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HomeMy WebLinkAbout2004 - Finished Basement Town of Montville Building Department Field Inspection Notice Address: 30 Pheasant Run Job Description: Finish Basement Permit Numbers:B2004-0574 Footing Not Approved: Approved: Comments: 1. Backfill Not Approved: Approved: Comments: 1. Framing Not Approved: Approved: Comments: 1. Rough Electric Not Approved: Approved: Comments: 1. Electrical Service Not Approved: Approved: Comments: 1. Rough HVAC Not Approved: Approved: Comments: 1. Rough Plumbing Not Approved: Approved: Comments: 1. Gas Line Not Approved: Approved: Comments: 1. Fireplace Throat/ Not Approved: Approved: Chimney Comments: 1. Fire/Draftstopping Not Approved: Approved: Comments: 1. Insulation Not Approved: Approved: Comments: 1. Certificate of Not Approved: Approved: 10/06/04 Occupancy Comments: 1. finished basement Not Approved: Approved: Comments: 1. Not Approved: Approved: Comments: I. Not Approved: Approved: Comments: 1. Comments: Page 1 of 1 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: B2004-0574 Date: 08-Sep-04 Map/Lot: 028/005-058 Owner ID: 5467000 Project Location: 30 PHEASANT RUN Unit: Job Description: Finish Basement office Owner Name: Mark A and Mary S Moreno Tenant Name: N/A Careof: 30 Pheasant Run Oakdale CT 06370- Telephone: Contractor Name: Property Owner Telephone: (860)367-0584 DBA: Lic/Reg Type: Lic/Reg No: 0 --- Exp Date: Construction Value Permit Fees Construction Information Building Value: $1,624.00 Building Fee: $16.00 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/2000 Amendment Electrical Value: $518.00 Electrical Fee: $8.00 Construction Type: 5B Total Value: $2,142.00 Penalty Fee: $0.00 Permit Code: R4 C of 0 Fee: $10.00 Comments: Plan Review Fee: $2.40 State Ed Fee: $0.34 Total Fee: $36.74 It shall be the owners repsonsibiliity 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 0 R Electrical ❑ Concrete Slab-Prior to pouring concrete ❑ Elec Trench-with conduit installed • 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 Insulation 0 Certificate of Occupancy Building Official's Approval: / l 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#szz2 -6 5- ? ❑New Construction Addition �Alteration []Accessory Structure ❑Single Family Two-Family Townhouse Job Address 20 NERSAN r 2(1N OFIKbA , CT 06376 (Number) (Street) (Unit) Job Description $c.,,t. ; L e��,',«R Lk-t r Owner P'1p.A,L Me r w,.-, Mailing Address '3 b {1....L.4.5 o.-i JL,..._ City (DO-\` &cJ State CT Zip O 63-Th Tel 4400 /3 t 7 / 0S-c341 Contractor N/q Mailing Address City State Zip Tel Contractor's License/Registration Type&Number Exp.Date 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. Separate applications are requiredjfor' electrical,plumbing,mechanical, etc. Owner/Agent Signature A� `7 /©„ / / Z � Date /04/ Construction Value Fee Building $ $ Plumbing $ $ Mechanical $ $ Electrical $ $ Certificate of Occupancy $ Plan Review Fee $ State Education $ Total $ $ (See 4-verse sidefor additional requirements) Town of Montville Building Department Receipt Date 'Y / 26 / o No. 04207 From: Job Address: . IgAl,0 i jr 121,,,, Amount $ 3 4 .7 ydiemoo Check Check # (CircIc one) Received by . �r,, Permit # RESIDENTIAL PERMIT CALCULATION (FINISHED BASEMENT) Address: QTY $/UNIT TOTAL Living Area 209 SF $ 13.80 $ 2,884.20 Kitchen EA $ 4,410.00 $ - Plumbing Full Bath EA $ 4,229.40 $ - Half Bath EA $ 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 209 SF $ (2.06) $ (430.54) Air Conditioning 209 SF $ 2.84 Electrical 209 SF $ (2.48) $ (518.32) Plumbing 209 SF $ (1.49) $ (311.41) BUILDING CONSTRUCTION COST, LESS MEP $ 1,623.93 IIs air conditioning included (YIN)? S I PERMIT FEE CALCULATIONS Fee Building $ 1,624 $ 16.00 Plumbing $ _ $ - Mechanical $ _ $ - Y Electrical $ 518 $ 8.00 Work Commenced before permit issuance $ - CO Fee $ 10.00 Plan Review $ 2.40 State Ed Fee $ 2,142 0.34 Total Fees $ 36.74 Based on 2003 RS Means Residential Cost Data 8/26/04 1 STATE OF CONNECTICUT WORKERS' COMPENSATION COMMISSION Building Permit Affidavit for Property Owners or Sole Proprietors (Conn. Gen. Stat. § 31-286b) Property located at: 3 0 Phe asatw-I- 8071 , o0 tk , CT 0 6737 In the town of /11/0-n)-v.,1le Name of building permit applicant: 'AAA— p re_o b Please check one: 1. ✓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 t o § 3 1-286b, "a property owner o r s ole proprietor[who] intends t o act as a general contractor o r 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 chec ne: 1. I do not intend to act as a general contractor or principal employer. [Sign�Ahere] Signature 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 t hat I w ill require p roof o f w orkers' c ompensation insurance for e very c ontractor, subcontractor, o r o ther worker b efore h e/she engages i n 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 of 200_. (Notary Public/Commissioner of the Superior Court) Town of Montville Building Department 848-3030, Ext 382 RESIDENTIAL CONSTRUCTION PERMIT SIGN-OFF SHEET Rk0 CISCA- ± r\ Property Address Job Description: �ayc v.�...,� ( F,c . £le.,+r:‘,44 L'w',t ,. 6"-'` The applicant is responsible for the completion of the form,no permit will be issued until all signatures below have been obtained. HEALTH DISTRICT 848-3030,Ext.339 Approved No Permit ❑ Permit#: ❑ Required Septic System Date Approved No Permit ❑ Permit#: ❑ Required Private Well Date WPCA DEPARTMENT 848-3030,Ext 376 Approved . No Permit :.�� I. �( (�t ❑ Permit#: Required uired Municipal Sewall Date Building Trap ❑ Outside ❑ Inside Approved No Permit ❑ Permit# ❑ Required Municipal Water Date DEPARTMENT OF PUBLIC WORKS 848-7473 Approved No Permit Director Date ❑ Permit#: ❑ Required PLANNING&ZONING DEPARTMENT 848-3030,Ext.379 ediee,'7Approved No Permit Ti (C1 ❑ Permit#: Required mg Date _ Approved No Permit ❑ Permit#: uired Inland-Wetlands Date ' Z . 0 5. .....„ ..i, -,--,- . 6° I. 1 / .0-2Z 1 \ \ I- : : f. t : 44 4...6)--1 '4 Z 0 4' P < 44 R .. 0 r., A D. • .4 E 5 4' z ., o m 44 0 < 3J re4. en , 4. .1 I- 14 LL, 44 . '4 a 1 U .11 0 Z eh 4. 0 ' 0 e I.. 42° a w 0 44 4. 0 0 ti 4' c_) 4:4:2-- P. F:.8 . P. .1< 4, r1 .4 .4 J I J ,, \ ----I- . . - • . 7,, t f• 1 ''. .t 1 ::: 1 1.1 :: : 7t :: ". 7t ..t.... . - e. s. t .. .• ' ". ..,.. ' A' ::: . J /1()\ 4.4 r r 1111- 1 1 1 1 1 1 1 1 1 1111 11111111.1 .,, I IIII 1 4 4' : 0 i • ... . 1 1 \ 7.5 11111 11111 (MAO .0-1c I I I r-1--- ---1--- 0 5 . i :-.. 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