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Town of Montville
BUILDING DEPARTMENT
310 Norwich-New London Turnpike
Uncasville, CT 06382
(860) 848-3030, Ext. 382
Building Permit
Permit Number: 82004-0081 Date: 16-Mar-04 Map/Lot: 043/009-026 Owner ID 1750
Job Location: 4 QN'S WAY Unit
Job Description: SFR
Owner: Contractor:
RTT Development RTT Development
35 Blais Road
35 Blais Road Uncasville Ct. 06382-
Uncasville CT 06382 Telephone: (860) 889-1662
Lic/Reg Type/No. NHC 1795 Exp Date: 30-Sep-05
Tenant:
Self
Telephone:
Construction Values Permit Fees Construction Information
Building Value: $164,010.00 Building Fee: $1,108.00 Use Group: R4
Plumbing Value: $11,733.00 Plumbing Fee: $70.00 Code: 1995 CABO
Mechanical Value: $6,425.00 Mechanical Fee: $40.00 Construction Type: 5B
Electrical Value: $12,012.00 Electrical Fee: $76.00 Permit Code: R2
Other Value: $0.00 Other Fee: $0.00 Comments:
Total Value: $214,181.00 CO Fee: $10.00
Plan Review Fee: $110.80
State Ed Fee: $34.27
Total Fees: $1,449.07
It is the owners responsibility to schedule the following inspections (minimum 48 hours notice required),
FV_1 Footing - Prior to pouring concrete ❑d Rough HVAC
W-1 Backfill - Footing drains and waterproofing ❑ Fireplace Throat
W Concrete Slab - Prior to pouring concrete ❑ Chimney - One flue above thimble
❑d Rough Framing Firestopping/draftstopping
Fv~ Rough Electrical ❑ Insulation
Electrical Service CRS ❑ Final Inspection
d❑ Rough plumbing and leak test Certificate of Occupany
Gas piping and test
Building Official's Signature:
Town of Montville
Residential Plan Review
Date: E~ ZOO A4
Job Address: Q E..>i..►(e91 G.1 A.`'(
Job Description: !52'
We have received a building permit application for the above referenced property. In accordance with Connecticut General
Statute 29-263, your application is being reiected for the following reason(s) that are checked-off or commented on:
• Supporting Documentation Ventilation (409.1)
Plans are to be drawn to s cale i ncluding d imensions o f rooms and Access 18"x24" (409.2)
spaces and all framing information (112.1) • Building permit application not completed, signed, dated Floor plan(s)
Permit fee $ <-'A Le- +lL r6' 0 Plans required
Worker's comp. Affidavit or worker' comp. Insurance Dimensions
-Copy Contractor's registration or license Finish floor elevation
Construction permit sign-off sheet Minimum room sizes (304.1)
Provide all documentation to show compliance with the Model Door and window sizes
Energy Code (1995 MEC). Contact your insulation contractor, Kitchen layout
Northeast Smart Living Center (1-800-228-7764) or your local Bathroom layouts, tub sizes in gallons, space clearances
building official for information. Stair location (min. width 36") (311.1)
Street address of project on all drawings and documents Attic access location and size
Field set of approved plans need to be picked up from our office Identify the use of each room
Total square footage for each level of the structure
• Site plan Indicate required light (8% of floor area p er r oom) and ventilation
Plans required (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
Finish floor elevation
&
Signed by P&Z, Wetlands, Uncas health, WPCA shower enclosures, etc.
- Property lines not provided Indicate bedroom egress windo ndows (5.7 sf net clear opening, 24" clear
Distance from property a structure opening height, 20" clear opening width) (310.2.1.)
Structure dimensions Egress window maximum sill height 44" (310.2)
Are basement stairs enclosed/accessible? If so, protect with
Driveway minimum 1/2" sheetrock (310.3.)
Topography (existing and proposed) Designate which door is the required exit (36" minimum, hinged)
Footing drain inverts, outlet and separation
Proposed utilities Garage
Wetlands and flood zone limits and elevations Minimum 5!8" Type X gypsum board separation (on garage side) to
all living spaces - all combustible support framing to be covered with
minimum 5/8" Type X gypsum board if it supports habitable rooms
• Foundation Plan (309.2)
Plans required Indicate minimum 1 solid wood door, 1 '/4' solid core steel door, 1
Dimensions honeycomb core steel door, or 20 minute rated door from the
Wall thickness garage to the house and its basement or attic (309.1)
Footing sizes Indicate self-closing devices on all d oors from garage to the h ouse
Frost protection required and its basement or attic (309.1)
Window and door sizes and locations Indicate slope for garage floor (309.3.)
Hatchway
Foundation - indicate the assumed soil conditions that the system has • Elevations
been designed for or provide engineering data. If presumptive soil Plans required
conditions cannot be met, provide soil bearing engineering data (401) Type of siding
Concrete strength - foundation, floors, exterior porches, walks, slabs Type of roofing
(402.2)
Basement- finished of unfinished? Other finishes
Vapor barrier between sub-grade and concrete basement floor Finish grades
Building heights
(505.2.3)
Minimum height of foundation walls above finished grade (404.1.3) Dimension height of chimney above roof
Perimeter insulation, if conditioned space Roof pitches
Anchor bolts - size and location (403.1.a)
Floor thickness and control joint location (403. La) • Building Section(s) & Details
Lally column size, attachment and spacing (408) Plans required
Column footings - size (403) Floor-to-floor heights
Waterproofing details (406) Handrails and guardrails - detail, including height and maximum
Rebar if required - wall length, unbalanced fill, or soil conditions will opening, handrail cross-section, continuity and required returns
determine this. Provide engineering data for complex design. Riser height (8 '/1' max), tread depth (9" min.), and nosing (3/4" - 1
Fireplace/chinmey base ''/a")
Concrete piers and anchor details - decks Show minimum headroom in stairways - 6'-8" measured from nosing
Foundation drainage - sump, drain to grade, or town storm system; plane to lowest point of ceiling
indicate pitch (405.1) Stud size and spacing, species and grade (or minimum Fb and E)
Beam pockets - minimum clearances Sheathing - size, thickness, type
Crawl Spaces Siding, material, type, style - underlayment per mfg.
Crawl space data - clearance to joists, slab thickness (if provided), Insulation - R-value, type - including basement walls if applicable
vapor barrier (409) Flashing detail - windows and doors - type, material.
Town of Montville
• Framing plans Decks/Porches
Plans required
Plans required
Bearing partitions Joists - size, span, spacing, direction, species and grade (or minimum
Direction of framing Fb and E)
Beam spans, size, species, grade Ledger - show attachment and flashing to house
Framed openings Decking material and size
Sheathing type and thickness Beam - design data if required
Window and door header sizes Posts - size, material, and height
Joists -species and grade (minimum Fb and E), size, direction, and Piers - size, material, depth below grade (minimum 42" required)
Indicate joist hangers at flush framing and ledger
spacing Stairs, handrails, and guardrails
Joists over-spanned
Headers/beams overspanned
Double joists at parallel bearing partitions, bathtubs, etc. (502.3.2) • Chimneys and Fireplaces
Details of framing for plumbing, such as headers and trimmers at Indicate clearance of masonry to combustible framing materials and
traps, etc. clearance from fireplace opening to finished trim
Joist hangers for flush framing conditions or ledger (502.4.2) Show data for mechanical flue sizing
Deck material, type, size, and span Show exterior combustion air source
Floor insulation - R-value, type, vapor barrier location Flue sizes
Provide design data for all unaligned wall and floor bearing points. Manufactures data and installation instructions for metal fireplaces
Indicate location of all point loads
Cantilevered framing less than 18" to grade to be pressure treated or • Electrical Plan(s)
decay resistant Plan(s) required
Engineering data for steel beams, engineered lumber, roof trusses or Panel location(s) with main size -
any other engineered product or design
Meter socket location
Roofs/ceilings
Outlet
Provide roof framing plan for roof geometry locations
Ceiling joists - spacing, span, direction, species and GFCI outlet locations
g j grade (or Lights and switches
minimum Fb and E) Appliance/equipment circuits r
Rafters - p itch, s pacing, s pan, species, and grade (or minimum Fb Stair illumination
and E) Stairway light activation at both top and bottom of stair (303.4)
Insulation - R-value, type - including basement walls if applicable Show required AC/DC smoke detectors (316)
Ventilation -ridge, gable, soffit
Provide minimum net ventilation data
Attic access (22"x30" minimum) for any attic with 30" or more clear • Mechanical plan(s)
height Pplan(s) required
Roof sheathing - type, size, thickness Dryer vent
Collar ties - size, placement, spacing Bathroom exhaust ventilation (natural or mechanical) type and size
Roof covering - shingles - type, nailing, provide proper with calculations
underlayment - show interior horizontal distance of double Hood exhaust
underlayment at eave, etc. Type of heat
Overhang detail Heating, ventilation, and air conditioning plant locations
Provide framing details of trayed/vaulted ceilings Oil/LP-gas tank size, location and piping
Provide detail of cathedral ceiling structure and venting Make-up air requirements
Indicate connection of lower chord of roof trusses and ceiling joists to Manufactures data for equipment
the top plates of interior and exterior walls. Calculate roof tie-down Heat loss/gain calculations
sizes when required by wind conditions
Show framing for gables in cathedral ceiling construction . Plumbing plan(s)
Provide engineering data for all roof trusses - (truss drawings must be Plan(s) required
signed and sealed by a Connecticut Licensed Professional Engineer) Building trap location .
Roof rafters over-spanned Sewer location
Ceiling joists over-spanned
Domestic water location
Manufacturers data for whirlpools, comer tubs, & larger tubs
Water heater size, type, and location
Comments: Z>4)!Ta t.~ f2G LS "ar- M 4rg~-_R 01 1.,~ JPA
g KC al
1
Town of Montville
Plan Review Form
Date:
Street Address: LF 0J L lSaP 1 ~
Job Description: g fXfX J
We have received a building permit application for the above referenced property. In accordance with Connecticut General Statute
29-263, your application is being rejected for the following reason(s) that are checked-off or commented on:
• Supporting Documentation
Plans are to be drawn to scale including dimensions of rooms and spaces and all framing information
Building permit application not completed, signed, dated
Permit fee $
Worker's comp. Affidavit or worker' comp. Insurance
Copy Contractor's registration or license
Construction permit sign-off sheet
Street address of project on all drawings and documents
Field set of approved plans need to be picked up from our office
Comments: L,e ►G~►1l3 L.E A012 G® 'L9MT F?e 1-f PL_ ARS ? Gtc11213Y
g Official
Town of Montville
a Building Department Permit
310 Norwich-New London Tpke.
Tel. 848-3030, Ext 382 Uncasville, CT 06382 Fax. 848-7231
One & Two Family Building Permit Application Form
El New Construction Addition Alteration n Accessory Structure
ElOtker
Job Location
Job Description/Materials
Owner r r Mailing Address 3 5"
Ci~N C' T Zip ty State Tel
Contractor Mailing Address
City State Zip Tel
Contractor's License/Registration Type & Number ` Exp. Date 'D - / 3 3
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 sum o as des ed above.
Owner /Agent Signature Date
Construction Value Fee
Building $ $
Plumbing $ $
Mechanical $ $
Electrical $ $
Other $ $
Certificate of Occupancy $
Plan Review Fee $
State Education $
Total $ $
(See Reverse sidz far additional requirements)
Town of Montville
Residential Permit Requirements
❑ Two (2) complete sets of construction documents (to scale) are 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
Completed, 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 Design loads - for floors, ceilings, roofs
other engineered products or design Bearing partitions
Street address of project on all drawings and documents
Direction of framing
Spans, beam
• Site plan 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
Manufactures data for metal flues
• Foundation Plan 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 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
on
Crawl space access Stair illumination
Concrete strengths
• Mechanical plan(s)
• Floor plan(s) Ba roomtexhaust ventilation (natural or mechanical) type and size
Dimensions Hood exhaust
Door and window sizes, egress window Type of heat
Glazing in hazardous locations
Garage/dwelling opening protection Heating, ventilation, and air conditioning plant location
Garage/dwelling separation Oil tank size, location, and piping
Kitchen layout LP-Gas 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, corner tubs, & larger tubs
Water heater size, type, and location
Type of siding
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 -ontvitle Building Departme°t Receipt
I
Date No. 0 3E,'2
From:
f Job Address:
Amount . C Cashck Check #
(Ord cstns)
Permit #
Received by ; _ .
NEW HOME CONSTRUCTION CONTRACTOR
R77 DEVELOPMENT
35 BLAIS RD
UNCASVILLE, CT 06382
LIC./REG NO. EFFECTIVE
~i 1795 1010112003 EXPIRES
! 09 /2005
(SIGNED
r
STATE OF CONNECTICUT
WOjKKERS' COMPENSATION COMMi,SION
Building Permit Affidavit for Property Owners or Sole Proprietors
(Conn. Gen. Stat. § 31-286b)
Property located at:
In the town of
Name of building permit applicant:
Please check one:
1. A I am the owner of the above property.
2. I am the sole proprietor of a business.
2A. Name 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 and stop here]
Signature of applicant
2. I intend to act as a general contractor or principal employer. Applicant must either provide a
certificate of workers' compensation insurance or sign the affidavit below.
Affidavit
I hereby swear and attest that I will require proof of workers' compensation insurance for every contractor,
subcontractor, or other worker before he/she engages in work on the above property in accordance with the
Workers' Compensation Act (Chapter 568).
I understand that pursuant to § 31-275 C.G.S., officers of a corporation and ers in a partnership may elect
to be excluded from coverage by filing a waiver with the appro e ric ffice; and that a sole proprietor
of a business is not required to have coverage unless e is, nt to ept coverage:
Signature of applicant
Subscribed and sworn to before me this nc~
day of '2004.
Notary Public/Commissioner of the Sub at 6r Court)
TEARY
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 2328 SF $ - $ 72.08 $ - $ 167,802.24
Finished Basement SF $ $ 16.01 $ - $ -
Unfinished Basement 1224 SF $ - $ 5.41 $ - $ 6,621.84
Kitchen EA $ - $ S - $
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 1 EA $ - $ 15,113.70 $ - $ 15,113.70
Attached, 3 car EA $ $ 20,913.90 S - $ -
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 EA $ $ 3,963.75 $ - $
Masonry, exterior EA $ $ 3,963.75 $ - $
Masonry, interior EA $ $ 3,701.25 $ - $
W/2 fireplaces EA $ $ 6,746.25 $ - $ -
Breezeway/Decks
Open 120 SF $ $ 22.31 $ - $ 2,677.20
Enclosed SF $ $ 94.76 $ - $
Porches
Open 240 SF $ $ 62.69 $ - $ 15,045.60
Enclosed SF $ $ 123.90 $ - $ -
Heating Adjustment 2328 SF $ $ (2.76) $ - $ (6,425.28)
Air Conditioning 2328 SF $ $ 2.84 $ - $ -
Electrical 2328 SF $ - $ (5.16) $ - $ (12,012.48)
Plumbing 2328 SF $ $ (5.04) $ - $ (11,733.12)
TOTAL BUILDING CONSTRUCTION COST, LESS MEP $ 184,010,25
n Is air conditioning included (Y/N)? $
PERMIT FEE
Building $ 184,010 $ 1,108.00
Y Plumbing $ 11,733 $ 70.00
Y Mechanical $ 6,425 $ 40.00
Y Electrical 12,012 $ 76.00
Other S -
CO Fee $ 10.00
Plan Review $ 110.80
State Ed Fee $ 214,181 5 34.27
Total Fees $ 1,449.07
Based on 2003 RS Means REsidential Cost Data
2/25/04
Town of Montville
Building Department
848-3030, Ext 382
ONE & TWO FAMILY
CONSTRUCTION PERMIT
SIGN-OFF SHEET
Property Address
Job Description: j
The ownertagent shall be responsible for the completion of the form, no certificate of occupancy will be issued until all
signatures below have been obtained.
HEALTH DIST CT 848-3030-339
l Approved ' L
Permit 1 Required
tt
Se c Syste Date ❑ Approved Not Permit
Private Well Date F1 Permit El Required
WPCA DEPARTMENT 848-3030, Ext 376
Approved Not Permit
❑ Permit ❑ Required
Municipal Sewer Date
House Trap ❑ Outside ❑ Inside
Approved Not Permit
Municipal Water Date El Permit # ❑ Required
DEPARTMENT OF PUBLIC WORKS
848-7473
Approved Not Permit
❑
Director Date Permit F1 Required
PLANNING & ZONING DEPARTMENT 848-3030. Ext. 379
Approved Not Permit
Z 710y ❑ Permit
Zoning Date ❑ Required
Approved Not Permit
❑ Permit ❑ Required
Inland-Wetlands Date