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TOWN OF MONTVILLE
Building Department
310 NORWICH-NEW LONDON TURNPIKE
UNCASVILLE, CT 06382-2599
TEL. (860) 848-3030 X382 FAX. (860) 848-7231
ELECTRICAL PERMIT
Permit Number: E2008-0087 Date: 20-May-08 Map/Lot: 039/086-000 Owner ID: 5530000
Project Location: 82 PIRES DRIVE Unit:
Job Description: Electrical for Addition
Owner Name: Kyle C.Champagne _ Tenant Name: N/A
Careof:
82 Pires Drive
Oakdale Ct 06370- Telephone:
Contractor Name: Home Owner Telephone:
DBA: _ Lic/Reg Type:
Lic/Reg No: 0
Exp Date:
Vale Permit Fees _Construction Information
Building Value: $0.00 Building Fee: $0.00 Use Group: IRC _
Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 2005 State Building Code
Mechanical Value: $0.00 Mechanical Fee: $0.00
Electrical Value: $2,500.00 Electrical Fee: $24.00 Construction Type: IRC
Total Value: $2,500.00 Penalty Fee: $0.00 Permit Code: R5 _aV
C of 0 Fee: $0.00 Comments:
Plan Review Fee: $0.00
State Ed Fee: $0.40
Total Fee Paid: $24.40
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 INSPECTION REQUIRED UPON COMPLETION
❑ Insulation ❑d Certificate of sproval
Agp a = if Occupancy
_Building Official's Approval:
iownofi_viontvute
Building Department
310 Norwich-New London Tpke.
Tel. 86U-848-3030, Ext 382 Uncasville, CT 06382 Fax. 860-848-7231
RESIDENTIAL PERMIT APPLICATION FORM Permit No.: S', (:68.--(...V5-.7
Type of Work Occupancy Type Permit Type
❑New Construction F'e Single Family 0 Building
RAdditiion 0 Two-Family 0 Plumbing
Alteration 0 Townhouse 0 Mechanical
0 Accessory Structure Electrical CRS#:
Job Address: 0 r
(Num r) (Street
(Unit)
Job Description: / --)1) ` +U eco- (2.,),,tx
Owner: k---1 Q- (INCNM pAgit
Address: �- ( re S c
City 0 (C J in'l' State: \ .)---- Zip Code: _67/..(i2L
Telephone:
Contractor: SC, \ (
DBA:
Address:
City: State: Zip Code:
Telephone: 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 wor*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
Owner/Agent Signature: Date: c '/ -).'U
c
Construction Value Permit Fees
Building Value: Building Fee:
Plumbing Value: Plumbing Fee:
Mechanical Value: Mechanical Fee:
Electrical Value: S-1)‘') Electrical Fee:
Total Value: Penalty Fee:
C of 0 Fee:
Plan Review Fee:
State Ed Fee:
Total Fee:
a viscd August 2.3,2007
Address: 82 Piers Dr.
ITEM OTY $/UNIT TOTAL
Building Plumbing Mechanical Electrical
BUILDING AREA
New Construction SF $ 113.03 $ - $ -
Basement,Finished SF $ 22.96 $ - $
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 n Y/N -
Hot Water n Y/N $ -
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/1fireplace EA $ 7,096.65 $ -
Masonry w/2 fireplaces EA $ 11,095.70 $ -
Wood Stove,free standing EA $ 2,692.25 $ -
Wood stove insert EA $ 1,85977 $ -
DECKS.PORCHES,SUNROOMS
Deck SF $ 43.07 $ -
Porch SF $ 149.38 $ -
Sunroom SF $ 17690 $ $
POOLS&HOT TUBS
Hot Tub EA 5 8,016.25 $ - $ _
inground Pool EA $ 21,373.44 $ - $
Above Ground Round EA $ 5,099.46 $ - $ -
Above Ground Oval EA $ 6,019.75 $ - $Pont -
Heater EA $ 8,984.25 $ -
InOatable 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 8 reroof SF $ 4.00 $ -
Roof Sheathing SF $ 1.31 $ -
Siding SF $ 3.50 $ -
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 $ 2,500.00
TOTALS $ - $ - $ - $ 2,500.00
PERMIT FEE CALCULATIONS
Construction Value Fee
Building $ - $
Plumbing y $ - $
Mechanical y $ - $
Electrical y $ 2,500.00 $ 24.00
Working before Permit Issuance $
Certificate of Occupancy Fee $
Plan Review Fee $
State Education Fee $ 0.40
TOTALS $ 2,500.00 $ 24.40
Figures are based on the 2006 RS Means Residential Cost Data
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
3rQS
LN2r Property Address
4LO O M '' I U- (-12 C-t-r
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) Department Permit Issuance Approval
PP
Tax Collector L51/(1/o
Required for all permits
Comments:
WPCA, Administrative
Required for properties on sewer
Comments:
❑ WPCA, Operations
When Required by WPCA
Comments:
® Planning &Zoning - 62t / / l Ls//-7o8
Required for all permits /1//�� ) Q c
Health Department
Required for properties with septic systems-Not required for Plumbing,Electrical,Mechanical,Roofing,Siding.Windows&Doors
Comments: •
❑ Department of Public Works
Required when project includes driveway work or certain drainage requirements
Comments:
❑ State Dept of Transportation
Required for Structures over 100,000 sq.ft.or with more than 200parkinq spaces-Official copy of STC Certificate of Operation required-per
CGS 14-311
Comments: 071
Fire Marsha
,
Required for a!1 permits I „ (, / ��� '
Comments: �+I�IVI�J/l��J l
4-viseiffiugust s,2005
V~v State of Connecticut g 7A - 7B 7c
Yth _'je. Workers' Compensation Commission
't .: DIRECTIONS
.zurtzz•••••01111r DIRECTIONS for FILING FORMS 7A,7B and 7C rx
Building Permit Requirements for Workers' Compensation
Section 31-286b of the Workers'Compensation Act requires anyone who requests a building permit to first
submit"proof of workers' compensation coverage for all of the employees who are engaged to perform
services on the site of the construction project for which the permit was issued."
The only exceptions to this law are the sole proprietor or property owner who will not be acting as general
contractor or principal employer.
What to give to the Building Official to obtain a Building Permit:
1. The General Contractor or Principal Employer must provide a written certificate of workers'
compensation insurance for all of the employees on their project.This certificate may not be for liability,
disability or any other type of insurance.
2. The Sole Proprietor or Property Owner who will not act as a general contractor or principal
employer is not required to have workers'compensation coverage. In order to obtain the building
permit, a FORM 7A should be completed and given to the building official.
3. The Sole Proprietor or Property Owner who will act as a general contractor or a principal
employer must provide a written certificate of workers' compensation insurance for all of the
employees on their project and must file a FORM 7B with the building official—OR he will sign a sworn
notarized affidavit on FORM 7B, stating that he will require proof of workers'compensation insurance
for all those employed on the job site.
4. The General Contractor or Principal Employer who has properly excluded himself from
coverage using the appropriate WCC form (see NOTE below)must file the FORM 7C with the building
official.This form certifies that they have property excluded themselves, and attests that they will
require proof of workers'compensation insurance from every employee that works on the designated
job site.
NOTE: The general contractor or principal employer may exclude himself from workers'compensation
coverage by filing one of the following forms with the appropriate Workers'Compensation
Commission district office:
Form 6B for employees who are Officers of a Corporation or Managers/Members of an LLC
Form 6B-1 for employees who are Members of a Partnership