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Town of Montville
Building Department
Field Inspection Notice
Address: 190 Raymond Hill Road
Job Description: Deck 18' x 20' & Gas
Permit Numbers: B2005-0292—M2005-0122
Date permit issued: 6/16/05
Not Approved Deficiencies Approved
DECK PIERS Special Conditions
Not Approved • Deficiencies Approved
POOL BONDING • Special Conditions
Not Approved Deficiencies Approved
ELECTRICAL
• Special Conditions
TRENCH •
•
ROUGH Not Approved Deficiencies Approved
• Special Conditions
ELECTRICAL • •
Not Approved Deficiencies Approved
FRAMING Special Conditions
Not Approved Deficiencies Approved 9/14/05 DJ
GAS LINE • Special Conditions
• • 9 PSI on line from kitchen through the
• building to the tank location on the
driveway side of the structure.
CERTIFICATE OF Not Approved Deficiencies Approved 10/26/05 VV
9/14/05 W • Stairs not code compliant-151rise 9"bal Special Conditions
OCCUPANCY of rises 63/4"
Deck • •
Page 1of1
Revised 3/17/05
Sheet Printed:10/27/2005
Town of Montville
Building Department
310 Norwich-New London Tpke.
Uncasville, Ct. 06382
Telephone 860-848-3030 Ext. 382 Facsimile 860-848-7231
Date: November 1, 2005
John & Phyllis Shoemaker
190 Raymond Hill Rd.
Uncasville, Ct. 06382
RE: Certificate of Occupancy
Dear Sir/Madam,
During a recent update of our files we found that the following item(s) are
outstanding in regards to your new Deck.
The required sign off sheet, signed by the other Departments that the structure is
properly completed as per their regulations has not been submitted to the
Building Department.
Please be advised that any use of this structure is a violation of the Building
Codes until a Certificate of Occupancy has been issued.
Thank You,
Building Department
r.r: Filr�
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: B2005-0292 Date: 16-Jun-05 Map/Lot: 085/007-000 Owner ID: 5804000
Project Location: 190 RAYMOND HILL ROAD Unit:
Job Description: Deck 18'x 20'
Owner Name: John D and Phyllis A Shoemaker Tenant Name: N/A
Careof:
190 Raymond Hill Rd
Uncasville CT 06382- Telephone:
Contractor Name: Property Owner Telephone: (860)848-3534
DBA: Lic/Reg Type:
Lic/Reg No: 0
Exp Date:
Construction Value Permit Fees Construction Information
Building Value: $5,612.00 Building Fee: $48.00 Use Group: R-4
Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 1999 State Building Code
Mechanical Value: $0.00 Mechanical Fee: $0.00 w/2004 Amendment
Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type: 5B
Total Value: $5,612.00 Penalty Fee: $0.00 Permit Code: R10
C of 0 Fee: $25.00 Comments:
Plan Review Fee: $4.80
State Ed Fee: $0.90
Total Fee: $78.70
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
0 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 framing ❑ Electrical Service CRS No: 0
O Framing ❑ R HVAC
❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test
❑ Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION
❑ Insulation ❑ •rtificate of Approval
J Certificate of Occupancy
Building Official's Approval: �' ��—
A
•
lee .
Town of Montville
Building Department
310 Norwich-New London Tpke.
Tel. 848-3030,Ext 382 Uncasville,CT 06382
Fax. 848-7231
Residential Building Permit Application Form
Permit#C66n:Ye, f R
0 New Construction 0 Addition [2 Alteration 0 Accessory Structure
❑Single Family 0 Two-Family 0 Townhouse
Job Address / 76 i2 a '/kJ. .,L ci it i i I 4 O04 d
(Number) (Street)
(Unit)
Job Description li Z C__.
OwnerSJ, SLc € j4t'l dc.e_ Mailing Address / 9 a fa of y in to d if C�
City a K G •..a I.; Ole_ State C T Zip 41;4 3 s I Tel V40/ j Yr/ a c xT/
�
Contractor Mailing Address
City State Zip Tel / /
Contractor's License/Registration Type&Number Exp. Date / /
I hereby certify that the proposed work will conform to the Basic Building Code and all other codes as adopted by the
State of Connecticut and the Town of Montville and further attest that the proposed work is authorized by the owner in fee
and that I am authorized to make application for a permit for such work as described above.
Separate applications are required for elec 'cal,plumbing,mechanical, etc.
Owner/Agent Signaturel S Date /
a /ar
Construction Value Fee
Building $ $
Plumbing $ $
Mechanical $ $
Electrical $ $
Work commencing before the issuance of a permit $
Certificate of Occupancy $
Plan Review $
State.Education $
Total $ $
(See 4-verse side for additional requirements)
RrviseIFefniary 25 2005
Town of Montville
Building Department
File Receipt
Date: 02-May-05 Receipt No: 149
Received From: Phyllis Shoemaker
Job Address: 190 Raymond Hill Road
Fees Collected State Educational Training Fee
Cash: $0.00 Cash: $0.00
Check: $78.70 Check: $0.90
Check No: 1118
Construction Value: $5,612.00
Demolition Value: $0.00
Received By Joseph Summers
i
Permit Fee Calculation Spreadsheet
MISCELLANEOUS PERMIT CALCULATION
Address:
Pools &Spas
Above Ground Round EA $ 3,200.00 $ -
Above Ground Oval EA $ 6,000.00 $ -
In-Ground EA $ 20,700.00 $ -
Heater EA $ 3,465.00 $ -
Hot Tub EA $ 5,250.00 $ -
Roofing
Strip & Reroof SQ $ 350.00 $ -
Overlay SQ $ 250.00 $ -
Plywood SQ $ 125.00 $ -
Plumbing
Full Bath EA $ 5,000.00 $ -
Half Bath EA $ 3,500.00 $ -
Garages
Attached, 1 car EA $ 10,775.00 $ -
Attached, 2 car EA $ 18,600.00 $ -
Attached, 3 car EA $ 25,810.00 $ -
Detached, 1 car EA $ 13,850.00 $ -
Detached, 2 car EA $ 21,100,00 $ -
Detached, 3 car EA $ 28,350.00 $ -
Sheds SF $ 26.25 $ -
Sheds with Electrical SF $ 26.25 $ -
Electrical Service
100 Amp EA $ 825.00 $ -
200 Amp EA $ 1,500.00 $ -
Siding SQ $ 600.00 $ -
Windows EA $ 445.00 $ -
Doors EA $ 625.00 $ -
Decks/Porches/Sunrooms
Open 360 SF $ 15.59 $ 5,612.40
Covered SF $ 62.69 $ -
Enclosed SF $ 123.90 $ -
TOTAL BUILDING CONSTRUCTION COST $ 5,612.40
PERMIT FEE CALCULATIONS
Fee
Building $ 5,612 $ 48.00
Plumbing S - $ -
Mechanical $ - $ -
Electrical $ - $ -
N Work Commenced before permit issuance $ -
CO Fee $ 25.00
Plan Review $ 4.80
State Ed Fee $ 5,612 0.90
Total Fees $ 78.70
Based on 2003 RS Means Residential Cost Data
5/2/2005
State of Connecticut
Workers' Compensation Commission 7A
Please TYPE or PRINT IN INK ix
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 �pK k
Property located at 1 /it) 120.- , 4=0&La /4; ( ( /U 44 8
in the City/Town of "LG 4 J (e-
Attest L'
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 employer.
principal
P
Signature of OWNER Applicant S
❑ 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
Building Department
848-3030, Ext 382
CONSTRUCTION PERMIT APPROVAL
a 7/
'MAC)k d / i t C G2o ••i cJ /La. *44 ; <e_
Property P Q f
Pro e Address
k
Job Description
The applicant is responsible for obtaining all of the required approvals checked off on this form. No building permit will
be issued until all of the required signatures have been obtained.
Required
Approval Department Permit Issuance Approval
XTax Collector /Oi
El WPCA
t:1 Planning&Zoning 2& C'c�� S'(i-7/6
Signatures date
Health Department '-�_cam
`iitsi:ail rei date
❑ Department of Public Works
❑ State Dept. of Transportation
`pit natuare"date
0 Fire Marshal
Slpiiature/ dale
Comments/Conditions:
4
• . • Town of Montville
Building Department
Residential Sheds,Deck/Porch Plan Review
Date: si/a of
Job Address: /9 0 if y i1 CNI,, A c L / 'C O,
Job Description: .c---D,E'C-/C.
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 resected for the following reasons)that are checked-off or commented on:
• Suporting Documentation • Plans
Construction documents shall be of sufficient clarity to indicate Site Plan
),„
the location,nature and extent of the work proposed(8106.1.1) Property lines not provided
Construction documents are to match the orientation on the site Distance from property to structure
plan reversed plans are not acceptable,a full plan review can not Structure dimensions
be performed with the submitted documentation Topography(existing and proposed)
Utility locations
/ X Construction documents are incomplete or unclear, a full plan Wetlands and flood zone limits and elevations
review can not be performed with the submitted documentation Septic system and piping not identified
Building permit application not completed
Permit fee$ ns
Permit fee to be calculated f11.. Piers — size, material, depth below grade (minimum 42" required),
Worker's comp.Affidavit or worker'comp.Insurance required anchor details
Piers—must be designed to resist uplift,lateral and shear loads
Copy Contractor's registration or license
pxConstruction permit sign-off sheet with approvals required Connections
Provide all documentation to show compliance with the 2003 Indicate joist hangers at flush framing and ledger
Stairs,handrails,and guardrails
International Energy Conservation Code Direction of framing
(www.energycodes.gov) Beam spans,size,species,grade
Street address of project on all drawings and documents required Framed openings
Field set of approved plans need to be picked up from our office Joist/rafter—species and grade,size,direction,and spacing
Two sets of construction documents required, this includes Joists over-spanned
engineering data,calculations,and other documentation Rafters over-spanned
Wind Limitations Design Criteria Headers beams over-spanned
Submit supporting data to show conformance with the wind Ground anchors required—provide information and details
limitations(3 second gust @ 115 mph)
Design publication needs to be identified (WFCM, chapter 3,
WFCM,chapter 2,ASCE 7-2002)
Documents required to be stamped and signed by a CT registered
Professional Engineer
Comments: .—
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Town of Montville
Building Department
310 Norwich-New London Tpke.
Tel. 860-848-3030, Ext. 382 Uncasville, CT 06382
Fax. 860-848-7231
CERTIFICATE OF OCCUPANCY APPROVAL
/ Cz6 c C/ / // 2
I Property Address
(z6 I C
Job Description
The applicant is responsible for obtaining all of the required approvals checked off on this form. No
Certificate of Occupancy will be issued until all of the required signatures have been obtained.
Required
A.'royal Department Certificate of Occupancy Approval
El WPCA
Comments: Signature/elate
Planning&Zoning
Comments: _ (; Signature:: date
111 Health Department 41 i I lei ,/e
Comments:
i« ure' date
❑ Department of Public Works
Comments: Signaturedale
❑ State Dept. of Transportation
Comments: Signature, elate
El Police Department
Comments: Signature date
❑ Fire Marshal
Comments:
Signature date
❑ Wind Limitations Affidavit
9riised ugust 5,2005