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Town of Montville
BUILDING DEPARTMENT
310 Norwich-New London Turnpike
Uncasville, CT 06382
(860) 848-3030, Ext. 382
Building Permit
Permit Number: B2004-0080 Date: 16-Mar-04 Map/Lot: 043/009-020 Owner ID 1756
Sob Location: 11 ALLISQ~'~ Wqy Unit
Job Description: SFR
Owner: Contractor:
RTT Development RTT Development
35 Blais Road
35 Blais Road Uncasville Ct. 06382-
Uncasville CT 06382 Telephone: (860) 889-1662
Lic/Reg Type/No. NHC 1795 Exp Date: 30-Sep-05
Tenant:
Self
Telephone:
Construction Values Permit Fees Construction Information
Building Value: $171,410.00 Building Fee: $1,030.00 Use Group: R4
Plumbing Value: $10,251.00 Plumbing Fee: $64.00 Code: 1995 CABO
Mechanical Value: $11,390.00 Mechanical Fee: $70.00 Construction Type: 5B
Electrical Value: $10,495.00 Electrical Fee: $64.00 Permit Code: R2
Other Value: $0.00 Other Fee: $0.00 Comments:
Total Value: $203,547.00 CO Fee: $10.00
Plan Review Fee: $103.00
State Ed Fee: $32.57
Total Fees: $1,373.57
It is the owners responsibility to schedule the following inspections (minimum 48 hours notice reg fired);
Footing - Prior to pouring concrete W Rough HVAC
0 Backfill - Footing drains and waterproofing ❑ Fireplace Throat
❑d Concrete Slab - Prior to pouring concrete ❑ Chimney - One flue above thimble
Rough Framing Firestopping/draftstopping
0 Rough Electrical ❑ Insulation
Electrical Service CRS ❑ Final Inspection
Rough plumbing and leak test Certificate of Occupany
Gas piping and test
Building Official's Signature.
Town of Montville;
Residential Plan Review
Date: J~CC . h, 20 03
Job Address: J J L~ LJ 1So ms's i..0 A'f
Job Description:
We have received a building permit application for the above referenced property. In accordance with Connecticut General
Statute 29-263, your application is being rejected for the following reason(s) that are checked-off or commented on:
• Supporting Documentation Access 18"x24" (409.2)
Plans are to be drawn to scale including dimensions of rooms and
spaces and all framing information (112.1) • Floor plan(s)
Building permit application not completed, signed, dated Plans required
Pemnitfee$~r0 3E CALCUG.~ Dimensions
Worker's comp. Affidavit or worker' comp. Insurance Finish floor elevation
Copy Contractor's registration or license Minimum room sizes (304.1)
_Z Construction permit sign-off sheet Door and window sizes
Provide all documentation to show compliance with the Model Kitchen layout
Energy Code (1995 MEC). Contact your insulation contractor, Bathroom layouts, tub sizes in gallons, space clearances
Northeast Smart Living Center (1-800-228-7764) or your local Stair location (min. width 36") (311.1)
building official for information. Attic access location and size
Street address of project on all drawings and documents Identify the use of each room
Total square footage for each level of the structure
• Site plan Indicate required light (8% of floor area per room) and ventilation
(4% of floor area per room) for each habitable room or space (303. 1.)
Plans required
Finish Indicate safety glazing in areas required such as: doors, windows, tub
floor elevation & shower enclosures, etc. (308.4.)
Signed y lines P&Z, not Wetlands, provided Uncas health, WPCA Indicate bedroom egress windows (5.7 sf net clear opening, 24" clear
Property l
opening height, 20" clear opening width) (310.2.1.)
Distance from property to structure Egress window maximum sill height 44" (310.2)
Structure dimensions Are basement stairs enclosed/accessible? If so, protect with
Driveway minimum sheetrock (310.3.)
Ic Topography (existing and proposed) Designate which door is the required exit (36" minimum, hinged)
C Footing drain inverts, outlet and separation
Proposed utilities Garage
Wetlands and flood zone limits and elevations Minimum 518" Type X gypsum board separation (on garage side) to
all living spaces - all combustible support framing to be covered with
minimum 5/8" Type X gypsum board if it supports habitable rooms
• Foundation Plan (309.2)
Plans required Indicate minimum 1 3/." solid wood door, 1 3/4" solid core steel door, 1
Dimensions 3/4" honeycomb core steel door, or 20 minute rated door from the
Wall thickness garage to the house and its basement or attic (309.1)
Footing sizes Indicate self-closing devices on all doors from garage to the house
Frost protection required and its basement or attic (309.1)
Window and door sizes and locations Indicate slope for garage floor (309.3.)
Hatchway
Foundation - indicate the assumed soil conditions that the system has • Elevations
been designed for or provide engineering data. If presumptive soil Plans required
conditions cannot be met, provide soil bearing engineering data (401) Type of siding
Concrete strength - foundation, floors, exterior porches, walks, slabs Type of roofing
(402.2) Other finishes
Basement - finished of unfinished? Finish grades
Vapor barrier between sub-grade and concrete basement floor
(505.2.3) Building heights Minimum height of foundation walls above finished grade (404.1.3) Dimension height of chimney above roof
Roof pitches
Perimeter insulation, if conditioned space
Anchor bolts - size and location (403. La)
Floor thickness and control joint location (403. La) • Building Section(s) & Details
Lally column size, attachment and spacing (408) Plans required
Column footings - size (403) Floor-to-floor heights
Waterproofing details (406) Handrails and guardrails - detail, including height and maximum
Rebar if required - wall length, unbalanced fill, or soil conditions will opening, handrail cross-section, continuity and required returns
determine this. Provide engineering data for complex design. Riser height (8 '/4" max), tread depth (9" min.), and nosing (3/4" -1
Fireplace/chimney base '/4' ~
Concrete piers and anchor details - decks Show minimum headroom in stairways - 6'-8" measured from nosing
Foundation drainage - sump, drain to grade, or town storm system; plane to lowest point of ceiling
indicate pitch (405.1) Stud size and spacing, species and grade (or minimum Fb and E)
Beam pockets - minimum clearances Sheathing - size, thickness, type
Crawl Spaces Siding, material, type, style - underlayment per mfg.
Crawl space data - clearance to joists, slab thickness (if provided), -Insulation - R-value, type - including basement walls if applicable
vapor barrier (409) Flashing detail - windows and doors - type, material
Ventilation (409.1)
Town of Montville .
• Framing plans Decks/Porches
Plans required Plans required
Bearing partitions Joists - size, span, spacing, direction, species and grade (or minimum
Direction of framing Fb and E)
Beam spans, size, species, grade Ledger - show attachment and flashing to house
Framed openings Decking material and size
Sheathing type and thickness Beam - design data if required
Window and door header sizes Posts - size, material, and height
Joists -species and grade (minimum Fb and E), size, direction, and Piers - size, material, depth below grade (minimum 42" required)
Indicate joist hangers at flush framing and ledger
spacing Stairs, handrails, and guardrails
Joists over-spanned
Headers/beams overspanned
Double joists at parallel bearing partitions, bathtubs, etc. (502.3.2) • Chimneys and Fireplaces
Details of framing for plumbing, such as headers and trimmers at Indicate clearance of masonry to combustible framing materials and
traps, etc. clearance from fireplace opening to finished trim
Joist hangers for flush framing conditions or ledger (502.4.2) Show data for mechanical flue sizing
Deck material, type, size, and span Show exterior combustion air source
Floor insulation - R-value, type, vapor barrier location Flue sizes
Provide design data for all unaligned wall and floor bearing points. Manufactures data and installation instructions for metal fireplaces
Indicate location of all point loads
Cantilevered framing less than 18" to grade to be pressure treated or . Electrical Plan(s)
decay resistant Plan(s) required
Engineering data for steel beams, engineered lumber, roof trusses or panel location(s) with main size
any other engineered product or design Meter socket location
Roofs/ceilings Outlet locations
Provide roof framing plan for roof geometry GFCI outlet locations
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 (or minimum Fb
and E) Stair illumination Insulation - R -value, type -including basement walls if applicable Stairway light activation at both top and bottom of stair (303.4) Ventilation - ridge, gable, soffit Show required AC/DC smoke detectors (316)
Provide nrinimum net ventilation data
Attic access (22"00" minimum) for any attic with 30" or more clear • Mechanical plan(s)
height Pplan(s) required
Roof sheathing - type, size, thickness Dryer vent
Collar ties - size, placement, spacing Bathroom exhaust ventilation (natural or mechanical) type and size
Roof covering - shingles - type, nailing, provide proper with calculations
underlayment - show interior horizontal distance of double Hood exhaust
underlayment at eave, etc. Type of heat
Overhang detail >S,
_Heating, ventilation, and air conditioning plant locations
Provide framing details of trayed/vaulted ceilings Oil/LP-gas tank size, location and piping
Provide detail of cathedral ceiling structure and venting Make-up air requirements
Indicate connection of lower chord of roof trusses and ceiling joists to Manufactures data for equipment
the top plates of interior and exterior walls. Calculate roof tie-down Heat loss/gain calculations
sizes when required by wind conditions
Show framing for gables in cathedral ceiling construction . Plumbing plan(s)
Provide engineering data for all roof trusses - (truss drawings must be plan(s) required
signed and sealed by a Connecticut Licensed Professional Engineer) Building trap location
Roof rafters over-spanned
Ceiling joists over-spanned Sewer location
Domestic water location
Manufacturers data for whirlpools, comer tubs, & larger tubs
Water heater size, type, and location
Comments:}ZPL/sr"..) Pqg -c-h o/" LLP-G^ 1 f31-E
oldingOfficial
Town of Montville
k _ 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 ❑ Addition F1 Alteration Ej Accessory Structure
Other
Job.Location
Job Description/Materials 1
Owner X 'T Mailing Address 3 Al r
City Cans C :?S State C.% Zip 4a4?3 J Z Tel
Contractor ' Mailing Address
City State Zip/ Tel
Contractor's License/Registration Type & Number f ' > 5 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 pen-nit for such wor escribe above.
Owner /Agent Signature Date
Construction Value Fee
Building $ $
Plumbing $ $
Mechanical $ $
Electrical $ $
Other $ $
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) 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
om leted, 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
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 Panel location(s) with main size
Window and door sizes and locations Meter socket location
Hatchways
Outlet locations
Columns
GFCI
Floor construction data outlet locations
details Smoke detector locations
Drainage
lights
Waterproofing details and switches
Crawl space ventilation Appliance/equipment igluminatnatcircuits
o
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
Type of heat
Glazing in hazardous locations
Garage/dwelling 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 room Sewer location
Domestic water location
• Elevations - minimum of two required Manufacturers data for whirlpools, comer 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
Town of "ontville Building Departme-"t Receipt
No.
Date
f
` From:
Job Address:
Cash `Chcck~ Check #
Amount
Circlc onc)
Permit #
Received by ✓ti^~
Permit Fee Calculation Spreadsheet
RESIDENTIAL PERMIT CALCULATION (1 STORY)
House Construction A (E=Economy, A=Average, C=Custom)
OTY $/UNIT $/UNIT $/UNIT TOTAL
Living Area 2u34 SF $ - $ 71.19 $ - $ 144,80046
Finished Basement SF $ - $ 24.73 $ $ -
Unfinished Basement 2n31 SF $ - $ 7.35 $ $ 14,949.90
Kitchen 1 EA $ $ - $ $ -
Plumbing
Full Bath 2 EA $ - $ 4,229.40 $ - $ 4,229.40
Half Bath 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 $ - S -
Detached, 1 car EA $ - $ 11,657.10 $ - $ -
Detached, 2 car EA S - $ 17,456.25 $ - $ -
Detached, 3 car EA $ $ 23,256.45 $ - $ -
Under, 1 car EA $ $ 1,304.10 $ - $ -
Under, 2 car EA $ - $ 1,757.70 S - $ -
Fireplace & Chimney
Prefab 1 EA $ - $ 3,963.75 $ - $ 3,963.75
Masonry, exterior EA $ - $ 3,96175 $ - $ -
Masonry, interior EA $ - $ 3,701.25 S - $
W/2 fireplaces _ EA $ - $ 6,746.25 $ - $ -
Breezeway/Decks
Open 2il SF $ - $ 22.31 S - $ 2,677.20
Enclosed SF $ - $ 94.76 S $ -
Porches
Open 192 SF $ - $ 62.69 $ - $ 12,036.48
Enclosed SF $ - $ 123.90 $ $ -
Heating Adjustment 2034 SF $ - $ (236) $ - $ (5,613.84)
Air Conditioning 2034 SF $ - $ 2.84 $ - $
Electrical 2034 SF $ $ (5.16) $ - $ (10,495.44)
Plumbing 2034 SF $ $ (5.04) $ - S (10,251.36)
TOTAL BUILDING CONSTRUCTION COST, LESS MEP $ 171,410.25
y Is air conditioning included (Y/N)? 5,777
PERMIT FEE
Building $ 171,410 $ 1,030.00
Y Plumbing S 10,251 $ 64.00
Y Mechanical S 11,390 $ 70.00
Y Electrical S in 495 $ 64.00
Other $ -
CO Fee $ 10.00
Plan Review $ 103.00
State Ed Fee $ 203,547 $ 32.57
Total Fees $ 1,373.57
Based on 2003 RS Means Residential Cost Data
12/15/03
NEW HOME CONSTRUCTION CONTRACTOR
RTT DEVELOPMENT
35 BLAIS RD
UNCASVILLE, CT 06382
SIC:/REG NO EFFECTIVE EXPIRES
1795 10/01/2003 09 /2005
1
SIGNED
s ,
r
k
STATE OF CONNECTICUT `
WORKERS' COMPENSATION COMMISSION
Building Permit Affidavit for Property Owners or Sole Proprietors
(Conn. Gen. Stat. § 31-286b)
Property located at:
In the town of ~c
Name of building permit applicant: ?7-r
Please check one:
1. _ X I am the owner of the above property.
2. I am the sole proprietor of a business.
2A. Name of business:
213. 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. 1 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 corporatio nd ners in a partnership may elect
to be excluded from coverage by filing a waiver with the approri is ct Office; and that a sole proprietor
of a business is not required to have coverage unless-he e- A accept coverage.
Signature of applicant
Subscribed and sworn to before me this / f day of 200:3.
C- ~c (Notary Public/Commissioner of the Superior Court)
EL INDA L. O ER'TS
NOTARYPUBLIC
9,E CaMhI'SSION EXPIRES OCT. 39, 2007
Town of Montville
Building Department
848-3030, Ext 382
ONE & TWO FAMILY
CONSTRUCTION PERMIT
SIGN-OFF SHEET
Property Address
Job Description: 9C t ~ 8 ~ X 36
The owner/agent shall be responsible for the completion of the form, no certificate of occupancy will be issued until 011
signatures below have been obtained.
HEALTH DISTRICT 848-3030-339
Approved Not Permit
Permit l q ❑ Required
-A" Septi ystem Date
11 Approved Not Permit
❑
Private Well Date Permit El Required
WPCA DEPARTMENT 848-3030, Ext 376
Approved Not Permit
❑ Permit ❑ Required
Municipal Sewer Date
House Trap ❑ Outside ❑ Inside
Approved Not Permit
❑ Permit # ❑ Required
Municipal Water Date
DEPARTMENT OF PUBLIC WORKS 848-7473
44 Approved Not Permit
i ®3 Permit .0 / ❑ Required
Date
PLANNING & ZONING DEPARTMENT 848-3030. Ext. 379
Approved Not Permit
/S-103 ❑ Permit ❑ Required
Zoning Date
Approved Not Permit
❑ Permit # ❑ Required
Inland-Wetlands Date