HomeMy WebLinkAbout159 Benedict Dr - 201701226Electric #Plumbing #HVAC#Sprinkler#FINAL APPROVALSBuildingEngineeringAffidavitAppr.forCO
TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR,CTTheundersignedherebyappliestodoworkaccordingtothefollowing:
Applicant F I ‘é
TOWI‘I £€1€ék~£t a»(3,1
Owner Mgwéé,@rgg 77G
Owner's Address />C52v
Sq.Ft.New Area:1st FI./i//}r
KC
I5q Mdid"Dnvr{700597 Date:’a a /
Cost V oov.a c7‘2‘{)0
$$$$
$7Q~00
(Additional Cost)@H o
jLocationofWork’5‘
[aw
Zip Q6/fg-
Architect K
Architect’s Address
J §
Applicant’s Address -9O #Qf'h I J ’%
_LotNo.
Te1#6’60 e520§~*?Qzo
Lic.#
2nd Fl.
Zip
3rd Fl.
Purpose of this permit
Zip
Total New Area
Well D
SP V Cert.AreaDate
Septic System a
Base t Garage 2UseGrouConstructionType
Revised 1108
City Water D Sewer a 2o méi’ZZivIns:HOApproved b
APPLICATION FOR BUILDING PERMIT
COMPLETE RED BOXED AREAS
TYPE OR PRINT ONLY
>SIGN ON REVERSE SIDE 4
PermitOccupancyEng.Insp.
Total Fee