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HomeMy WebLinkAbout24x24 Addition 2017 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: B2017-0194 Date: 24-May-17 Map/Lot: 102/041-000 Owner ID: 5641000 Project Location: 120 POLLYS LANE Unit: Job Description: 24x24 Addition Owner Nam Paul J Gressly Tenant Name N/A Careof: 120 Pollys Lane Uncasville CT 06382- Telephone: (860)848-0215 Applicant Name Donald Gressly Telephone: (860)608-5582 DBA: Lic/Reg Type HIC Lic/Reg N 572729 22 Powerhouse Road Exp Date: 30-Nov-17 Uncasville CT 06382- Construction Value Permit Fees Construction Information Building Value: $77,017.00 Building Fee: $780.00 Use Group: IRC Plumbing Value: $5,484.00 Plumbing Fee: $60.00 Code: 2016 State Building Code Mechanical Valu $1,000.00 Mechanical Fe $30.00 Electrical Value: $1,988.00 Electrical Fee: $20.00 Construction Type IRC Total Value: $85,489.00 Penalty Fee: $0.00 Permit Code: R3 C of 0 Fee: $25.00 Comment Plan Review Fe $86.00 State Ed Fee: $22.23 Total Fee Paid: $1,023.23 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 0 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 ID Anchor Bolts-with sill plate and prior to floor frami ❑ Electrical Service CRS No: p © Framing R HVAC ❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test ❑ Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION Insulation ❑ Certificate of Ap•roval D ertifico - • •ccupancy Building Official's Approval: 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.: bap- 17-019A Type of Work Occupancy Type Permit Type ❑New Construction Eil Single Family ®Building 0.Addition EJ Two-Family 0 Plumbing fj Alteration 0 Townhouse 0 Mechanical 0 Accessory Structure ❑Electrical CRS#: Property Address: ( ).Q f'o i(LI L a")r (Number) (Stre t) (Unit) Job Description: "/ X 9 y A ddt , (%Oeu is Owner: PQw( (. ie 35 i) Address: 1)0 Po /1y S ciev P City: �.(N C93(,l r' ((�' I State: 6% Zip Code: 06 3S d Telephone(B(2G ) 814,- 62/ y Applicant: N,/01/4.1A Grt 55 DBA: Dt„/t 1 I Gi e SS`, Address: aa f 0 u,et\Ac.)"cr., City: Vt..--)CC/s v) iii State:L T Zip Code: O 6 p 1) Telephone( $60 )60? - s-11.2 Contractors - Complete the Following: License Type: /•1 � >7 License No.:LA /d?v- 77 Expiration Date: 11/S 6/17 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. (6 By checking this box, I will follow the requireme-ts .f the 2014 NEC as the alternative compliance per section E3401.1 of the Residential Code, instead of the electrical require.- -ts in chapt: , rough 43 of the Residential Code. Owner/Agent Signa . - A / 14 w Date: 0/ / 7 x Construction Value Permit Fees Building Value: cr (Jv Building Fee: (C) Plumbing Value: 'rjLi&.{. Plumbing Fee: CPO Mechanical Value: I ED 00 Mechanical Fee: 3v Electrical Value: (C Electrical Fee: DO Total Value: $S. Penalty Fee: CofOFee: 01 j Plan Review Fee: �(.t State Ed Fee: 94 aa.a-3 Total Fee: 10,D3.41-3 Revised August 23,2007 Town of Montville Building Department File Receipt Date: 18-May-I 7 ReceiptNo: 12280 Received From: D.G.Caroentry Job Address: 120 P011y'S Lane Town Fees Collected State of Connecticut Fees Collected Bldg Cash: 10.00 State Cash: Bldg Check: $0.00 $].073.23 State Check: 122 73 Bldg Credit: 10.00 State Credit: Fire Cash: X0.00 $0.00 Fire Check: 10.00 Construction Value: 185.489.00 Fire Credit: 10.00 Demolition Value: 10.00 CheckNo: 4299 Received By: Carmen Kneeland OCLA, L.,/, _ Ic_4'Lt d /oft CP Address: 120 Polly's Lane ITEM QTY $/UNIT TOTAL Building Plumbing Mechanical Electrical BUILDING AREA New Construction 592 SF $ 118.03 $ 69,873.76 $ 1,574.72 Basement,Finished SF $ 25.96 $ - $ - Basement,Unfinished 576 SF $ 12.40 $ 7,142.40 $ 309.54 Crawl Sapce SF $ 9.30 $ - Interior Renovations SF $ 36.09 $ - $ - $ - AMENITIES Kitchen EA $ - $ - $ - Full Bathroom 1 EA $ 5,483.10 $ 102.85 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 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 SF $ 44.07 $ - Porch SF $ 149.38 $ - Sunroom SF $ 176.90 $ - $ - TOTALS $ 77,016.16 $ 5,483.10 $ - $ 1,987.11 PERMIT FEE CALCULATIONS Construction Value Fee Building $ 77,017.00 $ 780.00 Plumbing y $ 5,484.00 $ 60.00 Mechanical y $ - $ - Electrical y $ 1,988.00 $ 20.00 Working before Permit Issuance n $ - Certificate of Occupancy Fee $ 25.00 Plan Review Fee $ 86.00 State Education Fee $ 21.97 TOTALS $ 84,489.00 $ 992.97 State of Connecticut N 7A Workers' Compensation Commission Please TYPE or PRINT IN INK o_ 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 PERMIT Name of Applicant for Building Permit DD/JeksSrl Property located at j?/) Peg) L / in the City/Town of (,(w3L1.1SV ,/(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: ❑ I am the OWNER of the above-named property.I WILL NOT act as the general contractor or principal employer. SignatureofOWNERApplicant-- ___._ '� I am the SOLE PROPRIETOR of a business doing work at the above-named property.I WILL NOT act as the general contractor or principal employer. Name of Business i)JJ q l� ' G/e 5 I/ (.T Federal Employer ID#(FEIN) O 7 8e� p t / 1 Signature of SOLE PROPRIM17----. -.)VIOM112111W Address: ITEM QTY $/UNIT TOTAL Building Plumbing Mechanical Electrical BUILDING AREA Basement,Finished SF $ 41.96 $ - $ _ Interior Renovations SF $ 36.09 $ - $ - $ _ AMENITIES Kitchen EA $ - $ - Full Bathroom EA $ _ $ Half-Bathroom EA $ _ $ - GARAGE Detached SF $ 71.53 $ - $ MECHANICAL Warm-Air n Y/N _ Hot Water n Y/N $ _ Electric n Y/N $ Air Conditioning n Y/N $ - ELECTRICAL SERVICE Upgrade Amps $ Subpanel EA $ 699.00 $ - Gen Set EA $ 3,850.00 $ _ SOLID FUEL BURNING APPLIANCES Prefab Metal Fireplace EA $ 6,497.70 $ - Masonry w//fireplace 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 SF $ 44.07 $ - Porch SF $ 149.38 $ - Sunroom SF $ 176.90 $ - $ POOLS&HOT TUBS Hot Tub EA $ 8,016.25 $ - $ Inground Pool EA $ 31,550.00 $ - $ _ Above Ground Round EA $ 6,299.46 $ - $ _ Above Ground Oval EA $ 7,019.75 $ - $ _ Pool Heater EA $ 8,984.25 $ - $ _ Inflatable Type Pool EA $ 1,200.00 $ - $ SHEDS w/o electrical SF $ 25.55 $ - w/electrical SF $ 26.85 $ - $ _ RENOVATIONS Roofing,Overlay SF $ 3.50 $ - Roofing,Strip&reroof SF $ 4.50 $ - Roof Sheathing SF $ 1.51 $ - Siding SF $ 6.75 $ - Windows EA $ 550.00 $ - Skylights EA $ 1,051.10 $ - Doors,Exterior EA $ 601.50 $ - Oil Tank,275 Gallon EA $ - Oil Tank,550 Gallon EA $ MISCELLANEOUS CALCULATIONS $ 1,000.00 Solar Install n TOTALS $ - $ - $ 1,000.00 $ _ PERMIT FEE CALCULATIONS Construction Value Fee Building $ _ $ _ Plumbing y $ _ $ Mechanical y $ 1,000.00 $ 30.00 Electrical y $ _ $ Plan Review Fee y $ Certificate of Occupancy Fee $ Plan Review Fee $ State Education Fee $ 0.26 TOTALS $ 1,000.00 $ 30.26 Figures are based on the 2006 RS Means Residential Cost Data ., --„`�_ir•�t; \v!-\v',-Y\v :,t/-- fit/..�, .- b�f—.,.. Ci::::”;,..;^•,• ,tit, �;: 4.0 4 t�i�q:;: .:: :: s 15,:,'•;tr,titi,'�' :�``.0.44k , ,.,•;"N;F';I '41.t.N a•.:., .....'' k\.r ap 04,:�{.,�., `v;Y.,4.1.'f,'•"ti.','�'�''''''',{� .nY\.,f.:r'' y,;''.ul',''''i...1,4{L,:}; `;•;k.Y1:'r., ;,',3,.L.'4ffti's ''•41 .ii . 7R r�.. S,F F rf�..�. R..� Q ,YA,,I',S/f�• Y 1 „f L 1 .y..,A rsr'�SA.....L Ti�/ Z�.i =+ IIF 'w W- w Z 2 _ b V a ', , ...Z4 0::.';.41i" - _ -_ g -- - - - , IA...7 Nq N _. 8 N om; U Z M I C, f7 aoo O �, o ;U cW .I _ O ‘•I Z Q CIA H o {.. W , N - ; . -' FYI o ' / KFC U e'er \ CI,•• •�W lai1 e.,71i, , 1} tp.., i { r S } ,. M} �}}r C \ Y1" JAyLhir }L f ttoi 31 rv's'; r1f,3 * r 4 �.L' vrr Ltef '+�M � 2 . .r1'++ /FW '4040 s 1Y f¢ i• 4,-_:.,A, .t _ , \ _ Town of Montville Building Department Residential Plan Review Form Date: V7//7 Job Address: / Lo Pol///S La e- Job Description: L' 'X Z 4/74 d0.I l a op/ 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 FLOOR PLAN Permit application not completed No plans submitted or insufficient information Permit fee due$ Basement floor plan required Permit fee to be calculated Second floor plan required Worker's comp.affidavit or worker's comp.certificate to be submitted Dimensions not provided or insufficient Copy of contractor's registration or license required Kitchen layout not provided Construction permit sign-off sheet required with appropriate approvals,it shall Bathroom layout and space clearances are insufficient be the applicant's responsibility to obtain the required signatures Ceiling heights Oct identified or insufficient Affidavit required from the holder of the registration or license authorizing you Attic access location and size not indicated or insufficient to apply for a permit with their information Attic access must be in a readily accessible location(not over shelving) Provide supporting documentation to show compliance with the 1009 IECC Use of room(s)not identified or unclear (wivw energvcor/es.gov) OR s/ra//meet the requirements of Table P11102.1 Plans required for the existing residence for each floor with dimensions based our climate zone 5 in Table N1102.1 Two sets of construction documents required, this includes all engineering WINDOWS&DOORS data,calculations and all other documentation(8106.1) Door sizes not identified Documents are copyright protected,provide original plans or a letter from the endow size&type not identified designer authorizing the duplication of the plans Emergency escape&rescue opening required Basements,habitable attics noir/ Field set of the approved construction documents are required to be picked up every.sleeping room shall have at least one operable emergence escape and from our office and must be available on site during all inspections rescue opening.8310.1 Construction documents shall be of sufficient clarity to indicate the location, Indicate the required light and ventilation for each habitable room or space nature and extent of the work proposed as per section R106.1.1 Indicate the bedroom height not window Construction documents do not match the orientation of the structure on the Egress window sill identified site plan Window header size not identified or insufficient Door header size not identified or insufficient WIND LIMITATIONS Window well details not provided or insufficient Submit supporting data to show conformance with the wind limitations in table Glazing—Hazardous locations per section R308.4 R301.1(1)as determined front Appendix R of the 2013 CT supplements. Documents required to be stamped and signed by a CT registered Professional GARAGE and CARPORTS Engineer No plan submitted or insufficient information provided Braced walls not identified on the constructiondocuments or are insufficient Building section required Braced wall calculations required Opening protection between the garage and residence is not identified or Ridge connection not identified or insufficient insufficient Separation between the garage and the residence is not identified 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 ELEVATIONS IVall-to-deck connection not identified or insufficient No plans submitted or insufficient information Deck-to-foundation connection not identified or insufficientPlans do not match the floor plans Provide engineering data for the piers to resist gravity,lateral,shear and uplift Finish grade not identified or does not match the site plan loads,stamped and signed by a CT licensed design professional _ Building height(s)not identified _ Foundation anchor spacing not identified or insufficient Dimension height of chimney Construction documents do not match the engineering data submitted Roof pitches not identified Cold-formed steel framing shall comply with the requirements of one of the following standards:ASTM A 653:Grade 33,and 50(Class 1 and 3),ASTM BUILDING SECTIONS&DETAILS A 792:Grade 33,and 50,4 or ASTII A 1003:Structural Grade 33 Type H, Full building cross section not provided or insufficient and 50 Type H Floor-to-floor heights not identified Additional sections and details required SITE PLAN Draft stopping details not provided or insufficient Site Plan required Site Plan does not match the building plans STAIRS Finish floor elevation not indicated Stair not shown on the basement floor plan Distance from the property line(s)to the structure not identified Stair not shown on the second floor plan Structure dimensions not provided Riser height not identified or insufficient Existing and proposed contours are not provided or insufficient Tread depth not identified or insufficient Footing drain discharge not identified Nosing required for closed riser stairs Utilities not provided(electrical,phone,cable,sewer,water,gas) Riser opening can not allow the passage of a 4"sphere Delineation of flood hazard areas and design flood elevation is required per Winder stair—detailed plans required section 8106.1.3 Spiral stair—detailed plans required Private sewage disposal system to be identified along with all technical and soil Stair width required to be minimum of 36"above the required handrail height data as per section RI06.2.1 Handrail detail not provided or insufficient detail Grading is to slope away from the building,provide more detailed information Guardrail detail not provided or insufficient detail Plan submitted is not the same plan that has been approved by the Zoning Headroom height not identified or insufficient Department and/or Health Department 36"landing required at the bottom of the stairs Retaining wall—construction documents required 36"landing required at the top of the stairs Retaining wall documents required to be stamped and signed by a Connecticut Frost protection required,provide details and connections Registered Professional Engineer FOUNDATION WALLS No plans submitted or insufficient information Stud size and spacing not provided or insufficient Dimensions required Sheathing type not provided or insufficient Wall thickness not identified Afethod of braced wall bracing not shown or specified Method ofattachment ofBracer/walls required t indicated 0 formulation and structure is not shown or specified Bracer/wall method not indicated Footing size not identified Frost protection not identified or is insufficient Braced wall lines rums[be shown on plans and data provided Column type,size,spacing not identified or insufficient Waterproofing details not provided or insufficient FLOOR FRAMING Pier type,size and anchor details not provided or insufficient Plans required showing joists,beams and openings Foundation reinforcement bars required,size and location are not shown or Bearing partitions not provided or indicated specified Framing direction not indicated or unclear Engineered foundation plan required Beam span&size not provided or insufficient Crawl space ventilation,location,type and size not provided or insufficient Joist span size&spacing not provided Crawl space access,location and size not provided or insufficient Joist's over-spanned Soil testing data required in the area of the proposed structure and shall be Beam over-spanned Provide design data for all unaligned wall and floor bearing points I made by an approved agency using an approved method,R401.4) Point loads not identified on beam data Framing less than 18"to grade to be pressure treated or decay resistant Steel beam — must be stamped and signed by a Connecticut Professional Engineer LVL's—engineering data required I-joists—engineering data required Design loads not provided or insufficient 94viseiNarck 12,2014 Town of Montville Building Department CEILING FRAMING TWO-FAMILY DWELLING UNIT SEPARATION(R302.3) Plans required showing joists,beams and openings Dwelling units in hvo--J'anll y dwelling shall be separated from each other by Bearing partitions not provided or indicated wall and/or floor assemblies having not less than I-hour fire-resistance Framing direction not indicated rating when tested in accordance with ASTiII E 119 or UL 263. Beam span&size not provided or insufficient Joist span,size&spacing not provided TOWNHOUSE SEPARATION(R302.2) Joist's over-spanned Each townhouse shall be considered a separated building and shall be Beam over-spanned separated by fire-resistance-rated wall assemblies meeting the requirements Provide design data for all unaligned wall and floor bearing points of section 1t-302.1 for exterior walls. Point loads not identified on beam data Penetrations of wall or floor/ceiling assemblies required to be fire-resistance Steel beam — must be stamped and signed by a Connecticut Professional rated in accordance with section R302.2 or R302.3 shall be protected in Engineer accordance with this section. LVL's—engineering data required I-joists—engineering data required FLOOD-RESISTANT CONSTRUCTION(R322) Design loads not provided or insufficient Documentation required to be submitted for the connection,anchored to resist flotation,collapse or permanent lateral movement Delineation of flood hazard areas,floodway boundaries,and flood zones and ROOF FRAMING the flood design elevation to be identified on the site plan(8106.1.3) Plans required showing rafters,beams and openings Elevation of the proposed lowest floor,including basement;in areas of shallow Bearing partitions not provided or indicated flooding (AO zones), the height of the proposed lowest floor, including Framing direction not indicated basement,above the adjacent highest grade shall be identified(8106.1.3) Beam span 84 size not provided or insufficient Electrical systems, equipment and components, and heating, ventilation,air size&spacing not provided conditioning and plumbing appliances,plumbing fixtures,duct systems,and Rafter span, other service equipment shall be located at or above the design flood elevation. Rafter's over-spanned Beam over-spanned ELECTRICAL INFORMATION Provide design data for all unaligned wall and floor bearing points �, Point loads not identified on beam data The provisions of Part VIII of the 2009 IRC or 2011 NEPA 70 National Steel beam — must be stamped and signed by a Connecticut Professional Electric Code shall apply to installation of the electrical system and must be Engineer indicated on the application. Engine—engineering data required Plans required showing panel locations,GFCI,switches,lights and receptacle locations I-joists—engineering data required Service capacity is not indicated,underground or overhead Valley rafter—engineering data required Panel location not identified Collar tie size,spacing&location not identified or insufficient Receptacle locations not identified or insufficient Roof trusses — Engineering data (signed and sealed by a Connecticut Y GFCI receptacle locations not identified or insufficient Professional Engineer) must be submitted and approved by the Building Lights and switches not identified or insufficient Department prior to installation Roof truss data must be designed to:t NSI/TPi 1 Smoke alarms not identified or insufficient Ridge beam supports not identified or insufficient CO detector(s)not identified or insufficient(required on all habitable levels) Hip/valley beam supports not identified or insufficient Electrical load calculations required Rafter to beam connection detail not provided or insufficient Whirlpool tub/hydro message tub disconnect location not identified MECHANICAL INFORMATION DECKS/PORCHES Type of heating spstem not prodded Construction documents required Plans required showing equipment locations,ductwork,etc. Dimensions required Dryer vent routing not identified or insufficient Framing direction not indicated Heating,ventilation and air conditioning equipment locations not identified Heat loss/gain calculations required to be submitted Beam span&size not provided or insufficient Heat loss/gain calculations do not match the information on the construction Joist span,size&spacing not provided documents Joist's over-spanned - p Combustion air calculations required Beam over-spanned Winter design temperature is 7°F Ledger—show attachment and flashing detail Post size or spacing not indicated FUEL and GAS INFORMATION Height of deck above adjacent finished grade not provided Connections not identified or insufficient LP-Gas tank size and location not identified on the plans Plans do not match site plan Trench detail not provided or insufficient Dimension height of chimney above the roof Piping diagram not submitted or insufficient Oil talk size and location not identified on the plans CHIMNEYS&FIREPLACES ,/ PLUMBING SYSTEM INFORMATION Clearances to combustibles not indicated ort insufficient V No plans submitted or insufficient information Flue size not indicated or insufficient Building trap location not identified(inside or outside) Sewer location not identified Exterior combustion air source not identified Domestic water location not identified Plan required showing fireplace opening size and clearances to combustibles Manufacturers data for whirlpools,corner tubs&large tubs required Flue sizes Water heater size,type,and location to be submitted Manufactures data and installation instructions for metal fireplaces and/or wood stove required ENERGY CODE INFORMATION Dimension height of chimney above the roof A permanent certificate shall be posted on or in the electric distribution panel. The certificate shall be completed by the builder or design professional.The certificate shall list the predominant R-value of insulations installed in or on ceiling/roof,walls,foundation(slab,basement walls,crawl space wall and/or floor)and duct outside conditioned spaces.Along with other listings required by the code. Access doors from condition spaces to unconditioned spaces(e.g.,attics and crawl spaces)shall be weather stripped and insulated to an equivalent to the insulation around the surrounding surfaces. + Slab on grade floors with a floor less than 12"below grade shall be insulated. New wood-burning fireplaces shall have gasketed doors and outside • combustion air. Comments: • 1) Pr J _ --i f0 v- 0. -Pe �. i- �--- r - . - . - -- �t�0 7� L L.,,,,,.., / n lnn r/:J ,/o f<iAi I 4n!r -1-4-ir ^-11rrnY)) 1 /1G -yid m lie IA/ T7A1lr77 I/C--- Town of Montville Building Department CONSTRUCTION PERMIT APPROVAL i ad © I s LgA) r Property Address x `i a , OA) Job Description Required Department Approval ' Permit Issuance Approval Tax Collector .� jo- � ,.F /to l , 7 // Signature/date Comments: Fire Marshal %ljr Signature/date Comments: Planning & Zoning / Required for all permits except '�� / 7 t 7 Signature/date Plumbing,Electrical,Mechanical,Roofing idinq,WI..ows& Doors ❑ Health Department Required for properties with private septic or well Signature/date Comments: WPCA, Administrative /ILle,j/121, /Wit (6/410/7 Required for properties on sewer Signature/date 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: ❑ Copy of State Dept. of Transportation Certificate 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 Final Inspection Revised Marcl 23,2015 20 Po 15 S Lc4A.3 ( Pciu( 6re5f f 7 o , , o /" d r,ve,„u„, , \ i/ . 1 ),,,g,„ey / 1 - 30-P. i . Exesh Nlrun aarki.777/ Sf►tccfure `fo�'fv�o�f. + , 0(4_ 2-34ry noised ra.cc k 13 1 a-SFbry 6;71, cn A-ohvax. 13 X/9..44 QR 1 0- � !Pi ir-Nl. C6 � P2'16. )1 d>_ck on .. Ci —-7 . s v , $. s 0 0 TOWN OF MONTVILLE Building Department 310 NORWICH-NEW LONDON TURNPIKE UNCASVILLE, CT 06382-2599 TEL. (860) 848-3030 X382 FAX. (860) 848-7231 PLUMBING PERMIT Permit Number: P2017-0088 Date: 16-Aug-17 Map/Lot: 102/041-000 Owner ID: 5641000 Project Location: 120 POLLYS LANE Unit: Job Description: Plumbing for Bathroom -Two Lay, Bath Tub,Toilet&Shower Owner Nam Paul J Gressly Tenant Name N/A Careof: 120 Pollys Lane Uncasville Si__ 06382- Telephone: Applicant Name John Choney Telephone: (860)572-1502 DBA: Mystic Plumbing &Heating Lic/Reg Type P1 Lic/Reg N 278084 459 New London Road Exp Date: 31-Oct-17 Mystic CT 06355- Construction Value Permit Fees Construction Information Building Value: $0.00 Building Fee: $0.00 Use Group: IRC Plumbing Value: $3,500.00 Plumbing Fee: $48.00 Code: 2016 State Building Code Mechanical Valu $0.00 Mechanical Fe $0.00 Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type IRC Total Value: $3,500.00 Penalty Fee: $0.00 Permit Code: R5 C of 0 Fee: $0.00 Comment Plan Review Fe $0.00 State Ed Fee: $0.91 Total Fee Paid: $48.91 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 E 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 ❑ R HVAC ❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test ❑ Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION ❑ Insulation ❑ Certificate of Approval ❑ Certificate of Occupancy Building Official's Approval: eu,-z-0/ •1-1 �r,a.+� 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.: 9a)i1-OC.Jbe Type of Work Occupancy Type Permit Type ❑ New Construction ❑Single Family ❑ Building ddition 0 Two-Family lumbing Alteration 0 Townhouse D Mechanical 0 Accessory/sStructure CI Electrical CRS#: � V Property Address: / Id` f (iz_Q (Number) I (Street) (Unit) Job Description: /&S' r&7'- A re,04 4 eD -'9 'i (3441-'4 fc4 ),C S'eA Owner: 6iNvssbv Address: A V P /'IycCc City: J' i r b � Stat '12c Zip Code: Telephone( ) - Applicant: '--Tor 1-6-1, C'/oolvdy DBA: /14 ((S 7/t C. I i 'J / 7`1'"/ ' Address: 41/ W " (!�- G/,.....�/ie e41,- City: [o' /� ''� `� City: /✓l Y 11 e`C State: C.�[` Zip Code: c.' & ?SS— Telephone(A�(L�C)J 2_) ''1, Ca Contractors - Complete the Following: I 0S, License 10k/do/ License Type: License No.: Expiration 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. kt--- By checking this box, I will follow the require - s if the 2014 NEC as the alternative compliance per section E3401.1 of the Residential Code, instead of the electrical requirements in cha. -rs thr.09 h 43 of the Residential ode. Owner/Agent Signature: Date: ei)//r/ 7 Construction V. ue Permit Fees Building Value: 2 c/�, Building Fee: Plumbing Value: 3SGl� Plumbing Fee: L4a54)f—) Mechanical Value: Mechanical Fee: Electrical Value: Electrical Fee: Total Value: 35D Penalty Fee: C of 0 Fee: Plan Review Fee: State Ed Fee: Total Fee: LES—=C1 t Qeviced August 23,2007 Town of Montville Building Department File Receipt Date: 14 Aua 17 ReceiptNo: 12556 Received From: John Okonev-Mystic Pluvmhina&Heating Job Address: 120 PoIlys Lane Town Fees Collected State of Connecticut Fees Collected Bldg Cash: $0.00 State Cash: $0.00 Bldg Check: $48.91 State Check: $0.91 Bldg Credit: $0.00 State Credit: $0.00 Fire Cash: $0.00 Fire Check: $0,00 Fire Credit: 10.00 Construction Value: $3 500.00 Demolition Value: $0.00 CheckNo: 374 Received By: Carmen Kneeland 0.01 at_�j 1 k1 A Q A „Q._c. inlP Court 120 Pollys Lane ITEM QTY $/UNIT TOTAL Building Plumbing Mechanical Electrical BUILDING AREA Basement,Finished SF $ 41.96 $ - $ Interior Renovations SF $ 36.09 $ - $ - $ AMENITIES Kitchen EA $ - $ - $ - Full Bathroom EA $ - $ Half-Bathroom EA $ - $ GARAGE Detached SF $ 71.53 $ - $ MECHANICAL Warm-Air n Y/N $ - Hot Water n Y/N $ - Electric n Y/N $ - Air Conditioning n Y/N $ - ELECTRICAL SERVICE Upgrade Amps $ - Subpanel EA $ 699.00 $ - 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 SF $ 44.07 $ - Porch SF $ 149.38 $ - Sunroom SF $ 176.90 $ - $ - POOLS 8 HOT TUBS Hot Tub EA $ 8,016.25 $ - $ - Inground Pool EA $ 31,550.00 $ - $ - Above Ground Round EA $ 6,299.46 $ - $ - Above Ground Oval EA $ 7,019.75 $ - $ - Pool Heater EA $ 8,984.25 $ - $ - Inflatable Type Pool EA $ 1,200.00 $ - $ - SHEDS w/o electrical SF $ 25.55 $ - w/electrical SF $ 26.85 $ - $ - RENOVATIONS Roofing,Overlay SF $ 3.50 $ - Roofing,Strip&reroof SF $ 4.50 $ - Roof Sheathing SF $ 1.51 $ - Siding SF $ 6.75 $ - Windows EA $ 550.00 $ - Skylights EA $ 1,051.10 $ - Doors,Exterior EA $ 601.50 $ - Oil Tank,275 Gallon EA $ - Oil Tank,550 Gallon EA $ - MISCELLANEOUS CALCULATIONS $ 3,500.00 Solar Install n TOTALS $ - $ 3,500.00 $ - $ _ PERMIT FEE CALCULATIONS Construction Value Fee Building $ - $ _ Plumbing y $ 3,500.00 $ 48.00 Mechanical y $ _ $ _ Electrical y $ - $ _ Plan Review Fee y $ _ Certificate of Occupancy Fee $ _ Plan Review Fee $ State Education Fee $ 0.91 TOTALS $ 3,500.00 $ Figures are based on the 2006 RS Means Residential Cost Data STATE OF CONNECTICU _ DEPARTMENT OF CONSUMER PROTECTION PLUMBING&PIPING UNLIMITED CONTRACTOR JOHN W OKONEY JR 459 NEW LONDON RD MYSTIC,CT 06355-2033 LIC./REG NO. EFFECTIVE EXPIRES PLM.0278084-P1 11/01/2016 10/31/2017 fGNED ��/ . -:),4 ,., State of Connecticut N Workers' Compensation Commission 5 7A :7:17.7, j" � Please TYPE or PRINT IN INK ce ittazzr— 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 PERMIT Name of Applicant for Building Permit Property located at in the City/Town of . 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: ❑ I am the OWNER of the above-named property.I WILL NOT act as the general contractor or principal employer. Signature of OWNER Applicant-.. ___. ._ __.____. I am the SOLE PROPRIETOR of a business doing work at the above-named property.I WILL NOT act as the A eneral contractor or principal employer.31- Name of Business 14 1 417 C`C 7 `"re/'" 1 r�Federal Employer ID#(FEIN) / l�� c G Signature of SOLE PROPRIETOR Applicant • Town of Montville Building Department CONSTRUCTION PERMIT APPROVAL I(Do P ii , s L ky1- Property Address Pturdio)n . -rx' &+hrooM Job Description Required Approval Department Permit Issuance Approval II V. Tax Collector '..c .L„. J�( �. 2//4/ /7 Signature/d to Comments: ‘'/ Fire Marshal !t�l ! 7 Signature/da Comments: ❑ Planning & Zoning Required for all permits except Signature/date Plumbing,Electrical,Mechanical, Roofing,Siding,Windows&Doors ❑ Health Department Required for properties with private septic or well Signature/date Comments: • WPCA, Administrative Orkil Per Ocnc $/ 1`j/l-j ml✓ Required for properties on sewer Signature/date 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: ❑ Copy of State Dept. of Transportation Certificate 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 Final Inspection Revise Marrh23,2015