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HomeMy WebLinkAboutFinished Basement 2004 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: B2004-0686 Date: 25-Oct-04 Map/Lot: 028/005-068 Owner ID: 5371000 Project Location: 33 PARTRIDGE HOLLOW Unit: Job Description: Finish Basement Owner Name: Matthew R and Laura A Tryon Tenant Name: N/A Careof: 33 Partridge Hollow Oakdale CT 06370- Telephone: Contractor Name: Property Owner Telephone: (860)848-4501 DBA: Lic/Reg Type: Lic/Reg No: 0 Exp Date: Construction Value Permit Fees Construction Information Building Value: $5,253.00 Building Fee: $48.00 Use Group: R-4 Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 1999 State Building Code Mechanical Value: $0.00 Mechanical Fee: $0.00 w/2004 Amendment Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type: 5B Total Value: $5,253.00 Penalty Fee: $0.00 Permit Code: R4 C of 0 Fee: — $25.00 Comments: Plan Review Fee: $4.80 State Ed Fee: $0.84 Total Fee: $78.64 It shall be the owners revsonsibility 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. ❑ Footing- Prior to pouring concrete ❑ R Plumbing and leak test ❑ Backfill - Footing drains and waterproofing ❑d R Electrical ❑ Concrete Slab-Prior to pouring concrete ❑ Elec Trench-with conduit installed O Framing ❑ Electrical Service CRS No: 0 ❑ Fireplace Throat-One flue above throat ❑ R HVAC ❑ Chimney-One flue above thimble ❑ Gas Piping and leak test Firestop Draftstopping ❑ Final Inspection ❑d Insulation Certificate of Occupancy Building Official's Approval: 1,: 1 own 01 Montville ,- 1 Building Department 310 Norwich- New London Tpke. Tel.848-3030,Ext 382 Uncaaville,CT 06382 Fax 848-7231 Residential Building Permit Application Form Permit# RECEIVED 0 New Construction p Addition kj Alteration ID Accessory Structure [1]siva family El Two-!Family fl Townhouse0 C T 2 0 2004 BUILDING DEPT. Job Address - %., ai a 'Le • - (t't�l— - (Street) Job Description_, , SO.c CY.,t--- Owner!MO 1-1 C,4 U.ic73. Mailing Address City ����C�,�� �- �f�—ll 1.�� State r ) Zip ace-70rd Vt.t%0i i Us 1 Contractor i Mailing Address i City • _ _State_ip elt Tel Contractor's License/Registration Type&Number Exp.Dat / 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 -- antharliarmtauthorized to make applrent01110rirelftirtbr such work as described above. Separate applications are required for electrical,plumbing,mechanical,etc. t Owner/Agent Signature ,Q Q _ ----1 1 -( 1� —pate 1,0 / / ' Construction Value Fee Building $ Plumbing S $ - t' Mechanical $ $ Electrical S ' Certificate of Occupancy S f. Plan Review Fee $ State Education $ Total Si I IRrr (See verse sick for additional'requirements) it t I-I Rm.(prin ,9,load II I 1 t t t I own UI IYIUULVIIlc Building Department 310 Norwich-New London Tpke. Tel.848-3030,Ext 382 Uncasville,CT 06382 Fax.848-7231 Residential Tr_ i Permit Application Form Permit# 030 9' JcPlum6ing ftE1!ctnca( 094echanicaf CPRS# "(eating _ArrCondltioning cam Single!Family [1 Two-.Family 0 Townhouse Job Address P& trldq?' 110 I (Number) (Street) '— Job Description PI Nr*ZY- ownerm�'-r l i'1iy-1 Mailing Address CThvJ City ©ftvJat k State CA— ZipaaN3 70 Tel 't(d) / moi/Lai) Contractorja Mailing Address c iil i d OV 1 City Statea- Zip Tel Contractor's License Type&Number (194;c1:46 -- Exp.Date =-t)L 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 pp permit for such work as described above. Owner/Agent Signal 9ACX Date b /a0 / a--I Construction Value Fee Plumbing S $ Mechanical S S Electrical S $ Plan Review Fee $ State Education S Total S • S (Complete reverse side) erdsslSspu1N&r9,2004 Town of Montville Building Department Receipt Date /0 / 020 / v / No. 04383 From: IA Li/ ,, / /2n/,-) Job Address: 3 3 PP 27 R(DG ir /Joe «w Amount $ e . 6V 'ash eck Check # 05/ (c c Received b i / y Permit (8a f -.(...46. (PfNO/NG I RESIDENTIAL PERMIT CALCULATION (FINISHED BASEMENT) Address: QTY $/UNIT TOTAL Living Area 676 SF S 13.80 $ 9,328.80 Kitchen EA S 4,410.00 $ - Plumbing Full Bath EA S 4,229.40 $ I Half Bath EA S 2,691.15 $ - 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 $ - Heating Adjustment 676 SF $ (2.06) $ (1,392.56) Air Conditioning 676 SF $ 2.84 Electrical 676 SF $ (2.48) $ (1,676.48) Plumbing 676 SF $ (1.49) $ (1,007.24) BUILDING CONSTRUCTION COST, LESS MEP $ 5,252.52 IIs air conditioning included (YIN)? $ - I PERMIT FEE CALCULATIONS Fee Building $ 5,253 $ 48.00 Plumbing $ _ $ - Mechanical $ _ $ - Electrical $ _ $ _ Work Commenced before permit issuance $ - CO Fee $ 25.00 Plan Review $ 4.80 State Ed Fee $ 5,253 0.84 Total Fees $ 78.64 Based on 2003 RS Means Residential Cost Data 10/20/04 STATE OF CONNECTICUT WORKERS' COMPENSATION COMMISSION Building Permit Affidavit for Property Owners or Sole Proprietors (Conn. Gen. Stat. § 31-286b) Property located 10 t(D w OckiztitL. In the town of met l Name of building permit applicant: Please check one: 1. ✓ 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 cher ne: 1. I do not intend to act as a general contractor or principal employer. [Sign nd op here Signa re f applicant a- F) 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 n. equired to h. , coverage unless he files his intent to accept coverage. i a ature of applicant Subscribed and sworn to before me this day of 200 . (Notary Public/Commissioner of the Superior Court) Town of Montville Building Department 848-3030,Ext 382 CONSTRUCTION PERMIT APPROVAL _1 .i i. 4V! V _411.4__ Property Address Job Description The applicant is responsible for obtaining all of the required approvals checked off on this form. No building permit will be issued until all of the required signatures have been obtained_ Required Approval Department Permit Issuance Approval Tai CollectorGL�� Si_na ire/date 125 WPCA - Signature!date Planning&Zoning ��"le'" f,-• / Cile Orly sigbaeun/date ❑ Health Department Signature, date ❑ Department of Public Works Signarure!daft: 0 State Dept. of Transportation -- – cihrr ur-ei-date- i ❑ Fire Marshal Signature/date Comments/Conditions: • ; PtvirriSrpobra&r 9,1004 1 rui$Y), ,._.4....„..id,oe 1-1(- 11.0o-, • , i I • __ RECEIVED P -_ 3 !1 - . ! i --,-- A(;f 2 4-2004 3 r 4 --5P 4960-:-_ — i i : -T� - i "� 1 . ! BUILDING DEPT. i -- . __._ Town of Montville .__.. __-! _ Plans Approved for Construction _ ._.. Approval shall not be construed as a permit for, or approval of;---- - -- , ---___- — - _- s . -: -- any violation of the rovisiona— - - p Atli -- - - -- - the Connecticut Building Cods • of Q - d • IIe,Copy i : ;, , , Lt `r_ _� ,, '� ---d. 1 1... i -fit �• L � -- r_ � Z i.-_ r { Aid ' c -`r -- �- r i _ �`a---r--- t -f 1{��\ ----1-.. _._".__- i __. ___._. _ ..... _ _._... t f i 1 t b i I •\1 u s_._ .. _ i 3 : corm � ,Q��,� �, F iF-. , i a�u c. r / • {.�L S I i f• + f 111N• /o•Sid.. h?v _l'Q�i 1� .- �_ . 4 , , i l i . ---.3 ._,..__± i 7 . r -0,4-64,.„ .. i ,... - , , = i- 1 `ir _.•,_. i 1 if ' iat 4 S ..._ , : RX __ 1 j i 91 i „, ,_., . , , ik, ! ! , , : , ,A, , „ ! : _ , : 1 • . ...... . : — ,_ , .., ,.._........ ,--+-1—. )ar , . 1 i 4,... , , ., ,, ' 1 11 ' ; i 1 ', 1 { P I i , i Poi L___„.„1 , . • z � yrs- -- -_ - i ' - 1 ` -....ice- .i .,,� ...� _ i - r .r -_ , -F7� F