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SFR 2014
cb N o c z; O z L 4.5 L E o a) a � (f) _ 5 •j c) 4J c a) 0 8cv cn D C (o cc a a) a) (0 n j a E E d 0 D - t l 4- > O ca O C u >, (I) L *Y")) rn �- cC 4-, a) a) C C a) CO 1 I 0 c C LL ca cQ U a) a) E E 1 L o 0 W Z Q -C o > a Q W —I a o U Q � � q cj Z a OU ate) L 1 r; LL. W v) u COpro a E � " o Z z � � � 0 .� 2 J � Ca1) 0 0 v a N 0 U ) (a o C O Z U � `� D ' C 2 > ~ U CO7. LLQ -.0 C — a E� -d 1 0 L tx 1 0 m V U _0m 15 -0 •-`" D a, °� q C OD L -0 U I n! � o ca 1i c ir - a, C I i 1 m I. N o C N II L o o Z C) ;a', a) • U) u`. cC N C -E m til 'G p N 0 CO cn 1 Q fl U o .� c fl. 0 E U 0 a) HN CL O a J U 3 Town of Montville Building Department • CERTIFICATE OF OCCUPANCY APPROVAL Property Address it/<:; LiJ Ai.5Yw Job Des.;ription Required Department Permit Issuance Approval Approval • Planning &Zoning Ls' ,, L9LL4 /1/z i / tr 9 1 Signature/date Comments: )i-e-AAAj11-4: I ` "C -- c II Health Department —44 ANIA1 *� qi ,� `, Required for all permits except Plumbi •.Electrical,Mechanical,Ro ,Siding,Win ws Doors Si.i •.tore/date Comments: - • \❑ WPCA, Administrative I ., uA, \ 1 l _I 1 Re qired for properiies on sewer Signature/date Comments: ❑ WPCA, Operations When Required by WPCA Signature/date Comments: ❑ Fire Marshal Required for all properties EXCEPT one and two family Signature/date Comments: 'r---"Z EiV Department of Public Works // / /� Required when project includes driveway work or certain drainage requirements ignature/• - e 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 March 19,2010 Field Inspection Notice Town of Montville Building Department 860-848-3030 Ext.382 Address: 12 Porach Road Job Description: New Single Family Residence Permit Number(s) B2014-0210, M2014-0117, E2014-0170, P2014-0064 Permit Date: June 17,2014 Not Approved Approval INSPECTION Date: Comments Special Date Conditions Braced wall • Continuous 7/24/14 DJ • Trusses require additional bracing.See bracing • Framing 7/24/14 DJ schedule on truss plans. 7/31/14 DJ • Attic access is required,22"x 30"minimum clear. • Rough electric 7/24/14 DJ • One light in the attic is required by code. •• 7/31/14 DJ 3 Deck piers 7/31/14 DJ insulation ' . • 7/31/14 DJ Electric service 8/1/14 DJ 1)Install drywall under stairs—See note 1 • 2)Return handrail ends 3)Landing required bottom of deck stairs-See Note 2 11/24/14 W 4)Open(uncapped)drain pipe in basement floor at Final inspection and rear wall. certificate of 12/01/14 VV 5)The landing must step down to an equal rise to match the stair risers or be flush to the bottom tread. occupancy 12/03/14 DJ 6)The open risers in the stairs must no large than 4". 7)The deck is missing the required connection clips between the deck joists and the beam as well as between the beam and the columns. • **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 CIO re-inspections -$10.00 Commercial re-inspections(except Certificate of Occupancy- $25.00 Commercial Certificate of Occupancy- $50.00 Notes: 1. Opening under stairs is blocked with drywall partition 2. Landing is required to be 36" and level Rev.Date: 1/18/06 Page 1 of 1 Connecticut Light& Power : Work Management System Page 1 of 2 Print This Page REQUEST DETAIL Request Number: 2359956 Contractor Contractor Name MACKO JR,NICHOLAS Business Name BEAN GROUP LLC License Number CT186583 Address 17 EAST AVE NORWICH, CT 06360 Phone (860) 884-6130 Customer Business Name RTT Development Address 35 Blaise RD uncasville, CT 06382 Phone (860) 608-1972 Job Location Building Number 12 Street PORACH RD Town, State. Zip Code MONTVILLE, CT Cross Street GALLIVAN LN Job Status / Prerequisites Status Date Completed Municipal Inspection Completed 7/31/2014 Job Assignments Technician Assigned Cassata, Giuseppe Area Work Center (AWC) New London Area Work Center Technician Email cassagc@nu.com Technician Phone (860) 447-5746 Job Schedule Work Request submitted by OKCAM Request created on 07/16/2014 Scheduled Start Date Not Available Customer Requested Date 07/23/2014 Completion Date Not Available Meter Information Job Information Service Type Elec Svc New Residential OH NOND - CT (DV) Work Requested Install Permanent Service Customer Type Residential General Remark Customer is the primary contact. Receive Monthly Bill Customer Construction Type Overhead General Remark Central Air Primary Heat Gas Square Feet 1200 Amps 200 Phase Wire Voltage 1 PH 3W 120/240V Number of Meters 1 Additional Comments ,_zs= https://www.cl-p.com/wms/requestdetail.aspx?cd_wr=2359956&st rgmt=APPROVED&a=... 8/1/2014 Connecticut Light& Power : Work Management System Page 2 of 2 Inspector Remark 07/31/2014 - VERNON VESEY Approved Request Note: If the work request is canceled, please contact the Clearing Desk toll-free at 1- 888-544-4826(1-888-LIGHTCO) UnApprove .J Fail � Add Remarks BACK haps://www.cl-p.com/wms/requestdetail.aspx?cd wr=2359956&st rgmt=APPROVED&a=... 8/1/2014 TOWN OF MONTVILLE Building Department 310 NORWICH-NEW LONDON TURNPIKE UNCASVILLE, CT 06382-2599 TEL. (860)848-3030 X382 FAX. (860) 848-7231 ELECTRICAL PERMIT Permit Number: E2014._OJ10 Date: 24-,Iu1-14 Map/Lot: Immo-non Owner ID: 5661000 Project Location: 12 PORACH ROAD Unit: Job Description: yyj�ga�c�Eec} c SerxiceloLhlew SinaLe_Eami(v_Residence Owner Nam RTTDeme.,„-. Tenant Name N/A Careof: 35 Blois Rood . • - CT (16382- Telephone: Applicant Name Nichol s Mock°Jr. Telephone: 18601884-6130 DBA: Bean Grouo I I C Lic/Reg Type F1 Lic/Reg N 1865$3 17Fa A -■r : Exp Date: 30-Se„n14 Norwich ,T (163h0- C_oncfn Irfipn Vol ie Permit Faec (onstRtcliolnJpfannaalion Building Value: $0.00 Building Fee: 50.0.0— Use Group: IRC Plumbing Value: SO.QIL Plumbing Fee: $n.00 Code: 2005 State Building Code Mechanical Valu S0.00 Mechanical Fe SO Q0 Electrical Value: $0.00 Electrical Fee: $1100 Construction Type IRC Total Value: MOD Penally Fee: S0.0n Permit Code: R5 C of 0 Fee: moo Comment Plan Review Fe MOIL. Fees Included with Building Permit State Ed Fee: $.0.00 Total Fee Paid: $0,00 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 ensile during all inspections. BUILDING PERMIT INSPECTIONS PLUMBING.MECHANICAL,ELECTRICAL PERMIT INSPECTIONS ❑ Footing-Prior to pouring concrete ❑ R Plumbing and leak test ❑ Deck Piers Q R Electrical ❑ Backfill-Footing drains and waterproofing l Elec Trench-with conduit installed ❑ Concrete Slab-Prior to pouring concrete ❑ Pool Bonding ❑ Anchor Bolts-with sill plate and prior to floor frami 0 Electrical Service CRS No: 2359956 ❑ Framing ❑ R HVAC ❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test ❑ Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION ❑ Insulation E] Certificate of Approval ❑ Certificate of Occupancy J uildina OfficioL'ZAo 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 4—t'A10 T e of Work Occupancy Type Permit Type New Construction Single Family ❑ Building Addition 0 Two-Family ❑Plumbing 0 Alteration El Townhouse 0 Mechanical 0 Accessory Structure j Electrical CRS#: Property Address: Ia. (Number) (Street) (Unit) Job Description: S:,IVa a. :Z „,zL ;Tr;cn.L ' Owner: -ZIT'Deo Q\., Q.:NT C°.--R l Qw.s Address: 3.5 r Uy,SQ �d. City:ur C-a-suI A Q State: e-T- Zip Code: 063'7 Telephone( ;6 ) 40 - I er7 a Applicant: l�'�� l os Mck. DBA: a.., Gr 0 LL . Address: n n-srt A u e-, City: (fro r State: Ct Zip Code: 0 634.3 v Telephone( $ ) - 13 13 Contractors -Complete the Following: License Type: L- ,T; �_� License No.�==t-L_,:-'l M._-):>t'S Expiration Date: 4 134 al-`013 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 '�� __ -- ..r-� Date: ' t Construction Value Permit Fees Building Value: Building Fee: Plumbing Value: Plumbing Fee: �`� Mechanical Value: Mechanical Fee: �� t(� Electrical Value: • �� Electrical Fee: d, Total Value: Penalty Fee: //� / �S CofOFee: "Vv Plan Review Fee: `C State Ed Fee: Total Fee: @vued August 23,2007 •'•v State of Connecticut .,� t Workers' Compensation Commission c, . 7A tilT= %fes Please TYPE or PRINT IN INK - 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 Al Property located at a�L N�� •� in the City/Town of 6/\,-.)in N1 ex ) C ' 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-- --- - —..---. zi 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 Federal Employer IO#(FEIN) f Signature of SOLE PROPRIETOR Applicant STATE OF CONNECTICUT DEPARTMENT OF CONSUMER PROTECTIOA' ELECTRICAL U,IST. NICA0OS MAC :I NCT HSL ,, tl W1 ,.CT O63GU LIC./REG N Q ` EFFE IVE LEC.OIR6583_a r y EXPIRES aui1©/U y 2(}�3 �txs+ -09/30/2014 SIGNE_ _ Town of Montville Building Department CONSTRUCTION PERMIT APPROVAL Applicant is responsible for obtaining all of the required approvals. No permit will be issued until all the required signatures are obtained. ..) (carCcc_ rr Property Address �` lec-,Y4 Cruet C3-(?r v j cc- -F l ),r t t1 - r Job Description Required Department Approval Permit Issuance Approval Tax Collector .! Signature/date Comments: V® Planning &Zoning ) Signature/date Comments: 'f Fire Marshal /� _ ' 2'L L4 I k—[ =� ( Signature/date Comments: k .,� ,v` ❑ Health Department Required for properties with private septic or well Comments: WPCA, Administrative 1 \� (7 7 b- (1 Required for properties on sewerSi nature/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: ❑ State Dept. of Transportation Re•uired for Structures over 100 000 s..ft or with more than 200 •arkin• s.aces-Official Co. of STC Certificate of O.eration re.uired–•er CGS 14-311 Signature/date Building Department Review Complete Signature/date 7Zevised2rfay23,201.1 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:_e2014_0064 Date: 24-,JUL1 Map/Lot: 103/070-000 Owner ID: 5661000 Project Location: 12 PORACH ROAD Unit: Job Description: PJ.urnbina(oJ Ne Sjnale Faraily_(tes Bence Owner Nam RTT rr,�eLox ment Tenant Name N/A Careof: 35 Rlais Rood -Uncasville _CT 06382- Telephone: Applicant Name .lou Straker Telephone: (860)212-0930 DBA:-Straker PI imbina Lic Hera I I C Lic/Reg Type PI Lic/Reg N 2080& 59 Kramer Rood Exp Date: 31-Oct-14 Colchester CT 06415- C'oostr_u tion Perm if Eeac Co_o_skiclioninfnrmofinn Building Value: 50.00 Building Fee: Sono Use Group: IRC Plumbing Value: SS1 OQ Plumbing Fee: X0.00 Code: 2005 State Building Code Mechanical Valu 50.00 Mechanical Fe $0.41)__ Electrical Value: S0.00 Electrical Fee: S11,00 Construction Type IRC Total Value: $0 U.Q Penalty Fee: MOO._ Permit Code: R5 C of 0 Fee: Sao_ Comment Plan Review Fe S0�0 Fees Included with Building Permit State Ed Fee: 82QQ Total Fee Paid: $0_00 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 ❑ R HVAC ❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test ❑ Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION ❑ Insulation i Certificate of Approval ❑ Certificate of Occupancy .Buildina Official's Aoiammal: &—etn,21_��� 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.: k'_)c 1L)-(k;LEI Type of Work Occupancy Type Permit Type ❑New Construction []Single Family 0 Building El Addition 0 Two-Family 0 Plumbing ❑Alteration 0 Townhouse 0 Mechanical ii 0 Accessory Structure 0 Electrical CRS#: • Property Address: I e( Po 'c_cb r \Y (Number) (Street) (Unit) Job Description: 5—N<N1 tsZv's PVC / y S •n & ► Zab _ / Dt 0,2 :irk, ►�v :7, ) c - S mak, i -+ tit.) h� Owner: 11 "De \J- _ Address: P \ S (� City: U.11C(', State: C.,)— Zip Code: Telephone( ) - Applicant: rav-1 54--et k'2-r' DBA: J��C`a.j<er f)Y�'1 r��} t C� L LC c Address: .6 / k /&(' ��11 kA ' �1 7 City: CO k.) 5 C State:Cr Zip Code:716 y)5 Telephone(s� kA-,. - d 9J 6 Contractors -Complete the Following: License Type: • 1 r License No.:c 238-1 Cr Expiration Date: I D1I5 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: 2{Jl.'-e Date: 71:71Q- )) y 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: rviie&August 23,2007 v�'�v State of Connecticut CO > ; , r_ 7A Y,..., ., Workers' Compensation Commission �, �:� _A > d =' ro:w, Please TYPE or PRINT IN INK i 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 _ fa-1.) 1 , '+' (i'' )<Q_--(- . Property located at 1 C. FU "\ cz C ), ` in the City/Town of / 21 iir 1 1 l Q 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-- --- - --•--• y-ok 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 �-j,��•k��C I v :2" NCIL) +.- fk,6 L L c-- Federal Employer ID#(FEIN) , ‘ ) Signature of SOLE PROPRIETOR Applicant t S TE OF CONNECTICUT DEPARTMENT OF CONSUMER PROTECTION PLUMBING&PIPING lg¢ID CONTRACTOR RAUI STRA ER' COLCT-l9 06 -2012 LIC./REG NO. EFFECtIVEli { EXPIRES PLM.0203808-11 . ,111111./2201.14, - 10/31/2014 :IGNED Town of Montville Building Department CONSTRUCTION PERMIT APPROVAL Applicant is responsible for obtaining all of the required approvals. No •ermit will be issued until all the re.uired si.natures are obtained. -4 Op Y k_C fn • tKC)( (J Property Address ,ibb Description Required Department Approval Permit Issuance Approval ® Tax Collector L.__ J� �1 t 4 Signature/date Comments: �� ✓® Planning &Zoning ; lr'�7�m/✓ F �'� 772 2/67 Comments: Signature/date t Fire Marshal_ / _ 1( 214 Comments: 14 F NA Signature/date 115. ❑ Health Department Required for properties with private septic or well Comments: v (; WPCA, Administrative `I Required for properties on sewer S nature/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: ❑ State Dept. of Transportation Required for Structures over 100,000 sq.ft or with more than 200 parking s.aces-Official co• of STC Certificate of O•eration re•uired—.er CGS 14-311 Signature/date Building Department Review Complete Signature/date _ eMay23,2011 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: 62014_0210 Date: 17-.IurZL4-Map/Lot:,1Q3/07(14110.0__ Owner ID: 5661000 Project Location: 12 PORACH ROAD Unit: Job Description: _Ne1ySiaa[e FarnilvResidence Owner Nam RTT DQv_elonment Tenant Name_N/A Careof: 35 BIais Randa _Uacasville CT 063.82- Telephone: j60R-1979 Applicant Name RTT Demeloomenf Telephone:P 1860)60117.19.72 DBA: Lic/Reg Type _NEC_ Lic/Reg N 1795 -35_Bictis_Raad Exp Date: 30SeD_15 Upnas_villP CT _0_6382- r_onstruetion 1 ku Permityeec Consfnrrtion Infnrrrdytinn Building Value: S149$40.00_ Building Fee: S1 511(104_ Use Group: IRC Plumbing Value: S7,778_00__ Plumbing Fee: Sa0,00 Code: 2005 State Building Code Mechanical Valu S8.958.00 Mechanical Fe _ slam_ Electrical Value: So.n67.0Q_ Electrical Fee: MOIL. Construction Type IRC Total Value: $112,643.00 Penalty Fee: SO,QQ_ Permit Code: R2 C of 0 Fee: S25O0_ Comment Plan Review Fe S17__4O1L State Ed Fee: 544,,80 Total Fee Paid: $1.183.89 It shall be the owners repsonsibility to schedule the following inspections a minimum of 2 business days in advance: Field set of approved construction documents shall be available onsite during all inspections. BUILDING PERMIT INSPECTIONS PLUMBING,MECHANICAL,ELECTRICAL PERMIT INSPECTIONS © Footing-Prior to pouring concrete El R Plumbing and leak test ❑ Deck Piers ❑ R Electrical © Backfill-Footing drains and waterproofing ❑ Elec Trench-with conduit installed ❑ Concrete Slab-Prior to pouring concrete ❑ Pool Bonding © Anchor Bolts-with sill plate and prior to floor frami 0 Electrical Service CRS No: 0_ Framing 0 R HVAC ❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test © Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION © Insulation ❑ Certificate • Appr al D C fic• e cupancy 7 ��l Buildina�lficial's Annrnvat Town of Montville Building Department Residential Plan Review Form Date: l0 72// Job Address: /2 Pcir ,.G7 /2c( cv� Job Description: / t✓ S,'s7 )e r^m I /y 1 P. e- / Yourpermit application is being rejected for the items checked off or commented on. The required information must submitted for review(two sets are required) (C.G.S.29-252a.) This list is offered as a guideline only. It is not meant to be all-inclusive for every permit application,nor is it meant to take the place of the State Building Code. SUPPORTING DOCUMENTATION FLOOR PLAN Permit application not completed No plans submitted or insufficient information V Permit fee due$ J � j, Basement floor plan required Permit fee to be cat ulated 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 not 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 2009 IECC Use of room(s)not identified or unclear (wrviv.ener;i•cod'.v.not') OR shall uneet the requirements of"Table NI102.1 Plans required for the existing residence for each floor with dimensions based on climate zone i in Table N1102.1 WINDOWS&DOORS Two sets of construction documents required, this includes all engineering Door sizes not identified data,calculations and all other documentation(R106.1) Documents are copyright protected,provide original plans or a letter from the Window size&type not identified designer authorizing the duplication of the plans Emergency escape&rescue opening required.Basements,habitable attics and d Field set of the approved construction documents are required to be picked up every•sleeping room shall hare at least one operable emergency escape and rescue opening.1/310.1 from our office and must be available on site during all inspections Indicate the required light and ventilation for each habitable room or space Construction documents shall be of sufficient clarity to indicate the location, Indicate the bedroom egress window nature and extent of the work proposed as per section RI06.1.1 Egress window sill height not identified Construction documents do not match the orientation of the structure on the Window header size not identified or insufficient site plan 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 8308.4 8301.2(1)as determiner!front Appendix R of the 2013 CT supplements. GARAGE and CARPORTS Documents required to be stamped and signed by a CT registered Professional Engineer No plan submitted or insufficient information provided Braced walls not identified on the construction documents 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 Roof-to-wall connection not identified or insufficient Separation between the garage and the residence is not identified or insufficient Wall-to-wall connection not identified or insufficient ELEVATIONS Wall-to-sill connection not identified or insufficient Ball-to-deck connection not identified or insufficientNo plans submitted or insufficient information Deck-to-foundation connection not identified or insufficient Plans 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:AVM!.1 653:Grade 33,and SO(Class I and 3),ASTJ! BUILDING SECTIONS&DETAILS A 792:Grade 33,and 50.1 or ASTdI A 1003:Structural Grade 33 Tree ll, Full building cross section not provided or insufficient and 50 Trpe Il 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 R106.1.3 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 R106.2.1 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 WALLS FOUNDATION Stud size and spacing not provided or insufficient No plans submitted or insufficient information Sheathing type not provided or insufficient Dimensions required dlethod of braced wall bracing not shown or specified Wall thickness not identified Braced walls required 11602.10 ,Method of attachment of fours dation and structure is not shown or specified Braced wall method not indicated Footing size not identified Braced wall!Ines must be shown on plans and data provided Frost protection not identified or is insufficient Column type,size,spacing not identified or insufficient FLOOR FRAMING Waterproofing details not provided or insufficient Plans required showing joists,beams and openings Pier type,size and anchor details not provided or insufficient Bearing partitions not provided or indicated Foundation reinforcement bars required,size and location are not shown or Framing direction not indicated or unclear specifier/ Engineered foundation plan required Beam span&size not provided or insufficient Joist span,size&spacing not provided Crawl space ventilation,location,type and size not provided or insufficient Joist's over-spanned Crawl space access,location and size not provided or insufficient Beam over-spanned Soil testing data required in the area of the proposed structure and shall be Provide design data for all unaligned wall and floor bearing points 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 RevisedWarch12,2014 PIOZ'ZI yookops-.14-016 !elolll0 2ulplmg 4Indoci IE!OWO 2u!Pling uasua • pmeU II r(asal\'Q rowan ‘/� :,(q pan+ainau :sluawwo3 paAlwgns aq 01 uopeaol pue'addl'airs Ja1eaq mem pannbaJ sqn a9iel 7g sgnl Jawoa'sloodpttlm Jo}Slep ssamlaelnueyy loos am anoge Cauwlyalo ly9lay uolsuawlQ paypuapl lou uopeaol MEM OpsawOQ paJlnbaJ anols pooh pupal)!lou uopeaol Jamas Jo/pue saaeldaiy lelaw Jo; 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DIN/INV/II JNVII3O 1uau1I.Indo 2utpung opkwOJAUo uMoi 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.: (230.01(-- - 0 \0 Type of Work Occupancy Type Permit Type ❑ New Construction ❑Single Family 0 Building ❑Addition ❑Two-Family Mechanical Alteration ❑Townhouse 0 ang ❑MMeical 0 Accessory Structure 0 Electrical CRS#: Property Address: (Number) (Street) (Unit) Job Description: �• �� J Owner: / T r 6 Address: 3 �,C R A City: C-1/VC, /////; State: (- Zip Code: v 3 2 Telephone( n6) 6 e_ /% �L Applicant: 1 T l 1 DBA: Address: City: State: Zip Code: Telephone Contractors -Complete the Following: License Type: G YP l�r� /d sl License No.: ' I / 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. 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: C of 0 Fee: Plan Review Fee: State Ed Fee: Total Fee: R€vise4'August 23,2007 111111111.1111111111 Town of Montville Building Department File Receipt Date: 11-Jun-14 ReceiptNo: 9438 Received From: RTT Development Job Address: 12 Porach Road Town Fees Collected Bldg Cash: State of Connecticut Fees Collected $0.00 State Cash: Bldg Check: $0.00 $1,983.89 State Check: Bldg Credit: $0.00 $44.89 State Credit: $0.00 Fire Cash: $0.00 Fire Check: $0.00 Fire Credit: $0.00 Construction Value: $172,643.00 CheckNo: Demolition Value: 10712 $0.00 Received By: Carmen Kneeland y�� Address: 12 Porach Rd. ITEM QTY $/UNIT TOTAL Building Plumbing Mechanical Electrical BUILDING AREA New Construction 1239 SF $ 110.68 $ 137,132.52 $ 3,295.74 Basement,Finished SF $ 25.96 $ - $ Basement, Unfinished SF $ 12.40 $ - $ Crawl Sapce SF $ 9.30 $ - Interior Renovations SF $ 36.09 $ - $ - $ - AMEND IES Kitchen 1 EA $ 7,669.41 $ 1,985.50 $ 678.81 Full Bathroom 1 EA $ 5,792.33 $ 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 Y/N $ 8,957.97 Electric n Y/N $ Air Conditioning n Y/N $ - - ELECTRICAL SERVICE Overhead,new 200 Amps $ 1,989.24 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/1 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 144 SF $ 34.98 $ 5,037.12 Porch SF $ 149.38 $ - Sunroom SF $ 176.90 $ - $ TOTALS $ 149,839.05 $ 7,777.83 $ 8,957.97 $ 6,066.64 PERMIT FEE CALCULATIONS Construction Value Fee Building $ 149,840.00 $ 1,500.00 Plumbing y $ 7,778.00 $ 80.00 Mechanical Y $ 8,958.00 $ 90.00 , Electrical y $ 6,067.00 $ 70.00 Working before Permit Issuance n $ t Certificate of Occupancy Fee $ 25.00 Plan Review Fee $ 174.00 State Education Fee $ 44.89 TOTALS $ 172,643.00 $ 1,983.89 i ie t err. twwe. State of Connecticut 7B lo • Workers' Compensation i, j p Commission :' 4 n T u Op� Please TYPE or PRINT IN INK lx Proof of Workers' Compensation Coverage when Applying for a Building Permit for the Sole Proprietor or Property Owner who WILL act as General Contractor or Principal Employer Applicant for Building Permit Name of Applicant for Building er„ 7- J / r Property located at , Z./ v , . gOJ 1/mac s 1/1' in the City/Town of 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 act as the general contractor or principal employer,you must provide proof of workers'compensation insurance coverage for all employees. Complete this form and,if applicable,sign the Affidavit below in the presence of a Notary Public or a Commissioner of the Superior Court. CHECK ONE (1) BOX ONLY, provide the appropriate information, and sign: )Q I am the OWNER of the above-named property.I WILL act as the general contractor or principal employer and,as such,will submit proof of workers' compensation insurance coverage for all employees who are doing work on the site of the construction project at the above-named property. Signature of OWNER Applicant I am the SOLE PROPRIETOR of a business doing work at the above-named property.I WILL act as the general contractor or principal employer and,as such,will submit proof of workers'compensation insurance coverage for all employ=- ho are doing work on the site of the construction project at the above- named property. Signature of SOLE PROPRIETOR Applicant U I am the OWNER of the above-named property or the SOLE PROPRIETOR of a business doing work at the above-named property.I will not personally submit proof of workers'compensation insurance coverage,but I will attest to the following: AFFIDAVIT I hereby swear and attest that I will require proof of workers'compensation insuranc for ery contractor, subcontractor,or other worker before he or she does work on the site of the construct' project at the above-named property in accordance with Section 31-2;-.o e Workers'Cbottipe ationAct. Signature of OWNER or SOLE PROPRIETOR Applicant Name of Business—if applicable Federal Employer ID#(FEIN)—if applicable Subscribed and sworn to before me this day of , 200 Signature of Notary Public/Commissioner of the Superior Court Town of Montville Building Department CONSTRUCTION PERMIT APPROVAL Applicant is responsible for obtaining all of the required approvals. No permit will be issued until all the required signatures are obtained. Property Address 7/%6(-1 y Job Des ription Required Department Approval Permit Issuance Approval ® Tax Collector Ns-A p/i Signature/date Comments: Planning & Zoning Z4eeeti d/28//U Signature/date t Comments: Fire Marshal _SVi Comments: ) j � Signature/date a �-1\ J ❑ Health Department Required for properties with private septic or well Comments: ❑ WPCA, Administrative Required for properties on sewer Signature/date Comments: WPCA, Operations n9l When Required by WPCA Operations / .6 re/date Comments: ❑ Department of Public Works Required when protect 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 7Zeuised May 23,2011 i 178 i CHAPTER 8 2. Witcrc joists are parallel to a hi aced wall panel abose or below, a rim joist. end joist or other parallel_f rami»g an'tither shall he provided dire,:ilv abase and below the braced it all panel in accordance with Figure R602.10.62:1 (FIGURE 8.2). Where a parallel (ram*member cannot be located ditectiv above and below the panel.Jull-depth blocking at l6 im h (406 min)spacing shall be pros ided between the parallel raining members to each side of the braced wall panel in accordance with Figure 12602,10.6(2.. Fastening of blocking and wall plates shall be in accordance with Table R602.3(1) and Figure R602.10.0(2). FIGURE 8.2 Connections /—Continuous rim ,---Additional framing j---Full height blocking I / or bond joist r" member directly above / at 16"o.c.along for braced wall ibraced wall panel / braced wall panel panels parallel ..--.7-..., __________--___ ..--"e N. to floor/ceiling il iIi I I ' I framing li 1: 1 1( il ' 1 _ A I -..,-,":7:,,, , ,:-.!;;,flliji7 t i 1 : -/ 1 !RC Figure .7.7.-• KZ, R602.10.6(2) N. „t\NN_ --8d nail of N— 8d nail at ::.'4i Toe nail 3—8d nails Braced wall panel4, 6”o.c.along 6"o.c.along at each blocking connection when braced braced ..,*,._ member parallel to floor/ -r-- wall panel , wall panel ceiling framing . . ,Braced wall panel Braced wall panel Braced wall panel ,---- ,., /—3 – 16d nails at .-': 3 – 16d nails at 3– 16d nails at / 16"o.c.along .* 16"o.c.along '' each blocking k:41 braced wall panel braced wall panel member !..7.4 Y. I 1! I 1-\N_ ;L#474V,V., f 1 - Continuous rim Additional framing NFull height blocking or bond joist member directly below at 16"o.c.along braced wall panel braced wall panel For SI: 1 inch =25.4 mm 3. (..cnnt lions ii.,If.;i-i,,1 naIl i...)Litcrk !c(..c) oete/)). tt:a. :1i,i shall be In (1 lance -tvF0) ';,' t cn R403.1.6. --) ciREScheck Software Version 4i.4.4 Compliance Certificate Project Title: Energy Code: 2009 IECC Location: Norwich, Connecticut Construction Type: Single Family Project Type: New Construction Conditioned Floor Area: 0 ft2 Glazing Area Percentage: 16% Heating Degree Days: 5869 Climate Zone: 5 Permit Date: Construction Site: Owner/Agent: Designer/Contractor: Compliance: Passes using UA trade-off Compliance: 0.5%Better Than Code Maximum UA: 204 Your UA:203 The%Better or Worse Than Code Index reflects how close to compliance the house es based on code trade-off rubs. It DOES NOT prov4e an estimate of energy use or cost relative to a minimum-code home. Envelope Assemblies Gross Glazing Assembly Area or Cavity Cont. or Door UA Perimeter R-Value R-Value U-Factor Ceiling 1:Flat Ceiling or Scissor Truss 1,100 38.0 0.0 33 Ceiling 2:Flat Ceiling or Scissor Truss A T A 1 i L 0- 6, .. 139 19.0 0.0 7 Wall 1:Wood Frame,16"o.c. 1,144 21.0 1.5 49 Window 1:Vinyl Frame:Double Pane 188 0.300 56 SHGC:0.00 Door 1:Solidc21 0.140 3 Floor 1:All-Wood Joist/Truss:Over Unconditioned Space C9( 134�L5 e A4 . � 975 19.0 0.0 46 Floor 2:All-Wood Joist/Truss:Over Unconditioned Space es,t/Q42.. 4 264 30.0 0.0 9 Compliance Statement: The proposed building design described here is consistent with the building plans,specifications,and other calculations submitted with the permit application.The proposed building has been designed to meet the 2009 IECC requirements in REScheck Version 4.4.4 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. c‘�ray k- 12 f s--z3--12, Name-Title Signature Date Project Title: Report 05/23/14 Data filename: C:\Documents and Settings\Dad\My Documents\REScheck\RickLewisRanch5-19-14.rck Page 1 of 1 Dave Jensen From: Gerry Karpuska <gkarpl@comcast.net> Sent: Thursday, May 22, 2014 4:26 PM To: Dave Jensen Dave, R602.10.6 Braced wall panel connections Item 3 refers you to R403.1.6 which requires 1/z"anchor bolts @ 6' oc. Also the corner returns are over 24" so no 800# holdown device in lieu of a corner return is required. That is shown in Fig.R602.10.4.4[2] and[3]The brace wall amount for the front wall with an interpolation of 105mph required is 5.58'and we have 27 lin ft. Also withTable R301.2[2]we are below the 20#wind uplift pressure so additional uplift resistance is not required as stated in R802.11.1. Any questions call ore me. 860-434-3244 I can always stop in if needed also. Thank you, Gerry 0 REScheck Software Version 4.4.4 Compliance Certificate Project Title: Energy Code: 2009 IECC Location: Norwich, Connecticut Construction Type: Single Family Project Type: New Construction Conditioned Floor Area: 0 ft2 Glazing Area Percentage: 16% Heating Degree Days: 5869 Climate Zone: 5 Permit Date: Construction Site: Owner/Agent: Designer/Contractor: Compliance: Passes using UA trade-off Compliance: 2.0%Better Than Code Maximum UA: 204 Your UA: 200 The%Better or Worse Than Code Index reflects how close to compliance the house is based on code trade-off rules. It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home. Envelope Assemblies Gross Cavity Cont. Glazing Assembly Area or R-Value R-Value or Door UA Perimeter U-Factor Ceiling 1:Flat Ceiling or Scissor Truss 1,239 38.0 0.0 37 Wall 1:Wood Frame,16"o.c. 1,144 21.0 1.5 49 Window 1:Vinyl Frame:Double Pane 188 0.300 56 SHGC:0.00 Door 1:Solid 21 0.140 3 Floor 1:All-Wood Joist/Truss:Over Unconditioned Space 975 19.0 0.0 46 Floor 2:All-Wood Joist/Truss:Over Unconditioned Space 264 30.0 0.0 9 Compliance Statement: The proposed building design described here is consistent with the building plans,specifications,and other calculations submitted with the permit application.The proposed building has been designed to meet the 2009 IECC requirements in REScheck Version 4.4.4 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. Name-Title �v/ Signature Date Project Title: Report 05/21/14 Data filename: C:\Documents and Settings\Dad\My Documents\REScheck\RickLewisRanch5-19-14.rck Page 1 of 1 Provo 1 overo, Inc. Civil Engineering • Surveying • Site Planning • Structural • Mechanical • Architectural Engineering P.O.Box 191 Telephone(860)230-0856 57 East Main Street Fax(860)230-0860 Plainfield,CT 06374 www.prorovinc.com April 9,2014 Rick Lewis RTT Development 35 Blais Road Uncasville,CT 06382 RE: Foundation Evaluation—Porach Road—Uncasville,CT P&R Job No. 143020 Dear Mr.Lewis: At your request, we have inspected the existing foundation at 12 Porach Road to determine its suitability for construction of a new house. The foundation is constructed with 8" thick walls, approximately 7'-6" high. Based on the condition of the anchor bolts and the few floor joists, it appears to be approximately 30 years old. It is currently overgrown with brush and the concrete basement slab is covered with several inches of leaf litter and dirt. The foundation is backfilled to finished grade all around and does not appear to have ever had a deck installed. Based on our visual inspection, we feel the existing foundation is structurally suitable for construction of a new house. The following is a summary of our comments regarding use of the foundation: 1. Several cracks were noted in the walls. This is not uncommon even in new foundations due to concrete shrinkage. Given that the foundation has been in place and backfilled for approximately 30 years with no support from a deck system, any potential for structural damage from frost action would be readily apparent. Although not necessary for structural stability,we would recommend that these cracks be repaired with a suitable epoxy grout and waterproofmg sealant to prevent any water from leaking through the walls. 2. It appears that most of the existing anchor bolts will be useable. If the threads on existing bolts cannot be cleaned up for proper installation of a washer and nut,the existing bolts can be cut off and the walls can be drilled and new epoxy anchor studs installed. 3. The concrete header over the basement pass door opening is cracked on one side. This header should be saw cut and removed and a framed header installed during construction of the deck system. 4. A detailed inspection of the basement slab was not possible due to the accumulated leaf litter and soil covering the slab. If excessive cracking or frost heave damage is noted when the slab is cleaned during construction, we would recommend removing the existing slab and pouring a new slab over a crushed stone base with a suitable vapor barrier. - 1 - If you have any questions or need additional information, please do not hesitate to contact us at your convenience. Sincerely �,. OF CON//v"/,-- :� o f ( O',Ga • • _* 171David J.Held,P.E.,L.S. y0'�• °'2a2s� Project Engineer -,,FSS�O�..E N S N.NAL � -2- TOWN OF MONTVILLE Building Department 310 NORWICH-NEW LONDON TURNPIKE UNCASVILLE, CT 06382-2599 TEL. (860)848-3030 X382 FAX. (860) 848-7231 MECHANICAL PERMIT Permit Number:M2014-01_17 Date: 21-.1u1-14 Map/Lot: 103/070-f100 Owner ID: 5661000 Project Location: 12 PORACH ROAD Unit: Job Description: _Install Gas Eurigce_and_LC1oi_NevLSER Owner Nam RTT DaveL ment Tenant Name N/A Careof: 35 11ais R Dad Slocasville S.L— 06382- Telephone: Applicant Name -A_AAftard tyle Air_LLC Telephone: lflh[1151�4-59110— DBA: Lic/Reg Type Dl Lic/Reg N 393425_ A411i4ain_Sfreet Exp Date: 31-Ai_,a-L Baltic CT 06330- Canskucti32V_ak. P nni11_ee Cor ct��C$n Jof4rms�t��n Building Value: MOO_ Building Fee: MOIL_ Use Group: IRC Plumbing Value: S0.00 Plumbing Fee: 5.0.09_ Code: 2005 State Building Code Mechanical Valu SQ00_ Mechanical Fe Electrical Value: Electrical Fee: SQ,QO Construction Type IRC Total Value: X0 Penalty Fee: 5090 Permit Code: R5 C of 0 Fee: mon Comment Plan Review Fe $110.0__ Fees Included with Building Permit State Ed Fee: Total Fee Paid: S0.00 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 El 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 El Electrical Service CRS No: ❑ Framing ❑ R HVAC ❑ Masonry Fireplace Throat or Chimney Thimble 0 Gas Piping and leak test ❑ Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION ❑ Insulation 0 Certificate of Approval �/`�J El Certificate of Occupancy _Bnildina Official's Aooroval: v ) 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.: Al)u(-1-6 Type of Work Occupancy Type Permit Type ❑New Construction 0 Single Family ❑Building ❑Addition ❑Two-Family ❑Plumbin El Alteration g ❑Townhouse ID Mechanical ❑rAcccessory Structure 0 Electrical CRS#: Property Address: Pc(`6tj (Number) (Street) (Unit) Job Description: TA)(2-K) 60/ 8'(U Owner: Q )ck. kL4J(S Address: 3C— 64Is Ytv City: State: Zip Code: Telephone( ) _ Applicant: A A4 4F1-00446„ I i' LLc. DBA: / " Address: 6-'41( �v�a City: til;ti(( State: 7 Zip Code: oe, 3 30 Telephone( �" ) 5 4 S '' Contractors -Complete the Following: License Type: License No.: 2 3 /g���S Expiration Date: i/3/ I hereby certify that the proposed work will conform to t' ilding Code and all other codes as adopted by the State of Connecticut and the Town of Montville and further attest that the •ro•osed w. j.,;zed b the owner in fee anis that I am authorized to make a..lication for a •ermit for such work as described.,.1d • Owner/Agent Signature: �� `� Date: 7— /7- /(7/ 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: wired August 23,2007 Town of Montville Building Department CONSTRUCTION PERMIT APPROVAL Applicant is responsible for obtaining all of the required approvals. No permit will be issued until all the required signatures are obtained. , � PotcAeh Property Address �-v1 SfC1/4.k I (l o,bc° ,6T Lt 6'& i4 -nc;,ce Job Description Required Approval Department Permit issuance Approval /® Tax Collector ( ----- CCN l ,;xJi I Vi Comments: Signature/date ✓® Planning &Zoning ,61,.620„_ /g--, I/ 71, Comments: Signature/date 't /® Fire Marshal ferif.,/ lT �)/tfSignature/date — Comments:I� ll�� IL��..[ I'l./L ❑ Health Department Required for properties with private septic or well Comments: ✓® WPCA, Administrative t 1I`7 I I Required for properties on sewer ignature/ 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 Re•uired for Structures over 100 000 s..ft or with more than 200 .arkin. S.aces-Official co. of STC Certificate of O.eration re.uired—.er CGS 14-311 Signature/date Building Department Review Complete Signature/date Revised May23,2011