HomeMy WebLinkAboutAlteration Kitchen and Bath 2001 Town of Montville
Building Department
Phone: 848-7166 310 Norwich New London Tpke Fax: 848-7231
Building / Trades Permit
Permit Number BP2001-752 Permit Date 12/13/01 Permit Type Building Permit Code R4
Job Street# 53 Job Location POINT BREEZE ROAD Map/Lot 075/021-000
Job Description Alteration
Owner Contractor
Paul E. Japp Paul E. Japp
Address 53 Point Breeze Road Address 53 Point Breeze Road
City Uncasville State Ct. City Uncasville State Ct.
Zip 06382 Telephone 848-1436 Zip 06382 Telephone 848-1436
Lic/Reg Number
Lic/Reg Type Exp Date:
Use Group R4 Code 1995 CABO Type Construction 5B
Building Value $18,445.00 Building Fee $112.00
Plumbing Value $1,056.00 Plumbing Fee $10.00
Mechanical Value $1,282.00 Mechanical Fee $10.00
Electrical Value $1,176.00 Electrical Fee $10.00
Other Value $0.00 Other Fee $0.00
Total Values $21,958.00 C/O Fee $10.00
Comments: Plan Review Fee $11.20
State Ed Fee $3.51
Total Fees $166.71 II
Building Official's Signatur .4/72Z37� �./ Date ze//Ye4
It is the owners responsibility o schedule the following requir inspections (minimum 48 hours notice requested):
Footings -prior to pouring concrete
Backfill -footing drains and waterproofing LI Fireplace Throat
Concrete Slab, prior to pouring ❑ Fireplace Final
Rough Framing ❑ Chimney -one flue above thimble
v Rough Electrical SII Firestopping/draftstopping
❑Electrical Service V Insulation
Rough Plumbing and leak test ❑ Pool bonding
❑ Gas piping -pressure test and installation ❑ Final Inspection
*/ Rough HVAC V Certificate of Occupancy-PRIOR to use or occupanc
Town of Montville Permit tiiPigticy. 752.
Building Department
310 Norwich-New London Tpke.
Tel. 848-7166 Uncasville, CT 06382
Fax. 848-7231
Application for Building or Trades Permit
Building Permit
Trades Permit
❑New Construction []Accessory Structure
❑Addition ❑�Demolztion ��Pfum6ing o9lfedranicaC
Alteration Other �`Electrrcaf ��
Air Conditioning
Gas PiPing
Job Location C
'`OI ��r e✓Z �� �y
Job Description/Materials k/?Ly fc„,,4Ne,� (� (./\
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Owner ri,f, j F f Mailing Address < 17-7 %7 2 "-el
City Citi C- s State
'. j Zip o 6 3 F Tel k60 / ((t/ /'/3
Contractor S-e l A Mailing Address <-51`74-'—'2
City State
Zip Tel / /
Contractor's License/Registration Type&Number
Exp. Date / /
New Home Construction Contractors:
Have you entered into a contract with a consumer for the proposed new home?❑ Yes El No
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.
Owner/Agent Signature �Q,�. (<
/* Date ! / / / /'
Construction Value Fee
Building
Plumbing $ � �4`'r^ $ 1/ Z
Mechanical $ /05‘ $ /b"
$ i a4z
Electrical $ 1/ ? ,_ $
/e-
Other $ $ /�
Certificate of Occupancy $
Plan Review Fee $ J'6
State Education $ //. zd
Total $ 2-1 am
y - $ 3.31
$ J 4h.7)
STATE OF CONNECTICUT
WORKERS'COMPENSATION COMMISSION
Building Permit Affidavit for Property Owners or Sole Proprietors
(Conn. Gen. Stat. § 31-286b)
Property located at t" j /,,„ 5,-
7
In the town of U/t- c_,'rvl /l--P
Name of building permit applicant: a c
Please check one:
I. VI 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 to §31-286b,"a property owner or sole proprietor[who] intends to act as a general
contractor or principal employer"may provide either a certificate of workers'compensation
insurance or a"sworn notarized 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 check one:
I. do not intend to act as a general contractor or principal employer.
[Sign and stop here]
6-72c.A.A.L_Ac
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 that I will require proof of workers'compensation insurance for every
contractor, subcontractor,or other worker before he/she engages in 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 Departmu + Receipt
kw
4;;;
Date , //Q /a / No. 01357
From: , /j
, Ilarre
LI Job Address: fr
i
! (;) Amount $ /66 Cash 41111!� Check #
'�ti�
(Circle one)
' r '0
Received by 4,, 4 I♦y_, i_ Permit # ..
Permit Fee Calculation Spreadsheet
RESIDENTIAL PERMIT CALCULATION (FINISH 2nd FLOOR)
QTY $/UNIT TOTAL
Living Area 480 SF 30.38 $ 4,582.40
Plumbing
Full Bath 1 EA $ 3,531.00 $ 3,531.00
Half Bath EA 2,247.00 $ -
Fireplace&Chimney
Prefab 1 EA $ 3,845.00 $ 3,845.00
Masonry,exterior EA $ 4,220.00 $
Masonry,interior EA $ 3,970.00 $ -
W/2 fireplaces EA $ 2,685.00 $
Breezeway/Decks
Open SF $ 15.00 $
Enclosed SF $ 50.00 $
Heating Adjustment 480 SF $ (2.67) $ (1,281.60)
Air Conditioning 480 SF $ 1.45
Electrical 480 SF $ (2.45) $ (1,176.00)
Plumbing 480 SF $ (2.20) $ (1,056.00)
TOTAL BUILDING CONSTRUCTION COST,LESS MEP $ 18,444.80
IIs air conditioning included(Y/N)? - _ I
PERMIT FEE
Building $ 18,445 $ 112.00
Y Plumbing $ 1,056 $ 10.00
Y Mechanical $ 1,282 $ 10.00
Y Electrical $ 1,176 $ 10.00
Other $
CO Fee $ 10.00
Plan Review $ 11.20
State Ed Fee $ 21,958 $ 3.51
Total Fees $ 166.71
Based on 2000 RS Means Square Foot Costs
11/28/01