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HomeMy WebLinkAboutAddition with Deck 2001 11, Town of Montville 0 Building Department Date // /42_4511 D i Field Inspection Notice Permit # Job Location- ,/ 77 /aç' Ale1��-�-- — — -- -- Nil Approved Type of Inspection I41 ,4 �� Not Approved - Please call for re-inspection when the following corrections have been completed: --- Ac PGL a2M1-r 1 'lL.L ..ga 2G1urR- 0_ 404, Building Official Town of Montville Building Department Phone: 848-7166 310 Norwich New London Tpke Fax: 848-7231 Building / Trades Permit Permit Number BP2001-530 Permit Date 9/5/01 Permit Type Building Permit Code R4 Job Street# 177 Job Location PARK AVENUE EXTENSION Map/Lot 096/007-000 Job Description Alteration&Deck Owner Contractor IJohn Maxon John Maxon Address 177 Park Avenue Extension Address 177 Park Avenue Extension City Uncasville State Ct. City Uncasville State Ct. Zip 06382 Telephone 848-9603 Zip 06382 Telephone 848-9603 Lic/Reg Number Lic/Reg Type Exp Date: Use Group R4 Code 1995 CABO Type Construction 5B Building Value $3,840.00 Building Fee $22.00 Plumbing Value $0.00 Plumbing Fee $0.00 Mechanical Value $0.00 Mechanical Fee $0.00 Electrical Value $825.00 Electrical Fee $10.00 Other Value $0.00 Other Fee $0.00 Total Values $4,665.00 C/O Fee $10.00 Comments: Plan Review Fee $2.20 State Ed Fee $0.75 Total Fees $44.95 I Building Official's Signature / ' Date / /C It is the owners respo 11' to'scheddule the ollowinq required inspections (minimum 24 hours notice required): V Footings -prior to , r' g concrete Cl Backfill -footing drai s and waterproofing CI Fireplace Throat ❑Concrete Slab, prior to pouring ❑ Fireplace Final ✓ Rough Framing ❑ Chimney -one flue above thimble ✓ Rough Electrical ❑ Firestopping/draftstopping ❑Electrical Service ❑ Insulation [Rough Plumbing and leak test ❑ Pool bonding ❑ Gas piping-pressure test and installation ❑ Final Inspection ❑ Rough HVAC V Certificate of Occupancy -PRIOR to use or occupanc FIZOP1 fp7 Town of Montville Permit #OPZ.oc1(.-, 59 Building Department 310 Norwich-New London Tpke. Tel. 848-7166 Uncasville, CT 06382 Fax. 848-7231 Application for Building or Trades Permit Building Permit Trades Permit [jNew Construction ❑Accessory Structure ❑a:fumding ❑Mechanical ❑Action ❑}Demo(stion Efectrtca( 7feating iteration ['Other Air Conditioning 7 A Gas` iPing Job Location I'T 4 /?4 et A✓E G. Ex r Job Description/Materials &dCWS/A* AA/ OX /g E E WA/ /tub A2)b/.Ufa A 9'i.`'x /o / DEc r Owner J0/3 Itike0a0 Mailing Address /9 p/w ,tV&. Exi City mocA6via..E State or Zip 0b38a- Tel 8bO/8t/$/ 49603 Contractor 6.-IMailing Address City State Zip Tel / / Contractor's License/Registration Type&Number Exp. Date / / 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 ) "--1-4).` Date 6 l /s / D/ Construction Value Fee Building $ $ Plumbing $ $ Mechanical $ $ Electrical $ $ Other $ $ Certificate of Occupancy $ Plan Review Fee $ State Education $ Total $ $ ././ 4_ STATE OF CONNECTICUT WORKERS' COMPENSATION COMMISSION Building Permit Affidavit for Property Owners or Sole Proprietors (Conn. Gen. Stat. § 31-2866) Property located at 177 PARK , v . EAT In the town of HH/t)TV utE Name of building permit applicant: jO//A) 1-I,4,yQ,C.) Please check one: 1. 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 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 oyef 1. I do not intend to act as a general contractor or principal employer. [Sign and top here] Si ature 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 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 of applicant Subscribed and sworn to before me this day of200 , _ (Notary Public/Commissioner of the Superior Court) Town of Montville Building Department Receipt 1 Ck Date /0,5"- / p y No. 01047 From: I Job Address: 4/ 7 7 PetA,ILlef..0,4- .1vT- 0 Amount $ i//. iVei Cash Chcck # 9 O 9 (Circle ons),t244. El 62Q Q , � )¢/1 Received by Permit „ ,5,1,, 5-3 ao b 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 168 SF $ - $ 35.00 $ - $ 5,880 ; 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 $ - z 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 $ $ 3,330.00 $ - $ W/2 fireplaces EA $ $ 2,520.00 $ - $ Dormers Gable SF $ - $ 22.00 $ - $ Shed SF $ - $ 15.00 $ - $ Breezeway/Decks Open SF $ - $ 19.50 $ - $ Enclosed SF $ - $ 82.80 $ $ Porches Open SF $ - $ 56.45 $ - $ Enclosed SF $ - $ 111.55 $ - $ Heating Adjustment 168 SF $ - $ (2.82) $ - $ (473.76) Air Conditioning 168 SF $ - $ 2.47 $ - $ Electrical 168 SF $ $ (4.91) $ - $ (824.88) Plumbing 168 SF $ $ (4.41) $ - $ (740.88) TOTAL BUILDING CONSTRUCTION COST,LESS MEP $ 3,840.48 lis air conditioning included(Y/N)? $ I PERMIT FEE Building $ 3 540 $ 22.00 Plumbing $ $ - Mechanical $ $ - y Electrical $ 825 $ 10.00 Other $ CO Fee $ 10.00 Plan Review $ 2.20 State Ed Fee $ 4,665 $ 0.75 Total Fees $ 44.95 Based on 2000 RS Means Square Foot Costs 8/31/01 Town of Montville Building Department 310 Norwich-New London Tpke. Uncasville, CT 06382 Tel. 860-848-7166 Fax. 860-848-7231 August 27, 2001 John Maxon 177 Park Ave. Extension Uncasville, CT 06382 RE: Enclose breezeway 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): No zoning permit 2. Is the new space going to be heated? If so, provide heat loss calculations and MECcheck analysis. 3. Frost protection for the end walls need to be verified. //4./ P461-.1) . What is the existing framing for the proposed loft area above the existing house and bearing wall locations? We will keep all documents received to date on file and renew your application when you have furnished all the required data. Thank 1 u, /.oseph J. Summers Asst. Building Official Cc: File Town of Montville Building Department 848-7166 CONSTRUCTION PERMIT SIGN-OFF SHEET �Tq- Pa2k Ave. cit F4, 7- Property Address ap/Lot Job Description: 640_66C- 8504-1 61L1;Ebe 144 s AZl 9!--71'X it/bEa 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 DISTRICT 823-1189 /, ❑ Permit #: "7 Not Applicable ptic System Date 401 ❑ Approved Not Applicable Plans for "ood Service Establishment Date ❑ Permit#: ,- Not Applicable 'rivate Well Date WPCA DEPARTMENT 848-7094 ❑ Permit#: Not Applicable icipal Sewer ate ❑ Permit # ❑ Not Applicable Municipal Water Date DEPARTMENT OF PUBLIC WORKS 848-7473 ❑ Permit#: Not Applicable Director Date POLICE DEPARTMENT 848-7510 ❑ Plan Reviewed Not Applicable ffi in Charge Date PLANN I r► &ZONING DEPARTMENT 848-8549 8//5/0 111 Permit#:p2)/4 9 111 Not Applicable Zoning Date 6�/,j/0/ Permit #: Not Applicable Inland-Wetlands D FIRE MARSHAL'S OFFICE 848-1175 Plan Review AP' ❑ Approved Not Applicable ire Marshal Date Em 5 1:5 cn �w © e3 O et Ii = c 75) o ate. N c o a.)a. ,t o cn W Z..-1ZO 1:1,.. = W N • p O p d ) v en w O \ es N U 6 m r. u Fr (n }Q RI v • N LL; cr y4 a m S a� � �� o � Wz a :r4 tE't- oW J d C 7 p'd m Ei. 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