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HomeMy WebLinkAboutSecond Story Addition 2005 TOWN OF MONTVILLE Building Department 310 NORWICH-NEW LONDON TURNPIKE UNCASVILLE, CT 06382-2599 TEL. (860) 848-3030 X382 FAX. (860) 848-7231 BUILDING PERMIT Permit Number: B2005-0705 Date: 30-Nov-05 Map/Lot: 028/005-064 Owner ID: 5456000 Project Location: 6 PHEASANT RUN Unit: Job Description: Two Story Addition Owner Name: Rodney M and Mollie Weekly Tenant Name: N/A Careof: 6 Pheasant Run Oakdale CT 06370- Telephone: Contractor Name: JILA Construction Telephone:p (860)376-6766 DBA: Lic/Reg Type: HIC Lic/Reg No: 533708 19 Kendall Rd. Ext. Exp Date: 30-Nov-05 Lisbon Ct 06351- Construction Value Permit Fees Construction Information Building Value: $112,492.00 Building Fee: $904.00 Use Group: R-4 Plumbing Value: $9,224.00 Plumbing Fee: $80.00 Code: 1999 State Building Code Mechanical Value: _ $0.00 Mechanical Fee: $0.00 w/2004 Amendment Electrical Value: $2,776.00 Electrical Fee: $24.00 Construction Type: 5B Total Value: $124,492.00 Penalty Fee: $0.00 _ Permit Code: R3 C of 0 Fee: $25.00 Comments: Plan Review Fee: $100.80 State Ed Fee: $19.92 Total Fee: $1,153.72 It shall be the owners repsonsibility to schedule the following inspections a minimum of 2 business days in advance: Field set of approved construction documents shall be available onsite during all inspections. BUILDING PERMIT INSPECTIONS PLUMBING, MECHANICAL, ELECTRICAL PERMIT INSPECTIONS ❑dJ' Footing - Prior to pouring concrete R Plumbing and leak test • Deck Piers R Electrical Backfill-Footing drains and waterproofing ❑ Elec Trench-with conduit installed ▪ Concrete Slab-Prior to pouring concrete ❑ Pool Bonding 0 Anchor Bolts-with sill plate and prior to floor framing ❑ Electrical Service CRS No: 0 0 Framing ri R HVAC ❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION ❑ Insulation - ca - of Approval lcate of Occupancy Building Official's Approval: - Town of Montville • Building Department 310 Norwich-New London Tpke. Tel. 848-3030,Ext 382 Uncasville, CT 06382 / Fax. 848-7231 Residential Building Permit Application Form Permit# e , on A a 703— ❑ New Construction A Addition fl Alteration 0 Accessory Structure ❑ Single Family Lj Two-Family LI Townhouse Job Address fp ehnt- pVn (Number) (Street) (Unit) LC0LOJob Description TWO Sro-y fro OLT-co 0 ZZ 0.2_ !32--CLDotL 2.0 x ZZ Zi'l(100/— Owner&I/lel wner&I/lel i,(Je kLl Mailing Address (, Phi exA.r.f- f-V t'\ City ©a u/? State CT Zip 0(0370 Tel Q 100 / gW/ Z( 97 R� (L -J snut.(1) Contractor j1Cff eOAlit-R✓Gfion Mailing Address I ci 4.evida t( ,o( EAT City LA S bo A. State CT Zip 4 (03 cf Telg60 /376 / 6 710(, Contractor's License/Registration Type&Numbek- f 633 70 S Exp. Date / / I hereby certify that the proposed work will conform to the Basic Building Code and all other codes as adopted by the State of Connecticut and the Town of Montville and further attest that the proposed work is authorized by the owner in fee and that I am authorized to make application for a permit for such work as described above. Separate applications are required for electrical,p mbing,mechanical, etc. Owner/Agent Signature c Date / / Construction Value Fee Building $ $ Plumbing $ $ Mechanical $ $ Electrical $ $ Work commencing before the issuance of a permit $ Certificate of Occupancy $ Plan Review $ State Education $ Total $ $ (See 1verse side for additional requirements) 14-viseaEe6niary 2S 2005 • Town of Montville Building Department 310 Norwich-New London Tpke. Tel. 860-848-3030, Ext 382 Uncasville, CT 06382 Fax. 860-848-7231 RESIDENTIAL PERMIT APPLICATION FORM Permit No.: �2 -d i/� Y Type of Work Occupancy Type Permit Type El New Construction ����� ❑Single Family ❑ Building ❑Addition ❑Two-Family Plumbing ❑Alteration ❑Townhouse Mechanical Cl Accessory Structure Electrical CRS#: Job Address: C 1 �et,`X,"6t .'J1" (Number) (Street) (Unit) Job Description: trzl+-•Ct Owner: /" 'n"% 1// 51e...L Address: f Yl ',c< y City: C-)/t-L R-L E State: C7 Zip Code: 0(03-7J Telephone: 0( () _ V.t Z L''S 7 Contractor: DBA: Address: City: State: Zip Code: Telephone: License Type: License No.: Expiration Date: 1 hereby certify that the proposed work will conform to the State Building Code and all other codes as adopted by the State of Connecticut and the Town of Montville and further attest that the proposed work is authorized by the owner in fee and that I am authorized to make application for a permit for such work as described above. El By checking this box, I will follow the requirements of the 2005 NEC as the alternative compliance per section E3301.2.1 of the Residential Code, instead of the electrical requirements in chapters 33 through 42 of the Residential Code. 2,1 Owner/Agent Signature: iiy.�- / ' Date: I///a/Ob Construction Value Permit Fees Building Value: Building Fee: • Plumbing Value: Plumbing Fee: • Mechanical Value: Mechanical Fee: Electrical Value: Electrical Fee: Total Value: Penalty Fee: C of 0 Fee: Plan Review Fee: State Ed Fee: Total Fee: Wrvised cDecem6er31,2005 Town of Montville Building Department 310 Norwich-New London Tpke. Tel. 860-848-3030, Ext 382 Uncasville, CT 06382 Fax. 860-848-7231 CONSTRUCTION PERMIT APPROVAL Rea 44,'Ai 40,) kdia,1 Property Address fith3 110 Job Description The applicant is responsible for obtaining all of the required approvals checked off on this form. No building permit will be issued until all of the required signatures have been obtained. Required Department Permit Issuance Approval Approval Tax Collector 1�, �/o� ,� �/�G,/a (, Sig Comments: WPCA, Administrative "\,Th\ oZ I 1 i le6c .gnature/ dot Comments: ❑ WPCA, Operations Signature/ Cate Comments: ❑ Planning &Zoning Signature/ date Comments: [ Health Department Signature/ date Comments: ❑ Department of Public Works Signature/date Comments: ❑ State Dept. of Transportation Signature/ date- Comments: Fire Marshal Signature/ date Comments: cRgviseeAugust 5,2005 Town of Montville Building Department Residential Plan Review Form Date: OGT i 3,?ci0 Job Address: 7:>Na -.Qc✓, ,,,ST ) --sJN Job Description: Z ..51.70,1 2--\'' ./N41:)07 i-(YUP The following information must be included on both sets of plans or accompanying documents (two sets are required)(C.G.S. 29-252a.) This list is offered as a guideline only. It is not meant to be all-inclusive for every permit application,nor is it meant to take the place of the building code. Your application is being rejected for the following reason(s)that are checked-off or commented on: Supporting Documentation Plan must be the same as submitted and approved Windows&Doors Building permit application not completed by the Zoning Department and Uncas Health,(if X Door and window sizes Permit fee$ applicable) Emergency escape&rescue opening required in Permit fee to be calculated Retaining Walls the basement or two code compliant stairs Worker's comp.Affidavit or worker'comp. Plans required (R310.1) Insurance required Documents required to be stamped and signed by a Indicate required light(8%of floor area per room) XCopy Contractor's registration or license CT registered Professional Engineer and ventilation(4%of floor area per room)for Construction permit sign-off sheet with approvals Foundation Plan each habitable room or space required _ Indicate safety glazing in areas required such as: Plans required Provide all documentation to show compliance Dimensions doors,windows,tub&shower enclosures,etc. with the 2003 International Energy Conservation Indicate bedroom egress windows(5.7 sf net clear X Wall thickness Code(www.energycodes.gov) opening,24"clear opening height,20"clear Footing sizes Street address of project on all drawings and opening width) Column footings–size documents required _Egress window sill height Frost protection not indicated or insufficient Field set of approved plans need to be picked up Window and door header sizes Foundation–indicate the assumed soil conditions from our office Window well details Two sets of construction documents required,this that the system has been designed for or provide engineering data. If presumptive soil conditions Garage includes engineering data,calculations,and other cannot be met,provide soil bearing engineering Plans required documentation data Minimum 5/8"Type X gypsum board separation Wind Limitations Design Criteria Concrete strength–foundation,floors,exterior (on garage side)to all living spaces–all XSubmit supporting data to show conformance with porches,walks,slabs combustible support framing to be covered with the wind limitations(3 second gust @ 115 mph) Vapor barrier between sub-grade and concrete minimum 5/8"Type X gypsum board if it supports xDesign publication needs to be identified(WFCM, basement floor required habitable rooms chapter 3,WFCM,chapter 2,ASCE 7-2002) Floor thickness and control joint location Openings between the garage and residence Documents required to be stamped and signed by a Lally column size,attachment and spacing required to have a minimum 1 3/8"solid wood CT registered Professional Engineer Waterproofing details door,1 3/8"solid core steel door,1 3/8" Documents required to be stamped and signed by a Fireplace/chimney base honeycomb core steel door,or 20 minute rated CT registered Professional Engineer if based on Concrete piers and anchor details door from the garage to the house and its basement ASCE 7-02 or WFCM chapter 2 `---,‘,...._ramcdacion�airm –�, or attic y Shearwalls not identified or insufficient Beam pockets–minimum cleara$ces Indicate self-closing devices on all doors from X Ridge connection not identified or insufficient Engineered foundation plan required garage to the house and its basement or attic 7C Roof-to-wall connection not identified or Indicate slope for garage floor ,, insufficient Crawl Spaces Elevations Wall-to-wall connection not identified or Crawl space data–clearance to joists,slab x Plans required insufficient thickness(if provided),vapor barrier Type of siding Wall-to-sill connection not identified or Crawl space ventilation,location,type and size Type of roofing insufficient Crawl space access,location and size Finish grades Provide engineering data for the piers to resist gravity,lateral,shear and uplift loads,stamped and Floor plan(s) Building heights signed by a CT licensed design professionalPlans required—V Construction documents shall be of sufficient Dimension height of chimney above roof Roof pitches Hold-down devices,location and type not Elevations to match site grading • identified or insufficient clarity to indicate the location,nature and extent of • Foundation anchor spacing not identified or the work proposed(8106.1.1) Building Section(s)&Details insufficient Construction documents are to match the Plans required Construction documents do not match the orientation on the site plan reversed plans are not Floor-to-floor heights engineering data submitted acceptable,a full plan review can not be Flashing detail–windows and doors–type, Cold-formed steel framing shall be designed in performed with the submitted documentation material accordance with COFS/PM-200l edition X Construction documents are incomplete or un- h' Additional sections and details required Site plan \ clear,a full plan review can not be performed with Fire-resistance rating details required for exterior the submitted documentation wall(s) xPlans required Basement floor plan required Wall/ceiling fireblocking detail Plan does not match building plans Second floor plan required Stairs Finish floor elevation Dimensions Stair not shown on basement plan Property lines not provided Distance from property line to structure Finish floor elevation Riser height not indicated Kitchen layout not indicated Tread Structure dimensionsdepth Driveway x Bathroom layout and space clearances Nosing required for closed risers k Ceiling heights Handrail required on at least on side of the stair Topography(existing and proposed) X Attic access location and size not indicated or q Footing drain inverts,outlet and separation _ Stair to be minimum 36"in width above the insufficient handrail height Proposed utilities to be indicated g Attic access cannot be in a closet Handrails andguardrails–detail,includingheight Delineation of flood hazard areas and design flood Identify the use of each room g elevation required(8106.1.3) and maximum opening,handrail cross-section, Private sewage disposal system to be identified on continuity and required returns the plan(R106.2.I) Show minimum headroom in stairways– Grading is to slope away from the building, measured from nosing plane to lowest point of provide more details ceiling Deck/porch not shown 36"landing required at the bottom of the stairs A=A[f B=Basement W.=4(pof S=Site 1=First W(oor 2=Second'Floor 3='Third Pfoor ,gviserApril5,2005 Town of Montville Building Department File Receipt Date: 28-Nov-2005 Receipt No: 878 Received From: Mollie Weekly Job Address: 6 Pheasant Run Fees Collected State Educational Training Fee Cash: $0.00 Cash: $0.00 Check: $1,153.72 Check: $19.92 Check No: 2602 Construction Value: $124,492.00 Demolition . ue: $0.00 Received By Joseph Summer • Address: 6 Pheasant Run ITEM QTY $1UNIT TOTAL Building Plumbing Mechanical Electrical SQUARE FOOTAGE OF LIVING AREA Living Area 966 SF $ 114.17 $ 110,288.22 $ 2,569.56 Finished Basement SF $ 20.87 $ - $ - Unfinished Basement - SF $ 11.28 $ - $ - Finished Attic SF $ 31.90 $ - $ - AMENITIES Kitchen EA $ - $ - $ _ Full Bathroom 1 EA $ 5,738.04 $ 102.85 Half-Bathroom 1 EA $ 3,485.33 $ 102.85 GARAGE Attached SF $ 49.41 $ - $ - Detached SF $ 63.21 $ - $ - Under SF $ 9.12 $ - $ - Carport SF $ 18.08 $ - MECHANICAL Warm-Air N Y/N $ - Hot Water N Y/N $ - Heat Pump N Y/N $ - Electric N Y/N $ - ELECTRICAL SERVICE Upgrade Amps $ - Overhead,new Amps $ - Underground,new Amps $ - Subpanel EA $ 545.00 $ - Gen Set EA $ 3,500.00 $ - SOLID FUEL BURNING APPLIANCES Prefab Metal Fireplace EA $ 5,907.00 $ - Masonry w/lfireplace EA $ 6,451.50 $ - Masonry w/2fireplaces - EA $ 10,087.00 $ - Wood Stove,free standing - EA $ 2,447.50 $ - Wood stove insert EA $ 1,690.70 $ - DECKS,PORCHES,SUNROOMS Deck 64 SF $ 34.43 $ 2,203.52 Porch SF $ 135.80 $ - Sunroom - SF $ 160.82 $ - $ - POOLS&HOT TUBS Hot Tub EA $ 7,287.50 $ - $ - Inground Pool EA $ 19,430.40 $ - $ - Above Ground Round EA $ 5,472.50 $ - $ - Above Ground Oval EA $ 4,635.88 $ - $ - Pool Heater EA $ 8,167.50 $ - Inflatable Type Pool EA $ 1,542.42 $ - SHEDS w/o electrical SF $ 18.50 $ - w/electrical SF $ 18.50 $ - $ - RENOVATIONS Roofing,Overlay SF $ 3.38 $ - Roofing,Strip&reroof SF $ 3.76 $ - Roof Sheathing SF $ 1.19 $ - Siding SF $ 2.30 $ - Windows EA $ 423.50 $ - Skylights - EA $ 955.54 $ - Doors,Exterior EA $ 401.50 $ - TOTALS $ 112,491.74 $ 9,223.37 f - $ 2,775.26 PERMIT FEE CALCULATIONS construction Value F:,-,e Building $ 112,492 00 $ 904.00 Plumbing $ 9.224.00 80.00 Mechanical - $ Electrical a 2,'776.00'%s ti Working before Permit Issuance. .. Certificate of Occupancy Fee 25.00 Plan Review Fee 100.80 State Education Fee 19.92 TOTALS 124;4921)0 1.'153 72 Figures are based on the 2006 RS Means Residential Cost Data Town of Montville Building Department 310 Norwich-New London Tpke. Uncasville,CT 06382 Tel. 860-848-3030,Ext. 382 Fax. 860-848-7231 CONSTRUCTION PERMIT APPROVAL to p 11 ea,,-,,A-- rzvA eit keia(e Property Address Z itry 1,0/i,(1-'o I"- . Job Description The applicant is responsible for obtaining all of the required approvals checked off on this form. No building permit will be issued until all of the required signatures have been obtained. Required Department Permit Issuance Approval Approval / jTax Collector �.- +.� //V '2--- /0/*/o .3.-- Signature/ Signature'date Comments: ILA/ WPCA,Administrative _ l/1(1` to - HJT Oar Si, n. tire!date Comments: (' WPCA,Technical '/ N 4 Signature'date omments: Planning& Zoning /D/y�Cy— Signature/date Comments: ‘,25"----2–.5-- El 2Y –Zs'❑ Health Department Signature/date Comments: ❑ Department of Public Works Signature!date Comments: LI State Dept. of Transportation Signature/date Comments: ❑ Fire Marshal Signature!date Comments: qgvised August 5,2005 t1-1 V .-- 11 _ .:---- 1 O.r 4 pell 0 a 13c)L — i S Pia Ts .1 . Ar'il E4-1 l.i.474_ ?i C4 c i°111‘frOt011 tliCelt)61Wg. Plans Approved for Construction 0/1 , Approval shall not be construed as a permit for,or approval of. any violation of the provisions iii 0 of the Connecticut Suitding Code Field Copy Wile Copy . .....72.4j , • I i +- OCT 04 il 2005 11 ' 0 BUILDING &I-7p , E i vi,i RI' r ., --^ ' ,t fir re-. g. ,..‘ ,A 5"'71";1 -o n." 6-dv1 I CoLL1K jZES o F-UP-4`( ftCTE 4-- ii0 .3~ ffuR2u G CLIPS c,,L mc rt pi-FTEti_ . l If f► If If II 10 aplir 1-xle /614r 21i4 ..= !6 06 f- NL t\" late Iv 410S4,_-- 4/4 rb- _ _ - 1 -E-1 -i---- F ---- bids A 17 Zk r0 //is,1, 2)(i a Hj am a' —— — < Qy 6' R o - _ ___. , 3/y G-- INMI .---j _ ' it. 1'40 /4 ? 0,4e. A 30 0 .;,4 fAeg Tits;ci v 5 Ar41-ro e 4- 14;114 3 co�� --i--,rt. 0CJ� 1bm iadi�f • Y- S WP ..t Al. I Et MI 0 / _. I - . Ili 0 . J 'c) '\ f 1 1, c iV. u Lc,p Li . H cL t. O J ' 16 -1-_____,Y 'v -Y- -4 I v JJ k„,..' \V f 4 N- i II o �J vt / , 41 , ;4- `h -1- 1-1 - / v wre.-. { 0 I .—• \IV . 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Corner stud connected to - �, transfer shear illk 4.31 Figure 3.8c Interior Stud Detail Figure 3.8d Top Plate Interscction Detail :i Upper top plate laps -.,. _ _.....n I continuous lower iti.050..... top plate 411j 44%4 1 „II PIP: 11 hilimmi$0;,,;1 yi 4 AMERICAN WOOD COUNCIL WOOD FRAME CONSTRUCTION MANUAL 127 I I Figure 3.7a Ceiling Bracing Gable Endwall 2x4 Continuous � lateral brace at 6' o.c. Truss or Ceiling Joist crop. '� 2-10d Nails1101 Gable End Truss r- 10-8d Nails .- xi m 0* 0 P3 0 5d Cooler Nails at 10" o.c. ►���� < 2"x4" Block nailed to each �04 0 v brace with 4-10d nails CA A m Gypsum Board z z 5d Cooler Nails at 7" o.c. 20 Gage Strap 10-8d Nails Endwall Studs 4 Figure 3.7b Floor Bracing Endwall ENDWALL „ "III" _-- JOISTS-\.) A®® I.rBLOCKING BLOCKING ill [iIll II t SECTION A-A 11) AMERICAN FOREST&PAPER ASSOCIATION v WOOD FRAME CONSTRUCTION MANUAL 139 1 I I F Table 3.1 Nailing Schedule Number of Number of Joint Description Common Nails Box Nails Nail Spacing ROOF FRAIVMG • Rafter to Top Plate (Toe-nailed) (see Table 3.4A) (see Table 3.4A) per rafter Ceiling Joist to Top Plate (Toe-nailed) (see Table 3.4A) (see Table 3.4A) per joist Ceiling Joist to Parallel Rafter (Face-nailed) (see Table 3.9A) (see Table 3.9A) each lap Ceiling Joist Laps Over Partitions (Face-nailed) (see Table 3.9A) (see Table 3.9A) each lap Collar Tie to Rafter (Face-nailed) (see Table 3.6A) (see Table 3.6A) per tie Blocking to Rafter(Toe-nailed) 2-8d 2-10d each end Rim Board to Rafter(End-nailed) 2-I6d 3-16d each end Top Plate to Top Plate (Face-nailed) 2-16d' 2-16d' per foot N Top Plates at Intersections (Face-nailed) 4-ltd' 5-16d joints-each side n Stud to Stud (Face-nailed) 2-16d 2-16d 24"o.c. 71 Header to Header(Face-nailed) 16d 16d 16"o.c.along edges 70" —I Top or Bottom Plate to Stud (End-nailed) (see Table 3.5A) (see Table 3.5A) per stud C m Bottom Plate to Floor joist,Bandjoist,Endjoist or 2-16d'•2 2-16V per foot 0 Blocking (Face-nailed) N Joist to Sill,Top Plate or Girder (Toe-nailed) 4-8d 4-10d per joist Z Bridging to Joist (Toe-nailed) 2-8d 2-10d each end Blocking to Joist(Toe-nailed) 2-8d 2-10d each end Blocking to Sill or Top Plate(Toe-nailed) 3-16d 4-16d each block Ledger Strip to Beam(Face-nailed) 3-16d 4-16d each joist Joist on Ledger to Beam(Toe-nailed) 3-8d 3-10d per joist 11 Band Joist to Joist(End-nailed) 3-16d 4-16d per joist Band Joist to Sill or Top Plate(Toe-nailed) 3-16d per foot OORSHIJA :As Structural Panels 8d 10d (see Table 3.10) Diagonal Board Sheathing 1"x6"or 1"x8" 2-8d 2-10d per support 1"x 10"or wider 3-8d 3-10d per support . ._ w w . m , r Gypsum Wallboard 5d coolers 5d coolers I 7"edge/10"field Structural Panels 8d 10d (see Table 3.11) Fiberboard Panels 7/16" 6d3 - 3"edge/6"field 25/32" 8d3 - 3"edge/6"field Gypsum Wallboard 5d coolers 5d coolers 7"edge/10"field Hardboard -- 8d 8d (see Table 3.11) Particleboard Panels 8d 8d (see manufacturer) Diagonal Board Sheathing 1"x6"or 1"x8" 2-8d 2-10d per support 1"x10"or wider 3-8d 3-10d per support 1:® fa,;a tai;: Structural Panels 1"or less 8d 10d 6"edge/12"field greater than 1" 10d 16d 6"edge/6"field Diagonal Board Sheathing 1"x6"or 1"x8" 2-8d 2-10d per support 1"x10"or wider 3-8d 3-10d per support Nailing requirements are based on wall sheathing nailed 6 inches on-center at the panel edge.If wall sheathing is nailed 3 inches on-center at the panel edge to obtain higher shear capacities,nailing requirements for structural members shall be doubled,or alternate connectors,such as shear plates,shall be used to maintain the load path. 2 When wall sheathing is continuous over connected members,the tabulated number of nails shall be permitted to be reduced to 1-16d nail per foot. ' Corrosion resistant 11 gage roofing nails and 16 gage staples are permitted,check IBC for additional requirements. AMERICAN FOREST&PAPER ASSOCIATION SHETUCKET PLUMBING SUPPLY : IBR Heat Loss Calculation #118931 11/11 /05 --___ job Name :MATT WEAKLY Job Location : , Wholesaler : Contractor -- ~-�----'- - Prepared By :KEN Job Remarks : 4P Room# Room Name Factor Room Size BTU Loss Ft BaseUoar' - - 1 BATH 2.00 8 X 10 X 11 3, 208. 320O * 2 SIT-[IN6� ' - -'-------- 3.00 8 X9 X 24--� - - --6 03'69.-1200 --- 12.! 3 DIN/KIT 4.00 8 X 13 X 21 13, 245. 9200 24. 4 LAUN 5.00 8 X 10 X 10 2, 518. 4000 4.. 5 ENTRY 6.00 8 X 10 5 11 2,8#3.2000 5. Totals : 28, 644. 9600 52. __ * BTU calculations have been increased 20% to allow for extra heat in bathroom Dimensional Data : Sq . Ft . Sq . Ft . Sq . Ft . Sq . Ft . Cu . Ft . 3q. F Room* Net Wall Glass Exp Ceiling Exp Floor ' Volume Linng Are __ ________ ____________ ______ ________________________ 1 68 12 110 0 880 114 2 262 42 ?16 0 1 ,T28 21' 3 289 87 0 273 2, 1S4 27: 4 68 12 0 100 800 10i 5 65 15 0 110 880 11( 70ta1 752 168 326 483 6,472 80' BTU Heat Loss Data : Room# Wall Loss Glass Ceiling Floor Infi { tration Total 8T1 ---- ----------------------- --------------------------------------------- 1 456.96 702.72 528.00 0.00 1 ,520.64 3,208.3: 2 1 , 467 .20 2,049.60 864.00 0.00 2, 488.32 6,869. 1: 3 1 ,618.40 4,245.60 0.00 1 ,092.00 6,289. 92 /3 °245.9; 4 380.80 585.60 0.00 400.00 4 , 152.00 '2,518.41 5 364.00 73Z.00 0.00 440.00 1 ,267.20 2,803.21 Tota | 4,287 8,316 1 ,392 1932 12,711: 2O,64! % 15 29 5 T 44 101 The average BTU per Sq . Ft . of Living Area is : 35. 41 The average BTU per Cu. Ft . of Living Area is : 4.43 Nt: State of Connecticut N = Workers' Compensation Commission a 7C Please TYPE or PRINT IN INK Proof of Workers' Compensation Coverage when Applying for a Building Permit for the General Contractor or Principal Employer who has chosen to be EXCLUDED from Coverage Applicant for Building Permit Name of Applicant for Building Permit �!, / /L /1�C ti/iO r Property located at 6 .PSS,(of 7 1i4 fl h in the City I Town of Attest If you are the General Contractor or Principal Employer of a business doing work on the site of the construction project at the above-named property and you have properly excluded yourself from workers'compensation coverage by filing one of the appropriate forms listed below with the Workers'Compensation Commission,complete this form and,if applicable,sign the Affidavit below in the presence of a Notary Public or a Commissioner of the Superior Court. FIRST—CHECK ONE (1) BOX: I am: ❑ an Officer of a Corporation [a Manager or Member of an LLC ❑ a Partner in a Business THEN—CHECK ONE (1) BOX, provide the appropriate information, and sign the Affidavit below: I have filed the following certificate with the Workers'Compensation Commission: a F-orm 6B(for an Officer of a Corporation,a Manager of an LLC,or a Member of a Multiple-Member LLC) U Form 6B-1 (for a Partner in a Business) AFFIDAVIT I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor, subcontractor,or other worker before he or she does work on the site of the construction project at the above-named property in accordance with Section 31-286b of the Workers'Compensation Act Signature of GENERAL CONTRACTOR or PRINCIPAL EMPLOYER Applicant 1 Name of Business—ifapplicable _ . Jdi Federal Employer ID#(FEIN)—if applicable /0 S-0 Subscribed and sworn to before me this day of , 200 Signature of Notary Public/Commissioner of the Superior Court iv/ t'ty GvuU 11 :41 AM 9, 1-8éCF-376-6766 001 • t ACORDT. CERTIFICATE OF LIABILITY INSURANCE DATE[MMIDpYYYY) 10/12/2005 PRODUCER (850)437-7282 FAX (860)447-5656 THIS CERTFICATE IS '4SUED AS A MATTER OF INFORMATION Sava Insurance Group Inc. ONLY AND COP! !RS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 750 Broad Street ALTER THE COVEP 1GE AFFORDED BY THE POLICIES BELOW. I Waterford CT 06385 1 INSURERS AFFOR I NG'OVERAGE JAIC# INSURED ILNSARER L:PE.CRLE: 9 INSURANCE !�!241? IRVING SMALL DBA DILA CONSTRUCTION I:PURER o: 19 RENDALL ROAD ! NSIL>}I.- _ ENSURERC I I LISBON CT 06351 1 tIz?JREF;c — — — — COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE SEEN!.^.._:rD TO THE IFISURF_•NAMED ARovE FOF 1.-E POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT.TERM OR CONDIi1ON OF ANY CONTRACT Oft OTHER DOCUMF.I'IAATH RESPECT TOW;IC i THIS CERTIFICATE MAY BE ISSUED UR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES UESCRibEC: HEPEiN R 41JBJECT TO ALL THEl'EI-t.1S, EXCLUSIONS AND COF,IDFTPykS r1F SUCH POLICIES. `AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDX_r•FR 8Y PAID CLAI'.c. INSR ADD'Lo^µ -- FPOLICY EFFECTIVE PC.IC1 E PiRAT1ONI L: -- — LTR INSRD TYPE OF SURAN.ZE POLICY. .,IM R lI DATEIPAWCDTYY) DATE,MANDDNYY) I LIMITS GENERAL LIABILITY l I LEAG-OCCURRENCE 1$ 500,001 X _ I CAMAG CX:WMERCIAL�?EPIE7,.. r ..,T1' I I E'O RENS ti, A.. I I PREMISES Eaoccvl*±n:el `° SU,UUU CLAMSLSADE I XI OCCUR ccvoaAF.855 8/20/2005 18/21 /. 006 I MED EXP:Any ore person) I, 5,0001 PERSONAL&ADV 1'dJURY 000,0001 I GENERAL. .,E,,TE 1 1.,000,0001 M_AOGREGATE J /7 .: VO ro-,puI -_ I PRODUCTS-r..iu7P _;GP 1,003,0001 -"l POLICY f 1.1rf I I LOC,-. I 1=---- - --- AUTOMOBILE LIRBIL,I'i II COM81FN_D SNGLE LIMIT ANY AUTO i I(ca a,'cv.Ieoti < ALL OtANED ALIT il: i I I`nn;•v t. .._rPY — ! i SCHEDULED Ai?OS i ! ?or rears) i HIRED AUTOS ~ -"-- BODILY INJURY NON-OWNED AJTOS De,aaMNON-OWNED PROPERTY DAWAGE (Per aCCIdeII) GARAGELIAEILITY i I AUTO ONLY-EA ACCIDENT $ A`11'AU N,` I OTHER THAN EA ACC S } i AU:i�Gt.L;. AGG $ EXCESS/UMBRELLA LIABILITY T t 'EAC-OCCURRENCE V IOCXUR LJ;LARAB MACE I rAGGREG.T.T cJ 1s I _� DEDIU•OTIi_E ( I ----• ----•I -� -- -_. 1y RETENTION S - .+.....,..-.......-..�-..-....�-..�...-.-.. ! I$ WORKERS COMPENSATION AND ""`T'" - " EMPLOYERS'LIABILITY I I i 1'0i:1'ii EH._�_--_____"---__i ANY PROPRIETOPJPARTNER/EY. T; >!p CI •E ` F'..7/ --�'DEn,T 1, , OFFICERRAEMBER EXCLUDFr. i i ..--_.____..__...__.. _.__.---__ !— 1 I It yes,' 5CT)$urtbr E.L.DISEASE-EA EMPLOYE G SPECIAL PROVISIONS below I (E.L.DISEASE-FGLi:Y LIMIT i 'OTHER Li_DESCRIPTION OF CPERATONSLCC"T!_uSF:EHICLEEESCLE,ONS ADDED 6.'Ex._r_=wr=ki3F '-ECII .•..•'•'-•,•-'� ir'^ CARPENTRY i re: Matt Weekly job CERTIFICATE HOLDER CANCELLATION •'SHOULD ANY OF THE -B JE ;1ESrRI3BD POLICIES BE CANCELLED RPA'RF EI4E --1 FOR PROOF Oi INSURANCE EAPIRA-PON DATE THERE.•s, ME ISSUING INSURER WILL ENDEAVO8 T2 NAIL 1 10 DAYS WRITTEN NO DE T,.THE CERYIFi%;.IE HOLDER NAMED TO TME LEFT Es.I I FAI_URE TO DO SO SHALL L.IP-IEE ID OBLIGATION CR LIABILITY OF ANKINR AN-r0140 UPON TN 860-376-6766 INSURER,RTS A; FITS OR REPS$ _N.TTIVES. PJIV,.:MED ii:!_ t.MENTATIVi �(� 'Diana BUScetta/CLB +L)N.A+� A ' -t..o t,. -37 ACORD 25(2001108) O ACORD CORPORATION 1988 INS02S',CI0s).03 AMS 'VF,,P Mortgage Sc,,rtv;,s,Ilac tasa327-0545 P 1 of 2