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2012 - 22x40 Addition - Foundation
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: B2012-0300 Date: 24-Jul-12 Map/Lot: 070/114-000 Owner ID: 5491000 Project Location: 15 PINK ROW Unit: Job Description: FOUNDATION ONLY for 22x40 Addition Owner Nam Todd A.and Melinda A.Barber Tenant Name N/A Careof: P.O.Box 228 Norwich CT 06360- Telephone:x(860)383-3525 Contractor Nam Andy Petrowski Telephone: DBA: A&B Excavating Uc/Reg Type HIC Lic/Reg No 564374 33 Cove Road Exp Date: 30-Nov-12 Uncasville CT' 06382- Construction Value Permit Fees Construction Information Building Value: $114,779.00 Building Fee: $1,150.00 Use Group: IRC Plumbing Value: $6,718.00 Plumbing Fee: $70.00 Code: 2005 State Building Code Mechanical Valu $0.00 Mechanical Fee $0.00 Electrical Value: $2,754.00 Electrical Fee: $30.00 Construction Type IRC Total Value: $124,251.00 Penalty Fee: $0.00 Permit Code: R1 C of 0 Fee: $25.00 Comment Plan Review Fe $125.00 State Ed Fee: $32.31 Total Fee Paid: $1,432.31 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 framin ❑ 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 Building Official's Approval: Com,y�.J T' i"• ,�y�y 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.: ezpoic - Type of Work Occupancy Type Permit Type ❑ New Construction ❑ Single Family 2'3uilding ❑Addition ❑Two-Family ❑ Plumbing ❑Alteration ❑Townhouse ❑ Mechanical ❑Accessory Structure ❑ Electrical CRS#: Property Address: /7/ AA/ /edV--,1 ()A/6951// ,// )A/69j1/i /// (Number)' (Street) rr (Unit) Job Description: (� x///1711 0 Al O C//t/d 4�/ 0 /� t v r aa)`-10 Owner: —779 % ( / >1414 Address: /S �, /V t /r0 l� (//1/(A J v. //, �O'Igcaag �� (� Zip o1('S g'� Telephone( �O ) Y 3 2-2 City: C/s4'V�i l //G State: Code: Applicant: (24` Andy PP--(rw oEt' DBA: I i `-• fir Address: / //,, /S 7 ,1A//(--- 6 v City: (//'CA ( LI' /(' State: C`• Zip Code: J135-,,,2 Telephone( b ) ✓ 3 - Contractors - Complete the Following: License Type: ; ;--4 ( - License No. (p9- 1 Expiration Date: t( 1301 I c� 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 c apters 3 hrough 42 of the Residential Code. Owner/Agent Signature � Date: > 171-2.-,_ 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: Rrt 23,2007 Town of Montville Building Department File Receipt Date: 23-Jul-12 Receipt No: 7608 Received From: Todd&Melinda Barber Job Address: 15 Pink Row Fees Collected State Educational Training Fee Cash: $0.00 Cash: $0.00 Check/Card $1,432.31 Check/Card $32.31 Check No: 781 Short/Over: $0.00 Construction Value: $124,251.00 Demolition Value: $0.00 Received By Carmen Kneeland C.6"OLQ.4,1 S Address: 15 Pink Row ITEM QTY $/UNIT TOTAL Building Plumbing Mechanical Electrical BUILDING AREA New Construction 880 SF $ 118.03 $ 103,866.40 $ 2,340.80 Basement,Finished SF $ 25.96 $ - $ - Basement,Unfinished 880 SF $ 12.40 $ 10,912.00 $ 309.54 Crawl Sapce SF $ 9.30 $ - Interior Renovations SF $ 36.09 $ - $ - $ - AMENITIES Kitchen EA $ - $ $ Full Bathroom 1 EA $ 6.717.92 $ 102.85 Half-Bathroom EA $ - $ - GARAGE Attached SF $ 56.35 $ - $ - Detached SF $ 71.53 $ - $ - Under SF $ 11.03 $ - $ - Carport SF $ 19.89 $ - MECHANICAL Warm-Air n Y/N $ - Hot Water n Y/N $ - Electric n Y/N $ - Air Conditioning n Y/N $ - ELECTRICAL SERVICE 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/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 Deck SF $ 44.07 $ - Porch SF $ 149.38 $ - Sunroom SF $ 176.90 $ - $ - TOTALS $ 114,778.40 $ 6,717.92 $ - $ 2,753.19 PERMIT FEE CALCULATIONS Construction Value Fee Building $ 114,779.00 $ 1,150.00 Plumbing y $ 6,718.00 $ 70.00 Mechanical y $ - $ - Electrical y $ 2,754.00 $ 30.00 Working before Permit Issuance n $ - Certificate of Occupancy Fee $ 25.00 Plan Review Fee $ 125.00 State Education Fee $ 32.31 TOTALS $ 124,251.00 $ 1,432.31 Print Lookup Details Page 1 of 1 eft tee I State of Connecticut W Lookup Detail View Name and Address Name DBA Address A&B EXCAVATING LLC 33 COVE RD UNCASVILLE,CT 06382 Registration information Registration Registration Type Effective Date Expiration Date Status HIC.0564374 HOME IMPROVEMENT CONTRACTOR 12/01/2011 11/30/2012 ACTIVE Generated on: 7/24/2012 9:48:47 AM https://www.elicense.ct.gov/Lookup/PrintLicenseDetails.aspx?cred=219915&contact=903 7/24/2012 '`v State of Connecticut N it .,)4 r;y 0 Workers' Compensation Commission ;-,-, 7A cew : , ct �+� �fPlease 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 NOT act as General Contractor or Principal Employer APPLICANT FOR BUILDING PERMIT oW fi . /PIAName of Applicant for Building Perm / elr‘C,r Property located at /S i k /(06.... V in the City I Town of 7 Vj/ )`7 f/: //`. 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: IZJ I am the OWNER of the above-named property.I WILL NOT act as the general contractor or principal employer. A°2--------- Signature of OWNER Applicant— --- - .. ,U I am the SOLE PROPRIETOR of a business doing work at the above-named property.I WILL NOT act as the general contractor or principal employer. Name of Business A/5 ( ,7/`/ /r7y (A --o /I Federal Employer ID#(FEIN) Signature of SOLE PROPRIETOR Applicant Town of Montville Building Department • 310 Norwich-New London Tpke. Tel. 860-848-3030, Ext 382 Uncasville, CT 06382 Fax. 860-848-7231 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. I r5 �� Property Address Job Description - Required for all permits ® - At least one required for all permits ❑ -Required as indicated below Required Department Permit Issuance Approval Approval Tax Collector _` � �� 7 1.). J i Signature!date Comments: ' _ Planning & zoning • �,3 /Z Signat e/dat Comments: \ -O 7 U OP Fire Marshal /� .11411 Signature/ •ate Comments: 4//4', e7 ® Health Department Required for properties with septic systems-Not required for Plumbing, Electrical,Mechanical,Roofings fining,Windows//date &Doors Comments: WPCA, mAdministrative 7 D-31 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: ❑ 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 R.Fvtsri9trove3nArr5,aood i- 0 „, OE LU fl- LU E 0 %; .\a� W cv z 4- ` U 1,.,, al W on tJ it_ r--- <:. _ c.,‘ _.„.2,. , . . 01 .....-,, ,,,.,,,,,.., 1 _ z xI T .-' -Vt--- / '45V•-• t ',,� N �, 1 i 1 "�) S 1L1 EN d�. �._, I. . ; 1,, 1 i ; 111 „ ••� `r �' t i\+ '1.:14..r"0, ';,,,� `ten° t,.n ..,Nr‘c '11' ” 0 � v-, tri., ,-,� seg_ f I _S' 473 4 I ! 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