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Town of Montville aC0-7
Building Department
CERTIFICATE OF OCCUPANCY APPROVAL
1-15 -Pr cK lace
c-' Property Address
(5111 ( l )0 eco Y1'1_S
Job Description
- Required for all permits ® - At least one required for all permits ❑ -Required as indicated below
Required Department Permit Issuance Approval
Approval
Planning &Zoning ti - —1lt I b
Signature/date
Comments: X14....muC 0,r'\ •1
® Health Department )) r / 1 lI� _ / 7 °C/
Required for properties with septic systems—Not required for P1 mbing,Electrical nica. /Siding,Windows&Doors
Signature/date
Comments:
WPCA, Administrative
Required for properties on sewer
Signature/date
Comments:
❑ Fire Marshal
Required for all properties EXCEPT one and two family Signature/date
Comments:
❑ Department of Public Works
Required when project includes driveway work or certain drainage requirements 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
Signature/date
Rj re Novcmfcr5,2008
Field Inspection Notice
Town of Montville
Building Department
July 6, 2009
Address: 175 Pruett Place
Job Description: Sheet Rock Two Rooms, Install Base Ray Heat
Permit Number(s): B2007-0641 Permit Date: October 30,2007
Not Approved APProval
INSPECTION Date: Deficiencies Special Date
Conditions
r
• A letter from a licensed electrician is needed as the •
6118109 wiring was installed and covered without inspection-
Electric The letter must state that all circuit were tested and 7/6/09 DJ
were in proper working order.
Smoke detectors 6/18/09 DJ • Smoke detectors are required for these rooms •
7/2/09 DJ
•
Plumbing 6/18/09 DJ
Final inspection for 7/3/09 DJ • Letter from a licensed electrician is still needed. •
certificate occupancy • 7/6/09 DJ
Notice: Before a certificate of occupancy can be issued,a CIO signoff sheet must be completed and
returned to the Building Department. Signoff sheet are available in the Building Department.
Rev.Date: 1/18/06 Pagel 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: B2007-0641 Date: 30-Oct-07 Map/Lot: 111/019-000 Owner ID: 5727000
Project Location: 175 PRUETT PLACE Unit:
Job Description: Sheetrock two Rooms,Install Base Ray Heat
Owner Name: John J and Judy L Knowles Tenant Name: N/A
Careof:
175 Pruett PI
Oakdale CT 06370- Telephone: (860)625-8773
Contractor Name: Property Owner Telephone:
DBA: Lic/Reg Type:
Lic/Reg No: 0
Exp Date:
CoO,stractiLo. M e ___ Permit Fees Construction Information
Building Value: $15,540.00 Building Fee: $128.00 Use Group: IRC
Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 2005 State Building Code
Mechanical Value: $674.00 Mechanical Fee: $8.00
Electrical Value: $1,358.00 Electrical Fee: $16.00 Construction Type: IRC
Total Value: $17,572.00 Penalty Fee: $0.00 Permit Code: R4
C of 0 Fee: $10.00 Comments:
Plan Review Fee: - $15.20
State Ed Fee: $2.81
Total Fee Paid: $180.01
It shall be the owners repsonsibility to schedule the following inspections a minimum of 2 business days in advance:
Field set of approved construction documents shall be available onsite during all inspections.
BUILDING PERMIT INSPECTIONS PLUMBING,MECHANICAL,ELECTRICAL PERMIT INSPECTIONS
❑ Footing-Prior to pouring concrete ❑ R Plumbing and leak test
❑ Deck Piers El R Electrical
❑ Backfill-Footing drains and waterproofing ❑ Elec Trench-with conduit installed
❑ Concrete Slab-Prior to pouring concrete ❑ Pool Bonding
❑ Anchor Bolts-with sill plate and prior to floor framing ❑ Electrical Service CRS No: 0
❑ Framing R HVAC
❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test
❑ Fireblodking_Draftstopping INSPECTION REOUIRED UPON COMPLETION
❑ Insulation • Certif - e of • oval
� -,• : .- .f Occupancy
Building Offidal's Approval: /
Town of Montville ,
Building
Department
310 Norwich-New London Tpke.
Tel. 860-848-3030, Ext 382
Uncasville, CT 06382
Fax. 860-848-7231
RESIDENTIAL PERMIT APPLICATION FORM
Permit No.:()j�j']_efe4–)
_ype of Work Occupancy Type
O New Construction Permit Tyke
ca'Single Family uiiding
❑Addition
0 Two-Family ❑Plumbin
❑Alteration ❑Townhouse Gi�tecg
hanical
0 Accessory Styx ure 0 Electrical CRS#:
Job Address: I 7$ Pc,zet
J
(Number)
(Street)
Job Description: J LQ 71/" 7C (Unit)
-14 ( a_Se Tex 17(.01/
/ ,L /
Owner: *-- dV1 Jam". /6—/eh-,J7-f'S
Address: S Pr(,)-C /
City:_
t� t� State: .p Code: 6 63 �e
Telephone: 4 6 2 5 e/ / 3
Contractor: 2
DBA:
Address:
City:
State: Zip Code:
Telephone: License T e:
YP 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.
V►' rsy checking this box, I will follow the requirements of the 2005 NEC as the altemative compliance per section E3301.2.1 of the Residential Code,
instead of the electrical requirements in chapters 33 through 42 of the Residential Code.
Owner/AgentSignature=— � _---4 =
''" Date:
Construction Value
Building Value: / Q Q Permit Fees
Plumbing Value: Building Fee:
Mechanical Value: � Q Plumbing Fee:
Electrical Value:
Mechanical Fee:
Total Value: Electrical Fee:
Penalty Fee:
C of 0 Fee:
Plan Review Fee:
State Ed Fee:
Total Fee:
4vlred cDecem6er31,200E
Town of Montville
Building Department
File Receipt
Date: 24-3ul-07 Receipt No: 2577
Received From: John Knowles
Job Address: 175 Pruett Place
Fees Collected State Educational Training Fee
Cash: $180.01 Cash: $2.81
Check: $0.00 Check: $0.00
Check No: 0
Short/Over: $0.00
Construction Value: $17,572.00
Demolition Value: $0.00
{'' /
Received By Charles Corell ,.,4/2,46#
��`�
Address: 175 Pruett Place
ITEM QTY $IUNIT TOTAL
Building Plumbing Mechanical Electrical
BUILDING AREA
New Construction SF $ 114.17 $ - $
-
Basement,Finished SF $ 2067 $ - $
-
Basement,Unfinished SF $ 1128 $ - $
-
Crawl Sapce SF $ 8.46 $ -
Interior Renovations 510 SF $ 30.47 $ 15639.70 $ 87320 $ 1,35762
MANUFACTURED HOMES
Ground Anchors SF $ 5.86 $ - E - $
-
Basement SF $ 11.28 $ - $ - $
-
Crawl Space SF $ 8.46 $ - $ - $ -
AMENITIES
Kitchen FA $ - $ - $ -
Full Bathroom EA $ - $
-
Half-Bathroom EA $ - $ -
GARAGE
Attached SF $ 4941 $ - $
-
Detached SF $ 63.21 $ - $ -
Under SF $ 9.12 $ - $
-
Carport SF $ 18.08 $ -
MECHANICAL
Warm-Air N Y/N $ -
Hot Water N Y/N $ -
Electric N Y/N $ -
Air Conditioning N Y/N $ -
ELECTRICAL SERVICE
Upgrade Amps $ -
Ovemead,new Amps $ -
Underground,new Amps $ -
Subpanel EA $ 545.00 $ -
Den Set EA 5 3,500.00 $ -
SOLID FUEL BURNING APPLIANCES
Prefab Metal Fireplace EA $ 5,907.00 $ -
Masonry wllfireplace EA $ 6,451.50 $ -
Masonry w/2 fireplaces EA $ 10,087.00 $ -
Wood Stove,free standing EA $ 2,447.50 $ -
Wood stove insert EA $ 1,690.70 $ -
DECKS,PORCHES,SUNROOMS
Deck SF $ 39.16 $ -
Porch SF $ 135.80 $ -
Sunroom SF $ 160.62 $ - $ -
POOL S S HOT TUBS
Hot Tub EA $ 7,287.50 $ - $ -
Inground Pool EA $ 19,430.40 $ - $ -
Above Ground Round EA $ 4,635.88 $ - $ -
Above Ground Oval EA $ 5,472.50 $ - $ -
Pool Heater EA $ 8,167.50 $ -
Inflatable Type Pool EA $ 1,542.42 $ -
SHEDS
w/o electrical SF $ 18.50 $ -
wlekdrical SF $ 18.50 $ - $ -
RENOVATIONS
Roofing,Overlay SF $ 3.38 $ -
Roofing.Strip 8 reroof SF $ 3.76 $ -
Roof Sheathing SF $ 1.19 $ -
Siding SF $ 2.30 $ -
Windows EA $ 423.50 $ -
Skylights EA $ 955.54 $ -
Doors,Exterior EA $ 401.50 $ -
Oil Tank,275 Gallon EA $ -
Oil Tank,550 Gallon EA $ -
MISCELLANEOUS CALCULATIONS
TOTALS $ 15,539.70 $ - $ 673.20 $ 1,357-62
PERMIT FEE CALCULATIONS
Construction Value Fee
Building $ 15,540.00 $ 128.00
Plumbing Y $ - $ -
Mechanical Y $ 674.00 $ 8.00
Electrical Y $ 1,358.00 $ 16.00
Working before Permit Issuance N $ -
Certificate of Occupancy Fee $ 10.00
Plan Review Fee $ 15.20
State Education Fee $ 2.81
TOTALS _ 17,572.00 $ 180.01
Figures are based on the 2006 RS Means Residential Cost Data
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k: C State of Connecticut R.: 7A
Workers' Compensation Commission
ofiZz4'1'— Please TYPE or PRINT IN INK cc.
Proof of Workers' Compensation Coverage when Applying
fora BuildingPermit forthe Sole
Proprietor or Property Owner
who WILL NOT act as General Contractor or Principal Employer
p p yer
Applicant for Building Permit
Name of Applicant for Building Permit Y C�\ 1
Vvip,<)/-c _c
Property located at I ? S 1.9/ 0-e F f" /
in the City/Town of /4/_((- ,,__ a6 ) •
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:
VI am the OWNER of the above-named property.I WILL NOT act as the general contractor or principal employer.
Signature of OWNERApplicantrr
❑ I am the SOLE PROPRIETOR of a business doing work al 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: .7/3/0 7
Job Address: 1 ) 7 J S v f hi f�G C r �( /
Job Description Sh P t 7 i a e/cp� / v o,i i 1 ' t r` S 1�r / ,' , Ie- y o 4.— c-4"/
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 Plans required
OC Permit fee due$ /10 .07 Plans do not match the building plans
.X 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 apermit with their information Delineation of flood hazard areas and design flood elevation is required per
Provide supporting documentation to show compliance with the 2003 IECC section R106.1.3
(www.energycodes.gov)OR Private sewage disposal system to be identified along with all technical and soil
• One-and Two Family Dwellings with<15%glazing area to conform to the data as per section R106.2.1
requirements of section N1102.1 Grading is to slope away from the building,provide more detailed information
• Townhouses with<25%glazing area to conform to the requirements of Plan submitted is not the same plan that has been approved by the Zoning
section N1102.1 Department and/or Health Department
Two sets of construction documents required,this includes all engineering Retaining wall—construction documents required
data,calculations and all other documentation(R106.1) Retaining wall documents required to be stamped and signed by a Connecticut
Documents are copyright protected,provide original plans or a letter from the Registered Professional Engineer
designer authorizing the duplication of the plans
Field set of the approved construction documents are required to be picked up FOUNDATION
from our office and remit be available on site during all inspections No plans submitted or insufficient information
Construction documents shall be of sufficient clarity to indicate the location, Dimensions required
nature and extent of the work proposed as per section R106.I.1 Wall thickness not identified
Construction documents do not match the orientation of the structure on the Footing size not identified
site plan Frost protection not identified or is insufficient
Column type,size,spacing not identified or insufficient
WIND LIMITATIONS Waterproofing details not provided or insufficient
Submit supporting data to show conformance with the wind limitations3
second gust(4)110 mph) ( Pier type,size and anchor details not provided or insufficient
Engineered foundation plan required
Design publication needs to be identified(WFCM,chapter 3;WFCM,chapter Crawl space ventilation,location,type and size not provided or insufficient
2;ASCE 7-2002;SSTD10-99) Crawl space access,location and size not provided or insufficient
Documents required to be stamped and signed by a CT registered Professional
Engineer
Documents must be designed to either WINDOWS 8z DOORS
Door sizes not identified
• Wood Frame Construction Manual,2001 edition Window size&type not identified
• ASCE 7—2002 edition Window header size not identified or insufficient
• SSTD 10—1999 edition Door header size not identified or insufficient
Documents required to be stamped and signed by a CT registered Professional
Engineer if based on ASCE 7-02 or WFCM chapter 2 GARAGE and CARPORTS
Shearwalls not identified on the construction documents or are insufficient No plan submitted or insufficient information provided
Shearwall calculations required Building section required
Ridge connection not identified or insufficient Opening protection between the garage and residence is not identified or
Roof-to-wall connection not identified or insufficient insufficient per section R309.1
Wall-to-wall connection not identified or insufficient Separation between the garage and the residence is not identified or insufficient
Wall-to-sill connection not identified or insufficient per section R309.2
Provide engineering data for the piers to resist gravity,lateral,shear and uplift
loads,stamped and signed by a CT licensed design professional ELEVATIONS.
Hold-down devices,location and type not identified or insufficient No plans submitted or insufficient information
Foundation anchor spacing not identified or insufficient Plans do not match the floor plans
Construction documents do not match the engineering data submitted Finish grade not identified or does not match the site plan
Cold-formed steel framing shall be designed in accordance with COFS/PM- Building height(s)not identified
2001 edition Dimension height of chimney
Roof pitches not identified
Revised day 4,2007
Town of Montville
Building Department 1\ `
310 Norwich-New London Tpke.
Tel. 860-848-3030, Ext 382 Uncasville, CT 06382 Fax. 860-848-7231
CONSTRUCTION PERMIT APPROVAL �I GOT? ,enouVes.
' 7s riae?Li e/
Property Address
�dG S-e
Job Description 2 7101`A7CW
The applicant is responsible for obtaining all of the required approvals checked off on this form. No building
permit will be issued until all of the required signatures have been obtained.
Required Department Permit Issuance Approval
Approval
Tax Collector , ,.�,.� 7a/o 7
Signature/date
Comments:
Fl WPCA, Administrative
Signature/date
Comments:
❑ WPCA, Operations
Signature/date
Comments:
❑ Planning &Zoning
Signature/date
Comments:
Health Department S /v��, ,lli,
Signatu el date '`
Comments:
%///o7
❑ Department of Public Works
Signature/date
Comments:
❑ State Dept. of Transportation
(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
Comments:
Fire Marshal
Signature/date
Comments: S f l�i� -
4visedAugust 5,2005