HomeMy WebLinkAbout10x16 Porch/Deck 2003 Town of Montville col)
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Building Official
Town of Montville
BUILDING DEPARTMENT
310 Norwich-New London Turnpike
Uncasville, CT 06382
(860)848-3030, Ext. 382
Building Permit
Permit Number: B2003-0120 Date: 15-Apr-03 Map/Lot: 016/T29-000 Owner ID 122511
Job Location: .16 RAINBOW ilEt Unit
Job Description: Deck/Awnings
Owner: Contractor:
Walter C&Geraldine K Buffinton Sr Thomas Leffingwell
30 Scotland Road
16 Rainbow Drive Baltic Ct. 06330-
Uncasville CT 06382 Telephone: (860)822-8408
Lic/Reg Type/No. HIC 516594 Exp Date: 30-Nov-03
Tenant:
Self
Telephone:
Construction Values Permit Fees Construction Information
Building Value: $4,083.00 Building Fee: $28.00 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: R10
Other Value: $0.00 Other Fee: $0.00 Comments:
Total Value: $4,083.00 CO Fee: $10.00
Plan Review Fee: $2.80 .
State Ed Fee: $0.66
Total Fees: $41.46
It is the owners responsibility to schedule the following inspections(minimum 48 hours notice required);
[] Footing-Prior to pouring concrete ❑ Rough HVAC
❑ Backfill-Footing drains 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
❑ Rough plumbing and leak test L Certificate of Occupany
❑ Gas piping and test
Building Official's Signature: Ale
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Town of ontvill'
e Building DepartmP-Nt Receipt
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No. 02579
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Town of Montville
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
❑Jew Construction Addition El Alteration Accessory Structure
❑other
Job Location / - K/3 OO) ?r t () C .3 `L' , ,
Job Description/Materials A-) 11.) .4-60,c)/ J 4 f kiGz s
Owner 1A114 tt(?-5 OH /VL 7�0Iau1?ng Address ((s' 4Z gOW 9 R( I'&
City U
711/2241/
� / �-,� State CCS_ Zip Ob Tel ma / f / g C2-7
Contractor y 1'"41/ '—E5 JC/ lEZ5-Mailing Address 30 SCO7[A Jac ✓��
City 184-C-7-1C- `' Stater Zip 00330 Tel e v/O/g'2Z/ o 7
Contractor's License/Registration Type&Number 67 4, $ 7 Exp.Date /j / 3U / 24203
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 Date 3 / / /o3
Construction Value
Fee
Building $ 1 v 0
Plumbing $ $
Mechanical $ $
Electrical $ $
Other $ $
Certificate of Occupancy $
Plan Review Fee $
State Education $
Total $ 91b s-`f a $
(See*verse sidefor additional requirements)
STATE OF CONNECTICUT
WRS' COMPENSATION COMIVIISSION
Building Permit Affidavit for Property Owners or Sole Proprietors
(Conn. Gen. Stat. § 31-286b)
Property located at: ( (tD .I A) O(A--) P2-t tit'
In the town of (. itJC* V I (rc.,L-E
Name of building permit applicant: T -p-v t,Q-5
Please check one:
1. j.am the owner of the above property.
2. ./I am the sole proprietor of a business.
2A. Name of business: 7-71177K
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/$'ne:
1. L" I do not in _ to act .. . general co ctor o14.00
r'n ',L employer.
[Sign and stop' e '`/ �
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 appropriate District Office; and that a sole proprietor
of a business is not required to have coverage unless he files his intent to accept coverage.
Signature of applicant
Subscribed and sworn to before me this day of 200_.
(Notary Public/Commissioner of the Superior Court)
NO
STATE OF CONNECTICUT
DEPARTMENT OF CONSUMER PROTECTION
HOME LMPROi7E1 CONTRACTOR
THOMAAS LE F, OltELL
30 S;C TLAN4 D
BAtA41(c �O63
IVEf
LIC./RE EXPIRESEG NQ -::_ ,� %-t _�_..
51659 ou '01/2 �s'�"''-' 11/30/2003
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SIGNED _ �
If' Town of Montville
liar Building Department
848-3030,Ext 382
ONE&TWO FAMILY
CONSTRUCTION PERMIT
/ r SIGN-OFF SHEET
( (O V /ti OC6 'D 12-1 V --: (//VC#" vit--t.-
Property Address
Job Description: �CfaG l /L,,UCSS
/ /. A-i vi 1��
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
0 Permit#: ❑ Not Applicable
eptic System Date
Approved
❑ Permit#: ❑ Not Applicable
Private Well Date
WPCA DEPARTMENT 848-3030,Ext.881
% L • 4-Lo
Approved
I El Approved
#: la Not A licable
icipal Sewer Date pp
House Trap 0 Outside
0 Inside
Approved
0 Permit# 0 Not Applicable
Municipal Water Date
DEPARTMENT OF PUBLIC WORKS 848-7473
Approved
Director 0 Permit#: ❑ Not Applicable
Date
PLANNING &ZONING DEPARTMENT 848-3030.Ext.81
- nLtla-L 3/zG/c3 In-Compliance
l!' RI Permit#: 7 0 3-013 Not Applicable
Zoning Date
In-Compliance
❑ Permit#: ❑ Not Applicable
Inland-Wetlands Date
Town of Montville
Residential Plan Review
Date: ,k pp__J L Z 12_00
Job Address: 16 Aj i )l c i `2 2 V(
Job Description: `1---)0.12- _,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 rejected 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
Permit fee$ 17 Minimum room sizes(304.1)
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(nun.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 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 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
opening height,20"clear opening width)(310.2.1.)
Signed by PBcZ,Wetlands,Uncas health,WPCA
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 1/2"sheetrock(310.3.)
Driveway Designate which door is the required exit(36"minimum,hinged)
Topography(existing and proposed) Garage
Minimum 5/8"Type X gypsum board separation(on garage side)to
Footing drain inverts,outlet and separation
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)
• Foundation Plan Indicate minimum 1 3/4"solid wood door,1'/a"solid core steel door,1
Dimensions 1/4" 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
and its basement or attic(309.1)
Frost protection required Indicate slope for garage floor(309.3.)
Window and door sizes and locations
Hatchway
Foundation—indicate the assumed soil conditions that the system has • Elevations
been designed for or provide engineering data. If presumptive soil Type of siding
conditions cannot be met,provide soil bearing engineering data(401) Type of roofing
Concrete strength—foundation,floors,exterior porches,walks,slabs Other finishes
(402.2) Finish grades
Basement—finished of unfinished? Building heights
Vapor barrier between sub-grade and concrete basement floor Dimension height of chimney above roof
(505.2.3) Roof pitches
Minimum 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 1/4"max),tread depth(9"min.),and nosing(3/4"
Waterproofing details(406) —1 y„)
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
Fireplace/chimney base Stud size and spacing,species and grade(or minimum Pb and E)
Concrete piers and anchor details—decks
Foundation drainage—sump,drain to grade,or town storm system; Sheathing size,type,thiestyleness,type
indicate pitch(405.1) y Siding,material, style—underlayrnent per mfg.
Insulation—R-value,type—including basement walls if applicable
Beam pockets—minimum clearances
Crawl Spaces Comer bracing
Crawl space data—clearance to joists, slab thickness (if provided), Flashing detail—windows and doors—type,material
vapor barrier(409)
Ventilation(409.1)
Access 18"x24"(409.2)
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