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HomeMy WebLinkAboutBasement Rec Room 2010 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: B2010-0041 Date: 22-Feb-10 Map/Lot: 028/005-021 Owner ID: 5461000 Project Location: 15 PHEASANT RUN Unit: Job Description: Basement Rec Room Owner Name: Timothy E and Paula L McDonough Tenant Name: N/A Careof: 15 Pheasant Run Oakdale CT 06370- Telephone: (860)848-6967 Contractor Name: C.K.H.Industries Telephone: (914)755-5366 DBA: Lic/Reg Type: HIC Lic/Reg No: 562945 520 Temple Hill Road Exp Date: 30-Nov-10 New Windsor NY 12553- Construction Value Permit Fees Construction Information Building Value: $16,532.00 Building Fee: $136.00 Use Group: IRC Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 2005 State Building Code Mechanical Value: $5,206.00 Mechanical Fee: $48.00 Electrical Value: $1,916.00 Electrical Fee: $16.00 Construction Type: IRC Total Value: $23,654.00 Penalty Fee: $0.00 Permit Code: R4 C of 0 Fee: $10.00 Comments: Plan Review Fee: $20.00 State Ed Fee: $5.20 Total Fee Paid: $235.20 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 d❑ 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 framing ❑ Electrical Service CRS No: 0 • Framing ❑ R HVAC ❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test ❑ Fireblocking Draftstopping INSPECT's RE.UIRED UPON COMPLETION Insulation -rtific. e o .pproval Ce 1' . e of Occupancy Building Official's Approval: �r rAr- E 05/05/05 04:15 FAX 8487231 BUILDING DEPT 01 Town of Montville Building Department 310 Norwich-New London Tpke. Tel. 848-3030,Ext 382 Uncasville, CT 06382 Fax. 848-7231 Residential Building Permit Application Form Permit# ')"4-)10-(y4-11 ❑ ;New Construction ❑AdditionACter'ation ❑Accessory Structure ❑ Single'Family ❑ Two-TFami(y ❑ Townhouse Job Address 15 ktpart- (Number) (Street) (Unit) Job Description (Ze, MAN `D D Owner'I ke.A okotmaa Mailing Address QA C City ea State Zip Tel U Tel SID /$4 p Contractor C , ,-1006.6 ST S Mailing Address SP l 0. City [tO 4 g- State 1\.\\\. Zip 1 Tel Co / /SWD Contractor's License/Registration Type &Number k Slott Exp. Date t ` ! jO / lb. , 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 fcc and that I am authorized to make application for a permit for such work as described above_ • Separate applications are requir, fo -lectricy plumb ng,mechanical,etc. Owner/Agent Signature _ Date / 1 /)..Ott Consuction Value Fee Building $ G(tei $ Plumbing $ $ Mechanical $ $ Electrical $ is $ Work commencing before the issuance of a permit $ Certificate of Occupancy $ Plan Review $ State Education $ Total $ $ (See averse side for additional-requirements) 'Ry'virer,rbnmry 2.7 200S Town of Montville Building Department File Receipt Date: 19-Feb-10 5222 Receipt No: Received From: CKH Industries Inc. Job Address: 15 Pheasant RUN Fees Collected State Educational Training Fee Cash: $0.00 Cash: $0.00 Check/Card $130.20 Check/Card $5.20 Check No: 0 Short/Over: $0.00 Construction Value: $23,654.00 Demolition Value: $0.00 ,;,z.d.„... ...-.\ Received By David Jensen Address: 15 Pheasant Run ITEM OTY $/UNIT TOTAL Building Plumbing Mechanical Electrical BUILDING AREA New Construction SF $ 113.03 $ - $ - Basement,Finished 720 SF $ 22.96 $ 16,531.20 $ 1,915.20 Basement,Unfinished SF $ 12.40 $ - $ Crawl Sapce SF $ 9.30 $ - Interior Renovations - SF $ 35.09 $ - $ - $ - MANUFACTURED HOMES Ground Anchors SF $ 6.45 $ - $ . $ Basement SF $ 12.41 $ - $ - $ - Crawl Space SF $ 9.31 $ - $ - $ - AMENITIES Kitchen EA $ - $ - - Full Bathroom EA $ - $ - Half-Bathroom EA $ . $ GARAGE Attached SF $ 54.35 $ - $ Detached SF $ 69.53 $ - $ - Under - SF $ 10.03 $ - $ - Carport SF $ 19.89 $ - MECHANICAL Warm-Air Y/N $ Hot Water y Y/N $ 5,205.60 Electric n Y/N $ Air Conditioning n Y/N $ - ELECTRICAL SERVICE Upgrade Amps $ Overhead,new Amps $ Underground,new Amps $ Subpanel EA $ 599.50 $ - Gen Set EA $ 3,850.00 $ SOLID FUEL BURNING APPLIANCES Prefab Metal Fireplace EA $ 6,497.70 $ - Masonry w/tf'replace - EA $ 7,096.65 $ - Masonry w/2fireplaces EA $ 11,095.70 $ - Wood Stove,free standing EA $ 2,692.25 $ - Wood stove insert EA $ 1.859.77 $ - DECKS,PORCHES,SUNROOMS Deck SF $ 43.07 $ - Porch SF $ 149.38 $ - Sunroom - SF $ 176.90 $ - $ - POOLS&HOT TUBS Hot Tub EA $ 8,016.25 $ - $ inground Pool EA $ 21,373.44 $ - $ - Above Ground Round EA $ 5,099.46 $ - $ - - Above Ground Oval EA $ 6,019.75 $ . $ - Pool Heater EA $ 8,984.25 $ - Inflatable Type Pool EA $ 1.550.00 $ - SHEDS w/o electrical SF $ 20.35 $ - w/electrical - SF $ 20.35 $ - $ - RENOVATIONS Roofing.Overlay SF $ 3.00 $ - Roofing,Strip&reroof - SF $ 4.00 $ - Roof Sheathing SF $ 1.31 $ - - Siding SF $ 5.50 $ - - Windows EA $ 500.00 $ - Skylights EA $ 1,051.10 $ - Doors,Exterior EA $ 601.50 $ - - Oil Tank,275 Gallon EA $ - Oil Tank,550 Gallon EA $ MISCELLANEOUS CALCULATIONS TOTALS 5 16,531.20 $ - 5 5,205.60 $ 1,91520 PERMIT FEE CALCULATIONS Construction Value Fee Building $ 16,532.00 $ 136.00 Plumbing y $ - $ Mechanical y $ 5,206.00 $ 48.00 Electrical y $ 1,916.00 $ 16.00 Working before Permit Issuance $ _ Certificate of Occupancy Fee $ 10.00 Plan Review Fee $ 20.00 State Education Fee $ 5.20 TOTALS $ 23,654.00 $ 235.20 Figures are based on the 2006 RS Means Residential Cost Data Customer Last Name: OWENS BASEMENT ADI CORNING 1 2 3 4 5 6 , 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 1 1 2 1 C 3 4 i 5 6 7 8■■■■■■■■■■■■■■■■■■■..I■■■■■■■■■, 9 MEN il, l1111111111 10 �7,1i u( A 11 12 Llt 1 l�Q1gfit. MI hull!ii 15 ^ i 1I 16 A 17 A I pi.; 1 ••,.. 18 IC R1 i A , D' ( S�'► ' l 19 DA- AI 20 + 21 22 23 24 I I 25 26 1E0 ♦fir27 28 ,29130 r 4 .i A ► , • a ik ., -I .. 31 5 11 'h.'� I r in i1 ♦ 4 1► ��32 I ► 1 , VL 1r S ,' , . 4 33 t- .� D S -ay(_ C ,�7,4, '11` ,' \ ' C 34 t- :'(0D q T -qVo i .► i 35 I I' NOTES: X DATE Aco CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) �.-"---- 11/18/2009 PRODUCER Phone:(973)683-1000 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Fax: (973)683-1001 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE BIS Risk Management Inc HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 520 Speedwell Avenue ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Suite 105 Morris Plains,New Jersey 07950 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A:Encompass Property And Casualty Company 10072 CKH Industries,Inc INSURER B:Sentinel Insurance Company,Ltd. 11000 520 Temple Hill Road INSURER C:Continental Casualty Company 20443 New Windsor,NY 12553-5512 New Hampshire Insurance Company 23841 INSURER D: P P Y I INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD'L POLICY EFFECTIVE POLICY EXPIRATION LTR INSRD TYPE OF INSURANCE POLICY NUMBER DATE IMM/DD/YYYY1 DATE(MM/DD/YYYY) LIMITS GENERAL LIABILITY 2072100263 10/1/2009 10/1/2010 EACH OCCURRENCE ,$ 1,000,000 A ✓ COMMERCIAL GENERAL LIABILITY DAMAGE S( aEcTED PREMISES E SES(Ea occurrence) $ 300,000 CLAIMS MADE I OCCUR MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 —1 POLICY JFCT ✓ LOC AUTOMOBILE LIABILITY 13UECUC7982 9/30/2009 9/30/2010 COMBINED SINGLE LIMIT $ 1,000,000 B ✓ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ ✓ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO EA ACC $ OTHER THAN AUTO ONLY: AGG $ C EXCESS/UMBRELLA LIABILITY 2097261278 10/1/2009 10/1/2010 EACH OCCURRENCE $ 2,000,000 I OCCUR CLAIMS MADE AGGREGATE $ 2,000,000 $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATIONWC STATU- OTH- D AND EMPLOYERS'LIABILITY WC 009-87-1884 11/18/2009 11/18/2010 ✓ TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE I I E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1.000,000 If yes,describe under 1,000,000 SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Basement Finishing and Sunrooms. CERTIFICATE HOLDER CANCELLATION Holder's Nature of Interest:Certificate Holder SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Town of Montville IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR Building Department REPRESENTATIVES. 310 Norwich-New London Tpk AUTHORIZED REPRESENTATIVE Mgntiville, CT 06382 ,� ACORD 25(2009/01) 1988- 0$QLb CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD PL-02 Rev 09/03 STATE OF CONNECTICUT 187959 DEPARTMENT OF CONSUMER PROTECTION 165 Capitol Avenue + Hartford Connecticut 06106 Attached is your Home Improvement Contractor Registration. This registration is not transferable. For questions,contact the Trade Practices Division at(86o)713-6110 or email trade.practicesla ct.gov. Visit our web site to verify registrations and download applications at www.ct.gov/dcp. STATE OF CONNECTICUT DEPAR!lI/I V'7 OF COASt 111 R PROITC'T10:A' HOME IMPROVEMENT;CONTRACTOR C K HI INDUSTRIES INC 520 TEMPLE HILL ROAD I NEW WINDSOR,NY 12553 I C K H INDUSTRIES INC C K H INDUSTRIES INC 520 TEMPLE HILL ROAD LIC./REG NQEFFECTIVE' EXPIRES NEW WINDSOR,NY 12553 HIC.05629451 c, ,,•l2/01/2009,zt, j. 11/30/2010 SIGNED ,, ' • j STATE OF CONNECTICUT + DEPARTMENT OF CONSUMER PROTECTION 11 --,--;,---:-__ IBe it known that 1 :-:- C K H INDUSTRIES INC 520 TEMPT,E HILL ROAD I NEWtciWINDSO��- -42553 J I , ► ; �t 1(` I 1r 41 1k' r V , 1 I is certified by the Depar~'ent' i 'er�tection as a registered I I I HOME IMPROV, EN; ONTRACTOR I � Re'`'s I . io ; i ' 62945 II Y--,? ; I I t T ; ! RAIVSr ;..; t 41 C K H INDUSTRIES INC ( 4 ' I I ;: I Effective: 12/01/2009 Expiration: 11/30/2010 Jerry Farrell,Jr.,Commissioner I _' L________—_.---_.._. _.� .___--_-- -_1 _' • q G —V ,iil. ,y'G 47-7, '4'`... AN'', di7o, 4r0, : 477%, 447 417. 4-`-. 4"._ .4—, 4 i, ,✓ 1 CONTRACTOR / AGENT AUTHORIZATION FORM I, 44 MCDCODULA , authorize CKH Industries, Inc. to sign he building per it a plic tion s agent t perform work at IS ESE �,k! OM Cj. O CKH will be finishing my basement with Owens Corning Basement System. )(Q.) / 1(c, (Signature) a\141 0 (Date) 41110 OF ` / (CKH I • stries ignature) (4a\a01 b (Date) ©CKH Industries,Inc.Installer contract letter June 2008 05/05/05 04:15 FAX 8487231 BUILDING DEPT Z03 Building Department 848-3030, Ext 382 CONSTRUCTION PERMIT APPROVAL LS Watt( Mi141 Property Address blettat 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 A royal Department Permit issuance Approval PP Tax Collector C)vary'.Z.,' n -0'11 tq to ( OSi4iin:re � •'1_'� WPCA 1nr(1 1 \ j' a\ 141110 Planning& Zoninge''�'-e-ct_/ f SiLnilLture ❑ Health Department Sian:i'i CL ❑ Department of Public Works sl,il.I1L1;'� ❑ State Dept. of Transportation 1-} Slunpiorc Fire Marshal 210c‘ L/V C7 L -t'I'•1&.l,l L4:; n:._u1-c Comments/Conditions: