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HomeMy WebLinkAbout114 Ridgefield Drive FINAL INSPECTIONS: Building --� -�?3 • APPLICATION FOR BUILDING PERMIT Plumbing 114 RIDGEFIELD DRIVE HVAC — 3 Date: Sprinkler - (r 1G/ Electric y — Y3 Estimated Cost $ Zoning 20435 Permit Fee$ Affidavit &4IS143 NO. Occupancy Fee $ c' Eng. Dept. COMPLETE RED BOXED AREAS. Fire Dept. TYPE OR PRINT ONLY Total Fee $ /y/3•�� Health Dept. SIGN ON REVERSE SIDE. Approved for CO:T� (Additional Cost) $ TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT The undersigned, hereby applies to do work according to the following specifications: Job Location Lot No. (U Side of Street s5---Zone -�� Applicant Tel. # J&9-37// Address Zip G:l'16) 9 Lic.# TREET CITY STATE Owner ss/rOG Address Architect Address Size New Area: Ft. Front Overalls Ft. Deep Overall 3,1 Total Area /.I #Garages o2 pp Lavatories > No. of Families A%o. of Stories 1 Construction Bathrooms Rooms lst---Z/-2nd-T-3rd — Size of Lot Dist. from Street Line Dist. from Side Street Line Purpose of this Permit City Water Well ❑ Septic ❑ Sewer [D"'� Approved by Date 93 BD1A 11/88 I h r by agree to conform to all th requirements of th Laws of the State of Connecticut and th Ordinanc s of th 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 a zon in which this building and its us is allowed. ,O Signed "'�'� I hereby apply for a Certificate of Occupancy for the work described in this application for permit. Signed 4—DO NOT WRITE BELOW THIS LINE— INSPECTION RECORD Footing Framing Foundation Fireplace/Chimney Insulation Plumbing Permit# ( Inspections: HVAC Permit# ZZ b Inspections: YPCI f 1 s Electrical Permit# ! / bey Inspections: Sprinkler Permit# Inspections: Location of job AFFIDAVIT Additional Fee . . . . . State of Connecticut ss. County of Hartford L'.. of L. ge for building erected under ontractor Permit No. `�. 3 . . issued by the Dept of Building of the Tbwn of South Windsor being duly sworn,make oath and say that the actual cost of the completed work authorized under said permit did not exceed the submitted estimated cost e�. . . . . . . .... .. . . . . . .. ... Signed v. . e Subscribed and sworn to before me this day of A.D.19 . . pro Estimate Cost:$ � �7O0 Difference: S Notary Public. Inspection / Approval Date By Appl Code Description Due Whom Code Comment ------------------------------------------------------------------------------- 93-20435-B 141,000 BO1 FOOTING 03/10/93 JFH A B02 FOUNDATION 03/24/93 JFH D NOT FINISHED B02 FOUNDATION 03/25/93 JFH A B05 FIREPLACE/CHIMNEY 04/15/93 JFH A P03 ROUGH 04/21/93 JFH D NOT P02 UNDERGROUND 04/22/93 JFH A P03 ROUGH 04/30/93 JFH D DRILLED TO MANY STUDS B03 FRAMING (ROUGH) 04/30/93 JFH A E03 ROUGH 04/30/93 JFH A B04 INSULATION 05/04/93 JFH A E01 SERVICE 05/05/93 JFH A RELEASE ISSUED B10 FINAL 06/24/93 DDS A 9 3-9 2 0 7-P 4,900 93- 12533-E 3,400 93- 12556-E 1,000 93-8646-H 9,400 Total Est Value 159,700 Dwelling 2,808 104,401.44 Basement 1,008 10,029.60 Garage 697 8, 189.75 Smoke Det 3 225.00 BOCA Value 138,815.74 Difference (20.884.26) CERTIFICATE OF OCCUPANCY CHECK LIST Ao licant LaCava Certificate of Occupancy v�10�{o� r Bldg. y Permit No. _ Address Lot No. 60 Ridg efield) Date Reviewed Project RID E IELD Reviewed By •t Date Submitted 6-25-93 Ant)roved Regulations noWeit1cat11f-Occupancy shall be As required in the Zoning g issued until grading plans have been complied with and approved by the Town Engineer. The minimum requirements shall include: - Anproved Denied N/A 1 . Aocroved building permit plan. 2 . Finish grading per approved building permit plan. 3 . Site work; i .e. trees, shrubs, du_mos ters, requ i red parking 4 . Utility location a. Sanitary sewer b. foundation drain c . electrical & telephone / d. water 2. other f l- ae- "C-V 5 . Sewer Connection chzrce paid. 6 . Accrooriate certification 7 . bonding $. (. S . Planning & Zoning 6'Z r Sewer Permit No. 59(9 Pavement Excavation No. COMMEN S: T' %W0000,f BUILDING PEP11IT CHECK LIST _ - Applicant LaCava Construction Co. Building Permit No. W6L13 Address Date Submitted 2/23/93 a. m. ) Lot No. rt ldRefi%nwed by Project Ridgefield Snbdivision Date _ ?-4-9,3 Section IV In accordance with the Subdivision Regulations, prior to the building of any structure on a lot, a Topographic Plot Plan shall be submitted for approval. The minimum requirements shall include : Approved Denied N/A 1. Name, address & phone number of owner/ applicant. 2. Name, address & phone number of plan preparer. 3. Zoning information - i.e. zone, open space, floodway, etc. 4. Plot plan at 1" = 40 ' scale. a. Subdivision reference, abutting properties, etc. b. Easements of record. l� c. Lot description, bearings, distances, building lines, area, etc. d. Contours, existing & proposed, 1 or 2 ft. interval where appropriate. e. Building location with dimensions. Elevations of proposed finish floor, garage floor & center line of road at driveway. f. Elevations of gravity drainage systems, sanitary & foundation drain at the house and the street. g. Tentative utility location gas, electric, water, etc. h. Title block with name and address of preparer, date appropriate certification, live seal and signature.' 5. Sedimentation and erosion control. 6. Special Planning & Zoning, Inland/Wetlands considerations. (Plans on file w/Town Clerk) BUILDING DEPT. PZC IWA/CC WPCA 1S OTHERS RECEI .� 2 r E5 2 4 1993 ► 9 COMMENTS: TW of South v iodsor Engineering Dept. 1p ry PERMIT �E DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT Application is hereby : TOWN OF SOUTH WINDSOR APPROVED ISAPPROVED BUILDING INSPECTION DEPT. 644-2511 Ext . 230 Application must be printed or typed . ate Building Inspector 1 . LOCATION OF JOB FEE SCHEDULE No . Street $ 0 - $12000 - $10.00 Floor Apt . No . Over $1 , 000 - $10 .00 per $1 ,000 or 2 . OWNER fraction thereof 3. ADDRESS .05 S`� �— D&,ev 44t, W-e A c� 4. APPLICANT DgZiAA 67X,4-e, 5 . ADDRESS d>O ��chrs�ar a�. 6. ESTIMATED COST 7 . IS THIS A CONTRACT COST Yes No 8 . FEE ENCLOSED $ tfG,OP I a I�Dq3S"' 9 . TYPE OF BUILDING : RESIDENTIAL COMMERCIAL 10 . TYPE OF JOB : Original Installation Alteration/Addition/Repair BD 3A 11/88 I APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side) 11 . LOCATION OF JOBy�O-� ���� NO . STREET APT. NO 12 . TYPE OF INSTALLATION k!oa� 13 . SIZE OF MAIN FEEDER q10 14 . NO . OF LIGHT LOOPS 15 . NO. OF HEAT LOOPS 16. NO . OF POWER LOOPS 17 . NO. OF LIGHT OUTLETS 18 . NO . OF HEAT CIRCUITS 19 . NO. OF POWER OUTLETS 20. NO. OF CONVENIENCE OUTLETS q0 21. NO. OF HEAT CIRCUITS 22 . NO. OF POWER CIRCUITS 23. NO. OF LIGHT CIRCUITS 24. SIZE OF HEAT CIRCUITS • 25 . NO. OF MOTORS 26 . NO. OF PANELS 27 . TOTAL WATTAGE 28 . NO. OF POWER FEEDERS 29 . NO. OF SWITCHES O 30 . A/C LOAD 31. SIZE OF POWER FEEDERS 32 . NO. OF FIXTURES 33 . TOTAL HORSEPOWER 34 . NAME OF SUBCONTRACTORS AND THEIR TRADES /'J6,r— Dora., .T„t- 35 . REMARKS AND FURTHER DETAILS : Jet� ZL I „e� ���►'O c.., �a�- Lfi l r� •� /V d.r. �rt � f�GC+y i l x Y11-2 A- 1/ LICENSE NO. SIGNATURE OF APPLICANT DA E PHONE NUMBER: �S^S Lot No. ' .� �' �� ,'�r� i, Building Permit. (ffjetj Temporary S rvice Permanent Service Pursuant to Permit No. t "3 This Certifies that the Electrical Work for which the above named Permit was granted has been duly inspected and is hereby approved. Owner I .,I- (,q„ � Electrician Street ld 19 Jildfiding inspector PERMIT NO. DEPARTMENT DECISION APPLI CAT I O N FOR Application is hereby : PLUMBING PERMIT TOWI�Z OF SOUTH WINDSOR va�t DISAPPROVED BUILDING INSPECTION DEPT. 644-2511 Ext. 230 Building Inspector Application must be printed or typed. 1. LOCATION OF JOB: C1 -e e (d D ,f- 6 v FEE SCHEDULE 2. OWNER: LBCAVA CONST. Silas Mine 0 - 1 0 0 0 - 3. ADDRESS: Wethersfield,Conn.06109 $ $ $10. 00 Over $1, 000 - $10.00 per $1 ,000 or 4. APPLICANT: ©•J3AM 1 UN=YL"�• fraction thereof ell Rd. 5. ADDRESS: go.G*stonbury,Conn.06076 6. EST. COST: $ CIO �- 7. IS THIS A CONTRACT COST? ✓ YES —N d•� 8. FEE ENCLOSED: $ , 9. TYPE OF BUILDING: t—RESIDENTIAL COMMERCIAL 10. TYPE OF JOB: ,L,�RIGINAL ALTERATION INSTALLATION ADDITION REPAIR BD 2A 11/88 APPLICATION FOR PLUMBING PERMIT (Cont. from Reverse Side) 11. LOCATION OF JOB: RQ� i e2)c:,,a-c �� d GENERAL PLUMBING 12. KIND OF INSTALLATION: a (40,*,r 13. SIZE OF MAIN DRAIN 14. NO. OF TOILETS 3 STYLE 15. NO. OF URINALS STYLE 16. NO. OF BATHTUBS 16A. NO. OF SHOWERS 17. NO. OF LAVATORIES 3 18. NO. OF SINKS_ 19. DISPOSAL 19A. DISWASHER�_ 20. NO. OF CONDUCTORS SIZE 21. NO. OF STACKS SIZE 3 �( 22. AREA OF ROOF 23. NO. OF CATCH BASINS 24. NO. OF FLOOR DRAINS 25. NO. OF OTHER FIXTURES KIND 26. ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW? LZ:e 27. SIZE OF WINDOW 3 Z 28. IF NO WINDOW, WHAT KIND OF VENTILATION IS THERE? 29. SIZE OF DUCTS 30. SEWER OR SEPTIC TANK? S e we 31. SIZE OF WATER MAIN IK 31A. SIZES OF WATER PIPING & RISERS 3 ��L 32. REMARKS AND FURTHER DETAILS WATER HEATER 33. TYPE 6d r5j"red 34. MANUFACTURER --T TANKS SAFETY DEVICES TE11PERATURE 35. CAPACITY 39. RELIEF VALVE. 36. TEST PRESSURE 36 C) LBS. 40. MANUFACTURER 37. WORKING PRESSURE LBS. 41. PRESSURE RELIEF VALVE 38. TYPE 14S 5,11-,Ve G(/ ^/ 42. MANUFACTURER414, c9oo2 G 3 -3 L/- 93 LICENSE NO. DATE SIGNATURE OF APPLICANT PHONE NO. 6 33- yz F FOR OFFICE USE ONLY APPLICATION FOR HVAC PERMIT DATE: r; oQ 5 (NO. ) TOWN OF SOUTH WINDSOR EST.C ST: p 9A BLDG. PERMIT N0. p 1540 SULLIVAN AVENUE FEE p SOUTH WINDSOR, CT 06074 FEES: 644-2511 - Ext. 230 $ 0 - $12000 - $10.00 f 6� $1000 or fraction LOCATION OF BUILDING ' • 1�� thereof - $10.00 a tts OWNER ADDRESS TOWN PHONE NO. J o V49X 69 x 0C XC CONT A 9CT0R ADDRESS TOWN PHONE NO. TYPE OF SYSTEM: HEATING TYPE OF BUILDING: RESIDENTIAL A/C COMMERCIAL VENTILATION BUSINESS INDUSTRIAL IF HEATING: STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS. HYDRONIC WARM AIR _ UNIT RADIANT HEATER (INCLUDING WOOD/COAL BURNING STOVE) TYPE OF FUEL: OIL-GPM Z&O GAS IN-PUT ELECTRIC KW WOOD COAL OIL TANK - SIZE & LOCATION: INSIDEJ, OUTSIDE CAPACITY LPG TANK - CAPACITY EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION DESIGN TEMP. OUTSIDE a OF INSIDE 0 OF DIFFERENCE�°F TOTAL HEAT LOSS (BTUH) r l� (HEAT LOSS SHEET MUS ACCOMP APPLICATION) DESCRIBE ALL HEATING EQUIPMENT (INCLUDING MAKE & MODEL N0. t p L -+ GROSS HEATING CAPACITY (INPUT-BTUH) pp NET RATING (OUTPUT-BTUH)jp l pp y IF AIR CONDITIONING: DESIGN TEMP. OUTSIDE 9Q°F INSIDE °F DIFFERENCE o, (% F TOTAL HEAT GAIN (BTUH) (HEAT GAIN SHEET MUST ACCO14PANY APPLICATION) DESCRIBE ALL COOLING EQUIPMENT (INCLUDING MAKE & MODEL NO.):14eZ I CA dZ(,0 Q f'CA TONNAGE COOLING CAPACITY (BTUH) IF VENTILATION: DESCRIBE ALL AIR-HANDLING EQUIPMENT (INCLUDING KITCHEN EXHAUSE EQUIPMENT): TOTAL SIZE OF SYSTEM (CFM) FRESH AIR INTAKE (CFM) (PLAN MUST ACCOMPANY APPLICATION) The undersigned hereby applies for a permit to perform the following work and is to comply with all local ordinances and State of Conn. Building Codes in the performance of such work. FURTHER DESCRIPTION OF WORK: ;� 1. Gi C STATE LICENSE - NAME & TYPE # DATE SIGNATURE OF APPLICANT c z7 Z PP DbATE 6 BD 4A 11/88 I a B- R CALCULATION SHEET 1503 (Modern Method) Copyright 1977 by The Hydronics Institute OWNER ADDRESS DESIGN TEMPERATURE DIFFERENCE F. DATE COL.A COL.B COL.C COL.D COL.E COL.F COL.G 1 ROOM tL O H L W H L W H L W H L W H L yy Design Water Temp. 2 ROOM DIMENSIONS, FT. F V STUN pM Is t f 3 LENGTH EXPOSED WALLS,FT. Radiation Selected 4 WINDOW AND OUTSIDE DOOR AREA LL BTUH BTUH BTUH BTUH STUN 5 WALL CONSTRUCTION ROOM LIN.FT.OF (Table 9,Line 3 x H) TOTALS RADIATION FROM LINE 12 SELECTED 6 TYPE OF GLASS (Gott m of table used f r Line 5) 7 CEILING CONSTRUCTION C (Table 9,L x W) g FLOOR EDNSTRUCT10Nt (Table 9, L x W r Lin F t) E 9 COLD PARTITION CONSTRUCTION F (Table 9,L x H) G 10 C 1 Wall(With Openings) H c+ 2 Wells(With Openings) D J 3 Wells IWith Openings) or Ent.Hall F I 11 TOTAL BTUH AT 70F TEMP DIFFERENCE' K 12 TOTAL BTUH AT DESIGN TEMP. DIFFERENCE COL.A COL.0 COL.H COL.I COL.J COL.K COL.L TOTAL BTUH TOTAL -- — OF BUILDING RADIATION 1 ROOM tL AT SELECTED O H L W H L W H L W H L W H L W DESIGN TEMP.- 2 ROOM DIMENSIONS. FT U DIFFERENCE 3 LENGTH EXPOSED WALLS, FT Q 4 WINDOW AND OUTSIDE DOOR AREA to BTUH BTUH BTUH BTUH STUN 5 WALL CONSTRUCTION •INCREASE BATHROOM (Table 9,Line 3 x H) TOTAL 20% 6 TYPE OF GLASS (Bottom f table used f r Line 51 ----- — — tFOR CONCRETE FLOOR ON 7 CEILING CONSTRUCTION GROUND OR FILL AT (Table 9, L x W) GRADE LEVEL,USE LINEAR g FEET OF EXPOSED EDGE FLOOR CONSTRUCTIONt (Table 9.L x W or Lin Ft.) 9 COLD PARTITION CONSTRUCTION (Table 9, L x H) 10 C 1 Wall(With Openings) 2 Wails(With Openings) o X — — — _; qJ 3 Wells(With Openings) or Ent. Hall I TOTAL BTUH AT 70F TEMP DIFFERENCE' 12 TOTAL BTUH AT DESIGN TEMP DIFFERENCE FORM 1503 This form is available from The Hydronlcs Institute,35 Russo Place,Berkeley Heights,N J 07922 S.'N RIGHT-J SHORT FORM 01-06-92 Job #: Htg Clg For: LACAVA CONST LV 901 Outside db 0 90 Inside db 70 70 Design TD 70 20 Daily Range - M Inside Humid . - 50 By: RELIANCE HEATING AND COOLING Grains Water - 35 77 STERLING RD EAST HARTFORD CT Const. Quality a 528-6593 # of Fireplaces 0 HEATING EQUIPMENT ' COOLING EQUIPMENT Make Make Model Model Type Type Efficiency / HSPF 0.0 COP/EER/SEER 0.0 Heating Input 0 Btuh Sensible Cooling 0 Btuh Heating Output 0 Btuh Latent Cooling 0 Btuh Heating Temp Rise 0 Deg F Total Cooling 0 Deg F Actual Heating Fan 2273 CFM Actual Cooling Fan 2273 CFM Htg Air Flow Factor 0.037 CFM/Btuh Clg Air Flow Factor 0.053 CFM/Btuh Space Thermostat Load Sensible Heat Ratio 85 ============================================================================ ROOM NAME | AREA | HTG | CLG | HTG | CLG � SQ.FT. � BTUH | BTUH � CFM | CFM ============================================================================ LIVING ROOM | 274 | 8114 | 3789 | 297 | 203 FAMILY ROOM | 294 | 8386 � 4250 | 307 | 227 KIT EAT 294 | 7869 | 8036 288 | 430 FOYER | 134 | 3906 | 571 | 143 � 31 DINNING ROOM | 182 | 5041 1 2925 | 184 | 156 SEW LAUN | 95 4222 | 2353 154 | 126 MASTER BEDROOM | 260 | 4254 | 2929 | 156 | 157 MAST BATH | 169 2650 | 1023 | 97 | 55 BATH . } 80 | 1686 1279 � 62 | 68 BEDROOM 2 | 154 1804 2094 | 66 | 112 BEDROOM 3 180 | 3829 } 3387 | 140 | 181 BEDROOM 4 | 176 | 3857 | 3394 | 14 181 SITTING ROOM 168 | 6531 | 6481 1 239 | 347 ============================================================================ Entire House | 2461 } 62150 | 42511 | 2273 � 2273 Ventilation Air | | 0 | 0 | } Latent Cooling | | | 7270 � | ============================================================================ TOTALS 2461 | 62150 1 49781 | 2273 } 2273 MANUAL J : 7th Ed. RIGHT-J . V1 .63 ' PERMIT 0 DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT Application is hereby: TOWN OF SOUTH WINDSOR BUILDING INSPECTION DEPT. APPROVED DISAPPROVED 1540 SULLIVAN AVENUE 644-2511 Ext. 230 D to i ng Inspector Application must be printed or typed 1 . LOCATION OF JOB 6a _09 ;Ale 2�C'4, IJ 0�- FEE SCHEDULE No . Street $ 0 - $19000 - $10.00 Floor Apt . No. Over $1,000 - $10.00 2 . OWNER C.�C�''� J`DNS � per $1 ,000 or fraction thereof 3 . ADDRESS 4. APPLICANT 5 ADDRESS t ,w 9-�. 6. ESTIMATED COST $ 6 OD ter" 7 . IS THIS A CONTRACT COST Ye No 8 . FEE ENCLOSED $ 10,W 9. TYPE OF BUILDING: �v� KRESIDENTIAL COMMERCIAL 10. TYPE OF JOB: Original Installation Alteration/Addition/Repair BD 3A 11/88 ' APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side) 11 . LOCATION OF JOB 4Zc� 4S NO. STREET APT. NO, 12 . TYPE OF INSTALLATIONZ La'�� 13 . SIZE OF MAIN FEEDER 14 . NO. OF LIGHT LOOPS 15 . MO. OF HEAT LOOPS 2- 16. NO. OF POWER LOOPS 17 . NO. OF LIGHT OUTLETS 18 . NO. OF HEAT CIRCUITS 19. NO. OF POWER OUTLETS 20. NO. OF CONVENIENCE OUTLETS 21. NO. OF HEAT CIRCUITS 22 . NO. OF POWER CIRCUITS 23 . NO. OF LIGHT CIRCUITS 24. SIZE OF HEAT CIRCUITS 25 . NO. OF MOTORS 26 . NO. OF PANELS 27 . TOTAL WATTAGE 28 . NO. OF POWER FEEDERS 29 . NO. OF SWITCHES 30. A/C LOAD 31. SIZE OF POWER FEEDERS 32. NO. OF FIXTURES 33. TOTAL HORSEPOWER 34 . NAME OF SUBCONTRACTORS AND THEIR TRADES 35 . REMARKS AND FURTHER DETAILS : h 9,9 LICENSE N0. SIGNATURE OF APPLICANT DATE PHONE NUMBER: :2 ccz Bectric# APPLICATION FOR BUILDING PERMIT 114 RIDGEF'IELD DRIVE Plumbing# Date: /O HVAC # No. 26595 Sprinkl r# FINAL PR Estimated Cost O0 O Buildingl 9 99 COMPLETE RED BOXED AREAS Permit Fee $ .SZ Engineeri TYPE OR PRINT ONLY Occupancy Fee $ Affidavit SIGN ON REVERSE SIDE Appr.for CO. Total Fee s 5�Z TO BUILDING DEPARTMBVT,TOWN OF SOUTH WINDSOR,CT (Additional Cost) $ The undersigned hereby applies to do work according to the following specifications: Job Location//Y 0,� OAP, Lot No. Side of Street Zone AW Applicant,67 u?' w% WdmE Tel.# G 31`3 3 Address agc, -Grr/ 'A Zip 04,;2 3 Lic.# 04 SSo(/Z Own r d A r*haxX /6�i cA- Address 1/I/ Architect Address Sq. Ft.New Area: 1st FI. 2nd FI. 3rd Fl. Total New Area #Rooms #Lavatories #Bathrooms #Garages Purpos of this permit: 6 ff -Ar- 04p ///1-1,Y,11 5 ill it/G' 4ewr W City Water ❑ Well 0 Septic System ❑ Sewer ❑ Ins. H.O. S.P. Cert. Area Basem nt Garage Approved by J� Date I=, .Q Use Group — Construction Type ^� Rev6ed 1197 I h reby agree t conform to all the requirements f 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!!_otreet lines,side yard lines,and required distances from all other zones and is located in wh' is building and its Signed I hereby apply for a Certificate of Occupancy for the work described in this application for the permit. Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS