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HomeMy WebLinkAbout22x36 Garage 2008 TOWN OF MONTVILLE Building Department 310 NORWICH-NEW LONDON TURNPIKE 06382-2599 TEL. UNCASVILLE, CT ._.____m�__....._ __.•_.v.�.._ TEL. (860) 848-3030 X382 FAX. (860) 848-7231 BUILDING PERMIT Permit Number: B2008-0088Date: 01-Apr-08 Map/Lot: 080/011-000 Owner ID: __� 5580000_ Project Location: 9 POINT BREEZE ROADUnit: Job Description: Attached Garage _ _ _._ --- Owner Name: Thomas D and Tina M Grove Tenant Name: N/A Careof: 9 Point Breeze Road Uncasville CT 06382- Telephone: (757)777-5502 _____ Contractor Name: Bqsim Abadir Telephone: (860)230-6010 DBA: Greenway Builders LLC — Lic/Reg Type: NHC Lic/Reg No: 11643 328 Valley Street - Exp Date: 30-Sep-09 Willimantic CT 06226- Const(.uatio labyg _ Permit Fees __�__ _ Construction Information_ Building Value: $32,208.00 Building Fee: $264.00 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: $1,756.00 Electrical Fee: $16.00 Construction Type: IRC Total Value: $33,964.00 Penalty Fee: $0.00 Permit Code: R7 C of 0 Fee: $10.00 Comments: Plan Review Fee: $28.00 State Ed Fee: $5.43 Total Fee Paid: $323.43 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 0 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 ❑ Certificate of Approval .ri Certific. • • O'c -•ncy Building Official's Approval: 7TTII STATE OF CONNECTICUT • ,) DEPARTMENT OF PUBLIC SAFETY >s,,,,4c,0 DIVISION OF FIRE,EMERGENCY AND BUILDING SERVICES A F�,s° awl'c, -,-_. OFFICE OF THE STATE BUILDING INSPECTOR -. 7\ ‘N• March 26, 2008 Mr. Thomas Grove " c 0 - 2 30 6010 0 ` O 9 Point Breeze Road Uncasville, CT 06382 RE: M-347-08 9 Point Breeze Road Uncasville, Connecticut Dear Mr. Grove: 0 let have . e8CSON1 \ \the referenced request for modification of Section R301.2.1.1, of the 2003 International Residential Code portion of the 2005 State Building Code, which states in part that construction in regions where the basic wind speeds equal or exceed 110 mph shall be designed in accordance with the provisions of 1411thisc' It is my decision to approve this modification, as requested, and allow a foot addition (garage) to an existing single family dwelling to be exempt from the above code section. This decision is based on the fact that �A) such addition is tied to the existing structure that is compliant with a previous la I s 0(2, code that did not require high wind design. 4' If you have any questions, please contact Daniel Tierney, Deputy State Building Inspector, at (860) 685-8310. reg Ali ristopher R. Laux, AIA State Building Inspector CRL:DT:pm cc: Vernon Vesey, Montville Building Official Telephone(860)685-8310 1111 Country Club Road Middletown,CT 06457 http://www.ct.gov/dps An Equal Opportunity Employer •.. --- va vva.a.L 1V%, .t./. DEPARTMENT OF PUBLIC SAFETY r it OFFICE OF THE STATE BUILDING INSPECTOR 1111 COUNTRY CLUB ROAD MIDDLETOWN, CT 06457 TELEPHONE: (860)685-8310 FAX: (860)685-8365 1P REQUEST FOR MODIFICATION FOR OFFICE USE ONLY OF THE STATE BUILDING CODE 1. Name and Location of Building /p m C rot)e 9 Po;., grev'Lc ed U No. Street �c-c50, 1% CT 063h2 Town State Zip 2. Building Owner /OO m c 3. Applicant's Name /0 1-7-1 re)L/C_ Telephone dress Applicant's Ad d / 9 Finn Name dif Applicable) 5 Po I#- # 'e 2 z OnCClb'�f/C CT 0618 Z Fp ) No. Street Town State Zip. Name of Person to Contact 60 s r4 6 Q of r Telephone S.-60 (For information if required) -2.30 —GG/ 4. A.Date of Application for Building Permit 3— / 9-0 7 B.Applicable Code(Title and Date)_4 Oo Z .1' lR C.- 5. .-5. Use Group Re s i'o/c., 71-4 .c. I A: Was there a change of occupancy: 0 Yes 0 B. If yes from NI; to 6. Building Construction Classification 4)000/ is„r e 7. Square Foot Area of Building(Total) 79-2 S f --'ir` Largest Square Foot Area per Floor 79 Z s le/ ( c►-4 Ss 5 < < C/c4�oH� 8. Number of Stories p h e 9. Check Applicable Designation: � / 0 New Building 0 Existing D'Addition 0 Other(Explain) 10. Fire Protection at subject premises(Check appropriate headings) ❑ Smoke Detection ❑ Heat Detection 0 Extinguishers 0 Sprinklers 0 -Standpipes 0 Other(identify) ----,-- .. vi.a.ivaiu ave a- .. , vi •iil..i v 1A 11,1JviL1/11VO LAJ..J.C. rage 2 fIf y 11. Describe alarm system(s)at premises R-Itl 12. Building Code Section that modification is requested from R. 3 0 /, 2 , 13. Modification Sought Rel.-c-r fro., ',co,f,,.r0,,,,,,- -7112 de.s-5/., cnc/con dT,acl-c )S2 f P.rci .reside,' Tie /S. ch[[ec1e,(5 c r /'y 51,-4 SCOThe-4r r G. /( I/O PII4 6r;44ee../ 41" 14. Reason Modification Sought /471-c c/,e.W oreVs e W,/l be 4SS rsrar y i, /6Oo sc.1/1cr,den cc Cohs'74o,,c'lev( i� w /987. /1Ja ,,0(0433A, rel .re trr�r.r7L J%,c /�!/ / I O/�rC1C /n'7T, or i5ihc/ rot,Sri.cl-.o.) . 15. Applicant's Signature L, di Date Signed 3 2S -0Sr 16. Important Requirement Failure to provide the following information will delay modification process. The Building Official must comment below on the modification request as per Connecticut General Statute 29-254 (b). *Note: Must be signed by Chief Building Official,Acting Building Official or Provisional Building Official. ❑ Support Request ❑ Do Not Support Request The decision on this request is left to the Office of the State Building Inspector. Please contact the undersigned. Building Official's written comments, if desired. • / ,iV/v/1/. / e'-5/1"V fro9/74-C.-// ,_,_ „c__, „7, --/"o61 Building Official(Printed) Town Building Official ignaturDate Signed 860 — 8y 8- yo3a XY56 5,01,-i -5/PA?' Building Official's Telephone Number Best Time to Contact MODAPP Rev.3/24/05 LownofMontville Building Department Residential Accessory Structure Plan Review Form . Date: S// 7 Job Address: qf D vi 1 J f- e e Job Description: /1 t1 L`• �' ��``<< Your permit application is being rejected for the items checked off or commented on. The required information must submitted for review(two sets are required) (C.G.S.29-252a.) This list is offered as a guideline only. It is not meant to be all-inclusive for every permit application,nor is it meant to take the place of the State Building Code. SUPPORTING DOCUMENTATION SITE PLAN Permit application not completed Plans required Permit fee due$ 3� 7 Plans do not match the building plans Permit fee to be calculated y Finish floor elevation not indicated Worker's comp.affidavit or worker's comp.certificate to be submitted Distance from the property line(s)to the structure not identified Copy of contractor's registration or license required Structure dimensions not provided XConstruction permit sign-off sheet required with appropriate approvals,it shall Existing and proposed contours are not provided or insufficient be the applicant's responsibility to obtain the required signatures Footing drain discharge not identified Affidavit required from the holder of the registration or license authorizing you Utilities not provided(electrical,phone,cable,sewer,water,gas) to apply for a permit with their information Delineation of flood hazard areas and design flood elevation is required per Provide supporting documentation to show compliance with the 2003 IECC section RI 06.1.3 (www.encrrycodes.gov)OR Private sewage disposal system to be identified along with all technical and soil • One-and Two-Family Dwellings with<15%glaring area to conform to the data as per section R106.2.1 requirements of section NI 102.1 Grading is to slope away from the building,provide more detailed information • Townhouses with<25% glazing area to conform to the requirements of Plan submitted is not the same plan that has been approved by the Zoning section NI102.1 Department and/or Health Department Two sets of construction documents required, this includes all engineering Retaining wall—construction documents required data,calculations and all other documentation(8106.1) Retaining wall documents required to be stamped and signed by a Connecticut Documents are copyright protected,provide original plans or a letter from the Registered Professional Engineer designer authorizing the duplication of the plans Field set of the approved construction documents are required to be pitted up FOUNDATION from cur office and must be available on site during all inspections ' No plans submitted or insufficient information Construction documents shall be of sufficient clarity to indicate the location, Dimensions required nature and extent of the work proposed as per section R106.1.1 Wall thickness not identified Construction documents do not match the orientation of the structure on the Footing size not identified site plan Frost protection not identified or is insufficient Column type,sin,spacing not identified or insufficient WIND LIMITATIONS Waterproofing details not provided or insufficient Submit supporting data to show conformance with the wind limitations (3 Pier type,size and anchor details not provided or insufficient /\ second gust @ 110 mph) Engineered foundation plan required Design publication needs to be identified(WFCM,chapter 3;WFCM,chapter Crawl space ventilation,location,type and size not provided or insufficient 2;ASCE 7-2002;SSTD10-99) Crawl space access,location and size not provided or insufficient Documents required to be stamped and signed by a CT registered Professional Engineer WINDOWS&DOORS Documents must be designed to either Door sizes not identified • Wood Frame Construction Manual,2001 edition Window size&type not identified /y\ • ASCE 7—2002 edition Window header size not identified or insufficient • SSTD 10—1999 edition Door header size not identified or insufficient Documents required to be stamped and signed by a CT registered Professional Engineer if based on ASCE 7-02 or WFCM chapter 2 GARAGE and CARPORTS Shearwalls not identified on the construction documents or arc insufficient No plan submitted or insufficient information provided Shearwall calculations required Building section required Ridge connection not identified or insufficient Opening protection between the garage and residence is not identified or Roof-to-wall connection not identified or insufficient insufficient per section R309.1 Wall-to-wall connection not identified or insufficient Separation between the garage and the residence is not identified or insufficient Wall-to-sill connection not identified or insufficient per section R309.2 Provide engineering data for the piers to resist gravity,lateral,shear and uplift loads,stamped and signed by a CT licensed design professional ELEVATIONS. Hold-down devices,location and type not identified or insufficient No plans submitted or insufficient information Foundation anchor spacing not identified or insufficient Plans do not match the floor plans Construction documents do not match the engineering data submitted Finish grade not identified or does not match the site plan Cold-formed steel framing shall be designed in accordance with COFS/PM- Building height(s)not identified 2001 edition Dimension height of chimney Roof pitches not identified • Paevired9fay 4,2007 Town of Montville Building Department STAIRS of shown SHEDS rough[not identified or insufficient Structure has an arca of more than 400 square feet _ frost protection is depth not identified or insufficient required,provide details(8403.1.4.1) required for closed riser stairs Eave height is greater than 10 feet-frost protection is required provide details (8403.1.4.1) rpening can not allow the passage of a 4"sphere Ground anchors arc required-provide information and details r stair-detailed plans required stair-detailed plans required POOLS/HOT TUBS ridth required to be minimum of 36"above the required handrail height Provide information and details for barrier ail detail not provided or insufficient detail Gate can not swing out over stairs rail detail not provided or insufficient detail xom heightGate required to swing away from the pool area not identified or insufficient Sidewall support brackets required to be protected b siting required at the bottom of the stairs information and di-tailsY a barrier, provide [ding required at the top of the stairs Gates to self-dosing and self-latching 'otection required,provide details and connections Doors from residence required to be alarmed OR self-closing self-latching Pool pump receptacle dimension from the pool wall is required-show location FRAMING on plan ze and spacing not provided or insufficient General purpose receptacle required(min_ 10 ft,max 20 ft fromoo] show ins type not provided or insufficient location on the plan P ) required showing joists,beams and openings Wiring type not identified or unclear g partitions not provided or indicated Wiring method not identified or unclear ig direction not indicated or unclear Burial depth not identified or unclear span&size not provided or insufficient Bonding requirements not identified or unclear ian,size&spacing not provided Light fixtures-manufacturers installation instructions required over-spanned over spanned Electrical plan required for pool a design data for all unaligned wall and floor bearing points FLOOD-RESISTANT CONSTRUCTION(R323) oads not identified on beam data Documentation required to be submitted for the connection,anchored to resist ng less than l t"to grade to be pressure treated or decay resistant flotation,collapse or permanent lateral movement beam - must be stamped and signed by a Connecticut Professional Delineation of flood hazard areas,floodway boundaries, and flood zones and sz-engineering data required the flood design elevation to be irt'.ntified on the site plan(RI 06 13) Elevation of the proposed lowest floor,including basement;in areas of shallow •-engineering data required flooding (AO nines), the height of the proposed lowest floor, including n loads not provided or insufficient basement,above the adjacent highest grade shall be identified(8106.1.3) Electrical systems, equipment and components, and heating,ventilation, air DECKS/PORC HI:S conditioning and plumbing appliances, plumbing fixtures, duct systems, and uction documents requiredother service equipment shall be located at or above the design flood elevation cions required ig direction not indicated ELECTRICAL INFORMATION Plans required showing panel locations,GFCI,switches,lights and receptacle span&size not provided or insufficient DIM,size&spacing not provided locations aP over-spanned Panel location not identified wen-spanned Receptacle locations not identified or insufficient GFCI receptacle locations not identified or insufficient r-show attachment and flashing detail ze or spacing not indicated Lights and switches not identified or insufficient of deck above adjacent finished grade not provided Location of time clock not identified ctioas not identified or insufficient io not match site plan FUEL GAS INFORMATION LP-Gas tank size and location not identified on the plans Trench detail not provided or insufficient Piping diagram not submitted or insufficient , 7`4/7 f;r`e. of 4 �5 l 0 a f i`deet le;K.r. / i� G `l y r / 4' OO/ Jo H Dv r .--7,-,- -,/- 2/0 Ar fes'�7 C 4f/ti C 0- /4 4 4.'r, l�L r 7/4, % /7 r./,'.,-- -r c-, U; f 4-lerr el circ lea {d I y� ad);-(G'aT e t.� c,e�:-►-r 60 jj �/ I /J t 1, �t ✓'7'4 ic i i.-t fp, JQr. L/ b✓ _.(d04/4. /'iH d✓r/L,'h3 /,',4 ciP/'t r 71`t-f P,.r/ f� J X fir 7 cJO^/�'r _rf/t ere /BOG• n PYGr'f l 0 C or, /i K4�/ d �P /A e AO /J C 7 IAr /CO / csX,-,4 //...,,',....,„, `yt Z f 4' /41.00--I: Cei 7t t‘O..-r ./f i,f..r c- r / / 4,t.-r / 4 e Y 4 T yr,1' q,-r 7Uer S'fa P-, +-I sl hie° (-4,...:1" t its'+r Co /12e 71/ rf Q✓L G C err' r l api O T /IJ vN 4 P/ Gil a g.., I 1L J C f�Cs.-7 ^�'_'_ ation reviewed by. Jernon D.Vasey II 8/-s -Ae '�"�- ' David M.Jensen Charles Corell Building Official Deputy Building Official Building Inspector .2007 Town of Montville Build:no Dej artment 310 Norwich-New London Tpke. Tel. 860-848-3030, Ext 382 Uncasville, CT 06382 Fax. 860-848-7231 RESIDENTIAL PERMIT APPLICATION FORM Permit No.: b -b02 Type of Work Occupancy Type Permit Type ❑New Construction ❑Single Family 0 Building ❑Addition 0 Two-Family 0 Plumbing ❑Alteration 0 Townhouse 0 Mechanical 0 Accessory Structure 0 Electrical CRS#: Job Address: Po/4-1 3 I'-eeZC r-c- (Number) (Street) (Unit) Job Description: -latfectc Ac /�- 071 117/0 U4 Owner: Thom t5 [ l , Address:/jUri City: � S State: C Zip Code: 6 t// 030 Telephone: 75-17_ '7''7 - o Contractor: C teen kia„ ; , -- LLCgir .0' DBA: Address: -g i}u yey S+ City: W ll/lW?a,iL G / — Zip Code: ��xx/O State: Telephone: 9(00-.23o- License Type:Ar 14CLicenseNo.: `/( '4/ 30/ 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. ❑ 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 Code. Owner/Agent Signature: % Yr-VD -� Date: 7 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: cR iisa DecemEer31,2005 Town of Montville Building Department File Receipt Date: 10-Apr-08 Receipt No: 3318 Received From: Greenway Builders LLC Job Address: 9 Point Breeze Fees Collected State Educational Training Fee Cash: $0.00 Cash: $0.00 Check: $90.40 Check: $1.20 Check No: 1082 Short/Over: $0.00 Construction Value: $7,527.00 Demolition Value: $0.00 Received By Carmen Roberts Address: 9 Point Breeze ITEM QTY $IUNIT TOTAL Building Plumbing Mechanical Electrical 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 $ - $ - $ - I. Kitchen EA $ - $ $ Full Bathroom EA $ S - Half-Bathroom EA $ $ _ Attached 132 SF $ 54.35 $ 7,174.20 $ 351.12 Detached SF $ 69.53 $ - $ Under SF $ 10.03 $ - $ Carport SF $ 19.89 $ - Warm-Air n Y/N Hot Water n Y/N $ - Electric n Y/N $ $ - Air Conditioning n Y/N $ - L 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 FA $ 6,497.70 $ - Masonry w/tfireplace EA $ 7,096.65 $ - Masonry w/2 fireplaces EA $ 11,095.70 $ - Wood Stove,free standing FA $ 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 8 HOT TUBS Hot Tub FA $ 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 FA $ 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 FA $ 1,051.10 $ - Doors,Exterior EA $ 601.50 $ - - Oil Tank,275 Gallon EA $ Oil Tank,550 Gallon EA $ MISCELLANEOUS CALCULATIONS TOTALS $ 7,174.20 $ - $ - $ 351.12 PFRMIT FEE CALCULATIONS Construction Value Fee Building $ 7,175.00 $ 64.00 Plumbing y $ - $ Mechanical y $ - $ _ Electrical y $ 352.00 $ 8.00 Working before Permit Issuance $ _ Certificate of Occupancy Fee $ 10.00 Plan Review Fee $ 7 20 State Education Fee 1 20 TOTALS 7,527.00 90.40 Figures are based on the 2006 RS Means Residential Cost Data Town of Montville Building Department File Receipt Date: 01-Apr-08 Receipt No: 3280 Received From: Greenway Builders LLC Job Address: 9 Point Breeze Road Fees Collected State Educational Training Fee Cash: $0.00 Cash: $0.00 Check: $323.43 Check: $5.43 Check No: 1068 Short/Over: $0.00 Construction Value: $33,964.00 Demolition Value: $0.00 Received By Charles Corell Address: 9 Point Breeze Road ITEM OTY SIUNIT 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 $ - $ - $ - Kitchen EA $ - $ - $ Full Bathroom EA $ $ Half-Bathroom EA $ $ Attached 660 SF $ 48.80 $ 32,208.00 $ 1,755 60 Detached SF $ 69.53 $ - $ Under SF $ 10.03 $ - $ - Carport SF $ 19.89 $ - Warm-Air n Y/N _ Hot Water n Y/N $ - Electric $ n YM $ Air Conditioning n Y/N $ - Ei. 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 $ 6497.70 $ - Masonry w/tfireplace EA $ 7,096.65 $ - Masonry w/2fireplaces EA $ 11,09570 $ - Wood Stove,free standing EA $ 2,692.25 $ - Wood stove insert EA $ 1,859.77 $ - DECKS,PORCHES,SUNROOMS Deck SF $ 43.07 $ - Ppch SF $ 149.38 $ - Suragom SF $ 176.90 $ - $ - POOLS&HOT TUBS Hof Tub EA $ 8,016.25 $ - $ - r Inground Pool EA $ 21,373.44 $ - $ - Above Ground Round EA $ 5,099.46 $ - $ - Above Ground Oval EA $ 6,019.75 $ - $ - Pool Heater EA $ 8,98425 $ - 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 8 reroof SF $ 4.00 $ - Roof Sheathing SF $ 1.31 $ - Siding SF $ 3.50 $ - Windows EA $ 50000 $ - Skylights EA $ 1,051.10 $ - Doors,Exterior EA $ 601.50 $ - Oil Tank,275 Gallon EA $ Oil Tank,550 Gallon EA $ MISCELLANEOUS CALCULATIONS TOTALS $ 32,208.00 $ - $ - $ 1,755.60 PERMIT FEE CALCULATIONS Construction Value Fee Building $ 32,208.00 $ 264.00 Plumbing y $ - $ - Mechanical y $ - $ - Electrical y $ 1,756.00 $ 16.00 Working before Permit Issuance $ - Certificate of Occupancy Fee $ 10 00 Plan Review Fee $ 28.00 State Education Fee $ 5.43 TOTALS 33,964.00 $ 323.43 Figures are based on the 2006 RS Means Residential Cost Data ,.=.`,,::.fir x a,l. .. v.7.. � } \ .••••?rkl tom'''r ' �gs,,v tr.� 'v r::Y •.•.•,•,: „JP: .. 4 k ..1 ...•�li 0 �1/ r..,.0:,. ik AF1'•:&. r•'. . 4, •.S f. h?r.;•, �• .M1. .f� ...,, .... L .,. w-� ••t h•t". ...5 r•• ';•;: t 552, ''}}�� ..v".:. 4j% r,�lr •.rrii: 1r' ::•'{: ii'✓i%. i55•ilsh STATE OF CONNECTICUT + DEPARTMENT OF CONSUMER PROTECTION _ Be it known that I sift. GREENWAY BUILDERS LLC 328 VALLEY ST WILLIMANTIC, C ' 06226 . sw- is certified by the Depart ,Constnr Protection as a registered ""' 44, a HOME IMPR6VE !STT CONTRACTOR Re s tic i7:_62 . Effective: 12/01/2007 :,.)� 0 ., 11/30/2008 r � Expiration: >5 F =-JerryFarrell,Jr.,Commissioner ,_ :°. �. �5', n yy41-* �.1*, ! 5y .y , ..if, „,,7, a •,r i,, _ j : s A jss; h s• : r S v -.` , .: ,. �,y ll b r f, f'1 •ty" ' }.ti4 '. r :.�' `ly � .y' k`� �' .v ll; k•`, yan"L,4diy Orr v,',_. ift / ! \+. 1•• 1r :f ‘"'Q.,,..<'-•-' �' `'... .f .r r .D \.. rr+/� J t'• !Ar',�„`` <Y �ti� �w� • ,,,C,,,4, ''r0. { � �; .+A}*•.•. f.+�`. '��?'; l +h- 1 � �� "':v ,3 v�'w State of Connecticut N 7C j .. 1 r Workers' Compensation Commission L.to zrz+N_%� Please TYPE or PRINT IN INK Proof of Workers' Compensation Coverage when Applying for a Building Permit for the General Contractor or Principal Employer who has chosen to be EXCLUDED from Coverage Applicant for Building Permit Name of Applicant for Building Permit Property located at in the City/Town of Attest If you are the General Contractor or Principal Employer of a business doing work on the site of the construction project at the above-named property and you have properly excluded yourself from workers'compensation coverage by filing one of the appropriate forms listed below with the Workers'Compensation Commission,complete this form and,if applicable,sign the Affidavit below in the presence of a Notary Public or a Commissioner of the Superior Court. FIRST—CHECK ONE (1) BOX: I am: ❑ an Officer of a Corporation ❑ a Manager or Member of an LLC ❑ a Partner in a Business THEN—CHECK ONE (1) BOX, provide the appropriate information, and sign the Affidavit below: I have filed the following certificate with the Workers'Compensation Commission: aForm 6B(for an Officer of a Corporation,a Manager of an LLC,or a Member of a Multiple-Member LLC) ❑ Form 6B-1 (for a Partner in a Business) AFFIDAVIT I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor, subcontractor,or other worker before he or she does work on the site of the construction project at the above-named property in accordance with Section 31-286b of the Workers'Compensation Act 2 Signature of GENERAL CONTRACTOR or PRINCIPAL EMPLOYER Applicant-r gift,..„„iga``�lt _ c II•• Name of Business—if applicable -70 Ail .4 `�—AL, I. .Ad& Federal Employer ID#(FEIN)—if applicable Subscribed and sworn to before me this l111‘ day of m C C-Y \ , 200(/ . Signature of Notary Public/Commissioner of the Superior Court 0 G ' 1 U_VA trYi , aigt,11?"") :34111MEN M. ROBE RTS NOTARY yp>ar_r' 'AY COMMISSION EXPIRES OCT.31,2012 I vv State of Connecticut N j g r Workers' Compensation Commission _�_�/�,, � Please TYPE or PRINT IN INK cc Qom,rt_6�4" Date filed in District Coverage Election by Employee who is an - " SII Officertit ". ''' of a Corporation, Manager of an LLC, E� or Member of a Multiple-Member LLC JAN 28 7 Pursuant to Section 31-321 C.G.S.,this notice must be served upon the Compensation Commissioner in person , ('�Mp �,OMM4SS,0 or by registered or certified mail. WORKEfi' i' STRICT 2 Ci g i se only) COVERAGE ELECTION / To the Compensation Commissioner for the -2- Compensation District of Connecticut at ,./114',/-Lt. t G 19 (district number) (city of compensation office) and to @reLJa BU I /(r�:i S/ ,, l , of (•a1/41CLG(_i/( ,Employer. f (name of employer) (employers city/town) I, iCc-.SIM ,4bCtcl%Y ,an Employee of (name of employee) /// / (sot.sec.#—optional) (--)K-e-f27/2 (%, 'a/1 /(_�� ZZS ,located at !!! �/ / (exact nam of corporation or LLC) / 2 i' & U (S -) 2itJ1'��1r � f Cr 06224 and also the (coryplete address of corporation or LLC) of said Corporation or LLC, � of>Celd) hereby elect o: BE EXCLUDED FROM COVERAGE under the Workers'Compensation Act pursuant to Section 31-275 of the Connecticut General Statutes ❑ REVOKE ANY PREVIOUS ELECTION OF EXCLUSION from the provisions of Section 31-275 of the Connecticut General Statutes AFFIRMATION Section 31-284 of the Connecticut General Statutes requires that workers'compensation insurance be obtained for all covered employees. Dated on this �l/ day of ---N(j`iA.Xf 20 O (number) (month) I (year) ,//ts4v Employee Signature—7; -- Soc.Sec.#(optional) 00.Employee Address . yrs. • • C1 / - yus /�� City/Town (44/667 6J C 1/Lii G State Zp Code CC"22 6 Town of Montville Building Department 310 Norwich-New London Tpke. Tel. 860-848-3030, Ext 382 Uncasville, CT 06382 Fax. 860-848-7231 CONSTRUCTION PRMIT APPROVAL zJ- Property c R ,..-(3,-,..,..y.Address 2( 3 6 / 3- 17( C-- , i? 1 c .,g_e 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 Approval II Tax Collector N.� A0----,� `3/, J /p 6r �_� Signature! -131-- Comments: _ toComments: ❑ WPCA, Administrative Signature/date Comments: ❑ WPCA, Operations Signature/date Comments: Planning &Zonin 3// 6 8 y Comments: A/v-j # 2Q ' ;t ve.G. 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