HomeMy WebLinkAbout2003 - Addition
Town of Montville
BUILDING DEPARTMENT
310 Norwich-New London Turnpike
Uncasville, CT 06382
(860) 848-3030, Ext. 382
Building Permit
Permit Number: 82003-0122 Date: 06-May-03 Map/Lot: 076/058-000 Owner ID 7009
Job Location: 20 B ECHWDjDD ROAD Unit
Job Description: Addition
Owner: Contractor:
James L and Nancy L Fonk James L. Fonk
20 Beechwood Road
20 Beechwood Rd Oakdale Ct. 06370-
Oakdale CT 06370 Telephone: (860) 848-9840
Lic/Reg Type/No. 0 Exp Date:
Tenant:
Self
Telephone:
Construction Values Permit Fees Construction Information
Building Value: $18,223.00 Building Fee: $112.00 Use Group: R4
Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 1995 CABO
Mechanical Value: $662.00 Mechanical Fee: $10.00 Construction Type: 5B
Electrical Value: $1,238.00 Electrical Fee: $10.00 Permit Code: R3
Other Value: $0.00 Other Fee: $0.00 Comments:.
Total Value: $20,124.00 CO Fee: $10.00
Plan Review Fee: $11.20
State Ed Fee: $3.22
Total Fees: $156.42
It is the gwners responsibility to schedule the followinginspections (minimum 48 hours notice required):
F-A Footing - Prior to pouring concrete W/ Rough HVAC
d❑ Backfill - Footing drains and waterproofing ❑ Fireplace Throat
d❑ Concrete Slab - Prior to pouring concrete ❑ Chimney - One flue above thimble
J❑ Rough Framing Firestopping/draftstopping
d❑ Rough Electrical Insulation
❑ Electrical Service ❑ Final Inspection
❑ Rough plumbing and leak test Fv~ Certificate of Occupany
❑ Gas piping and test
~T
Building Official's Signature:
Town of Montville
Residential Plan Review
Date: APPiL 8 _ ZC2o3
Job Address: Z o I~3~~-Gd-4 wo o C>
Job Description: 4vp) -r/ otJ
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
Plans are to be drawn to scale including dimensions of rooms and • Floor plan(s)
spaces and all framing information (112.1) Dimensions
Building permit application not completed, signed, dated Finish floor elevation
_X Permit fee $ Tb G C.A44VLATe1> Minimum room sizes (304.1)
X-Worker's comp. Affidavit or worker' comp. Insurance Door and window sizes
Copy Contractor's registration or license Kitchen layout
Construction permit sign-off sheet Bathroom layouts, tub sizes in gallons, space clearances
_>~_Provide all documentation to show compliance with the Model Stair location (min. width 36") (311.1)
Energy Code (1995 NEC). 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 all drawings and documents Indicate required light (8% of floor area per room) and ventilation
Heat losstgain calculations (4% of floor area per room) for each habitable mom 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, Uncas 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 li"'sheetrock (310.3.)
Driveway Designate which door is the required exit (36" minimum hinged)
Topography (existing and proposed) Garage
~_Footing drain inverts, outlet and 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 13/a" solid wood door, 13/a" solid core steel door, 1
• Foundation Plan 3/a" 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 locations
Hatchway • Elevations
Foundation - indicate the assumed 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, provide soil bearing engineering data (401) Other finishes
Concrete strength - foundation, floors, exterior porches, walks, slabs Finish des
Basement - finished of unfinished? Building heights
Vapor barrier between sup,-grade and concrete basement .floor Dimension height of chimney above roof (505.23) Roo pi 'Ch'
'
Miajmum;height of foundation walls above finished grade (404.1:3] ^ . ' ' ,
Perimeter insulation, if conditioned space • Building Section(s) & Details
Anchor bolts - size and location (403.1 a) Floor-to-floor heights
Floor thickness and control joint 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 t/" max), tread depth (9" min.), and nosing (3/4"
_ Waterproofing details (406) _ 1 h/")
Rebar if required - wall length, unbalanced fill, or soil conditions will Show minimum headroom in stairways - 6'-8" measured from nosing
determine this. Provide engineering data for complex design. plane to lowest point of ceiling
Fireplacetchimney base Stud sizeand spacing, species and grade (or minimum Fb and E)
Concrete piers and anchor details - decks Sheathing - size, thickness, type
--X_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 clearances 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 o_-ille
_ Building Department R Permit #
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 N s'irfdition ❑ Mt=tion Fl.Accessory Structure
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3'7'U
Job Location v2 13e t I/L~odD d2, lid cA 414t a (f T
Job Description/Materials ` /1IJG RNII Abei 7-('0/,/ F o u rv 7YR f 0, ` ~ ®'tt
Owner Mailing Address
City 06 k- fi tLff- State (!,,I Zip 06 3 > Tel /
Contractor Mailing Address.
City State Zip Tel
Contractor's License/Registration Type & Number Exp. Date
I hereby certify that the proposed work will conform to the Basic Building Code and all other codes as adopted by the
State of Connecticut and the Town of Montville and further attest that the proposed work is authorized by the owner in fee
and that I am authorized to make application for a permit for such work as described above.
Owner /Agent Signature . ate !2-3 ;Z 6^ 0"
Construction Value Fee
Building
Plumbing $
Mechanical $ $
Electrical a_S-0_ $
Other $ $
Certificate of Occupancy $
Plan Review Fee
State Education
Total
(See *verse side for adfiitwnd requirements)
r Town of "-Aontville Buildin,g,Dcpartm(,-It Receipt
~l
No. Cl -2
Date
From:
Job Address: 2Q~J 6G roa,
z =
Check #
Amount Cash Check
(circle one)
#
Permit
Received by Fie
Permit Fee Calculation Spreadsheet
RESIDENTIAL PERMIT CALCULATION (1 STORY ADDITION)
House Construction A (E=Economy, A=Average, C--Custom)
QTY $/UNIT $/UNIT $/UNIT TOTAL
Living Area 240 SF $ $ 79.07 $ $ 18,976.80
Finished Basement SF $ $ 35.60 $ $ _
Unfinished Basement :240 SF $ $ 9.82 $ - $ 2,356.80
Kitchen EA $ $ 4,410.00 $ $ _
Plumbing
Full Bath EA $ $ 4,229.40 $ $
Half Bath EA S $ 2,691.15 $ $
Garages
Attached, 1 car EA $ $ 8,885.10 $ $
Attached, 2 car EA $ $ 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 $ S 1,757.70 $ $
Fireplace & Chimney
Prefab EA $ $ 3,963.75 $ $
Masonry, exterior EA $ $ 3,963.75 $
Masonry, interior EA $ $ 3,701.25 $
$
W/2 fireplaces EA $ $ 6,746.25 $ $
Dormers
Gable SF $ $ 23.10 $ $
Shed SF $ $ 14.70 $ $
Breezeway/Decks
Open SF $ $ 22.31 $ $ -
Enclosed SF $ $ 94.76 $ $
Porches
Open SF $ $ 62.69 $ $
Enclosed SF $ $ 123.90 $ $
Heating Adjustment 240 SF $ $ (2.76) $ $ (662.40)
Air Conditioning 240 SF $ $ 2.84 $ _ $
Electrical 240 SF $ - $ (5.16) $ $ (1,238.40)
Plumbing 240 SF $ $ (5.04) $ $ (1,209.60)
TOTAL BUILDING CONSTRUCTION COST, LESS MEP $ 18,223.20
Is air conditioning included (Y/N)? $
PERMIT FEE
Building $ 18,223 $ 112.00
Plumbing $ _ $ -
Y Mechanical $ 662 $ 10.00
Y 'Electrical $ 1,238 S 10.00
Other $ -
CO Fee $ 10.00
Plan Review $ 11.20
State Ed Fee $ 20,124 $ 3.22
Total Fees $ 156.42
Based on 2003 RS Means Residential Cost Data
4/14/03
STATE OF CONNECTICUT
WORKERS' COMPENSATION COMMISSION
Building Permit Affidavit for Property Owners or Sole Proprietors
(Conn. Gen. Stat. § 31-286b)
Property located at: r Q Sf tt~ a
In the town of I~ l~L
Name of building permit applicant: 'T1q1P1,5 S k'
Please check one:
1. 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. V 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 appropriate District Offices and that a sole proprietor
of a business is not re ed to have coverage unless he files his intent to accept coverage.
Signa a of applicant
Subscribed and sworn to before me this I q day of Rr~~ 200i
.
Q t, ssioner of the Superior Court)
NOTAR ' PUBLZO
MY COMMISSION EXPIRES OCT. 31, goof
Town of Montville
Building Department Pr
848-3030, Ext 382
ONE & TWO FAMILY
CONSTRUCTION PERMIT
SIGN-OFF SHEET
Property Address
Job Description: 15 x & ",qA D, /,61
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
❑ Permit Not Applicable
Private Well Date
WPCA DEPARTMENT 848-3030, Exd. 881
~n Approved
❑ Permit Not Applicable
Municipal S er Date
House Trap ❑ Outside ❑ Inside
Approved
❑ Permit # ❑ Not Applicable
Municipal Water Date
DEPARTMENT OF PUBLIC WORKS 848-7473
Approved
❑ Permit Not Applicable
Director Date
PLANNING & ZONING DEPARTMENT 848-3030.. ExL 81
In- ompliance
rmit f~j ❑ Not Applicable
Zomd? Date
In-Compliance
-7 ❑ Permit of Applicable
Inland- ands Date
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