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HomeMy WebLinkAbout12 Ellsworth Circle Electric# APPLICATION FOR BUILDING PERMIT Plumbing# C13 eL 12 ELLSWORTH CIRCLE HVAC # 7 R 9S 3 Z ?�N7 Date: Sprinkler# %. 24184 FINAL APPROVALS Estimated Cost $ 00 d Building i Ps-1`77 4 7t3it11 COMPLETE RED BOXED AREAS Permit Fee $ a Engineering Z TYPE OR PRINT ONLY Occupancy Fee $ Affidavit S 1 SIGN ON REVERSE SIDE Appr.for CO. 2ME? J/c_ Total Fee $ d a OU TO BUILDING DEPARTMENT, TOWN OF SOUTH WWDSOR,CT (Additional Cost) $ 4 Z 3 Th undersigned hereby applies to do work according to the following specifications: Job Location I Z ��fs %�--�_ Lot No. c9� Side of Street JP Zone 'c5a Applicant 34 Tel. # OW SCV,9.IyQSC/ Address # Own r Address SSg9a';1� Architect v �/t�, 610 rS/4,6 Address a/7AJC— Sq. Ft.New Area: 1st FI. I Z2 Z 2nd FI._ nZ 3rd A. Total New Area #Rooms # Lavatories #Bathrooms c9- #Garages vZ Purpose of this permit: City Water;9— Well 0 Septic System ❑ Sew _ Use Group Construction Type Area 7 / Bf)* '+dO Garage �6 4 Approved by J� Date �iwS�w,_9vG Re,,%W 6/95 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 I zone in which this building and its use is allowed. Signe 61d I hereby apply for a Certificate of Occupancy for the work described in this application for the permit Signed df (51o' w -- DO NOT WRITE BELOW THIS LINE -- INSPECTION COMMENTS 4 - - - -- ----------------------- Location of Job : AFFIDAVIT Additional Fee S 336. 00 State of Connecticut ss. South Windsor County of Hartford �ry�- �� O�v I N)ck n cu -H of 5'k ent for the buildin er Contrac or under Permit No. 24184 issued by the Building Department of the Town 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 most current accepted BOCA value of$_1 2 5,0 6 9 . 0-Q Signed Subcribed and sworn to before me this Sr—day of �.. A.D. 19 Estimated Cost S 9 7 , 7 0 0. 0 0 Difference: S 2 7 , 3 6 9 . 0 0 tary Public 3 Inspection / Approval Date By Appl Code Description Due Whom Code Comment ------------------------------------------------------------------------------- 97-24184-B 85,000 B01 FOOTING 04/29/97 JFH A B02 FOUNDATION 05/02/97 JFH A GARAGE ONLY B02 FOUNDATION 05/05/97 JFH A P02 UNDERGROUND 05/06/97 JFF A E01 SERVICE 05/15/97 JFF A RELEASED OK B05 FIREPLACE/CHIMNEY 05/22/97 JFH A B03 FRAMING (ROUGH) 05/27/97 JFF D GARAGE--FIRE STOP AT RIBBON BAND E03 ROUGH 05/27/97 JFF A 05/27/97 JFF A B03 FRAMING (ROUGH) 05/29/97 JFF A B04 INSULATION 05/29/97 JFF A EXCEPT GARAGE CEILING PO4 GAS TEST 07/10/97 JFH A B10 FINAL 07/25/97 JFH A NEEDS LETTER STATING HOMEOWNER KNOWS HEADER IN BASEMENT NEEDS TO BE FIXED B10 FINAL 07/31/97 JFF A REINSPECTION:HEADER IN BASEMENT FIXED OK APPROVED FOR CO & CLOSEOUT 97-9779-H 5,900 97-9932-P 1,900 97-9832-H 1,900 97-14396-E 3,000 Total Est Value 97,700 Dwelling 2,175 89,001.00 Basement 1,200 14,880.00 Garage 506 6,274.40 Smoke Det 7 525.00 BOCA Value 125,068.85 Difference 27,368.85 3� SITE COMPLIANCE CHECKLIST TOWN of SOUTH WINDSOR, CONNECTICUT 12 ELLSWORTH CIRCLE LOT_#24 Reviewed By R 4 eering) JMJ CONSTRUCTION CO. Date Reviewed 7 ro Denied 658 ELLINGTON ROAD,SOUTH WINDSOR,CT Reviewed By (Planning) BP_# 24184 Ph_# (203)282-0628 Date RevieweOJ ULIiE prow Denied Date Submitted 07/24/97 ***** FOR C of Gf *** As required in the Zoning and/or Subdivison Regulations, no Certificate of Occupancy shall be issued until grading plans have been complied with and approved by the Town Engineer. The minimum requirements shall include: Approved Denied N/A VVV 1. Approved building permit plan 2. Finish grading per approved ]� building permit plan \� 3. Site work; i.e. trees, shrubs, dumpsters, required parking 4. Utility location; a. sanitary sewer/septic system b. foundation drain c. electrical & telephone d. water e. other q a5 (� 5. Sewer connection charge paid 6. Appropriate certification 7. Bonding 8. Planning & Zoning/ 67 Inland Wetlands Considerations Sewer Permit No. Pavement Excavation No. COMMENTS: ` a rm SITE COMPLIANCE CHECKLIST TOWN of SOUTH WINDSOR, CONNECTICUT 12 ELLSWORTH CIRCLE LOT_#24 Reviewed By (Engineering) JMJ CONSTRUCTION CO. Date Reviewed rov /Denied 658 ELLINGTON ROAD,SOUTH WINDSOR,CT Reviewed By (Planning) BP # 24184 Ph_##_(203)282-0628 Date Revie p?rove enied Date Submitted 04/22/97 ***** FOR BUILDING PERM **** In accordance with the Zoning and/or 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 C. Lot description, bearings, building lines, distances, 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 & centerline of road at driveway f. Elevations of gravity drainage systems, sanitary & foundation drain at the house and the street g. Tentative utility location (gas, water, electric, septic system, etc.) h. Title block with name and address of preparer, date, appropriate certification, live seal and live signature consistent with the Board of Registration requirements. (P.E. & L.S.) AV5. Sedimentation and erosion control 6. Special Planning & Zoning, Inland/Wetlands considerations (Plans on file w/Town Clerk) COMMENTS: � l0 RIECEIVEO m AP R 2 3 1997 pt"a s"wN= s W.oar. ti E f �• PERMIT 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 ate nspector Application must be printed or typed 1 . LOCATION OF JOB L or ay 94Z FEE SCHEDULE No . Street $ 0 - $19000 - $ 0 Floor Apt . No. Over $1,000 - 1-- ��� per $1 ,000 or 2. OWNER fraction thereof 3. ADDRESS �5-0 �� '-) cS('• &),Lzasof LIZ:: - 4. APPLICANT 5. ADDRESS A'52 `y5— U6CWQn1- C r,-- .6 0.1 6. ESTIMATED COST $ 7 . IS THIS A CONTRACT COST Yee No 8. FEE ENCLOSED $ Co - QQJ 9. TYPE OF BUILD NG: !/KESIDENTIAL COMMERCIAL 10. TYPE OF JOB : Original Installation Alteration/Addition/Repair RD 3A 11/88 APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side) 11 . LOCATION OF JOB �)Q�j N0 . STREET APT. NO , 12 . TYPE OF INSTALLATION /��(,J A £SS/a(fQy'-r►AL- 13 . SIZE OF MAIN FEEDER 14 . NO . OF LIGHT LOOPS �p 15 . NO. OF HEAT LOOPS -- 16 . NO . OF POWER LOOPS 5 17 . NO. OF LIGHT OUTLETS 18 . NO . OF HEAT CIRCUITS 19 . NO. OF POWER OUTLETS a 20 . NO. OF CONVENIENCE OUTLETS ''{S 21. NO. OF HEAT CIRCUITS 22 . NO, OF POWER CIRCUITS 23o NO. OF LIGHT CIRCUITS_ 24. SIZE OF HEAT CIRCUITS_ 25 . NO. OF MOTORS 26 . NO . OF PANELS-1 27 . TOTAL WATTAGE (/j 28 . NO . OF POWER FEEDERS l 29 . NO. OF SWITCHES 30 . A/C LOAD 31. SIZE OF POWER FEEDERS o 32 . NO . OF FIXTURES 33. TOTAL HORSEPOWER 34 . NAME OF SUBCONTRACTORS AND THEIR TRADES 35 . REMARKS AND FURTHER DETAILS : LICENSE NO . SIGNATURE OF APPLICANT DATE PHONE NUMBER: LIT2d -INSPECTOR DATE TIME LOCATION Z,�L 5- INSPECTION: CODE: RESULT(D/A) : BUILDING: ELECTRICAL: .1 1 PLUMBING: HVAC: OTHER: _ e - DEPARTMENT DECISION PERMIT# APPLICATION FOR PLUMBING PERMIT -q3-�- Application is hereby-: TOWN of SOUTH WINDSOR BUILDING DEPARTMENT Bid Permil# APPROVED 1540 SULLIVAN AVENUE t /7 644-2511 ext. 230 Date dnspector Application must be printed or typed Location of job Street o. S Lot No. v FEE SCHEDULE Floor Apt. No. $0 - $1,000 - $12.00 Over $1,000 $12.00 per$1,000 OWNER or any fraction thereof ADDRES OWNERS PHONE# APPLICANT W p $ ADDRESS . F-4 ESTIMATED COST$ /CAD Q C - E. C IS THIS A CONTRACT COST? ''iV YES NO l� K, ��► FEE ENCLOSED $ r I F JJ dsOR O CO TYPE OF JOB: Original Installation Alteration/Addition/Repair Revised 10/96 APPLICATION FOR PLUMBING PERMIT(Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION YES / NO RESIDENTIAL BUSINESS CURRENT USE AND OCCUPANCY ASSEMBLY MERCANTILE EDUCATIONAL FUTURE USE AND OCCUPANCY INSTITUTION FACTORY ENGINEER'S NAME PHONE STORAGE GARAGE ADDRESS MIXED USE CITY STATE ZIP (Other please specify) TYPE OF INSTALLATION [ SIZE OF MAIN DRAIN NO.OF TOILETS J_ E NO.OF URINALS STYLE NO. OF BATHTUBS_/ NO. SHOWERS NO.OF LAVATORIES NO. OF CONDUCTORS SIZE NO.OF STACKS SIZE 3 AREA OF ROOF NO.OF CATCH BASINS NO.OF FLOOR DRAINS NO. OF OTHER FIXTURES KIND IV i)") ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW YES/NO SIZE OF WINDOW 2, IF NONE C.F.M.OF VENTILATOR SIZE OF DUCTS SEWER OR SEPTIC TANK 4 35, SIZE OF WATER MAIN � SIZE OF WATER PIPING&RISER WATER HEATER TYPE MANUFACTURE TANKS SAFETY DEVICES TEMPERATURE CAPACITY RELIEF VALVE TEST PRESSURE WORKING PRESSURE PRESSURE RELIEF VALVE TYPE MANUFACTURER 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. r • 41 NAME STATE LICENSE NO. TYPE SI ATURE OF APPLICANT PHONE NO. DATE t DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT P RMIT# q'7-1 9_' Application is herein: TOWN of SOUTH WINDSOR BUILDING DEPARTMENT Bldg Permit# APPROVED 1540 SULLIVAN AVENUE 041+)194 644-2511 ext. 230 Date Building Inspector Application must be printed or typed Location of job 12 Ellsworth Circle 24 Street No. Street Lot No. FEE SCHEDULE $0 - $1,000 - $12.00 Floor Apt. No. Over $1,000 $12.00 per$1,000 OWNER Dart Hill Realty, Inc. or any fraction thereof ADDRESS 658 Ellington Road South Windsor, CT 06074 OWNERS PHONE# 282-0628 APPLICANT R & E Heating & Cooling, Inc. I� OW N 5�4 ADDRESS 310 Nutmeg Road South South Windsor, CT 06074 COD ESTMATED COST $ 5900.00 I IS THIS A CONTRACT COST? X I YES NO FEE ENCLOSED $ 72.00 i 1 , 0 TYPE OF JOB: OR C X Original Installation Alteration/Addition/Repair Revised 11/95 i SUMMARY REPORT -------------- Prepared For : Prepared By: Darthill Realty R P 658 Ellington Rd R&E Heating & Cooling So Windsor , Ct 06074 Job Name: 234-024 DESIGN CONDITIONS ----------------- OUTDOOR INDOOR SUMMER WINTER SUMMER WINTER Dry Bulb 88 0 78 68 Wet Bulb 75 65 Daily Range 20 Daily Swing 3 .0 Latitude 41 Elevation 1100 Safety Factor ( % ) 5 Latent Factor ( % } 30 Room Heating Heating Cooling Cooling Name BTUH CFM BTUH CFM ____ _______ ------- _______ ------- Living Room 3 ,781 93 3 ,593 156 Family Room 29793 69 3 ,226 140 Foyer 827 20 734 32 mud room 1 ,329 33 674 29 Dining Room 2 ,584 63 2 ,607 113 Living Room 17 ,787 437 5 ,985 260 Kitchen 8 ,140 200 5 ,646 245 Bedroom 1 10 ,004 246 3 ,977 173 Bedroom 2 3 ,005 74 2 ,407 105 Bedroom 3 2 ,241 55 2 ,065 90 Bathroom 8 ,505 209 2 ,636 114 Living Room 4 ,131 101 3 ,300 143 65 ,126 1 ,600 36 ,851 1 ,600 HEATING DELTA T 37 .0 COOLING DELTA T 20 .9 NOTE: *** Calculated Airflow is based upon load requirements . Verify that airflow calculated is compatible with selected equipment requirements . *** Q"I C9 U3t ONLY APPLICATION FOR HVAC PERMIT DA T . � 1�' TOWN OF SOUTH' WWDSOR EST ST BLOC.PERMIT N0, 1540 SULLIVAX AVENUE FEE SOUTH W'iMDSOR, CT 06074 : 1� , 644-2511 - Ext. 230 $ 0 - $1a000 - U0r$9' $1000 or fraction LOCATION OF BUILDING cS` / thereof - 'I z-- OWNER ADDRESS TOWN PHONE NO. 60r,,i - S'ov -2 HVAC CO1MACT9R DRESS 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. HYDRONI�C l/- W AIR UNIT RADIANT HEATER (INCLUDING WOOD COAL BURNING STOVE) TYPE OF FUEL: OIL-GPM_ GAS IN-PUT ELECTRIC KW WOOD COAL OUTSIDE r OIL TANK - SIZE 6 LOCATION: INSIDE_ SIDE_ CAPACITY , LPG TANK - CAPACITY EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION, Z2 DESIGN TEMP. OUTSIDE a2ir min. OF IIFFFERENCE�R°F .0 TOTAL HEAT LOSS (BTUA)� {HEAT LOSS SHEET 1�IITST ACCOI�ANY APPLICATION) DESCRIBE ALL HEATING EQU INCLUDING MAKE br MODEL N0.) GROSS HEATING CAPACITY (INPUT-BTUH) NET RATING OUTPUT-BTUR) IF AIR CONDITIONING: DESIGN TF1KP. OUTSIDE OF INSIDE OF DIFFERENCE OF TOTAL HEAT GAIN (BTUH) r (HEAT GAIN SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL COOLING EQUIPMENT (INCLUDING MARE S MODEIC NO.): TONNAGE COOLING CAPACITY BTUH) IF VENTILATION: DESCRIBE ALL AIR-SANDLING 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: STATE LICENSE - NAME b TYPE # D5ZGNATURE OF APPLICANT P DATE 80 4A 11/88 1 =B a R CALCULATION SHEET 15M (Modern Method) Copyright 1977 by T1re k Anatltute WHEN ADDRESS DESIGN TEMPERATURE DIFFERENCE F. •DA COL.A COL.9 COL.C COL.D COL.9 COL.F Meed T RooM �L ivii� �ni/l �f'it /O H L W H W N L W H L w Oesha water Tamp. ? AOOEA DIMENSIONS,FT. ~ up y STUN►K Foo!of V 2 LENGTH EXPOSED WALLS,FT. < p •a2� 165, Radiation"acted d WINDOW AND OUTSIDE DOOR AREA It. O o? STUN STUN STUN STUN STUN 5 WALL CONSTRUCTION , G ROOM LtN.FT.OF ITable 9,ltne 2 a M) ,D le,00 8 oV 600 AIX U TOTALS RADIATI N FROM LINE 12 SELECTED 6 TYPE OF I t ASS / "0 i1 900 goo -7 e IBottom f table used for line SI U V I / �G[�r 7 CEILING CONSTAUCTION C / ITaDle 9,l a Wi .05 'Foo U 00 7-00 8 D ' • iLOOA CONSTAUCTIONt `! O / ` ITable9.L a W r Lin E Ft.) �— �� -� 9 COLD PARTITION CONSTRUCTION F liable 9.L a HI - 10 -G 1 Wall(WiUf Opanir►Sal .Q�Z �0 H Q Y 2 Walls[With Opening.) oX O Z oO LZOO -- -- --- .J _ I o0 9 3 Walls(W.Ih Qpantn0a)Or Ent.MaII ►- � n7� � .11 TOTAL BTUH AT 70i TEMP DIFFERENCE' -goo70�1 70�/ �o� K. -- O D 12 TOTAL OTUH AT-DESIGN TEMP DIFFERENCE I 000 - 0� i-----�'-�— — — — --- — -- -- — fOl'A _ -- - - _- COL.• COL.H - COL.1 COI.1 COL.K COL.L TO AL 9TUH TOTAL 1 ROOM OF BUILDING RADIATION a o5 C� G O AT SELECTED _ O H L W H L W H L W H L W H L W DESIGN TEMP.• t/ DIFFERENCE 2 ROOM DIMENSIONS f T U a Z Q LENGTH EXPOSED WALLS FT < / B' 0 4 WINDOW AND OUTSIDE DOOR AREA •TUN STUN STUN 9TUH 7T M S WALL CONSTAUCTION •INCREASE a BATHROOM n ITeDIe 9,Line 2 MI TOTAL 20%! �O� D �A� . fi TYPE OF GLASS fL le ttom f table used for Lrne 01 -� 7 CEILING CONSTRUCTION ZZ iFOR CONCRETE FLOOR ONGROUND OR FILL AT (Table 9,L a W) .OS ?Or GRADE LEVEL.USE LINEAR S FLOOR CONS TRUCTIONt FEET OF EXPOSED EDGE ITeble 9,L a W r Lin FLI 9 COLD PARTITION CONSTRUCTION — tTable 9,L a H) 10 -o I Wall(With Opens•,.) ° 0/Z / O 0 2 Walla IW,th Openings) o X J 3 Wall$IWtth Openonga)or Ent Hall 11 TOTAL STUN AT 70F TEMP. 3 (� G A DIFFERENCE' 12 TOTAL STUN AT DESIGN TEMP DIFFERENC . Q ���ooe) t Thu form is available it m The Ntldronk•Institute.36 Russo P1ec•,Serkeler Heights,N J 07922 FORM 1503 NbT1SI'!� I.UTILITY LOCATRXG AND tNVERT alVATIONO TAKEN"WM AN IldVmftTWN MPOW PPA:AA C W SY 11C WNTRAGTOK. 2.A.L. ITEIN9=4GTIP ON TM P1.M HAVE OWN VICM"W IN "FIM D AS TO LOCATION,4.,LCVATION AND . S.PA WAL ZONED tv"00MAL A-90. N/F N/F 20' STREET TREES 4.'VAKIMCE OIwAr =ON NOV.4,I'4.45 Wr TM WVrN YOVftAt BERT & HELEN V. EUGENE & ELLEN Z. £ASE'WNT ZONIft 50APV Or Al MALS TO ALLOW ALL LOTS TO HAVE A 40'MRONT YARD SCTSACX. JULIANO KUPFERSCHMID 1 N 0935 21"E / 1BB.78' • LEGEND - 24 O IRON PIN TO BE SET ; / 00 a MONUMENT TO BE SET J5,080 sq. ft. i EXISTING CONTOUR 0.80 cc. x 287.3 EXISTING SPOT GRADE �'" f rr WATER SERVICE GAS SERVICE 1 I �*•9 r R 3. T- .81' I 23 N, r' REFERENCE NOTE: V BOUNDARY INFORMATION IS TAKEN FROM PLANS ENTITLED � ��R 'PLOT PLAN-PARTRIDGE MEADOW II", SOUTH MAND50R, CT. / ` -,z or 4,ZW OR PREPARED FOR JMJ CONSTRUCTION. BY DESIGN PROFESSIONALS, INC. 1O• J �P +- -f[ - 93..17' DATED DEC. 5, 1995, REV. TO APfifL 18, 1996. EASEMENT 25 69'� S 0847f " 1�4 TM SURVEY NV YAP#LAVE 19M PWPAKD IN ACCUPDAMM 111H![CTIONS*� 1 MM 26-30010-20 OF RIE REOLlLAT1Ol1S OF CCMWCTKXfT STAW A®ENCIM- 'STANDAM FCW SAM MAPS M w STATE OF OONNECIICLJT'AS BY THE CONW..CTOR A2MATIO I INC. 1*0 WWOEY COW00 G TO HQVZONTAL ACCLRACY OU156 A-Y. VERIM,AL AOGJRACY TO CLASS T-2 +� lop TD THC MT OF MY I(NDUZ aE AND , THIS fS SUIPO KIIA1.LY COM%ECT A! I(f•mm. L 12M! / RICNAND P.MARIM7 UC. NO. DEPENMT 1.Ll4tM oTHO�E"m E1Nti10 UTw.ITY REVISIONS !�D A D[1 it �C A T L+ (860) 291-8755 Y SHE�T As�t As�am WST GRAPHIC ALE IMPROVEII�IT LOCATION MAP AV0$AW.IPCIMIA7f10 LI%f ALL 706 i L AnWS 40 0 20 40 iaakazff�-- T SOU IIE I Inc. BY A U09101p LAND SWOWM To ii0!T! rawl w*AA y �+ Lot NO. 24 � Circle �v er. ,13 P 0�q ajy,Am 1 inch = 40 feet civN «►sneers • planners • suryeyora 1 qF 11 Mol�Ie�LAL �. N!Q pAlE pE3 '1i0N BY 165 south 'oMHb rood, south winclslor, ConnecticutTM COMII�CTICiIT o� p„p p�7& ?-2I-91 Souse Windsor BUILDING DEPARTMEN f To x;,r �N;PT. TIMN C; JtcnM WIMSM This eertiti-d that this plan and specific ti-)n-are trw copies of the proposed building or alterat,ions to t►+ erected at Iav-�f oz strc4r, Pe together with amendments stated in application ..--c filed with plan and I agree to comply with all zonin,; 1121 Building and state laws and such orders as shsl: be ♦'k / l issued by the Building Department during pcndc-cy 1_ of this application and final issuance of a building permit. a Signed This plan Is approved subject to the condition ttiat J U L 23 1997 orders and ordinances regulating building shall be complied with. Condtttonatty Approved These filed witls SOUTH MIDSOR E!:G.DEPT. 44 did Building Inspector Clark NO- u ) �[ A P P SOR R 0 TOI��►i N C F ���;T��AnTMENT ON}ND DATS: