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Renovations/Bathroom Remodel 2014
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:__2014-0031 Date: 28-Jon-14 Map/Lot: t 03/Oh4-n00 Owner ID: 5598000 Project Location: 3 POLLYS LANE Unit: Job Description: _e_ttomatioQsloJ_clude:Chimney Lim.S x Re_olaceMen indovy_s&One Exterior..Door 6_afhrnomigelnodel Owner Nam _BorashaAeeson Tenant Name_N/A. Careof: 3 Pollvs I one Linc osville CT 06382- Telephone: _C86012_13-3484 Applicant Name Home Owner Telephone: DBA: Lic/Reg Type Lic/Reg N Exp Date: C'onefckietio+_LnLuo Pwm�it Eaee _ConstnucionJn.ko_ Poon Building Value: 55.0.50.00 Building Fee: S7_2.011_ Use Group: IRC Plumbing Value: $2,600.00 Plumbing Fee: SAUD__ Code: 2005 State Building Code Mechanical Valu SS/00__ Mechanical Fe Electrical Value: $301LQQ_ Electrical Fee: _ S3g,00_ Construction Type IRC Total Value: _ Sk.9.5Q pQ Penally Fee: MOO__ Permit Code: R4 C of 0 Fee: gnio_ Comment Plan Review Fe SA,aD_ State Ed Fee: Total Fee Paid: 5152 33 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 frami ❑ 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 ■ ►- "cat- of Occupancy _Build no Officioft onto al: 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.: 6AD1L4— ) Type of Work Occupancy Type Permit Type r} ❑ New Construction El Single Family 13-Building ❑Addition ❑Two-Family ❑ Plumbing l.l. ❑Alteration El Townhouse ❑Mechanical ❑Accessory Structure ❑Electrical CRS#: 1 Property Address: 3 Pio I I y S L i n e t. (Number) (Street) (Unit) LP t Job Description: C h t ry,n e i L;n C r i Li-s ‘06ou''') + 0 h_ot. Doc)r— .- Y,<<cr J V1 et—4-,r'C k__-- i Owner: YV o.:Ia ��(� U (/ / Address: /V QACJhLY Ye bc_ D1 . ( City: (O I V V) State: CT Zip Code: af) 0Telephone('U ),21-2) -` - F. 1 Applicant: )YyL_ Ot,01r- L . DBA: i; Address: i, City: State: Zip Code: Telephone( ) Contractors - Complete the Following: License Type: License No.: Expiration Date: t' G 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. r ❑ 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�tsinchapters33 through 42 of the Residential Code. '7 / Owner/Agent Signature: Date: / �) . / - Construction Value Permit Fees Building Value: J`S(7 C) Building Fee: Plumbing Value: 36 _) Plumbing Fee: Mechanical Value: Mechanical Fee: Electrical Value: `YD Electrical Fee: Total Value: Penalty Fee: C of 0 Fee: Plan Review Fee: State Ed Fee: Total Fee: Rfvued August 23,2007 v State of Connecticut N 7A •, I: Workers' Compensation Commission _; '� " � 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 of Applicant for Building Permit kit( • n Property located at „3 \ \a-CV— U 1 10- )Y\ `\e ) (7. \ cxc in the City/Town of l �J(�� I\� �I` 1 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: la0 I am the OWNER of the above-named property.I WILL NOT act as the general contractor or principal employer. / t2Wl`l J SignauofONERP.ppfrant-- (-4 —•- ❑ I am the SOLE PROPRIETOR of a business doing work at the above-narned property.I WILL NOT act es the general contractor or principal employer. Name of Business Federal Employer IDS(FEIN) Signature of SOLE PROPRIE I UR Appfn.d,d Town of Montville Building Department Bank Card File Receipt Date: 27-Jan-14 Receipt No: 5377 Received From: Natasha B.Beeson Job Address: 3 POIlys Lane Fees Collected State Educational Training Fee Bank Card $152.33 Bank Card $2.33 Short/Over: $0.00 Construction Value: $8,950.00 Demolition Value: $0.00 Received By Carmen Kneeland Cirj./\yvuLAA. I Y ► ��1 'Ca-f)(19 Address: 3 Pollys Lane ITEM QTY $/UNIT TOTAL Building Plumbing Mechanical Electrical BUILDING AREA Basement,Finished SF $ 41.96 $ - $ Interior Renovations SF $ 36.09 $ - $ - $ AMENITIES Kitchen EA $ - $ $ - Full Bathroom EA $ - $ Half-Bathroom EA $ $ - GARAGE Detached SF $ 71.53 $ - $ _ MECHANICAL Warm-Air n Y/N $ 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/tfireplace 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 $ 8 984 25 $ - $ - Inflatable Type Pool EA $ 1,200.00 $ - $ _ SHEDS w/o electrical SF $ 25.55 $ - 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 $ 5,050.00 $ 3,600.00 $ 300.00 TOTALS $ 5,050.00 $ 3,600.00 $ - $ 300.00 PERMIT FEE CALCULATIONS Construction Value Fee Building $ 5,050.00 $ 72.00 Plumbing y $ 3,600.00 $ 48.00 Mechanical y $ _ $ Electrical y $ 300.00 $ 30.00 Working before Permit Issuance n $ _ Certificate of Occupancy Fee $ Plan Review Fee $ State Education Fee $ 2.33 TOTALS $ 8,950.00 $ 152.33 Figures are based on the 2006 RS Means Residential Cost Data 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. Prope}ty Address PDI 00\ ie( 1‘cc! ( ± P(u yin i`I ci t c.i. )✓U---t`a►'1 S I Job Description J Required Department Permit Issuance Approval Approval Tax Collector d 0 J /� // -f- Signature/d e Comments: Planning & Zoning ��� ' > / Z7// Si nature/ date Comments: Fire Marshal / L Zf (mac • Signature/date Comments: ❑ Health Department Required for properties with private septic or well Comments: WPCA, Administrative 111 a1 I'l Required for properties on sewer \ Sir nature/date Comments: ❑ WPCA, Operations When Required by WPCA Signature/date Comments: n 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: ❑ 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 Revised May 23,2011