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12x21 Deck 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: 62015-1)316 Date: 30.ia_tl 15 Map/Lot: 084/U.6_000 Owner ID: 5380000 Project Location: 16 PEACHVALE DRIVE Unit: Job Description: 25&ScLf Deck Owner Nam .Robert J and I inch E Rvs Tenant Name_N/A Careof: 16 Peachvale nr llncasville CT _06382- Telephone:18601848-0897 Applicant Name .R Qoe 'owner Telephone: DBA: Lic/Reg Type Lic/Reg N 0 Exp Date: congfructioo_maliln mit Feae Gonsft_ctiac+Jnfou+ntinn Building Value: 58.244,0(L Building Fee: S1080.0_ Use Group: IRC Plumbing Value: sn.00_ Plumbing Fee: SO.on Code: 2005 State Building Code Mechanical Valu $0.0.0 Mechanical Fe S0.00 Electrical Value: $0.00 Electrical Fee: S_0y00 Construction Type IRC Total Value: $8,244..00 Penalty Fee: 5.0.00_ Permit Code: R10 C of 0 Fee: __sawn Comment Plan Review Fe 510.80_ State Ed Fee: Total Fee Paid: $3_30_9..4 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 Approval Certificate of Occupancy 1 _Bidding)Official's Anoroval: 4t 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.: NO 16-031(t) Type of Work Occupancy Type Permit Type ❑ New Construction [' Single Family ❑ Building ❑Addition ❑Two-Family ❑❑ Plumbing Alteration E]Townhouse g ❑Mechanical ❑Accessory Structure ❑Electrical CRS#: Property Address: \ LL7 UOs A (Number) (Street) (Unit) Job Description: Owner: Q u-e 2r' - \; Address: _� City: State: Zip Code: Telephone?)) B Y Applicant: 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 chapters 33 through 42 of the Residential Code. ®® Owner/Agent Signature: -.- 6-4/7 - .�e/7 Date: 7-27-ZS 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: &vised Augu t 23,2007 Town of Montville Building Department File Receipt Date: 28-Jul-15 ReceiptNo: 10584 Received From: Robert Rys Job Address: 16 Peachvale Dr. Town Fees Collected State of Connecticut Fees Collected Bldg Cash: $139.94 State Cash: $2.14 Bldg Check: $0.00 State Check: $0.00 Bldg Credit: $0.00 State Credit: $0.00 Fire Cash: $0.00 Fire Check: $0.00 Fire Credit: $0.00 Construction Value: $8,244.00 CheckNo: Demolition Value: 0 $0.00 Received By: David Jensen &I.N—P/1- 123 Address: ITEM QTY S/UNIT TOTAL BUILDING AREA Building Plumbing Mechanical Electrical Basement,Finished SF 5 41.96 5 Interior Renovations SF $ 36.09 $ $ S$ - AMENITIES Kitchen EA $ Full Bathroom $ - $ EA $ Half-Bathroom $ - EA S - $ GARAGE Detached SF 5 71.53 S 5 - - 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 S - Gen Set EA $ 3,850.00 5 - s - SOLID FUEL BURNING APPLIANCES Prefab Metal Fireplace BA $ 6,497.70 $ Masonryw/lfireplace EA 5 7,096.65 5 Masonry w/2 fireplaces EA 5 11,095.70 5 Wood Stove,free standing EA $ 2,692.25 S Wood stove insert EA $ 1,859.77 5 - DECKS,PORCHES,SUNROOMS Deck 256 SF 5 32.20 S 8,243.20 Porch SF $ 149.38 S Sunroom SF $ 176.90 5 - $ - POOLS&HOT TUBS Hot Tub - $ 8,016.25 $ (aground Pool EA S 31,550.00 $ $ Above Ground Round EA $ 6,299.46 5 $S Above Ground Oval EA $ 7,019.75 $ - Pool Heater - EA 5 8,984.25 $ $ Inflatable Type Pool EA 5 1,200.00 S - $ SHEDS w/o electrical SF 5 25.55 $ w/elecVical SF $ 26.85 $ $ - - RENOVATIONS Roofing,Overlay SF $ 3.50 $ Roofing,Strip&reroof SF $ 4.50 $ Roof Sheathing SF 5 1.51 $ - - Siding SF 5 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 5 - 5 - MISCELLANEOUS CALCULATIONS TOTALS S 8,243.20 $ - $ - S - PERMIT FEE CALCULATIONS Construction Value Fee Building $ 8,244.00 Plumbing $ 108.00 Mechanical y $ - $ Electrical y $ - $ - - Working before Permit Issuance y $ $ Certificate of Occupancy Fee $ Plan Review Fee $ 10.00 State Education Fee $ 10.80 $ 2.14 TOTALS $ 8,244.00 $ 130.94 Figures are based on the 2006 RS Means Residential Cost Data ) ''''i State of Connecticut o -i„ E 1� Workers' Compensation Commission A-VIM rj tirr,„.\%� Please TYPE or PRINT IN INK `r 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 4- .)e—S\A C . Property located at 2....,0-v\\1c,, r in the City/Town of Skr\d!`\ '\)'`.\ -JZ t c+ 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: 4 AI am the OWNER of the above-named property.I WILL NOT act as the general cot uL actor or principal employer. 4- lip Signature of OWNER Applicant-- - -1-1/41. _________25 :2 ❑ I are the SOLE PROPRIETOR of a business doing work at the above-named property.I WILL NOT act as the general oontracior or principal employer. Name of Business Federal Employer ID#(FEIN) Signature of SOLE PROPRIETOR 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. Property Address Job Description Required Approval Department Permit Issuance Approval Tax Collector Th(if- Comments: Signature/date Planning & Zoning CaSA-- �/�, i t 8h Comments: ._ `t`� Signature/date Fire Marshal I a (C Comments: I �L ONA Signature/date ❑ Health Department Required for properties with private septic or well Comments: WPCA, Administrative `r 4,A,20w� " hRequired for properties on sewer ' Signature/date Comments: Li WPCA, Operations When Required by WPCA_ Comments: Signature/date 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: ❑ 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 Qevisedf May 23,2011 � 101 e ."1- �s /.. °: . 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