HomeMy WebLinkAbout2006 - Bathroom Dormer
*~r Town of Montville
Building Department
Certificate of Occupancy
for
Bathroom Dormer
.h , at
sr 11 ALASKA ROAD
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: B2003-0095 Special Conditions:
Map/Lot: 089/051-000
Use Group: R4
Code: 1995 CABO
Construction Type: 5B
Owner: Martin, Kyle & Dana
11 Alaska Road
Oakdale CT 06370
Building Official: CO Issued:
1
Field Inspection Notice
Town of Montville
Building Department
May 12, 2006
Address: 11 ALASKA ROAD
Job Description: Doane addition
Permit Numbers): Permit Date:
INSPECTION Not Approved royal
Date: Deficiencies 5 ecial Conditions Date
Certate of 5112/06 JS
Occupancy
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Rev. Date: 10/18/05 Page 1 of 1
To n'of Montville
Building Department
Date Field Inspection Notice Permit # (4~plo
Job Location
App oved Type of Inspection
rrections have completed:
Not Approve -Please call for. re-inspection when the following co
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Buildin ZOff
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Town of Montville
Building Department
310 Norwich-New London Tpke.
Uncasville, CT 06382
Tel. 860-848-3030 Ext. 382 Fax. 860-848-7231
5/03/06
Kyle and Dana Martin
11 Alaska Road
Oakdale, Ct. 0637
Dear Mr. and Mrs. Martin
During a resent review of our files it was establish that a dormer constructed under permit # B2003-0095,
dated 31-Mar-03 i lacking the required final inspection for the issuing of a certificate of occupancy. Per
section 111 in CA O of the Connecticut State Building Code, "For onsite construction, from time to time
the building official, ppon notification from the permit holder or his agent, shall make or cause to be made
any necessary ins ections and shall either approve that portion of the construction as completed or shall
notify the permit holder or his or her agent wherein the same fails to comply with this code."
Please call our o ce at the number listed above to schedule the required inspection(s) and inform use as
to the status of the work performed under this permit, in order to close out this permit.
Respectfully your
David M. Jensen
Building Inspector
cc: ile
Town of Montville
BUILDING DEPARTMENT
310 Norwich-New London Turnpike
Uncasville, CT 06382
(860) 848-3030, Ext. 382
Building Permit
Permit Number: B2003-0095 Date: 31-Mar-03 Map/Lot: 089/051-000 Owner ID 1002
Job Location: Unit -11 ALASK&ROAD Job Description: B throom Dormer
Owner: Contractor:
Martin, Kyle & Dana Kyle & Dana Martin
11 Alaska Road
it Alaska Road Oakdale, Ct. 06370-
Oakdale CT 06370 Telephone: (860) 892-1639
Lic/Reg Type/No. 0 Exp Date:
Tenant:
Self
Telephone:
Construction Values Permit Fees Construction Information
Building Value: $5,647.00 Building Fee: $34.00 Use Group: R4
Plumbing Value: $121.00 Plumbing Fee: $10.00 Code: 1995 CABO
Mechanical Value: $167.00 Mechanical Fee: $10.00 Construction Type: 5B
Electrical Value: $201.00 Electrical Fee: $10.00 Permit Code: R3
Other Value: $0,00 Other Fee: $0.00 Comments:
Total Value: $6,135.00 CO Fee: $10.00
Plan Review Fee: $3.40
State Ed Fee: $0.96
Total Fees: $78.38
It is the owners responsibmli to schedule the following inspections (minimum 48 hours notice requoredk
❑ Footing - Prior to pouring concrete ❑d Rough HVAC
❑ Backfill - Footing drains and waterproofing ❑ Fireplace Throat
❑ Concrete Slab - Prior to pouring concrete ❑ Chimney - One flue above thimble
Rough Framing W Firestopping/draftstopping
d❑ Rough Electrical W-1 Insulation
❑ Electrical Service ❑ Final Inspection
d❑ Rough plumbing a pd leak test Certificate of Occupany
❑ Gas piping and tes
Building Official's Sig ature:
7ZI
Town o tville
Building Ro anent Permit # GGC ~ j
310 Norwich-T*.. , >ndon Tpke.
Tel. 848-3030, Ext 382 Uncasville, CT 06382 Pax. 848-7231
One & Two Family Building Permit Application Form
❑ New Construction Addition E] ACteratioa Ej Accessory Structure
n other
Job Location AUs 06, e- ( 3 70
Job Description/Materials 'ailt Tv .
X- 4'
Owner ~C= A ^ " al, ~ Mailing Address /J14 S ~ 64
City a 0 e State ~ l Zip CX, 0 Tel O/a.~/ 3 1
Contractor 57e i T Mailing Address
City State Zip Tel
Contractor's License/Regis ation Type & Number 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~J~
Construction Value Fee
Building $ $
Plumbing $ $
Mechanical $ $
Electrical $ $
Other $ $
Certificate of Occupancy $
Plan Review Fee $
State Education $
Total $ $
(See Reverse side for additional requirements)
Tow )ntville ,
,
Residential Requirements
El Two (2) complete sets of construction documents (to s a required and shall show the following information if
applicable. This list is not all-inclusive, additional information may be required for your particular project.
• Supporting Documentation • Building Section(s) & Details
Complewd. signed and dated Building Permit Application Floor-to-floor heights
Permit 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 Code Analysis
Heat loss calculations • Framing plans
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 plan 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 • Chimneys and Fireplaces
Signed by P & Z, Wetlands, Uncas Health, WPCA
Clearances to combustible materials
• Foundation Plan Manufactures data for metal flues
Exterior fresh air source for fireplaces
Assumed soil bearing pressure Flue sizes
Dimensions Manufacturers data and installation instructions for metal fireplaces
Wall thickness
Footing sizes • Electrical Plan(s) .
Anchor bolts, size and spacing Panel location(s) with main size
Window and door sizes and locations
Hatchways Meter socket location
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
Glazing in hazardous locations Type of heat
Garageldwelling opening protection Heating, ventilation, and air conditioning plant location
Garageldwelling separation Oil tank size, location, and piping
Kitchen layout LP-Gras tank location, size, and piping
Bathroom layouts, tub sizes in gallons, space clearances Make-air requirements
Indicate use of all rooms Manufacturers data for equipment
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
Domestic water location
• Elevations - minimum of two required Manufacturers data for whirlpools, comer tubs, & larger tubs
Type of siding Water heater size, type, and location
Roofing
Other finishes
Finish grades Note: One set of approved plans is required to be kept on
Building heights site at all times.
Height of chimney above roof
Roof pitch
Town of ~ ntville Building Departme Receipt
No.
D ate
~
From:
Job Address:
1 _
Cash Check Check # 17-1
Amount (circle one)
Permit #
Received by
-u _ _ I I
Y STATE OF ( -ECTICUT
WORKERS' COMPEi . - ON COMMISSION
B ildin Permit Affidavit for Property or Sole Proprietors
(Conn. Gen. Stat. § 31-286b)
Property located at: S kc
In the town of L 4 %
Name of building permit pplicant: Vqle- d4v-i-;
Please check one:
1. I am the owner of the above property.
2. I am the sole proprietor of a business.
2A. Name of business:
2B. Feder, I 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 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. V- I do not intend to act as a general contractor or principal employer.
[Sign and top here
Signature of applicant
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 attes 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 ct (Chapter 568).
I understand that pursu t 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 f applicant
Subscribed and sworn to efore me this day of -,200-.
(Notary Public/Commissioner of the Superior Court)
Permit Fee Calculation Spreadsheet
IESIDENTIAL PERMIT CALCULATION (FINISHED ATTIC
QTY $/UNIT TOTAL
Living Area I3>SF $ 20.69 $ 1,675.89
Kitchen €<EA $ 4,410.00 $
Plumbing _
Full Bath EA $ 4,229.40 $ 4,229.40
Half Bath EA $ 2,691.15 $
Fireplace & Chimney
Prefab <.EA $ 3,963.75 $
Masonry, exterior EA $ 3,963.75 $
Masonry, interior EA $ 3,701.25 $
W/2 fireplaces EA $ 6,746.25 $
Heating Adjustment 81 SF- $ (2.06) $ (166.86)
Air Conditioning 81 SF $ 2.84 $ 230.04
Electrical 81 SF $ (2.48) $ (200.88)
Plumbing 81 SF $ (1.49) $ (120.69)
BUILDING CONSTRUCTION COST, LESS MEP $ 5,646.90
Is air conditioning include (Y/N)? $
PERMIT FEE
Building $ 5,647 $ 34.00
Y. Plumbing $ 121 $ 10.00
N Mechanical $ 167 $ 10.00
Y Electrical $ 201 $ 10.00
Other $
CO Fee $ 10.00
Plan Review $ 3.40
State Ed Fee $ 6,135 $ 0.98
Total Fees $ 78.38
Based on 2003 RS Means Residential Cost Data
3/31/03
Town of Montville.
Building,Department
848-3030, Ex't 382
ONE & TWO FAMUX
CONSTRUCTION PERMIT
SIGN-OFF SHEET
aS 0411le 67 QK_ -5 -70
Property Address
Job Description: / 11
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 848-3030-882
Approved
❑ Permit ❑ Not Applicable
Septic Syst m Date
Approved
❑ Permit ❑ Not Applicable
Private W 11 Date
WPCA DEPARTMENT 848-3030, Ext. 881
Approved
❑ Permit ❑ Not Applicable
Municipal S wer Date
House Trap ❑ Outside ❑ Inside
Approved
❑ Permit # ❑ Not Applicable
Municipal Water Date
DEPARTMENT OF PUBLIC WORKS 848-7473
Approved
❑ Permit ❑ Not Applicable
Directo Date
PLANNING & ZONING DEPARTMENT 848-3030. Ext. 81
In-Compliance
3 3 / O`3 _ ❑ Permit P3D Not pplicable
Zoning Date
In-Compliance
❑ Permit ❑ Not Applicable
Inland-Wetlands Date
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Town of Montvil e
Plans Approved for Co struction
Approval shall not be co strued
as a permit for, or appr val of,
any violation of the provisions
of th nnectiout Buildi g Code
o a Fl a Copy,.
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BUNWING DE-P-16".
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Town of Montville
,Aans Approved for Cons ruction
Approval steall not be con trued, _--r-
as a permit for, or appro I of, r "
any violation of the provi ions
of the Connecticut Buildin Code
F' C ❑ File Copy
14' 2' Window 2'
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