HomeMy WebLinkAbout200 SCANTIC MEADOW RD Ser ee APPLICATION FOR BUILDING PERMIT
Electric # r �P
Plumbing# '/�S 200 Scantic Meadow Road Date: -
HVAC #
Sprinkler# 3 2 3 43 ac
FINAL RO S �-------
------- — -- ----. --- - Estimated Cost $ _
-- -- - --- --- --- -,I Permit Fee $
Buildings�7 OS COMPLETE RED BOXED AREAS Occupancy Fee $
Engineer n TYPE OR PRINT ONLY Eng. Insp. Fee $
Affidavit TYPE
CO. ► SIGN ON REVERSE SIDE
PP -- - -- _ -- - - Total Fee $ _
TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $
The undersigned hereby applies to do work according to the following:
Applicant !?! Location of Work _a Wud 40 Lot No.
Applicant's Address a-5F7 wA i-te s-e Tel.# 3
Town NCe Zip O&S'LU Lic.# qDD
Owner of S o-J7,� W)AI P Soil. Architect
Owner's Address Architect's Address
Zip Zip_
Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area
Purpose of this perlpit Q Y"> ,T 4
L) I., -b 11AIVIA, f: 14t,4Go ViNlT
City Water❑ Well❑ Septic System❑ Sewer❑
Ins: HO SP Cert. Area Basement Garage
Approved by Date Use Group Construction Type
Revised 6/02
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 t is building and its use is allowed.
Signed
1 hereby apply for a Certificate of Occu�a !q�the work described in this application for the permit.
Signed
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
Inspection / Approval Date By Appl
Code Description Due whom Code Comment
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**-32343-B 300,000
B10 FINAL 03/17/08 JFF A
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