HomeMy WebLinkAboutDoors, Kitchen Cabinets, Garage/Workshop and Stairs Replacement 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: B2016-0258 Date: 05-Jul-16 Map/Lot: 028/005-069 Owner ID: 5373000
Project Location: 37 PARTRIDGE HOLLOW Unit:
Job Description: Replace Three Exterior Doors,Kitchen Cabinets.Convert Workshop Back to Garage.Replace Back Stairs
Owner Nam BCBA LLC Tenant Name N/A
Careof:
20 Waldo Road
Norwich CT 06360- Telephone: (860)460-7177
Applicant Name Beth Arcangel Telephone: (860)460-7177
DBA: BCBA LLC Lic/Reg Type
Lic/Reg N 0
20 Waldo Road Exp Date:
Norwich CT 06360-
Construction Value Permit Fees Construction Information
Building Value: $30,000.00 Building Fee: $360.00 Use Group: IRC
Plumbing Value: S0.00 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: $30,000.00 Penalty Fee: S0.00 Permit Code: R4
C of 0 Fee: $0.00 Comment
. Plan Review Fe S0.00
State Ed Fee: $7.80
Total Fee Paid: $367.80
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 0 Certificate of Approval
❑ Certificate of Occupancy
Building Official's Approval: E .et4...rJ �r -.)^—
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.: P..k. 1 V •( - c-)X
Type of Work Occupancy Type Permit Type
❑ New Construction 0 Single Family ❑ Building
❑Addition ❑Two-Family ❑ Plumbing
❑Alteration ❑Townhouse ❑ Mechanical
❑Accessory Structure ❑ Electrical CRS#:
Property Address: 37 'Pc,.-4-rico kio\1rko
(Number) (Street) (Unit)
Job Description:fiReptcLri, 3 e c,rinr- ACr,rn 'Re plar.c. '_ \ .'\-c - cc�bi..ak
(ZeY JP -A emp. IcJo.r--Ictk nrtc, - rot v...)0(Y—Shh - Cd•..)Pr-k- ‘r- c.ck to tc.Lrrc P .
Oc�.G bc.ac... do c lc__ c c`:r 5 4- c Acd Plra.�-r,�
io OrNt*.rr1 rc%. \.
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Owner: Ti_ar� / LC , . U
Address: CaD OCAAa A .ca
City: L)Qr �t \C� State: C \ . Zip Code: �o3Co0 Telephone( 8(60 )54,0__--1 177
Applicant: PZe`ch f\\—r c._r•.c�e_�
DBA: `1
Address: PO Lt)cia els O "/F.c` .
City: ��1 r 4-4_11 GkeN _ State: C`r_ Zip Code: 09 6:,(5 Telephone( g(pQ ) c16,6- 717 7
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.
Er/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.
4.c7e.,
Owner/Agent Signature: , d�- Date: 7/ 1 /1(o
Construction Value Permit Fees
Building Value: 2 Building Fee: '3l4'C`'
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: _� ((
.? c.)
Total Fee: Oaf
Revised August 23,2X7
Town of Montville
Building Department
File Receipt
Date: 01-Jul-16 ReceiptNo: 11471
Received From: Bcda.LLC
Job Address: 37 Partridge Hollow
Town Fees Collected State of Connecticut Fees Collected
Bldg Cash: 10.00 State Cash: 10.00
Bldg Check: X367.80 State Check: $7.80
Bldg Credit: 10.00 State Credit: 10.00
Fire Cash: 80.00
Fire Check: $0.00
Fire Credit: t0.00 Construction Value: 10.00
Demolition Value: 10.00
CheckNo: 1261
Received By: David Jensen
Address: 37 Partridge Hollow
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
I
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 r
Deck SF $ 44.07 $ -
Porch SF $ 149.38 $ -
,
$ -
Sunroom SF $ 176.90 $ - f:
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 $
4'
w/electrical SF $ 26.85 $ - $ -
1
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 $ - k`
Oil Tank,275 Gallon EA $
Oil Tank,550 Gallon EA $
MISCELLANEOUS CALCULATIONS $ 30,000.00
1
TOTALS $ 30,000.00 $ - $ - $ -
PERMIT FEE CALCULATIONS
Construction Value Fee
Building $ 30,000.00 $ 360.00
Plumbing y $ - $ _
Mechanical y $ - $ _
Electrical y $ - $ _
Working before Permit Issuance $ _
Certificate of Occupancy Fee $ _
Plan Review Fee $ _
State Education Fee $ 7.80
TOTALS $ 30,000.00 $ 367.80
Figures are based on the 2006 RS Means Residential Cost Data
„ �e�Ir4frrr'
State of ConnecticutF
Y,`•, .L�r Workers' Compensation Commission
: per,,/�,•;rte 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 act as General Contractor or Principal Employer
• ••••••••
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Applicant for Building Permit =,r' y(`mact�`Via+ `..rY,.it.?yt, ...a .;...fiST '. C t. ,
Name of Applicant for Building Perm:, - —co;'• -�'
Property located at S / ?a r*N.”.` e l '\ --
in the City l Town of _ _ — — — ,
f-r
5: .3 .tii t r d✓'.1.t$ `- is ��,.,.}Tfgyy�,.S-erS`'`�� '�Y��� »e.atgr.�4° d r '�1,, c Y fir'.t-• 1 '
AtEest"7 iS '�.? t �' � t �,.-tn�`r`•t'"l°r +'w sv sv.J ,, +c,r�''Sr,^,t c,.l�'.'f'`� -j'¢.; . .,..., , '�.�..N.as..,,-...
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 act as the general contractor or principal employer,you must provide proof of workers'compensation insurance coverage for all
employees.
Complete this form and,if applicable,sign the Affidavit below in the presence of a Notary Public or a Commissioner of the Superior Court.
CHECK ONE (1) BOX ONLY, provide the appropriate information, and sign:
El am the OWNER of the above-named property.I WILL act as the general contractor or principal employer and,as such,will submit proof of workers'
compensation insurance coverage for all empl ees who are doing wo on the site of the construction
project at the above-named property.
•
Signature of OWNER Applicant Z/`"' " •
❑ I am the SOLE PROPRIETOR of a business doing work at the above-named property.I WILL act as the general contractor or principal employer and,as
such,will submit proof of workers'compensation insurance coverage for all employees who are doing work on the site of the construction project at the above-
named property.
Signature of SOLE PROPRIETOR Applicant
❑ I am the OWNER of the above-named property or the SOLE PROPRIETOR of a business doing work at the above-named property.I will not personally
submit proof of workers'compensation insurance coverage,but I will attest to the following:
AFFIDAVIT .
I hereby swear and attest that I will require proof of workers'compensation Insurance for every contractor,
subcontractor,or other worker before he or she does work on the site of the construction project at the
above-named property in accordance with Section 31-286b of the Workers'Compensation Act
Signature of OWNER or SOLE PROPRIETOR Applicant
Name of Business—f applicable
Federal Employer ID#(FEIN)—if applicable
Subscribed and sworn to before me this day of , 200
Signature of Notary Public/Commissioner of the Superior Court
1
Town of Montville
Building Department
CONSTRUCTION PERMIT APPROVAL
37 •Pc-•.,,- -(-:A4P kAcAC )
Property Address
Trr4�r�o� �P �lcn
Job Description
Required Department Permit Issuance Approval
Approval
Tax Collector `'�L(o-,� N�-r�— 7 , /i
Signature/date
Comments:
® Fire Marshal gift
�(
Sig to /date
Comments:
❑ Planning &Zoning
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:
WPCA, Administrative ice'
1
6 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:
❑ 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 Marck23,2015