Loading...
HomeMy WebLinkAbout16x32 Deck 2014 Field Inspection Notice Town of Montville Building Department 860-848-3030 Ext.382 Address: 55 Pheasant Run Job Description: Replace Existing Deck Permit Number(s) B2014-0174 Permit Date: May 26,2014 Not Approved Approval INSPECTION Date: Comments Special Date Conditions 5 Piers May 30,2014 DJ 7/17/14 DJ •• The open risers of the stairs must be a 4"maximum • • Stairs space between the treads. • Final inspection and • • certificate of • occupancy **NOTE** After one re-inspection additional inspection fees payable prior to re-inspection,are as follows: Residential inspections(except SFR CIO& SFR Additions C/O)-$10.00 SFR and Additions C/O re-inspections -$10.00 Commercial re-inspections(except Certificate of Occupancy- $25.00 Commercial Certificate of Occupancy- $50.00 Rev.Date:1/18/06 Page 1 of 1 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: 82014-0174 Date: 2h-Mnv-14 Map/Lot: 028/_0(151143_ Owner ID: 5479000 Project Location: 55 PHEASANT RUN Unit: Job Description: _Replace EXis}ipo Deck Owner Nam Evan G VNDrd&Windi L.Ross Tenant Name Careof: 55 Pheasant Rt in .akdnle CT 06370- Telephone:18801460-7243 Applicant Name timid GPiapnmillpr Telephone: C8601822_6454 DBA: Lic/Reg Type HIC Lic/Reg N 611025 ..36Patash Hill Rand Exp Date: 30-N 2v- Baltic CT 0630- CODCtnllc.tion VnLuiu p_errnjf FPPc _QnStn mffordnfn►mntinn Building Value: S16,487.00 Building Fee: S170.0D Use Group: IRC Plumbing Value: $ ci L Plumbing Fee: $0.00 Code: 2005 State Building Code Mechanical Valu $0.00 Mechanical Fe SO 0a. Electrical Value: Sano__ Electrical Fee: Slat_ Construction Type IRC Total Value: $16....4.81...09 Penalty Fee: 50.00 Permit Code: R10 C of 0 Fee: SJO 00 Comment Plan Review Fe $1Z.013_ State Ed Fee: $.4,29 Total Fee Paid: S201.29 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 ❑ 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 ❑ Anchor Bolts-with sill plate and prior to floor frami ❑ Electrical Service CRS No: © Framing 0 ❑ R HVAC ❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test ❑ Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION 1=1 insulation ❑ ficate d! Auprov• n Certifi►tote e..f •• upancy_T Building Officiol's_Ao aval• _ /° r- /'e� 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.: 6a-44-o) 7q Type of Work Occupancy Type Permit Type ❑New Construction El Single Family ❑Building ❑Addition ❑Two-Family ❑Plumbin ❑Alteration ❑Townhouse El Mechanical hanical 0 Acces Structure ❑ rival CRS#: Property Address: 3J 1"t-tetiS4/17" luC\ ber) (Street) (Unit) Job Description: fL-6.0cPk 15T((1� r�� Owner: y l /1 L.J 2D Address: 55 R-icei-itkir 4',�) City: So State: / ZipCode: c. 1,� l6 3 Telephone(Y60) /6c1 - 7��5 Applicant: �/'`A till") G6- .4+1 vvtitteC DBA: ) 'I l.b 4./ t'f)/4/4e Address: 3 -, - v A di t) City: 341_,-FIC ��� ' ne.,y cc/ State: � ZipGV )CodeL�33 C' Telephone Contractors -Complete' the Following: t License Type: [-1&►t6" o+y'"r'4ke/fl License No.:HiC,to t Ot/LC-Expiration ';L�1'2,`9iti Date: I 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. Owner/Agent Signature: - /� Date: Construction Value Permit Fees Building Value: Building Fee: Plumbing Value: Plumbing Fee: Mechanical Value: Mechanical Fee: Electrical Value: Electrical Fee: Total Value: Penalty Fee: CofOFee: Plan Review Fee: State Ed Fee: Total Fee: -wised August 23,2007 Town of Montville Building Department Bank Card File Receipt Date: 23-May-14 Receipt No: 5388 Received From: Ryan Ward Job Address: 55 Pheasant Rd. Fees Collected State Educational Training Fee Bank Card $210.29 Bank Card $4.29 Short/Over: $0.00 Construction Value: $16,487.00 Demolition Value: l�� $0.00 Received By David Jensen �;�" 6:7,2.1, 7 ey e Town of Montville Building Department Bank Card Customer Receipt Date: 23-May-14 Receipt No: 5388 Received From: Ryan Ward Job Address: 55 Pheasant Rd. Fees Collected Bank Card $210.29 Received By David Jensen 0,:a.4.741/M Address: 55 Phesant Run ITEM QTY $/UNIT TOTAL Building Plumbing Mechanical Electrical BUILDING AREA New Construction SF $ 118.03 $ - $ Basement,Finished SF $ 25.96 $ - $ - Basement,Unfinished SF $ 12.40 $ - $ - Crawl Sapce SF $ 9.30 $ - Interior Renovations SF $ 36.09 $ - $ - $ _ AMENITIES Kitchen EA $ - $ - $ Full Bathroom EA $ - $ Half-Bathroom EA $ - $ GARAGE Attached SF $ 56.35 $ - $ Detached SF $ 71.53 $ - $ _ Under SF $ 11.03 $ - $ - Carport SF $ 19.89 $ - MECHANICAL Warm-Air n Y/N $ - Hot Water n Y/N $ - Electric n Y/N $ Air Conditioning n Y/N $ ELECTRICAL SERVICE Overhead,new Amps $ Underground,new Amps $ Subpanel EA $ 599.50 Gen Set EA $ 3,850.00 $ _ SOLID FUEL BURNING APPLIANCES Prefab Metal Fireplace EA $ 6,497.70 $ - Masonry w/lfireplace EA $ 7,096.65 $ - Masonry w/2 fireplaces EA $ 11,095.70 $ - Wood Stove,free standing EA $ 2,692.25 $ - Wood stove insert EA $ 1,859.77 $ - DECKS,PORCHES,SUNROOMS Deck 512 SF $ 32.20 $ 16,486.40 Porch SF $ 149.38 $ - Sunroom SF $ 176.90 $ - $ _ TOTALS $ 16,486.40 $ - $ - $ - PERMIT FEE CALCULATIONS Construction Value Fee Building $ 16,487.00 $ 170.00 Plumbing y $ - $ Mechanical y $ _ $ Electrical y $ _ $ Working before Permit Issuance n $ _ Certificate of Occupancy Fee $ 10.00 Plan Review Fee $ 17.00 State Education Fee $ 4.29 TOTALS $ 16,487.00 $ 201.29 /S�- "I Srt ♦k Y .1ot'40:231): v !.i61;::*"‘ L r I' t t' hk r••.fr�±y�}}�t/ +\( 0 ,es \es ;' +S + yS hCi1 .,t n, � , 'iik,' o . ;' 0 §..r ( 4,', z � M, f« --- ---- ,fz »O ` U E ge t O 1 / C CTS ,,„ 1 r ...„:::,z, \..,._.: 4 = t a o ' # � >N` z V �; c Y..i ,(7:4 'Ncal )....1G .;7 tip' i1. M (� ..mo�i^ fJi' » +-� U WJ r , :::.:., z v o .. W :L :::::-: n. i ,, > : i 's✓'g4. sr�rb}.L.i 14111 s''4. ir't+ Yf % f 1,1.,11P,1.54t4•:4,(0„114•*,;.,/,tiT ley t«Yfff+7• ti -., r »_ - /tom - , . V14"4 ,-✓44,.t 7 4`S,i'9 . '�..� ' 4 ;1100 r 4 ✓/r Fj Sy v ''"1 ig ', ./1 __ 4dam ` 4\kti./ ACORO CERTIFICATE OF LIABILITY INSURANCE DATE 5/6/2DDYYYY) 5/6/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT y Quigley _ Byrnes Agency, Inc. - Norwich NAME: Ta for M y PHONE _ ----- 6 Consumers Avenue (NC,No,Ext): (860) 886-5498 E-MAIL �(AJC,No):(860) 859-5075 Norwich CT 06360-7521 ADDRESS: tquigley@byrnesagency.com INSURER(S)AFFORDING COVERAGE NAW/ INSURERA:Main Street America Assurance 29939 INSURED (860) 822-6454 David Geigenmiller INSURER B: INSURER C 36 Potash Hill Rd INSURER D: Baltic CT 063301228 INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER:Cert ID 12369 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR -- ADDL SUBR PLICY EXP LTR TYPE OF INSURANCE INSR VD POLICY NUMBER (MMLDDYICY Y) (MM W /D /YYYY ) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A % COMMERCIAL GENERAL LIABILITY MP098366 2/1/2014 2/1/2015 DAMAGE TO RENTED PREMISES(Ea occurrence) $ 500,000 CLAIMS-MADE X OCCUR MED EXP(Any one person) $ 10,000 _ PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE _ $ 2,000,000_ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY JECOT- LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED _ AUTOS AUTOS BODILY INJURY(Per accident) $ NON-OWNED HIRED AUTOS PROPERTY DAMAGE _ AUTOS $ (Per accident) UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ , DED I RETENTION$ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITYY/N TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) If yes,describe under E.L.DISEASE-EA EMPLOYEE $ DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ $ DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Ryan Wood ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD Page 1 of 1 K1,514..." 'v r State of Connecticut o ~ r, ?.., Workers' Compensation Commission t. .��„i� Please TYPE or PRINT IN INK `r Proof of Workers' Compensation Coverage when Applying for a Building Permit for the Sole Proprietor or Property Owner who WILL NOT act as General Contractor or Principal Employer APPLICANT FOR BUILDING PERK Name of Applicant for Building Permit < lq - A(2—is 2'" Property located at 55 Pfif► I L in the City/Town of on 1 ��/A- r�— —t ATTEST If you are the owner of the above-named property or the sole proprietor of a business doing work on the site of the construction project at the above-named property and you WILL NOT act as the general contractor or principal employer,you are not required to have workers'compensation insurance coverage. CHECK ONE(1) BOX ONLY and complete the following: 4 l am the OWNER of the above-named property.I WILL NOT act as the general contractor or principal employer. Signature of OWNER Applicant- - LI tam the SOLE PROPRIE t UR of a business doing work at the above-named property.I WILL NOT act as the general contractor or principal employer. Name of Business Federal Employer ID#(FEIN) Signature of SOLE PROPRIETOR Applicant Town of Montville Building Department — Residential Accessory Structure Plan Review Form Date: Job Address: 5-S � 4- ,4i vi Job Description: r p e)C tS r cle Gb\ Your permit application is being rejected for the items checked off or commented on. The required information must submitted for review(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 State Building Code. SUPPORTING DOCUMENTATION SITE PLAN / Permit application not completed Site Plan required V Permit fee due$ I,z? Site Plan does not match the building plans Permit fee to be calculated Finish floor elevation not indicated Worker's comp.affidavit or worker's comp.certificate to be submitted Distance from the property line(s)to the structure not identified Copy of contractor's registration or license required Structure dimensions not provided Construction permit sign-off sheet required with appropriate approvals,it shall Existing and proposed contours are not provided or insufficient be the applicant's responsibility to obtain the required signatures Footing drain discharge not identified Affidavit required from the holder of the registration or license authorizing you Utilities not provided(electrical,phone,cable,sewer,water,gas) to apply for a permit with their information Delineation of flood hazard areas and design flood elevation is required per • Provide supporting documentation to show compliance with the 2009 IECC section R106.1.3 (novreener.f rcorles.r o%)OR shall meet the requirements of Table N1J02.1 Private sewage disposal system to be identified along with all technical and soil based on climate zone 5 in Table N/102.1 data as per section 8106.2.1 Two sets of construction documents required, this includes all engineering Grading is to slope away from the building,provide more detailed information data,calculations and all other documentation106.1 � ) Plan submitted is not the same plan that has been approvedby the Zoning Documents are copyright protected,provide original plans or a letter from the Department and/or Health Department _ designer authorizing the duplication of the plans Retaining wall—construction documents required Field set of the approved construction documents are required to be picked up Retaining wall documents required to be stamped and signed by a Connecticut from our office and must be available on site during all inspections Registered Professional Engineer Construction documents shall be of sufficient clarity to indicate the location, nature and extent of the work proposed as per section R106.1.1 FOUNDATION Construction documents do not match the orientation of the structure on the No plans submitted or insufficient information site plan Dimensions required WIND LIMITATIONS Wall thickness not identified Footing size not identified Submit supporting data to show conformance with the wind limitations in table Frost protection not identified or is insufficient R301.2(1)as determiner!from Appendix R of the 2013 CT supplements. Documents required to be stamped and signed by a CT registered Professional Column tofupe,size,detailsspnot not identifiededorinuoinsufficientient Engineer Waterproofing not provided or insufficient Pier type,size and anchor details not provided or insufficient Braced walls not identified on the construction documents or are insufficient Foundation reinforcement bars required,size and location are not shown or Braced wall calculations required specified Documents required to be stamped and signed by a CT registered Professional Engineered foundation plan required Engineer if based on ASCE 7-02 or WFCM chapter 2 Crawl space ventilation,location,type and size not provided or insufficient Ridge connection not identified or insufficient Crawl space access,location and size not provided or insufficient Roof-to-wall connection not identified or insufficient Wall-to-wall connection not identified or insufficient Wall-to-sill connection not identified or insufficient WINDOWS&DOORS Provide engineering data for the piers to resist gravity,lateral,shear and uplift Door sizes not identified loads,stamped and signed by a CT licensed design professional Window size e type not identified Hold-down devices,location and type not identified or insufficient Window header size not identified or insufficient Foundation anchor spacing not identified or insufficient Door header size not identified or insufficient Construction documents do not match the engineering data submitted Cold-formed steel framing shall comply with the requirements of one of the GARAGE and CARPORTS following standards:ASTM,1 653:Grade 33,and 50(Class 1 and 3),ASTMNo plan submitted or insufficient information provided :1 792:Grade 33,aur/50A or ASTM A 1003:Structural Grrrde 33 Type f/, Building section required and 50 Tipe f/ Opening protection between the garage and residence is not identified or insufficient per section R309.1 Separation between the garage and the residence is not identified or insufficient per section R309.2 Detached garages shall be separated from dwellings on the same lot as required by section R309.2 with opening protection as required by section 309.1 when spaced 10 feet or less from the dwelling. ELEVATIONS No plans submitted or insufficient information Plans do not match the floor plans Finish grade not identified or does not match the site plan Building height(s)not identified Dimension height of chimney Roof pitches not identified Rcvised:Marcfi 18,2014 Town of Montville Building Department STAIRS SHEDS not shown -UV./Stair z 4.�rte e i..Ny Frost protection is required and is not shown Q 1Stair width required to be minimum of 36"abode the required handrail height Exceptionsi I Tread depth not identified or insufficient(9"Minimum depth required) I. Protection of free standing accessory structures with as area of Riser height not identified or not to code(8 V."Maximum 4"minimum) 600 square feet(56 m2) or less, of light-framing construction, Riser opening can not allow the passage of a 4"sphere with an ease height of 10 feet(3048 nun) or less shall not be Nosing required for closed riser stairs required(R403.1.4.1) Winder stair-detailed plans required 2. Protection of free standing accessory structures with an area of Spiral stair-detailed plans required 400 square feet(37 nr2)or less, of light—framing construction, Guardrail detail not provided or insufficient detail with an erne height of 10 feet(3048 unix) or less shall not be Handrail detail not provided or insufficient detail required.(2403.1.4.1) Headroom height not identified or insufficient Ground anchors are required-provide information and details 36"landing out from bottom step for the full width of the stairs is required POOLS/HOT TUBS 36"landing required at the top of the stairs I Frost protection required,provide details and connections Provide information and details for barrier Gate can not swing out over stairs FRAMING Gate required to swing away from the pool area Stud size and spacing not provided or insufficient Sidewall support brackets required to be protected by a barrier, provide information and details Sheathing type not provided or insufficient Gates to self-closing and self-latching Plans required showing joists,beams and openings Doors from residence required to be alarmed OR self-closing,self-latching Bearing partitions not provided or indicated Pool pump receptacle dimension from the pool wall is required-show location Framing direction not indicated or unclear on plan Beam span&size not provided or insufficient General purpose receptacle required min. 10 max 20 ft from Joist span,size&spacing not provided location on thplan p ( ft pool)-show Joist's over-spanned Wiring type not identified or unclear Beam over-spanned Wiring method not identified or unclear Provide design data for all unaligned wall and floor bearing points Burial depth not identified or unclear Point loads not identified on beam data Bonding requirements not identified or unclear Framing less than 18"to grade to be pressure treated or decay resistant Light fixtures-manufacturers installation instructions required Steel beam - must be stamped and signed by a Connecticut Professional Electrical plan required for pool Engineer LVL's-engineering data required FLOOD-RESISTANT CONSTRUCTION(R323) I joists-engineering data required Documentation required to be submitted for the connection,anchored to resist Design loads not provided or insufficient flotation,collapse or permanent lateral movement Delineation of flood hazard areas,floodway boundaries,and flood zones and DECKS/PORCHES the flood design elevation to be identified on the site plan(8106.1.3) Construction documents required Elevation of the proposed lowest floor,including basement;in areas of shallow This deck/porch structure as submitted does not require a building permit. flooding (AO zones), the height of the proposed lowest floor, including An accessory structure that has an area of less than 200 square feet and is basement,above the adjacent highest grade shall be identified(8106.1.3) less is than 30"above finished grade at any point does not require a building Electrical systems, equipment and components, and heating, ventilation, air perndt conditioning and plumbing appliances,plumbing fixtures,duct systems, and Dimensions required other service equipment shall be located at or above the design flood elevation. Framing direction not indicated Beam span&size not provided or insufficient ELECTRICAL INFORMATION Joist span,size&spacing not provided Plans required showing panel locations,GFCI,switches,lights and receptacle Joist's over-spanned locations Beam over-spanned Panel location not identified Ledger-show attachment and flashing detail Receptacle locations not identified or insufficient Post size or spacing not indicated GFCI receptacle locations not identified or insufficient Height of deck above adjacent finished grade not provided Lights and switches not identified or insufficient t/ Connections not identified er`insa#€eient Location of time clock not identified Plans do not match site plan FUEL GAS INFORMATION LP-Gas tank size and location not identified on the plans Trench detail not provided or insufficient Piping diagram not submitted or insufficient Comments: / I) /fol^, Pluc-4 deck r,S yol't')� -f0 over C,.. �� fti-e b,,,,-, Permit application reviewed by: 62,....„,:a riz Vernon D.Vesey II David . -nsen Building Official Deputy Building Official 94,vised'1March 18,2014 Us" • II t it 1 t I i ii f 1 s 1 LU I [ E Z to d o a O t E — ? , --S y- t0 f4 O CO u i c y "" ' '-- ' t t 3 -0 0 O N U f ' 4 i- p > U ' I i 1 c __ 0 0 m ° oa — i 0,., :i:30nt flLL a) c m O to r — ; - ...._-,.a , 1 -� LU o Z W ' _i ,, ,.. , „ W a ( ,. _:,._.___._.._.. 3, „ ,...: E J\ 4 4 , ._ ` 1._. , , C S ,‹ , 4, .. ._ : , , , ., , , , _ i .,,, , , .....„ • , , cd. ..„ _ .t--, I. 1 4� ?w may. _---._ t ...; N 11 4 I ; 1 ; 1 1• I 1 L4 , t 1 1 t ii 1 I \ riM t____, II 1 IVs) 3 . II- i i ‘1 _____ \-9 • • • • , • • y, • rv3 ! : j, • • • .• -.4\4 • • • • 111111.1111111111111111.1.1.1. - Town of Montville Building Department CONSTRUCTION PERMIT APPROVAL A..licant is res.onsible for obtainin. all of the re.uired a..royals. No .ermit will be issued until all the re.uired si•natures are obtained. Property Address ?rpf4c ?'?r v r ek/ST/1 r Job Description Required ccc//! Approval Department Permit Issuance Approval ® Tax Collector % ,.- /� �.� _..r/7 /i Signature/date Comments: J ' Planning & Zoning ` �� --5.77/// ' Comments: Signature/date ® Fire Marshal _5/7/Ill Comments: Signature/date Health Department Required for properties with private septic or well Comments: .i WPCA, Administrative 1Required for properties on sewer \k,.. 6srvi- Signature/ ate Comments: ❑ WPCA, Operations When Required by WPCA Signature/date Comments: ❑ Department of Public Works Required when project includes driveway work or certain drainage requirements Signature/date Comments: ❑ Montville Police Department • Required for all permits EXCEPT one and two family residential Signature/date Comments: ❑ State Dept. of Transportation Required for Structures over 100,000 sq.ft or with more than 200 parking spaces-Official copy of STC Certificate of Operation required—per CGS 14-311 Signature/date Building Department Review Complete Signature/date gevisedMay 23,2011