HomeMy WebLinkAbout2004 - SFR
Plans
in
File
Town of Montville
r Building Department
, . Certificate of Occupaucp
for
New SFR
at
12 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: B2003-0409 Special Conditions:
Map/Lot: 131/029-000
Use Group: R-4
Code: 1995 CABO
Construction Type: 5B
Owner: Java Developers LLC
43 Valley Drive
Naugatuck CT 06770
Wed JWI~20
wilding Official: CO Issued:
Town of Montville
Building Department
Field Inspection Notice
Address: 12 ADAM AVENUE
Job Description: New SF R
Permit Numbers:
Footing Not A roved: Approved:
Com e ts: 1•
Deck/Porch Piers Not A roved: Approved:
Com a ts: 1•
Backftll Not A proved: Approved:
Com ts: 1-
Framing Not A roved: Approved:
Com nts: 1-
Rough Electric Not A roved: Approved:
Com nts: 1•
Electric Trench Not A roved: Approved:
Com nts: 1-
Electrical Service Not A roved: Approved:
Com nts: 1•
Rough HVAC Not A roved: Approved:
Corn nts: 1•
Rough Plumbing Not A roved: Approved:
Com nts: 1•
Gas Line Not A .3 roved: Approved:
Com nts: 1•
Approved:
Fireplace Throat / Not Anpt~proved.
Chimney Com nts: 1•
Fire/Draftstopping Not proved: Approved:
1•
Comments:
Insulation Not proved: Approved:
Com nts• 1•
Certificate of Not pproved: 3/29/04 JS Approved: 4/1/04 JS
Occupancy Comp nts: 1. Site not graded, slopes towards house
2. Rear stairs - 3/8" max, variation allowed between largest and
smallest tread and riser (314.2)
3. Loose outlet in southwest corner bedroom, adjacent to door
4. Wire hanging out of wall in master bathroom
5. No power to outlets in northeast room
6. Switches by basement door do not operate anything
7. Fire stop wire penetration in garage
8. deck columns not properly attached or bearing on concrete piers
9. Seal penetrations around refrig lines, elec, and oil fill and vent
tines
10. Front stair - 3/8" max. variation allowed between largest and
smallest tread and riser 314.2
Not proved: Approved:
Comments: J.
Not proved: Approved:
Com ents: 1•
Comments:
1.
Page 1 of I
Town of Montville"
E~ Building Department _
Date: t/ Field Inspection Notice Permit
a
Address: ?~3' t
Note Comments/Corrections Required - re-inspection required: _
Inspection Approved Approved
s
❑ Footing ❑ h
❑ Backfill ❑
❑ Concrete Slab ❑
❑ Framing ❑
❑ Rough Elec ❑
Elec Service
Rough HVAC
❑ Rough Plumbing ❑
❑ Gas Line ❑
❑ Fireplace Tbroat ❑
❑ Chimney ❑
❑ Fire/Draftstopping ❑
❑ . Insulation ❑
❑ Final Inspection ❑
( ❑ C of O
El El
tn1 p;@. Or'S SIgn3tUtC
F
Town of Montville
Building Department
Field Inspection Notice Permit
Date: Z4 7 /19
r
Address:
of comments/Corrections Required - re-inspection required:
Inspection Approved Approved
❑ Footing ❑
❑ Backfill ❑ ❑
❑ Concrete Slab ❑ ❑ V
❑ Framing ❑ ❑
❑ Rough Elec ❑
❑ Elec Service ❑ ❑
❑ Rough HVAC ❑ ❑
f ❑ Rough Plumbing ❑ ❑
❑ Gas Line ❑ ❑
❑ Fireplace Throat ❑ ❑
❑ Chimney ❑
❑ Fire/Draftstopping
Insulation ❑
Final Inspection ❑
❑ C of O ❑ ❑ -
El El
E
in ctor's Signature
r
Town of Montville
Building Department
Field Inspection Notice Permit
Date: ;
Address:
Not Comments/Corrections Required- re-inspection required:
Inspection Approved Approved
❑ Footing ❑ ❑ rz, tp.,. 0 ._.d uzz ::n
❑ Backfill ❑ ❑
❑ Concrete Slab ❑
Framing
`R Rough Elec
Elec Service ❑
Rough HVAC
F Rough Plumbing
Gas Line ❑
❑ Fireplace Throat ❑ ❑
❑ Chimney ❑ ❑
❑ Fire/Draftstopping ❑ ❑
l ❑ Insulation ❑ ❑
❑ Final Inspection ❑ ❑
❑ Cof0 ❑ ❑
9gn.0ature
i Town of Montville
i Building Department
Date 1I A, I Field Inspection Notice Permit #
Job Location A10 PIn0
LJ Approved Type of Inspection r C 1C
V F ]Not Approved - Please call for re-inspection when the following corrections have been completed:
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Building cial.
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Town of Montville
Building Department
Field Inspection Notice Permit #
c~
Date
I
Job Location J
h-
Type of Inspection FpO /'~Ga
Approved
Not Approve - Please call for re-inspection when the following corrections have been completed:
i
I
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i
Buildin ffiGi
i
Town of Montville
Building Department
Date Field Inspection Notice Permit #
Job Location / Z - ,A AM a. A
❑ Approved Type of Inspection
Not Approved = Please call for re-inspection when the following corrections have been completed:
I
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A
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Town of Montville
BUILDING DEPARTMENT
310 Norwich-New London Turnpike
Uncasville, CT 06382
(860) 848-3030, Ext. 382
Plumbing Permit
Permit Number: P2 3-0103 Date: 06-Oct-03 Map/Lot: 131/029-000 Owner ID 505
Job Location: 12 ADAMp_&yENUY_ Unit
Job Description: P mbing
Owner: Contractor:
Java Developers LLC Barry Soucier
51 Deercrest Dr.
43 Valley Drive Torrington Ct. 06790-
Naugatuck CT 06770 Telephone: (860) 626-0938
Lic/Reg Type/No. Pi 204759 Exp Date: 31-Oct-03
Tenant:
Self
Telephone:
Constructi Values Permit Fees Construction Information
Building Value: $0.00 Building Fee: $0.00 Use Group: R4
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: $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
I i h owner r onsibillity to schedule h following inspections (minimum 48 hours notice required):
❑ Footing - Prior to pouring concrete ❑ Rough HVAC
❑ Backfill - Footing wins and waterproofing ❑ Fireplace Throat
❑ Concrete Slab - Prior to pouring concrete ❑ Chimney - One flue above thimble
❑ Rough Framing ❑ Firestopping/draftstopping
❑ Rough Electrical ❑ Insulation
❑ Electrical Service ❑ Final Inspection
0 Rough plumbing and leak test ❑ Certificate of Occupany
❑ Gas piping and to f
I
Building Official's Sig ature:
- Town of Montville
Building Department Permit # A 6 O ^_/~33
310 Norwich-New London Tpke.
Tel. 848-3030, Ext 82 Uncasville, CT-06382 Fax. 848-7231
I
One & Two Family Trades Permit Application Form
I
gPfumbing DEfec ❑Mechanicaf
.~fea~ing
Air Conifitioning
Other -Gas Piping
Job Location t .
j
Job Description/Materials
Owner ~~C A 1 Mailing Address
City State Zip Tel
Contractor Mailing Address ~5 /
City r n State C Zip QU7'~'1® Tel SCdO/ /~G' ~
Contractor's License/Regi tration Type & Number`~~ S~ Exp. Date/
i
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 Town of Montville and further attest that the proposed work is authorized by the owner in fee
and that I am authorized to make application for a permit for such work as described above.
Owner /Agent Signature Date
Construction Value Fee
I
Building $ $
Plumbing $ $
Mechanical $ $
Electrical $ $
Other $ $
Certificate of Occupancy j $
Plan Review Fee $ .
State Education $
Total' $
j
f
a
~IITL,D CON~CTOR
;.~r.RY I ~~f~Crzt
i ~~1 ~4o ,
EFFEC fIVE'' -7 PIR i
LIC l REG NO. f
.?0179< 1/~f ~C/31/23
51GNED STATE
DEPARTMENT / CONSUMER pROTL, /
HEATING, PIPING & COOLING LUWrED CONTRACTOR
BARRY J SOT KIER
£1 DEERCREST DR
TORRINGTON. CT 06790
TYPE: S3
LIC:/REG NO. EFFECTIVE EXPIRES
389481 9/01%2003 08/31/2004
SIGNED
Town of Montville
BUILDING DEPARTMENT
310 Norwich-New London Turnpike
Uncasville, CT 06382
(860) 848-3030, Ext. 382
Mechanical Permit
Permit Number: M2 03-0184 Date: 06-Oct-03 Map/Lot: 131/029-000 Owner ID 505
Job Location: J.2 NUE Unit
Job Description: eating & Air Conditioning
Owner: Contractor:
Java Developers LL Barry Soucier
51 Deercrest Dr.
43 Valley Drive Torrington Ct. 06790-
Naugatuck CT 06770 Telephone: (860) 626-0938
Lic/Reg Type/No.S3 389481 Exp Date: 31-Aug-04
Tenant:
Self
Telephone:
Constructs n Values Permit Fees Construction Information
Building Value: $0.00 Building Fee: $0.00 Use Group: R4
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: $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
I i h owners Tesponsibility to schedule h following in i n minim 4 hours notice required)-
Footing - Prior to ouring concrete FV_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
❑ Electrical Service ❑ Final Inspection
❑ Rough plumbing nd leak test ❑ Certificate of Occupany
❑ Gas piping and test
Building Official's Sig ature:
Town of Montville
Building Department Permit # -2 6?,> 0 - 7
310 Norwich-New London Tpke.
Tel. 848-3030, Ext 82 Uncasville, CT.06382 Fax. 848-7231
One & Two Family Trades Permit Application Form
[(Plumdircg ]Efec Mecfiantcaf
4featim
Air Cmtcditiarcing
Gas P~*W
Elotk
Job Location ~
Job Description/Materials
Owner V Mailing Address
City State Zip Tel
Contractor c r- Mailing Address / ~C 1"`C r ~C
9 1 City ~a^~ 7~ StateG - Zip 0 C67'7 q 'Q Tel -Gc7 / 6'~?(®r
Contractor's License/Regi tration Type & Number 5 -3 _3'Bq ( Exp. Date /_j
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 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 Dated J ! v~
Construction Value Fee
Building $ $
Plumbing $ $
Mechanical $ $
Electrical $ $
Other $ $
Certificate of Occupancy $
Plan Review Fee $ .
State Education $
Total' $ .
Town of Montville
BUILDING DEPARTMENT
310 Norwich-New London Turnpike
Uncasville, CT 06382
(860) 848-3030, Ext. 382
Electrical Permit
Permit Number: E2003-0336 Date: 23-Oct-03 Map/Lot: 131/029-000 Owner ID 505
Job Location: Unit
Job Description: Electrical & Electric Service
Owner: Contractor:
Java Developers LLC Jorge Carreira
17 W. Wharf Road
43 Valley Drive Madison Ct. 06443-
Naugatuck CT 06770 Telephone: 203)910-0727
Lic/Reg Type/No. E1 104159 Exp Date: 30-Sep-03
Tenant:
Self
Telephone:
Constructio ;Values Permit Fees Construction Information
Building Value: $0.00 Building Fee: $0.00 Use Group: R4
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: $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 is h owners sibillity to schedule following in i n (minimum 4 hours i
❑ Footing - Prior to po ring concrete ❑ Rough HVAC
❑ Backfill - Footing dr ins and waterproofing ❑ Fireplace Throat
❑ Concrete Slab - Prio to pouring concrete ❑ Chimney - One flue above thimble
❑ Rough Framing ❑ Firestopping/draftstopping
W❑ Rough Electrical ❑ Insulation
d❑ Electrical Service ❑ Final Inspection
❑ Rough plumbing an leak test ❑ Certificate of Occupany
❑ Gas piping and test
Building Official's Signa ure:
' Town of IV4ntville
Building Department Permit # -
310 Norwich-New London Tpke.
Tel. 848-3030, Ext 82 Uncasville, CT 06382 Fax. 848-7231
One & Two Family Trades Permit Application Form
[]Pfumding ❑Efec ' of D Meckankaf
~feating
Air Conditioning
Gas Piping
Odw
D
Job Locatio
Job Description/Materials s r ~J o
Owner c- Mailing Address LJ~ q
City r State C C zip 0_6 L_ f t
P Tel e2l/
k-K
Contractor nL Y- c. Mailing Address CK r~P
City State zip Tel /
Contractor's License/Registration Type & Number L I Cj Exp. Date-q /
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 a application for a permit for such work as described above.
Owner /Agent Signature Dat~f _jLd3 . `5
Construction Value Fee
Building $ $
Plumbing $
Mechanical $ $
Electrical $ $
Other $ $
Certificate of Occupancy $
Plan Review Fee $
State Education $
Total $
s
ti
t~
LLEC1'RICAL r NLDWMD CONTRACTOR
K1RGE C TRA
74 WA'TERTO" RD
NUDDLEBURY, CT 06762
TYPE- El
u"S 1 ~b3 oIt}04
_ 4
SIGNED 41
M
Town of Montville
BUILDING DEPARTMENT
310 Norwich-New London Turnpike
Uncasville, CT 06382
(860) 848-3030, Ext. 382
Building Permit
Permit Number: B2 03-0409 Date: 11-Aug-03 Map/Lot: 131/029-000 Owner ID 505
Job Location: _12 ADAMO-AYENUE Unit
Job Description: ew SFR
Owner: Contractor:
Java Developers LL JOCA Inc
17 W. Wharf
43 Valley Drive Madison Cl" 06443-
Naugatuck CT 06770 Telephone: (203)910-0727
Lic/Reg Type/No. NHC 868 Exp Date:
Tenant:
N/A
Telephone:
Constructs n Values Permit Fees Construction Information
Building Value: $158,419.00 Building Fee: $952.00 Use Group: R-4
Plumbing Value: $10,524.00 Plumbing Fee: $64.00 Code: 1995 CABO
Mechanical Value: $11,693.00 Mechanical Fee: $70.00 Construction Type: 5B
Electrical Value: $10,774.00 Electrical Fee: $64.00 Permit Code: R2
Other Value: $0.00 Other Fee: $0.00 Comments:
Total Value: $191,409.00 CO Fee: $10.00
Plan Review Fee: $95.20
State Ed Fee: $30.63
Total Fees: $1,285.83
It as the owners resp nsibilmly to schedule the following Onspections (minimum 48 hours notice requiEed)z
Footing - Prior to pouring concrete ❑Q Rough HVAC
Backfill - Footing drains and waterproofing ❑ Fireplace Throat
d❑ Concrete Slab - Pri r to pouring concrete ❑ Chimney - One flue above thimble
Rough Framing Q Firestopping/draftstopping
Rough Electrical Insulation
Electrical Service ❑ Final Inspection
❑Q Rough plumbing a d leak test ❑d Certificate of Occupany
❑ Gas piping and tesi
Building Official's Sign ture:
^Y Town of Montville
Residential Plan Review
Date: tJ 2.00
Job Address: Z_ ! ,Av
Job Description:
We have received a building p emit application for the above referenced property. In accordance with Connecticut General
Statute 29-263, our a licati n is be' rdected for the followin reasons that are checked-off or commented on:
• Supporting Documentation
Plans are to be drawn to scale including dimensions of rooms and • Floor plan(s)
spaces and all framing info lion (112.1) Dimensions
Building pemrit application t completed, signed, dated Finish floor elevation
_2--Permit fee $ > Minimum room sizes (304.1)
Worker's comp. Affidavit or orker' comp. Insurance Door and window sizes
Copy Contractor's registratio or license Kitchen layout
Construction permit sign-off t Bathroom layouts, tub sizes in gallons, space clearances
Provide all documentation 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 informatin. 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
Signed by P&Z, Wetlands, U cas health, WPCA opening height, 20" clear opening width) (310.2.1.)
Property lines not provided Egress window maximum sill height 44" (310.2)
Distance from property to structure Are basement stairs enclosed/accessible? If so, protect with
Structure dimensions minimum W' sheetrock (310.3.)
Driveway Designate which door is the required exit (36" minimum hinged)
Topography (existing and proposed) 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 limits and elevations minimum 5/8" Type X gypsum board if it supports habitable rooms
(309.2)
Indicate minimum 1 3/4" solid wood door, 1 3/a" solid core steel door, 1
• Foundation Plan U" 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 Ic cations
Hatchway • Elevations
Foundation - indicate the ass ed 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 '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 unfinished? above roof
Vapor barrier between sub grade and concrete basement floor Dimensio Dimension pitches . height of chimney
(505.2.3) Roof Minimum height of foundatio walls above finished grade (404.1.3)
Building Section(s) & Details
•
Perimeter insulation, if conditioned space
Anchor bolts - size and locatin (403.1.a) Floor-to-floor heights
Floor thickness and control jo' t location (403.1.a) 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 1/4" max), tread depth (9" min.), and nosing (3/4"
Waterproofing details (406) -1 ve')
Rebarif required- wall len unbalanced fill, or soil conditions will Show minimum headroom in stairways - 6'-8" measured from nosing
determine this. Provide engin ring data for complex design. plane to lowest point of ceiling
-Fireplace/chimney base Stud size and spacing, species and grade (or minimum Fb and E)
Concrete piers and anchor de 'ls - 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 cl ces Comer 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
gearing 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
Sheathing type and thickness • Chimneys and Fireplaces
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
Header&%eams 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. Lights and switches
Engineering data for steel beams, engineered lumber, roof trusses or Appliaand switch ent circuits
any other engineered product or design
Roofs/ceilings Stair illumination
Provide roof framing plan for roof geometry Stairway light activation at both top and bottom of stair (303.4)
Ceilin joists Show required AClDC smoke detectors (316)
g j spacing, span, direction, species and grade (or
minimum Fb and E)
Rafters - pitcb, 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 OiVLP-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
underlayment - show interior horizontal distance of double
underlayment at eave, etc. • Plumbing plan(s)
Overhang detail Building trap location
Provide framing details of trayed/vaulted ceilings Sewer location
Provide detail of cathedral ceiling structure and venting Domestic water location
Indicate connection of lower chord of roof trusses and ceiling joists to Manufacturers data for whirlpools, corner tubs, & larger tubs
the top plates of interior and exterior walls. Calculate roof tie-down Water heater size, type, and location
sizes when required by wind conditions
Show framing for gables in cathedral ceiling construction • Following plans are required
Provide engineering data for all roof trusses- (truss drawings must be g P 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:
ding Official
r , _ Town of Montville
Buildfng department Permit #4.2f
310 Norwich New London Tpke.
Tel. 848-3030, Ext 382 Uncasville, CT 06382
Fax. 848-7231
One & Two Family.Building Permit Application Form
Nfw Construction .motion Afteratim, A=soryStructure
❑Other - .
Job Location A- Y--, D
Job Description/Materials
Owner ~ 0 C-
Mailing Address ? - L J, la v-
City S a, State (T Zip -DL-'Z- ~Tel d6-~
! f a ! -2
Contractor (Z~t C_ Mailing Address.
City State Zip Tel /
Contractor's Licerise/Regis ration Type &-Number T Exp. Dated
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 4
Construction---------------
Fe~
Building $
Plumbing $
Mechanical
Electrical
Other $ $
Certificate df Occupancy
Plan Review Fee $
State Education.
Total
(See *vase side for adre*nd qt*e=#-ts)
Town of MOntViBe
Reddenthd Nr Wt I equireme>~
❑ Two (2) complete sets of construction documents (to scale) are required and shall show the following infonmWon 4
applicable. This list is not all-inclusive, additional information may be required for your particular project.
• Sup o►rting Docuirieritation • Building Section(s) & Detaf7s
S signed add" Building Permit Application Flocrto- heights
Pew* ft - cakulated upon completion of plan review Material we, 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 ContractorRegistration or license Guardrail details
Construction permit sign-off sheet signed by all departments Roof ventilation
Model Energy Code Analysis
Heat loss calculations • Framing plaus
Eagineering data for steel beams, engineered lumber, roof trusses or any
other engineered products or design Design loads - for floors, ceilings, roofs
Street address of project on all drawings and documents Bearing partitions
Direction of fiaming
+ Site Ian Spans, beam
p 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
Pooling drain inverts, outlet and separation engineering back up be submitted
Proposed utilities
Wetlands and flood zone limits and elevation • Chimneys and Firr eplace8
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
wan thickness
Footing sizes • Electrical Plait(s)
Anchor bolts, size and spacing Panel location(s) with main size
Window and door sizes and locations Meter socket location
Hatchways Outlet locations
GFCI outlet locations
Drainage details
D n on data Smoke detector locations Waterproofing details Ughts and switches
.
Crawl space ventilation Appliauae equipment circuits
Crawl space access Stair illumination
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
Gatuge/dweli mg opening protection. Heating, ventilation, and air conditioning plant location
Kitchen la Oil tank size, location. and pjpkg
Garagddwelling separation
LP-(as tank location, size, and piping
1~
BaOroom layouts, tub sizes in gallons, space clearances Make-air requirements
Indicate use of an 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
kegnired light and ventilation for each habitable room Sewer location
r Domestic water location
• Elevations - minimum of two required Manbfactums data for whhlpools, corner tubs, & larger tubs
'type of siding Water heater size, type, and location
Roofing
Othearfinishes
Finish Wades Note: One set of a ro plans is required to be kept tut
Building heights 'site at all threes.
Height of chimney above roof
Roof pitch
To n of "i1tville Building Departme I RmPlPt
~r m d
Date
From:
Job Address:
Amount $ Cash 'Check Check # ~ j;R
A, (Circ C _F,
r'' ~ r r
F~ Permit #
Received by
Rim
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JOCA DEV LOPMENT ING'
I PO OX 294,
. ~,WDDLEB RY; CT 06762
i
EGTIVE EXPIRES
L1C.iREG. NO. 10 1 /2001 09!30/2003
P 8w
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II SIGN
i
STATE OF CONNECTICUT .
WOAIKERS' COMPENSATION CO1vMMION
B 'ldin Permit Affidavit for Pro Owners or Sole Pro rietors
(Conn. Gen. Stat. § 31-286b)
Property located at:
9
In the town of t i
Name of building permit applicant: C~s C A-
Please check one:
1. I am the owner of the above property.
2. I am the sot proprietor of a business.
2A. Nam of business:
2B. Feder, d Employer Identification Number (FEIN)
Pursuant to § 31-286b, "a property owner or sole proprietor [who] intends to act as a general contractor or
principal employer" m y provide either a certificate of workers' compensation insurance or a "sworn
of 'davit... stating that h will require proof of workers' compensation insurance for all those employed on the
job site in accordance wi •this chapter."
Please check one:
1. 1 do not in d to act as a general contractor or principal employer.
[Sign and top here]
Signs e f applicant
2: I intend to act as a general contractor or principal employer. Applicant must either provide a
certificate o 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 cov ra filing a waiver with the appropriate District Office; and that a sole proprietor
of a business is not req ' d to a covers ess he files his intent to accept coverage.
Sign tore , applicant
Subscribed and sworn to before me this day of _fy-j _ 2003.
otary Public/Commissioner of the Superior Court)
MEL_INDA L. ROBERTS
NOTARY PUBLIC
MY COMMISSION EXPIRES OCT. 31, 2007
Permit Fee Calculation Spreadsheet
RESIDENTIAL PERMIT CALCULATION (2 STORY)
House Construction A (E=Economy, A=Average, C=Custom)
QTY $/UNIT $/UNIT $/UNIT TOTAL
Living Area 2088 SF $ - $ 72.08 $ - $ 150,503.04
Finished Basement SF $ - $ 16.01 $ - $ -
Unfinished Basement 1008 SF $ - $ 512 $ - $ 5,765.76
Kitchen 1 EA $ _ $ - $ - $ -
Plumbing
Full Bath 2 EA $ - $ 4,229.40 $ - $ 4,229.40
Half Bath 1 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 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 $ - $ 3,96375 $ $ 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 % 144 SF $ - $ 22.31 $ - $ 3,212.64
Enclosed SF $ - $ 94.76 $ - $ -
Porches
Open SF $ - $ 62.69 $ - $ -
Enclosed SF $ - $ 123.90 $ - $ -
Heating Adjustment 2088 SF $ - $ (2.76) $ - $ (5,762.88)
Air Conditioning 2088 SF $ - $ 2.84 $ - $
Electrical 2088 SF $ - $ (5.16) $ - $ (10,774.08)
Plumbing 2088 SF $ - $ (5.04) $ - $ (10,523.52)
TOTAL BUILDING CONSTRUCTION COST, LESS MEP $ 158,418.96
Y Is air conditioning incl ded (Y/N)? $ 5,930
PERMIT FEE
Building $ 158,419 $ 952.00
Y Plumbing $ 10,524 $ 64.00
Y Mechanical $ 11,693 $ 70.00
Y Electrical $ 10,774 $ 64.00
Other $ -
CO Fee $ 10.00
Plan Review $ 95.20
State Ed Fee $ 191,409 $ 30.63
Total Fees $ 1,285.83
Based on 2003 RS Means REsidential Cost Data
6/9/03
07/31/2003 14:29 8608487393 MONTt+ILLE PUB 4AIOPKS PAGE C ~2
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Town of Montville -
4 Building Department
848-3030, Ext 82
ONE & TWO FAMILY
CERTIFICATE OF OCCUPANCY
SIGN-OFF SHEET
Property ' Address
Job Description:;
The owner/agent.shall be responsible 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
c Approved
❑ Permit Not Applicable
Sep _ yst m Date
, A
Approved
[,Permit ZZD 1 ~ ❑ Not Applicable
ivate We Date
WPCA DEPARTMENT 848-3030, Ext. 376
Approved
_ / d ❑ Permit ❑ Not Applicable
Municipal Se er Date
House Trap ❑ Outside ❑ Inside
Approved
❑ Permit # ❑ Not Applicable
Municipal W ter Date
DEPARTMENT OF PUB IC WORKS 848-7473
Approved
3,z ❑ Permit r'~71 Not Applicable
Date
PLANNING & ZONING DEPARTMENT 848-3030. Ext. 379
In-Compliance
/ 11_f Permit 0~J r ❑ Not Applicable
Zoning Date
In-Compliance
❑ Permit ❑ Not Applicable
Inland-Wetlands Date
Revised 6/28/2ox
Town of Montville
Building Department
848-3030, Ext 382
ONE & TWO FAMILY
CONSTRUCTION.PERMIT
SIGN-OFF SHEET
Property Address
Job Description: ti,
The owner/agent shall be responsible for the completion of the form, no certificate of occupancy will be issued until all
signatures below have been 'obtained.
HEALTH DISTRICT 848-3030-882
Approved
❑ Permit ❑ Not Applicable
Septic System Date
Approved
Private Well Date El Permit ❑ Not Applicable
WPCA DEP RTMENT
848-3030, Ext. 881
Approved
of ❑ Permit Not Applicabl
E] e
Municipal Sewer Date
House Trap ❑ Outside
❑ Inside
Approved
El Permit # -1 Not Applicable
Municipal Water Date
DEPARTMENT OF PUB IC WORKS 848-7473
Approved
Director 0 Permit ❑ Not Applicable
Date
PLANNING & ZONING EPARTMENT 848-3030. Ext. 81
In-Compliance
[l Permit
•()-3- IV? ❑ Not Applicable
Zoning Date
In-Compliance
❑ Permit ❑ Not Applicable
Inland-Weil ds Date
t