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Home My WebLink About12x20 Shed 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:_62015-0003 Date: 05-.1an-15_Map/Lot:_039JJJ7.6J03 Owner ID: 5509000 Project Location: 21 PIRES DRIVE Unit: Job Description: 12x20 Shed Owner Nam monk A arnd Susan Y Jufczik Tenant Name_WA Careof: 21 Pines Dr Oakdale ST OSi3 0- Telephone: 18o0iB4R-1793 Applicant Name .Finnerty Owner Telephone: DBA: _ Lic/Reg Type Lic/Reg N 0_ Exp Date: Consinje#ion�/n o Permif Feet Carictn_ction infnrmntinn Building Value: S6„1311/0___ Building Fee: 5114.._0_0__ Use Group: IRC Plumbing Value: MOO__ Plumbing Fee: SO,O�L Code: 2005 State Building Code Mechanical Valu SIM)_ Mechanical Fe MOO_ Electrical Value: MOD Electrical Fee: MOD_ Construction Type IRC Total Value: $6.133:00 Penalty Fee: sun Permit Code: R9 C of 0 Fee: SJ 0,00 Comment Plan Review Fe State Ed Fee: 51.59 Total Fee Paid: S103.99 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 Draffstopping INSPECTION REQUIRED UPON COMPLETION ❑ Insulation _ ❑ 'cat- •f Approval C9 I ert• i •te of Occupancy B�1lci no_Offic :S�o rQVS71' �L cr_ %C �4 I own or 1mm-wile 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.: 13-4 ;I j C kC:'> T e of Work Occupancy Type Permit Type New Construction tgrSingle Family [ Building Addition ❑Two-Family ❑Plumbing ❑Alteration 0 Townhouse 0 Mechanical 0 Accessory Structure 0 Electrical CRS#: 9 Property Address: 2-/ /%/26-S- /..2( tic - (Number) (Street) (Unit) Th Job Description: ./-k-%) /1 aC Z" Owner: /till) 4- gv,2L' 2/ Address: I Ak'&S ,II City: O/¢k/J/i State: 67 Zip Code: 04?7° Telephone( 0-e c ) If-Y1- ( ?2} Applicant: ^-r 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. 0 By checking this box, I will follow t e requirements of the 2005 NEC as the alternative compliance per section E3301.2.1 of the Residential Code, instead of the electrical requirem, in ap rs 33 through 42 of the Residential Code. / Owner/Agent Signature: / 9 9 Date: /Z7 z V/ 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: ft vise4_August 23,2007 Town of Montville Building Department File Receipt Date: 30-Dec-14 ReceiptNo: 10042 Received From: Frank Jurczik Job Address: 21 Pires Drive Town Fees Collected State of Connecticut Fees Collected Bldg Cash: $0.00 State Cash: $0.00 Bldg Check: $103.99 State Check: $1.59 Bldg Credit: $0.00 State Credit: Fire Cash: $0.00 $0.00 Fire Check: $0.00 Fire Credit: $0.00 Construction Value: $6,133.00 Demolition Value: $0.00 CheckNo: 1586 Received By: Carmen Kneeland Coy- 'iv...A..4_0A KAAA.AX(kALO Address: 21 Pires Dr. ITEM QTY $/UNIT TOTAL Building Plumbing Mechanical Electrical BUILDING AREA Basement,Finished SF $ 41.96 $ - $ Interior Renovations SF $ 36.09 $ - $ - $ - AMENITIES Kitchen EA $ - $ - S Full Bathroom EA $ - $ Half-Bathroom EA $ S GARAGE Detached SF $ 71.53 S - S - MECHANICAL Warm-Air n Y/N S - 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 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 $ - $ - 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 $ 8,98425 $ - $ _ Inflatable Type Pool EA $ 1,200.00 $ - $ - SHEDS w/o electrical 240 SF $ 25.55 $ 6,132.48 w/electrical SF $ 26.85 $ - $ - 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 $ - Oil Tank,275 Gallon EA $ - Oil Tank,550 Gallon EA $ MISCELLANEOUS CALCULATIONS TOTALS $ 6,132.48 $ - $ - $ _ PERMIT FEE CALCULATIONS Construction Value Fee Building $ 6,133.00 $ 84.00 Plumbing y $ - $ Mechanical y $ - $ Electrical y $ - $ Working before Permit Issuance $ Certificate of Occupancy Fee $ 10.00 Plan Review Fee $ 8.40 State Education Fee $ 1.59 TOTALS $ 6,133.00 $ 103.99 Figures are based on the 2006 RS Means Residential Cost Data State of Connecticut o `r Workers' Compensation Commission ` 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 NOT act as General Contractor or Principal Employer APPLICANT FOR BUILDING PERMIT • Name ofApplicant for Building Permit . 9�,�- .777,4_e_7 2/(-- Property located at 2 J / /is 7J in the City/Town of D,f!r4,,/} ATTEST If you are the owner of the above-named property or the sole proprietor of a business doing wort 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 WI am the OWNER of the above-named property.I WILL NOT act as the general contractor or principal employer. Signature of OWNERApplicant-- - - - ❑ I am the SOLE PROPRIE I UR of a business doing work at the above-named property.I WILL NOT act es the general contractor or principal employer. Name of Business Federal Employer IDI(FEIN) Signature of SOLE PROPRIE I UR 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. 2/ r lee sf ,-t , 199 Property Address S/2-2) /2 X 2,6 Job Description Required Approval Department Permit Issuance Approval Tax Collector ) l algal t� Comments: Signature/date Planning & Zoning ( /,7 Comments: Signature/date Fire Marshal Comments: Signature/date / I � I Z' Health Department %/11 ;t ,..- Required for properties with private septic or well Comments: (' 5107 e ---uo r 0-1 .� apt . Fe)u44.dechcr)1_ ❑ WPCA, Administrative 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: U 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 9i'e/sed May 23,2011 's" v ° go a ET T$ 41 il a Z io C a w 14' �C� YF J30 ,�r� _ Sq� - Q 11, a r <,c 7 Z eN g X6o 0 ?Fa 'i at x�� O Up�` wm® c `_+SQA 03 1f • y yj o.FAI s h • c c c 1,----.---- _ a 3 3 zo o -I,i-\I 4 a w 1 1•nf z IX 4 a E }L.= -I� �o V may`= y e r � °' m° • =2 Nagy;,,+= 'ga �k� o - z i •i r. en: ,1 z r MEM p i t:; 7 �,ya,f :li: I • X03 a r �+� +. f. .4o 1HDI1H"1"1V,M.1)-4: 1 a Q R. 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