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HomeMy WebLinkAbout2003 - SFR Town of Montville Building Department (Certificate of eccupantp -fa- r i New SFR r~ x ~C w at 8 ADAMO AVENUE {R ~ This is to certify that the construction described conforms substantially to the requirements of the State of Connecticut Building Code as per Section 29-265 of the Connecticut General Statutes and Zoning Regulations as adopted by the Town of Montville and is hereby approved for use and occupancy. Permit Number: B2003-0408 Special Conditions: Map/I.ot: 131/028-000 Use Group: R-4 Code: 1995 CABO Construction Type: 5B Owner: Carreira Construction LLC 43 Valley Drive Naugatuck CT 06770 zL, - V/,"7 Friday, December 12, 2003 Buildin Offici . CO Issued: Town of Montville Building Depakment 4 ; 848-3030, Ext 82. ONE & TWO FAMILY CERTIFICATE OF OCCUPANCY SIGN-OFF SHEET 9 A D r-- O Property Address Job Description: The owner/agent shall be responsible for the completion of the form, no certificate of occupancy will be issued until all signatures below have bee obtained. HEALTH DISTRICT 848-3030-339 Approved /Z 12-03 ❑ Permit ~ Not Applicable Septic Sy em Date w Approved 12--7Z-03 ❑ Permit Z2-Q, So ❑ Not Applicable Private Well Date WPCA DEPARTMENT 848-3030, Ext. 376 l Approved l dh 1C)3 F~ Permit ❑ Not Applicable Municipal S we Date House Trap ❑ Outside ❑ Inside Approved ❑ Permit # ❑ Not Applicable Municipal Water Date DEPARTMENT OF PUBLIC WORKS 848-7473 F Approved ❑ Permit ❑ Not Applicable Director Date PLANNING ZONING DEPARTMENT 848-3030. Ext. 379 In-Compliance rl _ Permit ;?C>3-/78 ❑ Not Applicable Zoning Date In-Compliance ❑ Permit ❑ Not Applicable Inland-Wetlands Date R,evued 6/28/2002 Town of Montville Building Department Date Field Inspection Notice Permit # Job Location t4 .0 r L-/ ['~t pproved Type of Inspection /03 PCC7 161 Not Approved - Please call for re-inspection when the following corrections have been completed: rv orb' ° Jma 1 r-~ LW L' X S C /g- ter' y a9~~' i/l/ Buildiln Offici Town of Montville € t Building Departl Date. nenCe Permit Field Inspection Noti k Address: Not Comments/Corrections Required- re-inspection required: Inspection Approved Approved r ❑ Footing ❑ ❑ 3 r r ❑ _Backfill ❑ ❑ ❑ Concrete Slab ❑ ❑ ` ❑ Framing ❑ ❑ ❑ Rough Elec ❑ Elec Service ❑ ❑ ❑ Rough HVAC ❑ Rough Plumbing ❑ ❑ ❑ Gas Line ❑ ❑ ❑ Fireplace Throat ❑ ❑ ❑ Chimney ❑ ❑ ❑ Fire/Draftstopping ❑ ❑ ❑ Insulation ❑ ❑ ❑ Final Inspection ❑ Cof0 /Is Signature Town of Montville Building Department Field Inspection Notice Permit bate: Address: io /lei 10 lot Comments/Corrections Required - re-inspection required: Inspection Approved A proved ❑ Footing ❑ ❑ ❑ Backfill ❑ ❑ Concrete Slab ❑ ❑ ❑ Framing El n ❑ Rough Elec Elec Service ❑ ❑ ❑ Rough HVAC ❑ ❑ Rough Plumbing ❑ Gas Line. ❑ ❑ ❑ Fireplace Throat ❑ ❑ ❑ Chimney ❑ ❑ ❑ Fire/Draftstopping ❑ ❑ ,g~ Insulation ❑ ❑ Final Inspection ❑ - ❑ COfO ❑ ❑ f Inspector's Si=iature I Town of Montville 1,1 Date: lding F 1d IInspecton Notice Permit Address: Not Comments/Corrections Required - re-inspection required: Inspection Approved A proved ❑ Footing ❑ ❑ ❑ Backfill ❑ ❑ ❑ Concrete Slab El El Framing Rough Elec IS, El E] Elec Service El Rough HVAC ❑ Rough Plumbing Y ❑ Gas Line ❑ ❑ ❑ Fireplace Throat ❑ ❑ ❑ Chimney ❑ 11 Fire/Draftstopping ~ ❑ F1 Insulation ❑ Final Inspection ❑ ❑ ❑ Cof0 ❑ 1:1 El ❑ pectof s Signature Town of Montville BUILDING DEPARTMENT 310 Norwich-New London Turnpike Uncasville, CT 06382 (860) 848-3030, Ext. 382 Mechanical Permit Permit Number: M2003-0185 Date: 06-Oct-03 Map/Lot: 131/028-000 Owner ID 503 Job Location: Unit Job Description: Hating & Air Conditioning Owner: Contractor: Carreira Construction LLC Barry Soucier 51 Deercrest Dr. 43 Valley Drive Torrington Ct. 06790- Naugatuck CT 06770 Telephone: (860) 626-0938 Lic/Reg Type/No. S3 389481 Exp Date: 31-Aug-04 Tenant: Self Telephone: Construction Values Permit Fees Construction Information Building Value: $0.00 Building Fee: $0.00 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: R5 Other Value: $0.00 Other Fee: $0.00 Comments: Total Value: $0.00 CO Fee: $0.00 Included on Building Permit Plan Review Fee: $0.00 State Ed Fee: $0.00 Total Fees: $0.00 I i h w r r n i ili schedule h following inspections (minimum 4 hours notice reguired): ❑ Footing - Prior to pouring concrete W Rough HVAC ❑ Backfill - Footing rains and waterproofing ❑ Fireplace Throat ❑ Concrete Slab - Pr or to pouring concrete ❑ Chimney - One flue above thimble ❑ Rough Framing ❑ Firestopping/draftstopping ❑ Rough Electrical ❑ Insulation ❑ Electrical Service ❑ Final Inspection ❑ Rough plumbing and leak test ❑ Certificate of Occupany ❑ Gas piping and test Building Official's Signature: Town of Montville ` Building Department Permit # 3 S15 ~Zo (D 310 Norwich-New London Tpke. Tel. 848-3030, Ext 82 Uncasville, CT 06382 Fax. 848-7231 One & Two Family Trades Permit Application Form QPhmtbing ❑Ekctncif (Meehan d feating 2S_Air Conditioning Gas Piping D Job Locatio Job Description/Materials Owner -~nc-A o Mailing Address City State - Zip Tel Contractor Mailing Address I_JC!p r Cr C~ . City Orr, State Ca" Zip Tell Contractor's License/Regi tration Type & Number 5r~ 3 3~C1 ~c~S Exp. Date / -?I / I hereby certify that the p oposed 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 /0 1. © 3 Construction Value Fee Building $ $ Plumbing $ $ Mechanical $ $ Electrical $ $ Other $ $ Certificate of Occupancy $ Plan Review Fee $ . State Education $ Total $ $ r ; , I ^dIT D CONT IkACT.OR I'I UI bF n~~, s' I~r1J~, II ('790 I TS i'T,: G'1 i EFFE -T VE, EXPIRES L.IC. 7 RE 1/~f no 20 k7 9 SIGNEG i STATE OF CONNECTICUT PROTECTION DEPARTMENT OF CONSUMER HEATING, PIPING & COOLING LIMITED CONTRACTOR BARRY J SOUCIER 81 DE,ERCREST DR TORRINGTON; CT 06790 TYPE: S3 LICWREG NO.:, EFFECTIVE EXPIRES 389481 X91101,/2003 08/31/2004 SIGNED Town of Montville BUILDING DEPARTMENT 310 Norwich-New London Turnpike Uncasville, CT 06382 (860) 848-3030, Ext. 382 Plumbing Permit Permit Number: P2003-0104 Date: 06-Oct-03 Map/Lot: 131/028-000 Owner ID 503 Job Location: Unit -8 ADAM0JWMUE Job Description: Plumbing Owner: Contractor: Carreira Construction LLC Barry Soucier 51 Deercrest Dr. 43 Valley Drive Torrington Ct. 06790- Naugatuck CT 06770 Telephone: (860)626-0938 Lic/Reg Type/No. Pi 204759 Exp Date: 31-Oct-03 Tenant: Self Telephone: Construction Values Permit Fees Construction Information Building Value: $0.00 Building Fee: $0.00 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: R5 Other Value: $0.00 Other Fee: $0.00 Comments: Total Value: $0.00 CO Fee: $0.00 Included on Building Permit Plan Review Fee: $0.00 State Ed Fee: $0.00 Total Fees: $0.00 I i h wn r r n i ili schedule h following inspections (minimum 48. hr notice required): ❑ Footing - Prior to ouring concrete ❑ Rough HVAC ❑ Backfill - Footing rains and waterproofing ❑ Fireplace Throat ❑ Concrete Slab - Pr or to pouring concrete ❑ Chimney - One flue above thimble ❑ Rough Framing ❑ Firestopping/draftstopping ❑ Rough Electrical ❑ Insulation ❑ Electrical Service ❑ Final Inspection 0 Rough plumbing and leak test ❑ Certificate of Occupany ❑ Gas piping and test i Building Official's Signature: Town of Montville , Building Department Permit # l~ l 310 Norwich-New London Tpke. Tel. 848-3030, Ext 82 Uncasville, CT 06382 Fax. 848-7231 One & Two Family Trades Permit Application Form 9S Pfumding (]Efec FJM"hanicd Heating Air Con tinning Gas Ting ❑Omer Job Location " <Bu A c( --i a Job Description/Materials Owner ~c'). C A ' C-) ny-yl Mailing Address CityState Zip Tel Contractor Mailing Address F / ma-(- r .!z 14 'Dr, City TZ) State_<f4_ Zip o 6 2 1!~O Tel &40 / &P (o /Oq,3K Contractor's License/Regis ation Type & Number aOY 7 5 l Exp. Dated/ / 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 di 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 Construction Value Fee Building $ $ Plumbing $ $ Mechanical $ $ Electrical $ $ Other $ $ Certificate of Occupancy $ Plan Review Fee $ . State Education $ Total' $ $ Town of Montville ment Building Depart Permit~# C~ Date Field Inspection Notice /t/)- ~o% Job Location ce pproved Type of Inspection f Not Approve d - Please call for re-inspection when the following corrections have been completed: E i _ a l Build* cial r F V Town of Montville BUILDING DEPARTMENT 310 Norwich-New London Turnpike Uncasville, CT 06382 (860) 848-3030, Ext. 382 Electrical Permit Permit Number: E2003-0305 Date: 29-Sep-03 Map/Lot: 131/028-000 Owner ID 503 Sob Location: Unit Job Description: E ectrical & Electric Service Owner: Contractor: Carreira construction LLC A C Electric LLC 43 Valley Drive 43 Valley Drive Naugatuck Ct. 06770- Naugatuck CT 06770 Telephone: (203) 723-2430 Lic/Reg Type/No. E1 125018 Exp Date: 30-Sep-03 Tenant: Self Telephone: Construction Values Permit Fees Construction Information Building Value: $0.00 Building Fee: $0.00 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: R5 Other Value: $0.00 Other Fee: $0.00 Comments: Total Value: $0.00 CO Fee: $0.00 Included on Building Permit Plan Review Fee: $0.00 State Ed Fee: $0.00 Total Fees: $0.00 It is h owner; responsibility schedule h following inspections (minimum hours notice requiredk. ❑ Footing - Prior to pouring concrete ❑ Rough HVAC ❑ Backfill - Footing rains and waterproofing ❑ Fireplace Throat ❑ Concrete Slab - Pr or to pouring concrete ❑ Chimney - One flue above thimble ❑ Rough Framing ❑ Firestopping/draftstopping 7 Rough Electrical ❑ Insulation W Electrical Service ❑ Final Inspection ❑ Rough plumbing and leak test ❑ Certificate of Occupany ❑ Gas piping and test Building Official's Signature: Town of Montville Building Department Permit # ~c~d 310 Norwich-New London Tpke. Tel. 848-3030, Ext 82 Uncasville, CT 06382 Fax. 848-7231 One & Two Family Trades Permit Application Form OPfumding dE(ect&d 09 "ftanicaf Heating Air Cmditioninq Gas Piping ❑ other Job Locatio e- G W&E Job Description/Materials Owner G~ /'h"'!e,4J- i►r ~ Mailing Address ~ City State Zip 00P'70 Tel '3 / -70 3/ Contractor C l~G Mailing Address Cityl' UC State Zip 00~`r20 Tel.20-3 / Z Z-3 T Contractor's License/Regis ation Type & Number COE- Exp. Date I hereby certify that the pr posed work will conform to the Basic Building Code and all other codes as adopted by the State of Connecticut and th 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~_/ Construction Value Fee Building $ $ Plumbing $ $ Mechanical $ $ Electrical Other $T $ IA7 Certificate of Occupancy $ Plan Review Fee $ . V. Z State Education $ Total" $ STATE OF CONNECTICUT WORKERS' COMPENSATION COMMISSION Building Permit Affidavit for Pro ert Owners or Sole Pro rietors (Conn. Gen. Stat. § 31-286b) Property located at: 0 In the town of VA 100-Pik Name of building permit applicant: Anw, Please check one: 1. _7 I am the owner of the above property. 2. X/ I am the sole 'proprietor of a business. 2A. Name of business: 2B. Feder 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" m y provide either a certificate of workers' compensation insurance or a "sworn affidavit... stating that h will require proof of workers' compensation insurance for all those employed on the job site in accordance wi this chapter." Please chVpne: 1. I do not intend to act as a general contractor or principal employer. ;[Sign d e ature rfap~phcant 2: I intend to act as a general contractor or principal employer. Applicant must either provide a certificate o '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) STATE OF 1 1, DEPARTMENT OF CONSUMER PROTE(TION ELECTRICAL UNLIMITED CONTRACTOR ARTUR .1 CARREIRA 43 VALLEY DR NAUGATUCK, CT 06770 TYPE: El ` ° brF~ , Tb 3 . 0/15o4 ~ r. SIGNED Town of Montville ' Building Department Permit # Inspection Notice Field Date Job Location A M o i F~ Approved Type of Inspection Ac 1 I, 'f XNot Approve d Please call for re-inspection when the following corrections have been completed: A-1 146" L t ~q I Buildin Official n of Montville Tow Building Department Field Inspection Notice Permit Date Job Location pproVed Type of Inspection t- Not Approved: -Please call for re -inspection when the following corrections have been completed: I I I Buildin Official Town of Montville BUILDING DEPARTMENT 310 Norwich-New London Turnpike Uncasville, CT 06382 (860) 848-3030, Ext. 382 Building Permit Permit Number: B2003-0408 Date: 15-Aug-03 Map/Lot: 131/028-000 Owner ID 503 Job Location: Unit Job Description: ew SFR Owner: Contractor: Carreira Constructio LLC Joca Inc 17W Wharf Rd 43 Valley Drive Madison CT 06443- Naugatuck CT 06770 Telephone: (203) 910-0727 Lic/Reg Type/No. NHC 868 Exp Date: 30-Sep-03 Tenant: N/A Telephone- Construction Values Permit Fees Construction Information Building Value: $158,419.00 Building Fee: $952.00 Use Group: R-4 Plumbing Value: $10,524.00 Plumbing Fee: $64.00 Code: 1995 CABO Mechanical Value: $11,693.00 Mechanical Fee: $70.00 Construction Type: 5B Electrical Value: $10,774.00 Electrical Fee: $64.00 Permit Code: R2 Other Value: $0.00 Other Fee: $0.00 Comments: Total Value: $191,409.00 CO Fee: $10.00 Plan Review Fee: $95.20 State Ed Fee: $30.63 Total Fees: $1,285.83 It is t e owners responsibility to schedule the following inspections (milnornurn 48 hours notice requored)z Footing - Prior to pouring concrete W Rough HVAC Backfill - Footing rains and waterproofing Fireplace Throat F*/~ Concrete Slab - P or to pouring concrete ❑ Chimney - One flue above thimble Rough Framing Q Firestopping/draftstopping Rough Electrical W Insulation Electrical Service ❑ Final Inspection Rough plumbing aid leak test Certificate of Occupany ❑ Gas piping and to Building Official's Sig ature. Town of Montville Residential Plan Review Date: u.-All- 200 Job Address: Mo AV" L, Job Description: c,r We have received a building permit application for the above referenced property. In accordance with Connecticut General Statute 29-263, our a licat' 'n is being reiected for the following reasons 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 info tion (112.1) Dimensions Building permit application n t completed, signed, dated Finish floor elevation -Permit fee $ Minimum room sizes (304.1) Worker's comp. Affidavit or orker' comp. Insurance Door and window sizes Copy Contractor's registratio or license Kitchen layout Construction permit sign-off beet Bathroom layouts, tub sizes in gallons, space clearances Provide all documentation o show compliance with the Model Stair location (min. width 36") (311.1) Energy Code (1995 MEC). I 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 a] I 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 Signed by P&Z, Wetlands, U cas health, WPCA opening height, 20 clear opening width) (310.2:1.) Property lines not provided Egress window maximum sill height 44 (310.2) Distance from to strcture Are basement stairs enclosed/accessible? If so, protect with property minimum 1W' sheetrock (310.3.) Structure dimensions Driveway Designate which door is the required exit (36" minimum, hinged) Topography (existing and proposed) Garage Footing drain inverts, outlet a d separation Minimum 5/8" Type X gypsum board separation (on garage side) to Proposed utilities all living spaces - all combustible support framing to be covered with Wetlands and flood zone limi and elevations minimum 5/8" Type X gypsum board if it supports habitable rooms (309.2) Indicate minimum 1 3/4" solid wood door, 1 3/d' solid core steel door, 1 • Foundation Plan 3/4" honeycomb core steel door, or 20 minute rated door from the Dimensions garage to the house and its basement or attic (309.1) Wall thickness Indicate self-closing devices on all doors from garage to the house Footing sizes and its basement or attic (309.1) Frost protection required Indicate slope for garage floor (309.3.) Window and door sizes and locations Hatchway • Elevations Foundation - indicate the assumed soil conditions that the system has Type of siding been designed for or provide engineering data. If presumptive soil - - Type of roofing conditions cannot be met, provide soil bearing engineering data (401) Other finishes Concrete strength - foundati floors, exterior porches, walks, slabs (402 Finish grades .2) heights Basement finished 'shed? Building Dimension height of chimney above roof Vapor barrier between sub-grade and concrete basement floor (505.2.3) Roof pitches Minimum height of foundation walls above finished grade (404.1.3) Perimeter insulation, if condi 'oned space • Building Section(s) & Details Anchor bolts - size and location (403. La) Floor-to-floor heights Floor thickness and control j 'nt location (403.1.x) 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 (81/4" max), tread depth (9" min.), and nosing (3/4" Waterproofing details (406) -1 1/4") Rebar if required - wall lengt 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 Fb and E) Concrete piers and anchor details - decks Sheathing - size, thickness, type Foundation drainage - sump drain to grade, or town storm system; Siding, material, type, style - underlayment per mfg, indicate pitch (405.1) Insulation - R-value, type - including basement walls if applicable Beam pockets - minimum clearances Comer bracing Crawl Spaces Flashing detail - windows and doors - type, material Crawl space data - clearance to joists, slab thickness (if provided), vapor barrier (409) Ventilation (409.1) Access 18"x24" (409.2) Town of Montville • Framing plans Posts - size, material, and height Bearing partitions Piers - size, material, depth below grade (minimum 42" required) Direction of framing Indicate joist hangers at flush framing and ledger Beam spans, size, species, grade Stairs, handrails, and guardrails Framed openings Sheathing type and thickness • Chimneys and Fireplaces Window and door header sizes Indicate clearance of masonry to combustible framing materials and Joists - species and grade (minimum Fb and E), size, direction, and clearance from fireplace opening to finished trim spacing Show data for mechanical flue sizing Joists over-spanned Show exterior combustion air source Headers/beams overspanned Flue sizes Double joists at parallel bearing partitions, bathtubs, etc. (502.3.2) Manufactures data and installation instructions for metal fireplaces Details of framing for plumbing, such as headers and trimmers at traps, etc. • Electrical Plan(s) Joist hangers for flush framing conditions or ledger (502.4.2) Panel location(s) with main size Deck material, type, size, and span Meter socket location Floor insulation - R-value, type, vapor barrier location Outlet locations Provide design data for all unaligned wall and floor bearing points. GFCI outlet locations Indicate location of all point loads. Lights and switches Engineering data for steel beams, engineered lumber, roof trusses or A Lights and switches circuits any other engineered product or design Stair illumination Provide Roofs/c roof framing plan for roof geometry Stairway light activation at both top and bottom of stair (303.4) Ceiling joists - spacing, span, direction, species and grade (or Show required AG/DC smoke detectors (316) minimum Fb and E) Rafters - pitch, spacing, span, species, and grade (or minimum Fb • Mechanical plan(s) and E) Dryer vent Insulation - R-value, type - including basement walls if applicable Bathroom exhaust ventilation (natural or mechanical) type and size Ventilation - ridge, gable, soffit with calculations Provide minimum net ventilation data Hood exhaust Attic access (22"x30" minimum) for any attic with 30" or more clear Type of heat height Heating, ventilation, and air conditioning plant locations Roof sheathing - type, size, thickness Oil/LP-gas tank size, location and piping Collar ties - size, placement, spacing Make-up air requirements Roof covering - shingles - type, nailing, provide proper Manufactures data for equipment underlayment - show interior horizontal distance of double underlayment at eave, etc. • Plumbing plan(s) Overhang detail Building trap location Provide framing details of trayedfvaulted ceilings Sewer location Provide detail of cathedral ceiling structure and venting Domestic water location Indicate connection of lower chord of roof trusses and ceiling joists to Manufacturers data for whirlpools, corner tubs, & larger tubs the top plates of interior and exterior walls. Calculate roof tie-down Water heater size, type, and location sizes when required by wind conditions Show framing for gables in cathedral ceiling construction Provide engineering data for all roof trusses - (truss drawings must be • Following plans are required signed and sealed by a Connecticut Licensed Professional Engineer) Site plan Roof rafters over-spanned Floor plan(s) Ceiling joists over-spanned Elevations Decks/Porches Building section & details Plans required Electrical plan(s) Joists - size, span, spacing, direction, species and grade (or minimum Mechanical plan(s) Fb and E) Plumbing plan(s) Ledger - show attachment and flashing to house Decking material and size Beam - design data if required Comments: :D S i?Lr 9L/Drl A44 -f AN Apqte;~u or- Z, VAm /yr- 10 lding Official Town of Montville , Building Department Permit # 310 Norwich-New London Tpke. Tel. 848-3030, Ext 382 Uneitsville, CT 06382 Fax. 848-7231 One & Two Family.Building Permit Application Form El Vw Cmrstructime U m [j Arteration, Accessory Structure ❑0ther Job Location A,1 S "i l . Job Description/Materials Owner- Mailing Address City nnc%t _CJ l s v • State. e ( Zip Lf Tel Contractor Mailing Address. City State Zip Tel J Contractor's License/Registration Type & Number (a V Exp. Date I hereby certify that the proposed work will conform to the Basic Building Code and all other codes as adopted by the State of Connecticut and the Town of Montville and further attest that the proposed work is authorized by the owner in fee and that I am authorized to make application for a permit for such work as described above. -Owner /Agent Signature Date Construction Value Fee Building $ $ Plumbing $ $ Mechanical $ Electrical $ Other $ Certificate of Occupancy $ Plan Review Fee $ State Education. $ Total (See *g vse si4 for ad4tivndrequiremeau) Town of Montville tww+ Residential Permit Requireimetltbll„r+ ❑ Two (2) complete sets of construction documents (to scale) are required and shall show the following information it applicable. This list is not all-inclusive, additional information may be required for your particular project. • Supporting twennientation • Building Section(s) & DetaRls signed and dated Building Permit Application Poor-to•iloor heights Ramit fee - calculated upon completion of plan review Material type, size, and spacing Completed building permit affidavit for property owners or sole Stair details (rise, run, treads, nosing, width, headroom) proprietors or copy of workers compensation insurance Handrail details Copy of Contractor Registration or license Guardrail details Construction permit sign-off sheet signed by all departments Roof ventilation Model Energy Cote Analysis Heat loss calculations • Framing p Engineering data for steel beams, engineered lumber, roof trusses or any other engineered products or design Design loads - for floors, ceilings, roofs Street address of project on all drawings and documents Bearing partitions . Direction of framing • Site p Spans, beam wood species and grade Property lines Framed openings Distance from property to structure Sheathing type and thickness Structure dimensions Window and door header sizes Driveway ' Decking material, size, spacing Topography (existing and proposed) Note: Unusual structural conditions may require that additional Footing drain inverts, outlet and separation engineering back up be submitted Proposed utilities Wetlands and flood zone limits and elevation • Cwroneys and Fireplaces Signed by P & Z, Wetlands, Uncas Health, WPCA Clearances to combustible materials • Foundation Plan Manufactures data for metal flues Exterior fresh air soemcafot fireplaces Assumed soil bearing pressure Flue sizes Dimensions Manuhictur rs data and installation instructions for metal fireplaces wan thickness Footing sizes . Electrical Plat(s) Anchor bolts, size and spacing Panel location(s) with main size Window and door sizes and locations Meter socket location Hatchways Columns Outlet locations Floor construction data . GFCI outlet locations Drainage details Smoke detector locations waterproofing details . lights.and switches Crawl space ventilation Appliance/equipment circuits Crawl space access Stair illumination Concrete strengths • Mechanical plan(s) • Floor, plan(s) Dryer vent Dimensions Bathroom exhaust ventilation (natural or mechanical) type and size Door and window sizes, egress window Hood exhaust (hazing in bazardous locations Type of heat Garageldwelling opening protection. Heating, ventilation, and air auditioning plant location Garage/dwelnng separation Oil tank size, location. and Ping Kitchen layout LP-Gas tank location, size, and piping Bathioom layouts, tub sizes in Make,* requirements gallons, space clearances Manufacturers data for indicate use of all rooms ul 'arPmerat Stair location Attic access location and size • Plumbing plan(s) Square footage for each habitable level of the structure Building trap location if on municipal sewer Required light and ventilation for each habitable room Sewer location r Domestic water location • Elevations - minimum of two required Manrnfaeatr rs data for whirlpools, canna tubs, & larger tubs Type of siding water heater size, type, and location Roofing Other finishes Finish Wades Note: One set of "proved plans is required to be kept of Building heights site at all times. Height of chimney above roof Roof pitch To n off)ntv'ille Building Departme~ `t Receipt f Date No. 021,997 ri A From_ ~ Job Address. may. $ Cash` Chcck . Cheek # Amount # Received by s ~ ~J N HpNkE_GONSjAUCTlON CONTRACT e~ JOCA DEVELOPMENT INC POIBOX 294 , jbDLEBURY, CT 08762 EFFECTIVE XPIRES 30!2003 ! uc.rRE O 10!01 /2001 868 i i I'SIGN 07 STATE OF CONNECTICUT WORKERS' COMPENSATION COMMISSION gilding Permit Affidavit for RpgRgM Owners or Sole Pro rietors (Conn. Gen. Stat. § 31-286b) Property located at: - r Cke 4-L 't ( 'e- . In the town of Name of building permit applicant: A-^' Please check one: 1. I am the owner of the above property. 2. I am the sole proprietor of a business. 2A. Nam of business: 2B. Federal Employer Identification Number (FEIN) Pursuant to § 31-286b, `,`a property owner or sole proprietor [who] intends to act as a general contractor or principal employer" may provide either a certificate of workers' compensation insurance or a "sworn affidavit... stating that he. will require proof of workers' compensation insurance for all those employed on the job site in accordance with-this chapter." Please check one: 1. I do not intend to act as a general contractor or principal employer. [Sign an 'stop here] S' atur of applicant 2: I intend t act as a general contractor or principal employer. Applicant must either provide a certificate of workers' compensation insurance or sign the affidavit below. AMdavit I hereby swear and att st 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 § 3 - 5 C.G.S., officers of a corporation and partners in a partnership'may elect ' District Office; and that a sole proprietor to be excluded from co -V U era y g a waiver with the apprp~~ overage. of a business is not req to ve verage unless he files hto t c Xl~ Sign ' of pplicant Subscribed and sworn t before me this 41- day of 2003. (Notary Public/Commissioner of the Superior Court) MEL,INDA L. R®EERTS NOTARY PUBLIC MY COMMISSION EXPIRES OCT. 31, 2007 Permit Fee Calculation Spreadsheet RESIDENTIAL PERMIT CALCULATION (2 STORY) House Construction A (E=Economy, A=Average, C=Custom) QTY $/UNIT $/UNIT $/UNIT TOTAL Living Area 2088 SF $ - $ 72.08 $ - $ 150,503.04 Finished Basement SF $ - $ 16.01 $ - $ - Unfinished Basement _10158 SF $ $ 5.72 $ - $ 5,765.76 Kitchen 1 EA $ - $ - $ - $ - Plumbing Full Bath 2 EA $ - $ 4,229.40 $ - $ 4,229.40 Half Bath 1 EA $ - $ 2,691.15 $ - $ 2,691.15 Garages Attached, 1 car EA $ - $ 8,885.10 $ - $ - Attached, 2 car ` EA $ - $ 15,113.70 $ - $ 15,113.70 Attached, 3 car EA $ - $ 20,913.90 $ $ - Detached, 1 car EA $ - $ 11,657.10 $ - $ - Detached, 2 car EA $ - $ 17,456.25 $ - $ - Detached, 3 car " EA $ - $ 23,256.45 $ - $ - Under, 1 car EA $ - $ 1,304.10 $ - $ - Under, 2 car EA $ - $ 1,757.70 $ - $ - Fireplace & Chimney _ Prefab 1 EA $ - $ 3,96375 $ - $ 3,96375 Masonry, exterior EA $ - $ 3,963.75 $ - $ - Masonry, interior EA $ - $ 3,701.25 $ - $ - W/2 fireplaces EA $ - $ 6,746.25 $ - $ - Breezeway/Decks Open 144 SF $ - $ 2231 $ - $ 3,212.64 Enclosed SF $ - $ 94.76 $ - $ - Porches Open SF $ - $ 62.69 $ - $ - Enclosed SF $ - $ 123.90 $ - $ - Heating Adjustment 2088 SF $ - $ (2.76) $ - $ (5,762.88) Air Conditioning 2088 SF $ - $ 2.84 $ - $ Electrical 2088 SF $ - $ (5.16) $ - $ (10,774.08) Plumbing 2088 SF $ - $ (5.04) $ - $ (10,523.52) TOTAL BUILDING CONS RUCTION COST, LESS MEP $ 158,418.96 Y Is air conditioning included (YIN)? $ 5,930 PERMIT FEE Building $ 158,419 $ 952.00 Y Plumbing $ 10,524 $ 64.00 Y Mechanical $ 11,693 $ 70.00 Y Electrical $ 10,774 $ 64.00 Other $ - CO Fee $ 10.00 Plan Review $ 95.20 State Ed Fee $ 191,409 $ 30.63 Total Fees $ 1,285.83 Based on 2003 RS Means REsidential Cost Data 6/9/03 Town of Montville . Building Department 848-3030, Ext 382 ONE & TWO FAMILY CONSTRUCTION-PERMIT SIGN OFF SHEET Property Address Job Description: J s t The owner/agent shall be responsible for the completion of the form, no certificate of occupancy will be issued until all signatures below have been obtained. HEALTH DISTRICT 848-3030-882 Approved ❑ Permit ❑ Not Applicable Septic Sys em Date Approved Private W -,H Date El Permit El Not Applicable WPCA DEPARTMENT 848-3030, Ext.. 881 Approved . ❑ Permit El Not Applicable unicipal S wer Date House Trap ❑ Outside ❑ Inside Approved ❑ Permit # ❑ Not Applicable Municipal ater Date DEPARTMENT OF PUBLIC WORKS 848-7473 Approved Director ❑ Permit ❑ Not Applicable PLANNING & ZONING EPARTM ENT Date 848-3030.. Ext. 81 r In-Compliance El Permit ❑ Not Applicable Zoning Date In-Compliance ❑ Permit ❑ Not Applicable Inland-Wetlands Date 07/31/2003 14: 29 8608487393 MONTVILLE PUB WORKS PAGE 03 ~r ~k$idlr03 a2: Sly FAX d4872'3r 9CULDING -DEPT Cal Town of most" D1 all ft ba 3&2t Ql~r 8t T~ F.Y . sm-cff slum Jab Dowipdcw: The o u=l ~bu~# be r dble foe Me armed of the fat, no c"Wjdw c f 00C Walcy wiff bps immed w" jn o s boom ibt~re ab#eErta~d. D Tgi fit-imam suopfic Ymm o P4 nit IF N a AppAmble AmovW C3 l'dat l►gplicabla a Q rialk.r won* APPuvtd AppoW4 ~ac* Doe- -0 a-► C '`r D r 1 e d• Plans in File