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HomeMy WebLinkAbout161 Morgan Farms Drive TO THE BUILDING INSPECTOR a of the APPLICATION FOR PLAN EXAMINATION AND TO" OF � ; VVIt�IDSOft, BUILDING PERMIT 7- IMPORTANT — Applicant to complete all items in sections: 1, 11, ill, IV, and I K. O ZONING I• AT (LOCATION) DISTRICT LOCATION (NO.) (STREET) OF BETWEEN Ij /✓ Alp_ AND BUILDING (CROSS STREET) (CROSS STREET) L T SUBDIVISION LOT —BLOCK SI EEGlr/'e N II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use M --t 1 ,®New building Residential Nonresidential 2 ❑ Addition(1f residential, enter number 12 One family 18 ❑ Amusement, recreational o/neru housing units added, if any, in Part D. 13) 13� Two or mo.a family —, Enter 19 E] Church, other religi us 3 � Alteration (See 2 above) number of units— — — — -->• 20 Industrial 14 Transient hotel, motel, 21 ❑ Parking ga►,29e 4 ❑ Repair, replacement or dormitory — Enter number 5 ❑ Wrecking (1/multifamily residential, o/ units ——————— — -- 22 ❑ Service station, repair garage enter number of units in building in 15 ❑ Garage 23 ❑ Hosp tel, institutional Part D. 13) 16 Carport 24 ❑ Offic , bank, professional 6 Moving (relocation) 25 Public utility 17� Other — Specify ❑ y 7 ❑ Foundation only 26 School, library, other educational B. OWNERSHIP 27 Store , mercantile 8 aPrivate (individual, corporation, 28 ❑ Tanks, towers nonprofit institution, etc.) 29 Oths — Specify 9 ❑ Public (Federal, State, or local government) C. COST (Omit cents) Nonresidential — Describe in detail proposed uso of buildings, e.g., food processing plant, machine shop, laundry building a hospital, elementary 10. Cost of improvement................ school, secondary school, college, parochial school, parking garage for. department store, rental office building, office buil ing at industrial plant. To be installed but not included If use of existing building is being changed, enter proposed use. in the above cost a. Electrical...................... b. Plumbing ...................... e.Heating, air conditioning......... d. Other (elevator, etc.)............ 11. TOTAL COST OF IMPROVEMENT S III. SELECTED CHARACTERISTICS OF BbILDING — For new buildings and additions, complete Rorts E — L; for wrecking, complete only Part J, for oil o hers skip to IV. E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS 30❑Masonry (wall bearing) 40-[Sl Public or private company 48• Number of stories............... . Z 31 ood from@ 41 ❑ Private (septic tank, etc.) 49. Total square feet of floor area, all floors, based on exterior 32 Structural steel dimensions ..................... 33 Reinforced concrete H. TYPE OF WATER SUPPLY 34❑ Other — Specify 42 Public or private company `.�• Total land area, sq. ft. ........... 43❑ Private (well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 35 Gas Will there be central air 52. Outdoors......... ............ % ❑ Oil conditioning? L. RESIDENTIAL BOIL INGS ONLY 37❑ Electricity 44❑ Yes 455a'Na 53. Number of bedroom 131, .............. 35 Coal 39 Other — Specify Will there be an elevator? Full.......... 54. Number of 46❑ Yes 47 C3jj�o bathrooms Partial....... IV. IDENTIFICATION — To be completed by all applicant's Name Mailing address — Number, street, city, and Statue ZIP code Tel No Owner or —. Lessee _ 2. Contractor 3. Architect or Engineer The owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction. Sign a of applicant Adiress Application dote ot �,-f 2a m e - �'-/�'3U I DO NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Required Check Plan Review Date Plans By Date Plans By Notes Fee Started Approved BUILDING $ PLUMBING $ MECHANICAL $ ELECTRICAL $ OTHER $ VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Date Dt Permit or Approval Check Obtained Number By Permit or Approval Check Obtt,need (dumber By BOILER PLUMBING CURB OR SIDEWALK CUT ROOFING ELEVATOR SEWER ELECTRICAL SIGN OR BILLBOARD FURNACE STREET GRADES GRADING USE OF PUBLIC AREAS OIL BURNER WRECKING OTHER OTHER VII. VALIDATION Building Permit number b Building Permit issued 19 Building Permit Fee S prove b r TITLE TOWN OF SOUTH WINDSOR BUILDING PERMIT Date V22 , 19 87 Fee Paid $- - 276.00 Eat. Value $.y6:000.00 Permit N° 16129 on the aide of • 0 4 a Street Street No. Owner Applicant CERTIFICATE OF OCCUPANCY ISSUED: Date No. 8222 Fee Paid $ 3,00 W CLASSIFICATION BUH DING PMUWr N° 16129 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. 7.199 1987 M4iz is to Crrtifg, That RSK-KELLCO, INC. is hereby granted permission to R»i l d a g i n a 1 e-f am i 1 iz r1wa 1 ling at estimated value of $4 6,0 00.00 on the side of Lot # 32 -- 161 Morgan Farms Drive Sam on land owned by Same as above Said work to be as described in Application N0.16427 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issue 1987 u ding ArWor. Streets and sidewalks, obstructed by excavations or building materials, must be guarded by barriers during the day and by both barriers and colored lights by night. SECTION 1343, GENERAL STATUTES OF CONNECTICUT: "When any person shall place or keep building materials, or any obstacle in any highway (or any sidewalk) either with or without a license therefor from the city or borough in which such highway may be situated, he shall pay said city, town or borough all costs and damages which it shall sustain, or be compelled to reason therefor." 7f�Z/97 7-t4. # GpQq-8U/ s1wJ F-,0 INSPECTION REPORT Permit # Jobk6T*9,,?, - -W lrOUQAJ FARms QK 1 Footing KS yc 2 Foundation 3 Framing 4 Wiring 1�3� CZ,2 c '027 ✓C 5 Plumbing 6 Heating 7 Lathing 8 C.O. -x- ,Lpi ,3�-y�6/�oR6'p�v F�Rrns zl-f7 Permit Electrician 3An�,�s a K�wq 1�5k�' # 9 �/ C.4 lZizsArT'&Ltc i R c,snVc- Heating Contr./)�VH"2� '3RmiE� # 9y6 Plumbing #7c�4g Oil Burner # Certificate of Occupancy # pzggt Sewer Permit /.xAN7 Permit No. TOWN OF SOUTH WINDSOR SOUTH WINDSOR, CONN. Permit � 0 Certificate of Occupancy THIS IS TO CERTIFY that the �, ���. ^f`�C- }� � =� at No. 1. ��;- %�, `•r =__�r<t`- d p ,1�<fi )the Town of South Windsor, Connecticut,�s been erected and completed i� accordance with the uildirg Code and Zoning Regulations of the Town of South Windsor, and is hereby app a for occup#ncy- Building Inspector I �� `owner, Builder 470 Fee Paid Date 19(J J7 N . I U N[Re1r PettARY 1'NAr rN/t MAr/s sY1srAMr/Alsr CORR(Cr. IN/s wAI NOTES: _ — i�NI IY r IrrRT P404,tro /N ACCONOANCr WrN Mr s/AM1ARIl Or A u I N0 IYY�rf'I' Al otr/Nro w rNr"Rt coY�ItNOto o/ANOAROI rOR a sYRYt rlAos iN rNr srArt or toNrecricrr" At iwtPARto ANo 1. UTILITY LOCATIONS PROVIDED BY CONTRACTOR. i Avepreb or rN! o/'vMt*r#cvr Assot/Ar/oM or lAN1 trNYtrOAl,/NC„ Q ON s rile• ANo1 tro c�e *4NYANr $, 800F. 2. SITE GRADING PROVIDED BY CONTRACTOR. sttaYtrOA! NA-�` #Are t/erA'sr MUrsrR 3. CONTRACTOR'S NOTE: MECHANICAL FOOTING DRAINS INSTALLED SUITABLE FOR INSTALLA- Z ; ci iu �������rr..►•.,,,� TION OF SUMP PUMP IF FUTURE CONDITIONS z m Np �,4 F ,O N N •• -WARRANT. E le O Z ..0 Ln N LOT SUMMARY • No. 14649 GARAGE FLOOR I Zo•S w O .� -��C � • �INISIIED FLOOR 6 2 w 3 • U- 2 o F- 0 F' f i o O o J oWt 2 w � - w N N69 02'-28"W a. - 1.d S. 4 ( • -°w � N i 8' LL • w -1 IZ �4.0 �y �d � � �'�'�• Q � X cr N A M D: v N t/3 M ti r Xo ~ L to = ° � LLI W O o p I� v_► D 1n O O I W ~ _ Z -'• Q z a a W o a 10' S.Y. I U w •rl L�" W st- N I 4.4 o Z cn A. 146.50' p Q W N69 02'-28"W V Q � N U - �0 0 IL . 0 0 . J J d 3 DP, BVIz,nING ?EMIT CSZCK LIST pplicant /moo/ff�/�W Building Permit No. ddress ( tea Date Submitted of NO* v Revi a wed by roj ect Date n accordance with the Subdivision Regulations , prior to bsildiszg of my structure on •a lot, a Topographic plot Plan shall be ub i tted for . PProval. The mminimum requirements shall include : p Lpproved Denied N/A , 1. Name, address & phone number Of owner/ applicant. 2. Name, address & phone number f plan preparer. 3, Zoning information - i.e. Zon , open space. fl oodway, etc, 4. Plot plan at 1" = 40 ' scale. a. Subdivision reference, abutting properties , etc. _ b. Easements of record. C. Lot description, ben itiqsl distances , --�� building 1 ines, areal atco d. Contours , existing &� p oposed, 1 or 2 f interval where appropr, ate. . / 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 , electrJ water, etc. h. Title block with name and address of—' preparer, date appropr ate certificatio live seal and signatuxele IV 5 . Sedimentation and erosion co trol. 1w 6 . Special Planning & Zoning, inland/Wetlands considerations . (Plans on file w/Town Clerk) 1EPT. �/Gf�> 7 ON $�Z 1 SIC CC � C.A . v��g5 0 gC13 ELECTRIGAL APPLIGATIN Application No. /1 q D on the side of Strut No. Owner �.5k_1�,E j.�C�'Tiy'C. Electrician t FILED IN OFFICE OF The Building ItMpector 19.�g- -- a+No Electrical Work shall be started until a Per- mit is granted by the Building Inspector. in New Buildings no wir� sholl be Matted until the plumbing and heating pipes. and the Are stops fit of wood) are installed. without a special permit from the olllce of the Building Inspector. Electrical Permit ,& ___ q 1�L I Master License No. TOWN OF SOUTH WINDSOR Building Permit No. BUILDING DEPARTMENT Date Filed Date Final Approve APPLICATION FOR ELECTRICAL WORK Electrica Inspector OB LOCATION: z" ..........n ......... ......... JOB OWNER: LEI—Lev =z&C ..................... Side of ................ ........................................... Between ......................................................... and Ld Name of Building Owner Address ......... If work is for Lessee--Gve name --—-—----------- Address Building now occupied as (unless new) .......... No. of hunily units now Building to be occupied as —i= Number of family units to be Is this work included in a Building Permit:? Permit Fee (If no Buiw"c Punk) _9�a 20) Permittee Address 44Z Telephone L—I?f COST OF INSTALLATION: ....... TO BE FILLED OLrlr BY PERMITTEE TO BE WIRED EXISTING APPLLANCES Number f light outlets to be installed Number of convenience outlets to be installed ................. Number of present Appliance Circuits Number of switches to be installed . . . . ........ Do these include Range ❑ Water Heater [3 Number of appliances to be installed . . . (as listed Wow) Dryer 0 Air Conditioner C3 Oil Burner 0 TYPE RATING NO. Dish Washer ❑ Gas Burner M Range . . . . . . . . Well PUMP [3 Mee. Heaters (3 Range T p . . . . . . Oven . . . . . . . . REMARKS: Water Heater . Clothes Washer . . . . Clothes Dryer . . . . . Dish Washer . . . . . . Air Conditi ring Motor . Oil Burner Motor Gas Burner . . . . . . Circulator Motor . . . . Attic or Large Fan Well Pump . . . . . . Electric Heat . . . . . Other . . . . . . . . Number of new Lighting Circuits Number f new Appliance Circuits . . . Number f Heating Circuits . . . . . . Number of Mot r Circuits . . . . . .. . Size of present service Z"e Size of service to be PLUMBING APPLICATION Application No` 7/,4 3 on the ......_.._... .. iiae of Sant W ......_._1 b Owaa -Rsvc etc, -=Afc Plumber /Y.LC:h N Z i,6- -'AME s Filed in Office of The Bu W"Ia*mw portion of the draimp Wam of aal b"N 6 (ezoept to :qmk lab) until s Beraoit is ommmed by the B impeaw. APPLICATION FOR PLUMBING PERMIT (Continued from Reverse Side) TOWN OF SOUTH WINDSOR, CONN. 11. LOCATION OF JOB 214 NO. STREET FLOOR APT.NO. GENERAL PLUMBING Q a1 12. KIND OF INSTALLATION lVh13. SIZE OF MAIN DRAIN V 14. NO. OF TOILETS STYLE C�--��-L 15. NO. OF URINALS STYLE 16. NO.OF BATHTUBS 17.NO.OF LAVATORIES _18. NO.OF SINKS�_ 19. NO. OF WASHTUBS h 20. NO.OF CONOUCTORS 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 '�V KIND 26. ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW? CJ 27. SIZE OF WINDOW 28. IF NO WINDOW,WHAT KIND OF VENTILATION IS THERE? 29. SIZE OF DUCTS 30. ARE SEWAGE AND WATER FACILITIES AVAILABLE? SIGNATURE /9ADDRESS i LICENSE NO -2-6 7 y V ESTIMATED COSA 31 TELEPHONEZ'� Y-yl OWNER eelhU ADDRESS �'� d'�- VCd �- WATER HEATER 31. TYPE I�%w 32. MANUFACTURER TANK SAFETY DEVICES 33. CAPACITY 37. TEMPERATURE RELIEF VALVE 34. TEST PRESSURE_ 38. MANUFACTURER_ 35. WORKING PRESSURE 39. PRESSURE RELIEF VALVE 36. TYPE 40. MANUFACTURER ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY THE OWNER OF THIS PROPERTY AND WILL BE DONE IN STRICT ACCORDANCE WITH THE BUILDING C E. , 4- 00962 OATE SIGNATURE OF APPLI NT �Q PERMIT # I' Application For x DEPARTMENT DECISION L ' Heating Permit C 3 APPLICATION IS HEREBY: DEPARTMENT OF LICENSES AND INSPECTIONS ❑ APPROVED ❑ DISAPPROVED c TOWN OF SOUTH WIN DSOR 0 00 DATE CHIEF INSPECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER NE DEL W E 1. LOCATION OF JOB C; 00. STREET +a v LOT O. FLOOR AR. NO. O s. OWNER �O 3. ADDRESS JIna 'L 4.PHONE a M tM on � S. APPLICANT s. ADDRESS Qsv< .PHONE � � gl 0. LICENSE NO. w !. EXPIRATION DATE OF LICENSE I v 10. ESTIMATED COST s '='- — N 11. Is THIS A CONTRACT COST? ❑ YES 00 ff// Ia. FEE ENCLOSED i ot - is. TYPE F BUILDING: OQSIOENTIAL ❑ COMMERCIAL 1 3 14. TYPE OF JOB: ❑ INDUSTRIAL �+ 17VORIGIVAL ALTERATION fTALLATNHI ❑ ADDITION ` REPAIR APPLICATION FOR HEATING PERMIT (Continu d tr >m Rev roe Side) 11. LOCATION OF JOB Z N0. eR99T FLOOR A".NO. 12. TYPE OF INSTALLATION: ❑ OIL BURNER ❑ ELECTRIC ❑ VENTILATION ❑ SPRINKLER MGAs BURNER ❑ STACK ❑ INCINERATOR ❑ MISCELLANEOUS IDENTIFY SIZE LOCATION SIZE SIZE 13. OF TANK OF TANK OF FILL OF VENT 14. B.T.U. EQUIP. AT REGISTER FURNACE MAKE AND NO. AT BONNET FIRING RATE BOILER OR FURNACE MAKE AND NO. B.T.U. OR SQ. FT. NET B.T.U. OR SQ. FT. GROSS FIRING RATE FLOORS TO BE HEATED NEW OR OLD BUILDING INSULATED — YES OR NO TYPE OF WALL INSULATION ROOF OR CEILING INSULATION AVG. SYSTEM WATER TEMP. B.T.U./SQ. FT./HR. EMISSION INDOOR-OUTDOOR TEMPERATURE DIFFERENCE °FAHRENHEIT MAKE OF RADIATION: BASEBOARD. COPPER CONVECTORS. OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ. FT. OR B.T.U. DESCRIPTION OF WORK Is. TO BE DONE: ts. HEAT LOSS SCHEDULE. A BE INCLUDED FOR ALL JOBS): RO M SIZE WINoowS AREA - SQUARE FEET III.T.U. III.T.U. g F DISTRIBUTION INSTALLED ANo 000RS VOLUME TOTAL TOTAL r RO M NO. GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED J j� REGISTER L M M AND TEMP. TO F<F f TYPE AND 312E RAO. OR LEADER C f� IINFILT.I O O 0. T.$ F SIZE ` WALL �'Ct DIFF. •F F m M FREE AREA TOTALS A. HEAT LOSS FROM BUILDING B.T.U./HR. B. DOMESTIC HOT WATER DEMAND B.T.U./HR. C. PIPING. OTHER THAN NORMAL B.T.U./HR. ALLOWANCE FOR HEAT VALVE OF FUEL (A B C) FACTOR 17. ELECTRICAL WORK BY: NAME ADDRESS SUBCONTRACTORS AND ts. THEIR TRADES ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY THE (OWNER) OR (AGENT) OF THIS PROPERTY AND WILL BE DONE IN STRICT ACCORDANCE WITH THE BUILDING CODE. APPLICATION TO BE COMPLETELY FILLED IN. �/� r- ' DATE SIGNATURE OF APPLI T • i I = B= R CALCULATJQIJ SHEET 1503 (Modem Method) ,�'�� zlj--L�e' Copyright 1977 by The Hydr nlcs institute WNER cm ADDRESS 1 DESIGN TEMPERATURE DIFFERENCEF. DATE COL.A COL.B COL.C COL.D COL.E COL.F COL.G ,c O 1 ROOM Q Design Water Temp. 6 O H L W H L W H L W H L W H L W 2 ROOM DIMENSIONS,FT. ~ t�. I� Ia� rJ BTUH per F t of 3 LENGTH EXPOSED WALLS,FT. < 2 — Radistl n Sheeted 41 WINDOW AND OUTSIDE DOOR AREA u. BTUH BTUH BTUH BTUH BTUH 5 WALL CONSTRUCTION R OM LIN.FT. F (Table 9,Line 3 x HI Z 600 TOTALS RADIATI N 6 TYPE OF GLASS — FR M LINE 12 SELECTED (B ttom f table used f r Line 5) � /T 7 1 CEILING CONSTRUCTION C V (Tabl 9,L x W) b c) D B FLOOR CONSTRUCTIONt (Tabi 9,L x W r Lin.Ft) E -- 9 COLD PARTITION CONSTRUCTION F (Table 9,L x H) G 10 _c 1 Wall(With Openings) O; •� H 2 Wells(With Openings) )C J ~ 3 Walls(With Openings)or Ent Hall J 11 TOTAL BTUH AT 70F TEMP. DIFFERENCE- 12 TOTAL BTUH AT DESIGN TEMP. DIFFERENCE 00 L C L.A COL.B COL.H COL.1 COL.J COL.K COL.L TOTAL BTUH TOTAL 1 ROOM OF BUILDING RADIATI N tt AT SELECTED O H L W H L W H L W H L W H L W DESIGN TEMP- -2 ROOM DIMENSIONS,FT. 0 V DIFFERENCE 3 LENGTH EXPOSED WALLS,FT. < WINDOW AND OUTSIDE DOOR AREA BTUH BTUH BTUH BTUH BTUH 5 WALL C NSTRUCTION •INCREASE BATHROOM (Tab$ 9,Line 3 x H) TOTAL 20% 6 TYPE OF GLASS (Bottom f table used for Line If) tFOR CONCRETE FLOOR ON (Table 9,L x W) USE LINEAR GRADE LEVEL. S FLO R CONSTRUCTIONt FEET OF EXPOSED EDGE (Table 9,L x W or Lin.Ft) $TOTAL ARTITION CONSTRUCTION 9,LxH) all(With Openings) O;ells(With Openings) �X ells(With Openings) r Ent HMIJ BTUH AT 70F TEMP.DIFFERENCE' BTUH AT DESIGN TEMP.DIFFERENCE FORM 1503 This'xrn is evailabl from The Hydr nice Institute,35 Russo Place,Berkeley H ights,N.J.07922 ESTIMATE QUANTITY ITEM AMOUNT Boiler No. Net I=B=R Rating or Net SBI Rating* Oil or Gas Burner or Stoker, with Controls Oil Tank, Pipe and Fittings Combustion Chamber or Stoker Hearth Pump Thermostat Low Limit Control Reverse Control Extra Controls Draft Regulator How Control Valve Pressure Reducing Valve Relief Valve Air Cushion Tank " Domestic Water Heater and Tank Mixing Valve Pipe, Valves, Fittings, Hangers Pipe Covering Heating Units (Radiators, Baseboards, Convectors) Radiator Enclosures Sets — Radiator Brackets Radiator Valves Radiator Union Elbows Radiator Air Valves Main Air Vents Floor and Ceiling Plates Smoke Pipe Foundation Electric Wiring Pounds — Asbestos Cement Paint Freight and Cartage Labor Incidentals Total Cost Overhead Profit Bid *N t I=B=R Rating or Net SBI Rating of B iler sh uld equal r exce d th total h at I ss f the h us plus proper all wanee for d rem stie h t water } - r I = B= R CALCULATION SHEET 1503 (Modem Method) Copyright 1977 by The Hydronics Institute r WHER ADDRESS DESIGN TEMPERATURE DIFFERENCE F. DATE C L.A COL.B COL.C COL.D COL.E COL.F COL.G 1 ROOM A�Q Design Water Temp. p H L W H L W H L W H W N L W 2 ROOM DIMENSIONS,FT. V 1 VIPsl` BTUH per F t of 3 LENGTH EXPOSED WALLS,FT. Radlatl n Selected 4 WINDOW AND OUTSIDE DOOR AREA LL BTUH BTUH BTUH BTUH STU" 5 WALL CONSTRUCTION �7� !� Z � �v p `� (J 'v ROOM LIN.FT. F 6-7� (Tab) 9,Line 3 x H) ZTOTALS RADIATION 6 TYPE OF GLASS 91 FROM LINE 12 SELECTED (B ttom f table used f r Line 5) 536V -2-arD 7 CEILING CONSTRUCTION � � � �� C (Table 9,L x W) o rs D B FLOOR CONSTRUCTIONt b n I� `�� (Tab) 9,L x W r Lin.Ft.) L U v V V E �" 9 COLD PARTITION CONSTRUCTION F At ^^ (Tab) 9,L x H) 10 ,c 1 Wall(With Openings) bt�� cM2 Wells(With Openings) X a 6 �' �— •_' '--' 3 Walls(With Openings)or Ent.Hall C� J 11 TOTAL BTUH AT 70F TEMP. DIFFERENCE' 12 TOTAL BTUH AT DESIGN TEMP.DIFFERENCE b (�� K f L C L.A COL.B COL.H COL.1 COL.J COL.K COL.L TOTAL BTUH T TAL 1 ROOM 001 r �� OF BUILDING RADIATION tC AT SELECTED p H L W H L I W H L W H L I W H L W DESIGN TEMP.° 2 ROOM DIMENSIONS,FT. IP f f?— _ tL r DIFFERENCE 3 LENGTH EXPOSED WALLS,FT. 3_ -�� J�_� 41 WINDOW AND OUTSIDE DOOR AREA U. BTUH BTUH BTUH BTUH BTU" I9 WALL CONSTRUCTION ------� *INCREASE BATHROOM (Table 9,Line 3 x H) �� ��7 TOTAL 20% 6 TYPE OF GLASS (Son"of table used for Line 15) 5- c�� tFOR CONCRETE FLOOR ON (Table 9,L x W) GRADE LEVEL.USE LINEAR B 1 FLOOR CONSTRUCTIONt FEET OF EXPOSED EDGE (Table 9,L x W r Lin.Ft.) 26 9 C LD PARTITION CONSTRUCTION (Table 9,L x H) 10 _ 1 Well)With Openings) '�"'1 ���► re 2 walls(Whh Openings) X 3 Wells(With Openings) r Ent.Hall 11 TOTAL BTUH AT 70F TEMP.DIFFERENCE• 13 1121 TOTAL BTUH AT DESIGN TEMP.DIFFERENCE FORM 1503 This"-)rm is available from The Hydr nics Institute,35 Russo Plac ,Berkeley Heights,N.J.07922 ESTIMATE QUANTITY ITEM AMOUNT Boiler No. N t I=B=R Rating or N t SBI Rating* Oil or Gas Burner or Stoker, with Controls Oil Tank, Pipe and Fittings Combustion Chamber or Stoker Hearth Pump Thermostat Low Limit Control Reverse Control Extra Controls Draft Regulator How Control Valve Pressure Reducing Valve Relief Valve Air Cushion Tank Domestic Water Heater and Tank Mixing Valve Pipe, Valves, Fittings, Hangers Pipe Covering Heating Units (Radiators, Baseboards, Convectors) Radiator Enclosures Sets — Radiator Brackets Radiator Valves Radiator Union Elbows Radiator Air Valves Main Air Vents Floor and Ceiling Plates Smoke Pipe Foundation Electric Wiring Pounds — Asbestos Cement Paint Freight and Cartage Labor Incidentals Total Cost Overhead Profit Bid *Net 1=8=R Rating r Net SBI Rating of B it r should equal r exceed the total heat I ss f the h use plus pr p r all wance f r d m stic h t water TO THE BUILDING INSPEMB 411 ie APPLICATION FOR 'lOWN(W'SamawfiakCOW LAN EXAMINATION AND BUILOING PERMIT IMI'WMr— Aplleatt fe Iwo all !tabs in sections: 1, It. Ill, iv, and IX. I. AT (LOCATION) 16M., O N 4 Tt S ZONING eT_ LOCATION OF 5:�r- .&x A'Oope ANO (g2E/g2 ge!5�J40 BUILDING mass sTgssTt ie ss IT" , SI�IVIh11o11 D�I' ���i,s LpT KOCK iZs le6—x/y�i.S� 11. TYPE AND COST Of BUILDING - All applicants campleto Ports A - 0 A. TYPE OF IMPROVEMENT 0. PROPOSED USE — Per"N(trslwng"sweet wsery use 1 (M Now building ResitlsoNel Naweesiam. i 2 gAddition(if rt&idential, *war maber I❑Ono hwaIV 19 In anew, resrestienel /now Awanne watt MM04 it my. in Part 0. Is) 13❑ Two wl or owe lowly . Enter 19❑ other religious nwnber•/snit&— — —— �.� 3 CD Alteration (Set 2 aisitrt) 14❑ Trettsia betel,novel, �❑ � Mel t» lhq Wave �... Mi M d.rnita.y Ewer mwtrbe►S❑ 1Mrsckiwt(if multi/dwily ►e&idewtiA4 0/ "slits ——————— — ❑ to station, repsf go"" enter Number a/watt to bnilalns in 1 S❑ care. b❑ "so eel. Institutional Pert 0. l s1 to❑ Catpert 24❑ OM . bomb, ptefessisnel 6❑ Ma�iwg (rel•sstisw) 17❑ Other — Specify ��NC• ❑ Pub it utility T❑ fa•wdeM•w only 2S/ / ❑ Selw 1. library. steel edusstfonsi S. OWNERSHIP d� 27❑ S . xereawlilo ���e�` ❑ A� Private(it(Individual, eMpaeati M, T s. tswars Z!❑ 0 - Sped/y newprefit inst,!utien,see.) 9 ❑ Public(Podwei. Stet•. at lessi government) C. COST (heat cows) NomesWentisl — Ooscribe in retail proposer vs of buildin gs. •s•. toed processing plow. meshino shop. laundry bwIdiot 4 t hospi►el. •lemswtsry Ia. Cost of improvement............... 1 school, secondary school, sells". psr•shisl'ssh 1, parking terege for doostiment store. rental office building, office►w ding of industrial plant. T be installer bat not included If wee,of existing building is boons chanted. enter proposed vas in the above cost s. tleemsel...................... AxS / V l ek� A C. , b. Plumbing ...................... C.""tine, sty cenditioning........• 4 !:fz liar '.��•�'(eiav�iGirr', iii►.�............• 11. TOTAL T Of IMPROVEMENT 2 �2 `V 111. SELECTED CHARACTERISTICS OF BUILDING — for now buildings and additions, cotmplat* arts E . L; for wrecking, Complete only Port J, for all a ifiers skip to IV. E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS 30 n Mlssenry(well bowins) O Public or private company As. Number of steries................ 31 ❑ weed home 41 Private(segue tank, etc.) r• Total square toot of (leer arse. all floors. based on exterior 3a❑ structural steel dimensions ...... ............ 33❑ Itsinforsed concrete M.,TYPE OF WATER SUPPLY 34❑ Other — S►tci/y 4❑ Public or private sompany � Tetsl land ores, sq. h. ........... 43 Private(well, cistern) K. 'ARK MG SPACESNGER OF S EET P. PRINCIPAL; TYPE OF HEATING RUE I. TYPE OF MECHANICAL S1• tnslesed ........ ............ 35❑ Gies Will than•be sontrei air U. Outdoors..............0......... 3s❑ *I sawditlewiwst L. REs10EI)TIAL BUILDINGS ONLY 37❑ Elsetticity Y❑ Yet V❑ Me 33. Number of bedroom*.............. 3111❑ tear& 30❑ O*w- Specify Will there be an sisvatse? !4. Number of Pull.......... ri❑ Too 47❑ N beMteeews PeeNsl........ IV. IDENTIFICATION — To be ceaepl ted I�r ell applicants Name Meiling address - Nwnbor. streer. cur, and Stage ZIP cod E� �T a6o7y 6yy 6s'7P Less* 2. 3. ♦rcht?gct.I E n'i near Th owner of this building and the undersigned agroe to conform to all opphcable laws of this jurisdiction. Signature of applic Address AIII; IT d rzl� LIZ DO NOT WRITE BELOW THIS LIFE V. PLAN REVIEW RECORD — For office use Plans R view Required Cheek Ian Review Oslo Plans By ate Plans By Notes Fee Started A ppreved BUILDING a PLUMBING S MECHANICAL S ELECTRICAL S OTHER Is VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Oslo perm'► r Approval Check Obtta neii Number BY Perrnit or Approval Checki 0b,aIRod Number 310 1301LER PLUMBING CURB OR SIOEWALK CUT ROOFING ELEVATOR SEWER ELECTRICAL SIGN OR BILLBOARO ' FURNACE STREET GCVES i GRADING I USE OF PUBLIC AREAS OIL BURNER WRECKING OTHER OTHER 11. VALIDATION 8ui Iding , �` o Permit number J 8ui Iding P rmit issu d 19 _. Sul Iding P rmit Fe S Appr v d by: fee 4 TITLE FINALBuilding SPECTI N : �, �lG,���— APPLICATION FOR BUILD NG PERMIT Plumbin HVAC Sprinkler 161 MORGAN FARMS DRIVE Electric Estimated Cost $ Iry Zoning Permit Fee$ Affidavit NO. 2 0 2 3 5 Occupancy Fee $ Eng. Dept. COMPLETE RED BOXED AREAS.Fire Dept. TYPE OR PRINT ONLY Total Fee $ /Ur Health Dept. SIGN ON REVERSE SIDE. Approved for CO: (Additional C st) $ TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT The undersigned, hereby applies to do work according to the following specifications: Job Location Aip-rwq Lot No. Side of Street Zone Applicant Te . # Address 1,45Xi9� S CTZip �6D7`�Lic.# TRCITY STATE Owner T -----Address Architect Address Size New Area: Ft. Front Overall Ft. Deep Overall Total Area #G arages Lavatories No. of Families No. of Stories Construction Bathrooms Rooms 1 t 2nd 3rd Size of Lot Dist. from Street Line Dist. from Side Street Line Purpose of this Permit U1 City Water Well ❑ Septic ❑ Sewer Approved by ik Date BD1A 11/88 I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and th Ordinanc s 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 lin s,side yard lines and required distances from all other zones and is located in a zone in which this building and its use is allowed. Signed 1 hereby apply for a Certificate of Occupancy for the work described in this applica ion for permit. Signed —DO NOT WRITE BELOW THIS LINE— INSPECTION RECORD Footing Framing Foundation Fireplace/Chimney Insulation Plumbing Permit# Inspections: HVAC Permit# Inspections: Electrical Permit# Inspections: Sprinkler Permit# Inspections: i N(RIOr octet Itc isAr ►N/s MA/Is sY11/INIIALLr coR[tcr. rifts MA/ NOTES: Z _ {.LIMO lYR 4Sw4;%rrr : rRIrAR(0 to AccojvoANc! oirN rNt srAA'OAAOs Or A tlAll As elrl#(o /NrN("l�[cOMMlNOlO 1rAvoA4os roA a V S. JIArs is rNt sure or cv#&rcrlc&r" As IA(rA*to ANO 1. UTILITY LOCATIONS PROVIDED BY CONTRACTOR. AOo/rlb or riff ffRN(cr/cMr AesoctAriv* Or fAM1 sVl1Y[roms,mc. eR 0y�r a�.t- mires Are (rr(c►Ir( *4*&Aar i, frop 2. SITE GRADING PROVIDED BY CONTRACTOR. Z� lr.Rv(ros t rsNAr�•R( sAr( t tcrA[( MYrOIA 3. CONTRACTOR'S NOTE: MECHANICAL FOOTING . moo 4c>-8 c DRAINS INSTALLED SUITABLE FOR INSTALLA- Z5 3 � rp•. TION OF SUMP PUMP IF FUTURE CONDITIONS Zoy O �• �, ,,.. _ Fc'• .1�IARRANT. W z E Y•`- M M` 2 LOT SUMMARY (L' 4 No. 14649 �� GARAGE FLOOR - 120.a `.�4</cE NgE�OQ.���,J� FINISHED FLOOR - 130.2 A[A•A..sssrrrr► Z w • N'x o o o { F- � I � F- 0 C4 p 4 0 > Am - w= a 2 I W ` " c�v 0 N69°-02'-28"W �. W CV N► +y I O W' �1 M r f , J. I Q �� �� 0- '""' Z 4 g mQ GN/ E C �1 .W � •w� O N ' � W O S � • 1 Qd' N N " N V) M N X ;� , o Q vC J 8 �_ h h , r. w asp e H fzl , w W . 0 0 0 �J _ 0Itl 0 o o I ,,B � = a bb x � - N > Z � u Z 0 R N ' to 10, S.Y. H � � oo� L.L.. w o Ld N � Z 146.50 O Q W y N69 -02'-28"W OI Cry $ VO 0 IL F-- N 0 0Y- J J 9L 3 0 � SEP 2 5 jm). South Windsor BUILDING DEPARTMENT Electric# 3 APPLICATION FOR BU DING PERMIT 161 MORGAN FARMS DRIVE Plumbing# WAC # Date: 9 No.Sprinkler# FNU ARRO Estimated t $ 3G9y.e� Building COMPLETE RED BOLAS Permit FeeEngineer TYPE OR PRN Occu Fee $ SAffidavitSIGN ON REVE Appr.for CO. 'J G Total Fee �3 TO BU ARTMB�I',TOWN OF SOUTH W 4DSOR,CT Additional t) $ The undersigned hereby applies to do work according to the following specifications: Job Location-,I,/ z9&eAg t�zdike,,zu .9.8. lot No. Side of Street Zone Applicant it/Ei%_e'' /lwlgeey Zz oa� X-� 47 Tel# Addr ss /6/,�Je�l�1ir/ ��ir/�JS .�.� _ Zip Lic.# Owner Address Architect Address S4 Ft.New Area: 1st Fl. 2nd Fl. 3rd Fl. Total N Area #Rooms #Lavatories #Bathrooms #Garages Purpose of this permit: e City Water ®/ V&I ❑ Septic System ❑ Sewer Ins. H.O. S.P. Cart, Area Basement C arage Approved by Dat L,11-oZ72 Use Group Cf Cons Type Zc- R•v6od 1197 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 this building and its use is allowed. Aeq-- Signed ev I hereby apply for a Certificate of Occupancy for the work described in this application for the permit. c Signed �.. DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS Inspection / Approval Date By Appl Code Description Due Whom Code Comment ------------------------------------------------------------------------------- 97-24055-B 3,690 E02 UNDERGROUND 04/29/97 JFF A B10 FINAL 07/15/97 JFH A 97-14293-E 300 Total Est Value 3,990 I Mteter ,prei ivc tmAr ►ivis vAr is jussrsirriAttr coAvtcr. rHt! MAp NOTES: AMO !&a i MrR: rA1rAAr0 /A ACCOQOAMCr MI/M rNr !►ANOAAO! OF A s&.*rir '&VAPS f# INtli%i ieor ve rici c&r' i rPoiOOA490°A*e 1. UTILITY LOCATIONS PROVIDED BY CONTRACTOR. h Asopreb or ►Mr f l•wNrer/fM/ A!!OC/Ar/OM Or t4N1 smorve►OAl,sive. g •& ScAll."044.2 rIL rreA ANe trrrerirt JA,YrAAr r, trii- 2. SITE GRADING PROVIDED BY CONTRACTOR. �O lriAYlrO.:J /INA►` � N!r Mf/rOrA Zo«« O 3. CONTRACTORS NOTE: MECHANICAL FOOTING DRAINS INSTALLED SUITABLE FOR INSTALLA- Z W .0 Z y a.a o CON TION OF SUMP PUMP IF FUTURE CONDITIONS n o �•'' C,F,••.._NFc'•� •WARRANT. O O LJ u,z Y'`' ,n ��rv,6pN�lOG�',G= V ���� N M ; 2 LOT SUMMARY _ 0 No. 14649 GARAGE FLOOR I Z.O. \ ,� Ng��oQ.���•`a )!INISIIED FLOOR - i 30.2 Q � ,� Z w • 0 O 0 � t i— ( O D F_ O J I 0 �- ' W W •�a•►= w' t.... ` ? I Lv 0 cr N o N69°-02'-28"W '^ �' °� W 146.501 a. tti c� cV 0 0. + 0 W1 o p g a"'1 •w O � -T I_ W ZT 24.o = s 8' L� W I c� o- cq HIS O N e I=I „ h ~ DOU O i O O 1� L W CL -..I O r W J J a Z ,� 0 V Z , 10' S.Y. L.1... W w " Z 146.50' O a W N69e-02'-28"W pl 0 CO) O . 0 w to m m J 0. 3 0 �: 10 Ti1t S This 'nr!I Cnal,S of t, pr,d!",..d build'. e' r �rcct�d at C .,ith pl t J t,v tit I'.•' Jepartii 4 t.is Ippi,k ,j�n ..,Id final issu—.C< permit. �I �. JLi �7t�.1'f1il� ' IrVI``� L, i Sip,ncd This pl•n i, ap,,.r,>v.d bled orlt rs wd :.cal I.nces rcguljtmis b•d..'ine h.,.I cj'-'pied —th Conditionally Approved These tiled with dull ng I speCtor, Clockc�^� D�eJ�FIC�1T{QN OF ZON!NG CaT�aP�I� �., -� �� td P`.y posed building',-)rg'F`Ir US.11k) and/or :Aruvturc, is shown on pi—I to be rid Vari,5rces at � Vol -•Y. I:A, ap1. 1 �° 4qijqAEnfop*ent Officer j,r�-3 DEPARTMENT DECISION PE APPLICATION FOR ELECTRICAL PERMIT 17M' Application pplication is hereby: TOWN of SOUTH WINDSOR P' A BUILDING DEPARTMENT BWIdPerimt#_ 4 APPROVED 1540 SULLIVAN AVENUE 644-2511 ext.230 Date Bi g Inspector Application must be printed or typed Location of job Street No. -131reet- Lot No. FEE SCHEDULE Floor Apt.No. $0 - $1,000 - $12.00 Over $1,000 $12.00 per$1,000 auwt L-Floor or any fraction thereof OWNER ADDRESS OWNERS PHONE# APPLICANT Ow S FADDRESS 4 4( ESTRAATED COST$ o J IS THIS A CONTRACT COST? A YES NO FEE ENCLOSED $ yr 0R,C TYPE OF JOB: Original✓ Installation - Alteration/Addition Repair Revised 11/95 APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A RESIDENTIAL BUILDING PERMIT APPLICATION YES / NO BUSINESS ASSEMBLY CURRENT USE AND OCCUPANCY MERCANTILE EDUCATIONAL FUTURE USE AND OCCUPANCY INSTITUTIONAL FACTORY STORAGE ENGINEER'S NAME PHONE GARAGE MIXED USE ADDRESS CITY STATE ZIP (Othcr please specify) TYPE OF INSTALLATION/WIRING METHOD SIZE OF MAIN FEEDERS AND RATING OF WIRE USED NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS NUMBER OF PANELS REMOTE DISCONNECT REQUIRED?YES/NO NUMBER OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS NUMBER OF SWITCHES NUMBER OF OUTLETS NUMBER OF LIGHT FIXTURES NUMBER OF HEAT CIRCUITS NUMBER OF A/C CIRCUITS SEPERATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED. DESCRIPTION OF WORK THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONN.BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. NAME STATE LICENSE NO. TYPE SIGNA F APPLICANT PHONE NO. 10 DATE —/D-9 Electric# APPLICATION FOR BU ING PERMIT Plumbiv# 161 MORGAN FARMS DRIVE HVAC # Date: -o?J t-40_ 24302 Sprinkler# FIM APPRO Estimated t $ Building -7 l -7 COMPLETE RED BOXED AREAS Permit Fee $ IL TYPE OR PRINT ONLY Occupancy Fee $ Aff. SIGN ON REVERSE SIDE Apw.for CO. Total Fee $ I? TO BULDW DRARTM NT,TOWN OF SOUTH WHI)SOR,CT (Additional t) $ The undersigned hereby applies to do work according to the follower specifications: Job Location lot No.,J2 Side of Street Zone 0 Applicant L zQ — Tel# - Addr ss ,//0/ _ Zip 690 Lic.# Own r (7, A d a,r� Address 6,0- Architect Address Sq.Ft.New Area: 1st Fl. 2nd Fl. 3rd Fl. Total Ney f Area #Rooms #Lavatories #Bathrooms #Garages Purpose of this permit: L fa czr _S_zr� J � City Water Well ❑ Septic System ❑ Sewer Ins. H.O. S.P. Area Baserrrent ape Approved by Date Use Group Consft dion Type Rn►'sW 1/97 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 ilding its use' I Signed - I hereby apply for a Certificate of Occupa for 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 -------------------------------------------------------------- ---------------- 97-24302-B 1,000 BO1 FOOTING 06/10/97 JFF A B10 FINAL 07/15/97 JFH A Total Est Value 1,000 ••••,,.,•,...fir uw,�cr. 1HIj MAI NV4J: Z AA'O lrR 'i 1►(R•• /R(/A'f(0 /A ACCOR0�1 MCf M/rM IN( JIAAOAROJ 0/A ClAll sasrrr ret teriote /AIM("Rf[ONrfMO[O IIA.rOARO! /OR a u JrtrtT rrAll /A ►,Ve s/Ar( o/ (eAAt[II[r► AS ♦RfPAR(e AN& 1. $ AOets►e� •r IA! ta-v4,[elreMl 4J/0[IAI♦OA or lA&P w UTILITY LOCATIONS PROVIDED BY CONTRACTOR. are/eel,►AS• .- /r � ~ else• Aei e/rr[►rre ♦AArARr J, !►si JW 2. SITE CRADINC PROVIDED BY CONTRACTOR. OA v o lgRYerO.:J iNAia — 1� � � O t/tfAJt Nt/ritR g, CONTRACTOR'S NOTES MECHANICAL , }FOOTING _9of L r DRAINS INSTALLED SUITABLE FOR INSTALLA- z ,c ��!►"""'' •. TION OF SUMP PUMP IF FUTURE CONDITIONS Z z ' �►f' F CON& ''• o';le ��V'��� �� •( -F�C " -WARRANT. O O u O EBg 10 ,Z MN'r, J Ng No. 14649 CARACE FLOOR - I Z0. ice"S 0,�'+��� rINISHED FLOOR - 130.2 0. w o - O U. 0 0 �'— La 0 J w � IOU Z w! W�- I ` to 0 N69'-02'-28„w %n J J > W CV ItT I � lHrl4,Q fj I o� 0. � • .H I N � 0 a. w T, L {�/ • s tea. W r" � c Q � Q > t� x O I — r• Q 0 L^ N p J 8 h o iJ h oR of O o I W Y Z • Z 4.1 l Q -----1 z w Q U o hb Q a Q Q 10 S.Y. H oo (,I„ W o 146.50' z ■� N690-02'-28"w o a Q W Ocv et 0 �i F- m i O �g O 0 W N • I _l - — M m a a 3_ c 0 M71 �My t�uMeL1ANCE South Windsor r ►���.,hr<tvi�i OF Lt}�viiVu BUILDING DEPARTMENT users) andlor structure(' Proposed buildin- Ei' , 4. carts) to be ' this plan aPP IXI th V';nd s ©v�,n o n r as With cuT,en" S o;jfurman 1 ec!at exceptio+"J re ulation�. Va;fiances and sP g may apply' s" 011 Date ment officer TO THE BUILDING DEPT. TOWN OF SOUTH WIP2CSC'' o of rc This certified that this plan and specifications ore tree copies of the proposed bu►tding or alterations to erected at Stre, I��G together with amendments stated in aPFlrcjt+nn a filed with,ptan and I agree to compwy w+tl, ,J ;onin Building and state taws and such orllor� issued by the Building Dep,irtrn—it &irw, r--t rAen+ of this application and itnal issuance t.J►Idrr permit. Signed This plan is a proved ub,ec u tha �"n .trt,n t orders and or man s regufatng buetdmE 14 fM complied with conditionally Approved These filed with wilding Inspector 4igf� Uat