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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: B2004-0556 Date: 01-Sep-04 Map/Lot: 043/009-017 Owner ID: 52000
Project Location: 5 ALLISON'S WAY Unit:
lob Description: Single Family Residence
Owner Name: RTT Development Tenant Name: N/A
Careof:
35 Blais Road
Uncasville CT 06382- Telephone:
Contractor Name: Property Owner Telephone: (860)889-1662
DBA: Lic/Reg Type: NHC
Lic/Reg No: 1795
Exp~aEe:. 30-Sep-05
Construction Value Permit Fees Construction Information
Building Value: $177,386.00 Building Fee: $1,424.00 Use Group: R-4
Plumbing Value: $11,088.00 Plumbing Fee: $96.00 Code: 1999 State Building Code
Mechanical Value: $12,320.00 Mechanical Fee: $104.00 w/2000 Amendment
Electrical Value: $11,352.00 Electrical Fee: $96.00 Construction Type: 5B
Total Value: $212,146.00 Penalty Fee: $0.00 Permit Code: R2
C of O Fee: $25.00 Comments:
Plan Review Fee: $172.00
State Ed Fee: $33.94
Total Fee: $1,950.94
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.
W Footing - Prior to pouring concrete R Plumbing and leak test
W] Backfill - Footing drains and waterproofing R Electrical
Wl Concrete Slab - Prior to pouring concrete Q Elec Trench - with conduit installed
Framing Q Electrical Service CRS No: 0
❑ Fireplace Throat - One flue above throat ❑d R HVAC
❑ Chimney - One flue above thimble Gas Piping and leak test
W Firestop Draftstopping ❑ Final Inspection
F,V-1 Insulation 0 Certificate of Occupancy
Building Official's Approval:
Town of Montville
Residential Plan Review
Date: C9 iJ Z Zcoo y
Job Address: AG&J-,C7 FJ's
Job Description: AJ676'' J~~--'
We have received a building permit application for the above referenced property. In accordance with Connecticut General Statute
29-263, your application is being reiected for the following-reason(s) that are checked-off or commented on:
• Supporting Documentation Crawl Spaces
Plans are to be drawn' to scale including dimensions of rooms and Crawl space data - clearance to joists, slab thickness (if provided),
spaces and all framing information (112.1) vapor barrier (409)
Building permit application not completed, signed, and/or dated Ventilation (409.1)
Permit fee $ Access 18"x24" (409.2)
~~Permit fee to be calculated
Worker's comp. Affidavit or worker' comp. Insurance • Floor plan(s)
_ _Copy Contractor's registration or license Plans required
Construction permit sign-off sheet Dimensions
Provide all documentation, to show compliance with the Model Finish floor elevation
Energy Code (1995 MEC). Minimum room sizes (304.1)
Street address of project on all drawings and documents required Door and window sizes
Field set of approved plans need to be picked up from our office Kitchen layout
Two sets of construction documents required Bathroom layouts, tub sizes in gallons, space clearances
Stair location (min. width 36") (311.1)
• Site plan Attic access location and size
Identify the use of each room
Plans required Indicate required light (8% of floor area p er r oom) and v entilation
Finish floor elevation (4% of floor area per room) for each habitable room or space (303.1.)
Property lines not provided Indicate safety glazing in areas required such as: doors, windows, tub
Distance from property to structure Structure dimensions & shower enclosures, etc. (308.4.)
Indicate bedroom egress windows (5.7 sf net clear opening, 24" clear
Driveway opening height, 20" clear opening width) (310.2.1.)
Topography (existing and proposed) Egress window maximum sill height 44" (310.2)
Footing drain inverts, outlet and separation Are basement stairs enclosed/accessible? (310.3.)
Proposed utilities Designate which door is the required exit (36" minimum, hinged)
Wetlands and flood zone limits and elevations
Garage
Minimum 518" Type X gypsum board separation (on garage side) to
• Foundation Plan all living spaces - all combustible support framing to be covered with
Plans required minimum 5/8" Type X gypsum board if it supports habitable rooms
Dimensions (309.2) .
Wall thickness Indicate minimum 1'/1' solid wood door, 1 '/1' solid core steel door, 1
Footing sizes honeycomb core steel door, or 20 minute rated door from the
Frost protection required garage to the house and its basement or attic (309.1)
Window and door sizes and locations Indicate self-closing devices on all doors from garage to the house
Hatchway and its basement or attic (309.1)
Foundation - indicate the assumed soil conditions that the system has Indicate slope for garage floor (309.3.)
been designed for or provide engineering data. If presumptive soil
conditions cannot be met, provide soil bearing engineering data (401) • Elevations
Concrete strength - foundation, floors, exterior porches, walks, slabs Plans required
(402.2)
Basement - finished of unfinished? Type of siding
vapor barrier between sub-grade and concrete basement floor Type of roofing
(505.2.3) Other finishes
Minimum height of foundation walls above finished grade (404.1.3) Finish grades .
Perimeter insulation, if conditioned space Building heights
Anchor bolts -size and location (403.1.x) Dimension height of chimney above roof
Roof pitches
Floor thickness and control joint location (403. La)
Lally column size, attachment and spacing (408)
Column footings - size (403) • Building Section(s) & Details
Waterproofing details (406) Plans required
Rebar if required - wall length, unbalanced fill, or soil conditions will Floor-to-floor heights
determine this. Provide engineering data for complex design. Handrails and guardrails - detail, including height and maximum
Fireplace/chimney base opening, handrail cross-section, continuity and required returns
Concrete piers and anchor details - decks Riser height (8 max), tread depth (9" min.), and nosing (3/4" - 1
Foundation drainage - sump, drain to grade, or town storm system; %'D
indicate pitch (405.1) Show minimum headroom in stairways - 6'-8" measured from nosing
Beam pockets - minimum clearances plane to lowest point of ceiling
Stud size and spacing, species and grade (or minimum Fb and E)
Sheathing - size, thickness, type
Siding, material, type, style - underlayment per mfg.
Flashing detail - windows and doors - type, material
Town of.MonMlle
Decks/Porches
• Framing plans Plans required
Plans required Joists - size, span, spacing, direction, species and grade (or minimum
Bearing partitions Fb and E)
Direction of framing Ledger - show attachment and flashing to house
Beam spans, size, species, grade Decking material and size
Framed openings Beam - design data if required
Sheathing type and thickness Posts - size, material, and height
Window and door header sizes Piers - size, material, depth below grade (minimum 42" required)
Joists - species and grade (minimum Fb and E), size, direction, and Indicate joist hangers at flush framing and ledger
spacing Stairs, handrails, and guardrails
Joists over-spanned
Headers/beams overspanned • Chimneys and Fireplaces
Double joists at parallel bearing partitions, bathtubs, etc. (502.3.2) Indicate clearance of masonry to combustible framing materials and
Details of framing for plumbing, such as headers and trimmers at clearance from fireplace opening to finished trim
traps, etc. Show data for mechanical flue sizing
Joist hangers for flush framing conditions or ledger (502.4.2) Show exterior combustion air source
Deck material, type, size, and span Flue sizes
Floor insulation - R-value, type, vapor barrier location Manufactures data and installation instructions for metal fireplaces
Provide design data for all unaligned wall and floor bearing points.
Indicate location of all point loads • Electrical Plan(s)
Cantilevered framing less than 18" to grade to be pressure treated or Plan(s) required
decay resistant Panel location(s) with main size
Engineering data for steel beams, engineered lumber, roof trusses or Meter socket location
any other engineered product or design Outlet locations
Roofs/ceilings GFCI outlet locations
Provide roof framing plan for roof geometry
Ceiling joists - spacing, span, direction, species and grade (or Lights and switches
minimum Fb and E) Appliance/equipment circuits
_Rafters- pitch, spacing, span, species and grade Stair illumination
and E (or minimum Fb Stairway light activation at both top and bottom of stair (303.4)
hisulation - R-value, type - including basement walls if applicable Show required AC/DC smoke detectors (316)
Ventilation - ridge, gable, soffit
Provide minimum net ventilation data • Mechanical plan(s)
Attic access (22"00" minimum) for any attic with 30" or more clear Plan(s) required
height Dryer vent
Roof sheathing = type, size, thickness Bathroom exhaust ventilation (natural or mechanical) type and size
Collar ties - size, placement, spacing with calculations
Roof covering - shingles - type, nailing, provide proper Hood exhaust
underlayment - show interior horizontal distance of double Type of heat
underlayment at eave, etc. Hearing, ventilation, and air conditioning plant locations
Overhang detail OiULP-gas tank size, location and piping
Provide framing details of frayed/vaulted ceilings Make-up air requirements
Provide detail of cathedral ceiling structure and venting Manufactures data for equipment
hidicate connection of lower chord of roof trusses and ceiling joists to Heat loss/gain calculations
the top plates of interior and exterior walls. Calculate roof tie-down
sizes when required by wind conditions • Plumbing plan(s)
Show framing for gables in cathedral ceiling construction Plan(s) required
_2~,_Provide engineering data for all roof trusses - (truss drawings must be Building trap location
signed and sealed by a Connecticut Licensed Professional Engineer) Sewer location
Roof rafters over-spanned Domestic water location
Ceiling joists over-spanned Manufacturers data for whirlpools, comer tubs, & larger tubs
Water heater size, type, and location
comments: r'e" RL-0N DCnLfS No Mc w
1 " of-G1I
lding 0 icial
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
Permit #
New Construction E] Addition F-1 Alteration Accessory Structure n ,
F
4j Singfe Family F] Two-Tamily Townhouse
Job Address
(Number) (street) (Unit)
Job Description
Owner Mailing Address 146c;O
~+i s I/
City Z4 /z/ State Zip O Tel 4
Contractor Mailing Address
City State Zip Tel
Contractor's License/Registration Type & Number 1 17 S 3 Exp. Date l / 3 J / Q JJ
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 wor described above.
Separate applications are required for electrical, plumbing, , etc.
Owner /Agent Signature _ Date
Construction Value Fee
Building $ $
Plumbing $ $
Mechanical $ $
Electrical $ $
Certificate of Occupancy $
Plan Review Fee $
State Education $
Total $ $
(See &verse side for additional requirements
Town of Montville
Residential Permit Requirements
❑ Two (2) complete sets of construction documents (to scale) including site plan 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
l Coin feted, si ed and dated Buildin'" Permit A lication
p $ pp Floor-to-floor heights
Permit fee - calculated upon completion of plan review Material type, size, and spacing
Completed building permit affidav for property owners or sole Stair details (rise, run, treads nosing, width> headroom)
&Ys or copy of workers compensation insurance Handrail details
Copy of Contractor Registration or license Guardrail details
Constructi2permit sign-off sheets g ed by all departments Roof ventilation
'c e Code Analysis
Heat loss calculations • Framing plans
Engineering 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 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
Window and door sizes and locations Panel location(s) with main size
Hatchways Meter socket location
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
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
Garageldwelling opening protection Heating, ventilation, and air conditioning plant location
Garageldwelling 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
hidicate 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 room 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
Building heights
Height of chimney above roof required to be kept on during
Roof pitch construction.
r+ artmReceipt
n o t ~ntvilie Building Dep N t
Tow No.
'Date
,OP T
F From.
Job Address:
Check Check #
. Cash
Amount $Jf (c«i~ ~n~~
Pernt #
Received by
I
NEW RESIDENTIAL PERMIT CALCULATION (2 STORY)
Address:
House Construction A
Average Custom
QTY $/UNIT $/UNIT TOTAL
Living Area 2200 SF $ 72.08 $ - $ 158,576.00
Finished Basement SF $ 16.01 $ - $ -
Unfinished Basement 1100 SF $ 5.72 $ - $ 6,292.00
Kitchen 1 EA $ - $ - $ -
Plumbing
Full Bath 2 EA $ 4,229.40 $ - $ 4,229.40
Half Bath 1 EA $ 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 $ 3,963.75 $ - $ 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 240 SF $ 62.69 $ - $ 15,045.60
Enclosed SF $ 123.90 $ - $ -
Heating Adjustment 2200 SF $ (2.76) $ - $ (6,072.00)
Air Conditioning 2200 SF $ 2.84 $ -
Electrical 2200 SF $ (5.16) $ - $ (11,352.00)
Plumbing 2200 SF $ (5.04) $ - $ (11,088.00)
TOTAL BUILDING CONSTRUCTION COST, LESS MEP $ 177,385.65
Y Is air conditioning included (Y/N)? $ 6,248.00
PERMIT FEE CALCULATIONS
Fee
Building $ 177,386 $ 1,424.00
Y Plumbing $ 11,088 $ 96.00
Y Mechanical $ 12,320 $ 104.00
Y Electrical $ 11,352 $ 96.00
Work Commenced before permit issuance $ -
CO Fee $ 25.00
Plan Review $ 172.00
State Ed Fee $ 212,146 33.94
Total Fees $ 1,950.94
Based on 2003 RS Means REsidential Cost Data
8/16/04
NEV HOME CONSTRUCTION CONTRACTOR
,PTr DEVELOPMENT
35 BLAIS RD
UNCASVILLE, CT 06332
LIC./REG NO. EFFECTIVE EXPIRES
i,j5 10/01/2003 09 ^/2005
~GNED
STATE OF CONNECTICUT
WORKERS' COMPENSATION COMMISSION
Building Permit Affidavit for Property Owners or Sole Proprietors
(Conn. Gen. Stat. § 31-286b)
Property located at: 4'
0
In the town of
Name of building permit applicant: Please check one:
1. K- I am the owner of the above property.
2. I am the sole proprietor of a business.
2A. Name of business:
2B. Federal 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" may provide either a certificate of workers' compensation insurance or a "sworn
affidavit... stating that he 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 and stop here]
Signature of applicant
2. I intend to 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 waiver with the ap riate istrict Office; and that a sole proprietor
of a business is not required to have coverage unl i e o accept coverage.
Signature of applicant
c
csworn to before me this Z~ day of 200
(,Not C6xnrniss1mq- er of the Superior Court)
~SAEiWIT
NOTARY PUBLIC
MY COMMISSION EXPIRES OCT. 31,2W7
Town of Montville
Building Department
848-3030, Ext 382
RESIDENTIAL
CONSTRUCTION PERMIT
SIGN-OFF SHEET
Property Address
Job Description: 1111
The applicant is responsible for the completion of the form, no permit will be issued until all signatures below have been
obtained.
HEALTH DISTRICT 848-3030, Ext. 339
6 Approved No Permit
- " ❑ Permit ❑ Required
Septic Sy tem D to
Approved No Permit
❑ Permit ❑ Required
Private Well Date
WPCA DEPARTMENT 848-3030, Ext 376
Approved No Permit
❑ Permit ❑ Required
Municipal Sewer Date
Building Trap ❑ Outside ❑ Inside
Approved No Permit
❑ Permit # ❑ Required
Municipal Water Date
DEPARTMENT OF PUBLIC WORKS 848-7473
r Approved No Permit
1P - 7-6 n Permit ; ~ ❑ Required
Date
PLANNING & ZONING DEPARTMENT 848-3030, Ext. 379
:*ee~ Approved No Permit
_ 91Z7/0 Y ❑ Permit ❑ Required
Zoning ate
Approved No Permit
❑ Permit ❑ Required
Inland-Wetlands Date