HomeMy WebLinkAbout200 SCOTT DR Electric APPLICATION FOR BUILDING PERMIT
PlumbirilftRIV11T CLOSED 200 Scott Drive
HVAC# e992• PA 17_176 Date:
Sprinkler# 900517 Estimated Cost $ l bi boo
'
FINAL APP P,PS Permit Fee $ 1` 0
Building CGS 29-393 COMPLETE RED BOXED AREAS Occupancy Fee $ 'a
Engineering TYPE OF PRINT ONLY Eng. Insp. Fee $
Affidavit - ► SIGN ON REVERSE SIDE �
Appr.forCO. Total Fe�n2,� $
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 Lot No.
Applicant's Address 37 Gum mb2gr u-)ev'� DK Tel # I3Ly �%: 3(v
Town Zip nee Oal Lic.# lL tot'S3Yj7
Owner ( R� Architect
Owner's Address Architect's Address
S.WtnpsdtL Zip DI0074 --Zip
Sq.Ft.New Area: 1st FI. 2nd FI. 3rd FI. Total New Area - .
Purpose of this permit G
City Water Well ❑ Septic SystemV Sewer❑
Ins: HO SP Cert. Area Basement Garage
Approved by Date Use Group Construction Type
0)jj 01 503
Revised 1108
I hereby agree to conform to all the requirements of the Laws of the State of Con ecticut and the Ordinances of the Town of
South Windsor and to notify the Building Inspector of any alteration in the plans o specifications of the Building for which this
permit is asked,and agree that this buil to be locateq the proper distance from all street lines,side yard lines,and required
distances from all other zones and is locat)d,n hic s ild ng d its use i Ilowed.
Signe
I hereby apply for a Certificate of Oc pan ork described i his application for the permit.
Signed —
DO NOT WRITE ELOW THIS LINE
INSPECTION COMMENTS
PERMIT CLOSED --
- - PER: PA -
CGS 29-393
INSPECTION FIELD SHEET 01/12/21
Printed by Middleton, Mor 13 09 09
INSPECTION: 27638 FOOTING PERMIT:
STATUS:
APPLICATION: 200901383
LOC: 200 SCOTT DRIVE
SOUTH WINDSOR
PROPERTY ID: 81600200
OWNER: HINKS KENNETH G AND PETA L
CONTRACTOR:
REQUEST BY:
PROJ DESC: REPLACING DECK PFRBAIT CLOSED
WORK ORDER: P
S-Pl 17-176
AND
INSPECTOR: ROSE RESULT: PASS
CGS 29-393
REQUESTED: 11/12/09 PRIORITY:
CHEDULED: 11/12/09 AM COMPLETED: 11
FEES 00 Date Time
MILEAGE: 00 TIME: TRAVEL ONSITE
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