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Town of Montville
Building Department
310 Norwich-New London Tpke.
Tel. 860-848-3030, Ext 382 Uncasville, CT 06382 Fax. 860-848-7231
CERTIFICATE OF OCCUPANCY APPROVAL
39-1) MorrA V1,\\ • A °A/csrr1 //F- C
Property Address
Job Description
No Certificate of Occupancy will be issued until all of the required signatures have been obtained.
Required Department Certificate of Occupancy Approval
Approval
❑ WPCA
Signature/ date
Comments:
Planning &Zoning 0211
41/466
6
Signature/ date
Comments: ..-<0 _ C
Health Department 1/V2'C
ignature/ date
Comments:
411 Department of Public Works Y" `� Y r per"
S".nature/date
Comments:
❑ State Dept. of Transportation
Signature/ date
Comments:
❑ Police Department
Signature/date
Comments:
❑ Fire Marshal
Signature/ date
Comments:
14visedfugust 5,2005
Town of Montville
Building Department
310 Norwich-New London Tpke.
Tel. 860-848-3030, Ext 382 Uncasville, CT 06382 Fax. 860-848-7231
CERTIFICATE OF OCCUPANCY APPROVAL
3 //
Prope- Address
>2 L ,:�c4 r .29 F. ui
Job Description
No Certificate of Occupancy will be issued until all of the required signatures have been obtained.
Required Department Certificate of Occupancy Approval
Approval
WPCA
Required for all occupancies on sewer
Comments:
Planning &Zoning yam` c (/'/�7
R wired for all occupancies
Comments: y�� �J ;j7U 7,_/y
, 4 Health Department
Required for all occupancies with septic systems
Comments:
❑ Department of Public Works
Required when project includes driveway work or certain drainage requirements
Comments:
❑ State Dept. of Transportation
Required when STC Certificate of Operation is applicable
Comments:
O Police Department
Required for all occupancies-except one&two family
Comments:
❑ Fire Marshal
Required for all occupancies-except one&two family
Comments:
ftvisedfugust S,2005
Town of Montville
Building Department
Field Inspection Notice
Address: 343 Raymond Hill Rd.
Job Description: In-law apartment
Permit Numbers: B2005-0315—P2005-0081 —M2005-0123
Date permit issued: 6/22/05
Not Approved Deficiencies Approved 7/6/05
FOOTING • Special Conditions
Not Approved Deficiencies Approved 9/14/05
DECK PIERS • Special Conditions
Not Approved Deficiencies Approved 7/15/05 DJ
BACKFILL • Special Conditions
Not Approved Deficiencies Approved 9/14/05
ROUGH PLUMBING Special Conditions
•
Not Approved • Deficiencies Approved
ROUGH HVAC • Special Conditions
Not Approved Deficiencies Approved 9/01/05 DJ
ROUGH Special Conditions
ELECTRICAL • • **Draft stops required at all floor plate
penetrations.
FIREBLOCKING& Not Approved Deficiencies Approved
DRAFTSTOPPING • Special Conditions
Not Approved Deficiencies Approved 9/01/05 DJ
FRAMING Special Conditions
• •
•
Not Approved Deficiencies Approved 9/14/05
INSULATION • Special Conditions
Not Approved Deficiencies Approved
3/22/06 W • Receptacle required on peninsula Special Conditions
• Additional receptacles required to serve
kitchen counter areas
• Sewing Rm.&Living Rm.closet lights not
located per code
CERTIFICATE OF • Washing machine outlet in bathroom
OCCUPANCY
required to be GFI protected /0/11/07
• Label service panel
• All basement receptacles required to be
GFI protected
• Install cover on furnace switch
• Smoke detector required in basement
4/12/06 JS • Basement receptacles along wall with •
panel are,not GFCI protected
Page 1 of 1
Revised 3/17/05
Sheet Printed:10/11/2007
Town of Montville
•
Building Department
Field Inspection Notice
Address: 343 Raymond Hill Rd.
Job Description: In-law apartment
Permit Numbers: 62005-0315—P2005-0081 —M2005-0123
Date permit issued: 6/22/05
Not Approved Deficiencies Approved 7/6/05
FOOTING • Special Conditions
Not Approved Deficiencies Approved 9/14/05
DECK PIERS Special Conditions
Not Approved Deficiencies Approved 7/15/05 DJ
BACKFILL • Special Conditions
Not Approved Deficiencies Approved 9/14/05
ROUGH PLUMBING • Special Conditions
Not Approved Deficiencies Approved
ROUGH HVAC • Special Conditions
Not Approved Deficiencies Approved 9/01/05 DJ
ROUGH Special Conditions
ELECTRICAL • • **Draft stops required at all floor plate
penetrations.
FIREBLOCKING& Not Approved Deficiencies Approved
DRAFTSTOPPING • Special Conditions
Not Approved Deficiencies Approved 9/01/05 DJ
FRAMING Special Conditions
Not Approved • Deficiencies Approved 9/14/05
INSULATION • Special Conditions
Not Approved Deficiencies Approved 10/11/07 DJ
3/22/06 W • Receptacle required on peninsula Special Conditions
• Additional receptacles required to serve
kitchen counter areas
• Sewing Rm.&Living Rm.closet lights not
located per code
CERTIFICATE OF • Washing machine outlet in bathroom
OCCUPANCY required to be GFI protected
• Label service panel
• All basement receptacles required to be
GFI protected
• Install cover on furnace switch
• Smoke detector required in basement
4/12/06 JS • Basement receptacles along wall with 10/11/07 DJ
panel are not GFCI protected
Page 1 of 1
Revised 3/17/05
Sheet Printed:10/11/2007
Town of Montville
Building Department
310 Norwich-New London Tpke.
Uncasville,CT 06382
Tel. 860-848-3030,Ext. 382 Fax. 860-848-7231
WIND LIMITATIONS
AFFIDAVIT
Address of Property: /' (4-1 hit__ D H1 LC g-06-1)
Job Description: 9�j o,f.) -e7�/sh7 1,141) y Fz.d2. &.44..') CAP.
Building Permit Number:
I hereby swear and attest that I have installed or caused to be installed, all of the required connections
relating to construction in locations where the basic wind speed equals or exceeds 110 miles per hour,
per section R301.2.1.1 of the Connecticut Building Code, as they appear on the construction documents
approved by the Building Department for the above referenced address.
Signature of Contractor: NI -4411
Name
Name of Contractor: J -1?")/11/1�,.. 2/)'. L/9-79Ze4)
Name of Business—if applicable: 24.777420 if Ztv T-?PdeS
Subscribed and sworn to before me this "a day of I� , 200 .
Signature of Notary Public/
my Ain," / S /4.4 E..t b/.L 3/,1/46
I
Town of Montville
Building Department
310 Norwich-New London Tpke.
Uncasville, CT 06382
Tel. 860-848-3030, Ext. 382 Fax. 860-848-7231
CONSTRUCTION PERMIT APPROVAL
31-'3 2-A y i i 9 /f/LL lei
Property Address
/N •-1-4Lc APA2l-'Y►aIJ1—
Job Description
The applicant is responsible for obtaining all of the required approvals checked off on this form. No
building permit will be issued until all of the required signatures have been obtained.
Required
A royal Department Permit Issuance Approval
PP
® Tax Collector ��(r.,-- ,, "1're--A—
,. LdalC
Sig is Viir (kilt:.
Planning & Zoning /J a/c/64
Z�S _/3 Sipa-ft ��: d tc
Mil f
/ /
Health Department fin // / p.c 3-7,_.os
1 st , „ clue
❑ Department of Public Works
‘.,I:Ifl tui-e date
❑ State Dept. of Transportation
SignaLurcr date
❑ Fire Marshal
sig!; ',itirC"; date
Comments/Conditions:
RcviveiSeptem6er9,2004
Town of Montville
Building Department
Field Inspection Notice
Address: 343 Raymond Hill Rd.
Job Description: In-law apartment
Permit Numbers: B2005-0315— P2005-0081 — M2005-0123
Date permit issued: 6/22/05
Not Approved Deficiencies Approved 7/6/06
FOOTING • Special Conditions
•
Not Approved Deficiencies Approved 9/14/05
DECK PIERS • Special Conditions
•
Not Approved Deficiencies Approved 7/15/05 DJ
BACKFILL Special Conditions
•
Not Approved Deficiencies Approved 9/14/05
ROUGH PLUMBING .. Special Conditions
•
Not Approved Deficiencies Approved
ROUGH HVAC • Special Conditions
•
Not Approved Deficiencies Approved 9/01/05 DJ
ROUGH . Special Conditions
ELECTRICAL . • " Draft stops required at all floor plate
penetrations.
FIREBLOCKING & Not Approved Deficiencies Approved
DRAFTSTOPPING • Special Conditions
•
Not Approved Deficiencies Approved 9/01/05 DJ
FRAMING Special Conditions
•
Not Approved Deficiencies _ Approved 9/14/05
INSULATION • Special Conditions
1 �
Not Approved Deficiencies Approved
Special Conditions
3/22/06 W • Receptacle required on peninsula •
• Additional receptacles required to serve
kitchen counter areas
CERTIFICATE OF • Sewing Rm&Living Rm closet lights not
located per code
OCCUPANCY • Washing machine outlet in bathroom
required to be GFI protected
• Label service panel
• All basement receptacles required to be
GFI protected
• Install cover on furnace switch
• Smoke detector required in basement
Page 1 of 1
Revised 3 17 05
Sleet Printed:3/22/2006
TOWN OF MONTVIL,LE
Building Department
310 NORWICH-NEW LONDON TURNPIKE
UNCASVILLE, CT 06382-2599
TEL. (860) 848-3030 X382 FAX. (860) 848-7231
PLUMBING PERMIT
Permit Number: P2005-0081 Date: 09-Sep-05 Map/Lot: 087/018-000 Owner ID: 5828000
Project Location: 343 RAYMOND HILL ROAD Unit:
Job Description: Plumbing for we lC— j , L.d o ark-
Owner Name: Leo H.&Rachel A. Bernier Tenant Name: N/A
Careof:
343 Raymond Hill Road
Uncasville CT 06382- Telephone:
Contractor Name: Property Owner Telephone: (860)848-0383
DBA: Lic/Reg Type:
tic/Reg No: 0
Exp Date:
Construction Value Permit Fees Construction Information
Building Value: $0.00 Building Fee: $0.00 Use Group: R-4
Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 1999 State Building Code
Mechanical Value: w/2004 Amendment
$0.00 Mechanical Fee: $0.00
Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type: 5B
Total Value: $0.00 Penalty Fee: $0.00 Permit Code: R5
C of 0 Fee: $0.00 Comments:
Plan Review Fee: $0.00
State Ed Fee: $0.00
Total Fee: $0.00
It shall be the owners repsonsibility to schedule the following inspections a minimum of 2 business days in advance:
Field set of approved construction documents shall be available onsite during all inspections.
BUILDING PERMIT INSPECTIONS PLUMBING,MECHANICAL,ELECTRICAL PERMIT INSPECTIONS
❑ Footing-Prior to pouring concrete R Plumbing and leak test
❑ Deck Piers ❑ R Electrical
❑ Backfill-Footing drains and waterproofing ❑ Elec Trench-with conduit installed
❑ Concrete Slab-Prior to pouring concrete ❑ Pool Bonding
❑ Anchor Bolts-with sill plate and prior to floor framing ❑ Electrical Service CRS No: 0
❑ Framing ❑ R HVAC
❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test
❑ Fireblocking Draftstopping INSPECTION REOUIRED UPON COMPLETION
❑ Insulation ❑ Certificate of Approval
■ i if 0 panty
Building Offidal's Approval: Air
TOWN OF MONTVILLE
Building Department
310 NORWICH-NEW LONDON TURNPIKE
UNCASVILLE, CT 06382-2599
TEL. (860) 848-3030 X382 FAX. (860) 848-7231
MECHANICAL PERMIT
Permit Number: M2005-0123 Date: 09-Sep-05 Map/Lot: 087/018-000 Owner ID: 5828000
Project Location: 343 RAYMOND HILL ROAD Unit:
Job Description: Heating focaa±Dft$Fl y //CA-OD l t
Owner Name: Leo H.&Rachel A. Bernier Tenant Name: N/A
Careof:
343 Raymond Hill Road
Uncasville CT 06382- Telephone:
Contractor Name: Property Owner Telephone: (860)848-0383
DBA: Lic/Reg Type:
Lic/Reg No: 0
Exp Date:
Construction Value Permit Fees Construction Information
Building Value: $0.00 Building Fee: $0.00 Use Group: R-4
Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 1999 State Building Code
Mechanical Value: $0.00 Mechanical Fee: $0.00 w/2004 Amendment
Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type: 5B
Total Value: $0.00 Penalty Fee: $0.00 Permit Code: R5
C of 0 Fee: $0.00 Comments:
Plan Review Fee: $0.00 Included on Building Permit
State Ed Fee: $0.00
Total Fee: $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 framing ❑ Electrical Service CRS No: 0
❑ Framing Q R HVAC
❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test
❑ Fireblodcing Draftstopping INSPECTION REQUIRED UPON COMPLETION
❑ Insulation Certificate of Approval
❑ ca :� up.ncy
Building Official's Approval: .��-,-
TOWN OF MONTVIU..E
Building Department
310 NORWICH-NEW LONDON TURNPIKE
UNCASVILLE, CT 06382-2599
TEL. (860) 848-3030 X382 FAX. (860) 848-7231
ELECTRICAL PERMIT
Permit Number: E2005-0203 Date: 09-Sep-05 Map/Lot: 087/018-000 Owner ID: 5828000
Project Location: 343 RAYMOND HILL ROAD Unit:
Job Description: Electrical&Electric Service for new SFR
Owner Name: Leo H.&Rachel A.Bemier Tenant Name: N/A
Careof:
343 Raymond Hill Road
Uncasville CT 06382- Telephone:
Contractor Name: Property Owner Telephone: (860)848-0383
DBA: Lic/Reg Type:
Lic/Reg No: 0
Exp Date:
Construction Value Permit Fees Construction Information
Building Value: $0.00 Building Fee: $0.00 Use Group: R-4
Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 1999 State Building Code
Mechanical Value: $0.00 Mechanical Fee: $0.00 w/2004 Amendment
Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type: 5B
Total Value: $0.00 Penalty Fee: $0.00 Permit Code: R5
C of 0 Fee: $0.00 Comments:
Plan Review Fee: $0.00
State Ed Fee: $0.00
Total Fee: $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 ❑d 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
❑ Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION
❑ Insulation ❑ Certificate of Approv.I
❑
Building Offidal's Ap•royal: ica10• 0 • pancy
Towri of Montville
Building Department
310 Norwich-New London Tpke.
Tel.848-3030,Ext 382 Uncasville,CT 06382 Fax. 848-7231
D 263 Residential Trades Permit Application Form
/.2 3
Permit# )0,20 t90-'- ape./
[ Flum6ing (I ECectricat [Z3techanwat
CRS' # _kifeating
Air Conditioning
Gas PiPing
jg1,Sin0 Family ❑ Two-Family ❑ Townhouse
Job Address -3 V•3 `ISAyy D l u 4 /( R A , eAS`t1, 'lei (-4.
(Number) / t li (Street) (Unit)
Job Description p4) /V4 accri3;C4 I �1-- h ti tR /✓
Owner 1 eC 14c 61 430,0:e it S k Mailing Address 3Rap')wJ 1',`/1 1RJ ,
City LL 4.1 (" 19S /lam State a Zip 1 Tel 76 0 /gW/ 4)7\3
Contractor S-Q-/r Mailing Address
City State Zip Tel
Contractor's License Type&Number Exp. Date / /
I hereby certify that the proposed work will conform to the Basic Building Code and all other codes as adopted by the
State of Connecticut and the Town of Montville and further attest that the proposed work is authorized by the owner in fee
and that I am authorized to make application for a permit for such work as described above.
Owner/Agent Signature GleiGr-r Date 7 / .23 / ��
Construction Value Fee
Plumbing $ $
Mechanical $ $
Electrical $ $
Plan Review Fee $
State Education $
Penalty Fee $
Total $ $
RrvistdNove,nber],2004
4141/ Town of Montville
CONSTRUCTION PERMIT APPROVAL
3 Qn7ovd 11471
Property Address
Job Description
The applicant is responsible for obtaining all of the required approvals checked off on this form. No building permit will
be issued until all of the required signatures have been obtained.
Required
Approval Department Permit Issuance Approval
® Tax Collector 422/.,,s/cs-
❑ WPCA
0 Planning&Zoning
0 Health Department
0 Fire Marshal
Comments/Conditions:
9trvisedNovtw5d1,2004
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: 82005-0315 Date: 22-Jun-05 Map/Lot: 087/018-000 Owner ID: 5828000
Project Location: 343 RAYMOND HILL ROAD Unit:
Job Description: Addition-In-law apartment 40'x 27'
Owner Name: Leo H.&Rachel A.Bernier Tenant Name: N/A
Careof:
343 Raymond Hill Road
Uncasville CT 06382- Telephone:
Contractor Name: Frank Lathrop Telephone: (860)848-1184
DBA: Lic/Reg Type: HIC
Lic/Reg No: 554264
P.0. Box 248. Exp Date: 30-Nov-05
Uncasville Ct 06382-
Construction Value Permit Fees Construction Information
Building Value: $115,750.00 Building Fee: $928.00 Use Group: R-4
Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 1999 State Building Code
Mechanical Value: $0.00 Mechanical Fee: $0.00 w/2004 Amendment
Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type: 5B
Total Value: $115,750.00 Penalty Fee: $0.00 Permit Code: R3
C of 0 Fee: $25.00 Comments:
Plan Review Fee: $92.80
State Ed Fee: $18.52
Total Fee: $1,064.32
It shall be the owners reosonsibilitv 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
O Footing-Prior to pouring concrete 0 R Plumbing and leak test
❑ Deck Piers 0 R Electrical
O Backfill-Footing drains and waterproofing ❑ Elec Trench-with conduit installed
• Concrete Slab-Prior to pouring concrete ❑ Pool Bonding
El Anchor Bolts-with sill plate and prior to floor framing ❑ Electrical Service CRS No: 0
El Framing ❑d R HVAC
❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test
• Fireblocking Draftstopping INSPECTION REOUIRED UPON COMPLETION
V Insulation ❑ Certificate of Approval
El Certificate of Occupancy
Building Official's Approval:
Town of Montville
Building Department
310 Norwich-New London Tpke.
Tel. 848-3030,Ext 382 Uncasville, CT 06382 Fax. 848-7231
Residential Building Permit Application Form
RECEIVED
Permit#4;>7,0 �— a 3 /
MAY 1 1 2005
New Construction V]Addition [J Alteration []Accessory Structure
BUILDING DEPT.
Single Family ❑ Two-Family ❑ Townhouse
Job Address 3 r3 7A ym ov c l7'If RA
(Number) (Street) (Unit)
Job Description j,V , for'tm oilt"
Owner Le61 ea '!,( /; tt2 Mailing Address 3y3 ayinOfV4. /71// ed ,
City (' 0,44 e State CT Zip 614.1':2 Tel ff / r-/ 6'7.3
Contractor e t" L4/4'cop Mailing Address P (9t 6 KC o7
City 1A4-1 e as 6/'//. _State e-,1.; Zip j4 3 Fc-i, Tel g 6.,e /t'8 / //�5
SIContractor's License/Registration Type&Number •Y y Exp. Date // / 36 l CS-
I
hereby certify that the proposed work will conform to the Basic Building Code and all other codes as adopted by the
State of Connecticut and the Town of Montville and further attest that the proposed work is authorized by the owner in fee
and that I am authorized to make application for a permit for such work as described above.
Separate applications are required for electrical,plumbing,mechanical, etc.
Owner/Agent Signature oLP.e'�I�i32141 fAZ ) -1-14,4((413V)114%/:;/ Date / 9 l Gv
Construction Value Fee
Building $ $
Plumbing $ $
Mechanical $ $
Electrical $ $
Certificate of Occupancy $
Plan Review Fee $
State Education $
Penalty Fee $
Total $ $
(See Reverse side for additional requirements)
QZgviseiNovem6er 1,2004
Town of Montville
Building Department
File Receipt
Date: 16-Jun-05 Receipt No: 316
Received From: Leo&Rachel Bernier
Job Address: 343 Raymond Hill Rd.
Fees Collected State Educational Training Fee
Cash: $0.00 Cash: $0.00
Check: $1,064.32 Check:
$18.52
Check No: 0
Construction Value: $115,749.60
Demolition Value: $0.00
Received By David M Jensen
RESIDENTIAL PERMIT CALCULATION (1 STORY ADDITION)
Address: 343 Raymond Hill Road
QTY $/UNIT TOTAL
Living Area 1080 SF $ 79.10 $ 85,428.00
Finished Basement SF $ 63.95 $ -
Unfinished Basement 1080 SF $ 15.02 $ 16.221.60
Kitchen 1 EA $ 9,100.00 $ 9.100,00
Plumbing
Full Bath 1 EA $ 5,000.00 $ 5,000.00
Half Bath EA $ 3,200.00 $ -
Garages
Attached, 1 car EA $ 10,775.00 $ -
Attached,2 car EA $ 18,600.00 $ -
Attached, 3 car EA $ 25,810.00 $ -
Detached, 1 car EA $ 13,850.00 $
Detached,2 car EA $ 21,100.00 $ -
Detached, 3 car EA $ 28,350.00 $ -
Under, 1 car EA $ 2,150.00 $ -
Under,2 car EA $ 3,500.00 $ -
Fireplace&Chimney
Prefab EA $ 4,000.00 $ -
Masonry,exterior EA $ 4,250.00 $ -
Masonry, interior EA $ 4,000.00 $ -
W/2 fireplaces EA $ 7,500.00 $ -
Electrical Service
100 Amp EA $ 825.00
200 Amp EA $ 1,500.00
Siding SQ $ 600.00 $ -
Windows EA $ 445.00 $ -
Doors EA $ 625.00 $ -
Decks/Porc hes/S unroom s
Open SF $ 22.31 $ -
Covered SF $ 62.69 $ -
Enclosed SF $ 123.90 $ -
Roofing
Strip& Reroof SQ $ 350.00 $ -
Overlay SQ $ 250.00 $ -
Plywood SQ $ 125.00 $ -
TOTAL BUILDING CONSTRUCTION COST $ 115,749.60
PERMIT FEE CALCULATIONS
Fee
Budding $ 115,750 $ 928.00
Plumbing $ - $
Mechanical $ - $
Electrical $ - $
Work Commenced before permit issuance $ -
CO Fee $ 25.00
Plan Review $ 92.80
State Ed Fee $ 115,750 18.52
Total Fees $ 1,064.32
Based on 2003 RS Means Residential Cost Data
6/2/2005
Town of Montville
Building Department
Residential Plan Review Form
Date: tin . 2., 2-e,o.5
Job Address: 34'3 12A VP7 alkJ.9 /- /LI- SAO
Job Description: IF -i -1c (, r A tx:›rryo1-i
The following information must be included on both sets of plans or accompanying documents(two sets are required)(C.G.S. 29-252a.) This list is offered as a
guideline only. It is not meant to be all-inclusive for every permit application,nor is it meant to take the place of the building code.
Your application is being rejected for the following reaso, that are checked-off or commented on:
Supporting Documentation 00 Plan must be the same as submitted and approved
Puilding permit application not completed by the Zoning Department and Uncas Health,(if Windows&Doors
ermit fee S/e34y..x'32 applicable) Door and window sizes
/ emrit fee to Becalculated Emergency escape&rescue opening required in
i�"'� Retaining Walls the basement or two code compliant stairs
�= °ricer's comp.Affidavit or worker'comp. Plans required (8310.1)
`/ Insurance required Documents required to be stamped and signed by a Indicate required light(8%of floor area per room)
Irl1si�4 opy Contractor's registration or license CT registered Professional Engineer and ventilation(4%of floor area per room)for
I tion permit sign-off sheet with approvals Foundation Plan each habitable room or space
required
Plans required Indicate safety glazing in areas required such as:
Provide all documentation to show compliance doors,windows,tub&shower enclosures,etc.
with the 2003 International Energy Conservation Dimensions
Wall thickness Indicate bedroom egress windows(5.7 sf net clear
Code(www.energycodes.gov) ciF WallFootingtsizes opening, clear
Street address of project on all drawings and opening height,20"clear
documents required
Column footings—size opening width)
Colu
Frost protection not indicated or insufficient Egress window sill height
Field set of approved plans need to be picked up
Foundation—indicate the assumed soil conditions Window and door header sizes
from our office that the system has been designed for or provide Window well details
Two sets of construction documents required,this
engineering data. If res
includes engineering data,calculations,and other �° g P umptivi soil conditions Garage
documentation cannot be met,provide soil bearing engineering Plans required
data Minimum 5/8"Type X gypsum board separation
Wind Limitations Design Criteria Concrete strength—foundation,floors,exterior (
on vn
Submit supporting data to show conformance with porches,walks,slabs \\ ( g ge side)to all liig spaces o
combustible support flaming to be covered with
the wind limitations(3 second gust @ 115 mph) Vapor barrier between sub-grade and concrete minimum 5/8"Type X gypsum board if it supports
Design publication needs to be identified(WFCM, basement floor required
chapter 3,WFCM,chapter 2,ASCE 7-2002) q habitablerooms
Floor thickness and control joint location anle Openings between the garage and residence
Documents required to be stamped and signed by a Lally colunm size,attachment and spacing required to have a minimum 1 3/8"solid wood
CT registered Professional Engineer Waterproofing details door,1 3/8"solid core steel door,1 3/8"
Documents required to be stamped and signed by a Fireplace/chimney base honeycomb core steel door,or 20 minute rated
CT registered Professional Engineer if based on Concrete piers and anchor details door from the garage to the house and its basement
ASCE 7-02 or WFCM chapter 2 Foundation drainage or attic
Shearwalls not identified or insufficient Beam pockets—minimum clearances Indicate self-closing devices on all doors from
Ridge connection not identified or insufficient Engineered foundation plan required garage to the house and its basement or attic
Roof-to-wall connection not identified or Indicate slope for garage floor
insufficient Crawl Spaces Elevations
Wall-to-wall connection not identified or Crawl space data—clearance to joists,slab Plans required
insufficient
Wall-to-sill connection not identified or thickness(if provided),vapor barrier T p e of siding
Crawl rawl space ventilation,location,type and size T •:-,iii •
Crawl space access,location and size a '{ E D
�, v
Provide engineering data for the piers to resist r-'
gravity,lateral,shear and uplift loads,stamped and Floor plan(s) Bui mg h •,.
signed by a CT licensed design professional Plans required Dimension height of chimney above of
Hold-down devices,location and type not Construction documents shall be of sufficient Roof s r
identified or insufficient clarity to indicate the location,nature and extent of Ele t4to data signg
Foundation anchor spacing not identified or the work proposed(8106.1.1) Building Section(s)&Details
insufficient Construction documents are to match the
Construction documents do not match the orientation on the site plan reversed plans are not ' j P.1"
Construction t
�engineering data submitted acceptable,a full plan review can not be as _ ••, ..d iielors type,
Cold-formed steel framing shall be designed in performed with the submitted documentation material
accordance with COFS/PM-2001 edition Construction documents are incomplete or un- Additional sections and details required
Site plan clear,a full plan review can not be performed with Fire-resistance rating details required for exterior
Plans required the submitted documentation wall(s)
Plan does not match building plans Basement floor plan required Wall/ceiling freblocking detail
Finish floor elevation Second floor plan required Stairs
Property lines not provided Dimensions Stair not shown on basement plan
Distance from property line to structure Finish floor elevation Riser height not indicated
Structure dimensions Kitchen layout Tread depth not indicated
,., \Driveway Bathroom layout and space clearances Nosing required for closed risers
Ceiling heights Handrail required on at least on side of the stair
opography(existing and proposed) Attic access location and size not indicated or
lA_ outing drain inverts,outlet and separation insufficient Stair to be minimum 36"in width above the
roposed utilities to be indicated ` Attic access cannot be in a closet handrail height
D elineation of flood hazard areas and design flood Handrails and guardrails—detail,including height
elevation required(RI06.1.3) Identify[he use of each room and maximum opening,handrail cross-section,
Private sewage disposal system to be identified on continuity and required returns
the plan(RI06.2.1) Show minimum headroom in stairways—
Grading is to slope away from the building, measured from nosing plane to lowest point of
provide more details ceiling
Deck/porch not shown 36"landing required at the bottom of the stairs
A=Aa B=Basement It=Epof S=Site 1=first Boor 2=Second gqloor 3=Third'FTor
tviseiApril5,2005
Town of Montville
Building Department
Residential Plan Review Form
Date: /MAY /2, Z.vv 5
Job Address: 3#3 ) .AY•/1ONi, /t-//LC. ARD
Job Description: /IV—L AI") .Pits2-171 B. Nrk
The following information must be included on both sets of plans or accompanying documents(two sets are required)(C.G.S. 29-252a.) This list is offered as a
guideline only. It is not meant to be all-inclusive for every permit application,nor is it meant to take the place of the building code.
Your application is being refected for the following reason(s)that are checked-off or commented on:
Supporting Documentation Retaining Walls Windows&Doors
Building permit application not completed Plans required Door and window sizes
Permit fee S Documents required to be stamped and signed by a Emergency escape&rescue opening required in
1( Permit fee to be calculated CT registered Professional Engineer the basement or two code compliant stains
X( Worker's corm.Affidavit or worker'comp. Foundation Plan (R310.1)
Insurance required
,S Plans required Indicate required light(8%of floor area per room)
Copy Contractor's registration or license Dimensions and ventilation(4%of floor area per room)for
Construction permit sign-off sheet with approvals Wall thickness each habitable room or space
required Indicate safety glazing in areas required such as:
x Provide all documentation to show compliance Footing sizes
with the 2003 International Energy Conservation Column footings-size doors,windows,tub&shower enclosures,etc.
Code 2003 International
Frost protection not indicated or insufficient Indicate bedroom egress windows(5.7 sf net clear
Street address of project on all drawings and Foundation-indicate the assumed soil conditions opening,24"clear opening height,20"clear
documents required • that the system has been designed for or provide opening width)
engineering data. If presumptive soil conditions Egress window sill height
Field set of approved plans need to be picked up cannot be met,provide soil bearing engineering Window and door header sizes
from our office data Window well details
Two sets of construction documents required,this Concrete strength-foundation,floors,exterior Garage
includes engineering data,calculations,and other porches,walks,slabs
documentation Plans required
Vapor barrier between sub-grade and concrete Minimum 5/8"Type X gypsum board separation
Wind Limitations Design Criteria basement floor requiredara
onall lall
X, Submit supporting data to show conformance with Floor thickness and control joint location ( g 8e sideon to ivin B spaces-combustible support framing to be covered with
the wind limitations(3 second gust @ 115 mph) Lally column size,attachment and spacing minimum 5/8"Type X gypsum board if it supports
Design publication needs to be identified(WFCM, Waterproofing details habitable rooms
chapter 3,WFCM,chapter 2,ASCE 7-2002) Fireplace/chimney base Openings between the garage and residence
Documents required to be stamped and signed by a Concrete piers and anchor details required to have a minimum 1 3/8"solid wood
CT registered Professional Engineer Foundation drainage door,1 3/8"solid core steel door,1 3/8"
Shearwalls not identified or insufficient Beam pockets-minimum clearances honeycomb core steel door,or 20 minute rated
Ridge connection not identified or insufficient Engineered foundation plan required door from the garage to the house and its basement
Roof-to-wall connection not identified or or attic
insufficient Crawl Spaces Indicate self-closing devices on all doors from
Wall-to-wall connection not identified or
insufficient Crawl space data-clearance to joists,slab garage to the house and its basement or attic
thickness(if provided),vapor barrier Indicate slope for garage floor
Wall-to-sill connection not identified or Crawls ace ventilation,location,
insufficient P type and size Elevations
Provide engineering data for the Crawl space access,location and size X Plans required
g g piers to resist
gravity,lateral,shear and uplift loads,stamped and Floor plan(s) Type of siding
signed by a CT licensed design professional x Plans required Type of roofing
Hold-down devices,location and type not Construction documents shall be of sufficient Finish grades
identified or insufficient clarity to indicate the location,nature and extent of Building heights
Foundation anchor spacing not identified or the work proposed(RI06.1.1) Dimension height of chimney above roof
insufficient Construction documents are to match the Roofpitches
Construction documents do not match the orientation on the site plan reversed plans are not Elevations to match site grading
engineering data submitted acceptable,a full plan review can not be Building Section(s)&Details
Cold-formed steel framing shall be designed in performed with the submitted documentation �( Plans required
accordance with COFS/PM-2001 edition Construction documents are incomplete or un- —`�Floor-to-floor heights
Site plan clear,a full plan review can not be performed with Flashing detail-windows and doors-type,
-Plans required the submitted documentation material
Basement floor plan required Additional sections and details required
Plan does not match building plans
Finish floor elevation Second floor plan required Fire-resistance rating details required for exterior
Property lines not provided Dissensions wall(s)
Distance from property line to structure Finish floor elevation Wall/ceiling firebStairsg detail
Structure dimensions Kitchen layout Stairs
Driveway Bathroom layout and space clearances
Ceiling heights Stair not shown on basement plan
Topography(existing and proposed) Attic access location and size not indicated or Riser height not indicated
Footing drain inverts,outlet and separation insufficient Tread depth not indicated
Proposed utilities to be indicated Attic access cannot be in a closet Nosing required for closed risers
Delineation of flood hazard areas and design flood Identify the use of each room Handrail required on at least on side of the stair
elevation required(R106.1.3) Stair to be minimum 36"in width above the
Private sewage disposal system to be identified on handrail height
the plan(R106.2.1) Handrails and guardrails-detail,including height
Grading is to slope away from the building, and maximum opening,handrail cross-section,
provide more details continuity and required returns
Deck/porch not shown Show minimum headroom in stairways-
Plan must be the same as submitted and approved measured from nosing plane to lowest point of
by the Zoning Department and Uncas Health,(if ceiling
applicable) 36"landing required at the bottom of the stairs
A=Mr B=Basement R,=Xpof S=Site 1=first Floor 2=Second Floor 3='Third F7oor
.jvised'Aprif5,2005
STATE OF CONNECTICUT
I)LI tRl:UE.AT or CO.A.SLIER PROTECTION
HOME IMPRO%cEME$T CONTRACTOR
F t1N*W LAX'H RQP:
1590 UTE12 r
• „ 'OBOX�8 t
LALThROP HERSE`'
LIC./REG NO., EXPIRES
554264' ?/OI/2004411/3o/2oo5
(SIGNED
•
1
v,� ,- State of Connecticut F,
z Y LX = Workers' Compensation Commission ,7, 76
„„,,,,.....4 _ ,...,..: . Please TYPE or PRINT IN INK ix
kiZzizzrProof 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 / !I
Name of Applicant for Building Permit 1 C c9 7✓es2-.4;7'G 2
Property located at 3 V 3 343 ca. r)lt ort ci- N/L c- R.P
in the City/Town of //24D/2 vi/,LAf
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 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:
❑ 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 employees who are doing work on the site of the construction project at the above-
named property.
Signature of SOLE PROPRIETOR Applicant
I am the OWNER
ofthe above-named property or the SOLE PROPRIETOR of a business doing work at the above-named property.I will not personally
N
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 insurance for every contractor,
subcontractor,or other worker before he or she does work on the site of the construction project at the
above-named property in accordance with Section 31-286b of the Workers'Compensation Act.
Signature of OWNER or SOLE PROPRIETOR Applicant '#,Z-,--7-11 . /yl tel_r' / //\
Name of Business—inapplicable
Federal Employer ID#(FEIN)—inapplicable c1
Subscribed and sworn to before me this T day of iGt--ii,..e , 2001,
a,y COMM/15.,N -exj,res T/3o#oos
Signature of Notary Public/ rt --„''�f `y-e..-52 /A/"a
SHETUCKET PLUMBING SUPPLY
IBR Heat Loss Calculation #118572 06/07/05 RECE/
V,
b Name :BERNIER JOB Job Location : JUN 1 0 2005
olesaler :SPS GROTON CT Contractor : VA -e►. .
epared By :CHL Job Remarks .
om# Room Name Factor Room Size BTU Loss Ft Baseboard
1 KIT 2. 00 8 X 18 X 11 6, 373. 76.00 11. 6
2 L I V 3. 00 8 X 15. 6 X 16 8, 267. 3920 15. 0
3 BED 4. 00 8 X 19 X 13 8, 844. 1600 16. 1
4 BATH 5. 00 8 X 8. 6 X 7. 6 .3, 309. 4810 * 6. 0
5 LAUNDRY 6. 00 8 X 5 X 6 1, 640. 0000 3. 0
6 SEWING 7. 00 3 X 9. 6 X 12 3, 482. 3040 6. 3
7 HALL. 8. 00 8 X 3 X 13 761. 2800 1. 4
t a t s . 32, 678. 3770 59. 4
BTU calculations have been increased 20% to allow for extra heat in bathroom.
mensional Data :
Sq. Ft. Sq. Ft. Sq. Ft. Sq. Ft. Cu. Ft. Sq. Ft.
om# Net Wall Glass Exp Ceiling Exp Floor Volume Living Area
1 204 28 1,8 198 ---•1, 584!------------198
2 66 62 250 250 1, 997 250
229 27 247 247 1, 976 247
4 119 9 65 65 523 65
5 79 9 30 20 240 30
6 107 13 115 115 922 115
7 0 0 39 .39 312 39
t a l 804 148 944 944 7, 553 944
U Heat Loss Data
,om# Wall Loss Glass Ceiling Floor Infiltration Total BTU
1 19142. 40 1, 366. 40 792. 00 792. 00 2, 280. 96 ---6, 373. 76
2 . 69. 60 3, 025. 60 998. 40 998. 40 2, 875. 39 8, 267. 39
3 1, 282. 40 1, 317. 60 988. 00 988. 00 4, 268. 16 8, 844. 16
4 799. 68 527. 04 313. 73 313. 73 1, 355. 30 3, 309. 48
5 442. 40 439. 20 120. 00 120. 00 518. 40 1, 640. 00
6 599. 20 634. 40 460. 80 460. 80 1, 327. 10 - E 2
. 30
7 0. 00 0. 00 156. 00 156. 00 449. 28 - 761. 28
i t a l 4, 636 7, 310
3, 829 3, 829 13, 075 32, 678
12 12 40 100
,
SHETLJCKET PLUMBING SUPPLY
IBR Heat Loss Calculation #118572 06/07/05
ib Name :BERNIER JOB Job Location w
io1esaler :SPS GROTON CT Contractor, WAIL_ CONSTRUCTION
'epared By >CHL. Job Remarks :
to average BTU per Sq. Ft.. of Living Area is o .34. 61
ie average BTU per Cu. Ft. of Living Area is : 4. 33
tctors used in Heat Loss Calculations o
tctor# Wall Glass Ceiling Floor Infiltra BTU Output Temp
2 0., 07 0. 61 0. 05 0. 05 O. 18 550 -- 80
3 0. 07 0. 61 0. 05 0. 05 0. 18 550 80
4 0. 07 0. 61 0. 05 0. 05 0. 27 550 80
5 0. 07 0. 61 O. 05 O. 05 0. 27 7 550 80
6 0. 07 0. 61 0. 05 0. 05 0. 27 550 80
7 0. 07 0. 61 0. 05 0. 05 O. 18 550 80
8 0. 07 0. 61 0. 05 0. 05 0. 18 550 80
MECcheck COMPLI• CE REPORT
995 CABO Model Anergy Code I Permit #
ME - . e Version 2.07 I I
Checked by/Date I
COUNTY: Montville
STATE: Connecticut
HDD: 5999
CONSTRUCTION TYPE: Single Family
DATE: 6-11-2005
COMPLIANCE: PASSES
Required UA = 191
Your Home = 189
1.0% Better Than MEC
Area or Cavity Cont. Glazing/Door
Perimeter R-Value R-Value U-Value UA
CEILINGS 944 30.0 0.0 33
WALLS: Wood Frame, 16" O.C. 804 19.0 3.0 43
GLAZING: Windows or Doors 148 0.400 59
FLOORS: Over Unconditioned Space 944 15.0 0.0 54
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 re•uiremen • th-x•95 :ABO Model Energy Code.
Builder/Designer /�h�`� -- —_ Date /`l/
RECEIVED
JUN 1 0 2005
BUILDING DEPT.
MECcheck INSPECTION CHECKLIST
1995 CABO Model Energy Code
MECcheck Software Version 2.07
DATE: 6-11-2005
Bldg.
Dept.
Use I
I CEILINGS:
[ ] I 1. R-30
Comments/Location
WALLS:
[ ] I 1. Wood Frame, 16" O.C., R-19 + R-3
I
Comments/Location
WINDOWS AND GLASS DOORS:
[ ] I 1. U-value: 0.4
For windows without labeled U-values, describe features:
# Panes Frame Type -- -- Thermal Break? [ ] Yes [ ] No
I Comments/Location
—
I FLOORS:
[ ] I 1. Over Unconditioned Space, R-15
I Comments/Location
AIR LEAKAGE:
[ ] Joints, penetrations, and all other such openings in the building
envelope that are sources of air leakage must be sealed. Recessed
lights must be type IC rated and installed with no penetrations
I or installed inside an appropriate air-tight assembly with a 0.5"
clearance from combustible materials and 3" clearance from insulation.
VAPOR RETARDER:
[ ] I Required on the warm-in-winter side of all non-vented framed
ceilings, walls, and floors.
MATERIALS IDENTIFICATION:
[ ] I Materials and equipment must be identified so that compliance can
I be determined. Manufacturer manuals for all installed heating
and cooling equipment and service water heating equipment must be
provided. Insulation R-values and glazing U-values must be clearly
I marked on the building plans or specifications.
DUCT INSULATION:
[ ] I Ducts in unconditioned spaces must be insulated to R-5.
Ducts outside the building must be insulated to R-6.5.
DUCT CONSTRUCTION:
[ ] I All ducts must be sealed with mastic and fibrous backing tape.
Pressure-sensitive tape may be used for fibrous ducts. Duct tape
is not permitted. The HVAC system must provide a means for
I balancing air and water systems.
TEMPERATURE CONTROLS:
[ ] I Thermostats are required for each separate HVAC system. A manual
or automatic means to partially restrict or shut off the heating
and/or cooling input to each zone or floor shall be provided.
[ ] I SWIMMING POOLS:
All heated swimming pools must have an on/off heater switch and
require a cover unless over 20% of the heating energy is from
non-depletable sources. Pool pumps require a time clock.
[ ] I HVAC PIPING INSULATION:
HVAC piping conveying fluids above 120 F or chilled fluids
below 55 F must be insulated to the following levels (in. ) :
PIPE SIZES (in.)
HEATING SYSTEMS: TEMP (F) 2" RUNOUTS 0-1" 1.25-2" 2.5-4"
Low pressure/temp. 201-250 1.0 1.5 1.5 2.0
Low temperature 120-200 0.5 1.0 1.0 1.5
Steam condensate any 1.0 1.0 1.5 2.0
COOLING SYSTEMS:
Chilled water or 40-55 0.5 0.5 0.75 1.0
refrigerant below 40 1.0 1.0 1.5 1.5
[ ] I CIRCULATING HOT WATER SYSTEMS:
Insulate circulating hot water pipes to the following levels (in. ) :
PIPE SIZES (in.)
NON-CIRCULATING I CIRCULATING MAINS & RUNOUTS
HEATED WATER TEMP (F) : RUNOUTS 0-1" I 0-1.25" 1.5-2.0" 2.0+"
170-180 0.5 I 1.0 1.5 2.0
140-160 0.5 I 0.5 1.0 1.5
100-130 0.5 I 0.5 0.5 1.0
----NOTES TO FIELD (Building Department Use Only)
V
CLA Engineers, Inc.
Civil • Structural • Survey
317 MAIN STREET • NORWICH, CT 06360 • (860) 886-1966 • (860) 886-9165 FAX
May 31, 2005
Mrs. Rachel Bernier
343 Raymond Hill Road
Uncasville, CT 0682
Re: Main Wind Force System Review
New Addition at 343 Raymond Hill Rd.
Uncasville, CT
CLA-3652
Dear Mrs. Bernier:
As requested, we have reviewed the structural components for the wind force
resisting system for the new addition to your residence at 343 Raymond Hill Road in
Uncasville, CT. Our review is based upon the requirements of the IRC 2003 Residential
Building Code, specifically with the provisions of ASCE 7-02. A complete review of the
gravity structural systems of the addition is not part of our scope of services.
The structure is located in Montville, CT which has a design wind speed of 115
mph (3 sec. gust) in accordance with appendix M of the 2004 supplement. The structure is
located in a wind exposure category B.
Following are our comments and recommendations:
Roof Framing:
1. Simpson H2.5 hurricane clips shall be installed from each roof rafter to double top
plates to provide uplift tension connection. See attached drawing.
2. Simpson H8 hurricane clips shall be installed between double wall top plate and
wall studs at 32" o.c. at the roof eave elevation. See attached drawing.
3. Plywood roof sheathing shall be fastened in accordance with the roof sheathing
diaphragm detail on the attached drawing. Install solid blocking between roof
rafters at top of exterior walls at 48" o.c. Drill two(2) 1" diameter holes to allow
for roof venting.
Main Wind Force System Review
New Addition at 343 Raymond Hill Rd.
Uncasville,CT
Page 2
Exterior Wall Framing:
1. All exterior walls shall be constructed of a minimum Doug-Fir (north) stud grade
or better studs at 16" o.c. Exterior walls shall have a double top plate fastened
with 10d common box nails at 8" o.c. Lap splices of the top plate shall be 36"
minimum in length.
2. The exterior walls of the house have been design as perforated shearwalls.
Simpson PHD2 hold-down anchors shall be installed at each corner of the addition
in each direction of the wall on the 1'`floor and between main floor and the cripple
wall below (refer to attached drawing). Anchor rods for the hold-downs shall be
embedded into the concrete foundation walls. Threaded anchor rods may be post-
installed into the concrete foundation walls with Hilti HIT HY-150 epoxy. Anchor
rods shall have 8" minimum embedment into concrete.
3. Openings in the exterior walls of the house shall be reinforced as shown on the
attached plans. Refer to"opening in sperforated shearwall detail"
4. Foundation wall sill plates shall be pressure treated 2x6, anchored to concrete
foundation with 'h" diameter A307 steel anchor bolts at 48" o.c. maximum
spacing. Anchor bolts shall be located within 12" on a corner in each direction, and
12" on either side of a splice. Provide standard nut and washer for each anchor
bolt.
Please call me if you should need anything further.
Very Truly Yours,
Thom . Gillespie, P.E.
ZONING PERMIT
IT IS THE APPLICANT'S RESPONSIBILITY TO FURNISH THE FOLLOWING
INFORMATION:
3X ••
PROPERTY LOCATION RAyn o A/ G// /
/ ! ,Vj��I�'�`/��s MAP { • / LOT
PROPERTY OWNER e- . SCh / .J ,Q k N i e
CONTRACTOR E y'J11 K L,1414 a.0 p Y CONTRACTOR LICENSE#
CONTACT ADDRESS g f c3 2 (16 V;//,f TELEPHONE ZS Y7*--- / y
ZONE LOT AREA ;� `i/ STRUCTURE AREA HEIGHT
NATURE OF REQUEST/PROPOSED USE . 5 u j„y f yam?Th Y_ /�, - Lu) e Ai/ ? K- I
A SKETCH,OR PROVIDE TWO COPIES OF PLANS DRAWN TO A SCALE OF AT LEAST 1"=40'SHOWING:DIMENSIONS OF THE LOT,THE SIZE,
AREA, AND LOCATION OF EXISTING, PROPOSED, PRINCIPAL AND ACCESSORY STRUCTURES, DRIVEWAYS, SANITARY FACILITIES AND
WATER SUPPLY,PARKING FACILITIES,AND ADJACENT STREETS;DISTANCES OF PROPOSED STRUCTURES FROM PROPERTY LINES AND
WETLANDS. A PLAN PREPARED BY A CONNECTICUT REGISTERED LAND SURVEYOR MAY BE REQUIRED. THE PROPOSED USE SPECTHED
ABOVE SHALL NOT BE AUTHORIZED UNTIL AN ACTUAL CERTIFICATE OF COMPLIANCE IS ISSUED BY THE COMMISSION OR ITS
APPOINTED AGENTS.
Office use only
YES N/A
SKETCH PLAN OR GRADING PLAN ❑ ❑
HEALTH DISTRICT/WPCA APPROVAL ❑ 0
STATE HIGHWAY PERMIT ❑ 0
WETLANDS PERMIT 0 0
HAS A VARIANCE EVER BEEN GRANTED FOR THIS PROPERTY ❑ 0
HAS BOND BEEN FILED 0 0
FEE ❑ CASH/CHECK# ❑
ZONING PERMIT NUMBER ( / ) OR ❑N/A EXPIRATION DATE ( / / r'
THE APPLICANT IS RESPONSIBLE FOR AND AGREES TO:
1. ADHERE TO ALL THE APPLICABLE REQUIREMENTS OF THE ZONING REGULATIONS.
2. FURNISH ALL NECESSARY INFORMATION AND DOCUMENTATION TO PROCESS APPLICATION.
3. NOTIFY THE COMMISSION OR ITS APPOINTED AGENT OF ANY ALTERATION IN THE PLANS.
4. CONTACT THE ZONING OFFICER (848-8549 x-379) AT LEAST 24 HOURS BEFORE CONSTRUCTION BEGINS AND UPON
COMPLETION OF PROJECT TO ALLOW ZONING OFFICER TO INSPECT LOCATION.
5. AN E&S BOND SHALL BE POSTED PRIOR TO COMPLIANCE SIGN OFF AND HELD UNTIL ONE YEAR FROM THIS DATE
APPLICANTS SIGNATURE .L Z P (` pvr1. '�r 1.1A e a-3,4,2i,DATE: '57/://6-5
'1 , - DATE ;y " DATE
COMMISSION AGENT ' CERTIFICATE OF COMPLIANCE (COC)
THIS SIGNED PERMIT AUTHORIZES THE APPLICANT TO PROCEED TO THE BUILDING DEPARTMENT FOR ANY REQUIRED PERMITS
THE SIGNED CERTIFICATE OF COMPLIANCE IS NEEDED PRIOR TO A CERTIFICATE OF OCCUPANCY BEING ISSUED BY THE BUILDING INSPECTOR
REV. 5/28/03
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