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Home My WebLink AboutWindow and Door Replacements 2015 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: B2015_020.5 Date: 02-Jun-15 Map/Lot:_09_6/QJ_8QQ _Owner ID: 5328000 Project Location: 123 PARK AVENUE EXTENSION Unit: Job Description: _Replace Fi_v_e Basement Windows&Tw-o_Exterjar Dools Owner Nam _RaLeialZ&11esifher_Abov Tenant Name_NLA Careof: 8200_Jones_Brannh Drive .McLean VA 22102- Telephone: /5_181275-5943 Applicant Name J'1aoectvOwaer Telephone: DBA: _ Lic/Reg Type Lic/Reg N Exp Date: l'nnetnlCfion Permit Fee$ — ^_Cnosfn_rcioo Information Building Value: 539�3510_ Building Fee: 500 Use Group: IRC Plumbing Value: _ SQ,Qg_ Plumbing Fee: _- Sf,Q_(L Code: 2005 State Building Code Mechanical ValuS0QQ Mechanical Fe _v SQyQp Electrical Value: __ S.0:011_ Electrical Fee: _ __ SQ gQ_ Construction Type IRC Total Value: $3.953.00 Penalty Fee: SQ.QQ_ Permit Code: R4 C of 0 Fee: _ SAO(L Comment Plan Review Fe sun_ State Ed Fee: S1.03_ Total Fee Paid: _� 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 ❑ Dec 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 �/❑ Certifi •te of Approval �"ficate of Occupancy .�lllldln(7 Officiols Aer�L2vg1:_— :,i1il�rs_�, �s� __ —------ 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 FORMPermit No.: h1 ' 02)3 Type of Work Occupancy Type Permit Type ❑ New Construction ❑ Single Family ❑Building ❑Addition ❑Two-Family ❑ Plumbing ❑Alteration ❑Townhouse ❑Mechanical ❑Accessory e? ❑Electrical CRS#: Property Address: Z2 PcA Ake e • (Number) (Street) 1 (Unit) Job Description: 1"\e �CtC ( mit S lock Sev1VA GOA 0�\OuJ-3 a✓1 \ 2 ACCirS Owner: (2 ct e C\ t \-\.e.catke r (-\\\jd Address: _ �c4 r A o e ✓Ll t Q x V- .,: lk� ,,, Q 2 City: a ((�C ct J �, `� State: C Zip Code: U/vL3 L Telephone(1-) J ) Applicant: (Af)d1/1.0 OUJAQ r' DBA: Address: 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 chapte 33 through 42 of the Residential Code. J Owner/Agent Signature: l ��- �{Ci _�bDate: �G � 5- Construction 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: 4Q,rvised August 23,2007 Town of Montville Building Department Bank Card File Receipt Date: 01-Jun-15 Receipt No: 5440 Received From: Heather Aboy Job Address: 123 Park Avenue Ext. Fees Collected State Educational Training Fee Bank Card $49.03 Bank Card $1.03 Short/Over: $0.00 Construction Value: $3,953.00 Demolition Value: $0.00 Received By Carmen KneelandC�ry( �� /�� f�--i-i to I&rid Address: 123 Park Avenue 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 w/lfireplace 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 SF $ 44.07 $ - 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 5 EA $ 550.00 $ 2,750.00 Skylights EA $ 1,051.10 $ - Doors,Exterior 2 EA $ 601.50 $ 1,203.00 Oil Tank,275 Gallon EA $ - Oil Tank,550 Gallon EA $ - MISCELLANEOUS CALCULATIONS TOTALS $ 3,953.00 $ - $ - $ _ PERMIT FEE CALCULATIONS Construction Value Fee Building $ 3,953.00 $ 48.00 Plumbing y $ _ $ _ Mechanical y $ _ $ Electrical y $ _ $ Working before Permit Issuance $ _ Certificate of Occupancy Fee $ _ Plan Review Fee $ _ State Education Fee $ 1.03 TOTALS $ 3,953.00 $ 49.03 Figures are based on the 2006 RS Means Residential Cost Data State of Connecticut •, N 44, Workers' Compensation Commission 1cc ..; _atzr e 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 Name of Applicant for Building Permit I`IC I �J"�/�( y Property located at ktc-$-- AAe i/x in the City/Town of uV\C aS$ l \1 \ ATTEST If you are the owner of the 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. Signature of OWNER Applicant-- -- - l C l Vii( ❑ I am the SOLE PROPRIE I OR 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) SignaIure of SOLE PROPRIE 1 OR Applicant Town of Montville Building Department CONSTRUCTION PERMIT APPROVAL Applicant is responsible for obtaining all of the required approvals. No permit will be issued until all the required signatures are obtained. las Pct k- llv e .7.)cr}- Property Address R/010C_C_ "Rie_ exiasit w;(-00(_ ±- c)q E_x--1-e_r tor °C).0{ Job Description Required Department Approval Permit Issuance Approval Tax Collector Signature/date Comments: J Planning & Zoning •/„,„ /4 6/ / S Signature/date Comments: j ✓ Fire Marshal '/ ` ��5 Comments: h� MAU_ Signature/date �/ S ❑ Health Department Required for properties with private septic or well Comments: WPCA, Administrative —� ( I Required for properties on sewer (Signature/date Comments: (� WPCA, Operations When Required by WPCA Signature/date Comments: [ Department of Public Works _ Required when project includes driveway work or certain drainage requirements Signature/date Comments: n Montville Police Department Required for all permits EXCEPT one and two family residential Signature/date Comments: State Dept. of Transportation 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 Review Complete Signature/date Revised'May 23,2011