W")SOR,-• 5 Y
PPl1es to do work according to the following • Additional Cost) $ Job
Location / spec Katwns:Applicant
Lot No.-----Side of Street AddrssISQ
S Zone Tel#
Address
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2 3 Owner14-i c LiZP 7 Lic#Architect
ess t 4S Sq.
Ft-N w Area; 1st FL le
Address 2nd
FL RO°n's Lavatories 3rd FL Total New Area Purposeofthispermit: Bathrooms Garages GtY
Water Well Ins. H.O. P Septic System Sewer ElApproved byCert. Area Base Date32gODUseGrowment
Garage P
Corutruction Type p,
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 which this building and its use is allowed.
Signed_ 6 A,A..,--
I hereby apply for a Certificate of Occupancy for the work described in this application for the permit.
Signed_ agw-4 -2 L
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment _ ,
26826-B 4,000
B10 FINAL 06/22/00 JFF A
B10 FINAL 06/22/00 JRC A CLOSED OUT.