HomeMy WebLinkAbout145 Benedict Drive (17)Electric# APPLICATION FOR BUILDING PERMIT
145 BENF ICT DRIVE
Plumbing# Date: a-9-99HVAC # No. 26672
Sprinkler#
FINAL APPROVALS Estimated,Cost $ Icon
Building 12 9I COMPLETE RED BOXED AREAS Permit Fee
Engineering TYPE OR PRINT ONLY Occupancy Fee $
Affidavit SIGN ON REVERSE SIDE
Appr.for CO. C' +2 6,g Total Fee
TO BULDM DEPARTMENT,TOWN OF SOUTH WINDSOR,CT Additional Cost) $
The undersigned hereby applies to do work according to the following specifications:
Job Location n 9.- o 2 Lot No. Side of Street Zone
Applicant n _C-te"Is TeL# „o- n`ISr-o w.,3
Address l y5 CK- Zip Oloo Lic.#
Own r_1 n a-C',sfi c, Clele l-S Address I qS
Architect Address
Sq.Ft.N w Area: 1st FL 2nd FL 3rd FL Total New Area
Rooms Lavatories Bathrooms Garages
Purpose of this permit: -r,-{o 1e ce ins -1l
City Water 0 Well Q Septic System Sewer
Ins. H.O. Cert. Area I I Basement Garage
Approved by Date 1Z Use Group Construction Type
Revbed 1197
I hereby agree to conform to all the requirements ofthe 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 ich this building and its use is allowed.
Signed
I hereby apply for a Certificate of ncy for the work described in this application for the permit.
Signed ..-7
m
jIJ."—-
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS