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HomeMy WebLinkAbout2003 - SFR j I PI.ans • File I i Town of Montville } Building Department Certificate of Occupancy for- Single Family Residence e t xt at ~;uctp ~s 11 ADAMO AVENUE This is to certify that the construction described conforms substantially to the requirements of the State of Connecticut Building Code as per Section 29-265 of the Connecticut General Statutes and Zoning Regulations as adopted by the Town of Montville and is hereby approved for use and occupancy. Permit Number: B2003-0233 Special Conditions: Map/Lot: 131/024-000 Use Group: R4 Code: 1995 CABO Construction Type: 5B Owner: Victor R. Cholewa Sr 10 Lily Pond Road Jewett City CT 06351 Friday, August 22, 2003 Building Official: CO Issued: Town of Montville Building Department , . . 848-3030, Ext 82 ONE & TWO FAMILY CERTIFICATE OF OCCUPANCY SIGN-OFF SHEET 17 A Ja r) L~ r%li-IL, operty Ad r ss y Job Description: The owner/agent shall be r ponsible for the completion of the form, no certificate of occupancy will be issued until all signatures below have been obtained. HEALTH DISTRICT 848-3030-339 Approved ❑ Permit ❑ Not Applicable Septic System Date pp roved ~0".j ZZ Q Permit 2l '7 ❑ Not Applicable Private1 Date WPCA DEPARTMENT 848-3030, Ext. 376 Approved ❑ Permit ❑ Not Applicable Municipal S vher Date House Trap ❑ Outside ❑ Inside i Approved ❑ Permit # ❑ Not Applicable Municipal ter Date DEPARTMENT OF PUBLIC WORKS 848-7473 ~ Ax~l Approved ❑ Permit Not Applicable fd qw~ Date PLANNING ZONING DEPARTMENT 848-3030. Ext. 379 In-Compliance Permit 24'3 /~~j ❑ Not Applicable Da Zoning ~ 7 a In-Compliance ❑ Permit Not Applicable Inland-Wetl $ds Date i i Revised 6/28/2002 Tdwnf'of Montville BuildingDepartment Permit # Date Field Inspection Notice too, Job Location 04i)oved Type of Inspection i Not Approve - Please call for re-inspection when the following corrections have been completed: ❑ I u' Offi a1 Town bf ontville Building Department ield Inspection Notice Permit Date F 4 Awl Job Location ` ❑ Approved Type of Inspection )(Not Approved d Please call for re-inspection when the following corrections have been completed: ~A' ~ 146 ~4~ Buldin 'Official Town of Montville Building Department 14 Date Field Inspection Notice Permit #,64~ t Job Location i Approved Type of Inspection i. , Not Approve d -Please call for re-inspection when the following corrections have been completed: i I f I is is - - - Buildin 'Official r _ e iF Town ofVlontvlll Building Department Held Inspection Notice Permit # Date Job Location - PProved Type of Inspection L~ Not Approv d - Please call,for re-inspection when the following corrections have been completed: I i _ E is i.: Bu din Official F Town of Montville Building Department Date / Field Inspection Notice Permit # Job Location t r ❑ Approved Type of Inspection Not Approved - Please call for re-inspection when the following corrections have been completed: F el-, -r 12 UQ J i I I $uildin 'Official - n of Montville Tow Buding Department Date o Field Inspection Notice Permit # Job Location pPOVetI Type of Inspection~4!! I I Not Approve Please call for re-inspection when the following corrections have been completed: i E- Building 0 cial E Town of Montville Building Department Date / Y Field Inspection Notice Permit # f Job Loc Lion Approved Type of Inspection C. L 4 ❑ Not Approv o - Please call for re-inspection when the following corrections have been completed: r k: r. i i Buil m Official Town of Montville Building Department Permit # Date Field Inspection Notice Job Location ' f ~ Approved Type of Inspection ❑ Not Approv d - Please call for re-inspection when the following corrections have been completed: I in 'Official ori~111e Of ~e~~ e Y1 e the O ~ o retied j 1 ra 11 ctilo~ Abe / s4e hem ate e o~Ir etlo~'N obL°eati,°~ II c;#l~°~ S A44~o~e ea Please o r d g u o B rr~~tlo~s ha co m AI t e~. cl ~ ~ ~ i Ii I Town of Montville BUILDING DEPARTMENT 310 Norwich-New London Turnpike Uncasville, CT 06382 (860) 848-3030, Ext. 382 Mechanical Permit Permit Number: M2003-0138 Date: 06-Aug-03 Map/Lot: 131/024-000 Owner ID 504 i Job Location: Unit Job Description: 17 eating & Air Conditioning Owner: Contractor: Victor R. Cholewa S Viglione Heating & Cooling 259 Commerce Street 10 Lily Pond Road East Haven Ct. 06512- CT 06351 Telephone: (203) 467-8388 Jewett City Lic/Reg Type/No. S1 302380 Exp Date: 31-Aug-03 E Tenant: Self Telephone: j Construct n Values Permit Fees Construction Information Building Value: $0.00 Building Fee: $0.00 Use Group: R4 Plumbing Value: j $0.00 Plumbing Fee: $0.00 Code: 1995 CABO Mechanical Value: $0.00 Mechanical Fee: $0.00 Construction Type: 5B Electrical Value: $0.00 Electrical Fee: $0.00 Permit Code: R5 Other Value: $0.00 Other Fee: $0.00 Comments: _ Total Value: $0.00 CO Fee: $0.00 Included on Building Permit Plan Review Fee: $0.00 State Ed Fee: $0.00 Total Fees: $0.00 It s t e owners! responsibilfty to schedule the following"nsl2ections (min"murn 48 hours notice regumiredD I ❑ Footing - Prior to ouring concrete W-1 Rough HVAC ❑ Backfill - Footing rains and waterproofing ❑ Fireplace Throat ❑ Concrete Slab - P or to pouring concrete ❑ Chimney - One flue above thimble ❑ Rough Framing ❑ Firestopping/draftstopping ❑ Rough Electrical ! ❑ Insulation i ❑ Electrical Service ❑ Final Inspection ❑ Rough plumbing nd leak test ❑ Certificate of Occupany E:1 Gas piping and to i Building Official's Sig ature: i I i 04/02/02 01: 24 AS: 84877~~_ BUILDING DEPT [ J OL Town of MontviIle Building Department Permit # 16& 310 Norwich New London Tpke. Tel. 848-7166, Fxt 82 Uncasville, CT 06382 Fax. 84$-7231 One Two Family Trades Permit Application Form ~irCmrdtriorring otter ' firs Qapar~ Gvenue, Job Location ` p ~ e Job Descriptiowiateriais c.t waa o t-i r h e-ouh wi-4--~ c~ r Co na-b oni n I Owner i C c Mailing Address_ L~AcA Pond iRco,6 _ i City Gn:s ~w 1 State __Zip I_ Tei 0 / 316 / 5 Contractor Mailing Address odq l.E~ m' o Ciry State .Zip.d45lo. -Tel (RO3/467/ O p3p 03 Contractor's License/Re' ation Type & Number - Exp. Date I hereby certify that the dposed work will conform to the Basic Building Code and all other codes as adopted by the State of Connecticut and a Town of Montville and further attest that the proposed work is authorized by the owner in fee and that T am authorized t make application for a. permit for such work as described above. i Date Owner /Agent Signa i Construction Value Fee Building $ Plumbing $ $ Mechanical $ $ Electrical S S Other S $ Certificate of Occupancy S Plan Review Fee S State Education $ Total $ $ I - I i I i i i i 'I JAL A M, JAUI STATE: OF CONN. CTICUT + DEPARTMENT OF CONSUMER: PROTECTION _ B e k known than ~)TEPI J VILIONS S ?a9~COMMEIt:CE.S'E EAST HALVENV,. CT'06512 - I has. been certified By-the: Department of Consumer Protection a 1licensed ..g R , ,TED CONTRACTOR rr~TO ET;•-p~o~, TYPES S 1 License- 3C0 Effective-- 09/01/2. 02: EYpires:.4.8/31: eM a orrer- ~ . _ e a i V VIGLIONE HTG & CLG,! INC. PROJECT: 2276 SQ FT COLONIAL 259 COMMERCE ! DRIVE CLIENT: ROBIN HILL ESTATES DATE: 11/06/01 EAST HAVEN, CT 06512 RESIDENTIAL/LIGHT CO ERCIAL HVAC LOADS DESIGNER: STEVE VIGLIONE i CLIENT INFORMATION: NAME: ADDRESS: CITY, STATE: j TOTAL BUILDING LOADS BLDG -LOAD - AREA- SEN. LAT. + SEN. = TOTAL DESCRIPTIONS QUAN LOSS GAIN GAIN GAIN 3-C WINDOW DBL PANE CLR GLS METL FR- 319 18,965 0 12,308 12,308 0 2,905 2,905 12-I WALL R-19 +1/2" SPHLT BRD(R-1.3) 2,239 10,098 456 456 10-D DOOR WOOD SOLID !CORE 42 1,584 0 16-G CEILING R-30 INSULATION 1,446 3,913 0 1,7170 - - -1,7170 19-F FLOOR/ENCL CRAW CARPET NO INS 2,650 23,685 0 - - - - - SUBTOTALS F'R STRUCTURE: 6,696 58,245 0 17,386 17,38 PEOPLE 5 0 1,400 1,500 2,900 1 APPLIANCES 0 0 1,200 0 ,200 0 9,649 0 2,278 2,278 DUCTWORK INFILTRATION W.CFM:;424.0 S.CFM: 176.7 0 38,245 4,925 3,887 8,812 VENTILATION W.CFM:106.0 S.CFM: 106.0 0 9,561 2,955 2,332 5,287 27,383 SENSIBLE GAIN TOTAL x 1.00 TEMP. SWING MULTIPL ER --100- BUILDING LOAD TOTAL 115,700 10,480 27,383 37,863 LOAD SUMMARY FOR ZONE #1 SUPPLY CFM AT 102.1 IDEG HTG DT 487 CFM PER SQUARE FOOT: 0.404 SQUARE FT. OF ROOM lLkEA: 1,204 SQUARE FOOT PER TON: 840.342 TOTAL HEATING REQUI ED WITH OUTSIDE AIR: 59.028 MBH TOTAL COOLING REQUI ED WITH OUTSIDE AIR: 1.433 TONS I LOAD SUMMARY FOR ZONE #2 SUPPLY CFM AT 70 DEi HTG DT: 668 CFM PER SQUARE FOOT. 0.462 SQUARE FT. OF ROOM EA: 1,446 SQUARE FOOT PER TON: 839.437 i TOTAL HEATING REQUIRED WITH OUTSIDE AIR: 56.672 MBH TOTAL COOLING REQUIRED WITH OUTSIDE AIR: 1.723 TONS i i RESIDENTIAL AND LIGHT COMMERCIAL HVAC LOADS BY ELITE SOFTWARE VIGLIQNE HTG & CLG, I C. EAST HAVEN, CT 06512 2276 SQ FT COLONIAL 11/06/01 PAGE 2 ******rr***************** BUILDING LOADS (CONTINUED) i TOTAL BUILDING LOAD SUMMARY SUPPLY CFM AT 83.50 EEG HTG DT: 1,155 CFM PER SQUARE FOOT: 0.436 SQUARE FT. OF ROOM EA: 2,650 SQUARE FOOT PER TON: 839.870 i i TOTAL-HEATING REQUIR D WITH OUTSIDE AIR: 115.700 MBH TOTAL COOLING REQUIR D WITH OUTSIDE AIR: 3.155 TONS CALCULATIONS ARE BASEL) ON 7TH EDITION OF ACCA MANUAL J.. ALL COMPUTED RESULTS ARE ESTIMATES AS BUILDING USE AND WEATHER MAY VARY. BE SURE TO SELECT A IT THAT MEETS BOTH SENSIBLE AND LATENT LOADS. l i i j i I I I j i I i ii j W RESIDENTIAL AND LIGHT COMMERCIAL HVAC LOADS BY ELITE SOFTWARE VIGLIONE HTG & CLG, NC. EAST HAVEN, CT 06512 2276 SQ FT COLONIAL 11/06/01 PAGE 3 * r** r****~r********** *,r f* ZONE # 1 ROOM LOAD SUMMARY ~'r***** r r* r**** r~r r r,r _ ' AREA HEATING COOLING RM ROOM-------- NO. DESCRIPTION (SF) BTUH a TOT CFM BTUH o TOT CFM 1. MAIN 1-ST FLOOR 896 39,798 72.8 452 7,576 70.7 344 2. I-ST FL FAM RM 308 14,886 27.2 169 3,135 29.3 143 ZONE SUBTOTAL 1,204 54,684 100.0 621 10,711 100.0 487 VENTILATION 4,344 1,060 LATENT GAIN 5,422 ZONE TOTALS 59,028 17,193 1.433 TONS RESIDENTIAL AND LIGHT COMMERCIAL HVAC LOADS BY ELITE SOFTWARE VIGLIONE HTG & CLG, NC. EAST HAVEN, CT 06512 2276 SQ FT COLONIAL 11/06/01 PAGE 4 r***** r r********** r*** ZONE it 2 ROOM LOAD SUMMARY * r r*** r** r* r**** r* r* r RM ROOM AREA HEATING COOLING NO. DESCRIPTION (SF) BTUH % TOT CFM BTUH o TOT CFM 896 36,894 71.7 479 9,753 68.0 455 3. SECOND FL BED ---S 4. MASTER BED RM 550 14,561 28.3 189 4,586 32.0 214 ZONE SUBTOTAL 1,446 51,455 100.0 668 1_,339 100.0 668 VENTILATION 5,217 1,272 LATENT GAIN 5,060 56,672 20,671 1.723 TONS ZONE TOTALS ~ I II i I i i I I II t Town of Montville BUILDING DEPARTMENT 310 Norwich-New London Turnpike Uncasvilie, CT 06382 (860) 848-3030, Ext. 382 Electrical Permit Permit Number: E20 3-0207 Date: 09-Jul-03 Map/Lot: 131/024-000 Owner ID 504 Job Location: ADAMO"ENUE Unit Job Description: SERVICE FOR SFR Owner: Contractor: Hartens Pond LLC TIG ELECTRIC 95 YAWBOX VALLEY RD 183 Quarry Road ! NORTH STONINGTON CT 06359- Milford CT 06460 Telephone: (860) 535-2289 Lic/Reg Type/No. E-1 183635 Exp Date: 20-Sep-03 Tenant: N/A Telephone: Construction Values 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: 1995 CABO Mechanical Value: $0.00 Mechanical Fee: $0.00 Construction Type: 5B Electrical Value: $0.00 Electrical Fee: $0.00 Permit Code: R5 Other Value: I $0.00 Other Fee: $0.00 Comments: Total Value: $0.00 CO Fee: $0.00 Plan Review Fee: $0.00 t State Ed Fee: $0.00 Total Fees: $0.00 It is the owne r I esp nsibilliW to schedule the following inspections (minimum 48 hours notice requ*red)n ❑ Footing - Prior to pouting concrete ❑ Rough HVAC ❑ Backfill - Footing drains and waterproofing ❑ Fireplace Throat I ❑ Concrete Slab - Prior to pouring concrete ❑ Chimney - One flue above thimble ❑ Rough Framing ❑ Firestopping/draftstopping © Rough Electrical ❑ Insulation © Electrical Service Q Final Inspection ❑ Rough plumbing a leak test ❑ Certificate of Occupany ❑ Gas piping and test i i Building Official's Sig ture: i// i r Town of Montville r ; ; j Residential Plan Review Date: .4 Zoa ~I Job Address: II AVAMO y,2-_AJa Job Description: We have received a building p emit application for the above referenced property. In accordance with Connecticut General Statute 29-263, our application is bein reiected for the following reasons that are checked-off or commented on: i • Supporting Documentation Plans are to be drawn to sc a including dimensions of rooms and • Floor plan(s) spaces and all framing info "ion (112.1) Dimensions ~~}}ilding permit application not completed, signed, dated Finish floor elevation hermit fee $ o S o Minimum room sizes (304.1) - Worker's comp. Affidavit or orker' comp. Insurance Door and window sizes Copy Contractor's registratio br license Kitchen layout Construction permit sign-off beet Bathroom layouts, tub sizes in gallons, space clearances Protide. all documentation to show compliance with the Model Stair location (min. width 36") (311.1) Energy Code (1995 MEC). ( Contact your insulation contractor, Attic access location and size Northeast Smart Living Center (1-800-228-7764) or your local Identify the use of each room building official for information. Total square footage for each level of the structure Street address of project on a drawings and documents Indicate required light (8% of floor area per room) and ventilation Heat loss/gain calculations (4% of floor area per room) for each habitable room or space (303.1.) Indicate safety glazing in areas required such as: doors, windows, tub • Site plan & shower enclosures, etc. (308.4.) Finish floor elevation Indicate bedroom egress windows (5.7 sf net clear opening, 24" clear opening height, 20" clear opening width) (310.2.1.) Signed by P&2, Wetlands, U cas health, WPCA Egress window maximum sill height 44" (310.2) Property fines not provided Distance from property to str cture Are basement stairs enclosed/accessible? If so, protect with Structure dimensions minimum 1/2" sheetrock (310.3.) Driveway Designate which door is the required exit (36" minimum, hinged) Topography (existing and pr osed) Garage Footing drain inverts, outlet a d separation Minimum 5/8" Type X gypsum board separation (on garage side) to Proposed utilities all living spaces - all combustible support framing to be covered with Wetlands and flood zone limi !and elevations minimum 5/8" Type X gypsum board if it supports habitable rooms (3.09.2) Indicate minimum 1 1/" solid wood door, 1 ;/a" solid core steel door, 1 • Foundation Plan 1/4" honeycomb core steel door, or 20 minute rated door from the Dimensions garage to the house and its basement or attic (309.1) Wall thickness Indicate self-closing devices on all doors from garage to the house Footing sizes and its basement or attic (309.1) Frost protection required Indicate slope for garage floor (309.3.) Window and door sizes and 1 'ations Hatchway • Elevations Foundation - indicate the ass red soil conditions that the system has Type of siding been designed for or provide engineering data. If presumptive soil Type of roofing conditions cannot be met, pro vi,de soil bearing engineering data (401) Other finishes Concrete strength - foundation! , floors, exterior porches, walks, slabs Finish grades (402.2) Building heights Basement -finished of unfini shed? Dimension height of chimney above roof Vapor barrier between su -grade and concrete basement floor Roof pitches 2 (505.2.3) 1 Minimum height of foundatiwalls above finished grade (404.1.3) Perimeter insulation, if conditioned space • Building Section(s) & Details Anchor bolts - size and locati n (403. La) Floor-to-floor heights Floor thickness and control j rit location (403. La) Handrails and guardrails - detail, including height and maximum Lally column size, attachment and spacing (408) opening, handrail cross-section, continuity and required returns Column footings - size (403) Show riser height (8 1/a" max), tread depth (9" min.), and nosing (3/4" Waterproofing details (406) i - 1 1/") Rebar if required - wall lengt] „unbalanced fill, or soil conditions will Show minimum headroom in stairways - 6'-8" measured from nosing determine this. Provide engi 'ring data for complex design. plane to lowest point of ceiling Fireplacelchimney base Stud size and spacing, species and grade (or minimum Fb and E) Concrete piers and anchor de is - decks Sheathing size, thickness, type Foundation drainage - sump, drain to grade, or town storm system; Siding, material, type, style - underlayment per mfg. indicate pitch (405.1) Insulation - R-value, type - including basement walls if applicable Beam pockets - minimum cle trances Corner bracing Crawl Spaces Flashing detail - windows and doors - type, material Crawl space data - clearance to joists, slab thickness (if provided), vapor barrier (409) Ventilation (409.1) Access 18"x24" (409.2) Town of Montville • Framing plans Posts - size, material, and height Bearing partitions Piers - size, material, depth below grade (minimum 42" required) Direction of framing Indicate joist hangers at flush framing and ledger Beam spans, size, species, grade Stairs, handrails, and guardrails Framed openings • Chimne s and Fire laces ` Sheathing type and thickness y p Window and door header sizes Indicate clearance of masonry to combustible framing materials and Joists - species and grade (minimum Fb and E), size, direction, and clearance from fireplace opening to finished trim spacing Show data for mechanical flue sizing Joists over-spanned Show exterior combustion air source Headers/beams overspanned Flue sizes Double joists at parallel bearing partitions, bathtubs, etc. (502.3.2) Manufactures data and installation instructions for metal fireplaces Details of framing for plumbing, such as headers and trimmers at traps, etc. • Electrical Plan(s) Joist hangers for flush framing conditions or ledger (502.4.2) Panel location(s) with main size Deck material, type, size, and span Meter socket location Floor insulation - R-value, type, vapor barrier location Outlet locations Provide design data for all unaligned wall and floor bearing points. GFCI outlet locations Indicate location of all point loads. Engineering data for steel beams, engineered lumber, roof trusses or L any other engineered product or design ights Lights and switches Appliance/equipment circuits switches Stair illumination -Provide Roofs/c roof framing plan for roof geometry Stairway light activation at both top and bottom of stair (303.4) Ceiling joists - spacing, span, direction, species and grade (or Show required AC/DC smoke detectors (316) minimum Fb and E) Rafters - pitch, spacing, span, species, and grade (or minimum Fb • Mechanical plan(s) and E) Dryer vent Insulation - R-value, type - including basement walls if applicable Bathroom exhaust ventilation (natural or mechanical) type and size Ventilation -ridge, gable, soffit with calculations Provide minimum net ventilation data Hood exhaust Attic access (22"x30" minimum) for any attic with 30" or more clear Type of heat height Heating, ventilation, and air conditioning plant locations Roof sheathing - type, size, thickness Oil/LP-gas tank size, location and piping Collar ties - size, placement, spacing Make-up air requirements Roof covering - shingles - type, nailing, provide proper Manufactures data for equipment uuderlayment - show interior horizontal distance of double underlayment at eave, etc. • Plumbing plan(s) Overhang detail Provide framing details of trayed/vaulted ceilings Building trap location Provide detail of cathedral ceiling structure and venting Sewer location Indicate connection of lower chord of roof trusses and ceiling joists to Domestic water location the top plates of interior and exterior walls. Calculate roof tie-down Manufacturers data for whirlpools, comer tubs, & larger tubs Water heater size, type, and location sizes when required by wind conditions Show framing for gables in cathedral ceiling construction Provide engineering data for all roof trusses - (truss drawings must be • Following plans are required signed and sealed by a Connecticut Licensed Professional Engineer) Site plan Roof rafters over-spanned Floor plan(s) Ceiling joists over-spanned Elevations Decks/Porches Building section & details Plans required Electrical plan(s) Joists - size, span, spacing, direction, species and grade (or minimum Mechanical plan(s) Fb and E) Plumbing plan(s) Ledger - show attachment and flashing to house Decking material and size Beam- design data if required Comments: FUEL/ C_ !-,I ®R=zs AJ?1?fZ oVYJi_ 12_E'Qsl fru_ ~r_b A JTe C_ A Tci-j 'RAS'!I-~ Z/11 ZZ; ding Official i i p ! Town of Montville Build' ng Department Permit 310 NorvVich-New London Tpke. Tel. 848-3030, Ext 382 Uncasville, CT 06382 Fax. 848-7231 Application for Commercial Trades Permit Plumbing ~Ctrical EJ Mechanical 'if eating / 3 Air Conditioning Gas n other Job Location PAIM0 Job Description/Materials r~i~r.,~ / F Owner Mailing Address AQ ~/®'z 'D Ark City State C7' Zip 06 3S-/ Tel 7' / 376/ y~ZZ i Contractor ~f ,E1e_c-'T/YC Mailing Address 91 - yi9wr x //may City ✓ ` (qn-t-( Jlf ZY1 Tz~m'' State Zip 0g Tel St o / 5-2'r-1 / /20Z)3 Contractor's License/Regi ration Type & Number Exp. Date 20 I hereby certify that the p ;posed work will conform to the Basic Building Code and all other codes as adopted by the State of Connecticut and th ; 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 I Construction Value Fee Building $ $ Plumbing $ $ Mechanical $ $ Electrical $ $ Other $ $ Certificate of Occupancy i $ Plan Review Fee $ State Education $ Total $ i i I 'tea a d s i I i i i ELECTRICAL UNLIbtITETJ CONTRACTOR GLEAN T UJvIPHLETT 95 YANOUX VALLEY ROAD NORTH STONINGTON, Cr 06359 TYPE: E I EFFECTIVE EXPIRES LIC.JREG NO. 09/30/2003 183635 10101 00~ SIGNED i I i i I i I I i i I i I I ! i I ( i i i I i I ! I i i I Town of Montville BUILDING DEPARTMENT 310 Norwich-New London Turnpike Uncasville, CT 06382 (860) 848-3030, Ext. 382 Building Permit Permit Number: B2 Q3-0233 Date: 19-May-03 Map/Lot: 037/002-024 Owner ID 504 i Job Location: Unit Job Description: Single Family Residence Owner: Contractor: Hartens Pond LLC Victor Cholewa 10 Lily Pond Road 183 Quarry Road Jewett City Ct. 06351- Milford CT 06460 Telephone: (860) 376-9515 Lic/Reg Type/No. NHC 3543 Exp Date: 30-Sep-03 Tenant: Self Telephone: Constructs n Values Permit Fees Construction Information Building Value: $187,580.00 Building Fee: $1,126.00 Use Group: R4 Plumbing Value: $12,136.00 Plumbing Fee: $76.00 Code: 1995 CABO Mechanical Value: $13,485.00 Mechanical Fee: $82.00 Construction Type: 5B Electrical Value: $12,425.00 Electrical Fee: $76.00 Permit Code: R2 Other Value: j $0.00 Other Fee: $0.00 Comments: Total Value: Ii$225,627.00 CO Fee: $10.00 j Plan Review Fee: $112.60 State Ed Fee: $36.10 Total Fees: $1,518.70 It is the owners r6sponsobili to schedule the following *nsi2ections (monimum 48 hours notice requiltejdk 0 Footing - Prior to pouring concrete ❑d Rough HVAC l Backfll - Footing dr i'I s and waterproofing ❑ Fireplace Throat d❑ Concrete Slab - Prior to pouring concrete ❑ Chimney - One flue above thimble Rough Framing ❑d Firestopping/draftstopping Rough Electrical ❑d Insulation Electrical Service ❑ Final Inspection Rough plumbing an !leak test Certificate of Occupany Gas piping and test II Building Official's Signature: l Town of Montville f ~ F Building Department Permit # 310 Norwich-New London Tpke. Tel. 848-3030, Ext 382 Uncasville, CT 06382 Fax. 848-7231 One & Two Family Building Permit Application Form ( New Construction F-I ?ld Iition Fj Alteration n Accessory Structure. Other Job Location 4 /'✓1~' Job Description/Materials- AIC40 Owner Sh,?IEajA Mailing Address 161 Z fl /f "4,0 City i T 7 State 27' Zip ~ ~3SI Tel WI'J l f7l / SIB Contractor Vle iG l1L GU Mailing Address a0 ,~f~ Y AAJb le,Ah _ I City -J T V State Zip X13 / Tel / Contractor's License/Regis ration Type & Number I)A12 Exp. Date/ I 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 th 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. I 63 Owner /Agent Signature Date Construction Value Fee Building $ $ Plumbing $ . $ Mechanical $ $ Electrical $ $ Other $ $ Certificate of Occupancy $ Plan Review Fee ! $ State Education $ Total $ (See Reverse side for additiouaf requirements) Town of Montville J 4 iw~Residential Permit Requirements ❑ Two (2) complete sets of construction documents (to scale) are required and shall show the following information if applicable. This list is not all-inclusive, additional information may be required for your particular project. • Supporting Documentation • Building Section(s) & Details Completed signed and dated Building Permit Application Floor-to-floor heights Permit fee - calculated upon completion of plan review Material type, size, and spacing Completed building permit affidavit for property owners or sole Stair details (rise, run, treads, nosing, width, headroom) proprietors or copy of workers compensation insurance Handrail details Copy of Contractor Registration or license Guardrail details Construction permit sign-off sheet signed by all departments Roof ventilation Model Energy Code Analysis Heat loss calculations • Framing plans Engineering data for steel beams, engineered lumber, roof trusses or any Design loads - for floors, ceilings, roofs other engineered products or design Bearing partitions Street address of project on all drawings and documents Direction of framing Spans, beam • Site plan Wood species and grade Property lines Framed openings Distance from property to structure Sheathing type and thickness Structure dimensions Window and door header sizes Driveway Decking material, size, spacing Topography (existing and proposed) Note: Unusual structural conditions may require that additional Footing drain inverts, outlet and separation engineering back up be submitted Proposed utilities Wetlands and flood zone limits and elevation • Chimneys and Fireplaces Signed by P & Z, Wetlands, Uncas Health, WPCA Clearances to combustible materials Manufactures data for metal flues • Foundation Plan Exterior fresh air source for fireplaces Assumed soil bearing pressure Flue sizes Dimensions Manufacturers data and installation instructions for metal fireplaces Wall thickness Footing sizes • Electrical Plan(s) Anchor bolts, size and spacing Panel location(s) with main size Window and door sizes and locations Meter socket location Hatchways Columns Outlet locations Floor construction data GFCI outlet locations Drainage details Smoke detector locations Waterproofing details Lights and switches Crawl space ventilation Appliance/equipment circuits Stair illumination Crawl space access Concrete strengths • Mechanical plan(s) • Floor plan(s) Dryer vent Dimensions Bathroom exhaust ventilation (natural or mechanical) type and size Door and window sizes, egress window Hood exhaust Glazing in hazardous locations Type of heat Garageldwelling opening protection Heating, ventilation, and air conditioning plant location Garage/dwelling separation Oil tank size, location, and piping Kitchen layout LP-Gas tank location, size, and piping Bathroom layouts, tub sizes in gallons, space clearances Make-air requirements Indicate use of all rooms Manufacturers data for equipment Stair location Attic access location and size • Plumbing plan(s) Square footage for each habitable level of the structure Building trap location if on municipal sewer Required light and ventilation for each habitable ro Sewer location Domestic water location • Elevations - minimum of two required Manufacturers data for whirlpools, corner tubs, & larger tubs Type of siding Water heater size, type, and location Roofing Other finishes Finish grades Note: One set of approved plans is required to be kept on Building heights site at all times. Height of chimney above roof Roof pitch of rAontville Building Departmv-t Receipt ~ - To In No. Date ~ From: ! Job Address: Check # i $ f Cash Amount Permit # a ' Received by "240 , r STATE OF CCI"IECTICT,T DEPARTMENT OF `CNSU11rtiER PROTECTION - i Be it kno«rn that VICTOR R CHOLEWAi 10 LILY POND ROAD IFN 'ETT CITY, CT 06351 ; r has been certified by the Department of Consumer Protection as a'rcglstered NEW HOME CONSTRUCTION CONTRACTOR DBA: CHOLENVA AND SONS Recistration # 3543 Effective: 11/09/2001 Ex Pu-es: 09/30 2003 Ja T. Fleming, Comm' sioner w"S Nklw "u..aaq~ RI,}ad~''R},~ , STATE OF CONNECTICUT WORKERS' COMPENSATION COMMISSION B ~ildin Permit Affidavit for Property or Sole Proprietors (Conn. Gen. Stat. § 31-286b) i Property located at: / 116,411f e t In the town of D J rf pplicant: 7,m 911aE ajA Name of building permit a Please check one: 1. X I am the o rier of the above property. 2. I am the solo, proprietor of a business. 2A. Nam 'of business: 213. Fede al Employer Identification Number (FEIN) / ~✓g~` ' Pursuant to § 31-286b, "a property owner or sole proprietor [who] intends to act as a general contractor or principal employer" may provide either a certificate of workers' compensation insurance or a "sworn affidavit... stating that he I will require proof of workers' compensation insurance for all those employed on the job site in accordance with this chapter." Please check one: 1. I do not intend to act as a general contractor or principal employer. [Sign an stop here] Signature of applicant 2. X I intend t act as a general contractor or principal employer. Applicant must either provide a certificate of workers' compensation insurance or sign the affidavit below. - - - Affidavit I hereby swear and attest that I will require proof of workers' compensation insurance for every contractor, subcontractor, or other worker before he/she engages in work on the above property in accordance with the Workers' Compensation Act (Chapter 568). I understand that pursuant to § 31-275 C.G.S., officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a iv with the appropriate District Office; and that a sole proprietor of a business is not re re to hav c v g nless he files his intent to accept coverage. Signat of applicant Subscribed and sworn t before e this day of , 200 li~ C, (Notary Public/Commissioner of the Superior Court ) ,Ar-LINDA Ie !ROBERTS !VOTARY PUBLIC Y;; ',-!M!~1-',IONFX RESOCT. 31.2007 Permit Fee Calculation Spreadsheet I ~I RESIDENTIAL PERMIT CALCULATION (2 STORY) I~ House Construction A (E=Economy, A=Average, C=Custom) QTY $/UNIT $/UNIT $/UNIT TOTAL Living Area 2408 SF $ - $ 72.08 $ $ 173,568.64 Finished Basement SF $ - $ 16.01 $ - $ - Unfinished Basement 1204` SF $ - $ 5.41 $ - $ 6,513.64 Kitchen I- EA $ - $ - $ - $ Plumbing Full Bath 2 EA $ - $ 4,229.40 $ $ 4,229.40 Half Bath F EA $ - $ 2,691.15 $ $ 2,691.15 Garages Attached, 1 car EA $ - $ 8,885.10 $ - $ - Attached, 2 car 1 EA $ - $ 15,113.70 $ - $ 15,113.70 Attached, 3 car EA $ - $ 20,913.90 $ $ - Detached, 1 car EA $ - $ 11,657.10 $ $ Detached, 2 car j EA $ - $ 17,456.25 $ - $ - Detached, 3 car EA $ - $ 23,256.45 $ - $ - Under, 1 car EA $ - $ 1,304.10 $ - $ - Under, 2 car EA $ - $ 1,757.70 $ - $ Fireplace & Chimney Prefab 1 EA $ - $ 3,963.75 $ - $ 3,963.75 Masonry, exterior "EA $ - $ 3,963.75 $ - $ - Masonry, interior EA $ - $ 3,701.25 $ - $ - W/2 fireplaces EA $ - $ 6,746.25 $ - $ - Breezeway/Decks Open 120 SF $ - $ 22.31 $ - $ 2,677.20 Enclosed SF $ - $ 94.76 $ - $ - Porches Open 160 SF $ - $ 62.69 $ - $ 10,030.40 Enclosed SF $ - $ 123.90 $ $ Heating Adjustment 2408 SF $ - $ (2.76) $ - $ (6,646.08) Air Conditioning 2408 SF $ - $ 2.84 $ $ - Electrical j 2408 SF $ - $ (5.16) $ $ (12,425.28) Plumbing 2408 SF $ - $ (5.04) $ - $ (12,136.32) TOTAL BUILDING CONSTRUCTION COST, LESS MEP $ 187,580.20 I Y Is air conditioning included (YIN)? $ 6,839 PERMIT FEE Building $ 187,580 $ 1,126.00 Y Plumbing $ 12,136 $ 76.00 Y Mechanical $ 13,485 $ 82.00 Y Electrical $ 12,425 $ 76.00 Other $ - CO Fee $ 10.00 Plan Review $ 112.60 State Ed Fee $ 225,627 $ 36.10 Total Fees $ 1,618.70 ` f 19 yr II Based on 2003 RS Means REsidential Cost Data 5/13/03 I j Town of Montville - Building Department 848-3030, Ext 382 I ONE & TWO FAMILY CONSTRUCTION PERMIT SIGN-OFF SHEET "'N D 0 Property Address I Job Description: a The owner/agent shall be esponsible for the completion of the form, no certificate of occupancy will be issued until all signatures below have been !obtained. HEALTH DISTRICT 848-3030-339 / Approved S-'' 6 9"43 ❑ Permit KNot Applicable Septic s e'im Date Approved ❑ Permit ❑ Not Applicable Private Well Date WPCA DEPARTMENT 848-3030, Ext 376 Approved LO3 ❑ Permit ❑ Not Applicable Municipal Sower Date House Trap ❑ Outside ❑ Inside Approved ❑ Permit # ❑ Not Applicable Municipal later Date DEPARTMENT OF PUBLIC WORKS 848-7473 Approved ❑ Permit Not Ap licable Date PLANNING & ZONING DEPARTMENT 848-3030. Ext. 379 1- In-Compliance 6 ` Permit f3~ l0 ❑ Not Applicable Zoning ate In-Compliance ❑ Permit ❑ Not Applicable Inland-Wet ands Date I I