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MFH 2012 N d1 T--1 N a) O Q c N O z c' z tD O L 0 (n +' C a °' S O 4-1 0 z o O (U O C (n (n > L 21 i i (B -I-I Ii) a) a) -D C C C CV ) (a o c _c N aO E0 a) 7. L Z (n (n U - o .J 47, :a-,(a V Via) E E Z > W Z d _c o W a-' U o M J c = O Q VH G -t--) Q F-' i Z Q OU i- l0 a • W � � � O o • D D O .� ("Ni co O Z Q E c ra >c Li, C B O Z V C > .. 3 - . O F., aJ i L co O N H 0 U a) (a p cS U It't1:4 ‘i' (1)12: LU _C) la)— m E o U co _o m LLZ U g6 U a co C co C M fi O C m -I 0 0 M a) o U a) i -I-, UU t0 Z m j a CD o ii) cn 0 CU CD C :-- La' La'_ L C i_ o 0CD E m U) 73 0 (1) N N U C (n — (O CU _C Q Q E C C U �O -0 . z D U n C1 D .ch N c C) a) 4_' L N (n C a U a) U � o H U N a a D 0 cn 0 Town of Montville Building Department CERTIFICATE OF OCCUPANCY APPROVAL r_e3 RGi t 1 Property Address Nt,-(...k.0 5t _ e.t y Jo escription Required Approval Department Permit Issuance Approval Planning & Zoning CL?. &_. / 1/c ; / / Z Signature/date Comments: n Health Department Required for all permits except Signature/date Plumbing, Electrical,Mechanical, Roofing,Siding,Windows& Doors Comments: U WPCA, AdministrativeI Required for properties on sewer ignature/d\D-Le e Comments: n WPCA, Operations When Required by WPCA Signature/date Comments: ❑ Fire Marshal Required for all properties EXCEPT one and two family Signature/date Comments: I� Department of Public Works M/% Required when project includes driveway work or certain drainage requirements Signature/date Comments: ❑ Montville Police Department /1 Required for all permits EXCEPT one and two family residential Signature/date Comments: ❑ Copy of State Dept. of Transportation Certificate /1;/1/XRequired for Structures over 100,000 sq.ft.or with more than 200 parking spaces-Offici I copy of STC Certificate of Operation required-per CGS 14-311 Signature/date Building Department Final Inspection Rev ed May 23,2011 Field Inspection Notice Town of Montville Building Department 860-848-3030 Ext.382 Address: 63 Rainbow Drive Job Description: New Single Family Residence Permit Number(s) B2012-0386, E2012-0252, M2012-0188, P2012-0124 Permit Date: September 24,2012 Not Approved Approval INSPECTION Date: Deficiencies Special Date Conditions Electric Service 10/11/12 DJ • Electric not ready. • CRS#2000234 • 10/12/12 DJ 5 piers two front and • three at rear • 10/12/12 DJ Anchors 8/8/16 DJ Final inspection for • certificate of 8/8/16 DJ occupancy **NOTE— After one re-inspection additional inspection fees payable prior to re-inspection,are as follows: Residential inspections(except SFR CIO&SFR Additions CIO)-S10.00 SFR and Additions C/O re-inspections -$10.00 Commercial re-inspections(except Certificate of Occupancy- S25.00 Commercial Certificate of Occupancy- $50.00 NOTICE: Before a certificate of occupancy can be issued,a C/O signoff sheet must be completed and returned to the building department. Signoff sheets are available in the building department. Rev.Date: 1/18/06 Page 1 of 1 Field Inspection Notice Town of Montville Building Department 860-848-3030 Ext. 382 Address: 63 Rainbow Drive Job Description: New Single Family Residence Permit Number(s) B2012-0386, E2012-0252, M2012-0188, P2012-0124 Permit Date: September 24,2012 Not Approved Approval INSPECTION Date: Deficiencies Special Date editions Electric Service 10/11/12 DJ • Electric not ready. CRS#2000234 • 10/12/12 DJ 5 piers two front and • three at rear • 10/12/12 DJ Anchors • 11/26/12 DJ Final inspection for certificate of 11/26/12 DJ occupancy **NOTE** After one re-inspection additional inspection fees payable prior to re-inspection,are as follows: Residential inspections(except SFR C/O& SFR Additions C/O)-S10.00 SFR and Additions CIO re-inspections -$10.00 Commercial re-inspections(except Certificate of Occupancy- S25.00 Commercial Certificate of Occupancy $50.00 NOTICE: Before a certificate of occupancy can be issued,a C/O signoff sheet must be completed and returned to the building department. Signoff sheets are available in the building department. Rev.Date: 1/18/06 Page 1 of 1 TOWN OF MONTVILLE Building Department 310 NORWICH-NEW LONDON TURNPIKE UNCASVILLE, CT 06382-2599 TEL. (860)848-3030 X382 FAX. (860) 848-7231 PLUMBING PERMIT Permit Number: P2012-0124 Date: 31-Dec-12 Map/Lot: 016/029463 Owner ID: 5769000 Project Location: 63 RAINBOW DRIVE Unit: Job Description: Plumbing for New SFR Owner Nam Jensen's Inc. Tenant Name N/A Careof: 3 Hillcrest Drive Uncasville CT 06382- Telephone: (860)848-7326 Contractor Nam Chris Kerfus Telephone: (860 577-0571 DBA: Effiecient Plumbing Uc/Reg Type P1 Lic/Reg No 204880 P.O.Box 68 Exp Date: 31-Oct-13 Montville CT 06353- Construction Value Permit Fees Construction Information Building Value: S0.00 Building Fee: $0.00 Use Group: IRC Plumbing Value: S0.00 Plumbing Fee: S0.00 Code: 2005 State Building Code Mechanical Valu $0.00 Mechanical Fee S0.00 Electrical Value: S0.00 Electrical Fee: $0.00 Construction Type IRC Total Value: $0.00 Penalty Fee: S0.00 Permit Code: R5 C of 0 Fee: $0.00 Comment Plan Review Fe $0.00 Fees Included with Building Permit State Ed Fee: S0.00 Total Fee Paid: $0.00 It shall be the owners repsonsibilify 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. BUILDING PERMIT INSPECTIONS PLUMBING,MECHANICAL,ELECTRICAL PERMIT INSPECTIONS ❑ Footing-Prior to pouring concrete 0 R Plumbing and leak test ❑ Deck Piers ❑ R Electrical ❑ Backfill-Footing drains and waterproofing ❑ Elec Trench-with conduit installed ❑ Concrete Slab-Prior to pouring concrete ❑ Pool Bonding ❑Anchor Bolts-with sill plate and prior to floor framin ❑ Electrical Service CRS No: 0 ❑ Framing ❑ R HVAC ❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test ❑ Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION ❑ Insulation 0 Certificate of App:val El Ce ''cat• o occupancy Building Official's Approval: / Town of Montville Building Department 310 Norwich-New London Tpke. Tel. 860-848-3030, Ext 382 Uncasville, CT 06382 Fax. 860-848-7231 RESIDENTIAL PERMIT APPLICATION FORM PermitNo.: p,-,b(c- DI ati Type of Work Occupancy Type Permit Type ❑ New Construction ❑ Single Family ❑ Building ❑Addition ❑Two-Family ❑ Plumbing ❑Alteration ❑Townhouse ❑ Mechanical ❑Accessory Structure ❑ Electrical CRS#: Property Address: �� Z) e ;`-iejC;v_, (Number) (Street) (Unit) Job Description: L , j Owner: ��� e 7 Address: � 4._ _G r�u 5fi City: c- -s�/i _q State: C l Zip Code: Telephone lc' (4,0 ) - Applicant: >i/c )t- DBA: Address: ? City: STht �����,, State: C( Zip Code:(--)rc 3 Telephone(_S‘P`-' ) c7D - G S�Z Contractors - Complete the Following: License Type: f / License No.:et•i Jy fix) Expiration Date: /4-' 7 r 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. By checking this box, I will follow the requirements of the 2005 NEC as the alternative compliance per section E3301.2.1 of the Residential Code, instead of the electrical res}uirements in chapters 33 through 42 of the Residential Code. t<� Owner/Agent Sign tures Date: 1, 0-- Construction LConstruction Value Permit Fees Building Value: Building Fee: Plumbing Value: Plumbing Fee: Mechanical Value: Mechanical Fee: Electrical Value: Electrical Fee: Total Value: Penalty Fee: C of 0 Fee: Plan Review Fee: State Ed Fee: Total Fee: &vised August 23,2007 Residential Permit Requirements Checklist This list is to be used as a guide only and is not all-inclusive, additional information may be required for your particular project. Two complete sets of construction documents required. ProvidedNot I Applicable I Item Supporting Documentation Provided Not Item Applicable Completed, signed and dated Building Permit Building Section&Details Application Completed workers compensation affidavit for Floor-to-floor heights Material type,size,and spacing property owners or sole proprietors or copy of Stair details (rise, run, treads, nosing, width, workers compensation insurance headroom) Copy of Contractor Registration or license Handrail details Construction permit sign-off sheet signed by all Guardrail details departments Documentation showing compliance with the Roof ventilation Framing Plans Energy Conservation Code _(www.enermicodes.gov)or Chapter 11 Design loads—for floors,ceilings,roofs Street address of project on all drawings and Bearing partitions identified on the plan documents Direction of framing Spans,beam Wind Limitations Criteria Wood species and grade Documentation showing compliance with the Framed openings requirements for construction in 110 mph wind Wall framing size and spacing identified zone Sheathing type and thickness Design publication identified; WFCM-2001, Window and door header sizes chapter 2; WFCM-2001,chapter 3; SSTD 10-99; Decking material,size,spacing ASCE 7-02,AISI,COFS/PM Engineering data for engineered lumber (LVL's and I-joists) Site Plan Framing plan for engineered lumber Property lines Engineering data for steel beams, signed and Distance from property to structure sealed by a CT registered design professional Structure dimensions Engineering data for trusses, signed and sealed Driveway by a CT registered Professional Engineer Topography(existing and proposed) Note: Unusual structural conditions may require Footing drain inverts,outlet and separation that additional engineering back up be submitted Proposed utilities Chimneys&Fireplaces Wetlands and flood zone limits and elevation Clearances to combustible materials Septic system shown and located on the plan Manufactures data for metal flues Well and piping shown and located on the plan Exterior fresh air source for fireplaces Foundation Information Flue sizes Assumed soil bearing pressure Manufacturers data and installation instructions Dimensions for metal fireplaces Wall thickness Electrical Information Footing sizes Panel location(s)with main size Frost protection Meter socket location Foundation anchor type,size,locations GFCI outlet locations Window and door sizes and locations Smoke detector locations Hatchways Lights and switches Columns Mechanical Information Drainage details Dryer vent Waterproofing details Bathroom exhaust ventilation (natural or Crawl space ventilation size and location mechanical)type and size Crawl space access size and location Hood exhaust Concrete strengths Type of heat(oil,electric,gas) Floor Plan Information Heating, ventilation, and air conditioning plant Dimensions location Door and window sizes,egress window Oil tank size,location,and piping Glazing in hazardous locations LP-Gas tank location,size,and piping Garage/dwelling opening protection Combustion air requirements Garage/dwelling separation Manufacturers data far equipment Kitchen layout Heat loss,Heat gain calculations Bathroom layouts, tub sizes in Plumbing Information Y gallons, space clearances Building trap location if on municipal sewer Indicate use of all rooms Sewer location Stair location Domestic water location Attic access location and size Water heater size,type,and location Square footage for each habitable level of the Manufacturers data for whirlpools, corner tubs,& structure larger tubs Required light and ventilation for each habitable room Elevations Type of siding Roofing Other finishes Finish grades Building heights Height of chimney above roof Roof pitch � c State of Connecticut rQo 4.. Workers' Compensation Commission1'1- ]*;; " %2.i k 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 NOT act as General Contractor or Principal Employer APPLICANT FOR BUILDING PERMIT Name of Applicant for Building Permit f—t /( Property located at \� (� ►�� J l7J Ct in the City/Town of U i C-- ATTEST ,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 NOT act as the general contractor or principal employer,you are not required to have workers'compensation insurance coverage. CHECK ONE(1) BOX ONLY and complete the following: 4 (773 I am the OWNER of the above-narrr_d property.I WELL NOT act as the general col it actor or principal employer. Signature of OWNER .plicant-- 7-41 � IP ❑ I am the SOLE PROP RIE I DR of a business doing work at the above-named property.I WILL NOT act as the general contractor or principal employer. Name of Business Federal Employer ID#(FEIN) Signature of SOLE PROPRIETOR Applicant Town of Montville Building Department CONSTRUCTION PERMIT APPROVAL Applicant is responsible for obtaining all of the required approvals. No permit will be issued until all the required signatures are obtained. Property Address i ni i-1 ItLLN Job Description Required Approval Department Permit Issuance Approval Tax Collector �, N„� o /-L/..2-4/ i Signature/date Comments: Planning & Zoning _ ,2- - VI� Comments: L mi ' i ti) Int - Signature/date r Fire Marsh I (21?-__; �Z \( Signature/date Comments: l (� i � .�' T ❑ Health Department Required for properties with private septic or well Comments: U WPCA, Administrative �-�.� K\3R I Required for properties on sewer I Sigture/date Comments: (J WPCA, Operations When Required by WPCA Signature/date Comments: Department of Public Works Required when project includes driveway work or certain drainage requirements Signature/date Comments: ❑ Montville Police Department Required for all permits EXCEPT one and two family residential Signature/date Comments: ❑ State Dept. of Transportation Required for Structures over 100,000 sq.ft.or with more than 200 parking spaces-Official copy of STC Certificate of Operation required-per CGS 14-311 Signature/date Building Department Review Complete Signature/date Revised May 23,2011 P4 •CO O wN IO °C\ Uva WM a k z cv Oet UU Q. Gy PL Fo o o ` da z z � W 14 w c imo J a \ o 0 a J z o a �✓ TOWN OF MONTVILLE Building Department 310 NORWICH-NEW LONDON TURNPIKE U NCASVILLE, CT 06382-2599 TEL. (860)848-3030 X382 FAX. (860) 848-7231 MECHANICAL PERMIT Permit Number: M2012-0188 Date: 26-Nov-12 Map/Lot: 016/029-T63 Owner ID: 5769000. Project Location: 63 RAINBOW DRIVE Unit: Job Description: Install Heat Pump in New SFR Owner Nam Jensen's Inc. Tenant Name N/A Careof: 3 Hillcrest Drive Uncasville CT 06382- Telephone: rt _ Contractor Nam William W.Guile �...M___. Telephone: (860)213-1535 DBA: AC&H Services Inc, Lic/Reg Type D1 ___.._ _ ..._.._._.. Lic/Reg No 390338 4 County yak Road Exp Date: 31 Aug-13 Norwich CT_Construction Value .__ Permit Fees Construction Information. _- Building Value: $0.00 Building Fee: $0.00 Use Group: IRC Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 2005 State Building Code Mechanical Valu $0.00 Mechanical Fee S0.00 Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type IRC_ Total Value: $0.00 Penalty Fee: $0.00 Permit Code: R5 C of 0 Fee: $0.00 Comment Plan Review Fe $0.00 Fees Included with Building Permit State Ed Fee: $0.00 Total Fee Paid: $0.00 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. BUILDING PERMIT INSPECTIONS PLUMBING.MECHANICAL.ELECTRICAL PERMIT INSPECTIONS ❑ Footing-Prior to pouring concrete ❑ R Plumbing and leak test ❑ Deck Piers ❑ R Electrical ❑ Backfill-Fooling drains and waterproofing ❑ Elec Trench-with conduit installed ❑ Concrete Slab-Prior to pouring concrete ❑ Pool Bonding ❑ Anchor Bolts-with sill plate and prior to floor framin ❑ Electrical Service CRS No: ❑ Framing ❑ R HVAC ❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test ❑ Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION ❑ Insulation --''cate - Approval ill - • -.te of Occupancy Building Officials Approval: / //, / 72(4-- Town of Montville Building Department 310 Norwich-New London Tpke. Tel. 860-848-3030, Ext 382 Uncasville, CT 06382 Fax. 860-848-7231 RESIDENTIAL PERMIT APPLICATION FORM Permit No.: -d Type of Work Occupancy Type Permit Type ❑ New Construction ❑Single Family ❑Building ❑Addition ❑Two-Family ❑Plumbing ❑Alteration ❑Townhouse ❑Mechanical 0 Accessory Structure ❑Electrical CRS#: Property Address: j t,r1 � (Number) (Street) (Unit) Job Description: i 1 ��= ��c� vi'►� Owner: jettl5 r7-7 S /1 / Address: YD � ``M /) C _Y�5`� Drf ✓�% �q City. ✓/ .'S f Ii//f� State: (1 l�.-2 I Zip Code: Telephone( ) Applicant:104/:C...1.tevN DBA: /4 1-/ -F''Tt),' �5 ,,Q�1�1'. Address: /7'j (;),/r Ity F ��,,//� / city: a-rt.,...),C k\ State:I I Zip Code:C�a F20 Telephone ) /3 -1_3 Contractors - Complete the Following: ��C? License Type: L1 ) =- License Noe - J'' 7 Expiration Date: 3/"/ 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. ❑ By checking this box, I will follow the requirements of the 2005 NEC as the alternative compliance per section E3301.2.1 of the Residential Code, instead of the electrical requirements in chapters 33 v .ugh 42 of the Residential Code. Owner/Agent Signature , ,e%�(�la_,_ � Date: //— " Construction Value Permit Fees Building Value: Building Fee: Plumbing Value: Plumbing Fee: Mechanical Value: Mechanical Fee: Electrical Value: Electrical Fee: Total Value: Penalty Fee: C of 0 Fee: Plan Review Fee: State Ed Fee: Total Fee: Revr sed•August 23,2007 STATE OF CONNECTICUT DEPARTMENT OF CONSUMER PROTECTION • HEATING,PIPING Ac,c094111.0,LI4ITED CONTRACTO?% W11414141VIeS(*4UILE •• 5:40' 4 OtTriTY r1:ORD NORtpiellItTN06380....7004 • LIC./REG NOEFFE EXPIRES IFTG.0390331, 09/01/20' 68/31/2013 SIGNED • • • •• • • • ••• State of Connecticut N r 7A Workers' Compensation Commission 61 „vors. tom/ cc � ��� 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 NOT act as General Contractor or Principal Employer APPLICANT FOR BUILDING PERMIT Name of Applicant for Building Permit Property located at in the City/Town of 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 NOT act as the general contractor or principal employer,you are not required to have workers'compensation insurance coverage. CHECK ONE(1) BOX ONLY and complete the following: ❑ I am the OWNER of the above-named property.I WILL NOT act as the general contractor or principal employer. Signature of OWNER Applicant- --- ❑ I am the SOLE PROPRIETOR of a business doing work at the above-named property.I WILL NOT act as the general contractor or principal employer. Name of Business Federal Employer ID#(FEIN) Signature of SOLE PROPRIETOR Applicant Town of Montville Building Department CONSTRUCTION PERMIT APPROVAL Applicant is responsible for obtaining all of the required approvals. No permit will be issued until all the required signatures are obtained. PCA i r YJDIA) Property Address Ls-1C�t "�ec� Job Description Required Department Permit Issuance Approval Approval ✓ II Tax Collector a , T, __ I 9.t✓ tz� ' Signature/date 111 / Comments: V • Planning & Zoning CP&A Z� 71 f2 u // Signature/date Comments: / ( r Fire Mars al �// ( I 1 I Signature/date Comments: c (� Health Department Required for properties with private septic or well Comments: WPCA, Administrative Required for properties on sewer Sig =ture/date Comments: Lj WPCA, Operations When Required by WPCA Signature/date Comments: ❑ Department of Public Works Required when project includes driveway work or certain drainage requirements Signature/date Comments: ❑ Montville Police Department Required for all permits EXCEPT one and two family residential Signature/date Comments: ❑ State Dept. of Transportation Required for Structures over 100.000 sq.ft.or with more than 200 parking spaces-Official copy of STC Certificate of Operation required—per CGS 14-311 Signature/date Building Department Review Complete Signature/date 7tevisedMay 23,2011 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: B2012-0386 Date: 24-Sep-12 Map/Lot: 016/029-T63 Owner ID: 5769000 Project Location: 63 RAINBOW DRIVE Unit: Job Description: New Single Family Residence Owner Nam Jensen's Inc. Tenant Name N/A Careof: 3 Hillcrest Drive Uncasville CT 06382- Telephone: (860)848-4204 Contractor Nam Jensen's Inc. Telephone: DBA: Lic/Reg Type NHC Lic/Reg No 149 3 Hillcrest Drive _ Exp Date: 30-Sep-13 Uncasville CT 06382- Construction Value Permit Fees Construction Information Building Value: $138,310.00 Building Fee: $1,390.00 Use Group: IRC Plumbing Value: $460.00 Plumbing Fee: $10.00 Code: 2005 State Building Code Mechanical Valu $495.00 Mechanical Fee $10.00 Electrical Value: $5,981.00 Electrical Fee: $60.00 Construction Type IRC Total Value: $145,246.00 Penalty Fee: $0.00 Permit Code: R2 C of 0 Fee: $25.00 Comment Plan Review Fe $147.00 State Ed Fee: $37.76 Total Fee Paid: $1,679.76 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. BUILDING PERMIT INSPECTIONS PLUMBING.MECHANICAL.ELECTRICAL PERMIT INSPECTIONS ❑ Footing-Prior to pouring concrete © R Plumbing and leak test ❑ Deck Piers © R Electrical ❑ Backfill-Footing drains and waterproofing ❑ Elec Trench-with conduit installed ❑ Concrete Slab-Prior to pouring concrete ❑ Pool Bonding ❑ Anchor Bolts-with sill plate and prior to floor framin ❑ Electrical Service CRS No: 0 ❑ Framing © R HVAC ❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test ❑ Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION ❑ Insulation ❑ Certificate o i.proval J t - fic• - of Occupancy Building Official's Approval: f �� Town of Montville Building Department 310 Norwich-New London Tpke. Tel. 860-848-3030, Ext 382 Uncasville, CT 06382 Fax. 860-848-7231 RESIDENTIAL PERMIT APPLICATION FORM Permit No.:6314-y'Q3a0 Type of Work Occupancy Type Permit Type ❑ New Construction El Single Family U Building U Addition U Two-Family U Plumbing U Alteration U Townhouse U Mechanical ❑AccPccory Structure U Electrical CRS#: Property Address: P AIN6Q VV (XII)E._ (Number) ,M (Street) (Unit) 1 Job Description: c �1 1f'( 4 L ( cb l W(nczc... 1T r_vJa ON A PA O Owner: c_ ` Address:fJ' )� `� \I �� ) O \u c1 City. cASU U -j i State: C i Tp Code: 0 4,32s�>a Telephone(R foo )gig_ 1taO'( Applicant: Sjymf_ Ia c. 1;116V�. DBA: Address: City: State: Zip Code: Telephone( Contractors - Complete the Following: 1 Wr., , I License Type:l\Y C Y M H' �� ��License No.: 14'1 Eviration Date: 30 13 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. U By checking this box, I will follow the require `nts of the •$05 C as the alternative compliance per section E3301.21 of the Residential Code, instead of the electrical requirements in t rs i .h 42i i - Residential Code. Owner/Agent Signature: x/6 / Date: (7/4-2- Construction /4ZConstruction Value Permit Fees Building Value: Building Fee: Plumbing Value: Plumbing Fee: Mechanical Value: Mechanical Fee: Electrical Value: Electrical Fee: Total Value: Penalty Fee: C of 0 Fee: Plan Review Fee: State Ed Fee: Total Fee: Qrnisetl August 23,2X7 Town of Montville Building Department CONSTRUCTION PERMIT APPROVAL Applicant is responsible for obtaining all of the required approvals. No permit will be issued until all the required signatures are obtained. 6,--/ R HiN / 3R 1u 0 Ajciliv Property/Address P141-1(5- maNurrct'i,2 D i-10-1-) __ (r ) MVO - G3 RNWW n Building Code Violation Job Description Required Department Permit Issuance Approval Approval ■ Tax Collector ‘ t/A-0%�/Vac-►.x. -.71N49/ 7 // C, Signature/date Comments: I"; ® Planning & Zoning 60QQ0,0v— ( 9/litz Signature/date ' Comments: . , -0907- ,�• le I Fire Code Violation Penalty Fee-$ 1-� 2 g ■ Fire Marshal toy l , ••- rel date g Comments: I(� L� zi Health Department f J y� f Required for properties with private septic or well 1 " *'1 i' R Comments: I i WPCA, Administrative --7"-NAI(" / I ?" Required for properties on sewer Signature/date Comments: WPCA, Operations When Required by WPCA Signature/date Comments: 1H\ n Department of Public Works Required when project includes driveway work or certain drainage requirements Signature/date Comments: L Montville Police Department J Required for all permits EXCEPT one and two family residential Signature/date Comments: 1 1 State Dept. of Transportation Required for Structures over 100,000 sq,ft or with more than 200 parking spaces-Official copy of STC Certificate of Operation required-per CGS 14-311 Signature/date Building Department Review Complete Signature/date 1(evised%ay 23,2011 - av 4 State of ConnecticutE 7A t; Workers' Compensation Commission rt y J a Please TYPE or PRINT IN INK `Y Proof of Workers' Compensation Coverage when Applying for a Building Permit for the Sole Proprietor or Property Owner who WILL NOT act as General Contractor or Principal Employer APPLICANT FOR BUILDING PERMIT Name of Applicant for Building Permit Property located at in the City/Town of 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 NOT act as the general contractor or principal employer,you are not required to have workers'compensation insurance coverage. CHECK ONE(1) BOX ONLY and complete the following: ❑ I am the OWNER of the above-named property.I WILL NOT art as the general contractor or principal employes. Signahmre of OWNER Applicant- ❑ I am the SOLE PROPRIETOR of a business doing work at the above-named property.I WILL NOT act as the general contractor or principal employer. Name of Business Federal Employer ID#(FEIN) Signature of SOLE PROPRIETOR Apptiarrt CPL-02 Rev 09/03 STA TE OF CONNECTICUT 774983 DEPARTMENT OF CONSUMER PROTECTION 165 Capitol Avenue ♦ Hartford Connecticut 06106 Attached is your New Home Contr.. 9r Registration. This registration is not transferable. For questions,contact the Trade Practices Division at(86o)713-6110 or trade.practices@ct.gov. • Visit our web site to download applications and verify licensure at www.et.gov/dcp. STATE OF CONNECTICUT DEPARTMENT OF CONSUMER PROTECTION NEW HOME CO1 S'I' , IQ,1�T CONTRACTOR JENSEN'S RESIDENTIAL COMMUNITIES "••• �� ;'.'",. JENSEN'S S�NTYM.CQMMUNITIES 246 RED STONE ST 2¢g ".4 a�� r S,I, PO BOX 608 ( -_ `;p� � SOUTHINGTON CT 06489 re'' ti ~ CQkiMUNITIES JENSEN'S R$SIDE t LIC.I REG NO:.1 EC:•' VTEt c— ._.,—_ EXPIRES NHC.0000149 4_l' . �4 /30/20 13 : a -- rAjS*•-.44r i.SIGNED i - Y:-r '-/ \t,•• \I/:. 0-I:: — .-•tr.. •.-v. {•:ti!'sY.. :NY..•i.`V.:r�v:.C•;_Y •"Y•—`Y a/ ft�.-nr•:...- • • s�!.. Y.:. %.yldv .,(}t'; .•,....:•:o v :ti ,• .• r0, . ♦ ka • 4 • 4 k ab ar - 4 K' :`4 • 4 k • r 4 • 4 • ar ' • + ~ 4r _ STATE OF CONNECTICUT`+ DEPARTMENT Or .CONSUMER PROTECTION . , itoc Beit known that JENSENS RESIDENTIAL COMMUNITIES . :l rit 246 REDSTONE ONE ST i‘v-4 • SO .uR TO��(tit 6489 ' is certified by the Dep. s� t q A POection as a registered 7ti NEW DOME C STR 'I'IO) CONTRACTOR ' S R s t : #�= 1 1 1149 __ • i�,-,.. JENSEN'S R . •ESIDENTIAL CO S i�� 'Effective- 10 01/2011 Expiration 09/30/2013 _ `.p ' �. ... -�, ��` i3sj;, �`�tjf `''%.,.,.'4 �st'� : .�r.Ar i. :',:perr"'"...1,0;.. �'i`� r��y. r� ..:1:,...:.;it iU.. 1 .+!fi.z/T:;Sr:.,y3 1 ":"%0,T� Y•h F }v.4•. $ .' Lar rT 5 ♦ ,-;/..:,:....:1;:-. „.,,,:..,..A.:-',.'1,6,,,,-.: : v. �, j •T• _�•1• \– -. A.'t�� •.ti /1. :C}�.r. 4�..`ih ��/I, !C•,rl., v�-/..• . /T• ��_As,:Lk?r j: Client#:6003 JENSENSINC ACORD,, CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 12/02/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGA'''?ELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NO ?ONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder Is an ADDITIONAL INSURED,the pollcy(les)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). , PRODUCER - ACT Hayior,Prayer&Coon,Inc PHONE 231 Salina Meadows ParkwayE-MAIL 315 451 FAX (NC, Ext): -1500 A(A/C,No), P.O.Box 4743 ADDRESS: Syracuse,NY 13221 INSURER(S)AFFORDING COVERAGE NAIC* INSURERA:Massachusetts Bay Ins.Co. 22306 INSURED Jensen's,Inc. INSURERS' - PO Box 608 INSURER c Southington,CT 06489 INSURERD; INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POUCIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ADDL8UBR Ah y INTR TYPE OF INSURANCE ?NSR SUB POLICY NUMBER (MMIDD EFF AMA LiMfT3 A GENERAL LIABILITY ZDS222036004 12/31/2011 12!31/2012 EACH p OCCURRENCE $1,000,000 I PREM A X COMMERCIAL GENERAL LIABIUTY ZDS210648404 12/31/2011 12/31/2012 iS S(EaENocdsErance) $500,000 CLAIMS-MADE I X)OCCUR MED EXP(Any one person) $10,000 j PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGC ;2,000,000 POLICY 1E L $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT _Ka acddent) ANY AUTO BODILY INJURY(Per person) $. ALL OWNED -SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS AUTNON-OOS PROPER I DAMAGE (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE _$ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$_ $ A WORKERS COMPENSATION WDS890935500 12/31/2011 12/31!201 WC STATU• iOTH- AND EMPLOYERS'LIABILITY Y N �_70RY LIMBS IFR ANY PROpPpRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N NIA E.L.EACH ACCIDENT s500,000 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $500,000 _ II yes,describe under DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS I LOCATIONS(VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space is required) Certified Acts of Terrorism- **General Liability Information"* (See Attached Descriptions) CERTIFICATE HOLDER CANCELLATION Town Of Montville SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Building Dept.,310 Norwich-New ACCORDANCE WITH THE POLICY PROVISIONS. London Turnpike Uncasville,CT 06382 AUTHORIZED REPRESENTATIVE I I ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010105) 1 of 2 The ACORD name and logo are registered marks of ACORD #S322971/M322970 DAW JENSENS, INC. JOB 1(11Q. g rn 'zs• 1 r I oiv U 246 Redstone Street // 3 RA j N G JORiU�.. PO. Box 608 SHEET•/0. �O 0 SOUTHINGTON, CONNECTICUT 06489 CALCULATED BY pi, DATE 7/3/i (203) 793-0281 FAX (203) 793-6909 CHECKED BY� 0DATE SCALE • • • ... «....._..r_._..._ �.. __.—._r....._...__... s...__....♦......._............._._.._....._ e.............__..._....«..__..:._4 __.._...__.a. r..._._ _._....a....._...._e .a -e .___.__..—a...._.......e_...:_._.._...__a-.__.......e r.._.__._s.._ i ......_....a.....__...♦--..__..r_....__..._...... a ...._.._ a ♦ _..r. a. a «.—_...•-♦.._.._ ......»...�...__..._._..._.a e e..._.......♦- d.._. • J 140 I • • ._.._.._Y.._..._. .._._._�».._....«._. ... .i..._ !.1 . -r-..._......._. • 4. ...._.a.._........e__.__.__.... .......... ........_r_ _ EXl - a r _...._..._........._._................._....._ .._...._...._.__�.._ ° a a 4. ♦ r • • • s i e PRODUCT 204-1(Single Sheets)205-1(Padded)/A/®Inc.,Groton.Mass.01471.To Order PHONE TOLL FREE 1-800-225-6380 10' X 15' up OPEN Deck I I Outdoor Electric HP combo Unit GFI _1n Tel. 0_0 Panel box Approx Service Location `/ BATH 1 ¢ O I ¢ITCHES DINING I VINYL CARPET Return Vinyl -Y 6'-11" I �� VINYL Air I • [ a =...----_--r F F VINYL Tel. I L I E--- BEDROOM BEDROOM 1 BEDROOM 2 0 Vinyl Carpet Carpet 0 8'-11"x11'-0" _ 11'-9"x15'-O" 1" LIVING ROOM 14'-1 D"x 11-8" TV TeL Tel TV i ii i I L —I I I It 1 24' X 44' New Era Edge Series UP (, OU) 1kIUE JENSENS, INC. JOB Ppo Pp,,INT 246 Redstone Street P.O. Box 608 SHEET NO. OF SOUTHINGTON, CONNECTICUT 06489 CALCULATED BY 10 ICP.,.. DATE (203) 793-0281 FAX (203) 793-6909 CHECKED BY DATE SCALE ■ R v SCA L-4.... B...0 . l.1. c, , G f .E,' ''Tart 1s ;. eswrt p IiTM1411Z UNC sit (.wz ;`a c.iW i-A PSI 1 MI DI 12 Al r4 a o o e 0 IN M M IZU rigi IP IF d I til re 0 Orzi I$00. ASS w S4 mrts As N r1 O,c-, PRODUCT 204-1(Stogie Sheets)205-1(Padded)fArg/es Inc.,Groton.Mass.01471.To Order PHONE TOLL FREE 1-800-225-6380 • Min. 10"Piers Max 8'-0"0 C. f 2"X 6"Rail Cap 36"From Top of Decking Simpson Tie Down An hors 4"X 4"Posts Secured to Frami g Ballusters 4" Carrier O.C.Max.See S Detail 1111r 111111111=111 1111Ali To I �, illiail 3 2x8 CARRIER BEA I I 114' CONCRETE COLUMNS 8' OC Handrail As Per Code;See Stair 2x8 FLOOR JOISTS 16-0C. Detail 5/4"X 6 2x2"BALLUSTERS 11111 4-1/2"OC TOP OF RAIL 36"OFF J DECKING j .__, D h i 2x2 LEDGER BOARD TO CARRY JOISTS 2x8 NAILER SECURED TO HOUSE Typical Deck Detail Up to 10 x 1W" Saved as Deckpl1 Z t+ . 1:3I fi z n, _c 3 • o f L� if -c U L' U c ii 0 r p Ca c Na =M'' N 0 U CI McCO - 2 _ QJ P `7 iz n i L 0 1_ L3} r 0 a_ Lu O a. a5 0 0r. c In E a C 1'4Ef2 L- cO ZO a r ci? Q `4i 0 N !S iV U C .0) 0 Ce. \ -, 04cr3 I C.1 1JI = b.)(9' i cn Ol J Alo CLO 0 0 F- -tom 4-- Z CO 1 O O (NI Cami C Q d (i) (J CL L I U) a) CO n Q `1 c co x LE j/ S TALL HOT ALLOW THE PASSAGE OS" z'- ' -' I ' , , liz 8s 4 3/u` SPHERE, R: 2_` -- NN. ,/ ` . I ;' cq / i AS! SHALL NOT ALLOW THE PASSAGE OF A 6" SPHERE, 83122 ori 01/1/ ci) _ zz wQ oc -11 p STAIRS SHALL NOT ALLOW THE PASSAGE OF A 4" SPHERE, 83122 �-'\ M M REQUIRED WHEN THE FLOOR SURFACES ARE LOCATED MORE THAN 30" ABOVE \ . JHE-TIOOR-o RACTE1ELOw, R312.1 _ - ----t-',_j_ \ i 1 \,( ) DECKS & BALCONIES 2003 IRC vL 2004 1 GUARDRAILS CT SSUPPLEMENTr 41.111 en engineers September 14, 2012 Mr. Keith Jensen Jensen's Inc. PO Box 608 Southington, CT 06489 Re: Home Pride Hold Down HPI 2LS Manufactured Home Montville, CT Dear Keith: As requested, we have performed a limited high wind review of a 24ft wide x 44 ft long manufactured home located in Montville, CT. We used a design wind speed of 110 mph with an exposure category B. A review of the manufactured home gravity and lateral load resisting systems is not included in our scope of services. Following is a summary of our analysis and recommendations: ANALYSIS 1. We review the published load data for the Home Pride anchor HPI 2LS, including the engineering certification letter prepared by Rod M. Hudgins,Jr., PE dated September 15, 1997. 2. The engineering certification letter reports an average ultimate tension load for an HP12 series of 4900 lbs. This average ultimate load is required to be divided by a reasonable factor of safety to achieve the working load of the anchoring system. 3. We assumed a factor of safety of 2 in our analysis, which results in an allowable tension uplift capacity of 2450 lbs per anchor. 4. It is our understanding a 25 ft x 45 ft 6" fiber mesh reinforced concrete slab on grade will be constructed under the home and that the HPI 2LS anchors will be post installed using expansion anchors supplied by Home Pride. ea COM ea an�ineer- RECCOMENDATIONS I. Based upon the required wind uplift and overturning loads from the IRC 2003 building code( with 2005 CT supplement) and the published load data for the HP 12 series anchor, our analysis indicates five(5) anchor are required along each of the 40ft length on the manufactured homes, with an additional five (5) being installed down the center line of the 40 ft length (i.e. 15 total) 2. There shall be one anchor at or near each corner of the structure, and the remaining shall be evenly spaced along each side and down the center line. 3. The Contractor shall follow all of the manufacturer's recommendations for installation including edge distances. The minimum edge distance to the center line of the expansion bolts shall be 6" or the manufacturer's recommendations whichever is greater. Please call if you have any questions or wish to discuss this matter. Ns yo fa.....14°. 6)10 - ' Chad H Vogt, P.E. .�•.< � _ — ------- ---- _ . .. �. Principal '����i�6 %c`� �1R `�r��`��``y e2 engineers I"1:+n&+nflul0� COM JENSENS, INC. JOB 246 Redstone Street ,3 RA103law P.O. Box 7..18 SHEET NO. ' `rl OF SOUTHINGTON, CONNECTICUT 06489 CALCULATED BY DATE. (203) 793-0281 fAX (203) 793-6909 CHECKED BY n DATE SCALE IV 0 Srw'4', , • ... • ill 0 4 4 f 4 • ,. • 7 .... . ....... ... sr. 1 ....4 . 0 -111 a . 111 t 1 ... ....,.... •i• -- ; ,. -....,.. a • e . — .' ' •——•.—.. ` .- -.—.. - e 81. i •. . .....— 4..... . ..,......... ...•... ... ... Of _ _ .. ,. 11 • .. ...„ .....,. ••.. ••• .. r ---, f f a �S. pA �.._ . ....USS., VI_x. ii.m . 146._._. 04.5„..___ ..__ ____ ,......_..._...._._ .......�.._ T _ . _..r -.---..._._........-.-----._ _...__r._.......____._.�...__..� ��__.._._......_____ ;_._ _ ...us , e -.._ .. _.3_. $# N _.._._.. ....._.. . �._- __..._....._..,. 4$tin IIt3 111 ettiMtp :/II.1111° ' 4 9 QLlQ 4 1.4CK 4 — 4 .4 4 .A t 4. • .. .. « /j Ng01ICTFM fee aft)2061 R++M9/A/®mc.,Groton,Mass.01471.To oder PHONE TOLL FREE T01225-6380 Town of Montville Building Department CEILING FRAMING TWO-FAMILY DWELLING UNIT SEPARATION(R317.1) Plans required showing joists,beams and openings Separation by I-hr fire-resistance construction,provide a listed assembly Bearing partitions not provided or indicated Rated wall and/or floor assemblies shall be tight against exterior walls and to Framing direction not indicated the underside of the roof sheathing,provide more detail Beam span&size not provided or insufficient Supporting construction shall have anual or Joist span,size&spacing not provided eq greater fire-resistive rating, provide details Joist's over-spanned Beam over-spanned TOWNHOUSE SEPARATION(R317.2) Provide design data for all unaligned wall and floor bearing points One-hour rated assembly must have a listing for exposure from both sides(two Point loads not identified on beam data walls) Steel beam — must be stamped and signed by a Connecticut Professional Common wall assembly must be 2-hr fire-resistance rated and listed Engineer Mechanical equipment,ducts or vents not allowed in common 2hr wall LVL's—engineering data required Electrical penetration detail required for common wall I-joists—engineering data required Common wall shall be continuous from the foundation to the underside of the Design loads not provided or insufficient roof sheathing Each individual unit shall be structurally independent ROOF FRAMING Parapet required or the roof decking or sheathing is of noncombustible Plans required showing rafters,beams and openings materials or approved fire retardant wood for 4 ft on each side of the wall(s) Bearing partitions not provided or indicated Framing direction not indicated FLOOD-RESISTANT CONSTRUCTION(R323) Beam span&size not provided or insufficient Documentation required to be submitted for the connection,anchored to resist Rafter span,size&spacing not provided flotation,collapse or permanent lateral movement Rafter's over-spanned Delineation of flood hazard areas,floodway boundaries,and flood zones and Beam over-spanned the flood design elevation to be identified on the site plan(8106.1.3) Provide design data for all unaligned wall and floor bearing points Elevation of the proposed lowest floor,including basement;in areas of shallow Point loads not identified on beam data flooding (AO zones), the height of the proposed lowest floor, including basement,above the adjacent highest grade shall be identified(8106.1.3) Steel beam — must be stamped and signed by a Connecticut Professional Engineer Electrical systems, equipment and components, and heating, ventilation, air LVL's—engineering data required conditioning and plumbing appliances,plumbing fixtures, duct systems,and I joists—engineering data required other service equipment shall be located at or above the design flood elevation. Valley rafter—engineering data required Collar tie size,spacing&location not identified or insufficient ELECTRICAL INFORMATION Plans required showing panel locations,GFCI,switches,lights and receptacle Roof trusses — Engineering data (signed and sealed by a Connecticut Professional Engineer) must be submitted and approved by the Building locations Department prior to installation Panel location not identified Roof truss data must be designed to ASCE 7-02 Receptacle locations not identified or insufficient Ridge beam supports not identified or insufficient GFCI receptacle locations not identified or insufficient Hip/valley beam supports not identified or insufficient Lights and switches not identified or insufficient Rafter to beam connection detail not provided or insufficient Smoke alarms not identified or insufficient CO detector(s)not identified or insufficient DECKS/PORCHES Electrical load calculations required Construction documents required Whirlpool tub/hydro message tub disconnect location not identified Dimensions required Framing direction not indicated MECHANICAL INFORMATION Plans required showing equipment locations,ductwork,etc. Beam span&size not provided or insufficient Joist span size&spacing not provided Dryer vent routing not identified or insufficient Joist's over-spanned Heating,ventilation and air conditioning equipment locations not identified Beam over-spanned Heat loss/gain calculations required to be submitted Heat loss/gain calculations do not match the information on the construction Ledger—show attachment and flashing detail Post size or spacing not indicated documents Height of deck above adjacent finished grade not provided Combustion air calculations required Connections not identified or insufficient Winter design temperature is 7°F Plans do not match site plan FUEL GAS INFORMATION CHIMNEYS&FIREPLACES LP-Gas tank size and location not identified on the plans Clearances to combustibles not indicated ort insufficient Trench detail not provided or insufficient Flue size not indicated or insufficient Piping diagram not submitted or insufficient Exterior combustion air source not identified Plan required showing fireplace opening size and clearances to combustibles , PLUMBING SYSTEM INFORMATION Flue sizesNo plans submitted or insufficient information Manufactures data and installation instructions for metal fireplaces and/or Building trap location not identified(inside or outside) wood stove required Sewer location not identified Dimension height of chimney above the roof Domestic water location not identified Manufacturers data for whirlpools,corner tubs&large tubs required Water heater size,type,and location to be submitted Comments: i) /tr( f7 ,.J/ �/G�f G. fi i �a J •lel !71��f�I r?c c f"1 de .:7? nc �tfrusl �L9/itrt� iN.i e.:7? fye- c�ri:u✓Js C ,,,,Lr,v'r'l(J Permit application reviewed by: Vernon D.Vesey II David .Jensen Building Official Deputy Building Official &v sed Te6nrary 6,2006 ............... Town of Montville Building Department Residential Plan Review Form Date: q/1/ 11 2- Job Address: (i .. fCPtt(11 b/Je)41.) tj► t✓e Job Description: �� I- '\ - /U'[fN i't 'I' .C t i'tre d i f 03 e' Your permit application is being rejected for the items checked off or commented on. The required information must submitted for review(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 State Building Code. SUPPORTING DOCUMENTATION FLOOR PLAN Permit application not completed No plans submitted or insufficient information VPermit fee due$ .a, j 4 CI, 7 6_, Basement floor plan required Permit fee to be calculated Second floor plan required Worker's comp.affidavit or worker's comp.certificate to be submitted Dimensions not provided or insufficient Copy of contractor's registration or license required Kitchen layout not provided Construction permit sign-off sheet required with appropriate approvals,it shall Bathroom layout and space clearances are insufficient be the applicant's responsibility to obtain the required signatures Ceiling heights not identified or insufficient Affidavit required from the holder of the registration or license authorizing you Attic access location and size not indicated or insufficient to apply for a permit with their information Attic access must be in a readily accessible location(not over shelving) Provide supporting documentation to show compliance with the 2003 IECC Use of room(s)not identified or unclear 1_. .e.ueie\codes. )OR Plans required for the existing residence for each floor with dimensions • One-and Two-Family Dwellings with<15%glazing area to conform to the requirements of section NI 102.1 WINDOWS&DOORS • Townhouses with<25% glazing area to conform to the requirements of Door sizes not identified section N1102.1 Window size&type not identified Two sets of construction documents required, this includes all engineering Emergency escape&rescue opening required in the basement or two code data,calculations and all other documentation(8106.1) compliant stairs per section 310.1 Documents are copyright protected,provide original plans or a letter from the Indicate the required light and ventilation for each habitable room or space designer authorizing the duplication of the plans Indicate the bedroom egress window Field set of the approved construction documents are required to be picked up Egress window sill height not identified from our office and must be available on site during all inspections Window header size not identified or insufficient Construction documents shall be of sufficient clarity to indicate the location, Door header size not identified or insufficient nature and extent of the work proposed as per section RI06.1.1 Window well details not provided or insufficient Construction documents do not match the orientation of the structure on the site plan GARAGE and CARPORTS No plan submitted or insufficient information provided WIND LIMITATIONS Building section required /Submit supporting data to show conformance with the wind limitations (3 Opening protection between the garage and residence is not identified or /Submit gust @ 110 mph) insufficient per section 8309.1 Design publication needs to be identified(WFCM,chapter 3;WFCM,chapter Separation between the garage and the residence is not identified or insufficient 2;ASCE 7-2002;SSTD10-99) per section R309.2 Documents required to be stamped and signed by a CT registered Professional Engineer ELEVATIONS Documents must be designed to either No plans submitted or insufficient information • Wood Frame Construction Manual,2001 edition Plans do not match the floor plans • ASCE 7-2002 edition Finish grade not identified or does not match the site plan • SSTD 10-1999 edition Building height(s)not identified Documents required to be stamped and signed by a CT registered Professional Dimension height of chimney Engineer if based on ASCE 7-02 or WFCM chapter 2 Roof pitches not identified Shear walls not identified on the construction documents or are insufficient Shear wall calculations required BUILDING SECTIONS&DETAILS Ridge connection not identified or insufficient Full building section not provided or insufficient Roof-to-wall connection not identified or insufficient Floor-to-floor heights not identified Wall-to-wall connection not identified or insufficient Additional sections and details required Wall-to-sill connection not identified or insufficient Draft stopping details not provided or insufficient Provide engineering data for the piers to resist gravity,lateral,shear and uplift loads,stamped and signed by a CT licensed design professional STAIRS Hold-down devices,location and type not identified or insufficient Stair not shown on the basement floor plan Foundation anchor spacing not identified or insufficient Stair not shown on the second floor plan Construction documents do not match the engineering data submitted Riser height not identified or insufficient Cold-formed steel framing shall be designed in accordance with COFS/PM- Tread depth not identified or insufficient 2001 edition Nosing required for closed riser stairs Riser opening can not allow the passage of a 4"sphere SITE PLAN Winder stair-detailed plans required Plans required Spiral stair-detailed plans required Plans do not match the building plans Stair width required to be minimum of 36"above the required handrail height Finish floor elevation not indicated Handrail detail not provided or insufficient detail Distance from the property line(s)to the structure not identified Guardrail detail not provided or insufficient detail Structure dimensions not provided Headroom height not identified or insufficient Existing and proposed contours are not provided or insufficient 36"landing required at the bottom of the stairs Footing drain discharge not identified 36"landing required at the top of the stairs Utilities not provided(electrical,phone,cable,sewer,water,gas) Frost protection required,provide details and connections Delineation of flood hazard areas and design flood elevation is required per section R106.1.3 WALLS Private sewage disposal system to be identified along with all technical and soil Stud size and spacing not provided or insufficient data as per section R106.2.1 Sheathing type not provided or insufficient Grading is to slope away from the building,provide more detailed information Plan submitted is not the same plan that has been approved by the Zoning FLOOR FRAMING Department and/or Health Department Plans required showing joists,beams and openings Retaining wall- construction documents required Bearing partitions not provided or indicated Retaining wall documents required to be stamped and signed by a Connecticut Framing direction not indicated or unclear Registered Professional Engineer Beam span&size not provided or insufficient FOUNDATION Joist span,size&spacing not provided Joist's over-spanned No plans submitted or insufficient information Beam over-spanned Dimensions required Provide design data for all unaligned wall and floor bearing points Wall thickness not identified Point loads not identified on beam data Footing size not identified Framing less than 18"to grade to be pressure treated or decay resistant Frost protection not identified or is insufficient Steel beam - must be stamped and signed by a Connecticut Professional Column type,size,spacing not identified or insufficient Engineer Waterproofing details not provided or insufficient LVL's-engineering data required Pier type,size and anchor details not provided or insufficient I-joists-engineering data required Engineered foundation plan required Design loads not provided or insufficient Crawl space ventilation,location,type and size not provided or insufficient Crawl space access,location and size not provided or insufficient Soil testing data required in the area of the proposed structure and shall be made by an approved agency using an approved method,R401.4) 4rviredTefiruary 6,2006 Town of Montville Building Department File Receipt Date: 13-Sep-12 ReceiptNo: 7749 Received From: Jensen's Inc. Job Address: 63 Rainbow Drive Town Fees Collected State of Connecticut Fees Collected Bldg Cash: $0.00 State Cash: $0.00 Bldg Check: $3,149.76 State Check: $37.76 Bldg Credit: $0.00 State Credit: $0.00 Fire Cash: $0.00 Fire Check: $0.00 Fire Credit: $0.00 Construction Value: $145,246.00 Demolition Value: CheckNo: 1315 $0.00 Received By: Carmen Kneeland d kz :. Address: 63 Rainbow Drive ITEM QTY $/UNIT TOTAL Building Plumbing Mechanical Electrical New Construction 1056 SF $ 118.03 $ 124,639.68 $ 2,808.96 Slab on Grade 1056 SF $ 5.97 $ 6,304.32 4'Foundation SF $ 6.97 $ Full Foundation SF $ 9.95 $ Anchors 1056 SF $ 2.29 $ 2,418.24 Mobile Home SF $ 30.99 $ - GA Attached SF $ 54.35 $ _ $ Detached SF $ 69.53 $ - $ Carport SF $ 19.89 $ DECKS, PORCHES,SUNROOMS Deck 150 SF $ 32.98 $ 4,947.00 Porch SF $ 149.38 $ - Sunroom SF $ 176.90 $ $ _ ELECTRICAL SERVICE Upgrade Amps $ Overhead,new Amps $ Underground, new 100 Amps $ 3,171.23 Tie In EA $ 240.00 $ Misc Electrical SF $ 1.35 $ Plumbin. New Sewer EA $ 1,375.00 $ Sewer Tie In 1 EA $ 230.00 $ 230.00 New Domestic EA $ 1,320.00 $ - Domestic Tie In 1 EA $ 230.00 $ 230.00 Mechani. Oil Heat EA $ 640.00 $ - LP Gas 1 EA $ 495.00 $ 495.00 n Is air conditioning included (Y/N)? $ - Builidng Plumbing Mechanical Electrical MISCELLANEOUS CALCULATIONS TOTALS $ 138,309.24 $ 460.00 $ 495.00 $ 5,980.19 Construction Value Fee Building $ 138,310.00 $ 1,390.00 Plumbing y $ 460.00 $ 10.00 Mechanical y $ 495.00 $ 10.00 Electrical y $ 5,981.00 $ 60.00 Working before Permit Issuance y $ 1,470.00 Certificate of Occupancy Fee $ 25.00 Plan Review Fee $ 147.00 State Education Fee $ 37.76 TOTALS ($---- � $ 145,246.00 3,149.76 _ NBF GROUP,INC.-WETHERSFIELD,CT 06709-(860)563-3486. + Vendor Number Town of Montville 310 Norwich / New London Tnpk Uncasville, CT 06382 Date Invoice Number = 9/9/; Payment Voucher Paya - -C--- le to: ' Account Code $Amount A?Se/i, s :-Zjt,e 3 A c.Ot s7- -‘7 - `D/a) — q o /y90 00 i altieics- l0/LC.4-; OG 3 8A I Please Make Payment for the Following: Quantity Description - $ Amount _i_zge/.. - - 2.1/1J6 / y2o a)Fie.e1Mi6t4'-- 2 2-ie////7":_APe_iC/4-7-t e-) /-12C, ei%r. - 77c'9 — 9/�3JiA _?_":31Y9, P6 q2o 6 o , _ccillau c 6 8 z , x 2 9, 9 C ,i i41,III A77- (9,c' .b. -r I Memo I Depar , I Date 9M' z, ., Approved By: "A ,,oved By i I Mayor Date I Director of Finance Date FINANCE DEPT.COPY Address: ITEM QTY $JUNIT TOTAL Building Plumbing Mechanical Electrical Site New Construction 1056 SF $ 118.03 $ 124,639.68 Slab on Grade 1056 SF $ 2,808.96 $ 5.97 $ 6,304.32 4'Foundation SF $ 6.97 $ - Full Foundation SF $ 9.95 $ - Anchors 1056 SF $ 2.29 $ 2,418.24 Mobile Home SF $ 30.99 $ - GARAGE Attached SF $ 54.35 $ Detached $ - SF $ 69.53 $ _ $ Carport SF $ 19.89 $ _ DECKS,PORCHES,SUNROOMS Deck 150 SF $ 32.98 $ 4,947.00 Porch SF $ 149.38 $ - Sunroom SF $ 176.90 $ ELECTRICAL SERVICE $ Upgrade Amps $ Overhead,new Amps Underground,new 100 Amps $ Tie In $ 3,171.23 EA $ 240.00 $ Misc Electrical SF $ 1.35 Plumbing $ New Sewer EA $ 1,375.00 Sewer Tie In 1 EA $ 230.00 $ 230.00 New Domestic EA $ 1,320.00 $ - Domestic Tie In 1 EA $ 230.00 $ 230.00 Mechanical Oil Heat EA $ 640.00 $ - LP Gas 1 EA $ 495.00 $ 495.00 n Is air conditioning included (Y/N)? $ - I Builidng Plumbing Mechanical Electrical MISCELLANEOUS CALCULATIONS TOTALS $ 138,309.24 $ 460.00 $ 495.00 $ 5,980.19 Construction Value Fee Building $ 138,310.00 $ 1,390.00 Plumbing y $ 460.00 Mechanical $ 10.00 Electrical y $ 495.00 $ 10.00 Y $ 5,981.00 $ 60.00 Working before Permit Issuance n $ Certificate of Occupancy Fee $ 25.00 Plan Review Fee State Education Fee $ 147.00 n 6 Y $ 37.76 TOTALS /41 IJ /�� (1 L $ 145,246.00 $ 1,679.76 I1q tim TOWN OF MONTVILLE Building Department 310 NORWICH-NEW LONDON TURNPIKE UNCASVILLE, CT 06382-2599 TEL. (860)848-3030 X382 FAX. (860) 848-7231 ELECTRICAL PERMIT Permit Number: E2012-0252 Date: 10-Oct-12 Map/Lot: 016/029463 Owner ID: 5769000 Project Location: 63 RAINBOW DRIVE Unit: Job Description: Install 200 Amp Electric Service&Lighting Fixtures Owner Nam Jensen's Inc. Tenant Name N/A Careof: 3 Hillcrest Drive Uncasville . .__�._.._________._..._.___ CT 06382- Telephone: Contractor Nam Dan Vandale Telephone: (860)599-539.8_ DBA: R.D.Vandale Electric Lic/Reg Type El _ Lic/Reg No 103208 144 Wyassup Road Exp Date: _____3.0-Sep-13 North Stonington CT 06359- _ _.Construction Value _w._- Permit Fees Construction Information Building Value: $0.00 Building Fee: $0.00 Use Group: IRC Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 2005 State Building Code Mechanical Valu $0.00 Mechanical Fee $0.00 Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type IRC Total Value: $0.00 Penalty Fee: $0.00 Permit Code: R5 C of 0 Fee: 50.00 Comment Plan Review Fe S0.00 Fees Included with Building Permit State Ed Fee: $0.00 Total Fee Paid: $0.00 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. BUILDING PERMIT INSPECTIONS PLUMBING,MECHANICAL,ELECTRICAL PERMIT INSPECTIONS ❑ Footing-Prior to pouring concrete ❑ R Plumbing and leak test ❑ Deck Piers ❑ R Electrical ❑ Backfill-Footing drains and waterproofing ❑ Elec Trench-with conduit installed ❑ Concrete Slab-Prior to pouring concrete ❑ Pool Bonding ❑ Anchor Bolts-with sill plate and prior to floor framin © Electrical Service CRS No: 2000234 ❑ Framing ❑ R HVAC ❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test ❑ Fireblocking Draffstopping INSPECTION REQUIRED UPON COMPLETION ❑ Insulation CI Certificate o .proval A• , e of Occupancy Building Official's Approval: _ ./— 1OWrl 01 lVl001vLuc Building Department 310 Norwich-New London Tpke. Tel. 860-84B-3030, Ext 3B2 Uncasville, GT 06382 Fax. 860-848-7231 RESIDENTIAL PERMIT APPLICATION FORM Permit No.: L �r �aj T e of Work Ocupancy Type Permit Type New Construction Single Family ❑ Building Addition Two-Family ❑ Plumbing ❑Alteration ❑Townhouse ❑ Mechanical ❑AccPcsory Structure Electrical CRS#: iu20042a2,31 Property Address: 6'3 R14'rNBac., 2 .• (Number) (Street) (Unit) Job Description: _ ►s774c.L .20Oc.. gt. SSEAaCt Owner: 5s (fS Address: .3 —Lt-c-1C,f. 7- Pe- City: L AJC41 4 4-C-L State: c Zip Code: Telephone( ) Applicant: IiI19,4/l4,44)61(.4 DBA: „Lb. Ca.czzt c. 6- Address: -Address: /'14 /v95�ti,d , ( City f State: 7 Zip Code: IIZ"—j e ep one Ir�L, . L - - • Contractors - Complete the Following: License Type: 6 -1 License No: /403•20e Expiration Date: ?/c3o /3 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. ❑ By checking this box, I will follow the requirements of the 2005 NEC as the alternative compliance per section E3301.21 of the Residential Code instead of the electrical requirements in c 33 rough 42 of the Residential Code. Owner/Agent Signature: Date: /0/2/ Construction Value Permit Fees Building Value: Building Fee: Plumbing Value: Plumbing Fee: Mechanical Value: Mechanical Fee: Electrical Value: Electrical Fee: Total Value: Penalty Fee: C of 0 Fee: Plan Review Fee: Stale Ed Fee: Total Fee: August 23,2037 t, STATE OF CONNECTICUT DEPARTMENT OF CONSUMER PROTECTION ELECTRICAL UNLIMITED CONTRACTOR ROLAND VANDALE 144 WYASSUP RD N STONINGTON,CT 06359 LIC /REG Na EFFECTIVE EXPIRES EJ,C.0103208-E1 0/ 1/2012 09/30/2013 SIGNED • Town of Montville Building Department CONSTRUCTION PERMIT APPROVAL Applicant is responsible for obtaining all of the required approvals. No permit will be issued until all the required signatures are obtained. Property Address U Building Code Violation Job Description Required Approval Department Permit Issuance Approval — ■ Tax Collector /J� /o/C.// Signature/date Comments: ® Planning & Zoning Cittu.„� Signature/date Comments:I I Fire Code Violation Penalty Fee-,$ ® F' a Marshal //7/4:/- 1V) .61 Signature/date Comments: �,(J1 ( � LS. I-I Health Department Required for properties with private septic or well Comments: �7 9 I I WPCA, Administrative Required for properties on sewer Signatu dat Comments: I I WPCA, Operations When Required by WPCA Signature/date Comments: I Department of Public Works Required when project includes driveway work or certain drainage requirements Signature/date Comments: n Montville Police Department Required for all permits EXCEPT one and two family residential Signature/date Comments: State Dept. of Transportation Required for Structures over 100,000 sq. ft. or with more than 20D parking spaces-Official copy of STC Certificate of Operation required-per CGS 14-311 Signature!date Building Department Review Complete Signature/date 4VvsciNay 23,2011