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Pool Deck 2016
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: B2016-0155 Date: 06-May-16 Map/Lot: 096/025-000 Owner ID: 5317000 Project Location: 95 PARK AVENUE EXTENSION Unit: Job Description: Pool Deck Owner Nam Mary-Beth Hubbard Tenant Name N/A Careof: 95 Park Ave Ext Uncasville CT 06382- Telephone: (860)917-9245 Applicant Name Property Owner Telephone: DBA: Lic/Reg Type Lic/Reg N 0 Exp Date: Construction Value Permit Fees Construction Information Building Value: $6,122.00 Building Fee: $84.00 Use Group: IRC Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 2005 State Building Code Mechanical Valu $0.00 Mechanical Fe $0.00 Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type IRC Total Value: $6,122.00 Penalty Fee: $0.00 Permit Code: R10 C of 0 Fee: $10.00 Comment Plan Review Fe $8.40 State Ed Fee: $1.59 Total Fee Paid: $103.99 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 © 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 frami ❑ Electrical Service CRS No: 0 ❑ Framing ❑ R HVAC ❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test ❑ Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION ❑ Insulation ❑ Certificate of Approv. El Certifi. e o i O• upancy Building Official's Approval: Town of Montville Building Department 310 Norwich-New London Tpke. Tel. 860-848-3030, Ext 382 Uncasville, CT 06382 Fax. 860-848-7231 RESIDENTIAL PERMIT APPLICATION FORM Permit No.: 6 cao((i)--'Ok Sit Type of Work Occupancy Type Permit Type ❑ New Construction VI Single Family 0 Building ❑Addition CI Two-Family 0❑ Plumbing Alteration ❑Townhouse g ❑Mechanical ❑ Accessory Structure 0 Electrical CRS#: Property Address: 3 f v J , )Vr (in caw/ � , Number I •t 17 (Number) (Street) (Unit) Job Description: Ca)I Dee- Owner: eOwner: A Q-r, 60-k .-L'o6100. ('+ Address: 95 ( !'k 4 v, LA f ry� City: C V (� State: (ii Zip Code: k}(0 0 D L' Telephone( )9r+ - R it J Applicant: l,tkait �Do A LA(A. u-)laci,A DBA: Address: RAI City: State:- Zip Code: Telephone( ) Contractors - Complete the Following: License Type: License No.: Expiration Date: I hereby certify that the proposed work will conform to the State 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. ❑ By checking this box, I will follow the requirements of the 2005 NEC as the alternative compliance per section E3301.2.1 of the Residential Code, instead of the electrical requirements in chapters 33 through 42 of the Residential Code. CLQ(Owner/Agent Signature: �r•kk() Ifit.4 Date: Lr ,- / " � L Construction Value Permit Fees Building Value: Building Fee: Plumbing Value: Plumbing Fee: Mechanical Value: Mechanical Fee: Electrical Value: Electrical Fee: Total Value: - Penalty Fee: C of 0 Fee: Plan Review Fee: State Ed Fee: Total Fee: &viler[_August 23,2007 Town of Montville Building Department File Receipt Date: 29-Aor-16 ReceiptNo: 11291 Received From: Mary Beth Hubbard Job Address: 95 Park Ave. Ext. Town Fees Collected State of Connecticut Fees Collected Bldg Cash: $0.00 State Cash: $0.00 Bldg Check: $J06.99 State Check: $1.59 Bldg Credit: $0.00 State Credit: $0,00 Fire Cash: $0.00 Fire Check: $0.00 Fire Credit: t0.00 Construction Value: $6.122.00 Demolition Value: $0.00 CheckNo: 5080 Received By: David Jensen lc Qom_,_____ Address: 95 Park Ave Ext. ITEM QTY $/UNIT TOTAL Building Plumbing Mechanical Electrical BUILDING AREA Basement,Finished SF $ 41.96 $ - $ - Interior Renovations SF $ 36.09 $ - $ - $ - AMENITIES Kitchen EA $ - $ $ - Full Bathroom - EA $ - $ - Half-Bathroom - EA $ - $ GARAGE Detached SF $ 71.53 $ - $ - MECHANICAL Warm-Air n Y/N $ - Hot Water n Y/N $ - Electric n Y/N $ - Air Conditioning n Y/N $ - ELECTRICAL SERVICE Upgrade Amps $ - Subpanel EA $ 699.00 $ - Gen Set EA $ 3,850.00 $ - SOLID FUEL BURNING APPLIANCES Prefab Metal Fireplace EA $ 6,497.70 $ - Masonry wit fireplace EA $ 7,096.65 $ - Masonry w/2 fireplaces EA $ 11,095.70 $ - Wood Stove,free standing EA $ 2,692.25 $ - Wood stove insert - EA $ 1,859.77 $ - DECKS,PORCHES,SUNROOMS Deck 175 SF $ 34.98 $ 6,121.50 Porch - SF $ 149.38 $ - Sunroom SF $ 176.90 $ - $ - POOLS&HOT TUBS Hot Tub EA $ 8,016.25 $ - $ - Inground Pool EA $ 31,550.00 $ - $ - Above Ground Round EA $ 6,299.46 $ - $ - Above Ground Oval EA $ 7,019.75 $ - $ - Pool Heater - EA $ 8,984.25 $ - $ - Inflatable Type Pool EA $ 1,200.00 $ - $ - SHEDS w/o electrical SF $ 25.55 $ - w/electrical SF $ 26.85 $ - $ - RENOVATIONS Roofing,Overlay SF $ 3.50 $ - Roofing,Strip&reroof SF $ 4.50 $ - Roof Sheathing SF $ 1.51 $ - Siding - SF $ 6.75 $ - Windows - EA $ 550.00 $ - Skylights EA $ 1,051.10 $ - Doors,Exterior EA $ 601.50 $ - Oil Tank,275 Gallon - EA $ - Oil Tank,550 Gallon EA $ - MISCELLANEOUS CALCULATIONS TOTALS $ 6,121.50 $ - $ - $ - PERMIT FEE CALCULATIONS Construction Value Fee Building $ 6,122.00 $ 84.00 Plumbing y $ - $ - Mechanical y $ - $ - Electrical y $ - $ _ Working before Permit Issuance $ - Certificate of Occupancy Fee $ 10.00 Plan Review Fee $ 8.40 State Education Fee $ 1.59 TOTALS $ 6,122.00 $ 103.99 Figures are based on the 2006 RS Means Residential Cost Data State of Connecticut N J y Workers' Compensation Commission -1=a _��Y�y'fit ) cC 7 . l: Va'.) i+', Please TYPE or PRINT IN INK 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 /� 'l�j`-'�j()Lill Name of Applicant for Building Permitlk,lA --{-�� "v " ll Properly located at I.5 ?0,4_, .c&-+ a in the City/Town of `/Lhmi 50 { CT tx{, Z ATTEST If you are the owner orth'e 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 principal employer. SignatureofOWNERApplicant-- ----- - —(=J/tY '`\ � ❑ 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 Town of Montville Building Department CONSTRUCTION PERMIT APPROVAL 9 Pik . utoo3vite i CT C G Z2- Property Address Job Description Required Department Permit Issuance Approval Approval Tax Collector eq/z A/96ina-ture/date Comments: Planning &Zoning ediatA th `11ZGico Required for all permits except Signature/date Plumbing,Electrical,Mechanical,Roofing,Siding,Windows&Doors ❑ Health Department Required for properties with private septic or well Signature/date Comments: ,A� ee WPCA, Administrative t(JV ( 1 ..// Required for properties on sewer Signature/date Comments: ❑ WPCA, Operations When Required by WPCA Signature/date Comments: i Fire Marshal Signature/ to Comments: ❑ Department of Public Works Required when project includes driveway work or certain drainage requirements Signature/date Comments: ❑ Montville Police Department Required for all permits EXCEPT one and two family residential Signature/date Comments: ❑ Copy of State Dept. of Transportation Certificate Required for Structures over 100,000 sq.ft.or with more than 200 parking spaces-Official copy of STC Certificate of Operation required-per CGS 14-311 Signature/date Building Department Final Inspection Revised March23,2015' z --- .) s$ Z \\,y ------ 1 (v.'2i 1 \,/ A\*/ 0 \ \t‘tilAri j •'''' 4110 ,i) C )1i,') C% r'4)r- 2,, o ks_,D, 1 -t;) k 9' ---> C/ •.1 0 ' - 1 / _ Y / 1_ _ _ IO -. i x x cl 3 iae- 4M 4., _ -a. s., J. 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