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HomeMy WebLinkAbout2017 - 30x42 Commercial Building Town of Montville Building Department Ari _01_061 310 Norwich-New London Tpke. Tel.860-848-3030, Ext 382 Uncasville, CT 06382 Fax. 860-848-7231 PERMIT APPLICATION FORM Permit No.: 6 7 - o31-4 Type of Work Occupancy Classification "-? Construction Type Permit T e New Construction 0 A-1B ❑ H-1 ❑ I-1 CI R-1 'i S-1 ❑Type IA ❑Type IIIBBuilding ❑Addition 0 A-2 B,Medical 0 H-2 ❑1-2 0 R-2 '0 -2 ❑Type IB ❑Type IV 0 Plumbing ❑Alteration 0 A-3 ❑E ❑ H-3 ❑1-3 ❑ R-3 ❑U 0 Type IIAType VA 0 Mechanical ❑Change of Use ❑A-4 0 F-1 ❑ H-4 ❑1-4 IDR-4 Mixed ❑Type IIB 'Type VB 0 Electrical 0 A-5 ❑F-2 ❑ M D❑Type IIIA �: Property Address:' 6 -4��t( eat CX L a (Number) (Street) m K1 v" C.OI (Unit) Job Description: D6P-F- (247li247- / 4 / ,_ /�� JYC c4 Owner: Ef1< / i-L C Tenant: Address: .4,22 i f 4---kr& p� lic /Address: City/State/Zip: I 4 i 4 (74/417 City/State2ip: Teleph+ne i / A .2i/ ®' Telephone( ) - Applicant: F7* :74 ���- �� DBA4 �^/ IA` l! J Address- I/ 4 .t ii ,.Ilii City: as /.Zi ' State: Zip Code: elephoniii( ) - Contractors - Complete th, Following: License/Registration Type: License/Registration No.: Expiration Date: I hereby certify that the proposed work will conform to the State 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. .-4'i Le/ 9 Owner/Agent Signature: A, Date:ii, J Const ctio' alue Permit Fees Building Value: i-.. 000 • CD Building Fee: ✓c10 Plumbing Value: t 8 00 , 00 Plumbing Fee: 30 Mechanical Value: d, be° . c Mechanical Fee: 5 U Electrical Value: ,5 , COO . cv Electrical Fee: �J- 3 Total Value: -.1,--• b-ab D() Penalty Fee: , CofOFee: -- 0 Plan Review Fee: 5 4 State Ed Fee: 3 . • Total Fee: to Sa_3 a C.nY , SI I Rewis,1 August 23,E 1 Town of Montville Building Department Commercial Plan Review Form Date: �o/Z/// Job Address: a 22 6 &. T/e#^-i-o:,,,VO /^? - Job Description: Gt/t3-NC /74L cc C.cThe following information must be included on both sets of plans or accompanying documents (two sets are required)(C.G.S.29-252a.) This list is offered as a guideline only. It is not meant to be all-inclusive for every permit application,nor is it meant to take the place of the building code. Your auplication is being refected for the following reason(s)that are checked-off or commented on: Supporting Documentation Clear span of 150 ft •uilding permit application not completed 150,000 SF of total gross floor area Permit fee$ 8 4/.$2 Occupant load 1,000 persons ' fee to be calculated Group I-1,I-2,or 1-3,150 beds or persons s comp.Affidavit or worker'comp.Insurance required R-1,R-2,200 rooms or with 100 dwelling units per structure Cop r a ntractor's registration or license / )] 4 _ Group S,parking structures with 1,000 cars,250,000 sf CI•.k ction permit sign-off sheet with approvals required /e,G ih'i Independent structural engineering consultant review -Ivide all documentation to show compliance with the 21[' Independent structural engineer approved by the BO ,L--_International Energy Conservation Code(www.energycodes.gov) Street address of project on all drawings and documents required Type of Construction Field set of approved plans need to be picked up from our office Construction classification(602) Two sets of construction documents required,this includes engineering Combustible materials in type I and II construction(603) data,calculations,and other documentation Major contractor registration Fire-Resistance-Rated Construction Fire-resistance design must be documented by an approved source Use and Occupancy Classification (703.3) Use group and occupancy not identified or unclear(302.1) Exterior walls(704) Incidental use areas shall be separated or protected or both(302.1.1) Parapet(704.11) Accessory use areas(302.2) Opening protection(704.12) Mixed occupancies not identified or unclear(302.3) Ducts and air transfer openings in exterior walls(704.14) Fire walls(705) Special Detailed Requirements Based on Use and Occupancy Horizontal continuity(705.5) Covered mall(402) Vertical continuity(705.6) High-rise buildings(403) Openings(705.8) Atriums(404) Ducts and air transfer openings in fire walls(705.11) Underground structures(405) Fire barriers(706) • Group 1-2(407) Shaft enclosures(707) Group I-3(408) Fire partitions(708) Motor vehicle related(406) Smoke barriers(709) Motion picture protection rooms(409) Smoke partitions(710) Stages and platforms(410) Horizontal assemblies(711) Special amusement buildings(411) Penetrations(712) "'ti Aircraft-related occupancies(412) Fire-resistant joint systems(713) Combustible storage(413) Fire-resistance rating of structural members(714) Hazardous materials(414) Opening protective's(715) Groups H-1 thru H-5(415) Ducts and air transfer openings(716) Application of flammable finishes(416) Concealed spaces(717) Drying rooms(417) Fire-resistance requirements for plaster(718) Organic coatings manufacturing(418) Thermal-and sound-insulating materials(719) Prescriptive fire resistance(720) General Building Heights and Areas Calculated fire resistance(721) Height and area calculations based on occupancy and construction type (chapter 5) Interior Finishes Height modifications(504) Meet the requirements of Table 803.5 Mezzanines(505) Area modifications(506) Fire Protection Systems Unlimited area buildings(507) Group A automatic sprinkler system(903.2.1) Group S-2(enclosed)w/Group A,B,M or R above(508.2) Group E automatic sprinkler system(903.2.2) Group S-2(enclosed)with Group S-2(open)above(508.3) Group F-1 automatic sprinkler system(903.23) Parking beneath Group R(508.4) Group H automatic sprinkler system(903.2.4) Group R-2 of type IIIA construction(508.5) Group I automatic sprinkler system(903.2.5) Group R-2 of type IIA construction(508.6) Group M automatic sprinkler system(903.2.6) Open parking garage beneath Groups A,I,B,M and R(508.7) Group R automatic sprinkler system(903.2.7) Group S-1 automatic sprinkler system(903.2.8) Threshold Limits Group S-2 automatic sprinkler system(903.2.9) Structure or addition exceeds the"threshold limits"(C.G.S.29-276b) Stories and basements without openings(903.2.10.1) Have four stories Rubbish and linen chutes(903.2.10.2) 60 ft in height Buildings over 55 feet in height(903.2.10.3) A=9111 B=Basement 1=Roof S=Site 1=Fust floor 2=Second-Oar 3=Third Oar Revised April-5,2005 Town of Montville Building Department PLUMBING SYSTEMS General Fixtures,Faucets and fixture fittings Documents drawn to a scale of not less than 1/8"per foot(2902.2) Separate facilities shall be required for each sex(IPC 403.2) Documents shall indicate where penetrations will be made for pipe, Accessible plumbing facilities(IPC 404) fittings and components and shall indicate the materials and methods for Additional grab bar(IPC 404.4) maintaining required structural safety, fire-resistance rating and fire Accessible faucets(IPC 404.5) blocking for buildings more than two stories in height(106.3.1) Pull handle(IPC 404.6) Water Heaters Sanitary Drainage Installed in garages(IPC 502.2) Building trap location&detail Installed in attics(502.5) Building sections showing vertical and diagrammatic elevations of the soil and waste lines with traps(2902.2) Storm Drainage Location and size of the public sewer or other disposal system(2902.2) Adequate provisions shall be made to protect the piping from freezing by insulation or heat or both(IPC 305.6) Fixtures Automatic clothes washers(IPC 406) Bathtubs(IPC 407) Bidets(IPC 408) Dishwashing machines(IPC 409) Drinking fountains(PC 410) Emergency showers and eye washing stations(IPC 411) Floor drains(IPC 412) Food waste grinder units(IPC 413) Garbage can washers(PC 414) Laundry trays(IPC 415) Lavatories(PC 416) Showers(PC 417) Sinks(IPC 418) Urinals(PC 419) Water closets(IPC 420) Whirlpool bathtubs(PC 421) Venting Building sections showing vertical and diagrammatic elevations of the vent lines(2902.2) Water Supply Location and size of all water lines and branches(2903.2) Minimum water pressure in the main in front of the building or structure (2903.2) Building sections showing vertical and diagrammatic elevations of the water supply lines and valves(2902.2) Automatic sprinkler and standpipe systems shall have a double check- valve assembly or a reduced pressure principle backflow preventer (2905.4.2) Water service pipe shall be installed not less than 48"deep(PC 305.6) Toilet Rooms Floor and sidewalls, including the angle formed by the floor and sidewalls,excluding doorways and entrances,shall be water tight to a height of at least 5"above the floor(2907.1) Floors,walls,ceilings,partitions and doors shall be of a finish that is capable of being easily cleaned(2907.1) Urinals—wall and floor space to a point 2 ft in front of a urinal lip shall be finished with a smooth,waterproof,nonabsorbent,readily cleanable material(2907.2) Urinals—wall and floor space to a point 4 ft above the floor and at least 2 ft to each side of the urinal shall be finished with a smooth, waterproof,nonabsorbent,readily cleanable material(2907.2) Water closets—floors within 1 ft in any direction from the rim of a water closet shall be finished with a smooth,waterproof,nonabsorbent, readily cleanable material(2907.3) Additional grab bar(PC 404.4) Faucets and controls(PC 404.5) Pull handle(IPC 404.6) A=All B=Basement 7(.=Roof s=Site 1=fust`floor 2=Second floor 3=Thin d floor Revised April 5,2005 Town of Montville • Building Department Commercial Plan Review Form Date: 5/8/I7 Job Address: 2.2 C Bic}-t w. 1-ee/vi / � / Job Description: i(/Q!/1/ (-0�'J'I Meer-, ( R u I The following information must be included on both sets of plans or accompanying documents (two sets are required) (C.G.S. 29-252a.) This list is offered as a guideline only. It is not meant to be all-inclusive for every permit application,nor is it meant to take the place of the building code. Your application is being refected for the following reason(s)that are checked-off or commented on: Supporting Documentation Clear span of 150 ft Building permit application not completed 150,000 SF of total gross floor area Permit fee$ Occupant load 1,000 persons Permit fee to be calculated Group I-1,I-2,or I-3,150 beds or persons Worker's comp.Affidavit or worker'comp.Insurance required R-1,R-2,200 rooms or with 100 dwelling units per structure Copy Contractor's registration or license Group S,parking structures with 1,000 cars,250,000 sf Construction permit sign-off sheet with approvals required Independent structural engineering consultant review Provide all documentation to show compliance with the 2009 Independent structural engineer approved by the BO International Energy Conservation Code(www.energycodes.gov) Street address of project on all drawings and documents required Type of Construction Field set of approved plans need to be picked up from our office Construction classification(602) Two sets of construction documents required,this includes engineering Combustible materials in type I and II construction(603) data,calculations,and other documentation Major contractor registration Fire-Resistance-Rated Construction Fire-resistance design must be documented by an approved source Use and Occupancy Classification (7033) Use group and occupancy not identified or unclear(302.1) Exterior walls(704) Incidental use areas shall be separated or protected or both(302.1.1) Parapet(704.11) Accessory use areas(302.2) Opening protection(704.12) Mixed occupancies not identified or unclear(3023) Ducts and air transfer openings in exterior walls(704.14) Fire walls(705) Special Detailed Requirements Based on Use and Occupancy Horizontal continuity(705.5) Covered mall(402) Vertical continuity(705.6) High-rise buildings(403) Openings(705.8) Atriums(404) Ducts and air transfer openings in fire walls(705.11) Underground structures(405) Fire barriers(706) Group 1-2(407) Shaft enclosures(707) Group 1-3(408) Fire partitions(708) Motor vehicle related(406) _ Smoke barriers(709) Motion picture protection rooms(409) Smoke partitions(710) Stages and platforms(410) Horizontal assemblies(711) Special amusement buildings(411) Penetrations(712) craft-related occupancie 412) Fire-resistant joint systems(713) Combustible storage(413)( Fire-resistance rating of structural members(714) Hazardous materials(414) f Opening protective's(715) Groups H-1 thin H-5(415) Ducts and air transfer openings(716) Application of flammable finishes(416) Concealed spaces(717) Drying rooms(417) Fire-resistance requirements for plaster(718) Organic coatings manufacturing(418) Thermal-and sound-insulating materials(719) Prescriptive fire resistance(720) General Building Heights and Areas Calculated fire resistance(721) Height and area calculations based on occupancy and construction type (chapter 5) Interior Finishes Height modifications(504) Meet the requirements of Table 803.5 Mezzanines(505) Area modifications(506) Fire Protection Systems Unlimited area buildings(507) Group A automatic sprinkler system(903.2.1) Group S-2(enclosed)w/Group A,B,M or R above(5082) Group E automatic sprinkler system(903.2.2) Group S-2(enclosed)with Group S-2(open)above(508.3) Group F-1 automatic sprinkler system(903.23) Parking beneath Group R(508.4) Group H automatic sprinkler system(903.2.4) Group R-2 of type IIIA construction(508.5) Group I automatic sprinkler system(903.2.5) Group R-2 of type IIA construction(508.6) Group M automatic sprinkler system(903.2.6) Open parking garage beneath Groups A,I,B,M and R(508.7) Group R automatic sprinkler system(903.2.7) Group S-1 automatic sprinkler system(903.2.8) Threshold Limits Group S-2 automatic sprinkler system(903.2.9) Structure or addition exceeds the"threshold limits"(C.G.S.29-276b) Stories and basements without openings(903.2.10.1) Have four stories Rubbish and linen chutes(903.2.10.2) 60 ft in height Buildings over 55 feet in height(903.2.103) A=Aft B=Basement Q_Roc?. S=Site 1=first door 2=Second¢four 3=Thin d%or Revised April-5,2005 Town of Montville Building Department Energy Efficiency Means of Egress Ceiling height(1003.2) Protruding objects(10033) Exterior Walls Elevation change(1003.5) Egress continuity(1003.6) Occupant load(1004) Roof Assemblies and Rooftop Structures Egress width(1005) Performance requirements(1504) Means of egress illumination(1006) Fire classification(1505) Accessible means of egress(1007) Requirements for roof coverings(1507) Doors,gates and turnstiles(1008) Roof insulation(1508) Stairways and handrails(1009) Rooftop structures(1509) Ramps(1010) .Reroofing(1510) Exit signs(1011) Guards(1012) Glass and Glazing Exit access(1013) Interior glazed areas(2403.4) Exit and exit access doorways(1014) Louvered windows or jalousies(2403.5) Exit access travel distance(1015) Wind,snow,seismic and dead loads on glass(2404) Corridors(1016) Exits(1017) Number of exits and continuity(1018) Vertical exit enclosures(1019) Exit passageways(1020) Horizontal exits(1021) Exterior exit ramps and stairways(1022) Exit discharge(1023) Assembly(1024) Emergency escape and rescue(1025) Accessibility r Accessible route(1104) VAccessible entrances(1105) i./—Parking and passenger loading facilities(1106) Dwelling units and sleeping units(1107) Group I(11075) Assembly area seating(1108.2) Self-service storage facilities(11083) Judicial facilities(1108.4) V Toilet and bathing facilities(1109.2) Sinks(11093) ,Kitchens and kitchenettes(1109.4) Drinking fountains(11095) Elevators(1109.6) Lifts(1109.7) Storage(1109.8) • Detectable warnings(1109.9) Assembly area seating(1109.10) Seating at tables,counters and working surfaces(1109.11) Service facilities(1109.12) Controls,operating mechanisms and hardware(1109.13) Recreational facilities(1109.14) Stairways(1109.15) Signage(1110) Interior Environment Attic space ventilation(1203.2) Under-floor ventilation(1203.3) Natural ventilation(1203.4) Other ventilation and exhaust systems(12035) Temperature control(1204) Lighting(1205) Yards and courts(1206) Sound transmission(1207) Minimum room widths(1208.1) Minimum ceiling heights(1208.2) Room area(12083) Efficiency dwelling units(1208.4) Access to unoccupied spaces(1209) Surrounding materials(1210) A=A!I B=Basement !R=!Roof S=Site 1=first floor 2=Second'ICoor 3='Third floor Revise6April 5,2005 Town of Montville Building Department PLUMBING SYSTEMS General Fixtures,Faucets and fixture fittings Documents drawn to a scale of not less than 1/8"per foot(29022) Separate facilities shall be required for each sex(IPC 403.2) Documents shall indicate where penetrations will be made for pipe, Accessible plumbing facilities(PC 404) fittings and components and shall indicate the materials and methods for Additional grab bar(IPC 404.4) maintaining required structural safety, fire-resistance rating and fire Accessible faucets(PC 404.5) blocking for buildings more than two stories in height(106.3.1) Pull handle(PC 404.6) Water Heaters Sanitary Drainage Installed in garages RC 502.2) Building trap location&detail Installed in attics(502.5) Building sections showing vertical and diagrammatic elevations of the soil and waste lines with traps(2902.2) Storm Drainage Location and size of the public sewer or other disposal system(2902.2) Adequate provisions shall be made to protect the piping from freezing by insulation or heat or both(IPC 305.6) Fixtures Automatic clothes washers(PC 406) Bathtubs(PC 407) Bidets(PC 408) Dishwashing machines(IPC 409) Drinking fountains(PC 410) Emergency showers and eye washing stations(IPC 411) Floor drains(PC 412) Food waste grinder units(PC 413) Garbage can washers(IPC 414) Laundry trays(PC 415) Lavatories(PC 416) Showers(IPC 417) Sinks(IPC 418) Urinals(IPC 419) Water closets(PC 420) Whirlpool bathtubs(PC 421) Venting Building sections showing vertical and diagrammatic elevations of the vent lines(2902.2) Water Supply Location and size of all water lines and branches(29032) Minimum water pressure in the main in front of the building or structure (2903.2) Building sections showing vertical and diagrammatic elevations of the water supply lines and valves(2902.2) Automatic sprinkler and standpipe systems shall have a double check- valve assembly or a reduced pressure principle backflow preventer (2905.4.2) Water service pipe shall be installed not less than 48"deep(IPC 305.6) Toilet Rooms Floor and sidewalls, including the angle formed by the floor and sidewalls,excluding doorways and entrances,shall be water tight to a height of at least 5"above the floor(2907.1) Floors,walls,ceilings,partitions and doors shall be of a finish that is capable of being easily cleaned(2907.1) Urinals—wall and floor space to a point 2 ft in front of a urinal lip shall be finished with a smooth,waterproof,nonabsorbent,readily cleanable material(2907.2) Urinals—wall and floor space to a point 4 ft above the floor and at least 2 ft to each side of the urinal shall be finished with a smooth, waterproof,nonabsorbent,readily cleanable material(29072) Water closets—floors within 1 ft in any direction from the rim of a water closet shall be finished with a smooth,waterproof,nonabsorbent, readily cleanable material(29073) Additional grab bar(PC 404.4) Faucets and controls(PC 4045) Pull handle(PC 404.6) A=slff B=Basement .7(_ S=Site 1=`fast 5lvor 2=Second 5lnor 3=7Fiird floor RevisedAprif5,2005 Town of Montville • Building Department STRUCTURAL DOCUMENTS Earthquake loads(1614-1623) Construction documents shall show the size, section and relative Special inspections(1704) locations of structural members with floor levels, column center and Quality Assurance for wind requirements(1706) offsets fully dimensioned(1603.1) Foundation and soils investigation(1802) Floor live load(1603.1.1) Frost protection(1805.2.1) Roof live load(1603.1.2) Foundation wall drainage(1805.5.6) Roof snow load(1603.1.3) Retaining walls(1806) Wind design data(1603.1.4) Damp proofing and Waterproofing(1807) Earthquake design data(1603.1.5) Pier and pile foundations(1808) Flood load(1603.1.6) Driven pile foundations(1809) Special loads(1603.1.7) Cast-in-place concrete pile foundations(1810) Live loads to be posted for structures designed to exceed 50 psf.,such Composite piles(1811) design live loads shall be conspicuously posted by the owner in that part Pier foundations(1812) of each story(1603.3) Concrete(1900) Load combinations(1605) Masonry(2100) Dead loads(1606) Steel(2200) Live loads(1607) Wood(2300) Snow loads(1608) Conventional light-frame construction(2308) Wind loads(1609) Soil lateral loads(1610) Rain loads(1611) Flood loads(1612)/ / t- tfn lice( Pi/G17s r2�vti re- / prP-eMe �>� Wq// 6r'SG/7 ) #4o s��'G,,7��L` t�I rnhi% 4- E /ems-fk C pfari1 r (-1ir_e,� Building Offi �1 • A=AK B=Basement 7(,=Rod. S=Site 1=First F(oor 2=Second 5(aor 3=Thirdd j(aor Revised April 5,2005 Town of Montville Building Department File Receipt Date: 24-Aua-17 ReceiptNo: 12593 Received From: Job Address: 226 Butlertown Rd Town Fees Collected State of Connecticut Fees Collected Bldg Cash: 10.00 State Cash: $0.00 Bldg Check: $652 32 State Check: $8.32 Bldg Credit: $0.00 State Credit: $0.00 Fire Cash: 10.00 Fire Check: 1189.00 Construction Value: �0 00 Fire Credit: 10.00 Demolition Value: CheckNo: 1007 Received By: Vernon D Vese II �, • T E CD -• Q. 3-7 c3 73 g 3 co CA <. (7) 0 m CD 3 1 3 I ALI 3 3 3 3 3 3 3 .< .<H—I W (n C7 Ill CO ,0.h N N fD fD ES a 13 a -I -Im 3 ,14c; 3 a co 3 m a s Q N CD m xi co 0 n tQ — z cu v N N p p n EM 0 „„-Ti m p p, 0 a m cp ,Z 73 - i 3 a � d -5... rn m n 3. m a m m 2 ' m T 76o = No m0) N = D 3 m 7 c so 0 -1 0 W co ti9 in r 7 W o cD r d 4. • 41 5' W QWco ' O ' Q � 1a i m rn 0. CCO� m 0 Cu" 0° CD11 - ° g co c 0 0 71 CD m 3 7 r mco z < C) C N v = 5 c CDE r 11) CC2 2:12 N W N NCD 71 0 O O O O O NO0 O O O O N 0 O O O O Z i or) in EA d► d► 4A EA EA 4A 4A to d► d/ dt di d/ d► di d►d►d1 CO co N CO C71 N O N O CD • , co CO A 00000 N G N I O W C C CCC O O N 000000 4., vv .,. - State of Connecticut N 7 B v . 'Tt Workers' Compensation Commission M sem- %"• ce Please TYPE or PRINT IN INK Proof of Workers' Compensation Coverage when Applying for a Building Permit for the Sole Proprietor or Property Owner who WILL act as General Contractor or Principal Employer APPLICANT FOR BUILDING PERMIT Name of Applicant for Building Permit , i .a4,,4 L L- , Property located at )rb-T `��` 1 o j, I �4 in theCity/Townof i i AAA4 1 ATTEST If you are the owner of the above-named property or the sole proprietor of a business doing work on the site of the construction project at the above-named property and you WILL act as the general contractor or principal employer,you must provide proof of workers'compensation insurance coverage for all employees. Complete this form and,if applicable,sign the Affidavit below in the presence of a Notary Public or a Commissioner of the Superior Court. CHECK ONE (1)BOX ONLY, provide the appropriate information, and sign: ❑ I am the OWNER of the above-named property.I WILL act as the general contractor or principal employer and,as such,will submit proof of workers' compensation insurance coverage for all employees who are doing work on the site of the construction project at the above-named property. Signature of OWNER Applicant LiI am the SOLE PROPRIETOR of a business doing work at the above-named property.I WILL act as the general contractor or principal employer and,as such,will submit proof of workers'compensation insurance coverage for all employees who are doing work on the site of the construction project at the above- named property. Signature of SOLE PROPRIETOR Applicant I am the OWNER of the above-named property or the SOLE PROPRIETOR of a business doing work at the above-named property.I will not personally V submit proof of workers'compensation insurance coverage,but I will attest to the following: AFFIDAVIT I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor, subcontractor,or other worker before he or •-does work on the site of the construction project at the above-named property in accordance wi Sect.. 286b of the Workers'Compensation Act ; Signature of OWNER or SOLE PROPRIETOR Applicant �� A �� Name of Business—if applicable Federal Employer lD#(FEIN)—if applicable ,f I 2- Subscribed Subscribed and sworn to before me this 1'itY\ day of M01 , 201.7 Signature of Notary Public/Commissioner of the Superior Court(I'A,1 1 Q.cIifiliN �1,, �C,--14 CARMEN M. KNEELAND NOTAR Y PUBLIC AP(COMMISSION tArllttJ()C I.31,2017 . Building Department Town of Montville CONSTRUCTION PERMIT APPROVAL ((,7( o eukf I er-i-z)LJC 0 r Property Address 1 yt IAMITIC�CCo(I�1 - R,.,'� (Al'I-- Job Description Required Approval Department Permit Issuance Approval II✓ Tax Collector ,a_._��1) {--.,`, S/+ /Signature/date Comments: / ®I Planning &Zoning--%,.� ,--_ /2------ Required for all permits exceptcam` G� 67-5-/7 Signature/date Plumbing,Electrical,Mechanical,Roofi q,Siding,Windows&Doors IR Health DepartmentZaii, Z---1 01-/f-/ Required for properties with private septic or well 7 Signature/date Comments: WPCA, Administrative uired for properties on sewer ‘I‘( Signature/date Comments: ❑ WPCA, Operations When Required by WPCA Comments: Signature/date ✓ Fire Marshal / (241( 1 Comments: —2. f' C'?kA.n I Signature/date '' \\ ❑ Department of Public Works Required when project includes driveway work or certain drainage requirements Comments: Signature/date ❑ Montville Police Department Required for all permits EXCEPT one and two family residential Signature/date Comments: ❑ Copy of State Dept. of Transportation Certificate Re.uired for Structures over 100 000 s..ft.or with more than 200 parking s.aces-Official co• of STC Certificate of O.eration re.uired-.er CGS 14-311 ignature/date Building Department Final Inspection A���� f>•-�.. *visedMarch23,2015 Indigo Land Design, LLC 860.388.9343 Phone IN D l G ® 40 Elm Street, 2nd Floor 860.391.8854 Fax landdesi,n Old Saybrook, CT 06475 jwren(Indigo-Land.com E-mail www.Indigo-Land.com ,« th May 3, 2017 Montville Town Hall, Lower Level, Room B-4 310 Norwich-New London Turnpike Uncasville, CT 06382 Dear Vernon D. Vesey II, Enclosed are three (3) sets of plans for the proposed warehouse/office space at 226 Butlertown Road, Oakdale, including signed and sealed site plans and structural plans, as well as floor plans and elevations. Please feel free to contact us at any time if you have any questions or need any additional information. 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