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Porch and Ramp 2001
Town of Montville Building Department Phone: 848-7166 310 Norwich New London Tpke Fax: 848-7231 Building / Trades Permit Permit Number BP2001-253 Permit Date 5/17/01 Permit Type Building Permit Code R3 Job Street# 72 Job Location PARK AVENUE EXTENSION Map/Lot 096/057-000 Job Description Porch & Ramp Owner Contractor F. C. Hutchinson William Hayward Address 72 Park Avenue Ext. Address 78 Morse Avenue City Uncasville State Ct. City Groton State Ct. Zip 06382 Telephone 848-3119 Zip _06340_ Telephone 446-8223 Lic/Reg Number 554695 Lic/Reg Type_H I C Exp Date: 11/30/01 Use Group R4 Code 1995 CABO Type Construction 5B Building Value $8,499.00 Building Fee $52.00 Plumbing Value $0.00 Plumbing Fee $0.00 Mechanical Value $0.00 Mechanical Fee $0.00 Electrical Value $0.00 Electrical Fee $0.00 Other Value $0.00 Other Fee $0.00 Total Values $8,499.00 C/O Fee $10.00 Comments: Plan Review Fee $5.20 State Ed Fee $1.36 tal Fees $68.56 1 Building Official's Signature c�72/���� X21" � Date __S // �%/ It is the owners responsibility to schedule the following requir inspections(minimum 24 hours notice required): B Footings -prior to pouring concrete ❑ Backfill -footing drains and waterproofing ❑ Fireplace Throat CI Concrete Slab, prior to pouring ❑ Fireplace Final "'Rough Framing ❑ Chimney-one flue above thimble ❑ Rough Electrical Cl Firestopping/draftstopping ❑ Electrical Service ❑ Insulation ❑ Rough Plumbing and leak test ❑ Pool bonding ❑ Gas piping -pressure test and installation ❑ Final Inspection 0 Rough HVAC V! Certificate of Occupancy - PRIOR to use or occupancy co 4 Town of Montville Permit #/Pcj--0,5 Building Department 310 Norwich-New London Tpke. Tel. 848-7166 Uncasville, CT 06382 Fax. 848-7231 Application for Building or Trades Permit Building Permit Trades Permit ❑New Constncctwn 0 Accessory Structure ❑Tlum&ing ❑9Kechanica( 0 Addition [Demofition ❑Electrical 9feating ❑Alteration ❑Otfier Air Conditioning Gas`JPing Job Location T) L IP Ail 1, Av F E,o i' iv) Q N T V l It. C: C l 1 ) Job Description/Materials S v., L) P E'C LoS( `D V o%(la $ 3°7-0 V.i) 1141 L),vJ 0G W 3 i ()0s\ - t SPI_L cC4K S S ' PLN,.\ Ra,..,.C'/W'c•tf)(eRGw1( 1-try.6-0 Owner _(._, \,\\,\-TC,WInI S u N Mailing Address ).Z PARK A V£ nor. Cit' % NLASv) a c State C-1 Zip 06 3f2 Tel S-60 /SY% / 3)) 9 K Contractor\t Atl ,h, , L,\A16,-\1/4,..fut,n Mailing Address -) S moks.6 AV 1, City Cr(\j;,----‘kx,,,, State Q.7' Zip GO y 0 Tel S( c /9Y6 / g 2Z 3 Contractor's License/Registration Type&Number SS 4 69 S Exp. Date ) / / 30 /a©o New Home Construction Contractors: Have you entered into a contract with a consumer for the proposed new home?❑ Yes® No 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 ktil: /1� Date 7 / )0 10/ Construction Value Fee Building $ s/5/99 e" $ s do Plumbing $ / $ Mechanical $ $ Electrical $ $ Other $ $ Certificate of Occupancy $ lv w Plan Review Fee $ sev State Education $ /53-- Total $ $ 6 k� �� l dl' Town of Montville Building Department Receipt Iry Date .S' / /J' / )/ No. 00693 Thr From: k/c//i/r/ MVAi ifil0 Job Address: 97 Aktc 44-: ,t'T It) Amount $ C`! it. Cash C,51.cc;k Check # ave(c'rc) Received by i Permit #aae)/ -.2..r..3 Permit Fee Calculation Spreadsheet RESIDENTIAL PERMIT CALCULATION (1 STORY ADDITION) House Construction A (E=Economy,A=Average,C=Custom) QTY $/UNIT $/UNIT $/UNIT TOTAL Living Area SF $ - $ 96.85 $ Finished Basement SF $ - $ 28.95 $ Unfinished Basement SF $ - $ 13.25 $ Plumbing Full Bath EA $ - $ 3,531.00 $ Half Bath EA $ - $ 2,247.00 $ - $ Garages Attached,1 car EA $ - $ 8,054.00 $ - $ Attached,2 car EA $ - $ 13,676.00 $ - $ Attached,3 car EA $ - $ 18,938.00 $ - $ Detached, 1 car EA $ - $ 10,547.00 $ - $ Detached,2 car EA $ - $ 15,809.00 $ - $ Detached,3 car EA $ - $ 21,072.00 $ - $ Under, 1 car EA $ - $ 1,226.00 $ - $ Under,2 car EA $ - $ 1,673.00 $ - $ Fireplace&Chimney Prefab EA $ - $ 3,480.00 $ - $ Masonry,exterior EA $ - $ 3,555.00 $ - $ Masonry,interior EA $ - $ 3,33000 $ - $ W/2 fireplaces EA $ - $ 2,520.00 $ - $ Dormers Gable SF $ - $ 22.00 $ - $ Shed SF $ - $ 15.00 $ - $ Breezeway/Decks Open SF $ - $ 19.50 $ - $ Enclosed SF S - $ 82.80 $ - $ Porches Open 25 SF $ 56.45 $ - $ 1,411.25 Enclosed 160 SF ;v - $ 44.30 $ - $ 7,088.0C Heating Adjustment SF $ - $ (2.82) $ - $ Air Conditioning SF $ - $ 2.47 $ - $ Electrical SF $ - $ (4.91) $ - $ Plumbing • SF $ - $ (4.41) $ - $ TOTAL BUILDING CONSTRUCTION COST,LESS MEP $ 8,49; Is air conditioning included(Y/N)? $ - PERMIT FEE Building $ 8,499 $ 52.00 Plumbing $ - $ - Mechanical $ - $ - y Electrical $ - $ - Other $ - CO Fee $ 10.00 Plan Review $ 5.20 State Ed Fee $ 8,499 $ 1.36 Total Fees $ 68.56 Based on 2000 RS Means Square Foot Costs 5/15/01 a STATE OF CONNECTICUT WORKERS' COMPENSATION COMMISSION 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. I am the owner of the above property. 2. j" I am the sole proprietor of a business. 2A.Name of business [ Cv [S 2B.Federal Employer Identification Number(FEIN) (v A 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 notarized 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 2.34 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 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 overage/ 074,evid, Signature of applicant Subscribed and sworn to before me this 1514' day of nicud_ ,2001. g (Notary Public/ en ROBERT MASTRANDREA NOTARY PUBLIC MY COMMISSION EXridES JAN. 31, 2002 . Town of Montville Now Niare Building Department 848-7166 CONSTRUCTION PERMIT SIGN-OFF SHEET Property Address Map/Lot Job Description: The owner/agent shall be responsible for the completion of the form, no construction permit will be issued until all signatures below have been obtained. HEALTH DISTRICT823-1189 °) ❑ Permit#: X Not Applicable Septic System Date ❑ Approved a Not Applicable Plans for Food Service Establishment Date ❑ Permit#: u2Q Not Applicable Private Well Date WPCA DEPARTMENT 848-7094 ❑ Permit#: ❑ Not Applicable Municipal Sewer Date ❑ Permit# ❑ Not Applicable Municipal Water Date DEPARTMENT OF PUBLIC WORKS 848-7473 ❑ Permit#: Not Applicable Director Date POLICE DEPARTMENT 848-7510 • ❑ Plan Reviewed 04' Not Applicable Officer in Charge Date PL• ► A •ZONING DEPARTMENT 848-8549 .., - Permit#: a - Not Applicable 0 460 Zoning Date AO ,,./1; 5- 15 -0 I ❑ Permit#: /VA ❑ Not Applicable 41, land-Wetlands Date FIRE MARSHAL'S OFFICE 848-1175 Plan Review ❑ Approved 4:/ Not Applicable Fire Marshal Date volo low WPCA APPROVAL IT IS THE APPLICANT'S RESPONSIBILITY TO FURNISH THE FOLLOWING INFORMATION. PROPERTY OWNER / L/TCH iiYSO /✓I gran C i s PROPERTY LOCATION 7Z í9 K K A u C C� I ZONE ie<90 LOT AREA .32. MAP 9C0 LOT 5 7 NATURE OF REQUEST/PROPOSED USE �0 X C- •P w/ 5 X 5 /MAID' CAP m per-flee. PROPOSED DISCHARGE-GPD THIS PROJECT/PROPERTY IS AUTHORIZED TO CONNECT TO THE TOWN OF MONTVILLE WASTEWATER COLLECTION SYSTEM. APPROVED j/V IA DISAPPROVED ti �F + APPLICANT'S SIGNAT ' DATE WPCA AGENT A' ' DATE -/Y/c BIZ pppx Ave: ZONING PERMIT IT IS THE APPLICANT'S RESPONSIBILITY TO FURNISH THE FOLLOWING INFORMATION: -67 '1 PROPERTY LOCATION'7 Z a p ) n) 6" N, )L \JL L G CEJ c}MAP 7( LOTS 7 PROPERTY OWNER I A L�1 N S� �, 7 \, S S y ( 9s CONTRACTOR a) L I i4 a a AL-, La 4k�10 CONTRACTOR LICENSE it CONTACT ADDRESS 3 t2\ (T G f1,4 r, `7D Cr 3 t> d TELEPHONBia�r(1(4 C. 213 ZONE -R;0 LOT AREA „-3Z STRyC,TURE AREAr HEIGHT NATURE OF REQUEST/PROPOSED USE )O al) r �i \, C Ur���J l)n'A )4-Ni A MRTCN,ON!MOTION TWO COONS of NUM RliWN TO A SCALA Or AT LEAST r•M'SNOWING.Nle11ON5 OP TIM LOT,Ti!Mt, Aim, AND LOCATION Or IDASTINo, peorosoo, POIDOCIPAL APOS ACCISSONI DININIwATT. SAIriZIRT 1rMC1LJ1lS AND WATER SHIPPLY. P* IG mamas, AI AoJ* IT"MOM DISTAIICES Or POMPOM SlISC.INTIt PEON pRONSTII Calk Nom wlTYlos. A PAN NIOAND RI A CONNECTION MONTER=LAND AOR NAY NI NNQNNTIM TIO PROPOSED use SPECITI ANDS!SHALL NOT NIS ALIMIO GONI Isson.AM Arnow COR INCATN Or COMMNANCN eS MIND BY TION OOiINTSSON ON ITS ANOMfftep Office use only YES NIA SKETCH PLAN OR GRADING PLAN 0 HEALTH DISTRICTPNPCA APPROVAL S ❑ 0 STATLE HIGHWAY PERMIT 0 WETLANDS PERMIT ❑ HAS A VARIANCE EVER BEEN GRANTED FOR THIS PROPERTY 0 E1 HAS BOND BEEN FILED ❑ FEE ` 0 CASH/CHECK I< ❑ ZONING PERMIT NUMBER c �~I J 3 OR OWA EXPIRATION DATE 5H5-v? THE APPLICANT IS RESPONSIBLE FOR AND AGREES TO: 1. ADHERE TO ALL THE APPLICABLE REQUIREMENTS OF THE ZONING REGULATIONS_ 2_ FURNISH ALL NECESSARY INFORMATION AND DOCUMENTATION TO PROCESS APPLICATION_ 3. NOTIFY THE COMMISSION OR ITS APPOINTED AGENT OF ANY ALTERATION IN THE PLANS. 4. CALL FOR FINAL INSPECTION AND REQUEST CERTIFICATE OF COMPLIANCE BEFORE ISSUANCE OF C. O. APPLICANT SIGNATURE ` ��`/'7 L k p \�v�C�'a, DATE S ccJ!11 1_,LEA,_, DATE S 1-5/G� C�', y� f�i,l�, DATE 0 ` ( ! 11 I COMMISSION AGENT CERTIFICATE OF COMPLIANCE THIS SIGNED PERMIT AUTHORIZES THE APPLICANT TO PROCEED TO THE BUILDING DEPARTMENT FOR ANY REQUIRED PERMITS THE SIGNED CERTIFICATE OF COMPLIANCE IS NEEDED PRIOR TO A CERTIFICATE OF OCCUPANCY BEING ISSUED BY THE BUILDING INSPECTOR CONTACT THE ZONING OFFICER (848-8549) AT LEAST 24 HOURS BEFORE CONSTRUCTION BEGINS AND UPON COMPLETION OF PROJECT TO ALLOW ZONING OFFICER TO INSPECT LOCATION. a) I i s � 1 -5Z `.�;I I 1 676 \.________- _.,1 vp Cd ) `\( 31 +l 1 Q � I 1f 3. -_\ i Z -4 a4 la p \p W O d (� d a° C N R �1 �1 " o Lct I171 0 i3� Q ? C — - _ , (---1 a M —' ` 3 \,-,\ • ,-,-."). ! .Q 4 Q o Z I_ 09 �Q ~S J __ C " Cj „ .)-- \ r` , _^o 1 - (-.I r �� = � i 0 - 1 COn -0 \ CD I / i ,_ uI rf.� CTO as '� cn i i, f(1.. F� ,•' '' b �P Q Z14- . 1 H \,� �� f. 3 W ? J d e ? O a. z 1 0 �- � Dir r 1 TO 1 1 I I ! I n 1 f E o u1 mos cl _ °' c m— ai 1 ao e t� OQ c°o m U I y O N N CV mI a) X f } d . V 0t . < N r Vcv 6• c vi 0° I- sX AZ cof = r I 1 N O ! �`/, H e y o V o \ 1- Q W Z tli, O d ,� •-__ Z O m -i .: v H -Co I 3 \ o i F gc o o z� C7 G o .� 3 c -�° " A al LL x c co > _ v P - a -15 Cd r z -$ Nil `off s JJ 43 t _o n r� - ' O \J cam, I N co � , Cil _1 m V I¢ s �� r 1 r ti —o -- Ry n �. A c fCV E p at ak 4k d, o, o m i Z a a o, a , N Iii I.$-D ci 'V I 'Wo II I�� o p Y -rte I �`• E 8 c c Eo- m o a c N c -'� dg c, c, — A - a(� y_ x _ it I— SD � L-1._, N 01 (` n C_d P \ v d co o W — (� H sZ \ j �� c a =•v xa .. ! W O a q O m Jo /ily oC > o>-' VZ _ -t Fcl O d V a U d ao - • =Z. a .y O a O F Q — 1 ...cov a� i LL C co li )•.•-• f c `o ar i o•Bm .. a, •A { v 2aO i d .i N <: {j7 '- C y: YSfi i N O m a 17 N ?G 7k 4k 7, it s„, N o 6 a Z y _, _o6 6_o _o a . < 0000 WILLIAM L. HAYWARD 78 MORSE AVE. GROTON, CT. 06340 DIAGRAM SUPPLEMENT 1 CIA ( I wS\1N Pol. No.: rr 1 ,.1c. 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